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3818 Willow WayCityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ���� Permit #: 40. to Co Permit Fee: Date Received: Staff: 45- z9z 199 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0141-Y i9 i.2 She Address: 3VG, 311 / 8, 3 8:t e , 3 S'2 Z cJ «c w ! j ,.. •; RESIDENT r. ("INNER -•, . Name: c% A s 504-1 -'7-1 .J P �.4.J 4 r 44L. "0 4, 7 --;Phone: 7 4, 3 - 141 3 74- 7 Address / city /zip: 7 02.1. z. ..c% 5/444/ Jea /41315,41:. a.2o r .S3// . Applicant is: Owner X Contractor T ` 1.'•`.. I T'fpE:;.:..: QF 11N( . Description of work: 7+/o a. QX•2c uF 0 w L`c. i ..s 4, R.010 f.-- 0.a L y Construction Cost 7, 4/ULA. Da Multi -Family Building; (Yes S / Na ) C ON7' 7'OIR'', • Company: !fie/ Z'x 7.-42iGI. 2 /447$07-. deaP,, Contact: &w>r (t3� r'‘- r41 Address: yo s— /3. 10o rbc S`r, City: /SPG S ,. State: M A Zip: SZ—V/ 9 Phone: 6 IA -• 8 4I , 6 2.4/ 3 License #: a -- .7 4/1/ 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: - Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: R 044" $if,!p 1a .heanfVit,800:::F Cd:tion,001lc:ff,-.00vde:'• ,cdc ��if��Gh �o0lea ..,.QCi` .a • . . :-.,... A 6RIBtthey'ftear4ie.4ecret$."'`: i': ...- , .. . CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454.0002 far protedion agaInst underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecal ,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 won( 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 8uiidir3p»Cpde must be completed within 160 days of permit issuance. x $vip aup-ai.; Applicant's Printed Name t'0 39dd Applicant's Signature Page 1 of 3 1NIaW dOId31X3 Iia L9Z9I98Zt9 SZ :Ca ZTOZ/6Z/S0 411* City otBaQen 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Nfiia Permit* T/(2 99q 1 Permit Fee: Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION a Date: ^ � -.d S Site Address: :38/x, / ' A 0 ac, 2, cat tto C.J 4 Y Tenant: Suite #: RESIDENT 1 OWNER Name: 4114,Ci 4-7, .-) F..:.4 + a//%L fr 1 L-`' T Phone: l l0 3 - Yid" - Address 1 City / Zip: '7° A R E . f%JN L.91.4 1 kb /01A) Applicant is: Owner X Contractor S5'3// TYPE OF WORK Description of work: /'a AIX-- 4. £, c" -t 1' 70' Construction Cost: g, 600 Multi -Family Budding: (Yes k / No ) CONTRACTOR Name: es/ El2..oi2 License # Y, // Address; S/03 • ip COIL 5!- --- State: /20A) Zip: S—C-`// 7 Contact Person: ) 4 V £ !t -/s City: 1'7 PLS Phone: b/Z- $!o/-- G 2V 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 — Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Energy Code Category of submission type) 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: Mechanical Contractor: Phone: Sewer & Water Contractor Phone: Phone: NOPE: PlartA;'and suppc tlf0,dOGuig pts that you submit are considered tci:be .public inforn atlon. Portions of the mforrnadon may G(gss�ff/ed as non-public if you provide specific reasons that Would permit the City to I: a cr s.. 'conc.lcida`that t, hey ar trade se et 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 01 ans. x t 4 ✓. ' Applicant's Printed Name x Applicant's Signature Page 1 of 3 1NIVW d0Id31X3 I3S L9Z9I98ZI9 50:ET 600Z/Z0/60 L9E9T98ET9 ?' • C�fnniction gorge: 4 13.00 0 16d iib®,,Y #y rmit Fee Er eFo Swch i Misc. ir!{ s:.; . 6 3 Totoh' _� Site Address: 3 811 'Ni 11ow. wary L64 t Briar Pill v t+2i Plumber. ' t - to 42746 . ' 100 .00 ' t ewe to comply with the City, of Balm 1 Connection C Q" " pd Ordinances. i i Account Deposit: 15.00 Pd Permit dee: 10.00 pd By 4 Surchargi: .50 pd Misc. Charges: Date 'o�r'!e'� ' ® Total: Insp.. Z c^ Date Paid: *City of Eatail 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 675.6694 Use BLUE or BLACK Ink For Mee Use j Permit a: • �Jd Permit Fee: Date Received: I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Data; //- 7- /3 Site Address: -3S 1 to , 8.1S, 3816, 31'11. L/LLe(,.) t 'Unitttl: Resident/ Owner Name: e/A 46 /ij4, 4 6 £ /+t Address / City / Zip: :so JJ e 4 .-/-u Q Av. A . A Applicant is: _ Owner Contractor Phone: 743 - •S-91- 9 7 6ot.6£4,:) 1/444.1 y MA) Ss' yx 7 Type•ei Vlork, Description of work: R f i•-o.d t: 8- R £ Pt, 4 -c -i. d F -0t cs a )17 E rrr /. Construction Cost: L 5/ do • t!U Multi -Family Building: (Yes / No .� Cath dc(iar Company: a 81 4->< r ra R iy%r , 2° 12/'" Contact NW/ r II 13.,0_32.,s Address: L��.r CO 100/1` l". City: /y1 PL State: 11,w1 Zip: 55.-V/ /r Phone: IP, L - /o / - Co 2 X13 License #: 2 4!/ / / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) gas' Poste J97Y" 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: PIa s ondsaptim.ThootOmenk;., •intcmteuoni►1 ; vyioru sp rondordi �'�'241 M S �. ... ,.'M •'S .. z ~A, '•1 rs .: CAU., BEFORE YOU DIG, Call Gopher State One Call at (691)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gppharstateonecali.orq 1 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 aceontance with the Minnesota State Solidi Code must be completed within 180 days of permit issuance. X. i�4v't Jidda -2/ f Applicant's Printed Name TO/T0 39G'd Applicant's Signature Paget of 3 1NIt7W 1X3 I3g L9Z9T98ZT9 TEST CTOZ/80/TT 11111/11/16. Ci1yofEaao 3830 Phot Knob Road Eagan MN 55122 Phone: (651) 6754675 Faro (661) 6754684 Data: / O -1 Use BLUE or BLACK Ink w . For O16m 1168 Penna# I 19413 PennitFes: 53,15 Date Received: rof 3r/i3 • staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION i3. siteAddreeo: 3Ssi 38A°,13�:i:i; (A)/M-41W l'34"r Unit #: Name: 4/o R t~ % /0 p di} r4 G . Ir[ L N i X") Address 1 City !Zip: 8sD cc A Av Appy ix Owner Z. Contractor Phone: 741 -- 977o '` 14 6014 (/SKL 4d ,W4 SSV.t7 .1 Description of work: -7-£.4k a l2 E -Roo F Construction Cost /3 ) Multi -Family Building: (Yes k' ! No Company: 61 E 1 j). re 0147")7. 612.14 Contac 11114V/ d tl•A R.. r 5 Address: OS- W k 11 city: /hPL $ . sem: Zip: 5r9I9 Phone: to // 6 A 93 Licenee* Age .*4')// head Certificate it: If the project is exempt from lead certification, please explain why; (see Page 3 for additional infom ation) A. ‘_los L Ear.. -11011.7 Poe-' J 97 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 beeed on a meatier plan? _Yes _.No If yes, date and address of master pian: licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE!: Phone: Phone: n, you ndmdig tore -a locates of underground www.ttoolAl ooll-oweYOU DIGCM GNwrSfCell at (es).for p against underground uugMeow. Cala8 hours 2 1 hereby ac khsvitdge that this intimatiOn is complete and Eagan that 1 underaaerd this is not a permit, but ;that the wont veal be in o Is not t with the ordinances and cotes of the of .owrdent with the sep+ou.a hien 1n ms ogee otwe k weigh permit. andpploval ("�C to start v►ifyfott a Oelrillt that the w�Ofrc tN� In s. &meg' work days of pmtauthericed by a building permit Issued In accordance wr+ldt the Minnesota Stage Buil Code Wat=t be completed within 180 •• x ilv f2.2 rS Appiloant7 PHntoc Nr ne ZO/TO 39Cd INIVW IX3 I3S X - Applkante Signaiuro Page 1 of 3 L9Z9T98ZT9 ZI:60 ETOZ/TE/0T