EA187415 - Mechanical - Single Fam - Issued Date 10/11/2023 PERMIT
City of Eagan , , e Permit Type: Mechanical
3830 Pilot Knob Rd +a; Permit Number: EA187415
Eagan,MN 55122 `-®' EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 7 4 1 5
Date Issued: 10/11/2023
Site Address: 1415 Dolores Lane
Lot: 2 Block: 2 Addition: Twin View Manor
PID:10-78200-02-020
Use: * 10 - 782 (00 - 02 - 020 *
Description:
Sub Type: Single Fam
Work Type: Replace
Description: replace AC,Furnace and some duct work
Comments:
Fee Summary: ME-Permit Fee $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
HLT Heating and Cooling LLC Five Star Management LLC
244 Richmond St W 8014 Olson Memorial Highway 55 Ste 6
St.Paul MN 55075 Golden Valley MN 55427
(763)332-0865
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 Issued By: Signature
-----------------
i For Office Use
Permit#:A C`iA 0 Nkm I
I Permit Fee: �
Date Received: I
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 I j
(651)675-56751 FAX:(651)675-5694 Staff: ——————J
Email:buiidinginspections@cityofeaaan.com -----------
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date:
10/11/2023 Site Address: 1415 Dolores In, Eagan, MN 55122 Unit
Applicant is: ❑ Owner 0 Contractor
Name: Ve O lt�l fCJ Ma now me4i 1 U-0
Homeowner Address: 1415 Dolores In city: Eagan
State: NIN Z;P: 55122 phone: 9524844213 Email: SALEEM@FIVESRATTWINCITIES.COM
New ✓ Replacement _Repair ✓ Alteration _Remove
Type of Work — — R
' Description of work: Replacement of new Air conditioner, Furnace&some duct work.
Furnace Heat Pump
Description �/ Duct work
_Air Conditioner _Other
Air Exchanger
Company: HLT Heating & Cooling LLC contact: Antonia Lopez
Mechanics Address: city:
244 Richmond St. W South St. Paul
Contractor State: MZip.. Phone: Email. ��•
N 55075 7633320865 VVOIN10. CoQ)l 04 12 a 610
License* MB805976 Expiration Date: 04/10/2025 G00
RESIDENTIAL FEES ##
$150.00 New Residential(includes State Surcharge) 4
$68.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge)
$100.00 Residential fireplace(s)(includes State Surcharge)
TOTAL FEES$65
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.cityofeagan.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 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.
e
XAntonia Lopez X M,49-Lll
.__..-
Applicant's Printed Name Applicant's Signat re
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground ^Rough In Air Test Gas Service Test `In-floor Heat Final