3851 Heather DrRESIDENT / OWNER
Name: O Cd dUtJ -rh; Phone:
J
Address / City / Zip:
CONTRACTOR
Name: P1 I r I a t 5 'OF l+ 1 rt [ L License #:
Ii
Address: 1 a (05 1 7e\ + fl P o-P . e i - city: b u r Y Y i I (
State: Zip: 5 3 3 Phone: 9 5 g _- a J.1 - (.--i0
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and Around mounted rr>echanical equipment requir l bs net �Ir . ;
Code. Please contact the rl c Inspector for i rrtation art �itfed s cr'eening d
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
—
Air Exchanger
T
Gas — Exterior HVAC Unit
_
Heat Pump
Under / Above ground Tank ( Install / Remove)
— Other
� When installing/removing tank(s), call for inspection by Fire
°"`
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation /removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- lithe Permit Fee is > $10,010,
(Le. a $10,010 - $11,010 Permit
_ $ TOTAL FEE
1 10 1 ` . City ofEtan
Date: ( (iai }
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x Adam w i l l
Applicant's Printed Name
2011 MECHANICAL PERMIT APPLICATION
Site Address: ` < 5 1 a+ e hr .
Applicant's D Signature
Use BLUE or BLACK Ink
Permit#: ✓ q a
Permit Fee: °o
Date Received: i d
Staff:� --
Tenant: Suite #:
CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.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 for a 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.
Under Ground . Ro In _Air T)
Test n -floor Heat =Fi
FOR OFFICE USE
Required Inspecti
rior;HVAC
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cregr WATER . SERVICE PERMIT
- IMO Rood PER NaO: , ` H 4 6A2
isgoriekitf 55122 DATE: , 5/2/83
Zoning: RV No. of Units: 1 unit tnhse
Owner: Tollefson Builders
Address:
Site Address: 3851 Heather Drive L26 ..B1 Briar Hill 4
Plumber: ( nz Ryan
Meter No.: Connection Charge: 450.00 pd
Size: Account Deposit:
Reader No.: ' Permit Fee: .. tn. 00 prt
1 agree to comply with the City of Eagan Surcharge:. _ 4O rig
Ordinances. Misc. Charges: 60.00 pd mete
Total:
By Dote Paid:
D e of Insp.: Y Insp.:
� � GAN
C1 -.. ;. .
9. , s R ya SEWER SERVICE PERMIT
gran, C°E __
Z Z PERMIT
Zonin NO : 5 76 9
RZV D ATE: 5 2
/
Owner' r 3 £�
Address:
Tolles.n ,. er8, t
Site Address: £ ' � ` to s e
Plumber: 385i the 11111 Genz t. a ve L26 B� Arta
1 agree to comp, with 3/24/33 t 4 ��� ! Rill 4
�dinonees, the chi ' ' c) l°.onn 100.00
Account o Gorge: 4 0 d
pd Deposit:
Permit Fee: .__
By
/
Dote o
Surcharge: ..""'--- 4 ° p -...._
tee: e:" ---_ -
insp./// ' ''- Misc. Ciior9es:
7otoh. _'_--.�'�
Date Paid:
the BLUE or BLACK Ink
I , for OF" U"
i C-1
ties to I
PVTM
of latan I Z,5~ -1,77'
bill
ragan 100 Received
Phone: 6651) STS-Wra
FM (661) mom
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13pte: 10-ILl- 1.3, 3bAddrm: ~8y4, 38s~, aF~s3; 38.rS- H6f77/014-tZ DR• 'Unit#;
Narne: ~~o A G 7" AV r4 A3 A 4 ~ /4 L AJ -r e- Phone: -7" -.sr9 3 0
Address! City I Dp~Sb ~j i4'---v e 19 gaE.S U101,
Applicant la: -owner K Contrawr
`7r'ER,2 O (QE - IMF
Construction Cost Mull-Fam4 Building: (yes -K I No
Company: E 1 ~a~ 7-L2ro~ Alt h,,~ eAap Contact- b^i/ A %a (?Jo S
Addr //oS 6D S~ , Gp, JylQG 5
State: )FYAI zip: Irryi Phone: !o'z - r'~ G Z y
LJoense *t 8 C A q1J 3 / Lead Coriiflcats rk
If the project is exempt from lead cmdficadw, phase explain why: (see Page 3 for addldonal Information)
RL~ws tJ::e~.' r Post 1 p7 Sr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NIRN I&DING
In ehe t 12ma+Mq. has the qq o/ Eagan fastrsd a permit for a slmUar plan lased on a ntwar plan?
Yes No It Yes. date and address of meftr plan:
Licensed Plumber: Phone:
MschanloW ConpgcW: Phone_
Sewer S Waist contractor: Phone;
Now--- 11 pill
tfre:jfiia
W" you k"'d 1104iEiia~ a Can Goptwr Sbla oft am at (661) 45a0o02 for mvwwon against underground u ft damoga Call 48 hours y
locates of undwWamw LdItiee. %mft
+e n.ora
e hereby adub'*0 d1m On wftrQ6ap Is -
Eagan; ft I w* st&W this is and &=n* that to
VA)* will to in wribramw with to ardkrencas and codes of the Oty of
aaeauaMW wdh Ow not a rppner,.a pl,,, in m bd an. aAD iorl for a Aerml and wont is not to Seam wldmA a oennix ow the work vA bs to
Uqukcs a slew Ow appmw of plan,
&bd*r work ft*-wft*4 by ~ of Pmt lmuarrom a twilling permit Issued in accordance with tM IAtmeeott Stft ftUm Code must be complebd wWn 180
~jiv11J ~u RR rS
Applicant's Printed Warne
Appllcaneg Slgnotum
Pate 1 of s
5O/bO 39Vd iNIdW 1X3 I3H L9Z9T98ZT9 69:ST £TOZ/bZ/OT
Use BLUE or BLACK Ink
_ -
I For OM CO U30 ----I
1
My of ~ Pem,rt ~ I
Ealan I
I PemtiE Fee: I
3830 POot Knob Road j l
Eagan MN 66122 i pate Received:
Phone: (651) 6756676 1
Fax: (651) 67411-6694 S'taQh j
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; 3 Site Address: 3$y9 3 Ys', 3 95I, 3 fss" &,*7-WeA Unit
Name: alb r✓ In.44 4 & is m x 4 j . ~ ~ r✓ Phone: 76 3 - SrJ 3 ' 9 7 7
Rt i~ertt/ S O QSc~s~-u2 Ate, A) 14 GoGD£u 1/*a'X Y /n.)
Owner Address/ City ~ Zip:, ~
Ss y~ 7
Applicant is: Owner ,Contractor
O71':~Af01'K Description ofwoek: Ps-ou c a, RE Pt .Kt~ S~ d /C, d > ,a-x a ly1 £ r •e L
Typo' .
Construction Cost / y 410D CFO Multi-Family Building: (Yes ~ / No
Company: Q E 1 ~`,r r 6e v 2 IY~*-i .~`r . do 10 Contact: DA tJ 14 I(~~ 22i S
Co>ttacvr address: /o w ~o S~ City: M Pz. S
State: /V-*~ Zip: Phone: log .L - 9 /v Co V/3
License fP: 4 C v p lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
qt-N&S- QIiLr Posy /5'-2,
COMPLETE THIS AREA ONLY I 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 S Water Contractor. Phone;
NOTE: a>nd iAI~Y •sti'br~1['~r 1Ni>t•~e• vamF"
• tlr~:prarr!oins?loni:.~ d~' ~ . t?~ R~;~~. a'P~~ai~tt~, s ° ' ' ji+ ~D::-•: i;'
CALL BEFORE YOU [Me. Coo Gopher State One tail at (631) 434-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to (00010 locates of underground miss. www.goeherstateonecall.om
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 wodt will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorkad by a building permit issued In 11=0rd4noe with the Minnesota state, Suildi
daps of permit issuance n Code must be Completed within 180
.
x ~~~r ~ ~u2.JLiS x ~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
ZO/TO 39Cd 1NICW IX3 I3S L9Z9T98ZT9 60 :ST ETOZ/8T/TT
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149385
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 3851 Heather Dr
Lot:26 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-260
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 -
Eric W Hackman
3851 Heather Dr
Eagan MN 55122
Silver Tree Plumbing & Heating Llc
3185 Terminal Drive - Suite 200
Eagan MN 55121
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154823
Date Issued:04/15/2019
Permit Category:ePermit
Site Address: 3851 Heather Dr
Lot:26 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Eric W Hackman
3851 Heather Dr
Eagan MN 55122
Silver Tree Plumbing & Heating Llc
1335 Mendota Heights Rd
Mendota Heights MN 55120
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature