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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 ell, Le z N®r L r C)d OC) 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