4476 Clover Lane
i
ForOfFrce Use
(tn Permit #:lt_
City of Ea
E/~
Permit Fee: 1 ` t.2 0o
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION ea,.~_LJ
Date: -dpi Site Address: W~l
Tenant: Suite
RESIDENT / OWNER Name: dJ~ E e Phone:
Address / City / Zip: 1y/7 C.1 0 1 A _%e j4!9&.LA Q.
Applicant is: % Owner Contractor
TYPE OF WORK Description of work: ,,,t~t~
Construction Cost: V00 Multi-Family Building: (Yes / No )
CONTRACTOR Name: ~ ~ Peks by ~ License ~O 3~ O
Address:
City: f.1CsL 2L :FE I aD State: Zip: S,<-6
Phone: 45"1 S) -1) 3Contact Person: C,-e_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be i 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 per rk 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 an app v of ans.
Applicant's Printed Name A ants Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 7
SUB TYPES
- Foundation Fireplace - Porch (3-Season) - Storm Damage
Single Family Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
_0 01 of Plex Lower Level - Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
- Addition Move Building Reroof - Demolish Interior
_ Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION'
Valuation 3, 9D8 OccupancyC 3 MCES System
Plan Review Code Edition 'lI A Z&~o-t ' SAC Units
(25%_ 100%__) Zoning City Water
Census Code Li 3 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length ? Fire Sprinklers
Type of Construction Width 2
JA)
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath Brick
Fireplace: Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee FL
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Lq 41%
(Z:~ 131
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CITY OF EAGAN WATER SERVICE PERMIT
3830 PilotKnob Road
P. O. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. (% Misc. Charges:
�\ Total:
By _ . Date Paid:
Dote of I nsp.: 41 ' I nsp •
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.• Date Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:49 #582 P.068/079
Use BLUE or BLACK Ink
For Office Use
j Permit M 1 I l j
City of Eap
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: a 1 L3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater Site Address: ~41' 4q_Hb,+'nV, Li q11190, UNeV WVlG Unit M
Name E CIO' NO, CumDOnN Phone:
Resident/
Owner. wner. ( Address / City/ Zip: ULM Utu V1 Sl ~I~~IXV r ~ irie, MN (~53fy
- T
Applicant is: Owner Contractor
Type of Work Description of work: lay Off 1-fi f
Construction Cost: IIlol loci, (N) Multi-Family Building: (Yes X / No-)
~ ontact: C lU~ ~i~~Qt~
ComPanY:c-t► ~ l~IUI~~t~+Yi On ll~l I
Address: 1 iq ~ e (h
Contractor 51 5 f~'-U~rS pI IQ~ UC city: Fw
State: Zip: PJ35 1 Phone:
License VC ,CJ15 Lead Certificate %'I7 2p9 wq --o
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I 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
L Me information may be classified as non public if you, provide spa lp 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.gopherstateonecall.ora
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. n
Applicant's Printed Name Ap i nPs Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:07 #301 P.021/022
City of £aan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6754694
Use BLUE or BLACK Ink
For Office Use
1300/3
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMITllAPPLICATION n
Date:.?//d �/!o Site Address: VOW" Wi &JV87 - 4y Unit #: �l
Name: Ae.A 4164 t ifi — e-li&/`f 1 0fl
Resident/
Owner is Address / City / Zip:
Phone: ////,
J
Type of Work
Contractor
Applicant is: Owner ai Contractor
Description of work: /191-- /00 1nyiIs7P�°'t7nf/i8--(j�F.�4, ,vtCi+k�`
cJ
Construction Cost: /O,tOl/ ^ Multi -Family Building: (Yes /�/ No )
Company: All544itn giefi;71teelall cls Contact: J 1 nn A item'?
Address:Sl445 I tcs-tr;A I $?- so r -I t. /03 city: MAO- O- fi t, -;et
State: Zip: p 55359
Phone: '9 ' 6T Email: 4.7 74Gl.f/S- r..6
License #:.56 toCo 3S ® Lead Certificate #: itr. lk'% o2®91,9 V - d�
If the project is exempt from Iead certification, please explain why: 1.3u , r� /9es
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:
jSewer & 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.
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.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 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 pemnit issued in accordance with the Minnesota State Buildin .0 plated within 180
days of permit issuance.
10411
Applicant's Printed Name
Applic nt's Signature
Page 1 of 3
%t:0®, 1 I I I
E AGA N
I� 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsacityofeagan.com
--------------I
For Office Use ``�}, I
1 Building Permit #: 1 Le Z® 50
I I
S&W Permit #:
I
Permit Fee: I I - t V
I I
I I
Date Received: I
I I
I I
I Date Issued:
I---------------------'
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �6q/Site Address:
Applicant is: ❑ Owner aContractor
Unit #:
Name: E- t/A �o0-Ae— d t,.l- S jags C-�, COt_4
Homeowner Address:&L j? AR Y147b 13 J 6 �,�(�I} Ae is Z city: �o Ct o- V�
Phone: Email:
Description of work: P, 2 Q C. J
Type of
Work Construction Cost 4(,q
Building
Contractor
Sewer &
Water
Contractor
Required for
new construction
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan�636
Address Ll 2,P, ( . i �� W QRV
City: J�;66PY\ -Pv-GQ\-,r- l
State: Lip: 5 / T Phone>�tZ�17 Emailia/UIQ�C CSN�eo"`�Q°�`�i
License #: O Expiration Date:
Company:
Address:
State: Zip:
License #:
Phone:
Contact: _
City:
Email:
Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name A licant's Signature