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1940 Glenfield CtDate: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 (0 /20 /10 C',/,e /s /4 v,ae:7:7?s Applicant's Printed Name E9rh©tF9P 1,)SP Permit #: Permit Fee: S63 — 1 , 5 Date Received: Staff: Applicant's Signature /bO166f Use BLUE or BLACK Ink Tenant: Suite #: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: j93g 38 44 4 4 (p +A48 GL-E'JPIE t-0 CouRZT CALL BEFORE YOU DIG. CaII 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.gopherstateonecali.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. Page 1 of 2 RESIDENT / OWNER Name: /v P2oPt,7 ry ( /AZ Phone: 6 5 i- 6 ? ?4 `f Address / City / Zip: P.O . Box 2125 I NVV Gtovv 4,u,ms MN 55 7/0 Applicant is: Owner )(Contractor TYPE OF WORK Description of work: LJMOV6 1414 K WRAC-6 c -0 GAD 12o0F Construction Cost $ 21, OOOb Multi- Family Building: (Yes / No ) CONTRACTOR Name: F3E1 Eic -(o)2 14p-i N1 COR,P License #: 26.2 /// 3/ Address: q05 V f . 60 SnW G1 City: J ciffnV p't ij n, State: / Vt lV Zip: 55 Phone: f7 1 2 — g( - 21/3 /+ Contact: PA-UL tit. Email: /OA) bGISCM . Co 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 they are trade secrets. Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 (0 /20 /10 C',/,e /s /4 v,ae:7:7?s Applicant's Printed Name E9rh©tF9P 1,)SP Permit #: Permit Fee: S63 — 1 , 5 Date Received: Staff: Applicant's Signature /bO166f Use BLUE or BLACK Ink Tenant: Suite #: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: j93g 38 44 4 4 (p +A48 GL-E'JPIE t-0 CouRZT CALL BEFORE YOU DIG. CaII 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.gopherstateonecali.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. Page 1 of 2 SEWER & WATER PERMIT .� 1, r - OFFICE USE ONLY CITY OF EAGAN METER # / 7/ PERMIT DATE 12/04/91 3830 Pilot Knob Rd. al / 5 S. a Eagan, MN 55122 -1897 � f p _el CHIP # Q �/ (o h •� PERMIT # 12417 - +r+exvv METER SIZE I " ¶ ) sit S B.P. RECEIPT # C 15423 DATE 9 ISSUE DATE / - /O-- • 702 B.P. RECEIPT DATE 09/17/91 PRV BOOSTER PUMP 1934 1936 1938 1940 1942 1944 1946 1948 SITE ADDRESS latittxxis3 (FNFjFfD CT PERMIT REQUESTED LOT 3 BLOCK 2 SEC /SUB DIFFLEY COMMONS X SEWER X WATER TAPS APPLICANT: Tile Rottlund Co- ADDRESS: 5201 Fast R i vPr Rd . COMM /IND ' X RESIDENTIAL CITY, STATE Fridley, MN Zip 55421 X NEW EXISTING PHONE: ( 612) 571 - 0304 La Sprinkler Meters are to be Installed PLUMBER: 1 4 Valley plumbing A • of Domestic M -ters on Water Line. ADDRESS: 1 e%kz'[ ar1e C - ILL NOT be ; ' er,Lfor Deduct Meters. CITY, STATE Cl MN ZIP 55,7 PHONE: (61 4 '. 21 21. AGRE TO • OM • Y WITH CITY OF OWNER: The Rottlund Co. EAGANORD ANCES ADDRESS: 5201 East River Rd. .� CITY, STATE Fridley , MN ZIP 55421 --� PHO • ( 612) 571 � IGNATUR HEN METER ISSUED IG D S / PLE • r r' O WOR AY FO PRO SSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER P RMITS, CONTACT ENGINEERING DEPT. 57/9 06117/2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.004/020 Use BLUE or BLACK ink � For ofiico use--------- I . � � 2-3��� � � C�ty of�a�aIl , PB�,�`�: . , ' `�°.� i � Petmlt Fee: � 3830 pilot Knob Fioad Eagan MN 5lS122 j Date Received: j Phone:(651)676•6B�5 I I Fax:(661)676-6694 . I Staff: I I I �----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION r 93y-/93�- i938- I94o ` Date: 3tte Address: /9�2- /4�f�Y-/9�/6-/9�18' �ze7uFiE.� ���2.T' Unit#: :,>;�. .-,,,-:-.;;.>, �;, ;;;,': ;,, `v., '�';;">:;,�;'�;��;,;:�;�;:�•';,.?�;:�� Name: �!D P�eoPe�rY ��E� 6n1G.. Pho�e:_loS!- ss% 99y9 'i,I:�MI ..� ; ' .�.�il". ;'.::.,:;,>;���;�t�el.l�/w�:;>?.;� :<<�;;<',�:-�?:1iit�ti��r'�`'�;`<'' Address!City/zip: 'P o. So x 2►z 5 �NV�C�.a�� ��,�,�r tilN 6'sa� ��, �...;•����.;���-:;>r�.;;.;; �,���'� . _.'t�r;�,�}':b.. 1�•.;�f: :�f:�'j�:�j ��(r< 1��'''I-�'�� • � Applicent is: Owner X Contrector �"��'.iY... `�•�5;� ':r'."i '^°y'�`;/; ^i:!",'��7•'�'•'i,'";4';:%�ij`: }P S' �y1 l s /;� w t �Y� � � ��,• De8cription of work: �E,uDV� An/D /��P�f1,C� Si�/iVl� ��kA6���Qx� �� .;,,c.-tas.;..,,,,,,,,,.�. ,�,:�.., Zs �'!"1 �%'.-�? Conatructlon Cost: �� 7��• '' Multi-Famlly Building:(Yes x /No_� �;r•^ <;;;, _;,; ,..� . ..1...�,;:.�, ;.,.,;:-:�:; / .+ .S,�.1.� , �� NI�t S J� �/ ';;,. .,•,��`.;��..=';,,�: ;,.:��2 Company: ��.s ,Toti� Rra�Fsn/G- (NG Concac�:c oe�so ����,•��,.;.�:�:,: � �- - ;.,�.�;.,s:;„ .. .:.......... `., � a,,� r :. tr ��� /� '� � i r���i,"� � � .'y '�� /AC�C�f833: `7 T� � �d� ��/ C���/: �Q�d^�/✓ ',:,� ��ri�t`a.�tQ��� ; ,, . �=1�:�..:�:��.�+:.:. ''��'':.;u;��`'�,<,';; '��;e,�; ��'� State:_ ��Zip: .�,5�4�2D Phone: 9�5.� 76 7-a8/9 .,:�, ,•,;,; •; • ,.,:�` , ,,.;;,,:. , 5�_;F:?� :;r.Y.:=;Z;'�^,••i":i. `'�ti; , x.:;• `°' ��;i?;'; ucenee#: lo5"(oD Lead Certiflcate#:_NA-r `�� � ��-/ If the proJect is exempt from lead certiflcatlon,please explaln why: (see Page 3 for additionel informeiion) COMPL.ETE THIS AREA ONLY IF CONSTRUCYING A jV�W BUII.DING ln the last 12 months,hss the Clty of Eagan(ssued a permlt for a slmllar plan besed on a rnaster plan? _Yes _No IF yes,date and eddress of master plan; Llcensed Plumber: Phone: Mechanical Co�rtraetor; Phone: Sewer&Water Contractor: Phone: ,,.. . . �; ..,.,�R-..,, .. ,.. _ ,.....::........:, ,.......:.: -` S 1 ►{y� �y� ��'N,�.TEC.�P! nsi8 f/B° �irfl r;dQ�q/�'� /� }/�•°`>* /�:ii;�°.