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3723 South Hills Way SEWER SERVICE PERMIT nLtAaE•Q? EAaAN 2620 3795 Pilaf Knob Road PERMIT NO.: - 10/21/75 Eagan, MN 55122 DATE: 1 R1, No. of Units: Zoning: H. Gustafson D • Owner: Address: 3723 So r -211 Hills Wav r tnt Site Address: Plumber: A25.00 Fd 1 agree to comply with the Village of Eagan Connection Chazge. Account Deposit: Ordinances. Permit Fee: 10"00 Pd Surcharge: 50 Pd Misc. Charges: By. Total: Date of Insp.: Date Paid: Insp.: VIL! AGE 0.' EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1862 Eagan, MN 55122 DATE: 10/21/75 Zoning: Ril No. of Units: 1 Owner: D. H. Gustafson Address: Site Address: 3723 So. Hills Way L1B1 So Hills 1st Plumber: D. H. Gustafson r Meter No.: a7.-e'0 Connection Charge 160-00 I A _ Size: Account Deposit: _ - - Reader No.: Permit Fee: t Q-00 Pd I agree to comply with t Wage of Eagan Surcharge: _. 50 pd Ordinon I Misc. Charges: 60 00 pd C / Total: 11.30 Pd By Date Paid: Date of Insp.: Insp.: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1-.111 1 It I 3830 Pilot Knob Road Permit Number: 0"H i 01 Eagan, Minnesota 55122-1897 Date Issued: E> (612) 681-4675 SITE ADDRESS: APPLICANT: ++>> ! tt Ii 1 I I t, 0AY , ! 1 1 Kom ( 1 N+1 I N1. 11 41-1H PERMIT SUBTYPE: TYPE OF WORK: 1 1 P A 114 (A001-1Mfii Permit No. Permit Holder Date Telephone tt ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST F.)UGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL i q !JJ BSMT R 1. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks mo r) c, o weal 61 Addition SOUTH HILLS Lot 15 Blk -?_ Owner reet 3723 So. Hills Way Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING i7 1973 1.88 58.19 10 P d o7 -/O •' SAN SEW TRUNK J6 1971 146.46 7.32 20 Paid -/o - * SEWER LATERAL 30.2 1975 2.29501 153.02 - G WATERMAIN WATER LATERAL 1975 15 WATER AREA 1972 239.22 11.96 20 Paid Aq/--?4 21?4 -2 - 129 A, - STORM SEW TRK * STORM SEW LAT 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 16o.oo BUILDING PER. SAC 425-00 PARK CITY of EAGAN BUILDING PERMIT Owner Lt, ".. Address (present) ............ .•?..!................ ............................. Builder .... Address .. 0 iw N2 3697 3795 Pilot Knob Road Eagan, Minnesota 55123 454-8100 Dale ......-.a 9.-.7J ...... 8torias To Be Used For _Fron! Depth Heigh! Est. Cos! Permit Fes Remarks ' 3-/ lt-G ?01 A2 :? Street, Road or other DOsCriptiOn or Location Lot 13100k 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 Of THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that .... AI..P:._.`.'?"? .... ...............has permission to erect a........... ?:!^: °?.a...` :? ..`........ upon the above described premise subject to the provisions of all applicable Ordinances for the Ci of Eagan. ? .. ....` ..... .......................... Per ...................................................................................................... ............................ ..... ...... Mayo Building Inspector i' /ss-i .S CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: Air _ The City of Eagan hereby grants to SPetz & Berg Inc. of 6417 Penn Ave. So., Mpls. 55420 a PLUMING Permit for: (Owner) D. H. Gustafson _ at 3723 So. Hilb way , pursuant to application dated 10/9/75 Fee Paid: $20.00 dated this 20 day of October , 19 75. .50 s/c Building Inspector Mechanical Permits: h411 /S B:td Total: /S-/ CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: S. /v//- 746 The City of Eagan hereby grants to A. Binder & Son Inc. of 120 E. Butler Ave., West St. Paul a II4aTINc . Permit for: (Owner) r U MPAa133en at 1793 South trills 17ag , pursuant to application dated 10/10/78 Fee Paid: $20.00 dated this 21 day of October , 19 75 .50 s/c Building Inspector Mechanical Permits: Bid Total: ' PERMIT NO....X?