EA183037 - Mechanical - Single Fam - Issued Date 05/22/2023 PERMIT
City of Eagan ® ® ® Permit Type: Mechanical
3830 Pilot Knob Rdft I A Permit Number: EA183037
Eagan,MN 55122 ®®®® ®®® A I M
(651)675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 3 0 3 7
Date Issued: 5/22/2023
Site Address: 1898 Gold Tr
Lot: 13 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-130
Use: * 10 — 16705 - 03 — 130 *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: moving of stove/range hood
Comments:
Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant -
Roberto C Gonzalez
1898 Gold Trl
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.
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
g
J r
For Office Use---------I
° s 183037
0 0d 5 Z2 PermitM
EAGAN 1
I Permit Fee:
Date Received: 5/19/23
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E I E I
(651)675-5675 1 FAX: (651)675-5694 Staff: I
Email: buiidinginspections(acity feacian.com MAy 19 2023 -----------------'
RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: ^/ Site Address: I o l" lrX��=�` i�g�r{'�W S (2-� Unit#:
Applicant is: L1 O vner ❑ Contractor c�
Name: Q b Ve�"--�
Homeowner Address:� t'-p C'Zalc� �Vd`+.I City:
State:fM/J Zip: -512Z Phone:(01Z '6Email: *►' h7Ai -r
ezo6x+r-Fna�
Type of Work
—New —Replacement —Repair v Alteration —Remove
—
Description of work: MW&44V W
_Furnace Herat Pump
Description Air Conditioner [/Other �-
Air Exchanger
Company N ft UA8LL0 \.3' Contact:
Mechanical Address: City:
Contractor
State: Zip: Phone: Email:
License M Expiration Date:
RESIDENTIAL FEES
$160.00 New Residential(includes State Surcharge)
Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge)
$100.00 Residential fireplace(s)(includes State Surcharge) Qy
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,cifirofeacan.com/subsed4e.
I hereby adcnowiedge that this information is complete and accurate; that the work will be in conformance with the ordinances and cedes 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
withtheapproved plan int the case of work which requires a review and approval of plans.
X �0121�ln,2-a-P 1-- x
Applicant's Printed Name ApplIant's Ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
underground _ Rough In Alr Test Gas SeNir�e.Test (n-floor Heat Find