1764 Bluebill CirCITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
agan, MN 55122 DATE•
Zoning• No. of Units:
Owner:
Address:
Site Address: f ? U4-
Plumber:
4Plumber:
Meter No • Connection Charge:
Size• Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total •
By Date Paid:
Date of Insp.: / Ld Insp •
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: _ No. of Units: —
Owner•
Address -
Site Address: _
Plumber•
I agree to comply with the City of Eagan Connection Charge•
Ordinances. Account Deposit:
Permit Fee:
By Misc. Charges•
Date of Insp • Total•
I nsp • Date Paid:
Surcharge:
Cily of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675=5694 •
1 20111RESIDENTIALPLUM
Date: O )-14)- )- Site Address: t l t(( p 4 .1
Tenant: _1�ev� •
RESIDENT I OWNER
CONTRACTOR
Name:
ybu
AchlP
Use BLUE or BLACK Ink
Permit It:
Permit Fee:
Dc931/
6'i'
Date Received: %/ 7
Staff: //4
J
ING P RMIT APPLICATION
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Suits lis
Phone: " /3 1".r-•-•• h�
Address / City / ZIp:
City: ��ya,�ylt/l 1' In% •
Address: 1801 501" ST
EAST II�1�!ER GROVE: IG`I'S
State: • MN Zip: 55.077 Phone: 65,1.;.451;-2241 •
Contact BILL..MILB Ati . Email:
Nev• apiecement _ Repair _ Rebuild
Description
RESIDENTIAL•
Water Heater
' Lawn trrigatiQn L RPZ /_ PVB)
Septic Systeht •
•_New
_Abandonment '
Modify Space _ Work IrI.R.O.W.
Water Softener
Add Plumbing Fbduroa L_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum, Water Heater, Water Softener, or Water Heater gnst Softener (includes $5.00 State Surcharge) •
$35.00 Lawn Irrigation (incWdes 35.00 State Surcharge)
•
$55.00 Add Plumbing Fixtutes, Septic System Abandonment, Water Turnaround' (Includes $5.00 State Surcharge)
'Water Turnaround (add $168.00 Its 5/8' meter Is required) • •
$105.00 SepticSystem
p NSC ($10.00 per as bum) (Includes County fee >Ilnd $5.00 Stats Surcharge)
•
$95.00 Firs Repair (replace bumed out appliances, ductwork, eta) (Includes $5.00 State Surcharge) 62-0 TOTAL. FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you Intend to dig to recetvd locates of underground utilities: www.aooherstateonecall.org
I hereby acknowledge that this hrfprmatlon is comphte and accurate: that the work will be In conformance w th the ordinances and codes of the City of
Eagan; that I understand this Is a permit, but only in applkition'for a permit, and work le to start a permit: that the work will be In
accordance wi tpe approved pia In the case d work vi�ich requires a mNew and
• • Applicant's Printed Name
;lba
canVaS gnat
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA110315
Date Issued: 05/03/2013
Permit Category: ePermit
Site Address: 1764 Bluebill Cir
Lot: 4 Block: 02 Addition: Town View 1st
PID: 10-77100-02-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
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.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Ashley L Behrens
1764 Bluebill Cir
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
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Lt
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: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: CCro 4
Construction Cost: 15,0
Company: otk..tr"
Address:
Multi -Family Building: (Yes / No )
State: A) Zip: '(.) 3 .-43
License Vito, '15
Phone:
Contacri
City: (Yli
Lead Certificate #: AT ..W/Gro -
(0— 115t6i 1-Rpek \1(0 Bluz,V;t1
Use BLUE or BLACK Ink
€ity of Eatall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
41 I?
L
For Office Use
Permit #:
Permit Fee: CkIA
Date Received: I 12P1,1 V3
Staff: ST)
11 (631to
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
e
Date: 10 -,)41-13 Site Address: 1-75g. 1-700 1-7(eX,1-"Zog4, 1704, 1-7L4 1S( --o1 Unit#:
1f you
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Gall 48 hours
before you intend lo dig to receive locates of underground utilities. www.gochersiateonecall.cro
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 Building Code must be completed within100
days of permit issuance.
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173882
Date Issued:12/10/2021
Permit Category:ePermit
Site Address: 1764 Bluebill Cir
Lot:4 Block: 02 Addition: Town View 1st
PID:10-77100-02-040
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, Pete DeGrood at (507)
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 -
Nicole L Smith
1764 Bluebill Cir
Eagan MN 55122
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature