3180 Riverview Ave
Use BLUE or BLACK Ink
M I
For Office Use
-71
Rd Ell ~ I Permit
City of Ea
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
1----- -----------I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 04-22-2013 Site Address: '31yo K t,r<er-`s E._J 4✓C_ Unit Name: Inver Hills Family Housing LP Phone: 612.675.4400
Resident/
Owner 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: 3 87-S
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
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 pen-nit 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 11 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.mg
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 In I Ok
1 B TYPES 3Jf U~ ; f,'z~v V
_ 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_rPlex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
`.k 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 ~ - le --Z-
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units_
. (25%_100%4) Zoning City Water I
Census Code Stories Booster Pump
# of Units Square Feet , PRV
# of Buildings 3 Length X Fire Sprinklers
Type of Construction N4 T~ Width
~
R~QUIREQ INSPECTIONS
Footings (New Building) Meter Size:
rFootings (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
-4Framing Siding: -Stucco Lath Stone Lath Brick
Fireplace: Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
fJ~~ l
Surcharge
Plan Review
MCES SAC
City SAC
f~1 Y ?
Utility Connection Charge r
)
S&W Permit & Surcharge
Treatment Plant
Copies S~ - vj
TOTAL
Page 2 of 3