2174 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
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Date:
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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
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License #: Pe( ki 341�/
4e
Address: i City:
State: Zip:),?),--
Contact:
Phone:
,„./ ' 4 44' e 4./
,
Email:
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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
O..,,) 5'pee7h0'i3 4/1
T. fr. City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Fol; Office,Use
Permit #: ` —1
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02— .g7 /17 Site Address: C /7 ` Got -State ` ‘`rc `e
Tenant: P et y Set+ 7AC K.. Suite #:
RESIDENT / OWNER
TYPE OF WORK
Name: y ft4-2 G. y) Phone:
Address / City /Zip: 9,n L C001 ''C4 -b"11 CIfC -l&-
Applicant is: Owner x Contractor
Description of work:
Construction Cost:
CONTRACTOR
Name: t ,/� '
Address: 0' 2-3 92- //ape"? �,/e /�� i !�
/-09fly,',1 iD ✓1 State: 1� Zip: 6f6G7o`Z/
City: /
Phone: o5f Z-) !r�/ / Contact Person:
Gre3 f 7 t v7 9P-
Multi -Family Building: (Yes / No
f
License #: 3 h5'2 -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code
Category
(J 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:
Phone:
Sewer & Water Contractor:
NOTE: plans and supporting documents that you submit are considered to be: public information: Portions of
the information may be classified as non-blicpuif you provide specific reasons" that would ermit the City to
conclude the ,are,tradesecrete.
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
t,ccordance with the approved plan in the case of work which requires a review and approval of plans.
c_diT Iktyin
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3