EA189930 - Mechanical - Furnace - Issued Date 04/08/2024 PERMIT
City of Eagan a , Permit Type: Mechanical
3830 Pilot Knob Rd ` ` ` o
A tr F Permit Number: EA189930
Eagan, MN 55122
EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 9 9 3 0
Date Issued: 4/8/2024
Site Address: 3452 Ivy Ct
Lot: 9 Block: 01 Addition: The Woodlands North 2nd
PID:10-75891-01-090
Use: * 10 - 75891 - 0 1 - 0790 *
Description:
Sub Type: Furnace
Work Type: Replace
Description:
Comments:
Fee Summary: ME- Permit Fee $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant -
Marlys H Tste Hubbard
3452 Ivy Ct
Eagan MN 55123
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
called �e�4
,UlhenUSlgn N;rtfl2JLi3C-t5 t-tt1 t•nArL•bugbtluu8ui6t
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1 Permit 11: 189930 +
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EAGAI Permit Fee:
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Date Received: 4/3/2024
3830 PILOT KNOB ROAD)EAGAN,MN 55122-1810 APR 0 3 2024 I
(651)676-56761 FAX:(651)875.5694 �uStaff:
Email:bulldinginspectionsaf'lcitvofeegm an ca .--.--------------a
BY:
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Alte Address: J ` C,=, " unit M.
Applicant I ; Owner El Contractor
Name:
HOt1080Wt1@t:: Address: - ` City:
.... ........ .. .�... i' SietebZip: Phone:(02 Email: F a 0,0
:. 10
Typeof..W.ork.:' --.—New -Replacement _Repair _,Alteration Remove
Description of work: 7kK Ck�
_Furnace Heat Pump
`:De c 1ptlon.i ___ Air Conditioner Other
iAir Exchanger
Company: Contact:
`MeChanlcal Address: City:
:Contraotor..:,
State: Zip: Phone; Email:
License M Expiration Date:
RESIDENTIAL FEES
$460.00 New Residential(Includes State Surcharge)
$66,00 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 recelve an electronic notification from the City of proposed ordinances by eigning up for an email update on the City's website at
www.cltvofeagan,comisubscrlbe.
I hereby acknowledge that this informallon 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 permll,but only an application for a permit,and work is not to start without a permit;that the workwlli be In accordance
with the approved pian In the case of work which requires a review and approval of plans,
Mtl:en1,wrl'
rCC9� t✓, ��L ' X ar!sNuhbard, Trustee 4/03/24
Ap llcant's Printe arne AVVcanVs Signature
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