1596 Snowflake DrRESIDENT / OWNER
Name: - f 11- 11116N L4s" 7G/Nf04,S
Address / City / Zip: S »°CJ F1s ' i D •
Applicant is: Owner Y Contractor
TYPE OF WORK
Description of work: RE Roo("
Construction Cost: // S DC) Multi - Family Building: (Yes / No )
CONTRACTOR
Name: Reor , �r / U 4 ---/. License #: aC l 7.2 l S3
Address: STS Q (JAM At AJE City: S /4-t /Ca f-f - L
State: /4/W Zip: STS 79 Phone: 76 3 - SS - 0 Y (7''
Contact: ( 6/a g- V Email: . - a--v' f 0 ■Co o'e CO ' . Cotlt
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 Evan
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
or eU
Permit #:
Permit Fee: 1217
Date Received: (D 1'-✓ 1 ID
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (g, �� - /0 Site Address: / 5 70 tJow FLA .E DR . I60 fL b /J,
Use BLUE or BLACK Ink
Suite #:
cti-w
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.orq
x
Applicant's Signature
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.
Page 1 of 2
• Road P iMIT NO•• 4944
'FfittatliMri 55121 ` DATE: 8 -3.83
iir No. of Units:
owner Srutger, r Co
Sl'te Address . 1$90 Dr 1. 11,f CoachRan Highlands
dumber: liayt s Contractors,
Metes
NO ; connection Charge: 450.00 pd
ize: Acco Deposit:
9eader Na: 1 0.40 pd
Permit Fee•
f agree to c vrNL She City of aorta surcharge: .50 pd
brOhteacee. ` g Mist Charges: 64.49 pd me't F
total
ay Dote Paid:
Dote of Insp.s y insp.:
!CITY. Q ALAN SEWER SERVICE PERMIT s
f . r , Road Y 6031
P. 0 . '" ` 1199 _ .,
Eaga�„M4�f 55121 a . ) ATE:
No. of U is
• Add '. .. •
Site Address: , 1596 flake Dr , Etcoachaa Highl , s
Plumber: Hayes Cattritet s
8 -2 -83 37648 Ga yb.� 100,00 pd
1 ogres to eonwpy with the City of n ton Charge. 4 0
Ordieeneas. e Accou Deposit: •
10 00
I Perm Fee: . pd
Surch rge•
By
Misc. Charges:
Dote of { / Total::
Insp.: G 7 " ' � Dote Paid:
s — — � I5�0, iS � �, IS � U� � ���
Use BLUE or BLACK Ink
^----------------�
� For Office Use �
• j Permit#: ��l(�� / � j
Clt� 0� ����Il � Pemiit Fee: Q� �C���� ;
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Received: � � � � ' j
Phone:(651)675-5675 I �� �
Fax:(651)675-5694 I Staff: I
1 �
��������`��������rJ
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date• �� ��� Site Addr�s• 6�u � �5��D .J�0�I�� kJ�`��v l� Unit#• a J���1�
Name: Phone:
Resi�len#1
Owne� Address i Ciry/Zip: t�� �- 15`�b ��L�4'.� �t Jd:-
Applicant is: Owner �Contractor
Typ�Of Vllt?t!c Description of work: �.�, �'^��r�
�
Construction Cost:� ��j ��� Multi-Family Building:(Yes /No_�
Company: �� �• �P j l �'• Contact:��7 +���I^��(�
G�11#�'8�t4� Address:�'J�✓ J QLCf� ��. , f V�,.. City: �� ►' L��/`�t�..
State:�Zip:� Phone:lp���b o��b�3•� EmaiL ff.�.0 d1�1 +�G��N�'i.l �.CU1�
License#: �l L� ��J t.ead Certificate#.
If the project is exempt from lead certi�cation, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONI.Y 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:
3ewer�Water Corrtractor: Phone:
lVL1TE:Plans and suppc�rt3ng tloc�tnents t/rat yt►u submi#are ct�r�sider�ed to be pub/ic irtfc�rnr�tian. Portions of
tlre infotmation en�y be classif�ed as nonyavbfic if yo�pmvide spect�c r+easons#�at wae�ld p�rmK the Cfty t+�
Conciude fhat th ' are trade secr+e�. '
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against undergrourxi utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aophersiateonecalf.ora
I hereby acknowledge that this infoRnation is complete a�d accurate;that the work Hnll be in coMormance with the ordinanoes and c�des of the City of
Eaga�; that 1 understand this is not a permit, but only an application for a pem►it, and work is not to start without a permit; that the work will be in
acxordance with the approved plan in the case of work which requires a review and approval of plans.
ExteHor work authoriaed by a buildi�permit issued in accordance with the Mi Sta Building Code m�t be completed within 180
days of permit issuance.
X �. I�����c� X
ApplicanYs P ted Name Appl cant' Slgnature
Page 1 of 3