3448 Highlander Dr•
RESIDENT 1
OWNER
T f —
Name; _Li 1 1 _I .) / it r ! t 14 .1i iL «..
P
0' $40 __ all �
Address / City I Zip: �' .
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 1- # A i 2 — L_I S A + r.� _"
r lV (V
Construction Cost: fu OD Multi- Family Building: (Yes _ 1 No )
CONTRACTOR
Company: & 01i Al Contact LL/l — & — •1 6 1
Address:40o0 �-�LOe City; . L�1(. c
State: l YLA- Zip: (554t Phone: 6 & ., —1q R
l •'' '
License #: I 0 Lead Certificate #: IV 4r c JQc
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. documents that you submit are considered. to be public information. Portions of
the information may be classified as non public if you provide specificTeasons that , would permit the City to
. conclude that they are trade secrets. - -
Jun. 8. 2011 2:47PM SELA ROOFING
%T City of Eap
Pate:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675 -5694
C9€'
Applicant's Printed Name
C
pplicants Signature
No. 6530 P. 26
Use BLUE or BLACK Ink
Fpr_( £C o
Permit #:
Permit Fee;
Date Received:
Staff.
9q7aN
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:c g • �c APPLICATION/1,,
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 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 errnit; that the work Will be in
accordance with the approved plan in the case of work which requires a review and approv of plans
Page 1 of 3
1 w ' PAGA N WAT = r
.-. Pd Knob "Road , Rlv1 N4 1
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4 Addre s s
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Meter�No � � Connection CFi6rge �
Sizes Account Deposit
Reader No. Permit ` Fee "crt► °� •
1 ague to comply with the'City of Eogan S -+'
Ordinances *`
t Misc `Charges y
Totat :)
Y . `, w Date Paid
Dote of I nsp : � �� ®�� ® I ns
,, , ��►N' ' EW SERIICEPERMIT H:.:.:....r.,::.,,....s...,::..•...::•',...'.:'...:'...:.:'::::,:.....::..'...:..:.r...:',.:,.'....,........:.:.,..''......,::-...:..,,...:'':..........r...:,.:..-.i.'...-......I....":.::.':.,,:...-,.....:..:::::...:..-.......':::.,..-.-I.,...''..:..,....:':..::..'.;:..:...:''.',.,:.,.'....'..'..'.:.::;;
$aPilo Kn ob R a,` ,, �� a ,
E 1 MN 551
;. � DA
. Loning 'Y� ` „ 3 { No of tlntt xu..$ w as ;.�
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Owner '":s
Addrss _
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t Piumber: ti .. ,, t
'rz3 .' 't�.,
�1 ogree to comp •w the . City of E a g an z; Connect'an C h a rge a v i ; . � .
Ordinances. A D e po si t
Permit Fee
Sur `` I
Miss Chores
s y g
Totol
Date of Insp
.Insp.: `" � 3 � � � ' Date , Pai
•
Use BLUE or BLACK Ink
*iii!!!!0••
For Office Use 1 Q
Permit#: ` 1?-
City Ol Ea�a� Permit Fee: 6 etz. e 1-tcD
3830 Pilot Knob Road
Eagan MN 55122 Date Received: �A
Phone: (651)675-5675 RECEIVED
Fax: (651)675-5694 if
MAY 1 6 2017 Staff: C;
2017 RESIDENTIAL BUILDING PERMIT APPLICATION L^ 11
Date: t 7 Site Address: '31 G Q 1�1
�( r. Unit#:
l
Name:
s , � Phone:
wrier Address/City/Zip:
=� Applicant is: Owner Contractor
g t Description of work: '.: b:" 1
Type of Wo'
%* Construction Cost: Z5"0 0 Multi-Family (Yes /No
� Building: )
c� (A) 1I 5 -c�'wr
Company: Ati✓&A G c� Contact: J ei rr y �%�►✓`�ti
Address: 56Sb S+vteta 1.4.%1 City: PrL5r' Lrr
""--t"* State:/�ilVzip: S-Sit Phone: �/Z-387-h761mail: Si-r✓" c A-OL Lo w
License#: /�✓✓✓� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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 Intl su. ® �rrf d e e ' be'
n.
� that y�r� �- � onsrtdered to be;�f� gi �r4on. Porti®ns of
information mayt. classi I -publi,c� e .;,7,74;,- of f o ' ,0 permit the 4 s
•' •nc ude t± Hey are trade
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.qopherstateonecall.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 1 er Y�l w�r►we 1 j yr
x
Applicant'sfPrinted Name ` Appl is Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
•
SUB TYPES
Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace Repair Egress Window Water Damage
/ ` Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation )3, �? Occupancy 11N-a MCES System
Plan Review Code Edition ' -O'(( SAC Units
(25% 100% 'X ) Zoning ( 3 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing iC Retaining Wall: ?C_Footings ?C Backfill X Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: f .,- , Building Inspector
RESIDENTIAL FEES
Base Fee P4
Surcharge Op irT
Plan Review IJ11
,
MCES SAC
City SAC S.'"'''
Utility Connection Charge r
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
LOT SURVEY CHECKLIST FOR RETAINING WALL iLta.e1-1
BUILDING PERMIT APPLICATION
34-44%44- N;a! cyoJld1
Applicant Name: TICII I W ! - 6 4 ie--f
DATE OF SURVEY: >/ji/Ib
LATEST REVISION:
m
a)
ea **Permits required for Retaining Walls 4 feet high or greater.
cc
O z Q DOCUMENT STANDARDS
0 0 • Registered Engineer signature and company
jd' 0 0 • Building Permit Applicant
0 0 • Address
0 /1 0 • Legal description
0 rg 0 • Lot lines/Bearings&dimensions
0 ' 0 • North arrow and scale
0 ,W 0 • Street name
0 0 • Show all easements of record and any City utilities within those easements
❑ )Z 0 • • Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
0 0 • Property corners
0 ,V 0 • Top of curb at the driveway and property line extensions(only if wall is within 30 ft. of curb)
. r 0 0 • Elevations of any existing adjacent homes
)2' 0 0 • Adequate footing depth of structures due to adjacent utility trenches
0 ,PI 0 • Waterways(pond, stream, etc.)
❑ 0 • At the foundation of the building and/or nearest structure
PONDING AREA(if applicable)
0 RI` 0 • Easement line
❑ ,� ❑ • NWL
❑ , ❑ • HWL
0 ,I'! ❑ • Pond#designation
0 / 0 • Emergency Overflow Elevation
❑ )2' 0 • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
RETAINING WALL INFORMATION
/ 0 0 • Location of Retaining Wall on property
Jr7
0 0 • Top&bottom elevation at each end of wall and any change in elevation in between
0 0 • Type of material (i.e. modular block, boulder = c)
0 0 • Directional drainage arrows with slope/gr-
Reviewed By:��/.�.�'►itit_44/1 Date /2Z 7
G:FORMS/Building Permit Application-Retaining Walls Rev.5-4-09