3168 Riverview Ave
Use BLUE or BLACK Ink
I t r----------------- I
I For Office Use I
di
I I Permit
o Eap L l I ( l `°~t , I Permit Fee: l)
I I
3830 Pilot Knob Road I j I
Eagan MN 55122r fk~ Date Received:
Phone: (651) 675-5675 l~' v
Fax: (651) 675-5694 Staff:
I----- -----------i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 04-22-2013 Site Address: ~ive~V+ Unit 6
Name: Inver Hills Family Housinq 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.
i o
Construction Cost: /1-? C~ T
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 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
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
y 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
JB 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
Nk 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 t Occupancy MCES System
Plan Review Code Edition SAC Units_
(25%_100%) Zoning elo City Water )
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ( Length Fire Sprinklers
Type of Construction Width
R~QLIIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
4Foundation 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 Radon Control
Sheetrock Tl Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge s /I a tI 0371
Plan Review
MCES SAC
City SAC r
Utility Connection Charge r
S&W Permit & Surcharge LY,
Treatment Plant
Copies ID
~
TOTAL
Page 2 of 3