1870 Buckley Bay
Use BLUE or BLACK Ink
For office user
Fo
I i
Permit #t o I
City of Eap G,
Permit Fee:
3830 Pilot Knob Road
51 I
Eagan MN 55122 Date Received::.. I
Phone: (651) 675-5675 i
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date ~ ~ t>r Site Address: Unit
Phone: 4~, _
Name:
Resident/ _ fir S7~ • , a:,~~~
Owner Address / City / Zip: 3
Applicant is: Owner Contractor
Type of Work Description of work'
I,
Multi-Family Building: (Yes No
t Construction Cost
/VD r x 5' iV><~ r
# Company: t'/lf)ir Contact: )3t
i
l~cittrc ID,D$iLi ~tts9 a;° t" t s r i c:i City: 1! ►
Contractor
t.. x`
j b ~ Ins I~ ~ ~
1 State: 141jN Zip Phone: AV License ZV CD Lead Certificate _ a
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?
If
i _Yes No If yes, date and address of master plan: -
t
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.aor i_
I hereby ricknfnvledge 0iG,a this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Fagan; that I understand tlies 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
nccordancu 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
W
days of permit issuance.
Aplilicnnt's Printed Name Applicant's iynnttjie
Page 1 of 3
r ,
0Y
r------------------`-+
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
x VVIt »
Appl cant's Printed Name Applicants Signature
Pag 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130692
Date Issued:05/08/2015
Permit Category:ePermit
Site Address: 1870 Buckley Bay
Lot:121 Block: 02 Addition: Cliff Lake Townhomes 2nd
PID:10-17791-02-121
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)$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 -
Ronald B Prieve
1870 Buckley Bay
Eagan MN 55122
(651) 405-0789
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133236
Date Issued:09/29/2015
Permit Category:ePermit
Site Address: 1870 Buckley Bay
Lot:121 Block: 02 Addition: Cliff Lake Townhomes 2nd
PID:10-17791-02-121
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.
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 -
Ronald B Prieve
1870 Buckley Bay
Eagan MN 55122
(651) 405-0789
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature