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3271 Valley Ridge DrCity of Eagan For Office is Permit #: Permit Fee: Date Received: Staff: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-56K J _ C�! , s 7 6 q 76 7 3 75"/ "7 7 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t-/ - • a© // Site Address: Applicant's Printed Name A .T - nt's Signature Use BLUE or BLACK Ink Page 1 of 3 CALL BEFOR YOU DIG. Call Gopher State One Cali 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.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 . val gplan . • UllaL ft. RESIDENT / OWNER Name: omo1' KinajeivieP4, C . Phone: HY9 - 9/n42.___ l .26_,1- Address / City / Zip: _ i • A . lD . Id .ri . V . / - Applicant is: Owner x Contractor TYPE OF WORK Description of work: R —f7 cy Construction Cost -4 02 /, 5, 99 Multi - Family Building: (Yes X / No ) CONTRACTOR Company :,, S / . t n r s - (e yviod el eA3 G Contact fir' Pe JP(sGr)- Address: 59 7 6 /lobe 1_,,n City: • PQ ;4.1 State: M ICJ Zip: £5//O Phone: 66/ - 7601 - 9a 95 License #: /,$ /g Lead Certificate#: NA I - a�9. -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If 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? yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o the information may be classified as non-public if you provide specific reasons that would permit the Ci to conclude that they are trade secrets. City of Eagan For Office is Permit #: Permit Fee: Date Received: Staff: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-56K J _ C�! , s 7 6 q 76 7 3 75"/ "7 7 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t-/ - • a© // Site Address: Applicant's Printed Name A .T - nt's Signature Use BLUE or BLACK Ink Page 1 of 3 CALL BEFOR YOU DIG. Call Gopher State One Cali 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.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 . val gplan Aug 18 1510:58a Sunrise Remodelers 651-762-9395 p.9 Use BLUE or BLACK ink . r�--__�—_��._�_.�_�i �;;�=� E Fcr OEflce tlse 1 � / 1 � � Peani��: ! ���� I ��u� �j �u��� I Permit Fee: ���`�v I 383fl Pilof Knob Road j � Eagan MN 55122 � Data Recs'sned: t Phone:(657)675-5576 , I � Fax:(6511675-5&9�€ � 3ta�T: � --E'�1�IGC�` � � (�. �-(<'i K��+ C:�-j �� �'Q���c.n .c 4 yr �----------------� 2015 R�S�DE1�6'���1L �U�LDe1VG PERI4lIB7' APPLIGATION �'�cL��Y° !3l.�;�`� 7—c.,,,�•rt 6���t S-r s Oate:�'t r�'� � Site Address:��o� ��+ ��.e`J l�:� �-.V2. S�l a(lJr�i�#: ��� _ ._�-.__—�._.z._,�T�._�_.. z��,i u c��:�"���=�q�������3��►3,�3����.��=� -- ' IVame: Phone: � � Resident# -. ; Owner •. aaaress r cay�zip: F � Applicant is: Owner �Contractor ; �Yµ.P �e of�i1�Q6k Description ofworic: ��. � n�\ --- ? �� � Gonstruclion Cost: � ��: 0'U��GJ Multi-F�rnily Building:(Yes�I tVo� f � ...:...........__�-:.._�.:,.::..,_.,......<.� ........r..,,.«:.,.��.._v.Y:�_.u_......._,._.,.,-.,-.,,�-m...-n.�........,........,.._.�...o_.__ ....._.�,...r�_�..,.......�,�.,.,.....,,,.., ....-,•_-- - . Company:�L��v� ir >>� ��w'� c,c�,l-z�S Contact: �C�'..� �-�r-�-� ��„� - + l� , �` : Address:�'��G' '!�"�L ���. (--�t V�1-� Ciry: ��""� - �ontcac�or � 1�r�� 1 : State:�11,'Zip: � �� !U �hone: Email: i Y1`t"v ��h����✓�'✓h L%C�-e.1E+P;S� ;cco,.� '• : License#.��. � i �1 4'� �ead certificate#:�a��-�at� �� "'� • rtif' ' -� ,_...�_.��_ ---•-' : If the pro�ect is exempt ftom I�ad certificatian, please expiain why: , '.��w�.,..,,�,^.�rr<,.._�....�.....r.�.,.�t__,.�x,�.����>_.,.,__�.T�.t._.,_�-,.,R-�.,-.�,r.�a. -.,,r_�_��-.z-b�.r.�.,,z:.,w..�,..��..-..._�...��-.�_-, ' G��lPLETE TH6S AR�►�NL�'[F CONSTR�lCTiLVG A NE{I� BUIL[}II�G ; I�a 4he las�12 montl�s,has the City of Eagan issued a pertnit ioe a sirnilar plan based oR a rnaster pfan? ; Yes �Vo If yes,date and addt�ess of master plan: � � Licensed Flumber: Pfione: ' Mechanica!CoMrraci�r. Phone: :i ,`•. S�v�rer��iiater Contractor. Pho�e: � � �ire Suppr�ession Contractor. Pho�e: � :�..d.•--,;._..�...,,.�a�_�.�..�,r.�....� ...�..,�._,.y.._�_:�..,_.-._�_.N:_........,.__...:_,.��.�....�:..,..,_��t-�.�..ti-o_.���.,z...�,.._.,.,�..:�..�..�._s�r.�� -- � dJOTE:�fans and supporting docur►aents that you submit�r+e considered 8016e public ieefo�mafion. Portions of �:. �he informabon may be classifaea+as saan-pu6lic if�rou pPovide speciiic reasorrs ttrat would penrii8 ttte City to � �oncirade fhat they are frade secrets. ' C1A�L BEFORE YOU DIG. Call Gopt�e�State One Cait at{651�454-0002 ior proteclion against undeTgraund ulilify damage. Call 48 hours before yau fnterid to dig to recei�e locates ofi underground ut7iUes. �vww.goaherslateonecalLora i hereby acknowledge that fhis infortnation is complete and accurate;that fhe wodc will be io confortnance wiTh the ordinances�d codes af the City of Eagan;that I urxiarstand lhis is no[a peRnit, bui only an appiication for a permit, and vrork is na!to start without a Rermit; that the wodc will be in accortlance with ihe approved plan in the case of woric which requires a review and approval of plans. Exterior wor3c autho�ized by a buiiding permit issaed in accordance witb the iHinnesota State Buifdiag Casfe m�st 6e comQlebed withm'i 80 deq/s of pertnit issuanse. --• - � � ,��� �.t?-��� G✓� X AppE9can�`s Printed�+Fame A an s ignatu�e . Pege 9 of 3 i� Use BLUE or BLACK Ink r----------------� I For Office Use � C' � Permit#: �� �'"- j lty of ����� I Permit Fee: ---�� - �� I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: 1 I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ` �� �°� r?v� �� .� ��7Un# � � �� ; Name: Phone: F2es�d�nfi1 ,/ C�wn�1' ' Address/City/Zip:.�.��c� Yi���H ��D6re"s �R„ �6+i1�, �N. ..$r$��3 ' Applicant is: Owner Contractor ' Description ofwork: � P .A(r C�A�Rr46�� Ty��a;t; +t��l��rk � w Construction Cost: 'a 3 Multi-Family Building: (Yes�/No� Company:��`/��,,.., '�-t,� ���_ LLG Contact: S'�L� ��i�J�� C�ntra�tor� ���� Address: .�S�Sb �o�= ,� c�ty: �.,vr,� r�-�-u.s state: 'l�n� z�p:yi_s�� Phone: �S/-�y.s-d3/� Email: SJoN�vSo�e c�N��k+�.����. ' License#: �� �" Lead Certificate#: N�� If the project is exempt from lead certification, please explain why: Nr� �RAae -Pa,ti���'-� 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: 119�7!'�':P��t�arad s���ortl�g alncr��e��s t��f�r+��s�b�,i�are cons�`de�ed to b�pc�btic�r�trc�n: i�o�t�+��of t#�in�orrrr�ti�ta�ray be cl�s�i�'�ed as�ran:pt�bli��'�r+��r'pro�f�ae�ec��Y�c r�a�4��t�at uvo�ld perc�i��its Gity�v cor��1���la�t:� :are��le secr€�ts. ' 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.poaherstateonecall.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�78V� �JOH'NSu� x Applicant's Printed Name Applic t's Signature Page 1 of 3 r 1 For Office Use �‘ ` j "f ::::e: m /- g;1.1. 0a `a r0 +0 E AGA N O .,0 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: buildinginspections@citvofeagan.com -- 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (() •gds'"ill Site Address: f 1Nki a.Utki by Tenant: Suite#: Resident/Owner Name: ,jA Citv1 Phone: t�C�• V +-{ Address/City/Zip: Name: ,t( Q License#: 'C(,it{;( )3149 Contractor Address: (�s�j �t 4'4 S City: V GSA 43141� S State: 144.10 Zip: ,fit► Phone: (SS( " g ` 70 Contact .4111 it.A at Email ,Ait 4 A ' 'tU . - m _ • .6 Type of Work New ) Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: ._.. - _ _. RESIDENTIAL -_�....__�. __.._ .__ .. .�... .._. . __. ._.m_ ...___...e_.__ _.______w-.___.. ..._ _..._ ._. )C"Water Heater Lawn Irrigation( RPZ/ PVB) Water Softener Permit Type Add Plumbing Fixtures( Main/ Lower Level) Septic System New Water Turnaround Abandonment 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 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.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, 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. Applicant's Printed Na e Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: