EA181796 - Mechanical - Commercial - Issued Date 04/18/2023PERMIT
City of EaganEAGAN
Permit Type: Mechanical
3830 Pilot Knob Rd
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Permit Number: EA181796
Eagan, MN 55122
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(651) 675-5675
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www.cityofeagan.com
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Date Issued: 4/18/2023
Site Address: 2975
Holiday Ct
Lot: 1 Block: 1
Addition:
PID:10-22455-01-010
Use: Midwest Surgery Center
* 1 0— 2 2 4 S S— 0 1— 0 1 0
Description:
Sub Type: Commercial
Work Type: New
Description:
Comments:
Fee Summary:
ME - Mechanical Commercial % $12,736.55
0801.4088
Valuation: 849,103.00
Surcharge - Based on Valuation $424.55
9001.2195
Total:
$13,161.10
Contractor: - Applicant - Owner:
Gilbert Mechanical Contractors Eagan Mob Partners LLC
5251 74th St W % Davis Real Estate Services Group L
Edina MN 55439 33 6th St S Ste 4650
(952) 835-3810 Minneapolis MN 55402
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.
1 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
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E AG A N 4-113
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Email: buildinciinspectionsO-citvofeaaan.com
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Permit #: 1
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I Payment Recvd: _Yes _No
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�—Plans_ Electronic _ Paper I
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
14 Please submit one set of electronic plans via email
Date: 3/20/2023 Site Address: 2975 Holiday Court, Eagan, MN 55121
Tenant: Midwest Surgery Center Suite M
OWrler�
Name: Davis Phone:
" Address /City /Zip: 33 S 6th Street - Suite 4650, Minneapolis, MN 55402
Name: Gilbert Mechanical Contractors, LLC. License #: MB770379
Contractor
Address: 5251 West 74th Street City: Edina
State: MN Zip: 55439 Phone: 952-835-3810 ext. 2149
contact: Emily Rehlinger Email: Permits@gilbertmech.com
N( New Replacement Additional Alteration Demolition
Type of Work Description of work: HVAC buildout of Midwest Surgery Center.
NO 1 E:'Ftoof mounted, and ground mounted mechanical equipment'is required to be screened by City
Code. Please contact the Mechanical Inspector fot'infortnation on permitted screeningmethods.
New Construction _ Interior Improvement
Permit Typ@ _ Install Piping _ Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank L_ Install / _ Remove)
COMMERCIAL FEES
$66.00 Permit Fee Minimum
$75.00 Underground tank removal or temporary heat, includes State Surcharge
Surchar e = Contract Value x $0 0005
Contract Value $ 849,103.00 X.0116
_ $ 12,736.55 Permit Fee
= $ 424.55
Surcharge
9
If the project valuation is over $1 million, please call for Surcharge = $ 13,161.10 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. citvofeaaan.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 Emily Rehlinger x vt—
Applicant's Printed Name Applicant's Signature
066 OFFiditUBE �,?
i2e4uired7r>fepections: ievlowed 'BY' '' Date:
Underground tough In Air Test ' Gila Service Test _V,_ Flnal HVAC Screening