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Use BLUE or BLACK Ink
For office use l
Pennrt 0. ~ I
' I P 1 Of Eivan I
Pemnt Pea. 1
3830 Pilot Knob Road
Eagan MN $5122 i Date Received:
Phone: (651) 675$678 I
Fax: (661) 676.6684
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -5 --,Z7,4/ ~ a- y; s-41 , s r, (.1 o; b A, t. Y,
Site Address:1 Yw., by. 7 0, 7A, 7q, 7 ScurHPe ~a 7`~ .T. 2~ Unit: P
Name: c c 19 C T /r1 A,J 4 l0 4 M L s,) , Phone. 743 -.r9i 3 5 7 70
~
Ovtmer . address I city i zip: 8so kS e~ o+ ~u Q Av ~ ,2 A aotD S•.! vos-t cs-y
Applicant is: Owner X_ Contractor
TypR+e. f1E c• Description of work: '7'-'.+h2 OP l- (Z E - Qvo ~
onstruc Lion cost 3 1.7 .5. X h
. Multi-Family Building: (Yes_ I tJo.~
Company: 1 £a~ r~e.lt~aR N47,i r . [.errZ>D Contact: trav,~ I~v R_R r 5
Address: Yo s- W 6 7 T. City: M p4. $
State. /19a' Zip:.~~'// 9 Phone: ~O x y3
License 0: 4d e- .1 III/ / Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
~~Aios I.J~e>r I~,,,cT Pas; i 9~ s'
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?
_Yss _No If yes, dots and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer S Water Contractor: Phone:
O t) . Call GaPherst~ Ons Call st (661) 461-0002 for protecWn againA underground udlky damage. C40 48 hours
bafm you intend to dig to rtiOelVa locates of underground Lfiftes. ! aoohersts ll or g
I h@mby acknowledge that this information Is COmplete and acudrate; th®t the work will be in conform mce with the Ordinances and codes of ttte Ciy of
Eagan; that I understand this is not a permit. but surly an appuoadon fa a permk, and Morrk k is not to titeA Ndthout a
a00ord®nq with the approves plan in trio ce" or %VDM wttlt:h regWre d rabieW and approval plans, permit: that d w Nark will be in
E"0"rior work authoriz8d by a building permit imuod in accordanco with the Mtinnesoia g~ gulldl
days or WWI: isetmnce, Code must be completed within 180
aAt,,~ ~~2.R►s
appllcanCe Printed Name x
Applicant's Signature
Page 1 of 3
TO/TO 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 bS:OT bTOZ/LZ/SO
• Use BLUE or BLACK Ink
I For OfNce Ua�e�y.r-----—�
(���} f c� I Pemtit�f •�J� (
U11�� Ol �U � � i �� . 7� �
� � Pe Fee•
I
3830 Pllot Knob Road
E��n MN 66122 j Oate Reaeived: j
Phon�:(651)87fi�6676 I �
Fax:(6s1)s76�s68a � � �
�
�----___.�-------__..
20�3 RESIDENTIAL BUILDING PERM�T APP�ICATION
Da�e: S� ,!�/ ,d�sy SG,S"a�,l�, G�., G��/
SFte Address:is�b�,��;'��.�7:t, 7`/�y�. So�rr/iPa�•J 7-� � Unit�:
;J�,:::�.�. N�,e:��o A e r �►�.�a��n� Lv; .7-a e Phone:��3 -s-�� - ���o
� , Address/City/Zip: �l S� 1� ��.►4�'—�,2 A✓ �u � ,2 19 �oi,.�E.; (�i�'t�r'
, . �,�,� s.��x ti
� � Applicant is: Owner �C Contractor
� . .,..,. . D�scripdon of worlc: Q E K o✓� a 2 ti-P��c� �Ai�1 e'o
TYp�,,�f 1IV!'or�c
� Construct;on Cost��9 �� r Multi-Family Building:(Yes�/No�)
. .. . .. . ,. " Company; ��.! �,�'r'f_!��o R /1'1?�i.a� �+�--� Corrtact �v4 v� �J f��(�R�5
����or��.-;. Aadr�ess; �os k� 6�� S>. �;�,. �PGS.
, �': _' � State: �� zip: SS'�/� 9 Phone: �O'.; - �C�i- �x 4/3
� .� , Llicenr�e� �� ��/J I 3/ lsad Ca�tificab#:
If the project is exempt from lead certification, plesse explain whjr:(see Page 3 for add'Rional iMormation)
�L�loS L.��2� �v�Lr Pos: / Q7 �'
CpMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 6UILDIN�
�n the last 12 mo��,has the Ctqr af Eagan Issued a permit for a simitar plan bs�sed on a rna�be�pla�n?
Yes ".,No If yds,dabB and addnass of master plan:
Licansed Plumber: Phone:
Mecha�ic81 Contractor. PhOnO•
Sew�r&Weter Contractor. Phone•
NOT�:.R�al�a�o�d� .. � . ,' K .. ,
� �. .��'� :-'� . •. +e, ,. ,. . �. � �rJ'
• bf@.;� . , • • ••' .
':Y� '� ;�'.K�"��� :,j',"%,.;.,,;� r� �. 1., ,,a.. , � � �Y"�s�
�. :�t-� �,i:. 4:A: ,� a •,�f�• +��o.�5r,?ui;:.r�..v�
C�.4 B�EQB�Y�U D�• Ca��Gopher Slam One Call et�661)45s.ppp2 fcr protedion aqainsl und�t+ground utlll[y Camege. Call 46�oura
Defo�e you�r�end to dlg ro reoeive locetes of underground udlrtJes. �W W.�O]Lh615t8t�OneGgll.om
I her�by aGcnowlQdge that this infama6on is oomplele and accurete;thet the work witl be in confamance with the wdinences and codes of the City of
Eagdn; tl1aC I under�nd this is npt a p0lmit,but oNy en OppGcetion for a p�►mit.dnd wak i6 noC to start withart a parnut: 1haR the waic will be in
aoconea�ee wkh tha approve0 p1511!n tne case W woffc wRICr1 I�DQWr�9 8 18vi@w 8f1Q BpplVVel O(p18n5.
Ex�ria'+wwk autho►i�sd by a bullding pBrm7t lssued tn accord��ce wfth tDe Mlnnesota st�e 8ulldln Cods must M complebd wkhln 180
days of psm�ft issupnCe.
x ��i�r� ��R2r5 x
AppllcanYs Printed Name APPllcanY�SlgnAture
Page 1 ot 3
�0/Z0 3Jvd 1NICW 1X� I3S L9Z9T98ZT9 b5�80 bZ9Z/ZZ/90
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133507
Date Issued:10/16/2015
Permit Category:ePermit
Site Address: 1856 Southpointe Ter
Lot:013 Block: 03 Addition: Sun Cliff 3rd
PID:10-72977-03-013
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 -
Bradley J Wilson
1856 Southpointe Ter
Eagan MN 55122
(612) 803-9926
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------
I For Office Use
I I
I
#:Permit
I I�� t�
� I
City of EaEd
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 L Staff:——————————————
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: leis �� ��t "� 'Q✓°./ c�C.
Tenant: 9 Suite#:
i� Name: ��° s— ,kJ l �Sd c^ Phone:
es�de r er kk,
r
Address/City/Zip:
,�C S 901
Name: e e! License#:
Address: 6 City: � /)�
ra�t�r=
tlT
State: /" ' `� Zip: SS�S Phone: S 7 �s
moContact: __<5 Email:
_New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
v Pi. Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
Septic System
Add Plumbing Fixtures(_Main/_Lower Level)
s.
" New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
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.cioi)herstateonecall.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 and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
n bons der Grog Rr Gas Test
x
r laded em8 �S1Z
trr.,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148458
Date Issued:03/29/2018
Permit Category:ePermit
Site Address: 1856 Southpointe Ter
Lot:013 Block: 03 Addition: Sun Cliff 3rd
PID:10-72977-03-013
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Bradley J Wilson
1856 Southpointe Ter
Eagan MN 55122
(612) 803-9926
Mnp Mechanical Llc
452 8th Ave SW
Lonsdale MN 55046
(952) 292-9238
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167955
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 1856 Southpointe Ter
Lot:013 Block: 03 Addition: Sun Cliff 3rd
PID:10-72977-03-013
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Bradley J Wilson
1856 Southpointe Ter
Eagan MN 55122
(612) 803-9926
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176621
Date Issued:05/24/2022
Permit Category:ePermit
Site Address: 1856 Southpointe Ter
Lot:013 Block: 03 Addition: Sun Cliff 3rd
PID:10-72977-03-013
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Bradley J Wilson
1856 Southpointe Ter
Eagan MN 55122
(612) 803-9926
Summit Installations Llc
2800 South Kelly, Suite 170
Edmond OK 73013
(405) 921-2701
Applicant/Permitee: Signature Issued By: Signature