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4604 Ridge Cliffe DrDate: C!ty of Fain 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-55694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 7 ° ''t(c Site Address: `"7 CO ( r1 ` 6.A.(9.14 Unit # Contractor Name: CO d� ae�I' I' - /7/ Address 1 City / Zip: L L r jj e- Applicant is: Owner Contractor Description of work: F r Construction Cost: L��2. vf Multi -Family Building: (Yes t No ) Company:%tc/ 4 �c ec) Contact: $t/ ..tet r'e' +"�� City: a1A 1 S Phone: (.40-411Y—L131 !1/1 A) 55i2 Address: © ad ore AL"e $ St:?� ate: j Mip: I`.� Phone4-$?'/' 5 mail: License #:1t t. C:15 -O Lead Certificate #: If the project is exempt from lead certification, please explain why: -7,zy 73 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING n 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: I Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor. Phone: Fire Suppression Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public informatitsR, Portions of the information may be classified as non=public if you ;provide specific reasons that woukf permit the City to conclude that th are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground u1i ty damage. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed wither 180 days of permit issuance. e. _ST/2, 1-21to." d Applicant's Prints Name x Applicant's Sign Page of 3 E AGA N RFC/E, Jut' 1 , 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinainspections@cityofea•an.com Date: L .11-91.° For Office Use Permit#: /6 Cf7g 7 q: Permit Fee: /: �' Date Received: Staff: 2018 RESIDENTIAL BUILDING PERMIT APPLICATION f site Address: '160 L%tZ i d r C 1; c Name: /T Phone: Address / City / Zip: CAO; f2 C I F f !l r Unit*: J Applicant is: Owner Contractor Construction Cost: Multi -Family Building: (Yes / No Company: je' tY Cc f't c l`G "e 9— c/o ct%Ev - Contact: rn I Sc ti roe e. Address: Id 5 3S Dcc4c1 F3Ivd PrvcfFinc� � City: 05C o (An States Y1 tJ Zip: 5 5601 Phone: 5 1 3 2G(- 7%IEmaii: Wt C clW Z a 01 • C License #: Pec I -1.-y D Lead Certificate #: R—=- y3639-13- oa5lo/ if the project is exempt from lead certification, please explain why: 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: Fre Suppression Contractor: Phone: NOTE: Plans and supporting documents haf you submit are considered i classified as abbe if vide reasons that would You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.aooherstateonecall.orq 1 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 wiN be in accordance with the approved plan in the case of work which requires a review and app al of plans. L /? x Jccw� l>n 'S {� rt) ii c%ree Applicant's Printed Name A r nt's Signature DO NOT WRITE BELOW THIS LINE SUg TYPE- Foundation Fireplace Porch (3 -Season) _ Exterior Alteration (Single Family) Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) deEC(;FE6J2.jsas 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 DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) X Final / No C.O. Required Foundation Foundation Before Backfill HVAC _ Gas Service Test Gas Line Air Test Hood Roof: _Ice & Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath _Brick - EFIS Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL p 0 Page 2 of 3