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Suite 102EAGANREC. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections(acitvofeaoan.com DEL ,9,ZUG For Office Use Permit #: Permit Fee: f 7 / ' 5 3 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: CJ\ri rS/t ►n" SGi/Ir' 41 Phone: 65/'Z74' /'y 3 © (oe f�,,f t^ n ! Z a. �I fl 2 Address /City /Zip: 2�Y �, �0.5'„vl( /5S Applicant is: Owner Contractor R— 4 r 0 rn oLA-4e_ I S4' Type of Work Description of work: Ei( Aki -c.-QJ 4i3O\ i 3 ' /�onn Construction Cost. SS 0 D Multi -Family Building: (Yes / No ) Contractor Company: 12, 4' r- 4- Co ' Contact: 266,-— kres S ‘2._ Address: / 1/ b 7 S f y/i &4 City: iaya ti State: MA/ Zip: CSi Z I Phone: tr, S/-27V-11070Email: ha LC-re5ce d 'e al 1 •40144 ,,9 License #: a C- o0 5 7 `% 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: j t (ec k /I ail/4- o,'\ / rec+n -- In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public 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 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.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 ofplans. x i'l' o ✓' i` A-' kresce Applicant's Printed Name Applicant's Signature 3yao 600/64,0 Q � /6( 77 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Single Family Garage }4 Multi Deck 1 01 of Plex Lower Level Porch (3-Season) _ _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES New _ Interior Improvement _ Addition _ Move Building X Alteration _ Fire Repair ( Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% x) Census Code ' ` #of Units # of Buildings Type of Construction Yt, Occupancy 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 XFraming 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing iSheetrock Fire Walls Braced Walls Shower Pan Reviewed By: iL Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units 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: , Building Inspector RESIDENTIAL FEES Base Fee 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