3838 Heather Dr4/l/ City of Emil
3830 Pilot Knob Road
Eagan MN 60122
Phone: (651) 676-5675
Fax: (661) 675.6684
Use BLUE or BLACK Ink
For Office use
Permit r: ‘91,1'D°
Permit Fes:
Date Receival:1 1 T
staff: , 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '9- 5' - )1"/ Site Address: 3 F g H , 7-N 1r� DR.. Unit 0:
Resident/
Owner
Name: e/D 4 `r %deal,34fir Lot L C, phone: 7603 - s''S3— 9'7
Address / City /Zip: 8So I, E Cprr U it Ay, A), ,2 A &LL6E-A i/644.LJ y /0A)
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Applicant is: Owner Contractor
Type.ot Woric
Description of wont: 2 L P LA G E._. 111 u L s •O4 £ : (.J)' •J ✓Jac...► 5
Construction Cost Multi -Family Building: (Y / No )
Contractor
Company: g EA £ - rLei2 /4/41 **Y nit Contac: DA ✓ r 0 a.d/2 2i
Address: l'i°X L l00•' .frd
State: /19A Zip: 5's- // 4 Phone: [o/ 2- 2 4/3
Ucense #: L 2'// / 3 / Lead Cettifkato #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
tNc.1410S_ ��It_' Po5Y i3'7.1r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lest 12 months, has the City of Eagan issued a permit for a similar plan basad on a master plan?
Yes No If yes, date and address of master plan: _
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOT s wart
&Mk/kJ/Motioni,p
7,7
CAS, BEFORE you DIG. Cali Gopher State One Carl at (551) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wwwy.000heivteteenecall_orty
I hereby acknowledge that this Information Is De=plete and accurate: that the work will be in conformance with the otdiinanceb and codes of the Cily of
Eagan: that r undeeetand this ie not a permit, but only an application for a permit, and work ir; 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 plane.
Exterior work authorised by a building permit issued in accordance with the Minnesota State BuildiCoda Must be completed within 100
days of permit issuance.
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Applicant's Printed Nome Applicant's Signature
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Page 1 0f 3
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Connection) Charge:
size.
� >p►ccount Deposit: 1 � •04 pd
Reader No. Permit Feel: 10.00 pd
agree to n urchorge:I .50 pd
one
.. Misc. Charges: 63.00 pd mete?
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C G / Date Paid:
Dote of Insp.: / f '1 ,D '"1 dett.: CZ;
cflyofR
3830 Piot Knob Road
Eagan MN 85122
Phone: (651) 6754875
Fax: (651) 6784
•
Use BLUE or BLACK Ink
for office Use
Pool* 1 1 a t
Pamit F
Oete Received:
SurK'
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
/3 sitsAddmso:37..Z.1143y, s%36, 38'Ig
Name; ifo A C r /fr9 Ai* A L m L L T" .7:•) a phone: 74,3�- 3- 9'7 70
Address / City 4'ti`•' �/ i4 God Emil L' 44-1-E4`'
p1 is s!441.7
Applicant is; Owner 2‘.. Contractor
oeb« on of work '7"S.1, Z Ori a• 2 z - (I �
Construction Cost / 3A 7 vo : vt3
Multi -Family Building: (Yes )C 1 No
Company: g L 1 Epr> z'o, !!1(rtzwi C . /4 Contact • •1:1Avr
Ate: Vos 61,1xt, C; mP[. 5 ,
state:/)'!ic! zip: SSV' 9 Phone: 6'A - rbc - (a Z 4,'3
License # 'Q C gill / t.oad Cerdfloats d:
If the Project is woarnpt from Lead certification, please explain why: (sem Page 3 for additional infom ation)
is 4,4 L4Liat- Etozr Post' / 97Ir
,AMY.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING
In the haft 12 menthe. has the City of Caw Issued a pennIt fora similar plan based on a mater plan?
_Yes No If yes, dant and address of master plan:
Licensed Plumber: phone:
Mechanical Contactor:
Sewer A Water Contractor:
CALL Cell eophsrStel a one Call et (051) 454.0002 for pr *eaIon against underemund i4Wty damage. Call 48 hours
before you leo 1 Drs Wats otundo,ipund
thereby acknowledge that this inionnahep IS complete and aconite; that the work WI be in cardamum with tho adnsnoes and codes of Ito Qty of
WM; that l understand atruarderteo with the eitareuen this is nota Pon* but only sn a,.qulr ion fora pennant. and work is not to start tsehout a penult: that the work 41be
planrequire
In
w+ to the arose Owens +mush ° s rs,A.w mina approval ar p.na
atelier work authorized
days of penult issuance.
bye balding norma l:mead In accordance with the Idliawdols Stale BuildCode must be completed within 180
Plane:
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APPtieatnt'a PrIntIld Nem.
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ApplcsnCs Signature
Page 1 of
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City of Earl
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675.5675
Fax: (651) 676-6694
RECEIVED
MAR 2 a 2014
Use BLUE or BLACK Ink
For Office Uoe aI j (�
Permit a: 1 l3°I `^ 1
Permit Fee:
Date Received: 3
Staff.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data; 3-X6Site Address; 34732, 383 CI, 3 34,35235 NSAri/412 isQ
Unit*:
Resident/
Owner
Name: eh) 4. /) 4 6 Z Ix E al•j+ C. Phone: 74 3- S-73, •- g 7 7 0
Address / City / Zip: APS -0 b E C 14•ru 2 4v, A), ,till 60e.640. i.44 -as Y ft )
X7Contractor v'z 7
Applicant is: Owner /\ Contractor
•
.
Type.of�INork..
Description of work: RSA o f., (� a £ PL et -f; 4 d / ..J 6 a Fill c. r rd M L' 7-4 L
Construction Cost / 4 Yat • crO , Multi -Family Building: (Yes, / No __r_)
•
COpitla4or
Company: a£ l & r I c 2 )2 4 i .i' -r . Ce alt Contact ba Lit e as., /LA, S
Address: VP W 4,0*A 17"- City: I)/ PL 5
State: 1.11 Zip: 575'4r// 9 Phone: 10/1- e to / - 62 r/3
License*: 'a C 24/// 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t.447S- 13,Jrt,.2- Pos.r /F7r
In the last 12 months,
_Yes _No If
Licensed Plumber:
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:
_ Phone:
Mechanical Contractor
Sewer S Water Contractor:
Phone;
Phone;
NOTE: Mails dna.. •j subl+o t,/� oonq�jr�/ : Cf,
triemfOrmaflof ,.z: 'w)., •.. '
:, clasogf i too k. fi y> , .
CALL, BEFORE YOU DIG. Call Gopher State One CaII 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•g42oherstalconecall.Qrq,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gay of
Eagan; that 1 understand thla is not a permit, but only en application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved pion in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit iriaued In accordance with the Minnesota State Build' Code massa be completed within 180
days of permit issuance.
4 ✓' 124✓2i2.i
Applicant's Printed Name
VO/V0 30 d
Applicant's Signature
7 �G
Page 1 of 3
iNIVW 1X3 I3E LsZ9I983t9 0060 VTOZ/8Z/60
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174839
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 3838 Heather Dr
Lot:54 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-540
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Paul J Sullivan
3838 Heather Dr
Saint Paul MN 55122--163
(651) 262-8428
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature