Loading...
1631 City View DrVILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pile: 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• _ n Total - By f.'" 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: �� S, ) 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 Page 1 1(0