EA186653 - Building - Radon Mitigation - Issued Date 09/07/2023 PERMIT
City of Eagan E lie, Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA186653
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Eagan,MN 55122
(651)675-5675 EAGAN
www.cityofeagan.com * E R 1 8 6 6 8 3
Date Issued: 9/7/2023
Site Address: 4333 Lodgepole Dr
Lot: 25 Block: l Addition: Evergreen Park
UseUID
se::10-24880-01-250
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Description:
Sub Type: Radon Mitigation Construction Type:
Work Type: Alteration
Description: Active System
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085
Valuation: 2,000.00 BL-Plan Review-Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001 2195
Total: $135.00
Contractor: - Applicant - Owner:
EES Inc. Ricky A&Carol Graves
5081 183rd St W 4333 Lodgepole Dr
Farmington MN 55024 Saint Paul MN 55122--182
(612)227-7688
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
Date Received: I
3830 PILOT KNOB ROAD I EAGAN. MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694
Staff:
Email:buildinginspections(a�cityofeagan com _
RESIDENTIAL ERMIT APPLICATION
Date: 9/7/23 Site Address: 4333 Lodgepole Dr
Unit#:
Applicant is: 11Owner ❑ Contractor
Name: Rick Graves
Homeowner Address: 4333 Lodgepole Dr City: Eagan
State: MN Zip: 55122 Phone: 651-452-0736 Email: ragraves1 @yahoo.com
Type of Work —New _Replacement _Repair $000 Alteration _Remove
Description of work: Radon mitigation
Furnace _Heat Pump
Description Air Conditioner Radon
— Other
Air Exchanger
Company: EES Inc. Contact: Sy Potvin
Mechanical Address: 5081 183rd Street West City Farmington
ContractorState: MN Zip.. Phone: Email:55024 612-227-7688 eesradon@gmail.com
License#: Rmits 00021 4/1/24
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)
$100.00 Residential fireplace(s)(includes State Surcharge)
TOTAL FEES$ 1465.00
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.crtvofeagan 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 Sayat Potvin
Applicant's Printed Name Applicant' ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground _Rough In _Air Test Gas Service Test In-floor Heat Final
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