3816 Heather DrOM OF EAGAN
3795 Knob Rood PERMIT NO.: 4 163
*gen, MN 55122 DATE.
Zoning. RIV No. of Units. 1 unit tnhse
Owner Tell Pfann Rui 1 1 rsa
Address.
Site Address: 1816 Re *hot nrtve Ti R2 "11 tar 11111 4rh
Plumber: Gertz Rygin p1 twilling
Meter No.: Connection Charge: 420 _ 00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
1 agree to comply with the City of Eagan Surcharge: •50 pd
Ordinances. Misc. Charges: 611_ 00 pd meter
Total.
By //� 'A�
ate Paid-
Date of Insp.: Insp
WATETt SERVICE PERMIT
10/13/32
CITY OF LAGAN
$47 ifot Knob ood
Eason, MN 55122_
Zoning.
Owner
V
Address:
Site Addrees '
Plumber:
SEWER sSIVIC 5PERMIT
PERMIT NO 193
1U/13/82
D1- 1 unit tnhse
No. of Units•
e s• errs
3 b Heater, Drive L8 B2 Briar Hill 4th
Plstbing
%15/82 850
1 agree to comply with the City of Eogon Connection Charge:
Ordinances. Account Deposit -
Permit Fee -
Surcharge -
100.00 pd
425.00 pd
10.00 pd
.50 pd
By Misc. Charges:
Dote of Insp.: Total:
Insp • Date Paid.
41101Pagof6ten
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (661) 675.5694
Use BLUE or BLACK Ink
For Office Use
i 07 -7.A I
Date Received: /(Y1' -Z_
j7
Staff: C)
Permit #:
Permit Fee:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
/D/i//A Site Address: 3Six a- //r/is,c: wc& btZ. Unit N:
..Name;%
RE$ID0tir1"-•l=
OWNER'`'.,':
7-#4.&,--
r .r 74,3-�r�/-37,A7
i�ssvt.wiio� r5.a.�1Jc,ac m,,,�r. 2ccG7E Phone:
Address / City 1 Zip: 70 A7 E. Esti G,4K. A4, ben ,i-P..L 620et1 /y1.,)
Applicant is: Owner X' Contractor
1Gr
PEs:QFwow
6El
': ` "
Description of work: %/6 d` RE -too c' 6 e.1 £LC....•)J .%L'Aa/Cs oar -)L Y
1
Construction Cost: `, q O1 UO Multi-Famlly1 Building: (Yes V / No )
•
.,:: .. ;
NT#A,I Trt .
,., �'�": � '
Company: ia£i S,C>rr2/o2 AlAl4' 7 Cn4P, Contact) b4v1' 4 '211' 5
Address: LAP S-- boo 5-7-, City: irk PGS _
State: MA) Zip: S-6-1/1 5. Phone: 6/1' Y (Pi- 4 is -3
License #: a C- 4y/ 3 i Lead Certificate*
If the project is exempt
Acc/4- ieFP1..o•4t,
from lead certification, please explain why: (see Page 3 for additional information)
jr-- Alio A....1TLIS f v/2...F,9- 5 lagi41, br5 rc./2is C -A
In the last 12 months,
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:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE; :Fns ed r o 4, dcuR 1001aC.lmta -.POPOf
IFP, ►1tQR; Y)0w'a .1.V aacr0 n a pe eC
• '4, a that theyre tied., ,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cail 48 hours
before you intend to dig to receive locates of underground utilities. www.aoohersteteonecall.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 Build' Code must be completed within 180
days of permit Issuance,
6:4,// ' ,,.(2
Applicant's Printed Name
T0 39'cid
x
Applicant's Signature
Page 1 of 3
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40,
Qtyof
3880 Pliot Knob woad
MN55122
Phone: (651) 6754676
Fax: (851) 8754494
Use BLUE or BLACK Ink
. For Mae
Permit
pelmet Few
low
Date Received:
StaIM
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
mu: Si Addmes: 3e/0 3SVA, 3804; 31/4 li£47-H6R. pRUnit IP:
.4
Name: 4 A C 7' "4 A34 G L I'N E T ",-) C phone:741 3-9
Address / City i Z p: 5p a 4'1nv ` i A Goax4 r/+K
/row .53-v 7
• •Applicant is: Owner 2C Contractor
r;gfAl,c
Description of work: `7"'0•42 OFA
•
Coria on Cost /9. A up I aT Mu ti-Fandiy Building: (Yes %C / No
Company: iE J £x pit/y%ia r . QP coleact.11114vdi 14� R.iL r 5
Address: YDS- bet' 17.. • city: M PL S .
Phone: 10'1 - rb/- 4/3
Stara: zip .5-S-41/ 9
_4 C 4/,) 3 / Load Certificate 4..
If the Project is exempt from lead certification, please explain why. (see Page 3 for additional information)
liastos t,J i:Qt.` l30) cr Pos. / 9 i T
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 13U41dG
In the iset 12 months, has the City of Eagan bawd a permit for a similar plan based on a master pian?
Yes ,r, -No If yes, dale and addresa of master plan:
Licensed Plumber. Phone:
Phone:
Mechanical Contractor
Sewer & Water Contactor:
NOM
•
j' .` rgNnrr►.. cam.-c.tt":�vr.- ._ A - --- n .+gin s�pn^.
4. � - C-.••�r+t+s ':,i tri' .�.7'.
eta' ^4. -c�.?�a�
�i
O Cis Mora Ons 4Y at (061) 4844002 for protection against underground I4II . Coll 48 hours
Wore you 0 ream bootee of underground wilds& gemembswersealters
tEagan;
hereby that 1 p Is complete and moats: teethe vat sell be in conformance with the crdint ness and codes dtha Apr d
* „m worn undentInd Mut Out �b 80 application for a permit. and work is net to sten w4 hcut a
'ppro "° pian In .n. arm Owen( which erq(anp s ,WAII.w+ne'pila & of pions. plonk that the Werk wile be in
°Minor work abler( ed by a permit issued ut seem nee with the Minnesota/Mate Midi Code must be completed within 150
dayadpermitie ,
�AVr� �bt7Rl2is
Pplcant Punted Name
b0/U0 39Vd
x
Applicants Signature
Peso 1of3
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'11011`City otFaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5676
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit # •t '� l 53�
Permit Fee:
Date Received: ` (
Staff:a�
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: "'/-7-l/ Site Address: 3'3/0, 39'2. 3 'i 3$l(,. NlAtTia82 N2- Unit ft:
Resident!
Owner
.
Name: % 4e % /y7, 4e£MEAli ..c.7 C. Phone: 762 - r, - 9770
Address / City / Zip: !3 O b C C47 -L' R. 09v, /3, .Z A 60461-> 1/41.11. Y /OA)
Applicant is: Owner Contractor S'S- V/ 7
,
TyP®:Of WOti5
Description of work: (ZZd-L.0.• t_ 4- a.z Pi.:1-c.L. S .D ' "i 6 a P-41.4-1 4 !h 4 7-4 L
Construction Cost: / trii YC'Z • Cry Multi -Family Building: (Yes2/ No
Contractor '
•
Company: Cil £) ex- 7- Er& 0 2 /i% a -T . & QP, Contact 64 v r f, IQd2..ai s
Addrosa: 4/vs-& b 1-1 S.. city: n7 PL
State: /VAS Zip: 55'4/1 9 Phone: /p/ 2 - F b /- fo 2 4/3
License*: L 2 Y/ / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(I,Lb, %s_ iiuC.T Pose 15'7?
In the last 12 months,
.__Yes No !ryes,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor
Phone:
_ Phone:
TE; 'Plaits tr/QrraClo!f9 dei» `�qwv, subrrtlt mvnsldellbo Jam; •, �yf
, �IwJL�VI,�u •��
... CO:/C1adi9 pre{ lhe ' - • .h�... .,:
��14.1- t crt�KC YUU DIG. Call Gopher Stats One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.gopherstateonerall•orq
I hereby acknowledge that this information is complete and accurate; that the work will be in confomtanee with the ordinances and codes of the City of
Eagan: that 1 understand this is not a perm$, but only an application for a permit, and work is not to start without a pemtit: that the work will bs in
aecontlance with the approved plan in the case of work watch requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bulidtn Code must be completed within 180
days of permit issuance.
x 4v, 0 124,44.../5
Applicant's Printed Name
E0/E0 39Cd
x
Applicant's Signature
Page 1 of 3
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