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1864 Casey Trt - RESIDENT / OWNER t �/! r� C)� 1 i Name: f� t � l Phone: l"✓ l "1 C `i 1 j Address / City / Zip: l� 1 ; 1 (.aAJX, CONTRACTOR .1• Name: Appliance Connections lfCLicense #: 1313 Danita C. NN Address: City: Shakopee, M 55379 State: Zip: 952 -445 Contact: Email: .. TYPE OF WORK New 4 Replacement Repair Rebuild Modify Space Work in R.O.W. — _ _ Description of work: _ RESIDENTIAL — Water Heater ( Water Softener PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures (. RPZ / (_ Main Lower Level) _PVB) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing "Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) , Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter." required) ,\ • New ($10.00 per as built) (incljies County fee and $.50 State Surch' rge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) i,r, TOTAL FEES $ J V 4 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 .7 2010 RESIDENTIAL ' PLUMBING PERMIT APPLICATION 1 ` Site Address: I5(0 - 1 1. i'rcu ` Tenant: 1tti U 1 CAItI iS Applicant's Printed'Name I AUG 041EC1 CALL BEFORE YOU DIG. Call Gopher State'One Call at (651) 454 - 0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates &underground utilities. www.aooherstateonecall.orq 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 firs permit, and work not to start without a permit that the work will be in accordance with the approved plan in the case of wdrk whirl requires a review and approvalp plans. Appiic) it's Signature Permit*: • Qnl'✓! Permit Fee: �o Date Received: 1 ° f C Staff: 131 L. Suite #: Use BLUE or BLACK Ink FOR OFFICE USE Reviewed By: " Date: Required Inspections: Under Ground _Rough-In _ Air Test _Gas Test _Final Use BLUE or BLACK Ink f I For Office Use Permit ± 1 City of Eap Permit Fee: 313830 Pilot Knob Road I ~ Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 I i l Fax: (651) 675-5694 i Staff: 1, l 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ✓~r S Date Ll Site Address: Unit # ' Name Phone: ` 3P/ Resident! - - ,211 S V. Owner e S'1 =<wj'~' Address / City t Zip: ' - Applicant is: Owner Contractor Description of work: 17 } Type of Work 3 Construction Cost: Multi-Family E30tlcitny: (Yes /No 7 -S V IV D ~ ` ,17"r~ 5 I'~ /fi r ifSlt✓ it ~r £ Contact: 136 i (r t,~ ~ 1. € Company: ~fi Address,2-10fl5~4 MAI 1 'f City: _'J Contractor - ; 3 l g u State: 1 JS)- Zip t` - Phone: License Lead Certificate 7 ~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f t 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? t -Yes -No if yes, date and address of master plan: I 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 Gall at (651) 454-0002 for pr'o=[ ion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I herr;by vcknovwtedge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: 0t4it 1 uncle mt;md 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 accc~r?ancc ~.vith the apf:uoved 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 Btjiidinq Code must Ise completed within 180 _w days of permit issuance. E .--Applicant's Printed Name Applicants; Signature Pa6,) 1 o 3 S For Office U. se City of EaPH I Permit A I I I _ l 3830 Pilot Knob Road Permit Fee: ~ Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 staff: 1 I 1 2008 REST ENT'IA UIL®ING PERMIT APPL ATION-^----- Date: r ! `7' Site Address: fzL`~ _ J o /glc /Z 4 Tenant: Suite: RESIDENT" / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: _ T} xeo 7a Construction Cost: i Multi-Family Building: (Yes- / No CONTRACTOR Name: A ~I ~-5' ~'~Jr7 14 7-5~tr7Ce' License Address: 7 GtYf'7 Z~'!' > r~ ? -Q 1 State: IV41 Zip: , ~-J I13 43 Phone: 82 Contact Person: > > COMPLETE THIS AREA ONLY IF CONSTRUCTING NEW BUILDING ` Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted N submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City or 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 supposing documents that you subm are considered to be 'public inforrr~afion Portions 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. 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 { agan; 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 approval of p ns. .pplicant's Printed Name Applicant's Signature Pagel of 3 i Ii PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146387 Date Issued:10/23/2017 Permit Category:ePermit Site Address: 1864 Casey Tr Lot:112 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-112 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 J Kacvinsky 1864 Casey Tr Eagan MN 55122 (952) 594-9891 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature For Office Use � r Permit#: / '7 EAGAN REC1 Permit Fee: ��N y A � ) Date Received: f - 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Jl V (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeauan.com L i 2018 RESIDENTIAL l PLUMBING PERMIT APPLICATION Date: 1 ?\ Site Address: Ifs f --I _c.S e\,j cci Tenant: ( ') ,Suite#: Resident/Owner Name: V\CA V(i3 J .C V I f S�� (�/ Phone: `�l`�2-�,G'I Address/City/Zip: `1,11' ci h I" I N Name: Wn ZO f License#: U Ll? Contractor Address: 22/O U _ 1\N I /J _City: 6u(111CVSAU. State: \-)\ Zip: CG'. Phone: — 1(Vf Contact: Email: �(� (/ C I l.i �2/ a f ,c6-77-2 Type of Work New L Replacement Repair Rebuild Modify Space _Work in R.O.W. Description of work: RESIDENTIAL rWater Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type. Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Turnaround 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 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ (o D. 0 1..' CALL BEFORE YOU DIG. Call Gopher State One 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.gopherstateonecall.org 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.citvofeagan.com/subscribe. 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 fora 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. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date:. Required Inspections: < Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: '