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1645 River Bluff Ctki City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 4 4 (7, ziq Date: 4 ap // Site Address: cant's Signature Use BLUE or BLACK Ink trice Use Permit #: -1 0 i I xi Permit Fee: '39?. 75 Date Received: ( 1 - 2141 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 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.orq 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 1 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 app val n. x ��oGI P f3o» Applicant's Printed Name n . Page 1 of 3 RESIDENT J OWNER Name: • •• - , ,, V _ , , - ,,. _A „a Phone: 76,3 - `/y9 - 9 /on Address / City / Zip: , � . 1 • . .. Ali . ►f A/ __ Applicant is: Owner x Contractor TYPE OF WORK Description of work: Re, -a0- Construction Cost `� 5 23. 77 Multi- Family Building: (Yes X / No ) CONTRACTOR Company :, Sl t n r<<Se, (e.p.n otJ e lM d7 C.. Contact: el PQ. -) f .i Address: 64 7 6 IIobe. L j i e_ City: SF. P0 to I State: t'9 N Zip: 55//O Phone: 616/ - 76„1 - 9a 45 License #: ( 1515/g Lead Certificate #: NAT aa9. 3 -a lithe project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE TI-HS AREA ONLY IF CONSTRUCTING, A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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. ki City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 4 4 (7, ziq Date: 4 ap // Site Address: cant's Signature Use BLUE or BLACK Ink trice Use Permit #: -1 0 i I xi Permit Fee: '39?. 75 Date Received: ( 1 - 2141 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 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.orq 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 1 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 app val n. x ��oGI P f3o» Applicant's Printed Name n . Page 1 of 3 Aug 18 1511:02a Sunrise Remodelers 651-762-9395 p.15 Use BL�JE or BLACK{o�k ,.,.. ------� r��___ �-_ ,� I For Offlce Use E ' � l�cy�� Permit#:� � f ��tr� ��1J�� / � � ��- 7� � 1 Pem�il Fee: � 383Q P11ot Knob Road � E Eagan Mla�5122 � Datie Reoe9ved; � Phone:(651)676-567� _ � � � StafF � Fax:(S51)6TS�iS94 � � ' ��.�.��.`��J --�.'�Vicc� 1 . ' � . IE�I I��,� C.�� G� �-Q�.�C.Y1 •C�:Yr 2015 RESID�t16T�A►9� BllILDIN�a PER�AAIT'APPLICA'�'1��'V C-�c�� i�L Tc��n �r��i s-rs• _�° u rr ,/� ! DaYe:�-��'i � Site Add�ess: ��D � ��V� Y' �1�r��t l�e�4l� 'r�'�13{Unit#: _�_._-,a�__,...,__�y�r�t.,,�.v+�:t�u c�s:`v:1 lv� 1 � 1(o'�I�3_~_I lv�'�Tv�7�� Lo'-�-�_.�,...Y�----=-�-�-- : Name: � �hor�: �4eSidentl , OWne� �: Add�ess/City/Zip: � _ , . : : ' Applicant is: Owner �Contractur r T'yp�O€1�fOPk ' �escription ofwork: ��; c�i n c� i �J � � Construction�ost: � 9�: �C�� flfluiti-Family Building:�Yes,�/No_) : ; : .._�..._ ... ,,...�.. ..._.�„��..�...�..._.�.___._.._...�_._�.....�.._,...._.,_.�_......w.....<.�._-------..__,..�.._.�_..�.._,....-.�..�...�..�,_.- -- -.�.......Y.._...._... .....,.._.. 3 Company:�`1�'�1r� �r;��-� ��e vv1 c�c�-z._4-��S Contact: �c;<'..� �•�� '1 ` ` Address:"�� C 't�iL' Y�� -ci �1�'� City: �'�`' �.�•'� � ' - ��r�tra�� . , (' �� State:��/�: Zip: �C1 !U Phone: Email: i 1r1-1"� � S..e ri,r:��r�v+ccr-e:.�;s, ` � �L�r►. ? Lfcec�se#: C v �f� ! � Lead Cert�cate#: /��_1 �� . �..<M_......._.:._-.,_.....__..._..._._._.._._..�,...`.�_ .._,..�.�..�_T._.-._,..��....�.,.w �..� �..__�._._,_......,._.,.._—_.___ ; 1�the project is exempt from iead cert�fication,please explain why: �O�iIPI.�TE �'HI�fAREA 0�1LY�F CONS7'RU�TIl�G A N�4fl/BUILDING ; 9n fFi�iast�2 mortt6s�has 4he City of Eagan issued a permit for a similar plan based o�a master plan? Yes I�o If yes,dale a�al address of masfer pian: ' = Lic�nsed�iumber. P(none: ; Mechanical Confractor: Phone: ; Sewe{�Water Contractor. Phoeee: - > " * Fire Suppression Gontracf�or. Phone: ;_._......:__:,.»_..._.,R.r..,.�,.�._..r__.::r...�..�.-e�..._.��..�,.�:..��-._.M�,,,�.,..,._.:....�...,�..�..._�-_x:�..,.x,-�:_,:�....�.�,...-------„-�._„�.��._._,�.�,.��-�....�.