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3871 Heather Dr379 <Eaga r. F "EAGAIV ilot Kiev., Rood Mr,1 55122 `WATER SERVICE PERMIT PERMIT NO: DATE: No of Units: Address Site Address: Plumber Meter No. Connection Charge: Size Account "Deposit: Reader :No.:. I agree to comply w Ordinances. th the City of Eagan By '. Dote "o Permit Fee: Surcharge• Misc. Charges: 'Total:, Date Paid: Insp • CITY OF EAGAN 3795 ipa0 -Kdob Road Eagan,; Ai 55122 -- Zoning: t SEWER SERVICE PERMIT PERMIT NO.: DATE: No of -Units: Owner: Address: Site Address: Plumber: x 1 agree to comply with 'thg`Ci yT Ordinances. By DateLo}'"Insp.:' Insp Connection .Cbal ge: Account Deposit: \F'{ Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: C1yofE 4 • 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 678.8875 Fax: (651) 57604 Use BLUE or BLACK Ink . Par Once Use Part it $ pemdt tae: Date Received: Staff: �� t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 0 -A w- // sire Add ntss: 3t/os; 38 7, 32 '0, , 3 y /ae,g r,N 4 c R' unto: Resideifil n811 J Name. d/ A C 7' "4 A.3 4 4:4 At 843 7- . C phone: 743 - s•"9 3 - 9 7 %O • Address / City / Zip: _'Sb a E G ra' �-�� !� A✓ /9 boat E,..1 1/44 AcA.s sryz7 Applicant is: _ Owner ,_ Contractor Description ofwork 7-SS1,Q ©f-- a- (Zi - kero..�W Construction Cost / 4 "5 Multi -Family Building: (Yea %C / No Company: 1 Elm -r ,o,e 0147.3-r.iP Contact, bAvi d %a - r 5 address: 9o' k) bD S7. • State: NA.1 zip: SSS!/ 9 Phone: 611 - X61- x.24/3 License a: Q C .t 40/ 3 / Lead Certificate If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) lir- tips 4.1 cat.; Q"Iar Pas; / f 7 8 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iast 12 menthe, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _bio If yes, data end address of masher Men: Licensed Plumber Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ixaR.�a.YM� .c �.- Yt�lCl.,75"^,1.bar".--'�-1'wW�Ty�pr;/-•.4+ F+ .r. _ �.t -,r� J^?Y4+ � Sr �i M. t"i7�-j]S •''ii?a ' r - ...�/,��1 .a-11F+c�a :.i •;41.4 -- B . 0 c . YOU • c CM Goober State Ones et (661) 45..00O2 for protection wive urwvgt eound Witty damage. Cat 48 haat~' . you m , to ►.Delve locates of undergraun0 sallies. v o nseau.een t hereby ddmowtedge that this Infamarton is complete and accurate: that the work will be in Fagan; lhm I or�dertdand � h � e �� but conformance with the orolnanoes and oodee of the Gy of aorsorduno• wah nue approved plant„ nue ease or�week°k''t in reggaes for a permit. and & t le not to start witttotR a Pm* that rho welt w�i b-• in �qut.es o �vt.w aro approval d pions, _ Exterior work authorized by a building pemtit issued In accordance with the Minnesota State SWIM Cade must be co Pbted wt him 180 days orf permit Issuance. X �AviA (lu2r2rs Applicant"% Printed Name 50/80 3JCd Applicant's Signature Page 1of3 1NICW 1X3 I3g L9Z9t98Zt9_ E5:9T ETOZ/t2V0t *L'ity of eau 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 6756676 Fax: (651) 676.6694 Use BLUE or BLACK Ink For Office Uee Permit*: - Permit Fee: Cate Received_ Staff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 " y — � � Site Address: 39(.1S: S feco7,'5 la 9 3 S' 7 / i4 T, /CQ Is 2- Unit it: Resident! Owner Name: eh) 4 C 1 /n4".1 4 6i >' Phone: 74 3- S`'% 3— 9 7 7 0 Address / City / Zip: -s° Q r C i4 T u / /S) V C oL D £� ✓ Y /�� s' 'A7 Applicant is: Owner k. Contractor Type of:WM rk, Description of work: RLie o L a-fZ. PL f.- J,1 i .4J 6 O P*L' a M s r4 L. Construction Cost: > 4 6/0.6 •• UU Multi -Family Building: (Yes / No ) Contactor Company: £ 1 E-- ✓ o /L mall b r . Co RA, Contact b4 V r p 630/1-12./S Address: 4/°S 1.3 600ft State: f 1L zip: sS' // 9 License*: C-- 2 Y / / a> Phone: city: M Pc -.S - S&I-6,24/3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) gl4(0S- j 7S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: NOTE: Piens ani si+1 4t 'l0br <Coifsidi** the i r eitfon,rnsiy'bec/�►�la' :Ik Vkmu'Ia tdl� '': Phone: CALL BEFORk YOU DIG. Call Gopher Slate One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. www•aopherstateonecaft.orq I hereby adinowledge 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 thie I¢ not a permit, but only an application fora permit, and work is not to start without a partite that the work will be in accordance with the approved plan In the case of work which requtrea a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State BuildinLCode must be completed within 150 days of permit Issuance. x �4✓r0 /2 ,2rL/S Applicant's Printed Name 90/60 39vd x Applicant's Signature 7 Page 1 of 3 1NItiW 1X3 I3E L9Z9T98ZT9 SS:TT bTOZ/bZ/C0 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164745 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 3871 Heather Dr Lot:36 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-360 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Dawn R Bentley 3871 Heather Dr Eagan MN 55122--162 (651) 289-3121 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature