EA181761 - Mechanical - Single Fam - Issued Date 03/24/2023PERMIT
City of Eagan
®, Permit Type:
Mechanical
3830 Pilot Knob RdEAGA
Permit Number:
EA181761
Eagan, MN 55122
�®•• ®®®®
(651) 675-5675
1111111111111111111111111111111111111111111111111
www.cityofeagan.com
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1*
Date Issued:
3/24/2023
Site Address: 1205
Carlson Lake Lane
Lot: 012 Block: 004
Addition: Wilderness Park
PID:10-84250-04-120
Use:
* 1 0— 8 4 2 5 0— 0
4— 1 2 0
Description:
Sub Type: Single Fain
Work Type: Replace
Description: Air supplies & exhaust fans - 3 bathrooms
Comments:
Fee Summary:
ME - Mechanical Residential Alteration $64.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
K2 Bath Design & Remodeling LLC Steven & Cherie L Weston
2010 East Central Cir St 100 1205 Carlson Lake Ln
Plymouth MN 55441 Saint Paul MN 55123-471
(952) 200-8375
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 ssued B : Signature
0 0 r
,
Applicant is: ❑ Owner 13 Contractor
EAGAN
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Homeowner
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I FAXs IAM ) 675-5694
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For Office Use----------
I Permit #: I
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Staff:
Email: buildinainst)ectionsOcitvofeaaan.com GENE-----------------�
RESIDENTIAL MECHA CAL APPLICATION
Date: 3 --20 c2 3 Site Address: Unit #:
Applicant is: ❑ Owner 13 Contractor
Name: 'LJ' --j
Address: /-, Af I city:
Homeowner
State: e'PW Zip: _5 f;;? - Phone:6/2 97%1 37f3 Email:
Type of Work
— New _ Replacement _ Repair -V-Alteration _ Remove
Description of work: /_76�,e qf-- IJI.t 4- 4" -
_ Furnace _ Heat Pump
Description
_Air Conditioner 'x Other
(_J �^ f S
Air Exchanger
Company: X�_) /3,14--) Contact:
Mechanical
Address: --�olr) rc 54 City: p/`r
Contractor
State: 11X Zip: JTcl'el / Phone:3-2�2-2.' 7,?2-N Email:
License#: Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential (includes State Surcharge)
$65.00 Residential alteration, furnace, air conditioner, ductwork, or any combination (includes State Surcharge)
$100.00 Residential fireplace(s) (includes State Surcharge)
TOTAL FEES $
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 websfte at
www.cityofea-gan.com/subsedbe.
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 X
Applicant's Printed Name Applibant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final