2000 Glenfield CtRESIDENT 1 OWNER
Name:Z P/ZOPCATY (:4 12E• /NG Phone: 651- SS'/ 99'4/9
Address / City / Zip: U, h 2125 lit VE1Q, Gum- di-76 /Vld 550 76
,
Applicant is: Owner X- Contractor
TYPE OF WORK
Description of work: Q t V(01/E A-ut / E9 Sul N4 Leb look'
Construction Cost: it 2 1, 006-d Multi- Family Building: (Yes / No
)
CONTRACTOR
Name: 13E1 E MA-INT. COR, P License #: 20 I/ // 3/
Address: q0 s VI. 60' Sewer' City: Af tiff/tfeE
pp
State: NN Zip: 5S4/ g Phone: &1 - g6,/ - 6 2 %' 3
Contact: PA- U,1,,, H. Email: if/A:3 Cm be-44M - Co' i
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 fora 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 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 thee trade secrets.
Tenant:
Applicant's Printed Name
City of Eaftall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Signature
For Oftipe U 6'76
Permit #: (f
Permit Fee: 1 6 72 1
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
K0 , 4o6 y, L i066, 4068 8 av A4
Date: /0 /240 Site Address: I ( Zaa0 2.7QZi 42009 eA/FELD Cijj4 r
1001W
Use BLUE or BLACK Ink
Suite #:
CA LL 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.gopherstateonecail.orci
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.
6 /4/vOG5l.T( /ff/
Page 1 of 2
ER t W PERMIT i .
`
• Y OF EAO� U 1 `QN1
: -tea ream,
% tM P A'r 12/ 13 /91 •
; Eagan, MN 55124=1897 , �
PERMIT # 1 2
PATE 12- * . t DATE 8.1k RECEIPT DATE 12/12191
PRY :., BOO PUMP
E ADDRESS
LQT Bt _,_2 S •.CI$UB N` j i+ C wwE x w fiR TAPS
A�?PLICANT:. '
140 " - " . M�IN13 i Stt
DDR SS. 1 r Rcs� �:.
CITY, S, ATE $idle}�r <1 = ziP : �fN EXISTING
PHONE: - Q3f3�
Lawn Sprinkler - ers are to bo I '
PI.tMABER .,, 1 4k 1 ; 1 . fry P! A .; tl 04111'1 Meters rug Water Un
6 0 O a' 1 "j : a Cr. f .Na'-be • for Oed
C', STATE
PHONE: • 41i#21121. •
�.. .�.
f�WN1 =fI: �`
®,
��+(� • �.•
A }RESS: -. l r Y S 5 �•
CfY, STATE" d ' s 1$71. • ZIP « �
E. I„"SSUE .
i� �Y ma y ,
'
to' ' . t , c � CA4d.I FOR " C S.: F �
R PER t'3, CQPIT I' ERMIt �':
0611712014 15:05 Les Jones Roofing, Inc. �AX�528817009 P.007/020
Use BLUE or BLACK Ink
� FOr OfflCe U6e �
. • j Permlt�: ����� j
Cit� of �a�a� � Pennit Fee: ` /.� ;
3830 Pflot Knob Road � �
�agan MN 6612� j Date Recelved: �
Phone:(661)675-5676 I I
Fax:(651)875-5694 . � S�ff� �
I I I
`---_._.....�..������r��.J I
I
2014 RESIQENTIAL BUILDING PERMIT APPLICATION '
Nv6� - y0�.�!- 4oL� — 4ora8 f3� v�� Ro�FD
Date: l/ �7 Slte Address: /99k-.?oav- 2 0�2- �vo� G-��,� Coua.� unit it:
'>:. _�,::�:::;<;':.;<,;�,;��;,;�,;,,:.,..
'��'�f'�;`. `"`",..`,';�' ,-:�'K Neune: yo P�eoPa2ry c,a��E 6ntc.. Phone: 65�� ss-s/- 99yy
;.,. '�'`;,���;=.,, :.. .:;:..:;.. :
�'�:;�.�g:��dQ n�l';-;`.,';,_�
:������''"°,���yiine�:s;� ::,r;: Address/City/Zip: �P O. 6o x 2�Z 5 /Nv�Cr�v� � /l� 9�
..; ,.; ; .cr,;.::s.,,,,. -;
:: . i`;:;
";';,: c`;;;:'r;"; � :�;;�� X Contractor
;�;y :,;;, Applicant is: Owner
.�.;,,';:..,. .,:..`,,;.;".' :'. ...:
Y: .''�'.f�,Y�yi.'::,iri:,',�:,�,�=',ni.,;;�',`j�.
'��,��,<<;°,�Fss�4,`';``�•,�;.•rt'��` - Description of work• �4�iKOVE' .4iY0 �P{�,q�r� sD/N�.
:T�!p;��;of�;'�yVp;t'k;'�' �
;;f. ...;r;.: . ;. .'`'� 1p f S
�k- ::°�.�;1':: -�`��;�;';� �`� Constructlon Cost: 1 I a3. Mutti-Family Building:(Yes x /No�
�z�:�: .{ ��:;c:.�<c•, >��-��-,�i:.'•
�h;;>:' "�_r l�Ji.�-�l;:•.:i
:, ;%',;i c:.;:.,.�r,:r�•�`.`:;;�i,�`- Company: �E5 Ra�{In/lr /NG .G �ada.so�
,g�, ��i°� ;�:;;?: �T N Contact• s�i�r s
`:_,;.� �;�`,;":;�r� �::-:•,�.,;,�;�''�
� ...".. . '.::1� Ay�.
�f�.���'F; . .���_.. i���:'�.u.:.'.'.: �' /�
. `,y.:i:� , !, • A�ddf988: '7�I w. 80'�' sr�— c�eY: Bcoa�,�_✓
,�:i.,.�, F,,;fr't.,�,,,`• :r,:'!;,c;>
"�E��'�,�bd1�t�8CtOf,�:;,i; ,_..
�:.j.... , ,: „ � ,a;�.��,:
.,`. ��.i;\,.. rJ�:7
�";s � .;:.`:> State;�zip: .�,5''��D Phone: 95.1-- (v "a?
.,�r,.,,,;;;��.;�:>:, .,,n';>�'.. ". 7 7 8/9
;,::�::
, ;'
;r�:• >;�c'�:��-� '�'::.?�;r��,.,,;�.:.,
`;; ,;�;`;-,�`�;,,,`;.;; ;���.,: �f0 3 'J.7
�?�;�,;.�,�; =�;�•'� i�:i'- Llcense#: �.5�(00 I..ead Certlflcate#: .U.4T —/
If the project is exempt from lead certlfication, please explaln why: (see Page 3 for additionai lnformation)
COMPL,ET�THIS AREA ONLY IF CONSTRUC7ING A N�W BUILDING
In tha(ast 12 months,has the Clty of Eagan Issued a permit for a almliar plan besed on a maeter plan?
� ^Yee _No IFyee,dete end address of inesterplan:
Llcensed Plumber: Phone:
Mechanical Contracto�: Phone:
8ewer&Water Confractor: PhonO:
��fi.;;'NO �:►?(?n��a�WG;su'""bj;fl�t �`alddii.,.�ent�ill#'� ..ot�,'�Uti�(t=aXB:'�dlt�`'I"�'�`� b�� bl��l,��. riXf1�����p�.,/,;-'�;Cs'(�'►tloh�,�b1�'i�-:
b..,.�•,1� :r.. .f.'••� :p�,.; -A:a.�, .�r�;,/,1,► .:r„� .i ,.�, .7.� ���a �o->;s...,s. �Q, . 6!��h,.,3�. „�X�,. .p;.:,, i.:
�`..�r `:5:,4;• : .4' r� .3';l�': ,:«:; :-.1 °.�..,l.,r.e ..,�.,. .,z°.i a.. " •„• �..,.�,
,��.�,.�t 'e�/�ib�r t e�? 'a`..�b:�- r"s 'I �'�.=as:'. 'n=' u�'�i���o'�� :n:vi�'����y cific:�e��`n�s�h�9t>.Gv�p,���f. ,.�►�l��t �r. `�
.h,.,l�,� �?�.�� .�'.,y.� .,��. ��I,,d�..,.c�� Ep,. �..,�.�v �.. -� �::,_.., ,� �, .h, ��:�!;��:��:":�
,.tc`;, i�,J . q...... . �� , w, .;:,;.����k. ':L P. �T�' �_�.� •�.�..�. ?3'�!:•::�..�;d-T:. �� ;;�,,r
, J.,. ..::... a:. ��.,.��> i •:a. - � �a,.
��A'��A;, t.A':. '.1.i ��.�:� �.r�y�._ l�.. .y" 'r:�' .1.. '�A♦ ���i���.�a�.').:7•l�A.��..:r.::l.: '+Iw�.�..
-i:.� 1 ,r.��. .��. J::, i ;:h;i� P.:� ,�Y':�:�°.J.: .,� ::¢r'.�f+,�.
� .,�. .:�'�_��; �.,::r, .,, rit�l�d�:�th��,tN�� ,1"�,, :5e. �'e��.; _��;--,^,�.-.. �; ,.• �:i
; ..,.. ,,.
,;,,.
.;._..,. . �. . ;.-.
;.;;..
.,.
�. ,.. . . .:..:.,w:�a�.:�; .,. � :.::.>:�,;;- �Q. ��. .�. -�-
,...,
: �
.,,.
, .. .. . .
CALL BEFORE YOU DIG. Call Gophar Stam ono Ca11 at(661)464-0002 for protectlon age�net unde�ground uUliry d�mage. Call 48 houB
before yau Intend lo dig to recefve locates of underground ulllMlee. wuuw.000harsteteonecall.oro
1 hereby acknowiedge thet thls I�fortnallon Is compiete 6nd 6CCUr9fe;th9t the wiork vuili be In confotmBnCe wllh the ordlnances and codes of fhe Clty of
Eagan;that I underatend ttNs Is nat a permlt, but only en appliCGflon fo�a permlt, and wo11c(e nOt l0 etan wlthout a permih,thal(he work wlll be In
�ccoNance wlth the approved plan In the case of work which requlree e reV18w 6nd epprovel of pi6ne.
Exlarlor work authorized by a bull�ing permit Issued In accardanCe Wlth th@ Mit1t196ota Stflte Butlding Code must ba complated wlthin 180
deys of parmlt Issuance.
x cf{��2rs f�M0�2s'a�1/ x�(�� .G�s-���'
AppllcanYe Printed Name AppllcanYs Slgnature
Peae 1 of 3
0211912014 12:33 Les Jones Roofing,Inc. �A��9528817009 P.0071020
Use BL.U�or BLACK Ink
�------�----------
• � For Olflco U�e �
j ��� I
� R�������� � Permit#: �
� �
� C�ty of a�aIl FEB 1 9 Zp�4 1 pertnll Fea:_ ��
3830 Pllot Knob Road �
Eagan MN 55122 � Oate Recelved: i
Phone.(851)676-667G
�ax:(651)676-6694 . � S�� j
V���___��..��������J
2014 RESIDENTIAL BUILDING PERMIY APPL.ICAT�oN �.-r��
yA6�, yA6�1,�06G�.�f068 Bt�s+✓E,�- AAM R�p °
oate: � �9 slte Address: / o �oo !r E c unit#:
y. �..,,;,,��:,a.W� �_��,;,.r,g,:,�yr(;�R�.:
�;����i;���a;,�;�, ,5�i; ,:<�,"'���` IVame: �10 P�eoP�2ry GA-,�E. nic.. Phone: �vs�-- �.f t/- 9y'yq
t^�1 € ' � �5.,�'.. .y .. _ _
..y4.��� p � ��.'. I Y� {
��S':�1,�`� �+���a �I.,�.'.I..
,�� .'}7. �v�.: 'P O. PJD 1C � !/EJ�-�oV.Z 7
� r.,�.� �'c �'�; Address/City I Zlp:
,��;ti;,r, ,.�:.��' ,x' �..-�,
1. ;r� ���x ,�., �i
���: y�a�� f.�`��� ����n',N Appiicentis: Owner X Contractor
;�;..,,�
"' '�4r�;:;;��, �.'%p.'..'�' ,M
• `+<:r, '' �~v '�'" �° DeSCl�p�lOfl Of WOfk: ��MO E DD� �' R D02.•�
�����!ap����'�4�k�" c�
;,� �,
,�� +'::�'.���� `, `��''rtia� Constructlon Cost: 3$ ���• Multl-Famlly Bullding: (Yes X /No�
� ,�,...ar.''e. nY,+�:, ,J,.
r,� •. I�.� '.., .,H���� � / .
�r' � �DE�25o�/
.,!h. .S�i, :�x
�. t;�,c�t.,,.� ��.uc n;�• a.a COmp6tly: `+E,S �DNF.3 R F< lT �NG. Co1lteCt:G�F12,�� --
�k�a� �` . � ;r. _
�j �''S<a.a:
�,��'�'`1i�'' �X���� ,' �A.,��'�� Address:�Yl 1_N. �d� �'l,¢-r.�~ City- �l.oc��.��
�-��'tS�����t ��Q��, �
:. r ��-a� !•, "
p��, ��` yg",`�°>`";i, �:.'r� State:_ 1�ZIp: 4c�2D Phone: 9'S.�- 76 7-a8/9
� l��tlL .:Ye ���'�l.n
�l� 9 r q., V
•. , ��'�:� ri'
'�`);�j.�''���l�S�V'���.�""'^a� Licenee#: �.�/c� Lead Certificate#: .UA9"� `f 0 3��?—/
:�k:l: ,.:tii�. a,.. S. t, — --
If the proJect(s exempf from lead certiflcatlon, piease expialn why: (see page 3 for additiona)Informetion)
COMPLETE TWIS AR�A ONLY IF CONSTRUCTINO A 1�W BUILDINO_
in the last 12 montha�has the City of Eagan lssued a permlt fo�a slmilar plan besed on a master plan?
_Yes ^No If yes, date and address of master plen:
Llcensed Plumber: Phone:
Mechanlcal ConVactor: Phone:
Sewer&Water Confractort Phone:
�..�a.� <r 'P��"n ; �r ,��1"�,c��h;e,.�'�`°'.�t��� a��.�'b����i�,�a: ��F�r ��, 's'��.., �i:,��(��'��'"�`n't.`��h ;�a ��'�P�o� �ns`� 1�z.�
p��.,r'k�'�1��' ���1a';r,n;a�r '�1 sl� �t��'1T"d� ��`"by�l�f Y���1.�a/�CP�d�,�p�c�fl�r� ���,'�s�.�.d,,�u)d�p'",�.�?t,t�i�;.�`�t �Q,r��$
`T' ',�l , ,� �, � I�� r � ,� 'A� � K ,,(� '�.y� ..t. S�°,.7i` �!s�"u;,yp���,f �� r
1�'n yy��j� .^ M;' I, y� �? I * 1 1. j q � �r`. '! � �er�/1 R M�7" 1 nF"'�'�Y�
�� •y J 11.'r„�'�YI N°.!:,.f:J ' �:�, l� .. ^'r� r;zl.. ��'� '�9:'�. �W.�Q���'��i� � `�Y:...�,.' S�l,�i.:..° ,7 '"'GG._ t4��^' �,:n'1,�'L:.,, �-,. t!"�.�4'>', n;;: �: ',
1k�i'-.al
CAI,�BEFORE YOU DIG. Call Gophar State On•Call at(ss1)45d-0002 for protedion ageinet underground utllity damaae. CaU 48 hours
before you intend to dlp lo receive locatea of underground utlllUea. www,,gocherstatoonecau.ora
I heroby ecknowiedpe thal thle Informatlon Is complete and eccurete;that fhe work wlll be In contormance wlth lhe ondinencee e�nd codee of lhe Clty of
Eagan; that I underetend IPds le not a permlt, but only an appllcaUon for a permit, and work le not to start withaut a permlt; lhat Ihe work vulll ba in
eccobance with the epproved plan In the caae of work wnich requiroa e revlew end epproval of plane.
EXterlor work euthorizad by a building parmlt Isaued In accOrd�nco wlth tha Mlnneeota Stete puliding Code must be Completed wilhln 180
daye Of permlt Issuence.
x Glfk�s f�ND�SO� x�(����� .G��-`*��'
Appllcant's Printed Name Applicant's$ignature
Peae 1 of 3