1952 Glenfield CtRESIDENT / OWNER
Name: P2oPeRrY ('A ..E /Az Phone: 65 I- 5S4/- 994
Address / City / Zip: P o. Box 2125 b NV EP ( wve liE161 fTS ///iii 53
Applicant is: Owner /s- Contractor
TYPE OF WORK
Description of work: REMO 4luL P6 1 -C E Se &t.tD KOOF
Construction Cost: $ 2 i i 000 i Multi- Family Building: (Yes / No )
CONTRACTOR
Name: 13E1 T& EX - tog- Aril NT. COP License #: 2602 V//3/
0'
Address: `� 0 5 W. (JD s772EE'l' City: �Gtfl/IC�l�I/GlJ
�!
State: NA) Zip: 5T5 q Phone: (p 1 2 — gr - 6 2 I /3
Contact: PA-14L /4. Email: JMf' beMgM Com
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.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
C .
Applicants Printed Name
City of Earn
Applicant's Signature
Ear Cfflce O§P.
Permit # 96 (
Permit Fee: .564 ✓e)
Date Received:
Staff:
/6a (lo /C,
Use BLUE or BLACK Ink
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: FISO, S2 5 1 .S4 S$ ( n, to - M' GLEVFleu QUIT
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
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 • c'‘' OFFICE USE ONLY
CITY OF EAGAN 1 METER # PERMIT DATE 12/04/91
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12418
METER SIZE B.P. RECEIPT # C 15618
ISSUE DATE B.P. RECEIPT DATE 10/01 /91
DATE 9 - 26 - 91
PRV — BOOSTER PUMP
1950 1952 1954 1956 1958 1960 1962 1964
SITE ADDRESS &xikkietkx433uriu3te�1$ticy G El+NFIE D CT PERMIT REQUESTED
LOT 4. BLOCK —SEC /SUB Di f fl ey Commons
X SEWER X WATER TAPS
APPLICANT: The Rottlund Co. Inc.
ADDRESS: 5201 E. River Road COMM /IND X RESIDENTIAL
CITY, STATE Fridley, Mn. zip 55421 X NEW EXISTING
PHONE: 571 -0304
La > eprinkler Meters are to be Installed
PLUMBER: Valley Plumbing A - - . • f Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane Cr ;. ILL NOT be given for Deduct Meters.
CITY, STATE Jordan, Mn. Zip 55352
PHONE: 492 -2121 /N d ....:_ _ .......
I AGR - T • C + MPLY WITH CITY OF
OWNER: mha ROtt l and Co _ Inc - EAGAN. • - •I ANCES
ADDRESS: 5201 F. River Road
CITY, STATE Fridley, Mn. ZIP 55421
PH0 571 -0 SIGNATURE WHEN METER ISSUED
PL SE O WOR G S FOR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER R T , CONTAC ENGINE ING DE T.
06/17t2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.005/020
Use BI.U�or BI.ACK Ink
� For Oftice U9A` ^ �
. ' j Permlt#: � l,�� I
� � I I
it o a a� � permit Fee: +1
3890 Pllot Knob Road
Eagan MN 56122 j Dale Recelved: j
Phone:(659)67b-6676 I I
Fax:(651)875�5694 . � Stalt: ;
`________________J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
/ySD-/95�?- /9,S�f- 195�
eace: �/i���f� site naaress: /9s8 l9bo-/96�-�9�y ����e�v �•�e�" unicx:
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;�iy,r,�r'�^:�;1i''�'r�' �?'r,: �`�i'' APPIiC�r1t IS: Owner �Contractor
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1� Y �,Q��v1�9rk� � Description of wo►k: ��iltOd� �Na �E'fx/�E siViN6,
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;.,`,'�'t,1;t�;"�r�M`��a.�" `->�;;r; Construcdon Cost: �a�9 ��17. '� Multi-Femlly Building:(Yes x /No`�
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��`�?'��'��'���� .5�?;''"�``'"' ucense#: �S7oD Lead Ce�tlflcate#: .f/.4-T `a`O 3 7.?-/
a ,,i� :�•� <;:i�.p;: -- —
If the project is exempt from lead certlflcatlon, please explain why: (see Page 3 for additional inforrnatlon)
COMPI.ETE THIS AR�A ONL.Y IF CONSTRUCTING A jV„�,l BUILbING
In the last 12 months,has the Ctty of�agan Issued a permlt for a slm(lar plan baeed on a master plan?
� _Yee _No If yes,date end eddrese of master plen:
Ltcanaed Plumber: Phone:
Mechanlcal Cohtractor: Phone:
Sewer&Water Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gophar Stata One Gall et(661)a64-0002 for protecllon flgelr�t underground utlllty demepe. C91148 h0ure
before you Intand te dlg to recelve lacetes of undecgro�md u111ltlae. wu�w.aooherstateonecall.ora
I hereby acknowledge thet thls Informallon Is complete and eccurefe;lhet ihe work will be ln conEomtence wilh lhe or+dlnencee and Codes o(lhe Clty of
Eagan;that I unde�stend thls Is not a permlt, but only a� appltcetlon for a permll, end work(e noi to start wlthout a permlt; th01(he work wlll be In
' aCCOrdanoe wlth the epproved plan In the Case of work whlch�equlres a reYew end epproval of plena.
Exlorlor work euthorlaed by a bullding pormlt Issuad In accordanca wlEh the Mlnnae0te Stata Bullding Code muet b6 ComplBled W(thln 180
d9y6 ot pormlt Issuanco.
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Appticant'e Printed Name AppllcanFs 5lgnafure
Paga 1 of 3
0211912014 12:32 Les Jones Roofing,Inc. �A��528817009 P.0051020
Use BLUE or BLACK Ink
� � For Off(ce Use �
C' f n ���..�C���C� j Permlt#; �2'(.,' � Cn� j
��� O! ���I��l � Permlt Fee: ' � ,� �
FEB 1 9 Zp�� � �
3830 Pllot Knob fioad •
�agan MN 66122 I Date Recelved: j
Phone:(651)676-66T5 � �
Fax:(851)676-6694 . � S��• j
�_—..-.��������.-.____J
2014 RES11)ENTIAL BUILI�ING P�RMIT APPLICATION �.-
�4s�, �9Sa iqsy i9s6
Date: � �9 �• Site Address:/9�8 /960 �'9Ga /96'� �"�Eit�Fi�z.L� ��oc�.�`="Vnit#:
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��;F„�T� �h��'' � r �,,�: Address: 9 K 1 W. �Y.
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,Y�:A'��''�'';` ";;1�' �:h>.�' State:�Zlp: .�3'^'�2� Phone:, 9'SA� 76 7-a?8/7
,� �.G.Ji�- (,i1��•/,t:.. �u�a(��v`
.�,F.���,r�?�:.G,;`Z�'1�'�;'�''� ti � License t�: v��o� Lead Certlflcate#: �l,4� �f o 3 9.7-/
.i,:kY �.i:��:
If the proJect Is exempt from lead certificatlon,piease expiein why:(see Page 3 for additianel informatlon)
COMPI.ETE THIS AREA ONL.Y IF CONSTRUCTING A NEW BUILDING
In tNe laet 12 months,has the Clty of Eegan Issued a permit for a elmllar plan based on a master plan?
_Yes _No If yes,date end address of master plan:
Llcenaed Plumber: Phone:
Mechanlcal Conhactorc Phone:
Sewer&Water Contractor: Phone:
a �.Kt I�a�•�/�C7�Ga�'�,�;4�` A�' V 'v..4.u�"�[�fl y�/n�`�..� '� 4 i� �.n��� xY' ��Hb '.�IYI�YW��r�b,' ,��.'/ .�,.��Q �y�i,�"�F�(1��µ$�/•'��y�
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CAI,I.B�FORE YOU DICti. Ce(I Oopher State Ona Cal�at(fi61)464-0002 for prolectlon aga�st undergro�d ulllily damage. Gell 48 houra
before you Intend to dlg Io receive locates�underground utllluea. www.aaaneretalaonecall.om
I heroby acknowledge thet thtB InfO�m�tion(a complete and eCCUref9;lhel Ihe wodc w111 be In confortnenCe with the ordlnances end codee of the Clty Of
Eegen; thet I undersland fhis Is not e pertnit,bui onty en eppliCadon 1of o pe►mlt, and work is nol to etert wNhout e permlt;thel the work wili be In
eCCOManCe wilh the approved plen in the caBe ot work whlch requlreB a revlew end approval of plans.
Exterlorwo�k aethorized by a building permit Issuod in accordflnCe with tAa Mlnnasota 3tete Bullding Code mu6t bo complsted wlthln 180
dayo of permlt Isauanca.
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Applicant's Printed Narne Appl(cant'a Signafure
Pege 1 of 3