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1762 Flamingo Dr - - - - - - - - - - - - - - - - - For Office Use City of Permit #I Permit Fee: L47~ (I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ~ca~cn Date: Site Address: ran o Q% 2~ r, trt tle- ~ Tenant: (L "'e._ Suite RESIDENT / OWNER Name: Phone: , 6 , l Oi 3 (o s- Address / City /Zip: S 7 I `t t^ ~k~ Applicant is: _ Owner Contractor TYPE OF WORK Description of work: L=Q nl Ann 1 5 e v rn > c LLCC &Z Construction Cost Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: 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. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 Flo /l `~d 1~ , DO NOT WRITE BELOW THIS LINE 5S7 SUB TYPES Foundation Fireplace _ Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation dl_~`:< Occupancy I/ze 3 MCES System Plan Review Code Edition ,ZGG j SAC Units (25%_ 100% ) Zoning c'~3 City Water Census Code Stories Booster Pump # of Units - Square Feet PRV # of Buildings Length - Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: _Rough In _Air Test -Final Windows S~r~yirl a )&t4de Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector 4Z 4 RESIDENTIAL FEES Base Feed Surcharge Plan Reviews MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies J C Z~ TOTAL õíõ ùÿ û ú þýý üûúüûøú ÷ýýúùÿøô þ øóæóü ÿÿ ýü þýõ ð ôø÷öÞó üöð Ü üü öê êüü ùá üú û üöúéâ ãç ý ãþ ü÷íê ÷ê ìÞ áûêîéßö êüçå èþèþþ ô÷ å èâèãâ óñ õðï öö ñ õð ì ÷ê ÿãî ê á öüáÞ û áÞ ãã éãçþãã ù÷ ó ì ü öö ü ëê ü êö÷ó öö ù ëáü ü ð÷ëû í üè öö òê üü ÷ ' EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• i /_ /'C NUMBER 2188 OWNER Townviea Address 1760 - 1762 Pla ingo Driv PLUMBER g431.1g4L418,VlumbilIK Co, TYPE OF PIPE h . :43r cast iron DESCRIPTION OF BUILDING r Industrial Commercial Residential Multiple Dwelling No. of units XX LOU1 Location of Connections: Connection Charge 520 00 pd 12/31/73 Permit Fee 10.00 1.d 12/2 .5u pa 12/2J/'(2' Street Repairs Total . Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I . , .ereby agree to do the proposed work in accordance with the rules and .egulations of Eagan Township, Dakota County, Minnesota • By Corooli iaG eC. Plcuuuinc Co. lease notify when ready for inspection and connection and before any portion f the work is covered. VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, Mho ilOO no 2 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: ( =' — 7 " 7 T �f 0 ! Insp.: lle Us BLUE or BLACK Ink I For office Use of EaWin Permit Cit o i I Permit Fee: 5 6 , 3830 Pilot Knob Road i i Eagan MN 55122 [)ate Received: 2-ot l Phone: (651) 675-5675 t Fax: (651) 675-5694 I Staff 1------------------ --kVGj 2013 RESIDENTIAL BUILDING PERMIT APPLICATION bq, Date; )o _ 't r 13 Site Address: 17(roZ !7V 71t_1 7CiV 171 I o ~L it 011 ? i Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor t s 1 S t Description of work: YPe of Work 6 V _K Construction Cost: Multi-Family Building: (Yes / No ) i i Company: ~C ''la to}~ d_Cl t~ t rw~da- ion Contact:' ` E Address: C~t?~.~~:rct1~r. City: t► t+rtt-m- Contractor i State. M/J Zip: ~)~5314 Phone: 5~ " ~to4 i q Lead Certificate h) f3T- s' .Ou7 ~ l License #:(A ~If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f d P 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 plait 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: NOTE. Plans and supporting documents that you submit are considered to be public informatil on.~ Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the ay are trade secrets. - ) CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 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 wt,rk will ha 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. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3,