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1560B Baylor Ct CITY OF EAGAN w ►TER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: agues to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: �, Total: By Date Poid: Date of Ins .. A Insp.• • CITY OF EAGAN SL VER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21 ;99 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Owner: No. of Units: Address: _ Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: Date of Insp.: Misc. Charges: I nsp.: Total: Date Paid: • Use BLUE or BLACK ink For Office Use j Permit It dd _ { ~1~2 - P 9,5- My of Eapn I ~ ~ I Permit Fee: 42- l 3830 Pilot Knob Road Eagan MN 55122 Date Roc: W 13 ~2 I Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: 1 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION rr y sldq. ~ Date: Site AddressJAEJO 1 Unit`#: Resident/ Name:.#nri 744tH Phone: Owner Address / City! Zip: Applicant is: Owner Contractor Description of work: Type of, Work Construction Cos : Multi-Family Building: (Yes No Company: _ 2 > T UC /t7~ `i en ~G' -~'11~------- Contact: Address: r'3 O ?J !"1 inn ~1ek _ City: MinneaplJfr~.s contractor State: _M I Zip:. 5Y4Yd Phone: _ Z~_ ~ License 197_06Z- Lead Certificate 2 V2197 - 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 Pity to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 4540002 for protection against underground utility damage. Cats 48 hours before you interd to dig to rive locates of underground utilities. ww~v r.aor~hert~teonecall.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. X. 6/ 2abeA 0~5n cr en .r . Applicant's Printed Name ----LJ Applicar s Signature Page 1 of 3 • Use BLUE or BLACK Ink For Office Use4 (/�, City :::t:ee: ‘-(1)** O� �"` "'� ` l 3830 Pilot Knob Road -�-(V'l Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: JUL 1 4 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7//3//7 Site Address: 0F. AL. 66/4-1,- Unit#: Name: 44"'W7 t7 S"i S /U7'W ocerwie eX'0, Phone: Resident( Owner ;' Address/City/Zip: Applicant is: Owner /X Contractor of . Description of work: L �t�r �A¢.CtQ YPe of Work . Construction Cost: fr Y'©L" Multi-Family Building:(Yes ?C /No ) Company: Ayr- eerivstrrsteerxzeiv . Nc Contact: - m. r Address: /57/) I4- 'T-� City: lily t e PM/tele Contractor - State: Zip: 5'57?-V_ Phone:46'Ayt-ilf°1 Email:b i-10/0Y c ✓ License#: f 2 22..9f 2-Z_ Lead Certificate#: Aar — Fit).f'—/ / If the project is exempt from lead certification, please explain why: idetuoki 4te4.4 117 W 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:Plansa04,4* t ��s�it xz the Info matt2` that` -. ru., v ., 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.gooherstateonecall.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 - e Building Code st be completed within 180 days of permit issuance. x gG .. x 1... LLQ.; Applicant's Printed Name Ap+'cant's Signature Page 1 of 3 l 5 e O 8� (s-✓ QA--- ,i3 -0= i i-ly g_ (e 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 ?o 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 ` 3, _ - Occupancy a-R C ""3 MCES System Plan Review Code Edition 077/1 20l SAC Units (25% 100% 7°) Zoning 'PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length r Fire Suppression Required Type of Construction 'v B Width 2� REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) „0 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: / 0/21 /A; /I y/ ' , Building Inspector RESIDENTIAL FEES Base Fee `Alrl ' v� 5-3if Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3