2162 Cool Stream Cir - BL 89387g
Date:
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-ft 25
For Office Use
Permit #: 7
Permit Fee: l5'l -
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: /5 a�%5 !✓ /S jj/ % ®%l�v�� o�I� �/ C.-rG'�'e- cJ77,7&- 1�/ t✓ /��L��
Tenant:
Suite #:
RESIDENT / OWNER
Name: % DL/.(' 2AIJ) /9;SSc.9L-/,9TH Phone: 6 / - 1155/).- 23610
Address / City / Zip: Z2 2. GRAND AVE VI So. Sr. Pi -u t.._ An ti 5 5-6) 7.S
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: REM DIle /V. RCPT -/4-(c S%61/%1
Construction Cost: f':;0 000 ' Multi -Family Building: (Yes X / No )
CONTRACTOR
Name: L3E/ rX T RR io/ . M r -H NT- CcRP License #: 202471//3/
Address: '-lo5. IA). 6 h" SMELT-
ME -City:
City:/�fl,/ Zip: ,�:5-2
/4/NaCApot is State:/79
Phone: to / 2 —S'4 /- 6 Z413 Contact Person: S E I/6 AI 1.—
COMPLETE
Energy Code
Category
(J submission type)
In the last 12 months, has
_Yes _No 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:
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:_
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.
C'/?/S NDfdys04/
Applicant's Printed Name
pplicant's Signature
Page 1 of 3
.15ot w5 54 ,a156
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Date:
City of EaRall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Name:
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
I I 360s
S 4 . 'aS"
Date Received: 9 / 51 13
Staff: S15
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Site Address: 0‘150115,9, )457-1-, 515/10 JWJ!
t)
New / Existing) Suite #: Tenant 51"1-
Property Owner
Type of Work
Contractor
Name:
Former Tenant:
Address / City / Zip:
Phone:
Applicant is: Owner Contractor
Description of work:re, ..-.41116'ic
cecrt
Construction Cost: II) 30,
Name:
Address:
State: //if Zip:
Contact: „,„ „,„,„
Phone:
License #: No.; 14--,314
City:
/
Email: /
Name: Registration #:
Address: City:
Architect/Engineer
State: Zip. Phone:
Contact Person: 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.popherstateonecalLorb
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 re uires veview and approval of plans.
x,
Applicant's Printed Name Atiprt ant's Si nature
Page 1 of 3
401`6 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
5puReil c13
For Of I;€ Ilse
Permit #: �/� 1 1C)-2
Permit Fee: lc7SSi
Date Received: �(
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02"-' ell'"/ Site Address: I ID 2_ Co®` cc te_
l tst)5ki
Tenant: .SorL°-
RESIDENT / OWNER
TYPE OF WORK
Suite #:
Name: lxrerH&YLLk3i Phone:52, 7 .lig 6U
Address / City / Zip: U /o L_ COQ‘ `��Z`�� (t f-Cle
Applicant is: Owner )( Contractor
Description of work:
Construction Cost: Multi -Family Building: (Yes, / No __J
J
CL�tk 12 �1 1)4eaq_ Re Pt e 7)7eztt
CONTRACTOR
Name: ere 3 f Te rp e2' 3 Li'l License #:
Address: 2 2-3 Cly >iate-1 e
A-Cln 1 q +"1 State: 7! �Zip: � G) o2
City: /
Phone: 5/ Z') / 8%i Contact Person: $ H /72/--e-i-717'
i -m �51 9?)64/.5
COMPLETE 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
(J 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:
Mechanical Contractor:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classifiedas non-public;yif yoirprovide specific reasons that would permit the City to
conclude that; they 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
,2ccordance with the approved��f/plan in the case of work which requires a' review and approval of plans.
Gdf
Phone:
Phone:
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3