EA181770 - Mechanical - Single Fam - Issued Date 03/21/2023I , %V4191
City of Eagan , , ®° Permit Type: Mechanical
3830 Pilot Knob Rd E A A N Permit Number: EA181770
Eagan, MN 55122 •--• ••-�
(651) 675-5675 111111111111111111111111111111 11111M
www.cityofeagan.com * E A 1 8 1 7 7 0*
Date Issued: 3/21/2023
Site Address: 1538 Lone Oak Rd
Lot: 007 Block: 028 Addition: Section 9
PI13:10-00900-28-070 1111111111111111111111111 IN 11111111111111111111111111111111111 11M
Use: * 10-00900—Z8-070*
Description:
Sub Type: Single Fain
Work Type: Alteration
Description: Add 2 returns and 1 supply
Comments:
Fee Summary: ME - Mechanical Residential Alteration $64.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total:
Contractor:
$65.00
Owner:
Nicholas Gregory Dubay
1538 Lone Oak Rd
Eagan MN 55121
- Applicant -
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
ssued B : Signature
\ e a e
Date: Site Address: Unit M
Applicant is: ® Owner ❑ Contractor
EAGAN
Nicholas Dubay
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Email: buildinginsoections(a-citvofeaoan.com
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� For Office Use I
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j Permit #1211-46
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Permit Fee:
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Date Received:
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I Staff.
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RESIDENTIAL MECHANICAL PERMIT APPLICATION
3/20/23 1538 Lone Oak Rd
Date: Site Address: Unit M
Applicant is: ® Owner ❑ Contractor
Nicholas Dubay
Name:
1538 Lone Oak Rd Eagan
Homeowner "
Address: City:
MN 55121 763 229 1441 nick.g.dubay@gmail.com
State: Zip: Phone: Email:
Type pt 1Kprk;
_ New _ Replacement _ Repair Alteration _ Remove
Adding return x2 and supply x1
Description of work:
Furnace _ Heat Pump
DesCrlptlOn
Air Conditioner _ Other
Air Exchanger
N/A
Company: Contact:
M1echinical
Address: City:
Contractor
State: Zip: Phone: Email:
License #: Expiration Date:
RESIDENTIAL FEES
$160.00 New Residential (includes State Surcharge)
$66.00 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 worts Will be in accordance
with the approved plan in the case of work which requires a review and approval of plans. A / ,
Nicholas Dubay / V W,
x x '
Applicant's Printed Name Applicant's Signature
FOR OFFICE iUSE "
Required Inspections; Revis 4:113y: Date:
Underground Rough In Air Test . Gas Service Test In -floor Heat Final