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2240 Liberty LaneCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA104230 Date Issued: 05/10/2012 Permit Category: ePermit Site Address: 2240 Liberty Lane Lot: 27 Block: 02 Addition: Eagan Heights Townhomes 3rd PID: 10-22427-02-270 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Jim Dvorak 816 S.E. 9th street Minneapolis, MN 55414 612-767-4660 Fee Summary: Valuation: 500.00 BL - Base Fee $500 $40.00 Surcharge - Based on Valuation $500 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: DSS Exteriors 816 - 9th St SE Minneapolis MN 55414 (612) 767-4660 - Applicant - Owner: Lori A Flategraff 2240 Liberty Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature t its - sass, .2 3.2 , aa3t, X�a4bora 44( a4g L` � L 401'City otEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 676-0676 Fax: (661) 676-6694 Use BLUE or BLACK Ink For Office Use Permit#: t165491 Permit Fee: a d .is Date Received: I Staff: 71 2013 RESIDENTIAL BUILDING PERMIT APPLICATION a. 3r VAC, t ( / /1!) SiteAddress: �Q 1t� llw y` Co/ r'"`.' �I'tlttit#:iLA i.i;s; ;eisS:;i; : 5:i 4:. .0 i:‘ ,4,;.: 1'1.1 h: ° ,^1e,,:.. .; :, Name; Phone: 2-2.r 'i L /. Jt Aia f Address /City /Zip: Applicant is: Owner ♦ Contractor I IU;d•;;,;ia?il: C!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-6676 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: I `a dq9 `.IL dO Date Received: Staff. J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 'D3'3 aay Date: - "i " \ 9 Site Address: _ t V` Unit #: j)a 1 V 8 eside t '. `< owner, :.. Name: mak% I 1A scn gb ...1_ A # Phone: (J''_ `QjJ y U , Address / City /Zip: ire/A. • 1/ ,. 1 i r I A IA o i Applicant is: Owner x Contractor ;o !! ., TYPO Work .. ` Description of work: Ph.: 5 i Construction Cost: II aco I C0 b Multi -Family Building: (-Yes .I / No _) Contra tOr± Company: 3\5 C\lkUt 5 Contact: AfflU lc c Address: 9`- 2) -CL\( Ca+I-'S f . City: S 1 I 'q `) State: \1 1() Zip: q' 1 Phone: ($ (e4 (c Q 9,8J License #: L�--�-4 \1_c1V Lead Certificate #: IUM \ qOa\ J t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If COMPLETE THIS AREA has the City of Eagan Issued yes, date and address of master ONLY IF CONSTRUCTING A NEW BUILDING a permit for a similar plan based on a master plan? plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans::and su poriln �'documen s...... .... u, . . R :f1.0#.In:9 , .. , , . , ,his �that:you subm/t areco'rrsl�eted Co be pup��c lni�oNrry0tlaill.; ;7oilohs;:af;?;; tbe.inf'ormation may b® classified as nonpublic if yore provide specific reasone'tl at would perrriit the r✓riy tui . '.'1:."':!•.:1..::::::::0:00,4.00;that-tM*y, are_ trade secrets ,.... CALL BEFORE YOU DIG. Call Gopher State Ono 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.aonnersteteonecan.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 1=to Building Code must be completed within 180 days of permit issuance, x Applicant's Printed Name x Applic • ' is Signature Page 1 of 3