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
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