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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