3782 Red Robin Lane
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Use BLUE or BLACK Ink
For Office Use I
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City of Eap 1 Permit
1 Permit Fee:
3830 Pilot Knob Road I ~a I
Eagan MN 55122 t Date Received:.
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Phone: (651) 675-5675 t t
Fax: (651) 675-5694 1 Safi' -a
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: iQ "-95-13 Site Address: ~J7"7a? 3-2Wo0 377$ 3 28o, 378a, 37$'u -Unit
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Name: Phone:
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Resident/
Owner Address / City / Zip:
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Applicant is: Owner Contractor
Type of Work Description of work: cc, is • n4y
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Construction Cost: 5 1 od Multi-Family Building: (Yes t No )
€ ! Company: Contact: 1 "'0' C>R
i Address: City: 3, Inc-,)C
Contractor
State. f f Zip: ~5 3 `>S j Phone: 1116 ~1 - ' f Gy " 09ac)
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License 06L`¢ c1 Lead Certificate #
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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:
MOTE: Plans and supporting documents that you submit are considered to be public information Portions of
t 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 Call at (651) 454-0002 for protechon against underground utility damage. Gall 48 hours
before you intend to dig to receive locates of underground utilities
I hereby acknowledge that this information is complete and accwate. the work w.ll be n 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.
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Applicant's Printed Name Applicant's Signature
Page 9 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139533
Date Issued:10/27/2016
Permit Category:ePermit
Site Address: 3782 Red Robin Lane
Lot:5 Block: 17 Addition: Town View 1st
PID:10-77100-17-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Brian R Keefe
3782 Red Robin Lane
Eagan MN 55122
Premier Window Professionals Inc
3897 Danbury Tr
Eagan MN 55123
(612) 363-3914
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153913
Date Issued:02/01/2019
Permit Category:ePermit
Site Address: 3782 Red Robin Lane
Lot:5 Block: 17 Addition: Town View 1st
PID:10-77100-17-050
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.
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 -
Brian R Keefe
3782 Red Robin Lane
Eagan MN 55122
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature