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3768 Golden Hill Ter îîî þ ý þýý üû îû ú ùýýñîÿçí äöç ö ä ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ã ü ë àûô äü ßäÛ ô ã þ ãó Ý Ü ßß ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô ðü ôù ÿþ þýýüÿû îûù øüüýýîúÿïíüå ðíüöÝö íð þý ýüûúøöß ù üûú ø üûúøöß ÷ößìú úê ùùîéîãúû Þÿ ô ë ú åóó ô ý ç ä ÿööúÿþä ä ÿ ý úçùä äúä ç ù ýæ ô ýûöÿäûóç ëèéÜèííçðíçîíð öø ó ÿÝèéÜèçðçð Ýéþç õó òñ úú ìö åÖ ùûìùøéíâêü ìåò÷ððé ÿò÷ðð ñðïîî ó ýûöÿó óå óúúóóä ÿ úûöóúúý äòùûä ÿã ç úúß ÿ ûÿ 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: B y : Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA111523 Date Issued:06/27/2013 Permit Category:ePermit Site Address: 3768 Golden Hill Ter Lot:5 Block: 08 Addition: Town View 1st PID:10-77100-08-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Steven Yurk 3768 Golden Hill Ter Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature 3 bb, 31 to a, 37 c~ 4, 3 b co 3~ f~ $ l 3~~ a (210 d6 QM Wlkk -T-OX Use BLUE or BLACK Ink Far Office Use l I I g 353 ' Permit#: City of Ea~UR l Permit Fee: 1 3830 Pilot Knob Road t Date Received: d sq I Eagan MN 55122 Phone: (651) 675-5675 I Fax: (651) 675-5694 1fi 1 I L tW 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 6;6tdN TCrrQiG~ Date: ko r_Z`l" 13 Site Address: 3760 7 37U°~ 7GrG 37Vg 37>O UnitM Name: Phone: Resident/ t i Owner Address / City / Zip; f Applicant is: Owner Contractor Description of work: ® Type of Work ° Multi-Family Building: (Yes / No Construction Cost: 71 5 1. Q ©O Company: 't- ~tcltvt~r¢c.4J ~~R ns~Vcriv^•- --Contact: t &0 City: (r + + ~ i+ne lka~,l~m- E Address: Contractor i State: 01 A) zip: ~3`43 Phone: I # License f#:L Lead Certificate !MT' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) S - ~ . t_cJ A- - /A w-4 ~Je- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issueda 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 Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information.^Pottions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. r _ 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. 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 Cade must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLAGK ink j r————————————————— I For Office Use � I' I � I 7 y � • � Permit#: l�/ Q / � � ! �w I �� ,S�� i Permit Fee: ��. � j � � � 3830 Pilot Knob Road S�p 1 9 20�4 � Date Received: r�l - ��' Eagan MN 55122 i � i Phone: (651)675-5675 i staff: � Fax: (651)675-5694 �4':_._..__._. �----------------� 2014 RESIDEN�'IAL�PLUMBING PERMIT APPLICATION Date: � � Site Address: �� Q�� `�\�� (" � ��-�� Tenant: 'C� � Suite#: . (a F. �1� f� \11'�,��, l� ��- ?��6 � t�3�. �f � ��,�� Name: Phone: c� �- \ , Address/City/Zip: �U�-�J � ��,�,�,�, . �,-�,..�,-r.��d� � k � .� ... . . . . . . ..m.s..-aa. .�sac*.ma�a.r . . . .. . . . . . . .�" f . Name: ��'� 1..�. ��. License#: �L �-C"'1�� Ll�� f; ��'sM�{�.� Address: �t �t� � � City: ��t'r1�( �� TV��93�+y�� ( F . 1nl1 -°� �i �� : State: V✓� Zip: ��- �I �_ Phone: � �� t ��1.� �� Contact:�1� ��l Email: .,�, ' �.�.�� „�„aa,�.,�, �� . �� . � ,�.,��,t,�� D New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � � <��s:< Description of work: ,�,�„�;,��„R_ ., � , ; �� RESIDENTIAL � � r ` Water Heater � � �Water Softener k � t= �awrt trrigatiort(_RPZ/_PVB) � � ��t s Add Plumbing Fixtures�Main 1_Lower Level) � Septic System �� New Water Turnaround � � — � � Abandonment �,� �,. _,_ � ��:r�� - �� ,�� m ,� .. � � ¢ RESIDENTIAL FEES: ; � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) R, r $69.G�C L��:at� 4s't�g�#;��(ir�ciade�$S.00 r,�'sn:murr Sta��E�tifCi'S2iycj �, $60.00 Add Plumbing Fixtures,Sentic Svstem Abandonment,Water Turnaround*(includes$5A0 State Surcharge) � i'VNater Turnaround(add$200.00 if a 5/8"meter is required) � � $115.00 SeptiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � � TOTAL FEES$ � . � �,�.,�_. .�,��a� .�,:��,:,.� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0OQ2 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gopherstateanecall.orq I hereby acknowledge that this ir�formation is complete and accurate;that the work will be in conformance with the ordinances arid codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is rmt 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 �l U � , Cr1 U� X ��!��%�� Applicant's Printed Name Applicant' r ignature ..\ .'S -.t� i .� 'r � �� t�y},� f L { fl � a� � �� } £.. �� !� � �'wc�+�i, . j }� Y4 'tie siy�;�3r::: . \ x 3. Si { l 'r y.�,.h � � s: n. , z �� y �# � _ } $ '�^'�y � : . � � �"�"��;:v::,:. < ��`�:� �� ., u�.; , ,� ,.�,:.:-��.w.:>.;, fl., <:_,<:�;�� S,� .,..s.�f3��` i'��::;�� F�� .. .=:�;. � _.:..;., - ��#�,�1� � ...:,.�>.�..�.. -.,�:s,�;�- � ..� :„,::. .,�; .,;. f�. . . . . ... . ,�. . .. ....................... .... .. . , ..-�. ,�,.,..:� ..:.�,,,::;�- .:�. _. .... .. . .. .... ..,.... . .�. ., . ..; F_... ... .....,... ;;�; , . �.t..�.�,.<�.. . .:._._,..,....., _ �;._�.....v-.:...,n. ........_� ................... ..... �..:�ke!F..!... L...�. ..... ......... . _..... .... ... � � . �-�. ....... ..�.�`s��. � ._ . . . . . .. . .... . . .. .. .. . .. ..,............. ... �...... ,...:..:... w...�......::;;ws... ,. ...:�...... �...:_.. .,<: ....:_,.:�:.�>:<.;,.:,:=w`-:.v�:.�:�.�;; .............. �..,.:......._..,....,.... .......................__.. ..._::.__.,:�,..... ...._........ - .................,.........,:.:n..�:._:•........:....::...:v..:...:,:...:..........,...t......... ....�..,...,:...:........»..< �::kxr.. - . ::y� ;�'• ;,ti;� ` :i� �.i4�t .,��:�;>+'�.�".°��''.- �� a: ai.::';;�`°5i�'; . r,� '' -' �.. :"� - � � - ';o;:.,<> _ . b,.;.^_••,, „..� . . .; -`ur.:, . �e��r��:�C��Y ��f��l� .•,.�;:;,�l�� : .:,.....::::,..::�..r:.:...:.....::.:...�:.v....�:..:..�:...�.�..::.�.;ax.>:�...,....,.,:.:.,,.. __��.:. : : ,,. .... ��-��- PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132832 Date Issued:09/08/2015 Permit Category:ePermit Site Address: 3768 Golden Hill Ter Lot:5 Block: 08 Addition: Town View 1st PID:10-77100-08-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Steven Yurk 3768 Golden Hill Ter Eagan MN 55122 (612) 382-6394 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature