3410 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
4111011
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/25/2016
Resident/
Owner
Type of Work
Site Address: 31-00 E O S C�
Name: Eagan Oaks Town Home Assn/ p a; on Oi)Phone: 952-238-1121
Unit #:
J
Address / City / zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343
Applicant is: Owner ✓ Contractor
Description of work: Garage door replacement
Construction Cost: $1 152.64
Multi -Family Building: (Yes / / No
Contractor
Company: Custom Door Sales, Inc
Address: 5005 Hillsboro Ave N
Contact: Amy Egan
State: MN Zip: 55428 Phone: 763-535-0042
City: New Hope
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: 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. 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.aoaherstateonecall.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 t'lYv� t
Applicantys Prirt&bd Name ppli a 's Sign ture
Page 1 of 3