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1381 Easter LaneCity 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 EA080171 10/02/2007 ePermit Site Address: 1381 Easter Lane Lot: 3 Block: 1 Addition: Wildemess Run 5th PID:10-84354-030-01 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 $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985-6675 - Applicant - Owner: Donald E Jesness 3522 Widgeon Way Eagan MN 55123 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 4011's CityofEaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use Permit #: / DC7/ Z C0Permit Fee: °() —7 Date Received: /' Z5"- Staff: 5 Staff: 2012 MECHANICAL PERMIT APPLICATION Date: 1 r3- Site Address: P1s6 1 �CLf}'}t_,% 1-1-1 Tenant: j 1 .� Y 1- bCa ci Name:1�)CS(IC-'. Address / City / Zip: 353-a (it I Y1 Suite #: Phone: l OSI - --IS Lj-& 7 Ss 03 J Name: BURNSVILLE HEATING &A/C, INC. Address: 3451 W. Burnsville Parkway Suite 120 State: Phone: 0 S) c6CtL4CX O3 Contact: (Y 1f Email: License #: rn(930030L-1 City: New >( Replacement Additional Alteration Demolition Description of work: WI SAC Sok C ;LLL0.Q -kj f1C' .fir Aryi RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other Ck...� COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ Y` .0C) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ = $ Permit Fee = $ Surcharge _ $ TOTAL FEE x 1% 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.aoitherstateonecall.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. X U It rar'/.k. ftct,.:1 x --"ti ti afte4/ App icant's Printed Name Applicant's Signature VILLAGE 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: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: • No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: SEP-23-2013 14:24 From:New Life Contracting 19524056106 To:16516755694 Pa9e:1,'1 Use BLUE or BLACK Ink For I I Offi-------__-r- j Permit # 1 T~ k3 j City of Ea ~aa Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ; Date Received! Phone: (651) 675-5675 I I Fax: (651) 675-5694 I staff: I I 2013 RESIDENTIAL BUILDIN PERMIT APPLICATION ry(~ Date: _ V2 Site Address: Unit !f: p c...• Name: /✓O//~/I/1 V /C~J/ /G v S Phone: Address (City / Zi Applicant Is: _ Owner Contractor Description of work: Y! 9.0 Construction Cost: Multi-Family Building: (Yes No ) Company; Ill a7?/ Me Ar. Contact /I 171 e v Address: 4!! aar 19~1 City: lS/e P041 State: lJS_ Zip: _ L55 aJ Phon License 460PT / wip -ri Lead ~ertificate It the project is exempt from lead certification, please explain wh : (see Page 3 for additional information) ~I 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 S Water Contractor: Phone: J~IAE A'1n~tO/3)dd>`'EfEt~ ~~i~~~t~#"Yl"si~j~i`-.:o~~o~~itt a aQtt~raCer®at ft~ bl~ p~rpf~c ir~fe,trn~tior~ i9o~io~~ of e ~Rxnrnlaflon tnyht f~ferfsrrfcrf"fu;~v a sfa1``rrsF)twQ/d.plermft tF►e Cloy fo .~.C►!~?~l;+[~~$~! Ito ere;:#f!~d' ~t~ _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 f r protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www. o herstat onecall-or 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 permi , 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 uilding C de must be completed within 180 days of permit issuanccee. Applicant's Printed Name pp t' Signature Page 1 of 3 i i