821 Eagan Oaks LaneDate:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Ofce';t,fs
Permit #: q ()
Permit Fee:7 L = 4' 0
Date Received: l —
Staff:
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2009 RESIDENTIAL BUILDING PERMIT APPLICATION
7/ZR Site Address: e17,$14,8Z1, SZ 3 Eo.9a✓i Oaks
Tenant:
Suite #:
RESIDENT / OWNER
Name: F....3 m. ✓t Co, kS %o mi 4cvr-G5
Phone: - 95,4-4{3Z 3
Address / City / Zip:
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: / i�Aae- t'do t'
Construction Cost: Z(,� ',7U
Multi -Family Building: (Yes / No )
CONTRACTOR
Name: /,'4 - /Co�.l�Ct,/ S L L C. License #:
Address: 11 U3 L S.4". NE
City: a, �Ne State: NM/ Zip: 5-5-4/ 3 1
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Phone: 411- Z.Z. t - b 9 0 L! Contact Person:
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
(1 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 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.
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Applicant's Printed Name
Applicant's Signature
Page 1 of 3
41101°)
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /�7?
Permit Fee: ,1t�J• ��
Date Received:
Staff:
J
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/25/2016 Site Address: 924 EJ jGivi OA -Ks Lcu Unit #:
Resident/ c/o Personal Touch PO Box 5233 Hopkins, MN 55343
Owner Address / City / Zip: p
Name: Eagan Oaks Town Home Assn/Po
-f-Pnone: 952-238-1121
Type of Work
Applicant is: Owner ✓ Contractor
Description of work: Garage door replacement
Construction Cost: $ 1 ,152.64
Multi -Family Building: (Yes 1 / No
Contractor
Company: Custom Door Sales, Inc Contact: Amy Egan
Address: 5005 Hillsboro Ave N
City: New Hope
State: MN Zip: 55428 Phone: 763-535-0042 Email: aegan@customdoorsales.com
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Fire Suppression 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.
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.000herstateonecall.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 of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ust be completed within 180
days of permit issuance.
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Applicants Pri d Name ppli - a 's Sign tune
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