EA180095 - Mechanical - Furnace - Issued Date 11/04/2022City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Mechanical
' Permit Number: EA180095
EAGAN
* E R 1 8 0 0 9 5*
Site Address: 4950 Rusten Rd
Lot: 18 Block: 2 Addition: Cedar Heights
PID: 10-16725-02-180
Use:
Description:
Sub Type: Furnace
Work Type: Replace
Description:
Comments:
Date Issued: 11/4/2022
*10-1672S-02-180*
Fee Summary: ME - Permit Fee (Replacements) $59.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total:
$60.00
Contractor: - Applicant - Owner:
Myles Mechanical Sfr Aquisitions 3 LLC
17522 Concord Drive 120 Riverside Piz S Ste 2000
Ham Lake MN 55304 Chicago IL 60606
(612)685-5956
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 sZed B : Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
Email: buildinainsoections(aDcitvofeaaan.com
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For Office use
I 180095
I Permit #:
I I
Permit Fee:
11/3/22 I
Date Received: I
I I
Staff:
- -----------------
2022 ----------------
2022 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 10/31/22
Site Address: 4950 rusten
Tenant:
Suite #:
i�esidon, 0, "
Name: pathlight homes Phone:
Address / City / Zip:
Name: Myles mechanicalLicense #: mb 719057
17522 concord dr. ham lake
Can�ra+,e�tolr
Address: City:
state: mn Zip; 55304 Phone: 612-685-5956
contact. peter chouinardEmail: mylesmechanical@yahoo.com
RESIDENTIAL
Furnace
_ Air Conditioner
,RermiiC Type.
Air Exchanger
Heat Pump
Other
New Replacement Additional Alteration Demolition
Description of work: Install new furnace
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge — 60.00
$100.00 Residential New, includes
State 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/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 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. /
xpeter chouinard
x
Applicant's Printed Name
Applicant ignature