4267 Meghan LaneCity of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
/F/teAddress: ��
Name:
Sewer & Water Contractor:
RECEIVED
JAN 242012
2011 RESIDENTIAL BUIL ' ING PERMIT APPLICATION
G
I1 (IA �'V i Unit #:
A(2. (2 o. L.notiri, ; fin n , ^E
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: v -- c 1 1)A►ry1( c.l F11 V� l ( Si CAI 12 e p 16, nPr ) / uoi,/ s -k
Construction Cost 00 C °r ' Multi- Family Building: (Yes Y / No )
Company: P soh,d-iffyi S L,
Address: l `I 50 ( -i
State: r\ ) Zip: �10 Phone:
License #: tilgeFP (1
Lead Certificate #:
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Phone:
ContactrV Frtv2_c r S
City: j ki0 , rtA0oa c�
0 -1. l - LI 0.
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
U(/ /9
Use BLUE or BLACK Ink
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:
Phone:
NOTE Plans and s upporting documents Ghat you submit are considered to be public information .,
the m maybe classified as non oar y ou provide specific reasons that woul permit tl
•
conclude`that -hey 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.Qooherstateonecall.oro
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
Ili 4v
days of permit issuance.
Applicant's Printed Name pelican `ture
Page 1 of 3
y , k hR n L� n
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of T Plex Lower Level
Accessory Building
WORK TYPES
New Interior Improvement
Addition Move Building
>( Alteration . _ Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 %_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
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
TOTAL
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Siding
Reroof
Windows
Egress Window
, Building Inspector
Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*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 _ Gd s Seryicg Vest, Gas Line Air Test
Other:
Pool: _Footings _Air /Gas Tests Final
y Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
a c> o
Page 2 of 3
C-~ 1Q7 ~o ~ Use BLUE or BLACK Ink
1 1 3 t aI ~ f t j C( a1~ i For Office Use
City oof Eap Permit#: I
I I
~ I
I Permit Fee: -552,0
3830 Pilot Knob Road I I
~2 I
Eagan MN 55122 Date Received: )v 11(0113
Phone: (651) 675-5675 I
I
Fax: (651) 675-5694 I Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10-1(0-1,3 Site Address: -K16 V„In f~lcl P„In ~ S ~~FC~~ Unit
Name:1 .p iklj' j ~ULt1l'~L'1lMno Phone: (.012-6,70-(-el Wa
Resident/
Owner Address/ City/ Zip: a2( H)uq M. ,a ire I ) ter. / Px, (U_
Applicant is: Owner ~C Contractor
Type of Work Description of work: a 0 -
ea
Construction Cost: ' 006 ' Multi-Family Building: (Yes X / No )
Company: I4
Q]L CY (A ~ t o ' -S V- u c Contact:TJ Fr U'iC-
Contractor Address:',I H C S (gyp ~,i City: _,Nu~~ ~-Ouo
State: w, Zip: S-S]~(f Phone: U l 2-(1' C 7-7c4 b
License 3 02 3 Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
L ~
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.qopherstateonecall.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 Bui ding od must be completed within 180
days of permit issuance.
A licant s Printed Name p Ica na ure
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I
Permit
City of Ea ; ZC~
,Ilk
Permit Fee: ~J 0 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -]3 Site Address: y2t~~ [ Z-? 9 Og" k4,h (,vt- Unit
Name: CtiJ'JC ~L~C I ~ h ti (2S Phone: )a_~~v
Resident/ y24s- y z-o-7- y 2~~ z~ z7 y
Owner Address / City / Zip-f2
Applicant is: Owner _~L Contractor
v
Type of Work Description of work: 4 0- A IP _J,u]n~
f$
Construction Cost."' 3,S_ OW Multi-Family Building: (Yes Y / No
i ~
Company: A tn-2" 11-4 :j f Contact7c,
~'U-fin cS~
( Address: ~2~~v1~ L t l3~ City:
Contractor
State.-V ,w Zip: o Phone: W t
License Lead Certificate
F
i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
.n i-I
COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
I 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:
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.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 ipermit issuance.
x Tr_- iP_ G/,P_ (--t -(Jl x
Applicant's Printed Name pp gbature
Page 1 of 3