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3408 Eagan Oaks Ct41* CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: if I Permit Fee: 3 % Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: GCo.asGAIN OelkS -1-49tA9A, t.ovint., ckSS✓t. Phone: 6IZ_ 4Zq—O'(300 Address /City / Zip: 5406 . S 14 O S * 3'4 I 0 L ckcso. t C9o,k'S C-(•-, Applicant is: Owner X. Contractor TYPE OF WORK Description of work: '(t o,.,/' c / re. v'oc4 Construction Cost: Z.bi D 00 Multi -Family Building: (Yes )( / No ) CONTRACTOR Company: r,'dC,e_. Koc.ke rs LLC, Contact: ev.16%.y1. ALL tccr Address: t 1. O'31 s{ 424 54--tNE City: 8 ht`✓Je., State: MA) Zip: Sr./ 3 4/ Phone: 6 IZ—*T. 1— 6clog License #: Z c' 1.1 6 I $ £' Lead Certificate #: Does this project require Lead Remediation? 0 Yes (4 No (see Page 3 for additional information) If no, please explain: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.Qor herstateonecall.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. x �v I, Applicant's Printed Name x Applicant's Signature Page 1 of 3 CityofEaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Ig&1� Permit #: Permit Fee: /65- Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/25/2016 Site Address: -3(4.0S tit Curl 0 ct s LT Unit #: Name: Phone:Ea an Oaks Town Home Assn/ . 952-238-1121 Resident/ Owner J Address /city /zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343 Applicant is: Owner ✓ Contractor Type of Work Description of work: Garage door replacement Construction Cost: $11152.64 Multi -Family Building: (Yes ✓ / No Contractor Company: Custom Door Sales, Inc Contact: Amy Egan Address: 5005 Hillsboro Ave N City: New Hope State: MN Zip: 55428 Phone: 763-535-0042 Email: aegan@customdoorsales.com License #: Lead Certificate #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. 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.000herstateonecall.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 Buildin, ust be completed within 180 days of permit issuance. x RIM Applicantrs Prir d Name x ppli ture Page 1 of 3