EA182536 - Fire - Commercial - Midwest Surgery Center - Issued Date 05/08/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Site Address: 2975 Holiday Ct 100
Lot: 1 Block: 1 Addition:
PID:10-22455-01-010
Use: Midwest Surgery Center
Description:
Sub Type: Commercial
Work Type: New
Description: Sprinkler System - 3/4" Fire Meter
Construction Type:
Occupancy:
Zoning:
Sprinkled Area Updated Building
of Permit Totals
Stories: 0 0
Square Feet: 0 0
Percent of Bldg: 0 0
Comments: Please call (651) 675-5900 for a final inspection.
Permit Type: Fire
Permit Number: EA182536
1111111111111111111111111111111111111111111111111
* E R 1 8 2 S 3 6*
Date Issued: 5/8/2023
i sui i �iwu
Fee Summary: FI - Permit Fee % $570.01 0801.4096
Valuation: 57 001.00 Surcharge Based on Valuation $28.50 9001.2195
3/4" Meter $300.00 6101.4509
Radio Read Unit (Domestic) $240.00 6101.4509
Total: $1,138.51
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.
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
./i -s
ssued B : Signature
EAGAN
Site Address: 2975 Holiday Ct 100
Lot: 1 Block: 1 Addition:
PID:10-22455-01-010
Use: Midwest Surgery Center
Description:
Sub Type: Commercial
Work Type: New
Description: Sprinkler System - 3/4" Fire Meter
Construction Type:
Occupancy:
Zoning:
Sprinkled Area Updated Building
of Permit Totals
Stories: 0 0
Square Feet: 0 0
Percent of Bldg: 0 0
Comments: Please call (651) 675-5900 for a final inspection.
Permit Type: Fire
Permit Number: EA182536
1111111111111111111111111111111111111111111111111
* E R 1 8 2 S 3 6*
Date Issued: 5/8/2023
i sui i �iwu
Fee Summary: FI - Permit Fee % $570.01 0801.4096
Valuation: 57 001.00 Surcharge Based on Valuation $28.50 9001.2195
3/4" Meter $300.00 6101.4509
Radio Read Unit (Domestic) $240.00 6101.4509
Total: $1,138.51
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.
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
./i -s
ssued B : Signature
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R EAGAN
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsacityofeagan.com
r— — — — — — — — — — — — — — — — i
For Office Use
Permit* 182536
Permit Fee: V -✓ I
I I
I I
I Staff: I
-----------------I
Payment Recvd: _Yes X No I
I I
I I
Plans: X Electronic _ Paper I
-----------------
2023 ----------------
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date:
April 27, Site Address:
2023 2975 Holiday Court
Midwest Surgery Center - -
Tenant: Suite #:
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Property Owner
Type of Work
Name: TIMCO Construction
Address / City / zip: 2820 Vicksburg Lane N
licant is: Owner Y Contractor
Phone: 763-694-0250
Plymouth, MN. 55447
Description of work: Provide a wet fire protection per NFPA 13, 2016, MSFC 2020
Construction Cost: 57001.00 Estimated Completion Date: Nov. 20, 2023
Name: Gilbert Mechanical Contractors, LLC License #: C010
I Contractor
Address: 5251 W. 74th Street City: Edina
State: MN Zip: 55439 Phone: 612-619-3476
Contact: Jerome Petroski Email: jetroski@gilbertmech.com
FIRE PERMIT TYPE WORK TYPE
eV' Sprinkler System (# of heads New _ Addition
s
Fire Pump _ Standpipe _ Alterations _ Remodel
Other: Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 57001.00
Contract Value $
$65.00 Permit Fee Minimum (does not include State Surcharge) 570 01
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
$100.00
3/4" Fire Meter - $300.00
includes State Surcharge
X.01
= $ Permit Fee
= $ 28'50 Surcharge
_ $ 598.51
= $ 540.00
TOTALFEE
Fire Meter
Radio Read (required with Fire Meters) - $240 = $ 1138.51 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.cityofeagan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances
and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that 1 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.
oig"eny signed by Jerome Petroslo
Jerome Petroski Jerome Petroski ON C=US Eyhancilucgilbenme. LLC",
0='Gilbert Mechancial Contractors. LLC",
CN=Jerome Petroslo
X X Date': 2023.09.27 133118-05'00'
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
X Hydrostatic
Trip
Conditions of Issuance:
Permit Reviewed by: Darrin Bramwell
Flow Alarm
Pump Test
Drain Test X Rough In
Central Station X Final
Date: 5 1 5 1 2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)-cityofeagan.com
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