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1556 Clemson Dr B RECEIVED D For Office Use J��j / $ % : s1 �E AG N APR23 2018 Permit Fee: / 417' S3 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinainspectionsCcacitvofeaclan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/1311 Site Address: Unit#: Name:• 1 4Al / 44 / '�n.le•Ce•Wv#/. //Jcx"ls l'te.R14one: Resident/ OWtner -`a Address/City/Zip: Applicant is: Owner Contractor %/ tlt#Work. Description of work: 444 > (� CTr /D2 Construction Cost: -71/4,46fi Multi-Family Building:(Yes V/No ) Company: /-kiitri 77t-a rreiv v e. Contact: fi4GLi- n9. Air o tractor Address: /57/? 9Z ?tri Ave City: /bpd r`' terete- x`° state:01 /.Zip: c5 y Phone:657-011 g`"tit)/ Email:�fG?7'4 S7 Eci� T �i3fi ci, License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: /ft? 1f /v6677/. 197( 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: Fire Suppression 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 lo conclude that they are trade secrets .,;',: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. 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. 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.aooherstateonecall.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 wor is not to start without a permit; that the work will be in accordance with the approve plan in the case of work which requires a review and approv o plan s ! x ?Ma- r x G �'r "I• Applicant's Printed a Applicant's Signature DO NOT WRITE BELOW THIS LINE r /5J l @ l ei/n-5P-� SUB TYPES Foundation Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi p Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation P Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Is 3o•�= Occupancy :rR C- 3 MCES System Plan Review Code Edition QT?fl Zo/5— SAC Units (25%_ 100%241) Zoning FP City Water Census Code Stories Booster Pump #of Units Square Feet 2-00 PRV #of Buildings Length 2v ' Fire Suppression Required Type of Construction V 5 Width II? REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Bricks EFTS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill^Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan L Other: Reviewed By: 7OJII7 , fr 19. , Building Inspector RESIDENTIAL FEES v S 1,7 ,472<-,:s.-7,), rev S Base Fee Surcharge .* /5.4O 57- Plan -Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ìü òòï þýýüûíû úüüýýïïõ ýþì ïüñó ñ âï þý ÿþýüûú ÷õßøåøþüûú ÷øüûú ë ú øú å þå äþú û Ü ÿòþ ø ù øøûùøþ ý àð ñ ñ ç þ ð ú ðöà àâààï ù ééîïîï ÷ú ÿþøñ ø í þ ééîî í þ î öîôï óù úú åø õ ëñ øë àð ñ ñ ç àå óø ð úðöà ðöï ìàêâààï ñ ø ýû õ ñ ñ ç ø ñ úú ñ ñ æøó øø ø óúûõñ úú ý ÿ æð ÿ þ åûæ äø î úú ß þ ûÿ þø CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN' 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 0 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Box 21199 Eatan, MN' 55121 DATE: — Zoning: No. of Units: Owner: Address: Site Address: - Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: r r �� 1 1 --- 1.} I 1 ,, ,,,4 .,..„„. _ r ---- ' - ::.„ / / 1 t 1 1 . /9 1 1 I 1 Use BLUE or BLACK ink ~ - ForOfflceUse j Permit I City of Eajan I Permit Fee: . sa 1 3830 Pilot Knob Road I 10114 - I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: C? _ I i - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 5611 l5S' S$~~ yyY 81 ~ ~ Unit Resid Name: ~ 1~ sl Phone: - - 7?11S~.ti2R- ~ntf Owner' ' Address / City / Zip: Applicant is: Owner - Contractor Type of Woi`it Description of work: Remo F-Aa_ Construction Cost:__4-, s S Multi-Family Building: (Yes No _4) Company: _ C T UG 1 GW _ Contact: COtI tractor Address: -~J Q3 .2, M i►~~~YJC "t - City: Min nr eal7lf' State: n2AJ Zip: 55-VO (o Phone: 612- W-1-51506 License ~ 0 6 Z- Lead certificate A1AJ- _ 2 41?7 ::J If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 permi( the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540082 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance 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 E' r Z &beyA 4~5Yn_ CI'~ x~ Applicant's Printed Name ns ~ - Appli ca Signature Page 1 of 3