4163 Beaver Dam Rd09/27/2011 12:31 6128616267 BEI EXTERIOR MAINT
4011' City of Eapil
Date;
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 676-6675
Fax: (651) 675-5694
94-09
PAGE 03
Use BLUE or BLACK Ink
For i)ffice:Use
pentyl ik
Permit Fee:
Date Re
Staff.
2010 RESIDENTIAL BUILDING PERMIT APPLICA
Ws' 4�// site Address: q)6,3 £ J/E72 404/n ,eo420
Tenant:
Suite #:
RESIDENT 1 OWNER
"1
Name: Ci' i G 'i 'T Goon"WA/ V Phone: 93:9 - y, - -0r7-5-
5-75Address
Address/ City / 7-ip: k Y <,•y i4.4 -sr B.n .0/ r2aw Pi'4E ...)mi S339-9'
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: eGt&4Vir Alva Rowe Wim#dr.i
Construction Cost: t 2.612) Multi -Family Building: (Yes A. / No _)
CONTRACTOR
Name: 6C/ EIae /77.944,r tvvcE C-exei License #:
Address: 14,5 W. eon, S, 'grr City: AA INN I-4 s •
State: AAA) zip: ,51j141 7 Phone: 4.12-- ger -4/ve3
Contact: PAUL- A. Email; irr Gbar* rn. r -cm
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber Phone:
Mechanical Contractor:
Sewer 8. Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit ane consideredto be public information. Portions of
the information may be •classified as nonpublic if you provide specific reasons thatwould permit the City to
conclude that they are trade sect
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 46 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 oontormance with the ordinances and codes or the City of
Eagan, that I understand this Is not s permit, but only an application for a permit, and work Is not to start without a permlt; 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 G'NQ<s A++VD4%i�N
Applicant's Printed Name
Applicant's Slgnatu
Page 1 of 2
05106/2014 09:41 Les Jones Roofing, Inc.
C!ty of Eaaali
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 675.5675
Fax: (651) 676-6694
*2:2)4i r 2014 RESIDENTIAL
Date: Site Address:
(449528817009
P.0091011
Use BLUE or BLACK Ink
For Office Use
Permit 4:
Permit Fee:
Date Received::
Staff: 0 la
I `o T15
BUILDING PERMIT APPLICATION
Unit 6:
Name: 5o PeOPeie7' GAGE IiVG. Phone: 4,57- 53-2/-
Address
r2/Address / City / Zip: !a• Bak 2i 2 5 /rnVE1z Cie -ma -110,4 Mt/ 6 74
Applicant Is: Owner x Contractor
Description of work:gleig E 4yi / AV/c"
Construction Cost: 0- 411, 4.57
Multi -Family Building: (Yes x / No •
Company: 4E5 ZA/213" _ROlOffn/L INC. Contact: Gists av2sOd
Address: Q k / (q/ go 711'
City: 11.40anu le5-rbA/
State: Mii Zip: ice 20 Phone: 9SA - 76. 7 - e?8/1
License #: '57 O Lead Certificate #: I.J47' 41(03R-/
If the protect 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:
CALL BEFORE YOU DIG. Cali Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Cell 48 hours
before you Intend to dig to receive locates of underground utilities. www.rtoahereteteonecalLoru
I hereby acknowledge that thle 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 en application for permlt, end 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 pormlt Issued In accordance with the Minnesota State Bullding Code must be completed within 160
days of permit issuance.
x G/fkrs Ait/DaSOd%
Applicant's Printed Name
x-
Applicant'% Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. TAX)9528817009 P.0041011
401. City of Eaali
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675-5676
Fax: (661) 675-6894
Use BLUE or BLACK Ink
For Office Use
Permit #: 112- l 31
Permit Fee: 3i
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a 9 / y Slte Address: yl f17 i'/S- W
/, `/U 31 1 LifAvgg. 1:7144 4.4 Rots .° Unit #:
'5r'' ., • '''': ,
:=i
at'',,. W' %•t'g
' ':*. . ,.;l
Name:_5o P2tegg. c
`/.f .6t LNG. Phone: '57- 5.s//• 99y�
Address / City / Zip: V o. BOK 212 5 JN'- 6VZ /It/ ' 96
Applicant is: Owner XContractor
'R_ °°•°JfS1. f . :'II�y�h �('r,
»i; ' ' . °_.,Nrr 1
Description of work: ft fNoi'( ,44/0 I�EPtAGE 50441. 4,40,4 SiD/4'
Construction Coat: 2 LI 374. g 0
Multi -Family Building: (Yes x / No _,
? 4- ti � 4
4;�''-?;''��
" rd nlir " .,,.
:.,rr r , ' �,>; r -SFr '.
,'h ,',,>a.:,epi
Company: E, ffniti- /NG Contact G� s �vDE�sO�
h S k?2 A4E R CtO
Address: 9 Y / 144 AVM .07 -Acer" City: Jur aI u6 A/
State: 14/4 Zip: ,ff'120 Phone: 95a - 74 7 - 078/7
License #: 4,5-6r0 Lead Certificate #: 4/4 - 4/0 3 7,I - /
If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes __No If
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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:
_ Phone:
Phone:
Phone:
`;, NRIgi;+1.40.#; lf4 01'11 ; If( h. ;Of"y�� 0.0106" c 7,810.6 `o1;iI.04 4/0#,nt3� r:, igge sOVO, ' :,M
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h (400011,0 fpei:•;:;,.1::
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CALL BEFORE YOU DIG. Cali Gopher State One Call at (861) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gonherstateonecall.orq
I hereby acknowledge that thls Information Is complete and accurate; that the work will be Inconformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a penult, and work Is not to start without a permit: that the work will be In
accordance with the approved plan In the cava 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 CH-bs 11,0672s0A/
Applicant's Printed Name
Applicant's Signature
Page 1 013
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 Ci tfS 4067 SaA/ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3