3322 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
z
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
�-e c��Y' L�(iN+-� TC��v n h 4..� S-e�s
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: ;
F
� ; 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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' � ` S-� �-e rf1 ex�1�-e t'� Conted: �C,L� �.�'.y' ���'► �
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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
T
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