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1866 Bear Path Tr ? ? . , ? Z ??? $ ? a 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements C?fffCe Use:F7ttl? 3 registered site surveys showing sq. ff. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Ce? ?',S?ey Recd _ Y?N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies P(an R!. ecd Y N 2 copies of plan showing beam & window s izes; poured found design, etc. 1 site survey for additions & decks Tr??f?r? i2er?ttired _ Y N 1 set of Energy Calculations Addition - indicate if on-site septic system 0lt? Ite:SeRtic Sysiem .:,. Y ,..., N. 3 copies of Tree Preservation Pian if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date _4 Construction Cost Site Address R &L?? Unit/Ste # D ti f W k i p on o escr or Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Z;a L_a_? Telephone # (?? ) ? $?? - y ( SL/ Contractor Address City ? State Zip ?.J^-Telephone #( 76'73) ? 7' 7?7 /'?.; ,•?, t 1%/ r r-J , COMPLETE THIS AREA ONLY IF CONSTRUCTING kikkWil ?k . - Minnesota Rules 7670 Categorv 1 sota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Code Work eet (? submission type) • Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y ,_ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby 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 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 appro lan in the case of work which requires a review and approval of plans. I /? n n . n - fow2??"?r Applicant's Printed Name Applicant's RAeter Pdt2.: Sizw ..? - _ : ;,........? 0?10? WrION, - -- --------------- ?OW - ? ? ?. ' f .?r?? ? ------------------- ? ?t?ati=Rais? _ . D? i? ???p:' tn?p.: ` ?, . ?- ? ,• ?/? . _ _ CITY OF EAGAN SPVYER SERVECE PERMMT 380645ktXnob ffoad 9?.42 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Yr ?-?- Zoninp: ?? No. of Units: ? Owner: 7:sct'iz?r.:n f3x'o6, Address: Site Address: BeFsx ratls :???l L5 Svn', 'I::f f 2zad Plumber: _ x - A" I'1i: L-? ?3 '•e ?.- e.,r:1.v`? it??9s?.'?p? ?8 to Gown* wuh Nis G!p af Eagaw Connection CFwme: 4 75 . i'Dj?d Oraleanees. P?rrt DSposit: ?, 5. ??? Permit Fee: 1 o - n +.}.Vs1. Surrhame: - 5; tsd By Misc. CFarpes: Date of Insp.: Totoi: Insp.: Dcft Paid: CITY OF EAGAN Addition SUN CLIFF 2t1d Owner Remarks A l?A ? 1 S7 (oT Lot 5 Blk 5 Parcel 10 72976 096 06 streec 186? R ar Patb_Tra.i] state Eagan, MN 55122 improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 19$5 369.3 24.62 15 STREET RESTOR. -+-e6jJo7g 1986 431 . 51 5 GRADING SAN SEW TRUNK J SEWER LATERAL t?5 4- A SEWER LATERAL 999 1986 829.62 165.92 5 WA7ERMAIN WA7ERLATERAL 1000 1986 942.60 188.52 5 WATER AREA WAT LAT BEN 4-6fr2,0 77 1986 57.88 11.58 5 STORM SEW TRK o 1971 161.7 2 S70RM SEW LAT ?. S/W SERVICE 1005 1986 808.77 161.75 5 CURB & GUTTER SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 WATER CONN. gUILDING PER. SAC PARK , CITY OF EAGAN p ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 12561 ? PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $ 6 0, 0 0 0 Date SEPTEMBER 4 , 19$ 6 SiteAddress 1866 BEAR PATH TR Erect CX Occupancv R3 Lot 5 Block 6 Sec/Sub. SUN CLIFF 2ND Parcel No. Name ZACHMAN BROTHERS Address 4620 W 77TH ST., #104 city EDINA pnone 893-0755 SAME o Name a Address ~ City Phone F W Name Address a W City Phone Remodel ? Zoning Repair ? Type of Const. vn Addition ? No. Stories Move ? Length' 36 Demolish ? Depth a r, Int. Impr. ? Sq. Ft. InstaN ? Auorovals Fees Assessment Permit $ 313.00 Water & Sew. Surcharge 30 . 00 Police Plan Review 156 . 50 Fire SAC 575.00 Eng. Water Conn. 500.00 Pianner Water Meter 63 . 50 Council Road Unit 290 . 00 Bldg. Off.8/22/86 Tr. PI. 156.00 APC Parks Var. Date Copies $2.084.00 Total on the express condition that tes and City of Eagan Ordinances. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci ag? Ouiinanc s. ,T Signature of Permi e -?` A Building Permit is issued to: ZACH N BROTHERS all wark shall be done in accordance with all apqlicable?State of Min sota Buifding Official t t 1986 BQILDING PEMiIT gPPLICATION - CITY OF EAG9Ai NOTS: ALL CONTRICTORS MOST BE LICENSED iiITH THE CITY OF EAGgN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWELLIbiGS - RESIDENTIAL RENTAL IINITS FOR SALE ONITS >!?_ INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CHEC[ WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMRCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? To Be Used For: aluation: Date: leals& Site Address OFFICE IISB ONLY j Lot ? Bloek ? Ereet ? Oceupaney .? Remodel Zoning Parcel/Sub ?i)n ?r? Repair TYPe of Const Additi.on # of Stories Owner Move Length ? ? ?? Demolish Depth Address ,?(J /.U 71"ll -%4,y''7U7' Int.Impr. Sq Ft . Install City/Zip Code A '653!z Phone ?:??3 "'c-') ,7,.sJ?_ gPPROVAIS FEES Contraetor Assessments Permit '5/3 Water/Sewer Surcharge Address PoZice Plan Review Fire SAC 'S 7:5 City/Zip Code Engr Water Conn noo- Pianner Water Meter a3 ? Phone Council Road Unit ? D Bldg Off ??% Treatment Pl /J Areh./Engr. ?APC Parks Variance Copies Address TOTgI. City/Zip Code Phone # NOTE: ADDEESSES FOR CORNER LOTS - CONTRAC?OR/HOMEOWNER MUST DESIGNATE WHICH IDDRESS IS DESIRED. NO CHANGES LTILL BE gI.LOHED ONCE BOILDING PEAMIT IS ISSUED. . ? ?? ? ? ,,? f • r' ? ? 6 ? t ' ?.,I'?????.;,? t'fs cr`,,? t/?" ? C. R. .l?tr?D 1381 Yv/I )EN SURVEY0R5 EUSTIS 51., ?. ?,SSOCEPaTES, If?C. Tel 64°i 364i Si. P,+kUL# klINIV. SSIOe FOR: ZACHMAN HOMES . . ?/? . F Qs 70 >. e S? . e?,?5, z> T,? Scale: 1" = 30' Q Denotes Iron Monument (1)0 0 > ti0 INOTE: U ?, ? c Denotes uooden Stake ?rr?posed Garage Floor E1. 914.9 ° (914.(- ) Denotes Proposed Finished Ground EI. •\? j/\ 3G e ?? ?Lj -?- De^otes Di;ection Cf S-urface Draiaage Vertical Datum - N.G.V.D. 1929 0 ? . >>. s S s 62 S?o 0 6 ?s .? . ?99 d? Lot 5, Block 6, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota M/E HFREIY CERTtiY THAT THIS !5 A TitUE ANO CORRECT REPRESENT,iTlO*1 Of A SURYEY OF TME 60UNQARIES Of 1Nf IAND J160vf DESCRi6ED AND OF 1ME tOCATION OF Att 6Ut101NG5, IF ANY, TKERfON, ANO All VIS+atE ENCROACHMENTS, IF ANY, fROM OR ON SA10 IAND. t)otwd ihi• ?9tk dcY a1)qQ!?(z 2.2' A.Q. 148C, C. R. W N?EN b ASSOCIATES, INC. b r Svrvtror, Minn*sota Regtitrofion No 77LG I e+ns» ? ' ? ? ' ? ., ? j ._,. ?+` `F ? ? ? , • ; . . . ?.., .._.2 ..,. '_... ?. ...' _ ?' ?_ ...?:J ' : . ' , ?? ?S, .. ? .. ., . • ?; :(?, r? ' -± I i f-n '? • ' + •'^- ? 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T'- ---- ?/ C.7.,4 --- F1... 3 b 1r S'-?? J /R ?/ T.?J s. }L,-y.d ..? fL ED R L..i.. ...? On_jZ ? -?? - - -- 14e ra ..-.I - - - - G : V - ?- T" [*. _ R.\- .-d .e k F_DR .. .: u '•_A.'