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4199 Beaver Dam RdCity of Eag,au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 875-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: 111)1 9Q Date Re ived: V—€16 Staff: 2011 RESIDENTIAL BUILDING, PERMIT APPLICATION Date: 4/1/0141/1Site Address: 4/9' °I 8 ? ' o0 -O Unit #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: rrtj/A/C0'14 ` f 147-i�1/G//Z"' Address/City/Zip: '- 'l 9 13et3 'lc^ Applicant is: Owner Oontractor Phone: Gia ; —G .''7, Jim 613n/ s'i as Description of work:PL: -E Construction Cost: 17.g ?. Company: I Pi 11,. Cr ly locr9✓ `% Multi -Family Building: (Yes / No Address: 5-46 / 500/ye rthJ state. t Zip. -5-` License #: L 3 b gr0 p eA fitaaS `r thfl / /Z Lead Certifcste #: A/9 ;T` 707 3 7 3 _ If the project is exempt from lead certification, please explain why(see Page 3 for additional information) COMPLETE THIS AREA ONLY_ IF CONSTRUCTINGA NEW BUILDING In the last 12 months, has the City of Eagan issued a.petmitfor a similar pian based on a master plan? _Yes No If yes, date and address of master plan: licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: one: CALL BEFORE YOU DIG.. Call Gopher State One Cali at (651) 454.0002 for protection against underground utility damage.' CaII 48 hours before you intend to dig to receive locates of underground utilities: www.pooherstateonecall.oro 1 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, gut, 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 workwthich requires a review and appro3of plans. x ''5#J& & (1 y& . Applicant's Printed Name 05/0612014 09:42 Les Jones Roofing, Inc. (FAX)9528817009 P.0111011 411//j6 City of Eta 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-6676 Fax: (651) 676-6694 Use BLUE or BLACK Ink For Office Use (� Permit #: / V I1 R k Permit Fee: '1_ (40 Date Received. A 3 1 Staff: 2:561/3 "-- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "2-h,hfl Site Address: Unit#: x , V,.,..p,. tt :,,.- 1" < I 'i',, . r 7 ' t4• : ' 0� V �''' ,-• , , t� te." ' 'p` '' r - Name: R�'!~1 1V Phone: 5'S� %o PreCP TY c 6 c.. Gs!— 99'4/ Address / City / Zip: Bo. Bok 112. 5 /Pi/67E4E-614 / /L%r' 6' 6' Applicant is: Owner . Contractor iii ; =e ;.\, z. ''Ir:e .' y . .a ror \ , ii1 Description of work: il�f� /f/UQ �✓G��PLY. / Construction Cost: 416 �i' /• Multi -Family Building: (Yes X / No __J 4 - vt �tot tai °s0, t, r t -n' ,' ;::.:0\e, `, a, t `" ' � a; i,s� ± ' Company: hF5 72'N6 R0I'f?A/6x- Mx- Contact Csl.¢1 s A-,VOQ2s0AJ Address: 91/ W. gl) Mt .07/ City: IADea1c/A6-TEDi✓ State: MA/ Zip: fs-‘120 Phone: 9.5-A-76. 7 - a8/9 License #: 6.5760 Lead Certificate #: P,4T 'to 3_97_/____ If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 Yes months, _No If Contractor: Contractor: COMPLETE THIS AREA ONLY IP CONSTRUCTING A NEW BUILDING has the City of Egan Mewed a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Sewer & Water Phone: Phone: Phone: r i' �,�y7 f��:� �`�^ �r �.1�. ,i 9 �.,�.�,;. �', �1 � �aM1f �[4'�-�►� 1�' ,� IZ �1i �i!� �C� ft(' � 1��„k 7/P �7r1 ("j i..,e .F 0I ' 1 a . /Io a eI. V oI( o ,4! )k)V ?' .Y "i ri f ,'�; r,(, e 0 rV e , e e o , c /a a '�.'�%"r �1 �',; J p7J� ; r yo < f 1 ry t � � /T '4`e,1l�I 1' e 0 -lvA c �. e p+' A e �e.-�e�� 1' 4Y, o,��°�'�°{p,. o ' �,� ' r � a Y �iqn l� I.1,- t- 1. - r �a i,� 1"nR ,i(�ie ,�� .1�.�y lG J� 'At,'.ti 1�� , ''..A. .. +';... <.� _ �T, , ':.. >�.�.. r A. �':RF" 3, _ ' �J/ ° L; `�1. '&nK a..Z*:1, :• h .: i ' •, .. - r .� ,, Mis` CALL BEFORE you DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utlllty damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aeoherstateonecaliorg 1 hereby acknowledge that this Information Is complete end accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this le 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 required a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must ba completed within 180 days of permit leeuance. x G!¢2rs 4iDb72C0A/ Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:17 Les Jones Roofing, Inc. ffAX)9528817009 P.002/011 Date: C!ty of Eap 3630 Pilot Knob Road Eagan MN 66122 Phone: (651) 675.6676 Fax: (661) 676-5694 Use BLUE or BLACK Ink For Office Use Permit#: ' 22,13c Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION -fir, 44/ Site Address: 1#87,'lr ?/, 4,4/9 5 ,?`/ 49 &-AA/cxt. WA -M 2340 units: ,Y' r ''M ' :,' , 4. R"` `dl1 • yd 01+11;k''' - r • i 4..• ti `4"ic a;; ' „ ;y` Name: yo PeoPa2Ty G4?.6 t Ne... Phone: 457- 51-c/- ff'7421'-, r ,// Address / City / Zip: 10- BOX 212 . //'fl_ ezr--o%d Ali 03-4) 24 Applicant le: Owner X Contractor y , $r�atr 4,,,,! ti p. ,� •:I; . 1 's:., • ^� , "'�! Description of work: R?Mov6 A,wO Rd°P'- 4. 50416- 4441 /44119)S/O/Nlir' Construction Cost .-4;' A -gi i Multi -Family Building: (Yes X / No .• ...yn"1l e z+)rkf A, ,w5 • ;..'''x': .;: ' ' , ,,;,+�iitrF '7 ., ` I N " - •:,r;�'' , ;, �s�;;k :; .' ,,, ' ;.• Company: 4 3 ,ThN53 A wzr- five Contact G/�l�t i �or�so AV Address: 9'tt w. go"' inzz r- city: to�au ler_J-ae/ State: AV Zip: f$'20 Phone: 9$ - 76 7- X819 License #. 45-64 Lead Certificate #: .(.) 7- `t O 3 V - / .! _"„,0', ,7 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Began issued a permit for a similar plan based on a master plan? yes, date and address of master plan: " _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: ' %in ftbg h". Otikltkif tig L 0 % -°!dOi'e > QLD/ diff i O; TAIIQf4 ' Ute"triffYYi fpnil:etgilActo. bier ,0149 •> (.14,4*,* $ N6volitd e ,titroito t ill?t 3'4 a1r,tyA ti • g1 g•.,W9.A: 1`dC:.,J.iiuC :%• .„.„,, ?7. •+ CALL BEFORE YOU DIG. Call Gopher State One Cali at (861) 454-0002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. m w.aooherstateonecallsorq 1 hereby acknowledge that thls 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 le 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 plane. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must bo completed within 180 days of permit Issuance. x C/f,2iS 444D6720'0d Applicant's Printed Name x Applicant's Signature Page 1 of 3