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1926 Kyle Way Use BLUE or BLACK Ink For Office Use I Permit w, City of Ea,,dfl l ~ Permit Fee: 3830 Pilot Knob Road 5 ` I Eagan MN 55122 Date Received: I I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION -Unit Dater Cdr Site Address: r 1 Name: Phone: Resident/ Owner Address/ City / Zip: , r ~r '°t•'1~K i _ r ,.A jd d Applicant is: Owner Contractor Description of work: Type of Work - : _ Construction Cost Multi-Family Building (Yes / No Co l~/V r1~' ~s ZLfrE~~ ' I fun f iii t-r Contact:f pany: . llridrt;~ :~1f3~t~tsaY~'~ r~?cCity: Contractor State: . M ~J - Zip:_ Phone: 1 Q License ?-(p Lead Certificate # _ f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 concludo that then are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aocl>ers? , 't I hereby acknowledge ttmt tws information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Cagan; th t I ,dnderstzind wr s 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 be completed within -180 days of permit issuance. x t -L(~ i (I ~ X ~ ~ - Applicant's Printed Name Applicant's Signature " Page 1 of 3 'Yell 1 For bWAce. Use City o a Permit I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received; I Phone: (651) 675-5675 j staff: Fax: (651) 675-5694 200 RESIDE NTIAL BUILDING PERMIT APPLICATION /9,17 M37 Date: l Site Address: 11 r 11`~ f 24132r c'.• j' ItLk rte. i Tenant: Suite I RESIDENT / OWNER Name: Phone: i Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of world' xey~ i, Construction Cost: E Multi-Family Building: (Yes / No---) / CONTRACTOR Name: ~ L~1 Y>/! j~~Y/ 1'7C'~ License Address: /~~GGYt7rt2z°!'t f z~? ~G~ City: J: ?e~/~.~5 State: //I12t'I Zip: Phone: Contact Person: ~"'7r /W~~ • COMPLETE THIS ARE, ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Core Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) m Energy Envelope Calculations Submitted In the last 'l 2 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 sypporitin,gdocuments that you summit 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 : aee,trade secrets. 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 ,ccordanc/Iewith the approved plan in the case of work which requires a review and approval of plans. x v~ App icant's Printed Name Applicant's Signature Page PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173328 Date Issued:11/08/2021 Permit Category:ePermit Site Address: 1926 Kyle Way Lot:078 Block: 02 Addition: Cliff Lake Townhomes PID:10-17790-02-078 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Aries M Sace 1926 Kyle Way Eagan MN 55122--245 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature