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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