EA187685 - Building - Commercial/Industrial - Summit Medical - Issued Date 12/05/2023PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob RdaN% _ ® 0 ° ®® r Permit Number: EA187685
a- a-
Eagan, MN 55122 EAGAN
(651) 675-5675
www.cityofeagan.com E A 1 8 7 6 8 5 �K
Date Issued: 12/5/2023
Site Address: 815 Vikings Pkwy 100
Lot: I Block: 1 Addition: Lone Oak 4th
PID:10-45703-01-010
Use: Summit Medical * 1 Q— 4 5 7 0 3— 0 1— 0 1 0
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: Alteration
Description: adding shelves and pallet racking
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL - Base Fee $249.00 0801.4085
Valuation: 12,000.00 BL - Plan Review 65% $161.85 0720.4222
Surcharge - Based on Valuation $6.00 9001.2195
Total: $416.85
Contractor: - Applicant - Owner:
Sever Construction Company Mve West LLC
5151 Edina Industrial Blvd 2685 VIking Cir
Edina MN 55439 Eagan MN 55121
(952) 698-6186
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
ECEIVE Cq I I,eJ ! 11Z6i
OCT 2 5 2023
r -For - --ice - --------------------,
I Off Use
I
BY:
Building Permit #:
87685
I
S&W Permit #:
I
EAGAN
4-
I Permit Fee:
c
10/25/2023
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
I
I
(651) 675-5675 1 FAX: (651) 675-5694
I Date Issued:
I
Plan Submittal: buildinginspections(o)cityofeagan.com
I
------I
COMMERCIAL BUILDING PERMIT APPLICATION
i
Date: Site Address: Suite #: 10/25/23 815 Vikings Pkwy, Eagan, MN 55121 Suite 100
Tenant Name: Summit Medical, an Innovia Medical Company Tenant is:
❑ New V Existing
Former Tenant (if applicable):
Name: Wally Tufvander Phone 612-964-9767
Applicant
Applicant is: El Owner El Contractor 14 Agent Email: Wally.Tufvander@ForteREP.com
Type of Description of work:
Adding shelving and pallet racking to expanded warehouse from relocated Lone Oak Location
Work $12,000
Construction Cost.
Company: Construction permit by Sever Construct' contact:
Building. � Address/City/Zip: Pallet Racking Vendor TBD
Contractor
Phone: Email:
License #: Expiration Date:
Company: N/A - Pallet Racking Only Contact:
I Architect/
Engineer t Address/City/Zip:
Phone: Email:
Sewer & Company: N/A Contact:
Water I
Contractor Address/City/Zip:
Required for Phone: Email:
t new construction
$ and additions
t License #: Expiration Date:
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
Ama r be classified'as non-public if �pu provide specific reasons that would permit the City to conclude that the r�are'trade secrets.
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.
X Wally Tufvander X V44 7qvagdeT
Applicant's Printed Name Applicant's Signature