EA186780 - Mechanical - Gas Line - Issued Date 09/12/2023PERMIT
City of Eagan
Site Address: 4179 Countryside Dr
Lot:5 Block: 2 Addition: Country Hollow
PID:10-18275-02-050
Use:
Eagan,
Permit Type:Mechanical
Permit Number:EA186780
EA186780*
Date Issued:9/12/2023
Permit Category:ePermit
10-18275-02-050*
Description:
Sub Type:Gas Line
Work Type:Alteration
Description:
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:ME - Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
65.00Total:
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.
Contractor:Owner:- Applicant -
Richard & Karen Collins
4179 Countryside Dr
Eagan MN 55123
612) 607-2097
All Climate Mechanical
298 Coon Rapids Blvd
Coon Rapids MN 55433
763) 548-8095
Applicant/Permitee: Signature Issued By: Signature