4461 Clover Lane - Unit BCity of Eaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
is Signatur
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /2
j
J
CALL BEFOR 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.000herstateonecail.ora
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 • it issuance. _
Page 1 of 3
Site Address L HLQ k CAN 0-)1 L Y 1 Unit #:
Date: 0
k A�
Name: '° � LA-Yre.., Phone:
�
Address / City / Zip: . A L \� k C7 CV , \J e.,.)( (--V
Applicant is Owner Contractor
.. ..
we r ..
` .... +
Description of work: Re-butt l d- +e� S-I-j ( dieCI
Construction Cosftt S C Multi- Family Building: (Yes 4._ / No
)
r < *r
Company: G I34 30l, Contact: -, O ° t r , ` 4a-4
I �Itp 5 & Cne Va VP -1V City: 00a le-
Address: Cit
State: (' `I v Zip: / a-+ Phone: 6 31-717- 3 y 3
'�I
License #: 3 L ead Certificate # J' _
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
is , ; ill /A/ / 9kir
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
N
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:
Mechanical Contractor:
Sewer & Water Contractor:
;e f *p yy a
_ Phone:
Phone:
Phone:
�y
'y e s a♦ ! $ ..i.�_ a �a�
s
da�tf}
City of Eaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
is Signatur
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /2
j
J
CALL BEFOR 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.000herstateonecail.ora
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 • it issuance. _
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
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
Fireplace
_ Garage
z e Deck
Lower Level
Gr6
REQUIRED INSPECTIONS
Footings (New Building)
J Footings (Deck)
Footings(Addition)
Foundation
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
AG otl
TOTAL
DO NOT WRITE BELOW THIS LINE
ge -a, C( v &-v. L l � (j f &
73
— Porch (3- Season)
_ Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Siding
Reroof
Windows
_ Egress Window
PI)
gO
/D
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
/D 650
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
Meter Size:
Final / C.O. Required
- Final / No C:O.Requiretl
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 a Backfill Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
ROBE A- t CONSULTING ENGINEERS
E NGINEERING PLANNERS and LAND SURVEYORS
COMPANY INC.
EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432 - 3000
9 •tr'vey
l igg i ls f e_ r
LOTS !, 2, 3, AND 4, Bloc < 1, EDEIV AOD/T /oN
• DAKOTA CoUN`TY MINNE, t .
REVIL7WED
NJOR
SCALE: r= 304
WALKING SURFACES GREATER TIIEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
<90. r� •cd)
1
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\ \ Ns\ ....w.........- r c
(Via) DENOTES cX /ST /NE 4. - '
\ �.
ELE VAT /ON
•I...._ s
( /o.o) DENOT 5 PROPasE0 / � ,4.
' ELEVAT /aN
' ---
INDICATES D /RECT /ON
OF SURFACE DRA/I1A
./M / 6HED 648A 6E ,CI ODg
tLEVATloN 714-.
30' FRoNT SulL0/A/
S6TetACK LI
BY:
DATE: 7`/' -
1J 89 58' L L I N Gi
97.27
0'r ^7
DRA 1 NAGE AND
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1 51
Y hereby certify that this is a true and correct representation of a tract of
land as shown'and described hereon.. As prepared by me on this / �.. L day of
SEigTE>nsee , 19 ft5 .
.� - Minn. Reg. No. /Gd
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. D. 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Date of Insp.: Insp.:
// gam
CITY OF.EAGAN SEWER SERVICE PERMIT
3830 Pifot Knob Road
P. Q. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: _ Total:
Insp.• Dote Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:30 #582 P.020/079
Use BLUE or BLACK Ink
ForOfflceUse---------- I
j Permit 114~ 1
City of Cagan I (J 1J Permit Fee:
3830 Pilot Knob Road C.~ 2
Eagan MN 55122 Date Received: l L1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 41512213 Site Address:'iy59i44595,4401,441oIP5 CIDYev LWf,, Unit
Resident/ Name: EMI ftDft CN * (*`ili W WMDQh_ J- Phone:
Owner Address If City / zip: WH;5? UhA Wit IlMW, Witt 20d, MN %NS
Applicant is: Owner Contractor
Type of Work Description of work: Rat Off aild Yt-npf
Construction Cost Multi-Family Building: (Yes X / No
)
C Company:A11ft (zles 1►U(i 1elyi MGhU mbit ~ontact: BaS Ie d
y -t-~/°~ 2 a
t Address: 5'y5 lWuslylal S►'I,GI * `103 City:
Contractor
State: q Phone: a5Z-NI-114514
MN Zip: 5535
MFtT-
License 5GIV3151S Lead Certificate M
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:
I
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
r, ~~F~_` y ~mTt{~ T conclude that they are trade secrets - ry r~y=
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.ooi3herstateonecall.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_ (jut I l/tl~lA~ x ~f
Applicant's Printed Name Ap6lic nt's Signature
L Page 1 of 3
--------------
� For Office Use 1
Building Permit #:
%I
� � /
i
%-�% ���'
EAGAN
S&WPermit#:
I Permit Fee: ` - 0 I
I
^1
1
I I
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
1 I
1
(651) 675-5675 �FAX: (651) 675-5694
I
I Date Issued: I
buildinginspections(cDcityofeagan.com
I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:. �"I LZLL, Site Address: Unit #:
Applicant is: ❑ Owner JELContractor
Name: ��;Ce t/� —t b vv.e- C> V_ AS'S t, C? 1, a-4 i b U-,.,
Homeowner Address: q` 5-q 6/B u q C+� 1 r city: �aQ 0. V,
r
State:fm Wip: Phone:: Email:
Description of work: 2 Q is C:,,-
Type of Q
i
Work Construction Cost l
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan Thy
Building Address City:�GcP�G��ti ��
Contractor /
State: Zip: 5-3,1- V P h o n e 6 t z-i2115 Emaill aMQ �C �,�e��CSN� MQ°`
License #: � D Expiration Date:
Sewer & Company:
Water
Contractor Address:
Required for State:
Zip: Phone:
Contact:
Email:
City:
new construction
License iration Date.
`*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
are 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.
Applicant's Printed Name A licant's Signature