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1321 Carlson Lake LaneCITY OF EAGAN Remarks Addition Wilderness Run 4th A dition Lot 5 Blk 4 Parcel 10 843 53 050 04 Owner ?-n?- ? Street 1321 Carlson L ake Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET FlESTOR. GRADING pa SAN 5EW TRUNK 1973 16 .26 8.16 20 PAID SEWERLATERAL P D WATERMAIN l WATER LATERAL WATER AREA Pai d jith watpr rnnnpctinn 11 175 STORM SEW TRK 209.30 A011350 8-12-82 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 1672 11-21-75 BUILDING PER, 1672 11-21-75 sac 11-21-75 PARK ..__- . 4 t G?i? SL C?TY OF Fr1GAN 7 95 P51ot Kndu Ron.d E;3.Zan ? Minne,^,ota 5° 122 PEPMIT NO.: 658 I Ti;e City oi E..gan hereby g'rc..7ts to L. H. Peters Co. op 1854 Grand Aoe. ? PLUMBING ' Pe'r:r.it for: _(Owner) Tilsen Homee. ! - --- 2 Carlaon Lake Lnnm and- i ?.---.___? -----' pursuant to application dated 2/24/76 r- ... :.....,.. _ 580. 00 de:ted this 24 day of _ Feb. 19. 76+ 2.00 i'8C?13.^1CG1 Pc'1"i;:1tS. aia motai: .3 CIif Ot' a^,C':-,rl /D ?51353 OSG 1),?L _. ? --- •? j105 Pi J-o?; ISnob Hoad Gc/ ,?_L? c.?. ..9 E_?•, ;;[i^:iae•ota `i'?122 --??-?------ T:,e Cicy of SFgan heceby gre.nts to xeil & Auhf+wYrd Aeatin9--_____, of - 94 N. gnP,3'1 isSs_?k• a tmnTTwr Pe^7i_t for: (oane^)__, Tilsen Aomea. 1321 Carlson Iake Ln., at pursuan+ to applicaticn da'ted Fee Pai.d: ???n_nn_ dated this __2g_:lay oi Mnrch _e ?9?y___. ± 1.50 s/c Euildir..- InspectOr I+iechaa:iceJ_ Yermits: Bid Tota_c ?- VILLAGE OF EAGAN WATER SERVICE PERMIT 3?95 Piloi Knob Road PERMIT NO.: 1906 Eogan,MN 55132 DATE: 12/12/75 Zoning: _---RT= No. of Units: I Owner: -TilSeri NcmiB3 InC Addmss: Site Address: 321 Carlson Izke I.azle LS B4 WR Plumber: Petezs - Bey-roc vl1-le[er NU.?' O. ?? a?' cS _ o k ?' Size .?' C Reader No.:Z?? I agrea to wKply with fhe Village o4 Eogan Ordi?7O e / • n / ? G ( . r By Uate of Insp.: _ Connection Charge: 320.00 Account Deposib Permit Fee: 10.00 Surcharge: ' ? ? Misc. Charges: 60.00 pd TO[3l: Date Paid: Insp.: --? YlUJ19E-QF EAOAN SEWER SERVICE PERMIT 3795 p1or.Kne6 Road PERMIT NO.: 2663 Eagan, MN 35124 DATE: 12/12/75 ZoNng: RIZ - No. of Units: 1 Owner: ' l r Address: Site Address: 1321 CArlson Iake Iane, LS B4 WR 4 Plumber: peters Bev-roc I agrea fo eemply wif6 Na Villape ef Eaqan Connec[ion Charge425.00 pd Ordinonces. Account Deposit: Permit Fee: 10.00 pd Surchazge: .50 pd By: Misc. Chazges: Date of Insp.: Total: - Inep.: Date Paid: 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New GonsVUCtion Reauiremenls 3 regislered sile surveys showing sq. fl. M lol, sq. fl. of house; and all roofed areas (20%maximum lot coverage albwed) 7 Sak RepoR if proposed buildng is to be placed on disNrbed soil 2 copies of plan shaxing beam 8 wintlav sizes; poured (ound tlesign, ek. 1 s& of Enargy CaIwlaGOns . . 3 copies of Tree Preseivadon Plan if lot platted aRer 7/153 Rim Jaisf Defail Optlons selection sheet (build'ugs with 3 w less units) Mnnegasco mechanical ventilation fortn RemodelfReoair Renuiremenfs 2 coryes of plan shoxing footings, 6eams, jdsis 1 set of Eneryy Calwlafians kr heafed additiona i stte survey (or addillons & decks Addifian - ir(Icete 1l onyife septlc syslem offim usd onm CeAof Suney.Recd;.; ?,; • _Y_N - Soils:RepM . . . _Y _N TreePresPlan'ReCd . _Y. _N TreePresRequired...? . Y-? N On-sftaSepficSyitem. _Y _'N Date Site Address Construction Cost ?? 3 d- e v IAA)i 41YL-, UniUSte # Descriptioo of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone#( C?I[J 10 71 ?' /? 711 Cantractor Addres§ State CitY p?? ^ Zip ?1 ?j Lq Telephone # (1&5 p -7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Woricsheet (Jsubmissiontype) Submitted . Submitted . Energy Envelope Calculations Submitted In ihe last 12 monThs, has ihe 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 Sewer/Wa}er Coniractor 7elephone #( Telephone #( Telephone #( 1-°0? rD 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 approved plan in the case of work which requires a review and approval of plans. ,?C& RE& 2 sb Applicant's Pri ted Name Applicant's gna •e 'A -4 RESiDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reauirements RemodeNteoair Reauiremenis Otfice Use Onlv 3 Rgistered site surveys showirg sq. ft. of bt, sq. ft. of house; and all rcofed a2as 2 copies of plan CeR of Survey Recd Y N (20% maeimum lot coverege allowed) 1 setof Energy CaIcuW6ons tor heated additians Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd Y N isetofEnergyCalculations Add'rtion - indicatedonsitesepticsystem On-site5epticSystem _Y_N 3 copies af Tree Preserva6on Plan if lat platted aker 711193 - Rim Joist Oetail Options selection sheet (hldgs with 3 or less unils Date --2-/ _?1-/ 03 Construction Cost ?0?- Site Address O rAr I;S'rj 1/1 r Ka habp Unit/Ste # Description of Work I A,?1(??,( /Pt^? JrhCP1-t-1?,,61 ?`(ah C4 gt?"Z-4' l'1'/X'<'c?fj , FX ?'s-Jylnq MuUi-Family Bldg _ Y-)? N Fireplace(s) _ 0?L 1 -'Z Property Owner c / ('1 1/1 ?t/i (/) {? Telephone # ? Contractor ? 1v, L? Address 3 City 4?(JwCI/t /14- Sta[e Zip 33 ? Telephone #(q-,54 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Vendlation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . • Energy Envelope Calculations Submitted Have you previously constructed a building fee applies. 5EP Licensed Plumber Mechanical Contractor Sewer/Water Confractor . q , ?similar,p pn? _ Y _ N'Telephone 4200a # ( h I N If so, 25% plan review # F15-,71 2-9/,-C'J7y Telephone # ( e- I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in confoanance 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 approved plan in the case of work which requires a review and approval of plans. ?Clli/ (j_ -on. f'C ?SKI, t , Applicant's Printed Name Applicant's Signat CITY of EAGAN BUILDING PERMIT Ownas ......... ?.' .............:............. ........ ........ ---.....-.--.- Addrasc (preeanf) ._......... . :?...... ? ............................................... Hullder Addreas ?. ? N2 3800 3795 Pilo! Knob Road Eagan, Minnesota 55122 454-8300 . Dals ..... !?.-a .. / .- .. ....7J..... .............. Siosias To Be Used Foz Fron! Dapth Haigh! Eel. Coc! Parmi! Fsa Remsrks .'?'c?,.' ? PC^^'? q,.'C ?.? =fi .37, yoT? l /R. ea 3d' !? i0 -3 ° LOCATION Sireat, aoaet or oixer neeenpx3on os Locenon I i.ot I$lock I xaauton or zsaet This permit doas not au3horize the use of sixeeSs, xoads, alleys ar eidewalks aor doas it give the owns[ os hia sgent the righ! !o eseale anp sifuation which ia a nuisenee os which psesenls a hmazd !o the heallh, safelp, eonveateacs aad geaesal melfara !o anpone in the communiip. THIS PEAMIT MUST BE j?EPT:ON THE ?PAEMISE WHILE TAE WORK IS IN PROGIfE$S. This ie !o ceriifp. 2hal .......................J..--°_.-.-°•-.°........ ....... heaparmiesion 2o erecY a_- R::`??. ..--•-•-°,?.................. ....... _.._uyea the above described premise subjec! !o ihe provisions of all applicable Ordinances tor the Cifp of Eagan ? ................... ....... ......................... Per ....................----..'...---....?.`..?....................--.............----..._......_........... MaYor Bvildinp Impeetor 616 ??.-., m I? I c I i ? i I A?E,9i2 AiPoOERTY LwE Ai ?I I -AaadTY Unir? ?? --- --> ? - ,-- ?? ? -- ? ? . 1 ? I ? ? - lao? c E ' u , , , , ? ? a ?`z E? 4 ? PTY LiN: ? E:i ? r`- L oT s- BLac k I ???/,?,?6?;1.,_,r?j• ! ?..? f '1 r! l ? o.?..? -.- ' _ /03> , 'rkowr_?aoa l.Z.TY LINE ? I 1LOT -P L ? ?? ? MASTER, CARD LOCATION OWNER STRUCTURE AND ? ?D S LAND USED AS Permit No. Issued Issued To Coniracfor Owner BUILDING g640 PLUM8ING 458 2_2"_70 CESSPOOL - SEPTIC TANK V'JELL ELECTRICAL HEATING GAS INSTALLING ? Q Q -[1 `'40 SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION POOL FFAMING -;'G TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELO PLUMBING ? WELL. SANITARY SEWER i ? r Violations Noted on Back COMMENTS: ? RESIDENTIAL • ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construdion Reauiremenh • 3 registere0 sde surveys showing sq. R. of lol, sq. ft. of house; and ?II mofed areas (20°,6 maximum lot crove2ge allowed) • 2 Copies of plan showirg 6eam 8 window s¢es; poured found design, elc.) • 1 set o( Energy Caiculations • 3 copies olTree Preservalion Plan H bt platted aNer711193 . Rim Joist Defail Options selecUon sheel (Gdgs vrith 3 or less units) DATE -J u,n 2_. SITE ADDRESS TYPE OF WO APPLICANT RemodellRewir Reauirements • 2 copies of plan • 7 set of Eneqy Calculations for heatetl addrtions . 1 s0e survey for eztenor additions & decks • Intlicate if home served hy septic system for additions VALUATION 7 o DO? ? MULTI-FAMILY BLDG _Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS 13 7ga M %cd ?e,`h ?1rt CITY (3 w,*14 ?,-ASTATE64A ZIP .337 TELEPHONE #9fl-F-94` 210G CELL PHONE #?J,? 115-9 FAX #`?v??+???l1) -?1.P kf / zI ceff 2 oa ;126? PROPERTYOWNER 61e- &-P+- TELEPHONE#_ ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'l'A RUI.I:S 7670 CATEGORY 1 MINNES01:A RULCS 7672 (J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: Plumbing sys[em includes: Mechanical Coniractor. Mechaiiical system includes: Sewer/Water Confractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovcry Sys[em _ Phone # Lawn Sprinl:ler No. of R.I. Baths ------------------°---------------------------------- I hereby acknowledge that I have read this appiication, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant OFFICE USE ONLY Fee: $90.00 Phone # ?uN 2 s 2002 G Phone # N --- y---°?---------------7...--- ? cor?ect, aqd agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ UDdated 4l02 OFFICE USE ONLY ;; ,; . ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors x 34 Replacement 'Demolition (EnUre 81dg oniy) - Give PCA handout ta applicant Valuation ? Occupancy R-3 MC/ES System ? Census Code 11(31? Zoning City Water f SAC Units ? Stories ? Booster Pump ? Nbr, of Units ' Sq. Ft. Jv?( PRV i Nbr. of Bldgs - Length Fire Sprinklered rr Type of Const ?N Width ??- REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. js Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Approved By .1 i? Building Inspector Total 4 ? ? .? ? I \ I I I ? E=l - .A7£/m- AkoDERTY LwE ti? \L`6 4 No?sE ? ?I LiNr? ? I ? " I ? ? ? I ` I ? ?=e ry I LoT BLpc k =? I . .. ... .. i ? ?oMT ?ROPGfZ.TY LI.fvE O 1- LQT -P L Date: r City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: I. Dc6 Permit Fee: Date Received: I r 3 Staff:? INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Tenant: Site Address: Suite #: `° RESIDE T., TOWNER : Name: -377eC2N JN4...1t,2r/ 4�Q r 7 -- Phone: L —DO6 Fs ---76) 32 C Address/City/Zip: / � �SOsu Lake. Lc, Ne_ �(-7c.�G,U "14N ,CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair XOther: _/ Co'C Jc;r-) Other: ION DESCRIPTFO--J. Description of work: (- /-'(-C=c- Li .___„, L..._, ci,,%.,.. ., -\--,, ki,, (...,,iscch FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.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, d 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 requir:.,.�eview and approval of plans. ZIJ shy N si r Applicant's Printed Name plican ignature FOR "OFFICE Required Inspections: Under Ground ` Rough -In " Final PERMIT City of Eagan Permit Type:Building Permit Number:EA113441 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 1321 Carlson Lake Lane Lot:005 Block: 004 Addition: Wilderness Run 4th PID:10-84353-04-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Jean Y Snyder 1321 Carlson Lake Lane Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122406 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 1321 Carlson Lake Lane Lot:005 Block: 004 Addition: Wilderness Run 4th PID:10-84353-04-050 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. 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 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jean Y Snyder 1321 Carlson Lake Lane Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink / r r For Office Use Crd [��/ Cigli _ E1 1014/41!0IP° City of Ea�a� 7.1 Permit Fee: / 7c7 Pilot Knob Road Eagan MN 55122 Date Received: )0 >1/(1 Phone: (651)675-5675 buildinginspectionsacitvofeagan.com Staff: i J) 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ��' c '!ter/��.. Phone: .5-0 7"' 79e-- egg? Resident/ Owner Address/City/Zip: /I,/ (.a /s�� , /-4 L.in , Applicant is: Owner Tontractor Type of Work Description of work:' V`fe, rsA t^0 .,-- %i, /v we. /1.='(_-e / Construction Cost: ,/--- Multi-Family Building: (Yes /No f/ ) Company: 4./441 /p‘v,,,,...e.-..--„ ,r•-ls1(4-ii/C„Contact: G%' Contractor Address: r7/4,e 216)7-4/, ,,- .-E City: --,2iZo State:n.t. Zip: 75 o7� Phone:OS--?C7-`/$•v3Email: Cr'<iAox,ry,,195-3c©✓ti-•--,/.ccs_ License#: ,-,2/g.c e Lead Certificate#: j,4 7- 6 Xlv?',t - If the project is exempt from lead certification, please explain why: • . - -- U/i,7” /4) 7 G �1 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 in formation. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to concludethat 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.gopherstateonecall.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 nofta-51ar without a permit; that the work ill be in accor ance with the approved plan in the case of work which requires a review and approval of p s." J/ Applicalnt's Printed Name Appl ' a t' gnature /''''''' Page 1 of 3 DO NOT WRITE BELOW THIS LINE /47/ SUB TYPES / � � //9/ / Foundation _ Fireplace Porch(3-Season) ,6 _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex *(i 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 /OW Occupancy JAG -/ MCES System — Plan Review Code Edition j/j SAC Units (25% 100% // Zoning 7L-/ City Water — Census Code !ii3 y Stories — Booster Pump #of Units / Square Feet PRV #of Buildings / Length — Fire Suppression Required �- Type of Construction la Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice 8y Water _Final Pool: Footings _Air/Gas Tests _Final Framing V30 Minutes 1 Hour • Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS tle Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL F S Base Fee 103 4 7 /J '/"6 # ` re; & ,to4/� 3/ �- Surcharge Plan Review 67!!-- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use ' * gi o ar E AG A N Permit#: i'8 7 l /7 .., ,, ®®� «`�� Permit Fee: C� Date Received: / 3V-- i /6 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 REC,!F VED _p (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: yr buildinginspections ancityofeagan.com JAN 3 0 2018 L 2018 RESIDENTIAL BUILDING G-PERMIT Date: Site Address: / --S c / Cftek�7d✓I -✓�ff____ /1/2 `' Unit#: Name: -` Oc: 0„ ,,1. / Phone: Rodent/ Owner Address/City/Zip: '4.1,,.,,,P,,1:1' ':„. Applicant is: Owner Contractor Description of work: /`1lc/4,1., hl.,+� _,Nri e Type ofW� IT Construction Cost: 4.2---k Multi-Family Building:(Yes /No ) ry Company: 1 .k.. ir vl..,_ (4)1,-4_ Contact: ,. Cont to Address:)73 2/01 IX I City: WL .,. State: Zip: ✓03 / Phone: 3'7• L/$ ,, Email: 1 /�.a-,,.-to..L(is-7 t'6 1----,/ . License#: A i evyy Lead Certificate#: b—30 `f)- If the project is exempt from lead certification, please explain why: N/ / - �l1,2 —i /3d/4.. 7- /4) 7G 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phoney . NOTE:Plans and supporting documentsthat you sub it are considered to be public information. Poitionn of the informa oa .. classified as non-public* provide specific asons that wouldarse trader v„ ,., tsf , , , . youA e... permit the ' „. �lutle that trey � :.r . 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.citvofeaqan.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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in co,fo ce wit e ordinances and -•. s of the City of Eagan; that I understand this is not a permit, but only an application for a perm , ,'.r9' of to st-• without a a-rmit at 'e work will be in accor nce with the approved plan in the case of work which requires a review and approv plans. X �1/ /9/74-"---t--9------ Applic //afit's Printed Name Appli . is Signature r DO NOT WRITE BELOW THIS LINE / 3, / Com,-is i ? tiAlLe 1-0 4.1 /4/7 737 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 _ 4 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 ;l,OOO Occupancy „qc -( MCES System — Plan Review Code Edition go,/9 SAC Units (25% 100% I/) Zoning Jt --i City Water Census Code !Zr 3 k Stories — Booster Pump #of Units / Square Feet PRV #of Buildings Length – Fire Suppression Required Type of Construction 47.3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 314. Final/No C.O. Required Foundation Foundation Before Backfill `- HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final ,3 Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73?1 Surcharge Plan Review it 7!- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3