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3867 Heather DrDate: CKyofEaall 3830 Pilot Knob Road Eagan MN 56122 Phone: (661) 6755575 Fax: (551) 6755694 Use BLUE or BLACK Ink For Mice use Permits: Permit Fee: is Date Received: wig I t 1 Staff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION site Address: Hz4 7N F 2 bi? • Unit #: Rel ldenv Owner ' Name' ek �C "e'•S r46to( S�i� •.� �% r✓ Phone: 763 - sS 3- 9770 Address ICity /Zip: t. O uLCoTv2 4v, )3, .tfir 6066>:4 .5"s yt 7 Applicant is: — Owner KContractor Type ef'.Worlc, Description of work: R.,1 --P4 C Constn ctiion Cost Col anter / r 4.Soc.J Multi -Family Building: (Yes / No Company: Q E i �>< - Lei 0 2 Moil .J'7' . epait Contact: bA ✓ r 0 a�a_ta, S Address: YDS' W loo f% City: M f;'_ S State: MAI Z►p: SS'4/i Phone: /gal- i'7 (d/ -62x41.3 Licensee: 41(:- 2411/ 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (S,410S . gu Ii:r Pos`- 177r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, hoe 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 1 Water Contractor: Phone: CALL BEFORE YOU DIG. CaII Gopher State One Can et (651) 454-0002 for protection against underground utility damage. Call 48 hour before you intend to dig to receive locates Of underground utilities. ywvw.aonherstateonecall.oro 1 hereby acknowledge that this information is complete and accurate; Met the work vin be in conformance with the ordinances and codes of the City of apan; that 1 understand this is nota permit, but only an appiptien for a p. mit, and work is not to alert without a permit: that the we* wilI 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 Build' Code must be completed within 180 days of permit issuance. ,� �r4✓� Iar./tJL/S Applicants Printed Name 8Z/8T 3JVd Applicant's Signature Page 1 of 3 INItiW 1X3 I3S L9Z9198Z19 LZ:tT bT9Z/TT/179 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 EA081275 11/28/2007 ePermit Site Address: 3867 Heather Dr Lot: 34 Block: 01 Addition: Briar Hill 4th PID:10-14993-340-01 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Expired Perm Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952-445-2840 cal Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 - Applicant - Owner: Janice M Kehnemann 3867 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 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: Building EA091244 09/22/2009 ePermit Site Address: 3867 Heather Dr Lot: 34 Block: 01 Addition: Briar Hill 4th PID:10-14993-340-01 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. 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: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542-8826 - Applicant - Owner: Janice M Kelmemann 3867 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 ;MR gt.Kpob Rood PERMIT NO.: MN 55122 DATE: Err No of units. , 1 unit - WATER SERVIM IT Address: Site Address: 386 Heather Drive 134 B1 Briar Hill 4th Plumber. Canna Pilau Pltuabing Meter No.: Connection Charge] 450.00 pd Size: Account Depasit,Y.J` Reader No.•Permit Fee: 10.00 pd I agree to comply with the City of Bogen Surcharge: .50 pd Ordinenes'. /" Misc. Charges: 60.00 pd mete; Total By / Date Paid. Dote of Insp.: �� Insp • 5/17/f,7. T©ilef. soft .Bttildeers CITY, ° F EAG/IP( 8795t IlaMlfnob Road Eeg* ? MN 5512 Zoning. Owner Address: Site Address: Plumber SEWER SERVICE PERMIT PERMIT NO • 5r.(17 5/17P-13 DATE: 1 agree to comp Ordinances. 'ollefsan "�ui.lders *67 Heolatr Drixa L34 B1 Briar r z 2y4n ?lumbins 5 6/8 35842 Yn By Date of sp Insp • L52 T? Connection Charge. Hill 4th 100.00 42 on Account Deposit: Permit Fee• Surcharge• lCi_(10 pa 5n rd Misc. Charger Total: Date Paid. C1yofE 4 • 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 678.8875 Fax: (651) 57604 Use BLUE or BLACK Ink . Par Once Use Part it $ pemdt tae: Date Received: Staff: �� t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 0 -A w- // sire Add ntss: 3t/os; 38 7, 32 '0, , 3 y /ae,g r,N 4 c R' unto: Resideifil n811 J Name. d/ A C 7' "4 A.3 4 4:4 At 843 7- . C phone: 743 - s•"9 3 - 9 7 %O • Address / City / Zip: _'Sb a E G ra' �-�� !