3820 Willow Way411*
City otBaQen
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Nfiia
Permit* T/(2 99q
1
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION a
Date: ^ � -.d S Site Address: :38/x, / ' A 0 ac, 2, cat tto C.J 4 Y
Tenant:
Suite #:
RESIDENT 1 OWNER
Name: 4114,Ci 4-7, .-) F..:.4 + a//%L fr 1 L-`' T Phone: l l0 3 - Yid" -
Address 1 City / Zip: '7° A R E . f%JN L.91.4 1 kb /01A)
Applicant is:
Owner X Contractor
S5'3//
TYPE OF WORK
Description of work: /'a AIX-- 4. £, c" -t 1' 70'
Construction Cost: g, 600 Multi -Family Budding: (Yes k / No )
CONTRACTOR
Name: es/ El2..oi2
License # Y, //
Address; S/03 • ip COIL 5!- ---
State: /20A) Zip: S—C-`// 7
Contact Person: ) 4 V £ !t -/s
City: 1'7 PLS
Phone: b/Z- $!o/-- G 2V 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 — Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Energy Code
Category
of submission type)
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor Phone:
Phone:
NOPE: PlartA;'and suppc tlf0,dOGuig pts that you submit are considered tci:be .public inforn atlon. Portions of
the mforrnadon may G(gss�ff/ed as non-public if you provide specific reasons that Would permit the City to
I: a cr s..
'conc.lcida`that t, hey ar trade se et
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 01 ans.
x t 4 ✓. '
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
1NIVW d0Id31X3 I3S L9Z9I98ZI9 50:ET 600Z/Z0/60
L9E9T98ET9
CityofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use ����
Permit #: 40. to Co
Permit Fee:
Date Received:
Staff:
45- z9z
199
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0141-Y i9 i.2 She Address: 3VG, 311 / 8, 3 8:t e , 3 S'2 Z cJ «c w ! j
,..
•; RESIDENT r.
("INNER -•, .
Name: c% A s 504-1 -'7-1 .J P �.4.J 4 r 44L. "0 4, 7 --;Phone: 7 4, 3 - 141 3
74- 7
Address / city /zip: 7 02.1. z. ..c% 5/444/ Jea /41315,41:. a.2o r .S3//
.
Applicant is: Owner X Contractor
T ` 1.'•`.. I
T'fpE:;.:..:
QF 11N( .
Description of work: 7+/o a. QX•2c uF 0 w L`c. i ..s 4, R.010 f.-- 0.a L y
Construction Cost 7, 4/ULA. Da Multi -Family Building; (Yes S / Na
)
C ON7' 7'OIR'',
•
Company: !fie/ Z'x 7.-42iGI. 2 /447$07-. deaP,, Contact: &w>r (t3� r'‘- r41
Address: yo s— /3. 10o rbc S`r, City: /SPG S ,.
State: M A Zip: SZ—V/ 9 Phone: 6 IA -• 8 4I , 6 2.4/ 3
License #: a -- .7 4/1/ 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: - Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: R 044" $if,!p 1a
.heanfVit,800:::F Cd:tion,001lc:ff,-.00vde:'• ,cdc ��if��Gh �o0lea
..,.QCi` .a
•
. . :-.,... A 6RIBtthey'ftear4ie.4ecret$."'`: i': ...- , ..
.
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454.0002 far protedion agaInst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecal ,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 won( 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 8uiidir3p»Cpde must be completed within 160
days of permit issuance.
x $vip aup-ai.;
Applicant's Printed Name
t'0 39dd
Applicant's Signature
Page 1 of 3
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Pt 19 PEttMi` . NIA 44.4t l Q
a ` 7, 90121 1 DATE. •
Toning: 4 Mo. of Utdt$:
1 ,un tTi�ikf
car: `.0 X+R" son '
t $fte dress; 3 fl t4. xxr r &y 'Gig 1 B1 triaF ill. 1 4th
Mato Nch,: F r Cennectien Ckc . "4 70 .00_, 0_, , pct
Size: ` Account Deposit: 15.00 p
Reader Nio.• . > P ermit Fee; 14. Cti pd
i .50 pd
1 agree to covosply wifir the City of Eason Surchorgat ,
orb sonar. Misc. barges 6 •0 0 pd
rotor. ' & horn
8Y r Dote Paid
p i
°ate' of insp;' �'���r!! E+Sp•r
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' EAGA $ '.
o. 21 . 199 PERMIT NO: ,,r
E E, it �i � .
Zoni No. of Uni , t s
l t t'$ e
s ". - a . ■ :t ` t .- ._- ...-- -• --- S r.
• Address i i
Site A 3820 Will t ow ay X461' ,111.: 14 Hill 4th _ .,
' max:.
GerLZ Ryan i
4 1125/84 4 f9� i , i t 0.130 pd a.
I ogres to eomply wit.' the r of legion Connection Charge: 4 5 . 40 • t f k poait:
drdtnenOrdinances. ' Account Permit, Fee: 1 � & • t+ Pd ..,
Surcharge: 50 Ed
By Misc. Charges:
Dote `� Totoi:
insp.: e �_. l a.S' 6.f g Dote Pai
Use BLUE or BLACK Ink
1 _ -
For Office Use /
j Permit e:
MY of Eatan I Pearnh Fee:
3630 Pilot Knob Road
Eagan MN 65122 Date Received: j
Phone: (651) 6755675 i~
Fax: (661) 6766694 I I
I - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
babe: /1 /3 Bite Address: `3S 1 (o , g I T, 1816, 3 ? A 11 W11-Lei',.9 JOY units:
Name: A1.4^1 <i b £ /•t ,s:. r C. Phone: 7 3 - S ! 3 - 9 '7 710.
Resid.~nt1
Owher Addms / City / Zip: Sso Q t ewYu Q Av, Al\, A Coc6ta£~ 11i-Ll.E r IWA)
. Ss' yx 7
Applicant is: _ Owner Contractor
Type.at.:Wc R DewAption ofwwk: (4-6-f- a- RE PI-4-c->: ~%d ~ w► b a >~,~-sc.~a :m-rO4
Construction cost; do • CrO Multi-Family Building: (Yes ~ / No
Company: g E J r £.~i c 2 IY~ieti ~T . Cv p Contact I)A+~ r p Q`' ~ S
coqtmctor Address: IVo.s' CO &,D) r. City: n? PL S
State: Zip: 5S'`// /r Phone: lv/ - to / Co Z X13
License m x 4
/ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 6UILOINt3
In the last 12 months, has the City of Eagan inued 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: iris~yjtgr
i~i►ibrntattfon ~°Y~+►iRr1id
CAS BEFORE YOU DIG. Call Gopher Sh ter One Call at (691) 454-0082 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utl", v6ww.gopherstateonecall.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
a0m; that I understand this is not a permit, but only an application forreawpermit, and work is not to start without a penult; that the work will be in
accOrdance wttn the approved plan in the case of work which requires a vie entl approval of plans.
Exterior work authorked by a building permit issued In acconlankas with the Minnesota State Building Code must be cote leted within 180
days of permit issusnw. p
~aV,
Applicanre Printed Name X
AppllcanCs Signature
Page 1 of 3
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Use BLUE or BLACK Ink
f;or Office use
Poynas; i I ~~FI
of &qan t~+~5
Dbenit Fee:
am PNOt Knob Road I I
Eagan UN 55122 I hate Re=Wd: ~ 3 ~ t I
Phofw: (601) 6704676 I
Fate (661) 67"664 I I
2413 RESIDENTIAL BUILDING PERMIT APPLICATION
Data. / o - i i3 Site Addnt 9: Uf , 38/ p . 32,L0 . 3~:i:Z (A..j,41_O W LJp4 r Unit#:
Names 'V& R C r V j4 AJ 4 le 4M LAJi xa C Phone: 7t'oI -.s'r 3- 9 7 70
Address / City ! Zip: V S0 c G W-r--u Q 491 AJ A (ao1. ~l -9 V" U*
•J~ ~ AJ
Appiftnt is; Owner Contr=tor
Downption ofwork: '7'£.4Q oAF't a• 2E - Po=F
Consttudion Cost 7th, crc Multi-Famly Building: (Yes k' ! No I
Company!E ) Sim r-t2Io,t' /947.a L..arG.lp Co' I~tAVi d Ts%1PR.R 5
-I
Addn3ss yo S W 6 ~ > . Chy: /h PL S
State: ✓VJJ zp SS'Sr/ 9 Phone: &,.I
Licanea;le read Cerfiiieate d
If the project is eXMPt from lead cerdfif~rdvn, please explain why; (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In !!w fast 12 monnta, hae ttte City of ftgan Issued a permit for a similar plan based on a mas*r plan?
_Yes _.I'lo If yes, date and addreas of mwW plan:
Licsnaed Plumber per,
Machaamw Contraction; Phone:
Eswsr I>< 1NaoEtr Cot>,>~tor,
No Phone:
tlFle4j.
Y M • Ca Godwr &me One Cep St r
tD 49 t0 fwgv-b f p~ Z for QIt Of) a"198Y~t tl~iQeV(OWIf~ UdrrQl dflffl~@. ( 1{$ to=
wWarw~o InMd tttllWL iWLN ..r
I hereby actawWWge dmt this inlott WOW is LO
Ft~C that I undeMMW is not a Damn X"P °;1tWt the v,** Wdl be in cor~Eoenattaa with dre orglaanoes and codes of the of
+ccordar►tc wLn the wvp+ou.d pin in ms 0s0 a a andvm*~ no to sun %idud a pwrMt #w the WWk VA be kv
"Wked by bsmwm a bWldltVPermit issued In M wHdt ttw Minne9oel State Mcligp Code must be
days of P$Mdt
oanplitod wlWn 180
~~~~e, ~uma is
ApPltcaM's PHntaed teatne
A"UcWs SlgrwMm
+ Pa9a 100
9
ZO/TO 39Cd 1NIVW 1X3 139 L9Z9T98ZT9 ZT:60 ETOZ/TE/0T
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150495
Date Issued:07/11/2018
Permit Category:ePermit
Site Address: 3820 Willow Way
Lot:61 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-610
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 -
Bradley Calhoun
3820 Willow Way
Eagan MN 55122
(701) 200-0163
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature