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City of Epp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 13 Co
Permit Fee:
Date Received: 13
Staff: .813
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: q-5- Site Address: .3ai)slami3onix,ofia,aitod3lgD
Tenant Name: VZ°C* Eif e- ant is: New / Existing) Suite #:
Name:
Former Tenant:
Phone:
Property Owner
Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: -7/ 53q t
Contractor
Name: L..--Ce...tjt
Ete LI
Address:
State: /fj: Zip:
Contact: „;
Phone:
License #: pfv,
City:
Email: t
Name: Registration #:
Address: City:
ArchitectiEngineer
State:
Contact Person:
Zip: Phone:
Email:
Licensed plumber installing new sewer/water service: 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.
1 I UV- V1/7)
Applicant's Printed Name
x
kip ant's Si nature
Page 1 of 3
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City of kap Permit #:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
se
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02— c27 / Site Address:
Lynn P44,2 -e
Tenant:
k�c , er115 1-1)06
Suite #:
RESIDENT / OWNER
Name: y r ,- 1 -fe Phone:
Address / City / Zip: 9a/a_ K-kji t.:6 y iAcCt 5\ 22
Applicant is: Owner JC/ Contractor
TYPE OF WORK
Description of work: 612ZP� g' e -P
Construction Cost: Multi -Family Building: (Yes- / No )
CONTRACTOR
Name: erie,3 f E///f5 Ll -e----- License #: A..3e hd2-
Address: 22-3 9z. cii >io ,? d% 1e / i"z J
/'e
FA-1.97-7i� �
City: ng p el State: Zip:
/ �/i Contact Person: -DL ! 717 �Jl `'een 1/.5.
Phone: c�` (-71e06) �/ �%
"'
COMPLETE
Energy Code
Category
(I submission type)
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered tobe public information. Portions of
the information may be classified as non-public Ayou°provide specific reasons that would permit the City to
'conclude that t ey aretrade secrets.
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
Pccordance with the approved plan in the case of work which requires a review and approval of plans.
x • 1 k.
x ..njGD� /i-iGi'//7
Applicants Printed Name
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA151977
Date Issued: 09/20/2018
Permit Category: ePermit
Site Address: 2212 Rocky Rapids Way
Lot: 104 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID: 10-22426-04-104
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
- Applicant -
Owner:
Lynn D Page
2212 Rocky Rapids Way
Eagan MN 55122
(651) 303-3470
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature