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3965 Beryl RdCITY OF EAGAN Remarks * Cedar Grove Acquisition Addition DAR GW E Lot 4 eik 3 Parcel 10 16704 040 03 Owner L"k' `% ttreet 3965 Beryl Road State Eagan, MN 55122 i- ?. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?J'L ].cj?'j'] 100.00 5.00 20 PF1i-C1 SEWER LATERAL 3 196 565.00 28.20 20 Pc"i].d WATERMAIN * WATERLATERAL 1972 607.00 24.2$ 25 WATER AREA STORM SEW TRK 1970 70.00 3.50 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 200.00 732 4-23-68 PARK EAGAN TOWNSHIP BUILDING PERMIT Owner •--• :---•• ; -_'.:•'* ------ =-''Z=•-- - - -' - -? -"' •----•-- - --•--• -•-•r--'?---°'-=_ ••---••- ^ y/' Address (presen!) .....?t-••----?:--•?.`:::K:?:••-........ -...... ?............ Builder -•--•--•--••--•--•-°--.--••-•-•••----•-•-•---.....---•-•--•-• .................................. Address .................. -...... --••--............................................................. DESCRIPTION N° 1761 Eagan Township Town Hall Date ....................................... 52ories Ta Be Used For Front Depth Height Esi. Cos! Permi! Fee Remarks LOCATION Street, Road or other Descripfion of Location I Loi Block Addition or Trac2 y? -:' (t .b .4ze? ?, This permii does not authozize the use of stzeets, roads, alleys or sidewalks nor does it give the owner or his agent the right to creale any situation which is a nuisance or which presenls a hazard to the health, safety, convenience and generaI welfare to anyone in the communify. THIS PERMIT MUST BE KE T Oli THE PREI#ISE ?WHILE THE WORK IS IN PROGRESS. This is to certify, fhat--?;.----?•_-•-• --- • p ` ? ......_.. _ p .-`'""A`r_.•- ............... has ermissian to erect the above described premise subject to the provisions of the Buildiag Ordinance for Eagan ?ownship ad ciSte, April 11, 1955. 1 ' .c?d',...r ??.t.? .-?? ?? ._? ?....-• -•-- --• ? x==--..._. -•----•--••--.._..---• ._.._....__.. ---••- - . ---••••---•--•--•- Per f? .. . r ...... ................... Chai?_`_ man of Tnwn Board Building Inspecfor G- ,(`j' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? I l CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Now Conshuciion Reautrements C.,DS-?'r ? J ? 3 rogistered site aurveys ahowing sq. ff. ot lot, sq. ft. ot house Cmd ,?j rooted oreas (2096 ma?cfmum lot coverosye altowed) ?)j'c' 6 ? 2 copiea ot pians (show beam dc window sizes; poured ind. design; etc.) ? i aet of energy cdculotions ? 3copies ot tree preservafion plan it bt platted affer 7/t/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? 2 copies of plan i set of energy calculcrtions for heated additions 1 site survey for extedor addiiions & decks CONSTRUCTION COST: If mutti-family bidg., how many units? BLOCK: ?_ SUBD./P.I.D. #: ?a??,?? Name• ? q Phone #: PROPER7Y Last First OWNER Street Address: ? c,t,, stcite: ? zip: 5 51 a3 Company: ?-4?C(,\Ol' Phone #: IS cv ? U ?? r-- (area code) CONTRACTOR S#reet Addcess: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registraflon #: City State: 2ip: Sewedwater licensed plumber (if installing sewer/waterl:, Phone #: ( i hereby acknowledge thct I have read this applicction, state that the info is co ect, and gree ?o comply with aN cpplicable S#ale of Minnesota Stctutes and City of Eagan Ordinances. Signafure of Appiicant: OFFICE USE ONLY ?UL 1 9 Certificates of Suroey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex fl 02 SF Dwelling ? 08 06-plex ? 03 01 of „ piex ? 09 07-piex E3 04 02-piex O 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-piex 0 12 12-plex woRK TrPE O 31 New ? 32 Addition O 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage 13 CI 18 Deck O ? 19 Lower Level O Pibg _Y or _ N ? ? 20 Pool ? ? 31 Ext. Ait - Mutti ? 33 Ext. Att - SF ? 36 Mufti 21 Porch (3-sea.) 22 Porch/Addn, (4-sea.) 23 Porch (screened) 24 Storm Damage 25 Misceilaneous 30 Accessory Bldg. 0 36 Move Bldg. 0 43 Reroof ? 37 Demalish (B{dg)' ? 44 Siding ? 38 Demolish (Interior) fl 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit . GENERAL INFORMATiON SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee - Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Valuation: $ SAC Units % SAC ? 1 MEMO city of eagan TO: DIANE DOWNS, UTILITY BiLLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to begin to invoice the energy costs at the singie family rate effective August 1,1993 to the property owners in Cedar Grove No. 5 Addition. Block i, Lots 1-22 22 Block 2, Lots 1-19 19 Block 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 Block 8, Lots 1-5 5 Block 9, Lots 1-2 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 g Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. irsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je 4- & ° ,:n;- EAGliN TOGaNSHIP 3795 P31ot Knob F,oad St. Paul, MinnesaCa 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNEC^tiON DATE: _ ( ? NtJMBER /3-'!/ OWNEF.: Addxess? TYPE OF PIPE DESCI2IPTION OF BUILDING Industriall Conanerciall Residential I Multiple Dwelling I No. of units Location of Connections; Connection Charge 7/z-4/.-t' Permit Fee -7, 6--,) Street Repairs Tota 1 -7- Inspected by: Date Remarks: By Chief InsYector Zn consideration of the issue and delivery to me of the above per.mit, I hereby agree to do the propased work in accordance wiCh the ruZes and re;ulations of Eagan Township, Dakota County, Minnesota By P1eaGe x.atify t-ihen re.ady for insgection and conn4ctlon ard before any port::^a ce Lha wcxk is covered. CITY USE ONLY LOT I BL 6 PERMIT #: 43405 SUBD. RECEIPT #: -v q---?- .. RECEIPT DATE: IO-PrO V 2000 bIECHAIVICAL PERMIT (RESIDENTIAL) CiTY Of E4fiAN 3$30 PILOT KPiO$ f{D EAfiA1V MN 5512E 651-6$1-4675 Date: ? ? ?omplete this section only if you are installing HVAC in a single-family dwelling;, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 .50 $ Complete this section onlv if you are remodeling, acfding to, or replacin? an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New X Replacement ^ Other X Furnace Air exchanger Reminder: Call for final inspection. SITE ADDRESS: _Aq f?-?i RL' Air conditioning Other Fee $ 3 ^v.00 State Surcharge Total $ 30.5 OWNER NAME: CJ I CF EcAf (,(,p d? PHONE #: Wohlers Southside Ht & A1C, Inc. (At?A coDE) INSTALLER NAME: g• PHONE -Dan Wohlers (A A CODE) STREET ADDRESS: _6950 West 146th Street, Suite 106 CITY: Apple Valley, MN 55124 STATE: L 8L SUBD. APPROVED BY: CITY USE ONLY 1NSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CiiANICAL PERMIT (COIHMERCIAL) CITY OF EAfiAN 3$30 PILOT KNO$ RD EAfiAN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-fami!y buildings vvhen separate oermits are not required for each dwelfing unit DATE: WORK TYPE: New construcrion Install U.G. Tauk Interior Improvement Remove U.G. Tank Processed Piping 6i'Izen installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Descziption of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ABDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE RESIDENTtAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conatruction Reauirerrmts • 3 registered ske surveys sfrowing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage aliowed) • 2 copies of Oan showing beam 8 window sizes; poured fourd design, etc.) • 1 set of Energy Calculation.s • 3 copies of Tree Preservation Plan if lot platted after 7i1/93 . Rim Joist Detad Options selecfion sheet (bidgs with 3 or less units) DATE Z "' / 7 - d ? , SiTE ADDRESS 3 ? ??? y TYPE OF WORK_zo_!3 Mt1LTl-FAMILY BLDG _ Y ZN FIREPLACE(S) _.., 0 - 1 _ 2 APPUCANT STREET ADDRESS CITYy? ? ? TE?ZIP V,r-- --? ? TELEPHONE # ll PHONE # FAX # PROPERTY OWNER TELEPHONE ................... ---................... -............ --..... -.............. -.... ---------..... COMPtETE THtS SECTION FOR "NEW" RESIDENTIA! BUILDiNGS ONlY Energy Code Category MINNESOTA RULF,S 7670 CATEGORY 1 MI ? (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • 7UN h• Energ y Envelope Calculations Submitted 02 Plumbing Contractor: Phone # Plumbing system includes: ? Water SofCener _ Lawn Sprinkler ee: 5 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. A.ir Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- i hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance . Slgnature of Applicant OFFICE USE O1VLY RerrodeURauair Reauiremenb I ? - L ? • 2 copies of plan • 1 set of Energy Calculatiorts for heated add'+dons • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATtON ?V 1. 00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ` Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of , plex ? 04 02-plex ? 05 03-plex 0 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Firepiace ? 09 07-plex ? 17 Garage O 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level 0 12 12-piex Pibg_Y or _ N 0 20 Pool O 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bidg ? 31 Ext. Ait - Multi 0 33 Ext. Alt - SF ? 36 Muiti ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) O 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bldg)'` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTtONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. ^ Footings (addirion) Plumbing ? Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs AirlGas Tests Final ^ Framing Siding Stucco^ Stone ^ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) ^ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 2006 RESIDENTIAL BUILDING rERNUT AprLicATioN City Of Eagan 3830 Pilat Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 9 651-675-5694 New Construction Requirements RemodeVRe air Re uirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and ail roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y_ N (201/o maximum lot coverage ailowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & dedcs Tree Pres Required _ Y_ N 1 sef af Energy Calculations AddiGon - indicate if on-site septic sysfem On-sRe Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot plaried after 711193 Rim Jast Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date /? ? /?? fC) / Construction Cost ZS v Site Address ?q k-_? ? Unit/Ste # Description o€Work Multi-Family Bldg _ YX N Fireplace(s) 0 _ 1 _ 2 Property Owner ? AS- Telephone # ( Contractor C-7A-4-1,4 keS GJ<-?"+'? e - Address fq4,.s6 C7le.?l cl A ? 2, City A?P?(?y State /V1/J Zip Telephone # (or SZ ) 0 l " 3 1?w ` ?A^+ ?;-? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateor? Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor SewerJWater Contracfior Telephone # ( Telephone # ( j Telephone #( I herehy apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approv plan ' e case of work which requires a review and approval of plans. ? utL Applicant's Printed Name Ap ic s S'gn ure DO NOT WRITE BELOW THIS LINE Sub 7Vpes ? 01 Foundation ? 02 SF Dwelling O 03 01 of _ piex ? 04 02-plex ? OS 03-p(ex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex D2SCrlptl011: Water Damage ? 13 16-plex ? 16 Fireplace ? 17 Garage O 18 Deck tf 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Yes Valuation 6co -9DO Plan Review 100% or 25% Census Code -3 SAC Units # of Units # of Bldgs Type of Const / Occupancy J2-3 MCES System Zoning R -i City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final ?a Insulation REQUIRED INSPECTIONS _ Sheetrock _ FinaUC.O. ? Final/No C.O. _?O HVAC Other ? Pool Ftgs Air/Gas Tests FinaI ` Siding , Stucco Lath _ Stone Lath _Brick , Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? ? ?? ?ee- Use BLUE or BLACK Ink r For Office Usesi Permit I L City of Ea Ea~ Permit Fee: 3830 Pilot Knob Road I ~j I Eagan MN 55122 Date Received: l Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: ZX 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:, j C~ I Site Address: t2 L Unit Name: 1 C K 'F /J L C J Phone: - yS~~>' I Resident/ Owner Address / City / Zip: 3 F k y L l~ Applicant is: Owner Contractor Type of Work Description of work: r / Oc t- Construction Cost: t0 Qo Multi-Family Building: (Yes /No ) Company: C4 k66 h% A-, 6 Contact: 1 k Contractor Address: f y/ 0 9 - 0%/- / i ~ ✓ o C 4 2 l~ City: i_),2 /-)S V1 L- L ~ State: / "l N(.k-) Zip: ~3~3"? Phone: 9S c~ - License k k Q0 9 q I _V Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 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 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.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be complete within 180 days of permit issuance. Applicant's Printed Name Appli nt's Signatur Page 1 of 3 Use BLUE or BLACK ink For OfliceUse 03 City of Eap Permit Fee: I0 5 `~5 3830 Pilot Knob Road f q i Eagan M N 85122 i {ate Received. Jf) i Phone: (651) 675-3675 Fax: (651) 675-5694 Staff t L ...-_,r........~..~,,.. ~ 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Dat1r: ,~_1~~L Site Address',,/ UttIt#: Nzme; Phone; 4V. 3916 Resident/ Owner Address I City t Zip: s Applicant is Owner Contractor Typo of Work Description of work- Ale, A2 61 / ;70. Construction Construction Cost Multi-Family Building: (Yes Na-t . r.- u Company:. ~/t Contact: 21, ~1 Contractor' Address: City: state-JAuzip: Wphoa.Email: I I 'Lo 0 Llsense# -,eaL( Lead Certiticate r. If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issuer! a permit four a shnilar plan based on a roaster 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 au 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 Lade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4544002 for protection against undergruund Wily damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vAwj o hze -tateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ofd1nance5 and codes of the City of Eagan: drat 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 approver! I in the case of work which requires a review and approval of plans. Exterior work authorized by a ftlikfing per t Issued in accordance with the Minrmsota State Building Garde must be completed within 180 days of permit issuance. X>t fr Applicant's Printed F( *e A piicatat`s Signature Page 1 of 3 For Office Use �, Permit#: E AGA N Permit Fee: ( D_?.� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EGENE Date Received: I / (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5690 1 �� Staff: tc'�, buildinginspectionscitvofeagan.com 2019 RESIDENTIAL BUIL: - ' - APPLICATION -I)-1ti gj 1 1 9 / c� C M C i) Date: ! 1 � Site Address: 3 � � � � � � u AJmt#:_. Name: Pvr Le(An>n f✓ Phone: U"?^; .Resident! {�-- Owner Address/City/Zip: 3°(6S ` 1 FS s�t Applicant is: )c Owner Contractor k (WAX- 6ljtC Alo I Description of work: —1--r 5+ :��J 4! l� [15.5 W e)k,i 1� 1:3Se-AA Type of Work / Construction Cost. S-00S-00y Multi-Family Building: (Yes /No !/1 ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 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: Fire Suppression 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. 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.citvofeagan.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.000herstateonecall.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 •-; it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla Appl'c( nt's Printed Name Applicant's Signature i DO NOT WRITE BELOW THIS LINE �� Lom Qr \ C--t+ i *C-7 a-49 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior ys Alteration Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant JValuDESCRIPTION ation 0 (9 Occupancy .& MCES System 9, Plan Review C Code Edition ,A, / SAC Units (25% 100% ) Zoning T di City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction s6Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) V Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final 1... Framing_30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: tucco Lath Stone Lath Brick EFIS 1,, Insulation ?C Windows A-4 1.6:6c Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower PanOther: (,,12V Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan ReviewO'r __) 04 MCES SAC v\pj) City SAC Utility Connection Charge 9-( 0 D S&W Permit&Surcharge O Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 6 I\P hdow TLE LOCA,I ht S -om Page No. INSTALLED IN ALL NEW SINGLE FAM MCI—MULTI FAMILY DWELLING UNIT �d''�M,�C' 4rE'-[,1 s ia�1.7 39 Project No. Book No. lcnticfential Egropos: LY SMOKE DETErTORS ARE REQuIA. ~D ON EVERY LEVEL OP 7HE klOUSE A ND EVERY SLEEPING ROOM AND IN EVER HALLW,, Y"LEADING TO A Si PPPINC Re 12,c to 1 7.' 3c(G5� I "K Ec9DA, K SS12), IN! U ALL SLEEPING AREAS. ALL POINT LOADS SHAEL r44"IgFPR TO BEARING SIN 24" 5.7 SQ. FT. lhET CLEAR OPENING OF tl NET CLEAR OPEN LE HEIGHT 44" -FROM FLOOR TO HEIL, " EST PORTION OF THE SILL "IV71311 LISICHT TN WUU ;F TO T+:1. le IR D 5.7 SQ. FT. ��allo IVO c4 FIRE S IOP SOFFITS MD ALL ' )TH ER DEAD SPACE& U nd'r sA1 (via W 8d- to I o� 1- iiiii AUTRN nitnessed & Understood by me, Date (Mot i9 Invented by: g,-‘ Gate Recorded by: SKI