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1753 Bluebill Dr ,r 4 _ x`15 ~ , S~ i ~ -is~-, 115'1 '~31 u~"► Ca Use BLUE or BLACK Ink For Office Use 1 Permit { 1 U ~J { ~7 i Win C, of Ea ► I Permit Fee: = '-I a ~ 3830 Pilot Knob Road i 2 ► ► Date Received: 2~ I J ' Eagan MN 55122 Phone: (651) 675-5675 a,n(Z i Fax: (651) 675-5694 i Staff. -LLB- 0-I0 t------------------ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 1(?°o"I-f3 Site Address: 1751 1-753 i7S5 1757 ltd-Ilo C;cc.ld Unit#: Date: Phone: t Name: Resident/ i 9 Owner 1 Address / City / Zip: I Applicant is: Owner Contractor i Description of work: Type of Work g Construction Cost: i 50 0 Multi-Family Building: (Yes I No ) Company: Dc-\-, oeA!-e- Acr- F + ~Ic~rian Contacct- 4O Dckr ~ t,~ C3 L~ 1 ~r~ : Cax Z)r d City: i r nn4 rmlr.~ Contractor Address: State: 01 A) Zip: Phone: 5 - 29ao I ,t License #:)~--9Lv 5 `t Lead Certificate A t~3 T- - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Y 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: 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. 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 ~K Uc cActr X Applicant's Printed Name Applicant's Signature Page 1 of 3 , . Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: i sJ� J s I City of �a��� � � ��. �� � � Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 � Date Received: "��:P� � � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I �--------------����� / 2015 RESIDENTIAL BUILDING PER�VIIT APPLICATION C--' �.�-�> Date: ` -� �a� � � Site Address: ��53 �'U"� ��l I �r:v�' Unit#: � 1� Name: ����s TR,9� ��...� Phone:9J�'1-���-�ys� Address/City/Zip: ' Applicant is: Owner �Contractor Description of work: 8a--7"� �Q-�`*�GO��- � � Construction Cost: � 3,o0 o Multi-Family Building:(Yes K /No ) company: Q�Q��- Dcc��G /QeS��-'�•b,-� _Contact: �b- ��-�r' Address: ���f ��.--, S� w' _City: S�'�(c.�Q�L�- State:��/ Zip:5�'�o�- Phone: ��'3��3y�(%�nnail:b�`��co�a,�/cr�s 7�'�al�•b^��'�`•-`s;�,c'�,., License#: QG ���5'�� Lead Certificate #:/��T' FI�B 53� ' � If the project is exempt from lead certification, please explain why: (see Pac�e 3 for additional information) � � � COMPLETE THIS AREA ONLY IF CONSTRUCTI�JG A NEW BUI�DING 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: 5ewer&Water Contractor: � ` 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.goaherstateonecall.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 iis 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�SE�uilding Code must be completed within 180 days of permit issuance. / �/ _ ��er�" �6�-�"'-� X � X. " ' ApplicanYs Printed Name Appl canYs ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE t ����� • SUB TYPES l� �� f 1�1 �� �-��� \J'� _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous � 01 of�Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior �Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � Occupancy G�� MCES System �-- Plan Review � Code Edition O/ SAC Units �-. (25%_100%_) Zoning R-g City Water -- Census Code �j/��{ Stories "` Booster Pump '"" #of Units � Square Feet "' PRV -- #of Buildings � Length �- Fire Suppression Required �-- Type of Construction � Width --� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) � Final /No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final � Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control ._-n--~�'" Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �Z, ,� � �O � (�.�G � Base Fee �� � Surcharge Plan Review y? MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132058 Date Issued:07/22/2015 Permit Category:ePermit Site Address: 1753 Bluebill Dr Lot:3 Block: 03 Addition: Town View 1st PID:10-77100-03-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Wells Fargo Bank Na Mac X2303-033 3rd Floor Des Moines IA 50328 (417) 766-0091 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature • ci,(61 For Office Use • ; ; • Permit#: 7 T1 ••� •�•• Permit Fee: 61 �� �-� flE C EJvE Date Received: D 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 AUG 13 2019 Staff: buildinginspections c�citvofeagan.com ' NW— LX: W_L V: 2019 RESIDENTIAL BUILNWPERMIT APPLICATION Date: Site Address: Unit#: Name: Sandra Rasoumoff/ Melissa Sexton Phone: 763-231-3315 Resident/ 1753 Bluebill Drive, Eagan 55122 Owner Address/City/Zip: Applicant is: Owner ✓ ContractorTO«/7 U t E l sr Type of Work Description of work: Water damage from Pipe burst. Build back Construction Cost: $13,500 Multi-Family Building:(Yes ✓ /No ) Company: Allstar Construction & Maintenance Contact: Tyson Bloch Contractor Address:4970 Lincoln Drive city: Edina State: MN Zip: 55436 Phone: 612-759-0571 Email: tyson@allstartoday.com License#: BC751970 Lead Certificate#: NAT-F198785-1 if the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-pubic if you provide specific reasons that would permit the City to conclude that they aro 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.citvofeaoan.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. 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.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. XTyson Bloch Applicant's Printed Name Applicant's Signature -- g 1tAJII moi / 57r l � DO NOT WRITE BELOW THIS LINE SUB TYPES -)( Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior — Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window �(, Water Damage — Retaining Wall *Demolition of entire building✓✓—give PCA handout to applicant DESCRIPTION 1S/i7D Valuation I Occupancy „i, ' JICES System Plan Review Code Edition 1 SAC Units (25% 1004 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction716— Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) )( Final/No C.O. Required Foundation Foundation Before Backfill " HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final - Framing 1,‘30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS 7c Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: al , Building Inspector RESIDENTIAL FEES Base Fee Surchargeli\., 6--lir Plan Review 0/6 MCES SAC 0 M City SAC Utility Connection Charge S&W Permit&Surcharge C-V L7 Treatment Plant / Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162187 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 1753 Bluebill Dr Lot:3 Block: 03 Addition: Town View 1st PID:10-77100-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Sandra K Rasoumoff 1753 Bluebill Dr Eagan MN 55122 (612) 802-2484 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162187 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 1753 Bluebill Dr Lot:3 Block: 03 Addition: Town View 1st PID:10-77100-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Sandra K Rasoumoff 1753 Bluebill Dr Eagan MN 55122 (612) 802-2484 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166991 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 1753 Bluebill Dr Lot:3 Block: 03 Addition: Town View 1st PID:10-77100-03-030 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 - Victor Avis 1753 Bluebill Dr Eagan MN 55122 (612) 802-2484 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature