1564 Baylor Ct B CITY OF EAGAN WATER 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
By 1 f~, Total:
Dote Paid:
Date of Insp.:
Insp.:
CITY OF EAGAN SEWER 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:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
By Surcharge:
Y Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109457
Date Issued:03/12/2013
Permit Category:ePermit
Site Address: 1564 Baylor Ct B
Lot:15 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Bryan L Aase
1564 Baylor Ct B
Eagan MN 55122
(651) 434-5875
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
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
4,00. For Office Use
g
Permit#: l ` (1x` 0
City Eaali Permit Fee:
3830 Pilot Knob Road ' CJF Date Received: ! .e(-7Eagan MN 55122
Phone:(651)675-5675 Staff:
Fax:(651)675-5694 JUL 1 4 2017
.40
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/2.3A7 Site Address: /51' e '✓ Unit#:
1
rte.
Name: N"2c� l� Lz$ /9 W plifeX '• Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner A Contractor
/f 1!014,- . ', ,, t4 /0 x'
Description of work: �
Type of Work
00,
Construction Cost: Multi-Family Building:(Yes )( /No )
Company: Ayr Txes., Ne Contact: ,41/4011- r
Address: if 67%,- z 4-r't City: 4ivC 1/ma yContractorr.
State:m,' Zip: 5574-V Zip: Phone:4674w-it/WY Email:/itui-tie/g
ir1'eo cs
License#: leL 229f 2-t- Lead Certificate#: Ar4r F//x ddb— f
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 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:Plans
ands > 1S g subm •¢ '. 3 , } ¢ , ¢ g
the,information MY' '3 .F� �;no f if yo•' . x t ¢ ` 6 4 fry .to
a
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 P/4144.- Pt 4yr A0P
x •
Applicant's Printed Name Ap'icant's Signature
Page 1 of 3
DO NOT WRITE BELOW TI1I S LINE I
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi ?'d 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
yp Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION .�—
Valuation 3� 0- Occupancy , ' A e-3 MCES System
Plan Review Code Edition "79i'1 2."ISS SAC Units
(25%_ 100%)0 ) Zoning )7) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length ! 0 Fire Suppression Required
Type of Construction V3 Width 2-c>
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) ) 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 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 PanOther:
r
Reviewed By: f c>//yk / " " # , Building Inspector
RESIDENTIAL FEES .+ a • Pt-
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
I'll' City of Ea u Permit#: 9.
3830 Pilot Knob Road Permit Fee: /0,5.
Eagan MN 55122 NOV 08 Date Received: Fig.--
Phone:(651)675-5675
buiidi9oinsaeetionsecitvofeaaan.com stat
y
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I U Z.Li J I S Site Address; 1 5 to t-1 I&;ty l L( u n.i 6 Unit#:
Name: 'St Cc- J01`1 fl 7 �
OS-MO O" 30t'. SiSit i lIk tl Phone: ( ii) 76 " _) LI Li
Address/City/Zip: LS(.01-1T>t.y G v C:4 li 111-f
a -fix
Applicant is: Owner >e Contractor
Description of work: RE,.()t C Cit I u f€ oc i` 51 f rn /0-0c1 Z
Cast: (J C i s f
Construction --P
Q �_ Cam+ Multi-Family Building:(Yes /No )
Company: L.,re x+ C.\4 S 1,4( V4 5 s i U t 115 Contact: AS r)1 Z S r':ht SQ
x Address: ( G cod - ° `sl C, t C;o City: ( I))VL V Cc t l
`� State: N\N Zip: /Z-1-1 Phone:e152 31400 Email: C:f Shle q j C)real kc0--se 3 t 1C1.
License#: 6Gf i(.9 Cal Z. 1 Lead Certificate#: NAT - 232 Cl -- - 2.
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 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:
. �. .. - Jut'� P '� tr IVAlirAq
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.citvofeaean,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(851)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.00pherstateonecaii.orsi
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 tplans. 1
x " i s )I e,q `,.i o�`\r1 ( r x (. `t i Ltd CL' G'(v ti�
Applicant's Printed Name Applicant's Slgn fret"
Page 1 of 3