3812 Windcrest Ct &EWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 09/04/
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12259
METER SIZE B.P. RECEIPT # C 15214
DATE 9/3/91 ISSUE DATE B.P. RECEIPT DATE 09 /03/91
PRV� BOOSTER PUMP
SITE ADDRESS 3812 WINDCREST COURT ' PERMIT REQUESTED
LOT
32 BLOCK 1 SEC /SUB WINDCREST 2ND
X SEWER X . WATER TAPS
APPLICANT: PRIME BUILDERS INC X
ADDRESS: 4915 VALLEY FORGE COMM/IND RESIDENTIAL
CITY, STATE PLYMOUTH ZIP 55442 X
NEW EXISTING
PHONE: 550 -1346
VALLEY PLUMBING Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water. Line.
ADDRESS :. 610 CREEK LANE Credit WIL • :�
��r d Meters.
CITY, STATE JORDAN zip 55352 1
PHONE: 492 -2121 A / � .�� l�
GREE TO COM - LY ' ITH CITY OF
OWNER: SAME AS APPLICANT EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PH• , •
/ SIGNATURE WHEN METER ISSUED
PL $ E II • • ' '' O W >i D�l►Y FO ROE SING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER - 11 ITS, CONTACT JNGIN ING DEPT. , ti
s . ;: 44( y 'O et /U /O --9 / �� 9�'"
Use w _ or BLACK Ink
-----------------7
t For Office Use
1>`7~ t'rrrrrrl 13 3 ► ~ 5
City of Eagan
Permit Fee
3830 Pilot Knob Road ,
Eagan MN 55122 a Date Received: 3 1 ;
Phone: (651) 675.5675
Fax: (651) 675-5694 Staff.
2413 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
t ~ Site Address:
Name: ( tjT)
Y~ ~tJ t--'~hone: ~o~J 1 5Z
Resident!
Owner Address ! city r Zip: P_ Q~ d(b 7 F-A(~i1,ti in&) 5;!~~l IJ
Applicant is: Owmer Contractor
~
Type of Work Description of work: in,
Construction Cost: Multi-Family Building: (Yes -)L- ! No )
Company: : V-t- tv'p AG t c e Contact u r, . ...t
Contractor Address: Y r 1i TV_A i E. City: t A 0 AVNL
State: Zip: LZi Phone: Z) j
License 13 Lead Certificate - $ T cr,
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 permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-4002 for protection against underground utilty damage. Call 48 hours
belo•e you ntend lo dig to receive locates of underamwid utilities
I hereby acknowledge that this informat on is complete and accurate: that the ;.cork will be in conformance with the ordinances and codes of the Co of
t-agan_ thin I undeesiand lhis is not a permit, Iml only an appkcatron tar a permit, and work is not In start without a permit trial the work %k-0 tie in
accordance with the approved plan in the case of work which requires a review and approval of plans
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 184
days of permit issuance.
x : x
Applicant's Pri lled Name Applicant's Ignature
•
381 3
, s+ c .
((j
CDO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% X )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
Footings (Addition)
Foundation
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
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
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
X Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Building Inspector
MoN.,
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