1580B Clemson Dr CITY OF E «AN 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:
I ogres to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.• 99 / V 6 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: T '
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: _ Date Paid:
3
For Office Use
RECEIVED ,
i Permit 16Z),/
APP 16 ?020 Permit Fee /117'
• • Hi-mX •—•
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
itc ,--' Site Address: /5--g6) 8 CC el's',crIfs,/ ies.lre_ Unit#:
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Owner
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Type Of Work 4114484"f
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Ccs t Multi-Family Building (Yes C No
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License u ‘iy Lead Certificate
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COMPLETE THIS AREA ON1„Y IF CONSTRUCTING A NEW BUILDING
-'as the City of Eagan issued a permit for a similar plan based on a master plan?
icensect PitimberPhone:
— --
Meobarneal C.ontractor7 Phone:
Sewer & Watsi Contractor: Phone:
Fire 51:mores's:ion Contractor. Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. PortiOne of the ihkotttiethan may be
classitiec as non-public if you provide specific reasons that would permit the City to conclude thEdgmtprejtadetecrete.
,,itbsrribe to receive an eiectronic notification from the City of proposed ordinances by signing up for an email update on th,:
Civ a
Extpr!: a,ithorized by a building permit issi,ed in accoraance the Minnesota State Building Code must be completed withirt `,30
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DO NOT WRITE BELOW THIS LINE /S 'O C l411n 06/ ' L' L r 2 / 61) ,g-•
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
_
/ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation $'3,OoL, Occupancy 1T.c- 1 MCES System
Plan Review Code Edition 90 1‘ SAC Units
(25%_100%_) Zoning City Water
Census Code Y3q Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction , ----N Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) / 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: .AZ-A-6— , 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
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