EA185829 - Mechanical - Furnace & Air Conditioner - - Issued Date 08/07/2023 PERMIT
City of Eagan , , B B Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA185829
Eagan, MN 55122 °^�' "®' EAGAN
111111111111
(651)675-5675 * E R 1 8 5 8 Z 9
www.cityofeagan.com
Date Issued: 8/7/2023
Site Address: 3560 Blue Jay Way 103
Lot: 119 Block: 04 Addition: Lexington Place 2nd
PID:10-45051-04-119 HUMI 11111111111111 HU1111 11
Use: * 1 D - 4500 1 - 04 — 1 19 *
Description:
Sub Type: Furnace&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:
Tim.Johnson Heating&Air Rajesh P Paradkar
31645 Clark Valley Trail 871 Wescott Rd
Cannon Falls MN 55009 Eagan MN 55123
(651)235-7826
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 sued B : Signature
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For Office Use q
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mm s I Permit#:
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` 1 Permit Fee: 'IN M 57 — l
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I Date Received: I
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1610 I I
(651)675-5675 1 FAX: (651)675-5694 I staff:
Email: buildin ins ctictns ;y -- g_-- L—`------`-------,
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RESIDENTIAL MECHANICAL PERMIT APPLICATION
,.Date: Site Address: Unit#:
august 6,2023 3560 blue jay way 103
Applicant is: ❑ Owner 0 Contractor
ravindra bhagwat
Name:
3560 blue jay way unit 103 eagan
CM1IWt" t` ' Address: City:
I" �s mn 55123 617-710-3826
State: Zi Phone: Email:
.a p'
New Replacement _ Repair _Alteration Remove
Typ6 40 1t I Ez I
Description of work:
Furnace ��Heat Pump
1f`
Air Conditioner _Other
Air Exchanger
tim johnson heating tim johnson
Company: Contact:
31645 clark valley trail eagan
MBCt 00 CAU Address:. City:
, � min 55123 651-235-7826 toyotatim@earthlink.net
State: Zip: Phone: Email:
mb004060 nov 2024
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
ww�vcityofeagan.comisubscribe.
I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and 00-403-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 thework`witl lbe in accordance
with the approved plan in the case of work which requires a review and approval of plans.
tim johnson
x x
Applicant's Printed Name Applican ignature
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