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1776 Meadowlark CtCit y of Eatali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Penult ft Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1011,41 1 Site Ackkess: tllte \ 4 d,rAki 0,4u47 RESIDENT 1 OWNER TYPE OF CONTRACTOR CCWISITIKAIOS Co Addressicityizip, \11Le Mta Outuesi yoUni4 Chimer _,Y Contractor ph Rowic./ /7J tkaii-Family Building: Address: cit ?vibe State: RtA Z: k017- - ‘ 01 P 1fS Use BLUE or BLACK Ink COY MALL ac Mt4 Ific-Contact Dvid Tk / No License it 2oy5 Lead Ca" It If the project is exempt tan lead cerbTelation, please explain why: (see Page 3 for additional information) ' AMID Viailliel v./ i i i OW rit‘trtipt 7.4; , C i'")c (Mice Of ploicei &oil-Ate- 4e- ieas -tor _ 4 tic.fav siie6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months. has the City of Eagan issued a pent* for a similar plan based on a master plan? Yes No If yes, date and address of master plat Licensed Manlier: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be pubic kdonnatkah Portions of the information may be classified as non-public 'd you provkle specific masons that would permit the City to conclude that they an, bade secret& -- - CALL BEFORE YOU DIG. Cad Gopher State One Cad at (STU 454-M102 for protection against underground utility damage. ca 48 hours 1 before you irdend to dig to receive locates of undewpound uSales, _ hereby adcnowledge the Ns blot is card** and =wax that de wodt wig be ht confonnarsoe with the orcretances and codes of the City of Eagan; that 1 Lay:knead this is not a pen* but ot* an wedcabon for a permit and vest e not to start wdhout a permit that the wadi will be in accordance with the approved rein a the case ciagott Wait makes a maw and avow! agars. Exterior work authorized by a buNding permit issued ii =contemns vulh th Ilinnesota State Slaking Code must be completed within 180 days of permit issuance. X , otA Applicant's Printed Hamel Aporuant's Signature Page 1 of 3 - 71& ir 64(6) i DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Famnr Multi 01 of L Rex _ Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining WaH _ Fireplace _ Garage Deck Lower Level Interior Improvement Move Building Fine Repair Repair DESCRIPTION Valuation Plan Review (25 %_ 100% l ) Census Code 47 3 9 # of Units / # of Buildings / Type of Construction V 13 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water 7 Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: 6 0a0 RESIDENTIAL Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Porch (3-Season) _ _ Porch O _ — Porch iScreeiliGazebolPef9 Pool pant► Edition Zoning Stories Square Feet Length Width Siang Reroof Windows — > Taatec ition of entire boding— give PCA handout to applicant Demolish Building" _ Demolish Interior Demolish Foundation Water Dansage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Meter Size: Final / C.O. Required Fires / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other. Pool_ Footings Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Final . !< Windows � Zf7 Retaining Wall: — Footings Backfill Final Rackrn Control Erosion Control hsapector Page 2of3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances Misc. Charges: Total: By Date Paid: Date of sp.: J a j ` �� Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: �� Surcharge: Permit Fee: By: � Misc. Charges: Date of Inspj.• .T j ' () Total: Insp.: Date Paid: � Use BLUE or BLACK Ink - r------------------„ I For Office Use � . I � I � Permit#:�� clt of �� Q�( � � Y � � Permit Fee: C/vll•a � 3830 Pilot Knob Road � I Eagan MN 55122 � I Phone: (651) 675-5675 I Date Received: I I I Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: i / IS ► Site Address: Tenant Name: �e �.�.p.,�.,`�,� �;�� (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: v �-c s ct�,+,,,,`K�- X, c�� a � � Phone: Property Owner_ Address i cit i zi t �7 b , t�� v P�_ ? . t '�12, i '�'�� 3 t '� ��} t '� (, b � t '1 b I 1 , �2 � � t °l �yC)t 1'7 S�� 1�tv.��`w�r� C� Applicant is: Owner Contractor Type of Work ` Description of work: s!� . �,.��N� r i�w1 t.,�� Construction Cost:��.�� 2v�� `� Name: C� W�vr�� Cov.y�lLC��v� �icense#: C�3�S.� � Contractor � Address: �Z �'�'> �/�7�.��i,�a. Q�_ city: V; ��.::�� " State: � h Zip:_�S � �' � Phone: G SZ ^ �l' �� " �� v b ' Contact: he �'�'� �.� Email: .,� � ��i �.�- �-O �--.��.,� .� Name: Registration#: ' Architect/Engineer Address: City: State: Zip: Phone: ' Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE;P/ans and supporting documents that you submit are considered to be public information. Porfions of the information may be classified as non-public ifyou provide specific reasons that would permit the'City fo :conc/ude that the are traale 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:qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the w rk w I be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion'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 r whi h requires a review and approval of plans: x �e �� gv� � t�e.�) x ApplicanYs Printed Name AppticanYs Sig Page 1 of 3 a ' -0'Y bT4°-\// Use BLUE or BLACK Ink ^For Office Use City Permit ft: / t1�1�6 0 4111!!° of La�aii Permit Fee: /q—i,. -0 3830 Pilot Knob Road Eagan MN 55122 1 ')5 y 3 Date Received: ,? '11 Phone:(651)675-5675 3','�.�`- StatF: ��- 1 Fax (651)675-5694 i i b.. 4 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 77(2-2jr, Sit)Address: i7 76"I//d4 4,i., . rk 1 yUnit#: • ,M R ,K1 `t Name: 4d614“19e;; r,0 Phone: ; a Address/City/Zip: / 776, ,4 hhhso/A ' e .W. .;.,n. Applicant is: Owner Contractor e 44 r Description of work: Stucco repair ! „4..1-$ ."Pdiw 1 " ,4 ' Construction Cost: Multi-FamilyBuilding: �� , � � des`/No ) y ' "' v �<:, CAustin Remodeling Mikeru' c ,„.` om par• 4 Contact: T,` Address: 19306 Oelke Dr C . Prior Lake ,: '-,...1,..47:,.'4' MN 55372 612-221-4429 miker�austinremodel.net Per b , remit; State: Zip: Phone: Email: v '' ' } � r BC664409 NAT-F158156-1 -rs License#: ' Lead Certificate#: If the project is exempt from lead certification, please explain why: .„(? ,3 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? X Yes No If yes,date and address of master plan: Licensed Plumber: 4 Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: • Phone: Fire Suppression Contractor: Phone: NO`T °' ' `1 l ►t >tdiatYOtt salfr{t are:consrl led to maben i ublic�in '.F V ”} - (ho Infor alioj y be dwelt*, non-pubifc If yo P,ovlale specific reasons thati ae ld .' `. . col'14lude<that thoy a :trade secrets. .. . .„ f. .. xd. CALL BEFORE YOU DIG. Call Gopher Mats 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. wwN.oQoherstateonecall.grg 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 pirmit, 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 bye building permit Issued In accordance with the Minnesota State Building •• m st b completed within 180 days of permit Issuance. i xMichael Austin x �� Applicant's Printed Name Appllcan's Signature Page 1 of 3 I I l l0 DO NOT WRITE BELOW THIS LINE I 1.17 U 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 5132 .7'0 Occupancy peite MCES System Plan Review Code Edition Lit ?-0( "i SAC Units (25%_100% N Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) C 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 I. 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: #A-i ,Building Inspector RESIDENTIAL FEES Base Fee t Surcharge i Plan Review illii' p5 MCES SACI Of City SAC / Utility Connection Charge S&W Permit&Surcharge Treatment Plant 5 a a? Copies TOTAL Page 2 of 3