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
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I Permit#:
EAGAN
Permit Fee: 05
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Date Received: Z/ I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
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651 675-56751
FAX: 651 675-5694 Staff:
Email: buildinginspectionsc(D.cityofeagan.com -----------------J
RESIDENTIAL MECHANICAL PERMIT APPLICATION
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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