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1486 Woodview Ave E From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 1J00::1~2 #166 P.017/037 ~,VI'V,- 1,A`f WOC~U~'~^~' 1t~►~ Use BLUE or BLACK ink I For Office Use I ; Permit 122 ~c~ 3 City of EaEd~ Permit Fee: -44V • oo I 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax:(651)675-5694 I Staff: I 1 I J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Dated Site Address: HtU, fflt:\60yl ICiOq ~~~aotVi \NfJ 1lyant 4 9Nt~t9atlr1'lZ1) r I Name: SUYf~YT~ C'I U. WK f n ftM tAVJ U Phone: Resident/ 5S3'-}~-1 Owner Address /City/Zip: (PH3 ~ PAr kVV" I qw yl p am-t, MN Applicant is: Owner S Contractor I Description of work: Tfay Ofd Rt' Rouf ` i Type of Work I I Construction Cost:. 121P& OD Multi Family Building: (Yes _ /No___) I I Company: Lusby UIf1S I C'hon MAV a01_tMa7(, LU, Contact: ~Oll(1C W141! Q01n Contractor Address: 5145 IhdIVI oU U- 410-5 City: -Map1t P10il n State: -K N Zip: 5535 Phone: - Email: r'IAY►I? r~ 0111S1D1Y. bL I License it: p, IU2.1113"15 Lead Certificate M NA'T' 2(AWI - D 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: r I Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informafion. Portions of 1 the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.aol)herstateonecall.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. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x ~jkfta Mcbemulfi x Applicant's Printed Name Applicant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:13 #166 P.020/037 VwK- 11t$ic1kht l4u, Wlo W06dUlew Pri E Use BLUE or BLACK Ink r----------------- I For Office Use I j Permit City of Dian lPermit Fee: 1-1 • -75- 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: 5 14 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: O V 1 I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-1-H Site Address: 14 I, MUPA'As.l4go Voudag ,m+ cC1a y me A .qWV)h1y0es~ VVftA- Name: SUrr aYt1, clo . h& y n l,' M WU Phone: Resident/ Owner Address /City/ Zip: 1~~13 CI W , PArI~VVOIM I qdf, 0 al (0 i1i/ M N 553H9 Applicant is: Owner Y__ Contractor Type of Work Description of work: TPav Re- RL~f- Construction Cost:. 11I,100 t)b Multi-Family Building (Yes X / No ~ Company: ffis i(I( COhS11riACt pul Mot unfl LLG Contact: _ bDYJC MCVICYQioln Contractor Address: 51451ndVIS11'IO 1 SL 1105 city: Malf. Plain State: l1~ Zip: 5535 Phone: z1q] Email: cli7lM Ill OIIIStD t - W_ License 17X,10315'r5 Lead Certificate N PI-T- ILA1.01- D 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: C Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I NOTE Plans and supporting documents that you submit are considered to be public information. Portions of L the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.oopherstateonecall.org 1 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~,lA 1~>;~Q MC~eI-mutt x Applicant's Printed Name Applicant's Signature Page 1 of 3 �+ Use BLUE or BLACK Ink ; r-----------------� t I For Office Use I � � Permit#: /��Q� � Clty of �a�� ; . . . � �� Permit Fee. �� I 3830 Pilot Knob Road RECEIVEI� � �3 ' Eagan MN 55122 � Date Received: t� � � Phone: (651)675-5675 � , � Fax: (651)675-5694 AUG 13 Z014 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �/�S ` Name: ��"'��1 •�?1�' U�'cf Phone: �S�- ��%� 5'� Residentl ` Owner address i c�ty i z�p: f�/�� L�oo/� t>1 �� .� � � `: Applicant is: Owner Contractor y - Type Of Wot'k , Description of work: ��F"�'S_S, �i,�� `K-' Construction Cost: �y�•O d ��x Multi-Family Building: (Yes /No� Company: /�1'a/`��' Contact: C011tPaCfOC Address: City: State: Zip: Phone: Email: ' License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) aT ,� � �.�� c�,��o/L �� 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: NOTE:Plans and supporting tlocuments that you submit are consid�re,d to be'public'fnformation. Portions of the information may be classified as non-public if you provide specific reasons that would permif the City to conclude that they are'trade secrets. 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 ► 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 (�Gt-,�"�0'Lf� � ��G'E'NS IIa'✓ x �"��'��p/'�t�- ApplicanYs Prin d Name ApplicanYs Signature Page 1 of 3 / ! �� cN��i�"r�C!✓_ �� '"" ' .. �-�+�l� DO NOT WRITE BELOW THIS LINE ��'�!'/� +� 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 � Valuation � Occupancy � MCES System �-- Plan Review Code Edition d'!'7 SAC Units — (25%_100%� Zoning -�3 City Water — Census Code �3� Stories -- Booster Pump "— #of Units / Square Feet --� PRV —' #of Buildings i Length " Fire Sprinklers ^ Type of Construction �'�_ Width "'i � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests Final r ` Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 7 3 �— Surcharge Plan Review y7 9�- MCES SAC City SAC Utility Connection Charge SS�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3