2019 Silver Bell Rd Unit 213 Use BLUE or BLACK Ink
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For Office Use
01...t: t t Permitlt: � r�� �j
Permit Fee: /2;? _-_/
Pilot KnobRoad
Eagan55122q):17,(,)MN Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff: -----eft.5.
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/19/17 Site Address: 1903 Silver Bell Rd Unit#: 213
Name: Dale Findlay
__-. Phone:_...612-790-1349.. ...
Resident/
Owner Address/City/Zip: 1903 Silver Bell Rd Unit 213 Eagan,MN 55122
Applicant is: Owner X Contractor
Type of Work_
Description of work: Bathroom Remodel
_= Construction Cost: 3198 Multi-Family Building:(Yes X /No_ -)
Company: US Patio Systems Contact: Wendy Rache
Contractor Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: _ 55337 Phone: 952-314-9885 Email: wrachea@uspatiosystems.com
License#: BC661813 Lead Certificate d: F119453-1
If the project is exempt from lead certification, please explain why:
Built in 1981
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 information. Portions of
the-information maybe classified as non-public if you provide specific reasons that would permit the City to
-- ;coricludefhaf.:fheyore trade secrefs. - - - -
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. twnv.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m t be completed within 180
days of permit issuance.
x
Lk U 2� � ` x • �►1LI __
Applicant's Pri ed flame � Apr lean signature
Page 1 of 3
? 1 7--) .4_/_
lo�la DO NOT WRITE BELOW THIS LINE / Li‘2(2ZO.
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) mm Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof — Demolish Interior
)c
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 3 MCES System
Plan Review Code Edition yr`tNi I ire
SAC Units
(25% 100% ) Zoning City Water
Census Code StoriesBooster 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 I C.O. Required
_ Footings (Addition) y., 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
___T Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath ___Brick.__ _EFIS
*7c. Insulation _ Windows
/ Sheathing Retaining Wall:_Footings__Backfill____Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Wails Erosion Control
Shower Pan Other:
eviewed By: "' _, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review ift
MCES SAC (1)--
City SAC 0 init
Utility Connection Charge
S&W Permit&Surcharge _
Treatment Plant 9,/ 0 i'
Copies
TOTAL
Page 2 of 3
iii
Use BLUE or BLACK Ink
For Office Use1. �f ` /
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ClV �I � �� Permit#: /,,,`u Permit Fee: Lam'0. 00
3830 Pilot Knob Road
Eagan MN 55122 Date Received:_—_-—-_----—-__--
Phone: (651) 675-5675 staff:
Fax: (651)675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 9/19/2017 Site Address: 1903 Silver Bell Rd Unit 213
Tenant: Suite#:
Name:
Dale Findlay Phone: 612-790-1349
Resident/Owner — —
Address/city/zip: 1903 Silver Bell Rd #213 Eagan, MN 55122
Name: US Patio Systems License#: P0708206
Address: 218 N River Ridge Circle City: Eagan
Contractor —
State: MN Zip: 55337 Phone: 952-314-9884
Contact: Wendy Rache Email: wrache1981@gmail.com
Type of Work New V' Replacement Repair _�Rebuild __Modify Space _Won(in R.O.W.
Description of work: Bath Remodel-see attached drawing
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_�RPZ/ PVB)
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 $60.00
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.nopherstateonecall.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• s lens.
Ax X !1:i J9.----
Appti ant tnted Namt App tc: tg .tura ��
FOR OFFICE USE Reviewed By: Date:
Required Inspections. Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff: