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3273 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