3293 Valley Ridge Dr40/1P
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6754675
Fax: (651) 675-5694 /7G I ' 3( Q Q %' Q %9L 3 30 ( staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4' ?o • -N.340// Site Address: ,3 ?9/ ,( + • „� Unit#:
Use BLUE or BLACK Irak
For Office 11
Permit #: V7%7 f
Permit Fee: 9S.. CO
Date Received: 2/ 4/
RESIDENT 1
OWNER
Name: prylog�
Address / City / Zip:
l' leznaicryte414-1 6 c
Phone: 763 - `/yq - c j
Applicant is: Owner )( Contractor
TYPE OF WORK
Description of work: C;00 -P
Construction Costl 230. (,/
CONTRACTOR
Multi -Family Building: (Yes ?C / No _)
Company:,, lj(,t (I (';mss . kc_r/ fl eJerF3) d c Contact
Address: 59 7 6 Ip,. ` n e__
State: M N Zip: 55//0 Phone: 66/ - 76,;) - 9275
License #:gyp S/,S/$
eJ Pe4e-rzcr7-
City: . PPx u
Lead Certificate # NAT- 33-0
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. Carl 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.gopnerstateonecalLorq
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 t 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 wilt be in
accordance with the approved plan in the case of work which requires a review and app . val
x � Oe-( P0415:0011
Applicant's Printed Name A cant's Signature
Page 1 of 3
Date:
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
For Office Use
I Permit #: /0 -71°
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
(?-- Site Address: 3q., \tk L t /g -4
Suite #:
RESIDENT / OWNER
Name a,
e 1
Phone:
Address /City;:/ Zip:..
CONTRACTOR
Name:-Applianee $ 4f c, License #: -c -- T
--Ii
Address: 1313 Danita Cr City:
Shakopee,
_____ Zip:
MN 55379
'State: _ ais8llne:
ContaJYflI t Email:
TYPE OF WORK
__ New Replacement ___ Repair Rebuild _ Modify Space __ Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation (� RPZ / PVB)
- Water Softener
_ Add Plumbing Fixtures (___ Main / _— Lower Level)
Water Turnaround
__
Septic System
New
— Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 00
TOTAL FEES `$``"'
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalLorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinancesand 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 c se of work which requires a review and a proval of plans.
Applicant's Printed Name Applicant's Sig
FOR OFFICE USE
Required Inspections:
Reviewed By:
_Under Ground Rough -In Air Test
Gas Test
Date:
Final
Aug 181511:OOa
Sunrise Remodelers
Gity af Eaall
3830 Pilot Knob Road
Eagan 16N 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
•-etf►f)rd; p • nee . t ' '
651-762-9395 p.12
r
Use BLUE or BLACK ink
For Office Use
Permit*: /3/' 7
Permit Fee: 00 3 -5 c
Date Received:
Staff:
2015 RESIDENTIAL. BUILDING PERMIT APPLICATION
C -e dv - L - Tc c.r., et Pi S -c c
Date: 1 " i 2' 15 Site Address: (IP R care Dr VC- S/ at Unit*
J
,.x .. __ .-_.,� �.vrF.r_..._<=rvi�i ct:zs • j.��� .3 , 3.P 7875-er) ,
Name: Phone:
Resident/
Owner Address / City l Zip:
Applicant is: Owner Contractor
T e of Work Description of worts c
yP: n \
Construction Cost: 4 1, 000 •C: J Multi -Family Building: (Yes it ! No
4. Company; C) t.1%; Y1 v- ; S -e -e Iry cc _1-e r S Contact: •S C€1 � �-c�:� .10.1
Address: rj -i 1 (C t0'e. Let V1 Z City: fi A. La 1
Contractor 440
State: f11 Ai Zip: GG. / ! U Phone: Email: v vvi ocr-e t ,S,.
License # r� (G 515
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
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. Cali 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.000herstateonecaf.oro
1 hereby acknowledge that this infornation is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of
Eagan; that E understand this is not a permit, but only an appication for a permit, and work is not to start without a permit; that the work wilt 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.
S
Applicant's Printed Name
's Signature
Page 1 of 3
r
CityofEaaft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 71-1/g5
/g
Permit Fee: /0 5 --
Date
-
Date Received:
Staff:
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
t1�v��i-� �-(
Date: Site Address �1i5 ���-� �� Uni% t#: t ��(� �
Phone:
Address / City / Zip: g c 7Yi4LLe y IIID 6-€ S 51•6-414 %N , 55
Applicant is: Owner Contractor
Description of work: R6PLAc
t0
Construction Cost: 3 . ► ►
Multi -Family Building: (Yes }L / No )
Company: l �,� i rel -RA -6 .2/rS6M LLG Contact: S fig Jt7/ +1_Se) N
Address: 35 no qA(1: Ale City: „r01.) 4E4.5
State)/ft/ Zip: _5b b Phone: 6,5/-02415.-03 /1 Email: 5JotyvSo e 6414.0.44.4'ku.si .
License #: r11 Lead Certificate #: N/'1f-
If the project is exempt from lead certification, please explain why:
No Uld046 -Pf. stip-(
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:
NOTE: Plans and supporting documents that you 40bmit are considered to be public infor;ma>c
the information may be classified as non-public if you provide specific reason ;that would per
conclude that the are trade secrets.
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 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 5 gVir Ja hYN4a7)
Applicant's Printed Name
x
Applic
is Signature
Page 1 of 3