EA184931 - Mechanical - Gas Line - Issued Date 06/28/2023 PERMIT
City of Eagan ® ° ® ® Permit Type: Mechanical
3830 Pilot Knob Rd ® ® °® A ANEIN, Permit Number: EA184931
® ®
Eagan, MN 55122 ®®®® m®®® E A N
(651)675-5675 111111111111
www.cityofeagan.com * E A 1 8 4 9 3 1
Date Issued: 6/28/2023
Site Address: 3031 Pine Ridge Dr
Lot: 42 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-420
Use: * 1 0 — 5 5 3 0 0 — 0 4 — 4 2 0
Description:
Sub Type: Gas Line
Work Type: New
Description: Gas line to pool heater
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Summit Mechanical LLC David L&Joanne C Russ
11220 Diane Ave 3031 Pine Ridge Dr
Becker MN 55308 Saint Paul MN 55121-491
(320)293-3019
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.
1 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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IFor Office Use q
M I Permit#: O 1
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I Permit Fee: �Y S
jDate Received: j
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 Staff:
Email:buildinginspecOons ,cltyofeagan.com ---------------
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 06/27/2023 Site Address: 3031 Pine Ridge Dr. unit#:
Applicant is: ❑Owner 0 Contractor
Name: Dave ROSS
I ibmeOWnet Address: 3031 Eagan
City:
State: M N Zip: 55121 Phone: (651)769-3390 Email:
New' —Replacement _Repair Alteration Remove Type.'of�ter� — — —
Description of work: Underground gas line to pool heater.
Furnace _Heat Pump
DesCf'IptlOn': _AlrConditioner Other Gas Line
Air Exchanger
77777
Company Summit Mechanical LLC Contact: Robbie Schultz
IIIIt3cifanlC Address: 11220 Diane Ave. city: Becker
Contnictor, MN 55308 320-293-3019 rob.summitmech@gmail.com
state: Zip. Phone: Email: y9
license#: MB784262 Expiration Date: 07/27/2023
RESIDENTIAL FEES
$150.00 New Residential(includes State Surcharge)
$63.00 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 notiflcatlon from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeenan.com/subsr vibe.
I hereby acknowledge that this Inlormetlon 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 Robbie Schultz x
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Applicant's Printed Name Applicant's Signature
FOR QPr�'IGE U$
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