1760 Karis Way •
` ,fir N # �' Plow
t K Nb R I *
. I tIt 1' UUi'ir fire
Orr Tton rI •
s ite : 1760. i ar3.s : ,�a t LI RIO . f e rlt
fir; era I'vax "--Ift r0
Size: . Dspo*:
Reader Na.. ' s,_ %m it Fee. 1 0100 pd
t awe t�s tN i� vrM► 1pir r fit saws : . pg
ice. mss:
G. C? Q } , Mauer
r
BY•
Date el insp.; I
tom.;.
cTY ; w, ,�
1004 11**
MN 55122
r.. t'Tu Na. ef Unlit 1 vnii' tratgo.
owner Orrin Thom p non Tprn a
r
Site Address: l7fEl,. iar•iq Way T,) RIO RidgPr1iffp jTT
Plumber: Lenz R
1 agree 8 /8/80 20373 100.00 pd
WI ! *alr. Car OF riefflie Connection : 6 25.00 pd
O Account , `:
Permit Far: 1 nt00 pd. _
1
By '' Surcharge' _ 50 pd
_ j' Misc. Charges:
Dote of I E: - Total:
'nip- . - ) f " Date Paid:
Use BLUE or BLACK Ink
r
For Office Use
Permit: Wq j
4110~ in
City of EaW~cl s
I Permit Fee: / J I
3830 Pilot Knob Road I 22 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1760 AXIX 411 Unit M
Name: f`"/~6~ GL«`" ~s~ Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: -S Multi-Family Building: (Yes V, /No
)
Company: Contact: Dleh' 5h7e~r~ ls4l
Contractor Address: 131-4r ~5?e $,V 4p- city: 41"f" le
State: /W/1 Zip: 533 / Phone: /27h? dF~ /50
License #:<2? 6) lO 4~ G 7 Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ooaherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Applicant's Printed kafme Applicant's ature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
I For Office Use �
• I Permit#: � � I
I �,�
City of �a�a� I Permit Fee: . � �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � 1 "' �� Site Address: I ��ff /�`U al(k�'fs�+�'� �6�� y��� �Cr"f`� r Unit#:
,�;. � � ��������
���°" ���'��� �� Name:—!, ������� �I r�� Phone:
� ��� � .;
Res�de t/
��� ��'��`� � � �-l�7 I �.l S� ��— a�r�'�t�,
Owner �' Address/City/Zip:
� � �
� i#�� ����.�;, Applicant is: Owner Contractor
��� # ���:� �:
��� : ����� �
�;», �� �.: Description of work: �i��� '�►
� Type�of�Work�;
,� ��� ��., ,�F�� Construction Cost: � ( Q � �' Multi-Family Building: (Yes ( /No )
"�� � �'
� . ��.��.��'� "F `� �° � � y�
�;�'�� Company:__ �-tS i/'l 2iJL� t1Uy� Contact:�� �hrl t i'e °s _
� � �� � �
����� '. �� � y ���,� '�.
��Contractor��� Address: /�,�-r� � ��Q����� cit : ✓l�`P �
� �� ��� �, � � �� q f
_ ��' ; State:� � �3�31 Phone �
��
Zip: �"`'�l�-��� / EmaiL•�Oh'�Ip h 6irs��l��lvov'Pl� �° l�
-> �
�• ' License#: ,r�[}( �b��P� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan: ,
Licensed Plumber: Phone: '
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
��''NOTE P/ans antl su orfiri tlocui�i�ents�fhaf��ou subm f are cons►dered'tQ be��ub,�rc� fo `��`at�on orrtiQ�ns��o�_
� . . .� PP �ti.,,�'�.zara�,�,,,^7. €�#a�� �k,: ''`� ``,� "=�`��.�� "��.. 2�.,..','„� �r. � �, ��� ; '� '�.'�€ �...a3�
_ �t�►e�nfor�mation may be c/�ssc ��d s€aor��p�b�Ir�G rf��yQU p��o�r�a/e sp���c� easo �th� woul erm�t t e�t .`#o
��`.��. ., ��.�4 ���'.�. .: �� - � ' � � �:, �
.-S� ��r� R° ,.°'� b �: a� ^ �, � . . �,� .: _ ' .
� � . �. �:.�on.clud�that�they.are:xtraale sec�ets�; �.���,, -
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must completed within 180
days of permit issuance. �,
x �� ��'�`M x
App' nt's Printed Name Appli ign e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138227
Date Issued:08/16/2016
Permit Category:ePermit
Site Address: 1760 Karis Way
Lot:1 Block: 10 Addition: Ridgecliffe 3rd
PID:10-63982-10-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Michael B Buttermore
1760 Karis Way
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature