EA182629 - Mechanical - Single Fam - Issued Date 05/02/2023 PERMIT
City of Eagan ® ® Permit Type: Mechanical
3830 Pilot Knob Rd ®®.; ® ® ®®® Permit Number: EA182629
Eagan,MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111 IN 1111111111111111111111111
www.cityofeagan.com * E R 1 8 2 6 2 9
Date Issued: 5/2/2023
Site Address: 4743 West Wind Tr
Lot: 7 Block: 2 Addition: Park Ridge
PID:10-56750-02-070
Use: * 10 — S6750 - 02 - 070 �k
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Bathroom Remodel
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
All Directions Heating&Cooling LLC Paul V&Carol Jorgenson
108 Helena St 4743 West Wind Trl
Jordan MN 55352 Eagan MN 55122
(952)679-0059
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
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
(651)675-56751 FAX: (651)675-5694 i Staff
Email:bulidinainsoections0cityofeag n corn --- -------------
RESIDENTIAL
______________RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Z 120 2 Site Address:__GL;5 iid6dinrl Tr a i Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name.,laF"!j� nr�n�nri
Homeowner`
Address: W-4u ti,� , �nli�„� -Ta, p City: �a� n
State:MIJ Zip: CC-��I phone:"2) iR-�539 Email: mdC8rof'P9mra4 re�
Type of Work S New —Replacement _Repair _Alteration _Remove
Description of work: VeIn _' l run
—Furnace —Heat Pump
Description _Air Conditioner —LOther &A �atn V-W j
Air Exchanger
Company: kna 4�'.e�h U-0-Contect: on lljeas
Mechanical Address:�� /�eo cs ��f, City: CIYGI'.'tn
Cnntractor1AA/ .
State:J lly Zip:: Phone: �� ; -rEmail: i0njljj�a- Zb' 6m;jj('j)YYI
License#: F/3I`J,39C)-4 Expiration Date: 2`II0/2.
RESIDENTIAL FEES
$150.00 New Residential(includes State Surcharge)
$65.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(Includes State Surcharge)
$100.00 Residential fireplaces)(Includes State Surcharge)
TOTAL FEES$
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an small update on the Citys website at
ww w,dtvofeaoan.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 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 r -ica 1-OyirY- x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Requlred Inep4adtlonwRevle*ed 8ycpiste:
Underground Rough In AIr Test Gas Service Test in floor Heat Final