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? FieplseortmR ? Egress WfiAOw X Water Damape
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page 2 of 3
OZ'd 0099-6Gb-£9L aeAnneg auen4 dL9:Z0 90 ZO 100
VILLAGE 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:
I agree to comply with the Village of Eagan Surcharge:
Ordinances Misc. Charges:
Total:
By Date Paid:
Date of sp.: J a j ` �� Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
��
Surcharge:
Permit Fee:
By: � Misc. Charges:
Date of Inspj.• .T j ' () Total:
Insp.: Date Paid:
�
Use BLUE or BLACK Ink
- r------------------„
I For Office Use �
. I � I
� Permit#:��� �
clt of �� �� � ��Q�( � �
Y � � Permit Fee: C/vll•a �
3830 Pilot Knob Road � I
Eagan MN 55122 � I
Phone: (651) 675-5675 I Date Received: I
I I
Fax: (651) 675-5694 I I
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: i / IS ► Site Address:
Tenant Name: �e �.�.p.,�.,`�,� �;����� (Tenant is: New/ � Existing) Suite#:
Former Tenant:
Name: v �-c s ct�,+,,,,`K�- X, c��� �a � � Phone:
Property Owner_ Address i cit i zi t �7 b , t��� �
v P�_ ? . t '�12, i '�'�� 3 t '� ��} t '� (, b � t '1 b I 1 , �2
� �
t °l �yC)t 1'7 S�� 1�tv.��`w�r� C�
Applicant is: Owner Contractor
Type of Work ` Description of work: s!� . �,.���N� r i�w1 t.,��
Construction Cost:��.�� 2v�� `�
Name: C� W�vr��� ��� Cov.y�lLC��v� �icense#: C�3�S.� �
Contractor � Address: �Z �'�'> �/�7�.����i,�a. Q�_ city: V; ��.::�� � �
" State: � h Zip:_�S � �' � Phone: G SZ ^ �l' �� �" �� �v b
' Contact: he �'�'� �.� Email: .,� � ��i �.�- �-O �--.���.,�
.�
Name: Registration#: '
Architect/Engineer Address: City:
State: Zip: Phone:
' Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE;P/ans and supporting documents that you submit are considered to be public information. Porfions of
the information may be classified as non-public ifyou provide specific reasons that would permit the'City fo
:conc/ude that the are traale 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:qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the w rk w I be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion'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 r whi h requires a review and approval of plans:
x �e ��� gv� � t�e.�) x
ApplicanYs Printed Name AppticanYs Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139573
Date Issued:10/28/2016
Permit Category:ePermit
Site Address: 1768 Meadowlark Ct
Lot:026 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-026
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory T Cummings
1768 Meadowlark Ct
Eagan MN 55122--172
G & G Roofing Inc
8656 100th St E
Northfield MN 55057
(507) 645-2531
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use /(/s-zi
Permit#: � L
�ty of EaaH Permit Fee: ��.
3830 Pilot Knob Road •
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildlnainsoectionsecitvofeaaan.com Staff:
` J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-8-17 Site Address: /7�9 &.4JJ iz hid (-- I Unit#:
Name: G1 C�Q (t t(fl tM f„uf)%5P Phone: '�1-12°R----Li i�
• (,.„5.),,c,,, •'f Address/City/Zip: 66'1 1*
._t li,ina. ' ' Applicant is: Owner Contractor
, ": ,a •i ` Suppply and install new windows or doors n�C
x' * Description of work:
�' .
' . Construction Cost: Multi-Family Building:(Yes X /No
l: '-1::4':' I:%1'7:' Company: Austin Remodeling Contact: Mike
' 19306 Oelke Dr Prior Lake
';':,,,,-*:;;7';'1:1Y''''''. ;.7*-' Address. City:
State: MN Zip: 55372 Phone: 62-221-4429 Email: mike@austinremodel.net
mow• BC664409 NAT-F158156-1
$, R License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Y
Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
I r r `� a tet .c.41,..;!..44, " s e t - ry Sly---;',7? r ,n
"„s"
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaaan.com/subscribe.
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.
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.00aherstateonecali.ora
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 pemtit, but only an application for,a permit, and work is not to start without a permit;that the work will be in
accordancedancwith the appproveedd plan
�in the case of work which requires a review and approval of plans.
Applicant's
L r�"6 �6`GAJ X i�14�
Applicant's Printed Name Applicant's Sig ore
Page 1 of 3