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2172 Cool Stream Cir - BL 89386Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FO12.I7 442V r For Office Use Permit#: S Permit Fee:. Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:64 c?/ ,R/'2 a'�/'%', ;;191/, ,;7/94j .2/`i Gly ' )0Z: Ur7 /lr � • Tenant: Suite #: RESIDENT / OWNER Name: O DL1,i?gN'.D r / sse6/ArE5 Phone: 6.`5/ - '5ii- 231 Address / City / Zip: Z2 2 GRAND AVE `l i S . ST: PAUL NI ts,1 SS -67,5 Applicant is: Owner x Contractor TYPE OF WORK Description of work: REMOVE A/ P i t -A- 5i/2/4; Construction Cost: 4'O 600 Multi -Family Building: (Yes / No ) CONTRACTOR Name: 13E7 FIAT -ER fog. mainrr mainCP License #: 2024///3/ Address: '05- 14/. 6c-141 S' ECT City: )4 Marie/Ay/ /5 State: NA/ Zip: ,_4:5-�%9 Phone: 612-F4') /- 6 243 Contact Person: S E l/6- /Al L COMPLETE Energy Code Category (4 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: Sewer & Water Contractor: Phone: 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 C -2/S ) sol/ Applicant's Printed Name pplicant's Signature Page 1 of 3 9t(001 g_IVB t,D.-k-704 441:V". -,044v41.0 Date: .17,41 all 61 ailS) '?ifo Coot StYeivm City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant Name: r Use BLUE or BLACK Ink For Office Use Permit #: 113(an Permit Fee: 114.15 Date Received: Staff: 813 2013 COMMERCIAL BUILDING PERMIT APPLICATION 2-01. Site Address:al 6,(QaiLagi,;(7Dtgrip J1-1412_040 lai7s1 J,1-90 C)c) rant r-- New / Existing) Suite #: Property Owner Name: Former Tenant: Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Contractor o YD5.q4/ 71, Name: Xi e 1:;;-; 4.W j ',.„,./t License #: Pe( ki 341�/ 4e Address: i City: State: Zip:),?),-- Contact: Phone: ,„./ ' 4 44' e 4./ , Email: eir /16 17'7 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.qopherstateonecall.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 ofwork which requires a eview and approval of plans. Applicant's Printed Name X( ant's Sidnature Page 1 of 3 pzn zn5cn5 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ydr: Permit #: Permit Fee: V Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a^ a 7 / 1/ Site Address: 2 73 C.DIA Str& Va Tenant: YYlwrK L.9 cc) V C. Suite #: RESIDENT / OWNER Name: VA ark_ Coo' e5 Phone: 12 237 / 0 5-t Address / City / Zip: q).-72-- COCA t°r ✓1 t,ft-k,1-__ Applicant is: Owner )( Contractor TYPE OF WORK Description of work: 0,4112_, ZP.C' 1`7G? 2 %Se-Ptif re Construction Cost: Multi -Family Building: (Yes- / No __J CONTRACTOR Name: ere3 t j/ /tr/49r-3 Address: 0 a3 e2-> fi%o,.-17 d /e City: CA -f -/77/r2,, t f /47 s? Phone: ( 5/ r AZ//i) (0% 8/ Contact Person: License #: b/cr' e 14) State:fill/ Zip: 646e _.5e,0-111 /gym l51,09601/5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (4 submission type) Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet 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: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plansand supporting documents that you submit are'con idered to be. public information: Portions of the information may be classifiedyas 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 .,ccordance with the approved plan in the case of work which requires a review and approval of plans. gay x Applicants Printed Name x Applicant's Signature Page 1 of 3