EA188582 - Mechanical - Ductwork - Issued Date 12/26/2023PERMIT
City of Eagan
Permit Type:
Mechanical
3830 Pilot Knob Rd
Eagan, MN 55122E
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Permit Number:
EA188582
(651) 675-5675
www.cityofeagan.com
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Date Issued:
12/26/2023
Site Address: 2021
Jade Lane
Lot: 14 Block: 4
Addition: Cedar Grove 3rd
PID: 10-16702-04-140
Use:
* 1 J— 16702-04—
140
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:
Owner: - Applicant -
Christian Poynter
2021 Jade Ln
Eagan MN 55122
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.
1 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
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
Email: buildinginspections o-�cityofeagan com
For Office Use I
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Date Received: I
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Staff:
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RESIDENTIAL
________________
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 12/22/2023 site Address: 2021 Jade an unit#:
Applicant is: 14 Owner ❑ Contractor
Name: Christian Poynter
Homeowner Address: 2021 Jade Lane city: Eagan
State:
MN Zip: Phone: Email: 55122 715-456-3790 christian.poynter@icloud.com
Type Of Work —New _ Replacement _ Repair V/ Alteration _ Remove
Description of work: Adding additional supply & return lines to existing trunk for basement remodel (permit EA188489)
(
Furnace Heat Pump
Description Ductwork
t _Air Conditioner _Other
Air Exchanger
NP
Company: Homeowner Contact:
Mechanical Address: City:
Contractor
State: Zip: Phone: Email:
I
License #: Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential (includes State Surcharge)
l $65.00 Residential alteration, furnace, air conditioner, ductwork, or any combination (includes State Surcharge)
$100.00 Residential fireplace(s) (includes State Surcharge) 65.00
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.
X Christian Poynter 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