EA188891 - Mechanical - Furnace & Air Conditioner - Issued Date 01/22/2024 PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd ;;�,, Permit Number: EA188891
Eagan,MN 55122 '"' ""� EAGAN
(651)675-5675
1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 8 9 1 *
Date Issued: 1/22/2024
Site Address: 1191 Timbershore Lane
Lot: 2 Block: 05 Addition: Timbershore 4th
PID:10-76503-05-020 III 11E I
Use: * 1 0 — 7 6 5 0 3 — 0 5 — 0 2 0
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: - Applicant - Owner:
Timeline Mechanical Douglas James Phelps
8191 Ravenrock Rd 1191 Timbershore Ln
Rockford MN 55373 Saint Paul MN 55123--233
(651)206-1405
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
----------------I
q 1 I For Office Use(,Q )
I Permit#: I
A
jPermit Fee: 1
Date Received: 1 �
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5654 I Staff:
Email:buildinginspections(DcfNofeagan.com I-----------------I
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address:
IgI / LpknQ Unit#:
Applicant is: ❑Owner Contractor � V1
Name: �/� /},t
Homeowner Address: L,(�,Y'\-l1 Ittr) Q, a City: Fcoy" 1
State:KZip:55IQ3 Phone: Email:
Type of Work _New lk Replacement _Repair —Alteration —Remove
Description of work: r w�tcl l I �Q
X–Furnace _Heat Pump
Description Air Conditioner ,other
Air Exchanger
Company: \ te, Contact: Gi i'a � O i l a
Mechanical Address: City: Ln 0-2�U�
Contractor �( f Q ( l,,�f ( y�
State:��,`� Zip: l�Q I Phone: �V Email:' ( `Ih/{h{r� eCii IW/11�al�.�1 f I�f m
License# ?i7 7 V 0 J Expiration Date: �ucX
RESIDENTIAL FEES
$150.00 New Residential(includes State Surcharge)
$85.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge)
$100.00 Residential fireplace(s)(includes State Surcharge)
TOTAL FEES$
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.cityofeagan.com/subscdbe.
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 tart 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.
6101 a x411itf�17J�i
Applicant's Printed Name App icant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final