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1984 Glenfield CtRESIDENT / 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�/ . ..�,,,j;�,,5t;�'�.,.,,..�.. �.:�.<, 'I,;,�r.. , �•,1•;..y_,,..:.�:-.� .:'�:;;;�;��,$�(�.Qllt/-,;;:<:;';;;; ,/ ;, ,'�, NvEJ�t.C�72o �S f,/TS: /L1sl� �.� '��e `'''�;';:��/��j�r't:;•":'`: Address/City I Zip: �o. BO k 2i 2 5 / +�� /� 1;;<�... ��� ";'.,:., ,';:,;,:�` ;.�;y::, ��'r��; :-i.; ,,�, �'�'`:'","I,�`�;:�;`��'"���''' ApPlicant is: Owner x ConVector Y l . ':.i:. �.�.-; ',.,;;>..�;:".:�., ,�.,.y:�....,. ,..,..,,:t�� �::.. �.,.i �.',.:`.::r1:�. .� �r'.F:;,�r,: .,,��r,.i:. ,.�.)'. C� ,;,;:;'s ;J�,;:.r If �e D�Nb-. �'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,>(;:>��: : . . ';� .. •�'; �;'��"%`�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 .. . � . .c, . � , • �.. ....� , y ... �,.. �..,en�......!n:t. ��i�., ..^�i,�o�n.:,`'. Q.u..�.5 ��t Q. ;7�. a.. .�iS ���!- `F SrL°;!�'� 4...,�.� :_i�'y�� .�,�'� J.� �I 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#: .. ,�,,.�.,; ....,.,,C A._..,,..,�..,,�. :�_ i: , `�;��})';�.�r� a,� `ti��u`.�'''''�',' Name: yo P�20P�Ty GA-�'E �NG. Phone: �vs/� 5'S�/- p9�1� " �.i�•r -r,�; -;:.:I::� ; �S �'R .� � . w � � ?.�;��� ^ :t�. � •>��'�;° - ,�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 � ,n::. ..-' .:. ,:�' ..,,x����, ,,�;;�. � ', ,,.;� s ;;.,, ` �2 p �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� �;. .�3�6,.:,? r,�:;,:�i?„ .....�'r,•.�Y ..F'- ..:y..�M,� ••T: r.,.,�_;Y.".�.�I�� .���Y�.: ; :�,.� ;,�;. .�:� ;a���:�,;lr'"?���;�v�-;� Compeny: �E5 �7'oN�S RaiDfs�/b- /•vG contact:c'�•e+s A-,vn�.son� i � ;� ., ,;r��.,:• � ;�;�C;.' Y :I�, x .:�di• -/ .;r,..�..;�.:��y��,.�( �.,....•'•i� ' /� ,���,.�.» �GYlGCA�TTYaN dp:,".�,h;....��,�.ri�s�.. ���i �d(8S$. '7�� w �d� �/�G i Cil�l: :�;�L,qr�4r��t�,i?�, o '_' -�...��.,�;��'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.:.. '�? , ,f... Q�. � , �j g�, ,� , . . xN H 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