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1920 Glenfield CtRESIDENT 1 OWNER Name: 2 P&OPeRTy <AL.E /Ale Phone: 651 – 5 9? 4/9 Address / City / Zip: P 0. Box Z12s /N t/2 C 2oVE - I 64 TS j 6 570 76 ,Lb Applicant is: Owner X Contractor TYPE OF WORK Description of work: R CMOI/E r4ND (Lls'Pt -A C Construction Cost: ' 21, ob0 Multi- Family Building: (Yes / No ) CONTRACTOR Name: 13E1 EX-TO– Ipj2 MilINT CORD? License #: 20,21///3/ Address: 6 10 s W 60 t S1YLEe' r City: /�lcAmfa - F/G,J A' State: MN Zip: S54/ 9 Phone: (,1 - g( - 6 2 '/3 Contact: PA-U, L N. Email: itt�v C. bei,ca/t . CO /71 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: 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 they are trade secrets. Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Forfliffic* JSe Permit # � 6 7 Permit Fee: Oi 30 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION /a/2 o ho !00 / Use BLUE or BLACK Ink Site Address: /9/8, / 9 20 10 22 192.4!, 2(0 1 928 i 'LSO 4- 1932 t.ritt FtetA Case,r- Tenant: Suite #: 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.org Applicant's Printed Name 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. Cg ,e/f Xf/ri.acPS Page 1 of 2 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd. METER # PERMIT DATE 12/04/91 Eagan, MN 55122 -1897 CHIP # PERMIT # 12416 METER SIZE / B.P. RECEIPT # C 15423 ISSUE DATE B.P. RECEIPT DATE 09/17/91 DATE 9 -18 -91 PRV BOOSTER PUMP 1918 1920 1922 1924 1926 1928 1930 1932 SITE ADDRESS Bikaspoixik2 (I RNFTRTI) (T PERMIT REQUESTED LOT 2 BLOCK —SEC /SUB DIFFT,EY COMMONS X SEWER X WATER TAPS APPLICANT: The Rottlund Co. ADDRESS: 5201 East River Rd. COMM /IND RESIDENTIAL CITY, STATE Fridley, MN zip 55421 X NEW EXISTING. PHONE: ( 612) 571 -0304 Lawn Sprinkler Meters are to be Installed PLUMBER: V a 1 1 Py P1 iimh i ng A - . of Domestic Meters on Water Eine. ADDRESS: 610 CrPPk Lane Cr ILL NOT be •' -n for Deduct Meters. CITY, STATE Jordan. Mkt ZIP 55352 r PHONE: ( 612) 492 -2121 AGRE ° TO C ► MP Y WITH CITY OF OWNER: The Rottlund Co_ EAGAN ORDI NCES ADDRESS: 5201 East River Rd. CITY, STATE PriA1Py, MN ZIP 55471 PHO E: ( 6122) 5 - 030 SIGNATURE WHEN METER ISSUED PL S ALL T W W oR ING ( D F'OFi PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. lPs'P 06/17/2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.003/020 Use BLUE or BLACK Ink �Fo�omce u6a r y � i � Ci�t of�a a� � Pertnit#: � J � � � I � Permit Fee: � � 3830 Pllot Knob Road Eagan MN 55122 � oa1B Receivad: � Phone:(661)675-6675 1 1 Fax:(651)67G-5694 , � S�ff� � ���������������__J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �a��- �9zc_r4�z - �9ay Date: � �"7 / Slte Address: i9Z6-�9�fi'-/93D -i93a Lr���� �'�v�,-� Unitl�: s,- . ;;:;;,�:.:;;: �:>�t':r':,�;�a%;:� `-h,>'. ; ;;.:: :�,�:,., ,,;:;',�.:,..;;� .,�:';�; .,� y A2ry �,?,E dn►c.. s�-� :;,'�.;, , �..r.�r:.�...�:,a.. Name: o PrCOP G Phone: �v �,S'"4�- 99�°/�f ��+`��u�r �.�ide.`�fil;;�:;-;1:;: ./ , . ,� , , , �=2'• Addre9s/Clty/Zlp: � �O k �s/�r1h�s: /�st� � 9�e "=+-��,d;<<�f�WfSei':;,�:.:, �;:, O. 212 5 /NvE12�-0✓t ;�A�;',. ?.{.a.�'��1��'���'�:t:�i:�n�����?'�:�.":�!�^+;� . . 1'y.� . >�.,, .. ;�:°;�ti�:r'';},:,�;';',,��; ';�;�:: Applicant is: Owner X Contractor . ... �L�.. ..�:..F`;1�'»i.. ;_I:1:.'.V��'i'`;� 1.,"'rD�;.'.•'• �y>, ,':".;ci'„��,�":.,.;.:.,,. ::r':..;�,.,. :°�`� .,, ;���'��,�� '���:';'. `'"�,,:�, Descrlptlon ofwork:_R�✓LrOV6 .4�N0 .�O[..4G� �'i0in/G-� I.':: ,�:�y�.9�0�'V�O�'�; 02/19/2014 12:31 Les Jones Roofing,Inc. �AK�528817009 P.003/020 Use BLUE or BLACK Ink �For on�ce use � C' j Demtlt#: !-�-'' ��� I it� of B��a� �'`�LC�i��Q I parmit Fee: ����� � 3830 Pllot Knob Road �agan MN 55122 F� � 9101b � Defe Recelved: i Phone:(6�1)67'6-6676 I I Fax:(651)675�5694 . I Staff: I I � �------�.,_..._.-----� 2014 IZ�SIDENTIAL BUILDING PERMIT APPLICATION � �9�8, 19Aa. /9aA, i9ay Date: � 9 / 31te Address: / 8 / 30 / 2 �FI�'�O - Unit�: �`:•:...2,,;��Y�.a4M"',i;?(i;?.���..S1,• � (�.r:' .. �����.; ;�.4r;, �c�t"1 ��.`���;:�;.,�,.,,�:� '; ,:=,.. a�,:� Name: �10 P�eo��+2ry c-.a-�E 6 NG. Phone: �o S!� SS'�/- p9Y�Q , ,��aQ., �,,;..,;, ;`%�!;✓,. �a A���t ';) � !.R � ��t��•' '�< �';,��°j^}r;`���:�,���" """.�"'� Address I City/Zip: p�. �O k 2t 2 5 /NVE72�zi2,ov� .�izlsl���L1� d"S� 9�0 � - '�"`.M=�;;�``"-'„�,�; �i �f',�'MY:�� '�'i ..��J. .i�... .s; ;5:;:.�"• :^��`•r'-i�'/ Appllcent Is: Owner X Confrector v- • ;'�k '1,�M,„ ^�. ..i,..:. e��"'��,_, 4� �p -y�''°, ce A- /� /',�' ^'� f�� /� a��1��`,;� �!''`G,'ef. � r�r� � ^ (� fi�N.// ��1.%/"N7W /�.tJ�r :�'�„ �����W���.�;; Descxiption of work: C M ✓E � '� � - ��s:"�'+:�^'� .r ,,���, 1 , � '�r �I � ',��;,�>�, ;,,;;�,���;F„;'n ? Consb'ucNon Cost: � 3 0 � MuIG-Femily Building:(Yes X /No�) ...,,. rf•',.. ,�,�-�yA y:��:.o,y,..,�;. '����tc,.,�g: ��1�°�'�1,y . 7.'S / �t+,rr`' J}";�c���`��`�;;:�."�.:�k�.�: Company: �E5 ✓_D/V� R�f/�ll' �/VG �.'0(1f8Ct:Ci.�/2J S 7�J��-f0/V . n.rr�F� ;%' g,'`�,f1. . .�. .�k ���� ,.l�� . � � a�.. � ,;;,�,;� v� ,°���, : v,,.� Address: 9�f I w. 80� s�-��r c�ry: ,��/ ��� �(��it�A�Zo���-z .x. k�1�,.r�a i^",'�� . �<::;��;f,yyG,��,,����+�;,���a•,. State:�Zip: .�,f'�`f2D Phone: 9�5.�— 7�v 7-�8/� ,. :,s,,,,:. rv,_:�5�✓, ��'I�• �';�y 4 ,�.. 1,; `j ',;�'?;>;: �r �n� ;'y.^'�;,, ly r,��'': ,�r�;6g�'y,' :±'F, �t,'`�':�'°r< Ucenee#: �Sr�O� Lead Certifiaate#: .fJA-T" �,fO 3 7.�—/ If the project is exempt from lead ce�tfficatlon, please explain why: (see Page 3 for additional information) COMPI.ETE THIS AREA ONL.Y IF CONSTRUCTING A NEW BUILDING In the last 12 montha,has the Ctty of Eagan Issuad a permtt for a slmila�plan based on a rnaster plan? _Yes No IF yes,dete end address of master plan: Llcensed Plumber: Phone: Mechanical Contractor: phone: Sewer&Water Contractor: Phone: �. Y.�� g � � t��'�� n ?f fk:,��(�"'c,f' ".� fh •„ �� b�"Ci'a"�.`F�'�i� �';�to rl�.'�:�p li C�")�,,��i►�.� � V�f�'or"[)�r� � ��I.^ 1"f, � ✓� r.,i � b �i. �� ��,�� � �,. ,tiU�� . ����..�:5% ,ei�}- �:' � ,.. . 'L i ' v� �: � Lo. 1� P��. r �.'�.1' '5.1; � � .el. h r ��; . .. ..... . . �. '" �°� � �'..� tl� � �. .:.b � l`s�ifi�c�#a&;r,�i h^ a /r� y�� ro:vi� .$��( �!�°1 ��.�' �,,�" �//H . Q Q /s� �►+ a Yf '-b�a���'��. . PaL � .,. .t� a� ����i'�Q�p� y �•r����J�s•°,��]-�.r �, ,� r��(7 �c;:Y C� N j�� a�/{� `/ � .M���� S �� , � �^ r� �_ ��. �:��.il��� ' ,.,�1��3�+ ,',..K�y . ..: �V��/ lVL; �l�� .9. . •„ •��/ Y-����,L �y. (.d ��, '��'r��;� ��^ ".!41� r ���,.���a;..� ,1�J: ii�ti'f..�. �t .fi�.� .kWQal�� ..:�.•,:'CA:�T!`1 w.�T.s ��2 �L'1E:.rA:��w.°..T.l..1'.�. 4J i �� � "��i'�� .. W'�.a.'r�Y,,,�?. �. - G't ��� n�.S� .�J� CALI. BEFQR�YOU DIG. Cell Oophar State One Call at(667)464-0002 ior profecUon egalnat under�ound u111Hy demage. Ce114B hour8 b91oro you Intend lo dlg to reCelve IoCete6 Of unde�around uU111188, wuvw.aooherstateanecall.ora 1 hereby ecknowtedge thet thle infonnallon le complele anQ accurate;lhat the work will be In conformence with the ordinancee and codea of the Clty of � Eapan; Ihat I unde�stand thla le not a permit, but only an aqpliceHon tor a permlt, antl work Is not to start without e pennit;thet the work will ba In aocorcJence with the approved plen In the ceee of work whlch requlree e revlew end approval of plana. �xteriorwork authorized by a building permlt leeued in accordance with the Minneaota stat�Bullding Code must be compl•ted wlthln 180 days of permlt lesuance. x G ,2�5 f�a1PE�0 � ,G�%��-� x Appllcant's Printed Name Applicant's Slgnature Page 1 0l 3