EA184902 - Building - Greenhouse/Tent - Issued Date 06/28/2023 PERMIT
City of Eagan m ® ® ® Permit Type: Building
3830 Pilot Knob Rd ®e� ®®®®, Permit Number: EA184902
Eagan, MN 55122 mo®® ®®:aEAGAN
(651)675-5675 111111111111
www.cityofeagan.com E R 1 8 4 9 0 2
Date Issued: 6/28/2023
Site Address: 3400 Yankee Dr
Lot: 012 Block: 1 Addition: Comsery 1
PID:10-18200-01-012 111111111111 IN 11111111111111111111111111 IN 11111111111111111111111111 im
Use: Blue Cross/Blue Shield * 1 0 — 1 8 2 0 0 — 0 1 — 0 1 2
Description:
Sub Type: Greenhouse/Tent Construction Type:
Work Type: Temporary
Description: Canopy Installation
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Plan Review-Fixed $40.00 0720.4222
Greenhouse/Tent $94.00 0801.4085
Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Ultimate Events Health Landlord(Mn)LLC
13405 15th Avenue N %Bcbsm Corporate Tax Dept M 104
Plymouth MN 55441 PO Box 64560
(952)346-0101 Saint Paul MN 55164
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
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I For Office Use --------------I
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/ 1 Building Permit M I I
S&W Permit#:EAGAN I
- 135- I
I Permit Fee: I
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�. rayEiDate Received:
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3830 PILOT KNOB ROAD 1 EAt3AN,MN 55122- C
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(651)675-56751 FAX:(651)675-5694 Date Issued: I
Plan Submittal: uil i ins o i f a JUN 2 7 2023 --------------------------I
COMMERCIAL MIT APPLICATION
Date: 06/27/2023 Site Address: 3400 Yankee Drive suite M
Tenant Name: Blue Cross / Blue Shiled Tenant Is: ❑ New 0 Existing
Former Tenant(if applicable):
• Name: Ultimate Events Phone: 763-559-8368
Applicant
Applicant is: ❑ Owner ® Contractor ❑Agent Email:
Typ0'o- Description of work:
Canopy installation
Work'' 4444.00
Construction Cost:
company: Ultimate Events Contact: Tim Smith
Building Address/City/Zip: 13405 15th Ave N, Plymouth, MN 55441
Contractor 763-559-8368tsmith@ue-mn.com
Phone: Email:
License M Expiration Date:
Company: Contact:
Architectt .
Engineer Address/City0p:
Phone: Email:
SEtVvlleti Company: Contact:
Water
Contractor Address/Cit 0p:
` Phone: Email:
..naw.oonstlucUorl,
and addklans
License M Expiration Date:
❑ 1 understand that Plumbing,Mechanical, Fire Suppression,and Sign work require separate applications.
VOTE:Pierre.and'supporting documents that you submit ate,adnaidered iwo be pubiic iWormatlon. Portlia.4 of the information
ma be classified as non' ublic<N nu provide specific reasons that would eermit the CLq to conclude that1he `are trade secrets,
I hereby acknowledge that this information Is complete and accurate;that the work wHi 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 perms that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
c
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
SUB TYPES <,Iry Ad'i } F, : 3400 Yankee Drive
_ Foundation _ Public Facility Antennas ---
BIUe Cross/BIUe Shlled
_ Commercial/industrial _ Accessory Building �r-nye t:
Apartments Greenhouse/Tent neifi `.
WORK TYPES
_ New _ Interior Improvement Demolish Building`
— Addition �_ Exterior Improvement Demolish Interior
— Alteration _ Retaining Wall Demolish Foundation
DESCRIPTION *Demolition of entire building-give PCA handout to applicant
Valuation Code Edition MCES System
Plan Review Zoning SAC Units
Census Code Stories — City Water
#of Units Square Feet �— Fire Sprinklers
Type of Construction Length 9
Occupancy Width
REQUIRED INSPECTIONS
Footings_New Building_Addition Retaining Wali
Foundation Foundation Before Backfill Other:
Vapor Barrier Other:
Framing 30 Minutes 1 Hour
Insulation
Sheetrock Final/C.O.Required
Roof:_Decking _Insulation _Ice&Water ,Final C6 Final/No C.O.Required
Siding:_Lath _Brick,EFIS
Fireplace:_Rough In _Air Test _Final
Pool:_Footings —Air/Gas Tests _Final
Final C/O Inspection: Schedule Fire Marshal to be present: *'K Yes No �l
New Business to Eagan:
Reviewed By: , Building Inspector
FEES
Base Fee Landscape Guarantee(9001.2257)
Surcharge Tree Mitigation (9111.4677)
Pian Review Tree Performance Security(9111.2257)
MCES SAC Stormwater Performance Security(6501.2257)
City SAC
S&W Permit&Surcharge
Treatment Plant
Treatment Plant(Irrigation)
Paris Dedication (9328.4670)
Trail Dedication (9375.4671) TOTAL: $ ®•®® ��