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4091 Meadowlark Ct For Office Use U~ Permit __F2__1-~_-- City of EaEd Perm i t Fee: 2 3830 Pilot Knob Road i c Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: --~T-l0- Site Address: _~I~Ls~l~~k ~~-----~ct-1 a_r•-_~5? L_L Tenant: Suite rr2 RESIDENT I OWNER Name: G*_~t S=S~L_ r - Phone: Address / City / Zip: _J_ 00 __I.c%r!?c~t_1~~,l _a1~1_+~iY Z`_ Applicant is: Owner Contractor TYPE OF WORK Description of work: .j~ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: ~^nJrsce '1tn L~. License 0 SAS Address: _ ZX l4_ 4 State: Zip: _ 3---- City: /--C-z' 1`---- Phone:(% ~yj_ 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. x x- - Applicant's Printed Name Applicant's Sign re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Storm Damage _ Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi N 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%___ 100%___) Zoning 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 I 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 Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC r i G L' City SAC . 10 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL VILLAGE `10F EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 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.: .27rigralir Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: � Use BLUE or BLACK Ink r_______________�-^. I For Office Use � � � Permit#: l u � I Clt af ��pa� � k�� � Y ° � Permit Fee: ��"' � 3830 Pilot Knob Road � i Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 � � Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: C / ls t Site Address: Tenant Name: {�� ���v...���� �;�����,/� � v� g� Tenant is: New/ A Existin Suite#: Former Tenant: Name: {� �-e•.cM�,�n� X� �'\�i �� � � Phone: Property Owner Address/Cit /Zi N��y , ti/^� � �f�, � aj�� I y�q?� {po�s' Y P�_ '10.P1. `f qk3.�i ��j , ` , • � �a� A licant is: Owner ��`^�'v''^'i"`� C'� pp �Contractor Type of Wot'k ' Description of work _s�. r.��r�N� h i�w1�.,�� Construction Cost:�t S�2 Y�� Name:��v 1^�v�.�t�� ��� �o v.i`1►�c�iv^ License#: � 3�5� � Contractor . Address: �� Q'�'� ������,� Q r. city: �/; ��.=.�� State: �`1 -� Zip: �S 3 c�' � Phone: G S� - d �j ° �� b b Contact: %he �'�'� � e� Email: .�. , ?r. � � J� �-Q�...;�.�,�. Name: Registration#: Architect/Engineer Address: City: ' State: Zip: Phone: ' Contact Person: Email: Licensed piumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents fhat 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 fo conc/ude#hat the are tracle secrets. , 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.qoqherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w rk w�l be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tionifor 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 r whi h requires a review and approval of plans: x `/�e ��� g v� s e.^, X ApplicanYs Printed Name ApplicanYs Sig Page 1 of 3