3865 Gold PtCITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO •
Eac,n, MN 55122 DATE•
Zoning: No. of Units•
Owner•
Address:
Site Address• 3 8(e Si 3 YL 5- 3 8 61T S'h 7 i
Plumber:
Meter No.: Connection Charge•
Size: Account Deposit•
Reader No.: Permit Fee•
1 agree to comply with the City of Eagan Surcharge•
Ordinances.
Byp
Date of Insp.: 7'Zr9'`8 Oi(
Misc. Charges•
Total
Dote Paid•
Insp •
CITY OE EAGAN SEWER SERVICE PERMIT
3795 -Pilot Knob Road PERMIT NO.:
Edgan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address: ----
Plumber:
1 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:
Use BLUE or BLACK Ink
3115 gel PtI3VIA
2013 RESIDENTIAL BUILDING PERMIT APPLICATION) waspz -3$l;o'3
q j 1�
Date: 1 Site Address: � - 1 e t . 1R r i , I unit # 38T 3 12'33S (pS fr j
P
Name /� 11
Address / City / Zip: 3$ GO d, yoliN+
Applicant is: Owner 4 Contractor
Description of work: Q e,(0 Q-F
Construction Cost: �� 4K 0 0
City of Eapli
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
vilks
For Office Use
ILt—itt°
j%,
Permit Fee: �J 1 �"7
Permit #:
Date Received:
Staff:
�nP � 1�A J� I'it2s. W till'►$ 4 el Phone:1Q51 a T b Be-b r5 1E3,
As ��1
g
1 h, (`�'J Sc I 37b1
CC )
Multi -Family Building: (Yes %Q / No
Company: I lam. `6j1S UCt 6 Contact:
Address: t ' (D Geit
State: ✓ v, N Zip: 5SC71 Phone:
License #: (3 C 03 4-0
Ta_La Err "Si
City: kaSS
Ella 1(JD"i• (ft-ts�
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 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:
Sewer & Water Contractor:
Phone:
Phone:
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.
x N� l ILA-;- g ol/eCK,
Applicant's Printed Name
x
lic nt's A
pp Signature
)64,
Page 1 of 3
4
Sewer & Water Contractor:
E AG A N
JUL 15 2020
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinainsi ections ancitvofeaaan.com
r For Office Use
Permit #: \\ (024 4
Permit Fee: tea • a J
Date Received:
Staff: 3
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / - 9 - 2 O Site Address: Unit #:
Work
Name: (Dre5 "tAtN>^c'E' r o w\ �-}s
Phone:
Address/City/Zip: 311c05A toetd, ~fir Cogan irlN, SS12Z..
Applicant is: Owner Contractor
1714-04Ca' t '0si r Va laIAT 4Pv% 41)%ge":",
Description of work:
Construction Cost '1/00 Multi -Family Building: (Yes ‘6. / No )
Company: Qcry Etc,+c r�br• Contact: zO %A 2 7t2.fsrr'F'
Address: S 1 U•! T =Act "S+f c l SIF rce+ SeZ4C City: Hoek. Pt a : A
State: ) )J Zip: SS3S' Phone: 74•3 - 2-81 Email:.i oh^ 2. Q. bic. ew+c K•
31'72.
License #: gc 324 211 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Clty's
webslte at www.citvofeaaan.com/subscrlbe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecalt.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.
Applicant's Printed Name A