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810 Eagan Oaks Lane41'' City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: -77 l 2I Permit Fee: 5, :5c:15 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 0°S, 010/ 3 4 Z, 'c,,k6 Le), Tenant: Suite #: RESIDENT / OWNER Name: Ecti.y✓t 0, ic,5 1:,..e.44 Puy ene /455i1 , Phone: 65 1- 9 c j " Lf 3 Address / City / Zip: Applicant is: Owner .K Contractor TYPE OF WORK Description of work: c Y / re, rook' Li le. ID Construction Cost: Z4 -ti 70Q :7"1".' Multi -Family Building: (Yes « / No ) CONTRACTOR Name: 'l`c�i ho�ke. "5 LL( , License #: 2...31 3,6 ( SS Address: ((O3 ( (-(' j;---, /f City: g (c,t`vt,e,,. State: MA) Zip: 5-51-13q) Phone: �,1 Z —Z Z 1 - G 9 C7 V Contact: fjri`oq, A1br/3k-r Email: f't`dO� V`© ke-v"-&,64,JVI& t, 4'6* 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: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting d0,0:001$1 a ou submit are considered to be publi In Ormall on Portions of the information maybe°classified asp non public if youprovide specific reasons tha t would permit the City to 2 .,. conclude "that t eyfare' 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.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. x get.°r14lJ)vtjh+ Applicant's Printed Name x Applicant's Signature Page 1 of 2 411I City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECc.IVED MAR 1 ? ?nu Use BLUE or BLACK Ink For Office Use Permit #: Q2 Permit Fee: �{ Date Received: J' Staff: c5 J 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3-11-111 Site Address: 5%® } .1/ Tenant: Suite #: Name: f f 5-72/jry_,), 7,17/20_____Phone: Address / City / Zip: «j Name: ,J Z ,,17)9Ii-45 /4 �}'✓j Address: j% ��.r��5 City: License #: State: )07,t/ Zip:5,a.0" Phone: i37 Contact: mail: New 7,k Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: ), L)32Jf ,2ed¢, jy„ r- ft, 617 %f j2..• RESIDENTIAL "� L.Yater Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and 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) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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 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. x„, Applicant's Signature 40b° City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / / Permit #: 1 3/r�f06 1/ Permit Fee: /C.. Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/25/2016 Site Address: I O c_ oa 0-v-) Q << C • J Resident/ Owner -earl Name: Eagan Oaks Town Home Assn/ .s r� 2-238-1121 1 Y"`�' C 'F' _phone: Address / City / Zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343 Applicant is: Owner ✓ Contractor Type of Work Description of work: Garage door replacement Construction Cost: 1,152.64 Multi -Family Building: (Yes / No ) Contractor Company: Custom Door Sales, Inc Contact: Amy Egan Address: 5005 Hillsboro Ave N City: New Hope State: MN Zip: 55428 Phone: 763-535-0042 Email: aegan@customdoorsales.com License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: 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. 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.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 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 BuildingSade-must be completed within 180 days of permit issuance. x vm l ` ' Applicantys Prirttkd Name ppli a 's Signfture Page 1 of 3