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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) Xs' yet 7 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. x %kt✓' /24. /1* x Applicant's Printed Nome Applicant's Signature £Z/TO 39vd Page 1 0f 3 1NIMW 1X3 I3E L9Z9198ZT9 LZ:lot bTOZ/TT/b0 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? 8y c�'_1?,3Fo�gl y-inac ztytt J� Q f l 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: • '.,'.• r�wr•s—^�,�e:;�an�Nc':iv��W -i :�'.Gr.�7 A ! tiFe �„". _'�f� ,' 6 �a``; t's-='+tyy's c=151 r. �'.�'�.�'y^Tr'• --� i i'C.+ -�i7!��t#.'�'�Ji11�'N�i",..+4$�-' 'w -� �f-�`af 1' '*� •G,;Loi r &� .:�.,.a_..._ �..�_,.,._„_�i�"'il1.�t:1Mt.:tLM{►7,e�9CY�'� a1a'+i�rtbVi. �Jlv�l, {��fi.tt1s APPtieatnt'a PrIntIld Nem. 170/b0 39Vd ApplcsnCs Signature Page 1 of 1NIt7W 1X3 I3g L9Z9T98ZT9 ZO:bT £TOZ/90/TT 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