Loading...
4232 Meghan LaneCity of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 LE' / �/�� Phone: (651) 675 -567 M Fax: (651) 675 -5694 N Z 4 1 ®�? 2011 RESIDENTIAL BUIL Address: 1 Company: M1 S Address: 1 `I 5 (bt.* i4-4-.1 ftr4 33 State: .Vti \) Zip: .S S Phone: License #: (1 1 ING PERMIT APPLICATION Description of work: CA 1 ) rr�;c t, \VlL SIC`I►'t�j J� �J�C,tF l2Pr 0014 -s Construction Cost: (IO O Multi- Family Building: (Yes Y / No ) Lead Certificate #: t -i- S oi 1 - l-f 0 If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) CAL( / /9qZ 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: Sewer & Water Contractor: • NOTE Plans and supporting docu that y sub mit are considered t be public information Portions of t �nformat�on may: be classified as non public �f you provftle specific reasons that would permi ir +� conclude .tha't:"they a 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.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 Buil days of permit issuance. X hi Applicant's Printed Name x n• ode st be completed within 180 aA f nu re pplican n Phone: Phone: Phone: For Office Use Permit #: Date Received: / ✓ / v / Permit Fee: Staff: Contact l i LhS City: )0. Or i& ood Use BLUE or BLACK Ink Unit #: Page 1 of 3 21 D ON T WRITE BELOW THIS LINE 5 SUB TYPES Foundation f, Single Family Multi 01 of Plex Accessory Building WORK TYPES _ New / Interior Improvement Addition _ Move Building Alteration Fire Repair Repair Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100% 1) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Fireplace Garage Deck Lower Level I t d o vM RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Porch (3- Season) Porch (4- Season) Pool Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: _Ice & Water Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC ` 9,9s Se is Test _ Other: c5 (- ( <f c Storm Damage _ Exterior Alteration (Single Family) Demolish Building* Demolish Interior Demolish Foundation Water Damage Gas Line Air Test Pool: _ Footings _ Air /Gas Tests _ Final x Siding: _ Stucco Lath __ Stone Lath Brick Windows Retaining Wall: — Footings Backfill _ Final Radon Control Erosion Control , Building Inspector L/ C (. 00 Page 2 of 3 Use BLUE or BLACK Ink ADM- r - - - - - - - - - - - - - - - - - I For Office Use I non I I ~ Permit City-of Ea I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -I3 Site Address: ~TZI ''4 2 Yv"Lte,L, LiA Unit Name: rUY t ~fX~ 9 Cr(cSY~ , rn~ S Phone:~),_2-&_7 Resident/ yZi~ ZZv L> - 4 Owner Address / City / Zip: JZ2Z -L17 ZI-4 -y7 7- C, -y7 7 SQ. )(KV,- IV_ V-1 LCI Applicant is: Owner Contractor 1 Type of Work Description of work: ~R 1~ r~In~C - Construction Cosf"` J ocx-D Multi-Family Building: (Yes Y / No Company: Contact: t t-~ Contractor Address: j~ S ('2~uv1~ r 1 33 City: 0VU-)OO State.VW Zip: ~ 3_~- "C' Phone: ~l_icense ~ (~'c ~ ~S ~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) MCC- i%► G 7 COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING E 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: 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 f 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.gopherstateonecall.org 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. A x Applicant's Printed Name pp mature Page 1 of 3