EA188521 - Mechanical - Single Fam - Issued Date 01/04/2024Comments:
Fee Summary: ME - Mechanical New Residential $149.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total: $150.00
Contractor: - Applicant - Owner:
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
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.
1 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.
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Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan
,
Permit Type:
Mechanical
3830 Pilot Knob Rd
Eagan, MN 55122
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EAGAN
Permit Number:
EA188521
(651) 675-5675
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www.cityofeagan.com
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Date Issued:
1/4/2024
Site Address: 654
Witham Lane
Lot: 2 Block: 1
Addition: Woods of Witham Lane
PID:10-84850-01-020
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Use:
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Description:
Sub Type: Single Fam
Work Type: New
Description:
Comments:
Fee Summary: ME - Mechanical New Residential $149.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total: $150.00
Contractor: - Applicant - Owner:
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
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.
1 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.
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Applicant/Permitee: Signature Issued By: Signature
-------------,
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For Office Use I
I Perma Pert -nit 1 J N I�
I Permit Fee:41 � I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
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(651) 675-5675 1 FAX: (651) 675-5694 I Staff: I
Email: buildinginspectionsC@cityofeagan.com I-----------------�
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 12/18/2024 Site Address: 654 Witham Lane Unit#:
Applicant is: ❑ Owner 0 Contractor
Name:
Homeowner Address: City:
State: Zip: Phone: Email:
Type of Work ✓ New _Replacement _Repair _ Alteration _ Remove
Description of work: Residential new construction
✓ Furnace _ Heat Pump
Description ✓ Air Conditioner ✓ Other 3 gas lines
✓ Air Exchanger
company: Air Mechanical Contact:
Mechanical Address: 16411 Aberdeen St NE City: Ham Lake
Contractor State: Zip: Phone: Email: MN 55304 763-258-3246 ebarton@airmechanical.com
License #: M B005122 Expiration Date: 05/25/2024
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)
TOTAL FEES $150'00
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 plan
Erica Barton
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X
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat _ Final