Loading...
1761 Meadowlark Ct VILLAGE' OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinan es. Misc. Charges: Total: By Date Paid: Date f Insp.: ` f $' 7f Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: L C Misc. Charges: Date of Irk Jr � 7j Total: Insp.: Date Paid: ` Use BLUE or BLACK Ink r-----------------� I For Office Use � ' RECEI`JED � /��( � Permit#: �vv j City of ����� � � 3830 Pilot Knob Road AUG Q 4 201�6 � Permit Fee:�G�, � Eagan MN 55122 � Date Received: ' � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: �� I I I -----------------{'�-� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ��?� 1 } � �� �� Date:_���� �- �� Site Address: ���G��CU'*�%'�Ctii �t�"� (.,� Unit#: � � `°� Name: l,,(i'�'� ��C'`(�1 � Phone:�v� � " ���'"' � t'�J t. R�����n� � 1�r ��c���� � � �� ��� , ; �jy�yF��� ;� Address/City/Zip: �. � Applicant is: Owner �Contractor ' Description ofwork: ���'F- Type ��Wc�rk�� '' Construction Cost: ���, Multi-Family Building: (Yes � /No � Company: ��� ��1"t�=- �C~��U�Z1N� ���,C�S l�c Contact: C+Dt1'�t'�C��f : Address: '��S`� i''(�i4�Y)t�3i..l�i1o� �� City: �i�i4l� _ ;.' State: �N- Zip: �v, _ Phone: 6��-`��-�76�Email: U�+��-��i��G .3��i i't�i�,cC!�h. ' License#: �����v��7� 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: Nf}TE:P`lans ar�d suppo�ir�g d��urri`ents#hat,��u�subrr�t are cvt�sidered:to#ie pc�blic fnf�rrr�a#fv,n. P��i�r�s n� ���� th�int`ormatis�n.may b�c�as�rtiei�;��nort�ublr'�if you prnuia►�specific reasoras:that wr�c�l'd�ermit t��City fo �r�nclu,de"�l�af fhe are#rade�ecref�.' 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. 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 �r` 1� ,� ',t�% X �� -�.� ,; ���f G����--,, - A - -_____.._. . . ApplicanYs Printed Name Applicant's Signature j Page 1 of 3 - ° l�� � I�I.Q�r;Qo�...�"lQ r�- G� �.�"(��� DO NOT WRITE BELOW THIS LINE 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 � Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION ��j �'" Valuation ��� Occupancy -�3 MCES System Plan Review / Code Edition �_ SAC Units -- (25%_ 100% Y) Zoning j1�� City Water --- Census Code 1�3t/ Stories ---" Booster Pump """" #of Units / Square Feet ^ PRV '�'- #of Buildings / Length �" Fire Sprinklers �- Type of Construction �— Width "i �.---- 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:�.���Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:,�,Stucco Lath _Stone Lath _Brick Insulation ti� Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls - Other: Reviewed By: , Building Inspector RESIDENTIAL FEES nr�k /30�� /�" � JR�d � Base Fee / �',��- ��� 9� Surcharge p�tr�v �� Plan Review G �� ��O � MCES SAC � City SAC sT'l��� /��TG/� ��'��" Utility Connection Charge S&W Permit& Surcharge ���D Treatment Plant Copies G� ' TOTAL Page 2 of 3 .� � Use BLUE or BLACK Ink �_____--____�-.__-� I For Office Use 1 ' I � �� I Clt of �a a� � Permit#: � � � � �� � � I Permit Fee: � 3830 Pilot Knob Road � I Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 � I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: I �I S � Site Address: Tenant Name: jM z �d\d v.., \�.Y� �;����� � v+ g� Tenant is: New/ [� Existin Suite#: Former Tenant Name:_�c s cM.ti`n�- �, ��ei �� � !1 Phone: Property Owner Address�Cit �Zi i �> ���� , ! � y P� 3 � b �1, �7b'� l '� bS t '9( `3� 17b\ � 1'15 �1 l?S? �7SS Applicant is: Owner Contractor c�.�w�h� �,�—� Type of Work Description of work: SF� . �.. 1��r�N 1 h���,,�z�� ca� Construction Cost:���.�1i�' Name: C Kt V�vr���� ��� C o v.i�''y c���� License#: (���5.� C COntraCtOr � Address: Z �'7`� �/�?�����i rr� Q�- City: V; c�,'1`��� State: � h Zip: �S 3 �' b Phone: G S� " d �� " �� rv b Contact: %e �'�'� z.�. Email: .�. � .�1 �.�- �O L_�.�w� . Name: Registration#: Architect/Engineer Address: City: State: Zip: Phone: ', Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE;Plans and supporting documents fhaf you submit are considered to be public information. Portions of' the information may be classified as non-public if you provide specific reasons thaf wou/d permit fhe City to : :conclude that theyare tratle 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.orq I hereby acknowledge that this information is complete and accurate; that the w rk w II be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion`for a permit, and work is not to sta�t without a permit; that the work will be in accordance with the approved plan in the case of r whi h requires a review and approval of plans. x `✓�e � t�� g v� � ��e•^) x Applicant's Printed Name ApplicanYs Sig Page 1 of 3 City of Eagan Cash Receipt Receipt Date 11/26/2014 � � �� �Q�) Receipt Number 202034 o � D&S HOME REMODELING CK 1035 0801.4242 50.00 )��� REINSPECTION FEE C (�(� `-�) A�^���� V�� Total Receipt Amount 50.00 104037 15:37:00 Use BLUE or BLACK Ink LayFor Office Use of Eaaau Permit#: Permit Fee: 1 �. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buiidinoinsoectionsecitvofeaaan.com Staff: "m 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-8-17 Site Address: 1-7U 1 64, ou J„ft. CT Unit#: CnZ/ 5Y- . Name: Phone: r` rAddress/C' it • 1761 � at�5/ P c-r Applicant is: Owner Contractor ,; Description of work: Suppply and install new windows or doors - ov«'- • r w . Construction Cost: Multi-Family Building:(Yes X /No Austin Remodeling Contact: Mike Company: 19306 Oelke Dr City: Prior Lake a Address: MN55372 62-221-4429 mike@austinremodel.net State: Zip.. Phone: Email: BC664409 NAT-F158156-1 u�N 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 fbr arsimilar 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: ty314.1. ** ig;okvii."4A-zzA,44wait-,.1 a r t4 ... °� 'r f t° r "t 6 r rr a 3 ' rA �wx ,r ;xuty..wa x �l¢,4 t};: .._� 3.';: u .. ,... _g' 4104"4iPw.d..:. 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.citvofeaoan.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 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 oif 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 accordancedancwith the approved plan in the case of work which requires a review and approval of plans. x dell it.Ati 61[kJ x Applicant's Printed Name Applicant's Sig ure Page 1 of 3