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1811 Walnut Lanetin`' ; Feria Fee: Surcharges. Mtsc. Charges: , fiQ.00 Total: i)ate:.Paid: w106 1 ogres to comply wkli City of Engen Connedion Chae`er.S.QL.._._ Ordinances.\'‘\ " p Account Deposit: Permit Fee. ' Surcharge: -rw Misc. Charges: Total: Date 'Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:41 #582 P.047/079 Date: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I`iL955 Permit #: z Permit Fee: 3 o 3i 5 ° Date Received: 11(1) Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION '! -5 - 2013 J Site Address: gOc1 i 18111 yyatyyaB UV 1nI4+ LAW/ Unit#: Resident/ owner Name: tan l 1 Nfq C'0• bract i Conn N Phone: (PL l Address / City/ Zip: (PL13& Uhl WM. NIrkwal I Ectcv Prairie f MN Eby Applicant is: Owner Y Contractor Type of Work Description of work: -Rat off f f and ye -r Construction Cost: 1 K A".JO app Multi -Family Building: (Yes X. / No ) • Contractor Company: )j dStiv l`,OYIS1YuCt cn Maygrea +f tic Contact: (Jur *IOW , Address: 51L6WickUbirIal SI rr-1 - HS City: Plan -tI (ICj State: MN Zip:ip55359 Phone: "PO2- qyl1 - "l3-1 License #: rRC (,o 31515 Lead Certificate #: NAT - 2101W-1'0 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: 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 utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gooherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. / doe titrnd x Applicant's Printe Name Appli nt's Signature iJ Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:57 #301 P.007/022 *City ofEaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: J© Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date:Q'ddllr Site Address: /O9 4/1 u✓ 4lvl /4 / 114e/' iG ..... _..._... t ,3 Unit *• Resident! / - G 4 Owner Address / City / Zip: de -o, � �� G4tltc /y�OJ 6441/1-r�iG Owner )( Contractor Type/ 1of Work Description of work: '-.5 1,0 r44 1/,Cn y/ 5:47/ss Name: 404VA /VA la - 4-6E/J f/OA Phone: /11/4 Applicant is: Construction Cost: lo?oj 4006 Multi -Family Building: (Yes "o ) Company: /41(514L d di'tYa 011 inity;11161211 t Contact: "i4 r A ri i,� Contractor Address:S/-S I r dw34-riA 1 s?< ��t,=f X03 City: Mfrp PLi rr dl State: 17114 Zip: 55359 Phone: '9V^7416'f Email: s%t%PJgGZ-!/S- ,r• License #: BIC 6/0.3S 0 Lead Certificate #: A/f/41-- a?® q , V " If the project is exempt from lead certification, please explain why: AL k -r r"4 /983 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: Fire Suppression 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 Cali 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.gopherstateonecall,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 accordance with the Minnesota State Buiidin ,`mt . mpleted within 180 days of permit issuance. x Ul lIi,na x Applicant's Printed Name Applic$nt's Signature Page 1 of 3 ®, 1 • f fEAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(o)cityofeagan.com --------------I For Office Use I I Building Permit #: I I I j S&W Permit #: I I I Permit Fee: I I I I Date Received: I I I I I I Date Issued: t---------------------' RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: �h qZ?W3 Applicant is: ❑ Owner JELContractor t Homeowner Type of Work Building Contractor Sewer & Water Contractor Unit #: Name: EGCe�A �oVkAe_ (�D� -�j �t-r�5c�CX Or, k Cb l� Address: `/yoQl� City: i;;-a 0.y,, State:M%Wip:55122 Phone: Email: Description of work 9 ,—, QQ C, t - Construction Cost:J l �,q �21 Type of building: Compan T7Q� l/ :S&:y- �Contact: �J�`� �✓ Address:( f�i ��1 W ��T Btl=\AZ V ? City: ,Qe_V VG���' StateAwip: 5_37 T Phone6t z-.211Emailt_a/Ul2 �C �e �CSN`�'�"A �l -��oz�� r� License #: � i? .Expiration Date: .7F/ �% /L S Company: Address: ❑ Single Family ❑ Townhome, of units Twin Home Required for State: Zip: Phone: new construction Contact: Email: License #: Expiration Date: City: I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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 L.9re trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. /1,1 V + x Applicant's Printed Name A licant's Signature