EA188264 - Mechanical - Fireplace - Issued Date 11/29/2023 PERMIT
City of Eagan , , Permit Type: Mechanical
3830 Pilot Knob Rd
Permit Number: EA188264
Eagan,MN 55122E A
(651)675-5675 A N
www.cityofeagan.com * E A 1 8 8 2 6 4
Date Issued: 11/29/2023
Site Address: 4385 Bear Path Tr
Lot: 10 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-100 111111111111 IN 11111111111111111111111111111111111111111111111111111111 M
Use: * 10 - 49000 - 0 1 — 100
Description:
Sub Type: Fireplace
Work Type: Alteration
Description: set and vent wood fireplace insert
Comments:
Fee Summary: ME-Fireplace Permit $99.00 0801.4088
Surcharge-$1.00 $1.00 9001.2195
Total: $100.00
Contractor: - Applicant - Owner:
Hamlin Installations LLC Harry&Melodee J Cannon
1552 97th Ave 4385 Bear Path Trl
Hammond WI 54015 Eagan MN 55122--221
(651)775-7562
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
Nov 27. 2023 3: 12PM Westfields Hosp & Clinic No- 5376 P. 1
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: I
(651)675-5675 1 FAX:(651)675-5694
Email:bulldlnainspectionsla�clfvofeagaStaff:
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RESIDENTIAL MECHANICAL PERMIT APPLICATION
[Applicant
ate: 11/27/2023 4385 Bear Path Trail
Site Address: Unit#:
is: 0 Owner 0 Contractor
Name: Melodee Cannon
Homeowner Address: 4385 Bear Path Trail city: Eagan
State: MN Zip: 55122 Phone: 612-600-6092
Email:
Tylj� Qf 1IVOrk New ✓ Replacement _Repair Alteration _Remove
Description cfwork: set and vent wood fireplace insert
V
Furnace _Heal Pump
Dest;rjp#Ion _ 1/ Fireplace
Alr Conditioner Other
Sir ,i
Air Exchanger
Company: Hamlin Installations Ga Hamlin
.
Contact: Gary J
W
Machant1552 97th Avenue cal , Address:� 04:12—city: Hammond
Con (ActorJ. WI 54015 651-775-7562 gthamlin1@gmail.com
State: Zlp: Phone: Email: 9 @gmail.com
License#: Expiration bate:
RESIDENTIAL FEES
$150.00 New Residential(includes State Surcharge)
$65.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge)
$100.00 Residential fireplaces)(includes State Surcharge)
TOTAL FEES$
You may subscribe to receive an electronic notification from the Clly of proposed ordinances by signing up for an email update on the City's website at
HCl lyofeagan.com/subscribe.
I hereby acknowledge that this Informallon is complete and accurate;that the work will be In conformance wl h 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 n o art withou a permit;that the yvork will be In accordance
with the approved plan in the case of work which requires a review and approval of plans.
,Gary Hamlin
Applicant's Printed Name x
Applicant's Signa re
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