Unit 245 ..R
For Office Use ✓
, � � • A Permit#:
E AG N
� r 1
•7,r �:C Permit Fee: � � 1
i 1 :ECIEVE Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 JAN 3 0 2018 Staff:
buildinginspectionscu�cityofeagan.com i_
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#: u/
Name: //,0 £n4 '7 Phone: 9"C7 , 7/q/>
Resident/
Address/City/Zip: /700 %w e4,11.5 2 0 l A AN 5"5—/,2 #2 y6�
Applicant is: Owner X Contractor
Description of work: iie-trail 6c--fit re/al-1$
5Type of Work V '
Construction Cost: Multi-Family B ilding•(Yes x /No
Company: / D-c�7-04.74,fa ,15'1-- Con ct: b -i/C)d1-o.02L
Contractor Address: 13 J417/-±:E- City: Sova., c1 4,i
State:m IV Zip: ‘5-5-0.>6.-- Phone:`SI 7dr4-)/0o Email: Lie,5 e:4-%i'7 n -
License#: 6 L o 3704/2 Lead Certificate#: r O 3 2
If the project is exempt from lead certification,please explain why: COQ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 11-10/447
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 lrfomta#rte may be
classified as non Public if you provide specific reasons that would permit the City to conclude that they aretrade 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
accordance� with the approved plan in the case of work which requires a review and approval ns.
X ,/- 5 0-441. 1‘-
Applicant's Printed Name Applicant's Sign ture
DO NOT WRITE BELOW THIS LINE f" ?0 0 J LLZ AtL - fed
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family ___.. Garage — Porch(4-Season) _ Exterior Alteration(Multi)
-211 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 T Repair T Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ,. 2/boo .''`—' ' Occupancy y 3c g-2. MCES System
Plan Review Code Edition 10 Irl Z"I5. SAC Units
(25%_100%XO) Zoning -`( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 4j Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O. Required
—
Footings(Addition) a Final/No C.O. Required
Foundation Foundation Before Backfill 2° 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
0 Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
A Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 7Df 1 Jit. k/yff , Building Inspector
RESIDENTIAL FEES
Base Fee A'A; do0 ,e e—
Surcharge
Plan Review
MCES SAC /f}O 5 , "1"--
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
E AG ANFor Office Us�
a +�: Permit#: ri
,« am.
Permit Fee: (100
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694Staff:
buildinginspectionsCc�cityofeagan.com L
/ ("e18 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 Site Address: /I 76U / f f
Tenant: /on�f,GC-Iii Suite#: 244
Name: ,CGho i:`1 hl Phone: / 7Z
Resident/Owner 2y
Address/City/Zip: f?X) i v ���l raL
•
Name: ��Ulds'j_5I/ /p/41-4/4‘,—
Name: #: / t y/�ISG
Contractor
Address: 2 'o U 41 GCI.( ti i /C ), City: -10,u
'y
A d', '"C3 j2- 237- C/L
State: " Zip: Phone: ^
Contact:/�0b l i e f/ Email: criA,,/ a_G �, ' co
New ___ Repair _Rebuild Modify Space Work in R.Q.W.
Type of Work — —
• Description of work: T-hs ia.I1C /1,e),) r -TweA IFy( I I
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.ciooherstateonecall.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; will in r
Eagthat I this is ot a p , bny pplicationthat for the a ermt, anbe work isconfonmance with the ordinances and codes of the City of
rot to start without a permit; that the work will be in
accordance
an; with theunderstand approved plan
nin the caseermitofut woroklwhichanarequires a review pwork and approval of fans.
X jeai4 'Uc(/j /YaL X
Applicant's Printed Name A plican s Signatur
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: