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