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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