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.��
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Date: � ( "���1 Site Address: 't'��� ;JV'�/� , r(M � Unit#:
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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
._.._._._. . ___. . ___._ _ , _ . . _ __ .... _ _ _. _. ..
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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.
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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
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