Unit 273 . ,
RECE-f',.,;'"
,
JUN 13 2019 r For Office Use ---"i
Permit S: /)Lace-J 3
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1..
*- ---, E AG A N Permit Fee:
il
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TOD:(651)454-8535 I FAX:(651)675-5694
Staff:
buildinginspectionsacityofeagamoom
(i
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2019 FIESIDENTott. BUILDING PERMIT APPLICATION o
19
Date:
6/13/2019 Site Address: 3155 COUCHMAN RD #273
Unit*:
Name:
HEIDI FELTMAN Phone: 952-215-1561
ReSidelitr
Address/City/Zip: 3155 COUCHMAN RD # 273
ovinet, „ ,\ Applicant is: I/
Owner Contractor
T ;: :.,...,,;*,Ti-- ,; Description of work: SEE ATTACH
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Construction Cost: 1000
Multi-Frimil Building:(Yes " I No )
-
,'wiAtif it,**qite
Company WINDOW CONCEPTS OF MN
Contact TYLER
*
EVA ST ST PAUL
Add .291
Coniracior- , ress. City:
MN
State: Zip: i 55107 Phone: 651-604-8267 Email: Lrr Ek SCHULER@WINDOWCONCEPTSMN COM
BC163493
License#:, Lead Certificate#: NAT-23718-2
If the project is exempt from lead certification, please explain why:
q•-•:'
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 • " ' '•'''';':' ''.-' ''- --- 'ffi*tioiti 4 '' '—'''''' ' '' '''''' ' .
classtat;te, 7.1.1,,,,..H.:,_,..;,, ,,,fitlk, , , _. _ , 46 ' :'. 'L.',.,t ., , •CI,ttiii,.,,, ,,,,z ,., ion:,portiortm.,0,00 , maybe
tea 14 ;4,...f. uk . , that ,,. '-'';'., - , the r o-ratPitt,..,u. 2 . . vie trail': 4
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 vvvinccitvoteaaan.comisubsotibe.
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 foren
t ctio against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wv.000herstateon, llortt
I hereby acknowledge that this information is complete and accurate;that the weromrkitwilndi be in conformance with the ordi*-1 ces and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a approval
pisannsot to start withou = ••-rmit, that the work will be in
accordance with the approved plan in the case of work which requires a reviewp and e
_ ,/,,...
x TYLER SCHULER , , ........---
__ ___
Applicant's Printed Name App •-, • 's Signature
. . 36cC-.V c CPI r'*- A r‘ 0 . I)
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(Multi)
. 1 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
10 Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wail
*Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation I/ 2) Deri).` Occupancy Fe. -2- MCES System
Plan Review ./.\ Code Edition i41 fl Zip i 5- SAC Units
(25% 100% N) Zoning ) -"1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v 3 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 )4, HVAC Service Test Gas Line Air Test Hood
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: Footings Backfill Final
_)0 ______Sheetrock Radon Control
_
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
_____
Shower Pan Other:
Reviewed By: '10 44A MI ic--( %14 ,Building Inspector
RESIDENTIAL FEES
Base Fee in )% M fee z7 —.0D61.
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
r For Office Use
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li t r los
EAGAN LEIVE:0 Permit#:
vs.. 4,400
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454.85351 FAX:(651)675-5694
Staff:
buildinctinsnectionsacityareacian.com
J
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
Date:
6/13/2019 3155 COUCHMAN RD#273
Tenant:
7 , —
. Suite 6:
, rjktf, — HEIDI FELTMAN
Phone: 9522151561
Reel 1,.Ili.0',°. „,?I'lL Name:
Address/Cy/Zip: 3155 COUCHMAN RD #273
i
Name: KINGS PLUMBING AND HOME SERVICE' PC720573
'License#:
Address*4600 HAMPTON RD
City: GOLDEN VALLEY
i,
.'- '1,- , .
state. MN Zip: 55422
Phone: 612-244-5414
*
LEE LINDSTROM
, ,,,•V • Contact: Email:
• ,,,i ,,,' -,o,,
!Ott-14--,4„: , New V Replacement Repair Rebuild Modify Space Work in ROW.
1' ,.',I - —
, Description of work: SEE ATTACH
19'EItir
••••••••••••••••••••• ••••••••• •11.1.111.11111M111114.0.11WINIMINMIIIIM mel••••••111.11.11.1d..1
Water Heater
Lawn Irrigation( ___RPZ I PVB)
Water Softener
Add Plumbing Fixtures( Main/ Lower Level)
Description Septic System
Description:
New
Connection to City Water from Well
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 New fixtures,adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System(includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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. wwwcooheratateonecalloro
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 wwwcitvofeacan.comistitbscribe.
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.
xLEE LINDSTROM
xatet- c\shiv : r-
it ----
------
Applicant's Printed Name Applicant's Signature
Page 1 of 2