-..`..3G Y/ Eagan Township Dakota County, Minnesota Date -- ---SRS`-'?=-----f 9 7 Application for Building Permit Type of building or work contemplated. Circle correct descriptions. Residential Commercial Industrial Bull Enlarge Alter Repair Dimensfon.._31 X 6 0'T? Details or remarks ............................................ Location Install Move Wreck Other.--.--.-- Cost-- ? n-?---•> Number Street Between what cross streets Size Est. Valuation S? / /?'? s --,1. Lof Block Ad ion Rearrangement or Tract %S -? Sou`t k ?j ?ijzSf ,?? e A,7 Ownez .?:_ - ?%.V- -f.4F5-° ...N_/} Url A. %Di'Address rr ConiracSor ..'-----------------------....----°-----.........-........-....-----....-.....--- Addzess s`°- S d-? 7- --------- - ' ` ?i`Q°` The undersigned hereby makes application for a permit to $ do work as herein specified, agreeing to do all work in strict Total fee collected. accordance with the building o i nce adopted April 11, 55 by the Eagan Township Board f u ervisors. s / r e and fees era not /J ///?/ //?,.??'? /? l/ ??L^? refundable. /??,?, y / 1 /-?...- .-•- / /?' .......--. Signe This request void / Is 18 months from l Q l ((o I D il A 074539 L15 6o1 50 A- I Illt? `t o .oo Request Date Oct. 15, 1984 Fire No. RRa etlylnspemion Beady Now Q Will Nolity Insoeo- ?yes Xl[]No for when Ready ® Licensed Electrical Contractor 1 hereby request inspection of above 13 Owner electrical work installed at: Street Address, Box or Route No. City 3723 So. Hills Way Eagan action NO. Township Name or No. Range No. County a Ohkot Occupant (PRINT) Phone4le, 078 i 7 Fredrick Hauenstein 4 Power Supplier Address Electrical Contractor (Company Name) geye No. ConyLac?7'Op4 o U J Corrigan Electric Co. Mailing Address (Contractor or Owner Making Installation) P.O. Box 475 Rosemount, Minn. 55068 Auth r zed Signature ontra or OwnerlMaking Installation) Phone Number 423-1131 1 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE ARD OF -191 11C IT . BE ACCEPTED BY THE STATE BOARD 1821 University ABldgve... , St. PaRoomu$. MN . MIN 65106 UNLESS PROPER INSPECTION FEE IS 1821 l ENCLOSED. Ph.- 18121 297.2111 E REQUEST FOR ELECTRICAL INSPECTION j1M ES-00001-04 See instructions for complatirq this. form on back of yellow eopV• A X-" Below Work Covered by This Request Add Sep. Type of SW Wool, Appliances Wired Equipment Wired XX Home Ranne Temporary Service fe kM k Fee r Service Entre me Size r # Fee Feeders rSubleeders # Fee Circuits 0to 200 Amps 0to 30 Amps Z. 30 Am Above 20Q-Am ps 31 to 100 Amps . 31 to 100 A s Swimming Pool Above 100Am Above 100_Am s Transformers Irrigation Booms Partial 'Other Fee Signs Special Inspection L 10.50 I TOTAL FEE? ¢rerks / /O Date 1. the Electrical Inspector. hereby certify that the above inspection has been request vold 18 t JR . , t M'$ll,SMA:XSHUk7kM%kY(i MSS"?F??KOKM7W$i?NOK$SYFXSYSJK?X?'FMiX`A'.X<$SM>XM CITY OF E:AGAN (:AE:,HIER: S TERMINAL N0: 24 I'ATE:: 09/03/96 TIME. 14x45".35 ID: NAME. ROBE:RTS RESIDENTIAL I E:MOD INC 32tO 8001. 3723 SO H..LS WA 87.25 2155 9001 3723 SO HLLS WA 2.00 Total Receipt Amount., 09.25 USER ID: NANCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING 028735 09/03/96 SITE ADDRESS: 3723 SOUTH HILLS WAY LOT: 15 BLOCK: 1 SOUTH HILLS 1ST P.I.N.: 10-70790-150-01 DESCRIPTION: l REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee f (ROOFING) uiiding`Permit Type SF (MISC.) Building Wank Type REPAIR Census Code `, 434 ALT. RESIDENTIAL $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: ROBERTS RES REMODELING INC 18944148 0006885 WILSON WADE 13114 OTTAWA CT 3723 SOUTH HILLS WAY. SAVAGE MN 55378 EAGAN MN 55123 (612) 894-4148 (612)452-5874 I i I hereby acknowledge that I have read this application and stage that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE fi la 9v m ISSUED B : SI ATU CITY OF EAGAN 3830 PILOT KNOB RD - 55122 144M1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements RemodellReoair Reauirements ? 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 healed additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: xba?/9io CONSTRUCTION COST: -V 0o- DESCRIPTION OF WORK: r'/e''j Ra STREET ADDRESS: d LOT_ BLOCK 37.23 s o k i t, g c y s SUBD./P.I.D. #: V/ot, Q PROPERTY Name:-4,o^- tt LS O h 11 /( Phone #: '?S-? -sue 7 y? OWNER FAST Street Address: -32- 3 Souk 1? <L s tvQ, City: moo" State: Zip: Ss Q z CONTRACTOR Company: ",T1 j P S PP,7%¢L Qamo?e? Phone #: dJ?S 6 Street Address: l3/iy ar7?"wd r License # : City: Sqvd,?o State: /fin Zip: SS3?? ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 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. Signature of Applicant: n ,??? OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE VA r ?oal ? 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 o 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) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee S-7a6- Surcharge 07.0-0 Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAW Permit SAW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: . ff as Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units MASTER CARD LOCATION STRUCTURE f LAND USED ASD is X j ?„ d, y Q N? Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK S WELL ELECTRICAL HEATING GAS INSTALLING c SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING pI /" I> SEPTIC FOUNDATION - -') CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING 1LLi /L DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: OF INSPECTION 11 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require. ments for off-site improvements relating to the property inspected. 7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED INSPECTOR DATE a. f , " # 36 17 ?EyOTA.V4! -! MINNESOTA VALLEY ??gOTA"V,9! SURVEYORS & ENGINEERS CORP. u y:r, IIDOp L91M .VFMYf SOULX suaxfnF. F, bxxFmT. sun s?frO e -E 2?. rw Mmo `FrURS E '\2 Certificate of Survey for: y r1,15FAESnN M. 100 • N 1/4 . ,S' b y0 " \ !1 V 20 _ _ `• r U y Eosemed % 2 82 ? ? - d-g-u• b? `SOU?N y/LLS WAY J Lot 15, Block 1, South Hills First Addition f h...wv ....a, fh.. .w.. :.. .... .wa ...... ...v........ f.. Mlosesots Valley Surveyors ft( do .....pd .h. w.xwa.....a.w. .w... d..."h..4 f..a, Eoal pers. rPfrJ ?,R LS .wad .M N.. Hew d alf wwfamt., .b..an, .wd off .u:hf. by _ ow.o..h.w.n.., d .n,, L.w r .n d fawn. •, w..na f., -...f...?a., o1..SE f'T ^.a- fo?y. MIt1u. Rt`. No. 9293 .?.,. e '! : ' a [ + 1 r .:"a l?D . • K o? f:.>se'w.aa*tr . x ..4_':axu..?+r+.2a . :SN ... .- .' .. -. t ..^ . . . a . , T PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. j CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UM NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE / FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OT 7LET$ (wtTrtrngr rt r i n e? m c ArHc Q ADD-ON/REMODEL (FmsTiNG coNSTRUCrtoN) $ 20.00 STATE SURCHARGE .50 TOTAL .2.0.5'b 1 2 0 5 + 2 i G U + 2 0 U + 1 :) G ? V i" 1 rr V + '. ! 5 5 0 T SITE ADDRESS: X723 dacPT.htd6//? i OWNER NAME: G,/89l? d?/L6z.•? TELEPHONE #: Y.2-r-- INSTALLER: ?1?/?ZJ?C ADDRESS: CITY: ? STATE: gA/ ZIP CODE:. TELEPHONE #: Y f2-zC,6? of A41 ?L SJGNA E OF PERM[MIEV 67- l-?y tol?_ ? 1994 MECHANICAL PERMIT (RESIDE CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 ; (612) 6814675 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - ----- - - --------------------- - ---- - - - - - ------------ - - - - - - - - - DATE: CONTRACT PRICE: $_, NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ? FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ all IS ADDnL'JJ" OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ''// 2008 RESIDENTIAL PLUMBING Date: 7 )-O6I7 Site Address: 312_3 Tenant: Suite #: RESIDENT / OWNER Name: /r]?i Phone: Address /City/ Zip: 5 CONTRACTOR Name: License #: _6-:47-70 f M- , Address: 651-365-1340 3570 Dodd Rd. #100 City: -Fagan, MIN 55193.11339 State: - Zip: Phone: Contact Person: / TYPE OF WORK -New _ ed ment -Repair Rebuild -Modify Sp ce Work in R.O.W. Descri t!on of work: -ro PERMIT TYPE RESIDENTIAL Water Healer -Water Softener Lawn Irrigation -Add Plumbing Fixtures L- RPZ /_ PVB) (_ Main _ Lower Level) _ Septic System _ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $_ I hereby acknowledge that this information is complete and accurate; trial the worn van be in comorumm. vm. r„. .,??„•a,w? o••? -?--- -• •• - - 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. 00 ewr App can Name J APPIicaM's- A. Parmit #: ? ?? <o ? 7 " Permit Fee?? I Date Received: ay t Staff: --------------- PERMIT APPLICATION 37573 y7r? -------------1 For Office UsP I ~ ~O lU l City Ol Permit Permit Fee 3830 Pilot Knob Road AP" jVt 2. Ow An 9F I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: 675-5694 Staff: (651) 1 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: _ _ 1 LQ I Site Address: 31 23 5O(L4) f0 is r y ct- Tenant: Suite RESIDENT /OWNER Name: y'/f a 0 1( Phone: ? Address / City /Zip: ARC CONTRACTOR Name: License champion Address: 651.365-1340 3670 Dodd Rd. #100 City: Fagan, MN 55123-1339 State: Zip: Phone: Contact Person: TYPE OF WORK New V(pl ment Repair Rebuild Modify Sp ce _ Work in R.O.W. Description of work: PERMIT TYPE R SIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) L- Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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. x x App cant's Printed Name Applicant's FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough-In Air Test Gas Test Final 41,1` City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: / 7 Ye Permit Fee: Date Received: /�-� Staff: 19-6) 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: ,,. SIDE T Name. Ill vl,(75'01)Phone: 2, %r -372-3 Address / City / Zip: J7 Z3 Som %/� ' Applicant is: Owner tZ- Contractor « Description of work: A7((y% ki Construction Cost: 17/ OW CA Multi -Family Building: (Yes / No ) CONR C • T Company: i )5 44 75 I. Contact: City: �v Address: 17/7/ Jf4 ,� / 4 �'7� State/'I/v Zip: � /� Phone: 6// 7T 2 ,V License #:% C� Y 753 Lead Certificate #: If the project is exempt P6 5 from lead certification, please explain why: (see Page 3 for additional information) 7 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 a d sup orfing documents to .•sribmit are coo ed o be public in for a tion ¥ the i!nformatio may b classified as non ' u ® i+ # ou p o ide a ed fi reaso s that wouldperm► concludehey are tra •e secrets erns of ity to 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.qopherstateonecall.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 Code must be completed within 180 days of permit issuance. x TOW Applicant's Printed Name licant's Signature Page 1 of 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � I ) � Citof �a �� ; Permit#: / �� .-�� Y � � ��s.�.� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � i Fax: (651)675-5694 � Staff: 1 i I 2015 RESIDENTIAL BUILDING RIUIIT APPLICATION t , Date: L� Site Address: l �J � l� �'V � Unit#: ��" � � � /� � �'��, � �� ' VV dl •� "�/ f�SC'i°7 Phone: � � : Name:_ � �Res�dentl -� � owner�� ; Address/City/Zip: L'� S ��'�� ' I" a� /t'��/ ��/� �� 4 �� " �' ,� �a ; a� � Applicant is: Owner Contractor �" ',� �.�� Type�ofMWo1'k� Description of work: C� �i G' Q'� 9 �Uf/ �� ;� � 1 , -�� Construction Cost: �� . � M��Iti-Family Buiiding: (Yes /No ) � �� , �� /�` �/ � ��`�� Company:_ J IJJ.P/� �� Contact: C�'�— � � � �� '� — �[ � �� -7 (� /� ��" � �� ` Address: l � 1-� � �� _City: � � � ��i Co�tractor� �� Q � �,�` f ,�°� . �/ �-7� �7 / � � �� State:M�v Zip:L� Phone: �� .�l� ��d�mail: //�4��t /C��- ylt v.�.�r'i°`z � � ' �� y /� � �� ; License#: ��`�" ��7�� Lead Certificate#: �.: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTIIVG A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan b�ased on a master plan? _Yes _No if yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � pport�n�'docu ents hat�ou subinrt t-e c siiiered to be�publ"�i�i�o i�``ft�Qn or��o�� ; ��NOTE, P/ans antl;su ry� ��„` �'=t s��ti�`� � s�;`e33n .� �� ,>�� '.'S � �� '�''�.�'�'t:'�rr w'� ��.. v�.,�`` '�n,","v: *f r � }r� ti > �the enformation may�be /as�r�ie'tl�as�to�p�ubtic��o�i�rov�:��pe�crfrG xeaso s:#ha o��p� �he C`�`jr�o� � �s: �. .:; . , . �< � � � � ,��..:��canciud�that�l�e;��re:#raa�e,secrets : .�: �� _ .... .t �..,.��, ��.'��.�.�: ; 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.popherstateonecall.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�olans. Exterior work authorized by a building permit issued in accordance with the Minne ta St.ate Building Code must be completed within 180 days f ermit issuance. X ,T�/'L d �! �� X ��/%��Ze�� Ap I'canYs Printed Name licant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136983 Date Issued:06/09/2016 Permit Category:ePermit Site Address: 3723 South Hills Way Lot:15 Block: 1 Addition: South Hills 1st PID:10-70790-01-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Wade W Wilson 3723 South Hills Way Eagan MN 55123 (612) 963-9080 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158552 Date Issued:10/21/2019 Permit Category:ePermit Site Address: 3723 South Hills Way Lot:15 Block: 1 Addition: South Hills 1st PID:10-70790-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Wade W Wilson 3723 South Hills Way Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169167 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 3723 South Hills Way Lot:15 Block: 1 Addition: South Hills 1st PID:10-70790-01-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Wade W & Betty Jo Wilson 4154 Clubhouse Dr S Fargo ND 58104 (651) 705-6376 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173926 Date Issued:12/14/2021 Permit Category:ePermit Site Address: 3723 South Hills Way Lot:15 Block: 1 Addition: South Hills 1st PID:10-70790-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Wade W & Betty Jo Wilson 4154 Clubhouse Dr S Fargo ND 58104 (612) 963-9080 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature