EA183130 - Mechanical - Fireplace - Issued Date 05/24/2023PERMIT
City of Eagan
Site Address: 1221 Carlson Lake Lane
Lot:015 Block: 001 Addition: Wilderness Park
PID:10-84250-01-150
Use:
Eagan,
Permit Type:Mechanical
Permit Number:EA183130
EA183130*
Date Issued:5/24/2023
Permit Category:ePermit
10-84250-01-150*
Description:
Sub Type:Fireplace
Work Type:Alteration
Description:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney/flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fireplace:1, MAIN FLOOR, GAS INSERT AND GAS LINE
Applicant: Stuart Selseth
Fee Summary:ME - Fireplace Permit $99.00 0801.4088
Surcharge - $1.00 $1.00 9001.2195
100.00Total:
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.
Contractor:Owner:- Applicant -
Angelica L Bodnar
1221 Carlson Lake Ln
Eagan MN 55123--171
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
651) 633-2561
Applicant/Permitee: Signature Issued By: Signature