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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 la $Yflo 't / j► a uj �J�('� PTD: f f� � as eaOr Ne e$/,(/��? iia til,,�'� tr h (400011,0 fpei:•;:;,.1:: -�."h"IW � °l., Tf I �d...'R '� *��. ���.� +"<: �i'r •`fa el�ry�' �f� ",�."`.�'fhr9d�"i"�' " �. k��Y�'�:.��� .r. '!<iJ!'i,. � . .. ,'' 1r, .. ./;,,5;:.;:::i0 ' iLY��S,IFY.,S, rT.-'i���!!Z'6T.4T� ,�i.Sc J � �4'4'� � °� ,,,,.:*.F:.. "1/21;1�4 e �:. 4: L 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