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4278 Daniel Dr?" CITY OF EAGAN 1°"Jft830 PilOt KnOb ROad, P.O. BOX 21-199, Eagen, MN 55121 PH ON E: 454-8100 BUILDING PERMIT ?,-v< J'X- Receipt * To be used for Est. Value ••`` Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning ParCel No. On Site Well _ Type of Const Ciry Water _ (Actual) a Name (Allowable) _ * ol Storiea 3 Address Length ? City Phone Depth S.F. 7otal Q Namo Footpr'tnt S.F. ? Q Aaaress APPROVALS FEES 1- ity Phone Assessments _ Permit ? CC Water/Sewer _ Surcharge ? W Neme Police _ Plan Revlew z Address Fire SAC, City - ?Z Engr. _ SAC,MWCC C W City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee COpies TOTAL A 8uilding 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 Permit No. Permit Holder Dats Telephone S Ptumbing H.V.AC. 9//C,i Electric TAY ?7 `?5? ' ; Dz- Softener Inspection Date Insp. Comments Fbotings I 9 Footings II Foundation Framing •i 3 g 7 Roofing Rough Pibg. c/- Rough Htg. MJ E. ? Isul. Fireplace Final Htg. r Finai Plbg, .? ? Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. INSPECTI4N RECORD CITY OF EACAN PERMIT TYPE: . 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: , (651) 681-4675 SITE ADDRESS: z ?' ` `} '' : ',' ' ' `' APPLICANT: f 4i i _ .'4 ?tl -aI t ? i! (I I fil PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D. '? ? II ? MNf '+' j I 1 iIt Mlls, i ? t;.,•,? i ?: ? I? i? ??i i ???i?? ? r?i i N?: F L ? Permit Holder Date Telephone N SEWER/ WATER PLUMBING HVAC Inapection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IARIGATION METER FLUSH MAINS coNOUCrivirr TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL GiTY bF EAGAN Permit Na ! 02?3 3830 Pilot Knob Road B/p No: 7 P.O. Box 21 199 Eagan, MN 35121 b n...., • ? "'-:; e t : it p Catl sC . ? Site Address: Date: 9--22-87 r Date: " 4 Lezinot MWCC: 525 . O0pd Zoning• 1- City Chg: 100' 00Ud 'o No. of Units: Acct. Dep: 15' 009d Permit Fee: ""'?' ?' I agree to comply with the CIly oi Eagan ? Ordinancea. Surcharge: _ , . .. , .. .. . . . , SEWER SERVICE PERMIT ? •? . ;?:- ,; •. -• WF. ....-..-., --- __ - CiTY OF EAGAN Permit Na Date: 17 3830 Pilot Knob Road Meter No: Z- Size: P.O. Box 2i199 Reader No: O Fl P'7 7 S? G Date: - ? Eagan. NIN 55121 Owner. (A?1 i?;- ?'? tty ConS t. SiteAddress: fa2 7' naniel Llrive L2 B-+ ?.c:x.in- t,)n ?oi-?te Star Pluzilairiqsssamas _ Conn. Chg: 525. 00pd n ^••••--- - F1 f 1 Acct. Dep: 15 .?Awt diqging cail ?C o '0 7 t? QH Permit Fee: EIEC Surcharge: . 5Cn ' toMply wlth the CHy oi Esgan. Tr. Plant ? ?- Amul nancea. Meter. . ; ? Misc.: BY Atow i WATER SERVICE P MIT .? ?' . .. , . ,? . ? Ma - i.k - Y/R[tE' ? WINDOW ARg-A : TyPji or ?n/?Nr?a?,v s 6/g'f iNSvc. G?ASS Twi w0000w uulra NAftt Ot94 yT,#r4f0 ?oit twlY ^lec As 9.1614v AOo?t 4yo Nt4Y 41 A.$si,y6 v '1 A QCAi`N [sArtI Vwa.646- of 'wa ? INi?MQ1N?'j A1R fJLM S 00/ A y L? ± foe TAa a? a .r FouNSaAr I 0*1 w,NOo w ARZA : TYPC oil 1ti?,?oow : ? . THc wo"oo w Udirs N4re. Bttw rtsrcp froR'a= vAw ; rNLY ARII *s tt•mo wa•v& wMD m4Y dr A611yNL0 /1 dL16l`I4CAA040 VAU.t 008 •q*u 0 wc??olNy Ai.4 ?ILMs . 42s 1/0j& •?? 1?oor??y4 t Faorw4L - 0 SLIDIN,q C?LASs DooR -AR&A%; - TYPL o' DooR: . 58 I#4S v c. ? G' c.'• 5L.101Nq 4 1. 0135 000R S 14.1k r R • LR @/ 7Li'? tD Fo R"JL= Yq L-K C,, 'fNLV Asi ft.1 WS?sP •Z? 1 . Abo?l ASJD MAy 6• A3.08yNw-R A oAs1c?#lCfAtt} yA?KC eF'1?"• rtCLYALA4 I! l0 iuMS y4s • v'ya a 14= Fo"TX 4F- -= DOCIZ ARC A : . 7YPC oit AoOR Z ?'H E¢rs ?. .Ta.u pOOfj lJfJl'T3 H11YiL OLthI Ttsrtp ^.10 Rouyo To NqVt 4+1 6A'• 1rA441A Or_ 7a I 11iA I01.0I5, 5PEGIALS ; V? Fmrw4 L X-, rYP,L • FaRM C-1 N;; PRV REQliIRED. MODEL CITY OF EAGAN nJ! 14100 ? HOME - NO C.0 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? liNTIL PLANNING AppROVED PH ONE: 454-81 00 ?"J 9 BUILDING PERMIT Receipt # ? ' To be used for SF DWG/GAR Est. Value $76,000 Date AUGGST 28 19 87 Site Address 4278 DANIEL DRIVE OFFICE USE ONLY R3 24 4 LEXINGTON POINTE t Block Sec/Sub L On Site Sewage Occupancy _.gn-- . o MWCC System _ Zoning Parcel No On Site Well Type of Const Ila . City Weter ? (Actuaq Vn Name COLLEGE CITY CONSTRUCTION (Allowable) Q # of stories = 6970 151ST ST Address Length 54 o City A.V. phone 431-1211 Depth 38 S.F. Total o Name SAME Footprint S.F. , ?i Address APPROVALS FEES # 419.50 " City Phone Assessments _ Permit Water/Sewer _ Surcharpe ig - nn ? Name Police Plan Review 209_ 7 5 ? Z Fire _ SAC, City 100_ nn U? W Address Phone Cit Engr. Planner _ SAC, MWCC 595D0 Water Conn. 5 S_ nn ? y Council _ 0 _ Water Meter 67.0 I hereby acknowledge that I have read thia application and state Blda Off• APC - Road Unit 305 . 00 Treatment P7 1 A(l - 00 that the fnformation is correct and agree to comply with all applfcable - State of Minnesota Statutes and Clty of Eagen Ordinances. Varlance _ Parks Copies - - Signature of Permittee Z TOTAL $ 5 A Building Permit is issued to: CO GE CITY CONSTRUCTION on the express conditfon that all work shall be done in accordance with all applicable te of M innesot " tatu,tes and City of Eagan Ordinances. ) Building Official - •i (litr#i#tra#e nf (Orrupanru eitp of tagan BrParwuv# p# a&dmg Jmwriinm This Cer[i, ficate issued pursuant to the require?nents of Section 306 of the Uniform Builde?e8 Code certifyin8 that at the time of issuance this smucture was in compliance wrth the various ordinances of the Cety regulatin8 buildi"g c°"Strucb°n or use. Fnr tl+e foAowing: 14 Ifl0 lgag. emnit No. Vn Oocuppcy Type ? , , POST IM A CONSPICUOUS PLACE HO,pg-L- f-?a"s / elln 1987 BIIILDING PERMI? APPLICA?ION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IRCLIIDE 2 SETS OF PLANS, 3 OF S[TRVEY, 1 SET OF ENERGY CALCQL.ATIOBS HOTE: ADDRESSES FOE C08NES LO?S - CONTRlCTOR/HOliEOSiNER NOST DESIGBA?E WHICS ADDRESS IS DESIRED. NO CHANGSS WILL BE iLL.OiiED ONCE BIIILDING PERMIT IS ISSIIED. MOLTIPLE DWEI,LINGS - RFSIDEN?IAL RENTAL DNITS FOR SgLE UHIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSZ - CHECK WI?H BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMWRCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For:siNfdXfq,hKy?weu,.,NG Valuation: . 7G, 000 ? 437? 5ite j Address pggi Lot ,? IV- Block 4L Parcel/Sub pf :44??k Owner Address _ (o y7p /S",Q,f ?7: City/Zip Code ?A'd& Z?& Phone 6 /a? Yj/_ /y// Contraetor _ja"t,c.,, ? 6vi?i Address City/Zip Code Phone Areh. /Engr . Address City/Zip Code Phone # Date: Qa Y7, 1289 On Site Sewage MWCC System L7 On Site Well City Water ? APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEF.S R- 3 PD Sy. ? Permit y19. So Surcharge 38.00 Plan Review 2o9.7S SAC, City 100, pp SAC, MWCC -5215-00 Water Conn S25•00 Water Meter 67,00 Road Unit ' 305•00 Treatment P1 1 SU oO Parks Copies TOTAL _?. a s? -1 6? ao0 9yas RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consbuction Reauirements RemotleVReoair Reaui2menis Office Use Onlv 3 registered site surveys showing sq. ft of l06 sq. ft. of house; and all roofed areas 2 copies of plan Cert of Suney Recd (20°k mazimum lot coverage allcwed) t set of Energy Calalations for heated additions Tree Pres PLan Recd 2 copies of plan showing 6eam & window sizes; poured found design, effi 1 site survey for adtlftions 8 deccs Tree Pres Not Reqd 1 set of Energy Calalations AddtG"on - indicete ilon-sile septic sysfem _ On-site Septic Syslem 3 copies of Tree Preservalion Plan if lot platted aRer 711193 Rim Joist Detail Options selecBon sheet (bldgs vrith 3 or less uni15 Date -fL_ / 2 Z` / 0 ?f_ Construction Cost ?4 sz?d) Site Address 4217g DAW 1G L i)'{Z1 Vti Unit/Ste # 1 Description of Work Y?( I P r)y w 112 sn????p [ 5PnI _ ,, , f ' - J Multi-Family Bldg _ Y_I N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ftr[, 1,( I(' L Telephone # ( ?J 1) Contractor A SSc1C'i4t-F-5 An kffb?? ?Tjnk Lr ( 6?$ JZ ? u?vx? ricm,") )j)Rlopa _ Address q20 e-Vw- i _ C<<Y FU$A!}-N State e,1 N H CmYa. Zip ,' Z32 Telephone #( 6 SI )-?E S 2-O ?f i7 eecL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted 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 approved plan ixt the case of work which requires a review and approval ofplans. rApplicant's Printed Name Appli t's ' e ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3:egistereU vte surveys showmg sq. R. of:o1. ;q ft. of house, and all roofe0 areas 12006 maximum fot coverege allowed) • ? copies of plan snowing beam 3 xmdow srzes; pouretl found design, eta) • 1 set of Energy Caltulanons • 3 copies of Tree Preservatron Plan d lot platted aRer 711193 . Rim Joist Delail Options selechon sheel ibltlgs wiN 3 orless uniGS) DATE ? RemodeVReoair Raouirements • 2 cepies of plan • 1 se[ of Eneryy Calculaucns fcr, nealetl aCdibons • 1 sile survey for extenor addi6ons 8 decks . Indicate ?f home served by se0tic syslem for addihons v VALUATION / [?'?d/ SITE ADDRESS 3?27O ? MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK .LPCLt, - APPLICANT FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDR?SaS 7? K? C?/I?TY l? STATE ZIPSS ?a ? o ?`" FAX # f??0 -04?7 TELEPHONE #S? " CELL PHONE ? PROPERTY OWNER TELEPHONE # ------------------- --------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF;qOl'.A RULLS 7670 C.A"fl?GORF l NIIVA1'S(>"I':A R['LL•S 7672 (J submission type) . Residential Ventilation Category 7 Workshee[ Submitted • New Energy Code Worksheet SubmitteC • Energy Envelope Calculations Submitted . Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor: Mcchviic.il sv:,tcin includcs: Sewer/Water Conhactor: _ Water Softcncr Water Hca[er Vo. of Baths Phone # Cawn Spnnkler No. of R.I. Baths Phone # Air Condiliuctiiis; I-[eatRcco%cn S%slciti Phone # ----------------------°-------------------------------•-------°---------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Shatutes and City of Eagan Ory Signature of Applicanf C'cr. 570.00 -----------°-----°--------------------- xation.j,,,cgcrTct,l,and agree to compiy OFFICE U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Pee: 590.00 UpAated 4102 k -CITIf OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0341113 (651) 681-4675 Date Issued: 17 /0 Z/98 SITE ADDRESS: 4278 DANIEL DR LO-(": 24 6LOCKa q LEXINf rtiN POSIVTE P.I.N,: 10-45070-240-04 DESCRIPTION: Bualdna "rmit Type Bjai ld.irig Wor?k_ lype /Cgnsus Code ? j - l ? :.`` "?\?? ?•? '• ( FSREPLACE NEW 434 HLT. RESIpENT7AL ?k ? ?? ? Jf'?- . , . REMARKS: CM]:MNEYJFLUE hIUST 6E INSFEC7EU BEIzORE CONCEALTNG. FEE SUMMARY: H85c? FBf.' $50. 00 Surcharqe $_.50 Total Fee $50.50 CONTRACTOR: - st o 01 i c a n L- s'r . L z c ? OWNER: F:I:fZES]:pE COftMER INC 16331042 20090911 CsA RNICLf_ JQNN 2701 V) R FASRVIEW F1VE 4278 DAN.TEL DH ROSEVILLE MN 55113 EAGFlN MN 55124 (E;:L; ) 533--j.042 f6511905-9366 Z hereby acknowledqe that S have read th9.s applicatian and staT.e that the inforrnatiori is correr,t and aqree to cnrnnly with ali anpl.i.cabie State of Mn. Statutes and City ot Eaqan Clydinances. ? APPLICANT/PERMITEE SIGNATURE ??? UED BV SIGNA URE C,I?Y (.IF.1[/1G(1tJ [.'.FlF;H'.I:I"6;e .., ?'(::kMTP.AL NC),; Ya:,7 t,r:rEe i2/i.;;:,,9s rr.ME., 5,37a47 ?D ,: Nnr^E;: ,:a!_Lr.c:D F TRi_S:rii? 14c. 3210 ':?OOa, 4.c.'7f; 1'IANJI_?... !iP 5[7„n2 205 9001 4278 PfdJ:;f.l_ Dfi 0,.50 '1 r+.-;:! R.acr•; ?,t A?no? ?r,a; , °?il.'i)n CStiOn_>4, - - i),!:R 1iiU MAN(:`{ ??.7r;9r°•:`7k??r;,('r':F1n`.?FY`/r'#°, ^YS<:b?Y;il:n?":;:i:):::rz{7ni?(%'(.'+'; ?3 H I 4,3 CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 ]998 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: A)G V • L g DESCRIPT'ION OF WORK: ? Construct new fireplace Install ¢ss insert oniv Other JOB ADDRESS: ?a a-9g PERMIT FEE: $50.50 _ Ite 'ons to existing _ Install gas line onlv LOT: 2- LA BLOCK: ? SUBDMSION/P.I.D. #: L-cx APPLICANT (circle one only): OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Nazne: PCA? ^ h%'C I P T', ? Vl Phone # : ???J (p ?p PROPERTY Last F'vst ? OWNER --------- Signature: sm-et Aaaress:_ yA / ri. sia14 re1- rr??, k? C- City ?a Q Q 6t State: A ? Zip: ComPaoY: e,lA ( ? (2- Phone #: ?QL9? FIREPLACE INSTALLER Signature: Street Address: 13 License # nl 0(?) ?Zd Y n city !_' U G-y^ S(?(` state: M&` zip: GAS LINE INSTALLER Street OFFICE USE ONLY BUILDING PERMIT TYPE D 14 Fireplace WORK TYPE ? 31 New O 33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 0] REMARKS Chimney/flue must be inspected before concealing . 04lNER 517E A GONTRAC70R (tf?GE Orry' ?-D? DATE - P?-B PHONESfl7-(64S.?o4g petermine working square footage of each. 1. Total exposed wall area ...... ZOIq sq. ft. x JJ_ ° ZZ`L 2. Tatal roof/ceiling area ..... 1333 sq. ft. x ,,02(0 ° 34.bb ! Total exposed wall area above floor = ZO19 a. Total wall window area ........................... 2 S 7 b. Total door area ................................. ? 4-4-_ t. Total sliding glass door area ................ . 40 d. Total fireplace wall area ....... ... ............ - e. Total wall framing area (average 10%)...:........ ISS f. Total net wall area above floor ................. I°?4 Z g. Total rim joist area ............................ 13? ' Total ezposed foundation area h. Total foundation window area ..................... o .. 1. Toal net foundation area abeve grade ............ _ 90 Determine "U" value of each wall segment. a. ZS`? X "U" 1111 , I Z CJ a?-- b• x I1Y C. uVa .34b a `? d. - X liuu ? s e. 15S X °U" .092 ° ?- . t. 13q2 X „un r. y, I 31 x„u,. . 0 b: I = ? h. O X Pu„ i. qo g „u,l 3 . ...................................Total ° lq S If item 63 is the same as, or less tlian item 91. you have met the intent of SBC 6006(c)2. , ---- --- - - -- - -- - - -- -- ---- - - -- -- ? - - - - - - - -- - - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION r" ? ? , . , . , . ?. , • . . , ... Total..exposed roof/ceiling area = l.33.3 - - ' J. Total skylight ar.ea ...... ....................... k. Tutal roof/ceiling framing area (average lOX).., ?•3?- • 1. 7ota1 net insula[ed roof/ceiling area............ ?LG 9" •, peterm9ne "U" value for each roof/ceiling segment. . ? ._ xNu„ . k. i3 b- x 1: "I l6lq xloull , OZZ s Zb ,3? 4 ...... .............. ...........Total If total of #4 is the same as, or less than :2, you have met the intent of _ SpC G006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the ' sum of ltems 03 and #4 shal,l not be greater than the sum of items Ol and €2. - 1. +2. •? 3, • + 4. . ?.. .. ,. ._ ? ___._..---• ? . 87- l87 TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: COLLEGE CI TY CONST. LEGAL DESCRIPTION: LOTZ9,BLOCK4 , LEXlNGTpN POI"TE ACCORDING 70 THE RECORDED PLAT THEREOF DAKoTA COUNTY,MINNESOTA A'? E LUT 23 VqGAnrr m ? RN lfl ? o ? ?N ro 2 11 4?A6fi 4MD UTKI EAJEMeNT I ? l? LOT 24 qh7r5 ??N :? f-IovSE N I?7 S5 n eI GRG N -'- ------ 0,-- 5L 0 z 80.04 A' X78c975xt /7. /4 N 66°07'37"W ?-? I LJ 1 2-5 w VACan,T ? ? 0 I? ? N_ I) Z I ,I : o .1' - 97,06 0 xrRC97q+7 x18c974"6 !R LEGEND DANIEL_ DR?VE o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET 975"I DENOTES EELEVIATION?T DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION INVERT ELEVATION AT SERVICE EkTENSION= PROPOSED GARAGE FLOOR ELEVATION= 9 Gx? PiOPOSED FIRST FLOOR ELEVATION = !?76r Y PROPOSED BASEMENT FLOOR = 4I)r Z ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify thaf thfs surveY,Plan or ???%,R(?i rsporf Mos prepared Dy me or under my diroet supervisian and that I am a duly Bradley "J. 41wenaon, Mn. Rep. No. 13235 Reqisfered Land Survtror under ihe Lawa of the State of Minnesota. Date ??? ?L?,I H-? ScA« : J" = 30'              ÿ þýüýû     úÿÿ ùûþø            ÷  ÿþýüûúùøù úùýüû÷ö ùûúùøù õù ôõùýüûõÿóÿùù ù÷ÿòþùñò÷ÿòþù ô ðùï   îí  ñ ò î í îí î  ùòìëú êéùúøèç æ  å æ å öú  ÿùäùìçæ ã æ ã  õô ÷ óò ûû áäòû ÿòþàäýù îí  ñæß å  ù õ÷ õ÷ î ëí èîí î äùþüöä äâùäûûääóùòùùùòûüöäûûþ  óõ ÿáüóïùæ ûûé ùò ÿù ÿü ÿù      öðö    îî     ÿþþ  ýüúúüú     ùþþ øúîýÿÿ ãôôê  ôÞôãô   ÿþö  ÿþýüûúðþù ÷ùõù ùüûúàæ  ùúðþù ÷ùõù Ýþ  ù ùù úùëùñþùë  îþýùâ ùù  ÿ ù   úù éãç  þ ôôãô â åèèô õù  ÿþùî ùðêåèèã  ô ó ö òñ úú  ÿæø ÷ùõÛîü ù ôàùî ùí ÿþóôãÞ ù â øî âàã  âàãó éãç îùýû æî  î íù î  úú    î îìùë  ùù  ùëúûæî  úú ýÿ  ìâ  ÿ þ  õûì  ïù  è úú ß þûÿ þù Use BLUE or BLACK Ink �-----------------� � For Office Use �' j Permit#:_������ I ��� 0� ��b"_� � Permit Fee: 1���� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: j Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: I I i �����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ��h 1��,��Y N'i C�(,,� Phone_ G,��1 "' �ly�'�—'� 3,� Resident/ Owner address i c�ty i z�p: �l�.7 43 �A�c �L ��.�, �i-� Applicant is: Owner �Contractor Type of Work Description of work:����-� Construction Cost: Multi-Family Building: (Yes /No"�� Company:���,;��-- �`l� �-��� °;�� Contact:�� �, Address: � �-� �v�v�����1 City: ���,�tr•� 7�J ��I Z3 Contractor � - C'wr.� ��- . State:��Zip:� Phone:(('!(Z'21 D°��3(�EmaiL � �r-� �DY�e�r"'�n; � I c� �� License#: �L.�,�,����ri�� l.ead Certificate#: N �F���� �7 �7�"� If the project is exempt firom 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 8�Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are'considered to be petbl7c information. P�rtions of the information ma�be ctass�ed as nvn:public if you provide�pec�c reasons ttrat woutd permit the City to conclude that the are tr°ade 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.orq 1 hereby adcnowledge 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. Euterior 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 )b/,� "G � I � 6��l`-' , X � Applicant's Pr ted Name Applicant s ignature