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4130 Rahn Rd B205 -iiFor Office Use % % t : °•° Permit#: /61WL7C ^/I ........ ..•sr 0 E AG A............... N Permit Fee: / RECEIVED Date Received: r�C-�i_/1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 FEB 22 2018 Staff: buildinginspections(acitvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION „-- Date: —Date: Site Address: Unit#: 02 C Name: eA >V, A, Phone: 6/2. 4./8. fill q Resident{ /� Owner Address/City/Zip: __ ) V/30 •RA MN tZ D Applicant is: Owner Contractor -if— Type Of W©rk Description of work: t!2G�vi or/E OECD.'-' 'k 4-.-✓fir! — fel p1J/..vrd Construction Cost: �,0 0 v Multi-Family Building: (Yes /No ) Company: C ;^ s C6 , 54- �—_,f,'v , Contact: ��4-r r IN . �. .. .,,.,_ Address: 87 .1 fGcv y 6 y. City: igit /•=0/K, : ,. Contractor State: t-^''� Zip: TY ODL Phone: 7/5'. GZB. 35-&.iEmail: (144"r•,e6.11,-e-1 P e.`,.ch-s c Q . co License#: gOZB g S/ Lead Certificate#: 7 - 5-2 U L ki - 2 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.-- formation, Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that 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.citvofeagan.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 ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr val of plans. x ) A-f\1Nt.y 1G L,ee-iJ x Applicant's Printed Name Applica s Signature ,il,0 41,14at..2,15-._ ,o:70 DO NOT WRITE BELOW T ► SUB TYPES C Ui''iii'Iij�fl.- ,,9L- Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi 41g 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 v€OHO Occupancy a G -1Z-3- MCES System Plan Review Code Edition g e'i SAC Units (25%_100% ) Zoning '__K4____ City Water ---- Census Code 6 3u Stories Booster Pump -- #of Units / Square Feet PRV #of Buildings Length --- Fire Suppression Required Type of Construction 4 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) re-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 A- Framing V 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS 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: , Building Inspector RESIDENTIAL FEE ,16' Base Fee 7 3 Surcharge Plan Review k 7 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3