3988 Fawn WayCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: (—L 9 , 0
Permit Fee: 149 7' 50
Date Recgived: 9—e6
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: Phone:
Address / City / Zip: 3984. AALA) •u 1c)Ay e*i9A,-) SS/ 2 Z
Applicant is: Owner Contractor t l u c#
TYPE OF WORK
--t ,__%5f.
Description of work: RP go ac -
Construction Cost: / 2/ b O 6 Multi -Family Building: (Yes X / No )
CONTRACTOR
Company:41't6C 'AA) E 1` c. i LA-) . J Contact: 0E- PIO iM,ES
Address: /7.67,. (Tv,4427 Qtk, r City: Pcycieg, 5
State: /V) tJ Zip: '553-7 i Phone: 7 ta-b — q2.6 3l0'2
License #: Q0/ 5j 79 1Z Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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-public if you provide specific reasons that would permitthe City to
conclude that they are trade secrets.
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.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, 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 .i.proval of p
oa
Applicant's Printed Name
Applica • 's Si
ture
Page 1 of 3
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
EA084386
07/16/2008
ePermit
Site Address: 3988 Fawn Way
Lot: 20 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-200-01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952-445-2840.
equirements should be directed to Mark Anderson, State Electrical Inspector,
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$50.00 0801.4088
$0.50 9001.2195
Total:
$50.50
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
- Applicant -
Owner:
Shirley J Hager
3988 Fawn Way
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 Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
I�
2013 RESIDENTIAL BUILDING, PERMIT APPLICATION
Date: 09/-Z3/? i Site Address: 3lg77 ' t �/" Unit #:
Resident/
Owner
Name: , P Piii CA TOLJA i`(VAC- / -S0a-11- Phone:
Address / City / Zip:
Applicant is: Owner >< Contractor
Type of Work
Description of work: /O7 f 146/C4 C-' 6"✓r-
Construction Cost: Multi -Family Building:(Yes / No )
Contractor
�b4,! C f ':f'+ 4/€�--cr/!-
Company: 1 /� < f-7�1 &i - Contact: Ai‘K-� 60/d `t
7g-'S`,e_ -(L--:-
Address: ? 17 ? 2417 :5 > _r- City: CJtf 7—Z.- fi
State: /4fv Zip: Phone: 76 2 ( / 20 • I / 6 ?
_S---.3170
License #: / C:4 O7) Lead Certificate #: 5 6C Ag�Gc,ti
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
8 &,1_-&_-r- fr7c.,,c /7 i e ((9 7 6 /_.e
In the last 12 months,
Yes No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.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.
Exterior work autho ized by a building permit issued in accordance with the Minnesota State Buildin• Ide must be completed within 180
days of per s; ce
Applican ' 'nted Name
x
Applicant' signature
Page 1 of 3
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit #:
Permit Fee: /61
Date Received: 6 -It
�J
Staff:
2014 RESIDENTIAL BUILDING�-PERMIT APPLICATION
Date: Site Address: 3 %ff ' l =� �. 1V Unit #:
Name: Hciie/ Phone:
Resident)
Owner
Type of Work
Address / City / Zip:
Applicant is: Owner Contractor
1,/
Description of work: sae ,-6
Construction Cost: O2 c' Multi Family Building: (Yes / No )
Company: /1 Mc /, tni CAS le Contact:
Address: ) 17 3-c--'1 5» City: t/h i k 6,, Z,,zc
State: t)1/VZip: 5T�,2-. Phone: R `ljG7-31aEmaiI:
License #: G ‘/,9'- 2 Lead Certificate #:
k
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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.
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 r'c C� x
Applicant's Printed Nanye Applican Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA151798
Date Issued: 09/12/2018
Permit Category: ePermit
Site Address: 3988 Fawn Way
Lot: 20 Block: 01 Addition: Deerwood Townhomes
PID: 10-20200-01-200
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
- Applicant -
Owner:
Shirley J Hager
3988 Fawn Way
Eagan MN 55122
(651) 681-1355
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176357
Date Issued:05/12/2022
Permit Category:ePermit
Site Address: 3988 Fawn Way
Lot:20 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley J Hager
3988 Fawn Way
Eagan MN 55122--287
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179687
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 3988 Fawn Way
Lot:20 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley J Hager
3988 Fawn Way
Eagan MN 55122--287
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature