EA180180 - Mechanical - Single Fam - Issued Date 11/09/2022 PERMIT
City of Eagan 4 Permit Type: Mechanical
3830 Pilot Knob Rd ,'., + � 0.'• Permit Number: EA180180
9
Eagan,MN 55122 *�-� --�• EAGA N
651 675-5675 ""'�" 111111111111
www.cityofeagan.com '® * E R 1 8 0 1 8 0
Date Issued: 11/9/2022
Site Address: 1808 Ellie Ct
Lot: 7 Block: 1 Addition: Madelyn Woods
PID: 10-46850-01-070 111111 1199mi 1111111111111111111111111111111 IN IN
Use: * 1 0 — 4 6 8 5 0 — 0 1 — 0 7 0
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: lower level alteration
Comments:
Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: Owner: - Applicant -
Susan Stakston
1808 Ellie Ct
Eagan MN 55122
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 ssued B : Signature
------------------
,,; ;I, i For Office Use
�. . . I Permit#:
EAGAN
Permit Fee:
i �/ ,
C E I V E Date ReceNed:
3830 PILOT KNOB R55122-1810I I
OAD I EAGAN, MN I
I
651 675-5675 FAX: 651 675-5694 Staff:
Email: buildinginsoections(&citvofea ag n.com Nov 10 2022 I----------------- '
BY:
2022 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: e I— Z2 Site Address: J ®� �1l�� G F=j la ter "CI- SSI -Z--Z—
Tenant:
-zTenant: Cv(\A- +-'Sv 5 S'iNQ-�'iS�� Suite#:
Resident/Owner Name: S\'S *N Phone:
Address/City
/Zip: 1 t c.E t�
Name: lid` �� .rd License#:
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
RESIDENTIAL
Z Furnace
_ kir Conditioner
Permit Type
Air Exchanger
Heat Pump
Other b��+5�. G( 131 %►'z t
New Replacement Additional Alteration Demolition
Type of Work
Description of work: &=bE�hLca iu 1- � r•�S
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ GPO�� TOTAL FEE
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.cityofeaaan.com/subscdbe.
I hereby acknowledge that this information is complete and accurate; that the work will be inconform a 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 no art witho 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 x
Applicant's Printed Name Ap s Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final