3786 Golden Hill Ter VILL GE OF EAGAlI
WATER SERVICE PERMIT
379 Pilot Knob Road PERMIT NO.• 1376
t'.
Ea n, MN 55122 DATE: 12/11/73
R - � 2 Townhosues
Zoning: I�lanito x No. of Units:
Owner:
Address:
Site Address: 3784-3786 Golden Hill Terrace
Plumber: Donaldson McCormick `I
Meter No.: Connection Charge:
Size:
Account Deposjt •
Reader No.: 11
I agree to comply with the Village of Eagan Such gee. .
Ordi •
Misc. Charges:
By Total:
Date of Ins Date Paid:
p " Insp.:
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multipl:
Location of Connections: Co
Pe
St
To
In
Da
Re
•
EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: 1' ✓?q ✓7?
NUMBER ie =.oa
OWNER i`��:. mac .v : Address TlC -3;L4 UJidan hill
AUY3al j ft :d�"'GJLLi.li.'}. ='3(:J
PLUMBER > . ii.,s , 4qu„ _L,. tx stg. TYPE OF PIPE ir
DESCRIPTION OF BUILDING •
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections;
Connection Charge
Permit Fee +J•-' j i� /_ / (2
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By
c.Alald;;on- nccormick
Pl f eas th k e notify s when ready for inspection and connection and before any portion
oe wor i covere
(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:Plumbing
Permit Number:EA121518
Date Issued:04/07/2014
Permit Category:ePermit
Site Address: 3786 Golden Hill Ter
Lot:6 Block: 09 Addition: Town View 1st
PID:10-77100-09-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Roxanne Burke
3786 Golden Hill Ter
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature