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,
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Name; Phone:
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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:
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Date Received:
Staff.
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION 'D3'3
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Date: - "i " \ 9 Site Address: _ t V` Unit #: j)a 1 V 8
eside t '. `<
owner, :..
Name: mak% I 1A
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Address / City /Zip: ire/A.
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Applicant is: Owner x Contractor
;o !! .,
TYPO Work
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` 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
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