EA182836 - Mechanical - Gas Line - Issued Date 05/11/2023 PERMIT
City of Eagan ® ® EAGAN Permit Type: Mechanical
3830 Pilot Knob Rd ®°° ® ® ®® Permit Number: EA182836
Eagan,MN 55122 ®m®® ®®®®
(651)675-5675 111111111111 IN 111111111111111111111111111111
www.cityofeagan.com * E R 1 8 2 8 3 6 *
Date Issued: 5/11/2023
Site Address: 4164 Kingston Ct
Lot: 6 Block: 4 Addition: Hills of Stonebridge 3rd
PID:10-32992-04-060 111111111111111111111111111111 IN 11111111111111111111111111 M
Use: * 1 0 — 3 2 9 9 2 — 0 4 — 0 6 0
Description:
Sub Type: Gas Line
Work Type: New
Description: Gas line for pool heater
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant
Benjamin J&Katie Sowieja
4164 Kingston 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 ssued B : Signature
r---------/—►-------,
i I , i For Office uck 1,mo I
if I Permit#:
•__ EAGAN
I Permit Fee: I
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I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff: j
Email: buildinginspectionsO)cityofeagan.com -----------------J
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 5/11/2023 Site Address: 4164 Kingston Court Unit#:
Applicant is: 0 Owner ❑ Contractor
Name: Ben Sowieja
Homeowner Address: 4164 Kingston Court City: Eagan
State: MN Zip: 55123 Phone: 651.208.3600 Email: bjsowieja@gmail.Com
Type of Work New _Replacement _Repair _Alteration _Remove
Description of work: gas line for pool heater
Furnace _Heat Pump
Description Air Conditioner Other gas heater
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)
TOTAL FEES$65
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.citvofeacian.com/subscdbe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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.
XBen Sowieja X If
Applicant's Printed Name [Ica nt'
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final