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4252 Meghan LaneCity of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2011 RESIDENTIAL BUIL Site Address: '\ TYPE CONTRACT If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) a /9 9 Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Name: .rl L (DC 06011/0 Address / City / Zip: Applicant is: Owner Contractor Description of work: R y. r }� („t 1 DArn(,,c C71VlLi 1 SIC\It ae p14,0 0. r porn -s Construction Cost: r 0 O 0 - c&-- Multi- Family Building: (Yes Y / No ) Company: Mt P 01uut.4 -LOYi S �; Address: 1q S- (0 RZel 33 State:.IW Zip: ' 5(P C if Phone: License #: (1 i Lead Certificate #: RECEIVED JAN 242012 Use BLUE or BLACK Ink For Office Use Q Permit #: JOZ u Permit Fee: �+ / Date Received: ,r J -> •"l T' Staff: ING PERMIT APPLICATION A- 64 Unit #: Phone: Contact7Z City: )Ur l&)Oot..V 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: Phone: Phone: Phone: Plans and supporting documents that you submit are considered to be pu the information maybe classified as non public if you provide specific reasons ;ti conclude that- they;areytrade 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.gooherstateonecall.ora 1 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• Ina ' ode st be completed within 180 days of permit issuance. f , ,;_ Applicant's Printed Name • pp ican'nure Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level 10 OF ✓1A f- 5 Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 0 D Occupancy Plan Review Code Edition (25 %_ 100 %)4 ) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction V (j Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation 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 TOTAL Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Siding Reroof Windows Egress Window *Demolition of entire building - give PCA handout to applicant Ir 01AI3 - J ) 7 Radon Control Erosion Control , Building Inspector 5 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Demolish Building* Demolish Interior Demolish Foundation Miscellaneous Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC • Gas e T st _ Gas Line Air Test cit Other: � Pool: Footings _Air /Gas Tests _ Siding: __Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Final Brick Final t9 0 Page 2 of 3 ~ ~ I Lt a ,5a, I ~.5 q Use BLUE or BLACK Ink r---- qo s~ Lf'- (0a + a I For Office Use I City of Ea an Permit#: I ~3S.v~ I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: O rQ 1 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: cio I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Resident/ Name: ~Cti t4)LZ _f ma &M yWlt,-s Phone: UD_-(0_7Q -lam!21 Owner Address / City / zip: - y S(-P ~I r I[L i~ h f c, 12~11 IVW U j_ Applicant is: Owner X Contractor Type of Work Description of work: -VA1~t~C Construction Cost: S~ ~G Multi-Family Building: (Yes 2 / No ) Company: \A- 'Ykt, it A L4 7 LAC Contact: 1~ r-i c~ 2('l C_~t Contractor Address: (y x~- 11 L 3 city: State: s, Vl Zip: ` 3& Phone: ~fJ Z - - 1 Cl -)WC License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) JAY_ S -7 P 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: 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 C be completed within 180 days of permit issuance. x -1-:3- !--1- U` I C._ . ~ x Applicant's Printed Name App i FaAT-s i ature Page 1 of 3