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1944 Grant Alcove Use BLUE or BLACK Ink ' M - - For OfficeUseC~ ~ ~ 1 i ~r_~; • Permit 0 I i of Eajan 1 Permit Fee: I 1 3830 Pilot Knob Road t Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 t Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION f - - r Date: 5°r Site Address: lr i Ira Unit Name: c Y>K~ i t a~ , f Phone: e ~t~ ~ A Resident/ A0 ' Owner Address / City J Zip: > f' ~ i f ; i p j a f 2) . bt tool r j Applicant is: Owner Contractor Description of work: jAi&l ~3 Type of Work. Construction Cost: ° Multi-Family Building: (Yes i No - F Company Contact: )71 ZLh''l J"LK t ~ s Contractor Address:Z10O'5Gf " f12 ,,5 NT, Yf..2slo -city: State: ✓W W} Phone:, License ?-6 2 Lead Certificate 7 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: =theinformation s and supporting documents that you submit are considered to be public information. Portions of may be classified as non-public If you provide specific reasons that would permit the City to concha le that they are gate secrets. _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 t:)r prolo ;tioti against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. t ~•-=:aen.r4- 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 the work will be in accordance 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 bedcompleted within 180 days of permit Issuance, j AppliCant's Printed Name Applic.am's Signature Page 1 of 3 ~F 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:Mechanical Permit Number:EA171342 Date Issued:08/11/2021 Permit Category:ePermit Site Address: 1944 Grant Alcove Lot:064 Block: 02 Addition: Cliff Lake Townhomes PID:10-17790-02-064 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Jacquie Hakes 1944 Grant Alcv Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature