1548 Clemson Dr CITY OF E.v..3AN AL :R SLRVICE PERMIT
3830 Pilot Knob Road
P. O. 'fox 21'.:99 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:
/'L Total:
By Date Paid:
Date of Insp.: ,t -" Insp.:
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199
Eagan, MN 55121 PERMIT NO.:
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection
Charge:
Account Deposit:
Permit Fee:
By Surcharge:
Date of Insp.: Misc. Charges:
Insp.:
Total;
Dote Paid:
!4
1 I
Use BLUE or BLACK Ink
-
For Office Uset
j Permit # VJ a c6 7_~ 1
C14 of Eapo
I Permit Fee: 11 0____ 1
3830 Pilot Knob Road
1 1, ;
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1 i~
Fax: (651) 675-5694 I Staff.
1
2013 RESIDENTIAL BUILDING PERMIT A
PPLICATION p~°q
17~ 1d
Date: - 13 - Site Address: 15y b iV.63 CiO4~ -C
~ Unit`lf:•i
kws
Resideinf Name: __4t, r Zn_ r I(, _74 tin c*mAe_S___ Phone: 721- .,£'t'G d -
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: Rfr o~--- _
Type of Work
Construction Cost: l 51_ •-~D Muni-Family Building: (Yes. _ ! Na
Company:g Contact: eA_--
Co[1#tdCtQt Address:Q !"I t/EYlA/'1~_- _ City: 1Y~/t°__QTP~71r•.3
State: ! )2AL_ Zip: 5-5-OYO (a Phone: (+Z ,2 2- 5,5d6
License#:St- 194062- Lead Certificate 2,F? -1
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'Itlformation may be classed 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 Cali 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.,QwtgMtateonecail:ora
1 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.
_ L r
x_! t ZtP_ i4 r) cap Ch
_
--u- x
Applicant's Printed Name --ter- Applica s Signature
Page 1 of 3
For Office Use
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E AG A NIzEicEI-v- --17-1
— perm„ Fee
16 202.0, ffiar,e
4 , -15:4-8535 ;;•:`,,X : !
• _ _ _ _
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' Site Address: (_tL57L. Ae....rve. Unit#: _
4:(0,00.-ccordig,i Phone:
r ' elAtt....&14,7t4
Resident
Owner
,2!;,•:„
•
.,-.:,.•••,•! '•!- ;7,f Ar..ir- Xia.444r •bjea(Cy..;., .40i/Wri' -CA „‘..,.7 (lre441.7 /tg.4A.AtiGelii/Lk4
Type of Work
or: t '7No
4.--010V Multi-Family Budding (Yes X r
e eeoi -2-mc
• • . Ayr ie ..roittritric t /Ayr
/9i 19--fifit e 6.:341-LeY
Contractor
• /7144--e's)ktlyr
i_lcanse r? Z Lead Certificate#.
from lead certification. p;ease explain why.
/14'144.4410e_. 4k1—.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEWBUILDING
th at '2 months has the City of Eagan issued a permit for a similar plan based on a master plan?
-t00 and address nnaSlei' OO
ser6 Piiimbur Phone: _
-------------------
ijontracto,f Phone:
Sewn' if. Wafer Cdntractor. Phone:
r-rireSiiprfri.(2sfoon Conti-at:to; Phone: . .
NOTE:Plans supporting documents that you submit are considered to be public information. PortiOns of the InforMation may be
classified a.:3 rron•pubhc if you provide specific reasons that would permit the City to conclude that theyAre trade secrets.'hr
fe irr);enie.--)() electronic notification from the City of proposed ordinances by signing up for an email update frin
2eithorized bildoing permit issued in accoroar,c the Minnesota State Building Code must be completed with ' `3(,
:ALL EU"; OE. 'GU Oh.; Gopher State One Call (i (651)454-0002 .4i 'Of leanst;.indergrmind utilne, damage Call A'el;
, ro conformance wit the 11 rjrr 001 •
L. • ,t ' ..t ;,errnr. Loit .Ork ,0 start W'out a ;.ierme. that the
App,icant's Printed Name /
Appi cant's ignature
DO NOT WRITE BELOW THIS LINE / S tie C/C.n or b(2- , /6 Oda 7
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 .UpOx 6,1:4;"`w") Occupancy 2-Rc- I MCES System
Plan Review _ Code Edition 2u i S SAC Units
(25%_100%_) Zoning PCity Water
Census Code 1/34/ Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �/3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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 / l Other:
Reviewed By: .• A4'40 , 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
Page 2 of 3