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3851 Windcrest Ct a -iv, ri 6 " - s „,,, , ":0 4.4 .� ,� . �,g 'fi as � "� "�� �'' " z Q t ` g d d � } 4: ,; f Y Y el. ai4 ., ri : ffi "vim 3 xy K ;: ` 4 ,' �,�., r y - _?i s e « } n � 3 4 s � max' ses, ?, l x r t' o u ':,....'7::;r:'::-'' ern ''''.4:"t4- r s t "; '.-- -1 : ' ' ':', l'-' ,". : 501 :' ,A ll*:„,„rni.„':';=,1, , ,„t,';- .4 -: v ;,.. -,,,- ,....,,,,,, ,;::'-' - -' - '` ' ; , ,.. tti_ '-',2t,P'',-sfi:`,- ' '' tk « x Mtn. , x 4,.,--,%.....! pR= . " r ? ,.". . �" � S � 4'� y � � � } i � � 'dry 6 �y�yp� 1 Yx off Use or BLACK Ink _ 1 For Office Use City of Eap I Permit Fee 3830 Pilot Knob Road Eagan MN 55122 fi Date Received: 3 Phone: (651) 675.5675 Fax: (651) 675-5694 t staff. t7 ` L 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: A;Y4-4 s- 14 7' q W i N QC1&&J y- Unit Resident! Name: 1 YQ Tc~1J C i ( ~hnne: Saran i -46Z ' 140 Owner Address t City / zip: P- 10 Qn~dlt loos:7 r'1-tv'Alba M J S_~ii' Z Applicant Is: Ovmer t Contractor Type of Work Description ofwork: Construction Cost: Multi-Family Building: (Yes 1 No Company: i `i'oi? iT+ tvso ~\G U ls~ Contact: #h c ~ R. Contractor Address: 9 Z-v I- ru 7r i city: 0 G AN. State: N\L Zip: [ L Phone:, License a Lead Certificate T ct I 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 Galt at (651) 464-0002 for protection against underground 01:4., damage- Cali 48 hours betwe you mend to dig to receive locates of underg-ound ulihties I hereby acknowtedge that this infomraton is complete and accurate; that the ;:pork will be in conformance with the ordinances and codes of the City of t-agan. that I undersland this is not a peimrl, bal only an application for a pemnit4 and work is not, to start wilhrxrl a permit tnat the :work will he in accordance with the approved plan in the case of stork 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 ~;~f Applicant's P ted Name Applicant's Ignature � �� kl��E�lUE or 8�:�►��tnk' �------�._,..,._ �_�_._:..._ 1 ��..�� /, t Fc�e�(D�fice Use T � � ��,J '1 ` ' ' .�� , �� Pemtit#: _..i�� 1,�'�� 1 : ��� ��'�� �� ' ` [ rmi e. ,�,^- . � 1 � � g� . ��� .� �� 3 3830 Pil�t'�n�sb FCc�aad t 1 E�tgan NIN'�5'1� � Date f�eceived;�,Q � �+ 3��J� j �+�,o��:����}s���s�s � � ��:������r�-ss�4 1UN 2 3 Z015 i s�S� � 2�'1� f�E�i[��fil�'I�i. E�I.�il_L)�l�i� PERMtfi AF1'LiCATIt}N �at�: ��:. �t s�t��actr���: ?ZP�� � �N:t a��'��t'�5~� G��-'�' u„�t�: ��� � �� � �� � „s �'s�� �` '���£��w��, 1�1att7e: ��11 � ���� � ��ll����,� �,:L�F�L 'k���$: � r� �� �r �� ,� �� ,��dre�t cjt�1�tp;�� �`�i �'� �`�..1� A� ������ ���� �,.. .} �. � ; �PPIFc�n#is:: f�wn��: „��vr�rtetc�r � �� " ��' �` t�. r f ��- ���w. L��scription�f wcirl�:' � � �,� N, , �_; ;� J� �ons�rucdon Cbst: ' Mulki Famity f3uiiding:(Yes /No'_,_,} � , ��� �� ���'-� �' � � �� � ���� �� ��'�� „,��'"� �����""' C�tl'1�'1c"aCl}f: CQI'ific'7C�:—��1'� � .�" � �'�;z �'� o-�,fi�;' ��`�' �� �,k�",�,� ��.,�r�� ���'� ���I"�53: � �.,I ���{ �� k �. �. �;u�r������„, z�'� � ������������ �'; State:�2ip: �- F'hQri�.': ^'�E"rtlail���-��/t-`�.'.4�'"`�e..�# �{ � �����,�t����,£��°s?z Sk�h'�5��+`�:' . . ,�{� `�'� ,�;�� �'d.��'��.*��.'�.a . � �'.� ��t � ����"'�� • ���. �'���?���,��f�:�'��,�;� :�., Li�er�se#; . . Lead Certiflcate#=�i��"`,�''����'"`� ~ if the�ro}ec#is ex�rn�#fr�rr�1�ad�e�i�icartican, pl�ase exptain why:(s�e Rage 3 far additit�nal informatron} e�MRLETE tH�S A��,i4 f?tVL'11'!F CON�Tf��1�T11�Gr�:�1Eil'If St�ll.L�il�t� In tl�e I�st 13 rnr�ntF�s;has th�City v#�agar�issu���pern�it f�rr�t similar p(an b�setl an a m��ter plan'� �'Y�s �,�lo tf ye�,date an�i atldress af m�ster plan: Licens�d F�lumber: Pt�c�ne: M��h�n�+cal�cs�tr�ctor. `Phone: ��W�r,�Yf�te�r�t�ractta�rr.. Phane= � r `' �3 , y � �:v �;� ' e� �.� � �� � �� � � �- �,� �� .`, � � �������'� ��, � � �� � �� � � , �' � . ..t �` xs�:.` e M �:� `,.����. � ,;.�t . '' ��M,M �., .,,, ��-x. f��� CA�L.1.BEFCIRE�FU�##�1�: Cai!Gaph�r Stat�4r�C�II�E(8�59�45#�OQ02 for prntecti�n ag�tinst uctdergrc�uitti utifiity d�ma�e. Gafil 48 fitbur^� befc�re you intend to dig td re�ive lbcates af ur�dergrountl utilifi�;s: v�nr.gcsnhersiatet�necall.o�g 1 her�t��ackntawtectg�e that tk�is inform�ti4n is com�stete and�c�ura#e,the#the vvc�rk wii!t�a in c�nfc�rmance with#hs�rrdinar�cas ar�c;n�e�c�f tFi�Ctty c�f Eaga�t; khat i und�:rstand this is n�t a.permlt>but anly ar�apipli�ativn#or a permit, artd vwork is nof tQ stark wit#r�uf a pem�t�t; tC�a#the wc�rk v,ri[t t�ir�: acc�rdance with�e approvecf plan in the case of�rork which requires a r�view and app�u�f a�pians, E�cterirsr w�ork aufhari�etl b�a buittling permit issued in�c�ordari�e w3fh fhe Nlinr�ego#a Stata Eiui#di»g Gocl�must bie�csm�fe�it�i��8f1 cfays of permif i�s�anc�. � x�,�_��C"�,;�: �t��,t.� �u���'c'�.�, X APp[i��r�t`s Prirrt��t t��me; Ap�Ali�a�rt` ;�i�}�t�are i�age i,�f 3 �� , ���j l ����[.�/(,� �,-�.DO NOT WRITE BELOW THIS LINE �,?��lp�( D SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior 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 � Occupancy �� MCES System '—" Plan Review � Code Edition � SAC Units (25%_100%_) Zoning � City Water Census Code hl$!Z Stories --- Booster Pump #of Units ( Square Feet /7G_ PRV #of Buildings 1 Length ��! Fire Suppression Required .� Type of Construction �_ Width �1� 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 � �� � ���h � ��� ,n G�/�r oL Base Fee $'8' � Surcharge � Plan Review �j?� MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ���� • ��� �' � ,����� f � .�, t ' , � ������'���#'�, �� r#'�'�����:`���," ` . ��r����r � �, �.. ;:� ���� �,..�t�c�.�,�re..5�, C_,-�c � ' ����`"1�..� • .�.,� � � . � �.� :.��.. , .��, '��� � � jjj 3�..., �,�r i � �'�`. � l.�., �,.! ! : 1 �� R •' � � � � � �^ ��'�� 'a�'� � � .� :� r�� . - ������ . . .... �`� ��»�� a � �....�...,.�. .....,..,......�.��.. s�� ���'. . .� � �� ; � '�� . ;� ,� �.� �` � � � �' -� Y� . 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I r(J/j�,� �/ �.� ♦ . v��a �*�����'j�._... �� �3�� � i����{�� ; �: �� �; � �"_'- �������i ������� ������� ������ . . � ������i ��� ����.��� �� � �� J�t��: �; ���{,���r , �� ��� � �}������ ���� ����� ���� ������ ���� ��.��� � �� ��� " '��Q.� ������'� �+���r'����` ��.������� ��{��Q��� {r�J�r� ��:�� '��''��'� ��� �'-�Q.C�� ll�i`�t���S`i I�1���`��'i�f� E�:E�"��'I{� f��'��L� �`!?� f�F` ��� �* g�`.�"�"`J���l` � l�E �f�t�B�` ;C���`I;�'Y', T� WI����T �fi�A�1i T�T 'tNtS�' T�i �t:TRtt� �4�1� ��J��'E R���E�f�1T�1T�t��t t�� A SUI�"1�Y �� '�fE t#�t�Pfl�Ait��� �f. �: L'uts 9, , f4� tl �r��i ��,' �1t�+c1c 1 , Mt�tt�R£5T �t�t� �1ITt��, ���r`ct�ttg �� �h+� r�cor��d �'�at� th���t�f. t3a�C±�t� �+��tnty, �i�r��te�o�. * IT t�I�� 1��T Pl�RPO'�1'��'�# ���td I�I'R�31IEt�NTS QR ��l��flA��tF�M�'S, �� ANXw A5 S�IR��`� �Y' M� 4R 11l�R �tY `�fRE�CT ��P�R'������t 't�JS i?`t'N t31�Y ���r��� . 1� ►• �IGt#��: ,���t�� �lT�.L. ��i�.: ,� ` � . � ,