3867B Gold PtCITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO •
Eac,n, MN 55122 DATE•
Zoning: No. of Units•
Owner•
Address:
Site Address• 3 8(e Si 3 YL 5- 3 8 61T S'h 7 i
Plumber:
Meter No.: Connection Charge•
Size: Account Deposit•
Reader No.: Permit Fee•
1 agree to comply with the City of Eagan Surcharge•
Ordinances.
Byp
Date of Insp.: 7'Zr9'`8 Oi(
Misc. Charges•
Total
Dote Paid•
Insp •
CITY OE EAGAN SEWER SERVICE PERMIT
3795 -Pilot Knob Road PERMIT NO.:
Edgan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address: ----
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
8 Surcharge:
Y Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
For Office Use
Date:
City otEagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #: Ot�
Permit Fee: 1Q0 ,
Date Received: '7 (��-( 6
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
7� Ili Site Address: 3 .7 1 c'_jPo;Pori rs
Tenant:
Permit Type
Suite #:
Name: i sx, etqlvc rPGA. Phone: /- B SI 6 %q,
Address / City / Zip: t`S6:7l LG( Pc; t " *4 B ` Q.(` ci. 6� r 14 >V J , )
Name: / t e rl P.Git�i (c c' I 1 License #: rp 5 o /
Address::,. 4-py r#:4-1 City: '71I U/00 c
k-.•.�
Zip: � 1 P7 Phone: 7" g'%l1
State:
Contact: .1(A# _
New
Email:
Yr-Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
i Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) //``
TOTAL FEES $1't2 F
CALL BEFORE YOU DIG. can Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x fflicck.\fail
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required inspections:
Under Ground
Reviewed
Rough -In Air Test
Test Final
Use BLUE or BLACK Ink
3115 gel PtI3VIA
2013 RESIDENTIAL BUILDING PERMIT APPLICATION) waspz -3$l;o'3
q j 1�
Date: 1 Site Address: � - 1 e t . 1R r i , I unit # 38T 3 12'33S (pS fr j
P
Name /� 11
Address / City / Zip: 3$ GO d, yoliN+
Applicant is: Owner 4 Contractor
Description of work: Q e,(0 Q-F
Construction Cost: �� 4K 0 0
City of Eapli
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
vilks
For Office Use
ILt—itt°
j%,
Permit Fee: �J 1 �"7
Permit #:
Date Received:
Staff:
�nP � 1�A J� I'it2s. W till'►$ 4 el Phone:1Q51 a T b Be-b r5 1E3,
As ��1
g
1 h, (`�'J Sc I 37b1
CC )
Multi -Family Building: (Yes %Q / No
Company: I lam. `6j1S UCt 6 Contact:
Address: t ' (D Geit
State: ✓ v, N Zip: 5SC71 Phone:
License #: (3 C 03 4-0
Ta_La Err "Si
City: kaSS
Ella 1(JD"i• (ft-ts�
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Sewer & Water Contractor:
Phone:
Phone:
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 receive locates of underground utilities. www.gopherstateonecall.org
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 within 180
days of permit issuance.
x N� l ILA-;- g ol/eCK,
Applicant's Printed Name
x
lic nt's A
pp Signature
)64,
Page 1 of 3
RECEIVED
JUL 152020
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinoinspections at7,citvofeagan.com
For Office Use Permit #: 4224141
Permit Fee: t a o .
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "c.4® Site Address: 3$Ir1 a feed Qsowt, ea ?an, MA. $s'iZ .Unit#: 'lire, B
Resident/
Owner
Name: 'Mc re. s e. 1314AcKa.r. Phone: foil" 2.1iS-72I%
losArkar-
Address / City / Zip: S141 3 6614 i4 E a B 4 g 411 , NI Ss i 2 Z
Applicant is: Owner if Contractor J
Type of_Work
R ep►&c.t y wrwow ► 4 i Pow. 4A cuT54)4, gocn4 s
Description of work: •
Construction Cost: 10, 700 Multi -Family Building: (Yes K / No )
Contractor
Company: 134.7 etc +e r ? 0 e-S Contact: T®tok.di Z e # 2,Pa 4,F
Address: S I MS' r4 la
et .Si-ri a. % Str e 4 4- Sa.p 1 4.71-4C i City: 11 a Pial. 4
State: 014 Zip: SS3 S9 Phone: i to S — '1 g (4" Email: J O h+% "Q be r+� a lei -et -TO f's . cob
3'r a. J
License #: Mc-32442.n Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. CaII Gopher State One Call 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.gopherstateonecall.orq
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.
x , t:5Vl lit 7
Applicant's Printed Name
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172403
Date Issued:09/28/2021
Permit Category:ePermit
Site Address: 3867 Gold Pt B
Lot:112 Block: 01 Addition: Countryside Villa
PID:10-18350-01-112
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 -
Therese A Blanchard
3867 Gold Pt Unit B
Saint Paul MN 55122--154
(612) 245-7216
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172404
Date Issued:09/28/2021
Permit Category:ePermit
Site Address: 3867 Gold Pt B
Lot:112 Block: 01 Addition: Countryside Villa
PID:10-18350-01-112
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Therese A Blanchard
3867 Gold Pt Unit B
Saint Paul MN 55122--154
(612) 245-7216
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature