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3214 Valley Ridge DrMar 12 10 01:22p CMR.INC 6517574106 p.2 Date: City of Ea�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink Permit#: g3057 7 Permit Fee: 9a. o0 Dale Received: 413 Staff: v 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: 0y -e e -t Site Address: 3214 JG 1(o/ I'd .,: I l vt Uv 32- A on 2.Alrn a ANS _5St Suite #: RESIDENT 1 OWNER Name: Kg ArPin t J,� 1.,r,r � , ,Q-Y"t Phone: �1 Address / City f Zip: Applicant is: Owner Contractor TYPE OF WORK Description ofwork: [ a_te.._, 9(3 (icor in SCI S4trn rp2nir'-yj t eii r7o 54 -rt, t-wr- _4;0 Construction Cost Multi -Family Building: (Yes1 No X ) CONTRACTOR Name: 0.%rG-Ci fY1,Q5,-k-e_i.5 t"'iaryl Dckvii Y License #: 2-0627-12-14j 29 City: ivicz wirx Cr Address: 2.45 RoSakt..7n #+i e - �. State: hANI Zip: GS( 1- Phone: 1051 • 1 Si . '-f- I D( Contact `C2.vrry ccflQt-C-N Email: I t S cc, L/ CrYyr-P R mcg.., 1 , Cur -Y-1 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 documenfsthat 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 coryclude 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.aooherstateonecaliara 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 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. cm le_ x Ls S cv`Fre4 i C t,r)Lt.5 x' L c) I `�- -'� L t Q 9') Thp Applicant's Printed Name Applicant's Signature Page 1 of 2 RESIDENT OWNER Name: Y Vf ostma,n Phone: ot,aa-I 'c(g31 Address City Zip: 110 ail CONTRACTOR icense Name: A ppliance Connections Inc Address: 1313 Danita Cr City: Shakopee MN 55379 state: Zip: 952-44 ��Q�nn Phone: �o�f�Y;erson: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater )(Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 5\9 'TOTAL FEES v 4 111. C!ty of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name FOR OFFICE USE s I n} OCT 1 5 2009 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: (12P\ \a,�,t V40( (Vlr Tenant: Suite I hereby ackno t this infor ma t ion 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 ith the approved plan in the case of work which requires a review and approval o plans. VAQ' x Applic.rj' s Signature Mitregi Permit Permit Fee: lv' ›D Date Received: Staff: Reviewed By: Date: Required Inspections: Under around. Rough -In Test Final VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 It Knob Road PERMIT NO.: 1516 Exi 55122 DATE: July 39 1974 Zoning: R -4 No. of Units: 12 Owner: Riverg .te 11H Address: Site Address: 3208- 10- 12- 14- 16 -18 -2( 22- 24•- 26 -28 -30 Valleyri s Plumber: Bergh, `__" t Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: -t 7S Dotal: B Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2275 Eagan, MN 55122 DATE: 3u1y 1974 Zoning: R -4 No. of Units: Owner: 8ivergate 1111 Address: Site Address: 3208- 1{}••12- 14- 1fi••7 8 2O— 2..24 2la- 28..3{} V .13 s rri Plumber: BerithOrSt agree to comply with the Village of Eagan Connection Charger-- 4 Ordinances. Account Deposit: 810.00 Permit Fee: • 50 Surcharge: By � I Misc. Charges: Date of Insp.: Total: Insp.• Date Paid: MAY-21-2013 08:32 From:ECOWATER SYSTEMS 3292515566 To:16516755694 Pa9e:1/1 Use BLUE or BLACK Ink -----------------i My For Office Use (ion I i a Pennitll: (P of EaEd /67d bflO.~ O I Permit Fee: tJ I 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received;' Phone: (651) 676.5675 I _ I staff: i Fax: (651) 675-5694 I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 Site Address: 32l VA lit: Y I?r'C19 Tenant: Suite yy~~ Name: ~ Z -144 r4n Os h'] -7 g Phone L N ; .27 Address / City / Zip: 21 1/ •d 2v P- g 4 „ a Name; 'eGu fr✓w TG~ License #l: 0 6 Address: 32-0 8 6?rs j XTI'e,e i So(., Z Ci li✓Gt riC~, Pclr-lk- ty= Stater Zip: grG 3 3 -7 Phone: ZO -2 S / - 250 Contact: / Email: STC Gcrs c•~aT~G r r~ he Ge New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. Ty j cif G1f Eu'k - Description of work; Q ~4"-C. V✓4 J' [ j' RESIDENTIAL 2- Water Heater Lawn Irrigation RPZ PVB) Water Softener Add Plumbing Fixtures Main / Lower Level) Septic System g ) New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater ar`d Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5"00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Sentic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ f2~ 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.aopherstateonecalll.ora 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 t e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x r11~f, x Applicant's Printed Name Applicant's Signal lute O ,,~.j' i t L { ff-z"0~~-?"~;r •__t;- - .;x•~' ti :r rY f :~r5 ~_Y ~cA lll~li`~wl~'l~~,., .4 ~ , "t~•2~ ^~'`X- ~,4{,~ 2'~~zC e5z ~ S? P(t %P- aeon M G 4:~P7- G rtd i aryl ~Fn fa 7-k4 a 1~S 7 3 ZX1-~.sG~ / Use BLUE or BLACK Ink /Va p�s�crtl� �Z.�l��' �-----------------, � For Office Use � ���• ECEIVE ' �� � �°� ' �y}'��/��� I Permit#: I ��j I 3830 Pilot Knob R ad �UN 1 6 2014 � Permit Fee: �a� � I Eagan MN 55122 I �� � ,��� Phone:(651)675-5675 I Date Received: ' � Fax:(651)675-5694 BY:, ��, . n � 1 � Staff: '�--�'`'f� 1 -----------------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2) sets of plans with all commercial applications. Date: � "' � �1 —" ` Z Site Address: '"=�'Z 1�� '�-�.,.��e-y '�`v� a,c ��' Tenant: K�e��r�� � �'����/� Suite#: $'''c a r ae���� �i'�¢r`�"��"' �r,. �. � � r. � r`�,, ;�' �ll ���� � �x � Name: ��e�c'a� �g`��"`c.� Phone: ����2Z 1 ��l�✓� � ,� ;, r °i x , �,r �� "' ` ����`�'�� ��_���, � °����A Address/City/Zip: ��� � c� � �u u�.:�� �_.�.�� �� u � } t �` � .{ L .'F fi �r� ;„ .{���a ���� �g}z�s��: Name: � ��t � s/1� �C�� � �'-tti��nc. �i- � �t License#: � f " S � t. r C � ._ � ����rt� ��"� � < , : • x� Address: 1�b 1 S �L _ `'�l ` �`�C'– S u:°� � .'E City: Nl a n•�r:c�rD c`�\�S, � ° � ' � �� �� 5 �u �`�� � t���"m��� �, � �`� State:�c�_Zip: '�S'-�G"7 Phone: �� Z- "7 2`�— \$e(� � �a.;� �' �� 4Na3 x a �` ,?: . � �.��." � �� ,��'� . e� : �"� �� .� �� �� ^� � � '� Contact: � t(= Email: G.,nnt. �c,oAr��r f� 4�cz�+`����-�LOr"� �,.`s,�rz � .� t�. n nc ' � �� ���� � x� ; =��§'x �} �$����`��t� � ¢��' New �Replacement Additional Alteration Demolition �� � � �� � yg ,x '1 ',r✓* 5��, ��?�t.c� y."�"�*s�,fi�.. . •� ° �$�� � ' ������< Description of work: � _ r�� A i �Z�1 � ���� � �° � �� � � � ;�s���s ,� .����..e�.� `� �,�`•' ,��.� M , :,.. '� '" ��� �j�',� �c"'�'§"� ' $� ,� � ..:.. , ,...._,x . _ ., r;+ . " � ,. ,. � c N^� �� �'� �?� t �`��a"L x} � �.., , ,' i�. �,.�. nr.,, .s .$"��vt.a:.,.#�a.F,?'�..1S.a�.,� ,s,'i�,�" .,,^v�w .t;..x... . $ ' � ' .. ,.- .. .. .: ,. i� c ' a s ��"t ,•�.- . .� ..,,. . ,: ,t .. ,,. �: a.. �� ,� �'�� � � ��` ��� �{ RESIDENTIAL COMMERCIAL ,a �c3. c ru,�'.a �€t A q 4 �dY } � �a'" � �p�`,�s� :�� �c��' FUfT18C2 _N2W COf1StfUCtlOfl _�iltBflOr�fT1pPOV@fil@Ilt t��r`e.� d°"" ,e,�" 3�: �v��,� . �� � � �Air Conditioner _Install Piping Processed �$��+q� � ' �, z�a — � -� �` ����� ��� � ���� Air Exchan er � §� ,,��� ���� �,��;.�,„�, — 9 _Gas Exterior HVAC Unit *�.�,�� P �������������z��' _Heat Pump Under/Above round Tank Install! Remove � �, ��� ��� 9 (— — ) ��,,�' �'��° :, �� ��� � ����`` a.,.��;. '� ,�w t�=�� �`��,, _Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) Q�y $100.00 Residential New(includes$5.00 State Surcharge) _$ C'� O TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" "*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will e in conformance with the rdinances and codes of the City of Eagan;that I understand this is not a pertnit,but only an application for a permit,and work s no to start with u a p t;that the work will be in accordance with the app ved plan in the case of work which requires a review and approval of plans. 1 ��,1 � �-•��� I X x v Applicant's rinted Name Appli a t' Signat re �� � ��� ,;����� t�� t� �a�4:; � ��s s � �, � , � �a�s '� 'y. E t��',.1x r`' ,�i.�u. r�'fit� '�� �,.G� '� ; u 'd.a ,'�y�'h7 n: �`,�'�'� . �, t �^'�"/�'�i "s 4�{,�.i `�v�,;�.,``"s�'��'"x���.`�, �.��-,��� i�.o- �i. �' *" ,a � �. ��''�.�`� �fiv�a'?,��i k��..s���'�.� ��' �`� '� � `�,., �? ����� � �'`��?����r��� ;�?� �"'� "' k:� g�3 s:���s,;y �m��+ T�£s t �,. 4 ��,�wf; S �.�T .��' �;�` �' � ��```� . . � �� � � � � s� � ���� ��� *.� � ��t �� �' ��y �� •� " "� �' ��€ � �s�ce� �" � �`"�TM� ��. � x�,�`I�''d' ��' 'k�";x� `m .� ,�,1.' '$n Z0% , SZ I D i -37_t2.._ , ,2-I Use BLUE or BLACK Iris; `�( / -7 I For Office use "% Cit 2--, �� �� I �J �/ --moi i I Permit Fee: / / t 3830 Pilot Knob Road 1 1 Eagan MN 55122 f Date Received: Phone: (651) 675-5675 , 3-2 -7 Fax: (651) 675-5694 , --z Co C�, Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L-28?0/6 Site Address: 11350 -City Yew Dr. / Eagan / 55121 sidentl weer if Contractor Name: Valley Ridge Townhomes �® o Address / City / zip: 1650 City View Dr. / Eagan / 55121 Phone: nit #:,32.4`8-3230 Applicant is: Owner Y Contractor Description of work: K- n1,. Construction Cost: ,,s 00. ‘;'6j Company: Capital Construction, LLC Multi -Family Building: Address: 406 Gateway Blvd. contact: Cole Quinnell State: MN Zip: 55337 City: Burnsville Phone: 952-222-4004 Email: cote©capitalconstruction-Itc.com License #: BC645094 Lead Certificate #: NAT -F156131-1 e project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING n 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: g Licensed Plumber: Phone: I mechanical Contractor:. Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE: Pians and supporting documents that you submit are considered to be public information. Portions o the information may be. classJfred as non pubJJc if you provide specific reasons that would permit tine City to conclude that the ` are Made "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 undergroundutilities. 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 bein 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 Cole Quinnell Applicant's Printed Name Applicant's Signature Page 1 of 3 t o � eFor Office Use 1 /i °a% a ',1,'0 'r NNZ°15 Permit#: ilDr./ Permit Fee: Date Received: f"d)v t p 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 Staff: buildinoinspectionst citvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 01/22/18 Site Address: 3214 Valley Ridge Drive Tenant: Suite#: 4 ° Name: Karin Ostman Phone: 952-221-9937 ResidentJOwner-- 3214 ValleyRidge Drive Y ' Address/City/Zip: g r _.- Name: Tony's Appliance PC645479 License#; Ri� Address: 2090 County Road 42 West Burnsville Contractor city: ,Yiet, .. _ state: MN Zip: 55337 Phone: 952-435-2442 .: - __ .': Contact: Meg Email: meg@tonysappliance.com -T a of _New V Replacement _Repair _Rebuild ,Modify Space Work in R.O.W. Yf? ��.r.�. - _- Replacement of water heater. � Description of work: p *. RESIDENTIAL Water Heater = Water Softener _Pel'm_.li Type Lawn Irrigation(_RPZ I_ PVB) — __ _ Septic System Add Plumbing Fixtures(—Main/_Lower Level) -gy - - - - -1"- New —Water Turnaround -� . ::s u_., Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60 OQ 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.orq 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.citvofearran.comisub scribe. 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 fora permit, and work is not to startwithout 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..p=ns. .Meg Engel x i� Applicants Printed Name Ap• ant's ii a.. 2 FOR OFFICE USE Revriewli/ed S w__,._ -._.-.__ Y Dates Rei uired Inspections Under Ground Rough In Air Test Gee"fest Fittel_ Meter Relited:Items:_.._Meter,Size ,.; . .Radio-FRead, ,il ianamafer St M k #-_..__.r.� .. _ For Office Use / Q Permit#: Permit Fee: Date Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675 5675 TDD: (651)454 8535 FAX: (651)675-5694Staff: 1 . buildinoinsoectionst citvofeagan.comL It 2018 MECHANICAL PERMIT APPLICATION11' ❑ Please submit two(2)sets of plans with all commercial applications. Date: } 3 1 Site Address: 3 Z t '-E Y 1 [� _ �r'VC- i.: vC Tenant: M C - A. 5,* ' �r1 Suite#: �@SfCtellir�1MM'1��t`�<°':� Name: f—�re r� .S"�rv��n Phone: 951-2.-2-- Tenant: 52 Z21- qq 37 '� '> Address/City/Zip:-3L1 -( V C:����•� �.��ea �c��rc G�c��r� ;z RESiDEN'i'UA1.HEATING �p }�+ ' : Name: �"+Ltise#: 1815 East gig street,Suite A. �u •ntl Gtot Address: ity: � �'� State: Zip: >� �` Contact: _ Email: gnn F'�S�n�ci� ct., �.r Grp r� New x Replacement Additional Alteration Demolition pep u Description of work l� • ��.Lo- a. . ii S • .• : - V 11110 tn�' Icall . x•T ��i tl i .4,....:--1';'. ® • tl tl g P ,1 .4 R 8 �zs , ;�ode�. w ,� �� / .. Y,r � � � a �e� .44j' � `o �e� a t ,4410,� e � r-,®�tl RESIDENTIAL COMMERCIAL Furnace G ea�cr a- New Construction Interior Improvement ry _Air Conditioner G t"�5 Q. o b034 Install Piping _Processed ,.!..,...',!,-,-'„14;..,..;:r7;<: ;.1.'„,..:,.:24.,-- P ® t %kt® R1 _Air Exchanger $D• 6 00 T' 5 Gas _Exterior HVAC Unit _Heat Pump 00 /U _Under/Above ground Tank (_Install/_Remove) ,. —Other RESIDENTIAL FEES .... r�, j $60.00 Minimum Add or alteration to an existing unit, includes State SurchargeI! $100.00 Residential New, includes State Surcharge =$ 6 .o� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01. $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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.cityofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will b i conforman h •rdinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work n.t to start h./t-,. it;that the work will be in accordance with the approved plan in the se of work which requires a review and approval of plans. x ✓ mac.r, 6\r1 c_r x Applicant's Printed Name A A. 'lib'ant's S nature gtii�+ecl Ctas• Gt1 (Jn® tl �� a ,','.7:';.,'''..1':::,'''''';',!:,:i!'''''.''''' a �. . ,.�. z. u.rca i uironss ".`q u ... ,. b � f For Office Use Permit it: //45-10/4%? E AGA N 6 0 Permit Fee: Date Received: c -.97/- 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspectionsacityofeaoan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION , ,a Date: 101/ I Site Address: L-11.7519' V - Cr#C4 Unit#: Name: I<OL.reln 0 a Jr) Phone:95 2-9Lq -3 S,S9 Resident! Owner Address/City/Zip: 7/7 0/i1.4,sc.V &d Lini Cjuiv 55 k43(„., Applicant is: Owner A: Contractor Type of Work C.:" \Ai Description of work: y V A.\I Otitv S )„Art 1:,.) (51c" ,2.- n (well 736)0,c)° Construction Cost: Multi-Family Building:(Yes I No X ) (..•••• Company: )n WC)6\1\) 0 .,i71Alitcrs,lne, Contact: Bl&jVceil e)./ Contractor Address: I 21005 creek Y '19 five City: . DC/t,V a...Cy, State: M IVZip: 5537g Phone:952 9Dg.clgi1 Email: 6keen ei,Vi1d01,1/4)01.4.4ErtiCZ COM License#: BC (:).5 9 Lead Certificate#: /VAT. 3229 1 3 ' If the project is exempt from lead certification, please explain why: aji t- I cc.-.J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit fora 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- ublic If ou °vide s.ecific reasons that would, ermit the Cl 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.citvoreagan.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. Da 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 of work which requires a review and approv.I of plans. F)-e x A4e Applicant's Printed Name cant's Sliature