EA187461 - Mechanical - Ductwork - Issued Date 10/13/2023 PERMIT
City of Eagan , , , , Permit Type: Mechanical
3830 Pilot Knob Rd ,•q,•+ ®,,,•!® E AGAN Permit Number: EA187461
Eagan,MN 55122 `••- ®--'
(651)675-5675 1111111111111 IN 111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 4 6 1 *
Date Issued: 10/13/2023
Site Address: 3789 Briarwood Lane
Lot: 7 Block: 1 Addition: The Woodlands
PID:10-75875-01-070
Use: * 1 0 — 7 5 8 7 $ — 0 1 — 0 7 0
Description:
Sub Type: Ductwork
Work Type: Alteration
Description:
Comments:
Fee Summary: ME-Permit Fee $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
American Air Supply Dean M Tste Ammerman
11257 207th Ave NW 3789 Briarwood Ln
Elk River MN 55330 Eagan MN 55123
(612)282-7568
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
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i , I For Office Use
I of I Permit#: a 4b I
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Permit Fee:
EAGAN
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
Email: buildinginspectionsto'-_citvofeagan.com -----------------J
RESIDENTIAL MECHANICAL PERMIT APPLICATION
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Applicant is: ❑ Owner Contractor
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Homeown-r Address: w�y� City:c N e ra✓�
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Type of Work —New _Replacement _Repair Alteration _Remove
Description of work:
-Mm Furnace —Heat Pump
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Descrlpt on —Air Conditioner -Other U �`� �� (C
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_Air Exchanger
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Company: ktr, �"� , /U _Contact:
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Address: II oZ � (��� /T"t N,(� City:
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Phone:(I I. u Email:
u n License#: �0 L�C.l 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.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.
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Applicant's Printed Name Appl cant's Signature
FOR OFFICE USE
Requirednspecttoffs Reviewed By
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