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3850 Heather Dr
Site Address: Plumber: (Meter No. Connection Charge: Size:Account Deposit:; Reader No.: Pd ��, �� I apes to comply whir the City of Eegen Surcharge: €i . €} @1 Ordinances.Misc. Charges: Total: 8y Dote Paid: pate of insp.:/ #nsp 50 Father Dr L48 Bi BriarHill 4th 450.00 cfl v OF-EAGAN Knob Road P. -" 1199 Eagan, 11 N'55 � 11 Zoning f Owner. Taison; Address: Site Address: $5t3 at Dr L48 lel Briar 1411 Oh Plumber: City otlate 3834 Pilot Knob Road Eagan MN 55122 Phone: (661) 6754675 Fax: (651) 676.8664 Use BLUE or BLACK Ink For Office Use I L-27° 273- Date Received: 1D/JI3 Per•mit Pamir Fee: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /O -,j t/ 1 SitaAddles= 32'0,3IA3gsz,3Bsy / ('TTHbk. units: Name: t% / r "4 4614.)TAlt4 a phi 741 -5'93 - 9 7 i0 Address i City i zp: , SD IN E. a or -r— Q Av AA p goa z.1 I/rK -s3-441 Applicant is: Owner „- Contractor Type*Work Description of work TSotoe © 8 2E - F Construction Cost ,11.1. lob - Multi -Family Building: (Yeex' / No Company: 4E I £',� -roe/o,Q 014N e2.P contact IS Av, r $ Address: VD 6DIL City: MPL S . State: rip: .S V/ 9 Phone: i''z - Il o- 4.2 'f3 Lkonse #: igC X S/I / / Lead CerldlcatG #: If the project is exempt from lead certification. please explain why: (see Pege 3 for additional information) lies- /aS Let.- 11,.»/.7-' Post' J9y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 8ULING In the Met 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. Mechanlaal Contractor: Sewer & Water Contractor Phone: Phone: .ware 2 1 C.,r:sk i t bef J you BEtntOd E YOU 019 Call Gopher � p f Sado One Call at (651) ss/ -Dost for protection again underground u Juty aanwge. Cali 48 hours underground utilities. 84 meo_L_ hereby acknowledge that Ibis irlbrmadop is complete and accurate; that the wor1c will be in conformance with the ordinances and codes of the City of -OnceLthal nd this Is nota permit, but only an ambition on for a permit, and work is not to stent without a permit that the 14,01* Wal be in ernanw a Plan In v+e ogeework wk.', requires a rallow end approval or plana - days Exterior work authorized of permit issuance.by a building permit bowed In accordance with be Minnesota Stab BuIk5 Code must be completed within 180 X 64v,Ma. S Applicant's printed Name SO/90 39 d 1NItiW 1X3 I3S Applicant's Signature Page 1 of 3 L9Z9T98ZT9 ES:ST CTOZ/t,Z/0T *City otEagan 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 6754675 Fax: (551) 675.6684 Use BLUE or BLACK Ink For Office Use j Permit e: 1 �/ Permit Fee: al k /• Date Received: 3,111 LI - Staff: �'1► 2013 RESIDENTIAL BUILDING PERMIT APPLICATION • 2 - 7/ �� Site Addroas• 3 8 V 3 rs-o 3 S SI 3 Vs" V ligi4•Thie4 L2- Unit it: . Raalldi9tW Owner Name: e4) 4 C / "4.4 R b E IM Z Ali- ..� C. Phone: 74 3 - .S -F1- 9 / i 0 Address / City / Zip: 8SO Q t: C 4 Yu A. A. A) , 1 /; 6.246E.... 144 -LLE y /04 Ss VA 7 Applicant is: Owner )cContractnr ' ' otWork, Description of work: IZ£g-,-c � E a- R.£ Pl. et-c.f.- 1 d / 6 a F"orsL/ a /4 £ •riA L. Construction Cost / y 4'O • t Mufti -Family Building: (Yes., / No __) . contractor • . Company: a £ l e>< >!.2/ ID 2 Midi br'r . Co aP. Contact N ✓ r f old / s Address: _4J r L. loD .17-- City: m PL_ s Stare; /414S Zip: SS -V/ 95 Phone: 4/ Z • Y (o / - Co 2 V3 License #: 4.3 C-• 2 EP / 3 / Lead Certificate #: If the project is exempt ill 4t . from lead certification, please explain why: (see Page 3 for additional information) i3,0/(Y Posy /,77r In the last 12 months, _Yes _No If Licensed Plumber: Mechanical Contractor: Sewer S Water Contractor: 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: Phone: _ Phone; NOTE: flips encl. sl wiflnortrO . ' ! , •. � drq,ftrbnrrApan rtyr,Ifa( c/aa v�_lc,,�e��yyyyk�.7l�flmpu�� gper, fir►# � . p�iet?31i, ... • i►iir, dude th t,��, y. .. A',, . . <z-: .. •,:: . ,�i' h, CALL BEFOIg YOU DIG. CaII Gopher State One Call at (631) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, www.000hargt¢toonecall.orrt 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 t- n; that I understand this i4 nota permit, but only an application for a porri+n, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worlc which requires a review and approval of plans. Exterior work euthoriz d by a building permit Issued in accordance with the Minnesota State 6uildn Code must be completed within 180 days of permit issuance. x �A✓°� %��.�ZlLif Applicant's Printed Name E0/t0 39 d X Applicant's Signature / 34.0 7P0 Page 1 of 3 1NIdW 1X3 ISS L9Z9t98ZI9 ZI:OI VIOZ/L0/E0 City of Eagan PERMIT 411' CityofEaan Permit Type: Mechanical Permit Number: EA134690 Date Issued: 01/13/2016 Permit Category: ePermit Site Address: 3850 Heather Dr Lot: 48 Block: 01 Addition: Briar Hill 4th PID: 10-14993-01-480 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 0801.4088 Surcharge -Fixed $1.00 9001.2195 Total: $60.00 Contractor: Ron's Mechanical 12010 Old Brick Yard Rd Shakopee MN 55379 (952) 445-8585 - Applicant - Owner: Janice L Jackelen 3850 Heather Dr Eagan MN 55122 (952) 564-7786 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 GCnl99 reY-7 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEP/ED SEP 2 9 2016 Use BLUE or BLACK Ink For Office Use Permit #: l3? s Permit Fee: oo.06 Date Received: / - Staff: L 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 9-7LL Site Address: 3 35-0 fi t a t- -I Qi' Tenant: J Suite #: Name: 3 a f''l TJ 4 w- &1X24'/ Phone: l5�. " 77 Address / City / Zip: 35-52) j -E -ea. Address: •l � Cene rrair.' dEAr�ri� �nc����� ,�l!.,„, License #: State: Zip: 7402 WashingtoMINN n olt✓l Eden Prairie, MN 55344 Contact: S - Lac 952.9414O44I: New .5< Replacement Additional Alteration Demolition Description of work ik i tm11✓ jp vr1it ��.. . a�un RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump (� - if—Other het-P'it_ 7 _- COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge _ $ TOTAL FEE COMMERCIAL FEES 1 ENTERED SEP 2 3 2016 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ =$ Permit Fee Surcharge TOTAL FEE 1 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. Applicant's Printed Name