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
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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
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Permit Fee: �J 1 �"7
Permit #:
Date Received:
Staff:
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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