3844 Heather Dr*City ot8atan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax; (651) 675-5684
Use BLUE or BLACK Ink
For Office ye!
Permit tx r I
t JV
Permit Fee_ L{ 3.9b
Date Received: L 1 1 ff
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: W 9‘" / Site Address: I S Ll I/ 7-/-1 6.2 DR
Ret ldeflt/
Ovtmer
J
Unit #:
Name: e% 4 e / P1)(W 4 61 m z *-4"1'S Phone: 743 - £7— 9 7 7
Address/City/Zip: 8S0 bz4:4ru2 4v, )3, A CoodD£ri V EY /�•)
Sr4'7
Applicant is: Owner a Contractor
TYPtiOt:Work
Description of work: R .£-P /4. t G / (,J / da r�3
ConstructIOn Cost
Multi -Family Building: (Yes / No _)
Cotmllractor
Company: a E r ever Fie/ p /L / *i J'T . 21,0 Contact b4 ✓ r 0 43„ / S
Address: 4/12.Y L (o /.4
y -
state: /1/A1 Zip: s3J4// 91 Phone:
city: M PL
10,,t-861-652413
License#: a L x y/ / 3 / Lead Certificate fl:
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
�I1pC►aloS_ %,.)tr Po s7' /777
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the Wet 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:
Mechanical Contractor:
Phone:
Phone:
Sewar & Water Contractor: Phone:
CAtj_ BEFONE YOU DI9, Cao Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground oblides. www.00pherstateonecafll.org
I hereby adcnowledge 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 t understand this is not permit, but only an application for a p.mrft, and work is not to start without a permit: that the work wth be in
accordance wen 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 Build ngCode must be completed within 180
days of permit issuance.
x 46/' 0 /24,2,Q/S
Applicant's Printed Name
8Z/TZ 39Vd
Applicant's Signature
Page 1 of 3
1NI*W lX3 I3S L9Z9T98ZT9 LZ:bT bTOZ/TT/b0
C!tyofEaaH
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676-5675
Fax: (661) 676.6694
RECEIVED
APR 212012
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee;
Dates Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -S%A/l i�
Site Address: 3 $74/6 y.. yy 414 M4 -7-h/ £Q . Unit 8:
RESIDENT;I:>.' :: ,,
OWNER;.. '. ',
Name: L/° /9SSo -'4 rie.J fr.:-.41AiL/01-4.- /44J40T. Phone: 763 - Y5.11 372 7
Address / City / Zip: 70,A 2 £ /7I J 4A E )126.Lo. "04/ 4,20.4-.S.S' 3 / r
Applicant is: Owner) K Contractor
T''fPE OFj11lO ifs
-
Description of work: / / O d as /Z'r:C
•
Construction Cost: /Z, 'CIG - Multi -Family Building: (Yes x I No )
.. .:
CONT.M91.9
°-''::;`.
Company: rF'L £x-rE.Q /d1& J"1 %% /.J J r er,R P Contact b4vi b 434)/_IAL5
Address: 4/0s L..7 (o o t/ ,ft City: 0A425
State: A'e Zip: 55.4//9 Phone: 4SA— 84)/ ' 4'1413
License #: 4? .24/1/ 3 / Lead Certificate #:
If the project is exempt
from lead certification, please explain why; (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
•:NOTE::: s,470 . ;s. > is;.You submit* GO.slder0,4.'.to be�0414 �, q 9,0;;: Por(ois ot':
the erPr iff . n:»e �. °:. _ l 440401,i0)if lde„spec/h t woe/ d p�
..�_.', ,... .....: „ avntands�attJteyale.ltradesecin..
CALL BEFORE YOU DIG. CaN Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call 48 hours
before you intend to dig to receive locales of underground utilities. www•aooherslateonecali.oru
I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which require$ a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota = Buildiy de must be completed within 180
days of permit issuance.
x &4LL
Applicant's Printed Name
TO 39Vd 1NICW e10I2131X3 I3E
x
Applicant's Signature
Page 1 of 3
L9Z9198319 Sb:ST ZTOZ/TZ/S0
LAGAN:
t4tiob Road
21199
;MN 551a
Zoning:
Owner:
Address -
Site Address: e
Plumber
•
SEER SERVICE PERMIT
PERMIT NO.: 6244
DATE:
No. Units:
I0-27.83
of 4►I.
10-27-33 9577
!agree to comply with the of Eagow
Q1diinoneee.
By
Dote
Insp.:
Con on Charge:
Ac.. nt Deposit:
erm:
Surcharge:
Misc. Charges
Total:
Date Paid:
1
5p
d
' CAM E
3530 Pilot Knob Road
Eagan MN 55172
Phone: (657 j 6756678
Fax: (Set) 67$8154
•
Use BLUE or BLACK Ink
For Mos tie
PermIS
it
Fes:- 57 "l • -
Oats Received:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
e v (o SloeAddross: 38`re, 35'yx,3t oi, 3p1d,
fi4THE R • unit..,.
_ .• �����IIM 1 �
Reouit
Flo A r /4 A.3 r4 6 L m Z. 4) r,J a Phone; - .s!� 3.4 7 70
Name:
Address / City I Zip: VST, b. E. a 477—v !a' /1./ ,t gaipo.,, s S.T"yz
Applicant is: Owner X_ COntraioor _._.�....
Description of work: 7�'£,*i,r OFA a• E - PamoP
Conatoodon Cost � . 7°::):CRO Mutt -Family Building: (Yes , 1 NO.�)
Company: g 1 Ese Te,2io.e /1147.a1' .
Contact vr. 12..R t 5
Addre 4/0 s' city: /h PL $ ,
State: Jia,) Zip; .5rv' 9
1 License #: 4e A hl» l J
Phone; &IA - 6'6'- aA V3 •
Lead Certificate #:
It the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Qr-1110$ 14) LAC.' 11.114,7 Pos: J97r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW MANG
In the last 12 mond has the City of Eagan Issued a penin* for a similar phos based on a master plan?
No If yes, dada and address of master pian:
licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer dr Water Contractor: Phone:
MOW:prow
i.
J.;..l ye..Y
Yirdl J4r tiCl c•C d Yrrfti%'A9r 4e `� 44 .7-4•
'.'�.. _ . _.... . :�-,:
youUdt dote mom locates of underground utilities. wee inonent for neeasznn 545454 Underground ugBY damage. Call 48 how
.$gaNe+�lbAA�9.aeq
1 hereby aziatordedge that this information is comps end t that the work will be in contamanoa with the adirwrces and axles {lithe Coy of
that 1 understand thie is not a permit. but only an application for a pem t, and work is not to start without a tannic that the work w40 be
srn ardrnce with tufa approved seen In me ar* olwpk v.rilett ,aqua a rorrow and spp/ouwl at
days Opera* hareem
Warier work authorized
by a barking permit issued in soeorthwhoa with if* Minnesota State : Code mint be Completed within 150
bA✓ihgufLa. 0,S
Appiicanfd Printed (dame
V0/80 39dd
788
AppNoenrs Slgnatu
nape 1 xis
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41/111City ofEgli
3830 Pilot Knob Road
Eagan MN 65122
Phone; (661) 675-5675
Fax (651) 675-6694
Use BLUE or BLACK Ink
For Office Use
Permit e: 1 (N 1 c.)-1-
6J
Permit Fee:
IDate Reoerked:
- )1a'I
Staff;
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / - / —
/ y $Ite Address: 38`,10 3 r`/," y 4 3 i74�lo #:
Phone: 763 - S"f3- 9770
Cao 1%.(L,E Y /OA)
Ss-y.t7
Resident/
Owner
1 Name: e% 46, /J14•..1 4 b E /+tE a; i .s: ,.r C..
Address / City 1 Zip: $so L C £4 U &. A✓, A), .14
Applicant is: Owner % Contractor _
Type •otAtfOrk;
Description of work: CZ£4•%-e E a• £ PL fie -L. j A 1 e d ,ossa a M 7 A L
Construction Cost / // 4/C10 • at) Multi -Family Building: (Yes �i 1 No
Contractor
Company: E l A.> >- £.e✓ 0 2 /) Z T ,��- _ ev 12 Contact: DA ✓ r 6 ad . al S
Address: 4%0s w troop
State: !~1 Zip: S5 4'/ q
City: /77 PL
Phone: to/ z- ffbI-(e.2V3
License #: 2 Yi / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t�e,ti(vS_
/4, *7- Pos ' 15-71
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:
NOTE: Pions s ani( fO •ITOP*:
theinlor►np6doijk cies '�—
CALF BEFORE YOU DIG, Call Gopher State One Call at (651)484.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground ditties. www.qopherstatppcalLorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes d the City of
Eooun: that 1 understand Ihia le not a permit, but only an application for a permit, and work is not to start without a permit: that the mat 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 Bumf Code must be completed within 180
days of permit issuance.
x '1 r4 ✓, %i'ia1L�
Applicants Printed Name
ZO / IO 39tld
x
Applicants Signature
Page 1 of 3
1NItiW 1X3 I3g L9Z9I98ZI9 LO:ZI tT0Z/9I/I13