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3155 Coachman Rd Unit 375 Use BLUE or BLACK Ink For Office Use 4/111'` of City Eaaau Permit#: i'LI Permit Fee: (,�.,, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: buildinginspections(aicitvofeagan.com 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10-18-2017 Site Address: 3155 Coachman Rd Tenant: Suite#: 375 Resident/Owner Name: Joe & Lynda Decker Phone: 612-240-0401 Address/city/zip: 1201 105th St Inver Grove Heights MN 55077 Name: License#: ConeAddress: City: r State: Zip: Phone: Contact: Email: New _Replacement XRepair —Rebuild _Modify Space —Work in R.O.W. Type of Work — Description of work: RESIDENTIAL Water Heater Water Softener Lawn IrrigationL�RPZ/ PVB) Perms Tom Add Plumbing Fixtures L—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.gooherstateonecall.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.citvofeaaan.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 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 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed Bye : Required Inspections: �_-„Under round-'; =Roug I Test --,Gas Test til Meter Related Items: Meter Site Radio Read Manometer Staff . . -Jita Use BLUE or BLACK Ink 1" r For Office Use I. tt cdati 411)01 P ermit /q6//I& ti,61 City el� ��� /d -b / - 3830 Pilot Knob Road ?,a-i_/7 Eagan MN 55122 Date Received: 0 Phone:(651)675-5675 buildinainspections(c citvofeaoan.com Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 8-2,1-1 Date: .7 Site Address: J(5 l�Ghi1V\Q I) '\cad Unit#: 3 75 Name: ynd ek U U-E 1 i Phone: (Q/Z—Zio-c1c)1 Resident/Owner Address/City/Zip: 3(S-s— rc(od 1')i ari 2ct ..#"37s- 'T\ 5-37a/ Applicant is: Owner Contractor . E3f Wt7i lc Descriptio of work: Usk, # (N\ — 91 i: I f 4 tc,t2 I +U i k ,✓ i' �l y .A5t,ia l\ li5 A y �S Construction Cost: U ndE- y oou Multi-Family Building:(Yes> /No ) Company: Contact: Address: City: ' Contractor ` " State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 1.,;-\ 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 subs MO const to be public of lrtatian: mon of the information maybe classified as no►n--pobtic `,you provide speak masons,that would the City to dude t rat the 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.citvofeaean.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.gooherstateonecall.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 ;II be in accordance with the approved plan in the case of wor/k,'wwhhich requires a review and approval of•lans. ' x i._ fido kay 0(eftve- laPJ2))•&L j #1 ' Applicant's Printed Name Appli-= �- Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1(Zd.W,6 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 ,o EX ,.-- Occupancy g•-l MCES System Plan Review Code Edition n*i-X75 0 2C Units (25%100% ) Zoning cZ. - City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \ (3 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 jd 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:4 Footings Backfill Final 14. Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan �' / Other: Reviewed By: / 'U i"' "i r /y, , Building Inspector RESIDENTIAL FEES Base Fee ri 71 i* (77 ti 0'1 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3