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1809 Walnut LaneDate: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL Use BLUE or BLACK Ink For Office Use 1b3Z30 Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 7-t/- 2-4172-- Site Address: I '° L Z-444_ Unit #: Name: )( l f264n irork Address / City / Zip: / Vep Applicant is: Owner Contractor J Phone: Description of work: ? I' 2 j ! td s4-; Construction Costli. ,; 0 5 c5 D Company: Ndc_ \311 5o Address: MPS- &enevalW - IV Multi -Family Building: (Yes X / No ) Contact: State: MN 1 `r Zip: as Phone: License #: 3 o City: 00.1.e. l.e- (3-(-7q7-311a13 Lead Certificate #: 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: 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.gooherstateonecaii.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. x©�,z Applicant's Printed Name x Ap- icant's Signature Page 1 of 3 SUB TYPES Foundation Fireplace Single Family Multi 01 of _ Plex Accessory Building DO NOT WRITE BELOW THIS LINE Garage Deck Lower Level WORK TYPES _ New _ Interior Improvement _ Addition _ Move Building _ Alteration _ Fire Repair Replace_ Repair — Retaining Wall DESCRIPTION Valuation Plan Review 2,0oo (25%_ 100% y) Census Code # of Units # of Buildings Type of Construction V6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test 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 Occupancy Code Edition Zoning Stories Square Feet Length Width _Final 2 Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give RCA handout to applicant MCES System �/VIrl2..A..)01SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Y Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Erosion Control , Building Inspector "/ac, 14 1> C Pag0 2 of 3 I ZI 4Z OE 9/ki1gat 15/Z =tit 'VS 9/ E . hh 60 4Q 9l/ 24b F e if --#.„5 , s 4 L 11()Cco-31 5 Sr. ) A 144.00 pd with the City gegen Connection Charge' 4 5.4Q Account Deposit: Permit Fee: Surcharge: . SU Misc. Charges: Total: Dato Paid* From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:41 #582 P.047/079 Date: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I`iL955 Permit #: z l� Permit Fee: 3 o i 5 Date Received: rt,(13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Gi -5 - 2013 J Site Address: gOc1 i 18111 yyatyyaB r 1n t LAI* Unit#: Resident/ Owner Name: tan l 1 Nfq C'0• ba 5 y) Conn N Phone: pt l Address / City / Zip: 3g \/ 't NYkwa& I Eclev Prairief MN %a -if -1 Applicant is: Owner Y Contractor Type of Work Description of work: -Rat Off col ye -of Construction Cost: 1 K A".JO app Multi -Family Building: (Yes X. / No ) • Contractor Company: )j dStiv l`OYIS1YuCt cn Mampen+ftic Contact: (JUC *IstiPckI , Address: 51L6linclairIal SImei - HS City: Mak. Plan j - (-( -1 State: MN Zip:ip55359 Phone: " PO2- qyl- License #: rRC (,o 31515 Lead Certificate #: NAT - 2101W-1'0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer &Water Contractor: Phone: 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 000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work wilt 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. / doe titrnd x Applicant's Printe Name Appli nt's Signature iJ Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:57 #301 P.007/022 *City ofkali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: J© Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date:Q'4dllr Site Address: /O9 4/1 u✓ 4lvl /4 / 114e/' iG ..... Unit *• Resident! / - G 4 Owner Address / City / Zip: %B4� /�// � G4tltc /y�OJ 6441/1-r�iG Owner )( Contractor Type/ 1of Work Description of work: '-.5 1,0 r44 1/,Cn y/ 5:47/ss Name: j(ii/14 /VA la - 4_1 E/J f/0/4 Phone: /11/4 Applicant is: Construction Cost: lo?oj 4006 Multi -Family Building: (Yes �o ) Company: ,411514/t dnfttc4icvt inity;11161211t Contact: "i4r Ara j Contractor Address:S/-S t r dw34-riA I s?< 6-1.4 ,=f X03 City: Mfrp PLi rr dl State: 17114 Zip: 55359 Phone: 1V 7 !6'f Email: ,&//-/..47. License X: BiC 6/C7.3S 0 Lead Certificate #: Al/41-- 6,7®9/8 V " If the project is exempt from lead certification, please explain why: k.T r"1 /993 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 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,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 Building . mpleted within 180 days of permit issuance. x Applicant's Printed Name Applic$nt's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PR 7 9 2016 r For Office Us Permit #: Permit Fee: (z/o Date Received: Staff: 2009 MECHANICAL/-LPERMIT APPLICATION� Date: I �-(� Site Address: f 00°1vkA 6/1 V _ L. / kJ Tenant: ( I c IDOwibroc. Suite #: RESIDENT / OWNER Name: /` / D, VVX Orc.0 iK •- Phone.&) 23/ — / 4/ Address I City / Zip: I O�'� C- V4-- I, " CONTRACTOR Name: _ Home Energy Center Address 2415 Annapolis Lane N #170 Plymouth MN 55441 City: —763-476-1990 fax 763-476-1143_ Phone: Contact License #: State: Zip: t'erson: TYPE OF WORK New VReplacement Additional Alteration Demolition (4c—e_ Description of work: 'P. (i C `e— .- "//kCiG`e_ NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screenin • methods. PERMIT TYPESIDENTIAL urn COMMERCIAL New Construction Interior Improvement Install Piping Processed it Conditioner Gas Exterior HVAC Unit Air Exchanger Under / AbovegroundTank ( Install / Remove) Heat Pump _ "" 1�Vhen installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) ,- i �0) $ �j TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR Contract State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). . Va#ae $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 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 of work which reauirps a review and approval of plans. vo-e5 1 IO$ r-✓ Applicant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test In -floor Heat _Final Exterior HVAC Screenina Inspection r Lily of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office/Used Permit #: Permit Fee: /67 Date Received: Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .45 C Address: /80 ? aixe v r LA/ ' Unit#: Resident/ Owner Name:•/%'/q�f /9 . 6)),.2.�i d Phonez`plZ '' j? ig W / Address / City / Zip: 49 6 l cs </ 67 LA/ E, 6-44i S / z Applicant is: Owner Contractor Type of Work Description of work: -6`ep li c. -F- 1_` / 6 Construction Cost: (o /Z Z-,- ein Multi -Family Building: (Yes / No X ) CotrtrBGrOr elli Zb/'z Company: U1s rt' 640041&E 41&E Contact:. d 51,70 Address: SZ& ( -73(9.0ne-- Ai) / ' City: 44 -P1-S State: /"Zip: --53 7 Phore.5�2 9'S485Ei aiL License 5: Z6 (57d8 Lead Certificate 5: /)04-1—' 72 73 --( If the project is exempt from lead certification, please explain why: (_"14.1) In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor. Fire Suppression Contractor: Phone: Phone: Phone: 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 'movie*? specific reasons that would permit the City to conclude that they are bade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utiity damage. Call 48 hours before you intend to dig to receive locates of underground unties. 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 requres a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn ie Build , Code must be completed within 180 days of permit issuance. x Ste L' St/ -70 20 L 6.�� ✓ x Applicants Printed Name , / Applicants Signature Page 1 of 3 ®, 1 • f fEAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(o)cityofeagan.com --------------I For Office Use I I Building Permit #: I I I j S&W Permit #: I I I Permit Fee: I I I I Date Received: I I I I I I Date Issued: t---------------------' RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: �h qZ?W3 Applicant is: ❑ Owner JELContractor t Homeowner Type of Work Building Contractor Sewer & Water Contractor Unit #: Name: EGCe�A �oVkAe_ (�D� -�j �t-r�5c�CX Or, k Cb l� Address: `/yoQl� City: i;;-a 0.y,, State:M%Wip:55122 Phone: Email: Description of work 9 ,—, QQ C, t - Construction Cost:J l �,q �21 Type of building: Compan T7Q� l/ :S&:y- �Contact: �J�`� �✓ Address:( f�i ��1 W ��T Btl=\AZ V ? City: ,Qe_V VG���' StateAwip: 5_37 T Phone6t z-.211Emailt_a/Ul2 �C �e �CSN`�'�"A �l -��oz�� r� License #: � i? .Expiration Date: .7F/ �% /L S Company: Address: ❑ Single Family ❑ Townhome, of units Twin Home Required for State: Zip: Phone: new construction Contact: Email: License #: Expiration Date: City: I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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 L.9re trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. /1,1 V + x Applicant's Printed Name A licant's Signature