= i ( , , I: -= h [ --- ? =--- CITY OF EAGAN N9 16 5 6 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1, 000 Date JUNE 2 , 1 g 89 Site Address 1866 BEAR PATH TR Lot _5 Block -fL_ SecfSub. SIjN CT.TFF 9Nn OFFICE USE ONLY P81'C@I NO. Occupancy ? FEES Zoning W Name MICHAEL GANSMOE (Actual) Const - Bldg. Permit 26.00 Address 1866 BEAR PATH TR (AUowable) - 50 . h S o City EAGAN Phone 688-0449 # ot Stories - urc arge 1W2 Plan Review Length o Name $AM Depth 10 City SAC Z o ? Address S.F. Total - , u SAC, nnCwcc ? City Phone S.F. Footprints - Water Conn On Site Sewage _ ? F?W Name On Site Well ? Water Meter Z Address MWCCSystem - ¢ ¢ W City PhOtl2 City Water - qcct.Deposit it S/W P PRV Required _ erm I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee U-_ ? • "? APPROVALS Road Unit A Building Permit is issued to: MI .HAF.T. ('AN MOF Planner - park Ded. on the express condition that all work shall be done in accordance with all Council -- 50 applicable State of Minnesota Statutes and City of Eagan Ordinances. eldg. Off. _ . Copies Building Official ?:?.+?T!, ??? ??2 Variance - TOTAL 27.00 . - > • A SINGLE FAMILY DWELLINGS 2 SETS OF pLANS 3 REGISTERED SI"tg SURVEYS 1 SET OF ENERG3 +Ck&.CS. 1989 HUILDIPG PERMIT APPLICATION CITY OF EAGAN MLTIPLE D LLINGS C02OZRCIAL 2 3ET5 OF PLANS REGISTfiRED SITE StTR11E7S - (CHEGg WM W1.DG DI4. ) I SET Ok' Engm C,LCS. 2 SETS OF ARCHI?ECTURAL & STaOCTORAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF FXERG? CAi.CS. MULTIPLE D6iEELLINGS RENTAL t?NITS FOB SALE WITS # QF OHITS NOTEt eDDRFSSES FOA GORNER LOT5 - CONTRACTOR/HOMEpWNER HU3T DESIGNA2E i1HICH iDDRESS IS DESIRED. NO CHANGFS WII.L BE ALLOWED Or1CE BUILDING PERMIT I3 ISSQED.. SEWER & WtTER PERMIT FEES AND ACCOUNT DEP0.SIT nES wILL BE INCLODED WITH THE BUILDING. PERMIT FEE. PROG'ESSING ?IM FOR SEWER AND WATER PER+IITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED IIQDICg'TING A LICEi+tSED PLtMBER. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMZT IS ISSUED. ?604- 1 /7E-CK /- , f:'. ? "-+4 To Be Used For: 6 Valuation: ?000 Date: .5?4? Site Address 1966 ?'jOW /px ?/1A/C- Lot Block Pareel/Sub SuN L/FF 2NP Owner dddress 1,66(0 City/Zip Code &/yl+d .SS/ZZ Phone 6 UU ' D y y? Contra Addres City/Z Phone Areh. ) Addre? City/2 Phone R? Occupaney Zoning Actual Const Allowable # of stories ? Length )2 xt2. Depth ? X/C S.F. Tatal Footprint S.F. On site aewage Oaz site Well MWCC System Citq water PRV required Booster Pump "M Bldg. Permit .761.00 Sureharge --$so Flan Review SAC, City SAC, MWCC iiater Conn Water Meter Aect. Deposit S/W Permit S/W Surcharge Treatment P1. Aoad Unit Park Ded. Copies . ? StTBTO'TAL Penalty ?OTIL. ? APP? PIacuaer Counoil Bldg. Off. Variance ? _. . . _ . . .... . . . ? , .> ? .. . / \:. < n C. R. Y/I )EN & IISSOCIJ?TFS, IRlC. L R N O S U Q v E r p a 5 T0l G43- 3 6 a s 1381 EUSTIS ST., S1, PAUIJI 1'1lNN. 35105 FOR: ZACHr'IAN HOMES , k o -? ? ? o ?;> J? ?' o / • 0 20 / L ? rv ?ti ?? ? •Z ' ?? ? U ? ? ?Q\ ? O? .?/ _/ 0 0921 ? ? c. / s s S 62 S?0 0 6 ?S .. 1 ? Scale: 1" = 30' p Denotes Iron Monument NOrE: r Denotes Wooden Stake ?r:,posed C.arage Floor E1. qlq.g (9I4.(-) Denotes Proposed Finished Ground E1. -^4'- De^otes Direction Cf Curface Drainage Vertical Datum - N.G.V.D. 1929 Lot 5, Block 6, SUN CLIFF SECOND ADDITTON, Dakota County, Minnesota WE HERE6Y CERTIfY TH11T TNIS IS A 1RUE AND CORRECT REPRESEN1At10N Of A SURVEY Of TME sOUNDARIES Of 1NE lANb A60vE DESCRfdED AN D Of 1HE IOCATtON Of At! RUIl01NGS, If I?Nr THEREON, AND All ViSi6lE ENCROACHMENTS. IF ANY, FROM OR ON SAID IAND. Doiod ?h?• l9th day of 1-q-J9Q5t-A D. 198G C. R. w N?EN b ?SSOCUTES, INC. Svrvtror, MinAotofa Raaistrotion No 7 7 z G N77l1• PERMIT RECEIPT DATE: USIDENZ7AL PLU1K$INfi ?f"IT ?PPLICATION GITY 0F EAfiAlY 3830 Pu.oT KNo$ Rn EAsAlv, MN 55 Y 82 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CiTY: ? single family dweliings > townhomes and condos when permits are required for each unit ? backftow preventer for irrigation system SHARBO,PETE 1866 BEAR PATH TRAIL EAGAN, MN 55122 (651) 686-9282 Place a check mark next to the nermit work tvne TELEPHONE #: ,.4REA CODEj TELEPHONE #: (AREA CODE) STATE: ZIP: _ New residentiai dweifing unit under construction and not owner/occupied $ 90.00 I ? ? Add-on, modification or alteration to ext.stinq dwelling unit, including: I $ 50.00 ? • abandonment of septic system • new installation/repair/rebuild of RPZ I • lawn irrigation system • water turnaround Nature of work: !UQ_rL111r ` Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 7otat $ ??• w-' Reminder: Be sure to schedule inspections of alterations, i.e, water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. !t is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permii within City property/right-of-way/easement. 504c, ! S(GNATURE OF PERMITTEE Updated 1/p1 RESIDENTIAL BUiLDtNG PERAAAIT A,P'PLlCATlON CITY OF EAGAN 3830 PILOT KNGB RD -$5122 651481-4675 NawCongattiort Reautnmnts • 3 rogMeted sb riveys showin9 W R. of bt, eQ, t. Of Aougo; trd #I roo#ed uea5 • 2 coples M pim? (20l6 mwcirtwrn kt coverage saowed) • 1 aat of EneW CC*dROM for heated edft= • 2 ooples of piar? ff?owin9 bearn d v?ndow obw paedlcuW dook e6c•) . 4 sb "M for exw* Mtitians d decke • 1 set of Enatgy Caiaulations • Indicate if ixxne mvWl b9l aei* sydm 10r wom • 3 capica oi Tree Preservadon Plan N lak pWed afler 7t1f93 + Rim lakt Oetai Optior?a sftbm stleet (bWgs w0 3 or less +xft) DA? Pg 10ti VALUAndN ?'E ? 108 SlTE ADDRESS T IF MULT!-FAl1AilY BU! 1NG, MUW MANY UNffS? PROPERYY OWNER TYPE 4F Wi? FtItEPLi4GE(S) ...?; Uf.,,,.. 2 APPi.1CAN7 YeAmt PMC3Nf# t61 161&16- a afQ ? la AouREss IS66 ZIPCODE PAGER # CEt1 PHONE# CW?-'-)oa i? qvl FAX ? NM RESIDE1VTtAt BUlkDING QNL.Y - F1LL OUT CfllwtPl.ETKY EneW codit category MINNES4TA RUI.3GS 7674 CA'T'EG4RY 1 (check one) w - Residentiafi Ventitation Categauy 1 Wtuk~ Suut3mi#tOi . Energy Envelopa Caicutations Subrnftc9 ' MINNESOTA RULM 7672 - Now Energy Code worlcsheet submittsd Plumbtng Contractor: Phone #: Plumbing Systcm Includes: ? Water Softener Lawn Sprinkicr F+ee: $90•00 .` Water Heater No. of R.I. Baths No. af Baths Mechcntca! Cantrattor. Phcne # ' Mechanical System Includes: Air Conditiorxing F?: ???•? ` Heat Recovery System Sewer/Watar Contractor. Phane.#k Ait above informa4on muat be submttted priar to proceWr+g of aPpticaticm. infonnotyon iscorrect; and agxeeto comp{y t hereby acknowledge thc,t t have redd this application, s#aie ihat t twl wifh ali appiicable Stofe of Minrtasofia Statutes and Cifiy of Eagan dht nces. Sipnaturt of Appikanf -Certificates of Sutvey Received ` Tree Pteservation Plan Rem3vect Not Requi+red , • Uputed 1101 . ... . ., . > . , CtTY OF EAGAN 4-4 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for ?ECt Olk Est. Value ?11,000 Site Address ???? UAR PATH TR Lot ?5 Block 6- Sec/Sub. ????? CLIFY 2ND Parcel No. ? Name MI?`wr?L GMtOf 3z: Address ????6 nu ?ATM '? ° City WWAN Phone 610.8-0"9 Zo U? Name ?? 0Address ? City Phone U? WW Name Fw ? ; Address a W City Phone I hereby.acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee • A Buiiding Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt # Date J_ 2 Occupancy Zoning (Actual) Const (Allowable) # of Stories Lenqth Depth S.F. Totai S.F. Footprinis On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEES Bldg. Permit Surcharge Plan Review sac, city SAC,MCWGC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL •? :17w00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMSING H.V.A,C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bidg. Final Deck Ftg. ?e' Deck Final Well Pr. Disp. , <..._...,? CiIY QF EAGAN ?????? 3830 P21ot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUIL.D{NG PERMIT PHONE: 454-8100 Receipt # To be used for SP DWGJf GAR Est. Value $60,000 Date ??PTE14BER 4 , 19 46 Site Address 1866 B?`R P'?TH TR Erect ? Occupancy ?? Lot -5 BFock 6 Sec/Sub. ??? CLIFF 2tNL3 Remodel ? Zoning PD Parcel No. Repair ? Type of Const. try+ Addition 11 No. Stories Q ZA(;HMAN $RO??ERS Move ? Length 36 Name 3 Address 4620 ? ? ? ?? ST.s #104 DemoNsh ? Depth 46 ° EDINA 893-0755 Int. Impr. ? Sq. Ft. Ciiy Phone Install ? Z o ?e SA$4E Approvals Fees ? ¢ Address ~ City Phone ?Q ? W iVame Address a W City Phone i hereby acknowledgethat i have read this application and state thatthe information is correct and agree to comply with all appficable State of Minnesota Statutes and City,.e#-?aga Or inanc s. Signature of Permitt?'e ' t..,..._?•.- A Building Permit +s issued ta ?? ROTHERS all work shatl be done in accardance with all applicable, State of Mingesota Buiiding Official Assessment Water & Sew. Police Fire Eng. Planner Council BIdg.Off.'/24/86 APC ? Permit 313.00 Surcharge 30.00 Pian Review? 5? Sac 575.00 Water Conn. 500.00 Water Meter? ? so Road Unif 290.00 Tr. PI. 156000 Parks Var. Date Copies- TotaF $'?, Ofic 00 on the express condition that Statktes and City of Eagan Ordinances. Permft No. Permit Haldsr Date Tntephone # Plcmbing / d-? i- . H.V.A.C. E1eoirtc lD/a`??? 6 ? %? ?•``?:' BoNener lospection Date Insp. Comments Footiags I ? ? Footings q Foundation ? Framing ? Roofirsg Rough Plbg, p 1,2 Rough Htg. n,.22j insut. Pireplace Final Htg, Final Pibg. Bldg. Final Cert.Occ. ? i Deck Ftg. Deck Frmg. weli Pr. Disp. Use BLUE or BLACK Ink F----------------~ I For Office Use I a ~ ~ ~ • i Permit I Cit o` E"`V I Permit Fee: I 1 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: 1 Phone:(651)675-5675 I 1 Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t i I to f 13 Site Address: C3G Qr PC..-~-4~ fir' -Unit M xI Name: y 'r)o~~ O Phone: to i - 9 $3- a~-r~r~r Resident/ { Owner Address / City / Zip: 1 %loCp Gecr PCA-h '"T,- % Applicant is: ~ Owner C tracto Descri tion ofwork: ~~-'-2 0 Type of Work p Construction Cost: (~'a ©0 Multi-Family Building: (Yes / No m Company: (ke- ~~,r ~i r%s Contact: Ih~C~ ~~r'~he"~~ 0 5 00 H e_vineP Ave City: p i s Contractor Address: n State: M A J Zip: 5 S t 3 Phone: ~9 i s a 3 O S I i License#:° (D3~17~~- Lead Certificate#: NAT F1PCo~59 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. 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.aopherstateonecall.oro 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 completed within 180 days of permit issuance. x 1 ~G~ ~j~rnbe~e~ x Applicant's Printed Name Applicant's Signature Page -of 3