2155 Cool Stream Cir - BL 89388
I For Office Use _ I
Permit
Clt of Eaa~
I Permit Fee:. 6(0/,
I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: ~
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /S/ l5 Cc & z six-CAM
(uic
Tenant:
Suite
RESIDENT / OWNER Name: LJ Al r /95Sc)614 TE3
Phone: 65/- 4/SG-
Z340
Address / City / Zip: Z2 Z GRAD AVE `1r/ 3c~ • 'i^••F~U t. /VIN O7S
Applicant is: Owner Contractor
TYPE OF WORK Description of work: REMOVE qAIP
Construction Cost: (j(:" Multi-Family Building: (Yes / No
CONTRACTOR Name: 1317 iX rER l o/2 MP-(NT. CC+U License 2O2411/3/
Address: L4c5 [A). 6c Sn 6E7
City: State: Al Zip: ,~'-/79
Phone: 612'W-6Z43 Contact Person: Srey A4,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category . Submitted Submitted
(4 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 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.
X
Applicant's Printed Name pplicant's Signature
Page 1 of 3
~^C/ Use _LIE or BLACK Ink
W ✓ o WJ r---------------
1 I For Office Use
I
Permit#: I
Clity of Eap u A
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122
Phone: (651) 675-5675 1 Date Received:
Fax: (651) 675-5694 1 Staff: 1
i-----------------1
2013 COMMERCIAL BUILDING PERMIT APPLICATION
' , 1 7 I
Date: _ I Site Address: 151 1533 1 ' Lot
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
R
Name: Phone:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: =
Construction Cost: 7 NO '
Name: License
- r
Contractor Address: r City:
State: Zip: Phone:
Contact: - Email: -
Name: Registration
Architect/Engineer Address: City:
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.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 re wires a •eview and approval of plans.
Applicant's Printed Name laps a 6 s Signature
Page 1 of 3