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4422 Cinnamon Ridge Cir a. 7 • .J i `/'1 ir, °: i`�' hrkiti Lei PEItMi( 3830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 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 City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Y Date Paid: Date of Insp.: 72 ,(3 Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 9. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: f?n, Ordinances. Account Deposit: Permit Fee: By Surcharge: Y Misc. Charges: Date of Insp.: Total: I nsp.: Date Paid: Oct.18, 2013 8:59AM Crest Exteriors 651-463-8095 P 15 Use BLUE or BLACK Ink I -ForONlceUse J^ I 'mil ` ~ I I j Permit City of Eap Permll Fee: 3630 Pilot Knob Road I Eagan MN 55122 I Date Received: I Phone: (661) 676.6675 1 I Staff: I Fax, (661)676-6694 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit fl: _ Name: t~ v Pttone: :.Real etlt/s= L L ?-Z CA yap r ' Address / City / Zip: Applicant is: Owner Contractor O Descriptlon of work: Re-K Construction Cost: W Multi-Family Building: (Yes J / No 42 Company: j e ox`s f Contact: -s - ; . Ity: r i'r> Address: A CO Z ' State: 100 r\J Zlp: l Phone 2- License 2 C_ b 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 ZNo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor; Phone: .Ito "hc M(orm~s~n:Po' ns of f p:1'E-' an.~:s d:s "•'o`" in , ~do"' a . ° s" :c . nio . a ions 4, e.c e s ons: f wo~ilt~ pe~• . erC~r ;~o,• . .:~:,~,~M• ~rcono. u af.f H .a e;, g.~ 1?9 CAL • BEFORE YOU D1G_• Call Gopher State Ona Call at (6ti1) 464-0002 for prolecuon against underground uGllly damage. Call 46 hours before you intend to dig to receive locales of underground uUlfUes. o her one r 1 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 epprovat of plans. Exterlorwork authorized by a building permit Issued in accordance with the Minnesota State Building Coda must be completed within 180 days of permit Issuance. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use J -1 Permit#: I City of Ea Ed~a I Permit Fee: 1 I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 I I 1 Fax: (651) 675-5694 I Staff: 1 I - - - - - - - - - - 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ~A 11111 Site Address: gL./nit Date: 3 el _ -t Name: ti w'-~' :::,s°f - Phone: Resident) 92 Owner Address /City/Zip: Applicant is: Owner Contractor Description of work: S C ` 5 `~'~~25 Type of Work Construction Cost: Multi-Family Building: (Yes / No ) . I•s. 1 r Jr t Ai/► 7 ?rALa'''r lU t'~-..~ Company: tjete'% ~ G- +v F^1v T.i,+,fe' ontact: / Address: ~,t 57 City: Contractor State: Zip: / ` Z Phone: 642- 16' , sr License ~ ? 2.2-4,10 Lead Certificate /V4'= 3 7 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.qopherstateonggall.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 0----- days of permit issuance. x k/r Lztsk e ,r` x Applicant's Printed Name Applicant's Signatu _ Page 1 of 3 Use BLUE or BLACK Ink For Office Use 4 ~7,r ~ I Permit I City of EaEd ~ Permit Fee: I 3830 Pilot Knob Road I 111 I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r Site Address: CI Unit#: Name: d .i ~'asl,rGr- fr=c:. Phone:. Resident/ Owner Address / City / Zip: C z , d% ! t v'Ir%? = X ~ ' Applicant is: Owner Contractor Type of Work ' Description of work: A-e- JZ~ C7 ) Construction Cost: ~ 7s Multi-Family Building: (Yes /No Company: 4- c i Av T P-V't'!Lr ontact: e- r Address: 57 City: _ 7 IV5 r-11 Contractor I State: f Zip:. ~y Phone: - License aG-' Lead Certificate /t!,47- - 27 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 the 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.o[g 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 withi days of permit issuance. x Wrtalt,4 A Applicant's Printed Name Applican s Si ature Page 1 of 3