1998 Glenfield CtRESIDENT 1 OWNER
Name:Z P/ZOPCATY (:4 12E• /NG Phone: 651- SS'/ 99'4/9
Address / City / Zip: U, h 2125 lit VE1Q, Gum- di-76 /Vld 550 76
,
Applicant is: Owner X- Contractor
TYPE OF WORK
Description of work: Q t V(01/E A-ut / E9 Sul N4 Leb look'
Construction Cost: it 2 1, 006-d Multi- Family Building: (Yes / No
)
CONTRACTOR
Name: 13E1 E MA-INT. COR, P License #: 20 I/ // 3/
Address: q0 s VI. 60' Sewer' City: Af tiff/tfeE
pp
State: NN Zip: 5S4/ g Phone: &1 - g6,/ - 6 2 %' 3
Contact: PA- U,1,,, H. Email: if/A:3 Cm be-44M - Co' i
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 fora 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 thee trade secrets.
Tenant:
Applicant's Printed Name
City of Eaftall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Signature
For Oftipe U 6'76
Permit #: (f
Permit Fee: 1 6 72 1
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
K0 , 4o6 y, L i066, 4068 8 av A4
Date: /0 /240 Site Address: I ( Zaa0 2.7QZi 42009 eA/FELD Cijj4 r
1001W
Use BLUE or BLACK Ink
Suite #:
CA LL 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.gopherstateonecail.orci
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.
6 /4/vOG5l.T( /ff/
Page 1 of 2
ER t W PERMIT i .
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• Y OF EAO� U 1 `QN1
: -tea ream,
% tM P A'r 12/ 13 /91 •
; Eagan, MN 55124=1897 , �
PERMIT # 1 2
PATE 12- * . t DATE 8.1k RECEIPT DATE 12/12191
PRY :., BOO PUMP
E ADDRESS
LQT Bt _,_2 S •.CI$UB N` j i+ C wwE x w fiR TAPS
A�?PLICANT:. '
140 " - " . M�IN13 i Stt
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CITY, S, ATE $idle}�r <1 = ziP : �fN EXISTING
PHONE: - Q3f3�
Lawn Sprinkler - ers are to bo I '
PI.tMABER .,, 1 4k 1 ; 1 . fry P! A .; tl 04111'1 Meters rug Water Un
6 0 O a' 1 "j : a Cr. f .Na'-be • for Oed
C', STATE
PHONE: • 41i#21121. •
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to' ' . t , c � CA4d.I FOR " C S.: F �
R PER t'3, CQPIT I' ERMIt �':
0611712014 15:05 Les Jones Roofing, Inc. �AX�528817009 P.007/020
Use BLUE or BLACK Ink
� FOr OfflCe U6e �
. • j Permlt�: ����� j
Cit� of �a�a� � Pennit Fee: ` /.� ;
3830 Pflot Knob Road � �
�agan MN 6612� j Date Recelved: �
Phone:(661)675-5676 I I
Fax:(651)875-5694 . � S�ff� �
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2014 RESIQENTIAL BUILDING PERMIT APPLICATION '
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Date: l/ �7 Slte Address: /99k-.?oav- 2 0�2- �vo� G-��,� Coua.� unit it:
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;�;y :,;;, Applicant is: Owner
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'��,��,<<;°,�Fss�4,`';``�•,�;.•rt'��` - Description of work• �4�iKOVE' .4iY0 �P{�,q�r� sD/N�.
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�k- ::°�.�;1':: -�`��;�;';� �`� Constructlon Cost: 1 I a3. Mutti-Family Building:(Yes x /No�
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�?�;�,;.�,�; =�;�•'� i�:i'- Llcense#: �.5�(00 I..ead Certlflcate#: .U.4T —/
If the project is exempt from lead certlfication, please explaln why: (see Page 3 for additionai lnformation)
COMPL,ET�THIS AREA ONLY IF CONSTRUC7ING A N�W BUILDING
In tha(ast 12 months,has the Clty of Eagan Issued a permit for a almliar plan besed on a maeter plan?
� ^Yee _No IFyee,dete end address of inesterplan:
Llcensed Plumber: Phone:
Mechanical Contracto�: Phone:
8ewer&Water Confractor: PhonO:
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CALL BEFORE YOU DIG. Call Gophar Stam ono Ca11 at(661)464-0002 for protectlon age�net unde�ground uUliry d�mage. Call 48 houB
before yau Intend lo dig to recefve locates of underground ulllMlee. wuuw.000harsteteonecall.oro
1 hereby acknowiedge thet thls I�fortnallon Is compiete 6nd 6CCUr9fe;th9t the wiork vuili be In confotmBnCe wllh the ordlnances and codes of fhe Clty of
Eagan;that I underatend ttNs Is nat a permlt, but only en appliCGflon fo�a permlt, and wo11c(e nOt l0 etan wlthout a permih,thal(he work wlll be In
�ccoNance wlth the approved plan In the case of work which requlree e reV18w 6nd epprovel of pi6ne.
Exlarlor work authorized by a bull�ing permit Issued In accardanCe Wlth th@ Mit1t196ota Stflte Butlding Code must ba complated wlthin 180
deys of parmlt Issuance.
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AppllcanYe Printed Name AppllcanYs Slgnature
Peae 1 of 3
0211912014 12:33 Les Jones Roofing,Inc. �A��9528817009 P.0071020
Use BL.U�or BLACK Ink
�------�----------
• � For Olflco U�e �
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� R�������� � Permit#: �
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� C�ty of a�aIl FEB 1 9 Zp�4 1 pertnll Fea:_ ��
3830 Pllot Knob Road �
Eagan MN 55122 � Oate Recelved: i
Phone.(851)676-667G
�ax:(651)676-6694 . � S�� j
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2014 RESIDENTIAL BUILDING PERMIY APPL.ICAT�oN �.-r��
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oate: � �9 slte Address: / o �oo !r E c unit#:
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'�`);�j.�''���l�S�V'���.�""'^a� Licenee#: �.�/c� Lead Certificate#: .UA9"� `f 0 3��?—/
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If the proJect(s exempf from lead certiflcatlon, piease expialn why: (see page 3 for additiona)Informetion)
COMPLETE TWIS AR�A ONLY IF CONSTRUCTINO A 1�W BUILDINO_
in the last 12 montha�has the City of Eagan lssued a permlt fo�a slmilar plan besed on a master plan?
_Yes ^No If yes, date and address of master plen:
Llcensed Plumber: Phone:
Mechanlcal ConVactor: Phone:
Sewer&Water Confractort Phone:
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CAI,�BEFORE YOU DIG. Call Gophar State On•Call at(ss1)45d-0002 for protedion ageinet underground utllity damaae. CaU 48 hours
before you intend to dlp lo receive locatea of underground utlllUea. www,,gocherstatoonecau.ora
I heroby ecknowiedpe thal thle Informatlon Is complete and eccurete;that fhe work wlll be In contormance wlth lhe ondinencee e�nd codee of lhe Clty of
Eagan; that I underetend IPds le not a permlt, but only an appllcaUon for a permit, and work le not to start withaut a permlt; lhat Ihe work vulll ba in
eccobance with the epproved plan In the caae of work wnich requiroa e revlew end epproval of plane.
EXterlor work euthorizad by a building parmlt Isaued In accOrd�nco wlth tha Mlnneeota Stete puliding Code must be Completed wilhln 180
daye Of permlt Issuence.
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Appllcant's Printed Name Applicant's$ignature
Peae 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139282
Date Issued:10/18/2016
Permit Category:ePermit
Site Address: 1998 Glenfield Ct
Lot:049 Block: 04 Addition: Diffley Commons
PID:10-20450-04-049
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 -
Patricia A Bolland
1998 Glenfield Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature