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3863 Gold Pt BCity 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: Building EA080102 09/28/2007 ePermit Site Address: 3863 Gold Pt B Lot: 114 Block: 01 Addition: Countryside Villa PID:10-18350-114-01 Use: Description: Sub Type: e-Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: 4/30/08 Notification letter sent regarding expired perm pf Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $88.50 0801.4085 $1.50 9001.2195 $90.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985-6675 - Applicant - Owner: Barbara Kenn 3863 Gold Pt B Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot' Knob Road PERMIT NO • Eagan, MN 55122 DATE• Zoning: No. of Units. Owner: Address Site Address. Plumber Meter No.: Connection Charge• Size: _ Account Deposit• Reader No.: Permit Fee• 1 agree to comply with the City of Eagan Surcharge• Ordinances. Misc. Charges. B � �1 Total. Y fj� ttJJ %'�(�pp(� Date Paid Date of Insp.: 7 " 2 ��,_ 6'4 Insp • CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • Eagan, MN 55122 DATE• Zoning: No. of Units' Owner: Address' Site Address' Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee• Surcharge' By Misc. Charges' Date of Insp.: Total: Insp • Date Paid' Use BLUE or BLACK Ink 3115 gel PtI3VIA 2013 RESIDENTIAL BUILDING PERMIT APPLICATION) waspz -3$l;o'3 q j 1� Date: 1 Site Address: � - 1 e t . 1R r i , I unit # 38T 3 12'33S (pS fr j P Name /� 11 Address / City / Zip: 3$ GO d, yoliN+ Applicant is: Owner 4 Contractor Description of work: Q e,(0 Q-F Construction Cost: �� 4K 0 0 City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 vilks For Office Use ILt—itt° j%, Permit Fee: �J 1 �"7 Permit #: Date Received: Staff: �nP � 1�A J� I'it2s. W till'►$ 4 el Phone:1Q51 a T b Be-b r5 1E3, As ��1 g 1 h, (`�'J Sc I 37b1 CC ) Multi -Family Building: (Yes %Q / No Company: I lam. `6j1S UCt 6 Contact: Address: t ' (D Geit State: ✓ v, N Zip: 5SC71 Phone: License #: (3 C 03 4-0 Ta_La Err "Si City: kaSS Ella 1(JD"i• (ft-ts� 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: Sewer & Water Contractor: Phone: 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.gopherstateonecall.org 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 N� l ILA-;- g ol/eCK, Applicant's Printed Name x lic nt's A pp Signature )64, Page 1 of 3 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinoinspections a(�citvofeaoan.com Date: :LIVED JUL 152020 For Office Use n Permit #: IQ `A 4 Permit Fee: 120 • 50 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION -'t 2-0 Site Address: Ve .3 C3 G . i & "TIN, : i e o j.4 Kw SS { 2 2 Unit #: 34 to S J esident/ Ovimer Name: Bour to 42 d%.. Phone: C0 f 2. •• 2.2- 7. - 044 0'i Address / City/Zip: 3 S 63 a C. lel Tres. i (, 9e y 4it , �1 i4 , �S/ 2' 2 Applicant is: Owner AContractor d Type of Work iltegi.o.c. i w:`w46w 1 1 0o•r I A M%t +Pa1 seen: Description of work: ' -� ' - �'ir1d�■' 6 -' - ' i Construction Cost: 9, ,J(•p ^ Multi -Family Building: (Yes /c / No ) Contractor Company: ee ry r` % fe r' o r S Contact: T®'.A. 7 i 4-2. r®4P $ �I S Address: S I'1'4 d 4.6.65A-rre.. iStre e 4 Sate 1 City: i`4 4 l 4 t. Pica State: 014 Zip: SS359 Phone: -7ID3 - 24to • Email: J OIr A Q ber3eIw-Eeta rs.cats 3v f 2 License #: 6(-32 42.1-t Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: 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-• ublic 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.citvofeagan.com/subscribe. 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.aopherstateonecali.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 with.ut 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 Ian Applicant's Printed Name plica