3808 Heather Dr orr or.:. EAGAN WAS'* ' SERVICE PERMIT
:Knob Road • - PERMIT, NEE:. ? {
i oi .Af 55122 DATE: 9 i O s
Zoning: ! IV No. of Units: 1 unit tnhse
: . lieison Ackkess:
Addrsss: 3808 Heather Drive L4 B2 Briar Hill IV
_ . Plumber: Pm z cyan - `E.lit iM NN •
t Meter No.: • ; ', Connection Charge:
42 °.'1t Size: Account Deposit:
Reader No.: Permit Fee: 10.00 rd
00 l agree fe comply with / ' e City of Eagan Surcharge: , 50 Pd 60 • } net er
Ordinances. r . Charges:
Total:
By /.toi Date Paid:
Date of Insp.: , insp..
city fOF EAGAN SEWER SERVICE PERMIT
vk
3795 Pao Knob Pad 1 PERMIT—NO.. - s 0
}}
Eugag•MN 55122 BATE: 9/0/82
V No. of Units: 1 it tnhse
ing: - -
Owner: Tc� l efson Builder4
Address: ■
Site Address: 32 ZL fW-H `3riar Hi IV IV a to
• Plumber: P
„ P), 100.00 pd
1 agree to comply with the City of Eagan Connection Charge: 425.00 pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
� it/Surcharge: _50 rd
By / 1 ^i''- f II Misc. Charges:
Dote of Insp
� U'" L �y _ Total:
nsp.: 1 - - e t _ Date Paid:
Use BLUE or BLACK ink
r
i For Office Use
i
-6
P®nnk I 30
Cat of Eap I q5
eAQ r- V-- I Peenit Fee:
'
3830 Pilot Knob Road / I I
Eagan MN 55122 o 3 I Date Received: I
Phone: (651) 6754675
I
Fax: (651) 675.5694 I Staff: j
V------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /5 Site Address: to F Unit Name: 4A ACT /r1 .4 -;J 4 & E I'1'f Z U T T~ C Phone: 7103 --V9 3 ' 9770
Own. r Address / City 1 Zip: 1~ i4 ru,Q At/ A3 Z
Applicant is: Owner Contractor
i
Description of work: T £R2 OFD= a. Q E - ~ )
Type"
Construction Cost /-3 , 70 0-' Multi-Family Building: (Yes / No
Company: VJ E I £,e r c-e o R N47,,) , &ZP Contact ~ Av i 4 Vac 2R, i 5
Address: //O S- LJ 6 D S> . City: m PL- S
State: NAJ Zip: SSS~/ 9 Phone: .2 e/
License C yl 3 / Lead Certificate
If the project is exempt from lead Certification, please explain why: (see Page 3 for additional information)
&S LJLlLr- IL.r Pos" J Q7 Sr
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:
re►rlort« ► + `
6t' tl j 1 t l,
CALL BEFORE YOU DIG. Cap Gopher State Ono Cali at (6S1) 454-0002 for protection against underground utility damage. Cap 48 hours
before you intend to dig to receive locates of underground utptiies www.aoohemateonecail.orq
i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of
Eagan; tiiat I understand this is not a parmit, but only an application for a permit. and work is not to start without a permit that the work vw's be in
accordance wPeh the approved plan in the case of work which required a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180
days of permit issuance.
It b Av. A gv 2!2 rs xApplicant's Printed Name Applicant's Signature
Page 1 of 3
*City otkap
3830 Pilot Knob Road
Eagan MN 68122
Phone: (651) 6756676
Fax: (651) 675.6684
Use BLUE or BLACK Ink
For Office Use tr>3
Permit 4:
2�
Permit Fee:
Date Received:
Staff,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A -17-1V Site Address: "1/II, 3 ° /, 3 god, Sog z i4ThN2'Z 6 12.. Unit 0:
Re$ident!
Owner
Name: e /O ,1 c % iThe AI 4 6 .I C.-
Address!
. -
Address! City / Zip: SSo D C.44 T U R. 4V. i3
Applicant is: Owner Contractor
Phone: 76 3- S-7 3- 9 7 7
(pOLi�EA :� LY /?A
Yype:of,Work.
Contractor
w•••
Ss 1/t 7
Description of work: R>; - c ' a. R z PL 1Kf.- 1' 't AS L 7-4 L.
Construction Cost: 14. Y Uu • W Multi -Family Building: (Yesi<. / No
Company: £ 1 cf* r X 02 /AO aT . Galt Contact: 640r 0 4..,2QdS
Address: 4/19SL lobi' S: ,
state: /VAS Zip: 5r4/1 rj
License a: L 2 Y/ / 3 /
City: mPLS
Phone: I0i2.' g41/ -402V3
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
SLalpS. PoSr' /5"77
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:
NOTEp....:,��P{�i,.l.l. f..i,S�/�a�ns
the�Infosma Ion.7
dOciarOlgli -000800/04-60014*.
as noo pflMdo specpc'ireason* d'
tawL�J� ��Ji1�ilA.. '3 ). .... •..;'. ,
p14[
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.siooherstateonacall,ora
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 1 understand thie 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 whim requires a review and approval of plans.
exterior work authorized by a building permit issued in accordance with the Minnesota State Build nLCode must be completed within 180
days or permit issuance.
x I) Rya -Cr f
Applicant's Printed Name
Z0/Z0 3E d
x.
Applicant's Signature
Page 1 of 3
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