1870 Casey Tr
Use BLUE or BLACK Ink
f For Office Use I
~1 l I
' • I Permit I
City of Eav I Permit Fee:
i 1
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:- I
k I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. Site Address. 1 _:-Unit
Name: Phone:
FResident/ r°~ r 1 Sri wmt , ,
Al.
Owner Address / City / Zip:
/*i AJ `
Applicant is: Owner ~ Contractm
Description of work:
Type of Work -
Construction Cost: Multi-Family Building: (Yes / No
Company: ,1, ,2. {1 z S t YiF ~rI j L FED t Contact: -3;E'c~r C
C 'c7 city:
Contractor - ,
t
State: M~J Zip: `~C t Phone: .Z
License 2 2- C~ 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. 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 the 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.gof, i 7-! ilncZ1i.urj(
I herehy acknowled ,e that th;s information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: thr,t I undti tstand 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 tlx: 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 Ruitding Code must be con9pleted within 180
days of permit issuance.
Applicant's Printed Name Applicants sicdnature
Page 1 0
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166682
Date Issued:01/27/2021
Permit Category:ePermit
Site Address: 1870 Casey Tr
Lot:109 Block: 02 Addition: Cliff Lake Townhomes 2nd
PID:10-17791-02-109
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Karaley Knoll
1870 Casey Trl
Eagan MN 55122
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature