2178 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
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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
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71,
Name: Xi
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License #: Pe( ki 341�/
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Address: i City:
State: Zip:),?),--
Contact:
Phone:
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,
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
r ForOffice Use
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City of hp Permit #:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
201 /0
I/05'
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
02^ 2\ I / Site Address: a7`6 `6 ✓\ €
II
Tenant: fL1 G 8na\Oe'r`j Suite #:
RESIDENT / OWNER
TYPE OF WORK
Name: c — L. V . 'r� l Phone:
a
Address / City / Zip: an'S CQ1.4cecc �/ vi gC e._
Applicant is: Owner Contractor
Description of work:
Construction Cost:
CONTRACTOR
Name:
Address: 0 2-362- C',fed? /e e
City: FA-CM/frig /
/ !, i c d / 1/7 e5/S09'6,01/.5
Phone: p5/ " /6 ) �/ fl Contact Person:
f',r CC/9f?
Multi -Family Building: (Yes' / No ___J
License #: Zo/'
State: /74/ Zip: 3.46,e).=
COMPLETE 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
Energy Code
Category
(J submission type)
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:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit ale considered to be, public information Portions of
the information may be classified as none -public if you provide specific reasons" that would permit the City to
conclude that they, are, Sde,secrets.
1 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.
Gd-/ ih 77
x
Applicant's Printed Name
x s ,�'e
Applicant's Signature
Page 1 of 3