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1276 Deercliff Lane Use or BLACK Ink For office Use l t CL y t City of E Permit Fee 3830 Pilot Knob Road t Eagan MN 55122 Date Received: , Phone: (651) 675.5675 (7 Fax: (651) 675-5694 1 staff: x- - - - - - - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I ~j site Address: -"]7i{ -'J~~~'c,,reL `F(r fluff Unit t jAll rU1J Y QYtJtJ .j~b,J,~hone_ ! -46z - sq417 Resident/ Owner Address ; City ; Zip: ,ate A-3 3.J Applicant is: Odmer 4 Contractor Type of Work Description of work: e- -RA Construction Cost: ~l} a t '5-z, Z- Multi-Family Building: (Yes ? No Company: A bn ' F+ tees Ai 3 c. S~ Contact: t u 6 R. n „1 Contractor Address: 9 Z-0 C(J V rsi 17_" t L..- City: G a A NL State: _h'\M Zip: Phone: inn Z j10 (c, License _ 1~j Ea s 7 b Lead Certificate -get - $ 1 g1cf 1 i If the project is exempt from lead certification, please explain why. (see rage 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 _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer R Water Contractor. Phone: 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 speck reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Gall Gopher State One Call at (661) 454-0002 for protectifl-~ against underg~ound uti ty damage. Call 48 hours beiwe you ?mend to dig to receive locates of underground utrlihcs I hereby ac_knowledge that this inforrriat-on is complete and accurate that the work will be in conformance with the ordinances and codes of the City of I agan. Mal I undrrstand this is not a permrl lit only an appkcahon for a permit: and work is not to start whlhoul a prrmil, tnat the work wtl bc: 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 x Applicant's P `red Name Applicant's ignature Use Ella or BLACK Ink . * For t Use l E I •city of ill 1437(p i I Pencit Fee: t` r -J6 i�'"� v�1 3830 Pilot knob Road I f , ' Eagan MN 5542 RECEIVED i Date Received: e' a/:' \si Phots:(681) s t Staff: I Fax:(669)673- +4 JUN 1 1 1017 . 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _11.4 1 U Site address: ! 7 6>e rc-CUFF LN tlnit#. Vie: \i\I fi N D erve- -(?7 W IQ 1\e Vie.. A-S5.0 t one: 40,1-\ `.'i c 9 - T'73 Resident/ "T E..IN' Ca t-Pr P( Aomori Address I fifty tip ',o, ` 1 ,? t C 'a" 't i , r' / Applicant is: Owner Contractor T)rpet 1114 Description.of work: R42.f C Y C. ` -t 5 i r.,t. L Cc sttttt tan NIA-Family Building:(Yes I No ) a A amiaaryr Ci v''C v contact:'Doti R f e. ,t to rt Address: 1 c. 1 Liu ‘r-,r --r .-4-ti 1. ca r- F A-r State. c to rAi\iL ip: Ss-t 3 phone: 412.-2I t -f } k t , y)e -0A) , ,! 't 1 #: '5 4 +`7 teed Certificate#: �, ;. if the prat is exempt from lead cedlftcation,please explain.why, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 months,has the City of Eagan issued a permit;for ate,plan Weston.smasherphut IYes No i yes,data and address of master plan: Licensed Mother: Phone: elechanicid Contractor: Phone: 1Sewer&Water Contractor: Fire CG er: Phone:: I_ NO .Ptana ., am*nt yousatxmit are cons (r to bo p . ,- . , 'x. `" the frifttnnatIot,maybe 'as nonliithficifyou psovitte specific" - ' peon* .city*, CALL BEFORE Tca . C Gopher Snide One Cali at(681)-4544082 for protection against tmdergrottmd utter doge. CalI48 hau t before you Wand to dig to receive locates of underground utilities. wiveLeopherstateonewst.orn I hereby aehricivAtlege that this information is complete and accurate;that the work will he in conformance with the ordinances and codes of the tatty of Eagan;that I understand this not a parva.but only an application fora permit,and work is not t w rut a pts;thea'the wore wl be-ln accordance with the approved plan in the case©f work which requires a review and approval of piens. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within_184 days of permit Issuance. Appliti cant's Printed Mame sSi instars Page Icf3 DO NOT WRITE BELOW THIS LINE (L/3')(fo 3 . SUB TYPES /I 7 CO tit 1 . _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) Exterior Alteration (Multi) Multi 40 Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous _ 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES — New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation 110 Replace _ Repair — Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 2-7 . Occupancy .1 126""3 MCES System Plan Review Code Edition pan 2010 SAC Units (25%_ 100%10 ) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required — Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick Insulation Windows _ Sheathing Retaining Wall: Footings_Backfill Final _ Sheetrock Radon Control Fire Walls Fire Suppression:__Rough In_Final — Braced Walls Erosion Control Other: Reviewed By: / 0IAA /h1 K( e- , Building Inspector tESIDENTIAL FEES Base Fee 2 2 ' b" n D / .= / go 3g. /4'?- Surcharge Plan Review Q` (S. a z 59 f r MCES SAC City SAC Utility Connection Charge `117 Z -)a J. — S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • '4' £4 1 G _ �,i 4 -Ig "�5 '6 " -a ` ' +' 46, At- $tom • •.S s 0.1 \ \ tN1 o (Jt Z1 \ Z 10 \t / i r . . w \p Gas . LIN y f t `'' ` Pra s:ad ers►rw eSi 4•r3ry 5 p 1 �' 6'�'S.c} � N ��`+?` � pry;�g��gr�=� W o- \ Rrs/r.r:as! r4tA of FewnowSett444 * 085.5 • L • i �h ''�'. .x b.i G♦a i. .d.'.r.i .1 a J. i• r•o'v.4 fir'. • r' .: .f tr} k. i. =.1'18. )i : t:: s•`k .i.,.y 9 -:.art . ,y ':C�.. ihs.i• f•.; tt,,.. tvl•" f. _ . . .ar PERMIT City of Eagan Permit Type:Building Permit Number:EA159108 Date Issued:11/21/2019 Permit Category:ePermit Site Address: 1276 Deercliff Lane Lot:014 Block: 003 Addition: Windcrest PID:10-84460-03-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Denise S Thul 1276 Deercliff Lane Eagan MN 55123 (651) 815-2781 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature