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2171 Cool Stream Cir Use BLUE or BLACK In r----------------- I For Office Use Permit#: ' City of Ea Edii ; Permit e t Fee: 3830 Pilot Knob Road I ,ice Eagan MN 55122 Date Received: Phone: (651)675-5675 I U°,, I I Fax: (651)675-5694 3 4 7 016 1 Staff: I I I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C9-Zt>, - I e Site Address: Z Coo �S' by-61(— E Qn �S 12,2- Unit M Name: ►t e) I J sk f Phone: (p "'Z��" !�O t Res-d— ' 'Older Address/City/Zip: 2 �1 b ��� EG G1 �N Applicant is: Owner -^ Contractor pt ' Description of work: a 0 tor Type of Work Construction Cost: U! Multi-Family Building:(Yes /No ) Company: Contact: CJ6Intr Act 0P Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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 stappor#179 C ...Men#s that you sudinrt are=consideretl to;be u lac infdr�nati n Portion f the lnforination rnaye classified as nor-p6icf youFproaile spectic seasons that awonld�erm�t City fo; conclude#lint tfie ire#rade 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.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. 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. xM,e) i.u -- /-)n r Applicant's Printed Name pplicant's Signature Page 1 of 3 1 ! t 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 �4 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 4 y DOD Occupancy ' 2 C,- 1 MCES System Plan Review Code Edition WJA zot S 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 y 13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) o Final/No C.O. Required Foundation - HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final C, Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick 1O 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: 76 Al %IcI m , Building Inspector RESIDENTIAL FEES ` Base Fee Surcharge Zo•D° Sy' • 04/— Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit &Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r--------------- I For Office Use 111100 Permit#: ���� `'' 1 � City of EaEd� r � Permit Fee: ( ; ,, c 3830 Pilot Knob Road fit` j Eagan MN 55122 Date Received: Phone: (651) 675-5675 JuN j Start: Dy�/ Fax: (651) 675-5694 L-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ( -Z(O-1 kO Site Address: I CO 0 tyT-(k M Ci C cake F c,$C-n V\ 5 I'Z,Z Tenant: 1 r\� \ f S� _`` � s Suite#: 1�1�liss� fines 12 -z2,-�� �� Pi Name: Phone: � �{ �` �;4 Address/City/Zip: Z 1 - U%t S—`.^'' C1 rcAe A» X11 N Name: License#: nAG cr tea: Address: City: �1 Con#ractor I � State: Zip: Phone: LpOPP Contact: Email: New Replacement —Repair _Rebuild —Modify Space Type of� — acemen epa — ' v.a�. 1 �e� 1 ev Description of work: � O eR RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) ypsW 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.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. X MelissA X Al Applicant's Printed Name Ap cant's Signature A. ROM Requtr nspections .Under efer Ratsd It ..