1629 City View Dr VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilo: Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zc•ing: 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:
"11.41.,...1
By g ` s - r Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot.Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoi_ing:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
By: Surcharge:
Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
Citi of Eaau
3830 Pitot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK in
1 For Office Use
/-*--7-3
Permit #:
1 Permit Fee: 6-<261* 75 11
1 Date Received: 1
i Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLIC-4-1(4,3
A-? oiA. Site Address: city View Dr. / Eagan / 55121
sidenti
weer
Type of Wtr
Contractor
3
unit #: /<2 /• /L 3 /
Name: Valley Ridge Townhomes
Address / City / zip: 1650 City View Dr. / Eagan / 55121
Applicant is: Owner Y Contractor
Description of work: 404/1..
Construction Cost: 331408, 10
Company: Capital Construction, LLC
Address: 406 Gateway Blvd.
Phone;
CF�I�
Som- q‘‘
Multi -Family Building:: (Yes ?t / No
Contact: Cole Quinnell
State: MN Zip: 55337
License #: BC645094
City: Burnsville
Phone: 952-222-4004 Email: cole@capitalconstruction-11c.com
Lead,Certifica a #: NAT -F156131-1
I If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
Yes No If yes, date and address of master plan:
tensed Plumber:
Mechanical Contractor:,
Phone:
Phone:
I Sewer & Water Contractor: Phone:
Fire Suppression Contractor:
Phone:
cirments that you submit are considered to be public info ' n. Poriitr f
ed as non: public if you provide specific reasons that would permit the
ode that the are trade secrete.
OTE Plans and supportini
he information may be cla
CALL BEFORE YOU DIC,. Call Gopher State One Cali at (651) 4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aooherstateoneca1l.ora
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 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.
ttco
ns
city to
x Cole Quinnell
Applicant's Printed Name
x -
Applicant's Signature
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