EA188131 - Mechanical - Ductwork - Issued Date 11/20/2023 PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd a� 8Permit Number: EA188131
Eagan, MN 55122 EAGAN
(651)675-5675 1111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 1 3 1 *
Date Issued: 11/20/2023
Site Address: 820 Promontory PI
Lot: 16 Block: 4 Addition: The Woodlands
PID:10-75875-04-160
Use: * 1 0 — 7 5 8 7 5 — 0 4 — 1 6 0
Description:
Sub Type: Ductwork
Work Type: Alteration
Description:
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Lewis Heating&Air Derek Martin
654 Todd Lane 820 Promontory Pl
Hudson WI 54016 Eagan MN 55123
(612)940-4565
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
----------------,
0 g I For Office Use I
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Permit Fee: CP
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Date Received:
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 l
(651)675-5675 1 FAX: (651)675-5694 Staff:
Email: buildinginspectionsaa�cityofeagan.com -----------------
_ RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: � �a 3 Site Address: � elo Pramt;;t —Unit#:
Applicant is: ❑ Owner d Contractor
Name:
i Homeowner Address: City:
State: Zip: Phone: Email:
Type of Work : _New _Replacement Repair _Alteration _Remove
Description of work:
Furnace Heat Pump
t
Description I
_Air Conditioner _Other
Air Exchanger
Company: Leo` ,( Contact: Oe c tc L e is(
6II
Mechanical Address: rJ n City: Ou U ro n
Contractor �
State: Zip: (a 16 Phone: LQ9yG-1-ff,G mail: ✓Lpt-.J: �, L L4 A ID 9Plc,' 1. (17.,
License#:rl QQ LI 9 5 J Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential (includes State Surcharge)
$65.00 Residential alteration, furnace, air concliticiner, ductwork, or any combination (includes State Surcharge)
$100.00 Residential fireplace(s) (includes State SL rcharge)
TOTAL FEES $ C �'�
You may subscribe to receive an electronic notification froli 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 anJ 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 ��f�, ��CJ� x
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