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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 ,.--4,,1,, NO ' :,,/ <''' ''---.--'•-•'‘ ‘' '''' . ;: , -,.. - ",..- ' ' ''.;-• !-I ' l -' ‘ '',,'.. ,.,:',,., - .5 ,;),..,5t.. ,.-!,.. ;. - !-• .''. ,...A. ,: ':,.. 4 ''.- 4 ' - ' -;'),'",,-.4..;,`I*1.: ,;44,4,F,i;.."-iitAii, . .."., 'J -' - — '."". 4 ,''' ''' ' si 4t.- .; .. - - , . j - IP ... . —" , r " ;;;,. '-'',.* ' --:' '. .1!*414' i ' :: .: SO)14•i.:i■X:,:^';'1;'-f.:-4 '.... .,.",. ', ' ' ...-'.' '.. ' ' ' ' T. ..4 4,...a... ', ' 'Z' .,: :...—"';' ''''' 4a.t , bill : :' , :- .1 ' '' ' .„1" 0 - 4ilkovialiii,.*:,.,:rw',.....,...,„..04*SAK#t",-,,, -- .! 1; -.1 " ''. : . .;,..-:..,';',17',.;;:::;,#.‘,#*,„i'• ':- . - I:. . ', f . , „ .. . . ' t,.; ,.ofiimNfirE - 0,*:: ....,--!,,"-.•, .--...-.'...„ , ,. --..- - .,,..c,,i.4.7._ f,,t4. - .. ... -,...,.;.: ..,:,,, ,.,..,_:.-....„;:, ,., , . ', ,.-- ,!.,,,, . ,,, ...„,',,,, .: ,,, : .: ..,..--, ,, ...?:„.,..:, ',, ...- -. - ,, '...- ... ,' -....::_i,:i.,-,-::',''',.. '.1twitoiltoit,it, . , , , ---: '- -. , ; - . - ' - ''''.,i.: •' ` -�., --n: - w e!s-.. a � H - ,,- - *, *--,,,,. -;. "ii , ' ', .,;,, :,' . ' < '' , :45.-W" -4"4sW , < '' ,, ,7, A 1` ' : .,„.,.... , .....,,,_._...... _,,,, ,, 4 , s a rf , V Use BLUE or BLACK Ink r-----------------� 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 Page 1 of 3