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EA188014 - Mechanical - Furnace & Air Conditioner - Issued Date 11/13/2023 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd ,��; o e�, Permit Number: EA188014 Eagan,MN 55122 •- ,• EAGAN (651)675-5675 www.cityofeagan.com * E A 1 8 8 0 1 4 Date Issued: 11/13/2023 Site Address: 4670 Beacon Hill Rd Lot: 13 Block: 3 Addition: Beacon Hill PID:10-13500-03-130 1111111111111111111111111 HIM Use: * lid — 13S00 — X13 - 130 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: Owner: - Applicant - Daniel L&Marie C Grinols 4670 Beacon Hill Rd Saint Paul MN 55122-270 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 r-----------------, i For Office Use I Permit#: I EAGAN I I I Permit Fee: I I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675( FAX: (651)675-5694 Staff: j Email: buildinainsoections(&cityofeagan.com -----------------J RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 11/01/23 Site Address: 4670 Beacon Hill Rd. Unit#: Applicant is: 0 Owner ❑ Contractor Name: Daniel & Marie Grinols Address: 4670 Beacon Hill Rd. city: Eagan MN55122 651-235-2569 dg rinols1 @g m mail.co State: Zip. Phone: Email: New ✓ Replacement _Repair _Alteration _Remove �rt Replace Furnace & A/C Description of work: Furnace Heat Pump Air Conditioner Other _Air Exchanger ' Self Company. Contact: + hl O Address: City: 4 f State: Zip: Phone: Email: a 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) $100.00 Residential fireplace(s)(includes State Surcharge) 65.00 TOTAL FEES$ 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.citvofeaaan.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. XDaniel Grinols x / -- Applicant's Printed Name Applicant's Signature � x< Reviewed By. . Qate tJyIia A FtotiFi U Air Test Gas Serviee Test In-floor Heat Finat