3846 Country Creek Way12/09/2028 12:29
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5575
Fax: (651) 675 -5694
2011 RESIDENTIAL PLUM
Date: "6– 11 Site Address: 3
Tenant:
x
Applicant's Printed Name
#0203 P.001 /001
Applicant's Signature
Use BLUE or BLACK Ink
r... C re e 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.00pherstateonecall.orq
I hereby acknowledge that ttris:infommatton 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 approvedplan in the case of work which requires a review and approval of plans.
RESIDENT / OWNER
Name: • fl Phone: (7 -CI " 3 `",
Address / City / Zip: it-
CONTRACTOR
Name: v Cam. License #; 0 � `j �i ` f' p
Address: ' Northam fa{ i'`q, ;;, City: •
—
7401 Central Ave.
State: Fridley; MN 55432 Phone: ' — "– 7A
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Contact: Q•\'‘ C 'S K Es Email: Q. \ 't ` 1 e e.... t'j. 1, C•-•C
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _
Descrip of work: v _ EEX
fl \ �
PERMIT TYPE
ES
R I DENTIAL i �
Water Softener ie rr / 1 �
Water Heater tie- at k 4
-GT T
Lawn irrigation L RPZ / PVB) Add Plumbing Fixtures L Main / _„ Lower Level)
_,_
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES: - $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5•00 State Surcharge)
$35.00 Lawn Irrigation
$55,00 Add Plumbing
'Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment Water Turnaround* (includes $5,00 State Surcharge)
(add $186.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
12/09/2028 12:29
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5575
Fax: (651) 675 -5694
2011 RESIDENTIAL PLUM
Date: "6– 11 Site Address: 3
Tenant:
x
Applicant's Printed Name
#0203 P.001 /001
Applicant's Signature
Use BLUE or BLACK Ink
r... C re e 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.00pherstateonecall.orq
I hereby acknowledge that ttris:infommatton 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 approvedplan in the case of work which requires a review and approval of plans.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118310
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 3846 Country Creek Way
Lot:15 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
John H Peterson
3846 Country Creek Way
Eagan MN 55122
Corbin Exteriors LLC
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167369
Date Issued:03/11/2021
Permit Category:ePermit
Site Address: 3846 Country Creek Way
Lot:15 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Johnny Roe
3846 Country Creek Way
Eagan MN 55122
(925) 550-4469
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature