1873 Merlot CurCity 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:
Plumbing
EA092160
11/25/2009
ePermit
Site Address: 1873 Merlot Curve
Lot: 301 Block: 07 Addition: Centex Vermilion
PM:10-16935-301-07
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
New
Water Heater
Meter Size Meter Type
Manufacturer
Serial Number Remote Number
Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Fee Summary:
PL - Permit Fee (WS &/or WH)
Surcharge -Fixed
$50.00 0801.4087
$0.50 9001.2195
Total:
$50.50
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Donald L Tietz
1873 Merlot Curve
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
Date:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
MAY 162012
Use BLUE or BLACK Ink
For Office Use
Permit #:
i 0
Permit Fee: La -O - 00
Date Received: 5 It to /1.2 -
Staff:
2012 ME _HA_ tt//tCl / NICAL PERMIT APPLICATION
19
=--+ — Site dress: ,J i O.1(ve
Jt J Ifez
Suite #:
J
RES DENT f ;
Name: (X) 6'i -Rev Phone 5' 65E2506.1.
Address / City / Zip: If1 girt(1 c (Iry
CNT hi
Name: Ron's Mechanical Inc License#:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
TYPE OF K
New .- Replacement Additional Alteration Demolition
Description of work:
" ' . •
+ I14 ilk requir d by City
Ins i permitt reeving methods.
PERMIT TY ,E
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_ _
Under / Above ground Tank ( Install / _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = USD • (5 / TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
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.aoaherstateonecall.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 i not to start wi out 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 plan
Applicant's Printed Name
x
Ap I cant's Signet
\kOpto-.J
From: Parsons Exteriors Inc Fax: (888) 426-9712 To:
Citi of Ragan
3830 Pilot knob Road
Eagan MN 55122
Phone: (651) 6756675
Fax: (651) 675-5694
Date:
Fax: +1 (651) 675-5694 Page 20 of 26912612013 8:24
Use BLUE or BLACK ink
For office use
154GG
.l Perrniti#: -1._`fl
Permit Fee: - 1
I Dale Received:
Staff.
013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit
Resident/
Owner t Address 1 City i Zip:41'4141—
Contractor
Ell-64A";a
Applicant is: Owner Contractor.
Description of work:
ges.
4
Construction Cost: ZiPlc,t,
___.. Multi -Family Bu !ding: (Yes , I No
,:,,—,„,,,,,,:„,,,,„--,,,.„ p
Company: Ham..O SitiViS:' 6 w 1 Contact (t:
' Address:: it1:'vit–Ly 41 City: Cerir
r State: M'Zip: l phare: 6.737/7 — f
76,3 -.-vis-:•7'•
Lead Certificate ##:/'Str�4'T" 2.-7 $171-7../
License #: tP3S7 78
If the project is exe prl[from lead certification, plea+/ss explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A. NEW BUILDING
n the last 1 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
phone:
NOTE: Plans and support ng7+doc urraenfs that y+ou suufv emit are.consrdered lobe put lic information, Portions of
mmq
•the oformatioo may be classified as moat®public if you provide specrfIc reasons that Wolthi permit the City to
•conclude that they are trade secrets.
CALL BEFORE YOU EVIG, E If Gopher Srate Sarre Carl at (6511454.0002 for protection against underground utility damage. Calf 48
before you intend to dig to receive locates of underground utilities- n,bvw.1cpi:erslataonecall.erra
t herebyacknowrfedge that this information is complete and a tate, that the work will be in conforrnance with the ordinances and codes qt the City of
agars; That I understand this is not a permit: but only en application for a permit, and work is tot: to startzwitihout a permit; that the .work will :he
accordance with the approved plan in the case aFwork Which requires a. review and approval of plans:
Exterior work authorized by a building pariah issued in accordance with the Minnesota State Building Cade rrsust be completed withiin 160
days of permit issuance..
Sewer& Water Contractor:
X
Applicant's Printed Name
wus
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA118660
Date Issued: 11/05/2013
Permit Category: ePermit
Site Address: 1873 Merlot Curve
Lot: 301 Block: 07 Addition: Centex Vermilion
PID: 10-16935-07-301
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: One Window/Door
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: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation $500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
- Applicant -
Owner:
Donald L Tietz
1873 Merlot Curve
Eagan MN 55122
(651) 686-8982
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
.1,`"17
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 1 3 2017
Use BLUE or BLACK Ink
For Office Use //
Permit #: /`�� /2 /0 7
Permit Fee: /.' 42.
Date Received: if
Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _U ¶/ (l Site Address: r ) , 1$')1 l $1-S ( Plod' C) A Unit #:
Type of Work
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
Construction Cost: -7 ¶06
Multi -Family Building: (Yes I No )
Company: Parcov.5 C,ovS)'Y\t,V, i-nc Contact: 30Sh\-- 5k
Address: \foal, City: QuCCA-7.-
State: y Zip: bZ �Phone:411,-1°M.- 914 ,0 Email: \ISk-/tens QG(S'5 � • C
License #: T)C(0.3St1. Lead Certificate #: �6
4
If the project is exempt from lead certification, please explain why:
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:
Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public inform:
the information may be classified as non-public if you provide specific reasons that would
conclude that they are trade secrets.
Sewer & Water Contractor:
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 51 -iv, 5Atk.,,,.J
Applicant's Printed Name
Page 1 of 3