Loading...
1834 Southpointe TerCITY OF EAGAN 3830 Pilot Knob Road P, O. x21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address.' Plumber: Wei Meter No Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances.` WATER SERVICE PERMIT PERMIT NO • /773 DATE: 4'-2-66 No of Units s,' te By Date of Insp,: %/C CITY OF EAGAN 3830 Pilot Knob Road P. O: 4titt 21199 Eagan, M g 1 Zoning: �, " :.f Owner: ! P`'' _ De e ; ,m, t Address: Site Addr ss• le3O 1 5: Plumber: t:'en-r-c Connection Charge• 6,1 -. atm Account Deposit: Permit Fee• '' Surcharge: Misc.Chorges: Total: Date 'Paid: Insp • 8 SEWER SERVICE PERMIT PERMIT NO. 4,4 DATE. No. ifUnit' P 1 agree to„compy with the City of OEagan Ordinances, By Dote of inip.r Insp.: �City Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permits: j -116(n Permit Kee: 57 S.45° Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION /8.3,', 31, 3 V, 3 421 I J, '/0, Site Address:/TVZ1 N06 44,, Lir?, sv.£Z Soor#P6)0'' .7_712- Unit#: Name: c4 ,A C 7" M'4 til 4 E U C Phone: 7& -. r 3 -,9" 7G Address / City / Zip: SO uJ c 4 "--4.)2 , v ,ij '� �2 hi &oi-h E,J VNKLh' /4'a -53-4/17 Applicant is: Owner Contractor Description of work: 7" a. Q E - R-cr,o Construction Cost:.) x 7 a .57_ Multi -Family Building; (Yes X' / No Company: GIE I G',� rriz•og ofih. ; . &2f? Contact: tAvr CI" Address: V o S W Drr .4 . City: /%9 PG s, State: A/Ki Zip: SS-'// 9 Phone: 1./2-1)76/- 4 2 y3 License #: 4 C x Yl 0 3/ Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t &S 1.JLr2c. 110,1,7- Pos: !97 S' 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: N l.a►� , and , the;i�rrr,at�of;>i.e CALL BEFORE Y9U DIG. Call Gopher State One Cau at (651) 454-0002 for protection against /underground ulillty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,g_ooheratateonecall.oro I hereby acknowledge that thls information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that 1 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 Etulldin Code must be completed within 180 daysof permit issuance. x bAL, �v2Rr� Applicant's Printed Name TO/Te 39' d INIVW 1X3 I3S Applicant's Signature Page 1 of 3 L9Z9T98ZT9 0T:9T btOZ/ZT/50 ty of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 875-5694 Use BLUE or BLACK Ink For Office Use Permit*: Permit Fee: ll' —1 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION S-iz-//% /6,34.>, 32,39,3( 33 4'O,. Date: Site Address: / rvt, qv, silo, 4'P, sc, .5-X S0u7-#P6 .Z. Unit #: J Reside tf ..; Owner - Name: 4A C T /n r4 A3 46 E /11 L _•-) e. Phone: 743 - s'9 3 - 5' 7 7 0 Address / City / Zip: ' Sv b. E• - r4 7—u Q AI ,t3 ,2, /5► G'oi� El''‘3 -53-11,7 Applicant is: Owner X Contractor Type 0f Work Description of work: A h ° v z 6- R £Pt, £ .///s/A). 10 Construction Cost Z 9 Lo' Multi -Family Building: (Yes )‹.' / No ) Company: 4'1E1 £,r -i- .Tait I)14,...1 - 6,2- P Contact:.N4v/66 Z''' 2SZ' S Address: 9%0 -s i.3 617*` 4 . City: M PL $ . State: /1".i Zip: .575.4// 9 Phone: /o/Z - ii96/- ,,2113 License #: at A v 113 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1.11-414/0S (.J E 2 £. Roar- Poi' 1 9'7 8 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:, -S404164#19 d �"' a `R k S r . i the in€onnairon be cla i si� s lc s k R 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.aooherstateonecall.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 Buildin Code must be completed within 180 days of permit issuance. ilk bA✓,N qu,a,S Applicant's Printed Name x Applicant's Signature Page 1 of 3