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3806 Heather DrUse BLUE or BLACK Ink for Office Use I 0 City of Eaali Permit Fee: 0 - 0 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I 1 Staff: I Fax: (651) 675-5694 Date: `t/ % 5 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 7l1 Site Address: 3WL Neat-h.ar Umt# Name: i6tmg curse ,Q ea) Phone: to / a "7.1g- GO 3a7 RESIDENT ! OWNER Address / City / Zip: 3806) Ne LP. Lk)) et -An Y1,401,,,55/42.1 TYPE OF WORK CONTRACTOR Applicant is: X Owner Description of work: 0.G Construction Cost ( SS Multi -Family Building: (Yes / Company: car 1 Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: f the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are consi t to pubs c ar on, morons of the information may be classified as non-public if you provide specific reasons the Cfty to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca U 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall: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 budding permit issued in accordance with the Minnesota State Building Code must be compteied within 180 days of permit issuance. x C�S�arO� hne.'•3-s Ah hscrtx Applicant's flnted Name Applicant Page 1 of t>V EAGAN WATER SERVICE PERMIT Peett Knob RooAPERMIT NO.: 4 34 c n,<Mill 55122 DATE: 9/30/82 RIV 1 unit t«hse Tollefson Builderso. of Units: • Address - Site Address: Plumber: 3806 Heather Drive L3 B2 Briar Hill IV Gena Ryan Meter No.:- b ` e: 42000 pd Size: Account Deposit: Reader No.: Permit Fee• 10.00 pd 1 agree to comply with the City of Eagan Surcharge: .50 pd Ordlnonae.Misc. Charges: • ©U pd meter Total. Date Paid. Insp • CITY OPr'EAGAN 3795 .rat Knob ood Megan; MN 5512 Zoning: I tZ Owner: Address: Site Address: 3 SEWER SERVICE PERMIT • DATE: llefson Builders o. of Units: Drive Plumber: Gene R an 9/9/82 31768 I agree to comply with the City of Eagan Ordinances. 9/30/82 1 un t tnhse By Date Insp.: ti sr U MQ( pd Connection Charge�2 • d0 _ pd Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd Misc. Charges: Total: Dote Paid: �City o[Etat' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675,5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use t'4 3D3 Permit #: Permit Fee: p5-.15 Date Received: 10 / i (/ ( 3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 0— I ` /3 Site Address: 3 '1 ?° 114+ THEW DQ. Unit#: J Resit :, . Oilier -- r Name: d/o A C T M $ jj 4 4L At £J 7 T� C Phone: 7& - s'9 3 - 9"'70 Address / City 1 Zip: VS-C,ia E. 4.4 -7—u g /fit/ A3 A /9 &o >,E..1 (/ K«i' m•As -53-4,1 ,7 Applicant is: Owner Contractor TYPe Description of work: T £.42 OFA= a 2 E - Construction Cost /3 7O 01) Multi -Family Building: (Yes X' / No ____) Ca actor Company: CZE i £,e rc,2ioR 01,17,s7. . LP Contact: kiAvrde ."2R, f S Address: go S 103 4'D-11 S> - City: MPG $ ♦ State: /'%ici Zip: .3rV/ 9 Phone: G.",t - rb i - (2 1/3 License #: Age .t '/ii 3/ Lead Certificate #: If the project is exempt rctLD/os 1�£2t- from lead certification, please explain why: (see Page 3 for additional information) 11011.7- Pos" 1 517 Sr In the last 12 months, Yes _,No If COMPLETE THIS 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: N°77E: �/p�y/�1 j. The �i/!f �♦ i...ii/Yl/ • .. .. fi M• � ♦ Lt""ri' y �( v^�J . . .+ y "5 M . w 'i _.. Q �, #. 1 �• n ":S'ITlJ "t-'� *e. ' Yxt-'••i�y,.ai 2 (.,� t �aF�, tM .. Y 1 Q. " f•y . 1 - ➢i�•Y7TLy, ... a. .`�-• tl t Pr .� .. ;; ay, "w'�i,d.c,x:;d:s�,�` ,� -.�r.d„"�±1G.�.w,',Ca `�_ °� 1`' 'K'•,j.: , .�. .... .. � CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaI148 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora 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 Buildi days of it n� Code must be completed within 180 x AviN (Ivadz f_s Applicants Printed Name x Applicants Signature Page 1 of 3 *City otkap 3830 Pilot Knob Road Eagan MN 68122 Phone: (651) 6756676 Fax: (651) 675.6684 Use BLUE or BLACK Ink For Office Use tr>3 Permit 4: 2� Permit Fee: Date Received: Staff, 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A -17-1V Site Address: "1/II, 3 ° /, 3 god, Sog z i4ThN2'Z 6 12.. Unit 0: Re$ident! Owner Name: e /O ,1 c % iThe AI 4 6 .I C.- Address! . - Address! City / Zip: SSo D C.44 T U R. 4V. i3 Applicant is: Owner Contractor Phone: 76 3- S-7 3- 9 7 7 (pOLi�EA :� LY /?A Yype:of,Work. Contractor w••• Ss 1/t 7 Description of work: R>; - c ' a. R z PL 1Kf.- 1' 't AS L 7-4 L. Construction Cost: 14. Y Uu • W Multi -Family Building: (Yesi<. / No Company: £ 1 cf* r X 02 /AO aT . Galt Contact: 640r 0 4..,2QdS Address: 4/19SL lobi' S: , state: /VAS Zip: 5r4/1 rj License a: L 2 Y/ / 3 / City: mPLS Phone: I0i2.' g41/ -402V3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) SLalpS. PoSr' /5"77 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: NOTEp....:,��P{�i,.l.l. f..i,S�/�a�ns the�Infosma Ion.7 dOciarOlgli -000800/04-60014*. as noo pflMdo specpc'ireason* d' tawL�J� ��Ji1�ilA.. '3 ). .... •..;'. , p14[ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.siooherstateonacall,ora 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 1 understand thie 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 whim requires a review and approval of plans. exterior work authorized by a building permit issued in accordance with the Minnesota State Build nLCode must be completed within 180 days or permit issuance. x I) Rya -Cr f Applicant's Printed Name Z0/Z0 3E d x. Applicant's Signature Page 1 of 3 1NICW 1X3 I3S L9Z9T98ZT9 Sty:ST UTOZ/6T/Z0