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3295 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 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 09-23-' 16 15:07 FROM - 00/0 �City ofEap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED SEP7-1 rJiY_ T-151 P0001/0003 F-170 Use BLUE or BLACK Ink For Office Use Permit 0: /•—Z�e-7°Z, j Permit Fee: / a — 0 0 Date Received: 91-07.3—/, Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9/23/2016 Site Address: 3295 VALLEY RIDGE DRIVE Unit #: Nf !.0�, 1, ``; „,!.0y.��t ), ai;✓ es x{��lµ " e � (, ` �d'M6:4°l• l 1. ,:�1�• r • rr., .�'.f' x tit^a,.t .xi�: THERESA ROSS 651-785-3480 Name: Phone: Address / City 1 Zip: SAME AS SITE Applicant is: Owner 1 Contractor PP — �r�t 1;4T , +� 3 ��'� •; :>t�::', fMulti-Family t ,;. , K Description of work: INSTALL GAS FIREPLACE AND GAS LINE Construction Cost 4934.95 Building: (Yes / No �) .1 i',1 :�'J:�, .a• y4�a/F •tYi' •Yr� FIRESIDE HEARTH & HOME PARKER Company: Contact: Address: Address: 2700 FAIRVIEW AVE N City: ROSEVILLE MN 55113 6516383306 RO$EVILLE GUILDER OPS EARTHNHOME.COM State: Zi Phone: Email: _ License #: BC662656 Lead Certificate #: If the project is eXempt from lead certification, please explain why: In the last 12 months, Yes _No Licensed Plumber: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: , Phone: Phone: Phone: tat s:r ji'1:c.Upp.,I , ., 0,6.11-1009:" >y".,. 't t '.e'corisi `,04. ,,Q, f. i Ifc • f ie#0 .; " +3 '1.05'W"'"f.>'; ..Yr. fh tTtln Q .9J\'a ,{ .�. n. 7�.. 1:��'��a�K:,1•,�iZ:'�i (' �. ;s f. �Y,i7 �74'.'y. •7 i,;Y!,y ,: ,:.�.<a�; :.,:7,�,� ,. kis r:. [p� ,�? , �..,.�..,��� Pr,,� (rc...,.�, �. th .,Vfor a ►on n> y -b• ,,rI sttied,•:041.60.7:411,q1if.;y/�%f Rrn� ge'SReQrfi, ,reas� ,r; /��t;Wv� (pl'p,#�'� • /ie.t t�j;;to. < ..d•14;ti r'':.,,�,"4 ',;:d:<'c!JfY ,cil,.:,e . :...r !. e1 •tl, ,i'J{,r.,�.d✓,:: YT•'k, (:T, ". > r�l{�i""'F .tiny, a.1TS ',a:,•SC•.+` ::1'�,,y,.,A .. J.fe, .,�s.�.� 1;,N>:LE•<:+�« �',. ..<,�. .•; ., C,., +,'yar,..>rp�„ .,'`v ,n1� 1: r'x i•. S$,n Y:Y11,p-,�l i,9C..>::lr n"'� °..r�3i"i'�::ds,, !\i�'�'�i:J: t•,�,�,rl"\: ;a ,...., . .,,;,.h. �•:...•:x.��;5;.�.�<:.:�;ia1,,�„��.,.,•, .,:"<'�::;t•. •�=',con..G/.ude;ftiat,l`hey,•ar.�..tf�de::secnets;�,�.' : �r,� ;a .sNs;:t�:� •:�>� CALL BEFORE YOU DIG. Call Gopher State One Carl 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.ori:nherstareonecali.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 Minnesot S ate Builng Code ted within 180 days of permit issuance. x PARKER RIEGELMAN Applicant's Printed Name x st be co A plicant's Signat Page 1 Of 3