4320 Meghan LaneDate:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2011 RESIDENTIAL
/ 0( 7 /:— / Site Address: q
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
/ /9
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:
RECEIVED
JAN 242012
Name: L ic tL000 ca
Address / City / Zip:
Applicant is: - Owner Contractor
Description of work: tZG „ t r -
c,A 1 1 mc,cij c7rfL41 i4plt.. /r; puen S ek,
Construction Cost: f (90 O Multi- Family Building: (Yes Y / No )
Company:"1��n
Address: LIS - 0 S COL-4
State:. JJ Zip: Co 5f Phone: CO ( X — C el I -� - 4-4 0
License #: .3L_ bag. (i) Lead Certificate #:
UIL
ING PERMIT APPLICATION
l4'
pplican
Unit #:
Contact ) T r-wacky -I S
City: A- /Orcn -)bpJ
Phone:
Phone:
Phone:
For Office Use
Permit #:
Permit Fee:
Phone:
NOTE: Plans and su pporting documents that y ou submit are considered to be public i nformati
Elie information maybe cla ssified as non public if you prov de specific reasons that would perm ft
conclude that they,are`trade=secrets:
'''tune _mak
Use BLUE or BLACK Ink
ro��9
I 72,3V
Date Received: „ 7D
Staff:
tons c
J
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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.
x / /Vyl -dh1' T . -C (� t � i�l%. 11-7 Applicant's Pr nted Name
Page 1 of 3
SUB TYPES
Foundation
Single Family
1 y Multi
101 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 % 100% y
Census Code
# of Units
# of Buildings
Type of Construction
Napa DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
vl
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
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:
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
aM -�7 6 ✓� (2v
0 y am
r24 ,
Storm Damage
Exterior Alteration (Single Family)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
Meter Size:
Final / C.O. Required
�( Final / No C.O. Required
HVAC Service Test Gas Line Air Test
Other: U&(\J t
Pool: _Footings _Air /Gas Tests _Final
y Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
aou r
vt",-;AAire,
0 4
Page 2 of 3
Use BLUE or BLACK Ink
Ana- r - - - - - - - - - - - - - - - - -
I
I For Office `Use l~
Permit* A I
City of EaWin
ilk
I Permit Fee: 41
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
V
{ I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r t -13 Site Address: "Z-1 v3 z Unit
Name: 0 ya, mk, -~:)Cj I C Q)a Anamx (2 S Phone:0,')_-&-70 -(a l {
Resident/ y~3i~- '/JW~
Owner A dress /City / Zip 3l _ p- z - 3_ hwd
~ vrL
Applicant is: Owner Contractor
Type of Work Description of work: 2l~_ Rc~ f k k ,t
Construction Cost` Multi-Family Building: (Yes Y / No
Company: ¢M~ -L Contact: t t-~'t~ ~(--LE
Contractor Address: 013kVAIu RIO 33 City: v~00's
State:V~w Zip: y` o Phone: I - _T7~
License ( (o?S ~J Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
4
g 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 permit issuance. n
x l'1.2.C~~~l ~s x
Applicant's Printed Name pp J gi~ature
Page 1 of 3