1755 Bluebill DrRESIDENT /
OWNER
Name: a?rd Owned /0473e/sly Phone: ( 61) '1, 'S?
ei / "¢ - t14 67rirnoa
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
T
Description of work: �� �, � ` l� �� _ :. , Ca
w
Construction Cost 412 /29 Multi- Family Building: (Yes / No y )�/
CONTRACTOR `
Company: lbei 1 1 _Z Contact: /904¢- tianserl
Address: A Ay 30 City: ,Buri — WP
State: /I/(/ Zip: T33, Phone: (45 YSy - 8514
License #: Ea ;1'57 Lead Certificate #: NAT_ Li i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
KO-/' /-/— i ( i 7
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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
*' City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: OS' ®�l d- Site Address: /7c5 / /i/P /3e`1 OC Unit #:
Use BLUE or BLACK Ink
r �
For Office Use
Permit #: /0 6
Permit Fee: G' --� - Date Received:
Staff:
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.gopherstateonecall.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.
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.
Applicant's Printed Name
x
Applicant's Signature
Page1 of 3
,r
4 _ x`15 ~ , S~ i ~ -is~-, 115'1 '~31 u~"► Ca
Use BLUE or BLACK Ink
For Office Use
1 Permit { 1 U ~J { ~7 i
Win
C, of Ea ►
I Permit Fee: = '-I a ~
3830 Pilot Knob Road i 2 ►
► Date Received: 2~ I J '
Eagan MN 55122
Phone: (651) 675-5675 a,n(Z i
Fax: (651) 675-5694 i Staff. -LLB-
0-I0 t------------------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
1(?°o"I-f3 Site Address: 1751 1-753 i7S5 1757 ltd-Ilo C;cc.ld Unit#:
Date:
Phone:
t Name:
Resident/ i
9 Owner 1 Address / City / Zip:
I Applicant is: Owner Contractor
i Description of work:
Type of Work
g Construction Cost: i 50 0 Multi-Family Building: (Yes I No )
Company: Dc-\-, oeA!-e- Acr- F + ~Ic~rian Contacct- 4O Dckr ~
t,~ C3 L~ 1 ~r~ : Cax Z)r d City: i r nn4 rmlr.~
Contractor Address:
State: 01 A) Zip: Phone: 5 - 29ao
I ,t
License #:)~--9Lv 5 `t Lead Certificate A t~3 T-
-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Y 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 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 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.
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 ~K Uc cActr X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163681
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 1755 Bluebill Dr
Lot:2 Block: 03 Addition: Town View 1st
PID:10-77100-03-020
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
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Heather L Klein
1755 Bluebill Dr
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature