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