3263 Hill Ridge Dr4 , b City atEtan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5 c) , 61/471
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t - ( ' ? o - a0 // Site Address:
A • • cant' Signature
Use BLUE or BLACK Ink
For Office Ilse
Permit #:n):
Permit Fee: '^ /9. 75
Date Received: 4
Staff:
�H�L DtrVKt Y VU UICi. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Cali 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 1 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 app val
x � - 5oe-I t e.4
Applicant's Printed Name
Page 1 of 3
. -- - . . , 17111E ft.
RESIDENT /
OWNER
Name: f�ry/vo n, Mr: nagf 41.1 1 Phone: 763 - "PM - 91nn
JJ
Address / City / Zip: _ i , d 4 • _ 1 • . 74. Ai. hi / `/
1
`
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: (p , —r7 y
Construction Cost 't'a 1, $ 31, 9 Multi- Family Building: (Yes X / No )
CONTRACTOR
Company: Co n r, kP. v l exc di C. Contact e ( J"2ihf, -s ,-)-)
Address: 9 76 /,9be_ 1.,c,nc..r City: 'S-F, Pel t4
State: M N Zip: 5 //O Phone: 6161 - 76,;1 - 9a 45
License #: 7.5/g Lead Certificate#: NAI - ,2)9. ? —0
I f the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Porti 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.
4 , b City atEtan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5 c) , 61/471
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t - ( ' ? o - a0 // Site Address:
A • • cant' Signature
Use BLUE or BLACK Ink
For Office Ilse
Permit #:n):
Permit Fee: '^ /9. 75
Date Received: 4
Staff:
�H�L DtrVKt Y VU UICi. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Cali 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 1 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 app val
x � - 5oe-I t e.4
Applicant's Printed Name
Page 1 of 3
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: b /2r /Yi (1tit/2(1/72} Number: 111,7
Billing Name. rtv r. Villa - B1d,1. 17 Site Address: >Pti 3 r i -i 1 cr u r
Owner: Billing Address
Plumber: Harr;kiorst P)umaing
Location of Connection Meter Size Connection Chg. '
Meter No. Permit Fee 1 -. 0 )
Meter Reading_ Meter Dep. )2/..,./12
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date 7-r-7->
Building is a: Remarks:
Residence cc[,
Multiplex No. Units a 10°4' ;, " � L ICE FAE
Commercial r �MQ °p� R�v
Industrial \O"' y:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.
3795 EAGAN TOWNSHIP
(77."' Pilot Knob Road
Se. Paul, Minnesota 55111
Telephone 454 -5242
P ERMIT F OR SEWER SERVICE CONNECTION
DATE: T , ;..F. 1 ., P c
OWNER Avr,rg4te V1114- NUMBER t
P ER tt's= 1wa Address s r .L /A4 ti Iii31i� r� i
17p; Co,
� --�- TYPE OF PIPE L .Jy ,;,,;t
DESCRIPTION OF 444 BIILLDINC
Industrial
Commercial Residential Multiple Dwelling No. of units
Location of Co nnections: -
Connection Charge — ) U_ i__
Permit Pee 10 . 0 J pd 12/
Street Repairs
Total
Inspected by:
Date —� —�-
Remarks:
By
Chief Inspector
In consideration of
hereby agree to the issue and delivery of the regulations of agar Township, ako a Co orda ce wi h th above Permit, I
County, Minnesota rules and
Sy
L ira �1 =
;, Cc,
of the w k i ov for inspection and connection and
e before any Portion
Aug 18 1511:04a Sunrise Remodelers 651-762-9395 p.18
�
Use BLUE or BI.ACK Ink
r------ -----�'�--f
1 For Offiee Usa �
' �����G� �
Cit of E� a� ; P�,t�: �� �� ;
y � 1 Perrnitfee_ � � �
3830 Pilot Knob Road j �
Eagan MN 55122 � flate Received: 1
Phone:(651j 675-�i675 � 1 I
Fax:{651)675-5694 j Stat#: �
•-e�(1(�t.�t � `• � . �I��K�� C-i1t-f ti �����7an ���,� -----------------�
2015 RESiDE1�,T1AL BUILDINIG PERMIT APPLICATI4N
C-e da.r' t3(���F'�, TC�o:,n �►��c s-t s
Date: /1'��'� � Site A�dress: 5 h�� � � s�l� Unit#:
s.�...,�.�..��.,a.Zv�L l in� . '�� .� , J j a ,3�o �y.,,���J. - --- �
� ; Name: P�ione: �
; �esident! ;
! Owner t Add�ess 1 Gity l Zip: �
s �
i : t
� f Applicant is: Owner �ConVacior _a_
�,,.........,..,.....<.�_....�.,....,j Description of worlc: ��: � /'t G ..�......�...._ -`�
� TYpe ofi Work ; � �
` J
Consfruclion Cosi: � 1�; �'JC���G Multi-Family Building:(Yes�J No_� _
�.r.....,..._...._..��. -- •- - - --_�_.__ -- -- — -
� _.
� _ � ' �-e. ��vY� cx�1-� :S_ Contact: �l[;t'..� ��-�-e-� .�::.�'t
� Comparyy:�j t��Y1 � �
F ` � �
� Contractor 3 Address_�-t'1 �C 1-�t:�-2 L-�i �. c�ty: �� � ��� �
i a - '
a +
� j State: '1� ?�Zip: � �l i U phone: �mail: i�1� ' S_e 1�r:�v'r�•v��r�-e.�,-s,
3`� ::t��,,
' L�cense#���_�.� � 1 � � � Lead CeKificate#:�/"� � o�� 13 �
�E.�..,.:..._..,_..�........,..y.,._.x._._.. � ..�..��
; ff the project is exempf from lead certificatioe,�lease explain�fiy: �`
� F,
Z
�
�� GOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �i:
� In the last 12 months.has the City of Eagan issued a p$rsnit fnr a sim�ar plan based on a master plan?
;
� Yes !Vo If yes,date and address of master plan� �
;
,
i Licenssd Ptum�er: Phone:
? Mechanical Contractor. Phone: �
; Sew�r�IAlater Contracto�: Phone: t�
F
9
� fire Suppressien Contractor: Phone: s
` NOTE:Pfaas and suppocfing documents t/�ai you submit are considered to be putr(ic irtformation. Portians of ;
f the information may 6e classiFed as non pablic if you provide specific reasons t�iat wou/d permit tl�e City to '
�
�
. �
� conclude that they are Urede secrets. '
CALL BEFORE YOU DIG. CaU Gopber State One Call at(6S1y 454-0002 for prolection against underground uti'lity cfamage. CaA 48 hours
before yo�intend to dig lo teceive locffies of ur[derground util�ies. www.clouhersialea�ecail.orc�
I hereby ecknc�wledge that this information is com�lete and accurate;that the work wdl be in cor�ortnance with the ordinanoes and codes crf fhe City of
Eagan; tnat 1 understanQ this is not a permit,but only an application for a permiE, and wark is nat to stert without a permit;that tt�e work will be in
acccrdance with the approved plan in�e cese af work which requires a review and approval of ptans.
Exterior work authorized 6y a buildi�g permtt issued in accordence with the Minnesote State Building Code musi be completed witbin 460
days of permit issaance. ---.
X ,�ry�� Q:�.�-�L'1�� Gi Y^� X �
v��
Applioant's Prtnted Name A a 's igaature .
Page 1 of 3
Use BLUE or BLACK Ink
� � r----------------i
I For Office Use �,
' � Permit#: / ����� I �I,
Clty of ����� � / �
� Permit Fee: /��' �� � ,
3830 Pilot Knob Road I I i,
Eagan MN 55122 � Date Received: � �i
Phone: (651)675-5675 I I �
Fax: (651)675-5694 I Staff: I !
I I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION �i
. . .� :���
Date: Site Address: .�� ,S�� ��(� ���� �Unit#: � ��
��� �� Name: Phone: ��
F��S�d±�nt/ �I
F �,.
��(����� Address/City/Zip: ��...� �;���;pc� � . �,q�6,�,v, ►'Yl�v. 55/�3
:,,��„�.
a��0 ��= Applicant is: Owner �Contractor �
��4
� Description of work: ��Pt,�k(fr, (� �ja2S
T�►��c>f W4Ck � �
'. Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
3 Company: �NN�� �iA�ta,� C3'A�R.9�fr� 2�Oa�Ls, l.l.L Contact: 4�I G�LE�;�OH*�SG BJ
��M�'�I'aC�4r Address: �S'7�O ,90�'„flt��o• city: �,�,� �ig-us
State:�/� Zip: $Soo9 Phone:joS/--Z�S—D3/�Email: ,S;bNntSD��lxwon�l/�C`1�+t6�or •�
� � License#: N�R� Lead Certificate#: �
If the project is exempt from lead certification, please explain why: N� (�¢„q� P�t£sg,�,�
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�IUTE:Fla»��nd scrppQrtr�g tl�c�tment�m ��yau.�ubmrt,�r.���rr�ia�ered t�be�blrc:frif�r��tr�r� Port��an.���� :
't�e int'arr�r��ic�n m�y�be classrfiecat as nr�n-�ubl�c!�'yo�r�ratr�de�pe��fic reasorr�fti���rc��lc�perrrrtt tfi�C"�ty t�
�c�ncl�rde t���t�� �r�e.�d�s�cr��ts
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.qopherstateonecall.org
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 Build' must be completed within 180
days of permit issuance.
X S�►l� �Hr►.saN X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3