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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 1NIvW d0Ic131X3 I3E LSZ9T98ZT9 cZ:ET 'GTOZ/T13/0T 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 1NIVW lX3 I3S L9Z9198Z19 SETT £ToZ/LZ/TT 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. x 4v, 0 124,44.../5 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