EA182344 - Mechanical - Single Fam - Issued Date 04/19/2023 PERMIT
City of Eagan ® , ® ® Permit Type: Mechanical
3830 Pilot Knob Rd °°° ® % °® Permit Number: EA182344
Eagan,MN 55122 ®®® ®®®®
EA GAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 0 2 3 4 4
Date Issued: 4/19/2023
Site Address: 3725 Blackhawk Rd
Lot: 2 Block: 0 Addition: BlackhawkAcres
PID:10-14300-00-020
Use: * 10 - 14300 - 00 - 020 *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Bath Fan
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant -
Paul J Krueger
3725 Blackhawk Rd
Eagan MN 55122
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
----------------,
For Office Use
g
'e, w o AAA 1/ "\ I Permit#: I Q 2--LI
®� 'A ®®
I
I Permit Fee:
I
I
AN
IDate Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 II
(651)675-5675 1 FAX:(651)675-5694 1 Staff: _ I
Email:buiidinainsaectionsDcityofeaaan com `----
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 4/19/2023 Site Address: 3725 Blackhawk Rd Unit#:
Applicant is: 0 Owner ❑ Contractor
Name: Paul Krueger
HomeownerAddress: 3725 Blackhawk Rd City: Eagan
State: MN Zip. 55122 Phone: 612-449-2330 Email: kruegerpjg@gmaii.com
Of Work —New —Replacement —Repair ✓ Alteration —Remove
TypeDescription of work: Installing a Bathroom fan/vent. Venting outside from basement.
Furnace _Heat Pump
Description - `Air conditioner ✓Other Bathroom fan/vent
Air Exchanger
Company: Contact:
Mechanical Address: City:
Contractor State: Zip: Phone: Email:
Ucense#: 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)
$100.00 Residential flreplace(s)(includes State Surcharge) 65.00
TOTAL.FEES$
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 website at
www.citvofeagan.com/subsed -
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 l'l9-v� L� X
Applicant's Prtn ed aline Appi cant's Signature
FOR OFFICE USE Date:
Required Inspections: Reviewed y:
Underground Rough In Air Test Gas Service Test In-floor Heat Final