EA187958 - Mechanical - Furnace & Air Conditioner - Issued Date 11/08/2023 PERMIT
City of Eagan , , , , Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA187958
Eagan,MN 55122 EAGAN
(651)675-5675 .
www.cityofeagan.com * E A 1 8 7 9 5 8
Date Issued: 11/8/2023
Site Address: 1009 Ticonderoga Tr
Lot: 5 Block: 4 Addition: Lexington Square 6th
PID:10-45080-04-050
Use: * 10 45080 - 04 - 050 *
Description:
Sub Type: Furnace&Air Conditioner
Work Type: Replace
Description:
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Conway Mechanical Michael J Coughlin
8755 N.Maplebrook Circle 1009 Ticonderoga Trl
Brooklyn Park MN 55445 Eagan MN 55123
(612)889-0628
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
a r I For Office Use p� I
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EAGAN I I I
Permit Fee: yo I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX: (651)675-5694 I Staff:
Email: buildinginspections(cDcitvofeagan com I ______�
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: o;!JSlittee Address:_/ Q O / Cowl d p 57C7 Unit#:
Applicant is: El Owner —1 Contractor
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Name: /� ke— �Jl t y"/�f L r t
Homeowner Address: J l T� o d P/ O City: )�i �'9/V
State: M/Vzip: .5 S Phone: Email:
Type of Work —New -�('Replacement _Repair —Alteration —Remove
Description of work: r
Furnace _Heat Pump
Description Air Conditioner _Other
Air Exchanger
Company: ZOIy [✓r4 /.c {,g.✓, c—,*L Contact: J�• ' /V L✓�S .�
Mechanical Address: �� City.
Contractor i f � r
State:� Zip: ! y� Phone: 60, X^tP "a G'lrtmail: /V/ A/wr4 y .b�✓® �� L ��:�
License#:_Z2113 o,9 3 r o 7 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.cityofeagan.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.
Applicant's Printed Name Applicant's Signature �—
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final