EA188218 - Mechanical - Commercial - Issued Date 11/28/2023 PERMIT
City of Eagan • , , Permit Type: Mechanical
3830 Pilot Knob Rd •,•; ;;.', Permit Number: EA188218
Eagan, MN 55122 •• EAGAN
(651)675-5675 �—.-.-
www.cityofeagan.com * E A 1 8 8 2 1 8
Date Issued: 11/28/2023
Site Address: 1580 Century Pt
Lot: 1 Block: 2 Addition: Century
PID:10-16940-02-010 11111 11111111111111111111111111 11M
Use: Klecetsky and Sons Funeral Home * 1 0 — 1 6 9 4 0 — 0 Z — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Install Customer Supplied Refrigeration for Cooler
Comments:
Fee Summary: ME-Mechanical Commercial% $127.50 0801.4088
Valuation: 8,500.00 Surcharge-Based on Valuation $4.25 9001.2195
Total: $131.75
Contractor: - Applicant - Owner:
Quality Refrigeration R&J Funeral Investments LLC
6237 Penn Ave S,Suite 100 414 Marie Ave
Richfield MN 55423 South St Paul MN 55075
(612)861-7350
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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1 I Permit M 8 O 1
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EAGAN
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Permit Fee: 1� I
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Staff: j
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r
(651)675-5675 1 FAX:(651)675-5694 E C E f\/E 1 Payment Recvd: Yes _No
Email: buildinginspectionsCaD_cityofeagan.com j
NOV 2 7 2023 1 Plans__Electronic Paper I
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic JS
via email
Date: ) /_ y� `) /3 Site Address: J R) Letl • u r
Tenant: Suite M
Name: K 1 Q.C.r* S 97 w1 a S-") 5 Phone:
Address//City/Zip:
Name: /� u (it �r�r�'�,/a License#: /1600 3 tt 1
Address:�n� f.,V)A [9,L ,$ City: t�� ri C O ✓V
State: ✓y► h Zip: —5s NJ3 Phone:cl) d 0 6/II -13s e
Contact: Email: Of T I Cec, r .('60
New Replacement (/Additional Alteration Demolition
Description of work: AIS J - v �+ /t r C D
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank (_Install/_Remove)
COMMERCIAL FEES
$65.00 Permit Fee Minimum
Contract Value$
$75.00 Underground tank removal or temporary heat,includes State Surcharge =$ J31 .50 Permit Fee
Surcharge=Contract Value x$0.0005 =$ 'S Surcharge
If the project valuation is over$1 million,please call for Surcharge =$-/3 / -7S— 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.citvofeanan.com/subscdbe
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.
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Applicant's Printed Name Applicant's Signature