EA181840 - Mechanical - Single Fam - Issued Date 03/23/2023 PERMIT
City of Eagan , , Permit Type: Mechanical
3830 Pilot Knob Rd �,.;; ;;:, Permit Number: EA181840
Eagan,MN 55122 EAGAN
(651)675-5675
111111111111
www.cityofeagan.com * E R 1 8 1 8 4 0
Date Issued: 3/23/2023
Site Address: 1041 Kettle Creek Rd
Lot: 20 Block: 2 Addition: Lexington Square
PID:10-45075-02-200
Use: * 1 0 — 4 5 0 7 S — 0 2 — 2 0 0
Description:
Sub Type: Single Fam
Work Type: Alteration
Description:
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant -
Janel Hoekenga
1041 Kettle Creek
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 ssued B : Signature
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For Office Use I
at a s i I Permit MIT l q /40
a a i
Permit Fee:
EAGAN
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-56751 FAX: (651)675-5694 1 Staff:
Email: buildinainsaections0 itvofeaoan.com L---------------
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 3/22/23 Site Address: 1041 Kettle Creek Rd Unit#:
Applicant is: ® Owner ❑ Contractor
Name:Jonathan Hoekenga
Homeowner Address: City:1041 Kettle Creek Rd Eagan
State: MN Zip: 55123 Phone: 651-675-6567 Email:Jmhoekenga@gmail.com
Type of Work _New _Replacement _Repair ✓Alteration _Remove
Description of work: Move cold air return, move supply in bathroom
Furnace _Heat Pump
Description Air Conditioner ✓ other
Air Exchanger
Company: Contact:
Mechanical Address: City:
Contractor
State: Zip: Phone: Email:
License#: 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)
$100.00 Residential fireplace(s)(includes State Surcharge) 65.00
TOTAL FEES$
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.citvofeaaan.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.
XJonathan Hoekenga X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Rcvlewed'By: Date.
Underground Rough In Aic,T*, ' Gas Service Test In-floor Heat , Final