4261 Meghan Lane4° City of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RECEIVED
JAN 2 4 2012
2011 RESIDENTIAL BUIL
Date: / Address: '� <<
n
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
ING PERMIT APPLICATION
J
Unit #:
NOTE Plans and supporting documents that you submit are considered to be public information Portions o1
the information may?be classified as non pu blic i'f y ou provide specific reasons that would p ermit > he City to
- � . _. s h.,
ciudethat they are t rade= 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 in • ' ode st be completed within 180
days of permit issuance. ! i A .„ 44 „..„,„...
� '
x / ii,v 11 0. - C�.c. rte LL x _ , �! � '���
Applicant's Pr nted Name • pplican" nure
Page 1 of 3
qu-o
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%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Siding
Reroof
Windows
Egress Window
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
V
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
DO NOT WRITE BELOW THIS LINE
TOTAL
Porch (3- Season) _
Porch (4- Season)
_ Porch (Screen /Gazebo /Pergola) _
Pool
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
3
Demolish Building*
MCES System
1/ , v02 SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
aevh-rh,
5aulAi-
i-fin
11 00(1#4 ,, K
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
HVAC _ as S rwi a Te t Gas Line Air Test
Other: ( 'L -
Pool: _Footings _Air /Gas Tests ,Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
H 9(4 f o~5~ j t4 a 44,55 Use BLUE or BLACK Ink
~d S7, , a sq ~ i For Office Use I
`T I Permit 11~ a c~
City of Ea
I Permit Fee: ~3 25 o I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C Site Address: t` Unit
Name:~~ j ~n~?h Phone:
Resident/ a
Owner Address/ City/ Zip:. 11 F6 Va+ , S S1:JU/
L)
Applicant is: Owner Contractor
Type of Work Description of work: S1
cx~ J~
Construction Cost S Cam" Multi-Family Building: (Yes_ / No
Company: ~A b.-t-T_--\ LL(L Contact: 1 ,emu t V'l
Contractor Address: 14SUS U X43 City: 100,`x. ooc. ,
State: AU _ Zip: __~7s- U'8 Phone: _ (;o I J -11 Cil --7 -7 q O
License B L~ 3 ~ a3 C) Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
s U~ cz,IJ C) d-
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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.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 Builds o ' ust be completed within 180
days of permit issuance.
x-T r'-ect oo C_ i s x
Applicant's Printed Name ature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------
1 For Office Use / I
'0!0" Permit
City of EanQ~(,fl 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:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 2 = Z(,S I Ltn Unit
1i( Name: -MA o S Phone:kC )--&_70 -(a 1
Resident/ c~ ~ 251- zk-!-- Zw3
Owner ~AaaFss i~city / z2 y Z s-~-yz 5z s~ t1~itoc~ v~
Applicant is: Owner Contractor L
Type Of WOTIC Description of work: ~r7 f t+ Il k 1 i Construction Cosf" 3 S; Multi-Family Building: (Yes Y / No
Company: Yltj Contact:~'t ~~`(C In
n r
Contractor Address: S~ (t VA L-1 1 3 City: Oy' _ 00
State-VU) zip: y Phone: tZ -~q I - _-7qt )
[ License ( (a Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Qpt~V`1~4 COMPLETE THI 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?
i
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
I Mechanical Contractor: Phone:
I Sewer & Water Contractor: Phone:
tw _
i 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.gol)herstateonecall.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.
x r I~ n"O_ d":7 r-1 C~J x
Applicant's Printed Name - pp mature
Page 1 of 3