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3190 Riverview Ave ----Use BLUE or BLACK Ink For Office Use Permit t00 CitV o Ea mc I Permit Fee: 3830 Pilot Knob Road b3(~~V I yy~ I Eagan MN 55122 1 Date Received: -l I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff:j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 04-22-2013 Site Address: ~cl0 1~~r1~t Avg- Unit#: 2 Name: Inver Hills Family Housing LP Phone: 612.675.4400 Resident/ Owner I Address / City / Zip: 1228 Town Centre Drive. Eagan MN Applicant is: Owner X Contractor Type of Work Description of work: 27 unit slab on grade. Multi-family residential building. Construction Cost: ~ Company: Eagle Building Company LLC Contact: Chad Weis Contractor Address: 730 Stinson Blvd. Suite 200 City: Minneapolis State: MN Zip: 55413 Phone: 612.378.1115 License Lead Certificate j 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 X No If yes, date and address of master plan: Licensed Plumber: Superior Mechanical Phone: 507-289-0229 Mechanical Contractor: Superior Mechanical Phone: 507-289-0229 Sewer & Water Contractor: Quiring Excavating Phone: 612-490-8111 -_e _._--~,.,~.n..~.~~~.. 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 days of permit issuance. x Chad Weis X_ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 l l~ ~~✓~C~~t SUB TYPES - Foundation - Fireplace - Porch (3-Season) - Storm Damage _ Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) - Multi - Deck - Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ 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 Occupancy MCES System Plan Review Code Edition yy~ N SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings ) Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: `Ice & Water Final Pool: -Footings -Air/Gas Tests Final Framing Siding: -Stucco Lath Stone Lath Brick Fireplace: Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing ~C Radon Control SheetrockErosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee N z ) ` Surcharge ~i ~ ~ Y e J ~ ~ ~j~ Plan Review ` rA9 MCES SAC City SAC 01:; 0 ~1 W Utility Connection Charge S&W Permit & Surcharge Treatment Plant f 79, Copies TOTAL Page 2 of 3