EA182542 - Mechanical - Commercial - Issued Date 05/01/2023 PERMIT
City of Eagan o , Permit Type: Mechanical
3830 Pilot Knob Rd +; ® �;®, Permit Number: EA182542
Eagan,MN 55122 •••• ®• EAGAN
(651)675-5675 111111111111111111111111111111111111 HIM
www.cityofeagan.com * E R 1 8 2 5 4 2 *
Date Issued: 5/1/2023
Site Address: 2811 Pilot Knob Rd
Lot: 1 Block: 0 Addition: Highview Acres
PID:10-32880-00-010 11111111111 IN 111111111111111111111111111111111111111111111111111 11111M
Use: Rivers of Life * 1 0 — 3 2 8 8 0 — 0 0 — 0 1 0
Description:
Sub Type: Commercial
Work Type: New
Description: installation of refrigeration system,walk in cooler
and freezer
Comments:
Fee Summary: ME-Mechanical Commercial% $120.00 0801.4088
Valuation: 8,000.00 Surcharge-Based on Valuation $4.00 9001.2195
Total: $124.00
Contractor: - Applicant - Owner:
Custom Refrigeration Rivers Of Life LLC
640 Mendelssohn Ave N 1750 Skater Cir
Golden Valley MN 55427 Eagan MN 55122
(763)544-4499
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sued B : Signature
r________________
I For office use I
e° i Permit#: 182542
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I Permit Fe'r. AGANI
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,.,. APR 2 7 2023 11S,taff,.::
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 9 1 Paymentecvd: _Yes _No
(651)675-56751 FAX:(651)675-5694 1BY: 1 I
Email:buildinginspectionsOcityofeagan.com 1I
1_Plans__Electronic _Paper j
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 4/28/2023 site Address:2811 Pilot Knob Road
Tenant: River of Life suite#:
River of Life
Name: Phone:
;x ` Address I City/zip: 2811 Pilot Knob Road; Eagan, MN 55121
Custom Refrigeration Inc. TLIC19658
Name: License#:
Address: 640 Mendelssohn Ave N City: Golden Valley
MN 55447763-544-4499
State; Zip: Phone:
contact: Joyce Scott Email: service@customrefrigeration.com
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{'z ` 'E`� s'-' t�' r{ +1' ✓ New Replacement Additional Alteration Demolition
lyfVt rk Description of work Installation of refrigeration system;;Walk-in Cooler Walk-in Freezer
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COMMERCIAL
F zap New Construction Interior Improvement
Inst all Piping _Processed
Exterior HVAC Unit
—Gas —
�It�
b _Under/Above ground Tank (_Install/_Remove)
COMMERCIAL FEES 8000
Contract Value$ x,_RQ98
$65.00 Permit Fee Minimum
$75.00 Underground tank removal or temporary heat,includes State Surcharge =$ 120 Permit Fee
Surcharge=Contract Value x$0.0005 $ 4 Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ 124 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.0tyofeagan.corn/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 pian in the case of work which requires a review and approval of plans.
Boyce Scott x o �� V
Applicant's Printed Name Applic, 's qi6nature
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