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.
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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