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4461 Clover LaneDate: City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use /CCM Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Name: (-\ (Farr fes- J i (Qd Address / City / Zip: i`L-/6 t Gl r9c� x T L..✓ Unit #: Phone: 657— D ri — 357-r Applicant is: Owner Contractor Description of work: RekLI Id- eXI S"i-I (dec Multi -Family Building: (Yes A / No Construction Cosa (5-/) Company: f GN 6,t 3©e Contact: 50C-1-et>06. City: OdJ c k - Address: I 1 �S V eneW nVe - iV State: NI,' Zip: / a© License #: (0 3o-) o ' Phone: 6 Si ® 7q7- 3l/ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 36)14.; 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 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.qopherstateonecall.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 Minneso • State Building Code must be completed within 180 days of permit issuance. x Applicants Printed Name x App s Signature Page 1 of 3 • DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building WORK TYPES New Addition Alteration Replace--- _ Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code +� # of Units # of Buildings Type of Construction Fireplace Garage yDeck Lower Level Porch (3 -Season) — Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair LID° VI) Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Ni Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In Air Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows /S7 ? L-fri& C Icier Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous — Demolish Building* _ Demolish Interior Demolish Foundation Egress Window — _ Water Damage *Demolition of entire building — give PCA handout to applicant .f� MCES System Min/ :-t.A. ) SAC Units ft) City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required V Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath __Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control /V21—, Building Inspector OW' fitofr v Page 2 of 2 ROBE 'ENGINEERING COMPANY, INC. 1000 EAST 146Ih STREET, BURNSVILLE, MINNESOTA CONSULTING ENGINEERS PLANNERS and LAND SURVEYORS L/1.1C Clove/ 55337 PH 432-3000 osi c LliggL .IOC.sc ' e fo>~t: LOT5 !, 2,3, AND 4, BLOCK 11 EDEN ADD/T/o1V DAKOTA COUNTY, MINNESOTA. NORTH SCALE: N` = 30' • (9 ik. s) aG,S� N 89° 58' 02" E 97.27 DRAINAGE AND UTILITY EASEMENT 4 • 1 ,Ir r rr W 1 • CiT&g3 DENOTES EXIST/Mb CLE VATION ' (9/o.0) DENOTES PROPOSED — `L INDICATES DIRECT ELEVATION OF SURFACE DRAJNi4( E 30' FRONT BUILD SETBACK LIN Fllu I SHED A RA 6 E FLOOD ELEVATION 7/4,o X hereby certify that this is a true land as shorn' and described hereon.. 5.507,Bee • 19 8S . () and coirect representation of a tract oil As prepared by ma on this /4.74 day of i Z0S.r► sf 12, (vim„/ t1/ r'� e r„ e;., Minn. Reg. Ko.* /G, CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO • 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. By Date of Insp.: / — i q g Misc. Charges. Total Date Paid• Insp • CITY OF EAGAN SEWER 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. 1 agree to comply with the City of Eagan Connection Charge. Ordinances. Account Deposit. Permit Fee. Surcharge. By Misc. Charges. Dote of Insp.: Total• Insp.• Date Paid. City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: C 3o 3 Permit Fee: is 0 © O Date Received: 513 115 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. CrA Date: 0- �� Site Address: L\11 to k C1w2�r `Q( IN Ei in \..) J Tenant:. PA ►1 ill AJ j� Suite #: Resident/Owner Name: ell 4 711 V 1 ine Phone 1 2ill Address / City / Zip: 4%1 10+ (fir A y * Oft ! i L/ Contractor Name: Rons Mechanical Inc License#: Address: 12010 Old Brick Yard Road City: Shakopee State: MN Zip: 55379 Phone: 952-445-8585 Contact: Linda Email: Type. of Work New ✓ Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information: on permitted screening methods. Permit Type / RESIDENTIAL Furnace COMMERCIAL New Construction_ Interior Improvement — Air Conditioner Install Piping Processed Air Exchanger _ _ Gas Exterior HVAC Unit Heat Pump _ _ Under / Above ground Tank (_ Install / Remove) Other — RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) �p $5.00 State Surcharge) = $ - �� TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum $1 million, please call for Surcharge Contract Value $ x 1% _ $ Permit Fee *If the project valuation is over = $ 5.00 Surcharge' = $ TOTAL FEE CALL BEFORE YOU DIG. Cail Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecaliorq 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. x Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough. In Air Test Gas Service Test In -floor Heat . Final -- HVAC Screening From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:30 #582 P.020/079 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use l Permit#: ` 11-4(0 Permit Fee: 3 Date Received: °I , ( 11 Iz Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: CI1512.013 Site Address: Li`i59441-i5gB,4yb1,44toIB C1010/ Writ/ Unit#: Resident/ Owner Type of Work Name: UAW th» F CIO.. (1 WA1 CCIYWAIll Phone: Address /City / Zip: IIM (Ai I((CS1 RtYkhlf,(,(i, Edeh Name, Mr b )-N Applicant is: Owner Contractor Description of work: TtQr 6. t and Yt-irtof cyG '\ Construction Cost: $ i `Q U 1 "I JO.O V Multi -Family Building: (Yes X / No ) Contractor G Company:.itlstar CAIiET;UCi1OY1 tilt }+»' ontact: Ott f i�Q(I�stCLt � dM�al Address: cj'y�j �Y�US1Y�gI S W' # Iu�J I K, CNAI� nCitty�: State: MNa Zip: Phone: C67,—CI'1Z-1494 055359 License #. IJ1✓(P3)515 Lead Certificate #: MFtT- 20qUM-0 , if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, 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: _Yes _No 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 .,..-��..„.s�_ ._..___-_,._., ____ _ _ _,....__..,...- �,.T y .._cone/ude 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.aonherstateonecall.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 Code must be completed within 180 days of permit issuance. x ItIsfrad Applicant's Printed Name x Ap(ilicfant's Signature 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