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4190 Starbridge Ct SEP-13-2813 12:50 From:7637841426 Page:7,8 '4k$(ol 4«©,1~4, Use BLUE or BLACK Ink For Office Use 2 Q Permit I I r~ O j City of Eatan Permit Fee. (0 -7 6 3830 Pilot Knob Road i 1 J Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: y~ 1 I I Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 I Site Address: Ig I "1 ,d Unit 1t: Name: Phone; R.si`e:r3f~ J Wr`r Address / City / Zip: f &ny bid da le, I Fan an t~ J_ J Applicant is: Owner X Contractor Description of work; AWLS ,E . r,•~ p.a~r.y. 'h x Construction Cost V~ r 00 1 Multi-Family Building: (Yes / No Company: Contact: Address: 165 Zq L Il.yu _ City: State; 1~ 1 zip:b Phone; _ l tUJ g~a - ggga - License Lead Certificate #:U' T- I000015- 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? -LYes )~.No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor- Phone: _Y f"•''' • ~ a~~ pybllou~ ua~ ~ r~v~de e~e©ifc rea~~ p that would aermit the C~t tof i~~~►ti~l ;.f~;dt~h; `:are trade".se~r~CS. 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. mnmy rstateonecall.o(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 daysf permit issuance isata State Building Code must be completed within 180 . x t) V1 VA x App ice is Printed Name Appl' n s S gnature Page 1 013 Use BLUE or BLACK Ink I For Office Use E11 I Permit ~ 1Jt C4~ / ~ I R:c I / City of rape w gay 1 3 7n1~ I Permit Fee. i 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: 50N- Phone: (651) 675-5675 1 I I Staff: Fax: (651).675-5694 1 I 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ' 'mot 4 Site Addre;it Tenant: Suite ssda tlOr,,^o~ Name: OJ - Phone: S ' Address /'City / Zip: ±C1 Milbert Company Inc dba Cullign Water WC643176 Name: License Address: 180150th Street East City: Inver Grove Hgts. Contractor State: MAN Zip: 55077 Phone: 651-451-2-241 Contact: W I l l l a m` ;R. M i I b e rt. Email: Type of`Wor'k - New Replacement _Repair -Rebuild - Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: - .$60.00 Water. Heater; Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn `IIrrigation, (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing` Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 518" meter is required) $116.00, Septic System New, ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES a Od CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours'before you intend to dig to receive` locates of underground utilities. www.Qopherstateonecall.or4 thereby 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 wit `.the approved plan in the ca a of work which requires a review and approval of plans. - x W1 x Applicant's' Printed Name c s Signature FOR OFFICE USE Reviewed By Date: Required Inspections Under Ground Rough In K Air Test,. .:Gas,Test ' Final Meter Related Items: Met-,r Size Radio Read Staff` . �� p � \16 '�7 l Use BLUE or BLACK Ink --, ���j ����,���� � For Office Use � �1�� 0������1 ,/ � � � � Permit#: I � I I 3830 Pilot Knob Road 1/�� � � � Permit Fee: � Eagan MN 55122 G i Phone:(851)675-5675 j Date Received: '��' I Fax:(651)675-5694 �U� 2 2 �.{��� I � � Staff:S � �_������__����__�J 2015 MECHANICAL PERMIT APPLICATION ❑ Piease submit two(2)sets of plans with ail commercial applications. Date: Site Address: Tenanf: Suite#: Name: � � Phone:_�)��l.ti,�lX ` �p �� Address/City/Zip: \ � '�� ' Name: � Q i"i U Y '�'( "�' � License#: � ( � U a t�r �j �j Address: ���� U�� � I��City: State:��Zip:�"�j��j�j Phone: f0���' `t"�7 " �7 � � Contact: � Emai�:r`1�C.S5i C'.rt�(�(c7 4Yt e[/�_c�ur�a.�1r,Cal� _New ��Replacement _Additional _Alteration Demolition Description of work: RESIDENTIAL COMMERCIAL ��Fumace _New Construction _Interior Improvement Air Conditioner _Install Piping _Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) (�� $100.00 Residential New(includes$5.00 State Surcharge) _$ V TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 **"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. X �G� t�� � G��.� X � �/�,�� Applic nt's Printed Name Applicant's Signature r For Office Use e • • • • + „.EAGAN � Permit I CI `o I ••_• •f•• ill 2 7 2018 Permit Fee: t ��-`, e) Date Received: 3830 PILOT KNOB ROAD'EAGAN,MN 55122-1810 (651)675-56751 TDD:(651)454-8535 FAX:(651)675-5694 Staff. buildinginspectionsna.cityofeadan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION !$/2 7 01'6 L Date: 1 Site Address: '414.✓'bttctr i(DW 1Oc..tC Unit#: k � Name: 74v6�'! eye C Phone: / 7qa �1 )1.17g,.:� . Address/City/Zip: // /v ��4/-6(,d 9 -` t ft- Applicant is: Owner )1 Contractor lbw c aid eft(.k.;•4S gcir/,tiS 4w4 �Qaci'c{ i Re,1:f a Description of work:.Tq5ic// A r/n c-.€ ¶rvci,n -j-ve4.4Cd Decw Per/tY) 5{,< :%j1 `$ Multi-Family Building:(Yes t, /No ) Construction Col. 2i�'otJ �" Company: iyd x Q Y !Ov 5 Contact: eC ue s---t , �44 ° Address: /51/Z 4/c7Jf i t Ave ve City: 14pp/e Oa//(1y State:?4 IA)Zip: 5,-C-i 6 ti Phone: 9.57-40f/-117/Y Email: 13 PCS'110(1/ cv'��—S,Comer -T. ' 3 License#: OC Z Z 99z Lead Certificate#: NA i''.—P II ZC,eq- 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.gopherstateonecall.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. x Poe 0./40fvveSemx r Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Litt) stpr-br)3,2 t I V ( P 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 1, Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation0 Occupancy DI MCES System Plan Review Code Edition _ 4" 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 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Ni 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: t , Building Inspector RESIDENTIAL FEES Base FeegiY? P-Y1 (1 Surcharge C.)Vt - Plan Review 199 MCES SAC City SAC Utility Connection Chargeli AIM S&W Permit& Surcharge r Treatment Plant / Copies , TOTAL Y Page 2 of 3