EA182883 - Mechanical - Single Fam - Issued Date 05/15/2023 PERMIT
City of Eagan . ® ® ® Permit Type: Mechanical
3830 Pilot Knob Rd ®®e;® ®;®® Permit Number: EA182883
Eagan,MN 55122 ®®®®
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E A 1 8 2 8 8 3
Date Issued: 5/15/2023
Site Address: 4842 Sheffield Lane
Lot: 2 Block: 2 Addition: Brittany 5th
PID:10-15004-02-020 11111
Use: * 10 — 1S004 - 02 - 020 *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: vent dryer
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Lein Heating Steven C Schwarze
3852 Pershing St SW 4842 Sheffield Ln
Prior Lake MN 55372 Saint Paul MN 55122-277
(952)447-6182
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
1 I I
For Office Use---------�
,• , I Permit#: bloI
EAGAN
Permit Fee:
�1 Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-56751
FAX: 651 675-5694 Staff:
Email: buildinoinsaectionsO-citvofeaaan.com ----------------- '
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address: 7 0 y2— 6A=-02 G2 Zer h e- Unit#:
Applicant is: ❑ Owner 5� Contractor
Name:
Homeowner Address: city:
State: Zip: Phone: Email:
Type of Work —New _Replacement _Repair X—Alteration —Remove
Description of work:
_Furnace _Heat Pump
Description _Air Conditioner Ower l/.p 76GC'�0�1L1 q�0, vl
Alr Exchanger /'
Company: 4g-1 I, &a hGP Contact:��
Mechanical Address: 3 �r- !�/ city:, h�Pfiw
Contractor State:&—
V Em
_Zip: �>•� Phone:�O�o� Email: `
License#: U Expiration Date:61
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 email update on the City's website at
www.c7itvofeagan.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 understa 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 pproved pl n the case ofwork which requires a review and approval of plans.
X1 x
Apz5d—a n OP me Appl can4Srlaxturerat
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final