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I For Office Use I
~ Permit
City of EaEd~ 1 X, s~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: -1 ! I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/1/-13 Site Address: L) IQU W CtVr Unit#:
Name: Al Phone:
Resident/ -
Owner Address / City / Zip: 964 c 1v~ N 2Z,
Applicant is: Owner Contractor
Type of Work Description of work: P,4, - l~~a
Construction Cost: 1 (.9,60 Multi-Family Building: (Yes V /No
)
Company: 6 Contact: c~ Mg tl C~ 3 ~3 _-3
/ ce`t✓ lob 1- ~~°f l~f
Contractor Address: 3 City
State: Zip: t Phone: -9;_d _5C77- 77-7 License C Lead Certificate
If the project is a empt from lead certification, please explain why: (see Page 3 for additional information)
C~ ~j f~~? ~.J~ ~,r in ~~i3 J G~ J'~ ~ + P.~ ✓v~ ~ ~C. O,~`t~-~ , 7 ~ ,
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 maybe 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.
ff r''
X A VV\ t~ , l *App'can' Applicant's P ' ted Name u re
Page 1 of 3
,
- .. Use BLUE or BLACK Ink
- r-_-______,_______
I For Office Use �C�
x � ��
• � i /:����6�- �,.
C�U �l �� �� � �� °" . ` � Permit#:
, {�
C �'` � t. ., 2
o t;"� I —7 �-7 r�
6 � Permit Fee: � / �� ( ��
3830 Pilot Knob Road �9�'� i ,� ' ':? � �^��
Eagan MN 55122 � Date Received: '�� �� �
Phone: (651)675-5675 �� � I " I
Fax: (651)675-5694 �`""`" I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �Va���s Site Address: ��O � �hC�k� �/�"G�e, Unit#:
Name: .S2 G � �a f!'i n��a►'� Phone: �D F�S 3 0 �"c�`�la
Address/City/Zip: y��0 , ��h,4� Ci�l'C.�� , �a!�j G Y5 ,../"►�✓� S� �ad�
Applicant is: Owner �Cron#ractor
Description of work: �r P.e S e,GS O�'1 �o Y�
.
Construction Cost:�o� ���' Multi-Family Building:(Yes�/No )
Company: �Or���y �j U► ��%rr� Se�'✓iGeS Contact:���ke— �r�c�erson
Address: �d �O�C ( / City: �ds�.mo[� y-�T�
State: �"N+" Zip:SSO6� Phone: O(�.7�II.�S�Iy Email:h'���¢�L�rkwGySe��'^�'�s.CU�1
�
License#:Ij G ��Sa�Q Lead Certificate#: Np T"��y�yy��
If the project is exempt from lead certification, please explain why: (see Page 3 for additianal information);�
T/,�. 6u,1�1�.� �.Qs onsf�� cft a Ff�r- 197� � �
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: °
Sevver 8�Water Contractor: � � Phone:
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.qopherstateonecall.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 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.
Ezterior 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 IYI�c1,�.G� �r�G"S�� X `%?�
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
4 L �
���(� r,��� , ��(�� DO NOT WRITE BELOW THIS LINE .��`�.-�L ��"' �
�
SUB TYPES �
_ Foundation _ Fireplace j� 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 $`a'G � Occupancy RC — 3 MCES System "'"
Plan Review Code Edition �9/� SAC Units —
(25%_100%� Zoning /'�b City Water —
Census Code y 3 Stories ) Booster Pump —
#of Units 1 Square Feet � '✓! PRV —
#of Buildings � Length �t 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
�1(r Roof: �Ice &Water �cFinal 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 / �� ,� 3 „S,�/Jy1ry � �v�� ?Z�iG � II
Base Fee l G �, /
Surcharge
Plan Review / 0 5' a.�
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies $` � a.�
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165673
Date Issued:11/13/2020
Permit Category:ePermit
Site Address: 4160 Knob Cir
Lot:018 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-018
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Sean L Harrington
4160 Knob Cir
Saint Paul MN 55122--186
(952) 454-7157
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature