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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 /V S 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