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3306 River Bluff DrCit of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 incl a5sO f O /I 049,1101 /0 Use BLUE or BACK Ink Frrr Office hiss Permit #: / nao Permit Fee: )q. t75 Date Received: 94-1/ Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l- ' 90 • a0// Site Address: R; vet P 1--) Unit #: RESIDENT / OWNER Name: hi_A. ,L. _1 mit Address / City / Zip: Phone: 763 -V €19 -Woo Applicant is: Owner x Contractor hi 1 TYPE OF WORK CONTRACTOR Description of work: Re--coo-P Construction Cost a), 5,23. 99 Multi -Family Building: (Yes >( / No ) Company:cS(,tftr;s.t. ke.pn,DniPJ1r(3) AG Contact: e,( +l- c -y - Address: E 76. /1p&. Lan City: 334. P0,4 I State: M N Zip: 55//0 Phone: 66/ - 76;, - 9,245 License #: ,ROc5/5/ Z Lead Certificate #: "VAT- ,Z)133 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: 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 Cityto conclude that they are trade secrets. CALL BEFORE YOU DIG. Cali 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 app , val . n x :501 Pe e (Sot Applicant's Printed Name cant's Signature Page 1 of 3 City of L For Office Use t aaa11 '! Permit*: Permit Fee: '100 3830 Pilot Knob Road �j�J Date Received: Eagan MN 55122 I 1( � fed` Phone: (651) 675 -5675 } L Fax: (651) 675 -5694 Staff: 1 2010 MECHANICAL PERMIT APPLICATION Date: _ Site Address: 53 � 1 P � J e„-- 3Lc re t ' Tenant: RESIDENT I OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: ■ L Gtr 124) ricler# Address I City / Zip: -, � N A/k iv STY) 2 1 Name: j 5e w kV IC License #: c) e?f '- �-' t'"� i g44 -r" Address: City: Si:- S - - � L State: ` A'‘ Zip: 55- $-- Phone: !I' • - ` Y3 3 33 contact: 1 kM[ ,s t!" Email: �> NewReplacernent Additional Alteration Demolition Des of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Cot e. Please contact the Mechanical Inspector for information on permitted screening methods. i RESIDENTIAL ?� Fumace Conditioner Air Exchanger Heat Pump rther RESIDENTIAL FEES: $55.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burnedlout appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: Phone: Use BLUE or BLACK Ink Suite #: (2, 5- 92s# COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install I _ Remove) *" When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector TOTAL FEE I $75.00 Underground tank installation /removal OR Contract Value $ x 1% $55.00 Minimum, (includes State Surcharge) r $ 53- Permit Fee - If the Perntlt Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Eel is > $10,010, surcharge increases by 5.50 for each $1,000 Permit Fee = $ . (i.e. a $10,010 - 511,010 Permit Fee requires a $ 5.50 surcharge) OD ; $ TOTAL FEE 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.eooherstateor!ecall.ot'q I hereby acknowledge that this inforrlation 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 / fh 5.4c c 4 Al C� e Applicants Printed Name Applicant's Signature FOR OFFICE USE Required inspections: r , Und Reviewed By: Date: or Ground _ Rough In Airiest ,_.._ Service Test In-floor Heat Final Exterior HVAC Screening Inspection Aug 18 1510:55a Sunrise Remodelers 651-762-9395 p.4 Use BLUE or BLACK Ink r-___�___________� li" I for Offlce Uss � �c�� 6� �l L� �� Permit#: , � j � � I Pertnif Fee: C.`� C..-' V 3830 Pflot Knob Road � � 1 Eagan NiN 55122 � DaEe Reoeived: Phone:(651)675-5675 � � I Fax:�651)675-5894 i StafF: I -�v�n�..�` i �. � . -��.+�€� �.� i z !----------------, C.; c �'Q� �� .c t�v^ 2015 RESI�ENTIAL BUILDING PERMIT APPLICATiON C-e c#.,�r i3�u�'� Tc�:,� h�� s-t s Date:��'� S Site Add�ess: �� i'C�;� �„)��',v'� ��/�(Unit#: � �ZV1C.� u ..5'. '. _Dv�i �`� � � � 'i � � �'� , Plame: Phone: � ResidentJ � Owner Address 1 City!Zip: Applicant is: Owner �Contracior k p � Type of Work 4 DEsc►�ptiorl of WOrk: ��i � f1 c� � � o� � C Y Canstruction Cost: � 1�i (7 UQ� IUiulti-Family Build9ng: (Yes�/No_� j . . .., � Company:�tA.Y1 r� S-2 �-e.w1 cx�..1-e�S Contact: �G�.1 �."�-F-�f��c�'1 � {� y� ,_ � Address:� -l'� �G � 1�'�. �...�1 1/1'� City: s"t� �.�,t � � Corrtractor 4 ��_�6� � 9'.�'�� , 4 a Slate: �111 Zip: � �l l U Phone. Email:�� S..e y�r:��r r►vi ocl�. ys, � � �^, i �'/'1 i:�- F] �L�r►-, s Licenss#: _C l�' �1 � �Lsad Certificate#:,��" �02 -133'"' � If the project is exempt from lead certification, please expEain why: � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG � In!he last 1T months, has the City of Eagan issued a permit fur a similar plao based on a master p�an? � � Yes lVo if yes,date and address oi master plan: � � h Licensed Plumber: Phone• � I � Mechanical Contractor. Phone: � Sewer&Water Contr�tor: Phone• Fine Suppression Corrtractor. Phone� � IIfOTE:P/ans and supporting documents that you submit are consider+e�d to be pu6lic irtfornratiflrr. Portions of � the info�mation may 6e c/ass"rtred as non-publi�ii you provide specific reasons that wovid permif the Clty to � 9 _ conc/ude that lhey are Made secrets. CALL BEFORE YOU �IG. Call 6ophe►5tate One Call at(651)454-00021or prolection aga'u►st underground utitity damage. CaH 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.ora i hereby acknowledge that ihis intormation is complete and aocvrate;thai the work wiH be in corrfo�mance with tlie ordioances and codes af the City of Eagan; that I understand ihis ls not a pennit, 6ut oNy an applica[ian for a permit, and work is nof to stari without a perrnit;that the wrork will be in accordance wilh the app�oved plan in the case oi work which requires a review and approval of plans. Exteriorwork authorized by a building perm9t issued in accordance with the Mim�esota Stabe Building Code must be completed within 180 days of permit issuance. .-�C,� �i-�-�-' c�►-� __� __._. x x A��OlicanYs Printed Name A a 's ignature ;� Page 1 af 3 Use BLUE or BLACK Ink r-----------------"� � For Office Use � C' � Permit#: ��//O j ity of �a�a� I Permit Fee: /V � ��--� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (657)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress:� � �v� � � �� J�L�� "� ��Uni#: � �� Name: Phone: �a �� Address/Cit /Zi ��L,� �iV�R.t3l,id,FF .�I� • �36+er1 �YIn!• -55/23 ?QW.Ci�t' • =' Y P� � � : Applicant is: Owner �Contractor � �� ', ' Description of work: �GPt_.�4�cx. ��n-R.�.Frd �oOR.� r�p� of r�t�rk ; w ' Construction Cost: � .3 Multi-Family Building: (Yes.,�/No� , ��,� ��= Company:�Ipr1 Vi1-w�w, �'�,�9�rr� �izs�,L[,c� Contact: �'7L�Y��'"� �� ` Address:357�0 9n� �1,E'. City: C..�ivN�'y✓�i12LS �'�11�1`dC�C��'�,. 'r State: InJ Zip: SSUO Phone: (aS/-�y5- b3�/ Email: SJoNNtSau�C�F,✓�vON✓�1-w��Q4�''Q 2S.�va, ' License#: 1V�� Lead Certificate#: N�I� If the project is exempt from lead certification, please explain why: JVo (,e� �it f t 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: Fire Suppression Contractor: Phone: NC7T�'..:Ptan��r�c�:�up�i�r�;�r��o��r�er�f�tha�y�?t��`�bt�it are c�r��d�red tab�,�ublic�rafcarrrr��t�ra: Port�c��r�af .` t�e inforrr��t�nn tn�,��ie�la��1��r�+�n:per�ili+c�f yc�u;"prc��r�a1e spe�rfic reascin�s that wQutd perrr��t��ae�ity tc� °;' � � �`� v � ��r��t��'e:that fh�',are�r��Ie,s�c,re#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 receive locates of underground utilities. www.qopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. x �.�[c VE- �I�NSON x ApplicanYs Printed Name Appli ant's Signatu e Page 1 of 3