EA180825 - Building - Commercial/Industrial - Summit Medical - Issued Date 02/14/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
KI Permit Number: mber: EA180825 r.
* E R 1 8 0 8 2 5*
Date Issued: 2/14/2023
Site Address: 815 Vikings Pkwy 100
Lot: 1 Block: 1 Addition: Lone Oak 4th
PID: 10-45703-01-010 111111111111111111111 11111M
Use: Summit Medical * 1 0— 4 5 7 0 3— 0 1— 0 1 0*
Description:
Sub Type: Commercial/Industrial
Work Type: Int Impr
Description: Pallet Racking
Census Code: -
Zoning:
Square Feet: 0
Comments:
Construction Type: II -B
Occupancy: R-1
S-1
Fee Summary: BL - Base Fee $298.65 0801.4085
Valuation: 15,000.00 BL - Plan Review 65% $194.12 0720.4222
Surcharge - Based on Valuation $7.50 9001.2195
Total: $500.27
Contractor: - Applicant - Owner:
Forte Mve West LLC
1650 82nd Street Suite 1000 2685 VIking Cir
Bloomington MN 55431 Eagan MN 55121
(612)964-9767
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
ssued B : Signature
1 I �
1 1 1 1 / •
Tenant Name: Summit Medical, an Innovia Medical Company Tenant Is: ❑New V Existing
Former Tenant (if applicable):
•ate• ••,IEAGAN
�1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Plan Submittal: buildinainspecbonsO)citvofeaaan.com
r -------------------------I
I For office Use I
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Building Permit #: ®� I
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I S&W Permit #: I
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I50 %
I Permit Fee: o. 2. I
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I Date Received:
I I
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Date Issued:
--------------------------I
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 12/29/22 Site Address: 815 Vikings Pkwy, Eagan, MN 55121 Suite #: Suite 100
Tenant Name: Summit Medical, an Innovia Medical Company Tenant Is: ❑New V Existing
Former Tenant (if applicable):
Wally Tufvander 612-964-9767
Name: Phone:
Applicant
Applicant is: ❑ Owner ❑ Contractor V Agent Email: Wally.Tufvander@ForteREP.com
Type of
Description of work: Adding shelving and pallet racking to expanded warehouse
Work
$15 000
Construction Cost: '
Company: Minnesota Moving Company contact: Donny Gilfillan
Building
Address/City/Zip: 9127 State Highway 25 NE Unit 717
Contractor
Phone: Email: 763-516-4779 donny.gilfillan@gmail.com
License #: Expiration Date:
Company: N/A - Pallet Racking Only Contact:
Architect/
Engineer
Address/City/Zip:
Phone: Email:
Sewer $
Company: N/A Contact:
Water
Contractor
Address/City2ip:
Required for
new construction
Phone: Email:
and additions
License #: Expiration Date:
14 1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information
may be classified as non- ubllc If you provide specific reasons that would permit the C& to conclude that th!j are 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.
x Wally Tufvander
Applicant's Printed Name
?044 7404 det
Applicant's Signature
SUB TYPES
_ Foundation
Commercial/Industrial
_ Apartments
WORK TYPES
New
_ Addition
_ Alteration
FOR OFFICE USE ONLY
Public Facility
Accessory Building
_ Greenhouse/Tent
Interior Improvement
Exterior Improvement
Retaining Wall
Site Address: 815 Vikings Pkwy, Eagan, MN 55121
Antennae Summit Medical, an Innovia Medical Company
— Tenant:
Permit#: J vQ gZ,j-
Demolish Building*
Demolish Interior
Demolish Foundation
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
� SB
ZOU
Valuation ®ob
Code Edition
MCES System
Plan Review
Zoning
SAC Units --
Census Code
Stories
City Water_
# of Units
Square Feet
Fire Sprinklers �l
Type of Construction J9
Length
Occupancy -
Width
REQUIRED INSPECTIONS
Footings _ New Building _ Addition
Retaining Wall
Foundation Foundation Before Backfill
Other:
Vapor BarrierOther:
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 By: Building Inspector
FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication (9328.4670)
Trail Dedication (9375.4671)
S
Landscape Guarantee (9001.2257)
Tree Mitigation (9111.4677)
Tree Performance Security (9111.2257)
Stormwater Performance Security (6501.2257)
0 D Z57. i
TOTAL: $ 0.00
Revised 8/19/2022