4443 Clover LaneCllyofEaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
m A'( 1 1 2011
Use BLUE or BLACK Ink
cui
L
Permit Fee dad, k? 7
Date ' eceived:5/
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /f�
OWNER
Name: P'i V E f vi IN 6\ Phone:
Address / City / Zip: Li 1 _ 13 C to V r�C / �'+ 1 f1 .
`'{G�
Applicant is: Owner `)( Contractor
TYPE OF WORK
Description of work: ' p ki C�. 'i.. NeC,
Construction Cost: Z c Multi -Family Building: (Yes / No )
CONTRACTOR
Company: V)e. C K3 Th. Contact: C: i2.. 3 L
Address: i w ' ,t.j t City: ( CC J L ie
S.
State: I d 1 V t Zip: °. S \ - Phone: (051— 7 ` 3 t% - 3
� r
License #: 7a, cs? � / CT2 --,Lead Certificate #:
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
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:
Licensed Plumber.
Mechanical Contractor.
Sewer & Water Contractor
Phone:
Phone:
Phone:
NOTE: Plans and supporting docurt is that you submit arse consfalerted to be public information. Portions of
the nfon»al on maybe cf$ssi ed us rtott pubfic ify+ou providespecific reasons fhat l id peirrrit the; City to
conclude tEtat ar+e gets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. wwwagopherstateonecail.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conforma
Eagan; that I understand this is not a permit, but only an application for a permit, and is not t
accordance with the approved plan in the case of work which requires a review and appro = • f plans.
x
ut. S4-01 0:
Applicant's Printed Name
with the ordinances and codes of the City of
a permit; that the work will be in
s Signatu
Page 1 of 3
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
)(. Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% 'vlC' )
Census Code
# of Units
# of Buildings
Type of Construction
cwr
DO NOT WRITE BELOW LiNE
_ Fireplace
_ Garage
Deck
Lower Level
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
V 6
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
_ Siding
Reroof
Windows
_ Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
jA/./a-tgo)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
)4, Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
Final
Brick
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
nit ato
Page 2 of 3
ROLE
ENGINEERING
COMPRNY, INC.
1000 EAST 1461n STREET, BURNSVILLE. MINNESOTA 55337 PIi 432-3000
C 3."PZ 'Z cu1� •S` 7 W C!f
;Aged . 4 cr pa ort : L0T5 9, /0, /1,4A/0 12, FLOCK 3, 6 -DEA! AUDIT/ON,
DAKOTA COUNTY, MINNESOTA
6-1Lfg CiatiiL_ C.a
CONSULTING ENGINEERS
PLANNERS and LAND SURVEYORS
NORTH
SCALE : I" . 30'
r
it,
0
0 \
C 9 0-0 ; DENOTES EX/57%N6 ELEVATION
(130.0 ) DENOTES PROPOSED ELEV477OA/
//VP/CATE5 DIREc770A1 of SURFACE DRAINAGE
`1I.S = FINISHED GAR/46E FL.00A' ELEVAT/GAJ
v/9.0)
(1zS, ti 89° 58' 02" E
�9/9.o •;92 ,3-; /33.05
stn 42.4-090.6 5
5/ o J C� I r„ C/ " !kLoT 9 �� 1\ LOT /
1 r_ ,
31.i_) ,9_3g.J
CO ( 9297 D 44 -411 �C 3 1.9
Q7
gis.sj
DRAINAGE AND
UTILITY EASEMEAIT
1,,P
/5'7;
�3/
\c 930`26 )
I hereby certify that this is a trued correct representation of a tract of
•
land as shown' and described hereon.. As prepared by me on this 777/ day of
,V
6/4",J(!b
30' FRONT BU/LD/N6
SETBACK LIME
1•- _ Minn. Reg. No.
" OF EAGAN
3830 Pikit Knob Road
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoning:
Owner: No. of Units:
WATER SERVICE PERMIT
PERMIT NO.:
Address:
Site Address:
Plumber:,
Meter No.:
Size: Connection Charge: Reader No.: Account Deposit:
Permit Fee:
1 agree to comply with the Cit, of Eagan Surcharge:
Ordinances.
Misc. Charges:
By Total:
Dote of Insp.: Dote Paid:
Insp..•
r ur tH(iAN
3830 Pileet Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 ogres to comply with the City of Eagan
Ordinances.
By
Dote of Insp.:
Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:34 #582 P.029/079
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: -I 11945
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: cIf( S120I3 Site Address: ri4y11441IBIy'-i`�3iti43B we* wine, UnitI#:
Resident/
Owner
Contractor
Name
€ce h troi- CSO : C-1O►SS+vIri Cornwall
Address / City / Zip: 1P9? CAN West PritlictiVONI € ) Prairie, MN %3L -P-1
Applicant is: Owner % Contractor
Description of work: "Tear off and ve-voof
Construction Cost: $ W1030.00 Multi -Family Building: (Yes / No _)
Phone:
Company: Amor Cm -humpy) Ma,t 11( LLL Contact: dot ItalstectcI
Address: 51.15 ihctictrial S1'YC + *103 City: Wei Plain
State: Ivt NI Zip: ✓"✓35 1 Phone: CI ✓ Z— H Z - IL-1
License #: C 1931515 Lead Certificate #: T- ZU"I tQt--1 - 0
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:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
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. aoaherstateonecall.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,
dot lqtacl
Applicant's Printed Name Abpl(j ant's Signature
Phone:
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:02 #301 P.013/022
44!! Cityofaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: _
Permit Fee:
Date Received:
Staff:
'3 SS
10.1,
J
20162016RESIDENTIAL BUILDING
U 7 VYLD NG PERMIT APPLICATION
Date:I4t /ALO Site Address: We . L � e h./7 G Unit#: 4
Resident/
Owner
Type of Work
Contractor
Name: AWAtVA t i e$ LL, -�.1e/°l i7®i
Address / City / Zip: V41/ *y.3 4
Applicant is: Owner X' Contractor
Phone: //�1
Descriptionofwork: A'F $%Cl`% kt//7 �Ylt// SA'/rs�' f44t.4
Construction Cost: i'04 dd'd Multi Family Building: (Yes /No __)
Company: A li5r/ 4L, d a9El'K e4rovt /t X/97;h &tan C Contact:.) a .rift A 11 ern A
Address: 6-1 146 Ine44.0-/'r A i s?^ ..SN rf-/03 City: fill'`'Re/- T L r s t 1
State: (Mr rN Zip: 56635 3 Phone:4040• '745y Email: illy`/ @ %.//S-4 r.. Z
License #: f36 6/0356 Lead Certificate #: o24 1 /A V - v�
If the project is exempt from lead certification, please explain why:Div�t-1,. `el /983
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression 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.aocherstateonecall.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 Buiidin , ;:�u . mplefed within 180
days of permit issuance.
x �, ► j'//errial7
Applicant's Printed Name
x
Apollo : nt's Signature
Page 1 of 3
� 1
0EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
build inginspections(abcityofeagan.com
-------------I
For Office Use
I 7�I Building Permit #:
I I
S&W Permit #:
I
Permit Fee: I (,
I I
I I
Date Received:
I I
I I
I Date Issued:
---------------------'
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �hq el V Site Address: -
Applicant is: ❑ Owner aContractor
Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2
Homeowner Address: g4-1'A I y 4 City: �aQ0- v�
i
Stater 1AP: G51 2 Phone: Email:
Description of work: Pi P_ Q Cs t —
Type of
Work Construction Cost �
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan .M 0 ontact: (20v' �' f
Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_
State:Awip: 55366/Phone&
15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction j
I License #: Expiration Date:
` 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
x
Applicant's Printed Name A licant's Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
build inginspections(abcityofeagan.com
-------------I
For Office Use
I 7�I Building Permit #:
I I
S&W Permit #:
I
Permit Fee: I (,
I I
I I
Date Received:
I I
I I
I Date Issued:
---------------------'
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �hq el V Site Address: -
Applicant is: ❑ Owner aContractor
Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2
Homeowner Address: g4-1'A I y 4 City: �aQ0- v�
i
Stater 1AP: G51 2 Phone: Email:
Description of work: Pi P_ Q Cs t —
Type of
Work Construction Cost �
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan .M 0 ontact: (20v' �' f
Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_
State:Awip: 55366/Phone&
15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction j
I License #: Expiration Date:
` 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
x
Applicant's Printed Name A licant's Signature