3858 Heather DrCityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
1
For Office•Use
Permit #: 1 b32 -
Permit Fee:
Date Received: 3– 1 -i
Staff:
2012 MECHANICAL PERMIT//APPLICATION
Date: H ?/ 7 / / a Site Address: 2c� iIQfZ-- 1 ev f r
Tenant:
Suite #:
Name: 7%i . V/ SS --J--) rYJ id 1-- Phone:
Address / City / Zip:63-7 L Schou I S+ n(,t'(z_ jyl Y2Gt_ »'7I) : J (O
r
Name: �4 , [.tC�/Lh� 1 License #:
J
Address: (J -0 (Gray -1c A.0_ City: L . Patti
State: V Zip: ,S1/�` , Phone: 1sT -(3)— q,9.00
t✓
Contact: Lt���'/f'Z'�'� L.ez___ Email:
New VReplacernent Additional Alteration Demolition
Description of work: �G- 7 (-C�+ �/P, HOZ
RESIDENTIAL
t/ Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
Install Piping — Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) j �j /�
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ lS� a D0 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
= $ Surcharge
$ TOTAL FEE
CALL BEFORE YOU DIG. Cali Gopher State One CaII 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.gopherstateonecaliorq
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 plags.
aCL/ill AJ V
Applicant's Printed Name
Apfit's Signature
Date:
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
REcEN5i
MAR O g 1011
Use BLUE or BLACK Ink
For Office Use �
Permit #: / LIS ZCrj
Permit Fee: (D
c'
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
JI Site Address: < g +- EC r/ i e (i L.
Suite #:
°(-j
J
Name: I C'..�.�./ t�0.-h al I C' T Phone: SCY - 1-00 - <3934
Address / City / Zip: 532 c�Sc�Z / ��' �� _ , `Ori 0
Name:cS+, ! A k P/ ' L 1 License #:
Address: ( -/Q
State: l'\ Zip: s c /(),S--- Phone:
City:
Pai-ti
Contact, etiYY%a2-J--7\4_ Email:
New V Replacement _ Repair _ Rebuild _ Modify Space
Work in R.O.W.
Description of work: /012.0 . LA -G Pz. A 0.0 1LA ¢ .se,./Q r
RESIDENTIAL
V Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
/Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /
TOTAL FEES $ 0 ,
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.copherstateonecali.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 per ,'t, 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 = +proval of
1.44A.,itiln-hit
Applicant's Printed Name
Applican
's Signatu
1 semi teams* with the � . Fagan con
nt deposit.
Permit Fee:--„,11140.414L
By m Surcharge: 0 txg
Date of 1 ' T t •charge •
ice; �otr�• r ,, g
Dote Paid: +-�
1yofE
3830 Pilot Knob Road
Eagan MN 38122
Phone: (661)678-6676
Fax: (651)6768694
Use BLUE or BLACK Ink
Por Moe Ube
pangs: 118713 --
%mit,e Q73.0 -
C,ete Received: I I /0/0
Stab:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
bre Data: Ao r,' 6 / 3 Site Address: 3 2a G. , 3 �lP
� , 3 8� o , 'SSW /'��`�¢ TN e �Z unite:
a
Name: tVo A G 7- m,4 l4 ro. /11 L) : .�� C Phone: 7443 - Srr 3 - Q 770
Address / City /zip: 15b G +ar�Q Av 43 ' ' .2 iq 6o21E..1 Voitu4d
ArA.t sr
-4017
Applicant is: Owner - Contractor
•
Description of work TFC oP/ I~ ( - krwF
Construction Cost ,, La . c Multi -Family Building: (Yes / No
Company: E) £aC rx,z#o,e 01417.")T. &RA Contact 'DlA '1RR r S
Address: 901.3 601x . City /1/PL $ ,
Starts: Alwi zip; S'S"S+/ 9 Phone: l''z - rb i - !a A S/3
License t rl/l / 3 / Lead emanate #:
if the project is exempt from lead cerdfc adon, please explain why: (see Page 3 for additional information)
rilc.6/ps E./ZEAL/tr. POS. /
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the teat 12 months, has the City of Eagan lowed a permit for a similar plan based on a master plan?
Yes _No If yes, date and sddraas of master plan:
Licensed Plumber. Phone:
Mechanical Contractor Phone:
Sower & Water Contractee
NO1if ;
Y
Phone:
'.}7Ati►T:'rL'��► '�. l., (. JM..
0 Ys ��L�.�.�.[r.���iL = �i ..Cr��.iJh. �'1'1. _
' .
;N M�;�• �:. .Ti""NY; `�'M t.A.w ,".*T4.'a13F?;,.*921' N 1 h.. :y .7- R Arra-
��v Gopher state Ons VYN et (6 111) 4Y4YWL M • eggnog undergne ..- Welty age. Cal 48 hours
before youokimrlmltd to to 1638 Ion of underground udibee. rrww ss r>erlau-ear
1 hefebY acknaMedge that this informs of I8 complete and =UMW tette work will be in conformance vMth Inc ordinances and codes or the Airy of
Eagan; that 1 understand thi8 is not a pemUt, but My an application for a permt, and work is not to stats without a Pam* that dhe *elk w 1 be in
accordance wan tea approved plan in vne ewe W wore whish requiem a revlow and approval or plan&
E>darior work euthericed by a building permit Issues In accedence with the Minnesota Stat) Midi Code must be completed within 150
days of permit issuance.
X bAkii4 '_uR2• rs
Applicant's Printed Name
UO/TO 39 d
x
Applicant's Signature
79A
Pape 1 0E3
INIt7W 4X3 I3$ L9Z9I98ZI9 ZO:bT ETOZ/90/TT
*City of Eatu
3830 pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax (651) 675.5694
RECEIVED
MAR 2 8 2014
r
Use BLUE or BLACK Ink
For Mee line ++ �L
1 3 4 J '
Permit a:
Permit Fee: LY I ()°
Date Received:
Staff:
31(If
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
d
Date; 3 -.1.1?-/V Site Address: iii•', 31r , 31i'6U, 386x- I/4"Aril d2 QR. Unit I:
ReSldentl
Owner
Name: ek Ale i ft)l.S 4 6 E Na Z A+ mss: •.+ C. Phone: 761 - S S 3- 9 7
7 0
Address / City / Zip: gSO 6 E C 03 -7-1.) 2 Av, A), .Z A 60th f:.. 14444€ Y /OA)
SS -VI 7
Applicant is: Owner Contractor
'
TypS.d.:Work,
Description of work: Rs...., t= a, kg pi., 4-c fr ,i, 4, .J 6 a F-,,rs c. r a NJ x rig L
—
Construction Cost / /' Yd- • CFO Multi -Family Building: (Yes )C / No __)
Contractor
Company: a £ I Ex- r Lei 0 /2 1.44-1-`f . Co 2P. Contact 6";1111 n 6 a d /[ A.' S
Address: lig"-3- L) 10003' ST, City: /17 PL S
State: /ild"- Zip: 5-5-4// 9 Phone: &/ Z - 8 % /-- e.0 Z'/ 3
License #: q E 2 4/./ / 3 / Lead Certificate #:
If the project is exempt
ill -U..5-
from lead certification, please explain why: (see Page 3 for additional information)
Q•./Ly- Pest i5'7Y
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:
Licenced Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone;
Phone:
NATE: OAA ,d00W*. = s .y c
r % i i .• �' � j�i�', �/111„'TT`' i::� :Y; v •,.} � J - h•-',�...•
N !'infer �t7n''- a +b c el as flop ! ��J�bll �/p�� ' . j :,, /i•
,�,,yy����'''' �` ,,����1yr��r.1 �y� 7 q. , � V,, .,. win ;'.. �.
- - ' �f:1il:&..gM'V�'�ra{'/V �➢V474 _ t' : ,•• ..a .Y :'. ,;;k�'
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&"1.•.''
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CALL BEFORE YOU OIG. Call Gopher State One Call at (851) 4544)002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.00nherstateonacall.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 1 understand this Is not a permit, but only an application for o permit, and work is not to start without a permit: that the Nark will be in
accordance with the approved plan in the lose of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State BulldlnjCode must be completed within 160
days of permit Issuance.
x ��✓' D �d�2�.15
Applicant's Printed Name
b0/EO 39Cd
Applicant's Signature
-75%
Page 1 of 3
1NIVW lX3 I3E L9Z9198Z19 00:60 bTOZ/8Z/E0
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA146145
Date Issued: 10/10/2017
Permit Category: ePermit
Site Address: 3858 Heather Dr
Lot: 44 Block: 01 Addition: Briar Hill 4th
PID: 10-14993-01-440
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
- Applicant -
Owner:
Travis Schmidt
4708 Mercantile Dr
Fort Worth TX 76137-3
(507) 420-3254
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.
Applicant/Permitee: Signature
Issued By: Signature