EA187533 - Mechanical - Commercial - Issued Date 10/20/2023 PERMIT
City of Eagan ® , , Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA187533
Eagan,MN 55122 `--_ •_-'
EAGAN
(651)675-5675 1111111111111111 HE 1111111111111111111111111
www.cityofeagan.com * E R 1 8 7 5 3 3 *
Date Issued: 10/20/2023
Site Address: 3795 Pilot Knob Rd
Lot: Block: Addition: Section 16
PID:10-02100-01-021
Use: Great Lakes Neurobehavioral Center 1 0 — 0 2 1 0 0 — 0 1 — 0 2 1
Description:
Sub Type: Commercial
Work Type: Alteration
Description:
Comments:
Fee Summary: ME-Mechanical Commercial% $105.00 0801.4088
Valuation: 7,000.00 Surcharge-Based on Valuation $3.50 9001.2195
Total: $108.50
Contractor: _ Applicant - Owner:
Hilliard Heating and Cooling Great Lakes Neurobehavioral Center
13790 268th Ave 3795 Pilot Knob Rd
Zimmerman MN 55398 Eagan MN 55122
(763)856-5988
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
r----------------.�
For Office Use I
/ � g�533
Permit#:
I
e� 0EAGAN i a
II Permit Fee: t o
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I Staff:
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I— ----------
(651)675-5675 i FAX: (651)675-5694 I Payment Recvd: _Yes _No I
I
Email: building inspectionsCa)cityofeagan com
Plans:_Electronic _Paper I
-----------------
2023
----------------2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 10/13/23 Site Address: 3795 Pilot Knob Rd.
Tenant. Great Lakes Neurobehavioral Center
Suite#:
Name: Bill Krech 651-451-1384
i Owner Phone:
s
Address/City/zip: 10195 Inver Grove Trail IVH, MN 55076
Name: Hilliard Heating & Cooling, Inc. License#: BOND#MB003084
Contractor
Address: 13790 268th Ave. NW City: Zimmerman
�
State: MN Zip: 55398 Phone: 763-856-5988
Nancy Email: hilliardhvac@aol.com
Contact: Y
New Replacement Additional %I< Alteration Demolition
Type of Work Description of work: Modify existing supplies and returns to new office layout.
s NOTE: Roof mounted, and"ground mounted mechanical equipment is required to be screened by CitymY
I Code_ Please contact the Mechanical Inspector for information on permitted screening methods
COMMERCIAL _ "..........."..
New Construction V( Interior Improvement
Permit Type Install Piping Processed
Gas _Exterior HVAC Unit
Under/Above ground Tank (_Install/_Remove)
COMMERCIAL FEES
$65.00 Permit Fee Minimum
Contract Value $ 000 x .015 t
$75.00 Underground tank removal or temporary heat, includes State Surcharge =$ Permit Fee
Surcharge = Contract Value x$0.0005 =$ n Surcharge
If the project valuation is over$1 million, please call for Surcharge = $ 10 Qe,SI� 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 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.
XNancy Hilliard
X.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections:. / Reviewed By: Date: _
Underground __2 ._Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening