1849 Cliff Lake Ct Oct 07 2014 0825AM HP Fax page 10
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� For Ottice Use �
� j Permit ii: ��� j
Clty of E��aIl � � �
� Pertnrt Fee: �� �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: �
Phone:(651)675-5675 I I
Fex:(651)675-5694 I Staff: I
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2014 RESIDENTIAL BUILDING PERMfT APPLICATION
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Date: �� �° � Si1e Address: � g�� l '�Y� ���� ��� 7 `-`�•'� '� � - �_
Jnit#:
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Name: ��.���� ��=--- �r:,��?�''a� f':: ��. �'f-,. Phone:
Resident/
Owner Address 1 City!2ip; ' �� �-
Applicant is: Owner ��Contraclor ;
Description ot work: � � u-- -•- <�'La � �'"•v
Type of Work I � F�
Construction Cost: �7 �Z� / '� � Multi-Farnily Building: (Yes ��'� /No�
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Company��. ° . �����u�i'�a� �'�.`7`I'���.-�s. Contact: 1`�����.��..� �-
Address:.�" � R `�'�=-< ya-.�-r.`�' �r+� �:�- C1�' �
COI1tf�C#O� -L l��� 1I � �!' , „�3..:.. City: ��f sl`�+%�,:a�
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, State!��`�'� Zip: �� �r� Phone: �a f?-��'s�'��� ��7 Email:�r`,4::.�.r�.�•n����;'�`�=,s9���c'''ra�;:��. "�
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License#: ��-��� 'r��.� Lead Certificate#: �'�''�°''��a�~'f�`""4''� - 1
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 Clty of Eagan Issued a permit for a slmllar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewe�d�Water Contractor: Phone:
NOTE:P/ans and supportlrtg documents that you submlt are considered fo be pub/Ic lnformation. Pvrt/ons of
the/nformat/on may be classifled ss non-public if you provide specific reasons that wou/d permlt the City�o
conclude tha[the are trade secreis.
CALL BEFORE YOU DIG. Call Gopher State One Call at 651)464-0002 for protection against underground utilitydamage. CaU 48 hours
before you intend to dig to receive Iocale5 of underground utilities_ www. o herstat�onecall.or
I hereby acknowledge that this infocmation is complete and acwrate;thaf the work will be in confotmance with the ordinances and codes of the Clty of
Eagan; tha: I understand this is nol a permit, but only an application tor a permit, and work is not to start without a permit; that the work will be in
accordance wlth the approved plan in the case af work which requires a review and approval oi plans.
Exlerlor �horized by a bullding permlt lssued in accordance wlth the Mlnneeote S1ate BuIlding Code must�je completed wlthln 1 BO
da perm! ssuanca ��-°•
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Applicant's PriMed Name Appllcant's Signature ,
Page 1 of 3
a Y For Office Use
% Permit#: /r � (11
a t /5' 7 r
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Permit Fee: /a,D .6
ECEIVE7
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 /s
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-56 J U L 2 9 2019 Staff:
buildinginspections@cityofeagan.com
•
2019 RESIDENTIAL B ' ° iMIT APPLICATION
Date: 7/29/2019 Site Address: 1849 Cliff Lake Ct Unit#:
Balfanz (651)688-7509
Name: Phone:
Address(City/zip: 1849 Cliff Lake Ct., Eagan, MN 55122
••iicant is: Owner t✓ Contractor a6
Description of work: Existing Bathroom Remodel(non-strucural)-see plans for details
Construction Cost: $1 0,000 Multi-Family Building:(Yes /No )
Great Lakes Windows& Siding Contact: Danielle Sime
Company:
Address: 14690 Galaxie Ave. City. Apple Valley
MN 55124 952-891-3400
State: Zip: Phone: Email: daniefies.grestiskes@gmail.com
gmail.com
x
BC060427NAT 23297-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Built 1996
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.cltvofeaoansomisubscribe.
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.gooherstateonecali.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 appro f plans.
.Danielle Sime •
Applicant's Printed Name Ap ant's Signature
g/ L/q / ( LC+ - / 7/ .
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 0(9° Occupancy ,6,L MCES System
Plan Review Code Edition A , /S SAC Units
(25% 100% ) Zoning (17 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction —\76Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC 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: 12 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
ff9R
MCES SAC ),(Z A,
I (2-Pfl L 1
City SAC
Utility Connection Charge j
S&W Permit&Surcharge
Treatment Plant lc f."- 71 )
Radio Meter Read71 KINI ( (/‘
Copies7
TOTAL 1/::".. r
i Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157797
Date Issued:09/09/2019
Permit Category:ePermit
Site Address: 1849 Cliff Lake Ct
Lot:14 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-140
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Kathleen M Balfanz
1849 Cliff Lake Ct
Eagan MN 55122
(651) 688-7509
Cities 1 Plumbing & Heating
787 Hubbard Ave
St. Paul MN 55104
(651) 274-6547
Applicant/Permitee: Signature Issued By: Signature