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1659 River Bluff Ct4 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 / / 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y •fin • c20// Site Address: x 10e,! PO4 Applicant's Printed Name x A nt's Signature Use BLUE or BLACK Ink For t3 ffice Use Permit #: g ` Permit Fee: '3c2 q •'75 Date Receii ed: ti-a/ Staff: RESIDENT / OWNER TYPE OF WORK CONTRACTOR 16.G/ f, ■A Name: OrYJoy)rA rmagt°r✓tr.J')4 Q Address / City /Zip: Applicant is: Owner x Contractor Phone: 76.3 yy9 -WOO Description of work: Re , , Construction Cost -r DI, 5023 Multi- Family Building: (Yes aC / No ) Company :,, CI - , St - 1 Z (' 4)n")fJ J (3 SC J Address: 7 6 IIp& `_ � - Contact: city: 34-, Po ( State: M /i Zip: .ar5 //O Phone: 676/ - 76 - 9a License #: 05/5/g Lead Certificate # : N A T - - Pe J c ,-) 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 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. CaII 48 hours before you intend to dig to receive locates of underground utilities. nrww. gopherstateonecaII.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 app . vaI Unit #: Page 1 of 3 Aug 18 1511:04a Sunrise Remodelers 651-762-9395 p.17 Use BLUE or BLACK lnic �----------------� I For Offlce Lise � I � ° j Permr#: /..5��� 1 C�t� o��a �� � Perm Fee: ���'�� � � rt I � 3830 Pllot Knob Road � Eagan Af3N 55122 � Date Received: � Phone:(fb7)575-5675 ,. � � Fax:�651�675-5694 � Staff: � 1 '-�'4'Vl�(.�� E `� � �f e�t l���+ C.;�.f c; �,�e"�� r� ,c�vr �----------------� 2o's ��s����Te�� s�«D��G �E�t-� A�PLrca�o� C-�d��,r� t3L���f= Tno��� ���c s-�s• �a4e��mm�r��I '� Site AdcEeess: 11P�� 1�'l�.V,�.�( L��v';�t�t ���yl� �.�-�/3!Uni�#: � RY. <�trl�-! uL'��5��:�C������o�"���,�����r�a ��t ���y...,.,x-..��.�,�..��e....�.... ; ; �lame: Phone: Resider�� �wn er : address�City�Zip: � _ ,_-.., ...._,.,.....-__-.<.,., ��icantis.� OwnerT �„Conuador.-..�.-r.-,�_-_-.._,:.._:.,:��..�,..,.�..�.-..,.,-r _�m�..�,.,_,�.�__-�-_.�.�,. �.�pe O'F 11VQ�'(K Description of work:_ �j+ CJ� n�\ � � � Cons6vction Cost: � 1 !� ���'•C� . _- Multi-Family Building:{Yes ✓ !Na_) ? . t..w..:....._..�.._,.:..._..,..:.�_...w,..,��_�,- ,..�_...�.w...... ..,.�..�.._�,�T.,,...:,._,.........�__._..__��.,...,.>,.......,v._,...�..._.,..�....,_.�_.,�..,....�.d�w_._:�..:__,,,_,<.: f ° Cosnparry:���1r1 �; S-� ��e w1 rx�-z_4-e:S Contaet: �G '�� ��;-c�.y- ,c�1 , � : ��ntra�tor � a,ad�s:c'� (c �—�t.��-e ��i ;n-e c�: S� . �.�1 i � ; Shate: 1?/1J Zip: � �� �V Phone: Email: i Y1 yZ.% �. S�-i Yr r� ��V��v+cc1-��;s, : � � �� �' � ;c�:�, � ._.. ...,w.�,�........,...,.._.....�.�License#_.._C�__._.�� ... n..E.�,.LeadCertificate#: ��T�_�����-3.�� � : ---,�--,�,� ' � If th�project is exempt from lead certification, please expfain why: �_..�.x�v�......_-�.��_.��_.�.�..a,�z.�.....�....-.�,� ..�,.�.�.,�_-.Y=,-�,_.�._... ; GON3PLETE'd"FlI��►6�EA�MILY�F CONS'i"RiJCT[�G�4 NE91�/BUIL�ING _ !n 4he last 42 months,has the City of Eagar�iss�ed a perm'rt fror a similar�lan based on a master plan? ' Yes No If yes,date and address of master plan: � � License�Plumber. Pfione- : Mechanicai Contractor: Phone; ; Sewer&Water�ontractor. � Phone: ; Fire S�ppression Co�tractar. p�aRQ; ;�...:...--....:�..v-o._._.._�,�_�,�.,�:_....._....,.,..__�..,�.x�.�,z._f,�,.:..,..x_.�.,...:....�..�,�r...,_..-.,:.,a,,,.,...�.�.�...,�...,.�.�.w_.--- ----:..,,......._<..:y....�.,�..e.e..�.�...� _.,,.�, _ ; I�OTE:PiaraS ardd sttppanis�g cfoct�me�nts�daag you sue�rrrit are consldereaP i�be pubiic informafton. Por#ions e�� Y ' - the ir�fa�t»atlo!r�ay be classi�re�as nan pubiic if�rou provfde specFfic reas�ns that wbulaP�enrrit the City tm- � ' __......��..._---�N,�p��nclude thaf tfreyare�de secre#s:, n�... ....:,.�.....:�4.�_�.,_�._�..y.�...�..._s_.�.r_.�..._.� CALL BEFORE YOU DIG. Calf GapherS4ate Oae CaIE at(651�R54-0002 for proteciion against�mderground utilitydamage. Cafl46 houfs befere you intend io dig to receive lacates of u�erground utiUfies. www.aooherstateonecail.ora I he�e4y acknawledge tbat this information is complete and ac�rate;that the work w�11 t1e in contom�ance wiU�the ordinances and oodes o4 the Ciry of Eagan; tnat 1 understand this is not a permit, bu#only an applicalion for a permit, and+nrork ts not to start without a permit;that ihe work vm71 6e in accoMance wiiE�Ihe approved pfan in the case of work which requires a review and approval of plaris. ExEerlorwotk authooized by a building perrni!issued in accardance witB the ARin�esota State 8uilding Cade must be completecf wi4hin 980 days of pennit issuance. _,_ X �� ���r, �� . , � � _...... � Applicas�t's Prmbed�Uame a 's ignatuee _ Page 1 of 3 Use BLUE or BLACK Ink r_______________s.� I For Office Use � • � Permit#: ��� �� I C��� �� '""�"� � I Permit Fee: !��' �� j 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 � Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: { ��� �'�� ���� ��� `���U�nit#: � ���� Name: � Phone: Ftes,ic�ert�J � (���r Address/City/Zip: �L/�J� ��Vl.�alt,�f^P Cl� L�/�C�. 7'j'IN• 55��� ' Applicant is: Owner Contractor ' Description of work: �FPL+�CE � �� Typ� b��ar# w ' Construction Cost: '$ .3 Multi-Family Building: (Yes�,/No� Company: On� 66 d�4 L(.L Contact: �'TI�G[�3 ��5�� Address: ,35780 qD k �LtT City: (..�it�o� �i1'c.s-s CC�tl'�1'+�.C'C01' ' State:�N Zip: 5500 Phone:�..5/-a`�5- d3/I Email: SJoFFNsQ..i�Ci4�woN��'�'1 C�'� ,� �--- ' License#: /V 1R Lead Certificate#: N��l- ' If the project is exempt from lead certification, please explain why: No (,t,�.o P�Lss�rr 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: ; �Q7`�':P�ax�s a�d�u#��art�ng�a�c���ents t�iat yau su�r���are c�nsid�retl tos�be pr�btr,'c tr�fc�r�at�rrn, F�:���s;of :: t�ei��r�rr���or�m��r be cl�s�si��ed����on�itib�lc�',�o�p�ov�e spe�i�'fc r�asor�s��t t��d�erm��e Ci�,�t� 'ctrr�c�i��fe that t�e ar�t,rade;�cr,e#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.qopherstateonecall.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 J1773iR'' �0/�-,�rS a-�J x Applicant's Printed Name Applic 's nature Page 1 of 3 Use BLUE or BLACK Ink City of Eaiart For Office Use Permit#: ----)'-----') ) Permit Fee: 3830 Pilot Knob Road -- - Eagan MN 55122 Date Received: Phone:(651)675-5675 Staff. , 2017 MECHANICAL PERMIT APPLICATION H Please submit two(2)sets of plans with all commercial applications. k jir A i Date:8,01t--/ /117 Site Address: \ts._)4.14'-'"../ Ci Q_,,A„‘ 04,A7 1n--:),U..„--)r,V- 1 -1-- Tenant: CV,.,V k 3 li:\'V.,...4Suite#: ,....__------___„____, i Name: 0,..,„V\V 3-\:\kr\-fe,,,_ Phone: •, ResidentiCANner ' Address/City/Zip: I V-V3--- I f--4: -.)-e,t/.. 13(t-1.-(--41-- Cl- • •. 4 .-) . i ,, ..! Name: fNt\\ MiL„1...A.L4-4 1.-dUC irt6 tCCLii: License#:1•-k"61 I i ! ! ,.... , , Address:'-16 Li Li 1)),,,,i,jejtstii.i .1:\t„,,,k I.. \ .. city: cv',.cit. •-e.. c.....( , Contract©r i ,_._. ,___L State: 6,1t t*-1 Zip:‘-)‘--)C-I-4-41e- PhoneT1CD-3-SU • j I , / I Contact: Pli..k}-\z?.?V 1 CO c C.1,'e..._ Email: \v\-A-1') .L.,) C..32.V1-4111-1..‘i 6,._.i 1111 L1 ter+-;()i--‘ • C-(5-IM. . , t--- - 1 I New .,,,,.--1/4"- Replacement Additional Alteration Demolition L c\ 1/4e.,Type of Work Description of work:111\_S-tCp, t . QX-- . • vkA,c,..,c.:& NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City • Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL , 1 Furnace , I , , i New Construction Interior Improvement k' Air Conditioner Install Piping Processed Permit Type Air 1 Exterior HVAC Unit Exchanger Gas — ; f = Heat Pump I Under/Above ground Tank ( Install I Remove) I g Other 2& I RESIDENTIAL FEES ; 1 $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New,includes State Surcharge =$ (_c: •I,- ------- -- )' --- TOTAL FEE • — — - — - , •• COMMERCIAL FEES , Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0,0005 =$ Surcharge i If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaoan.com/subscribe. 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. z,,,,,-,, ii c Lir- a,... Cr 1--Nt x 4 Applicant's Printed Name Ar)plic. 's gnature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening