EA189760 - Building - Commercial/Industrial - Issued Date 04/03/2024PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd °��� %,;r Permit Number: EA189760
Eagan, MN 55122"" �® EAGAN
(651) 675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 B 9 7 6 0*
Date Issued: 4/3/2024
Site Address: 3010 Denmark Ave
Lot: 1 Block: 1 Addition: Eagandale Center Industrial Pk 19th
PID:10-22524-01-010
Use: Urgency Room * 1 0— 2 2 5 2 4— 0 1— 0 1 0
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: Retaining Wall
Description: Repair of retaining wall at property line
Census Code: - Occupancy:
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL - Base Fee $620.15 0801.4085
BL - Plan Review 65% $403.10 0720.4222
Valuation: 38,000.00 Surcharge - Based on Valuation $19.00 9001.2195
Total: $1,042.25
Contractor: _ Applicant _ Owner:
JL Theis, Inc Msp Denmark LLC
860 Quaker Ave, Suite 102 % Msp Metro Operating Co LLC -Alex Yo
Jordan MN 55352 6436 Penn Ave S
(952) 492-3888 Richfield MN 55423
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
-� u -i Leel
ECEIVE.--------------------------,
For Office Use
2024 I 189760
M Z O I Building Permit #: I
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BY*� 0r® i S&W Permit #: j
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AGAN I Permit Feer
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Date Received: 3/20/2024 I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651) 675-5675 1 FAX: (651) 675-5694 I Date Issued: I
Plan Submittal: buildinoinspections(cDcitvofeagan.com I —___ ------I
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 3/20/24 site Address: 3010 Denmark Avenue suite #:
Tenant Name: Urgency Room Tenant is: g
❑ New Existing
Former Tenant (if applicable):
Name: MSP Commercial, Rodney Hintz Phone: 612-578-8032
Applicant
Applicant is: 14 Owner ❑ Contractor ❑ Agent Email: k t +-2_(` h" s pc_arnmr_ _-c ial
Type of Description of work: Repair of retaining wall at property line
Work C $38' 000
Construction Cost:
Company: JL Theis, Inc Contact: Lee Theis
Building Address/City/Zip: 860 Quaker Avenue, #102
Contractor Phone: Email 612-282-5463 lee@jltheis.com
License #: Expiration Date:
Company: NA Contact:
Architect/
Engineer Address/City/zip:
Phone: Email:
Sewer & Company: NA Contact:
Water`
Contractor Address/City/Zip:
Required for Phone: Email:
new construction
and additions
License #: Expiration Date:
I 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
111 -May be classified as non-public if you provide specific reasons that would permit the Ci to conclude that they 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. O"'Wly signed by
Rodney HmU
DN'. 0a'S, E•minl2@mspcommerc al. tom,
Rodney H i ntz `"M� ° 0U_5, Manager
Rodney Hintz MSP Commerci DN= 0320
Reapon'. ppmving m s tlocomem
X , X fldt8°R026.0320 10'46.590500
Applicant's Printed Name Applicant's Signature