3270 Valley Ridge Dr44'
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-56!_ Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For office Use
Permit #:
Permit Fee: 1),3\-7q \-15
Date Receive
cl-d/-11
Date: t -i •ao • a0// Site Address: 32f,9 Vat('R; [Dr, Unit #:
RESIDENT 1
OWNER
Name: Qryliv Man ajem.i;)4-, Ac.
Address / City / Zip:
Phone: 763 -'iy9 -91o0
Applicant is: Owner
X. Contractor
TYPE OF WORK
CONTRACTOR
Description of work: Re - -rro-P
Construction Cost: cb02/, 30. ,FS
Company:,,Sltn(LIS e-- ke_yrorieleA3) 4c
Address: 5976, Ips n
Multi -Family Building: (Yes X / No )
Contact:
d P L7'-)
City: - -. prx.0
State: M N Zip: 55//O Phone: 66/ - 7601 - 9.345
License #: p S /$/ g Lead Certificate #: NA 1 - aa9 73 -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
ecrets
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.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 . va
x ocl �-0-r✓(svli
Applicant's Printed Name
A • • cant's Signature
Page 1 of 3
ch.A.4ti
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SMOKE DETECTORS ARE REQUIRED
ON EVERY LEVEL OF THE HOUSE AND IN
EVERY SLEEPING ROOM AND IN EVERY
HALLWAY LEADING TO A SLEE G ROOM
VALL MOISTURE
FARRIER IS REQUIRED BETWEN
NISULATION AND FOUNDATION WALL
GRADF.
A CARBON MONOXIDE ALARM MUST BE
INSTALLED IN ALL NEW SINGLE FAMILY
AND MULTI FAMILY DWELLING UNITS.
FIRE STOP SOFFITS AND ALL
OTHER DEAD SPACES.
A VAPOR b,L,RRIER
KiSTALL.ED ON TiE WAVel WE OF
ALL WALLS AK) ATTIC C'EUIG.
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TIONS DIVISION
Citi of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
1,)0
Permit Fee:
Date Received:
Staff:
L
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 1 /2
Tenant:
Site Address: 321 () \iu1 i. ti e>tv
Suite #:
J
Name:
Phone:
Address / City / Zip:
Name: k G11,61
Address: \- vr5
State: Nt r Zip: 5'4 34
Contact: kr
Phone:
License #: I}
City: "t3l,,:tivt.
� ('. lc . 5I 7
Email: )-( C of Al L
New ;',..Replacement Additional Alteration Demolition
Description of work:
NOTE: R'.
Code.
RESIDENTIAL
�.. Furnace "�' ".z t,
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 (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
= $ TOTAL FEE
Contract Value $ x .01
= $ Permit Fee
= $ Surcharge*
= $ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in confo ance 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 ' .t to sta 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
x P3'— %_ i(
Applicant's Printed Name
ir+ad Inspec s n
Undo�t
Aug 18 15 10:58a Sunrise Remodelers
Gity of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5594
.-e t a I p. n e e K ci c. r i"f • C c r+'
2015 RESIDENTIAL BUILDING PERMIT
Cie act Y' 13(A.4 Tc 4 v n h
Date: ll " 1 g" Site Address: 3,9,--(v5 a bP; do
�?P'
3
Resident/
Owner
651-762-9395
r
p.10
Use BLUE or BLACK Ink
For Office Use
Permit# I
Permit Fee:
Date Received:
Staff:
J
APPLICATION
,V2 55! 31 unit#:
3, 3-j
h
Name: P one:
Address I City f Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: �� CA:i ll c,
Contractor
Construction Cost: 41 11: 000 • c. Multi -Family Building: (Yes .l -,_ (No ) _ .._.,.
Company: j 4y. Nr‘ : 1-e R e iM c c(- .%--e CS Contact: -S ce..\ P4 -'.Ar -Q%
Address:itn -( 6:-.7'tomo o-'{_ L-.ci. vi -e city: - , t LA
1
State: ION Zip: r j C/ l U Phone: Email: 1 11\ ` e S it w.- ? c=c -►-:{yrs,
License #: L� ( ! i 17
Lead Certificate #: NAT— ,- 9 33 _ ` w
if the project is exempt from lead certification, please explain why:
'�, .>�._-T, 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 •
She information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that theirare trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locales of underground utilities. www.aoaherstateonecall.orq
1 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 approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must he completed within 180
days of permit issuance.
x {�L �- Cr)
)
Applicant's Printed Name
ignature
Page 1 of 3
Oity of Eaall
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#:
Permit Fee: /0 55*
Date Received:
Staff:
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ✓ �� <D7 i � ��� 7�
��l (U �2`:,S %1? � Unit #:
Name: Phone:
Applicant is:
Owner Contractor
Description of work: l6PL4(t G, R &c
tO
Construction Cost: Co pi)
Multi -Family Building: (Yes $- / No )
Company: CiliJYVtN VA-u..ei -6dD619414, LLC, Contact: S77Lf3 \JO/i'n1SC) 4%)
Address: 35-780 cjo `` �tf City: 841.0,1„)-04..)
StateT71 ,t/ Zip: 5504 9 Phone: 5/- 2 / -O3 /J Email: SJotyvSaN l c v0.e ku.s.' Grwt4alotxt4.
License #: N I A- Lead Certificate #:
If the project is exempt from lead certification, please explain why:
No (suit -?a tisti/u-!'
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 tiyat,oar s
the information may be classified as non-public if
conclude that:
ansidered to' be public rrrrb
e specific reasons that would:
rde 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 f5 vvr JONrso,)
Applicant's Printed Name
x
Applic is Signature
Page 1 of 3