4159 Starbridge Ct SEP-13-2013 12:49 From:7637841426 Page:6,'8
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Use BLUE or BLACK Ink
For Office Use _ I
City of Evan j Permit k:
1
Permit Fee: (o V ' 15-
3830 Pilot Knob Road I
Eagan MN 55122 1
~ Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
qb Z)J Date: 3 Site Address: Unit
Name' Phone:
R~si4n>/C1' C.~ e.. fJ.
Ct/rlr Address /City / Zip:
Applicant is Owner X Contractor
Oescription of work:
a::-• c Construction Cost:
_4(p,iocio, Multi-Family Building: (Yes >L /No Company: GG Contact l iA X 11 1A 14 k1 J
:i Address: 8J Z
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City,
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• _ _ . State: rY zip: ~ Phone:
License Lead Certificate #:NtgT- I C)oU0~5 - 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:
v ~~~'!'?i~►~.,rJ~1't y,~ay ~fbm.itair~ c°o~aslderad to.be public information.. Portions of
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CALL BEFORE YOU DIG. Call Gopher State One Ca11 at (651) 4540002 for protection against underground utility damage, Call 4e Hours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 Min cote State Building Code must be completed within 180
days f permit issuance.
X tm Y12
App is is Printed Name X
Appl' rss n ature
Page t of 3
Use BLUE or BLACK Ink
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For Office Use
Permit / 17'777
Clt of �� a� c
Permit Fee: / /
3830 Pilot Knob Road
Eagan MN 55122 R t.Ef1/ED Date Received: r�
Phone: (651)675-5675
Fax: (651)675-5694 ��j1 Staff:
0 12017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �-�7 Site Address: V75-7 cZ ',-/� �- Unit#:
Name:
Phone:
PDOwner Address/City/Zip:
i;_t `t: Applicant is: Owner Contractor
w Description of work: .UJ 1E-1 ,k--I "( 011-74-; (i'M
Construction Cost: Multi-Family Building:(Yes /No )
Company: o/C,t ' is S d '/ os-1��� Contact: =90
Address: � ! City: `ice/ Y� o -Y�
Cori#�ac#off- `�SS /�`! }�
State: Zip:S5-0/7
License#: <0 j Lead Certificate#:
If the project is exempt from lead certification, please explain why: /
CA 11
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:
ofocument th`� ° bmi re con s dered to e �`ub;lrc information Portions of i
the informa ion aynbe csshfied as n n-pulic'if ou'pro specific reasons that wouldrpermrt'the City t o
E f� _3 ccon,,:luc 'thatthey areXtrade=secrets- ,E
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.qopherstateonecall.orq
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 c/Y0 ("C, 4,) x
Applicant'.srinted Name App icapPfgignature
Page 1 of 3
�f 7 ,54DO NOT WRI E BELOW THIS LINE IL/Li 7D 7
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi 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
qReplace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation (2,( l) U 0 Occupancy t,--7\„.4..._3 MCES System
Plan Review Code Edition SAC Units
(25%_ 100°i\,( ) Zoning City Water
Census Code Stories _ Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) /�d Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _FinalPool: _Footings Air/Gas Tests _Final
__
Framing 30 Minutes 1 Hour _ Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick— EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
11."Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee (c .
Surcharge
Plan Review q`'rk•.Z '`
t
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant �., '}
Copies 1
. , (s"�''
,,,,2
TOTAL �r3 0(-4,1C Page2of3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174556
Date Issued:02/03/2022
Permit Category:ePermit
Site Address: 4159 Starbridge Ct
Lot:011 Block: 001 Addition: Wenzel 2nd
PID:10-83571-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Herbert & Linda Chambers
4159 Starbridge Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature