3420 Eagan Oaks Ct*.
C!ty of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /C /5-7 7
Permit Fee: 75
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
RESIDENT /
OWNER
Name: Faalaat ( )Z5 7®+-cunhn:pte, J455 kr Phone: 6 t2.—ZZ I--0' 3a
0,),,k6GT
Address / City / Zip: 3q is r.�s
!a-7a.+l
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 1Ct,Y' ®-PP / /twee:
Construction Cost: /3l5-00 Multi -Family Building: (Yesx / No )
CONTRACTOR
Company: ev� Ascere5 LSC..,, Contact: #f"6i2 p`ff14-i:1 %a'Z
Address: t /631 4/ `517 , 1E Chu lur�,l�
State: /4/(/ Zip: 7-I341 Phone: 6 fa—Z�i--'O cr 0 C
License #: Z b t 3( 5 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
464- pre. 7e,
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.qopherstateonecall.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 Building Code mus
days of permit issuance.
Applican s Printed Name 4/(,(17"
Applicant's Signature
be completed within 180
Page 1 of 3
41,11/
City of Bain
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: /o
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/25/2016 Site Address: 3 4 b 0.a Q.. k 0 A -V --S Cr Unit #:
J
Resident/
Owner
Name: Eagan Oaks Town Home Assn/ -1-„, ) Phone: 952-238-1.121
` c/o Personal Touch PO Box 5233 Hopkins, MN 55343
Address / City / zip: p
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Garage door replacement
Construction Cost: $1 3152.64 Multi -Family Building: (Yes ✓ / No
Contractor
If the project is exempt
Company: Custom Door Sales, Inc Contact: Amy Egan
Address: 5005 Hillsboro Ave N City: New Hope
State: MN Zip: 55428Phone: 763-535-0042 Email: aegan@customdoorsales.com
License #: Lead Certificate #:
from lead certification, please explain why:
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
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.gopherstateonecall.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 Building ade-must be completed within 180
days of permit issuance.
x T'11M
Applicangs
rinsed N me
Page 1 of 3