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1948 Glenfield CtDate: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (o/20 /10 /bo 161 Use BLUE or BLACK Ink Ear 4'Fp0,l,Js0 s63 Li, 50 Permit #: Permit Fee: Date Received: Staff: L. 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: `934136/ 381401 4.2 4.4/ 4 G. +A48 G L4 JFi �t-O L.OuRT Tenant: Suite #: RESIDENT / OWNER Name:/v P2oPt,7 ry (-'AD,E //t1G Phone: 65i- 6-551- 9?99 `f Address / City / Zip: P, O. Box 2125 I MVS Gi2�lovv t6Hfs k/N 55 7( Applicant is: Owner )(Contractor TYPE OF WORK Description of work: LMMO#6 141445 QWR E 814-14J& D 1200F Construction Cost $ 21, OOOb Multi -Family Building: (Yes / No ) CONTRACTOR Name: F3E1 E. -KIEV -tog- MAlNT. CORP License#: 2602 ///3/ Address: u0 S. V f . 60 ill SnW JG1 City: ciffnV p'Glj AV State: / Vt V Zip: 551119 Phone: (a 12 — &(o/ - 621/3 Contact: PA -UL tit. Email: /OA) bGISCM . Co ill 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. 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 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. C',/,e/s /4 v,ae:7:7?s Applicant's Printed Name Applicant's Signature Page 1 of 2 Date: City of Ea a 31°4- W 9)31 �� 3830 Pilot Knob Road R �' " Eagan MN ©1� Phone: (651) 675-5675 ,v 1 Fax: (651) 675-5694 Tenant: a1 2012 MECHANICAL P Site Address: rit-g Use BLUE or BLACK Ink For Office Us Permit #: Permit Fee: Date Received: Staff: 1142 - RMIT APPLICATION iC, CtEQ RESIDENT I OWNER CONTRACT( Name: ') Address / City / Zip: I '1 4� Name: eI .� t 1d C 11 Jai WrYsti."a _ Suite #: Phone: 3J --O l�/ lei 551�-�- Address: State: Contact: Ai Zip:—AVIKVIC Photje• g Email: /i■ City: ■AZIi' r . 'ilii /,II O .Ea 0/4 , TYPE OF WORK New eplacement Description of work: Additional Alteration Demolition NOTE: Roof Mounted and ground mounted mechanical equipment is required to-bescreened by Ci Code. Please contact the Mechanical Inspector. for information on -perm' e, screening methods. PERMIT TYPE', RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit _ Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: I$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $1.00.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge = $ 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.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 approval of plans. (`Phcrs U ti x is Sign f re V Y Applicant's Prin d Name Applic x J' u4z--, FOR OFFICE USE Required Inspections Underground Rough' viewe s Service Test In-floo 'term'; SEWER & WATER PERMIT gi) CITY OF EAGAN 3830 Pilot Knob Rd. i9!. / ' c, 00 Eagan, MN 55122-1897 i- fo y A DATE 9-18-91 1934 1936 1938 1940 SITE ADDRESSxxix3 LOT _ 3 BLOCK -SEC/SUB OFFICE USE ONLY METER # 41.5.-474 / 7/ PERMIT DATE 12/04/91 CHIP # Q 0.51 6,6 • -8 PERMIT # 12417 METER SIZE R ii.;. a rl5 iS B.P. RECEIPT# C 15423 ISSUE DATE /- /O-- 702 B P RECEIPT DATE 09/17/91 PRV BOOSTER PUMP 1942 1944 1946 1948 G ENFIE D CT DIFFLEY COMMONS APPLICANT: The Rottlund Co - ADDRESS: 5 201 East R i vPr Rd . CITY, STATE Fridley. MN ZIP 55421 PHONE: ( 612) 571-0304 PLUMBER: 1 Lle y l umb i n+ ADDRESS: i'610 lk( rie CITY, STATE 4T -c,-' n MN ZIP 5533;5 PHONE (6s12) 49,2I-2171 OWNER: The Rottiund Co. ADDRESS: 5201 East River Rd. CITY, STATE Fridley MN PHO (612) 571-0304,SIGNATUR HEN METER ISSUED ICING D S Rj�" PLE •'� ^ 0 WOR AY FO PRO S G. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER P RMITS, CONTACT ENGINEERING DEPT. PERMIT REQUESTED X SEWER COMM/IND X NEW X WATER TAPS RESIDENTIAL EXISTING Sprinkler Meters are to be Installed of Domestic M-ters on Water Line. ILL NOT be ; ' ekfor Deduct Meters. IAGRE TO Y WITH CITY OF ZIP 55421 cp 06/17/2014 15:04 Les Jones Roofing, Inc. (FAX)9528817009 P.004/020 Date: C!tyofEaafl 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 675.5676 Fax: (661) 676-5694 Use BLUE or BLACK Ink For Office Use Permit #: I )-31 Permit Fee: 1/1 3 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION /1311-/934- /932- /940 Site Address: /441x- /9119- /9 918' 96 - /�zeNAW-.o Ci vZr' Unit #: ',, ,.V, ;';, =' -. ? ;ai .:.1.j sider Tis'- u.4' •<• ,'t; %bj �1er-' ' < '; ' n ,, ; ''+ <1; ;.. ; Name: Flo P2oP427-Y c 4eE, t Nt.. Phone: /051- r V- 994/9 Address / City / Zip: Rel. Bok 212 2 5- /N ' z Co-pvz 4iz.t/ ,f4 6no 94, Applicant is: Owner X Contractor ° •��(( ^^ iii ',. `%'.- = / - Description of work: IEE..t.40va 4WD Zs-ix•AV-a $,pY4 2S' Conatructlon Cost: 7 i / •• '' Multi -Family Building: (Yes x / No ___) : •;::.. .;r" :° `'S`_q ;'" "' ` f;? `:`' ..I ii?;: Company: ft -,5 ,Toif/63 RODFsn/G- J Contact CA/xis 4Q-iv0�2s0A/ Address: 9j/ W. ,s",0 Thi -477.7.-City: State: Pin/ Zip: fr020 Phone: 9.5.1 76 7 - a8/7 License #: 4P 6P Lead Certificate #: 4'4r go 8 2.7 - / 4,.5-6P ...• If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A f 1EW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: - Phone: h.0:, ,; ", ... '�. p,.{ - ,.ftE...`.. r `iiblil,f b',• ti • • 'N;.E`Pl0'0:..:4, m.4l.wr.l 4 .�.;.."... Rrfi., "v-.. ,00 f,o4:0 :.i :,$dqt:.ia:re`1.100.--0 .f�:o �.{..�0 4 N�y�d0�-,,;'.l'�/�yb�o�1, Xgpi4•�:0nJP` iw�u_r/�tfF^tp e .1..,. ,i904.0,00/1„, y;z•3/,:..:,.•• .:,.;;:P4/l"V;,r:CrY/M��R r.Q'p�u,Y[Ch .4 i, • . .,.1' :,'„i;.4 G.ill,... .. t CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www•cooheretateonecall^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 Cthe,1 /boas Applicant's Printed Name Applicant's Signature Page 1 of 3 02119/2014 12:32 Les Jones Roofing, Inc. TAX9528817009 P.0041020 'OPP City of kali Date; 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 676-6676 Fax: (651) 675.5694 RECEIVED FEB 1 9 2014 Use BLUE or BLACK Ink For Office Use Permit #: l "at_ j (LeJ Permit Fee: l..C� I. lt', Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 21 If //,/ /93y,'19:4 9� ), `938, l/940 7 Site Address: /9q4; !9�/yf /_9' /94» tri.-F.JIIFiEZD Unit 0: a,„'Y; ,, AFI "i« ;:I” �.,. 'I c, fr',",., r ;'z'1JeaJ J : ^'Gfi,r((= w- I. Phone: /v5? i Name: 7o rA 5 Z1- 95'f_ PeoP Y �-1��NG f Address I City / Zip: Re). Bp k it 2 5 //vve_Cig.ovz t,,W 6 74 Applicant is: Owner x Contractor ,; i`jt�t,, ir';f tipf _P�j4247 A _t , , ` • 1 : . `` g.07 ora e- Description of work: �'�ov� ,4-,v�o /T AP E n Construction Cost: t`jw 7,3 • �r Multi -Family Building: (Yes x / NO ( „.',,,J r,', ri .. !r', . . " s " :12 'bio ' r• •dry„? i.. ',1:s 1 , N P `�'' ` a r ,, • . ; g:3'' `•'Yf :':,:. ,, 5o i2� Company. Af5 Z/v RGIOffit/b /NC- Contact C4424 x p Address: 9 ii i W. 'c City: �/N�it/lr9DA/ State: lt4'J Zip: fr4"20 Phone: 95R - 76 7 - .?8/7 4.5-6,0 Lead Certificate #: .IIA -r 410 9 Tal - / ..•.,,, .,'f. If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) in the last 12 months, ",Yes _No If Licensed Plumber: Mechanical Contractor: Sewer Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: Phone:`n ++��&jjWater -Q f�� ( /. arty y� f '0, l' met*'4L i!' oyfr �% Ng , , ,'nt , i„, fl'”, ` Y7CG-F' ... §, '1 v. it I • � .y610 rilA`j�� ,�v/yh► - to, q 1f' ,iti 17� 11,04A0104-0104,,„ a J�/�[�� // 1 aI„6 ]� J!y�! 1 p^ 'r- S✓, ct 1yj,R 1 / t. ^K,p f �'h .,,,, %:�;,,k. 00.4 :i4. .•.•,(.., i'.' ,h.., 1"''.,? ,t Ylr`i�-.f . 1pQncligleitifir A �T.F At1lItOctidtx• ,,,,,, .,�A:,:Ai , '�I,�._14 i.1-.' '' ,11.`..11:.`1, .}• 4, ."7011,, CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00eheretaleonecalLorg I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances end 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 Gµ2iS lintDc2so f Applicant's Printed Name Applicant's Signature Page 1 of 3