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1538 Clemson Dr -, . WI eftid (61 j' r For Office Use is-6oqi 6v, " , , Permit#: %:`.. ,„,„ E AGA N ‘,.1JØ ECEIVE0Date Received: i .. a - 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 � (651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 ' t° ' Staff: i` ii buildinoinspectionsca cityofeagan.com SY: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L/ 7P/ Site Address:_/)53 eim,44.07✓ 0044/fres. Unit#: Name: .ii- � 4'+�l�jl�?`V1/1 /OVA/ ►71$ a tf. Phone: Resident/ O+� ; Address/City/Zip:A licant is: Owner I1 A�rn�S /Agi0 C / iAIç `'`pp �( Contractor � � Type '� ` Description of work: id,t l &yi/` /ha /1144-44,11 p,414.4,- e.7,64y 11744.10 0d J G / Construction Cost: ' `j 3 Multi-Family Building: (Yes /No ) ,,Nre ilerv'r tN�' Company:/4- f7VS77�airr AVd► c ontact: Myst_ iii_ "Pt/ C©nt act r Address: /4-//,. i zfr /4e City: ` 'L ' '407.1 0 y LL State:, Al Zip:4�/. '/ Phone:&&V—,921140-7g4rnail:/Ayr tr 40Aldirl .Z—NC eg ! C, JJ t: :--1 License#:Si- 2Z 9y ZL Lead Certificate#: If the project is exempt from lead certification, please explain why: A9Pitt) fiifd . 4/ h4,0007 1M i 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 `� f, , # « sof*. bon maybe classified as �` . �t -s.:i.1�.Edd.°m:c,.y..r,,. .0 _ 1.m..'s"�f,.a -�:_.��...w...f �.1.. �`f d"f .s:i � � e" 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.citvofeaoan.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.00aherstateonecall.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 pe '; that the work will be in accordance with the approved plan in the case of work which requires a review and approval tans.,`. x '164 ILL" m fit ! x tit fir' ' Applicant's Printed Name Applicant's Signature L DO NOT WRITE BELOW THIS LINE / -g q 06-4 b/2-- . is66 q SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi C Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 14Y-01 of A.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 _ 20 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation L' 3, 13,08.- Occupancy -pp-4-3 MCES ystem Plan Review Code Edition A 20)5' SAC Units (25%_100%10) Zoning fi T,7 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VO Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 10 Final/No C.O. Required Foundation Foundation Before Backfill 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 Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By:Mb VV\ Y r ` •\( 4 , Building Inspector RESIDENTIAL FEES r.-:-Base Fee x; S 7/r7c ,r)(:)-r; 4 q Surcharge I Plan Review J ,k. 2 t ' Zoo SS • if MCES SAC ®4l /5 D.3 19 . 14r- City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3