1862 Casey Tr
Use BLUE or BLACK Ink
t ForofficeUse---- I
i Permit l
f 4, Permit Fee:
City of Ea~~~ t
3834 Pilot Knob Road i I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 h I
Fax: (651) 675-5694 Staff: _ I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date 2 Site Address: Unit
_f - -
Name: 1rl2-r Phone:
Residentl, ~
Owner I Address I City i zip: ')1
Applicant is: Owner Contractor
Description of work:
Type of Work
"Multi-Family Building: (Yes fl4e / No
I Construction Cost
f N'~ r ~~`r s~ f r 1L , . Cr r ~t, ~ t ,trL-t Contact: l ~ fr~4 c'.Jr`
f Company: )7
-City: _V
Add ress}VD ~)i J~a'?, z ~r u
Contractor
State: Zip: Phone: y
License ~?-6" 2 ZY 0 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:
3
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
conchicie that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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 oooherstatggpe_q IIM
I I iereby sacknowlndge that, this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Ezulan; that I undersland 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. ~-Ipprov(:~J 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 Name Applicant'; ,signature
i'acye`I of 3
S
For Office U. se
City of EaPH I Permit A
I
I I
_ l
3830 Pilot Knob Road Permit Fee: ~
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 staff: 1
I 1
2008 REST ENT'IA UIL®ING PERMIT APPL ATION-^-----
Date: r ! `7' Site Address: fzL`~ _ J o /glc /Z
4
Tenant:
Suite:
RESIDENT" / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: _ T} xeo 7a
Construction Cost:
i Multi-Family Building: (Yes- / No
CONTRACTOR Name: A ~I ~-5' ~'~Jr7 14 7-5~tr7Ce' License
Address: 7 GtYf'7 Z~'!' > r~ ? -Q 1
State: IV41 Zip: , ~-J I13
43
Phone: 82 Contact Person: > >
COMPLETE THIS AREA ONLY IF CONSTRUCTING NEW BUILDING
` Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
N submission type) Energy Envelope Calculations Submitted
In the last 12 months, has the City or 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 supposing documents that you subm are considered to be 'public inforrr~afion Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are. trade .secrets.
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 {
agan; 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 approval of p ns.
.pplicant's Printed Name Applicant's Signature
Pagel of 3
i
Ii
�t�c...� �0 v v� P�� � � ���k�'a�1�Cs�
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� For Office Use I
' I � ���✓� I
C�t� of �a�aIl � Permit#:� �
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� Permit Fee: ' ��� I
3830 Pilot Knob Road i � / I
Eagan MN 55122 I Date Received: � � �/� � �
Phone: (651) 675-5675 � Staff: �
Fax: (651)675-5694 L_______ ________�
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �p Site Address: 1"� W � �� J��,,� �r ,
Tenant: Suite#:
��SIC[��'!'�QW1t�1'.:.; Name:
���(,�\� �J t � Phone:
' Address/City/Zip:
' Name: � ui��ions.LLC License#: �L������Z
dba Benjamin Franklin um �
' ' Address i�sz�t3ra5 4u�� City:
`.':CCYYtt#C�C��1' --iviinnca�xm�
''` State: Zip: Phone: l�� d r ���� ����_
�' Contact: �^��n�� W EmaiL f I � G1��� , l � r
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' New ,�eplacement _Repair _Rebuild _Modify Space Work in R.O.W. ��
, T}i��°C?'�WOC�C — —
' Description of work:
' RESIDENTIAL i
Water Heater t
Water Softener
Lawn Irrigation(_RPZ/_PVB)
�e������� Add Plumbing Fixtures�Main/_Lower Level)
�
Septic System
_New Water Turnaround
�'�` Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, ater Soften , or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(inclu 5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes$5.00 State Surcharge)
"`Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �
TOTAL FEES$ U
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.aopherstateonecall.orp
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 work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X 5� nn rt�� l�� �����1 X
Applicant's Printed Name ApplicanYs i ure
FC�R f3FF(CE US� � I��v�ewe��, � ��at� �
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ev. ..
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Mst�r Rela��d Items `; M�:�r'�i�e ' � Rarli�Re�d�;:�ta�f : ��2 � ' � .a�,��,�,�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132490
Date Issued:08/18/2015
Permit Category:ePermit
Site Address: 1862 Casey Tr
Lot:113 Block: 02 Addition: Cliff Lake Townhomes 2nd
PID:10-17791-02-113
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Kelly J Davis
1862 Casey Tr
Eagan MN 55122
(651) 405-8412
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature