1862 Buckley Bay
Use BLUE or BLACK Ink
i- ForOfficeUse- 1
Permit ✓ 1
City of Equ o a I
I Permit Fee: i
3830 Pilot Knob Road j i
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
:
Fax: (651) 675-5694 I Staff 1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
21S~ Site Address;
Date
Name: ~L rrr~ r 7.r' f Phone:
Resident/
1
Owner Address / City / Zip: 72
Applicant is: Owner Contractor
_ .
1r`i~ ~•t~
Description of work:
Type of Work
Construction Cost: Mulli- Family Building: (Yes Ise, 1 No
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Contact:
Company.
J City:
Contractor _
4-1"/t/ Phone:j 1~,2 r1"j1 ~v
i State: _ 1~~ Zip•
( License 2 2'/ Lead Certificate 7 c)
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1 -
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: i'_Ian,; 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
cc~ncltrde that theLare trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receives locates of underground utilities. vwvw aooherstateonMIl ora
I horel)y ackiioviledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Cagan; that I unclearRand Wis 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 8Viidi11g Cade must be coMpleted within 180 .-days of permit issuance.
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Api iE~ant's Printed Name Applicant's Sigs3attzr-`
Paged Tif31
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For Office. Use I
t I ^oC,~ I
; Permit
City of a
I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 ; Staff: I
Fax: (651) 675-5694 I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Late: 5ite Address: - Ci ZcG'''
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: / 1~- 7a
Construction Cost: Multi-Family Building: (Yes No
J ~
CONTRACTOR Name: e) T/ Z°-~~ Xy,1,k-7 ~C License G= 2 ~ ~
Address:q 21z9a -:Y/ /GG1't7f ~ 7u le
City: - d/.I f?l?/~. a State: Zip: J:~'1'
Phone: 912- t 38"/~
/ `~LuG~,G;-~ Contact Person: /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) Energy Envelope Calculations Submitted
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:
MOTE Plans and supporting documents that you tibmit are considered to he'public information Portions of
the information may be classified as non-public ii you provide specific reasons that would permit the City to
conclude_that the are trade secrete,
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 i
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
,,ccordance with the approved plan in the case of work which requires a review and approv
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Appl cant's Printed Name Applicants Signature
Pag 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152833
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 1862 Buckley Bay
Lot:125 Block: 02 Addition: Cliff Lake Townhomes 2nd
PID:10-17791-02-125
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph Gillespie
8425 Pippen Dr
Orlando FL 32836
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
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3830 PILOT KNOB ROAD.j EAGAN,MN.55122.18.10 Date Received:
1651)675.5675 I TDD:(6.51)454.5535 I FAX: (651)'675-5694
.bulidinginspectIonsto7.cityoteaeen•corn Staff:
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.2n018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (l•319' (f Slfe Address; 41pra QU 'K 6157 a-. ...
Tenant: t-(-A S Ci el
to ( n{s€ `r°41�wre.t11 Suite#_
R6 .,,., ik, /:, 4,9 Name: �P` � 45-1-.74.
/1
y1 • e(1 .. ieY Phone' �7 L �
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•k 1 �t i'ii{�,s$}��:rS,,,Ni.`„, Address/City/Zip: ry�
k %�• -,;�'', COW .\../) art
+ 14:1 a Name: MILBERT COMPANY dba CULLIGAN WATER
�-bK1�•! l' ��•/Vit. { k'i r License#; WC641376
+;(r , i, ' ta�,k r0. Address: 1801 50TH STREET EAST
V,; Q{ ,,„ .�•,f`. ,• City INVER GROVE HEIGHTS
,04 .0-0. pdi k,fi'! ., State: MN Zi 55077 •
a, PI Q n�`ur)) )' r Z ay^` P Phone: 651-451-2241
¢,� ti�`(%:it a4}Mgkb J• ,sns'4J�.
ss;�%i�.'j1� c'r•. gYr�� . Contact; BILL MILBERT
} ,,11 q Email; •loria.abas culli an4wat.e_
^,`;.6, t fr,1p.r,k r New _Replacement Repair Rebuild .._.K M
I. ;Mt`Ni f1$:; ,i.IAl I.? - Modify Space _Work in.R.D.W.
ts,,,-->; r..ir.v,,., l.,04,1:. ,,,g; Description of work:
,((nrt!k--, Asa [ssgy .y
':S'6 "Y---,iitt+i`y-,t.,, -,.'•?:r IAL ---
yy '. ' :;.0 : {r,•„.�r.:' .;) •RESIDENT
rw.�r5�r'�`'r'rk*J,J;;1�t>1';g 1 ..."'""""'."'----o..-••- ----_._.,...-.......�..
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• hj 1. + ,at Water Heaterf� f 4, c4
Pan' S r� {t c } f Lawn irrigation RPZ/ pig) ____X.Water Softener
till
�,rnItr,Tsyp �..,r'i.
t!; `r1 jr', V,� ,,,;;lv ____Septic System
Plumbing
;rs nl 1,t}`ryt+1,(T�y<s , t f Sy em Add Fixtures ( Main./
•., 4>„v+dt{K„(1k'U( r,� New W Lower Level)
• # rt ltttE xv........................ ater Turnaround
itr?:('',+ar Abandonment
RESIDENTIAL FEES: ---____ _ __ _ _
$60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes State,Surcharge) ____
._,-- --_ _•:
$60.00 Lawn Irrigation(Includes State Surcharge)
$60.00 Add Plumbing Fixtures, SepficSvstem Abandonment,Water Turnaround*(Includes State.Surcharge)
'Water Turnaround(add $280.00 If a 3/4"meter Is required)
$115,00 Septic SVsle___•m New(Includes County fee and State Surcharge)
CALL BEFORE YOU DIG. &ail Gopher SCato One call at(651)454.0002 for protection against underground uuttlLly damage; 6- o0
Intend to dig to receive locates of underground utilities, www.yopherslateonecall.oro
You may,subscrlbo to receive an electronic notification from the Cit
y a•��9-Call 4'8 hours ba'fore you
• website twww, it ofea receive
co an cribe• y P posed ordinances by signing up for an email update on the City's
I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the Citof
Eagan; that I understand this Is not a permit, but only en applica n for apermit, and work Is not to sled without a permit; that the work will bey In
-ccorda am t the approved plan, the se of. rk which roqulr a review and approval of plans:
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r+ r t s c t Appl cant's Signature
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