Loading...
4471 Clover Lane - Unit Bx A • tic • nt's Printed Na e City of Eatall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 0 Site Address: Ili t � lZ \I � � _ Unit #: Date: - 1 a Name3a--, t _ �G` \CLC � Phone: Address / City / Zip: 4 C\ (34 Applicant is: Owner Contractor Description of work: Re-ba j d- ex s-I- deck Construction CosftS_ (5—D Multi- Family Building: (Yes 4__/ No ) Company: G \ � Joe Contact: Ol ` /Li Address: [ I NIPS VCneVa /YW - IV Cit Qr � kcb_ - s State: I `tI" S Zip: / / aF Phone: CO — 1 — 75'7 - 3 te;; License #: f ' 3 0 ocX. Lead Certificate #: Use BLUE or BLACK Ink For Office Use /a Permit #: ✓ C/ O 3 Permit Fee: / ( / Date Received: 7- 11 -12 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: J 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.gopherstateonecail.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. — 40 1 -4110 rA nt's Signature Page 1 of 3 L-( 7 I 0 lojzoe_ SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building DESCRIPTION Valuation Plan Review (25% 100% 1/ ) Census Code # of Units # of Buildings Type of Construction RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies Fireplace Garage 4 Deck Lower Level WORK TYPES _ New — Interior Improvement * Addition _ Move Building Alteration _ Fire Repair — Replace _ Repair Retaining Wall y 3ti i REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _ Ice & Water Final Framing Fireplace: _ Rough In _ Air Test __ Final Insulation Sheathing Sheetrock Reviewed By: r r / DO NOT WRITE BELOW THIS LINE 73 ?% ? 4 y .1 TOTAL 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 Water Damage *Demolition of entire building - give PCA handout to applicant PD g-o /D Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / - No "CO 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 Y Backfill Final Radon Control Erosion Control , Building Inspector Page 2 of 3 a1 k . • '- OBE CONSULTING *HOINEERS ENGINEERING PLANNE1'lS and LAND SURVEYORS COMPANY INC. ..,.....1000 EAST I4611 STREET, eURNSVILLE, MINNESOTA 55337 PH 432 - 3000 q j Desc, pa on: LOTS 9,10 11, AIJU 12, BL©CK 1' EDEN ADD /T /0,t/, DAKOTA COVA/7"Y, M1A/NESQ774 NORTH .CALE : I" = 30' BY: 1311 aVoe 37 im71 (4L c_.(c)NIQ U le Cerlejfccac SurYey C ? TsJ DENOTES E X / 5T/A/6 4'LEVf4T /ON (9zo•o} Dan/orrS PROPo5E'b g VAT/ON INDl CATE 5 Di /OR! of SuRf%4CE ORA/WAGE 9ao.5 = / /NISHD GA/?A&6 FLOOR ELEVAT I ON EAGAN REVIEWED DATE 7 /r" /- BUILDING INSPECTIONS DIV AP 54 liell ..1.-• livat.it ct7:::','IC.: InSPECTO. - lit2 ki 9 8G `S6- d o 4. 4/,T ; � ��% �/` I hereby certify that this is a true land co rrect land as shown' and described hereon.. As prepared .e.*_rays,se , 19 ri S . 1 1 5A _i representation f a tract of by me on this ,33ep , day of ..: xinn. lea. No. AT CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Ro P. 0. 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 Date Paid: Date of I nsp.: 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: B Surcharge: Y Misc. Charges: Dote of Insp.: Total: insp.: Date Paid: • From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:29 #582 P.014/079 Use BLUE or BLACK Ink I For OfficeUse--------- I j Permit M City j of EaflaIl I Permit Fee: J 0 , r7 3830 Pilot Knob Road Eagan MN 55122 I Date Received: i Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 1,512-013 Site Address: 'Iy1I,4~h1 g,yy13.yy13B CtUve►~ Lahr unit Name: Ean big CIO*, &_Qlal I COMWA Phone: Resident/ i~ ~n~ Owner Address / City / Zip: tt/13t G tm Y ~a1 1 Pa1,m C'CiG') IPM Ae f MN 55391 t(Applicant is: Owner Contractor Type of Work Description of work: T@GY and Ve-=f Construction Cost: 5,1150 • y0 Multi-Family Building: (Yes / No Company: AiMar MwWw Mau , L LC, contact: (hit alftrgd Contractor Address: uy s Indunjoi l M+ *103 City: Mapt , I iai n State:M N Zip: ~J3 Phone: q~JZ" q~1Z" -I~'IS"1 f License Bu.24 G- 1r, Certificate N T" i0y If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) r~ 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: E NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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. Cali 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.oooherstateonecall.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 pe completed within 180 days of permit issuance. rfl X_ Hai& Applicant's Printed Name Appff/ant's Signature Page 1 of 3 ff 411' City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: +• � 04r—r(-) Permit Fee: Date Received: Staff: L 2015 RESIDENTIALPLUMBING PERMIT APPLICATION Date: Site Address: 4 L-1)1 ('.,ea _ 'l Tenant: Suite #: �1lle Name: MAJ. _ \ OACk Phone: (5f -a`t(j " 776 x• Address / City / Zip: fi # ontr iRillitt�iCtOr �� T � Name: )4-e,i At ( P /.4„,,,, I, f, C_ License #: pill v (Qc 74s9--- : �' l.?t1 f Q-` S4 _ L� City: YCQ\TA c ,^r' Address r / Qq f` 7 d-C��—�c `� State: nil Zip: �5� Phone: Contact: /1/1( K - Le G� t 1 Email: ' \� e.,t.p-P.,10;'N/ ti''ta.r ff 0 101• New Replacement Repair Rebuild Modify Space Work in R.O.W. — — — — — Description of work: 3 E ENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) — Septic System — Water Turnaround New — Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing "Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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 acknowle• •e t - this information is complete and accurate; that the work will be in conformanc Eagan; that I un. r -nd thi '. not a permit, but only an application for a permit, and work is accordance wit e approv-:.lan in the case of work which requires a review and approval of x Ap• cant's Printed Name ith the ordinances and codes of the City of ithout a permit; that the work will be in 's Signature % z , 0 ® I I e r ® �.•• •®,V® EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections a�cityofeagan.com ------------- For Office Use I I Building Permit #: I I I I I S&W Permit #: I � I I I Permit Fee: I I I I Date Received: I I I I Date Issued: I t---------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Unit #: I Name: IGt e sA b ul�e— (z:> �_�� y,_ ._- _f4s�5 o C' A Ot_4 k 6 In Homeowner Address: J "i -�, I N—t! � i q "1 —+ D"�/ City: �aaOL State: Wip: S51 ?—Phone: OoQ6-✓ LEmail: I Description of work: �2 C, tD, Type of 2 Work Construction Cost) of building: ❑ Single Family ❑ Townhome, of units 14,Twin Home Compan �ThQ��tl Building Address: �� T KAA/. City:��iLe Contractor � / '/ State:M&6: 5-37 Phone�otZ�7)' Email. _Vlke�C ,\^_e,v� License #: o O Ex Iration Date: Sewer & Company: Water Contractor Address: Required for State: _ new construction Zip: Phone: 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 are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or v~.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. X Applicant's Printed Name A licant's Signature