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3861 Heather Dr*City of Eatall 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 675-5675 Fax: (651) 6753694 Use BLUE or BLACK Ink For Of lee Uee ra \ left 440 Permit Fee: .� — Date Received: [ 1 +11 tt Staff cp 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11-1- y Site Address: 3 53 !o % %HH4 rA/ EA biz. Rieildetrt/ Owner Unit*: Name: eje' / / M4.3 46tra. -r' C.- Phone: 763 - S5 3� 9770 Address / City / Zip: :SO p E c w 7 U 2 Av, A , „IA c'46( i4 r /)7A3 ST ill 7 Applicant is: Owner X'Contractor Type-of:Ifyo. rk Description of work: (2M' 1- 4 L / A ° (Ai Construction Cost Multi -Family Building: (Yes / No Co Company: cl£ 1 o 2 / 14v aY . Cc 2P Contact NW, a Igo /LI, S Address: los' to 600 �7 - City. m Pc- State: PIAS Zip: Sr V' 9 Phone: Coy 8167/- 62z/3 License*: C- 2 %'/I/ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) '-IL'7- Po 3:7- jY7r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEN BUILQING 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 end address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 450-0002 for protection against underground uUNty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecaU,ortt I hereby admowledge that this information is complete and accurate; that the work will be in conformance with tete ordinances and codes of the Chy of Eagan: that I understand this la not permit but only an application for a permit, and work is net to start without a permit: that the wait wIN be in acooroance wv r the approved plan in the case of work which requires a review and approval of plans. Exterior work authorised by a building permit issued in accordance with the Minnesota Stats Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name EZ/60 3E d x Applicant's 5Ignatur Page 1 of 3 1NIvW 1X3 I3S L9Z9198ZT9 LZ:t,T bTOZ/TT/U0 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA079236 08/09/2007 ePermit Site Address: 3861 Heather Dr Lot: 31 Block: 01 PID:10-14993-310-01 Use: Addition: Briar Hill 4th Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952-445-2840. CRAIG ANGELL equirements should be directed to Mark Anderson, State Electrical Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 - Applicant - Owner: David A Koehn 3861 Heather Dr Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature C!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 /000794/ Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6710 %/o Site Address: 3 $ 57, 38 S 3/ 3E6 / 3863 HG7477IE - Dpi vE Tenant: J Suite #: RESIDENT / OWNER Name: .e). .9-ssori4no4/ Fin";t/re/.4sG /II ewer Phone: 76, 3 —1/199— 372 7 Address / City / Zip: 70 <2a . 5 T F/SA/ LTE ,o#D 41P6 6go/E S-5.3/1 Applicant is: Owner X Contractor TYPE OF WORK Description of work: E/u a UE ,4410 jEEPc1+GE Edi Construction Cost: OW fat% Multi -Family Building: (Yes / No ) CONTRACTOR Name: BE/ eX7ER.iaR ,/,wie./7: Loam License #: aa a 41//3/ Address: frO.s— Gv 4" csrLb7 7 City: /(Ice."76.0 e" -r State: /U/✓ Zip: 575-q/7 Phone: 6/..? ' / /- 6a V3 Contact: I.4 v/© J3 . Email: in @ X f'! e AO' /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: 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x C(giS ,4 96ZgO, Applicants Printed Name Applicant's Signature Page 1 of 2 Tollef WAtet,SERVICE P PERMIT NO.: ft 7 DATE: J x 71" 4u i No of Units: ti 1 La) i.t Citi"tG 3861 1le4ather Drive 1.31 AI Briar 4th Genz *?v lu tt . Connection Charge:4Ptt rises : • w., Account Deposit: Reader No.:Permit Fee.10.00 pd, I agree to gensply with Nue City of Eagan Surcharge- .50 pd Oedieionoes Misc. Charges: 60.00 pd. meter Total. By • / Dote Poid: Dote of insp.: T✓.fy g3 Insp.: _. CIEAGAN• SEWER SERVICE PERMIT '3795t lot Knob Rood PERMIT NO • 5803 Sago MN 55122DATE• 5/17/81 Zail tg: RIV .� 1 No „f Iinitc• 1 1 unit tnhse Ower: Toi1efs\on Builders Address: Site Address. 3861 Bektrer Brivgi x.31 Bi Bri ir_Hi11 4th Plumber: (,'enz Ryon tl b ing L 5/��.�i'/ *41 100.00 pd 1 ogres to comply with the City offogon ` 'Connection Charge. V 5 _no pa Ordinances. Account Deposit. Permit Fee• 1Il _no pri Surcharge 5 f pri By Misc. Charges. Dote gf Insp.: .-".� �j 3 Total. lnsp • �J o Date Paid: Qtyof 3830 Piot Knob Road Eagan MN 55122 Phone: (661) 6T04675 Fax: (651) 6758844 Use BLUE or BLACK Ink For office Use Pon** Ponnit Fes: Dat, ,ed:II Sara: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ,� Site Addison: 38s'74 aS L3xei, sass HEi¢i•Hek DR, unit* Nane:1 #F .1k.;A 64 AIy "i . -#.) e; Phone 741 - 93' 9`770 Av A� sa` z p iaei a Sw f%KtvY ArAi s3-41.7 Address / city /Zip: w S'0 a �. �a`r-v rc2 „ .APPlIcantis: _ owner �, contractor • Desaip3Qn of work `7-tV1,2 OPF a QE - Construction Cost /4, 9 oD . aro Muip.Famiy Building: (Yes / No Company: L / Efts -TT -12'0.e AfahA i• 62R Contact. ►vl A crit," 2-2. ► 5 Address: VC's (.3 Pt S7 . City: PL 5 . State:14 zip: SSy, 9 Phone: lost - Q6 /— �.� 4 uomiso #: Load Certificate #: tt the project is exempt from lead certification, please explain why: (see Page 3 for additional information) U s_...6) Pos- / 97 T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILOIIia in the last 12 months. has the City of Eagan Issued a penal for a similar plan based on master pun? Yes No If yes, data and address of meter plan: ucerpsed Plumber Pho. no: Mechanical Conbaclbr: Plane: Sewer & Water Contractor: NOM • Pho r, `^-�.�..w � •�� �-r .rte -z-+'.. r:- 'et'r.�rti vr-,L.;�i�Ktw:. '�"r�rr a-. � �. �., j± �;NkT 'i...4 •1:.+2, STTa *hi -'....!!...`=,;449.••.ti ... h M.it1+JaL A"�'= ��*�� r,i�--•1�^y� .y,.��,,n,.�� s",.•,1,,.,�,_..,,,��� _ _C•)''AS"]fIti before"kiyau� dig) a • IoaU00 GoPhe 1clOrgr MB am ea at (I) 464-0 2 for p a0 und° gramd u Iy damage. Cal 48 hours I gszsgsbaggistmsema herobY ackhnteedge that Mb indamation is complete and accurate; that the work w H be in conformance with ths ordinances and codes of lite City c4 Eagan; that 1 understand this o not a pens t, but of an application fora permit and work is not to siert without a mimic tint the work oaf be in aotovdmnos with lAs awarom.e www to lain owe o/ worn vi.400h heat••• n i•••••4 and approval a pain. Exterior work aulhorized by days of permit i a building permit issues eo In aobenre with the lltnrweota Stets With Code met be completed within 180 x %Quare Applicant's PTIntsd Nemo b0/Z0 39tid INICW lX3 I3S �C' Applicant's Signature Pagel GIS L9Z9198ZI9 ZO:tT ETOZ/90/TT 40111 CityofEaaafl 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 675-5675 Fax: (651) 6764694 . Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: Date Received: Staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 -9--/q Site Address: 285-", 3>Ps9,3ti, tito-S nr;A'Th/G2 d12.. Unit#: Resident/ Owner Typeofwork Name: e//D ,e r "6,3 46ErKF�t-� .�:•� c. Phone: 74 - F3 - 9770 Address / City alp: 'SO E C14-7-1-, 2 tiles, A Coot &E, 1/441.2 Y /VA)_ Sr V2 7 Applicant is: Owner Contractor Description of work: RE•".o a. RE PL.4-cf_ Ji P'at'1Ga a' /4 47-4 L Construction Cost: / Multi -Family Building: (Yes / No _...J Color Company: Q E 1 C D 2 fk 4-i a -r . Cn 42k Contac: DA ✓ r 0 Qo2Qi S Address: 11°SS LJ 100 ' y City: m PL S State: /'tIAS Zip: S.S'S// y Phone: 47/1, -' (o /- to 2 y3 License #: '� L Z Y/ / 3 / Lad Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Il - (ps_ Po$:' /777 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iset 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: NOV Pte ,, a404.c ****00 : .. rho,ir ks*Ei�t100.'r ayr� saai egiss #pt ac' a #004, ' I a. .: S• cor+cl►alfail`rlRatlb '' :' ,...;;?;', CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utirdy damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_oopherstateonecail.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end 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 piens. Exterior work authorized by a building permit issued In accordance with the Minnesota State Build' Code must be completed within 180 days of permit issuance. x r4 ✓' 240/2-#2,/ x. Applicants Printed Name Applicant's Signature 90/Z0 3SVd Page 1 of 3 y 9:5 1NIvW lX3 I3S L939t98Zt9 SS:tt btOZ/bZ/E0 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165911 Date Issued:11/30/2020 Permit Category:ePermit Site Address: 3861 Heather Dr Lot:31 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-310 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Roman & Marianna Prokopovich 3861 Heather Dr Saint Paul MN 55122--162 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature