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1646 River Bluff CtCityofEaWafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 , /16 WI q7t4 7`Il / 7j 1161 Use BLUE or BLACK Ink For Office -Use Permit #: w 7/ (Q Permit Fee: '39 .. 0 / Date Rec2ived: `-/-(2/1I Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L f •v20 • aD// RESIDENT / OWNER, Site Address: IC,433 R.vac RI cif GE: Unit #: 1 Name: Oryie j` ena erre/4414-/ 42r. Address / City / Zip: Phone: 763 - y961-9/op Applicant is: Owner )‹. Contractor TYPE OF WORK Description of work: Re .-roo f Construction Cost 4;)a, (273. 0 ' CONTRACTOR Multi -Family Building: (Yes ?C / No ) Company:S(,t n rLse, ke.nn,od e l )d 7 e Contact: of Pe ir7-, Address: 59 7 (o I pix. `Cn City: 3-L F c State: M Ai Zip: £5//O Phone: 625/ - 7601 - 9.7 License #: a0C/6.1503 Lead Certificate #: I Q I .2Q .33—t' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public the information may be classified as non-public if you provide specific reasons that conclude that they are trade secrets. formation. Portions of could permit the City to 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 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 . nom" - x 3 i P0+9.001/ Applicant's Printed Name A .. cant's Signature Page 1 of 3 Aug 18 1511:01a Sunrise Remodelers City of Eaaau 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 675-5675 Fax (651) 675.5694 651-762-9395 p.14 r Use BLUE or BLACK Ink For Office Use Perm t#: /3:02 c -- Peril Feer Date Received: Staff: -E'r 1ci I`. p, fie c.K& c;iJ 6,C-eG.7c.n.c.~;lir 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C -e da,r° a t.t112 Tc r.L n h. r t s-c'S' �Date: '1 -1�' S Site Address. ICa3$ VI,vet ci�f> �Li Se5l k I knit #: rivet c--1 u c`I' S ;r .r L° g o l 1 lv L4 D 1 I en t- �) Co (4LP i I (.%-( Sr Name: Phone: -e Resident/ Owner ; Address 1 City / Zip: Applicant is: Owner Contractor Type of WorkDescription of work: c : �l�r f\ 3 Construction Cost: 1 000 • Multi -Family Building: (Yes Contractor / No ) Company: >.t r S -'e R -e vv, ccl�_1-e : S Contact: 0i..1 Address:5 -t 1 lC 'i -4O la --e_. L.-4 vi - f City: el'. A La 1 State: JV1 iii Zip: 63 6-/ l U Phone: E nail: i >n `CJ e s -z 1, r = 'It i r 04 cci-etre s,. License #: C a, (y c 1€5 I S Lead Certificate*: &A-1--___..._9_2_____ if the project is exempt from lead certification, please explain why: 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: • Phone: Sewer & Water Contractor: • f=ire Suppression 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. CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonec all_ore 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, but only an application for a permlt, and work is not to star! 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. Applicant's Printed Name Page 1 of 3 City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ECEN ED pPR 0 41016 Use BLUE or BLACK Ink For Office Use Permit #: 1 T ] 1 Permit Fee: �L✓ Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION lPlease submit two (2) sets o ( f tans with all c mmercial applicatio s. Date. ( I " Site Address: t6 V' ! /( Ulf ( I t ( Tenant: Resident/Owner Suite #: /// ,n�O r',� �% / ' S Name: � i� V, l e 5(--611e, Phone: Address / City / Zip: 1 k1 LCP gC Uer ` ff—C14' oi. ! Y / Name: Standard Heating & Air Conditioning 130 Plymouth Avenue North Address: Minneapolis. MN 55411-3445 City: 612-824-2656 State: Zip: Phone: Licehse #: Contact: Email: New ?(Replacement Description of work: J Sia4 RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL Interior Improvement Under/Above ground Tank LInstall / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $700.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge (94° TOTAL FEE Contract Value $ x .01 _$ =$ =$ Permit Fee Surcharge TOTAL FEE 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 appli tion for a permit, and work is not to start without a pee work will be in accordance with the approved plan in the case Lork which requires a re J iew and approval of plans. Applicant's Printed Name FOR,OFFIICE U Required Inspectionsi Underground x Applicants Signatur