1978 Glenfield Ct
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RESIDENT / OWNER
Name: f 20PERrY r...- IA. Phone: 651-- SS'/ 9941
Address / City / Zip: Po. Box 212S Ali/b72 G2ovr > &H-rs /VIN S So 76
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: KEMOVE /kV 0 kfrakE gthiv &zero Qppf
Construction Cost: til .2 9, 00 0 Multi- Family Building: (Yes / No
)
CONTRACTOR
Name: 13 E1 EicirT.(o/2. A,tp -I NT. Cole P License #: 20 V{7/ 3/
Address: q0 W. 60 srnEer City: �cAfN�c�/JGJ'
I
�
/ n
State: N Zip: 5T5t1/ 9 Phone: (01 — g(o/ - 6 2 3
Contact: P,4- f L H. Email: MA {a bel,c M . CO ryt
COMPLETE
In the last 12 months, has
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:
_Yes
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:
Tenant:
City of bpi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
Staff:
Use BLUE or BLACK Ink
EarOffcr~11�
Permit #. �(U✓
Permit Fee:
Date Received:
/ 0016 47
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
ezi)
10 /20 //o Site Address: 1%,/9 ;s; 70 7 76, 7S bs''O 82 86, 88 Cver
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.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,4',e /S if/451.T0i/ /
Applicant's Signature
Page 1 of 2
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER PERMIT DATE 12/04/91
#
3830 Pilot Knob Rd, 12419
Eagan, MN 55122 -1897 CHIP PERMIT #
METER SIZE B.P. RECEIPT # C 016048
ISSUE DATE B.P. RECEIPT DATE 11/04/91
DATE 10 - 25 - 91
PRV — BOOSTER PUMP
1966, 1968, 1970, 1972, 1974, 1976 1978
SITE ADDRESS 1980, 1982, 1984, 1986, 1988 0 �I�I,a±iv ' CT PERMIT REQUESTED
LOT 5 BLOCK _ SEC /SUB 11, f f 1 ey Commons
X SEWER X WATER TAPS
APPLICANT: The Rott1nnd Co Jrlr_
ADDRESS: 5201 E. River Road COMM /IND X RESIDENTIA
CITY, STATE Fridley, . Mn. ZIP 55421 X NEW EXISTING
PHONE: 571 - 0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Va 1.1 Py Plumb i ng Ah: _ : of Domestic Meters on Water Line.
ADDRESS: 610 C` r P Pk .. a ne Cr : • LL NOT be gi • n for Deduct Meters.
CITY, STATE Jordan, Mn. ZIP _55352
PHONE: 492 -2121 t. / _41i_
I AGRE 0 •'• MP Y WITH CIT OF
OWNER: The Rottlund Co. Inc. EAGANORDI AN ES
ADDRESS: 5 201 E_ "River Road
CITY, STATE Fri dlPy, Mn ZIP 55 121
PHO 571 — SIGNATURE WHEN METER ISSUED
PLO WORK AY5 FO P °' Slat. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT, r pi'1
06/17t2014 15:05 Les Jones Roofing,Inc. �AJI�528817009 P.006/020
Use BLUE or BLACK(nk
�-----------------
� For OHlce Uce �
� j Permtt#: 6 �� j
C�ty of Ea�a� � � � �� �
� PermN Fee: �
3830 pilot Knob Road
Eagan MN 66122 � Dala Racelved: �
Phone:(661)6765675 I I
Fax:(661)875�5694 . j S��• 1
�������������.�.�.�_J
2014 RESID�NTIAL BUILDIIVG PERMIY ApPLICATION
�9G*6- /9b� /9�0-/97.2-/97� /9'7����'I8'
�ate: / SlteAddress:198o-/��2-/98y-�98�-/9�� l�En.F�Ez,o C��Q u�it�:
�li.': /�'�.:: :1 .�`.�::A.+�;
` !13..•;.'�:.`;t:�c'.�rJ� .
: �,:;:.;;,:.,...,,;;,�:;�;:<;�::,�;:�:� Name: ya P�oPa2rY c�a-�� 6/�c.. Phone: �v�!- s.s�/- 9q'y�/
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`'''�;';:��/��j�r't:;•":'`: Address/City I Zip: �o. BO k 2i 2 5 / +�� /�
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�'�'`:'","I,�`�;:�;`��'"���''' ApPlicant is: Owner x ConVector
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�'i�:L�_ .�Y .0"'1'-'j.i��^'�;tr',;!�,;.� Descripdon of wo�k:_ly�/l/l0�/� .�� [L�iQ � S/
;:•��������f aW,��'{�'.,":; � '
�:;;-;=;;"''""�."''��`-�'�`�` Constructlon Cost: � 2�v D D� ? 4 X
'�1'�X''�:�'��• ;'`1���+:Rti MUItI-Family Building:(Yas /No�
n'(•"��; .�A',::
. i.�f�/,.�t.,,ti����.T:.:�:i:�i����`1.��'�r.��:'�:
:{' .' �f����.�r�1�`W�:� ��',,.-I /
�'�`- ������,"';,�:�z°�"";;�`>'; Company: �E'S �ToNE3' RADFfi✓G- /NG , r� �Q�-ivor�2so�/
;,s',f\:'�.. :...:::......:_ Confsck G .e�s
�i::�i';?'''�`<r,';�,.;`; ��';�,':S;i,>(;:>��:
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�;'��"%`�M�'F�:�::,:�'��r`�'a!�s:���,� Addrass: 9K 1 W. 8'D� .f7�2�L'7" City: ��.a.u6i►'ai✓
:,,, .� ,;r
,�:; ;�ari'�ra;�t�'r���;;::
� :<�;r-'�;��,;:'•%' �:�� :�`<'',� State:�zip: ,�,��E�D Pho�e: �5�- yrc 7-�8/9
t:' ,,:;,S;.;J:.c, ,:;'.
'+° '.ji;.tli. :����„�' ��:�����
�''�1'��:� •::iit.'.- � ,��'� ,
� '".•' �`.it. ':'�r'�'__'.
�"�' ''� �'''`` '°` ��cenae#: �S�roO �ead�ert�flcate#:
�;a::'� ,;R�, ;';�,.; .vA�� �f o 3 9.?-/
';�:.. .�...
If 1he project is exempt fram lead certlficatlon, piease explein why: (see Page 3 ior addiE(onal information)
COMPI,ETE THIS AREA ONI.Y IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Clty of�agan Issued a pennit for a simllar plan based on a maater plan?
Yes _No ff yes,dete end eddrae8 of master plan:
Llcen9ed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer 8�Water Contractor: Phone:
'i� .�.. _ - q::. „c..��w: ��.�� .�p.��,w.s.0 ,q• .,n oa�,:,,{.�:�- ,';i
;w,��'KOTL�,i..I�ris�an`-�' <'��!. 'rid'�ie�"ryj '�tli"f�' ur�ii ;�a�� ,.cb s 'e'�' �'°'�� ''� I � t o'" a o
<, .,�.Q.,.,;��:�, ��,;.,�'P�,;.,1�ri�►f ,.�� �l!��s, ,�t,,..Y.qr,,,.. .;�►ta r'� .,n ;T�I.,�r�4�:t°����!�1,��., r�#.���„,�, n ��"�;�i n�, �,��,;
*�i `r �y- {�" '�"S, ' t / A' i, a 1 � I / �+, � n.�„ J�,%.y��'„ ��j ; � � s�p� �i
'��r�°f�e;l�io�atl�1�? 8�/���4C�a�5`,��?f�,d.�S�'l�.Qhir,jl����f ��j�1)'p�/�:����!'�'���e��'+' Q , �,Sr .�,�51;{r��IF7:� ��St�a „�F .�b�rJ'i
� j� , ,H � r, V�� . 2�. aA'.l u�s•,4..0� � �,7 a �P'.:s(':"b•��� � �•,;�i. ^t�. �,7�� ��� „r;.,e:,,%�� ,�;s�.i l. ;.�
��,t.�i r ���y^� !.a Yv � J.'ti� s �� r Q �i� � iK,�..-t'x,y.r�j� i
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CALL BEFORE YOU DIG. Call Gophar Stato Ono Call at(661)464-0002 for protectlon agaln5t underground utlllly damage, Ce1148 hours
before you Intend to dfg to receive locates of underground ulllltlea. www.gopherstateonecall.ora
I hereby aeknowledBe ihef thls informallon Ia camplete and accurete;thst the work wlli be In co�ortnance with the ordlnancea and codes of the Gly af
Eegan;thet 1 understand thls Is not a pertnit, but anly an applicallan far a pertnit,and work Is nol to Start uAthout a permlt;thet lhe work wlll ba In
accardance wilh Ihe approved plan In lhe case of work which req�res a revlew and approval ot p1an8-
Exterior work authorized by a bullding parmit Issued In accordancs with the Mlnnesota Stata Building Code mual be completed wllAln 160
days of permlt Issuance.
X Gµk�s �4�rDE�sa,�/ x ��� G���
Appllcant's Printed Name Applicant's Slgnature
Page 1 of 3
02119/2014 12:33 Les Jones Roofing, Inc. �AK�528817009 P.0061020
� Use BLUE or BLACK I�k
�-----------------
��C������ � For Offlce Uso �
� ' FEB 1 9 71114 � pa"„��'�: ���� ;
C�ty of �a�a� � ���
� Permlt Fee: �
3830 Pilot Knob Rosd
Eagan MN 6b122 j Date Recelv�ed; j
Phone:(661)675-6875 j S��_ I
Fax:(661)67G-569a .
� I
���.__�----------�a
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �f
�4��, �q�s,�9�0, �9�a, i 9�y i9��
Date: 2 �9 � SlteAddrees: 1478 /98 /9�1 1985/ ♦ � �Unit#:
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A._..,,..,�..,,�. :�_ i:
, `�;��})';�.�r� a,� `ti��u`.�'''''�',' Name: yo P�20P�Ty GA-�'E �NG. Phone: �vs/� 5'S�/- p9�1�
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� •>��'�;° - ,�p•;'r;•�.'�M1 Address/City/Zp: �O. �30� 2►2 � /NaElL�,o✓d �'S� ��o
.�. <;r. ; ��^¢'Y.•:.�:..�
�S��M>;��• �%�� � �`���'�`��� X Contractor
G�.•���:�� ,�y��'�,p,.�b.���;+� ApPllcent le: Owner
�
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�1� „.��, ;�f'+ �;: Descriptlon ofwork:��D�E A�/VD d"TCPLlff.S //a»P �� ���2-�4�'i�r ��
�`�Y��';Of 11V,Q�±IC:�; .
"� � �' ""� "� "a �`= 1''� Canstructlon Cost: � / � 7� Mul6-Family Building:(Yes X 1 No�
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r.,.,�_;Y.".�.�I�� .���Y�.: ; :�,.�
;,�;. .�:� ;a���:�,;lr'"?���;�v�-;� Compeny: �E5 �7'oN�S RaiDfs�/b- /•vG contact:c'�•e+s A-,vn�.son�
i � ;� ., ,;r��.,:• �
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dp:,".�,h;....��,�.ri�s�.. ���i �d(8S$. '7�� w �d� �/�G i Cil�l:
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'_' -�...��.,�;��'1,x..r`:,.,;n��;; State:�zip: ,�,t'k�2o Phone: 9'SA— 7�7- a?8/7
N1�''�✓'� ���1C�(.�J;;.�°I, ..^�V.� .
' � '�;,r`a:M La^:.T'�'�' � '• �J�D �
��a":A �v�cy ��,fi,, ^��' Llcenee#: Lead CertNlcate#: �l/,4� � � ��—(
.::'�:.:_ .krf... ',�..e�....
If the project is exempt from lead certlflcatlon, pleese expfein why: (see page 3 for additional information)
C�MPLETE THIS AREA ONL.Y IF CONSTRUCTING A NEW BUILDING
In the lest 12 months,has the Clty of Eagan Issued a permk for a slmllar plan based on a master plan?
,_,Yes �No If yes,dete and addrees of mastar plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: phone:
Sewer&Water Contractor: Phone:
i:' � t.'..I, r����' „1'�', -a�,�.��.1�1,'t�ftiia�-t',Q�'' �b��+� �:�'��°�l�f�.H'Cryz tbe°"ubll"in'�:Q�" �'E�{:i,S;h-�`IxQ;��"�i►s�,offt„
.,�'`��� •�.,^ '�a1:i�t :� �'' a� 1.';�`.y,Y'�4� �" ;�"°.' r .1 �� �?,�.W-�cc �� �.� �(:.,lr.. .��t ha+ �r •
�a.�'n ��rr�,�, �yy'i�n�r.t�� ,�b��-b�s� s��``��' �e Q� �i�l.. �t', /��r�ra+�,��� o�fi � ����+.�. ��a:�p, r,�►�:'t��o��p< }��...>�g
a..� '�`�` !Y� J' .�X � � i! � �:7 r�. �,� � �..'� ff�� �. 3 r. � � r^+•�lf�',.w
1. ..,M�y�y�� 7,.1.7 ;4.�. . h,� '�.r �k'• w �� �.,IM� �.� �: vr� �,d - L �5:�.:dt.:.. '�?
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t1fu..,i:��l,...�,:,,«�.b.�t'�,.�i?;. ..;.u�t. .:,,. : "�•i �...... .(�.::.�:a;...:G.(�.IC.��+.�m�1��91 [����.r.:?fr.",x. f:..�....� gi .ii.a�� ...F;: i�..c�C�; :� 'M iCl,.�r: r_'it�`� u
.� ��: ..Y.
CALL BEFORE YOU DIG. Call Oopher 9tata One Call 6�t(661)464-OOOZ for protecflon agalnat underground uUllly demage. Call 48 hou►s
before you Intend to dlg to recelve locatee of underaround utllltles. www.aonher9taleoneca��.nrn
1 hereby ackno+Medge that thle Info►matlon Is complete and eccurate;that lhe work wlll be In canformence wlth the o�dlnancee and codee of the Clty of
Eegan;thet I underetand thla le not a permlt, but only an appllcatlon for a permlt, and work le not to stert wilhout e permlk that lhe work w111 be In
eccortlence wllh the epnroved plen In the caae of worK wntch requlree a revlew end approval of ptens,
Exterlor work authorized by a bullding permlt lesued In accordance wlth the Mlnnesota State Bu1lding Code mu9t be complated wlthln 180
days of parmlt laeuanca.
x Gµ,@tS �4AlDEl2,�o^/ ��lr�� .G�s�s��'
x
AppllcanYs P�Inted Narne Appllcant's 3lgnature
Page 1 013
( D �O 5tv
Use BLUE or BLAGK ink
I For Office Use--------- I
� ��1,���1�`�i� I Permit#: ���� I
cl�y of ����� � —
r � Permit Fee: ��a �
3830 Pilo t Kn o b R o a d 5 �'S ��� � 5 7�?'f I '" i
Eagan MN 55'122 �D ' � Date Received: �J.� ' �� I
Phone: (651)675-5675 I � I
Fax: (651)675-5694 I Staff: I
I i
. . : ������__���������J .
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
- ,� Name: �QS rl M e I `�{1� Phone��� � 3 I C� 5 a�3
kResidentl � � ���� ���eE'1���� 1..;0O✓�
' � ,.�Owners"� � � Address�city�zip: � � � �
'�� �-� �
' �;�; � �„ � r;� Applicant is: � Owner �Contractor � � � �
�;�
,���q � � ���� Description of��work: � � � ��� ��a�"��� �d � f'�����'�-�Y1'LQf'T �"'
TYpe of�Work o 0
i � � ,
. Construction Cost: � � �� ` Multi-Family Building: (Yes /No )
� �� ��� � ��I I�n(�.-�o n �rr�p�o�er�'�-t-s ��..�� �
f � Company: Contacfi
� '�� �f �� � � �3°�3� �I�d w b►�oo�.�d � � � 1 C,o v� s �Pa✓ K� �
c v. Address: City: "��
Contractor :� � � � � �n ,
z� C q 5� 3310�° d
State:�Zip: � `��a�'Phone: v' maiL
t License#: ��� �� l Lead Certificate#: I � � ��� ' '
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months; has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanicaf Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE Plans antl supporting''clocuments that you sulirrrit'are"'cons�dered to�e public'�nformat�on'�Portions of :
fhe mformaf�on.may;be classified as non-p�ublic if you prov�de,spec�fic reasons�thaf would perm�f the C►ty to ��,; �
�coi►clude fhat fhey are:tra7c%e secrets, . p:� `„�.� ,� ,! �'� �.�M `,.
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 staR 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�' r'►'1 ►�'� �--F.l 1� X J
Applicant's Printed Name � Applicant's Signat e
Page 1 of 3
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