1930 Kyle Way
Use BLUE or BLACK Ink
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For Office Use I
Permit # C, i
City of EaEt, I Permit Fee:
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received: i
Phone: (651) 675-5675 t
Fax: (651) 675-5694 i Staff:
/ 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date Site Address: Unit
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- ~ r
Name: 0!~_ /111 ~ £ ~~f+~ Phone: d-, l~ 3 &Z Resident/ `
2)
Owner Address/ City / Zip: ra
' 10 .5' !4i -AAJJ
Applicant Is. Owner _ Contractor
Type of Work Description of work:,,;, Fami Bujlding~ (Yes No
Construction Cost p ult- ly [3c~iidi (`rte x No
~Ni~ ~Multi-Family
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Company:, Contact;
city. b'tf~ l
Contractor
S/z 3'1 3
i State: M~ Zip Phone:
Lead Certificate 7 2-
License dc:~
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 frir piuScction against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. ~r?t er tstt tm at4.z~n7
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
f: gat1: that I :mdertitand 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
accorefanc~, evith th;I 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. w
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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
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:Mechanical
Permit Number:EA136757
Date Issued:05/27/2016
Permit Category:ePermit
Site Address: 1930 Kyle Way
Lot:076 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Vajie Shahnaz Swanson
15100 - 6th Ave Sw
Unit 520
Burien WA 98166
(207) 724-4972
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138495
Date Issued:08/31/2016
Permit Category:ePermit
Site Address: 1930 Kyle Way
Lot:076 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Vajie Shahnaz Swanson
15100 - 6th Ave Sw
Unit 520
Burien WA 98166
(206) 724-4972
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature