3780 Golden Hill Ter vi cE OF EAGAN WATER SERVICE PERMIT
37 5 Pilot Knob Rood PERMIT NO.: 1 175
Eagan, MN 55122 DATE: 1,/11/73
Zoning: R-4 cit o. of Units: 2 Townhouses
Owner: na
Address:
i Site Address: 3780 - 3782 Gnt rlpn Hill Terrace
PlumbeYi Donaldson— McCnrm {ck
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
1 agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.: 5
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multip
Location of Connections: C
P:
S
T
I
D
- .
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
./ NUMBER 142
ER: ,,----.
Address' )76376? C33.si ii
,,:-. TYPE OF PIPE
- . DESCRIPTION OF BUILDING
11=11=2
ustrial Multiple Dwelling No. of units
ation of Connections: Connection Charge
Permit Fee 10 •'ju .
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
consideration of the issue and delivery to me of the above permit. I
eby agree to do the proposed work in accordance with the rules and
latione of Eagan Township, Dakota County, Minnesota
By
r.,1,-!1Qcormick
:se notify when ready for inspection and connection and before any portion
the work is covered.
. .
. _
(Q - ~'11co, 3~1$ gto Cdl~ 4' kt "ear
Use BLUE or BLACK Ink
-For Office Use
I
city o~ Permit#: I Permit Fee: 1
3830 Pilot Knob Road i I
I Date Received: 2-1 I
Eagan MN 55122 i I
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 18'
1------------------
2013 RESIDENTIAL. BUILDING PERMIT APPLICATION
C~ldt~ W`II Trr4e.e-
Date: 13 Site Address: 'r7U4 377$ 37$y} Ylai Unit
Phone.
Name:
I Resident!
Owner Address / City / Zip:
I 1
Applicant is: Owner Contractor
t
Type of Work Description of work: C~Co rtiti
- i
Construction C Mufti-Family Building: (Yes I No
ost 115, __J
Company: '~o taia j, Contact: 1 t d r✓~~y
+rinen4
Address: ~C) o~ i~.~ ;rctJ~ rr . City:
9 Contractor q
i OYZ~! State: Zip: ~)<53`4S Phone:
`
7(
License `4 5 Lead Certificate#: N lq cgoop - f
If 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 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Calf 48 hours
before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate-; that the work will be in conformance withthe 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 ctr I C k P
Applicant's Printed Name Applicant's Signature
Page 1-of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132280
Date Issued:08/04/2015
Permit Category:ePermit
Site Address: 3780 Golden Hill Ter
Lot:3 Block: 09 Addition: Town View 1st
PID:10-77100-09-030
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 -
William W Culberth
4280 Lyra Ct
Eagan MN 55123
(651) 986-6442
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132556
Date Issued:08/20/2015
Permit Category:ePermit
Site Address: 3780 Golden Hill Ter
Lot:3 Block: 09 Addition: Town View 1st
PID:10-77100-09-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
William W Culberth
4280 Lyra Ct
Eagan MN 55123
Nmc Exteriors & Remodeling
14276 23rd Ave N
Plymouth MN 55447
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature
REC EIV . , �rI Cl
1'1
, >
For Office Use h v
Permit#: /57j l V
��„., •,„_, EAGAN Permit Fee: /
Staff:
I Payment Recvd: Yes No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 I Plans:—Electronic Paper
Plan Submittal:eplans(a�citvofeagan.com 1
2019 gOIVIAB BUILDING PERMIT APPLICATION
Date: 12/18/2019 Site A dress: 3780 Golden Hill 1-w-- .--7;;;Th
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: William & Joan Culberth (Celeste-mrg.) Phone: 612-518-2119
Property Owner Address/City/Zip: 4280 Lyra Court, St. Paul, MN 55123-1830 )(-
Applicant Is: ✓ Owner ✓ Contractor
Type of Work
Description of work; Install a 28" x 48" casement window w/50" x 36" x 60" well
Construction Cost: $2,500.00
Name: Egress Window Guy License#: BC665399
Address; 3410 Kilmer Lane North cit Plymouth
Contractor y.
State: MN Zip: 55441 Phone: 763-544-2775
Contact: Steve Engelhart Email: stevee@egresswindowguy.com
Name: Registration#:
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber Installing new sewer/water service: 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.
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.citvofeagan.com/subscribe.
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.000herstateonecall.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.
Steve Engelhart X
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /.-. 9-56)
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_` 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
— Replace _ Repair $ Egress Window Water Damage
—
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation0 Occupancy7'%..0 (3 MCES System
Plan Review Code Edition ! ; SAC Units
(25%_ 100% \) Zoning -le City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction -6--- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) V Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: Ice&Water _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /0/ , Building Inspector
RESIDENTIAL FEES
Base Fee
412164„roc
Surcharge
Plan Review '""
lij
MCES SAC L
City SAC ,�/„1,,,//
Utility Connection Charge2a
SSW Permit& Surcharge .....-"(° )
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172252
Date Issued:09/22/2021
Permit Category:ePermit
Site Address: 3780 Golden Hill Ter
Lot:3 Block: 09 Addition: Town View 1st
PID:10-77100-09-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Justin Hansen
3780 Golden Hill Ter
Eagan MN 55122
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172392
Date Issued:09/28/2021
Permit Category:ePermit
Site Address: 3780 Golden Hill Ter
Lot:3 Block: 09 Addition: Town View 1st
PID:10-77100-09-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Justin Hansen
3780 Golden Hill Ter
Eagan MN 55122
(651) 283-7240
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature