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2204 Rocky Rapids WayDate: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5684 • RESIDENT / OWNER 4. TYPE OF WORK Use BLUE or BLACK Ink Permit s: /0000 id Permit Fee: Date Received: Staff: 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: p? 0 5� Rd fel'fZ2 �1A y/ Unit #: Name: /1-R NLay Phone; 4sf .21/9-7.3` 5— Address / City / Zip: oZ4•19 / ioG4r W '/i' _S . kJA / E I ! N Applicant is:. Owner ›. Contractor Description of work: `• T>- C Construction Cost 4 I. 3 Y 6` Multi -Family Building: (Yes CONTRACTOR Address: ✓ o e / State A 517 Ucense #: 2.3 D 3 _C"a D g Lead Certificate #: 1✓� 7-_ 72. 3 7 3 — / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) C°Ec,Ci': "Jo,, COMPLETE THIS AREA ONLX IF CONSTRU9TtNG'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, dateand address of master plan: licensed Plumber: • Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone:;i�; CALL BEFORE YOU DIG.. ' Call SY-'• fopv against underground utility damage. Call 48 hours before you intend to dig to receive locates of. underground utilities,• y w. aooherstateonecall,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, put 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 workwhich requires a review and approval of plans. xE�� g-ti€6/4111 2-11o, 2 ictD) gi 014 Qicico ztova, --?,Q 4 Z) City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink -43 For Office Use Permit #: t 13 449 Permit Fee: 114 .75 Date Received: Staff: 25/3 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 6) -5 - 10i3 Site Address: Tenant Name: 150,16.; ‘.71921,.2 two, ,2/411 A -/ pia5 k&(Tenant is: New / Former Tenant: Existing) Suite #: Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: r - Contractor Construction Cost' --60 2/6 6 ' t e Name: 1E: License #: ._._7 Address: State: ,/,,,4?!.4/ Zip: Contact: Phone: City: EmailT.„„„L,,,,;, e ts-r7—,7 Name: Registration #: Address: City: Architect/Engineer State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: 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.00pherstateonecall.oro 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 rec uires a review and approval of plans. (.„ Applicant's Printed Name ants Si nature Page 1 of 3 Opoin 5•Kc7hM5 lfir. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION For Office Use Permit #: Permit Fee: Date Received: Staff: Date: 02 Tenant: niteZ-r� RESIDENT / OWNER Site Address: I)1/ 9 'k /`'J 447 %n 1 Suite #: ,� 65) ,411.739 Name: //d�/'� n��l'� `�' Phone: ��tt ck 7)1C\ i.Qi °? 55i �-?-- Address (City /Zip: �Q`t �d y Applicant is: Owner )( Contractor TYPE OF WORK Description of work: 0/412.1q t 2). Reel -We -Eire -et Multi -Family Building: (Yes- / No Construction Cost: CONTRACTOR Name: ere'J f e'"' 74e fie' e-5 License #: Z'c71/Lo5 - Address: 0 a352 - city: 52 -City: e'1 / i Phone: C // o 5/ " Zoe) (0/ 8/ Contact Person: A/c 4) State: Zip: 3464.,* $G ' H /gym A5/g2..9061s' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Energy Code Category (.4 submission type) 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: NOTE: Plans' and supporting documents that you submit are consideredto be public information: Portions of the information may be classified as non public Wired- provide specific reasons that would permit the City to concludedthathey are: tradetsecrets 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 c)ccordance with the approved plan in the case of work which requires a review and approval of plans x Applicant's Printed Name x Applicants Signature Page 1 of 3