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EA186999 - Building - Commercial/Industrial - Issued Date 10/10/2023City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Building EAGANPermit Number: EA186999 e. wwp .... ww * E R 1 9 6 9 9 9 Date Issued: 10/10/2023 Site Address: 1565 Thomas Center Dr Lot: I Block: 1 Addition: Life Time Fitness PID:10-45400-01-010 Use: Lifetime Fitness Description: Sub Type: Commercial/Industrial Work Type: Alteration Description: Census Code: - Zoning: Square Feet: 0 Comments: Construction Type: II -13 Occupancy: A-3 B Fee Summary: BL - Base Fee $975.40 0801.4085 BL - Plan Review 65% $634.01 0720.4222 Valuation: 75,000.00 Surcharge - Based on Valuation $37.50 9001.2195 Total: $1,646.91 Contractor: - Applicant - Owner: LTF Construction Company, LLC Ltf Real Estate Company Inc 2902 Corporate Place %General Counsel Chanhassen MN 55317 2902 Corporate PI (952) 229-7215 Chanhassen MN 55317 i 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 Issued By: Signature wl a- �,mcl I Ved, Omt# dr 4n t vvorl< i Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-10E'VI (651) 675-5675 1 FAX: (651) 675-5694 Date Issued: Plan Submittal: buildin ins ections cit ofea an, r. ------t COMMERCIALiUILDING P MIT APPLICATION Date: 9/20/23 site Address: 1565 Thomas Center Drive suite #: Tenant Name: Life Time Tenant is: ❑ New Existing Former Tenant (if applicable): 1 Name: Piper Gartner Phone: 612.991.9927 Applicant ❑ Owner ��ryry I Applicant is: qu Contractor 11 Agent Email: pgartner@lt.life I Conversion of private office spaces to open office space, adding glass shower doors, and replacing PT desk. Type Of Description of work: Work 75 000 _Construction Cost: ' Company: LTF Construction Company INC Contact: Tom Huesman Building Address/City/Zip. 2900 Corporate PI, Chanhassen MN, 55317 Contractor Phone: 952.229.7235 Email: thuesman@It.life Pgg YJ ►'� ��', j ►�-�j License #: Expiration Date: Company: LTF Architecture LLC Contact: Matthew Brinza Architect/ 2900 Corporate PI, Chanhassen MN, 55317 Engineer Address/City/Zip: Phone: 612.483.1380 Email: mbrinza@lt.life Sewer & Company: Contact: - Water Contractor Address/City/Zip: Required for Phone: Email: new construction and additions License #: Expiration Date 0 1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications. NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information max be classified as non-public iouovide specific reasons that would perm t the CttX to conclude that the are trade secrets. 1 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. Digitally signed by Piper Gartner DN: C=US, E=pgartner@lt.life, O=Life Time, CN=Piper Gartner X Piper Gartner Date: 2023.09.20 10:36:43-05'00' Applicant's Printed Name Applicant's Signature