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4410B Clover LaneCITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: No. of Units. Owner: Address. WATER SERVICE PERMIT PERMIT NO: DATE. Site Address. Plumber: Meter No.: Connection Charge. Size: Account Deposit. Reader No.: Permit Fee• 1 agree to comply with the City of Eagan Surcharge• Ordinances. Misc. Charges. Total ByDate Paid- 7/66 aid•✓f Insp . Date of Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot•Knob Road P. O. Sox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances, Account Deposit: Permit Fee: 8 Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:43 #582 P.053/079 Date: City 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 Permit #: I I `U ,5 S Permit Fee: )5 Date Received: e' It -1(13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: LIHN 9-10e611+110 LHIOP, Cts LCI hei Unit #: J Name: ECith ttTh t Clo: Gaccevi CDYYII any Phone: Resident/ n v 1n' Owner Address /City /Zip: li P CA 9 Y �ikV((�y, Arai riC N ISI (M Applicant is: Owner Contractor Description of work: Tec In l avidYe-vock Type of Work Construction Cost $19 l 4fa) • 00 Multi -Family Building: (Yes / No ) Company: Aillat Cbnsfiiuc ian Manap'nt1 LLC,Contact. On I-ta IS-tead j Address: vt-15 InduStf►aI sheet # 103 Cp1. Plaih Contractor State: MN Zip: G5CO3M Phone:-1"✓1—C4y2^ --MCA License #: 1:3Cto31e215 Lead Certificate #: N e T" 2J) by -D 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 they 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.aooherstateonecall.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 State Building Code must be completed within 180 days of permit issuance� � (i V l� 1V1.1 c Applicant's Printed Name x Lf t • Ap}iiijrant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:56 #301 P.005/022 41,11 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax; (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 � �� �� Permit #: L� Permit Fee: L , Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ../4 //Ce Site Address: rM9 1✓1/42 v142 -'.e-4-- 101-4r0e-- Unit #: /7i 'B Name: goyfildor,f4 /IA - 4:11C/4 /O,4 Phone: /11/4 Resident/ Owner z' Address / City / Zip: 7il/r/ ' 7(/40 dA/eic Type of Work Contractor Applicant is: Owner X1 Contractor Description of work: �P ®O �S W,T% t4n y/ �a Construction Cost: g, GM/ — Multi -Family Building: (Yes / No _) Company: 40- ditlette4d e?»1 diavdentnce Contact e w. A 11E111s vg Address: Cf q5 / r a&* 4-r.A Si--'�5 rI-t j`' /03 City: tkPL- ;ti State: ITh Zip: $5359 Phone:q5J "'99%"7�/�� Email: /;74444S -/-4.r. 42_ License #: & 6403S 3S D Lead Certificate #: A/AT- T- o?O 9to - o� If the project is exempt from lead certification, please explain why: ;LT. ;Ai /993 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: Fire Suppression 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 they 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.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 State Buiidin j mpleted within 160 days of permit issuance. x i rh I4)/ tnal' t Appi�nt's Signature Applicant's Printed Name Page 1 of 3 ®11® ® ® 1 I • I ® / �.�. ®®W® EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(cbcityofeagan.com -------------I For Office Use I Building Permit #: G I I I I S&W Permit #: I I I Permit Fee: i I I I Date Received: I I I I I I Date Issued: i---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: .3hSite Address: _ Applicant is: ❑ Owner Contractor Homeowner Type of Work nit #: Name: �GC 14b Vl�e_Cn, ._-, Address:41 49 iqle !YqfO 1918 CLUB I /_' n City: �l C(OL � Phone: Email: Description of work: P"2 C, Construction Cost 2 19, _11y Type of building: ❑ Single Family ❑ Townhome, of units NTwin Home Compan T7CM r� P Contact: (2 �t of M, Building Address3p) rr& es-� \A1 y City:�GLE�'� Contractor /J '/ /? State:A p: 553�T Phone6tI—J7 �' EmaiI0-Me.�[ �e V -'�/�9� o�t2(o 3/31/2s License #: ' D Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: City: ` 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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 they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. x Applicant's Printed Name A licant's Signature