3803 Heather Dr*City
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 6754675
Fax: (661) 676.5694
Use BLUE or BLACK Ink
For Orfloe tke
Permit d: 114-3
Permit Fee_ ( I
Date RecelVed: Lt 11 / '"I 11‘1'
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1-/- 9 -/ Y Site Address: 3 g° 3 He 4 7'.il L 2 b/2,-, Unit f<:
Name CAG ge / %%l14,3 4b10tEA; r •. C. Phone:763 - S-71- 9'770
Resident/
Gruner
Address / City /Zip::SO jJ to, 7-L) 4v, 6,24 6S-1-:, 144.1-LJy A5,)
SsVA7
Applicant is: _ Owner kContrector
Type c4ANork,
Contra or
Description of work: R 04,4C- L Pt L r PLS moi., r s10
Construction Cost Multi-Femlly Building: (Yes l No
Company: a E 1 e,,- IJT . 60 Contact botl IJ I 0 j i2JZI
Address: yon LJ GOtA Ir- City: !h PL S
state_ /�A Zip: 5r1/4 ?1 Phone: 61,Z - e (o a - Cm 2 4' 3
License ft: C- 24/// 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
CICU(DS- %oftr Pos - /Y7 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 en a master plan?
_Yes _No If yes, date and address or master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer 6 water Contractor: Phone:
;100041414411040*
J-p_ .
OF
l•�
CALL BEFOR# YOU DIG, CaU Gopher State One Call at (851) 454-0002 for protection against underground utility damage. C811 40 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.oro
1 hereby acknowledge that this information is complete and accurate; that the work aril) be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a perm*. but only an application for a permit, and work is not to start without a permit: that the work will be in
accordance wen the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorhssd by a building permit Issued In accordance with the Minnesota State Building Code must be compieind within 180
days of permit issuance.
x •r.1
Applicant's Printed Name
EZ/VT 39 d
x
Applicant'e Signature
Page 1 of 3
1NIVW 1X3 I3g L9Z9T98Zt9 LZ:PT bIOZ/tt/b0
WATER SERVICE; PERMIT
i`PERIVIIT NO.. 4340
Of EAGAN
ilCaob Road a
x .'55122 DATE• 9/22/82
i RIV No. of Units. 1 unit tnhse
Tolleson Builders
3803 Heather Drive 12 B1 Briar HIl1 IV
Genz Ryan Plumbing .641C.S > N
Meter No.: Connection Charge. 420.00_ pd
Size Account Deposit -
Reader No.: Permit Fee• • 10.00 pd
I agree to comply with the City of Eagan Surcharge. .50 pd
Ordinances. 60.00 pd meter
Address.
Plumber
By
Date of Ins
Misc. Chorges:'
Total.
Date Paid.
— 22Q - Z-- Ind •
CITY.r40. EAGAN SE1AtER.J �1 \AMU,-
;
e$i93 Pitt Knob Road PERMIT ri 521
_ 5271 Jfi2
Began, MN SS 122 DATE:
Zoning- RIV i_ __i. of Units•t —1 unit tnhse
Owner: Tol1e€goo, Builders
Address.
Site Address. 3503 Heather Drive 1.2 BI Briar Hill IV
Plumber. Genz Ryan Plumbing /,1,s e N
-°9/10/82 31793 100.00 pd
the of Eagan Connection Charge 47
5 t�tl P4
1 agree to comply with City ga
Account Deposit.
Permit Fee
Ordinances.
Surcharge -
10.00 Dd
.50 pd
By Allik/ ./ Misc. Charges.
•. 4in ..Total:
Insp • ' Date Paid:
CllyofE
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 6754875
Fax: (651) 6764694
Use BLUE or BLACK ink
Pot Office Use
Permit* 1 f l ak)
P.mtit Rea a
Date Received: MA et 3.
