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3275 Valley Ridge Dr4,111 Citi of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5 �Y1cl, 61,`7/,73175"/ -7 7 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t -i SSD • a©// Site Address: 3 2 `2 /4 kir:), >r Nan a je,- t.n4--, 47c. Use BLUE or BLACK Ink Far Office is Permit #: Permit Fee: Date Received: Staff: RESIDENT / OWNER Name: 0 m Address / City / Zip: Unit #: 1 Phone: 763 - HY9 -9/no Applicant is: Owner x Contractor TYPE OF WORK Description of work: --r 00-p Construction Costar, 522. 99 CONTRACTOR Company:,, S/.t (e_inel tJ e /1 /3 ) Address: 597 (� c2be �r n State: M Zip: 5//O Multi -Family Building: (Yes ?C / No ) Contact: P'�! sG? - City: 5-}. Pajd Phone: 66/ - 7601 - '7.245 License#: )C6/5/g Lead Certificate#: NAT-- 2933—O 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. Po the information may be classified as non-public if you provide specific reasons that would permii conclude that they are trade secrets. CALL BEFORE 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. Nww.gopnerstateonecall.org 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 Applicant's Printed Name A .i - nt's Signature Page 1 of 3 411' City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1-0 353 Permit Fee: 0 = Permit #: Date Received: J –1 2- 2012 MECHANICAL PERMIT APPLICATION ❑ Pleas submi two (2) sets of plans with all commercia a plications. Date: Site Address: .3c:2'! c itie Tenant: Suite #: REST NT / OWNER Namej d ! ef'�(. C._ 72-j 4 Phone: 7.__.3 41,Y -i? CO^ l - 7,6-1..7.1 7,6-1.. Address / City / Zip: S P die 0E4 //k/f( CC CONTRACTOR Name: RICCAR HEATING & AIR License #: /e w 4 f O CJ 2387 STATION PARKWAY N.V Address: City: ANDOVER, MN 55904 State: '.: 763-754-/4000 ,,,, //�� / Phone: /�% (r .alt° l (fir I l� �' , Contact: �/ / /�l-� / e LM^ / / C�'' e C�' r TYPE OF WORK New ✓ Replaceent Additional Alteration Demolition rzta. - d_.L.-- Description of work: NOTE: Roof mounted and ground mounted mechanic r equipment is requi ed to fire screened by City:: Code. Please contact the Mechanical Inspector for information npermitted ascreening rl thuds ; PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement —Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) 7.c / $5.00 State Surcharge) = $ V TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $1 million, please call for Surcharge OR Contract Value $ x 1% = $ Permit Fee *If the project valuation is over = $ 5.00 Surcharge* = $ TOTAL FEE 3a3 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.uooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the 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 wk ' not . start without a permi ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl s7 plidant's Printed Name Ap cant's Sign-ture el FOR OFFICE USE Required Inspections: Underground Rough In Air.Test Aug 18 15 10:58a Sunrise Remodelers City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5894 651-762-9395 p.9 r Use BLUE or BLACK Ink For Office Use Permiift: ,;-;?..S 50 Sd Permit Fee: Date Received: Starr: --erocJ I p . (e c KO c.t-j V CI-e-lc.n • t 4 vY' 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C -e act. r 3L�e- gr.. TC'."• r'1 bl a. S -r s Date:,i - t - 15 Site Address: 'ID -U-7 \ct (ie %R : c 1 A' Na.., S</ a 1 Unit #: � + -__ _�__"_�._. _ - ._�_... ± : u c = q 3D- ► , 3 .-�-7 Name: Phone: J Resident! Owner Address f City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost ': 0 00 'GJ Multi -Family Building: (Yes / No ) Company: C)0., vn v-' R -e iry ccI, l -z r S Contact: C L'.. -+-P 'r 13.1 Type of Work Contractor ; Address:c' -1 1 IC !�"f) 1 C LA t/1-� City: (���" 4Z` 4 1 State: MA/. J Zip: C E.; / 1 U Phone: Email: i reca.f Y►,r wtf ✓h cci-e Ve S, ;cur, License*: C R 0 5 is �1 c6 Lead Certificate #: NAT- 9 3 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 {6511454-0002 for protection against underground utility damage. Call 4B hours before you intend to dig to receive locates of underground utilities. www.aooherslateonecaII 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 ,' . c, -.i Applicant`s Printed Name s signature Page 1 of 3 City atEagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: /g Lfi? -s Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address7 3 7 7 '.(.f (;��s ���, � .� � 7/ � � � .� �� Unit #: Name: Phone: Address / City / Zip: �c 7 VALLe 1 RID grg DR, Fk6it7J %%N . 55C23 Applicant is: Owner Contractor Description of work: R6PLAf t t0 Construction Cost: 'a 3. (o 0 # Multi -Family Building: (Yes / No Company: �t�tlbn) VA-ut.ti ,Dq9 4, LLG Contact: S1 W \IDitiV.Sc) Address: 35720 b /fur City: Vim, 5 StateT7ll,V Zip: 5506 Phone: 6,37-c:2415.-03 /I Email: S OifrisoA) e 6411.04 4011.4.47 . License #: N 1 i r Lead Certificate #: If the project is exempt from lead certification, please explain why: No lues -Pi/Asti1 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: TE: Parrs informal nd supporting documents that you submit are considered to be public rn may be classified as non-public if you provide specific reasons that would p conclude that they are trade secrets. on. Portions of rmit the City to 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 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. Applicant's Printed Name x Applic- is Signature Page 1 of 3