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4143 Starbridge Ct SEP-13-2013 12:49 From:7637841426 Page:4,8 41'5 % 4143, 414-7, 4)lsl S/WIDri V C - Use BLUE or BLACK Ink For Office Use-_----_^^ I ' City of Ea oa~ Permit #:_m?) 93 I V I I I Permit Fee; I 3930 Pilot Knob Road I i Eagan MN 55122 Date Received: 7 j Phone: (651) 675-5675 I Can Fax: (651) 675-5694 I Staff; I 2013 RESIDE/N~~TIIA]L/BUILDING PERMIT APPLICATION Date I L Site Address: "7 15 I Unit NarbMae- Name; Phone: Address / City / Zip: a ow Applicant is. Owner X Contractor Description of work; : t Construction Cost.` Multi-Family Building: (Yes/ No Company: 'f`Q Contact: r Address: E) Z b City: ota'r State: ~ Zip: V~ I Phone: 1 - 8r~a - $gga License Lead Certificate f#; Nilr- 10c)U06' I 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 KNo If yes, date and address of master plan; Licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer & Water Contractor: Phone; - ~ - • • • ~ at' `i#3u bi7flt a,re C~ Idered i~ be ublic Inform lion Rorlions o ~~e~, a - ~ • et~„~i,~~~~fm~ly '1i .i~;y woul emit f/►e Cily to ~ou'..pro~i~e ~p.~p%fic reasons lhal d p 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.0opherstate4ngpAll.Qrg 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 Min rota State Building Code must be completed within 180 days IF permit issuance. x X App is is Printed Name Appl' *Sgnature age 1 of 3 0 P PERMIT City of Eagan Permit Type:Building Permit Number:EA141195 Date Issued:02/27/2017 Permit Category:ePermit Site Address: 4143 Starbridge Ct Lot:015 Block: 001 Addition: Wenzel 2nd PID:10-83571-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Schumacher Living Trust 4143 Starbridge Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature r4 C Use BLUE or BLACK Ink U r For Office Use N. l 41!tli ::: #:City of Eaaall e.,10---5-4/I Fee: / ? . -,...--..-2,6. 0 3830 Pilot Knob Road ��I! �l Eagan MN 55122 Date Received: 1(P Phone: (651)675-5675 Fax: (651)675-5694 Staff: . /A,.),i ' t" ..,n17 ---/ - 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: " , "" Site Address: 9/ L/J 57,7;',41'/4 d„1 Unit#: Name: Phone: iRes de ant/ 4 Owner Address/City/Zip: ,F �r � Applicant is: Owner Contractor rt T . e Of�Wo g Description of work: .(�'f/y/i 7 C Ci ,1d /'. 001.0c..� I r► � l� C nd i-c/�te f+ '': Construction Cost: v Multi-Family Building:(Yes /No ) Company: C0 /u#b N S jC ✓v 1G YS Contact: DO 0 p-� ',/Z,� ,9 /� City: , �_ CO, ,„„toir Address: � �" 4 S � ' ,...,, ,,,, „ ,,, Stater Zip: ~co J) Ph l-: G 'W 89 mail: License#: 2j O 9 Lead Certificate#: lo If the project is exempt from lead certification, 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 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&Water Contractor: Phone: Fire Suppression Contractor: Phone: -:fp. 4EsP umpo n® `® ! � � air's'oe . o ® m bAis 'nform tion. Po��o�f, th-='f, t., .s• s aJ n' .r t x.,nir *"' =rigy6-,m , ,„a'� e/ cim o A �/ o s tbed . o ® © ® m o • gyp,,° �� � � �s +l �t �''® J�r,��' s� a �VKOU�C/ eI� !t �7e � a S € ,yA.4 � k`-E ''''''''.4' aFria r .� ,"�*p 3„ ' ... '� � Bade _ ... �� � 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.nopherstateonecall.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 nota permit, but only an application for a permit, and work isl 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. V Ge / / x Applicant' rinted Name Ap• cam;= Signature / Page 1 of 3 LI/`f 51---Pe-be 1(1 t I o NOT WRITE BELOW THIS LINE / 115-6 QAC SUB TYRES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi 10 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 X. Replace _ Repair _ Egress Window _ Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1 3/9,$: "�= Occupancy `r pc -1 MCES System Plan Review Code Edition Ai.1 2-u 1$' SAC Units (25%_ 100% ') Zoning J1-2.4. -3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) _ x Final I 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: teviewed By: / aDYi A%i;174 , Building Inspector tESIDENTIAL FEES / c 1 x 7 / ^ t9 S.5f • Base Fee Surcharge I Z t se 9 : / a 39 • 1-"T Plan Review Sill /S".o'0 • f 7- MCES MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3