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2036 Diffley RdPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA128966 Date Issued:12/18/2014 Permit Category:ePermit Site Address: 2036 Diffley Rd Lot:1 Block: 4 Addition: Cedar Grove 2nd PID:10-16701-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew F Bohar 2036 Diffley Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1411 1? I I I I r kl i 1 i,rii t• II'..'t N1) f PERMIT SUBTYPE: I Itr1 1 1 mfl'. INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I fit 111 ? APPLICANT: 1 I „tt;i 1 TYPE OF WORK: INA1 fill I 1 11 1 NIt NJA.. 1 M A I lilt 1.1 Permit No. Permit Holder Date Telephone tf S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Hip. Isui. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Z 464/ Deck Final - L Well Pr. Disp. f CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 + SITE ADDRESS: s., It,( I' It PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: 1) f- _:rFt'1P'1 I( ?N Itli I I It I NO 01.11)0I OR / 1 F /9M C l+N•; I 1)(J'AIN pl-- Itoor /s IORM OAMAIA Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ` /rl ill ti ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Cedar Grove ACqu1SitiOn Addition Cedar Grove #2 Lot 1 elk L Panel 10 16701 010 OL. Owner Street 2036 Co. Rd. #30 State Eagan,YN 5512 2 'Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. CU 1985 1266,95 84-46 15 STREET RESTOR. - . GRADING SAN SEW TRUNK # SEWER LATERAL 1972 1304-00 2.1 25 $7 82.40 1 8-27-81 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP BUILDING PERMIT Owner ....... L.LI.'?:•.^..C.......? ?cJ--------------- Address (present) ... ._....?O..3 v &4 d ....................... ......---_........_................_.... Builder Address N? 2454 Eagan Township Town Hall :l Zz/ Dale .....S.../ ..............."........._....... Stories T o Bee Used For _Front Depth Height Est. Cos! Permit Fee Remarks .?® e oB TION sheer, road or Omer Descr1p11On or Location I LOr I tllOCa I Addition Or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEP'®[ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that .... a'p'--N^?-'..?...... '..`.''..`.?'?`.'.?.°----....has permission to erect a......,,p.....".?.?..?.......--•..........°.......__.._upon the above described premise subject to the provisions of the Building Ordinance for agaE n Township adopted April 11, 1955. .:calr....._.?}^.......1`'^'.._....... Per ....... ..............._N..`.".`.A.... ?7'``:°f^........, elrman o Tnwn Bcard .6 _4e Building Inspector EAGAN TOWNSHIP N2 .794 BUILDING PERMIT Owner ....?(..._ - Eagan Township Address (present) ---- -YX_....- .-.._. .C. ............ .-------- Town Hall Builder -.... _.___ ...------ ....----- ------ _.....--_.- 6 "L Dale ..._....... _ ._._...-.._..-.....__. Address l^/?- DESCRIPTION Stories) To Be Used For Front Depth Height Est. Cost Permit Fee . Remarks LOCATION Street, Road or other Description of Location Lot P.lock - Addition or Tract ._0 _ This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents ?a hazard to the health, safety, convenience and general welfare to anyone in the community. - THIS PERMIT MUST BED KEPT ON THE /PREMISE WHILE THE WORK IS IN PROGREtSSS. This is to certify, that.S.<f.4-44/.,!`,----------- C.Q.,..---haspermission to erect a-..._.T ........................ ...... :-upon % the above descr ed premise subj to the provisions of theBuilding Ordinance for Eagan Township ad - led April 11, 1955. ? ............ ...... .-------------------- `..........._...."'_-..............._._.. - Per --------- --------- ........... --...-............------ ....... ---........ ... Chairman of -Town. oa; e. - Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner --U...? -------------- ------ Address (present) ----- -4- 36.....-4-::__ ?....- ltsZ Builder ...... . .._....._.-_...__...__----------..-- Address ... ____. DESCRIPTION N° 909 Eagan Township Town Hall Date lV l.-71 ?. ? ............. Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks dxreex, noaa or oxner uescnpxxon Of Location Lot Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE {EPT ON? THEI PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, J4d. that. - .............. has permission to erect a............... -.upon the above described premise subject to the provisions of the Building Ordinance for Ea Townsh' adopted April 11, 1955. ,??999 .. ------------------------------------------ Per Chairman of Town Board Building Inspector 4 - Orb CITY of EAGAN Address .............................................................................................. DESCRIPTION N2 3980 3795 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Date Stories To Used ForrFront Depth Heigh! Est. Coe?Prm se Remarks - / LOCATION ' of Location Lo! Street, Road or other Bl o ck Addition or Tract ??J Q or" lo J /? //// This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give Abe owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and RMI an a in the community. general welfare foSB E THIS PET MUPT ®E' PREMISjWHILE THE WORK IS IN PROGRES . This is to certify, the ........... P. W.x: .. . .........has permission to erect ax....:, ............................. .upon the above described premise 7e to the provisions of all applicabl nan for the.Ci2p of Eagan. ............ ....................Y _... . .......... .. - x!2.1 ..............._... Per ..._. ....................... Mao Building Impactor 9, BUILDING PERMIT Owner ...,,?i./ .................. ?,(?c?.*t ?0.,. ? s? Address Builder .......................... (present) ... o1a?....r.......................................---.... CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 2036 DIFFLEY RD LOT: 10 BLOCK: 4 CEDAR GROVE 2ND BUILDING 032901 08/12/98 DESCRIPTION: REROOF/STORM EW11di`ng? Permit Type E3uilding Wark Type ;'Census Code \. 434 t J DAMAGE STORM DAMAGE REPAIR ALT. RESIDENTIAL t ?? a a i REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: CUSTOM CONCEPTS CONST 18987290 20142417 BOHAR MATT 16540 KENRICK LOOP 2036 DIFFLEY RD EAGAN MN 55123 EAGAN MN 55122 (612) 898-7290 (651)688-7188 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIGNATURE SUED BY: SIGNATUR J 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF KAGAN n 3830 PILOT KNOB RD - 55122 1 O 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan it lot platted after 7/1/93 required: _ Yes _ No DATE: Remodel/Repair Requirements - - l (y ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: v LOT: I O BLOCK: y SUBD./P.I.D. #: Qj-?n G ?0 lI 2 -?)-' 4 Name: Phone #: PROPERTY Last First OWNER Street Address: , City - State: Zip: Company: _ Phone #: CONTRACTOR _ i,' 3 •?// i. Street Address: Licen e # City State: Zip: - - / ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (stew construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required X CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT cRzW1 PERMIT TYPE: BUILDING Permit Number: 024212 Date Issued: 07/25/94 2036 DIFFLEY RD LOT: 1 BLOCK: 4 CEDAR GROVE 2ND DESCRIPTION: Lid-Permit Type DECK Lng Work Type NEW 1 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - BOHAR MATTHEW 2036 DIFFLEY RD EAGAN MN 55122 (612)688-7188 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/P MITEE SIGNATURE Pmei ?I rh"'? ? ISSUED Y: S NATO E J i4 ?2 11 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $'? 0..5® SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si y of energy cal cs . ,1(i I. 1 9 1.S','94 COMMERCIAL 2 sets of architectural & structural plans, 1 set if specifications, 1 copy of energ ---------- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date QUIT / I? / 1 Q Valuation of work rA? Site Address:_ ?a3? QIiF?fJ( tom. STREET SUITE # Tenant Name: (commercial only) LOT BLOCK L? SUBD. J n C? P.I.D. # Description of work: 6 GP,li.CU The applicant is: Owner ? Contractor ? Other (Describe) Name i? ahn? tA*ITI%" Phone 08-7188 Property LAST FIRST Owner Address 2So3to Dil?? 1?cL. STREET STE # City ?Q?4wwt State PA'vJ 'z-'k04'a, Zip ss1LZ Company 5A-m@ 45 AhayL Phone Contractor Address License # Exp. City State Zip Company SP4 +f as ek6v<-' Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: / OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Flex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. U 15 Deck WORK TYPE ET31 New ? 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Ir Footing q Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units Cities Digital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i Ai \ y (?l a I S37 t'.,i F- I?f i Q .>r c-- y 1 1 {1 J 2 .l S U Q ..iJ l- ?S a ⁃㽾਍ഉऊ਍਍ⴭ 彟氉਍‮儭⸮य़਍⁦ൢⴊⴠⴠ⵩਍‿㼮മ上਍‭‭‭⁶⁲⸿张Ⱝ ൚㼊ി弊⹟ 弴਍⁗ിⴊ 彟ⴠ张彟ⴠⴠ 彟彟‭‭ⵟ张‭⸭ⵟ㼠ⴠ弭‮㼭彎਍彟 ര㐊਍ⵟ㽟张彟张ⵟ彟彟ⴠ彟张ⴿⵟ弭张   弭ⴠ‭Ⱝ唿ⵟ MASTER CARD LOCATION////4- AW 30 J--4 G6 OWNER 4a. dJw?i?y ?_?h? STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING 39go -isx PLUMBING Apr CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING 74 7 SEPTIC FOUNDATION CESSPOOL FRAMING U TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: boo'OU 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 r\ ?kk Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Pfan if lot platted after 7/1193 Rim Joist Detail Options seleclion sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Date Site Address ?CJ3lo U 1 } it, y Pod] Construction Cost ???O 13'(D o - S"rj/ Unit/Ste # Description of Work PA4%a) lif"004'NV1 ay Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 4 ? a4- Telephone # (lp?j ?) /e$? - 7 I B g Contractor (/ -?c v p &e- ' 72 /1 Address ?a Jg2 [ State AA; ^neSv4st f/pokw'A r" ?qv-e-- City ?'?^M7 ?b,S- o ?. zip '551Z, 12 Telephone # (1.S,') LF? 6"- L I9. ), COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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? Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( Flo V WPA UNo lv Cert of Survey Rocd N Tree Prgs Plan Recd i ? I :,,` Y== N. Tree Ares Required (,._Y N. Omsti'E`sepllc System. ?Y.,=N h I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applica 's Printed Name `Tpplicant's Signatufe ,? Use BLUE or BLACK Ink r For Office Use / r City of Enu Permit 2~~^ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: bp Unit Name: A A. T Phone: Resident) A03~ 04L Pa' Owner Address/ City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Re Construction Cost: s o d' Multi-Family Building: (Yes / No ZCct ~ Company: .e., CiwovuuVi- Af Ai✓✓fContact: a.., Address: Syy3 fLJws- Vi.1 4r/: City: Sa-~.e c Contractor State: 41 Zip: 5*,r_;7-9 Phone: ?7 Z_!Jf?" R License X359 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. j m ~wo_ 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 requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X X /G.i►--~ App icant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink � r----------------� � � For Office Use � ' � Permit#: , � �� "� j City of �� o�= ; I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��-6 � �� Site Address: Unit#: Name: �G�l� �l��(9-t"' Phone: �Q��/'��'' 4�� d�l;. ; �� ; Q�y�j�� Address/City/Zip: �� F�� Q; ' Applicant is: Owner �Contractor Description of work: �QS t"6�`� �-�0� Ty��af`V#fo-ric t� ' Construction Cost: �5�d Multi-Family Building: (Yes /No� Company: ;��,�,�� Contact: l�`�-u"U '�ot�tra�t�r : Address: �0�_ !v" ��t}�-�--. �� City: �_JUP�tI�+Vl,� State:�l,Zip:_�►�'�� Phone��l�d Email:�4'��J ? _ �`�� ' ; 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: N�'3T�:Pl�rr�s a��a��u�e��s��at,y�u'sc�b��f ane co�t��d tv b��t��i�r�f�r�ta�� Pr��ns,af ' tf�e��'arr�at��a��y�e clas��tl�rs nr�r�-��i+e��';��prr�i�l��ci�'��re�or�s tt��t t+�as�l�t perr��t t�e C�y:� �rr�c��de i�a#'t�e a-�e�rad�*�ec�r�s' 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.qoqherstateonecall.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 1 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 wilt be in accordance with the approved plan in the case of work which requires a review and app�oval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 780 days of pe it issuance. X � �� E��v6G` i X Applicant's Printed Name App icant's Signature Page 1 of 3 I— For Office Use ; ) I Permit#: EAGAN`"` ''•' Permit Fee: )1) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsCa7cityofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-5-T9 9 Site Address: 2036 ' f 1 /20429 Unit#: Name: 71r11 T l �'4/4/Z Phone: Resident/ Owner Address/City/Zip: 2-034 fie /7o4:0 Applicant is: Owner X Contractor Type of Work Description of work: XC—-57-911V 6 Construction Cost: / Doli r Multi-Family Building: (Yes /No ) _— Company: Company: 577"1 G KTe-a'') S Contact: Contractor Address: (72/t r St-eY C1(ZC�"� City: f-(4-577N6"..5" State:X/1rd Zip: 6°33 Phone: 6 5i''Z7e-!Z Email: i'(1T-2 e4"--P la ser je.y4,•,A 5,-,i.c- , License#:IC 4 3 3 33( 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance wit •- •rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, • • ' not to •ut a permit; that the work will be in accordarce-with the app d plan in the case of work which requires a review and -pproval of pla x JCSvostri Applicant's Printed Name Applicgnature