EA184817 - Mechanical - Ductwork - Issued Date 06/23/2023 PERMIT
City of Eagan , , , Permit Type: Mechanical
3830 Pilot Knob Rd % Permit Number: EA184817
Eagan,MN 55122
EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 4 8 1 7
Date Issued: 6/23/2023
Site Address: 4467 Slater Rd
Lot: 011 Block: 2 Addition: Cinnamon Ridge 3rd
PM:10-17402-02-011
Use: * 10 - 17402 - 02 - 01 1 *
Description:
Sub Type: Ductwork
Work Type: Alteration
Description: part of lower level finish
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Hilde Heating Nancy J Schrader
2587 Stacker Blvd 4467 Slater Rd
White Bear Lake MN 55110 Saint Paul MN 55122--238
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 sued B : Signature
-----------------
For Office Use
,
�� � I Permit#: -% I
EAGAN
Permit Fee:
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a I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff.
Email: buildinginsoectionsO-citvofeacan.com -----------------J
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: _�3 Site Address:`' ���i�� Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name:J n I if-cc- I�n c re I�
Homeowner Address: 7 6T �J City:
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State:
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Type of Work —New _Replacement _Repair X
Alteration _Remove
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Description of work: G
Furnace _Heat Pump
Description Air Conditioner _Other
Air Exchanger/"/L�)
Company:-- Aeaa lr W4 Contact:9
Mechanical Address: 13(t2,4` City: i L -e 'Bea r
Contractor State:AAZip:SSI/!� Phone:�o7�l�S1/,�f Email:�,�c��t��',c—Qk C�b�® `ke-
License#: A lJ'wo 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
www.cltvofeaaan.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.
X �' -lam
Appll rift Printed Name /plicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final