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City of Eakan ~ t}4?rrnt) .i'? . .I _ v! i
} Permit Fee
3830 Pilot Knob Road l
Eagan MN 55122 Date Received: '
Phone: (651) 675.5675 1 ;
Fax: (651) 675-5694 t Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2®1 1 Site Address: I 21 - 26 •-Zf3 -3,o VJ %xi De
ye, A-w _Unit
Name: tl 1V1 ~r '5~~°iJ ~1CLLQhone: " ~{~Z -v4t3
Resident!
Owner Address; City; zip: FAKra &..3
Applicant is: 0 ,wrier
Contractor
Type of Work Description of work: RA aciF
Construction Cost: ~f r y Multi-Family Building: (Yes t No }
Company: b e lLr+ `fi yr AO U S Contact: uG R.Nppey4na)
Address: -l =L-u C + y ni 7V i l r city: EAG AN,
Contractor
State: Zip: L Phone: (a `
License C 6 8 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:
/VOTE: 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 speck reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. call Gopher State One Call at (661) 454-0002 for protection against underground unity damage. Call 40 hours
belwe you =mend to dig to feceive locates of underground utilities
I hereby acknowledge that this inforrlat-on is complete and accurate: that the work Agll be in conformance with the ordinances and codes of the City of
I-a<}an, that I understand this is not a pernut, brat only an appl!catlon for a permtl, and %vork is not to start wilhoul d permit= thal the work wil 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 Onnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Applicant's ignature
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�4�r�,�=��`������2� z;`���;n:$ Lea��:ertificate#;��'�"`�'��'�� :�
If�f�e p�r�Ject is e�e�rnpt frt�rt� I+e�ct�erti�ica�ic�n, p�ease exp(ain why.(s�e Page 3 fQr addi�ior�al infarm�zt��n) ;t
�C�MPL�TE TNIS A►�EA{.1N��'1F Ct1N�T�t!„I�TII����1€W BUiL{311�f�':
tn the iast�2 en�nths,has#he City of��gan fssued a pe�mit f�r�s�milar ptan based t�n a m�ste'r plan'�
,�Y� ,,,_,,,Nc� If yes,�ate arrd'actdress�sf ma�ter plan;
License�d Pl�rnlaer: Phc�ne::
' M��har�icat`C�r�►�r.�ctor. Phc�n�;'.
S+��er�1�tllt��er�t�r�rctcrr; Phone::
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C�[.1..B���RE'�FOU C?IGr Gai4 Gopfieu State One C�If a3(85'!j 4S�-QQt1^for prt�tection ag�in�t uncfergrtrunci u�ility ciam�ge. ��it d8 hou�s
befxsr��/4u intend to dig ta re�eive tcic;ak�s af ursdergrounc!'ufilfties.;wuvw:goa��r�,tat�n�,cali.4r�t .
t rieret�r acknt�wled��that this irr€Qr�ta#ian is csorrr�tt�te�ric3 accwrate;that the w�rk�rtrii!be in confc�rrr��nce vaith the�rrtinance�arrd c�1�ofi the Ciky of :
Eagan: that t ur�d�tand this i�n�t a p�mit. but only sn appi��ation fdr� permit', �rtti vr�airk is not#o start witFiout a pem[it;�at the wbrk+xii#k#�e in
acr�rdance v�tFi the approv�d�lan in th�:cas�of wtuk whid7 requites a reviev�r and aPP�u�i�F plat�s,'
Ext�'ri�r vuork;authoriz�d by a building permit fssueci in accotcF�nce with fh,e Minnesata Stat�,Bufl�lin��o��Enust bie�arrrpieied v�it15?h 15Q
days af permit i�snan�.
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� �AA��i�����rttt�d��iVante ��� A�rt ' :�rig�ttatute� " ` � �
P�g�;'t csfi 3'
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, DO NOT WRITE BELOW THIS LINE 1 ` 1 �j)� �,
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ E�cterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_ Multi �' Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
� Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation (�'!O � Occupancy � -�/ MCES System '`-.
Plan Review Code Edition � SAC Units --�
0 0 ✓
(25/o_ 100/o_) Zoning p,t� City Water ---
Census Code k� Stories --- Booster Pump -'
#of Units I Square Feet � PRV -"'
#of Buildings / Length � Fire Suppression Required �-
Type of Construction � Width �O '
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required �
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
�_,,..,_.- Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee '7,3 �
Surcharge
Plan Review '�i�? �
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies � Z,
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150540
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 1330 Windcrest Ave
Lot:006 Block: 003 Addition: Windcrest 2nd
PID:10-84461-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Mclane
1330 Windcrest Ave
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature