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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