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4029 River Valley Way L-/ S­76,_-)Z - -7, 1/1-/'. Use BLUE or BLACK Ink For Office Use • E .+_l r 1 6/- // I Permit 7t 1—/ 06, 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone:(651)675-5675 I Fax:(651)675-5694 J V% 2 �6 1 staff: ----------------- J / J - 2016 RESIDENTIAL BUILDING PERMIT APPLICATION . 6/24/2016 4029 River Valley Way ONrkp k-v ( 0 Date. Site Address. Name: CalAtlantic Homes Phone: (952) 229-6009 Dow r� 7599 Anagram Drive / Eden Prairie / 55344 Owner Address/City/Zip: g Applicant is: Owner V( Contractor Description of work: Multi-family residence �/ i�'j C� ^TT �a , Type of Work QQ /l Construction Cost: �P 150,000 Multi-Family Building: (Yes V( /No ) Company: CalAtlantic Homes Contact: Kurt Niska Contractor Address: 7599 Anagram Drive city: Eden Prairie State: MN Zip. 55344 Phone: (952)229-6009 Email: Kurt.Niska @calatl.com License#: BC700385 Lead Certificate#: If the project is exempt from lead certification, please explain why: The building was constructed after 1978. 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? V( Yes No If yes, date and address of master plan: 07/01/2015, 3999-4007 River Valley Way Licensed Plumber: Elander Mechanical, Inc. Phone: (952) 445-4692 Mechanical Contractor: Elander Mechanical, Inc. Phone: (952) 445-4692 Sewer&water contractor: Miller Brothers Excavating Phone: (763) 420-9170 Fire suppression contractor: Fire Suppression Services, LLC Phone: (763) 277-8960 NOTE.,Plans and supporting',documents that you submit are considered to be pubffc information. Portions of ' the information may be classed as noniipubtic if you provide specific reasons that Woufd permit the City to conclude that the 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.aopherstateonecall.org 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. r x Kurt Niska x Applicant's Printed Name Applicant's Signature Page 1 of 3 7 DO NOT WRITE BE(OW 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 ofN_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 07, Oc cupancy IZC, MCES System Plan Review Code Edition V SAC Units (25% L_100% Zoning City Water Census Code Stories Booster Pump #of Units ' Square Feet �_'__ PRV #of Buildings Length Fire Suppression Required Type of Construction V6 — Width ell 1) REQUIRED INSPECTIONS it 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 Framing 30 Minutes 1 Hour Drain Tile — Fireplace: Rough In " Air Test AFinal Siding:_Stucco Lath Stone _Brick 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; n, , Building Inspector RESIDENTIAL FEES �' tvi�= '� 1 S7/ S Base Fee Surcharge _. '°t ��� / 40V!�3 Plan Review MCES SAC F "` # ! 1I . City sac -775 ,;-ZV /9o, Utility Connection Charge / S&W Permit& Surcharge Treatment Plant Copies TOTAL / of 3 ) q V/-j a`l New Construction Energy Code Compliance Certificate Per R40f.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel. Date Certificate Posted COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 6/24/2016 Mailing Address of the Dwelling or Dwelling Unit: City: LA L N 1 1 C 4029 River Valley Way Eagan Name of Residential Contractor: MN License Number HOMES CalAtlantic Homes BC700385 THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply X Passive(No Fan) Active(With fan and monometer a a) or other system monitoring C device) CL > y Location(or future location)of Fan: � T i4 c h R a IF fan is required;Attic o a o it U d o Lu 3 Q m m U v c C v a ` j c Z N i O �. <L O o Insulation Location Q 8 —10P, `—° U p w N d O1 E E v v ° c zo LL LL LL LL iR 6! Other Please Describe Here Below Entire Slab X Foundation Wall R-15 X R402.2.8,Exception,a.R-10-by plan Perimeter of Slab on Grade X Rim Joist(1 st Floor) R-20 X Rim Joist(2nd Floor+) R-20 X Wall R-21 X Ceiling,flat R-49 X Ceiling,vaulted R-49 X Bay Windows or cantilevered areas R-30 X Floors over unconditioned area R-38 X Describe other insulated areas Building envelope air tightness: Duct system air tightness: Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skylights and one door)U: 0.29 X Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 10.32 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Cooling System Heater Not required per mech.code Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive Manufacturer LENNOX RHEEM LENNOX X Powered Interlocked with exhaust device. Model ML193UH045XP24 PROE502RH91 13ACXN018 Describe: Input in 44000 Capacity in 50 Output 1.5 Other,describe: Rating or Size BTUS: Gallons: in Tons: AFUE or 93 SEER 13 Location of duct or system: Efficiency o LEES Residential Load Heating Loss Heating Gain Cooling Load ERV in Mechanical Room Calculation 140298 115684 118278 Cfm's "round duct OR MECHANICAL VENTILATION SYSTEM metal duct Describe any additional or combined heating or cooling systems If installed:(e.g.two furnaces or air Combustion Air Select a Type source heat pump with gas back-up furnace): X Not required per mech.code Select Type Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: I Other,describe: Energy Recover Ventilator(ERV)Capacity in cfms: Low: 150 High: 1140 Location of duct or system: Balanced Ventilation capacity in cfms: Mechanical Room Location of fan(s),describe: I Cfm's Capacity continuous ventilation rate in cfms: 6" "round duct OR Total ventilation(intermittent+continuous)rate in cfms: "metal duct Component Constructions Job: vrightsof Date: 2015 Entire House By: Elander Mechanical Inc Plan: ONTARIO 700 Valley Industrial Circle South,Shakopee,MN 55379 Phone:952.4454692 Fax:952.496-2092 For: Ryland Homes Location: Indoor: Heating Cooling Minneapolis-St Paul Int'I Arp, MN, US Indoor temperature(°F) 70 72 Elevation: 837 ft Design TD (°F) 85 16 Latitude: 45°N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 54.5 37.9 Dry bulb(°F) -15 88 Infiltration: Daily range(°F) - 18 ( M ) Method Simplified Wet bulb(°F - 72 Construction quality Tight Wind speed (mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U-value Insui R Htg HTM Loss Cig HTM Gain ft3 Btuhm='F ff-TIStuh BtON Btuh MOOR' Btuh Walls 12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int n 793 0.065 21.0 5.52 4381 1.12 889 fnsh,2"x6"wood frm a 267 0.065 21.0 5.52 1476 1.12 300 s 788 0.065 21.0 5.52 4354 1.12 884 w 404 0.065 21.0 5.52 2234 1.12 453 all 2252 0.065 21.0 5.53 12445 1.12 2526 Partitions 12F-Osw:Firm wall,vnl ext,r-21 cav ins,1/2"gypsum board int •157 0.065 21.0 5.52 866 0.64 100 fnsh,2"4"wood frm Windows 61A:Vinyl Window;NFRC rated(SHGC=0.32) a 107 0.290 0 24.6 2633 34.5 3680 w 132 0,290 0 24.6 3262 34.5 4560 all 239 0,290 0 24.6 5895 34.5 8241 Doors 11JO:Door,mtl fbrgi type w 20 0.600 6.3 51.0 1040 17.1 348 n 19 0.600 63 51,0 983 17.1 329 all 40 0.600 6.3 51.0 2023 17.1 677 Ceilings Std Ceiling R-49:Std Ceiling,R-49 836 0.020 49.0 1.70 1421 1.04 869 Floors 20P-38c:Fir floor,frm fir,12"thkns,carpet fir fnsh,r-38 cav ins, 462 0.030 38.0 2.55 1178 0.36 166 gar ovr 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 56 1.180 0 100 5617 0 0 2016-Jun-24 07:18:08 ,t + wJrightsoft' Right-Suitee Universal 2012 12.1.06 RSU13410 page 1 /`i(^. ...ard%DesktoplHeat Losses 24131Ryland Ontario.rup Cate=MJ8 Front Door faces: N � LOT SURVEY CHECKLIST FOR RESIDENTIAL i BUILDING PERMIT APPLICATION $ PROPERTY LEGAL: �� "� I r I g 1J mv e_ M ' DATE OF SURVEY: LATEST REVISION: cc o z a DOCUMENT STANDARDS ❑ 0 • Registered Land Surveyor signature and company 0 ❑ • Building Permit Applicant _J2' ❑ ❑ • Legal description ❑ 0 • Address ❑ ❑ • North-arrow and scale .JK ❑ ❑ • House type(rambler,walkout,split w/o,split entry, lookout,etc.) ,2' ❑ 0 • Directional drainage arrows with slope/gradient% ❑ ❑ • Proposed/existing sewer and water services& invert elevation ❑ ❑ • Street name ❑ ❑ • Driveway(grade&width-in R/W and back of curb,22' max.) ❑ ❑ • Lot Square Footage 0 D • Lot Coverage ELEVATIONS Existing ❑ ❑ • Property corners ❑ ❑ 4 Top of curb at the driveway and property line extensions ,0 0 0 • Elevations of any existing adjacent homes 0 0 • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways(pond,stream,etc.) Proposed �f 0 0 • Garage floor 0 ,PI 0 • Basement floor .l ❑ 0 • Lowest exposed elevation(walkout/window) _;7 ❑ 0 • Property corners 0 ❑ • Front and rear of home at the foundation PONDING AREA(if applicable) ❑ ❑ • Easement line ❑� 0 • NWL ❑ )6 0 • HWL ❑ Z 0 • Pond#designation 00 0 • Emergency Overflow Elevation ❑/,d b • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y /a • Conservation Easements DIMENSIONS 1,t"( ❑ ❑ • Lot lines/Bearings&dimensions ❑ 0 • Right-of-way and street width(to back of curb) 0 ❑ • Proposed home dimensions including any proposed decks,overhangs greater than 2',porches,etc. (i.e. all structures requiring permanent footings) , { ❑ ❑ • Show all easements of record and any City utilities within those easements ,0 ❑ ❑ • Setbacks of proposed structure and s r setback of adjacent existing structures ❑ ❑ • Retaining wall requirements: Af Reviewed By: Date C� G:/FORMS/Building Permit Application Rev.11-26-04 o cv v � T V) LLJ Z N Q > o �� zz s :2 L C ~ X o ai L, v ,a -° vi cn � p a m m W *�, O Q O p c 3 o JJ O m N O Q C O LLI OU U C--p�U, 0 N I-C N p Z V M M 0 c v o c T c 3 c •3.v v a O 3°L a L 0 w>.o> o v O s o0 0 00 U y V : 0 c m o O 0 W 0 T c m O 3 0 O a v. 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O X 00 1p� y� O W 00 \ '�� �� '� O 6 CN ^l O O OC)m / \ 00 09. Rio° w H \ ICJ e�+$� ,LO O' 0 1T8 / 1 61 1� \\AL e.Q� a� \ x`n N 0. �. ,�� i x _ y O Z — � 15!� o�s. 6 O Dcg C� o-..�1 \ or o`�\ ��� `o \ \ `R O •; M O L\- \ \ �� \ rn m w CD DO 1t•�I NO W \ rn \ \ x U L N LO s° \ \\ \i _ > 00 LU Li z \ � �� �o ° Q C, ( N Z Ln �o <(f)M V) w C Q Z p 3 0 W cn W N E X m O W -C = N z Z C LL O u U' < / \ / Q v� Z ro O W m Obi '7-0 u am (Don Y QC o00 M Z a 2 ' \ Co W o •) 110, o oc)O M N \ Z Z a o0 W M 0 City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 875-5694 Use BLUE or BLACK Ink For Office Use Permit 6: Permit Fee: 13 b�� Date Received: Staff: L 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION 4v2q i t R VAL L Y U "cusp, Rio'I Suite #: Date: 'Se -16 Site Address: Tenant: ~Yi Name: CAL- it..rR I'Jrt C., 140 t•A S Address / City / Zip: -75(39 A' M PR, Applicant is: T.. Owner X Contractor 'piton of work: Construction Cott 39,1G. CO Estimated Completion Date: /b 30-1(o Phone: qaZ-22960)0 - 14P PA 13D W1 -r 5'srj M Name: T R( SUPPRESSID i 5.( (JkE6 License#: e.'145 C FR /NGeTO rJ Address: 45bf3 Bax 1 o city so 3S`1-- Z133 �::.,�•; y,�, � l''llV Z .5"3`7 % Phone: 3 ,.. State: �: Y f Contact: Email: �— FIRE PERMIT TYPE X Sprinkler System (# of heads el Fire Pump _ Standpipe DESCRIPTION OF WORK: WORK TYPE New _ Addition Alterations _ Remodel Other: Commercial Residential _ Educational FEES 560.00 Permit Fee Minimum Contract Value $ 6 t S'� x .01 Surcharge = Contract Value x $0.0005 = $ Permit Fee If the project valuation is over $1 million, please call for Surcharge a $ Surcharge $100.00 Residential New (includes State Surcharge) = $ /Oa d0 TOTAL FEE 3/4' Fire Meter - $280.00 = $ Fire Meter = $ /©b . 00 TOTAL FEE *`Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used t hereby apply for a Fire Suppression System perms and acknowledge that the Information Is complete and accurate; that the work win be In conformance with the ordlnartces and codes of the City of Elan and with the Navasota BuildlogiFtre Codes: that 1 understand this is not a permit, but only an application for a lit, and work Is not to start without a permit that the work will be in accordance with the approved plan in the case d work which requires a review and approval of plans. Tsad (.7/v./mg t3u-ncf t t City of Eaall Address: 4029 River Valley Way Permit#: 137523 The following items were /were not completed at the Final Inspection on: i")_./ , Complete Incomplete Comments Final grade - 6"from siding X Permanent steps— Garage 'Y Permanent steps— Main Entry Permanent Driveway )1 ' Permanent Gas \f" Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn ?( Trail / Curb Damage t'v WV. Porch A/0-)V6,' . Lower ,- Lower Level Finish ! .} Deck )C Fireplace ( ` • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an irrigation system. Building Inspector: q G:\Building Inspections\FORMS\Checklists Use BLUE or BLACK Ink For Office Use / '7 City of Eaiall RECEW Permit#: /`7105/ 0 ZO�, Permit Fee: t1 O .C5"� 3830 Pilot Knob Road JAN Eagan MN 55122 Date Received: f ` 3r Phone: (651) 675-5675 Staff: Fax: (651) 675-56947____ (,g 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 12-12-'61�IU/ Site Address: 4 0 2-cT q t Q-r- ‘1611 -ti Q Tenant: Suite#: l QL d" a��r4 a® ResitlerttiOiArtEeY = Name: Sara. 1[ '�� Phone: Is „.= \City Address/ /Zip: ��� .1VQ V d I r UL ®, Name: �) L J I n c License#: O,1(,Q. rrto Contractor Address: `� ' Q City: �Un O State: (Y)n Zip C- Sbi ' Phone: G 5 r�` 2.ILO J �' 1`'1 ( CI'lJl �� Contact: Email: . pe of W4 —New Y Replacement Repair Rebuild Modify Space _Work in R.O.W. Description of work: j RESIDENTIAL ! Water Heater � _� Water Softener Lawn Irrigation(—RPZ/_PVB) Permit TSeptic System ye Add Plumbing Fixtures( Main/ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) /� rr��('�, TOTAL FEES$ I O .0 v 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.org 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 fora permit, and work is not to start withou 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 ,)&1( es Q,.✓ x Applicant's Printed Name' Applic is Signature FOR OFFICE 4E Re sewed Iiy bate, z. a�: Required Ins ions ., , „t der Ground Rough-In it Test Gas Test Fidel r., a 4. -..: . .,W+` Meter Related Items .` et r Size Radio Read Manometer Staff: -.. Use BLUE or BLACK Ink For Office Use j� Permit#: I L � City of Eaaall Permit Fee: 15.E 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: buildinginspectionsacityofeagan.com 2017 RESIDENTIAL PLUMBING I PERMIT APPLICATION Date: /Di 3//J? Site Address: *2' 9 �Lvititi l4I..JA I tiev Tenant: ✓'I,.-A Suite#: R id@ l?Wner Name: /-. - r-7 116' 6.,of Phone: J ?O2 '-/ro Address/City/Zip: 40z1 fit) Uet.//4 Name: /44.,„ f /License#: 4;14'1.Cp(,l ty Ct)IttraGt©r Address: 70 7s►,t. --� I�.� City: t G�.r,-�c� State: ,/ Zip: CSoy Z Phone: 4 57" 3 3 7-») Contact: -J Ir^^ Email: +^� • JJQf Zoo New Replacement —Repair —Rebuild —Modify Space Work in R.O.W. Type 4f Work — � Description of work: k1/4:4-S-kr-4-k,."11` Nr4c4.4'41 "� RESIDENTIAL Water Heater Lawn Irrigation( RPZ/_PVB) Water Softener 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 State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 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.citvofeagan.com/subscribe. 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 ork is not to start without a permit; that the work will be in accorda -witi the --.proved plan in the case of work which requires a review and approv. of plans. . /' X X Appli nt's •rinted Name Ap•'cant's Signature FOR:OFFICE USE Reviewed By: Date, aI .. - I It - (` Requ red;Inspections Under Ground Rough-In Air Test =, Gas Test `; ;• :_Final Meter Related Items: Meter Size Radio Read- Manometer- - Staff, , Use BLUE or BLACK Ink For Office Use OF s—.4 \ v 1,1 ,%t . 9 Permit* /I(Q(o7do, Fee:Permit a 7 4 31 '1 'ec e s K�° Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 buildinuinspections(WcitVofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ) 7 Site Address: - • it Unit#: Name: Sck..r c51/411 FiA\r.,r ,O P Phone:to f V S Resident/ Owner Address/City/Zip: z,. 'r Applicant is: Owner Contractor Type of Work Description of work:f n A5 h Loyule r 4-eye 7 SO/4/ Construction Cost:sgafC .Gf,c Multi-Family Building:(YesP /No ) Company: 'r e t:: C'' v • Contact: Do,Y\ Vs,cs Contractor Address:) ( `1' ' S r e r r'i C city: v e ns V 1 State: \ l ip: �� Phone:4752 73'4 ?E a ' l k RC t f/' v License#: C 3 ,1 q Lead Certificate#: ?"" —3e, 3 St 1 a - 1 o 3 c 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: NOTE:Plans and supporting documents that you submit are considered to be public Iniorrnation. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeacian.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 wor 's 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 appr of pl ns. C ICJ �� x Applicant's Printed Name Applicant's S Page 1 of 3 rage z or s DO NOT WRITE BELOW THIS LINE /le e(r dz 1/ //( j &At( /L/ 7 I 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 4.Lower Level Pool — Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior 1, 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 94. Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% ) 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) Final/No C.O. Required Foundation Foundation Before Backfill )($ HVAC_Gas Service Test Gas Line Air Test 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 — 00- Other: Reviewed By: ‘ , Building Inspector RESIDENTIAL FEES Piti) Base Fee SurchargeO ' R 1 ' Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant V 9000 Copies ( L d (J TOTAL Page 2 of 3