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3861 Windcrest Ct ..,,.. sa e „At,. Fvz:,- , -.---„, ,..i...--,,,--.:,,,,,,,-.%!: 'ts ;lc 4 Z �3. £ ..m 4 3i' N om' ,€ _ _ s t r y f x aspay k ',' , ,. , ss ty y .. r , b { ues,.." b . .. � F - J 3 � ,. .) - ,t... '.....f; ' � _ $ -f . ap rs t: a ' ' d fix s-. rx - - . - s ', . ' z . ? ,r: : te =� . ■ �z z m � t Ka N eSs a Fa� tr ... rk"� yea 4 ca tigt .5 4- �n` �� .Sk � .b J„� w ,., �T`•i�1' f . •.F', a ^Y.. H'Ce Use or BLACK Ink t For trice Use Imp -7 City z of Ea Permit Fee 3830 Pilot Knob Road t t Eagan MN 55122 Date Received: Phone: (651) 675.5675 i ; Fax: (651) 675-5694 1 Staff. l t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2-~ ( Site Address: Unit Name: jAJ 4 tjI) 13ZJ`t,3 ~tgZG,)C ! l 3&-,Qhone: Resident/ Owner Address City t Zip: ")C rrZ~-L OaA-) S ;;Z-f ?4 Applicant Is: Owner Contractor Type of Work Description of work:~~ Construction Cost: Multi-Family Building: (Yes 1 No ) Company. A` Contact: 11~ u t., R ..r►,~, e ,r -rt t T Contractor Address: -i Cu V ru d2tP~ i t city: 07 0 Ao State: W( Zip: J L~ Phone: L~1 Z License 4 !5 3-b 8 Lead Certificate -A " - $ ` -1 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. Gall Gopher State One Call at (661) 454-0002 for protection against undergfound utility damage. Call 48 hours betwe you Wend to dig to receive locates of undergsowid uhhties i hereby acknowiedge that this inforrnaton is complete and accurate that the ::pork will be in conformance with the ordinances and codes of the Gib; of Fagan that I understand this is not a peimil, bit only an apphcation for a pormil, and.vork is not to staff wilhout a pormii. that the work mill be to accordance with the approved plan in the case of work w ich 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 , x Applicant's P ted Name Applicants ignature �� �� , Us�BCUE ar�L�A�f�1r�k �_ - - - �� ,f� ! F�u'Cl#flce Use� � � t l# � / �'� � ��� � F�ermif#: � [ ���: ���� ����� �� � �: �� � �� . . ��: � ����� ; ��� � � ������.. �� . � ��������������� t � E�gan MN�51� ; Date�tec�+�red:f�-c��—1,� ; Phc��se:(�a'{�67�-5B75 ' t t ��t:(�51)875-5�94 I StatF:S� F ��� � � ���5 i I'' ���� �����G��'�� �������1w� ���� 11F1�� ��r L��r�!�Qi'�l a�c�� � �� s�e��a����: 3:�S��: '�t*['r,� �D�..�',�fi C.cw�2..'�" u�,�ti�: �� � � �� ���: � , � � �����s��� N�me� "p �����,. �� . Acfdress!Ci�jr 1�p.- : � i `,�" �u . .�� �'` , r � ?' � 3 �,._ . , �. ,° ��� qpplica�t is: C7wner �Cor�r�a�tcrr �� a X : � , � < „ D�sctiption c�fi uVot`k; p,� �1/`J ,� ,, �. . _ � ;� � �� C�z�s�ru�fio�Ga�#:� �� Mu1�-Famil�C BuatHng.�Y�s ��: i N��)�� ; ' ` ��t � , �; ;� �, , . ��� ��x�� ���:������ ��arrrpaay: ���_� �� �+�'�Cc�l�tact_ ��{,��' : ��'�b +�u,` �� >��� � { � addr�ess» � ��; � �� °� ����� } ��` �'�"��-�� ��s�����������'������ St�€e:�f�iP: ��G Phone: �. �.��ai��-�°�,+[��1t,'"�'k'"�'.�3. � �� � ;�� ������� � ��. �� ����,�����������`� Licens�#: ',� ��"•�'-��`�" `�"�` ���`^�#. vr�P��`,"��������x��.�. L+�a�l`C�t�iflcate#:� >. � �c if�he pra��ct is�x�mpt frt�m t�ad�erti�i�ip�, plea�e e�xpla�n wh�r:�see P�ge 3 fc�r additi�rrai ictforrrt�tion} Ct�MPLE`�'E THI�AE��A C?ML�`�F�t)NSTRlJ�T1�#+G�t.�lE�f BUl��il�l� In the I�st'13 months,F�as ft►e City a#��yan issu�d a�ermt#f�r a sfrn��er pFat�b�setl t��n a m�ster p(an'? �,Ye�€ ;�lo ff yes.:date and adtlress of rn�ster plan: Lic;ens�ed Plt�rnt��r. ' Phc�ne: Me�tt��ticat�+�h#ra�tor: Phone: ��w�c t�tt��r.�tsr�ra�tr�r; Phane: �- � �� � ..�� � � �� ���y ,�; � a ��� -�� � ��, ,*� { �; � ��� r ,. ,... � a ,'� � � _ ,< . ,, . . .,u,.�c � , .... - ...� ...x, �� .�. � �`- n �AL1.E3EFQF�E�fQEf Ct1E`a. Caii Gupher Sta#e One Catl at�651��OOti2 fc�r prptection agdinst u�rdergr�unci:ub'iiry damage. �ait�8 hc�urs b�fc�t�:you intend to dig tta receive to�Ees af un�ierground utiEiti��. wta�t+.gop�,iersta necafl.wq t heretky actcr�kwAedg�:t(5at this infof�►tl�tiprT is r�tttp{�fe�ntl accur�te;th�t kta�u�rk uuifl be in r,�nf4rr�anCe-�n+ith the brdinances ar�r!cade&af th�City a� Eagan,that( uriderstarid this•is not a p�rmii,but c�nl�an appiii�aGQn f�r a perm'r�, arrtl w�rk is nc�t tc�sta�t vai�ut a perrr�it; that fhe w4rk vuiil be in ac�rd�rnce with the approu�i ptan in the case of wrorf�which req�ir�s a revE�w�d app€s�vaf t�f plan5. E�r�or v�ror�autk�ari�ec�ksy a building permi!#ssaed fn accorc�ance w,'�th�he Minnesota State�uilciing Code rnu�#�+e�cmpfe�d wCtf�i�t��t# days af permit issuan�e, *����������� � � l�►pAl�canf'�Prirt�eei Name Apipli��nt" �3��ure P�g�1�f 3 . �? )� , (. I �I � r,V�S� C�•DO NOT WRITE BELOW THIS LINE I�7 1C�S 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 lace _ Repair _ Egress Window _ Water Damage _ etaining Wall *Demolition of entire buiiding-give PCA handout to applicant DESCRIPTION Valuation �YJ Occupancy -� MCES System �'"' Plan Review � Code Edition �a`� SAC Units "' (25%_100%✓ ) Zoning � City Water � Census Code �34 Stories �" Booster Pump -� #of Units 1 Square Feet ��i0 PRV �"" #of Buildings / Length � Fire Suppression Required � Type of Construction �_ Width � 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 8'� Surcharge Plan Review �'� �� MCES SAC City SAC ' Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies (`j a,S' TOTAL Page 2 of 3 + �..���� �� � '�`� ��� :� � .:t. .7f:: .. ; . . ; . � ����` �������'��t���v�`►' �`r���'����r��"���� ' ��� �Il���sT c�l�A�nr � , . 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