1941 Jan Echo Tr 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
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� Fo�Office Use � �
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C16 O� �(� �il i Permit#: � �
� � � Permlt Fee: � i
3830 Pilot Knob Road � � �i�
Eagan MN 55122 MAY 2 9 ZO�S � D�te Received; �� `"� �
Phone. (651) 675-567� � i ��1���
Fax: (651) 675-5694 ' � staff;�J
• ��------------G�J�G�c�`
2015 RE�IDENTIAL PLUMBING PERMIT APPLICATiON ��
Date:�i� /'�la( �S site Address; (a W l � E��o '�ra�t
Tenant• ��.° <<� �.(nc4,n .Suite�!•
:,,:,,�,, >:`;�..:;',::,;: "':::': ''::':,: Name, '�eSSr7r� G1�u.,..� Phone: �{ZS- �tl�� 775�(
��`,R�sid�entiO�ir.�e,l';'��' —
Address J City l Zip: La Kt G�L9 ''G��'1 ����,., M,� ��-�-y Z
, � Name• 7vu hN L License#: LQ'�(�^ S'aZ�-(�
' Gd,htfeCt.O�K•.'' Address,' 3((c.� ��3�� !<•. /'..� /C/ Cily: �[K��a�(��
State:_��Zip: 3S�{(1 Phone: (o�d.— �� ,�.�a`�
. , Contact;' c�+ "���c�., Email: i � C�.tL J �J� ��,..�
� `"`�' ��` ' .�� °� `New �Replacement _Repalr _Rebuild _Modify Space Work in R.O.w.
�•'.::.:•TYpe of..VCr;�t�C`�;• —
;:.,:.. .,
' � '.` Descriptlon of work: �� � �l0 vskr ��.o.cr.
. .,�.:,
' '" �' RESIDEIVTIAL
�� �Water Heater
. `.: ' .�'`.�;`'. �.`;:;:';',� 9 �_RPZ/_PVB) Water SofteneC
�,. �'� �i !::':° Lawn Irri ation
�Per�ri`it��T"''� Add Plumbing Fixtures(_,Main/_Lower Level)
Yp..:...,'
..
, Sepltic System
�; ::;;'::� .,: ::.: ` Water Turnaround
,' _New
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Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes�5.00 State Surcharge)
$60.�0 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing F'txtures,�eAtic System Abandonment,Water Turnaround�(includes$5.00 State Surcharge)
`Water Turnaround(add�2p0.00 iF a 5/8"meter is required)
$115.00 Seotic Svstem New($1Q.00 per as built)(inGudes County fee and$5.00 State Surcharge) . }�,�
' TOTAL FEES$ ~'� �s*Ov
CALL BEFORE YOU DIG. Call Gopher 5tete One Call at(651)454-0002.fo�protection against underground utiliy damage.
Call 48 hours before you intend W dig to receive locates of underground utilities. www.qo�herstateanec811.orQ
I hereby acknowledge that this information IS complete and ac�urake;that the wotk Will be in conformance with the ordlnanCes and codes of the City of
Eagan; that I unde�stand this is not a permit, bUi only an application for a permit, and work is not to start without a permit;4h8t the wo�k will be in
eccordance with the approved Dlan in the case of work wAlich repuires a review and approval of pla .
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ApplicanYs Printed Name Applican s Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143332
Date Issued:06/12/2017
Permit Category:ePermit
Site Address: 1941 Jan Echo Tr
Lot:068 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-068
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Chyung M Chang
1941 Jan Echo Tr
Eagan MN 55122
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature