4715 Sunne Pt t :�
► -. H ERMIT 440 : �`''`'r
4 014 .. MW SSt ! DATE: - 7 / 1 �
,) at Unitas �, 1 's). -ex •
. rr Th ompson Eamen .
Add -&-f.f.**0-41:M*44krilliafte I3 B3 Ridge Cliffe 2nd
r: Gera Ryan
. c Meter No.: connection merge: e: 30 5.00 pd
' "Skin: Account. Deposit:
head's No.: Permit Fee: 10.00 pd
IRON* to (Maids web die of asses Surcharge: .50 pd
Misc. „ F - p d ru'eter
0/ Date Paid:
_• 1 / y . .
r
- an tfri . SAWN SERVO PERMIT
%ens PAN ; DATE:
OWVII r: r 1 . c r` r V: 1£bre :a Na. of links: j
Sit, Meldres 4 ,:4 • - , ,e 7 .3 . B 3 a ' {. r
pl iPnz zi2 rlc3 , g (z ; fc, i,c
f r 1r. eitela r with Ho air of levee I ^!� 1 +:; c7
Account Deposit:
Permit Fee: T t1 [' L f _, rl
Surcharge:
By a d
S'1
Misc. (lard
Total:
7 Date Paid.
Use BLUE or BLACK Ink
r
For Office Use
Permit
fiG
City of EaEd ; L[JOA5
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 7// 7 AJ ,/010t' 9"7 8 7 ^.Unit
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: V e " re U
Construction Cost: J b Multi-Family Building: (Yes JC / No )
Company: l1A/ 7rt A ng- ~Y Contact: r=ib Doe
Contractor Address: `t~s' City: 6U~~
State: _AI Zip: .~S'3 Phone: 01 _ FIV
License 6 6 4 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:
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 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.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 be completed within 180
days of permit issuance.
'a-41 gi=_ x x
Applic nt's Printed Name cant' nature
Page 1 of 3
For Office Use
t " , Permit#:
E AG A N Permit Fee: I -)-'a-.
z,
Date Received:
7% -/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsoections(a.citvofeacian.com L
fxs,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: liaba Site Address: Unit#:
Name: 'RC 166eaLI F1= Ft t"ST b-I. 0. - Phone:
Resident/
Owner ' Address/City/Zip: 4.1.716_Suju,�ii E PT. E14 !/.4t rye „6.75�
Applicant is: Owner Contractor
Type:of Work
Description of work:Co,u cz 7�TE �(.p►T I.t9®1Z i'Ccit
-C
Construction Cost: 04ra00. 0 0 Multi-Family Building:(Yes /No ✓)
Company: KFN' 4 RCZERvtiCc: L LC_ Contact: eiLi t CP
Contractor Address: � '��]�D �� �� p City: � ��
State:(bl�a.Zip�'55j j 9. Phone: c�" �Ctltmail:4 &i)6o1 A&c.
License#: Lead Certificate#:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be.public`inlOillstion Portions of the information maybe
classified as non-public if you provide specific reasons that.would permit t .City toconclude hat they are ,e secrets
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.citvofeaqan.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.gopherstateonecall.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 nota permit, but only an application for a permit, and work is not to start without a permit; t at the work will be in
accordance with the approvedplanin the case of work which requires a review and approval of plans.
x fiefx.1,4457-74, A, (
Applicant's Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE th f s- cub,rl.;c 194' /51 q13
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
V 01 of_Plex _ Lower Level —
Pool _ Accessory Building
v
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 910(tr° Occupancy 3MCES System
Plan Review Code Edition ,;C , l SAC Units
(25%_100% ) Zoning t 143
City Water
Census Code Stories Booster Pump
#of Units Square Feet 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) X Final/No C.O. Required
Foundation Foundation Before Backfill ( HVAC_Gas Service Test Gas Line Air Test
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: 1 �V , Building Inspector
RESIDENTIAL FEES
Base Fee r j9tievh"
t
Surcharge (Vt. Y ( (3
Plan Review '
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant OP
Copies ;'.
a
TOTAL
Page 2 of 3