Loading...
4204 Malmo Pl CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.• Eagan, `MN 55122 DATE: Zoning: No. of Units: Owner: -- - Address: Site Address: Plumber: — Meter No.: — — Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: �/ / Total: By /" 17-- et Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan; MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: _ Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 12/04/2014 14:23 9529857738 �LL SONS EXTERIORS PAGE 02/02 Use SLUE or BLACK Ink � For OHlce U9e ^ r ^ I I I • j Perml[#: �I C�ty of Ea�aIl � � � Perrnd Fee: � I � 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: � Phon•:(651)675-s675 � � I Staff: � Fax:(651)676-5694 � i �-------------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � Site Address: -\�U L� '1Z� ��\ � Unit#: �'��ei��k�:1w n�.m� ��iii�li: , \ . ����mr{"f�(d�� urni��n�1��I":����� �)Itj��'!��� . nM � '1'q� ��uul ainvin�ne i:!�ji,�.:,;�;;�;��:,,,H����i�' �f�,, ,�.('L,�j Phone: ,N, .;T�, �'���a;,;,;;:,!i,�iii° Name; ��,� ,. .,,�, ��„�r��l,.,,-; �F.�„�iti,'.'��"'''''''^^'"��e,, N����I Jn �{'Zo� � \�II►t� � , ''�yC�R'^"� r�pJIJ��•;����i4iM1.n.~i'iiip�;: Address/City/Zip: —1 !. ~ 0�, F� ri^hnn I iN,�,�,���,ir:lNi!�a�a�,Fi���o,� f�.."�I���I!in���il i°�jaiiii�'����'�I���i4l.���4;�iwJifoii��"i'f� � �,"'„ q Iicant Is: Owner Contractor �.;a;,., ��.,�,Y:�����;;�'r.��F��i;N.�:w�° ��;�: PP ' y �':li•,i•`i iM17r.iuini."nn.a, ���Alno� �ul5ini7i�mlll{'4 ( h.mr��nitAi - J/�' Cie'rlyu��U�ili I ikm�o�i�i�iun�i�iIIJ11nn��i� �. \ ♦� ".",��i���'' nu�4�i�u mi�ii aiuin:,n�ni,e, �� �r. s���� �r�� ,� ,N Description of work: �• ��;y �, ���1lif�'1 �J:,,, � I la7' l� Y rc�Y /�/� R�!�,�', , ��y�„�p��,��,�����„� e�i���.ui 3�i:na�rr��i inr�r�.iF!I.�cii��ipii:l .W � 'rt.9,^.Cu,;;���,�;;,a��!,�'��l�w , i Constru�tion Cost: Mufti-Family Building: (Yes /No tnn�ia��� .p� ji��n�'ivnilill°iiiruona�r�iue�rouiw'1�ti'i{�� �. � `\ w?rie��::�innuhNn�iu�'il'i� � �t� I ♦ i1�inne,��.iinl���.v��I rin�n���..i�n��i:���i:lih ,,; ���P,a�,: ta :i�� ���,� �� �n�w'„w�,.,,,��:,��� �u� Con ct: a v��e�I,�nruri�R�i�;�N��r.�1w(�ii;"'uiho�"r Company: ,unn i F.��yy nnKem..umur:"�' / m�ino�Qunnii�n��iGfn{li�� inm� ��n�"i�i� 1 �.���1�� �x�,r�„�;���r.,,��i�;�����a��,��!���pr�w�� Address: 'Z- Ci ��IMNI1II��I ���I ynI� ��J� �r� �� � ry. i�'�iiN;!��1 M. I�'��Ii���.��MIIi�Y' ,M,,, t :u�"r.P��'��pq�P��,�;;;!ia�'�ry1�iue���q1{�r��iii�Ki��piro�w�y QQ♦/� AI Pho '���, w{1 OriJ c�5 •"'�V�\ �� �IXIdiY1V11W11u11� 1��� IIMh11111NnIP�i��{np�p�� �7�GlG. I��� Zip:� ne: mail: �ro anea e:i�,�i�i��e'.yn"1:3i'��awq��ni;ni•��,�_i��ai�{u . . i;�e��m.�,.:�i IIMnyy.01JIW411�1r�4�nlii��iJ�F6��;�� M � i � � r �:�n4i u°ii".vi�iu�r�ui�N@,�W'�IK11Y1''�PIiM�NII)II'� L + \ .. �.:.r:�i�:.��;�,�.,1,�•�1��u��,�'�,�';,����,al.;�,�,:r: Licenae#: 0�1�3�� Lead Cert.i�cate#: hr���mii' nNn� �i7.o rrvi�r.�....�li�•;anl,�, - �, IP the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A N�W BUILDING in the last 12 months,has the Clty of Eagan issued a permlt for a similar plan based on a master plan? Yes _No If yes, date and address of master plan; Liceneed Plumber: Phone: MeChanical ContraCtor: Phone: Sewer�Water Contractor: Phone: �,,,���`,y .. ,,,..,,.:,,,�,,. ......: .......�...,,�,,.,. ,�_.,.�_...,,.,,,.,,,,,,,�... ,�...,..,,,,.,a•,�„u.,,,�, . �...,. - �........ . .........���„•.��,,... .,., ;�� _ ��� , rc�V �/y �� � r�� �Ii�iB'., :G;� ,i�' 'i�l'�'�r., ...�,.,.,,��;��i;�!�'„�,��,,,,.�,,°. ,T,� �'a�x� 1��,�!►'�2�'�° idiY�i����;�r���'�t;yxrc�s�l+1�►'� �1, �k�. �"„ ,� ,�'lb l�' �'!�� r � � �I•IRriNM; Xi I 11. I� ��y Alltl^ 'I i �)Iye II IW I ' 1 n�I��,Y��,y� �' I y a 1 My� 111lIVIY,��y�,��w,1° ..,, �q�yJ;� y���,�y,r. ��,�.�d��� �,y ar ,�� �,�d���' �i�t�'�'u �l�'�s���,����t�"l�r��dY-;,{��i'1�'i��ll�;:������ �,, 1 �p�FAy p A ;I v ✓'�',I�I.� 140J��y �41�/�i�� rnfT��� ei�:':"':��n/u iii�.,. (� �o�ae,..n�eai, iin�,�.-'i"i',7iFi:,l�.��`"' �� �w4! r , �q yII n§n ,x •�� l� Ipl��y� � S I�ryA�i••lA�nnn " .�MI..V V,1 iro�� . N'�. II iali'.�1,1�, 1y�kI1.M.rn�1lltlll�":inVllin�e �1Nr�kri)q.11aNi•r�VIIII��O,.ni •4:' 4, X�•� 1!P`inr�r, 114 111�IY�I)��i, IW� :�i.i Iln[�Y�1(�I�I�ii.l�u 4�N eiel7.(iu'W��p� � Nh �n�.�01Vlllrvin:i i � 1 (�p.]�' yY yy� I'..i::�""IxU�:nii�y M�tliwln.IIPIAi 1.Ylil��iv Il�i-iu�I�hiiC�Ai IWI.n•in�liVirin:-���plmi��in I Iblai. �,,,�,,.T�,�,,,,„w P„������,� �v p�IJ4i �;,,,���,,.���,,,����,J�„�,� I }. 1� ,. . �tl"7�r��' 'It�l ��,,.��,�;��k��TIM 1" ��9\YhIP�_� �qlllbe��wyN11Jn I•'� I: ��!:•�1�VltG�'�Ciu�I. „.�... .�NUr:,�ny4��:•.' C IPI4u0 VI io.IlNr CALI.BEFORE YOU DIG. Call Gopher 8tate OnA Call at(651)454-0002 fo�protectlon againet underground utlllty damage. Cafl 48 hours before you intentl to dlg to receive locates oF�mderground ulilities:www aoQheretateonecall.Qrs . I hereby edcnowledge that thls Information Is complete and accurate;that tne work will be in conformance with the ordinances and codes of the Cify of Eagan; that 1 understand lhls Is nof a permlt, but only an appllcation for a pertnit and work Is not to s1aR without a permit;that the work will be in accoMancs wlth the approved plan in the case of work whiCh requires a review and approvat of plans. Exterlor work autftorized by e building pormit i&6uad In accordanc wlth the M� sota S B dl Coda must be comploted wlthin 9 BO days ot permlt i9sudncA. x C�,,�W1 _Y'S�.��2.Y1 AppllcanYs�ted Nam A Ilcant's re . . Page 1 of 3