EA190303 - Mechanical - Ductwork - Issued Date 04/17/2024 PERMIT
City of Eagan , & , Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA190303
EAGAN Eagan, MN 55122 """ ���°
(651)675-5675
www.cityofeagan.com * E R 1 9 0 3 0 3
Date Issued: 4/17/2024
Site Address: 1206 Carlson Lake Lane
Lot: 023 Block: 003 Addition: Wilderness Park
PID:10-84250-03-230 111111111111 IN 111111111111111111111111111111111111111111111111111 HIM
Use: * 10 - 84250 - 03 - 230
Description:
Sub Type: Ductwork
Work Type: Replace
Description: Bath Fans
Comments:
Fee Summary: ME- Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Admiral Radon&Mechanical Services Donald&,lean Tstees Mueting
13816 Utah Ave 1206 Carlson Lake Ln
Savage MN 55378 Eagan MN 55123
(952)226-5577
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-- ----- -----+
0/ I For Office U e nn I
i• � 'r 1 Permit* V J 0 3 1
EAGAN I Permit Fee: I
I I
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received:
(651)675-5675 1 FAX:(651)675-5694 1 j
Email:buildinQinspectians[c�citvofeaaan com Staff: I
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RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 4/17/2024 1206 Carlson Lake Lane
Site Address: Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: House Lift
Address: 1206 Carlson Lake Lane City: Eagan
State: MN Zip: 55123 phone: 6128430776 Email: NA
_New ✓ Replacement _Repair Alteration _Remove
Description of work: Replacing Bath Fan
Furnace _Heat Pump
_Air Conditioner Other Bath Fan
Air Exchanger
company: Admiral RMS Contact: Joseph Pietrek
Address: 13816 Utah Ave city: Savage
State: MN Zip; 55378 Phone: 9522265577 Email: Jpietrek@admiral-rms.com
License M MB-78180305/26/2025
Expiration Date:
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
W W W.cityofeaQan.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.
., �
Applicant's Printed Name
Applicant's signature