1162 Timbershore Lane3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 CIE;
(651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-
buqdmainsoectIons(d)cityofeacian.com
Date: /
r
V For Office se ,
Permit t I , 5105
' I-7 3.
Permit Fee:
/0.
Date Received:
Staff:
2020 RESIDENTIAL BOLD-UsIT APPLICATION
tr- ‘,2,8 Site Address: / / 6 .2 Ti ‘07 t. s A v
Unit #:
Resident!
Owner
Name: Phone:
Address l City /Zip: i /I 4 02, 74 11 SA0k.e. 4 eirte
.r-- &k
Applicant is: Owner Contractor eD --pobz_40enP
Description of work:
Type of Work
Contractor
(k-c / /lc,/
Construction Cost: 79 3 9 0 0 -
•
Multi -Family Building: (Yes ..!No )
Company: to S IOWA 61) er' Contact: r
Address: ,03 1-/7 d 6.1t.
State:RN Zip: 59/ 7 Phone: 73;7 ( ci 7e
License # Lead Certificate #:
/19.0.e.
If the project is exempt from lead certification, please explain why:
City: /3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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:
I 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 Inforrnedon. 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 citys
webslte at mvv.,..cit ,...c).•fea.:s.tan„com/suk)...5cribe.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of porn* issuance.
CALL BEFORE YOU [XG. 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.
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 1 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.
x e
Applicant's firInted Name
x
Applican
Ignature
•
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
WORK TYPES
New
Addition
Alteration
_ Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
#of Units
# of Buildings
Type of Construction
_ Fireplace
Garage
Deck
Lower Level
11102. 7511,�e-sLOI. l'vi jio5
Porch (3-Season) Exterior Alteration (Single Family)
_ Porch (4-Season) J•W Exterior Alteration (Multi)
_ Porch (Screen/GazebolPergola) _ Miscellaneous
_ Pool _ Accessory Building
_ Interior Improvement
_ Move Building
_ Fire Repair
* Repair
— Siding
Reroof
Windows
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
flad0 Occupancy Tin(' 1 k, -/ MCES System
ki3k
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
XD 9.0 SAC Units
%'1J City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
/03 =s
67%-
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