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2038 Carnelian LaneCHICAGO TITLE INSURANCE COMPANY 4820 WEST 77TH STREET, SUITE 100, EDINA, MINNESOTA 55435/(612) 835-3100 MUNICIPALITY OF: City of Eagan 3795 Pilot Knob Road St. Paul, MN 55111 RE: Larry D. Duvick eniNn oFFice PREPIISES: Lot 6, Block a, in Cedar r,rove Pdumber 3 ADDRE55: 2038 Carnilian Lane Eagan, Minnesota Enclosed please find check in the amount of $ 991.04. for payment of special as?essments on the propert,y described above. Please refer to our file Number 78917 when returning receipt. Thank you. Chicago Title Insurance Company 4820 West 77th Street Edina, Minnesota 55435 BY: ? r U??? ean Don . EAGAN TOWIVSHIP BUILDING PERMIT Qwnee ------ 1:...... LQ!.:I------ (?? ..:.... ..............___.........-..... Address (Presani) ....... "I -----.......IL..CkE?::S............. ___......_._ Suilder ...__._.... ....._....._ .............__........ _.-_. . Address DESCRIPTION N° 1429 Eagan Township Town Hall Date --------- ...................... . Siories To Se Used For Froni Depih Heigh! Esi. Cos! Permii Fee' Remarks ?-- -- - ? I --- j,.`?l,.?' / LOCATION Sireef, xoad or oiher Uescnpiloa of Locanon Lo! Black Addifion or Tracf -__-I3- G ? arls-:,..i ZZA # ? This permit does aot aufhorisa the usa of sire¢!s, roads, allepa or sidewalks nor doea it giva the owner or his agent the righi So crea2e any silualian whieh is a nuisance or which presertis a hazard fo the heallh, safetp, convenience and general welfare !o anyone in ihe eommunity. THIS PEAMIT MUST BE KEp ON TH£ PRE ISE WHILE TFIE WORK IS IN PROGR£SS. _y ? .-..has permission !a erecf This is !o eer2if fha4 - `-----" Y' L-'--- ...._'?'--"- ....... upon ------ '- ------ ........ - - - ? - - - the a6ove descxihad premise snbjee7 fo the provisions of the Building Ordinance for £agan(+ownship adopfeH April 11, ......... ...... _..... ......... --------------y...."-----L.`.`----------------------- Per ---- ... --- ,f.._..._.._. .... Chairman of Tnwn Board Huilding Ingpecior 4 JS. 6 PERMIT #: G CITY USE ONLY RECEIPT DATE: SOOE MIDERT!!kL M$CHMICi4I. PEEiM1T lkPPLICATiOft crrYoF $wsnx 3830 Pu.oT xaos gn EAsnx suv ss i zs 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: l I` 5' 40), SITE ADDRESS: afj. 3? GftP.hrc.- I( CtNI Lam`Q. OWNER NAME: P) 1 t ? Jtt,?11G{? TELEPHONE #: INSTALLER NAME: TELEPHONE #: <1!5.)- gq ?E"D?.S Bumsville ea ng , nc. 12481 Rhode Island Ave. So. STREETADDRESS: g2vage, MNL,FS'47A_1199 CITY: STATE: Place a check mark next to the permit work type ZIP: ? Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacemeni/' • air exchanger • air conditioner,? th ? • o er f r N ature of work: ?hSC?..F_)L 4F-t w?VY1 gr ; ? 1 State Surchar e $ .50 Total $ -, 0 ,V GL^GL( RV Pr&? SIGNATURE OIF PERMI EE 1/oz PLUMBING (RESIDENTIAL) I Permit Application ? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 II Telephone # 651-675-5675 FAX # 651-675-5674 I?I Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date_?/??/ ?i I Site Address Unit # I ' Property Owner Telephone # ( ) ?I Contractor T i Address ,w?-??' •u! ? CiTy es• i State Zip Telephone #(7t3 The Applicant is _ Owner -?C Contractor _ Other Septic System New _ Refurbished Submit 2 seis of plans and MPC Iicense $ 100.00 Includes Counly fee. Additional consultant fees may apply. Altetqtians To Eaisting Dwelling Unit, Including $ I50.00 ?, Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: Q4.AA.CAxiL -?AweC uu- 6? -Pie _ _ RPZ _ new installation _ repair _ rebuild $ I30.00 _ Lawn irrigation system ? Water softener ? Water heater $ i15.00 replacement _ additional Air I gy $ .50 State Surcharge i , Total $ II - I hereby apply for a Residential Plumbing Permit and aclmowledge that the inTormahon is compiete ana accurace; mac rhe worx wiu be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an applicarion for a pemut, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla li Applicant's Printed Name ? ApplicanYs Signature li RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWClian Raouiremems RemodeVReoair Reauiremems 3 regislered sAe suneys shaxing sq. fL of lot sq. ft of house; and all roofed areas 2 mpies of plan (ZO% mazimum bt coveMe allowed) 1 set of Eireigy Calntlations for healed additions 2 copies af plan showing 6eam & window sizes; poured faund design, etc. 1 site survey Por additions & decks 1 sef of Eneqy Cakugtions Addifhn - irMicate ifonsite septic system 3 wpies af 7ree Preservatlon Plan d IM pWtted after 711/93 ftim Jassf Delait Options selectlan sheet (Mdgs wrfh 3 or less unt5 1-6j 6 Office Use Only _ CeA d Survey Reod _ Tree Pres Plan ReN _ Tree Pres Nol ReQd _ On-site SepUc System Date ,2- / ?),S- / 0 3 Site Address 2M5? C e Coostruc[ion Cost u?o, 75"o ? I f1A44r/ ?Fj/?F UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ? Property Owaer /ll?r}M n LLl l/i c/C Telephone #( 65/ D.- A 41S' Contractor 2?/'71l?J2 ??d/2R?7anJ ?NC Address ' / State 11121VCLII i Zip S'523 -7 City Telephone # 9?z) Rfja. - q VrQ -2_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Cotle Category . Residentlal Ventilatian Ca[egory 1 Warksheet • New Energy Code Wa (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Telephone #( ) I I Mechanical Contractor Telephone #( _._.. I -- Sewer/WaterContractor Telephone#( ? n 1n ?? '?? ??? ' I'? I hereby apply for a Residential Building Permit and acknowledge that the informat rate; that the work will be in conformance with the ordinances and codes of the City of Eagan and ttie State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not tostart without a permit; that the work will be in accordance with the approved plan in the case of work which reqwres a review and approval of p]ans. I ;???i? G /?l2.Co?e? ? ApplicanYs Printed Name pplicant's Signature I OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool Q 30 AccessoryBldg x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 32 Addition ? 33 Alteretian O 34 Replacement -7S? Valuation lie-? Census Code /a 7y SAC Units - Nbr. of Units "-' Nbr. ot Bldgs Type of Const ? ? 35 Int Improvement ? 38 Demalish (Interior) W 44 Siding ? 36 Move Bldg. O 42 Demolish (Foundation) X 45 FireRepair ? 37 DemoNsh (Bidg)" )A 43 Rerooi A 48 Windows/Doors 'Demolltion (Entire Bldg) - Give PCA handout to applicant 34vow / 1 O°'A, Occupancy /Z `3 Zoning /Z -I Stories Sq. Ft. Length Width MC/ES System City Water eooster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) ? FinaUNo C.O. _ Footings (addirion) Plumbing _ Foundadon X- HVAC , Drain Tile Other Roof k Ice & Water 4 Final Final Ftgs Air/Gas Tests, Pool ? Framing ? _ _ Siding Smcw Stone Fireplace R.I. Air Test Final X Windows (new/replacement) ' _ ? Insulation _ Retaining W all pors ?- INGLOt'i, 9R2A?? Approved By , Building Inspector --------------------------- Base Fee --- ---- --_------- L73 -------- ---------------?---- --------- ------_-__-------- Surcharge ; plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge , Treatment Plant License Search Copies Other Total / / ? EAGAN TOWNSHIP LDING PERMIT . . , oWna= .....------'- -'-- Address (B=esen!) .A-'tL? r ....""? . .. . - - ..... ? a,ulae: ..---- - -.. . -?-? --- ...?----?---?---.... ................ Address ......._..l?. }. ?G-?.. p??J . _. ......?_?..--°-'-'°'-°- ?/ DESCRIPTIOIQ N° 2'758 Eagan Township Towa Hall DB:e..?-_-.'.2.7.-.,7,.7...../..._ Biories To Be Used For Fron! -- Depffi Heighi Esl. Cos! Permit e Aemarka 1 JL,0 ?q ,/; y This permii does aot aulhoriae the use of s#eels, the righ! !o creale anp siiuation whieh is a auisance or ganeral weltare !o anyoae in !Le aommuni?j// THIS PERMIT MUST BE ICTirpT AN THE .FBSM? N This is to eerlifp, ihal.....f.?t.:?.../._ the above des? ? pse?n?se j f,?jo the 19bS. ? ?? // of Tnwn Baard or roads, aileps or sidewalka aor doea it giva the owner or his ageat whiah presents a hasard to the healfh, satelp, coavealance and rHILE THE WORK IS IN PROG ?...has permission !o erec! a._... . ._ . p -?°--- ......--•......---....---._.___a oe of the 8' inan for ?g:2v ship ado pted April 11, Per """/ e-""..........""..__..... Building Inspeclor CITY OF EAGAN Remarks 6 Blk 4 Parcel 10 1 Owner Improvement Date Amount Annual Vears Payment Fieceipt Date STREET SURF. STREET RESTOR. i GRAOING I SAN SEW TRUNK b .?. SEWER LATERAL /? ? 2 ? ,?? 2.16 2 I WATERMAIN II -jF WATER LATERAL ? 2 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PARK ? ? i . , ? ? , . / .? ? ? p ;.. ? >. r ? t r 1 Pr l i E --- - -- - - -_ _'_?____ - -- gu \ ? RESIDENTiAL BliILDING ,_. Permit Application City Of Eagan ._14J_ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodaUReoair Reauiremenis 3 registered site surveys showing sq ft. of lot sq. k. o( house; and all roofed areas -2 copies of plan (20% maximum lol coverage allowed) 1 set of Energy Calculaiions for heated additlons 2 copies of plan shaxing beam & window s¢es; pouted faund design, etc. 1 si[e survey /or addrfions & decks 1 sel of Energy Calcula6ons Atldifion - irMkate if ar-sife sep6c system 3 copies of Tree Preservation Plan if bt pYatted afler 711193 Rim Joist Detail Opfians selection sheet (bldgs with 3 or less uniLs Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic Syslem I' Datea Site Address / 03 ?Q,YaJ2lrati Construction Cost ? UnidSte # i ? Description of Work 402a)?LW ?Gf ? araC? I Multi-Family Bldg _ Y / N Fireplace(s) 1 _ 2 I ? Property Owner ?(/ ? iUiQA? 64 I ( I CaPz/ yK,k' Telephone #(?S? ) I?k? a13 Z Contractor bj? m ?Cw/?tJoc Address City I State Zip Telephone # { ) I I ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet = New Energy Code Wo (J su6mission type) Submitted Submitted . Energy Envelope Calculations Su6mitted Licensed Plumber Mechanicpl 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 r a permit, and work is not to start without a pexmit; that the work will be in accordance with the approvefl pl m?he case of work which requires a review and approval ofplans. /ZAppl2icanCs Applicant's Printed ame Sub Types OFFICE U3E ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool , ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) I ? 03 01 ot_ plex D 09 07-plex K 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 pg-plex ? 18 Deck ? 23 Porch (screen/gazebo)li ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plBx ? 12 12-plex Plbg_Y w_ N? 25 MiSCellaneous Work Types A.. . . _, ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. A 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolkion (Entire Bidg) - Give PCA handout to applicant Valuation ? GGo Occupancy P3 MC/ES System - Census Code Z13up Zoning ?•i City Water - SAC Units `- Stories ? Booster Pump ? ` 1Vbr. of Units Sq. Ft. 6 ?6_ PRV - Nbr. of Bldgs - Length Fire Sprinklered ?- Type of Const ? Width REQUIRED INSi ECTIONS ? Footings(new bldg) FinaVC.O. _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundafion HVpC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final F?anu'ng Siding Stucco Srone , _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Cha "pe S&W Permit & Surcharge Treatment Plar{t License Search Copies Other Total Building Inspector 6Z i a 0/ yray : .. ,- -- , / _ - - ?----- ---" . , _ _ 4. ? 'r ? Cya r- e w ol% be,,slAoo G" f -6? .? ? o ...?; ? ? .? ? ? ? - .1,1A Ir Irf --------- ? i RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN E830 PILOT KNOB RD - 55122 "?YJ7r1 857-681•4675 NewConsWCtionReauiremeMe ? RemodellReoairReaulnmeMs • 3 registered srte suneys showing sq. R M bt, sq. ft of houae; anll moted areas . 2 copies W plan (20%msxlmumbtcoverNeelbwed) . lsetofEnergyCelculationcforAealedaddNOns / . 2 copies of plan shawing beam 8 windax sizm; pouredlwnd tlcsign, etc.) • 1 sile wrvey fora4error addNOOS & decks . 1 set of EnergY Calwlatloes !. Iridfcate H home served by septic system for additlons • 3 copies of Tree Preservation Ptan if bt platEBd'efler 711183 . Pom Jdst Deraid OpGOns selection shee[ (bldgs with 3 or las units) DATE 2-M _40,/ ; VALU/iION JOB SITE ADDRESS ?9Q„?.A (?arrlP I Ian/ Q j2c IF MULTI-FAMILY BUILDING, HOW MANY UNITS? I PROPERTY OWNER &II r?Gli'?l/ Z),Uv%m TYPE OF WORK h(?.jjdjaq, FIREPLACE(S)k 0_ 1_ 2 APPUCANT D(,dj4j 17 PHONE#?S? ?diP.3'?133 ADDRESS 6*7 ZIP CODE 5. S/2'.2 PAGER # CELL PHONE #?aS? .3U7' 77D? FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMP ktr Energy Code Category MINNESOTA RLTLFS 7670 CATEGORY D (check one) - Residential Ventilation Category 1 Worksheet S ' ed B - Energy Envelope Calculations Submitted Y MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing CoMractor. _ Plumbing System Inciudes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Controctor. Phone 1k Phone # Fee: $90.00 Fee: $70.00 All above iMortnation must be submitted prior to processing of application. I hereby acknowledge ihat I have read this application, state that the inform tion is correct, and agree to ompl with all applicable State of Minnesota Statutes and City of Eagan Or ina Signature of Applieanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 1/01 _ Water Softener _ _ Water Heater _ No. of Baths ? Phone #: Lawn Sprinkler No. of R.I. Baths _ Air CondiIIoning _ Heat Recovery System ' OFFICE USE ONLY : 13 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool DI 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13, 31 EM. Alt- Muiti ? 03 01 of _ plex O 09 07-plex O 17 Garege 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OB-plex N 18 Deck ? 23 Porch(screened) 0 36 Mulfi O 05 03-piex ? 11 10-plex O 19 LowerLevel O 24 Storm damage ? 06 04plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement I? C3 38 Demolish (Interlor) ? 44 Siding ? 32 Addition O 36 Move Bldg. 0 42 Demolish (Foundation) 13 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)' O 43 Reroof ? 46° WindowslDoors O 34 Replacement `Demolkion (EnUre Bidg oNy) - GNe PCA handout to applicant Valuation ? o?n Occupancy MC/ESSystem Census Code ? Zoning City Water ' SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV !j Nbr. of BId9s ` Length Fire Sprinklered Type of Const TT W idth ,I REQUIRED INSPECTIONS Footings (new bldg) ?j FinaUC.O. Footings(deck) FinallNo C.O. _ Faotings(addition) Plumbing Foundarion Drain Tile Roof _ Ice & Water _ Final _ Framiug _ Fireplace _ RI. _ Air Test _ Final _ Insulation ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tes{s _ Final _ Siding Stucco Stone _ Windows (new/replacement) I .n ? Approved By Building Inspector aase Fee Surcharge !i Plan Review ? MClES SAC City SAC ?I Water Supply & Storage ij S&W Permit & Surcharge Treatment Plant ' Plumbing Permit i Mechanical Permit License Search I Copies Other I Total - ? PERMIT City of Eagan Permit Type:Building Permit Number:EA122777 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 2038 Carnelian Lane Lot:6 Block: 4 Addition: Cedar Grove 3rd PID:10-16702-04-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: 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 City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert R Soppeland 2038 Carnelian Lane Eagan MN 55122 (763) 300-0968 All American Restoration 4105 85th Ave N Blg B Suite 202 Brooklyn Park MN 55443 (763) 546-9655 Applicant/Permitee: Signature Issued By: Signature _ _ `" ' Use BLUE or BLACK Mk I For Offics Uss---------� • ', j Pemiit ii: /�_/ �� I�� It� �f�� , � �g. � � Permit F6e: I � � I , 3830 Pllot Knob Road t=�,,�:: , c s�.} ! i �-� � Eegen MN 55122 bate Received: Phona:(ss��s�s-��a ; i �, i Fax�(651)675-5694 ; � Staf�. � , I I I �____________��__J 2015 RESIDENTIAL BUILDING PERMIT ARP�ICATION Dete: �'r� �� Site Addross: ��5 ��N�- ( I a'� � Unit#: Name:�s�,� � °�' �t 1M..�- Sp1D�,2.1�. �Phone: `-'� ( c2��/ "�.� Address/City/Zlp: 02 O�� - �� `�C- �.�►�► Ss(a�. App�icant is: Owner /� Contractor ' Descripdon of work: �h�e-�( b� �SQV►�2h,"C' !✓/'P!�f h�Y(�. �� Consuuction Coet:___ �C�� Multi-Family�euilding:(Yes_/No ) Company:�I 'r l�� d'��{'D��7tuh Contact:j�..�..e�3�.��____— � Address:�� h/h C�`�'�'�--CRy; i�.,.t�'W ��=�4 state:��z�P5S01' Phone:bS1'�86-�osg�ma��:�„�.�� Ir��U,%,a�.� G.S� �^m��, ucen6e#:r.��r�c.�� 3 a`� Lead Certificate#:�� '7 O 3?�'��__ If the project is exempE from lead certifcatio�, please explain why: (see Page 3 for abdltlonal information) ' �3v��:; «► Gs �` � . COMPLETE THIS AREA�NLY IF CONSTRUCTING A NEW BUILDING � In the last 12 months,has the CIty of Eagan Issued a permit for a aimilar plsn bassd on ai maste�plen? _Yes _No if yes,date and address of master plen: �_ ' __^,� Licensad Plumbet: ._.. ..__ _Phone:_. . ..._ Mechenlcal Contraator: �,,,,, Phone'_ ,,,__ I Sewer&Water Cont�actor:___ Phone: r , .r. ,..— ,� n� ; e . CALL BEFORE YOU DIG, Call Gophor Stst�One Call et(651)454-0002 for protection agalnst undarground udlity damage. CaN 48 hours before you intend to dig to�celve bcates ol untlerground utilities. aww,no�herstateanecail,oro I hereby acknowladge Ihat thie infortnatlon Is complet�and aeeurata;thet the work wlll be In oonlormanee with the ordlnances and codes of lhA City of Eagan; that I understand lhis ie not a Dermlt, but only an appllcation for e permll, and work Is not l0 6tert without a permlt;thal the wotk will be in eccoMence wiM the approved plan in the ceoe of work wf►ich requlres a►gvi6w end approval of plans. E�cterior work euthorlxed by a sutlding permit i66ued In nccoMa�ae wlth ths Minnasota 6tate Bulldln9 Cod�muat De eompleteq withln 160 days o1 pA 't isguence, x �C� x . ApplicanYs Printod ame Applicant's$Ignatufe Page 1 oF 3 £oorzoo�d sssosettssc�r� tos� s tozisu£o �-> � ._ - , _��.`�'� ��1'lE � r�-�G� �'l� ' DO NOT WRITE BELOW THIS LINE ��%� �� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) � 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 Alteration Fire Repair Windows Demolish Foundation _ Replace � Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION � � Valuation �1� Occupancy iZG" i MCES System '�' Plan Review � Code Edition �O/� SAC Units —' (25%_ 100% ✓) Zoning .-� City Water "' Census Code 11l sy Stories ^ Booster Pump "' #of Units t Square Feet -+ PRV " #of Buildings / Length r"' Fire Sprinklers '� Type of Construction � Width `"� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing � Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ase ee Surcharge Plan Review 7,�i ? MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies y� �� TOTAL Page 2 of 3