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3863 Heather DrC!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 /000794/ Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6710 %/o Site Address: 3 $ 57, 38 S 3/ 3E6 / 3863 HG7477IE - Dpi vE Tenant: J Suite #: RESIDENT / OWNER Name: .e). .9-ssori4no4/ Fin";t/re/.4sG /II ewer Phone: 76, 3 —1/199— 372 7 Address / City / Zip: 70 <2a . 5 T F/SA/ LTE ,o#D 41P6 6go/E S-5.3/1 Applicant is: Owner X Contractor TYPE OF WORK Description of work: E/u a UE ,4410 jEEPc1+GE Edi Construction Cost: OW fat% Multi -Family Building: (Yes / No ) CONTRACTOR Name: BE/ eX7ER.iaR ,/,wie./7: Loam License #: aa a 41//3/ Address: frO.s— Gv 4" csrLb7 7 City: /(Ice."76.0 e" -r State: /U/✓ Zip: 575-q/7 Phone: 6/..? ' / /- 6a V3 Contact: I.4 v/© J3 . Email: in @ X f'! e AO' /77 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: Phone: 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.aopherstateonecall.ora 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 C(giS ,4 96ZgO, Applicants Printed Name Applicant's Signature Page 1 of 2 1/10°11° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 4r 1 0/11 1105 - Use BLUE or BLACK Ink For Office Use Permit #: /LY�] t r Permit Fee: Date Received: U f / X12_ Staff: 2 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: i i 1.12.-&4 RESIDENT /` OWNER Address / City / Zip: Unit #: Phone:66 ► / / J v3 Applicant is: Owner Contractor Description of work; Construction Company: _ BUdgetExterjors Address: 8017 Nicollet Ave S Bloomington, MN 55420 State: (952) 887-1613 V ( �%RXVIQ ►l��r r 1 Multi -Family Building: (Yes / No ) /10 License #_, &Tie f714., cf Contact: /_ City: Lead Certificate #:� Z p LJ If the project is exempt from lead certification, please explain why (see Page 3 for additional information) Ce,l v 14 lq7 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: s Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 concludes y 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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. licant's Printed Name x Applicant's Si nature Page 1 of 3 ,WATER PUMICE PERROT kP nob Road F PERMIT NO. 55122 DATE: E,1 rr'TV No. of Units: I AMNIA:. " Site. Address: i? T?earfiernr1v e 132 B 1 rriar ---t. Plumber: (' r'Z `PyAn P1.0 :blag Meter No,; Connection ChgKge{ Size: Account Deposit: Reader No.: Permit Fee: 1'1. ' f,) }s€' ogres to comply with the City of Eagan Surcharge Ordinances. Misc. Charges: -�•''y Tota:: By Dote Paid: Date of Insp.: �''2�` Insp • 4444 ' 379 pt Knob Rood PERMIT NO.. / 17 % i 3 Ear MH 55122 DATE• Zonigp; N. of Uni Owner: TO eigon Builders Address. _T 32 AI Rrsir ;Hi1 1 4th Site Address: � P mt Plumber amz Plumbing 5/16/83 35841 A90\.00 pa I ogres to comply with the Cilli of Eagan Connection Car 5,00 pd &Ammoe.' Account Deposit. Permit Fee. _ Surcharge. ,50 pd By /- Misc. Charges: Total. Dote Paid ,k 'SEWER SERVICE PERMIT 414 ! O4 10.00 pd Date of 1ns Insp • Qtyof 3830 Piot Knob Road Eagan MN 55122 Phone: (661) 6T04675 Fax: (651) 6758844 Use BLUE or BLACK Ink For office Use Pon** Ponnit Fes: Dat, ,ed:II Sara: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ,� Site Addison: 38s'74 aS L3xei, sass HEi¢i•Hek DR, unit* Nane:1 #F .1k.;A 64 AIy "i . -#.) e; Phone 741 - 93' 9`770 Av A� sa` z p iaei a Sw f%KtvY ArAi s3-41.7 Address / city /Zip: w S'0 a �. �a`r-v rc2 „ .APPlIcantis: _ owner �, contractor • Desaip3Qn of work `7-tV1,2 OPF a QE - Construction Cost /4, 9 oD . aro Muip.Famiy Building: (Yes / No Company: L / Efts -TT -12'0.e AfahA i• 62R Contact. ►vl A crit," 2-2. ► 5 Address: VC's (.3 Pt S7 . City: PL 5 . State:14 zip: SSy, 9 Phone: lost - Q6 /— �.� 4 uomiso #: Load Certificate #: tt the project is exempt from lead certification, please explain why: (see Page 3 for additional information) U s_...6) Pos- / 97 T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILOIIia in the last 12 months. has the City of Eagan Issued a penal for a similar plan based on master pun? Yes No If yes, data and address of meter plan: ucerpsed Plumber Pho. no: Mechanical Conbaclbr: Plane: Sewer & Water Contractor: NOM • Pho r, `^-�.�..w � •�� �-r .rte -z-+'.. r:- 'et'r.�rti vr-,L.;�i�Ktw:. '�"r�rr a-. � �. �., j± �;NkT 'i...4 •1:.+2, STTa *hi -'....!!...`=,;449.••.ti ... h M.it1+JaL A"�'= ��*�� r,i�--•1�^y� .y,.��,,n,.�� s",.•,1,,.,�,_..,,,��� _ _C•)''AS"]fIti before"kiyau� dig) a • IoaU00 GoPhe 1clOrgr MB am ea at (I) 464-0 2 for p a0 und° gramd u Iy damage. Cal 48 hours I gszsgsbaggistmsema herobY ackhnteedge that Mb indamation is complete and accurate; that the work w H be in conformance with ths ordinances and codes of lite City c4 Eagan; that 1 understand this o not a pens t, but of an application fora permit and work is not to siert without a mimic tint the work oaf be in aotovdmnos with lAs awarom.e www to lain owe o/ worn vi.400h heat••• n i•••••4 and approval a pain. Exterior work aulhorized by days of permit i a building permit issues eo In aobenre with the lltnrweota Stets With Code met be completed within 180 x %Quare Applicant's PTIntsd Nemo b0/Z0 39tid INICW lX3 I3S �C' Applicant's Signature Pagel GIS L9Z9198ZI9 ZO:tT ETOZ/90/TT 40111 CityofEaaafl 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 675-5675 Fax: (651) 6764694 . Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: Date Received: Staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 -9--/q Site Address: 285-", 3>Ps9,3ti, tito-S nr;A'Th/G2 d12.. Unit#: Resident/ Owner Typeofwork Name: e//D ,e r "6,3 46ErKF�t-� .�:•� c. Phone: 74 - F3 - 9770 Address / City alp: 'SO E C14-7-1-, 2 tiles, A Coot &E, 1/441.2 Y /VA)_ Sr V2 7 Applicant is: Owner Contractor Description of work: RE•".o a. RE PL.4-cf_ Ji P'at'1Ga a' /4 47-4 L Construction Cost: / Multi -Family Building: (Yes / No _...J Color Company: Q E 1 C D 2 fk 4-i a -r . Cn 42k Contac: DA ✓ r 0 Qo2Qi S Address: 11°SS LJ 100 ' y City: m PL S State: /'tIAS Zip: S.S'S// y Phone: 47/1, -' (o /- to 2 y3 License #: '� L Z Y/ / 3 / Lad Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Il - (ps_ Po$:' /777 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iset 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: Phone: NOV Pte ,, a404.c ****00 : .. rho,ir ks*Ei�t100.'r ayr� saai egiss #pt ac' a #004, ' I a. .: S• cor+cl►alfail`rlRatlb '' :' ,...;;?;', CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utirdy damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_oopherstateonecail.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end 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 piens. 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. x r4 ✓' 240/2-#2,/ x. Applicants Printed Name Applicant's Signature 90/Z0 3SVd Page 1 of 3 y 9:5 1NIvW lX3 I3S L939t98Zt9 SS:tt btOZ/bZ/E0 City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a,v'MCo \USA's - Use BLUE or BLACK Ink For Office Use '( �( Permit #: 1;3 D S- Permit Fee: /OP' Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a�-\� Site Address: .-2"CS(0-7" \\e llt\1ec e. Unit #: Resident/ Owner Type of Work Y--,cAce cl sz ,0 Address / City / Zip: 3`6 \I\ecA \e' Applicant is: Description of work: 4 Construction Cost: SV -1 Qc J wS`\- -bib%- x\-\ c\ mR SS \d"N Owner X Contractor ce.cc\c>•-e cn.c•c.`,., reR.\c-ce pc -4•N10 cacavc c c\\ u Some ex is\ \'V c-c.9.&gh c_Te..c.\\ R c3 nv l Company: dtt \ Contractor ` Address: 5O\1 �� \\ek c'. State:Mc\ Zip: "4 c) Phone:G,5;%,-\[oj3 License #: Shc_pb(,S lob \ Multi -Family Building: (Yes / No ) Contact: Lisa ry onsovi . City: s-1)\cont- c\ Email: \rt-NonUa Lead Certificate #: 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: Phone: Phone: I Sewer & Water Contractor: Phone: I 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.oro 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 pians. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building de st be completed within 180 days of permit issuance. x \Scc MOK\C- C �r \ Applicant's Printed Name x— A li is pp = gnature Page 1 of 3 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 C!ty of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 REtt FEB 1 3 2011 J V r Use BLUE or BLACK Ink For Office Use 1 Permit #: ////0 3 -.0 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .-C/1- \A Site Address: X63 \\e C K l t v P Unit #: Name: A -R C\ '(\C\<�i Address / City / Zip: 2j sL \ Applicant is: Owner Contractor ) -t e Phone: LS \L6 -4 -Lc -1(a CATtcl "- n . JS 13a Description of work: cechcx4. c c1G\ C-ev\ok C' €., er�C t ccoc.0 e Construction Cost: �J(xi Multi -Family Building: (Yes / No ) Company: C.DutAne,A ->c�� a , c)c Contact: t. i CViCCTh, S 0 r) Address: &U\1 City: cj\a,D ,�Fi ,-,-,r1 State;V Zip: SS 4T O Phone:1S,)- \---4, 3 Email:\cilO . pC'kr1C&' CA -1t1"1 License #: Lead Certificate #:\- 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: ILicensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit areconsidered•to be public? information. Portions of the information may be classified as non; -public if you provide specific reasons that iwould permit the City to', conclude thatahey 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 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 Bui 'ng Code must be completed within 180 days of permit issuance. x C-Y1U\1L (\ Applicant's Printed Name x Applant's Signat Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166060 Date Issued:12/09/2020 Permit Category:ePermit Site Address: 3863 Heather Dr Lot:32 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-320 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Karen Motszko 3863 Heather Dr Saint Paul MN 55122--162 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature