3214 Riverview Ave
3 Use BLUE or BLACK Ink
I oZ~------------
For Office Use ,
1 i Permit L) Z,3
Ciy of Ea I
t /I Permit Fee: ` ~°J 3 l
1 I
3830 Pilot Knob Road I 2 I
Eagan MN 55122 1 Date Received: l~ I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 r J o~ Staff:
KJ t v`-f" 1------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION LA/,A7~'
Date: 04-22-2013 Site Address: -3 Jer"'" f'") Ave- ye-- Unit A
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 3, E 7S
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: Ouiring 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.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 bya 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
r
DO NOT WRITE BELOW THIS LINE ' ~Z3
SUB TYPES Z (`I '\tA,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 3 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 / Gc- -"Z-Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%_)() Zoning 03 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
R~OUIRED INSPECTIONS
Footings (New Building) Meter Size:
~e
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
4Insulation Retaining Wall: Footings Backfill Final
Sheathing Radon Control
:ySheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge Y r `
Plan Review
MCES SAC1 )
City SAC l
Utility Connection Charge r4 (U ~Tf I"
S&W Permit & Surcharge
Treatment Plant
Copiest [
TOTAL
Page 2 of 3