1566 Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. 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:
ogre* to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By ` Date Paid:
Date of Insp.: 72 �1�" Insp.•
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. fl. 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:
Surcharge:
B Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
e
(963> „72.41:i z\z/
Use BLUE or BLACK Ink
r
For ,
I Office Use n I
Permit v ~v ,0
City of Eagan ; P b
ermit Fee.
3830 Pilot Knob Road I t , (Z
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
21i012 RESIDENTIAL BUILDING PERMIT A PLICATION
Date: Z--Site Address: 5 S O V - Unit
Name: ~R-U-D Vv1q Phone: lo( to
RESIDENT I
OWNER Address/ City/Zip: tom(( -fie v,~S Oh
Applicant is: Owner Contractor
Description of work: kA-) ?W5 al ,~J
TYPE OF WORK
32 G~-
Construction Cost: Multi-Family Building: (Yes / No )
Company: 0 C i` .C ~ 1 `rS z Contact: b V I Y\
CONTRACTOR Address: City:
State: Zip: S _ Phone:
License f c'o 7 S-3 0 Lead Certificate rl/ "J 07 361
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 City to
conclude that they 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.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
ys of permit issuance.
x
x
Applicant's Printed Name A icant's Signature
t
Page 1 of 3
Use BLUE or BLACK ink
1 For Office Use 1
. t 1
Il ; Permit*
11 to q b of L(. to as
Permit Fee: 1_
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: t
I
----------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: 16-11-IS Site Address: 15 15 81d
C _1 _ _Unit
Resident/ Name:-#Or/* _116./1'0 Phone: (1,14- 2 S',W d_-
Owner Address / City / Zip:
Applicant is: Owner - Contractor
Description of work: R_ r.4 F i r1- -
Type of Work
Construction Cost: a S ~5 _ Multi-Family Building; (Yes No
Company: Contact: !2
'3 o ea
Ca trat for Address: _ 'ai'JIe1~a~ic+~, city: Minna. lZs
State: 1)2& Zip: Phone: (DZc2 - 7 2-1 506
License Ar- - L U 0 4 2-- Lead Certificate -2 Y?97 f
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: -----------------Y~-___-_`------_--- 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 City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cap Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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 160
days of permit issuance.
x_ 9fl'2 abeM ~i eri x
Applicant's Printed Name j Applica s Signature -
Page 1 of 3
0
•< r For Office Use I
i , EAGAN Permit#: l
••... �•• Permit Fee: ie I
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{
ias 4 - , Date Received: b...Ar 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 BY I
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: eai
buildinginspections( cityofeaaan.c om t
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: I C104 Cet$41400 {.N-tri Unit#:
x
Name: #0147/71/ /7.1:1 + /aZ,VW 'e Phone:
-14.-!,”x
�' Address/City/Zip:
_ Applicant is: Owner X( Contractor
r Description of work: �>�4.1.1441.4 /Qar. a% C.4. 67,1 - 10110 am
Type:
Construction Cost: Mufti-Family Building: (Yes /No )
Company://qtr LD74,477e44471:2 r IOWA #D14'. ontact: ,41i L. /fir. T tf j
Comer ,s Address: /4-//a c6ff'L/ 2- City: ``T/Lye y'�,,e .L e y
State:MA__Zip: S3/.4y Phone:(/jv a21 Wkmail:/ rj��,l//�arv,5>'aeie_ir fXrIv 2.740celOri . C.
r: License#: Bt 2L 9f ZZ. Lead Certificate#:
If the project is exempt from lead certification, please explain why:
gnyi40 ilAi AtidNeili l I' 7S7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
t 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 --7-,,-;s _ K I. �. °; y-be
�k
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.citvofeaaan.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 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 pe '; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval lans.
x PALS f, x na ,
Applicant's Printed Applicant's Signature
DO NOT WRITE BELOW THIS LINE / 54 , biz_ /66 Q-co
SUBTYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi '0 Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
i0 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 ' Z/`��9' Occupancy L- 3 MCES System
Plan Review Code Edition ro-i z.o i c SAC Units
(25% 100% )6) Zoning P,J City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) o 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 Other:
Reviewed By: i-CYYI 142/11e/ - , Building Inspector
RESIDENTIAL FEES
Base Fee 1.9 ' k/° ' = / 0 6 ' 9.#'-r.
Surcharge 6) . /5: o e 5p• /'c7`Plan Review
MCES SAC MM ;07 -",-
City SAC
Utility Connection Charge t.10.-.17",", rte'i , J
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3