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3806 Willow Way
Atria SERYiCE Platt Art s 1Arib Rs1 i PERMIT NO.: 5124 �s►T19'9 � .. 55121 DATE w C R4 No. of Units: 1 of 4p1,4' Owner 'Tp 1,f*c fl S1drffi Sit Address: 3806 Willow Way 170 Bl Briar Hill 4th Plumber Ge nZ' RYan f' " Meter No n Conection Charge: 45Q. Cl€t p „ Size: Account Deposit: Reader No.: Permit Fee: I O. GO pd eg g y" to. 00mpwi h !6e City of Eagan Surcharge: .50 p Misc. Charges 6°• 0 1 pd a et ; .' Ordinances. Total: B Date Paid: Date of Insp < s 2i199" ' aaMrT 6211 , i 4 , a • > 55121 DATE: 1 -11— : R4 < !r,„-,;. 1 of 4$ ow Y ' ; 'tol of .n Sidra Address: T` Address: 381 Willow $a L71 Bi Briar Hill 4th r: 10 8' 38961 te,ft O0 s to comply . City of Eagan 4 . pd nection Charge: . ,. . neee. • • nt Deposit: ■ i M it.i • 10.00 $ Surchorge• . 50 . pd ay - m /` Misc. charges: Dote of Total: ice.; / , /� a gate Paid: s - � <y « :w <� e.x <. ..»z mm 2 \ \. »x, \ : :\ .2\. »� � w .a,� . :� � \� \,. � yy. d <x \ .! . . . , y? ^ S� - � � ,.. . ...�� . .� 2« • : �» \ .aw .... y>.. ,• yx � d s \= \y- `« . . . m . >.. > .:. a w w» \ y »ter« !.. . ® . « : .. . 22 2\ . . « . . y »1 . :: . . 2 .. .�,. <.< « m \: . . « . � © � � d � ^ � »2 y »\ \ \\ \ \\ § \ Use BWB or BLACK Ink -T-_ For Office Use • i Permit o ~ ~ ~ 1 I MY of EalanI ~ ~ as I Per+nit Foe: l 1 3830 Pitt Knob Road I late ftoowd: 10 I n MN 56122 I Phone: (651) 67541675 I s I For. (661) 67541684 W 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Emb. / Site Addrew.3?CV, 3 BP.E, 3 7'o N, 3Wo6 l~ 1 L..C-a W Wp Y _Unim xv a G 1 " 7 • 3 - 3 Name: 61o A C T 14 r4 .,J 4 6 ~ At Z. y T Phone: 'a` p ~o E~ f`itK er Addrm / City I Zip: V S0 Q All A3 • Applicant is:. Owner 2, Contractor /o'`j '~7 i :0tt Deacription of worts: `TE/1-2 O a Q E F Construction Corn Multi-Famliy Building: (Yes /No Company: 1I E J 41- rt.2~oR tae P. CoMat aravia Va" t2-R S Addrm: ~o s 60~ ST . City: Stabs: Afkj zip: SS'yi 9 Phone: 10-'A - ~6/- 4,;z y3 License C A 9";., 3 / Lead Certificate W. If the pmled is eMmpt from lead certification, please egplain why: (see Page 3 for additional information) ~ QLD(o3 t r ar-' a-iiLr Pos; l F'7 ?T COMPLETE THIS AREA ONLY IF CONSTRUCTING A ~N , IIMILPJNG In the last 12 momtire, has the City of Eagan issued a permit for a almilar pain based on a master plan? ' Yes Wo If yes, data and address of master plan: Licensed Plumber, Phone: Mechanical Contractor. Phone: war & Water Contracl or: Phone: CALLLRLY 0119. ftmn one call at (w) e34, m for pnotecoion a9wrrd underground udwy damage. Call 48 horns Underground udlftbs, wNnN.A4nleoner~all-arg I hereby acknowWp that this inbmadop Is ooWIW and acarrate; llwt the work wlil be in conbmarice with the ordinanom and codes oftine Qty of flan; that I undo 8WW this Is not a permit, but only an appGcom for a permit. and work is not to shut whhout a permlt: that the work wN be In 9ooorder~oe wqh tns epo+ovw Wan nn ti+o rvw erwon~ wHlah rogWroe a rbvlevr,end aDDrovar or Plana. ExWd0r *v* authorised by a building ponltit Issued In accordpnco wkh the Mlnmesom Sods Builds Code must be oomplebd wilhlm 180 days of permit issumme, x f~uR2rS Appiioant's P1 1 i;ad Name x AppllranCs Slgnnature Page 1 of S Z0/Z0 39Vd 1NICW 1X3 139 L9Z9T98ZT9 66:ZT 6T0Z/9T/0T tyofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-6675 Fax: (651) 675.5684 FA Use BLUE or BLACK Ink For Office Use 500 Permit* Permit Fee: 3` 0 Date Received: t Staff 93 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i" A/ - /y Site Address: 3?(iP. 3 �91:52, 3 S''5'/ 3 ??0(.. (0-1/L.Go&.) t '1 Unit#: Resident/ Owner Name: % i4 e 7 /I »A ',atm E 1 " 4.4K% C, Address / City / Zip: :so Q E C w 7 O D. 4v, /3, .� A Applicant is: Owner KContractor Typeofwork, J Phone: 743 - S-71— 9770 6o46E 1/44jaY /OA) Ss'4' ,7 Description of work: R24"..a P L +4-L£. 17.6/..)6 a Fd"I G, 4 filer/41_ Construction Cost: / 4i y UD • tro Multi -Family Building: (Yes / No Contractor Company: CU. ? £(7 Le/ 02 /y%d-r' T • Cs nit Contact Da ✓ r t 113..,22/ S Address: £/v -S- W 1.20tS J7 City: m PL. State: /4/d3 Zip: SS"'/i % Phone: 1./1- 8,/-102y3 ucense #: C- 2i/11 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (11-4(0.5. Posy /77r 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 ii rt t 1° s ..00.400010.00:10 theJnfi, na#on.maybeE. .as bl l plc. . e . :. ade CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cai 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecan.org 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 sod approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' Code must be completed within 980 days of permit issuance. x 4 ✓' 4 /24.0 S Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135752 Date Issued:04/01/2016 Permit Category:ePermit Site Address: 3806 Willow Way Lot:70 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-700 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - David Draeger 3806 Willow Way Eagan MN 55122 (612) 607-3814 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature