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1284 Deercliff LaneCity of Ekall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use l>.'e- or BLACK Ink For Office Use f'[:nnll ?i t 13 11, 3 Permit Fee L/ 3u� Date Receved: C' 3 - IS Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION t Date: CI \ .61 e Site Address: )'2'$0 -, 32. " 8 - 8�Db„ 042-` 4 j Unit #: Name: IUDV^Q�j 1i))' ",x►r i hone_ ( 5I "46—Z. —XILIQ Resident! Owner Address r City I Zip: P. .. al 6B-7 _ FACp,e...1 (Ilk) SSt Applicant is: Owner Contractor Type of Work Description of work: Re_--gq0 Contractor Construction Cost: j Multi -Family Building: (Yes y No Company: A -,1 u+- T'r' T --to u S Contact: ih u 6 R . Address: 9 10 CO e ri "rC�IPt i L City: OA 0 A04. State: Nht Zip: 5S1 13 Phone: (j 1 1— 2-4 0 —1 (2(,) y License #: BC, 54 5 7 68 Lead Certificate*: it - g j T91-1 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 No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & 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 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 utilty damage Gall 48 hours bekr e you 'mend to dig lo receive locates of undergraurrd uttlllies I hereby acknowledge that this informaton is complete and accurate that the work will be in conformance with the ordinances and codes of the City of 1- actan Ilial I undrrsland this is nol a permit it only an appftation for a permit and work is not lo start without a permit !nal the work will he 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. Applicant's Printed NaMe reriz Applicant's ignature City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA121302 Date Issued: 03/25/2014 Permit Category: ePermit Site Address: 1284 Deercliff Lane Lot: 009 Block: 003 Addition: Windcrest PID: 10-84460-03-090 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Kim Torkelson 1284 Deercliff Lane Eagan MN 55123--143 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For I Office Use / I II Pennftt. S73IS 1 fkligmFew lilt Extest.t..14......,t Phone (1151) 6754475 Far5S1)675.544 "i 1 LtJ 2016 RESIDENTIAL BUILDING PERMIT APf zutt.swAddiesc. 12_134 Otre Lif LISA" A Descdption of work R e Construdion Cost ComPgerf: rvte 4oteL4 Address: ZD Cl/ T&rt.tt,.. State : istt.Azip: 5n 2_ 3 PhoneL11-240 4 II license& w { 7 Lead Cardticate Y WCONSIMICTING A PEW 13141LCMG btbd 12 has * ya(Eagan issued a pettotbr a sindhar oho based rat * tnatter pilau? asoCtest(551)454alietorgot*actim to rtwidetaistsof *os. annegautetneabotexaterg adtzteedetkp eat this wicanaten a patedete bid acamge; that tie teak wit bea peet croincettee *Mt anteenttrea panot Gait thsors d elabtlfe Eaton Sat unikostswd ea is not a porn* *M orty rsapicttion kit nt* accordance YAW the mewled ydan in eve Gel* OW* *Nth retains a realm end awned et ptans. Exterior walk authorized by a Indldsv penult Issued b award/NM id* the Ilithaossata Staff theta,* Code mast be complabedidede ithl days et permateatiattee. nevaa • Jr AppReenre /„sq De2LI f \ i h OT WRITE BELOW THIS LINE SUB TYPES Foundation — Fireplace Single Family _ Garage — Multi v Deck 01 of _ Plex _ Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%X Census Code # of Units # of Buildings Type of Construction _ Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation _ Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls _ Shower Pan Reviewed By: — Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required y, Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: _Rough In __Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3