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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 `aa ► ♦ 0 �� I �r �� I Permit#: EAGAN I I I Permit Fee: yo I I 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 r 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