EA180500 - Building - Commercial/Industrial - Issued Date 12/02/2022 PERMIT
City of Eagan • , , Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA180500
•-'-
Eagan,MN 55122 •--- ••-• EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 0 5 0 0
Date Issued: 12/2/2022
Site Address: 815 Vikings Pkwy
Lot: 1 Block: 1 Addition: Lone Oak 4th
PID: 1045703-01-010
Use: Summit Medical * 1 0 — 4 5 7 0 3 — 0 1 — 0 1 0
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: Demolish Interior
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Demolition $94.00 0801.4085
Surcharge-Fixed $1.00 9001.2195
Total: $95.00
Contractor: - Applicant - Owner:
Sever Construction Company Mve West LLC
5151 Edina Industrial Blvd 2685 VIking Cir
Edina MN 55439 Eagan MN 55121
(952)698-6186
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
-Zo %AwCe
Applicant/Permitee: Signature ssued B : Signature
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Permit Fee:
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Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-56751 FAX:(651)675-5694 j Date Issued: i
Plan Submittal:.ta dinginsRagli2r cttxoLongan.com t:_.--_._______—_;__ 1
COMMERCIAL BUILDING PERMIT APPLICATION
Dates'12/02/2022 Site Address: 815 Vikings Parkway _ suite W. 100
Summit Medical [I New Existing
Tenant Name: - Tenant is:
Former Tenant(if applicable):
Name: Mary Jo Tuttle Phone: 952-698-6183
Applicant
Applicant Is: ❑ Owner 0 Contractor ❑Agent Email;
Type ttf Description of work: Interior Demo
Work _
Construction Cost: $276,160.00
Sever Construction Company contactCompany:
Khalid Maye
BulldIng Address/Clty2Ip:5151 Edina Industrial Blvd., Suite 650, Edina, MN 55439
Contractor
Phone: 612-730-5463 Khalid.Maye@SeverCo.com
. Email:
License.#: Expiration Date:
Company:.BDH Design Contact:
Architect/ 201 N Irving Ave#200, Minneapolis, MN 55405
Engineer Address/City/Zip:
Phone_952-893-9020 Email:
$6W4rOt Company: _ Contact:
Water
Contractor Address/City0p:
Required for. Phone: Email:
new construction
and additions
License#: Expiration Date:
® I understand that Plumbing,Mechanical, Fire Suppression,and Sign work require separate applications.
ci i s:ptens and supporting tlaclumertts at you submit ara abnsidered,to ba piabiic trt(onmaflatt. Portions ofe inforjhatiprt
ba cl`�xsifled'�iiblt{ ufilic Iff ciu rovid�l s lilt:reasons that wpuld errrill<ahe d to ttonoludia 4hatthe`af'e trade secrets,
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 not to start 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 plans.
,Shawn Cross x
Applicant's Printed Name Appli nt' Ignature
POR oP FICE USE ONLY,
SUBTYPES Site Address, 815 Vikings Parkway
Foundation _ Public Facility _ Antennae Summit Medical
_ Commercial/Industrial _ Accessory Building Tenant:
_ Apartments Greenhouse i Tent Permit M
WORK TYPES
_ New _ Interior Improvement Demolish Building*
_ Addition _ Exterior Improvement Demolish Interior
Alteration _ Retaining Wall Demolish Foundation
*Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Code Edition MCES System
Plan Review Zoning SAC Units
Census Code Stories City Water
#of Units Square Feet Fire Sprinklers
Type of Construction Length
Occupancy Width
REQUIRED iNSPECTIgNS
Footings_New Building_Addition Retaining Wall
Foundation Foundation Before Backfill Other: .
Vapor Barrier Other:
Framing 30 Minutes_1 Hour
Insulation
Sheetrock Final/C.O.Required
Roof:_Decking _Insulation _Ice&Water _Final Final/No C.O.Required
Siding:_Lath _Brick_EFIS
Fireplace:_Rough In _Air Test ,_Final
Pool:_Footings _Air/Gas Tests _Final
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
New Business to Eagan.-
Reviewed
agan:Reviewed By: ,Building Inspector
FEES
Base Fee Landscape Guarantee(9001.2257)
Surcharge Tree Mitigation (9111.4677)
Plan Review Tree Performance Security(9111.2257)
MCES SAC Stormwater Performance Security(6501.2257)
City SAC
S$W Permit&Surcharge
Treatment Plant
Treatment Plant(Irrigation)
Park Dedication (9328.4670)
Trail Dedication (9375.4671) TOTAL: $ 0.00
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