EA180570 - Mechanical - Commercial - Issued Date 02/17/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 2811
Lot: 1 Block: 0
PID:10-32880-00-010
Use: Rivers of Life
PERMIT
Permit Type: Mechanical
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• e • Permit Number: EA180570
EAGAN
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•see •os
*ER 180570*
Date Issued: 2/17/2023
Pilot Knob Rd
Addition: Highview Acres
Description:
Sub Type: Commercial
Work Type: New
Description: HVAC and Gas Piping
Comments:
* 1 0— 3 2 8 8 0— 0 0— 0 1 0
Fee Summary: ME - Mechanical Commercial % $7,200.00 0801.4088
Valuation: 480,000.00 Surcharge - Based on Valuation $240.00 9001.2195
Total: $7,440.00
Contractor: - Applicant - Owner:
The Crew Facility Maintenance Rivers Of Life LLC
12901 16th Ave N 1750 Skater Cir
Suite 103 Eagan MN 55122
Plymouth MN 55441
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
hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
f Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sZed B . Signature
LM 21 I�'123
CEIVE
3830 PILOT KNOB ROAD I EAGAN, MN 55122.1810 DEC, 0 7 2022-
(661)
022(651) 675.58751 FAX: (851) 675-5694
Email: buildirlcinspectione citvofeacan.com
----------------
For offloo Use
Permit e: 1180570
PermitI
slat.
Payment Recvd: Yes No
Plans: ,_ Electronic _Paper
2022 COMMERCIAL MECHANICAL PERMIT APPLICATION
Please submit one set of electronic plans via entail
Date: iz - 7 ?,L Wts Address: ?,Si( e 1
Tenant*- I<vzm op btrr--e /)/I��•a.-a.. C4 � suite#:
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 webs rca at
wrww.citvofeeoan.comisubsaft
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
Fagan; that I understand this Isnot a permit, but only an application for a permit, and work iI 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.
Nast
FOR OFFICE USE
Required Inspections: Reviewed By: A Dab;
Underground Rough In 4 -Air Test ` Gas Service Test In -floor Heat Final HVAC Screening
17
' �� dt;�j t: few% ic9�it�_- - - _ _ _ Phone: % i?. 2�{
Name:(o
Owner.
Address/City/Zip: 'Lill P'(° -f 91^44 fA6^j M•J Pill?
Name: C4 e J [-W,41(fY M4 S-10^01& _ License #: /—"0 '7 '030 f-
Address: (V4*(I(* k 4116 N . �d.t� �e 3 City:
COtltrdt:tOt'
State -MJ Zip!J YNt' Phone: x,12' 7,"�7r�o1
Contact: NW04 L?��,��ut Emaill)PO614MC44 Q 'r4eC.t.-"yMid .C-dw%r
New —Replacement Additional Alteration Demolition
Type of Work
Description of work: VA C., G ! r �✓� � n/�yJ M E� � c �r,r.6 �9w l
NOTE: Roof mounted, and ground mounted mechanical equipment Is required to be screened by City
Code. Please contact the MechWoolInspeotor for Information on permitted screening methods.,
COMMERCIAL
1
_
p RO eM Ij C
Z New Construction _ Interior Improvement / . j 0
Permit Type '
_ Instal Piping _ Processed Q GYM "r l`"O' r'
Gas .� Exterior HVAC Unit
Under/Above ground Tank L__. Install / _ Remove)
COMMERCIAL FEES po, v eo
Contract Value $ y X.016
$60.00 Permit Fee Minimum
$76.00 Underground tank removal or temporary heat, includes State Surcharge = $ Permit Fee
= $ Surcharge
Surcharge = Contract Value x $0,0005
if the project valuation Is over $1 million, please call for Surcharge = $ 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 webs rca at
wrww.citvofeeoan.comisubsaft
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
Fagan; that I understand this Isnot a permit, but only an application for a permit, and work iI 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.
Nast
FOR OFFICE USE
Required Inspections: Reviewed By: A Dab;
Underground Rough In 4 -Air Test ` Gas Service Test In -floor Heat Final HVAC Screening
17