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1292 Kolstad LaneNov 15 10 05:10p Gates General Contractors (763) 498-7710 113 4,11' CityofEaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ,r� Permit it; ( '70.? Vh Permit Fee: 531-7e 0 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION L 7- 6 —SIE Date: it r) (// Site Address: 36g7 e-fiint /A-%fr'r' C.�rtvclL IKg)4-LSO cp, IZcfr �f2.ygko s Lam/ Tenant: Suite ll: RESIDENT /OWNER Name: - 7yr3Cir-,5g" Phone: r#(2..---175":://9 2_ Address / City / Zip: LL:N ,± /t y- ' Applicant is: Owner Contractor _ TYPE OF WORK Description of work: G4.1-, L_ op �' Construction Cost: / d/ V �'-c , 'S Multi -Family Building: (Yes 1.---71.1c: ) CONTRACTOR Name: CQ/1� 4trj c , �'Licennsse #: 6 793 Address: Sr% ii -z/4,(07 �0Q•'yr/ City: D/ �r/ !,- h y�L2 State: /✓ Zip: /`� % Phone: j/ 7 Z - 7 2-3-- (� 3 VI Contact: ! (...-f----- Email: ,----- ''"—rCOMPLETE 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? dale 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 wvouid 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. CaII 48 hours before you intend to dig to receive locates of underground utilities. Iwww.gopherstateonecall.orq j I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o ances and codes of the City of Eagan; - . understand this is no permit, but only an application for a permit, and w. ' • t to start withou a permit; that the work will be in eec. •an - ith the approved pl i the case of work which requires a review and ap I of • : ns. (m-5 Applicant's Printed Name x Applic nt's Signature Page 1 of 2 ðüï ÿ þýý ðûîûü úýýüêýè ñûôü ë àñ þýö þýüûúù ó ûúùöø ù ó ã þÛã ûúùãýéý þ öýôü õôöýôü þÛ ý å í ñà õ ÿôñ ôîáþÝ÷ óßæêê õú þý ë îèæêäêä ôïóï öòñ ùù òëôùýôü ú åã ñà õêÿÚòë ã ãöñ ãöñ áàßñàñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý Aug 18 11 01:46p Gates General Contractors 411/1 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 7634387710 p.2 Use BLUE or BLACK InkC C For Office Use J^ e-7-2 `% Permit* / 606 7 } ' Permit Fee: /6°` "2-5 Date Received: Staff 2011 RESIDENTIAL BUILDING PERMIT PPLICATION� I 3(1717 /4689 cDcws1� ii /4" )t4? 1741 Unit #: ......ro.� ,_.. Date: Site Address: � Name:171-7'31 1-7'31 i3tA-511 R -c— Es= 0 . 4 RESIDENT OWNER Address t City / Zip: Phone: Applicant is: Owner Contractor Description of work: Ti 1rA-- Construction Cost: ?I) 0 Multi -Family Building: (Yes 1,"'.;;710 ) t^�r ( 3-1360y dez- TYPE OF WORK f Company: (s�/t'lz34T1frha�.-Contact: L CONTRACTOR Address: 4970 Vi2)6CfiU:u� 1-1oo 357 City: Mierlt-c.1-441State: !/r')!Zip: rli� Phone: 6 (z 7 3—% rj ' License #: V ? ' i Lead Certificate #: e'"" -- erre-_5. 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: • Mechanical Contractor. Phone: 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 thff 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. wwv.copherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work wi . 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, a Id wo not to start without: permit; that the work will be in ac n with the approved plan i e case of work which requires a review and appro I o - ans. x c fzf%CL- G� x Applicant's Printed Name Applicant's Signature Page 1 of 3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: Au@;,aat 7, 1972 Number: !i Billing Name: Site Address: 12 >2°91 r'lsr,aS I.r. , 1. 3667-0:1489 i E Ilf„...a. 1C14 Owner: a ""i°' Billing Address Plumber:lhcacl ooa Pluwbiixg Go Location of Connection Meter Size Connection Chgla( Td 9/7/72 Meter No. Permit Fee tC ;:w /'j /'i2 . _„ E..:;i iii Meter Reading,_ Meter Dep. Meter Sealed: Yea_ Add - NO Total Chg. Inspected by Date B a.' 7 $• Building is a: Remarks: Residence Multiple xx No. Units $25.00 RE IUSPECTION Commercial IMPROPERLY INSTALLED LEE E S. t Industrial By: METER Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do dm proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: T1�ut oGZ ^ytWsbit:g Co. Please notify the above office when ready for inspection and connection. ,. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: August 7, 1972 NUMBER . " - -' 24 oWNER:i;eu Horizon iiowe Address 1292 -94 Xoltiad 1.4. ‘ 6ti','' -d9 Dena.ari; ave. PLUMBER'T4a4p oa Pluaing Co. TYPE OF PIPE " Ce•.:,c Tr::;. DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 0 °,:'•GO ^r 3%7%72 Permit Fee 1U.C) };1 , )/1/72 !:U pd :t /7/ ( Street Repairs • Total Inspected by: Date 8- R - 7 y Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By 1 ::,. l j _- .,..:air,: emu. Please notify when ready for inspection and connection and before any portion of the work is covered.