3308 River Bluff Dr40 111. Cit of Eagan
3830 Pilot Knob R oad
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
ncl t? ( ®qI 04 0 /
x i die ! PPS { . of
Applicant's Printed Name
cant's Signature
Use BLUE or BACK Ink
F ar Office
Permit #: / na
Permit Fee:
Date Received: 94-1/
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: •9t> • a0 // Site Address:
CALL BE FORE 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.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 val . • n _
Page 1 of 3
_ 11 %JIM
RESIDENT /
OWNER
Name: r„ , , , V _ , . -,/. _i iii Phone: 763 - H`/9 - /nn
Address / City / Zip: _ # : • , � . l D • it ,,■ . hi A 4 / -
1
_
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: Re.- (7) -P
Construction Cost ' &, 5,23 99 Multi- Family Building: (Yes X / No )
CONTRACTOR
Company: CO ,<5t. ke.hn ,Dd o.`<,(3) V/'!G Contact: ( + r
c yy)
Address: E 7 6 /lobe. L City: . P0,4 I
State: MN Zip: 55//0 Phone: 66/ - 76� -
License #: /5/ g Lead Certificate #: )lVA I - .2)9 .33
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
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:
_Yes
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that thly are trade secrets.
40 111. Cit of Eagan
3830 Pilot Knob R oad
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
ncl t? ( ®qI 04 0 /
x i die ! PPS { . of
Applicant's Printed Name
cant's Signature
Use BLUE or BACK Ink
F ar Office
Permit #: / na
Permit Fee:
Date Received: 94-1/
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: •9t> • a0 // Site Address:
CALL BE FORE 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.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 val . • n _
Page 1 of 3
Aug 18 1510:55a Sunrise Remodelers 651-762-9395 p.4
Use BLUE or BLACK Ink
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� I Pertnif Fee: C.`� C..-' V
3830 Pflot Knob Road � �
1
Eagan NiN 55122 � DaEe Reoeived:
Phone:(651)675-5675 � �
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Fax:�651)675-5894 i StafF: I
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2015 RESI�ENTIAL BUILDING PERMIT APPLICATiON
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Date:����'� S Site Add�ess: ���� ����i'C�;� �„)�����',v'� ��/�(Unit#:
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Applicant is: Owner �Contracior
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� Type of Work 4 DEsc►�ptiorl of WOrk: ��i � f1 c� �
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C Y Canstruction Cost: � 1�i (7 UQ� IUiulti-Family Build9ng: (Yes�/No_�
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� Company:�tA.Y1 r� S-2 �-e.w1 cx�..1-e�S Contact: �G�.1 �."�-F-�f��c�'1 �
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� Address:� -l'� �G � 1�'�. �...�1 1/1'� City: s"t� �.�,t �
� Corrtractor
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4 a Slate: �111 Zip: � �l l U Phone. Email:�� � S..e y�r:���r r►vi ocl�. ys,
� � �^, i �'/'1 i:�- F] �L�r►-,
s Licenss#: _C l�' �1 � �Lsad Certificate#:,��" �02 -133'"' �
If the project is exempt from lead certification, please expEain why:
�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG �
In!he last 1T months, has the City of Eagan issued a permit fur a similar plao based on a master p�an? �
�
Yes lVo if yes,date and address oi master plan: �
�
h
Licensed Plumber: Phone• �
I
� Mechanical Contractor. Phone:
� Sewer&Water Contr�tor: Phone•
Fine Suppression Corrtractor. Phone� �
IIfOTE:P/ans and supporting documents that you submit are consider+e�d to be pu6lic irtfornratiflrr. Portions of
� the info�mation may 6e c/ass"rtred as non-publi�ii you provide specific reasons that wovid permif the Clty to �
9 _ conc/ude that lhey are Made secrets.
CALL BEFORE YOU �IG. Call 6ophe►5tate One Call at(651)454-00021or prolection aga'u►st underground utitity damage. CaH 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.ora
i hereby acknowledge that ihis intormation is complete and aocvrate;thai the work wiH be in corrfo�mance with tlie ordioances and codes af the City of
Eagan; that I understand ihis ls not a pennit, 6ut oNy an applica[ian for a permit, and work is nof to stari without a perrnit;that the wrork will be in
accordance wilh the app�oved plan in the case oi work which requires a review and approval of plans.
Exteriorwork authorized by a building perm9t issued in accordance with the Mim�esota Stabe Building Code must be completed within 180
days of permit issuance.
.-�C,� �i-�-�-' c�►-� __� __._.
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A��OlicanYs Printed Name A a 's ignature
;� Page 1 af 3
Use BLUE or BLACK Ink
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� For Office Use �
C' � Permit#: ��//O j
ity of �a�a� I Permit Fee: /V � ��--� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (657)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress:� � �v� � � ��� � ���� �J�L�� "� ��Uni#:
� ��
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� ��� Name: Phone:
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� : Applicant is: Owner �Contractor
� �� ', ' Description of work: �GPt_.�4�cx. ��n-R.�.Frd �oOR.�
r�p� of r�t�rk ;
w
' Construction Cost: � .3 Multi-Family Building: (Yes.,�/No�
, ���,�
���= Company:�Ipr1 Vi1-w�w, �'�,�9�rr� �izs�,L[,c� Contact: �'7L�Y������'"�
��
� ` Address:357�0 9n� �1,E'. City: C..�ivN�'y✓�i12LS
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State: InJ Zip: SSUO Phone: (aS/-�y5- b3�/ Email: SJoNNtSau�C�F,✓�vON✓�1-w��Q4�''Q 2S.�va,
' License#: 1V�� Lead Certificate#: N�I�
If the project is exempt from lead certification, please explain why:
JVo (,e� �it f t
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:
NC7T�'..:Ptan��r�c�:�up�i�r�;�r���o��r�er�f�tha�y�?t��`�bt�it are c�r���d�red tab�,�ublic�rafcarrrr��t�ra: Port�c��r�af .`
t�e inforrr��t�nn tn�,��ie�la�����1��r�+�n:per�ili+c�f yc�u;"prc��r�a1e spe�rfic reascin�s that wQutd perrr��t��ae�ity tc� °;'
� � �`� v �
��r��t��'e:that fh�',are�r��Ie,s�c,re#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 �.�[c VE- �I�NSON x
ApplicanYs Printed Name Appli ant's Signatu e
Page 1 of 3
From:Pronto Heating and Air 952+767+9110 04/11/2017 12:03 #547 P.001/002
Use BLUE or BLACK Ink 11 (''
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City
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41CI*1 Clty of Eagiall Permit Fee: 60` C)C) C ----
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 L Ste ' ,
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4-1)- 1-7 Site Address: -- 1 } 1
Tenant: Suite#:
Fii...
Name: l{j I 1 f rPhone: Q. G l'�J —1 i"t idetittNr7i10
rt Address!City/Zip. •, Ci 1 . (.}, (1 A 3 '. (Z.60,r)) ! { f 551Z f
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.. < `: K.". -, 1 Name:"!1:^C*tY�' i A C t( (''l�', f 17 41..it t l( lt(License#:-Pi t i!'-1. I(OS
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: Phone: 61152-
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New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Hca ,,,' ,, Description of work: `•N 11 v- ' � � 1 �
1; RESIDENTIAL
a a ' Water Heater
:
Water Softener
Lawn Irrigation RPZ PV
:t'.
9 (—
: It..,;,gip '*'`�`<
„k-;::,.ar ,,,,;,;,;;,;;;;;``f Add PlumbingFixtures Main/ Lower Level)
—Septic System (— —
0.=s Water Turnaround
: ,= :, ; ; New —
z J' �' Abandonment
's.
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) is
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) ,
TOTAL FEES$ 10 d. #.
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.00pherstateonecall.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. :.
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Applicant's Printed Naas Applicant's Slg ture
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Frorn:Pronto Heating and Air 952+767+9110 04/11/2017 12:05 #547 P.002/002
Use BLUE or BLACK Ink C(....„„.
For Office Use
Cit of Ea all Permit#: /q, °a 9'Y Permit Fee: C C. 0
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675 Date Received:
Fax:(651)675-5694
Staff:
L J
2017 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with all commercial applications.
Date: 2 I 1 I / Site Address: i�3 O �� ,(/` 7)r .47-)
Tenant: Suite#:
��entlOw er Name: i7:i t 1,�I .t Phone:j f1 )#YLO LD_7 0 Li .1
Address/City/Zip. c i t"f t F`d ✓5 I2 it (,)(livid afr,2 Y{1.
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' ml Lr�F� �i1/ --i' �'?l /lOai`icfl is! Lcense#: 1 gC0 -igY G
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iMESSMIStigContractor }: Address: 1 L 1 0./11-11 A -1 .c1, City: t�1G(
1111161111111.1111:
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State: (i i Zip: 15-157-1 i Phone: q57'"8"1,;'75-,777
:
illftwomossist Contact: i;lf.�( e Email: f ti e4rt/ ,4roa C x 61
r ,i _New )6.1 Replacement _Additional _Alteration Demolition
bm
Type;o Work Description of work:
3 NOTE:,Roo of anted Indouin mounted�ahanica ne `ipme tj ; . d o e creeps iltyt
't. L. o--�n:�h'a .l. FN4 Y Xw ':`^.T �.s, ��- j y4d'�ia 'T'Yr 'ny>�!"
Oode Plias ; .o r tthe iechanical�Inspec'tor:for nformati4 1'= f� : ***9 ! Y_,
RESIDENTIAL COMMERCIAL
' Furnace _New Construction _Interior Improvement
tt t p e )6 Air Conditioner _Install Piping _Processed
`
:ot' , _Air Exchanger _Gas _Exterior HVAC Unit
.60
l yY "., _Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ &C TOTAL FEE r
y
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
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,end 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.
x 4\111 .\()dOtkill&- x to 1r41,14iLti(Applicant's Printedl lame Applicant s nature
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tteglulred In pections: Reviewed Y. rte` Oate ''
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