�: ' �P+�TE:PEaras anai suppor#it�g dectarrae��s ifia2 ya�at st�bmet ar�consfdered#o be pubrc irrfarmatiori. Fo�tioc�s of ; �= �lae frrforrara�ion rna�be ciassrfie�as non pubrc if you�rovide speclfic r�easmns t�aat wbufd permiE the Cety do I . ear�clude ghat�Fre ar�trade secrefs. CAlL�EFORE YOU DlG. CaEI Gopher State One Call at(651)454-0002 for protedion agai�st undeEground utildy damage. Call 48 hours be(ore you intend W dig to reoeive toqtes of underground ulilities. www aoohersta[eoneoall.ora I hereby ec�cnowledge ihat this informalion is oompleie and accura6e:that U�e work will be tn cor+forrnance wilh Ihe ordinanaes ar�d c�odes af the Ciry of Eagan;ihat 1 unaierstand ihis is not a perrnit, buf only an appGcaGon for a permit, and worh Is noi to start without a permi� thaf ihe work wiH be in accordance w9#h i3�e approved plan in d�e case of work which tequires a review and aoprovaE of plans. Exterlor wor�c authorized by a building peRnit tssued In accoTclance with the Minnesota&tate Buiitiing Code ms�st 6e completed wi4hin 180 day�of permit issuanes ,__,., r-- Y. --�Cc�-� �'�''`�'':"' c'�-} �-e7 Applicar�t's Prir�t�af Mame 's Igoature , Page 9 of 3 Use BLUE or BLACK Ink � r-----------------� I For Office Use � ' � Permit#:��/ t% i Clty of �� C. �� ; � PeRnit Fee: r� 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:� � ` 5 ��' .� � � ��i 7 Unit#: Name: Phone: � �F��S�i�BFt� �� /'� (�y�� Address/City/Zip:�� `"/ ��Vl.�alt�,f"P C'�' ��J. 7YIN• S5/-2� '! Applicant is: Owner Contractor �. �� Q��Q�,� Description ofwork: ��Pl.+9C� � �� to Construction Cost: '$ .3 Multi-Family Building: (Yes�/No� Company: Da 66 �M L(.G Contact: �7�K3 ��SD� , ��, � '�� Address: ,3. 780 9D� � City: ��Fivruo..r �i�'t,Ls State:�'1N Zip: 5So0 Phone:�OS/'a`/5- d3/J Email: SJoH*�soy.i�('�4rwoN�'��jC� ,� � License#: JV IA Lead Certificate#: N�� If the project is exempt from lead certification, please explain why: No (,t.tio ��ts�.r� 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? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: J1f�'?lf:t��a�rs ar�d str�t�a�rg al��ents t�at yoc�,s�-it ar�can��feretl to be,;pu6li�:��ft�r��a►a �?orttfl�s.a�' ' tt�e J�rfor�a�it�n�ra�ty b�cl�s�i�ed�;�Eron��bli��f yot�,prot�eil��pec��rea�r�r�s�hat wauPd°�err�tt�r�C�'�r� 'c��le t��i �ar.e tr�c�le.,��crets. ' 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X 5� �a�s� X Applicant's Printed Name Applic 's nature Page 1 of 3 • For Office UseE AGA N Permit#: Permit Fee: av Cmc____ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Email: buildinainsoectionse.citvofeaaan.com Staff: Commercial Plan Submittal:eolans(cacitvofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 3/4/2019 Site Address: 1645 River Bluff Ct. Tenant: Steven Yurek Suite#: Resident/Owner Name; Steven Yurek Phone: Address/cit zip: 1645 River Bluff Ct. Eagan MN 55121 Name: Sedgwick Heating License#: Contractor Address. 1408 Northland Drive Suite 310 city: Mendota Heights Zip: 55120 Phone: 952-881-9000 State: MN Contact: Holly Flood Email: hollyf@sedgwickheating.com RESIDENTIAL ✓ Furnace Air Conditioner Permit Type _Air Exchanger Heat Pump Other New ✓ Replacement Additional Alteration Demolition Type of Work Replace Furnace ML180UH070P36A Description of work: p RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 60,00 $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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.citvofeanan.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 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. x Holly Flood x110/64/(4WjL�_ Appi J� Applicant's Printed Name pant'snature(' FOR OFFICE USE Required inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test ` In-floor Heat -- Final 4 1 $ oE For Office Us AGA N :::: br■ 4a� rf 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E�1 2024 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 MAY Email:buildinginspectionsAcityofeagan.com Staff: Commercial Plan Submittal:eplansecityofeagan.com L. 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 5/21/2020 Site Address: 1645 River Bluff Ct, Eagan MN 55121 Tenant: Ashley Nicholls Suite#: Resident/Owner Name:Ashley Nicholls Phone: 703-300-8587 Address/city/Zip: 1645 River Bluff Ct, Eagan MN 55121 Name: K&S Heating Air Conditioning Plumbing Ir License#: mb 703389 Contractor Address: City: Hwy 14 W City: Rochester Zip: 55901 Phone: 952-697-4328 State: MN Contact: Kelly Nulf Email: ksmetro@ksheating.com RESIDENTIAL _Furnace V Air Conditioner Permit Type Air Exchanger Heat Pump Other New V Replacement Additional Alteration Demolition Type of Work remove and replace a/c Description of work: p RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge _ 60.00 $100.00 Residential New, includes State Surcharge -$ TOTAL FEE 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.citvofeaqan.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 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. xKelly Nulf ___ Applicant's Printed Name Applican ' nature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In floor Heat Final