1748 Karis Way a Ina
:. piiixm 334
tP122 DATE: ��3/8';
' No. of units :, '4 t
•
Site Address: 3,7 r?i iS ' W8S La
Per:. C n Ryan
: ccressotiion ge:
.,
ificcolset Dew:
Reader 44." Pea+nit Fes: 10.00 _ 50
'Also City et loose Sot's/largo: •
Misc. Char 60 • Q t � —
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Total:
Dare Potd:
Dote of ' Irk.:
333 11 'It _4 177
Zoning: '4RII � : '
Na. off• • 1 unit cf �1.13 -
T 'NMI Orrin Th * izon
Addriss: M
Site 1748 ' ?his Way ? B& I e caiffe
Wwnther. Ggnz Ryan
7/16/80 19871 04. ti Pd
++ «sir t Calya t C tom: L1 ?5. 0� . nfi
Account Deposit
Port* c , 1 n0 pa
Stadtarge: 5r1
Misc. °lames;
1 Mi
Date :�
i Total- .
Irs.:w p Date Paid-
Use BLUE or BLACK Ink
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For Office Use Q
Permit
City of EaEd
Permit Fee: U y
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~tll -Y71 Xwif 6," ) Unit
Name: ~/JG~ct, t1'- / st Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:U rc1 v
Construction Cost: 5 v Multi-Family Building: (Yesx / No )
Company: Contact:
Contractor Address: City:
/
State: l! Zip: Phone:
License ~ki~ 6 & -7 Lead Certificate
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 utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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.
x 4,el x r--
Applicant's Printed Name Applicant's Signature
Page 1 of 3