1975 Jan Echo Tr
r
1 ; Ford Ice: Use
f.
City of ECG Permit#:
; Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
- - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:_ Site Address:" 19bfr /1/0?1, 1X75 J411y~t'f~%> 1~" '>f
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
`HYPE OF WORK Description of work: J1~ e d
Construction Cost: Multi-Family Building: (Yes, / No
r ,
CONTRACTOR Name: License
Address:-2-/z9,0 Yf?~ i' die I 'I 7c
City: /J,-yr7r'-/yn~~~ ~ State: /IIr~/ Zip:
Phone: (<-1/2. 'Contact Person: t`a_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW SUILDIN
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
E-nergy Cade Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 'l2 months, has the City of Eagan issued a permit for a similar plan based on a roaster plan's
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
Sewer & Water Contractor: Phone:
MOTE: Plans and supporting documents that you submit are considered to he public information Portions of
the information may be classified as norr-public if you provide specific reasons that would permit the City to
conclude that the are 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/enwitth the approved plan in the case of work which requires a review and approval of plans.
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X
Applicant's Printed Name Applicant's Si nature
Page of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157926
Date Issued:09/16/2019
Permit Category:ePermit
Site Address: 1975 Jan Echo Tr
Lot:054 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-054
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Mary Jo Vassallo
1975 Jan Echo Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
For Office Use
y11 + c, i*' 1 .} Permit#; �SO
A
° 'gyp� F !�
.�'R.c_ ,�::.� Permit Fee: (-PC) _i
OCT 3 1 2019 Date Received: l 3v
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 d
(651)675-56751 TDD: (651)454-8535 i FAX: (651)675-5694 Staff:
buildinginspectionsPcityofeagan.com
20191RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 'D .4Jl 1 Site Address: Icf - i rivot /'N0
Tenant: L1v A4# A Suite#:
ResidenflOwnert
Name: J GL49 Phone: ta5 k
SF f�tr Address/City/Zip: '� � _
• Name: MILBERT COMPANY dba CULLIGAN WATER
License tr`: WC641376
COtt•
l actor- Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
•
State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
•
Type;of V1(O'rk- —New —Replacement _Repair Rebuild ^Modify Space _Work in R.O.W.
Description of work:
Water Heater
Lawn Irrigation(_RPZ/ PVB)
y Water Softener
Add Plumbing Fixtures ( Main/_Lower Level)-
DeSC'flpti011 �_Septic System
Description:-
_New -
—"—
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES •
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well + $290 for Meter and $190 for Radio Read = $540
•
• *Sewer&Water Permit also required for connection charges
60.00
TOTAL FEES
CALL BEFORE YOU DIG. Call Gophor State Ono Call at(651)454-0002 for protection against underground utility damage, Call 48 hours before you _
intend to dig to receive locates of underground utilities. www.gopherstaleonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityo(oagan.com/subscrlbo.
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 p rmit, but only an application for a permit, and work is not to start without a permit; that the work will be in
cc ordance 'h the approved i In th ase of wok which requires a.review and approval of plans.
xW �i x.. .I
Applicant's Printed Name Applicant's Signature
Page 1 oft