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4486B Clover Lane CITY OP EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1 G Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B Date Paid: Date of G�L`� -7 7 O3 Insp.: CITY OP EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagai, MN 55122 PERMIT NO.: DATE: Zoning: Owne r: -- No. of Units: Address: — Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: y — Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/1712013 08:54 #582 P.077/079 Use BLUE or BLACK Ink For Office Use Clt O!~ ~!1 !Permit # 1 I "a I ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 'L' 1 j Phone: (651) 675-5675 1 I Fax: (651) 675.5694 1 Staff: _ v 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lit 2 0l _ Site Address:'-414,ggiHB1t- %,14g1A MXt 11L _Unit M Name: _ Gleh C ~ 0: G aS Company Phone: I Resident/ p. , Owner Address/City/Zip: US-61 VW p01Yk."r Et~lW Naly1C,M.N 5`r~~~ I Applicant is: Owner Contractor Type of Work Description of work: -I(XV off am Construction Cost: ~Ig12po-Do Multi-Family Building: (Yes / No Company: Agay Wadm fil LLE Contact: _ At Address: VJ1% I ftal SfirN ~1f"3 City: MAW lifts Contractor state: _ Zip: EGaGol Phone: 952-- License m G7CWNC519 Lead Certificate Nft T- 10 L04 -0 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 pennit the City to conclude that th y 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.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 within 180 days of permit issuance. 11 X_ 14 o_L_;U1 Applicant's Prin d Name Applicant's Signature y; Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:30 #269 P.015/020 Use B�tEE or BLRCK!nk �----------------- iFor OHice Use � C)t �f c� c� j Permit#: J� � . 1L� 1 Q�Q� � -3 �. � � 3830 Pilot Knob Road RECE�VE � Permit Fee: � Eagan MN 55122 OCT '� � ZQ��j � Date Received: � Phone:(651)675-5675 � � Fax: (651)675-5694 1 Staff: � I I ���__��__�������.�J 2015 ��SI����I�L �E�EL�3iNG PEl���T�aPP�.ICATtOIN Date: Site Address: Unit�!: �.�a.,ti,..,..o�,,...�,...�..,..a...�.,�.�,.�,.�,.vm�..�..�,...-�-,,... v�..,_<....�.�...,..........r.�.<�..,.,�..,.��.,�,,.�..�....�.��_,_- - .�...n,N.....,.�,��_�,�.�.�Fld,�.-.,,.,. .. a.,�.,^.�...•.��....�.�...�:.a.. . ., ,,. - ..� ' Name: t.�n�,�✓4: 1 t��3�e"s� ���e•t �d�F Phone: N�/g � � Resident/ ,]� � OWner � Address/City/Zip: c�7C/5�'���l�af � g'7� � �p-�° � ' � � � Applicant is: Owner � Contractor �..,�,..,,....A...,., ..�,.,�-,��, .»...a,..N...-.-..,,�,..a,._,��,.,�..,.�«,....,�._�.�..4 .,._.>,....---,...�.,.,:,.._., .�..,..<�.w_....�...a.,.�..,.__.��.,:.�..,�s�,�.M.�..,.,��...,.._..:..�_,,..,,.,,��.L,,...,,,�,.,:__.�.._ .. € ..,., � , ,,., ^ ----�-•� Description of work: ��� �r�r in/i i/� �`y°..�'�� � �.r+(" "' i�/�3� CLEVW7�cr. G�Z a � Type.of Work y � � � v Construction Cost� �l'Go-�'�'�„''' Multi-Family Building (Yes �No � a,..y.._a...�.,...- - ...,..a�..�,:u...:.,,:,_u..�,�...,,z-,_�._-,,,,,.,.._. .�, u � '.�,�. �-:�,�� ...............�.y._...,.,.:,s...��...,n . �..-..,-.r.....�....,..�r.__.�._.�.,,..�....,,...,�.-.,.�,t.. s � .._.....�,_...,b,.._._��a,.�..-,.,�.:-,..,�,M,,..�,...� � � Company:�I���Art �nS��t�t�,�r1 t/✓�/�a�tfi/!`��rc� Contact: �.,,�,m �Q il�..�.,� � � ; Address: 7�ii/5 /n��'S�',�-,ro�L ��- - �;,,4,k�. /Q� City: �A �� ��t FF..� ` � Contractor � ro P � State:�Zip; ��3�`� Phone: �2-5��2�'75/5��Email:_�n'��ct 1/�"�z 6". ��. � � � � � License#: ..�� �4"q�`� ��G� Lead Certi�cate#: /�'r• .��9(l+EI L � € `__. _ . �-.,._.�,.�.m,��..�,�.�..o..,��.,..n,_„s...�_�.�..�.,x.,..�.�,,.. _,�..,�.�.- _�,...,...�„�...�.�...�..�, _. _._ ._ . . ..b.,.. ....�.�.�..,,..._,.� � If ihe projeci is exempt from lead certification, please explain why: ���L� �„� �c��� � � �,'.,o,�,.�.,.,y�,�....�..,�..�.._�.,....� ..�..�..�.,.�.�..�.^,,.,�.�=t...r .�,.�.t.v.-��.,.,�,.._��.,�.�....�.��s.m..�r,�.,.,,�:..c.-._�.��.._.�.�.....�...�.��.�,.�,...�.,._.s�. � � COMPLETE THIS AREA ONLY IF CONST'RUCTING A NEMI BUILDING ��� � In the last 12 months,has the City of Eagan issued a permit for a simila�plan based on a master pla�? � ' � � � � Yes No If yes,date and address of master plan: � � � Licensed Plumber: Phone: � � � . �� Mechanical Contractor; Phone: Sewer 8 Water Cont�actor. Phone: � � � � � Fire Suppression Contractor: Phone: � .��..�..,.��.,._,,._:..,�,...�..,..�..,,...u...:,�..M..._..::.�,.,�_..,�.,...�,�.n:.._,.,..�,..,._„�,�.....�,�..,s.v..,,.,��....,.,�.,.�.,.,_.�.t...,�..a�.. .��....�,....��..��,..N....,m.�., �..�,s.T_�.......�,..� .,,M.. ..� � NOTE:Plans and supporting documents lhat you submit are considered to be publfc inforn►ation. Portions of .. the informafton may be classifred as non-publfc if you provide speciffc reasons that would permit!he City to � � conc/ude that!he are trade secrets. �z...�,-_..._.,..R�..,��..,.�..,.�.�..�_�.�.:,�..x,.r:....�N�.�H.�_x,.=,�., ..�..�xY�.�_..��.....��,�Y,,�..<_..�.�.�,.,,��...„�,.M...�.-r�:.y.,....-_..�.�.,.�..�...Y,,,_,...�,:.��...�.��..r...._,�.,�..�.�,�_.� CALL BEFORE YOU DIG. Call Gophe�5tate One Cali al(651)4540002 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that ihis 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 bui(ding permit issued in accorda�ce with the Minnesota State Buiiding Code must be cor�pleted within 180 days of permit issuance. � ,.,,�_...._, �,,,.= X -�:s;;�... ,�//��� X �'"~ ''"��" .� Applicant's Prinied Alame �„Applic nt's Signature � Page 1 of 3 - e*i� 0 EAGAN n 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com -------------I For Office Use �y n/ I 1 Building Permit #: �Tl L,1J��j I I I I S&W Permit #: I Permit Fee: I I I I Date Received: I I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Homeowner Unit #: Name:�ibyV,e—CDk As�5C�C'Ipt_4k C> Address: CJ�/ ri 4k.Ii�d+v City:aQ 0. Phone: Email: Description of work: P,,, Q C, Type of Work Construction Cost Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan :17QM t/t 't c.�_ o\� Contact: Building Address:6 q B CA& UJP-<- - &� Y City:�GCP� Contractor f/ '/s 5-k/ Phone6tz-J'f State:Wip: License #: o ti Expiration Date: Sewer & Water Contractor Company: Address: Required for State: Zip: Phone: Email: new construction ( License #: Expiration Date: Contact: 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. �( ,0.V �2� 1�e--\C + x Applicant's Printed Name A licant's Signature