1942 Grant Alcove
Use BLUE or BLACK Ink
For Office Use ~ _ V
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1 6
°>~r rr j Permit 0°1
City of Eap I I
I` Permit Fee:
3830 Pilot Knob Road ~j 1
Eagan MN 55122 Date Received: 5
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
2014 RESIDENTIAL BUILDING~ PERMIT APPLICATION
Date Site Address: V2- Unit
.
[ Name: +7 ____Phone: Resident/
Owner Address / City / Zip: > rs i " r) d s~+
Applicant is: Owner. Contractor
Description of work:
Type of Work
t ~
Construction Cost Multi-Family Building: (Yes L-' l No )
r
Y: l-3t ZL-i
Compan r~~~ r; Contact:
C
City:: 1r~'
Address100561f JT /U,_ 2'4)
Contractor V
State:Y1V,J Zip C-'774-/13 Phone: ZV 4 a e)
Lead Certificate r' > f
License _0
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 lo r proloct;n against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
I hereby ackf,owledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Egan-' that I uildersulnd 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
accordowu c with the appruved 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 Titdinn Curie must be completed within 1 s0 -
days of permit issuance. J t
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y tt,,
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Applicant's Printed Name Applicant's Signature
Page: 1 of 3
i
I ForOffice:Use I
City 0 ~ Permit Eali
n I D I
I Permit Fee: [
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
200 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 11410 Iq / 4
Tenant: Suite
RESIDENT/ OWNER Name; Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I Jc-G~fl -142
Construction Cost: Multi-Family Building: (Yes, /No CONTRACTOR Name:. e) Z--!!5 IVIf CtE License Fes- Zzlz)
Address: ? IG~ SLCI '7 i' . w~ z l If 2YO
City: Aili7je-/l/a,21",~5 State: ft~/ Zip: J. 11,..._
Phone: 1-a12-,381`,`
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
submission type) Energy Envelope Calculations Submitted
In the last 12 months, has 'he 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:
Sender & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be 'public information. Portiohs 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.
1 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 the work will be in
approval of plans.
^ccordance with the approved plan in the case of work which requi:77X
x~VV L. VVL1 Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130316
Date Issued:04/16/2015
Permit Category:ePermit
Site Address: 1942 Grant Alcove
Lot:065 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-065
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Jonathan D Vliet
1942 Grant Alcove
Eagan MN 55122--245
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
