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1975 Gold Tr VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoising: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.• /b e,7 VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zonding: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: , / Total: Insp.: 7 B'1 Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA116346 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 1975 Gold Tr Lot:042 Block: 01 Addition: Ballantrae 1st PID:10-13300-01-042 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Patrick Sheehan Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Patrick J Sheehan 1975 Gold Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature Rug� 15 14 02: 07p Dupont Construction 763-413-2614 p. l Use BLUE or BLACK Ink �----------------- � For Office Use � ' � Permit#: � �✓4 � �lty of �a�a� � �, � � � Permit Fee: 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received � Phone: (651)675-5675 t I Fax: (651)675-5694 I Staff: I I _ I � 2014 RESfDENTIAL BUILDING PERMIT APPLICATION G��1g.�� ! �, p� L,,, , � � Date: � ( "���1 Site Address: 't'��� ;JV'�/� , r(M � Unit#: ... . .. .._ _ ... . _ __..-----._.._ _ ....._.._ __..._ __..,. .__ . ..__. _..... ... _ _._ ... ._ ._ :. _... ... Name: �,-�2}UL, �(.t'1 Q�lLl,l�� Phone: "15�- ���-�S�-rV Resident/ t,?—�F �.I --�,�I1 Own@f Address/City i Zip: I"1 I J G LU'� �r(M � ! Applicanl is: Owner �Contractor ._.._._._. . ___. . ___._ _ , _ . . _ __ .... _ _ _. _. .. rI" T e of Work ; Description of work: ��'l11__� (�DAA� •��W (�121JWY1 ' f�kW �"DD � (:D�lc�s 0-��o2�(,f�, yp e Construclion CosC ������d� Mulii-Family Building (Yes /No a • ) � ' Company: �'47Q1�.� ����1�1)Y1 Contact: �YOt��� w �- � Address: � ��� ���WiV�w�� v7 N�V City: Si • �US Contractor ' State: i Ysl'1 Zip: SS6�b Phone: ���3 ��J.j'1 i��O Email: � ✓1S �b�'�13Y1�YY1 Yl� �V(�t� C� JrY2 S !�Jv» License#: �,i�{y��� Lead Certificate#: N�li - ��-t���`!' -� - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ._ . ...._._._.__.�__ _ _:��._. _ . . .�_ ---�.._��...._ _._..____.:_�....__ .,.___.e..__..�_._ .._.. ._, _ ...� .__.__—..� _-...... ,. ... COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDWG In the�ast 12 months, has the City of Eagan issued a permit for a similar plan based on a maste�plan? _Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor. Phone: Sewer 8 Water Contractor: Phone: __..._._ ....... __ ...,�_..... ._..__...,_,.________...._.._ . _._...::...........___.._.. ._....._,_.._ _.__,..:__,_.,._,d..._._.__�...---:::�.._._.....__..�..:,_... _ __— --�------m.; NOTE: Plans and supporting documenis that you submit are considered to be public information. Por7ions of ' rhe intormaiion may be classified as non-public if you provide specific reasons that would permit ihe City to _ �conclude thaf they are trade secrets� __ __ _..._�....___.,_�._�....._ ._ _...---- CALL BEFORE YOU DIG. Call Gopher State One Call at(651)a54-U002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qophersta?eonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in Conformance with lhe ordinances and codes of the Cily 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 wilh the approved plan in the case of work which requires a review and approvai of plans. Ex[erior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permii issuance. X � r � "�'' � � � ��v��- X� '--��� -�—' � �� Applicant's Printed Name A IicanYs ��nature `� PP g Page 7 01 3 R4g� 15 14 02: 08p Dupont Canstruction 763-413-2614 p. 2 ��l� s ���taP `'�� 1 DO NOT WRITE BELOW TH15 LINE I,��� � SUB TYPES oundation Fireplace Porch (3-Season) Exterior Alteration(Singie Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck � Porch(Screen/GazebolPergola) Miscellaneous _ 01 of_ Ptex _ 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 �f�u Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_j Zoning City Water Census Code Stories Booster Pump 1�of Units Square Feet PRV #of Buildings l.ength Fire Sprinklers Type ot Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footin�s (Deck) Final/C.O. Required Footings (Addition) �Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roo(: _Ice &Water _Final Pool: _Footings _Air/Gas Tests Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final SheeUock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: __� ` Z� ( ��I 1 � , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3