1743 Bluebill DrUse BLUE or BLACK Ink)
)
Permit F:
71"P"- City of Ea-0,4ft
�0)Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Date Received:
Phone: (651) 675-5675
Staff:
i
Fax: (651) 675-5694 NOV 5010
1
2010 RESIDENTIAL PLUMBING PEkMIT PPLICATION
Date: -\\• \� Site Address: A ---A t--Vb1,1 L P L U
J
Tenant: ---v11-n-\.62--- L0_ \L Suite #:
RESIDENT / OWNER
Name: -F' L Phoned (95 l ( d 81
Address / City / Zip:\ -1 ` 1) l� u -b -U i t 1 t NI,.',- 5-1
CONTRACTOR
Name ? �y �� P_O-EXA. akaicense #:LQ. URCATh iC _
\
Address: ; )t Ltb \4-V_CA City: V\k_—\
State: A Zip: 5 Phone:\!'`'D 'o/?% L 1
Contact:\,� Ir Email:
TYPE OF WORK
_ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. )
i
Description of work:
PERMIT TYPE
i
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures (_ Main / _ Lower Level)
Lawn Irrigation (_ RPZ / _PUB)
Water Turnaround ,s
Septic System
New
_Abandonment
RESIDENTIAL FEES:
)
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
I
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.oq
(includes $5.00 State Surcharge)
State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.08 State Surcharge) —00
TOTAL FEES $ 'D,
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 world 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 plan
ed
Applicant's Printed Name Applica Signature
FOR OFFICE USE Reviewed By Dater
r•
Required Ins'Oections:_Under Ground ¢ R uii
41141'
City of Eau
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
b`Po
Permit Fee: �� 0
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
~1 2
ol41d Site Address: l'2 ¥3 /T(�Gfe_ /c- -%(
Suite #:
RESIDENT / OWNER
NameV4!' /r 2 'k 4i Phone: '37 -C4/ 5Y '
Address / City / Zip: f 1 V-3 g ZIt
CONTRACTOR
Name: �� License #: .5-7& (jJ��[/�/` -)4:00-7
Address: /r}' a s"ezfAL''L- City: L�` 4,1Af /O77/t— -
State: 711/17Zip: .7 7'( Phone: f 6 ^ 94
�,/
Contact: Email: 6 . 4�f- c +iQ C�i`'/c-%�,
TYPE OF WORK_
New replacement Repair Rebui Modify Space _ Work in R.O.W.
_
Description of work: / !C _ AV .5 ..0 .tom
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures (_ Main / Lower Level)
_
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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 ..o.he teonecall.or
I hereby acknowledge that this informati is complete and accurate; that the work will be in conf
Eagan; that I understand this i of ermit, but only an application for a permit, and work
accord ,nce with the approved y i i I}e case of work which requires a review and approval
with the ordinances a • .des of the City of
tart without p$rm' , hat the work will be in
Applicant's Painted Name
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA100052
Date Issued: 07/12/2011
Permit Category: ePermit
Site Address: 1743 Bluebill Dr
Lot: 3 Block: 04 Addition: Town View 1st
PID: 10-77100-04-030
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Renae Freinwald
2200 Hwy 13 W
Burnsville, mn 55337
952-767-1870
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Gunter Bick
1743 Bluebill Dr
Eagan MN 55122
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
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA103626
Date Issued: 04/05/2012
Permit Category: ePermit
Site Address: 1743 Bluebill Dr
Lot: 3 Block: 04 Addition: Town View 1st
PID: 10-77100-04-030
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
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: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Home Depot At Home Services
656 Mendelssohn Ave. N
Golden Valley MN 55427
(763) 542-8826
- Applicant -
Owner:
Gunter Bick
1743 Bluebill Dr
Eagan MN 55122
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
4 0411 V -i .et, t -14s" , 1141 171,witte-i tit Th
City of Eaton
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Oc6
Use BLUE or BLACK Ink
L
For Office Use
Permit #: 3-t3
Permit Fee: —I 2P • 15"
Date Received: ID I 29 I 1.3
Staff: ?e,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 0 -13 Site Address: q I I -7'13, I-7,15, I ""ig, Unit It:
Name: Phone:
Address / City / Zip:
Applicant is:
Owner
Contractor
Description of work:
Construction Cost: t S
Company: otiNce.U.cr-- Zit --
Address: 60opp.,13 ut.C,:seax
C'ere4
Multi -Family Building: (Yes >I / No )
State: (y.Ai Zip:S3'13'
Contacte).- r I
City: 01; rtfte-k-onir...0-
Phone:
License #:3C- (-11 1,9 ‘D 44 5 Lead Certificate #: /ATr
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ft*P4.
—40J
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:
avide reasons that
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. wwmgoptierstatemecalLorq
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.
I c-kct r
Applicant's Printed Name
x
Applicant's Si natur
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