EA189097 - Mechanical - Commercial - Issued Date 02/12/2024 PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA189097
46a R B
Eagan, MN 55122 EAGAN
(651)675-5675 ,,...,
www.cityofeagan.com * E R 1 8 9 0 9 7
Date Issued: 2/12/2024
Site Address: 4130 Blackhawk Rd
Lot: I Block: 1 Addition: Blackhawk Plaza
PID:10-14388-01-010
Use: Hildago Eagan * 1 0 — 1 4 3 8 8 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: install piping
Comments:
Fee Summary: ME-Mechanical Commercial% $85.05 0801.4088
Valuation: 5,670.00 • Surcharge-Based on Valuation $3.00 9001.2195
Total: $88.05
Contractor: - Applicant - Owner:
GR Mechanical Plumbing&Heating Inc Thomas C Kite
12401 Ironwood Cir #500 %Suntide Commercial Realty Inc
Rogers MN 55374 2550 University Ave W Ste 416-5
(763)428-2663 Saint Paul MN 55114
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
2-/q
I For Office Use I
®� Permit# 189097
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EAGA
Permit Fee: I
ECEIVE 1
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I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810Fig 0 6 2024 r
I Payment Recvd: Yes No I
(651)675-56751 FAX: (651)675-5694 1
Email: buildinginspections(a.cityofeagan.com I I
BY• Plans:X Electronic _Paper I
' ---- -----------J
2023 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 2/6/2024 Site Address: 4130 Blackhawk Rd
Tenant: Hildago Eagan Suite#:
H i Id ago
Owner Name: Phone:
Address/City/zip: 4130 Blackhawk Rd #108
Te Name: GR MECHANICAL PLUMBING & HEATII License#: MB003496
.Contractor
Address: 12401 IRONWOOD CIRCLE SUITE 50 City: ROGERS
State: MN Zip; 55374 Phone: 763-428-2663
Contact: JACKIE LARSON Email: JACKIE@GRMECHANICAL.COM
New Replacement Additional ✓ Alteration Demolition
Type of Work Description of work: GAS PIPING
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 _Interior Improvement
Permit Type ✓ Install Piping _Processed
Gas Exterior HVAC Unit
Under/Above ground Tank L_Install/ Remove)
COMMERCIAL FEES � � 5670
$65.00 Permit Fee Minimum Contract Value $ x .015
$75.00 Underground tank removal or temporary heat, includes State Surcharge = $ Permit Fee
Surcharge= Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million, please call for Surcharge = $ 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.citvofeagan.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.
X JACKIE LARSON X �G�C� L.agaty
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date: (���
Underground x/-Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening