EA188709 - Mechanical - Commercial - St Paul Eye Clinic - Issued Date 01/08/2024 PERMIT
City of Eagan !.
� , 0 Permit Type: Mechanical
3830 Pilot Knob Rd I,1;; % ;le, Permit Number: EA188709
Eagan,MN 55122 �" AG A N
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 8 7 0 9
Date Issued: 1/8/2024
Site Address: 1215 Town Centre Dr 100
Lot: 1 Block: 1 Addition: Eagan Place 4th
PID:10-22467-01-010 111111111111111[1�1 IN 11111
Use: St Paul Eye Clinic * 1 0 — Z z 4 6 7 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Change out grills registers diffusers&relocate
Comments:
Fee Summary: ME-Mechanical Commercial% $84.00 0801.4088
Valuation: 5,600.00 Surcharge-Based on Valuation $2.80 9001.2195
Total: $86.80
Contractor: - Applicant - Owner:
Architect Mechanical Msp/Eagan Place LLC
2917 Anthony Lane N 1215 Town Centre Dr Ste 130
Minneapolis MN 55418 Eagan MN 55123
(612)436-2250
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
-----------------
For Office Use
Permit#: a-09I
Permit Fee:EAGAN
I Staff: j
3830 PILOT KNOB ROAD (EAGAN, MN 55122-1810 -- -- - -�
i
(651)675-5675 1 FAX: (651)675-5694 Payment Recvd:I --Yes No I!
Email: buIIdinginspectionsa�cityofeagan.com I I
Plans:—Electronic Paper I
-----.------------J
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: q Site Address: 0/57 '7_jijtll C6
Tenant: i Suite#: `Q
Owner Name: Phone:
Address/Cutty/Zip:
Name: Aku{llCLi". �(��'l�{ft t� f�� �- License#:
Address: � �0 4rmntn� L✓t1 � City: _ i f(,f/Tf�G'/l/
Contractor ?— -.�
State: M ty _ Zip: J ��5" Phone.0 6/-2-I'�"`0 3 c' M02 -1.3e, 2,23 25)
Contact: ..S^7 eue Email: ,57"etle1141, lvalllt?lr-C'/71-/�'��T
New Replacement Additional Alteration Demolition
Type of Work Description of work: GG 7 61e l l!� i SOULS GfFF�S ie(,,,
NOTE: Roof mounted,and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
COMMERCIAL
_New Construction LyInterior Improvement
Permit Type _Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank (_Install/_Remove)
COMMERCIAL FEES
$65.00 Permit Fee Minimum Contract Value$ (� D+�- X.015
$75.00 Underground tank removal or temporary heat,includes State Surcharge =$ za 4(, 00 Permit Fee
Surcharge=Contract Value x$0.0005 =$ c�,- 510 Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ 0, go 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.ci!y.ofeagan.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/pp {
plan in the case of work which requires a review and approval of plans.
x �7-�'V (`"/r 1/' x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: _ Reviewed By: y� �t Date: 11*
Underground �Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening