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3871 Gold PtCity of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink FQr.Ofce tl54 �/,�C/ Permit #: �1 l iJ(L/ Permit Fee: 9.0 GO Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,° l 0 I Site Address: 3Vst I GO I,1 po ) Tenant Gk k'C_- I ..01 Pero Suite #: RESIDENT / OWNER Name: Ck c)( e_ C,-PAS' e rE o v� Address / City / Zip: -7)(V-1 l Cr o I3Jt\(1. Applicant is: Owner Contractor Phone: TYPE OF WORK Description of work: G Place,mokt Construction Cost: Sj 000 Multi -Family Building: (Yes >( / No CONTRACTOR Name: SO y ,€± C,o f lS • OOP rile License #: 0375 o� Address: S I o I s" City: C 1 01tx, 10 4,r) ( State: 1ti Zip: • Phone: iD " Co,�gco Contact Person: yov I Yl ' 6-tn- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Pia nsand supporting:documents that you submit are considered to, be public information. Portions o the information may be classified as non public if you provide specific reasons that would permit the City to 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 7_7 x 54--" A) Applicants Printed Name Applicants Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pil at ' Knob Road PERMIT NO.: Eagan, MN 55122 Zoning,: DATE: Owner: No. of Units: Address: Site Address: Plumber: — Meter No.: No.: _ Size: Connection Charge: Reader No.: Account Deposit: 1 agree to comply with the City of Ea Permit Fee: an Ordinances. g Surcharge: Misc. Charges: By Total: Date of Ins Dote Paid: p : Ins p.. CITY OF EAGAN SEWER SERVICE PERMIT 3795 Prot Kno b Road Eagan, MN 55122 PERMIT NO.: Zoning: DATE: Owner: _ No. of Units: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Ordinances. Connection Charge: Account Deposit: Permit Fee: By ` " Surcharge: Dote of Ins Misc. Charges: p.: Insp.: Total: Date Paid: Use BLUE or BLACK Ink Date: Oily of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: Permit Fee: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 43 Site Address•crl I Gob 1 Unit #: nnai co`A / Name:�i �a(le K�IM'1'4'S<' � pr. U►r► Sl�l. � t � 'hone: -1, q0%l L° g, l Address/City/Zip: ~n(613 Coolcl P4-., E.,ctrAcu,,, (/J ss(aa Applicant is: Owner ]S_ Contractor Description of work: 1!c7 O"c- I d -e. Construction Cost: d p►D *tit) Multi -Family Building: (Yes / No) ) Company: v" cX C ' i ontact: P cl Yk (J b1- Address: • (� . 2- city: S i Nca Li State: r'` Zip: -r7-14 Lf Phone: tO ra. . License #: SZC3 TLP 1+ 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 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: 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.cioi herstateonecall.oru I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x luive f�V Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan City of Eaan Permit Type: Building Permit Number: EA119389 Date Issued: 11/26/2013 Permit Category: ePermit Site Address: 3871 Gold Pt Lot: 116 Block: 01 Addition: Countryside Villa PID: 10-18350-01-116 Use: Description: Sub Type: Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Juel E Casperson 11101 France Ave S Bloomington MN 55431 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature \'\\0 \OS�s Use BLUE or BLACK Ink 41,1/' City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: C �% ,S 9� Permit Fee: /� J Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 Site Address: ,c -\ \ isv,\c Q \ Unit #: J Resident/ Owner Name: Sv►e\ 44 cncnt'SNi \ CuS c‘ Phone: C1Sa, - ifiSiS - . to1a, Qecse. Address / City / Zip: .5$i1 Gv\c Qlt . F. cA.c\ Mr% SS \a.. Applicant is: Owner X Contractor Typeof Work re. ccsc.we CA,e,d ce Q\cnce \\ w'mc.N.ow% vr,4so Sc.A,ttie_ Description of work: ex� s\\�,o, rotke3c1 oQ ' e%‘ IN c, oo Construction Cost: t(o\(o Multi -Family Building: (Yes / No X ) Contractor Company: Fjtt \ EXIte.c cm. g Contact: V%'3U C110tvs C) n Address: 4s0\'1 t1Icv\\C-\ cue S City: VD\ cocci \ac'1%c:t1 State: Mn Zip: SS \aC� Phone: ciSd-F54S1- \b\3 License #: tbG.00 65 iaH Lead Certificate #: fU q S - , 1''N45 - C. 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building de mugj.be pmpleted within 180 days of permit issuance. x `1c Ch0ttSrC1 Applicant's Printed Name 9 Sewer & Water Contractor: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinoinspections ancitvofeaoan.com EAGAN JUL r s 2020 For Office Use /� G (� Permit #: L 4 C� Permit Fee: ' °-O 90 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '1 • `t ' Z"'v Site Address: 3871 fo ° 14 ?ma* ,fioar&q, MN 4 S S f t 2_ Unit #: 3111 1 Resident/ Owner Name: R•al.d a t 1 a►... rtie- Po:e- Address / City / Zip: 3g'11 coo Id ' r.elt(-- ea,' 4" M ail , Ss 2 Z Phone: CO12-7.11-3t3o Applicant is: Owner IA Contractor Description of work: PCIace •1 wanleas 4 1 Dear M eaac7314.6, oetw,:`01 S Construction Cost: o;i030 Multi -Family Building: (Yes / No ) Company: (3c rj Earc4-V or Contact: 3o Z?+2 /° Address: S1MS rnl .s4-rpa.( I'et4- 544*e1City: N►e41e P(.4: ti State: Pi ik) Zip: sS 3 5 1 Phone: 7de 3 r 2 8 4 - Email: J a4►..ar b ee'sa..+ertse$ mi cap". 3 %'12- License #: S E- 3 Z'i 21 " f Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Fire Suppression Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.comisubscribe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wii out 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. x John .- Ofii"r Applicant's Printed Name ican PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169833 Date Issued:06/10/2021 Permit Category:ePermit Site Address: 3871 Gold Pt Lot:116 Block: 01 Addition: Countryside Villa PID:10-18350-01-116 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 - Buffie Investmentgroup Llc 1561 Rustic Hills Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature