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1994 Jan Echo Tr Use BLUE or BLACK Ink 1f I For Office Use . i Permit ~ City of Eap I Permit Fee:. ~ • I I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: i Phone: (651) 675-5675 t I Fax: (651) 675-5694 1 Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit <~~7a Phone Name. _ ~ Resident/ Owner Address/ City/ Zip: ~ r.~J . r u r / Yf, - _ _ d t ► Applicant is: Owner Contractor } Type of Work description of work:< t Construction Cost: 7 5. Multi-Family Building: (Yes /No_) 'r Contact: A Company ~S 1r7J1~r Ji y~1 Addresslt7pstt "'!'~f~` _ T=`_..1 City: Contractor State: Zip , 'Y Phone: License Lead Certificate # f 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 a the information may be classified as non-public if you provide specific reasons that would permit the City to coi)clude that the)r 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. aot~f~rst9tot~_ hercby acknow[udge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of i E<vjon; that I understand th€s 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 approv&,ti 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 13eiilding Code must be completed within 180 days of permit issuance. x Applicant's Printed Name Applicant's g 'Si nature Page 1 of 3 l lik) lJ g/~F / lq \1 ~ ~ r I ~~V o Ea a ; Permit I R I cD J I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~j dV- h Site Address: i 4 c7 ' /q c y e Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: T)L' ~©f 12 Construction! Cost: Multi-Family Building: (Yes° / No CONTRACTOR Name: e) )c C6-9 License Address: 2 f ~l -5'6GH71; 2-lel " 5e-., le 2Y,-) City: _&40e"go, State: //-1// Z/ip: Phone: ~P12- c"/,~ 12,0 Contact Person: /7/ lyf •sC~e_ CO PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted 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 the are trade. 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 ^ccordance with the approved plan in the case of work which requires a review and approval of plans. App it cant's Printed Name Applicant's Signature Page 1 of 3