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4076 Meadowlark Lane
VILLAGE OF EAGAN WATER SERVICE PERMIT 3/95 Piiot'Knob Road 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 Misc. Charges: Total: / Date Paid: Date Insp.: f/ 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: B Misc. Charges:-- --s' Date of sp.: Total: Insp.: Date Paid: . � Use BLUE or BLACK Ink r________________^ � For Office Use � � � Permit#: � �� � Clt of �a a� � . �� � Y � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: f �IS � Site Address: Tenant Name: �e�d\�Q v..� \�.�- �:������ (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: {° �c scl�+•...�n�- X, r��o �� � � Phone: Property Owner Address i City�Zip:xl d�t7 . �' ra�2, ►t c��� o 't ��� , 'iv��F. �t �7�t�, �( c��� ,�l ��� �i��(� , �� �. �� Appiicant is: Owner Contractor � Type of Work ' Description of work:__s�. Y•t7 !t �r�N� � �t w1 t-^� Construction Cost:�/�.LW � Name: C� Y�vr�.c�� �r� ` pv.��l��c.�w� License#: Contractor Address: Z �°7'� �/�'���,�,,,� U r. city: �; ,�q�,� State: �1 � Zip:_�S 3 r�' b Phone: G S� � ��� �— �ti � � Contact: %he �'�'� e� Emai�: .,. � ,� �nt� �O L_`�,�v..� 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 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 the 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.orq I hereby acknowledge that this information is complete and accurate; that the w k w I 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 tionifor 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 r wh' h requires a review and approval of plans. X `� e ��-� gv� S �e`�) x Applicant's Printed Name ApplicanYs Sig Page 1 of 3 ii 1" 1 t -T-.-4r Use BLUE or BLACK Ink For Office /Use Permit ft L(z� - City of Eap,aia Permit Fee: i q-7.- .-1) 3830 Pilot Knob Road 1 i'`�. Eagan MN 55122 s. i Date Received: / Phone:(651)675-5675 "�` Fax:(651)675-5694 • Staff: i , 2017 RESIDENTIAL BUILDING PERMIT APPLICATION • Date: .912/ 1-7 Site Address: ' ©7c" Aidezoididel 1(L) Unit#: v; : $ rN ' Name: i6'adrOti,)`kiu iV; j i 1.r.i j Phone: *., � , '$y° Address/City/Zap: 4 .076.' fiG ✓lA/4lX ,& s,• 5`,•" . Applicant is: Owner X Contractor h Description of work: �� • + .i�/'efi > � Stucco repair/5, • i yk r ; Construction Cost: '0� Multi-Family Building:(Yes /No ) ::1‘0.1.44,:‘,.,4.2:K,',"::„;;;4"4. : ,va °, Austin Remodeling Mike rn 31 , Company: i Contact: b, v t 19306 Oelke Dr Prior Lake a i{ r u Address: City: <N�`fi F Jx r MN 55372 612 221-4428 mike(,cU` austinremodel.net � �-4"` State: Zip: Phone: Email: TF BC664409 • NAT-F158156-1 �-7 License#: Lead Certificate#: f If the project is exempt from lead certification,please explain why: ,.( _,,-.5 I 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 X No If yes,date and address of master plan: Licensed Plumber: •; Phone: Mechanical Contractor. Phone: 1 Sewer&Water Contractor: Phone: Fire Suppression Contractor. I Phone: NOXE!Ptsanens thatyou aera consideredto bepub *rte . thelnfonnatlnma e, edas nonpulic�tt !de spcific reasonshawoufih! J,..,,,,,-,-„;„3 , conclude:tha ` i . trade sec ets. 1>. ,_'4_ CALL BEFORE YOU DIG. Call Gopher Stats One Call at(651)494-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.agpherstateonecali.org I hereby acknowledge that this information is complete and accurate;thatthe 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 art 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 d approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building C.., m be -•mpleted within 180 days of permit issuance. t j / xMichael Austin x _ Applicant's Printed Name Applicant's Signature Page 1 of 3 tigi-r-- L---r i L- _"-- • �{o 76 14DO NOT WRITE BELOW THIS LINE I A-/‘ '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 1, Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation frai____,70 Occupancy t,,„5 MCES System Plan Review ..,Code Edition 1� 2./', iSAC Units (25%_100% ) Zoning City Water Census Code (( _ Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 7i F' Width REQUIRED INSPECTIONS "-' Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) X Final I 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 k 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: cri ,Building Inspector RESIDENTIAL FEES Base Fee SurchargeIA cl ' Plan Review MCES SAC144(74/ ; , City SAC Utility Connection Charge 5' (9 S&W Permit&Surcharge t Treatment Plant Copies TOTAL Page 2 of 3