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2061 Bluestone Dr E Parcel Files Cover Sheet Unique ID: 1868 2061 Bluestone Dr E 101670233008 Y CITY OF EAGAN 10941 3830 Pilot Knob Road; P.O. Box 21.119, Eagan, MN 65121 PHONE: 4548100 BUILDING PERMIT Receipt To be sexed fm GARAGE Ea. Value $5® 0.0C~ Date SEPTA ER 1119 B5 SiteAddrares 2061 BLUESTONI; OR ~ Erect 13 Occupancy Lot 33 Block 8 sso~ub. CEM GR.V ~ Remodel ❑ Zoning Repair ❑ Type of Const Parcel No. Addition 12 No. Stories ~.9'IsDB+lli r8ta SO11 30,r-iER Move ❑ Length Name Demolish ❑ Depth Address Int Impr. ❑ Sq. Ft. City Phone 4-3691 install ❑ - 5 Name SAM Appmels won Address Assessment Permit City Phone Water & Sew. Surcharge • 5® a Police Plan Review Name Fire SAC a s~13 Address Eng. WatterConrL City Phone Planner Water Meter ,e Council Road Unit I hereby acknowledge that 1 have read this applicdtion and state that Bldg. Off. 9/11/851 Tr. PL the Information Is correct and agree to comply with all applicable aPC Paaut<s State of Minnesota Statutes m--,A City of Eagan i Var. Date Cop SWnature of PerNttae T H. SM-RCEPFER Total $53.00 A Building Permit Is Issued to. on the express than ~ atkan ' all work slmll be done in accordance with all o "We State of S and City of Eagam Ordinances. A._ Building Offidoi 1 9 ? 3 ~ ~ G . ~ ~ CITY OF EAGAN ~t Remarks Cedgr Grove AC ition Addition Cedar Grove i$ Lot 33 Rik 8Parcel 10 16702 330 08 Owner -6jjhjfr't ` SrArilfb&, street 2061 Bluestone Dry, State Eagan,MN 5 122 Improvement Date Amount Annual Years Pavm rat Receip Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 1 0 .00 2.1 2 Pali. WATERMAI N WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT i CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK INSPECTION RECORD CITY'OF EAGAN PERMITTYPe: 3834 Pilot Knob Read Permit Number:' t Fagan, .MinneMa 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: " t • ; y APPLICANT: ~~pt> ~ ~d ~.~t ,i.~#" R I'' ~=rid ~1 r5t is~-r~, ~ ~ C i PERMIT SUBTYPE: TYPE OF WORK: i i 1ON o R t9A i #$00f INf ti r Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection - Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH' PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL EAGAN TOWNSHIP N. 12'6 BUILDING PERMIT Owner __d Eagan Township Address (presen#) ,,1 d2Q!f'._. ~G Town Hall Builder - - Dale Address DESCRIPTION Stories To Be Used . For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location ` Lot Block ' Addition or Tract This permit does not authorize the- use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT O;TFE PREMISE WHILE THE WORK IS IN PROGRESS This is to certify, that.... L has permission to erect a.__j~ -e- Th the above described premise subject to the provisions of the Building Ordinance for Eagan !township adopted, April 11, .1955 / ZL( Per _C k Chairman of Tnwn Board Buildin ~ g inspector, RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~3830 ~ PILOT KNOB RD - 55122 ~ bY170 I jJ 651-681-4675 Now Construction Reauiromerrts Remodel/Repair Reau~ygg • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calmfans for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations Indicate if hone served by septic system for additons • 3 copies of Tree Preservation Plan it la platted after 7/1/93 • Rim Joist Detail Options selection sheet (burgs with 3 or less units) DATE Q~ VALUATION l , ! JOB SITE ADDRESS MAN IF MULTI-FAMILY BUILDING, HOW MANY UNITS? - PROPERTY OWNER PhA&,~ Z~IZMIW TYPE OF WORK 4U)_5 1A e FIREPLACE(S) _ 0 ` 1 2 D PHONE# 96ai }'`~&~19 21 11,2D . 6an APPLICANT ADDRESS W 5587,3 ZIP CODE PAGER # CELL PHONE # FAX # 9N9 9 5-95~~ NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: - Water Softener Lawn Sprinkler' l _n Water Heater _ No. of R.I. Baths No. of Baths i 321 ~ Mechanical Contractor. Phone # Mechanical System Includes: - Air Conditioning ee: Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OOrrrdi/nances. Signature of Applicant " h - ~^----I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY - O 01 Foundation ❑ 07 05-plex O 13 ' 16-plex Q 20 Poo( ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Parch (3-sea.) ❑ 31; fact. Aft - Mufti ❑ 03 01 of _ piex O 09 07-plex O 17 Garage ❑ 22 PorcWAddn. (4-sea.) O 33 ixxt.'Alt - SF ❑ 04 02-plex O 10 08-plex O 18 Deck 0 23 Porch (screened) 0 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage D 06 04-piex ❑ 12 12-plex Plbg,,.Y or-„_, N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg.. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 WindowstDoors ❑ 34 Replacement Vernolidon (Entim Bldg only) - 01" PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) Plumbing _ Foundation _ HVAC _ Drain Tile Roof Ice & Water Final _ Other Framing _ Pool Ftgs Air/Gas Tests _ Final Fireplace R.I. -Air Test -Final Siding Stucco Stone Insulation _ Windows (ncw/t+eplacemaat) Approved By ; Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN CASHIER: JS TERMINAI NO: 698 DATE: 05/12/98 TIME: 15.50,:06 NAME" WREN BURS INC 4 3r 10 9()01. 2061 BLUESTONE. 112.25 ?155 90101 2061 BLUESTONE" 3.00 w I s Total. Rece-i.; ,t Amount p CR091.6 50 USER ID: JAN _ ,:~K~kjK~~~k~7~:~~k:%c*~~~*%K~K~KjK}K>9;~;~:~K~~K~K~~K~K~~~%K~yK e t 41 . PERMIT GIfi Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031991 (612) 681-4675 Date Issued: 05/12/98 SITE ADDRESS: 2061 BLUESTONE DR E LOT: 33 BLOCK: 8 CEDAR GROVE 3RD P.I.N.: 10-16702-330-08 DESCRIPTION: REROOF B'uildinq Permit Type SF (MISC.) Building Wdr°k Type REPAIR Census Cade 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge 3,00 Total Fee $115.25 CONTRACTOR: - Applicant - ST. LIC OWNER: WREN BLDRS INC 18884952 0004360 KERCHIEL PHYLISS 9218 11TH AVE S 2061 BLUESTONE DR E BLOOMINGTON MN 55420 EAGAN MN 55122 (6,12) 888-4952 (612)686-4639 I hereby acknowledge that .I have read t:hl,; rIpplicat.Lor7 and that the information is correct and agree to compty !,)ith al appli.cnL)I State of Mii Statutes and City of Eagan Ordinances, r L APPLICANTIPERMITEE SIGNATURE ISSUED : SIGNATURE J9 I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: S//'?-~ ~ If- CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: via 61 A,6,' aT 92& o~ LOT: .3 BLOCK: SUED./P.I.D. Name: P Phone PROPERTY Lasf First OWNER Sew Street Address:_o? 46 r SS/22 City ~ State: Zip: Company: Gt/~L~Lv. ~~^G Phone CONTRACTOR y~ g~ S l q 9 ok. Street Address: License # G U City State: Zip:S Y~2 100, ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required I OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Ilf-V Permit Fee ! o?. o? 5 Valuation: $ ~OdD Surcharge 3-00 Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: 5. 016 % SAC SAC Units CITY OF EAGAN NO- 1 0 9 41 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt ?/U To be used for GARAGE Est. Value $ 5 , 0 0 0 Date SEPTEMBER 11 19 85 Site Address 2061 BLUESTONE DR Erect ❑ Occupancy Lot 33 Block 8 Sec/Sub CED GRV 3 Remodel ❑ Zoning . Parcel No. Repair ❑ Type of Const. , Addition IN No. Stories GILBERT H. SCHROEPFER Move ❑ Length Z Name SAME Demolish ❑ Depth z Address Int. Impr. ❑ Sq. Ft. City Phone 454-3891 Install ❑ SAME Approvals Fees ,o Name Su Address Assessment Permit • ~ City Phone Water & Sew. Surcharge 2.50 Police Plan Review wW Name Fire SAC Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that 1 have read this application and state that Bldg. Off. 9/11/85 Tr. PI. the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes arjd City of Eag Or i nces. Var. Date Copies Signature of Permittee Total $53.00 A Building Permit is issued to: G L RT H . ROEPFER on the express condition that all work shall be done in accordance with all a9 cable AState inn o S tutes and City of Eagan Ordinances. A- Building Official 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2'SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF . CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF SET OF 'ENERGY CALCULATIONS ENERGY CALCULATIONS: $2,000 LANDSCAPE BOND (~fi.P~caE To Be Used For: Valuation: Date: J Site Address D OFFICE USE ONLY Lot _ Block lltc- Erect Occupancy Remodel Zoning, Parcel/Sub -8 Repair Type of Const Addition # of Stories Owner c I VAE lk " lCH RQE E FFA Move Length Demolish Depth Address LUC-RMhE Int.Impr. Sq Ft Install City/ Zip Code ~4 C~ ~31~,. t ~'4. Phone APPROVALS FEES Contractor ~iP~MG Assessments Permit 50, Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone k TA, Yj/ Y l II ? i i e i 4 f 7 0 ~ Z Q V6) 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan / ^ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd - Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd - Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - incticate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy calculations On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date 10 Construction Cost rgooo Site Address (gyp 1 Bl wtj cme 5- Unit/Ste # Description of Work, Multi-Family Bldg _ Y ko'~N Fireplace(s) t0 - 1 - 2 Property Owner P L Ua^-Pr-P Telephone # ((p.S7) Contractor Lk /p 8mff-4 ' 15' l'ut Address I I ® LJ MG;, 3 A City State M)U Zip %071 Telephone # (9Sa) 75T- ~ 5'33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 76:70 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (~l submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer /Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. f, Applicant's P ted Name Appli t'S Si ature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - Y - N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd - Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required Y _ N 1 set of Energy Calculations On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7!1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date c "7 Construction Cost ~o C,c Site Address cs L u L- 57 v uy G -i.• Unit/Ste # Description of Work ' S i E Multi-Family Bldg - Y N Fireplace(s) Z O _ 1 _ 2 Property Owner C A- 2 H A -2E ti Telephone ) Contractor V,4 "TS A, rL 3 -r H L 2 s c ~ p s i Address 110 L J , yti A r ~J S T. City -A b ~ 6- State 0~ t~,i Zip 5 6) o -7 f Telephone # (~i S a) 5 - 3 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeo1y 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ` of Eagan and the State of MN Statutes; 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. _-----7 j~ 0 CL Applicant's Printed Name Appli nt's ignature I~ DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 ' Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types Demolish Interior ❑ 44 Siding ❑ 3 38 ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) - Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water _ Final Pool Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search _ Copies Other Total Use BLUE or BLACK Ink For Office Use 4 j Permit I' City of Ean~tl I 05_ A r Permit Fee: 3830 Pilot Knob Road I ' I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I ~n I Fax: (651) 675-5694 1 Staff. 0P I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 Site Address: oz& I E( A~~ Unit Name: Phone: t7 ' - 0 Resident/ t Owner Address/ City/Zip: Applicant is; Owner Contractor i Type of Work Description of work: _RE - ~f Construction Cost: Multi-Family Building: (Yes / No x Contact: IV\ Company: Va &tlv_vt2- ~ Contractor Address: Y D ~o 06f[461-1 5F 5u I +c 4 City: 5 VI) State: )AA ~ Zip: 55 . Phone: 2.5 ~ - / ~ ) 2 j License BIIC- 14 Lead Certificate i ~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) W €~t!) fi S d i Ty e-, 264 ~b A l1-~L~ " 5 i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a _Yes _No If yes, date and address of master plan: a } Licensed Plumber: Phone: Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: i 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 I conclude that they are trade secrets. 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.gooherstateonecall.ora 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 Minneso State Bui ding Cod st be completed within 180 days of~ermit issuanc p r X v/ X Applicant's Printed Nanje Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163034 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 2061 Bluestone Dr E Lot:33 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-330 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, Mark Anderson at (952) 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 - Paul Hansen 3900 Riverton Ave Eagan MN 55122 (612) 877-0029 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:EA163035 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 2061 Bluestone Dr E Lot:33 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-330 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 - Paul Hansen 3900 Riverton Ave Eagan MN 55122 (612) 877-0029 Heating & Cooling Consultants Llc 46001 Hardeggers Ln Cleveland MN 56017 (952) 461-5100 Applicant/Permitee: Signature Issued By: Signature