3831 Heather DrA WATER SERVICEP t`i
Belt 4 Road . PERMIT NO.:
DATE:
TG No. of Units: 1 unit 4_p
Tq
X 31 HRnt }far T1 h`U1 R i �:hil2` nth
Plunnber�'„ "% Ganz Py Rn Plumbing
Meter No.: Connection Charge: /' 11Q pot.
Size:. Account Deposit:
Reader No.: Permit Pee:
1 egi es to complyi, the City of Eagan Surcharge: it�l tri
Ozenas, Misc. Charges: hf1.0s p mli aq
Total:
gyASP . Date Paid:
Q. _Pr Ir+sp.: ®. imp • ,tti
9n. OF MOAN
SEWER SERVICE PERMIT
3795 ggot Knob R ad L_.._._._itERMIT MO Q5=
Eagan, MN 55122 c A'g E DATk. r t v0 /2/8
Zoning.r TV 1 wait 4— 1_ec
� No. of Units• 4—p
lex
£
Address:
T y
ler Pr L16 B1 Bria441 Iz
f enz Ivan Plumbing �` ' X71
11/24/82 33224 10 .od
1 agree to comply with the City of Eagan Connection Charge. 4 ? i_00
ptl
Ordinances. Account Deposit.
Permit Fee: 10.00 pd
Surcharge - 50 pd
By Misc. Charges:
Dalt, of,tnsp � Total.
lnsp' — _ — x Date Paid:
Site Address:
Plumber:
4)0'
C!tyofEa�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 #:
Permit Fee: 2 7,75
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9- A7- /� Site Address: 382x.17. 19, 1 14t4 tit I,R . unit #:
J
RRES,IDENTi!'.
OWWE ;.
Name:X'ISSoci4vi G„1 ..c;JA.Jc'.4-i- /11,J1,,r. %T;,A)FrRac6LPhone: 7403-YCV-17Z.1
Address/City/Zip: 70 2 2 ..--%s/1 L.4_,4E_ At% . A2,0,o4& G/.o'L.
'
Applicant is: Owner )C Contractor
Description of work: 7—h 6. Az- ac.,
Construction Cost:i13, ,, S - c'a Multi -Family Building: (Yes ) No )
.....'
OQ*F 1c a; ; ::.-
,1
Company: R£i �Y7.42,x/2 ,r/A-, 4-r4 Zo2A, Contact: ii Lit'. etda.a,5
Address: 4/6 S- W400 l''''' -5'7; City: in P4 $
•
State: MA/ Zip: --CS-211/ 9 Phone: 614 - 8t' i — Cc',Z V 3
License #: ge A til 1 3 / Lead Certificate #;
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/21, OF 2r401 -4 -t ''r - .Lo P4,47-(.4 Sdn FAG Es 11.2', A.;6 •..i rciR 4Eb
In the last 12 months,
_Yes No If
Licensed Plumber:
Mechanical. Contractor:
Sewer & Water Contractor:
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:
Phone:
Phone:
Phone:
*yli^1t",`0**!u4j**;�� tM'h� r
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*11901'0
m���� 0, , A.I*S*S th�� .��rl#�,$ :^`
MM � 00i,conclude:that theyare rade:secres.' ,'�'..-
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 recelve locates of underground utilities, www.aooherstaleonecalLOM,
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 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 Smote Building,Code must be completed within 180
days of permit Issuance.
x -l�l✓!u2.2/1
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
1NIVW a0IZI31X3 I3S L9Z9t98Zt9 Z£:9t ZtOZ/LZ/60
*tor
3830 Peet Knob Road
Eagan MN $1122
Phone: (161) 816.6671
NCIC (061) 67640114
Use BLUE or BLACK Ink
. For Mho Use
Permit R
Permit Feu
Chloe Recent
atet
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
She Address: 'MC, ax,, 38).9x,383/ 17144 rw z R. DR- unite
•Name: D A C7- /f1,1 A.14 6 t u % .7� phpn0: 74
Address / City /Zip:
i5be. r� LU Q / x� p Pi4E4 ('4KU-41
Applicant is: Owner Contractor
:.,.,•• : a �
.,* t)OscripHon otwatc -7-sr*2 0,-F.j L -
` Construction Cost 19, A OIL set) Multi -Family Building: (Yes / No
YEW
Company: tE ! Eft7-fJZ/oee ft1d, . 64th contact. Zvi s %%0 t
more= Vol' (.3 64,11 77.
//'/x4 Zgp: .S.S'v/ 9 Phone: tp/z - r ' (a.2 X'
License*: ,et .4!//3 / Lead Certificate #:
If the project is exempt from lead certification, please captain why: (see Page 3 for additional Information)
Ur-blipsL3 LIU: Q ) r 4 r Post- / 9 9 t'
MPLS.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In th. test 12 months, Irea ttte Ctty antigen keened a permit for 1r similar plan based on a master plan?
Yes _No If yes, dile and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sower & Water Contractor: Pho
1101
•
t,�a ► r k.. _ - at �yy}r j� r ° - a
�_'N'f �Q f•• r'%. ,-11�VM�2�'ct/�' �g��'_ �, _... ,';
before you Call Gopher Ikets One Cell at (461)48‘0002 for protection ageing underground utllib de rope. 0,41 48 buss
rrso0i n locates of underground talities. wrimeeloomtuumm12111
i hereby c *
8 dedph> that tie information is complete and azure* Shit the work wall be in confonnanos wqh the ordinances and outs all* Ow of
Ea an ern roe undendand 6s a nMut but onIY en application for a yam* and work is not to start without a west awl the worts w�Nl bo fir
plan h ma ewe dweek wniCti Aware. a s 4.w gond appaiw d Plano.
drill of pone" lesuence
Exterior work ardierined
A building permit WNW In accordance welt the Minnesota State Code must be completed within 180
•
APpNCaM'a ptin0ir! Nana's ✓
Applleaara Signature
•
t'0/TO 3Etd
Pagel d8
1NIVW lX3 I3S L9Z9198ZT9 9E:TT ETOZ/LZ/TT
411° City of itan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675-5675
Fax; (651) 6756694
Use BLUE or BLACK Ink
For Office Use
Permit#: 1 a I
Permit Fee: 0-I
1,
Date Received_ —1 j 1 ilkf
Staft
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - ! / Site Address: 3 5'x s , 381'7, 3 2 Z. 9 , 3 el 1 HeAl Th/XA- 62. units:
Rettiident/
Owner
.
J Name: Cie '4 ' "8,1 4 (2z tx L 4-7-- ,2- .; Cr one; Ire 3 - $771— 9 7 70
Address / City / Zip: 8SO D E est U 2 Ay, A), ,1 A 61)46S.a 1/4441 r ttA)
SS' V.I.7
Applicant is: _ Owner Contractor
T 6f:Work hock
yp'
'
Description of work: R f.� a L a- {Z.E Pc. rtc f.. SC J / 4) Lb P",d9 C. 4 /4 % r4 L
Construction Cost: / YOD, OlD Multi -Family Building: (Yes .,1 No
.
Contactor
.
Company: a £ 1 &' r Lei R 2 in*, •J7 . Co aP. Contact nA ✓, a ad 2R0 S
Address: sV° LTJ 4,6/4.1.Jr- City: m P. �
State: 1"20 Bp: 5i // 9 Phone: lg./ z ' ' !a / - ea 2 V3
License #: 'S C- Z Y/ / 3 i Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ill- toS_ 11ul4,•Y Po5J' Js7r
In the last 12 months,
_Yes __No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL i ING
has the City of Eagan Issued a permit fora similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
ani , 'o�G` ifro t*
> NOTE; Pitt i !: Yec/asglao!>,
• ..:.. lk'lRra+ap.aP� d,
..; tiltet:(lY:
ALL BEFORE YOU DIG. can Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 tours
before you Intend to dig to receive locates of underground utilities, www:nooherstateonecall.oro
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 1 understand elle is not a ponnit• but only an application fora 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 Buttdtn Code must be completed within 1a0
days of permit issuance.
x 14• ✓'
Applicant's Printed Name
C0/T0 39 c1
x
Applicants Signature
Page 1 of 3
INICW lX3 I3a L9Z9T98ZT9 90.60 ItOZ/L0/00