3812 Heather DrLAGAN WATER SERVICE PERMIT
tiONI-Kktob Road PERMIT NCS.:. 43'65
MN 15122 DATE• 10/13/C2
Zoning:RIL 1 unit tnhse
Owner:
Tollefson Construction
Address:
Site Address: 3812 Heather Drive L6 32 Briar hill 4th
Plumber: Genz Ryan Plumbing
Meter No • Connection Charge 420.00 pd
Size: Account Deposit -
Reader No.: Permit Fee• 10.00 pd
agree to comply with the City of Eagan Surcharge 50 pd
60
Ordinances. //Misc. Charges: • 04 pd meter
Total:
Dote Paid
Insp •
CIT)f OP: LAGAN
37,01letAtenob Rood
Eagan, MN 55122
Zoning: _ PI
Owner:
Address:
'ERMiT NO.: 52
DATE:
Tollefson Builders 1 at tnhse
ERMIT
Site Address: 3512 heather Drive L6 B2 Briar Hlll 4th
Plumber: — Genz Rysn PlebinR
9/15/82 31850 100.00 pd
pares to comply with the City of Eagan Connection Charge: w 2 5.00 n
Orfinancee.
Account Deposit:
Permit Fee: — 10.0? d
Surcharge: - 50 pd
BY Misc. Charges:
Dot
_ — • �_
Dote Paid:
41101Pagof6ten
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (661) 675.5694
Use BLUE or BLACK Ink
For Office Use
i 07 -7.A I
Date Received: /(Y1' -Z_
j7
Staff: C)
Permit #:
Permit Fee:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
/D/i//A Site Address: 3Six a- //r/is,c: wc& btZ. Unit N:
..Name;%
RE$ID0tir1"-•l=
OWNER'`'.,':
7-#4.&,--
r .r 74,3-�r�/-37,A7
i�ssvt.wiio� r5.a.�1Jc,ac m,,,�r. 2ccG7E Phone:
Address / City 1 Zip: 70 A7 E. Esti G,4K. A4, ben ,i-P..L 620et1 /y1.,)
Applicant is: Owner X' Contractor
1Gr
PEs:QFwow
6El
': ` "
Description of work: %/6 d` RE -too c' 6 e.1 £LC....•)J .%L'Aa/Cs oar -)L Y
1
Construction Cost: `, q O1 UO Multi-Famlly1 Building: (Yes V / No )
•
.,:: .. ;
NT#A,I Trt .
,., �'�": � '
Company: ia£i S,C>rr2/o2 AlAl4' 7 Cn4P, Contact) b4v1' 4 '211' 5
Address: LAP S-- boo 5-7-, City: irk PGS _
State: MA) Zip: S-6-1/1 5. Phone: 6/1' Y (Pi- 4 is -3
License #: a C- 4y/ 3 i Lead Certificate*
If the project is exempt
Acc/4- ieFP1..o•4t,
from lead certification, please explain why: (see Page 3 for additional information)
jr-- Alio A....1TLIS f v/2...F,9- 5 lagi41, br5 rc./2is C -A
In the last 12 months,
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:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE; :Fns ed r o 4, dcuR 1001aC.lmta -.POPOf
IFP, ►1tQR; Y)0w'a .1.V aacr0 n a pe eC
• '4, a that theyre tied., ,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cail 48 hours
before you intend to dig to receive locates of underground utilities. www.aoohersteteonecall.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 Build' Code must be completed within 180
days of permit Issuance,
6:4,// ' ,,.(2
Applicant's Printed Name
T0 39'cid
x
Applicant's Signature
Page 1 of 3
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40,
Qtyof
3880 Pliot Knob woad
MN55122
Phone: (651) 6754676
Fax: (851) 8754494
Use BLUE or BLACK Ink
. For Mae
Permit
pelmet Few
low
Date Received:
StaIM
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
mu: Si Addmes: 3e/0 3SVA, 3804; 31/4 li£47-H6R. pRUnit IP:
.4
Name: 4 A C 7' "4 A34 G L I'N E T ",-) C phone:741 3-9
Address / City i Z p: 5p a 4'1nv ` i A Goax4 r/+K
/row .53-v 7
• •Applicant is: Owner 2C Contractor
r;gfAl,c
Description of work: `7"'0•42 OFA
•
Coria on Cost /9. A up I aT Mu ti-Fandiy Building: (Yes %C / No
Company: iE J £x pit/y%ia r . QP coleact.11114vdi 14� R.iL r 5
Address: YDS- bet' 17.. • city: M PL S .
Phone: 10'1 - rb/- 4/3
Stara: zip .5-S-41/ 9
_4 C 4/,) 3 / Load Certificate 4..
If the Project is exempt from lead certification, please explain why. (see Page 3 for additional information)
liastos t,J i:Qt.` l30) cr Pos. / 9 i T
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 13U41dG
In the iset 12 months, has the City of Eagan bawd a permit for a similar plan based on a master pian?
Yes ,r, -No If yes, dale and addresa of master plan:
Licensed Plumber. Phone:
Phone:
Mechanical Contractor
Sewer & Water Contactor:
NOM
•
j' .` rgNnrr►.. cam.-c.tt":�vr.- ._ A - --- n .+gin s�pn^.
4. � - C-.••�r+t+s ':,i tri' .�.7'.
eta' ^4. -c�.?�a�
�i
O Cis Mora Ons 4Y at (061) 4844002 for protection against underground I4II . Coll 48 hours
Wore you 0 ream bootee of underground wilds& gemembswersealters
tEagan;
hereby that 1 p Is complete and moats: teethe vat sell be in conformance with the crdint ness and codes dtha Apr d
* „m worn undentInd Mut Out �b 80 application for a permit. and work is net to sten w4 hcut a
'ppro "° pian In .n. arm Owen( which erq(anp s ,WAII.w+ne'pila & of pions. plonk that the Werk wile be in
°Minor work abler( ed by a permit issued ut seem nee with the Minnesota/Mate Midi Code must be completed within 150
dayadpermitie ,
�AVr� �bt7Rl2is
Pplcant Punted Name
b0/U0 39Vd
x
Applicants Signature
Peso 1of3
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City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA119661
Date Issued: 12/11/2013
Permit Category: ePermit
Site Address: 3812 Heather Dr
Lot: 6 Block: 02 Addition: Briar Hill 4th
PID: 10-14993-02-060
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace
Comments:
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:
ME - Permit Fee (Replacements) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
- Applicant -
Owner:
Steven Spaid
3812 Heather Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
'11011`City otFaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5676
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit # •t '� l 53�
Permit Fee:
Date Received: ` (
Staff:a�
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: "'/-7-l/ Site Address: 3'3/0, 39'2. 3 'i 3$l(,. NlAtTia82 N2- Unit ft:
Resident!
Owner
.
Name: % 4e % /y7, 4e£MEAli ..c.7 C. Phone: 762 - r, - 9770
Address / City / Zip: !3 O b C C47 -L' R. 09v, /3, .Z A 60461-> 1/41.11. Y /OA)
Applicant is: Owner Contractor S'S- V/ 7
,
TyP®:Of WOti5
Description of work: (ZZd-L.0.• t_ 4- a.z Pi.:1-c.L. S .D ' "i 6 a P-41.4-1 4 !h 4 7-4 L
Construction Cost: / trii YC'Z • Cry Multi -Family Building: (Yes2/ No
Contractor '
•
Company: Cil £) ex- 7- Er& 0 2 /i% a -T . & QP, Contact 64 v r f, IQd2..ai s
Addrosa: 4/vs-& b 1-1 S.. city: n7 PL
State: /VAS Zip: 55'4/1 9 Phone: /p/ 2 - F b /- fo 2 4/3
License*: L 2 Y/ / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(I,Lb, %s_ iiuC.T Pose 15'7?
In the last 12 months,
.__Yes No !ryes,
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?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor
Phone:
_ Phone:
TE; 'Plaits tr/QrraClo!f9 dei» `�qwv, subrrtlt mvnsldellbo Jam; •, �yf
, �IwJL�VI,�u •��
... CO:/C1adi9 pre{ lhe ' - • .h�... .,:
��14.1- t crt�KC YUU DIG. Call Gopher Stats One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.gopherstateonerall•orq
I hereby acknowledge that this information is complete and accurate; that the work will be in confomtanee with the ordinances and codes of the City of
Eagan: that 1 understand this is not a perm$, but only an application for a permit, and work is not to start without a pemtit: that the work will bs in
aecontlance with the approved plan in the case of work watch requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bulidtn Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name
E0/E0 39Cd
x
Applicant's Signature
Page 1 of 3
1NIGW 1X3 I39 L9Z9T98ZI9 90:60 VZOZ/L0/b0
411/` City of Etan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5875
Fax: (651) 675.6694
RECEIVED
APR 2 8 1014
Use BLUE or SLACK Ink
For Office the
Pent* tt IV/
5a
Permit Foe. c
Date Received: l' u
Stet
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-11)- Site Address: 3 , / :L 1-/Z4 7/a n 2 D/Z ` Unit 6:
Resident/
Oviner
,-7.7-4.r C. Phone: 763 - S S 3- 9 7 7 0
Name: e/0 4e mok..146tH«A37-
Address / City / Zip: :So QtCi47-U2 4v' A),�2
Applicant is: Owner ,Contractor
TypaoflNOrk
A aoc.o 1/ 44,4,1 y /OA
ss' 4/t 7
Description of work: I ,SPL 4-e L / 0 J0k _.
Construction Cost
Contactor
Multi -Family Building: (Yes I No J
Company: a E 1 &- Y a 2 /Aft her . Cv RP, Contact: DA ✓ r 43/2-ai S
Address; YDS- LJ X00* f7% City: m PG S
State: /VAS Zip: S3"'0 Cf Phone: Ica 2 ' 47/ (P2 V3
License #: 43 C. Z 41/1 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
T / 7 Poste 7r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in the last 12 months, has the City of Eagan Issued s permit for a similar plan basad on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber;
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor Phone:
CAL BEFORE YOU D1Gr CaII Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Can 48 hours
before you Intend to dig to receive locates of underground utilities. www,gmherstateonAcall.orn
I hereby acknowledge that this information is complete and accurate; that the work wtll be In conformance with the ordinances and codes of the City of
Essen; that 1 understand this Is net a amnia. but only an application for permit. and work Is not to start without a permit: Mit the work will be In
accordance with the approved plan In the case dwarf( which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State BuildCode must be completed within 150
days of permit issuance.
x Q4✓' 0 /2'j?.Q/S
Applicant's Printed Name
Z0/T0 39/d
Applicant's Signature
Page 1 of 3
1NIvW 1X3 I3g L9Z9T98ZT9 60:ET OT/8Z/t70