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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 1NIdW IX3 I3g L9Z9I98Z19 ZO:Vt 8t0Z/90/tt 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