3316 River Bluff DrGity otkau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
33/ / I i <,20 ) •--
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1-(• an • ,20 // Site Address: _331, - WA Dug Dr Unit #:
RESIDENT /
OWNER
TYPE OF WORK
CONTRACTOR
Name: OrY1or
Address / City / Zip:
Applicant is: Owner
Mr. na je ✓1x41.1 -
Phone: 76,3 - yy9 -Woo
Contractor
Description of work: . 124,_-_0-
'-t
Construction Cost,. /, 513. �J
Multi- Family Building: (Yes )( / No )
Company:,, co n r;, se. ke. .911 9,1 S Contact:
Address: 597 6 1—an
State: M N Zip: £51/o Phone: 62.6/ - 76 - 9.745
License #: c /5/X
City: , 54-. P0,4.1
Lead Certificate #: NA(- /,33 - 0
e P .f 0,`)
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 CaII at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. Nww.gopnerstateonecall.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 1 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 . va1
Applicant's Printed Name
x
A • p cant's Signature
Use BLUE or BLACK ink
For Office Use
Permit #: r7
Permit Fee: 1 39 9 r i5
Date Received: L� — 2/4
Staff:
Page 1 of 3
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Aug 18 1510;55a Sunrise Remodelers 651-762-9395 p.5
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Use BLUE or BLACK Ink
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I For OffFce Us� 4
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. � Pertnil�k: ������ f
Clt� of�a��Il � PermitFee: ���-�i �
3630 Pitot Knob Road � �
EagaA MN 35122 � Date Recei�ed: i
Fhone:(651)67�-5675 �
' � Staff: I
Eax:{65'I)6?5-5694 � !
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2o�s RESIDENTIA� BUILDING PERMIT APPLICATION
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pats:�-��'I �'J Site Address: ���� �'1�V't�� �c.l�►- ��'��!2- ��131 t�nit#:
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{ � Name: � Phone: x
� Residentl
' Owner `, Address J Cily/Zip: ;
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� ; Applicant is: Owner �Contractor
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� '• Descri Uon nf work: ��� � � y
� Type of Work ' P �� �
' : Construction Cost: � 1�: Q U�'• M�Iti-Family B�lding:(Yes�/No_) :
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' = Address:� �''� �G? 't'1L' ��. �,.-�� 'V1-� City: S�'" � �"'�C�-� �
; Contractar ;
y S�ate: �JlV�Zip: � �/ /C� Phone: Email:,� � � �''" S�-�h�� ��z►�n uc-�-e.�e`s=
� f License#: � � �j � � Lead Certificabe#:���f�� �3�~ � �
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s if the project is exempt from lead certificadon,please explair�why: �
3 ;
:�
s - -
' COMPLETE THIS AREA 4NLY IF CONSTRUCTING A NEW BU�LDING ;
r
t In the last 12�onths, has the City of Eagan issued a pemiit for a similar plan based ort a rreaster plan?
�
5 Yes No If yes,date and address ot master plan: �
_ �
" Lieensed Plu�ber. PhQne:
; �
�' Mechanical Corriraetor. Phane: °
x
; Sewer�Water Cont�actor. Phorte: �
.:
: Fire Suppression Contractor. Phone:
j NQTE:Ptans and supporti►rg ducumenis tf�at yoa s�bmii are cansidered ta 6e publlc information. Porfions of ��a
' the infcrrmation rr�ay 6e c/assi�ied as non public if you provide spe�c r+easons that woufd permif#he Cfty to
..�._...�__� - - .,�,�,.._� - -conclude thaf the,�are trade secrefs,� �.���_,_,�,�,� --- - -
CALL BEFORE YOU DIG. Cali Gopher Sfats One Call at(651)454-Q002 for prateclion against unrierground utiNty damage. Call 46 hours
beEore you iMend to dig to receive locates of undergrourid utilRies. wvwv.aoaherstaieonecall.ora
I hereby eckrw�+Aedge ihat this informal�on is oomplete and accurate;thai the work will be in conformanoe wfth the ordinancea artd codes oi the City of
Eagan;that I understand Ihis is not a perm9t, but only an applieation for a permit, and vworlc is not to s1aA withoul a permil; thal the wodc will be �
accordance with the approved plan in ihe case of work which requires e rewew and approval of pians.
Exleriorwork authorized by a bullding permit�sued(n accordanee with the Minnesota State Building Code must be complebed wlEhin 180
days of psemit tssuance. ---•
Y „��\ 'i `'�--�1''� C+�^� X �
Applicant's Prie�bed Name A a s ignatc�re
Page i of 3
Use BLUE or BLACK Ink
r-----------------+
I For O�ce Use �
C' � Permit#: J � r �� � j
��� 0� ����� I Permit Fee: ���� � Y �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
�- � �
Date: Site Address:� �� ' ��`-�' �� � ��� ���d � Uni#
Name: Phone:
1��5it1#�t�l`/ .��% ,�
(����;� ; `i Address/City/Zip: �iVLR13l.u.�F .�IL . �g6�ir 7YIn�• SS/�3
�`: ���" � . ,�� Applicant is: Owner �Contractor
' Descriptionofwork: �G'Pt_.A�c� �sr�-R.�-crd �o���
T�e of 1A1at��C
w
Construction Cost: � .3 Multi-Family Building: (Yes�/No�
Company.l.ff-M�/onJ VM.t.�w, �t,�Cn° �iz�� [.(,C� Contact: �7Fl���Dy�►'�srAJ
GQ��C���.�' Address:�57�0 91��` .A1.�. City: (_.i9�N.✓���LS
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State: 7nJ Zip: SSUO Phone: (cr5'/-<2y5-l�3�l Email: SJo1�n�Swu B Gy,�nwN✓,t-��r.y�i¢.4od� 25.t�„
` License#: IJ�� Lead Certificate#: 1�1��f}
If the project is exempt from lead certification, please explain why:
,1V0 L6� �R f t t,Nr�
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:
�1�T�.Pla��ar�,tl:sc�ppor�?�g c��c�t►r���its th�t yow�ubtr��#a�e co�r��"dered to tie�Sr�b�ic�i��irn�a��ri�,P'o�tions��' ;
the���'ort���"Qn r�ay ti��lass��'lea►as r�o�=�w�ic�f,you�ra��F�e s��,�rc re�asc�tha�#�o�fr��er►r��#�r3e ��f�r.ta�
co�c��?de th�t�e .are tr;�d�s�r`ets,
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.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 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 STEI/� �/�NSc)rJ x
ApplicanYs Printed Name Appli ant's Signatu e
Page 1 of 3
For Office Use
4%MØ
:::::e
: ���c.? ,/6 '
56'
,4,: ,, , ,, EAGAN
s,.... .....,
e: 6;. 1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 i TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsAcityofeagan.com L /-'66°
APPLICATION
/U�s0.0(
2020_ RESIDENTIAL PLU ING PE IT X/
Date: i� C7��� Si Address: ,J t lC? `1 1.'i .�` �\` -` DY . U111.14
go,,,z`A i f-,rd
'4 "C-07-) _
Tenant: 4-Y----) V V� ciIki Suite#:
Name ( 1 {';v Y t J cJ1 Phone: lS��i^� JLC> ;Lf
5.
Resident/Owner r
Address/City/Zip: l F,) SC: 0 ii
Name. w.i rn�- :lfr: c-` • '.... Lj #:( l� 1.(U ,
Address: \h\-\,L_ -L-W`A 'Rx.- �� City: X ' �`\�
Contractor y ��
State: 1��\N Zip:c_. ---')Th) - Phone: C '_ 1 "4- . ��. �_(c
1
Contact: ( _V 1 JvA Email C_ "k 1) t`^ L-
i ` New Replacement Repair Rebuild —Modify Space —Work in R.O.W.
) Type of Work
, " Description of work:
Tankless Water Heater Lawn Irrigation ( RPZ/_PVB)
' Standard Water Heater
Add Plumbing Fixtures( Main/_Lower Level)
Description ` Water Softener
€ Description:
Septic System
New Abandonment Connection to City Water from Well
— —
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read = $550
3 *Sewer &Water Permit also required for connection charges 0
TOTAL FEES $ ' 1 L�1
r
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
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.citvofeacian.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 s art without a permit; that the work will be in
accordance/rith the approved plan in the case of work which requires a review and approyat'gf pla
x LAINI (SAO \(--A0( LiL X LiE * I' ky-—lc_.
Applicant's Printed Name Applicant's Signatur•
Page 1 of 2