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I Use BLUE or BLACK Ink
I For Office Use I
' I
~ Permit
City of Ea[I~d I a(4d° S
Permit Fee: D I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / I l 13 Site Address: 41~° LJ 1q4 Lf I~Le 4(q?f Unit#:
Name: Al Phone:
Resident/ v~ J F: ~`v1
4rn ~i~~f 2 z
Owner Address/ City/Zip: C ~ 'I`-'
Applicant is: Owner Contractor
Description of work: P. - 12~~
Type of Work ,
Construction Cost: 171 (e 60 Multi-Family Building: (Yes V/ /No
)
Company: c? Contact: J In^P~ 3 `E3 '3 ~_V
(off - 11a-q- to l l
Contractor Address: 0 City
State: r V~ Zip: Phone: _5C77~ Z( 777
License Lead Certificate
If the project is e empt from lead certification, please explain why: (see Page 3 for additional information) - V_ f
en L r; ~ l~ & \ red G~ 4t vv~ lz cal , 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 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. i
x A VY\ t 1 t r? Vv~
Applicant's P ' ted Name App 'cWSigature Pag
e 1 of 3
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspectionsCo�citvofeagan.com
JUN 04 2020
For Office Use '
Permit #: l / 7 /y/
Permit Fee:
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/04/20 Site Address: 4184 Knob Circle
J
Unit #:
Name:
Bisanz Bros Management CO Phone: 651-457-8859
Address / City / Zip: 1349 S. Robert Street, West Saint Paul MN 55118
Applicant is: Owner ✓ Contractor
Description of work: Deck Repair (see Attached)
Construction Cost: 1500.00
Company: Viking Exteriors
Address: 901 N Concord
State: MN Zip: 55075
Multi -Family Building: (Yes / No )
Contact: John Meyer
City: So. St. Paul
Phone: 651-256-1061 Email: John@vikingexterior.net
License #: BC003773 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Built after 1978
p9
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:
You may subscribe to receive an elect
ronic notification from the City of proposed ordinances by signing up for an small update on the City's
webslte at www.cltvofeasaan.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. Cali Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 appr ved plan In the case of work which requires a review and approl of pia l
x JOA/9 er'
Applicant's Printed a
x
Ap;j cant's Signet
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
Single Family _ Garage
_ Multi Deck
01 of _ Plex Lower Level
zmy Kook) CcJ c_ /� 2/74
Porch (3-Season) _
_ Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
_ New _ Interior Improvement
Addition _ Move Building
Alteration _ Fire Repair
_ Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
�. oats
#of Units
# of Buildings
Type of Construction S /S
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
` TTC - "3 MCES System
gc)P SAC Units
�1] City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
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
Radio Meter Read
Copies
TOTAL
c'c
• n S
Q. \ 54e0-erg
A 0,
Page 2 of 3