Staff
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: /0-/6-1'3. SlteAddress: 326i 3803, 35'°S, 31to 7 /' edf r -,N412 DR. unit #:
T►P€1,d
Name: 4 A C 7r M r4 A 6 L m �).) C phone 743 --V93 - 9 70
Address I City / Zip: ?SD r i4'7—v Q Av n (seat s,J r/rK i'
Ar4.1 sTh'7
Applicant Is; Owner 2C Contractor
Description of vete* -T. E.9,2 D at-
Constuction Cost / % 900 . oU Multi -Family Building: (Yes % ./ No^}
Company: 6bE l t L rriz/o.e /tfrtia7. emeM Conte.1SAv/d %•-> R-2. r S
Address: Or lJ bort'' S> . City: %1'1 PL. 5 .
State: _14,1 Ztp: SSV/ 9 Phone: /' z . r 6 / -
Ucenso #: Q C Z 5IJ i 3/ Lead Certificate
If the project Is exempt from lead certification, please explain why: (see Page 3 for addltfenal Information)
Rtydlos Let -ZZ' ao,Lr Pos, / 9, S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUDDING
in the last 12 months, has the Cly of Eagan issued a pent* for a similar plan based on a master plan?
Yes _No If yes, dam and address of master plan:
Licensed Plumber.
Mechanical Contractor:
Sewer & Water Contract=
Phone:
Phone:
Phone:
.: .. ..CG .ay.. .. -u
17: r r 'k. -0r� . -t,d ,,r S{*r ..r
��. 7'=.'� �i1,Sca .'r+s�o i_luF`,^nV►�fa7.1.'A� Y� 'A �"�n.. "'� r. ,tt � � --. ` ,. � r
i sr .,�...... ,.,,_,,, ,.,. ._..__. :t�.,7...►",.-:�� r..�.�i'�14ai'. iW r IiK�!�.v�,afl�t�:'1..
CALI. PiEFORE YOU DIG. Gale Gopher stele One au ar (651) 4644002 for protection against underground utility damage. Cass 48 hours
before you linen to day to weans locates olunderprouurd tIE➢i0i9G mwd.000tyrstatoonootill.org
I Eby adodawiedge that tis infomation is oahlplete and accurate; that the work will be in conformance with the ordinances and codes of the City of
mar: that 1 understand this is nota permit but only an exon for a Leermit, and mak Is not to start %S hout a permit: that the wait via be in
accordance kiln the appcieO Wan In too caw or work wolth requi oo o ,svtow ono Noupenowal of peens. -
Ederior work adhodzod by
days of emelt imamsa building permit Issued in aceorefrtrtce oath the MinnesotaState Build r Code must be completed within 160
x 'D�✓#t !Iv12(213
APPIICant'a Printed Name
ZO/T0 39tid
Applicant's Signature
Page 1 of 3
INIVW lX3 I3S LYZ9198ZT9 6E:ZT ETOZ/9T/0T
*City otkali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 6755675
Fax; (651) 675-5684
Use BLUE or BLACK Ink
For Office Use (�(� `�
Permit*: /02 / 7 /
Peemh Fee: 073 //45# /°3
Date Received: 02, / Y u// J�
Staff.'
/ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - / / / Site Address: 37", 37'3, 3 ?°6-; 3 5'° ? NtA•TNG/2. 62- Unit ft:
Name: e4, Ie i /14,14640(£4 i" .7.7-1 C. Phone: 7b3 - 4-7 977'o
ReSIdent!
Owner
Address / City / Zip: 3S-0 6 c CW ru R. /4v, d , ,� A 6o46 E.*:i 4> AOA)
SS -V.
Applicant is: _ Owner KContractor
Typeof Work.
CantraOtcr
Description of work: 12£•-4-o:. E a` (IL Pc,1? •f. F"IrS e.i a //9 7-4 L
Construction Cost / 414 Vey • cro Multi -Family Building: (Yes / No
Company: Q E) ex rCoe, 1,2 MI, .JT . G>, RP Contact b4 ✓, t dgu 2n•i S
Address: 4/" s' t.J G D S7 . City: m PC.. 5
State: !47AS Zip: 5-X-4/19 Phone: Ep' 2- e4/ -402V3
license #: C• y/ 17 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t11.941,S- Qu/i,r Po sr- .S7 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL-DING
In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan?
Yes .�No If yes, data and address of master plan:
Licensed Plumber; Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE:•
pthf ��y s�ar'ud.�. „�/+�vr�r+g; .....,..a. �:•:yiTotu�,ar�bti�t,�gticq�'..�gr;�d•. ,I ,.
� .`.5-•w ,...�....
CALL EEFORE YOU DIG, Call Gopher8tate One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you attend to dig to receive locates of underground utilities. ww,v.ggpherstateonecall.ori
I hereby acknowledge that this information le complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan• that t understand this is not a permit, but only an application for a perm t, 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
days of penntissuance.
ssuance thorized by a building permit issued in accordance with the Minnesota Mate BulldlCoda must be completed within 180
x ' 4 ✓' '3 ti S
Applicants Printed Name
b0/Z0 39Vc1 1NIVW 1X3 I3E
Applicant's Signature
Page 1 of 3
L9Z9T98ZT9 OZ:bT bTOZ/£T/Z0
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Use
Permit#: )3 )2-7/7(;?
2
Permit Fee: f LY —3
! J 5
/
Date Received: / 7/
Staff:
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
t % i %/.S - Dia A i?. �i 14 L. 'rt.)
/ / Site Address: 38'03 HE of rN •,2 6 A
.1
Unit0:
Resident/
Owner
Name: 410 AIA -,—i teltpd'-,.2 6 Pt%e'rr L,5 Phone: i•S.-t - YS's, -(flSl
Address / City / Zip; 7 vix% rn £.:r`. 41...,..s.. 'l '3 ?O L a, A2,4 , trio) 4-s-,2,3 r/
Applicant is: Owner � Contractor
Type of Work
Description of work: R r--\\ -' 4 Li yE C rL
Construction Cost: 9, cavo- °a' Multi -Family Building: (Yes ,e,,_„./ No )
Contractor
Company: % E I Le %L.4.,',0 2 ft1,9, ,S:', 4.e%%21 Contact: b A✓ t. iL tz 2,s
Address: yc.5 W 60 13 .4,"-• City: P7P 5
State: Ai Zip: 5:S"N' S Phone: 4-1A - if4,/ ,_ ,04#..3 Email: ,,,r,,., F+u C..; .4 Se ,ers1 . Cc, AN
License #: q C. %t N "3 / Lead Certificate*:
If the project is exempt
#1,..)0..7- t�is'r✓.141r►4,
from lead certification, please explain why:
Rt.t..i— 1�.•:;44t.S
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
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.
CALL BEFORE YOU DIG. Cell Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ceti 48 hours
before you intend to dig to receive locates of underground utilities www.gooherstateonecall.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 or
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 vrith the Minnesota State BuilCode must be completed within 180
days of permit Issuance.
x '11A1/1 nio• =2.5
Applicant's Printed Name
80/Z0 3JCd
Applicant's Signature
Page 1 of 3
1NItiW lX3 I38 L9Z9198ZI9 02:60 GIOZ/ZZ/90
131/-10\
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
$ Replace
Retaining Wall
DESCRIPTION '1
Valuation
Plan Review
(25%____ 100% '7�:)
Census Code T
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Fireplace
_ Garage
Deck
Lower Level
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
Porch (3 -Season) _
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building"
Demolish Interior
_ Demolish Foundation
Water Damage
•Demolition of entire building -give PCA handout to applicant
Occupancy "' L 3 MCES System
Code Edition >M W 9 j j c SAC Units
Zoning 1 t0 City Water
Stories Booster Pump
Square Feet PRY
Length Fire Suppression Required
Width
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
80/Z0 39'd
Meter Size:
final i u.V. rcequmrea
Final 1 No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath __Brick
Windows
Retaining Wall: _ Footings — Backfill — Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Building Inspector
1NI'W lX3 I38
Page 2 of 3
L9Z9t98Z19 0T:60 9ZOZ/ZT/90
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