The URL can be used to link to this page

1608 Snowflake DrRESIDENT / OWNER Name: -0.,i -I1'-rii) 41161-4 LiiriUb 5 AJN WAS.Phone: Address / City / Zip: S»oC.J F -t tE D /e Applicant is: Owner ) Contractor TYPE OF WORK Description of work: RE Roo (` Construction Cost // S'DC) Multi- Family Building: (Yes X / No ) CONTRACTOR Name: RcoF .--(:). A4 .4.-/- . License #: (2°i7 a i 5T3 Address: SbS ( (J4S' 94-Ur / ) 1.: City: S7T M4 /C1-1,4- L State: i/ Zip: 3 7 f Phone: 7( 3- SS - C (/ Contact: /2 g- y Email: ,D . h_euir w (0 y'c o'F co oi/1 o Cow 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 Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: /0 Site Address: ! SN0L1 FL4 DR, 130 Tenant: / 77( Applicant's Printed Name Use BLUE or BLACK Ink Permit #: 4 (4) -7 ,✓ Permit Fee: '22 ! , 2 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date Received: ? ! Z r 1 o .3-e) t, oQZ t. ),60 4, ;boo 14 Q Lo ID Suite #: CALL BEFORE YOU DIG. Call Gopher State One Cali 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 /11 ' Applicant's Signature Page 1 of 2 ù ÿ ÿþþ ýü ü ûû úþþûýîúïøÿ ô î â ê ÿþö þýüûúùø â øûúùæ÷ ùø â çþÞçûúùç ýã ýþ æýîüõîæýîüþÞ ü þ êê ë ìÿî ë îðàøþÝöøâßä é ê é ê õú þý ðÜäé éë ôññò öðï ùù ýîü ü êê ô úÝôú ìçæ êþ÷ã àëß çæ ë üú ÷ ì ùù ãî îùú÷ ùù üþ ãç þ ý ôúã ï é ùù öîþ ý ýúþ ý a 1 Knob WA v1c PERM . • ' . "11itti • PERMIT: NO.: 4949 i E . Mg 55121 DATE: 8 Zoning: B�tutgar` C© No. of Units: 2 6 : . sire Address :. 168 Snowflake Dr LI0 81 Coachman Highlands `' Plumber: Hayti Contractors ' ' Meter No.:; connection Charge: 450, 00 pd Sire:- Account De posit: Reader No. Permit Fee : 10.00 pd teen's to comply with the City 0 &goo Surchorge• • 59 pd ( Ordasenpe. Misc. Charges: 60.00 pd utter 1 / T. ol• By .. e al: Paid: Dote of Insp;; #‘11,- �i� t ^ VIII 9 0o.of � . Na ®s of actors r 1 0 t A W i• Charg 25 [ t i '"7. • d f tlS.:- g :4. Of tnsp. 11 .1 ' ' tl. fit : • -- .- „-.. -. • --- 4 Dote Read: , � 1 �� i �o-a � � ��; � �� o� � �lt� Use BLUE or BLACK Ink �----------------- � For Office Use � �• j Permit#: �'� lY!a!�� j it� Ol L��il � Pertnit Fee: t�0�.�� j 3830 Pilot Knob Road � t � Eagan MN 55122 j Date Received:� �� j Phone:(651)675-5675 � ____t�� I Fax:(651 j 675-5694 1 Staff:_ I I I 1��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION oa�:`6��q, �I S�Add�s: �10� ' ��l 0 �9p�J�/.�I�� l.�'��J� Unit#: b�o--( t U Name: Phone: R@s'rdent/ Ctwner adaress�c�ty i z�p: �bU(�' ��O�0 SfW�J �'�.�A I��- �D�.1,1�� Applicant is: Owner Contractor Type Of WOTk Description of work: �� i�r �(,r �� Construction Cost: � L `'t-ou� Muiti-Family Building:(Yes�/No� Company:�� . N'• f'�- �,I�i�. Contact:�£�7 (T��1�llj�� Address: ��DS ��l�W� ��. . �� . City: s,� ��-L Cantractor State:�� Zip:�� Phone�J�-��5"��. EmaiL�t`k?,��'✓1Cn( ✓LG� � 14'�0��i- ' License#:�Cr�,�a�� 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&Water Contractor: Phone: N�TE:P/ans and supperrting dc�cumerrts#t�at you subritit art�ccrnsider�d tc>be pubhc infc►rn��tior�. PartFor�s c�f :the ir►fi��rmatiorr may be c�Iass+fi+a�!as non public if you pror�ide specifi�c reas�ans�at would�r,�mif dre��ty to conc/etde�rat the are#racie secre�. 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.aopherstateonecali.orc I hereby acknowledge that this information is comp�te and accurate;that the work will be in conformanoe with the ordinances and codes of the City of Eagan;that 1 understand this is not a permit, but only an application for a permft, and w�ork is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of v�rork which requires a r�eview and approval of plans. Exterior work authorized by a building permit issued in accordance with the Mi State Bu'ding Code must be completed within 180 days of permit issuance. � x ��;� �� x Applicant's P nted Name Applicant's nature Page 1 of 3