1762 Meadowlark Ct
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City of Eaaall Permit U/
MAR 82 - Permit Fee: -l1r 0 (
3830 Pilot Knob Road I r
i i
Eagan MN 55122 Date Received: _
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: i2 J20t_L7_20,- 1iZ S/y2
Tenant: Suite
RESIDENT / OWNER Name: p~121-`----------------- Phone:
Address / City / Zip: _j.3
Applicant is: Owner Contractor
TYPE OF WORK Description of work:.((` t?_¢1(~~c_~ 1~et _~1 s
Construction Cost: 1" Multi-Family Building: (Ye __71N6 ±t)
CONTRACTOR Name:1s1hi.._`/License _,20(' 3 1_-_7 5
Address: /~1r- _ JO3-------------------
City: State:
AA1 Zip: Phone: 5 Z~_ Contact Person: -"llt
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
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 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 (2U0 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 / 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: C/ Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review L.
MCES SAC,
City SAC
Utility Connection Charge c.rfi` c t1
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
DO NUT WRITE BELOW 7HIS LINE
sue rrPE.s
? rmmaation n os-pw ?I"Ie: ? accessmy ewWng ? aoa
? Single Famlly ? 06plex O Fireplece ? Porch (3-season) Ll Ert. AIt. - MWti
;% 01 ot ffZ Plex D 07-plex 0 Qarage ? Porch (4seasun) 0 Facr. wtt_ - SF
? 02-Plex ? OB-ple: 0 Dadc ? Porch (screeNgazabolPw9ula) ? Yultl Misc.
? 09-Pmx ? t0-plex ? Lovrer Level O Slorm [)amage
O aq~ ? tp-piex C7 Mixallanewus
WORK TYPES
O NeYr
?
IMerior Improrament
O
9ding
?
Demdish BWIDing•
O AAdltlon ? Yove Building 0 HerooF ? Demdbh Intarlor
? Altorelfon ? Flre Repeir O Witdors Q DemoBsh FoutWation
? FieplseortmR ? Egress WfiAOw X Water Damape
' Demoitlun (enlre Euilding) -9ive PGl hantlou[ ta app6cant
DESCFiIPTtON•
vawauon
106,0"-
?
occupancy ac- 3
Nces systwn
-
nm„ Reviaw -
? ooae r?a, a? ? sac unns -
?
(?_ 1 ppry, ? Zoning R-? Olty Vllater
census oom 3Y swrrs Baoster Pump _
# of Unlts ? Sqwre Feet - PRV _
# Of BuOdirg3 / - Length Flre SDrlnklers
Tyrpe of Canst. ?
-J?lJ vAdul J
REQUtREE) RaPECTKM
FOOti11g! (116W bldQ)
?? (dock)
? Fppthgs (additlOn)
- Foundntbn
- Drain 7i18
i Rool: ?ICe 8 VYaRer ,Final
? Fmndng
FImPlacs:_R.I. PUr Test _Finai
? tnauMdon
FOeviewed B)r: _
$II9aiCOCk
FlnaIfC.O.
? FinsI/No C.O.
HVAC
- OMrer.
- Pool: _Footin9s AidGas Tesis _Finat
? Sidin9: _A6SWcao Lalh -Stone lath _9rick
Mrindnws
? Retmnirig NfaO
Building Inspector
EA17iAL FEES:
Beae Fse
Su?cMarge
'
P1an Reriew 3
MC/ES SAC
cKy sac
ucuny connecaon Cha.eB
saw Aer+nn a surcnarge
Yreatment Plarrt
copie$ :L a? I" ea
Totel
page 2 of 3
OZ'd 0099-6Gb-£9L aeAnneg auen4 dL9:Z0 90 ZO 100
VILLAGE OF 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 sp.: J a j ` �� 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:
��
Surcharge:
Permit Fee:
By: � Misc. Charges:
Date of Inspj.• .T j ' () Total:
Insp.: Date Paid:
�
Use BLUE or BLACK Ink
- r------------------„
I For Office Use �
. I � I
� Permit#:��� �
clt of �� �� � ��Q�( � �
Y � � Permit Fee: C/vll•a �
3830 Pilot Knob Road � I
Eagan MN 55122 � I
Phone: (651) 675-5675 I Date Received: I
I I
Fax: (651) 675-5694 I I
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: i / IS ► Site Address:
Tenant Name: �e �.�.p.,�.,`�,� �;����� (Tenant is: New/ � Existing) Suite#:
Former Tenant:
Name: v �-c s ct�,+,,,,`K�- X, c��� �a � � Phone:
Property Owner_ Address i cit i zi t �7 b , t��� �
v P�_ ? . t '�12, i '�'�� 3 t '� ��} t '� (, b � t '1 b I 1 , �2
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t °l �yC)t 1'7 S�� 1�tv.��`w�r� C�
Applicant is: Owner Contractor
Type of Work ` Description of work: s!� . �,.���N� r i�w1 t.,��
Construction Cost:��.�� 2v�� `�
Name: C� W�vr��� ��� Cov.y�lLC��v� �icense#: C�3�S.� �
Contractor � Address: �Z �'�'> �/�7�.����i,�a. Q�_ city: V; ��.::�� � �
" State: � h Zip:_�S � �' � Phone: G SZ ^ �l' �� �" �� �v b
' Contact: he �'�'� �.� Email: .,� � ��i �.�- �-O �--.���.,�
.�
Name: Registration#: '
Architect/Engineer Address: City:
State: Zip: Phone:
' Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE;P/ans and supporting documents that you submit are considered to be public information. Porfions of
the information may be classified as non-public ifyou provide specific reasons that would permit the'City fo
:conc/ude that the are traale 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:qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the w rk w I 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 tion'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 r whi h requires a review and approval of plans:
x �e ��� gv� � t�e.�) x
ApplicanYs Printed Name AppticanYs Sig
Page 1 of 3