4178 Starbridge Ct SEP-13-2013 12:49 From:7637841426 Pa9e:3/8
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City of Evan ; Permit b:
40plll~ I
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122
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Phone: (651) 675 Date Received:
-5675 I I
Fax: (651) 675-5694 I Staff: I
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2013 RESIDENTIAL
I'BUILDING PERMIT APPLICATION
Date: 13 I Site Address: I lei- " (9-L Yl Unit
Name: Phone:
R6~SI.a61
u•vVx Address / City / Zip: owhlrh~qL
Applicant is: Owner X Contractor
Description of work
a ell
ry
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: ka'i:,r; Construction Cost: Multi-Family Building: (Yes / No
• Company: LulllmbuL d~ Contact:
:0Address:l~~ C~ I~U City: ±LLLE~ 2~6
State; J Zip:
bI I Phone; I~OJ ~ OIOa ` g`!~~
License il ,_00311'1 Lead Certificate u:NlqT- I Qo0O,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 )~.No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
t„ypu su,bMit 4,vo onsidere l`o be public information,. Portions of
h
0P ply P- bihfa:'t': emu. rt3tF%Op.: -e0' ic. suns that would permit the City to
A. t;,f11: aro fr'ade. 5erets
CALL BEFORE YOU DIG. Call Gopher State one Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utilities. my y_.Qopherstateonecall.ora
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 sots State. Building Code must be, completed within 180
d f permit issuance-
Xays byint7it-wasiry X
App lca is Printed Name Appl- n s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130407
Date Issued:04/22/2015
Permit Category:ePermit
Site Address: 4178 Starbridge Ct
Lot:028 Block: 001 Addition: Wenzel 2nd
PID:10-83571-01-280
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.
Applicant: Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Bernard R Floum
4178 Starbridge Ct
Eagan MN 55122
(561) 716-1453
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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3830 Pilot Knob Road i Permit Fee: � �
Eagan MN 55122 � I
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � I
� Staff: �
�-----------------
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with ail commercial applications.
Date:�`�l'��S -���� Site Address: ���� �J ��'`I �+�' �E��� —
Tenant: Suite#:
�� ' �� �� �� � Name: �u�r�Vl � �� � �� �L� un�� Phone:
1�8eS�d�t�'�/{�1�i��1 . : (�y�
Address/City/Zip: 7� S�� ���� � �-'� "
Name: ��=......Cx-� ��'`i b'tE /'��l-'�,..r_�License#:
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Address: �= � . �t�>:[ �� City: ����(�'����� t�'1�
State:. �M,.� Zip: ����'/� Phone: `Z � -��'��...��1� 3
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Contact: �xc.� �` 1� �(i�—Email: ��-l� �l�[..�t � 1�C��7`i�P,�/l�-r °�
New ��Re�lacement Additional Alteration Demolition
;� ' / -._.__
Ty��p�y���� ; Description of work: ��n��- '�- ' �-, l�`
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_:..'.. C�ie. Pi�ase c�r�t�ct tt�e M�s�s#�a�i�al Ir�sp�c>r f�r#���i��o�.c3�perr��f,t��s��rtiti���c�s.
RESIDENTIAL COMMERC/AL
; �Furnace New Construction Interior Improvement
' �Air Conditioner Install Piping Processed
P�t�4�T�/�e
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ �'�' � �' TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge �
$70.00 Underground tank installation/removal =$ Permit Fee I
*If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge' ��
If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE ',
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.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137991
Date Issued:08/02/2016
Permit Category:ePermit
Site Address: 4178 Starbridge Ct
Lot:028 Block: 001 Addition: Wenzel 2nd
PID:10-83571-01-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Bernard R Floum
4178 Starbridge Ct
Eagan MN 55122
Premier Window Professionals Inc
3897 Danbury Tr
Eagan MN 55123
(612) 363-3914
Applicant/Permitee: Signature Issued By: Signature
a .
r
For Office Use
* i:
rPerot# [ 1 EAGAN
AUG 2° Permit Fee: ' '?"..47/
20M
20M
Date Received:
3830 PILOT KNOB ROAD f EAGAN,MN 55122-1810
(651)675-5675 J TDD:(651)454-8535 FAX:(651)675-5694 Staff
buildinginspections(a?_cityofeacian.com
2018 RESIDENTIAL�{��__ BUILDING PERMIT APPLICATION
�4c Uft C7
Date: (�!Z 7 °I�' jf C,cJtn�!<�4.SeS Unit#:
Site Address: •/'
✓ tvci(1d/ e C4-Name. Phone:
`1,,7 Address 1 City/Zip: (-1/70/7� u✓,.4vrrie/r ( "
Applicant is: Owner )d Contractor
e3 � 104,0 e944 o/d
dee 21.5, ciK5 a-4 �45c�q
12��l�Y} z ,•4 7: 4 PS p •%u Description of work:.2e.5s/ A^:r.4 3rvv n -v'eQ464 DeceAj
4 Construction Cos 2I OV Multi-Family Building:(Yes /No )
y k s f Company: /h9 t roe riors Contact: ROC Gla vUe S•�-�
` ' Address: is- z 4) 'i e I ve City: App/e 04,//ex
• � ,� )
- g State:'4 W Zip: T/Z '7 Phone: 9.57-4/4/46/4/ Email: 13 Deaf pvsr,S,Com
License#: L7G Z Z 99z z Lead Certificate#: NA`)'—. Z o 8 t' Z
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:
-
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.gopherstateonecalLorq
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 perm;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x P D-147Yy<Sv✓( x
Applicant's Printed Name Applicant's Signature
. DO NOT WRITE BELOW THIS LINE 1-111 g 54-0.(V)e:41 y_ C-4' I'S—I (PO
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
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuationf� Occupancy 5 MCES System
Plan Review Code Edition 49441191,11 SAC Units
(25%_ 100% 1,, ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ``��'L-, Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: •
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice &Water _Final Pool:_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:
Reviewed By: '1 , Building Inspector
RESIDENTIAL FEES ' `
Base Feee(
Surcharge C)('V‘Allet.°
Plan Review °
MCES SAC
City SAC
Utility Connection Charge f
S&W Permit& Surcharge 2/1 ON"I''
Treatment Plant
Copies
TOTAL
V.\1 /iff;iv
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