� A✓ /9 boat E,..1 1/44 AcA.s sryz7 Applicant is: _ Owner ,_ Contractor Description ofwork 7-SS1,Q ©f-- a- (Zi - kero..�W Construction Cost / 4 "5 Multi -Family Building: (Yea %C / No Company: 1 Elm -r ,o,e 0147.3-r.iP Contact, bAvi d %a - r 5 address: 9o' k) bD S7. • State: NA.1 zip: SSS!/ 9 Phone: 611 - X61- x.24/3 License a: Q C .t 40/ 3 / Lead Certificate If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) lir- tips 4.1 cat.; Q"Iar Pas; / f 7 8 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iast 12 menthe, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _bio If yes, data end address of masher Men: Licensed Plumber Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ixaR.�a.YM� .c �.- Yt�lCl.,75"^,1.bar".--'�-1'wW�Ty�pr;/-•.4+ F+ .r. _ �.t -,r� J^?Y4+ � Sr �i M. t"i7�-j]S •''ii?a ' r - ...�/,��1 .a-11F+c�a :.i •;41.4 -- B . 0 c . YOU • c CM Goober State Ones et (661) 45..00O2 for protection wive urwvgt eound Witty damage. Cat 48 haat~' . you m , to ►.Delve locates of undergraun0 sallies. v o nseau.een t hereby ddmowtedge that this Infamarton is complete and accurate: that the work will be in Fagan; lhm I or�dertdand � h � e �� but conformance with the orolnanoes and oodee of the Gy of aorsorduno• wah nue approved plant„ nue ease or�week°k''t in reggaes for a permit. and & t le not to start witttotR a Pm* that rho welt w�i b-• in �qut.es o �vt.w aro approval d pions, _ Exterior work authorized by a building pemtit issued In accordance with the Minnesota State SWIM Cade must be co Pbted wt him 180 days orf permit Issuance. X �AviA (lu2r2rs Applicant"% Printed Name 50/80 3JCd Applicant's Signature Page 1of3 1NICW 1X3 I3g L9Z9t98Zt9_ E5:9T ETOZ/t2V0t *L'ity of eau 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 6756676 Fax: (651) 676.6694 Use BLUE or BLACK Ink For Office Uee Permit*: - Permit Fee: Cate Received_ Staff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 " y — � � Site Address: 39(.1S: S feco7,'5 la 9 3 S' 7 / i4 T, /CQ Is 2- Unit it: Resident! Owner Name: eh) 4 C 1 /n4".1 4 6i >' Phone: 74 3- S`'% 3— 9 7 7 0 Address / City / Zip: -s° Q r C i4 T u / /S) V C oL D £� ✓ Y /�� s' 'A7 Applicant is: Owner k. Contractor Type of:WM rk, Description of work: RLie o L a-fZ. PL f.- J,1 i .4J 6 O P*L' a M s r4 L. Construction Cost: > 4 6/0.6 •• UU Multi -Family Building: (Yes / No ) Contactor Company: £ 1 E-- ✓ o /L mall b r . Co RA, Contact b4 V r p 630/1-12./S Address: 4/°S 1.3 600ft State: f 1L zip: sS' // 9 License*: C-- 2 Y / / a> Phone: city: M Pc -.S - S&I-6,24/3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) gl4(0S- j 7S 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: NOTE: Piens ani si+1 4t 'l0br <Coifsidi** the i r eitfon,rnsiy'bec/�►�la' :Ik Vkmu'Ia tdl� '': Phone: CALL BEFORk YOU DIG. Call Gopher Slate One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. www•aopherstateonecaft.orq I hereby adinowledge 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 thie I¢ not a permit, but only an application fora permit, and work is not to start without a partite that the work will be in accordance with the approved plan In the case of work which requtrea a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State BuildinLCode must be completed within 150 days of permit Issuance. x �4✓r0 /2 ,2rL/S Applicant's Printed Name 90/60 39vd x Applicant's Signature 7 Page 1 of 3 1NItiW 1X3 I3E L9Z9T98ZT9 SS:TT bTOZ/bZ/C0