1730 Flamingo Dr VIL GE OF EAGAN _ ��
WATER SERVICE PERMIT
379 Pilot Knob Road PERMIT NO.: _____131
Eag ,MN 55122 DATE: 12/11/7
Zoning: R-4
Owner: r,
No. of Units: �2`Qpuse
Address:
Site Address: 17 0 -1732 Fliunin•o Drive -a
P lumberDonaldson- IticCormick
Meter No.: Connection Charge:
Size:
Account Deposit:
Reader No.: Permit Fee: 10.00d
agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances.
Misc. Charges:
By Total:
Date of Ins Date Paid;
Insp.: Insp.:
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
NUMBER
ER: 3c r rrt' rw _ 1 P
stair cvr�,
:ER zls + Address 73011732)F'l. u r
TYPE OF PIPE h�_,r� cant i oq
DESCRIPTION OF BUILDING
•
uetrial
Residential Multiple Dwelling 8 No. of unite
tion of Connections:
Connection Char$e
Pe Fee Io.o0 1,a 12/29/.
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
ideratioa of the issue and
afir to
E Too the proposed work i n accordance re with + I
Township, above permit
�ttshiP, Dakote Co with the rules and
County, Minnesota
By
c ,
a u. L,uial3�.uii...�aConaick
wor not k ify c r edly for inspection and connection and
before any portion
04/10/2013 14:53 5073566021 AMWW BB PAGE 02/06
Use BLUE or BLACK Ink
Ara
I r-A Office U I
I J~) I
l
I
City of Eaka~ I
I Permit Fee: I
3830 Pilot Knob Road I
1
Eagan MN 55122 Date Received: 13 _HhDd l
Phone: (651) 675-5675 I staff I
Fax: (651) 675-5684 L.-----
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '4A 0A 3 Site Address: a n~ j,np U ~ . Unit
2 rte.-,..f~...w......... -.~.,.~.,x:~.~a~~~..~ ..~,~.,.T.e~..,~-..~~
Name..
Phone: L61^~~ _
RESIDENT i
i
.OWNER Address/ City/Zip: I-12Q a"i nj;o Or.
i
41 s
Applicant is: Owner Contractor
~ ~ `Description of work V , ~ d
TYPE OF WORK. Ia {a°'~T
Construction Cost Multi-Family Building; (Yes / No )
k Company: 1)Mr1 . ` 1_
t~.~~.)5A5 Contact
Address ."&q City;? lYt L_ ~LM ,
i CONTRACTOR t
199-
State'JMVI Zip: Phone: 1014
i
/ t
License 3 ' 1-1 head Certiflaabe
u If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
a
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
,_„__Yes 11)(_No If yes, date and address of master plan:
Licensed Plumber: Phone: p
Mechanical Contractor: Phone:
Sewer & Water Contractor; Phone:
g` NOTE: Plans and supporting documents that you submit are considered to be public Jnfornmation. Portions of
the information may be class/fled as non-public if you provide spscfflc reasons that would permit the City to
conclude that they are bade secrets
CALL BEFORE YOU DIG. Call Gopher state One Call at (651) 4514)002 for protection against underground utility damage- Call 48 hours
before you Intend to dig to receive locates of underground utilities, wvjYF go2bgmstateonecaIl.orQ
I hereby acknowledge that this information Is complete and accurate; that the work win 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 wort( 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 ~ W S X_- r.~wra~ ie~ _
Applicant's Printed Name Applicant's Signature
Page 1 of 3
04/10/2013 14:53 5073566021 AMWW BB PAGE 03/06
3c->
DO NOT WRITE BELOW TH~ LINE 01 q8-
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Deck _ Porch (Scresn►Gazebo/Pergola) _ Exterior Alteration (Mulb)
-muff 0of # Plex _ Lower Level Pool Miscellaneous
(KAlccding
WORK TYPES
New _ Interior Improvement Siding Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
Alteration Ff Repair _ Windows Demolish Foundation
2V Repair ^ Egress Window Water Damage
Replace
Retaining Wall *Demolition of entire boil Anggive PCA handout to applicant
DENRIPTION
Valuation Occupancy _1 /2t 3 MCES System
Plan Review Code Edition .Z40'2 SAC Units
(25% 100% Zoning City Water
Census Code Y Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length f Fire Sprinklers
Type of Construction Width i
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No G.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: Stucco Lath -Stone Lath Brick
Fireplace: Rough in -Air Test Final Windows
Insulation Retaining Wall: Footings ^ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee 7.3
Surcharge
Plan Review y 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
All
i~ 2~t ~'1 a s , 1~ ~a, l~ 3a Fta~v►^,~ A- Use BLUE or BLACK Ink
For Office Use 1
t f~
I Permit V (aO 1
City of Eap I 1 as .
I Permit Fes:
3830 Pilot Knob Road i 1
t Date Received:
Eagan MN 55122 1 i
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff
L----------------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13 Site Address: ( -WI(i (76217 30 1-2 3.11 F- la~+•.~ o Unit
Phone:
s I Name:
i Resident/
Owner ~ Address i City ! Zip'
i
s Applicant is: Owner Contractor
Description of work: c,
Type of Work
^ )
Construction Cost: -51, 50 ~ Multi-Family Building: (Yes /No
a - p
Company: F.+R. r40Nf00k%a1,it- Contact d r 1 tt
' Address: Ls'~ !J :rcC~ 1~. r . City. nrtRk_~
Contractor 1 cy
State: Phone:
License Lead Certificate A h -F- 2.0tro-) -l
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 ere considered to be public information. Portions of-)
E the information may be classifted 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 frr protection a,.;ainst underground utility damage. Call 4P, hours
before you intend to dig to receive locates of underground utilities. - I A71 11
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. `
Applicant's Printed Name Applicant's Signature
Page 1 of 3