1278 Town Centre Dr - The Barbershop For Office Use
, GA NPermit h/0 �3
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Permit Fee: ,--
rte.•1 Staff:
L J
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No ,
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email:buildinoinspections r citvofeagan.com FMS,EIS T L Plans: Electronic Paper
Plan Submittal:eplanstc citvofeagan.com �r ,, J
AUG 032018
2018 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email, CD or flash drive
Date: 07.25.18site Address: 1278 Town Centre Dr
Tenant: The Barbershop Suite#: 1278
MidAmerica 612-759-9400
Owner r
5353 Wayzata Blvd Ste 650
1 , Address/City/Zip: Y
Name: Gilbert Mechanical License#: MB005309
5251 W 74th St
ri4q `--� Address: city: Edina
Contractor
gtState: ip: 55439 952-835-3810
tMN Phone:
fi i;lA;n
i �a�'� h contact: Alex Dahlgren Email: adahlgren@gilbertmech.com
i
Demolition
"11,
° TI ��= New ✓ Replacement Additional .Alteration
'T `4
p� ' � � Description of work: Relace 5 ton RTU with new capacity ', tir
aoT� it � rid d a e ui a s e mt0 �� •0 Ro � rmationOE▪ _ -- aco1an fIn ,ctor r ^} • esCde ntact t ,
'" COMMERCIAL
all , -N,, • _New Construction Interior Improvement
h 9,P � i Type Install Piping Processed
_Gas ✓ Exterior HVAC Unit
▪ __ Under/Above ground Tank ( Install/_Remove)
COMMERCIAL FEES
Contract Value$5,300.00 x.01
OD 6
$60.00 Permit Fee Minimum �/
$75.00 Underground tank installation/removal,includes State Surcharge =$ �" tPO ' Permit Fee
=$ 2.65 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$
J.
TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the
City's website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City
of Eagan;that I understand this is not a permit,but only an application for a permit,and work is •: rt without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of p ans.
x IclGt it v"`
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Applicait s Printed Name Ap• Vs Signature
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