3820 Country Creek WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA116432
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 3820 Country Creek Way
Lot:7 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Roger G Nelson
3820 Country Creek Way
Eagan MN 55122
St Paul Siding Inc
1597 Niles Ave
St Paul MN 55116
(651) 698-7777
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE•
Zoning:
Owner:
Address:
WATER SERVICE PERMIT
No. of Units:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size- Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By 7 /,— Date Paid:
Date of Insp.: fnsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: __
Eagan, MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Address.
Site Address:
Plumber:
agree to comply with the City of Eagan Connection tharge:
Ordinances.
Account Deposit:
Permit Fee:
Surcharge: _
By Misc. Charges:
Date of Insp.: Total.
Insp.: Date Paid:
#*
City otEaRall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
"At072016
r
Use BLUE or BLACK I
For Office Use -�7
Permit #: / / 0'3 ( 11,1)
Permit Fee: /IL13;
pDate Received: � A
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - ( Site Address:
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Unit #:
I /1 ,
Name: Ai� �~l)€ Cid 1 Phone: 6 0 3
Address / City / Zip: L C U7 hr/ C' V
Applicant is:
Description of work:
Construction Cost:
Owner ' ,ntractor
CEIS
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Multi-Family Building: (Yes / No
Company: frj Ey E'CVT Contact: 2 (Yt C 1`yt
Address: / (j A i )'V/l1 ' City: 441../06„t
6.4
State: Zip: �� ` Phone , 763,‘7/3-5Email: LI ,( r6>/'ei(St3 ' k 6
Lead Certificate #: N!jI pDD\
License #:
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:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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
X716
Applicant's Printed Name
x i ltAir
Applic `Signature
Page 1 of 3
SO(90 Q(1ll' e t eif64 JWTE BELOW THIS LINE
SUB TYPES
Foundation
)(` Single Family
' Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
__X
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In _Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
y' Egress Window
-70 /
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
X Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath Brick
i Windows
Retaining Walh _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3