EA180613 - Mechanical - Commercial - Issued Date 01/09/2023PERMIT
City of Eagan
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Permit Type: Mechanical
3830 Pilot Knob Rd
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Permit Number: EA180613
Eagan, MN 55122
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EAGAN
(651) 675-5675
111111111111
www.cityofeagan.com
* E A 1 8 0 6 1 3
Date Issued: 1/9/2023
Site Address: 1565
Cliff Rd
Lot: 1 Block: I
Addition: Thomas Lake Center
PID: 10-75925-01-010
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Use: Golf 24
* 10-7592S-0 1-0 10*
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Modify existing HVAC system
Comments:
Fee Summary:
ME - Mechanical Commercial % $225.00
0801.4088
Valuation: 15,000.00
Surcharge - Based on Valuation $7.50
9001.2195
Total: $232.50
Contractor: - Applicant - Owner:
Nordic Services Inc Brackenridge Tic LLC
11965 Larc Industrial Blvd, #600 922 North Broadway Ste 100
Burnsville MN 55337 Rochester MN 55906
(952)894-5800
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.
Applicant/Permitee: Signature
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ssued By' Signature
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EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Email: buildinninspectionsCa-)cityofeacan.com BY:
r— — — — — — — — — — — — — — — — —
I For Office Use I
Permit #: 180613
Permit Fee:
I
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1 Staff: I
Payment Recvd: _Yes X No
I 1
Plans: X Electronic _ Paper I
2022 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 12/9/22 Site Address: 1565 Cliff Road
Tenant: Golf 24 Syite #:
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Con
or
Type o, 'Work
Name: GOIf 24
Address / Cltv / Zib: 1565 Cliff Road Eagan MN 55122
Phone:'`
I Name: Nordic Services License M
Address: 11965 Larc Industrial Blvd Suite 600 City. Burnsville J
State: MN Zip:55337phone: 9528945800 4dh11A9Y14ydf
Breanna Engel estimating@nordicservices.net �Y�f
Contact: g Email: ma9@
New Replacement Additional ✓ Alteration Demolition
ption of work: Modify the existing HVAC system to accomodate buildout
oof mounted, and ground mounted mechanical equipment is required to be screened by
COMMERCIAL
New Construction V( Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank (_ Install / _ Remove)
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COMMERCIAL FEES 15000
$60.00 Permit Fee Minimum Contract Value $ x .015
$75.00 Underground tank removal or temporary heat, includes State Surcharge = $ 1-2:0 Permit Fee
Surcharge = Contract Value x $0.0005 = $ 1.60 Surcharge
If the project valuation is over $1 million, please call for Surcharge = $ IS I ,1 � 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.citvofeacian.com/subsedbe.
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.
xBreanna Engel
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
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Underground 2ough In A€r'`fiast Gas Service Test Ira Hoar Heat Final HVAC Screening