EA189302 - Mechanical - Single Fam - Issued Date 02/20/2024 PERMIT
City of Eagan A Permit"':
Mechanical
3830 Pilot Knob Rd +;� %;,®;, Permit Number: EA189302
Eagan, MN 55122 •-•• ---• EAGAN
(651)675-5675 1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 9 3 0 2 *
Date Issued: 2/20/2024
Site Address: 2042 Pin Oak Dr
Lot: 1 Block: 5 Addition: Vienna Woods
PID:10-81950-05-011 11111111111111111111 HE immun
Use: * 1 0 — 8 1 9 5 0 — 0 5 — 0 1 1
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Furnace,AC,bath fan,new kitchen vent
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Erickson Plumbing Heating Air Electrical Twin Cities Habitat For Humanity Inc
1471 92nd Lane NE 1954 University Ave
Blaine MN 55449 Saint Paul MN 55104
(763)783-4545
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
LM 2-12,
a s 1 For Office Use q 2 I
%� 4 ° 0 I Permit#:
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EAGA I Permit Fee: b I
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
Email: buildinginspections@cityofeagan.com ----------------
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 2/19/2024 Site Address: 2042 Pin Oak Drive Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Habitat for Humanity
Homeowner
Address: 1954 University Ave W City: St.Paul
State: MN Zip: 55104 Phone: 612-283-8226 Email:
Type of Work _New X Replacement _Repair —Alteration —Remove
Description of work: Furnace & A/C replacement, replace bath fan, install new kitchen vent
X Furnace _Heat Pump
Description X Air Conditioner X other bath fan, kitchen venting
_Air Exchanger
B
Company: Erickson Plumbing Heating Air Electrical Contact:
Mechanical Address: 1471 92nd Lane NE City: Blaine
Contractor
State: MN Zip: 55449 Phone: 763-783-4545 Email: AJindraCCDihearterickson.com
License#: M6005261 Expiration
e: 07/01/2024
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 $
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 plans.
X Alex Jindra x
Applicant's Printed Name Applicant's Si6nat#fe
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final