EA181413 - Mechanical - Commercial - Issued Date 02/21/2023PERMIT
City of Eagan, ®, , Permit Type: Mechanical
3830 Pilot Knob Rd ®®®®� Permit Number: EA181413
Eagan, MN 55122 •®•• EGAN
A
(651) 675-5675 =
www.cityofeagan.com * E A 1 8 1 4 1 3
Date Issued: 2/21/2023
Site Address: 2975 Lone Oak Dr
Lot: 2 Block: I Addition: Blue Ridge 7th
PID:10-14581-01-020 11111111111 IN 111111111111111111111111111111111111111111111111111 11111M
Use: Encore Mechanical * 1 0— 1 4 5 8 1— 0 1— 0 2 0*
Description:
Sub Type: Commercial
Work Type: Alteration
Description:
Comments:
Fee Summary: ME - Mechanical Commercial % $1,072.95 0801.4088
Valuation: 71,530.00 Surcharge - Based on Valuation $35.76 9001.2195
Total:
$1,108.71
Contractor: - Applicant - Owner:
Modern Heating & Air Conditioning LLC Waters Hm LLC
2318 First St NE 250 Nicollet Mall Ste 920
Minneapolis MN 55418 Minneapolis MN 55402
(612) 781-3358
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
033203 r-----------------,
I For Office Use 2
Permit #: 0 J
EAGANPermit FeF I
RECEIVER
I Staff: I
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810FE-3
I F'' �_ I Payment Recvd: _Yes No I
(651) 675-5675 1 FAX: (651) 675-5694 �4 I I
Email: buildinainspectionsDcityofeaaan.com I plans —----------
Electronic _Paper I
BY: I----
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
14 Please submit one set of electronic plans via small
Date: 2/9/2023 Site Address: 2975 LONE OAK DR
Tenant: Encore Medical
suite M.
wr Name: Phone:
Type of, Work
Address / City /
Name: MODERN HEATING AND AIR CONDITA License*
Address: 2318 FIRST ST NE City: MINNEAPOLIS
State: MN Zip: 55418Phone: 612-781-3358
AcCmVP mpafrn H-tb
Contact: CHAD RENSTROM Email: CRENSTROM@MODERNHTG.COM
New Replacement Additional V( Alteration Demolition
Description of work: HVAC PER PLANS
KOO? mountea,;and ground
New Construction V( Interior Improvement
Permit Type _ Install Piping _ Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank (_ Install / _ Remove)
COMMERCIAL FEES
$65.00 Permit Fee Minimum
$75.00 Underground tank removal or temporary heat, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Is required to be screened by Citi
n permitted: screening methods.
Contract Value $ 71,530 x .010
= $ 1072.95 Permit Fee
= $ 35.76
= $ 1108.71
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 website at
www.citvofeaQan.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 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 Chad Renstrom
Applicant's Printed Name
x 4/
Applicant's Signature
FOR, OFFICE USE ,
Required inape0klons:I#eviewed y: Date;
Underground Rough in Air Test �Gas' Sarvloe t'es#. in-flogr Heat Final HVAC Screening
cc rh