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3802 Heather DrDate: Qtyofaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 616.5875 Fax: (651) 6756694 Use BLUE or BLACK Ink For Office Use Permittlk r�' Permit Fie: 105- �R 5 Date Received: _ L1 I t , slat 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9 — Site Addmes: 3 1 E l%,-9 `rN E-,2 ReaildenU Owner Unit of Name: e/b "4e /4150.1 46MtEai +"-I C. Phone: 763 - s F3.- 977O Address / City / Zip: SSo D 4'4 `r1.12 A✓, . 1A 6046 14.42 r /0A) SS- in 7 Applicant is: Owner KContractor Description of worlc: °b /1 C l - C.� r., 6 Q F^' S^ Construction Cost Muni -Family Building: (Yes • / No Company: E 1 &" r Cie/ o 2 ir%d-i ia-r . 2121211. Contact 6,4 ✓ 0 aoft—ad S Address: QGS' LJ (O state: rIAS zip: 5s -vi 9 City: /Yl Pc. 5 Phone: 1p/ ,Z- g ,/—L.24(3 License #: 2 if/ / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (11-146.S. 13) N) Y Po S -' / S 7 r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILmG In the last 12 months, has the City of Eagan issued a permit for a similar plan based en a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: y id ri%r� enibA f 1 �, 4r oga """'rS•., jC..X a ir�l!'.'.,, R: y, �V:•`.; CAL- BEFOR€ YOU 019. CaII Gopher State One Call at (651) 454.0002 for protection against underground udllty damage. Call 48 hours befam you intend to dig to receive locates of underground utilities, www.aoehersbteonacaU.orq I hereby acknow4edge 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 1 understand this is not a permit, but only an application for a pork, and wort is not to start without a aril: that the work will be in accordance vim the approved plan In the case of erotic which requires a review and approval of plans. Sxterlor work authorized by a building permit issued in accordance with the Minnesota Stats semi code must be cornpletad within lee days of permit issuance. x Applicant's Printed Name Applicant% Signature £Z/9I 39Vd page 1 of 9 1NIdW 1X3 I39 L9Z9t98ZI9 LZ:bt btOZ/II/U0 CASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCCEI V ED AMOUNT $ I & DOLLARS 1 oo ? CASH ? CHECK FOR White-Payers Copy Yeilow-Posting Copy Pink-File Copy ThaQk You o?' ?'' + ' By / CITY OF EAGAN Remarks Addition BRIAR HIL 4TH ADDN Lot 4 Rik 2 Parcel 10-14993-040-02 Owner • srrPPt 3808 HEATHER DRIVE Gra*q EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 1975 [j70 . bg 7. O7 10 . 1 Adll 8 3- -83 I?I?I?RIT? Street 1984 227.78 245.56 5 1227.78 C008584 10-11-83 **Sewer Lateral ?6Z 1984 2136.20 427.24 5 2136.20 " " SAN SEW TRUNK 1968 29.60 .99 30 13. 2 A011 8 3- -83 SEWERLATERAL TRK y 1983 237.37 23.74 10 213.64 *SEWER LATERAL 1971 32.42 1.62 20 11.36 **WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATER AREA 1977 59.19 3.95 15 1.61 ADll 8 3-7-83 **Stubs 1984 5 STORM SEW TRK -93 J 1984 323.50 64.70 5 323.50 C008S84 10-11-83 *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREET,GMM 1009 1986 153.70 15.37 10 , o c- O-? ? - JR5 R 240.00 31768 - -$2 WATER CONN. 420.00 it BUILDING PER. SAC n n PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 3 elk Z Parcel 10-14993-030-02 Owner Street 3806 HEATHER DRIVE State EAGAN NIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 102- 19'J Paid Cl 1 )arce STR E ET R ESTO R. Z?V 1975 ??.(9 7.07 jQ .1 A011 --P &!???Rli?l?t STreet B 1984 1277.78 245.56 5 1227.78 C 08586 10-11-83 **Sewer Lateral 2 1984 2136.20 427.24 5 2136.2 11 of SAN SEW TRUNK 1968 29.60 . .99 30 13.92 A0119 79 --8 SEWER LATERAL TRK Z 1983 237.37 23.74 10 213.64 iT it *SEWER LATERAL 107 1971 32.42 1.62 20 11.36 " " **WATERMAIN 1984 5 * WATER LATERAL 1971 ZO WATERAREA 1977 59.19 3.95 15 1.61 A011979 -8 **STubs 1984 5 STORM SEW TRK 1 1984 323.50 64.70 5 323.50 C008586 10-11-83 * STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 5 CURB & GUTTER SIdEWALK STREET 1009 1986 153.70 15.37 10 ROAD UNIT 240.00 31768 9-9-82 WATER CONN. 420.00 if it BUILDING PER. 7495 5AC n n PARK CITY UF EAGAN Remarks Addition ERIAR HILL 4TH ADDN Lot 2 slk 2 Parcel 10-14993-020-02 Owner Street 38 04 HEATHER DRIVE gtate EAGAAI NAi 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 Paid Ulld OTl inal Y'Cel STREETRESTOR. 1975 70.69 7.07 10 JiglRM Street 1984 1227.78 245.56 5 982.23 A013555 2-16-84 ** r La al 1984 2136.20 427,24 5 1708.96 " " SAN SEW TRUNK 1968 29.60 .99 30 12.94 " " SEWERLATERAL TRK Z 1983 237.37 23.74 10 189.91 *SEWER LATERAL 1971 32.42 1.62 20 9,74 **WATERMAIN 1984 5 WATER LATERAL 1 1 O WATER AREA 1977 59.19 3.95 15 27.67 A013555 2-16-84 **STubs 1984 S STORMSEW TRK 1984 323.50 64.70 5 255.80 A013555 2-16-84 STORM 5EW LAT 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIOEWALK STREET-l64C*4W- 1009 1986 153.70 15.37 10 ROAD UNIT 240.00 31768 --82 WATER CONN. 420.00 BUILDING PER. SAC n n PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 1 Blk 2 Parcel 10-14993-010-02 Owner street 3802 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. /( 1971 Paid i]I1& r original arce STREETRESTOR. 1975 70.69 7,07 10 7.15 A012593 8-9-83 MRIQ'? Street 3 1984 1227.78 245.56 S 1227.78 C008608 10-11-83 **Sewer Lateral $ ? 1984 2136.20 427.24 5 2136.20 " " SAN SEW TRUNK 1968 29.60 .99 30 13.92 A012593 8-9-83 SEWERLATERAL TRK17,5 1983 237.37 23.74 10 213.64 11 to *SEWER LATERAL 1971 32.42 1.62 20 11.36 " " **WATERMAIN 19$4 5 ATER LATERAL WATEF AREA 1977 59.19 3.95 15 _9_83 **Stubs 1984 5 STORMSEW TRK 93 1984 323.50 64.70 S 323.50 C008608 10-11-83 TORM SEW LAT 1971 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWAIK STREET L-NOW 1009 1986 153.70 15.37 10 0 240.00 31768 - -82 WATER CONN, 420.00 it it BUILDING PER. 749-1 5AC 525.00 It it PARK Receipt ' PLUMBING PERMIT Permit No. , CITY OF EAGAN Fee Fill in numbered spacea , S/C Type or Print /epiWy Tot 1. Date - ' ? - 2. Installation Cost ? 3. Job Address '' - ????P' f?F' • Lot ?. Bik. ?-' Tract 4. Owner T -f ?&.? 5. Contractor Phone .2 6. Address r" ? c !? ?- ? -? ? Tic r 7 •` / 7. City State r\,N Zip _ Tc'K-b 8. Building Type: Residential 6 Commercial ? Institutional O 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures ool/Drainfield Cess ? Bath tubs p tic T Se k - Lavatory p an Softner ShOwer W e 1 I ? Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains % •? ,,1.?? c Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all ordinances and codes governing this type of work. - / Signed : ] C_.- e? L.-'? - j! or i'; f Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT CITY OF EAGAN I Fill in numbered spacea TypE or Print /eyibly t No. Fae S/C ? Tot- ' 1. Date 2. Installation Cost •? . ? `: - ' 3. Job Address ?? ?? T. ?• ;?.,,? . Lot Blk. ? Tract 4. Owner n./ G L 5. Contractor Phone ' 6. Address ' -t' f r . ? ! 7. City t', State ?'''> '? Zip 8. BuildingType: Residential U- ' Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Describe 1 11• No. -- Fixtures Water Closet No. Fixtures Ces ool/Drainfield ? Bath tubs gp Septic Tank '- Lavatory S ft Shower ner o Well ? Kitchen Sink Urinal/Bidet Oth Laundry Tray er / - ? (, ., . -+ .. - f, . ., Floor Drains = 7,) ,• v r : f' ? Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned: ..-=: ;:.?- C ': -?,' for{" - ,.. . /'A- yrJo? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 ? Receipt - - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered s,oaces S/C Type or Print /egibly Tot -T 1. Date 2. Installation Cost 3. Job Addresa Lot ? Blk. ? Tract ; ., 4. Owner J- Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 17 Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. Epuinment STU • M. Ea. Forced Air No. Equipment CFM dli Ai H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved C1TY OF EAGAN 454-8100 Receipt - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee -- Fill in numbered spaces S/C Type or Print /egib/y Tot. ' 1. Date,,: 2. Instal lation Cost j, - ? 3. Job Address: Y" -LotBlk. ?. Tract - • ?; - . -, , .. 4. Owner -- 5. 6. Address Phone 7. City ' State Zip _ 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add 0 Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment 8TU - M. Ea. Forced Air - ' ' No. Epuipment CFM Ai H i Mfg. r ng: andl Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed"? ' , foir Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Reoeipt PLUMSlNG PERMIT Permit No. CITY OF EAGAN ?. Fee Fill in numbered spaces ,I-,•=S/C Type or Prini legibly ,f Tot. 1. Date 2. Installation Cost ' - -• ?,/, .'f;' • i; , , .. . 3. Job Address LotqBlk. - Tract ? 4. Owner 5. Contractor Phone f l? ??., c• .-?? 1. ?! . ? I 6. Address J..)< . 1 7. City ?` _•- n,. u.?? State Zip c< : 8. Building 7ype: Residential L? Commercial ? Institutional ? 9. Work Description: IVew ? Add ? After O Repair O 10. Describe 1]. No. ? Fixtures Water Closet No. Fixtures Cesspop1/Drainfield ? Bath tubs Se tic Tank ' Lavatory p Softner Shower We{f ? Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. SIoR Sink Gas Piping Outlets r 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and ' codes governing this type of work. Signed : f; '. ; "./ for Rougl+ Final Inspectians: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt -? MECHANICAL PERMIT Permit No. ?- ? CITY OF EAGAN Fee fi/l in numbered spaces Type or Print legibty S/C - Tot, 1. Date 2. Installation Cost A s-'t L J B k 3 , r °Z T . . ob ddres ot l , . . ract 4. Owner , , i' 5. Contracior l Phone ' . - , 6. Address IX ' 7. City , State _ Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. Type No. F.q.uipment STU - M. Ea. Forced Air No. Epuipment CFM Ai H dli Mfg. ? r an ng: Boilers Mech Exhaust Mfg. . Unit Heater Mfg. Other Air Cond. Mfg. • Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? INSPEC I ON REC4RD i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 ' ? , f . .. ' SITE ADDRESS: APPLICANT: ? t+K 111li 1-I 1 t l 4111 , t n! r 1 6 4 i' <?Ei;'! ?: :.• ?_???1??? PERMIT SUBTYPE: TYPE OF WORK: KFPA I I. nu N Cft1 F"1 CfIM itr rt nr?t /'.???t? M nA MA 6 1 n I Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Commenis FOOTINGS FOUND FRAMING ROOFING V ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt - PLUMBING PERMIT Permit No, CITY OF EAGAN Fee fill in numbered spaces S/C ,. Type or Print /egibly Tot . ? 1, Date ?- 2 -L- 2. Installation Cost . , 3. Job Address Lot / Blk. Z Tract i/•/! ? 4. Owner 1.5?? LC),A ? 5. Contractor ?)X' Phone 6. Address 7_: 7. City ?C State (V1 ?J • Zip J G6-?L, 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess i ool/Dr field ? Bath tubs p a n Septic Tank LavatorY Softner Shower Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu , 12. I hereby certify that the above information is true and oorrect, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : Z ` for , : i.? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? Receipt MECHANICAL PERMIT ^ 1 Permit Na , CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y T ot. 1, Date,,- i:-V 2. Installation Cost 3. Job Address Lot ? Blk 2- Tract . ? 4. Owner . 5. Contractor . ' • Phone ? 6. Address 7, City State Zip S. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alier ? Repair El I 10. Describe 1 11• Fuel Type No, Equipment STU - M. Ea. Forced Air No. Equipment CFM Ai H dl Mfg. r an ing: Boilers Mfg. Mech. Exhaust Unit Heater Mf9. qther Air Cond, Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when num6ered and approved. Approved CITY OF EAGAN 454-8100 BUILDING PERMIT 9795 Pllof Receipt # To M wmd for D Est. Value Dote , 19 Site Addreu b ? Erett (3 Occupancy Lot Black Sec/Sub. 2-1 i` IL Alter p Zoning parcel # ' ?- Repair ? Fire Zone T Enlarge ? ype of Consc. W t`l4^1e ?+" `' Move ? # Stories ? /lddress v• Demolish p Length [-;*„ 3 s: 55122 4.? 3 6rade f-i Depth 6 Sq. Ft. ? o Nnme ? ?? /1c}drett ? r^;.., Nome 1 hereby ucknowledge thot I hove read this opplicotion ond state that the inlormotion is tarrett nnd agree to comply with all opplicoble Srate of Minnesota Stotutea and City of Eogan Ordinonces. Signoture of Permittee A Building Permif is issued ta oll work sholl be done in occordnnce with all applicable CITY OF EAGAN Knob Reod Eogon, MN 55122 PNONEs 454-8100 Assessment Water & Sew. Police Fire Enfl. Planner Council Bldg. Off. APC Permit Surcho rge Plon check SAC Woter Conn. Woter Meter Rood Unit Totol on the express condition thot y of Eagan Ordinances. Buitdinp Officicl I Permit No. I Permit Holder I Misc. Permit No. I Holder Plumbing ? H.V.A.C. I 3 31.-7 Id"cc"tz,--"rl ?r ?cr-?--zI I 1 Electric I1421 Footinpt Insulation Well Sawsr Disp. BU[?_DING PERMIT cinr oF EAGAN 3795 Pilot Kno? Reod Eogon, MN 55122 PHONEs 454.8100 Receipt # SiM Addross 4 ' c:, Lot BI«k °t Sec/Sub. rl- ? 1]. Parcel # a W Name _ ; /lddress b Nome _ /,ddress r?.., I hereby acknowledge that I have read this applicotion ond state tMt the informafion is correct and ogree fo comply with all npplicoble Stofe of Minnesoto Stotutes and City of Eagon Ordinances. Slpnaturc of Permittea A Bullding Permlt fs issued to: oll work sholl be done in occordonce with oll opplicoble State of Mir Buildinfl Officiol ? Eroct ? Occuponcy Alter 0 Zoninp ' Repoir 0 Fira Zone Enlarye ? Type of Const. Move ? # Stories Demolish 6rade ? ? Length Depth -? Sq. Ft. Aporo vols Fees Assessment _ Woter & Sew. Police Fire En0• Plonner Council Bldy. aff. _ APC Permit Surcho rpe Plan check 5AC Water Conn.'? Water Meter Road Unit Totol on tha exprcss tondition thnt ond City of Eoqon Ordinonces. Permit No. Permit Holdsr Misc. Permit No. Holder Plumbinp - .jzB- GF?z ? ?-29-e"Z H.V.A.C. Wall Watar Disp. Sewer Elsctric I?ction Date Insp. Other Footiogc Foundstion Freminp Rouph PI6p. I RouQh HVA Inwlation Final Plby. Final HVAC -- .. r ?- Final Wahr D"aibe Loption: YVell . Sswe? Pr. DNp. ' • ? ? 3795 'ilet Kn, . _ • P BUILDIIVG PERMIT 1 of 4 FLEX Road Eayse, MN 55122 49: 454-8100 Receiat # Site Addrcss ? - ? Lot Block Sec/Sub. ' - , Parcel # . °? oc Narrro W Z3 AddreSS b °C Nome ` ?u Address Nome /lddreu I hereby ocknowledge that 1 hove reod this opplicetion and stote that fF?e informotion is wrreCt and ogree to comply with all applicoble Stots of Minnesota Stotutes ond City of Eagon Ordinonces. Slynoture of Permittee A Bullding Permit is Issued to: oll work sholl be done in atcordance wlth all epplimble Stote of Min Buildinp Official Erecr p /11ter ? Repoir ? Enlorge p Move ? Demolish p Occupancy 1r. Zoninp Fire Zax Type of Const. # Stories Length Depth Sq. Ft. Fees Assessment Water 8 Sew. Police Firo Er?0• Plonner Ccuncil Bldg. Off. APC Perrriit Surcharfle Plan check SAC Water Conn. Water Meter Road Unir Totol r ? 1 on the express condltian ihal end City of Eapon Ordinances. Permit No. Permit Holder Misc. Psrmit No. Holder Plum6ing 3C7Z-7 6? n z K- 4/` H.V.A.C. -2j3? Well Watar Disp. Sftwar Eiactric ? Z (3q ? 0.? ?- Iz -20- ImpeRion Date Insp. pther Foocioys Foundation Framinp ? ? • Rouph Plbp. Rouqh HVA Inwlation Finsl Ptbp, ? Finsl HVAC Final Watsr Describe Loeation: Vw11 ? Sewsr CITY OF EAGAN 3795 Pilof Knob Rood Eagon, MN 55122 Zoning: . Owner: Address: Site Address: Plumber. -_ ?°gme bemPh with tke Gity of Eagan Qrdinanees. By Dote of I nsp.: I nsp.: Connection Charge: Account Deposit: Permit Fee: Surchorge: Misc. Chorges: Totol: Drrca Paid: ?ITY °f IK''`"?+ WATER SERVICE PERMIT 3795 Pilot Knob Roed Ea90n. r1AN 55122 PERMIT NO.: Zoning: - DATE: Owner: No. of Units: t '" _ _ ?,- Address: Site Address; •,- Plumber. Meter No.: Size: Connection Chorge: G ":' l Reader No.: Account Depasit; 1 agree Fo po?uRly wi? ?e ? ?? h' a"n Permit Fee: Surchorge: . Ordfeonees, l4lisc. Charges: ey Totol: Date of In sp" aote Paid: '-- CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Ecgan, MN 55122 DATE: Zoning: ' No. of Units: - Owner: Address: - Site Address: i / ' , lelt ?, er -Y i • - ^ - , i ] 1 Piumber: Meter No.: Connection Charge: ;' ? _ Size: Account De posit: Reader No.: Permit Fee: ( egree to c°e"piJ" wifh H+a Gh' of Eagan $urchorge: Ordinanees, Misc. Ciwrges: • Total: BY Date Paid: Date of Insp.; ; ?ns p SEINER SERVICE PERMIT cirY oF EAGaN 3795 PiloF Knob Rosd PERMIT NO.: Eayae, MN 65122 DATE: _ t ttt'.'ist:= i -•? Zoning: . No. of Units: Owner: ' = - - - Add : ress SiYe Address: Pl b um er: ^ f ' 1:)0.00 ;?('. 1 agree ta aomply wifh Aa City of Eagan Connection Chorge: Crdinoneas. Attaunt DepOSit: Permit Fee: Surchorge: gy Mist. Charges: Date of Insp.: Total: Insp.: Date Paid: ' CITY OF EA6AN WATER SERVICE PERMTi 3795 Pilot Knob Rood PERMIT NO.: Ea-jcn. MN 55122 DATE: ,.? c No. of Units: Zoning: °-_ -- Owner: Address: _t- • YT r^ Site Address: Piumber: ' rc Connection Charge: Meter No.: S?? Account Deposit: . r' Reader No.: Permit Fee: . I agree to eomplp with the Ciey of Eagan Surcharge: Misc. Charges: Ordinancss. ToTal: B Dute Poid: y Date of (nsp.. I nsp" CITY OF EAGAN 3795 Pilot Knob Roud Eogan, :fv1N 55122 _ Address: :eader No.: agree to Complp wiHh the Ciry of Eagan of Insp.: WATER SE PERMIT NO.: DATE: _ No. of Units: F; ,.. . Connection Charge: Accourrt Deposit: Permit Fee: Sarchorge: - . r Misc. Charges: Total: Date Paid: CITY 6f EAGAN SEWER SERVICE PERMIT 3795 Pilot Keob Rood PERMIT NO.: Eagan, MN 55122 DqTE: Zoning: No, of Units: ? Owner; Address: Site Address: Plumber: J ? ? 1 agree to eomply with the City of Eagan Connection Chorge: ' Ordinanees. Account Deposit: Permit Fee: Surtharge: By Misc. Cfiorges: Dote of Insp.: i Total: Insp.: ?- Dcte Paid: SEWER SERVICE PERMIT c?rr oF ?,acaN 3795 Pilot Keob Road PERMIT NO.: 5122 DATE: Eogon, MN 5 Zoning: No. of Units: O wner: Address: 3(1: ij6 heatlier ?'rive .i 1?? , •'? ' Site Address: - ? . ? l b er: um P . . I og?ea M eompip wllh the City of Eogan Connedion Chorye: "`'•'l Ordirwnees. Acrnunt Deposit: - - Pennit Fee. Surcharge: gy Misc. Chorges: - Date of I nsp.: Total: k Insp.: Date Pcid: L f Receipt ? PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered Waces S/C Type or Print /egib/y Tot. 1. Date ? 2, installation Cost ?., .. 3. Job Address -. ' A. 1.R . li?•. Lot ! Blk. ? Tract 1-` i ` 4. Owner j - ? ?,1?q?f? i 5. Contractor WATER CD?i tl?lDIT?? s. Address 702 Excelsior Ave. E. 1 M"HAAR-Sula 5S143 7. C,tY RAiJ880 ziP 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New )6 Add 0 Alter O Repair ? 10. Describe 11. No. Fixiures Water Closet No. Fixtures l/D i fi Cess ld Bath tubs poo ra n e Se k ti T Lavatory an p c ft S Shower ner o Wel I Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. - Slop Sink Gas Piping Outlets ---- - 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes goveming this type of work? Signed : for •.? ' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 crnr oF EAaAN 7795 rilaf Keeb Rood Eeyan, MN 55122 f' AHONEi 454-8100 B.UILDING PERMIT Receipt # Te be wed ier Est. Value Dote , 19 Site Address g Ercct p Occupancy Lot Blxk a Sec/Sub. Alter ? Zoniny ? pamel # oZ Repoir Q Firc Zone E nlarpe ? Type of Consf. W Na'T'Q Move ? # Stories ; /lddros s Demolish ? Length b Gfi, .• i i: .. Ph?.,,. -- 7:i Grode ? Depth Sq. Ft. q NOrra ? •. ApPfOYOIf O ?< /?dfliS /?ISilSSfl1lflt ? Ci Phone Woter & Sew. ? Police ?c ?Z N°m° Fin UC, /lddress Eng, i W Ct Phone Plonner Council I hereby acknowled9e thot 1 have reod this opplication ond sture that gldp. Oft. the intormation is correcf ond ogree to comply with oll opplicoble ^PC Stota of Minnesoto Stotutes and City of Eagan Ordinonces. Sipnoturc of Permittee Permit Surchorye Plon check SAC - Water Conn. Woter Meter Rood Unit Total 1 ? r: ? - ? r) A Building Pemiit is issued to: .' i° <'=- ` an the exprcss condiHon that oll work sholt be done in accordorxe with oll oppliwble Stote of Minnesota Statutes ond City of Eapan Ordinonces. Bulldiny Officfal Parmit No. Permit Holdsr Misc. Permit No. Holder PlumbinQ H.V.A.C. -3 lU C£c?ric ?n i-79 WNI 'ap. R rie 1,J Z l 3q 3 0.?'1-E r- 1 Z- z.? -$2- Inspection Date Insp. Othsr Footingt f ? ! Foundstfon Framin9 Rouph P16q. Rouph HVA Inwlation Final Plbg. Final HVAC Finel ? Waut Wscribe Location: YVell $evNr V Pr. Disp. , REQUEST FOR ELECTRICAL INSPECTION ,?-„ EB-aoooi.oa ` See instmctions for completing lhis torm on beck at Yellow copy. G?M 1393 ? "` "X" Below -Work Covered by This Request 3'3 '`-j S') J Add Rep: TyOe ot BuilJing Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader InAustrial 81dg. Air Conditioner Bulk Milk Tank Fafm Other peci v. O*hm (Sper,ity) 1 Br $uecify Othcr Othpr Cnmpute Inspection Fee Below B Fee Service Entrance5iza p Fee Feeders/SabfeAders N Fae Circuits Q 0 to 100 Am s 0 to 30 Am s 0 tn 30 Am 101 to 200 qmps 31 to 100qmps D D 31 [0 100 Am s Above 200 qmps Above 100-Amps Above 700_Amps Transformers Remote Control Circ. Partial%Other ee Signs Special Inspection 5 TOT Remarks O S FEE __ > ? / Rough-in I, the ricnl ??_3b Insoectoqheraby Final ° ?? j Date 5 -/i ?5- certify ihat the ebuve inspection has baen d a. pai Tnis ,eouest Vwd 18 nanlhs trom This ruquest void `-y I g I O Ck-, a 3 3 S Sj 18 ?unths Gom '? 21393 ?3r?4c? j??tl ??-k 1 z0,60 Reqifesf"f?f?? ? , Fire No. Fouph-in Insuection Fecpuired? ? e s No Dfleady Nu ? WiII Notifv Inspec- «.r When Ready icensed EI¢eVical ConGactor ? I hareby request inspection ol above Owner elactricnl work instelled aL Sveet Address, eo: or Route No. 390.2 3go4 3?o(o o Nea?w, Ur<<-t Gtv E? k+- ec"on a. Towns iu Name ur N. onge No. County 1 G DI`'` Occupn?t i INTJ / A> & Phone No. e il3L z4Q¢iLCJ Powar Supplier ' O 64 C 0; E?eC?r iG Address rh a Elecfr'cal Contractor ICompany Name) f h- c Contractor's License No. 7 6/10 3 ct ?r c i ; - Mailine O.tldress ICon[ractor or Owner MakinB Instailationl 51G S Authoriz d Sia tur IContracmr Ownar Makina Insta I ion Phone Number d.?,.. ec 8 D-365 MIN ESOTA STATE BOARD P ELECTNICITY . THIS INSPECTION REQUEST WILL NOT Gri09s-Mitlwey Bldg. - floom N-191 - BE ACCEPTEO BY THE STATE BOABD 1821 University Ave., St Peul, MN 55104 ' - UNLESS PPOPEN INSPECTION FEE IS e.___ 1a1e? onv v111 . ENCLOSED. Ttr#ifirtttt nf (Orrupttnry Citp uf Cagan 13rpartment rrf Building Jnsprrfinn Tbit Cati ficate iatucd purnennt to the nqurremrnu of Sertion 306 of the Uniform Baild'mg Corlr ceriifyirtg that ut the timc of ittuantt tbit rtrtature wat iq tomplianct witb the vcriout ordinanret of the City rrgaJating buiWing ror+nrrapon or urr. Fa the following: U.cb..fi? 1 of 4 PLEX 7496 o-wayivw R3 Tyy,c?n= V Fnzo,. NA z?ewwM PD R3 p,,,K„f&,Ddj.aTnllefcon Builders „a, 1655 Norwood Dr., Eagan e,eam,eaa.m3808 Heather Drive ?;,?,ot 4,B1-ock 2,Briar Hill z??? ft 4th Bwm?,o?w ??_ .7anuary 28, 1983 .d.. ?. , ..K„?,. .?.?. ?ert't#irtt#r uf (?rrixpttnr? titp of Cagan Brpttrtmmt o# Buil??itul 3ttsprdimt Tbir Certi/itatt issucd purtu4tu to the rtquircmnau o f Sation 306 of tbr Uniform Building Codr nrtifring that at the timr o( irtaanut tbit ttructu+t wut is tompliana witb the variotu ordinanrecaf tlxCitysegrrlatingbaaldingronsburtionorurr. Forthe follounng: U„C?m 1 of 4 PLEX m4P„o„,Na 7495 Q? Tya R3 7y,o,C?,;,o V FmZ NA Z.,,;ao?, (PD) R3 O?,f?fti Tollefson Builders Aaa. 1655 Norwood Dr. , EAgan 7,UAL- ft February 25, 1983 ? wa: .a.. 1. . ..a,. .? Trx#ifira#t nf (Orrupttnry QLitp of tagan 19rpttrtmrnt of iguild'mg lnsprrliim Tbrt Certi fitate rnuul Purtuant to tbt requinmrnu of Sertion 306 of t!x Uniform Building Code cati fying that at the timr af istuantt tbit tdttrture wai in rompleuncr wirh tbr varioru ordina,uaoftheCityngulotingbuildingronrtruuionorura Forehefollowing: uwC? 1 of 4 PLEX 7493 &d6. pe'mix Na. OowWs1Yv= R3 7Ywcom?rim V FinT NA zowsm?,(PD R3 - o,,,,??.?` Tollefson Builders eaa„n1655 Norwood Dr., EaQan e?A?-... 3802 Heather Drive ?„?I.ot 1,Block 2,Briar Hill i.?i, z2L\11 By July 29, 1983 .a.. „ . ?....<. ..,'. d1„ _" CITY OF EAGAN 3793 Pllot Kneb Raad Eogan, MN 55132 NU 7496 PHONE: 431-8100 BUILDING PERMIT Receipt # 3 Te M wsd 1e. 1 Of 4 PLEX Est. Volue $36, 000 Dare septembei 9_ 1 q 82- Site Address 3808 Heather Dsive Lot 4 Block a s,cis.b. Briarh3.11 4th Pa,cel # 10 14993 040 Oa c J Name 'lbllefson Bu1lSers z qddross 1655 Norwvod Drive r:... E89an 55122 w...__ 454-6873 o Name _ ?? u Addrass r .-:... Name _ Address 1 hereby ackrwwledge that I have reod fhis apPlication ond state thaf the inlormation is correcf and ogree to comply with all opplicoble 51ate of Minnesota $fotutes and City of Eagan Ordinonces. Sipnofure of PermiMee A Building Permil Is Issued to: TolZE oll work sholl be done in accordan[e with all Buildinp Officiai Ered $? Occuponcy R-3 Alter ? Zoning (PD) R-3 Repoir ? Flre Zone NA Enlarge ? TvVe of Consf. V Move ? * Stories Demolish ? Leng[h 44 Grade ? Oepth 26 Sq. Ft.- Approvals Fees Assessment _ Water & Sew. Police - Fire Enp. Planner _ Coundl _ Bldg. Off. _ APC Permit «U.UU Surchorge 18.00 Plan check 110.00 5AC 525.00 . Water Conn.420.00 Water Meter 60.00 Road Unit 240.Otl TMOI $7504_00 ?=8 i' on the express condifion thni of Minn . ta? and City of Eagan Ordirwnces. CITY OF EAGAN 3795 ?ilof Knob Road Ea9an, MN 55137 N9 4 94 'PHON[s 454-8100 BUILDING PERMIT Receipt to bs oaad !or 1 of 4 PLEX Est. Voiue $36.000 Date o a^te+^be+' o -,1982- Sita Addreu 3804 8P.8thBT DTiVe Erect $J Occupancy R-3 Lot Z Block 2 Sec/Sub. Bri8=hill 4th Alter ? Zoning (PD) R-3 parcel # 10 14993 020 Q'd- Repair ? Flre Zone NA E l f V T f C n orge ? ons . ype o c Name 'ibllefsoa BuilBera µove ? # Stories ; Address 1655 NoYNOOd Ilrive Uemolish ? Length 44 b c; Eagan 55122 pho,K 454-6873 Gmde ? Depth ? Sq. Ft.- ? 0 Name Owner ADOrwals faee ??? Address f Nome _ Address I here6y ocknowledge that I have read this application and state that fhe informotion is correct and agree to wmply with all applicoble Sfote of Minnesoto Stntutes ond Ciry of Eagan Ordirronces. $ipnafure of Permittee A Building Pertnit Is iuued to: 7bilefson oll work sholl be done in octordarKa with oll Buildirg Officiol Asseumenf _ Woter & $ew. Police - Fire Erg. Plunner _ Councll _ Bldg. Oif. _ APC Permit 220.00 Surcharge 18.00 Plan check 110.00 5qC 525.00 Water Conn&20 _ On Water Meter 60.00 Raad Unit 240_on 7oeal $1593.00 _ on the express condition Ihnt City of Eagan Ordinancea. CiTY OF EAGAN 3793 Pilot Knob Rood Eegee, MN PNONFs 454-8100 BUILWWG PERMIT ss122 N° 7495 Recelpt ?.` ?Z) 76y, Te M wed fer 1 of 4 PLEX Esf. Value $36,000 Date SO pteMbeY 9 , 19-ax- Sih Address -??b?lEBLhPS DT fY@ Erect M( Occupancy a-3 Lot 3 Blxk -2- Sec/Su6. Briarhill 4th qlter ? Zoning ( PD) R'3 Peme1 # 10 14993 030 Oa Repolr ? Fire Zona NA l E T f C V n arge ? onst. ype o W Name 7ts],lefsna SuilAe ra Move ? # Srories ? Address' 1655 NoYtJOOd Dri ve Demolish ? Length 44 - :2? Ci 8n 55122 phom 454 6873 6mde ? Depth Sq. Ft.- Q Nome OWner Approvak Fees f AddreSt Citv _ r ?W Nnma _ ? Addrese I hereby acknowledge that I have reod fhis applicotion and stote that fhe information is correcf ond agree to wmply with all applicoble $tote of Minnesota $tafutes ond City of Eagan Ordirwnces. Signoture of Permittee Assessmenl Woter & Sew. Police Fir. Enp. Plonner CaunCil Bldg. Off. , APC Permit ""•"" Surcharge 18.00 Plnn check 110.00 snc 525.00 Water Conn!4 20.00 Woter Meter 60.00 Road Unit 240.00 Totol $1592,n? A 8uilding Permit Iz issued M: To11@SSOA SUSldB on the express condition thal oll work shall be done in acmrdarxe with all opplicable Srot Minnes t S, i s Ciry of agan Ordinonces. Buildinp Offlcial ?E?1 . ` CITY OF EAGAN .. . 3793 Pilet Ke'ob Road Eapen, MN SS122 Na 7493 FNONE: 451-0100 BUILDNG PERMIT Receipt # 5?? Ta 'M wsd hr 1 of 4 PLEX Est. Valua $36,000 Date ? RtaMbeY' 9 , 19-82-- Site Address 38019eathex Dr1ve Erect gg Occupanty R-3 Lot 1 el«k a Sec/Sub. Bri8rhi11 4th Alter ? Zoning (PD) R-3 parcel # 10 14993 010 Oa Repoir ? Flre Zone NA V EnlaNe ? TYPB of Canst . m W Nam 1b118f80A BUild6Y'8 Move ? # Srories ; Address 1655 NorwOOd BIiVe Demolish ? Length 44 a Ci E8qan 55122 phone 454-6873 Grade ? Depth 26 Sq. Ft.- p Name ownei ApprmaM Feea -4 A ? Addrea ssezsment Woter 8 Sew. Cit Phone G? Police ?w Name Fire 1, -v, Address Erp. <'Z" CI phone Planner Councfl I hereby acknowledge that I hwe read this opplicotion ond state thot gldg. Off. tha in(ormution is wrrect and ogree to comply with ull opplicoble Stata ot Minrwsoto Statutes ond City of Eagan Ordirwnces. APC Sipnoturo of Permittee A Building Permlt Is issued to: To11BI$OII Sllilfli all vrork sholl be done in accordonce with oll a State of Bulldirq Officlol pplicob ?? B. I Permit Acv.uv SurcFarpe 18•00 Plon check 110.00 SAC 525.00 Water Conn420. QO Worer Meter 60.00 Road Unit 240_f1(1 Total 4 754a_f1p _ on the expresa condition tlun City of Eapon Ordinances. ? 2004 RESIDENTIAL MECAANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 S 1 Please comple[e for: single family dwellings & tovmhomes/condos when permits are required for each unit Date II / I (-p /-L4- Site Address 3? ?"?C P_?1?7? ? r• Unit # Property Owner ? u(n ?.fl rryat-46_ ,., 1'"1 Telephone #( LF->I , - - -- - - Contractor Wohlers Southslde Htg. & Air, Inc. 6950 W. 146' St., #106 Street Address Apple Valley, MN 55124 City i (952) 431-7099 State Telephone # ( ) Bond #: \ L?- ?? -7 q 87 Expires: C? ??TL-T7 The Applicant is _ Owner /? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 -Y--tuFrtace _Additional Replacement air exchanger airconditioner _New _Replacement other r= '---- -` - State Surcharge ?-- ? ii ?,r' I? NOV $ .50 t.,04 ii? B Total Y` j _- "--? I hereby apply for a Residential Mechanical Pemut and acknowledge that the infomiation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, 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. ?s,? ? l-Q-rn-1 <,=?rj-,L'`,cjpFCGCK ApplicanYs nted Name pph t's Signaturec? 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 TelepLone # 651-675-5675 Please complete for: rqmmercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owuer Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicaot is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "*When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plum6ing Inspector Permit Fees: 570.50 Underground tank installation/removal SSOSO Minimum (includes Stare Surcharge) or ContractValue $ x 1% PermitFee • If aermit fee is $1,000 or less, add $.50 => $ State Surcharge If oermit Fee is over $1,000, add $.50 for every $1,000 ermit fee $ Tatal Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. ApplicanYs Printed Name ApplicanYs Signature Approved By: , Inspector MECHANICAL (RESIDENTIAL) C30 ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date ? / // / 03 38r-t- 'O. . Site Address Unit # Property Owner 7polv ? Telephone # ( (Ov/ ) LjL?? "440 34m Contractor L z? ¢ t /? Street Address ?( al1lJ cD Shf"Z7?.y.r? City State ?'1?Z Zip _ $37?_ Telephone# The Applicant is _ Owner )<aontractor _ Other Add-on, modification or alteration to eaisting dwelling unit $ 30.00 X furnace replacement air exchanger ? air conditioner other State Surcharge $ 50 ra t' '1 I -, .i I,l ?l'7 !, I I _ LS ' II 1'otal 1^ AU? ? 2 LL03 Ui ?? ?_..]"' I hereby apply for a Residential Mechanical Permit and acknowledge that the ?,FfdiYVation=is?eamplete-and-accurate; that the work will be in conformance cvith the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a pemut, but only an applicafion for a permit, and work is not to start without a pemrit; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. pn Sc.( .Ojis),n 5<.h U.,k... Applicant's Printed Name A licanYs Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industria] buiidings multi-family buildings when separate pettnits are not required for each dwelling unit Date Site Addeess Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Sheet Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contracror _ Other Work Type _ Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: P¢TO]IL F2¢ $50.50 Minimum Fee (includes State Suroharge) ContractValue $ x .Ol% _ $ PermitFee • If perntit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemtit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that [he information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. AppflcanPs Printed ApplicanPs Signature Approved By: , Inspector Date: PLUMBING (RESIDENTIAL) (? ?S• S? U' or1 LQ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pennits are requued for each unit Date ? / 03 Site Address ?:>() 0Lf- D?1 r""C- Unit # Property Owner o?2+?Vj ' ?,7(CS'ju?? Telephone # ((Dr' ?? ^ ??0 Contractor Git y-- .-? Address City -pf-7 bv- State Zip 7d' Telephone The Applicant is _ Owner ? Conuactnr _ Other Septic System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00 InGudesCountyfee. AdditionalconsulWntfeesmayapply. Alterations To Eaisting Dwelting Uuit, Including $. 00 50 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system )0? Water softener _ Water heater $ 15.00 ? replacement _ addidonal State Surcharge - i i? $ 50 TotBl ? AUG 12 2003 ? $ /?•? 1 hereby apply Sor a Residenrial Plumbing Permit and acknowledge that the ' ormarion is complete and iaccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and jv* the Plumbillg_Codes;_Jthlat I understand this is not a permit, but only an application for a pernut, and work is not to start withoura pernut;°thai the work will be in accordance with the approved plan in the case of work wiilch requires a review and approval of plans. ?? St,.?C?? c.?,,,6C ApplicanYs Printed Name Applicant's Signature PERMIT# s 1P L? S RECEIPTDATE: ? ( OZ 8002 RU1DENTIlkL PLiJMB1Nfi PERM1T APPLICATION crrY og $,e?em S$SO P1LOT KA06 iiD EAHAA, MA 55122 651-691-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for iyigation system SITEADDRESS: '39, OW NER NAME: :_?'?> A-P)RA P- ??BSQ'J TELEPHONE #: 6?U A /?) (AREA CODE) INSTALLER NAME: ??A S TELEPHONE #: p? (ARE CODE) STREET AD RESS: ? lz2 f CITY: G O EP-1 STATE: ZIP:?-?49 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING : _ Adding fixlures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. Water turnaround - e?sting dwelling unit (+ 5/8" meter if needed -$118) r E 7 Other: U G q?A 00 . u ? _ RPZ: new installation/re pair/rebuild $ 30.00 By _ lawn irrigation system ' ReplacemenUadditional: _ water softener _V water heater $ 15.00 State Surcharge $ .50 TOtal $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's respon si bility to notify the property owner that the City of Eagan assumes no liabllity for py damages caus d by ihe Cily during its normal operational and maintenance activities to the facilities constructed under Ihis permit ?In Clty prop rtvl fyr?y/? e nt. 1; I? _ ol SIGNATUREOFPFE ITTEE 1102 "Tallefaan Duildera Inc. Dr.11325-? ti , "` ' 183-1? , .. . $.? p fe: ?•?_-¢a' JACKSON - SURVEYOR'S ,. , . r•eh Yr "? __ . J .'R[OIfT[RLD UMO[R LAWt OI iTA7[ Oi Y11Mfl6TA OGG. 3676 EAST 55th STREET, MIMNEAPOLIS, MN 55417 727-3484 . . ..j a? 9 AULt1[pDr'S CtLtifitHtt ?- ? . f r t r . . . . _.. ?. ? . \ .... . L I ^ C . 7lls? --?'-- _'---- ?63Ji' . ? I I A ',. R ?poPW _ , `, ? ? ' \ - ' j - `; ---- --- - ?, - . ? ?* ? ?? r D i_ t?, I\ I ' • 1.?''/?l?v?: YY4 ? ?'... ?i, *1. }? ?i . • ! I ?y ?, ? •?? ? i . '_L3 V? ?! 2±. _`?; _?71 ? --- --- '- . ' ??}- _ _ -- ?---- - . ; r i +? ??c ?? `s`a{ ?? '. ??'_ _ 3 N? I°?,(• _I `^? V II ? Lr'ive;Yf?,y, I. ( '? i ? ?c"? 1' -- ?? ? it! \', 1 • ' ?? 4.?_'_ _ ' . __-_ _/ 4 2 _83 " _, li n.v ---- -1" 1 ? ? I NEREBY CiRTIFV TXAT TN! l.POVC IS A TRUE AMtD CORqECT Pll.T OF A SURVFY OF ' Lots.1,2,3 and 4,Tilxk 1,Erier Hill 4th. kddition, Dakota County,Minneauu . Preposed Gsragc Flaar.Elev, 102.0 Prapored Easesent Floor Elev. 302.37 Proposed Pirrt Flaar Elev. I09.31 A{ sURV[Y[D fY M[ 24th. TMIt---- IAY O? '?UI1E ..o. 1982 I ? V[O F. C. JACK80N. , 'l?D HB CITY CH' FA!'?Atv* Include 2 sets of plans, 1 site plan w/elevations & HUZIDING PETdr[IT APPLICATiad 1 eet of energy calculatiana. valuation Date f/ ?? site Addrass Blndc ? Sec./Sub. '`f- i ramai o?a o? Wner: -- --- Addnese: CLtY/ZiP C1ode: F7n? {: Add=+ees: /(0 5`3 `% ) U t.u?.xeC ci?/ztp ooae: ? Phate 1: h?55t _ Arc3ti./Hrg. Addse9B: • City/Zip C?ode: , PllOne # : CFFI(E USE CNI.Y ? Yect oocuparx-y Alter zoniny 3 .? Pepair Fise Zone EnlaYge _ lype of Oonst. Move M Stories Dertnl.ish Fmnt ft. Grade Depth ??- ft. APP%NAIS F'II?S ' Assessmstts Pernut ,?23 Water/Sewer Surcharge / ? Police Plan Check ? Fire SAC ?- ElM. Wates Corm. Plaruier Water Meter &0 cbuncil Road Unit ??2 !? Bldq. Off. ? APC 7rnAL I -?' ? z ' 0 0 x 4 ??raa a? b o 3z- ,-? 3 `? Cities Di itg a1 QualitX Control The following image represents the best available image from the original page. 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' i !.'`:'? _ •'R ? / » R .,;.. . ? t;i' . ^ V ? ?i ?..+? rfc :. <, ., ? ., , . ._., ._ _ . . .. . . ? _ A vr.-tf`!/C, ., .es S.5 ry ?'..fl{t •? t ?4 A. S' ?N54?? ? . , ? • " .... .. . • ] ? ???Y , ??? ? e- FERMIT '?'CITYAF EAGAN 3$30 Pilot Knob Road PERMIT TYPE: s u z Lo i rv c Eagan, Minnesota 55122-1897 Permit Number: 033100 (612) 681-4675 Date Issued: 0 9/ 01 / 9 8 SITE ADDRESS: P.S.N.: 10-14993-010-02 3802 HEflTHER OR LO7c 1 BLOCK: 2 BRIAR HILL 4TH DESCRIPTION: REROOF/STORM DAMAGE Bu.i-li4llrPq?c?Permit Type STOFiM DAMAGE 811,?d3.t?t??a?Srk Type REPAIR ,r- 0 do434 ALT. RESZfJENTIAL ?e ANI'?' as r:. ? tflw ,?yP nys?n.- °ar.. ry i ??sc rc a ? ? =a:n c Tf3 ?I1a % =i Z 3 J, P3 a? u6a? ?.IF P??? {?r?fi Ei' ?.°e `.PkiS ;".???? REMARKS: FEE SUMMARY: ?9^T tt'???11'?? - APPl116419827 20142010 ?o NE oN LEWIS 6854A 13TH AVENUE E. 3802 HEATHER DR 3HAKQPEE MN 55979 EAGAN MN 55122 (612) 641-9827 (651)452-2702 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 ?3 I 681_4675 G - New Construction Reauiremants RemodeUReoair Reouirements ? 3 registered sde surveys ? 2 copies M plan ? 2 copias of plans (InGude beam 8 window sizes; poured fnd. Cesign; etc.) ? 2 site surveys (exterior adCkions & tlecks) ? 1 energy calwlations ? 1 energy ralculations for heated atlditions • 3 copies of tree preservaGon plen A IM platted after 711193 - required: _ Yes _ No DATE: no? 31I CONSTRUCTIONCOST; DESCRIP ION OF WORK: IGP ro oT W%, J?)G yv,-c4c& S T ADDRESS: ??'? ? •' `Q? ? / ?'" ' _ LOT: BLOCK: ? SUBD./P.I.D. #: Name: D?Md6u"Sp? "'C W lS Phone#: PROPERTY 1.asc Fust OWNER Street Address: ?piCp 'a- 'f (.?n ? F? - • Ciry E'?C1a State: Zip: ?s I ZZ . Company: 4'e `?Y D i/20&ft' -`, Phone #: a-7 CONTRACTOR Ce? /? /? _ Street Address: ? Ds'{ /'+ ( ?` ??'"? ? License # O / v City ?IlC, f t.FY,e-e2 State: M A-) Zip: 'S ? 37 C7 ARCHITECT/ ENGINEER Company:, Name: Street City State: Sewer & water licensed plumber (new construction onN): and lot change is requested once permit is issued. Zip: Penalty applies when address chang i hereby acknowledge that I have read this appliption and state that the infortnation is cortect and agree to comply with ail appiicabl 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 Phone #: Registration #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Muiti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? O 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq, ft. sq.ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ •- . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Variance % SAC SAC Units (1??? I _? BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 `?-2-9 , --7 -? Foundation Onl New Construction Interior Im rovemen; • SWClurel Plans (2) sets • Architectural Plans (2) sets • Archileclural Plans (2) sets • Civil Plans (2) • SWctu21 Plans (2) • Code Analysis (1) ° • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Malysis (1) " . Landspping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeMalysis (1) " . Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate of Survey (7) • Energy Calwia6ons (1) not aiways' • Soils Report (1) • Spec. Insp. 8 TesGng Schedule (1) " • Elec. Power 8 Lighting Fortn (t) not always" • Meter size must be established • Meler size must be established • Meter size must be eshablished - if applicable • ProjectSpecs (1) 1 • Energy CalculaUons (1) " ! 1 • Electric Power & Lighting Fortn (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protectlon Plan (1)" 1 1 • SailsReport (1) 1 . MGES SAC determination letter . MGES SAC detertnination letter • MC/ES SAC detertnination letter call 651-602-7000 p11 651-602-7 000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota DepaRment of Health - call 651-215-0700 for detai-O !3 DATE ? S' CS WORK TYPE _ NEW X REMODEL CONSTRUCTION COST l SITEADDRESS 3 SQ.? 3 SkCSg k r4ILY T)Y_ 3$6b 3$6Q ? i TENANT NAMEBY Io-' {,J?J?S CdYI d(s, - ,, ftU()L1Yd ?GU'r1T SUITE # FORMER TENANT NAME ? DESCRIPTION OF WORK ?utYb6 + (,sl- 6??- ?ss3 _1 ?? Name: 7 Q)YGN\I,?Ik 1 Y ,, ?41 43 O?YA_ Phone#: PROPERTY Last First OWNER Street Address +A e ()c k 6 r' 1) Y . Ciry C Q?' A.II State m h Zip ?? I ol a Company p V\ 1 k9_. ??Lt C?11:51 • C, Ll . Phone #( IN'j CONTRACTOR StreetAddress: ?i41 4 u n t /-? lJ{. So City State mn Zip S'SI46, ARCHITECT/ ENGINEER Company Phone # ( ) Name Registration # -79 rp? I i9l s ?I I Street Address U Ciry p,'?? - State Zi' u Licensed plumber installina new sewedwater service: Phone #: I hereby acknowladge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: N4(? Updated 110 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? ZI 32 Addition ? ? 33 Alterations ? ? 34 Replacement ? ? 26 Public Facility ? 30 Accessory Bldg. ? 27 Commercial/lndustrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 (Found) Demolish ? 46 Windows/Doors 36 Move Bldg ? 43 . Reroof ^u 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft. sq. ft. sq.ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone Engineering Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit Date/ I /09 /C260q Site Address 3 S 0 g e (" br, , Unit # Property Owner '? /_ ll Telephone # ( ?? ) 3?/ '7 0- IL lS 7 l) ! l ? Contractor 149 Street Address VJ ? S? t?.! • City State ?? • Zip ? Telepho e # ( (?? ) ?o7oZ" t? Sr?- ?P Bond Eapires: The Applicant is _ Owner ? Contractor _ ther Add-on or alteration to eaisting dwelling unit _ _---? $ 30.00 -1--furnace _Additional ?eplacement (n ?S i V _ air exchanger _ air conditioner _New _ Replacement , other I ` kyw?- w _ I ? ? ? u State Surcharge r $ 50 - - / II L'? ? I NOV 1? 2004 I?? v ?? $ I hereby apply for a Residenrial Mechanical Permit and acknowledge that the i?By on i ocs ?-lete ?and accurate; that the work will Ue in conformance with the ordinances and codes of the Ciry oF Eagan and ' Mechanical Codes; that I understand this is not a ut only an application for a pemilt, and work is not to start wi ut a p t; that the work will be in accordance with the appr v plan in the case work wlu? e?res a review and approval p jdt_dw? ApplicanYs Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings mulri-famity buildings when separate pemiits aze not required for each dweliing unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *"When installing/removing underground tank, ca!! for inspection by Flre Marshal and Plumbing Inspecior P¢I'tltit F¢2S: $70.50 Underground [ank ins[a1laHon/removel $50.50 Minimum (includes State Surcharge) or Conhact Value $ x 1% _ $ PernvtFee • If permit fee is $1,000 or less, add $.50 => $ Sbte Surcharge If pemut fee is over $1,000, add $.50 for every $1,000 oemut fee $ Total Fee I hereby apply for a Commercial Mechanical Pemvt 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 with the Mechanical Codes; that I understand tlils is not a pernut, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's P[inted Name AppGcanPs Signature Approved By: , Inspectot Use BLUE or BLACK ink r i For Office Use i -6 P®nnk I 30 Cat of Eap I q5 eAQ r- V-- I Peenit Fee: ' 3830 Pilot Knob Road / I I Eagan MN 55122 o 3 I Date Received: I Phone: (651) 6754675 I Fax: (651) 675.5694 I Staff: j V------ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /5 Site Address: to F Unit Name: 4A ACT /r1 .4 -;J 4 & E I'1'f Z U T T~ C Phone: 7103 --V9 3 ' 9770 Own. r Address / City 1 Zip: 1~ i4 ru,Q At/ A3 Z Applicant is: Owner Contractor i Description of work: T £R2 OFD= a. Q E - ~ ) Type" Construction Cost /-3 , 70 0-' Multi-Family Building: (Yes / No Company: VJ E I £,e r c-e o R N47,,) , &ZP Contact ~ Av i 4 Vac 2R, i 5 Address: //O S- LJ 6 D S> . City: m PL- S State: NAJ Zip: SSS~/ 9 Phone: .2 e/ License C yl 3 / Lead Certificate If the project is exempt from lead Certification, please explain why: (see Page 3 for additional information) &S LJLlLr- IL.r Pos" J Q7 Sr 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: re►rlort« ► + ` 6t' tl j 1 t l, CALL BEFORE YOU DIG. Cap Gopher State Ono Cali at (6S1) 454-0002 for protection against underground utility damage. Cap 48 hours before you intend to dig to receive locates of underground utptiies www.aoohemateonecail.orq i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of Eagan; tiiat I understand this is not a parmit, but only an application for a permit. and work is not to start without a permit that the work vw's be in accordance wPeh the approved plan in the case of work which required a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180 days of permit issuance. It b Av. A gv 2!2 rs xApplicant's Printed Name Applicant's Signature Page 1 of 3 *City otkap 3830 Pilot Knob Road Eagan MN 68122 Phone: (651) 6756676 Fax: (651) 675.6684 Use BLUE or BLACK Ink For Office Use tr>3 Permit 4: 2� Permit Fee: Date Received: Staff, 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A -17-1V Site Address: "1/II, 3 ° /, 3 god, Sog z i4ThN2'Z 6 12.. Unit 0: Re$ident! Owner Name: e /O ,1 c % iThe AI 4 6 .I C.- Address! . - Address! City / Zip: SSo D C.44 T U R. 4V. i3 Applicant is: Owner Contractor Phone: 76 3- S-7 3- 9 7 7 (pOLi�EA :� LY /?A Yype:of,Work. Contractor w••• Ss 1/t 7 Description of work: R>; - c ' a. R z PL 1Kf.- 1' 't AS L 7-4 L. Construction Cost: 14. Y Uu • W Multi -Family Building: (Yesi<. / No Company: £ 1 cf* r X 02 /AO aT . Galt Contact: 640r 0 4..,2QdS Address: 4/19SL lobi' S: , state: /VAS Zip: 5r4/1 rj License a: L 2 Y/ / 3 / City: mPLS Phone: I0i2.' g41/ -402V3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) SLalpS. PoSr' /5"77 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: NOTEp....:,��P{�i,.l.l. f..i,S�/�a�ns the�Infosma Ion.7 dOciarOlgli -000800/04-60014*. as noo pflMdo specpc'ireason* d' tawL�J� ��Ji1�ilA.. '3 ). .... •..;'. , p14[ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.siooherstateonacall,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 1 understand thie 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 whim requires a review and approval of plans. exterior work authorized by a building permit issued in accordance with the Minnesota State Build nLCode must be completed within 180 days or permit issuance. x I) Rya -Cr f Applicant's Printed Name Z0/Z0 3E d x. Applicant's Signature Page 1 of 3 1NICW 1X3 I3S L9Z9T98ZT9 Sty:ST UTOZ/6T/Z0 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150369 Date Issued:07/03/2018 Permit Category:ePermit Site Address: 3802 Heather Dr Lot:1 Block: 02 Addition: Briar Hill 4th PID:10-14993-02-010 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 - Margaret M Marshall 3802 Heather Dr Eagan MN 55122 (651) 331-8589 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature o % , For Office Use • lc/db� %.,„ ‘,. . �� ::::ee: E AGA N 3830 PILOT KNOB ROAD EAGAN, MN 55122 1810 Date Received: (651)675-5675 I TDD:(651)454-8535 FAX:(651)675-5694 Email: buildinginspections(a�citvofeagan.com Staff: Commercial Plan Submittal: eplansta�citvofeagan.com L 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: Site Address: - O2 N ��' Tenant: Suite#: p ® f Name: Phone: (4 5 1 331 �5 59 / 44,9r 3�OZ .. Address/City/Zip: Nt'0• `tom Name: l V 0�t r Tv,L, License#: Co1aCk® .`, Address: l �lQ? (O b..L\ .iAL ck City: dW v�^-� yv�. State: Zip: 6S0.2-1-4 Phone: t JZ-- 2 3� fl �j Contact: Email: moi, .,., RESIDENTIAL 4' T Furnace -1 "` _Air Conditioner Permit Type Air Exchanger fu Heat Pump Other New t Replacement Additional Alteration Demolition . Description of work: pia[ej -cv�vvvc� RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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. 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. Applicant's ✓"' x Applicant's Printed Name „6,54A..:13. pplicant's Signature Required sect gat .:1 wed 4, : ," , : . v ,f r ate Unci . «k d 'x gh In fes44 t r.,-4.04 fi t • r PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169857 Date Issued:06/11/2021 Permit Category:ePermit Site Address: 3802 Heather Dr Lot:1 Block: 02 Addition: Briar Hill 4th PID:10-14993-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Margaret R Marshall 3802 Heather Dr Saint Paul MN 55122--162 (651) 331-8589 Heating & Cooling Consultants Llc 46001 Hardeggers Ln Cleveland MN 56017 (952) 461-5100 Applicant/Permitee: Signature Issued By: Signature