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4487 Cinnamon Ridge Tr(;o s Y OF C-AGialy 3830 Pilot Knob Road P. O. B6t 21199 Eagan, MN 55121 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 Dote Paid. Date of Insp • Insp • WATER SU -NICE PERMIT PERMIT NO • DATE. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Boit 21199 PERMIT NO.: Wigan, MN 55121 DATE: Zoning: No. of Units. Owner Address. Site Address. Plumber 1 agree to comply with the City of Eagan Ordinances. Connection Charge. Account Deposit. Permit Fee. Surcharge. i2.5 .f)( By z Misc. Charges. Dote of Insp.: Total- Insp.: Dote Paid. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. 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 Ordinances. By Date of Insp.: Insp.• IUU. Connection Charge. Account Deposit. Permit Fee. Surcharge: Misc. Charges. Total. Dote Paid. Oct,18. 2013 8 57A Crest Exteriors 651-463-8095 r CityofEaaau 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675-5676 Fax: (651) 676-5694 P. 5 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff; q 0 iU 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Sb - II) Site Address: "Owner • Aid *A ! 1.•, Name: -T1 iii GI Address / City / Zip: Applicant Is: Owner ' ntractor 4. as. Phone: ,.1 J Unit #: Tr Description of work; (e rC -- Construction Cost: Multi -Family Building: (Yes / No Company. £/I +1 C LS `I 1 XI ¥ ntactf r'1 i Address: 2. 100 SUrnrc\e;(' S Lilly: m p 1 State: f11.. ZIP: ". 5L -I) ) Phone: (2 Z 2 L ) License #: S e 2. �J1 l� 1 v 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 mmonths, 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: a e br n ec worm oFnons Of 1.' ` d•iiieo Ea Jftrii9 i -. l ^ wold perf��ao • onc t eta s T CALL BEFORE YOU DIG_, Call Gopher State One Call al (651) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig Io receive locates of underground utlll8es. ww .aoo erslalecnecall.or9 I hereby ecknowledge that this Information Is complete and accurate; that the work will be in conformance vrilh the ordinances and Codes of the City of Eagan; that 1 understand This Is not a permit, but only en 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 Applicant's Printed Name x — Applicant's Signature Page 1 of 3 *) C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I , Permit #: l a0 Q O Permit Fee: (P')5 Date Received: 001(1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: .,Y3--L/44X /tiv gmm'.f% Unit #: Resident/ Owner Name: Address / City / Zip: r Applicant is: Owner x Contractor :�._.Phone: �.� c� � SZ PG) ofkorAlo2/teSAteirat 5 VS* /$ Type of Work Contractor Description of work: Construction Cost: At_ - e: Multi -Family Building: (Yes (4.6• �i ti l I'l'l sivylriuh .'e C Company: U#I4.*N S i Rd�'C?$,�i ontact: 13 . t e- /9f1 c4Er Address:02/© ..Srit refit A/1. $7' 2 City: Mr4/S) % 1TAJf */ i /No ) State: 111/ Zip: // Phone: 6/.2_.. 3 Sr'/ _.? C «' License #: iee 2 -2 -VC, Lead Certificate #: /1f/ — 3 7 7 i — 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: Pians and supporting documents that you submit are considered to be public information. Po ons 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.gopherstateonecalLorq 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 WjZ��oRr s`Gs Applicant's Printed Name App icant's S' nature Page 1 of 3 City of Evan 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: 105. 13 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: }erfeS17 (2, 44v'97 t1)1; �% i L Unit #: Resident/ Owner Name: t/ 1 / / d✓ Address / City / ©i f 4#017141104", Applicant is: Owner X Contractor I! J Phone: e6%4.2 3S/– ©• PCS 5AY7/11t3//1Z.* r _ /S Ads Type of Work Description of work: X' a. Construction Cos 7S---- Contractor Multi -Family Building: (Yes / No ©f, b• nit" r Company: /It,, *L + vec4taNSIMNr' r Contact:,L-C /`3 P '�:$c4 Address:/PA Soni nhif St, Ai .5.74t2 -e0 City: /i`rfJ/4v 14't State: Jlf/'/ Zip: / v./Phone: /.Z 3 E'/ 34 O' E% License #:e3e N%' 2ZVv Lead Certificate #: h!,— 37 Y'.2- — / 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.ciopherstateonecall.orq 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 Stat- •', ode must be completed within 180 days of permit issuance. x �t%r 4.1 ioior "AA. re it , Applicant's Printed Name Applicant's gnature Page 1 of 3