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3301 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 City of Eato 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 eA1(1416(lotiormeAL evrif OP-eiva164k) ,c_ck„t. Use BLUE or BL.ACK ••••• vow r. ••••• •••• ems ••••• amp wow ••••• I For Office Use Permit #: 1 Permit Fee: Date Received: 1 Staff; 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 43 (2_51 Ite) Site Address: AaaaL jAARLLD Tenant: Suite 8: Resident/Owner Contractor Type of Work Name: TOT e?At4Iaki1/4.1 Phone: Address / City / Zip: Name: Viii0e5t (+To License #: A44044414 Address: I 02,1 MettAit Too tts) city: PiA0R-tlydr,_ State: ivt&I pheneCctisi)47 7& 2_ Contact: M t Email: OM t@Gaoc--sis cot -4 New Description of work: Additional Alteration Demolition P...ePuNc2g* °Ft)P-AACE NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL. >CFumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, inc.ludes State Surcharge $100.00 Residential New, includes State Surcharge TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this intonation is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand ails is not a permit, but only an application for a permit, and work Is 0. • start I a un41ihe work will be in accordance with the approved plan in the case of work which requires a review and approval of plans,11111rrip X Mt Ve UJT Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening • verity tnat auct is R5 insulated. r t For Office Use o� + ,� :::e: lLPD *2 ,.., , ii AGAN (L/� �.. Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com , 2020' RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 41- Site Address: 331) I V �� 3 5I .l Tenant:p ��y3 / ' _A�.i, 4 _,A Suite#: t { X13 j '0,:t_ tF3 .. Name: - ll .� �. i , !,` Phone: la Re0i etit/Owner s L fes }'R 4 9� ,� IPI ��; :, f; v Address/ ity//Zip: rIr0/ L AA �T owl F, 15 .3. Sax r l '� < yi ..t 0'',1:. ,f Name: �J�► _JA1�� . Licen a#: moi _ i 04i C ,.ti' s4 Address: ' �� c4. ' Cont a' for V . City: � ' CI' I s i# .'ai`F rl''.. State: u I, Zip: Phone: U �Jl' l.�l��(�-l. ,,`, vav,„.s4,`;,;,., Contact: Email: 1 ,-+4..#i •\-- i ,''''N. —New Replacement Repair Rebuild Modify Space Work in R.O.W. , Typeitof 1�N r p — p — — — r I j ;;,gitin 1 ' Description of work: %4 `,k;! ' ; , Nov; ,,,;_1 Tankless Water Heater 47,q4.3;:1; �'x` itr' ?; Lawn Irrigation ( RPZ/ PVB) fs4 :!1?,,, J ,ij 3 Standard Water Heater D SC� tion '� Add Plumbing Fixtures ( Main/ Lower Level) Water Softener fi,x� . .Not� a Description: I i l`l =x ; -,A. , Septic System 'ts,;� ,1y,P�, . ,F —New Abandonment 0*4 Connection to City Water from Well !; RESIDENTIAL FEES $60.00 Water Heater' Water Softener, or Water Heater and Softener(includes State Surcharge) 1 $60.00 Lawn Irrigation (includes State Surcharge) I 1 $60.00 New fixtures, adding or removing piping (includes State Surcharge) 1 $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) 1�' � $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 1600) *Sewer&Water Permit also required for connection charges � _ TOTAL FEES $ I1 i CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you j ; intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 II website at www.citvofeagan.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, bu only an application for a permit, and work is not to start without a permit; that the work will be in accordance th the approved plan I t e case of ork which requires a review and approval of plans. , x x 14.) ., �Ap icant's Printed Name rApplicignature Page 1 of 2