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