3278 Valley Ridge Dr4 City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 Staff:
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2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t-{ • at) • a0 // Site Address: Unit #:
RESIDENT 1
OWNER
TYPE OF WORK
CONTRACTOR
3Q4,9 Valle R, 1
Name: 0.07oln
Address / City / Zip
Applicant is: Owner
Nfcp. na j er -t'I4-, Ac.
Phone: 763 - yy9 - ?Inc
Contractor
Description of work: Re - —rro-P
Construction Cost: ( 02/, 30. ,FS
Multi- Family Building: (Yes X / No )
Company:,, Sl t (s r e.yr,D ri PJfx 47 C Contact:
Address: 59 7 b 1-k2b.. j . i i City: �5 i t . prx re
State: M N Zip: 55 //O Phone: S/ - 76„1 - W45
License #: /$ /g Lead Certificate #: NAT a-71. -0
d J 'Cile s
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. 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
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Applicant's Printed Name
A cant's Signature
For office Use
Permit #
Permit Fee: 1,T7T 75
Date Receiver: (-1-d1 I I
Use BLUE or BLACK Ink
Page 1 of 3
Aug 18 1510:58a Sunrise Remodelers 651-762-9395 p.10
Use BL1�E r�r BLACK ink
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3830 Pilof 6�nob Road � �
Eagan MN 55122 � Date Received: _ i
Phcne:(657)675-5675 . �
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Fax:(651)675-5694 � ------�
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F `. Cons#�uction Cost: � ��;�C���•�.. _Multi_Fami�y Building: (Yes
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�; lf the p�oject is exempt from 6emd certific�tion�ptease expla�n why:
'���+�T1 T�^'���^^�C�DMPLETE THIS �4REA ONLI'IF f:4RISTRUCTiNG A NE1dVV BUIE.DING
Y Ic�the iast 12 montt�s,i�as the City of�agan issued a permit for a sirniEar plan based on a master pian?
; Y�s No ff yes,date and address of master plan: �
`•. Licsnsed Riumbec Phone•
� l�echanicai Cantractor: Phona:
�
� 5evy��Waber Contractor: Phone:
>
s Fire 5uppression Con�actor. Phone;
�1�07'E:Plans and s�pporting nlocurs+er�fs tha�yo[�sutionit a�e considered���e public informatron. Partions of �
. She in�arma�iv�may be class�ed as eaon pcab/ic if yotr provide speciflc reasons that wouia�permit the Cit�l�e
� �oRclude ihat the�r are frade secrets. `
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�ALI.�EEORE Y8U DIG. Caii C:opAer Statz One Call at(651)464-OOa2for protecGon ayainst tmdetground uli[ity damage. Call 48 houis
beto�you 4ntend ta dig to receive locales of underground utliities, www ao�he�stateonecail.ora
!hereby acknowledge that fhis i��rtnatlon�is camplete and accurafe;lhat i#�e wo�c will De in confom►ance witt�the ordinances and cedes of the City of
�agan; that 1 undersland this is not a permit, buf only an application far a permit, and wak is not to start without a permE� thffi the wo�s will be in
accordance wfth the approved plan in the case of work which requires a review and approval oi plans.
Exterlorwork autlzorized hy a building permit[ssned In accordance wifh the Minoesota Sfate Suilding Code musE be completedwithin 180
days of pemeit issuanee. --•�
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Applicant's Priated Name A 's ignature .
Page i of 3
Use BLUE or BLACK Ink
r-----------------•
( For Office Use �
• � Permit#: �� //�� j
C��,� 0� �"�"`� I Permit Fee: / ��` �� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ✓� ��� � ���L� ����� � � ��
Unit#:
� Name: Phone:
Re�id��ti .' _-�_ '/
Q�•��� Address/City/Zip:���� Yi4L��H ��D ErE � ��'�� �N. .$�$��3
,�. .
' Applicant is: Owner Contractor
Type of 1�1c�rk
Description of work: �p�r C�a��e+�
w
Construction Cost: '� Multi-Family Building: (Yes�/No�
Company: l ,AA��t�N�„����_ LLG Contact: S'�Lf3 �t�/tNS��
Address: ��7$b �p� A'bt� City: (_�svn�.� �t�c.s
(',Utl'�Cc'1�'�C11' —
„ ; State: '!�N Zip:s�,Sn� Phone: �S/-�ys-03/� Email: SJotHvSaNlc�vi�.e��ku,sy��.
License#: N� � Lead Certificate#: N�� �
If the project is exempt from lead certification, please explain why:
NU ��4A�f�ti��ti�►''r
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:
' Nt)T�i F�a�s a�d s�tp�torf�t��cic���e�s t��a�t,�o�t�ub,�'are ca�lde�ec�'�'be p�b��c��rt����p�., Fc�tr���f
the infor�at�c�n r�aay f�e class�f��d as n�n-��b�ic�f y��j�ro��s�sci���rea�ota�s t��t�+vou�`tl p�rc�a�t the C1ty t�
ca�cJuale f�a#:t� a�e t�ide secr€f�::
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 S"7BVG ��I�1NSor� x
ApplicanYs Printed Name Applic t's Signature
Page 1 of 3