�i /[f�Hl:re'.t/� N ,'�"�;'to``Ei'� `C�bli�7i/"��bt'"�ti ..o�'ffo/����;:o�'.,� �I .�..��{.. ��"1�1:1'.� y�;�/•�l'i..,y'!� ���7'��.I\�'N)�l�Y�l+.i �t. "-4�{, T�f' ���.�.�Ay,•�:�' y l• l� �_� 7�.`�.. ��.!I.Y'., l Y ' `h', r i a; r, r, �•t. � i � � � r'sd�� �'ih,f,oi�irati�/►r/17ay,�a'e��;5 �ql� � i�n' bl�����/g �,,�'o"�i�l�,� e7�it���a�. II�'t ��.;,,W.bu%d� e t t�'�<CI t � �, ,� �:� ;,�y �,p, , � � 4 �. �� � �,. , �� � � �Li' � � 1 �Yi .�S�i.� �y� u.t.n' I�� .t fl� y� �6r a � a a � -f n! �( :1: �.��?f.����,q,l�t.. ;.Y•>•�r�.,; 1.:C0M/iI, t�y]] ♦'l� �� .,���(j �/�5}.. � �6 ;.J,"r`• ,1`: ��.�':YC�vi:�m,r{„+ 4.a i.;����..1r EC�� .Ji� �, :^I.`. i��f'r �r .�.I.Y,/M���{\.S\• LS�� �J<:���.. i,�.K��.�� .C.i I...i� ..J. �: Y+'.:r1/.�1 i� CALL BEFORE YOU DIG. Cell(iophor State Ono Call at(661)464-OOOI for protecUon egelnet underground utllity damage. Call 48 hours before you Intend to di�to receive locatea of underground u011tles. �ww,aooheretafeonecall.ora I hereby acknowledge thet thle informallon is complete and ac«uste;that the work wul be►n conformance with lhe ord�nencee and codes of the City of Eagan; thet I underetend thla Is not a permlt, but only an appilcallon for a pennit, and work le not to eten without e permit;thet the worlc will6e In ecco�dence with the approved pien�n the casa oi w�k whlch roqulrea�rovlew end approvel of plens. Exte�lor Work euthorized by a buliding pormlt Isauod In sccordanco wlth th6 MI111166ot8 Stete Bullding Coda muat be completed wlthln 180 deys of permit 199uance. x C�fkrS /�NDEI2sa ,����� G����--"---� Appllcanf's Printed Name Applicant's Slgnafure Page 1 of 3 0211912014 12:32 Les Jones Roofing,Inc. �AX�528817009 P.0041020 Use BLUE or BI�ACK Ink � For Otilco U9e^^� ^ � � ��CEi`JEI� j Pem,it�: �' �� j(�� � C�ty of�a�an ' � Permlt Fee: � I 3830 Pllot Knob Road FEB 1 91014 � �aean MN 65122 j uete RecelveQ: j Phone:(6b1)676-6676 j S��. 1 Fax:(651)875•6694 . � � V���.____�._..���.����.J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �. /93y, /9��, /938, /940 Date: 2��9 � Site Address: 4�� ! � C� Uni!#: ��.�.' �1::1' 14�'::':.N_1'.y�i"'...��•��Y�":� . � ,l,,.r{';' :��ilr J(.'�\:nF� :�„' :,�,„'Y, ',�� ��;� �« ;�E" Name: ya P�20PQ2T`/ C.A-1�� ING. _Phone: �v5?� S.f"c/- 99Y� ' ��n�F 1t,'a r � �S "4��e p°� / ;';..i.r?�����„�.��1<�,, 1-? ' �f�`�;;,;i:��jyj�;�r,'�;',";,Y;'' Address I City/Zlp: �P O. 63 k / v ✓� � �c' �t�° �,.t�>�f�y5,;��F�M .��. ''��T�,��.:�- "1g�:�' a�..ei 9�� .y „�; �9. ' �� ~!��;,�,.,j ,y ,�„ ^'�r;� Applicant is: Owner X Coniractor `„'�:;c�.,,- :,,g.. „�*�.' ;..=�� y�r�.��`'..��j�Y'. '. i` ^.rk �r/��r�Y°' iLJ ��� �V 0/� �'��'7 �.. �„�, DesCriptlon of work: ,� n. „r9. �'' r � �. ���`�sx;� ��'�►Q'�C.>. � W,, `�''r : ���+. ,. '/� �1 ;�r:,+';r `,�„ ,,,,N °�` Canalruction Cost: `�� 7�.J • �r Multl-Femlly Bullding:(Yes x /No� .�� <.:n.M>J;�..;����cvY;.r.� ��'�,�>40:''ynal 'n7'• r'. ' ::�rt,M'�,-,'� 'a�.^,i j �.J�4+..P.���, .Sr✓�. Ir•n'g� Company. ��S �TaN63' ,R[�Ofs�/fr /•vG Contact:C�iP.�s �-ND�so� hl.�^�od .� � . ;i���a� �';y':��%:u'°"'�'r'� ' ' !���h �" ,:'h `"�...:;�.f►n�'�i��'.r�.���r;;`�� Add1+B68:_9�� �/1/. �L�� ��'7� Clty: BGdQ2�.��t�➢D� y�.,k:���FiE����tc��F .. �� , .:,r �;Nr"#'F`,�,�:w�l;�l' State: l�/�-�Zip: .�.��20 Phone: 9'SR� 76 7"0?8/7 `,a.�,"f;!.�..;;..x �,c`� ,i!::�;., .'i'!y„,�.1 y" �� .�,�, i �:.,+u �?�:.�+i w a " � `'s�''� �r��,f ,vQ-T —I �`,�Y�t;,��t'�."`(�,:.1,,,;:.,,:,. l.lcense#: 1v37oD _Lead Certlflcate#: 4�O 3 7� If the project Is exempt from lead certlflcatlon, please explain why: (see Page 3 for�ddltional information) COMPLETE THIS AREA ONL,Y IF CONSTRUC7ING A NEW BUILDINO In the last 12 montha,has the Clty of�agan Issued a permlt for e almllar plan based on a master plan? � ",Yes _No If yes,date and sddrese oF meater plan: Llcenaed Plumbe�: Phone: Mechanlcal Contractor: Phone: Sewer&Water Contractor: Phone: �';���TEj�, 'S, �. .Kt;��'' ,.���ihil�,�`���J1� .�.�1� '� � ���A Q'.(,���� �%1'�:C,�b��ili�'�`T,'-, •;t' d°,.,,��,.�,��,�,�.� �g�5'�'�������,t����.���>,�'���1�����������►o���:���, ,��yu_���.�a���';, ��p.�Qri�,p��a���ua,1t/¢�ui����.r!�'f�xf;,�r��(�,�, -�„p{� r l"y °4:A�1.�. 1 �q,(1f 'fh ' J;µ, .C�✓5.1;'�k`/' XG��f�.,`/� .1' „fI�e��F ] c,. tA�rr �J°J`✓Si y�-.r6'Y�Via. ..�. `.� }��'�q7�'�'i%f)Z�i� ..���I. ��.\.Y.k��Y.:i4 IJ' "�'.�i •��YI.1�_�f.fQ:!L��Q���i4.� ij.i'�•J�T.. Atl��i.�I :� .�1� iJil U� �:1 i.1_.•G1 :.r�:.`.11:��1.i�\ :;;1;" .,�'7N._�:..r CAU.B�FOF3�YOU dIG. Cell Gopher Sfsto Ono Call at(6S1)454-00021or proleGlon agalnet unde�ground udllty demage. Call 46 houra before you Intand to dlg to recelve locetes oF underpround utlllUee. v�ww.aouheretaleopecall.om I hereby 9Cknowledge lhat thls Infor►nation�complet9 end flCCUrele;thet the work vu11)be In conformance with fhe ordtnencee end CodeB Of Ihe Cify of Eeaen; thal I undersland mis Is not a permlt, but oniy an applicaUon tor a pem,lt, and work Is not to slart wllhout e permlG Ihaf the work wlll be in eccordance with lhe approved plan In tha cese•of worlc whlch requtres a rovlew and approvai o(plans. Exteriorwo�k authorizad by a building permit 19sued in accordance wlth the Minnaaota 3tata Bulldtng Code must be completed withln 180 days of permlt Issuence. x G/f2rs ,4ND6�2sa,t/ x ` Appllcant's Printed Narne AppllcaM's Slgnature Page 1 of 8