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1648 River Bluff Ct4 11b°. CityofEaWafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 /6LQ q 7 l l 116 4( 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Li • a t ) • (2011 Site Address: 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 x 100) e t_so -» x �' Applicant's Printed Name A •1 cant's Signature Use BLUE or BLACK Ink For Office Usa Permit #: $c 7/ (Q Permit Fee: ' 395.06 Date Rec2ived: `7' — (2/ 1I Staff: Page 1 of 3 `-� 4.11111. ft. RESIDENT / OWNER Name: 0ryJ ey) n Nea „ a tille.�a 1 c Phone: _26,1: V ,J Address / City / Zip: _ _ * . , 4 . ,` . • hi A a/ Applicant is: Owner X Contractor TYPE OF WORK Description of work: Re - Construction Cost c.$ &7,s. 0c, Multi- Family Building: (Yes X / No ) CONTRACTOR Company:, S(,t n 6s e, kll.m,or ell S Vi1 Contact: ( Pe r 0 .,- ) Address: 59 7 (o I kbc 1--c ,n City: .5-1-. F c t I State: M 1\j Zip: £j //O Phone: 66/ — 7601 — 9 45 .7 License #: a0 ($15/ Lead Certificate #: j - aa9 7)3- O If 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 in orr ati on. Porti o the information may be classified as non-public if you provide specific reasons that would permit the City t o conclude that they are trade secrets 4 11b°. CityofEaWafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 /6LQ q 7 l l 116 4( 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Li • a t ) • (2011 Site Address: 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 x 100) e t_so -» x �' Applicant's Printed Name A •1 cant's Signature Use BLUE or BLACK Ink For Office Usa Permit #: $c 7/ (Q Permit Fee: ' 395.06 Date Rec2ived: `7' — (2/ 1I Staff: Page 1 of 3 Aug 18 1511:01a Sunrise Remodelers 651-762-9395 p.14 Use BLUE o�BLAC�C Ink r���__ -----------� 1 Eor Office Use � 1 !-� G�° � PermB�#: /�v� ���-- j t� of �a���. � Pe.�n�Fee: ���5-�� I 3830 Pilot Knob Road � i Eagart MN 65722 � Oate Receiv�d: � Phone:(659)67fi-5675 ,. 1 � Fax(65�E)B75•5694 � Slaff: � �-E.'irtiflGc.�` � ''• (� , -F f�� �:�,� t;�-j 4��'-e��7c,n c.;�,�. �----------------1 ao7 s �.Es�DE��'��►� ��'���t�G P��wi� ��ucr�-rio� �'-�d��,r° t�(,���= Te�:,n t-r�,,� s t s� - r {� , r Da4e:�'1�'�_'r_�_ Site Address: E��cJ P'1►w�°t ���,'��t• ���l� ��l�I linif#: �,x,-.,._.r..�.-:_.:r.._4.�.r..�..-x.,:�-.�:.�-�-s -,� • — - - _-o_ :.y...,: r.�..,�...�,.,..,�,.,.,...�_ :�ve c t u c`��;�..r l.����'��lv�-1 � � I ln���--'r..�C��-i� t�� I�:�.{'�r : Name: Phone: ' 9ZesideaEt/ ��p��P ; Address/City/Zip: � � = Applicantis: O�vner �Cflntractor �:.�.� � �.__=..=o.—�-,=,m�,�.r.,,....a_�._�__,..�.-,.._ ,.,_..-. ......_.__.... �....-...�. .p.e,.�....�......,..�..�.�...,........_.,.,�.,�,�.�...,.._.M....,.n ...�-.._.....,-_._ ..�.�..�...r.=x,r,.,_�,,.u.__._n ' T e of�'orit � aescri tian of work: ��: � �� � �p p ' �J ; Co�strudi�n Cost: � ��4 �C�� � Muiti-Family Building:(Yes�/No_j � � � Company:�L;.� v';S-� ��e vv1 cc�_1-e:S Contact: �t;i..1 �•�� ���1 � n � h-�t � � �011'�P�C$�T , Acldress:��� lL' 't"IC.`�'�-. �.ct �-� City: �'�'• .�a ' State: '�,�Zip: �C 1 !U Phone: E�nail: i Y!�i'z% � S..e 1�r=���r���:c�-e.1�;s r . �C.c:�• . : . " �tcense#� C � (� ��I e � � ea��ert+Ficate#: i�//�-'T 2� �l �3 . � � �. - i / -- ., : �f the project is exempt irorn i0ad certificatien,piease explain 1+uhy: �4AflPLETE THiS AI�EA�NLY�F CONS1't4UC't1�4; �,NEIR/BUILDING � : !n 4l�e lasf#z rr�onElis,has the City of Eagan issued a permit fior a sirnilar plan based on a master plan? - Yes Mo IF yes,date and address of master plan: ' � � �icensed Plumber, Pi�one: R ; �flechanical ConQractor. Phone: ; ` Sewer�Water Contracior. � �ho�+e: ' �ire S�uppressio�ContracYor: Phone: � P�lJTE:Pfan�arrn►siipporfi�rtg dociirneii$s�Pia#yoei�su,br�+if are considere�eo~be public imfa�rmmateon. Partiorrs o��� . �e iRfo�rna�or�may be c�assifreaf as non-pubrc if yo�peevide speci�c rr�aesons thaf woWd permit the CitJ�to , : � cor�c/u�e fh3g$hey�re trade sec�ets. CALL BEFO4E YOU DiG. Call Gopher SPate One CaEi at(fiS1)454-0002 f�proiectian against undergrourst�l�7ity damage. Call 48 hours befote you intend to dig to receive locates of underground utilities. www.aonherstateonec�ll_oro 1 hereby acknowdedge that this inForr�atian is complele and accutate;ihat the vrork wzll be in conFormance wi�h the otdirrances and codes of the City of Eagan; thaf[understand this is nofi a peRnii, but only an applicaiion for a peRnit, and wo�:is not to starl wil�out a permit; that ihe v�+ork wilf be in accordancewiEh the approved plan in fhe case o�work which requires a review and approvaf of plans. Exter�orwork authorized by a building perm�t issuerf ia accordancewltle the Minnesata State Bullding Coda mus4 be compleEed wiYh9n 180 days af permit Essuance. __,_.,.,. � ��>�,� �'.�..-�-�.q�s' G V"� � � Appficant's Printed Name A a 's ignature . Page 1 of 3 Use BLUE or BLACK Ink r----------------"'� I For Office Use � I � , C�� O� n� �� j Permit#: j Y � � � � � Permit Fee: y�,l�S-�� � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I � Fax: (651)675-5694 I Staff: I I � -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: r7 1Lt �'`�`� � `� ��'� Unit#: Name: Phone: Re�iden�l / .-� _ Owr�er Address/City/Zip:�(� �� ��Vl.�R3l u.f^P CT ��.,s�. 7YI�. S5/2-T Applicant is: Owner Contractor .�,��Q Q,����,� Description of work: �GPt.�C.E � �� to Construction Cost: `� 3 0 Multi-Family Building: (Yes�/No� Company: O�J 66 �/+d LLL Contact: .�7�GE3 V�S�� ` Address: ,3 7B0 90� �'L� City: �it�o� �if-t.�s �.r'Q411�t'a+��t ' State:�/U Zip: .5500 Phone:�DS/-ay5- d3/I EmaiL SJoH*�soy.i��q,�oN1l�'�16�N-a++r ,� License#: JV 1R Lead Certificate#: Iv��4- , If the project is exempt from lead certification, please explain why: No l,t.�-o PFGss�.�rT 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: Fire Suppression Contractor: Phone: 11�DT�' Pl�ns art���tp�part�g docc��ner��tf�at y�ru�ub�it�r�c��r�s3tl�red to;b�p�a#�c��rr�at�or�. Porttrr»s c�' ' t�re�r�f�i�rr�a�in may be cla�.���'�etl�s�n�atii�tic l�',y�ou pro►�e s���if��rea�tsns.�fi�t wo�t�t per��t i�C�at',y t� c�n�lude t��t�l� . are tr°aal�,,secre�s. ' 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.aopherstateonecall.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 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. x 'JlTZ3V�' �d/�nTS o-+J x Applicant's Printed Name Applic 's `i nature Page 1 of 3