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
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Applicant is: Owner Contractor
Description of work:
Type of Work - : _
Construction Cost Multi-Family Building (Yes / No
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pany:
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llridrt;~ :~1f3~t~tsaY~'~ r~?cCity:
Contractor
State: . M ~J - Zip:_ Phone: 1
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License ?-(p Lead Certificate #
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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.
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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
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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