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4194 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 , r For Office Use f /, ' • ,1:**, '.'61 • E AGA EAGAN' ? ✓ Permit# 41-cPermit Fee018 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-85351 FAX:(651)675-5694 Staff: buildin4insl�ectionsCa�cityofeagan.com 2018 RESIDENTIAL[ BUILDING PERMIT APPLICATION Date: 08127JZ°l'� Site Address: J4cvb j OWI' I) t t /(.� � 4.SG S Unit#: `1-R brid7' C4— :_:;:,,,,e.:,.„:„.. ,,, 4— �. R Name: " Phone: 1k ..„,,,„,,,f0,.: � R T Address/City/Zip: *IV 4ao,b e'ld 7 2 C-' ,, ,., , Applicant is: Owner LI Contractor a *- r44e r94 o'jaTei ,,k-;.,5 gci1l'hS 4w�( �-+?�cl Al 1 Description of work:.Z-.r,5f i/t k 1 In Q^:eo{ T3,cevv..."1 -ke Dec kt%j(1 0..s., Fr} zAz V /24‘'4�f w: Fet AA, 7:07,,f115,51 1 . Construction Cos.2J'oV Multi-Family Building:(Yes /No ) fi , t r # y Company: i/©i~f' Miran rA4Q r%OYS Contact: Fee Ala true S..-- 4.1 ' Address: 15.11Z 4 l t it Ave City: Amp/p e xr Phone: Qi7-4!/6/y Email: 13ed4 H vSJ/ rx4rriv--S,Com� Statv ) � e �A Zip:am��Z 4�"�' ; License#: OC Z Z 9' Z it Lead Certificate#: N Al"— )) Z C7 8 4- 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: ,: =-. ,,, 'r� rte- �''-�.� 1 "' x- .x �. r s 7:;- a- :�- n ''A X You website mayat subscribe to receive an electronic'notification from the City of proposed ordinances by signing up for an email update on the City's www. 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.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. x Fo7e 1.4YIle Scol x .f//e Applicant's Printed Name Applicant's Signature CIO NOT WRITE BELOW THIS LINE �( ( l s-v.v\,),4,Gy_t_ cY I Si rrJ 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 ''t Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy 3 MCES System Plan Review Code Edition 4m34" SAC Units (25%_ 100% f ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v-b 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: \1/ , Building Inspector RESIDENTIAL FEES ( Base Fee .� �(, Surcharge R� Plan Review 09 1✓ MCES SAC City SAC Utility Connection Charge df S&W Permit& Surcharge Treatment Plant2 �`' Copies , TOTAL Page 2 of 3 „ ....__ 5r;(-1 (7` ECEiVF ) OCT 1 1 2018 .i BY: r2: EX i5 1 in Fccuivu Ca s t ( 1 , ) r Y\5f 1(9d 0 I” / 14 otot j-k51`;' Por, 114- l't 1 • ,--- , _ / Thre ZA. 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