3190 Riverview Ave
----Use BLUE or BLACK Ink
For Office Use
Permit
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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
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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
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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