EA185126 - Mechanical - Air Conditioner - Issued Date 07/07/2023 PERMIT
City of Eagan , ® , , Permit Type: Mechanical
3830 Pilot Knob Rd ®®.® a ® ®m® Permit Number: EA185126
Eagan,MN 55122 ®m-® ®®®®
(651)675-5675 EAGAN
www.cityofeagan.com * E R 1 8 S 1 2 6
Date Issued: 7/7/2023
Site Address: 4537 Majestic Oaks P1
Lot: 1 Block: 1 Addition: Majestic Oaks 3rd
PID:10-47102-01-010 11111
Use: * 10 — 47 102 — 0 1 — 0 10 *
Description:
Sub Type: Air Conditioner
Work Type: Replace
Description:
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Groff's Heating&Air Conditioning Hun Jeong Kang
18636 Delaney Dr 4537 Majestic Oaks PI
Farmington MN 55024 Eagan MN 55123
(651)423-3802
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 • , ----------------
For
--------- --For Office Use lA
% ,
� • �•• j Permit#: V
EAGAN
Permit Fee.
Date Received: 7' 1 I /i I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I j
(651)675-5675 FAX: (651)675-5694 �— --------------StaffJ
Email:buildinainsaections(cDcitvofeaaan.com
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: �a Site Address: s3� ,' `A-3tfl" ( 614k1 JOL- —Unit#:
Applicant is: �uOwner ,'LSI Contractor
L
Name:
Homeowner Address: If-5 3-7 Mk j e i ISL' (LCL J P�- city:
�M� � 3 Phone: Z �5y Email:g�
State:LU Zip: ��I
Type of Work _New ,Replacement _Repair —Alteration —Remove
Description of work: 4 P I A-LL AL ,
Furnace _Heat Pump
Description Air Conditioner _Other
Air Exchanger n ,�
Company: Clt -( kt&Ll rw) V f'�'� Contact: �/k%
Mechanical Address: I �(0 bVt� city: �f^-✓"'-►
ContractorState:WLR Zip: 5� Phone: 0152"23�. f E ail:
License#: Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential(includes State Surcharge)
$65.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge)
$100.00 Residential fireplace(s)(includes State Surcharge)
TOTAL FEES$
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. tvofea-gan.com/subscdbe.
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 thrroved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final