1916 Glenfield CtRESIDENT / OWNER
Name: / 0 PRO PC3TI CARE IN C. . Phone: (o S l - .5 99V9
Address / City / Zip: Po. &w Zi z s (Nve -g 6/Love 47667 - 5 i AN 55026
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: REMOVE .4 A/D //Ep4R - SfN /N( tp g
Construction Cost: i$ .21 O 60 Multi-Family Building: � y g: (Yes / No )
CONTRACTOR
Name: BFI f XTEg -In/'? Mfg /JUT: CDIep License #: o?d e11/3/
Address: q05 14. 60 ' SflZE Y City: Mr wibW a-1S
State: MN Zip: syqo Phone: 612 - 861' 6g
Contact: PA-a. L - M . Email: /h > t bat ) . 60/11
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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. 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.
Date:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
ce
Permit #:
Permit Fee:
Date Received:
Staff:
/00/ 641
Use BLUE or BLACK Ink
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
4051/ yos4 4os8 v' 864 -vft DA-44 /Logo
/0/ /ID Site Address: / / 941 /9 /y ti- / 9 /6 G COURT'
Tenant:
Suite #:
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 •_ <_,.. without a permit; that the work will be in
accordance with the approved plan in the case of ork which requires a review and approval of
X GMe r s a 72 So
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
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SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 12/04/91
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12415
METER SIZE B.P. RECEIPT # C 15423
DATE 9 -18 -91
ISSUE DATE B.P. RECEIPT DATE 09/17/91
PRV BOOSTER PUMP
4054 4056 4058 4060 BEAVER DAM RD
SITE ADDRESS iakdoaxmia 1910 1912 1914 1916 CERNFTFID CT PERMIT REQUESTED
LOT 1 BLOCK 2 SEC /SUB DIFFLEY COMMONS
_X_ SEWER WATER TAPS
APPLICANT: The Rottlund Co.
ADDRESS: 5201 East River Rd. COMM /IND RESIDENTIAL
CITY, STATE Fridley, MN ZIP 55421 X NEW EXISTING
PHONE: ( 612) 571 -0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Valley P1 umb i ng , -d of Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane .'t WILL NOT - - gken for Deduct Meters.
CITY, STATE Jordan, MN zip 55352 l Q _
PHONE: (612) 492- 2121 ' /
AGREE T C • MPLY WITH CITY OF
OWNER: Thp Rottlund Co. E A G A N O I I N A N C E S
ADDRESS: 5201 East River Rd.
CITY, STATE Fridley, MN ZIP 55352
PHO E: (612) 571 -0304 SIGNATURE WHEN METER ISSUED
SF PRO
PL AS W O RICING DAY FOR O OR R CE SSISI
NG. CALL 454-1220 FOR INSPECT ONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. A ,t' ct e r *,, 0•e1- - ' 6zgyj
06117/2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.002t020
Use BLUE or BLACK(nk
�---------�-------_�
� �or Offlce Usa �
, ' j Permlt#: � v�� ✓ _ j
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C��� 0 ���� � Permlt Fee: �J °� I
3830 Pllot Knob Roed � �
�agan MN 55122 � Dele Received: �
Phone:(661)6yG-6676 I I
Fax:(651)676-669a I Staff: I
' � I
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2014 RESIDENTIAL BUILDING P�RMIT APPLICATION
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'`���;s:��;`;r�';::;"=�r;�' �;ia� L1ce�se#; �.��oD Lead Certlflcate#: .U.4T YD 3 9�--/
If the project is exempf from lead certiflcatlon, please explain why: (see page 3 for addltional information)
COMPLET�THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING
(n the(ast 12 months,has the Cl�y of Eagan leeued a permlt for a sim(lar plan based on a master plan?
�Yea �No If yes,date and address of masher plan:
Llcensed Plumbe�: Phvne:
Mechanlcai Contractor: Phone:
8ewer&Water Contractor: Phone:
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CALL BEFOR�YOD UIG. Call(3opher 3tate One Call et(661)464-0002 for protectlon agalnst underoround utlllly damage. Call 48 hoerre
before you intend to dig to recelve lOCales ot underpround uillltlee. www.aaoherslstaonecall.org
I hereby acknowledge lhet lhlc IMormallon le compl6te end ECCUrete;fhat the wOrk wil►be In conformance with lhe ardlnanaas and codes of lhe Clty ol
Eagan;thet 1 undarstend lhls Is not e pemtil, but only en 6pplicetlon for e permlt, end work Is not lo start wllhout o potmlt;that Ihe wotk wlll be I�
accordance with the approved plan in►he ceae of worh wl,lch requires e review and epprovel of plans.
Exlarlor work authorizad by a butlding permlt laeued ln eCCOrdance wlth the Mlnnesota 3tata eutiding Codo must ba complotad wlthln 180
days oi parmit 186udnCe.
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Applicant's Printed Name Appiicant's Signature
Pege 1 of 8
02/19/2014 12:31 Les Jones Roofing,Inc. �A�9528817009 P.0021020
� Use BIUE or BLACK Ink
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. ' � j Pemtit#: ����� j
C�ty of�a�a� � Pertnit Fee: ���- �
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3830 Pllot Knvb Road � ' �
Eagan MN 56122 � oete Received: �
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
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If the project is exempf from lead certlflcatlon,please explain why:(see Page 3 for addltlonal Ir�formation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 manths,has the Clty of�agan Issued a penntt fvr a slmlla�plan based on a master plan?
� _Yes tVo If yea,date and eddress of maeter ptan:
Ltceneed Plumber: Phone:
Mechanlcal Contractor: Phone:
� ,
SeWer&Water Contracto�: Phone:
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CALL BEFORE YOU DIG. Call Gophcr 9tete Ono Call at(661)A64-0002 for protecllon egalnst unde�ound uU�ty demage. Cell 48 hours
before you In►end to dIp to recelve locetes of underpround uGlltlee.
1 hereby acknowledae that thle Informetlon le complete end accurate;that 1he work wlll be In conformance wl�the ord�nences end codes of the Clty of
Eegan;that I underetand tnle Is not a permlt,but only an appllcat�on for e permll, and work Ie not to start wilhout a permlt; that the woric wlll ba In
eccofdenCe wllh Ute epproved plen In lhe csae of wortc whlCh requlre9 a rBWew e�d�pprovel of plens.
Exterlorwork authortzed by e bullding pennit Isaued 1n accordence wlth the Mlnneaota Stete Bullding Code must ba completed wlthln 180
deys of permlt 19sua�ca.
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Appllcant's Printed Name Appllcant's Slgnature
� Page 1.of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151112
Date Issued:08/08/2018
Permit Category:ePermit
Site Address: 1916 Glenfield Ct
Lot:008 Block: 04 Addition: Diffley Commons
PID:10-20450-04-008
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Debra Ablin
1916 Glenfield Ct
Eagan MN 55122
(612) 965-8077
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161643
Date Issued:06/05/2020
Permit Category:ePermit
Site Address: 1916 Glenfield Ct
Lot:008 Block: 04 Addition: Diffley Commons
PID:10-20450-04-008
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Debra Ablin
1916 Glenfield Ct
Eagan MN 55122
(612) 965-8077
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163802
Date Issued:09/11/2020
Permit Category:ePermit
Site Address: 1916 Glenfield Ct
Lot:008 Block: 04 Addition: Diffley Commons
PID:10-20450-04-008
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 -
Debra Ablin
1916 Glenfield Ct
Eagan MN 55122
(312) 965-8077
Krinkie Heating & A/c
87 E County Rd. B
St. Paul MN 55117
(651) 488-5555
Applicant/Permitee: Signature Issued By: Signature