4241 Sunrise RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4241 Sunrise Rd
Lot: 062 Block: 01 Addition: Sun Cliff 1st
PID:10- 72975- 062 -01
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: More Than One Floor
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Scott Stewart Plumbing
6321 Barclay Ave
Inver Grove Hts MN 55077
(651) 450 -6968
Total:
Manufacturer
Scott Stewart
6321 Barclay Ave
Inver Grove Heights, MN 55077
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Sunrise Rental LLC
13795 Frontier Ct Ste 200
Burnsville MN 55337
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA083982
07/02/2008
ePermit
Line Size
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Use BLUE or BLACK Ink
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I For Office Use �
C' � Permit#: �� ���" I
lty of ����� I Permit Fee: /� -�� �
3830 Pilot Knob Road � °-7 I
Eagan MN 55122 � Date Received: ! l ��� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: � 1
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ``
Date:� ������I Site Address: -l� ( �'���5���:se �d <�'��-�,� Unit#:
'�� Name: .'" �`���ie �b� Phone:(�'��t�o��03�3
Res�dentl n � `3S-� S7'� e ��
OWtIeF Address/City/Zip: �c�/ w�,CU�,.!�/� ����
': Applicant is: Owner �Contractor
Description of work: �r2-���
Type of 1Nork :
, r,_ ', Construction Cost: f�� Multi-Family Building: (Yes '\ /No�
�i� ' � � � r' s / / / / ,Q,/
�ti,� Company: �l'�`C/' l�tiK �lU.`7`r'�,� Contact: G,c>�_ i (0/�Sr�/�
a,'� '
� "" ,'' �° �� �� �r` Address:�� C�/ry' -�� City: d°-'u�e���
C#7�i1'��'�G��1'��� �
State�"� Zip:��Gl'J Phone: -`�1 �SX Email:���e � /I^e��`���^��- �a�
License#: !�L(����3� Lead Certificate#: ��i I�
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:Pl�rrs.and����°rf�n�4�oc�rr��nts tl��t,�o�#submrt�re�qnsfaler�d�:#a�ie�p�b/��i�#c�rm�t��►n: �Po�nti�ns�f �����
the�nfarmation,�r�a,�'be�/�����e�1 a��Q�'�'putili��f ygc�,�Ar�vide specrfi�reason�:t�rat would��rrialt!fh���ty to
,,, '" � :�.�u�,���` ;� :� � � ciinclu�t�N�#tiat:tl��. �r�,rade°:se�ret�:`
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. vwuw.popherstateonecall.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 S te Building Code must be completed within 180
days of permit issuance.
x ���G�.3 ` Lv✓O✓��. X
Applicant's Printed Name App icanYs Signature
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