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1869 Casey Tr r , 0Y r------------------`-+ For Office. Use I t I ^oC,~ I ; Permit City of a I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 ; Staff: I Fax: (651) 675-5694 I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Late: 5ite Address: - Ci ZcG''' Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: / 1~- 7a Construction Cost: Multi-Family Building: (Yes No J ~ CONTRACTOR Name: e) T/ Z°-~~ Xy,1,k-7 ~C License G= 2 ~ ~ Address:q 21z9a -:Y/ /GG1't7f ~ 7u le City: - d/.I f?l?/~. a State: Zip: J:~'1' Phone: 912- t 38"/~ / `~LuG~,G;-~ 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 (4 submission type) Energy Envelope Calculations Submitted 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: MOTE Plans and supporting documents that you tibmit are considered to he'public information Portions of the information may be classified as non-public ii you provide specific reasons that would permit the City to conclude_that the are trade secrete, 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 i 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 ,,ccordance with the approved plan in the case of work which requires a review and approv x VVIt » Appl cant's Printed Name Applicants Signature Pag 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129181 Date Issued:01/16/2015 Permit Category:ePermit Site Address: 1869 Casey Tr Lot:131 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-131 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. Applicant: Beth Janohosky 207 150th Street W. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Michele L Jensen 1869 Casey Tr Eagan MN 55122 (651) 405-8113 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature