3811 Windcrest Ct SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN # PERMIT DATE 09 / 10 / 91
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 19967
METER SIZE B.P. RECEIPT # C 14309
DATE SEP 9 , 1991 ISSUE DATE B.P. RECEIPT DATE 09/10/91
_ PRV BOOSTER PUMP
SITE ADDRESS 3811, WINDCREST CT PERMIT REQUESTED
LOT 26 BLOCK 1 SEC /SUB WINDCREST 2ND
X SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM /IND RESIDENTIAL
CITY, STATE ZIP X NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: VALLEY PLUMBING CO INC Ahead of Do estic Meters o n ater Line.
ADDRESS: 610 CREEK LN Credit WI ., %�' . •- Meters.
CITY, STATE JORDAN MN ZIP 55352 ® ®� //
PHONE: 492 -2121 /�i�L. I
AGR -E TO C • MPLY ITH IIP TY OF
OWNER: PRIME BUILDERS INC EAGAN ORDINANCES
ADDRESS: 3409 KILMER LN
CITY, STATE PLYMOUTH MN ZIP- 55441
PHONE;„ 550 -1346 j C SIGNATURE WHEN METER ISSUED
It ! l � 1 x' O R ' /O E %
PLEA E AL T ORKING DAYS FOR PROC SSIN A L 454.5220 FOR INSPECTIONS. FOR STORM
SEWER PERMILS, CONTACT ENGINEERING DEBT. izo
Use U- or BLACK Ink
r
For Office Use
t f
Z
t'crml ?i
~ City of Eap
~~3>
1 Permit Fee
4
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675.5675
Fax: (651) 675-5694 1 Staff: 7
1 t
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i J Site Address: 6 o D:l _01 ) LO) iU,,a eKe St- (ZA&2y!~' Unit
Name: 1 tip C Y'4 b* T,zW .3 t ~ S-'1LnJ3&)E'hone: (~>S 1 4es-Z -al 0
Resident{
Owner Address j City = Zip: Q °')C n2~ fi 41 CAJSAoa S- SE 34
Applicant is: Omer 4, Contractor
Type of Work Description of work:-140
Construction Cost: AN Multi-Family Building: (Yes r No _ )
Company: A b A- `rVy rho u Contact: 1.X u r; R~ N-~ .o
Contractor Address: Q 2-0 CfU Y ru 711tA i city: 9 G Ao4.
State: j N~ Zip: f2 ~ Z~ Phone: Z ° Z. )
License 1r [ 6 9 Lead Certificate q%c l I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground util,41 damage. Call 48 hours
belwe you ,nlend to dig to receive locates of underground ufrlthes
1 hereby ncka owiedge that this inforrnat on is complete and accurate that the work will be in conformance with the ordinances and codes of the City of
I-agar: tf.al I undwsland this is not a pemtil, bA only an application for a permit, and work is not to start without a pormrl. tnat the work wO he 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 Building Code must be completed within 180
days of permit issuance.
X / 1 1% 144 ( c i 1► ~ ~n.3 x
Applicant's Prihted Name ~T Applicant's ignature