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EA186284 - Mechanical - Ductwork - Issued Date 08/24/2023 PERMIT City of Eagan & ,< Permit Type: Mechanical 3830 Pilot Knob Rd °��A°� ¢®01 Permit Number: EA186284 Eagan, MN 55122 EAGAN (651)675-56751111111111111 IN 1111111111111111111111111111111 www.cityofeagan.com * E R 1 8 6 2 8 4 * Date Issued: 8/24/2023 Site Address: 983 Kettle Creek Rd Lot: 25 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-250 Use: * 1 0 — 4 5 0 8 1 — 0 3 — 3 5 0 Description: Sub Type: Ductwork Work Type: New Description: gas range Comments: Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: Metro Air Kristin A Rosicky 16980 Welcome Ave SE 983 Kettle Creek Rd Prior Lake MN 55372 Eagan MN 55123 (952)447-8124 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 r---------------- For ---------------For Office Use �/� Q A— I I Permit#: EAGAN Permit Fee: 05 I Date Received: Z/ I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 651 675-56751 FAX: 651 675-5694 Staff: Email: buildinginspectionsc(D.cityofeagan.com -----------------J RESIDENTIAL MECHANICAL PERMIT APPLICATION 2 �^ �( Z Date: �3 Site Address: b 3 �C �/ e C(`C Cc- ' Unit#: Applicant is: ❑ Owner � Contractor Name: Homeowner Address: City: State: Zip: Phone: Email: Type of Work —New _Replacement _Repair Alteration _Remove Description of work: Furnace Heat Pump Description Air Conditioner Other C( e Air Exchanger � 1 �/1 Company: dY1 f+(b l f(ea-ffI CO U(fhy R 0K for r2t 'ontact: (�� Mechanical Address: �O qYO W C I C1 M C 4-Vt Sf�_ City: �('r�r G a ContractoraS.\ - State:Mt,)Zip: 9-S-37a Phone: �O6 -"(-I3 Email: License Expiration Date: JA-3/ _O-IX A 3 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.citvofeagan.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. X Applicant's Printe Name Applicant's SigDoture FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final