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3635 Denmark AveAug 18 11 01:46p Gates General Contractors 40 11 ' Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 CONTRACTOR `: 7634387710 p.4 C.Z— x Applicants Printed Name Applicant's Signature Use BLUE or BLACK Ink �C For Office Use / (� Permit #: ! O Permit Fee: '3/0%76' Date Received: Staff: // 2011 RESIDENTIAL BUILDING PERMI APPLICATION m � 6((gi 7 r •>-Li 36 E563� Date: Site Address: j ( 1 ` Unit #• Name: 1 P7C0---- 4 /1 • RESIDENT / OWNER l Address / City / Zip: Applicant is: Owner fr6cntractor TYPE OF WORK Description of work: - te-Ar Construction Cost: 7 v - v Multi- Family Building: (Yes " / No ) _. _ ,...•_ _.... _.� .. ■_ . . Company: � iP'f�S� C9 �-*� �rti9 dis 7�' 411- Contact: / ` ./c :' c ' ._ . • Address V'1deN! ifi i L,a/ Sl � aO - &S) City: r- C v)'"4 5 State: el Zip: - (7 Phone: / 4!� License #: 79 Lead Certificate #: / If the project is exempt from lead certification. please explain why: (see Page 3 for additional information) Phone: 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: 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. CaII 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. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o . finances and codes of the City of Eagan; nderstand this is not a permit. but only an application for a permit, and wo not to start without permit; that the work will be in a 9 anh the approved plan i e case of work which requires a review and ap • •o al • "plans. Page 1 of 3 EAGAN TOWNSHIP - y 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: April 11, 1972 Number: 611 Billing Name: lira Hori Homes Site Address : & 1294 Cru:3trid; a & 3635 Luwu:Ax Owner: • =,,ma Billing Addreas3 Ko1at d Plumber: Thaapson Plumbing Co. Location of Connection Meter Size Connection Chg. Meter No. Permit Fee '10,CO ixi 4/11/72 Meter Reading_ Meter Dep. .50 16 4/11/72 5 meters dL 00.UU us. Meter Sealed: Yea Add'l Chg.3 Pd 4/11/72 NO Total Chg. Inspected by Data 7 - 1 "' 7 Building is a: Remarks: Residence • Multiple Hat. tn Commercial I(u . _ f L L METE S. Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: ThCnp.,on 1le:,bing Co. Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 4/ gi - 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PEREI=T FOR SEWER SERVICE CONNECTION DATE: 4ti 11 11'1972 NUMBER 1 ' OWNER: I�:r i:o.iaon 110i40.1 1291, Cr jrrid;� :c 3635 c :)637 uer Address PWMBERTn ;,ri Plwnbin` !;n. TYPE OF PIPE • DESCRIPTION OF BUIIDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge Permit Fee 16.•..:J r.,, b/11/r7 0 p-4/11/7=: Street Repairs Total Inspected by: Date J :7L ∎ 2 - Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota•County, Minnesota By • �w�:oim Co. df Pleashe notify when ready for inspection and connection and before any portion te wor ie cove Use BLUE or BLACK Ink r For Office Use * ' 'I kii ., Permit#: , / ��U 44!!10) City of Eaaall 7 Permit Fee: /�c* tee n 3830 Pilot Knob Road t Eagan MN 55122 Date Received: `� �� Phone: (651)675-5675 Staff: � Fax: (651)675-5694 f 2017 RESIDENTIAL BUILDING PERMIT APPLICATION CIS. f 3 , (7 Date: 43- 1-5 - \1 Site Address:36 5 PEh)1.A 4 a, �t C1�A( J .Unit#: ��►J ( e 1 , Name: ( Q v.) c ( ( Phone: r�S f r-� Z S� esl s ®, ti Owner Address I City/Zip: 3 &cj �A v"& 1 . \ . Applicant is: Owner Contractor 4-14 2 Type©1Work Description of work:. 044_6_C__(.4,, r+16° ``/. r)eck r a Construction Cost: L4.01 Multi-Family Building:(Yes I No ) Company: r, Contact: (. G 0 U 1 it,. tOhiraetoriP Address: City: ,,----!÷1%. ' . State: Zip: Phone: Emai ,, 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: NTE Plans sup°® a d r ° is that subm coh$r a to be Ipublrc informal ° . °ns of , e information may'be cia'yn °as non A ®{llc 1 yo !--;-t/;f® C reasons at ul ® q e' it„)/to ttfy 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.00pherstateonecall.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. Applicant's Printed NYme AP'... .., t');Signature Page 1 of 3 .--•6----7<-6-- i O 4 PW ' 'DO NOT WRITE BELOW THIS LINE /6780 c- SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi) Multi 7 E 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 ):--•/ 0 00 Occupancy MCES System Plan Review Code Edition N4,01 5"` SAC Units (25%_100% ) Zoning1219City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1A Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 7k, Footings (Deck) Final I C.O. Required Footings (Addition) V Final I No C.O. Required Foundation Foundation Before Backfill f 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 Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 0(TOC''' Plan Review MCES SAC City SAC Utility Connection Charge rV1s N) 2 4215 S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 izi.ZO.D-r, -3 t.,35 rDz_,-)ri-t... k 6 . > ri ,.ir� ■ , ■ ■ /'Z i el : , ■ W.■ ili in E. " . i i V p 1 1 I 1E11 La .. jell 6 ' - \,, S-z`4- Lii 01.11 I \\' _ .‘k A l� ait tj\v e I,a : , ,, „i\ \,,, t.1 ,Ai,,,,ik, a ; rmiam”" I ‘ 11711 \ °I 0.0 1...0 I \,__ ie... , . 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