unit 307 Use BLUE or BLACK Ink
OF �� For Office Use
;-L . /�70
Permit#: / / 0111 s /aa 69`/ 11,11
Permit Fee: 11'
yet I s e so Date Received: /1 30
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I Fax:(651)675-5694
buildinginspections(c�cityofeagan.com
2017 RESIDENTIAL BUILDING PERMITAPPLICATION
Date: Site Address: --)/c_ � c- fld 3o 2 Unit#:
Name: / Aorat, /.9 Phone: 6V — 364-- ‘0V9
Resident/ 1 / / �� �30,
Owner Address/City/Zip: 3/ c4 / _�w�� �.�. )
Applicant is: Owner Contractor /
Description of work: 1%/.1
Type of Work ) "d'/
Construction Cost: C/, DOo Multi-Family Building:(Yes )( /No )
Company: /, file/49/414h Q (a.- S 1 Contact: (-,) ,7
Contractor Address: 13? I 1 o-y cavi 14-✓ City: 6r4v/
State:/1 Ai Zip: cd)1— Phone: ‘5)—�v�—�� mail: C 5&G 'c 'I/.Gervi
License#: ,6 L 67�ivff7 Lead Certificate#: t- f:
3 637
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 information. Portions of the information may be
classified as nonpublic 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.cityofeagan.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 work is not to start without a permit; that the work will be in
accordancetwith the approved plan in the case of work which requires a review and approval f plans.
W
lis /9 c44,/& x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
510 c '11 H ad 7 ti//97 /0 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(Mufti)
Multi T Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex T Lower Level _ Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding Demolish Building*
_
Addition _ Move Building Reroof _ Demolish Interior
SAlteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ----
Valuation 2 t`��`� Occupancy /tot
MCES System
Plan Review Code Edition id t 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 11 ilk 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
Ni[ 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: v , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 1940
144/
Plan Review
MCES SAC I'7/ /� '��,r�
i-a
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Alfrj ) ► ,
Treatment Plant
Copies /13 IL,-
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
4
Permit#: / / 79 {Y
City of Eag.au Permit Fee: 7O—00
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
buildinginspectionsacitvofeagan.com
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /1--7 22/! ! Site Address: 3 l Obi L�Y� L 1 r # 3/67
Tenant: Suite#:
Resident/Owner Name:f 11 D✓t t& e ii li)i Phone: c c/ - 3(.f - 6 57q
Address/City/Zip: S/S
�L�Ut'ttnG.c1 r ct
Name: !t- ¢ 1-/IA-04-4,%z-i- License#: L86 C ��
yyr
Contractor Address:CC)L/1) L3 i f i i, �= /�y C� City: JCA(1t
State: 4't 7�
Zip: �� Phone: ''52 `237 ' oil-5—
Contact:
Dfl-5-Contact:Pv1-1 1) 7)0 6 tkv1ai7 Email: {
Type of Work —New /Replacement Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work:
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 $
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 work is not to sta 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 o n4.
77
L76, l' Cit YV X 7
App icant's Printed Name pplicant's Signature
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: