1595 Snowflake DrRESIDENT / OWNER
Name: eaA ({114 '- 1161 -1 (43Ds TWN SPhone:
Address / City / Zip: J »0 LJ FL4 D / •
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: KF /
Construction Cost: X 00 Multi- Family Building: (Yes / No )
_
CONTRACTOR
Name: RcoF e_p cAyvr /t»4 `4NC . License #: (2° / 7 / 5
Address: S Q C/A-- ,UE AIL City: S G e..1-04 L
State: / Zip: 5 3 7 y Phone: ! r-� 6 3 - S " 0 c/
Contact: 6 2 izY Email: -V" i ✓ (0 Y`n 01^ Co is7/1 . Cosh
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 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.
City of Eaaall
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x t. /71.(
Applicant's Printed Name
FFELQWd
Permit #:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C /0 Site Address: t ` / SN cJ gu iLt 1 —
't(\C . 1583) IScIS) 1597, icon, 16 of
Use BLUE or BLACK Ink
Suite #:
1 4(0 - 7 - 7
Permit Fee: . 21 - 7 . 2
Date Received: 12-5 ID
Staff:
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.gooherstateonecall.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 /
Appli ant's Signature
Page 1 of 2
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Address: site Address: 1595 $nOw $ CpaG ►xi Highlands
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plumber. . '?
` � 425.00 pd
OrdiMance• -11 '' Dep osit: 0.00 pd
ermit fe .50 pd
\\ li � I su +arge:
BY Misc. Charges:
Dote o nsp_: Total:
insp.: gi Date Paid:
. - � � � 5� 1 , 1 � �► 3 ; � s�� s� ') 5 � 7, is��, 1 ���
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
' j Permit#: / ��t�' � I/ 1
Clty of ����� � Permit Fee: ���` �� I
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Received:��1 l CI�f I
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I �
V��������������� J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
�t�:� ����� Site Address: �5�9.(�' 1�c� i �'rv f��F(.� �fz�t0�- un�t#:�. -1, rt�U l
Name: Phone:
Resicier�tf t 5�1.1 - �Ico( ��ltx� �t,�K�, �L�J�
Qyytler Address/City/Zip:
Applicant is: Owner � Contractor
Type of Work: Description of work: ��C�l��
.+�
Construction Cost: Multi-Family Building:(Yes�/No�
Company:�� ��• l�.Ip' • �YV�• Contact:����'"N G�f"�'ti w��
C�Ittr'aCtdC ; Address: �StO� �l�,�t4'✓�-- �� — �t. City: 5L• 1�,ICC_�1J���.—
State:�Zip: . 3Z Phone�-'l�0>"��3�Email:(�(�U�C.G�1'YiI.L v�.G��"W��^� ���
License#: ��� L��5� Lead Certificate#:
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 S Water Contractor: Phone:
NorE:P�ans and support�ng dacum,�r#s tt�a#you subm�#are consiae.rsa►t�ae pubric in�ormation. Pe�r�'t�ns of
the infarmation ma,y b+�ctassii�emF as non perblic if y+au provide spec+'�"fc r�asons t�iat wQUI'd perr»i�##►e�ity t+�
cone�ude t�rat fhe are trade secr�#s
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 r�eive locates of underground uti�ties. www.yopherstateonecall.or�
I hereby adcnowledge that this iMormation is complete and accurate;that the virork will be in confortnance with the ordina�es and codes of the City of
Eagan;that I understand this is not a permit, but only an appliqtion for a permft, and wo�lc is not to start without a permit; that the work will be in
acxordance with the approved plan in the case of virork which requires a review a�approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minn State B ii ng Code m�t be completed within 180
days of permit issuance.
X`��?� �-����� X
ApplicanYs Prirrted Name ApplicanYs n ure
Page 7 of 3