1969 Jan Echo Tr
Use BLUEIor BLACK Ink
Ea ~n 1 Permit X ~7~y I
alt 0
y ~ 11 I I II
3830 Pllot Knob Road j Permit Fee: j
Eagan MN 33122 I 1
Date Received: _G `1 t
Phone: (831) e73-5873
Fax: (651) 5734G94 I start _ + I'1C-
L-----___..
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date•c)-)7-I3 31teAddress: l C~ T I AJ
Tenant: suite 1h
' t .
[RE31DENTICdWNER Hartle; Phoe•~5 -77-.1-271
Address / CRY / Zlp;
CONTRACTOR Nanle;~MIIBERT COMVA.NY INC.dba CULLIGAN WATER
Address: 1801 507H ST EAST City' Moot 41&is
' State: -MN* Zip;_ 55.07 ' Pions; 651 '.45t- 2241
Contact BILL.Mft Mft *j Emall:
TYPE OF WORK =New _Replacement -Repair -Rebuild _Modlfy Space _*orklrl,R.O.W.
Descrl tlon of Mork.,
PERMIT TYPE RESIDENTIAL
Water Heater .Water Softener
Lawn l rlgaapn RPZ /w PVB) Add Plumbing Fixtures Main / Lower Level)
• WaterTumaround
• Septic System
' =Abandonment
=Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater V Softener (includes 35.00 State Surcharge)
335.00•Lawn Irdgatlon (InclJdes $5.00 State Surcharge) .
$35.00 Add Plumbing Flxtutes, Septic Systerih Abandonment. WaterTumaround' pnt:tudes $5.00 State Surd rge)
'WaterTumaround (abd $166.00 Itr5/6' meter Is requlred)
E
$105.00 Septic System V-mC ($10.00 pores bum) (Includes County fee hind $5.00 State Surcharge)
383.00 Fire Repair (replace bumeQ out appllances, ductwok elm) anciudes $5.00 State Surcharge)
TOTAL FEES;
• CALL BEFORE YOU Md. Call Gopher State One Call at (031) 454-0002!or protection against underground &alty, damage.
Call 46 Flours before yon I'nteW to dig to recolvd locates of underground ullildes:
1 hereby adum rledge that this k0 mation N complete and aocursts; I(hat an worst will be In con(ormana with to ordinances and Was of to CRY of
Eagan; that 1 understand this Is. permll. but only'an appilckooh lbr a permit, and work Is rot to start wldvA a p frig that the worst will be In
scOordance wl approved la In the of work which requires a.MAW and a I of
'
e
x. (All* 7~ 39
Appllcant•s Printed Name Appllcant'a, Ignaturs
~~4Qaf3 OF d~ ,~V Ayy, , .
lat. 0`9
r
1 ; Ford Ice: Use
f.
City of ECG Permit#:
; Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
- - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:_ Site Address:" 19bfr /1/0?1, 1X75 J411y~t'f~%> 1~" '>f
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
`HYPE OF WORK Description of work: J1~ e d
Construction Cost: Multi-Family Building: (Yes, / No
r ,
CONTRACTOR Name: License
Address:-2-/z9,0 Yf?~ i' die I 'I 7c
City: /J,-yr7r'-/yn~~~ ~ State: /IIr~/ Zip:
Phone: (<-1/2. 'Contact Person: t`a_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW SUILDIN
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
E-nergy Cade Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 'l2 months, has the City of Eagan issued a permit for a similar plan based on a roaster plan's
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
Sewer & Water Contractor: Phone:
MOTE: Plans and supporting documents that you submit are considered to he public information Portions of
the information may be classified as norr-public if you provide specific reasons that would permit the City to
conclude that the are trade, secrets.
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
:,ccordanc/enwitth the approved plan in the case of work which requires a review and approval of plans.
x vv t 1
X
Applicant's Printed Name Applicant's Si nature
Page of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126521
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 1969 Jan Echo Tr
Lot:051 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-051
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.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Daniel S Hidu
1969 Jan Echo Tr
Eagan MN 55122
(952) 297-4561
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature