EA182623 - Mechanical - Single Fam - Issued Date 05/02/2023 PERMIT
City of Eagan , , Permit Type: Mechanical
3830 Pilot Knob Rd �,.; % ;:, Permit Number: EA182623
Eagan,MN 55122
EAG,AN
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 2 6 2 3 *
Date Issued: 5/2/2023
Site Address: 665 Brockton Cur
Lot: 20 Block: 5 Addition: Hills of Stonebridge
PID:10-32990-05-200
Use: * 10 - 32990 - 0S - 200 *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Range hood&returns/supply
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Total Home Solutions LLC Jason E Halverson
1008 Prospect Pt Rd 665 Brockton Cury
Jordan MN 55352 Eagan MN 55123
(952)207-6995
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
s rFor OF— se ---------i
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Permit Fee: I
1
Date Received: j
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
(651)675-56751 FAX:(651)675-5694 staff:
Email:buiidinginsaecUonsOcltyofeagan.com ------------------
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 5-02-2023 Site Address: 665 Brockton Cury unit#:
Applicant is: ❑ Owner ®Contractor
Name: Jason & Laurie Halverson
Homeowner Address: 665 Brockton Cury City: Egan
State: MN Zip: 55123 phone: 6128166733 Email:jhalverson@q.com
7Yp6�� r _New Replacement _Repair V Alteration _„Remove
Description of work: Install New Range hood. Move 1 Retum and Move 1 AIr Supply
Furnace Heat Pump
C�eartwipticn �Air Conditioner Other � �
Air Exchanger
Company: Total Home Solutions Contact Troy Rasmussen
Mechanical Address: 1008 Prospect Pointe Rd Jordan
Contractor State: Zip.MN . Phone:55352 offlce952207-6995 Email: ytro 1891@comcast.net
ucense#: M 8751391 Expiration Date: 1-18-2025
RESIDENTIAL FEES
$150.00 New Residential(Includes State Surcharge)
$55.00 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 website at
www.oitvofeaaan.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 fora 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.
xTroy Rasmussen
x
Applicant's Printed Name Appll 's Signature
F, 'R OFFIC9°VJ$E
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Linderground Rough'In AIr Test ' f aa:Service Tit fn-floor Heat' ,Final