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3251 Donald Ave .y CITY OF EAGAN 9652 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT rVkSONR'1 PHONE: 454.8100 Receipt * To be used for FIREPLACE Est. Value $1,500 Date OCTOBER 27 1 984 Site Address 3251 DONALD AVE Lot 2 Block 3 sec/Sub. LETENDRE 2 Parcel No. Name ...._....... ..?....?... SAME Z Address City Phone zo Name SAX.?2E u Address FF?' City Phone - Uq ?uUj Name U? Address Ica City Phone - I hereby acknowledge that 1 hove read this the information is corre agree to c State of Minnesota St utes and City of Signature of Permittee? ' A Building Permit is issued to: PAYMC all work shall be done in accordance with Building Official and state that all applicable Erect L`1 Occupancy `k` Remodel ? Zoning R1 Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Assessment Water b Sew. Police Fire Erg. Planner Council Bldg. Off. 10 ?1$ / 0 APC Var. Date Plan check SAC Water Conn. Water Meter Road Unit Parks Total $26.00 _-- -- i --? - on the express condition thoi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Plumbing H.VA.C. Electric Softener Inspection Date Insp. Other Footings TizAt Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final W. , Cert/Occ. Water Describe Location: Well ??! (G l?`{ Sewer Pr. Disp. CITY Of EAGAN 8795 Pilot Knob Road Eagaa, Minnesota 55122 Phone: 454-8100 r1ATER SOFTENEY _ PERMIT No. $ Dote: e e mb e r 15, 1977 Receipt No.: 4 2 / Single I Site Address: 3 2 5 1. Donald Ave ; : rrdh r Residentio I Lot Block n-q._ Sub/Sec. L 9?9 Multi Res., Comm./Ind. I Name .nd Mille- /Repair New/Alter . . Address 51 Donald A^-. Cost of Installation City Phone: Permit Fee Name' Co. - Culligan _ Surcharge Address "Iuz ie Avenue City Phone: Total This Permit is issued 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 ?__ A INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 3?4 3 O -a- Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: 3x51 A M I", Avr PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. L F Y Permit Holder Date Telephone R SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ? Z - - ROUGH PLUMBING - - PLBG AIR TEST - ROUCH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?FdAI li (S'.:( +..,r lit Af';C PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. it I (if, c I lilll IMiiS ';I;'I U I III 1111111-t I-III(L14 WI ffl I t1 AR '-PAH ffil.lSsUN 41H ,fANO I PAMI ti Nfif 111,-; C-11 III Ii lIliil W AM l L Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 4,3, 9s ? r b l L ? Z Y DECK FINAL CITY OF EAGAN Remarks 5. Addition/ Letendre #2 Lot 2 Blk 3 Parcel 10 Wi901 022 013 Owner -bA-) Street 3251 Donald Ave. State Eagan,MN 55122 Improvement Amount Annual Years Payment Receipt Date STREET SURF. Z't STRE ET RESTOR. Pk 274.86 27.49 10 274.86 0003489 9-23-77 GRADING SAN SEW TRUNK 1 18 .00 Paid *SEWER LATERAL js`I 1 2 1 o6 118.55 20 WATERMAIN *WATER LATERAL 1 20 WATER AREA STORM SEW TRK #STORM SEW LAT 1 973 2 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 2 0 00 56 90 _ -71 BUILDING PER. . SAC 475.oo $$ 8-29-73 PARK BUILDING-PERMIT APPLICATION CITY OF=EAGAN ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN a !?? Cy INCLUDE © SETS OF PLANS, /? 4W 11? CERTIFICATES OF SURVEY MA S e ? ? © SET OF ENERGY CALCULATIONS To Be Used For: rj2C ()L AC C- Valuation: /,Soo Date: Site Address: 3Z 5i (DONALD r? y Lot: O"I Block: Sect/Subu Parcel #: Owner: (2/J Mo'jr- r1 14- L C- (I Address: 325f 0oul4D (3o City/Zip Code: E46A6) M? Phone #: q5Z 3?16 Contractor: CL F Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: nh, 4. Erect: _) occupancy: R_3 Remodel: Zoning: -I Repair: Type Of Const: Enlarge: # Stories: Move: Length: Demolish: Depth: Grade: Sq. Ft.: IFIWWMOV? Assessments: Permit: W Z Water/Sewer: Surcharge: Police: Plan Rev.: Fire: SAC: Engr.: Water Conn: Planner: Water Meter Council: Road Unit: Bldg. Off.: Parks: APC: _ Variance: °Z.(O UU EAGAN TOWNSHIP BUILDING PERMIT Owner ... ............r................ O .........d C.).d ....................."-----... Address (present) .J..e. m o ?`----- 40 Builder ............. `. t-:.......................--_._.............-----......---..... Address DESCRIPTION N° 3120 Eagan Township Town Hall Date ..... U.... Z3 ........... Stories To Be Used For _Fron! Depth Heigh! Est. Cos! Permit Fee Remarks '8'' 4 9j S •-m ?'3 ou ! n- .?+-'Z-ie`-...-? y a?-z- r LOCATION 73. v-d 5treel, 24oao or Omer Pescrlptlon at Location I Lot 1 510cle 1 addition or Tract S /z-- / sa / Y`t7U6 06 - 04- This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify. ......&:7n? ..............has permission to erect a...... ... _ ".::.. ? Z . °` . °.-.:?.._upon the above described premise subject to the provisions of the Building Ordinance for Eag Town ?ip adopted April 11, 1955. ? _ ..................... ?....---U;_ ... ?xa.., Per N`."" ----' .................................................... ..... _P ......... ................... Chairman of Tn,*n Board 9 Buildin Ins ecfoz CITY OF EAGAN N9_ 9652 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT MASONRY PHONE: 454-8100 Receipt # ?/ 01- To be used for FIREPLACE Est. Value $1,500_ Date_ OCTOBER 27 Iq 84 Site Address 3251 DONALD AVE Lot 2 Block -3 Sec/Sub. LETENDRE 2 Parcel No. W Name RAYMOND MILLER Z Address SAME City Phone 452-3518 Name SAME ?? Address City Phone- Name Address City - Phone I hereby acknowledge that I have mod this a{ the information is corre d agree to can State of Minnesota St utes a City of Ea Signature of Permittee A Building Permit Is issued to: YMON all work shall be done in accordo i all Building Official Erect ff Occupancy R3 Remodel ? Zoning R1 Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Approvals Fees and state that all applicable Assessment Water $ Sew. Police Fire Erg. Planner Council Bldg. Off. 10/18/ 8A APC Var. Date Permit :;,z 7. UU Surcharge 1.00 Plan check SAC Water Conn. Water Meter Road Unit Parks Total $26.00 on the express condition that Minnesota Statutes and City of Eagan Ordinances. , YILUOK of EAUN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2072 Eagan, MN 55122 DATE: 9/12/73 Zoning: R-1 No. of Units: 1 .. °. Owner: Address: 0 3 ?- Site Address: 3251 Donald Av nna. Plumber: Thompson Plumbin g oo.., I a9na to anoPly with the VOW of Rogan Connection Chargea7S_nn oA R/ 7; Ordinances. Account Deposit: Perndt Fee: in-nn Pd .. Surcharge: - Sn pd B7: Misc. Charger. ? Date of Insp.: Total: Insp.: Date Paid: ... i i VILLAGe pF E4p 379$ Pilot 4N NO",Mht 55?? Rood WATER nntnK _ (IK.ner --R`1 PERSERVICE PER rtaresS - ---_etarel" DATE: --,- 1MIT Sit, !u, AddreSt _ . 25 1. COnBt iNof nits -9121 3 30$ 60 P 3 1 n nll ThompagnDD'?sld A Z C Meter StzeO P?j S?P1tWb1n4e ?_- T 1 09.ee to <om S?.y? Connection Charge: O''dino ply with - Account _.24Q, n<q, the ydl? of --?. Putt PQ Posit 13Y Oq surcharge: ou Ila Vats of Insp.: MiaC Charges l' SQ- -- r / . p.. 7 .1 Speed Letter. To City of Eagan From Dakota County Abstract Company 7493 147th St. W. Apple Valley, MN 55124 Subject 7116 Miller - 5122' Lot 2, Block 3. Letendre Addn. No. 2 except East 30' -Ib.Dd IO FOt? MESSAGE Enclosed is our check in the amount of $274.86 for payment of special assessments levied on the above property. This payment is in full and yJpnlri sj=vaCiste jrn,3r rereint being sent to our office at your earliest Date 9/21/77 Signed REPLY /'? l/s /) A.L 6 -AO.D FOW Date Signed WllsonJones 1 076 wise"•FwuPORxiMm UU,% RETAIN WHITE COPY, RETURN PINK COPY C'IT'Y OF EAGAN PERMIT C P' 4 h4 q ? 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 6 7 (612) 681-4675 Date Issued: 10/02/95 SITE ADDRESS: 3251 DONALD AVE LOT: 22 BLOCK: 3 LETENDRE 2ND P.I.N.: 10-44901-022-03 DESCRIPTION: z4 Tx At tom' ?,. ' ma REMARKS: ALL DECK FOOTINGS SIZED FOR FUTURE PORCH WITH CLEAR SPAN TRUSSES OR HAND-FRAMED RAFTERS WITH RIDGE BEAM FEE SUMMARY- Base Fee $30.00 Surcharge ___1.50 Total Fee $30.50 CONTRACTOR: I hereby acknowledge that_l"have-" nforwation -e ccrr'eot and cr'eex"' Statute's and City of`6agan`Drdina APPLICANT;PERMI SIGNATURE (FUTURE PORCH) ermit Type DECK grk Type NEW L T v? kDr, d ? ? .. t9:? .,. :. car. OWNER: -- Applicant - DARVEAUX BLAISE 3251 DONALD AVE EAGAN MN 55121 (612)454-5172 kw g-ogi I MA- ISSUED : SIGNATURE! CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ai(Al New Construction Reouirements Remodel/Repair Reouirements ? 3 registered site surveys ? 2 copies of plan U 2 copies of plans (include beam & window saes; poured fnd, design; etc.) ? 2 site surveys (extedor additions & decks) ? 7 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: _Yes _ No DATE: 5 e7a/ a S' r I? CONSTRUCTION COST: 3 ?c-D D DESCRIPTION OF WORK: 17ec- & STREET ADDRESS: 3R.51 jDONalW /tVE LOT '(7 a?- BLOCK _ ? SUBD./P.I.D. #: -LZomAL LXJL PROPERTY Name: 08 R U E A &415E Phone OWNER r.rt Street Address' 3x51 0ON44D /)VL- City: FA 6 19 N State: -lN/ Zip: CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip' ARCHITECT/ Company: ENGINEER Name: Phone #• Registration #' Street Address* City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 1 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. Signature of Applicant: OFFICE USE ONLY, ~liI i Certificates of Survey Received Yes No SEP 2 5 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ,r,W411 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous X15 Deck A+ti Drcu F,onwgs frtcD Foa ?uruRc ?RLH ?1sc AsrvoMb? ? ,r 36 Move G?G'?tv?-Si T.«csdt ? 37 Demolition s/,' "6 46(Z /JCAA^ _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. y? _ Footprint sq. ft. SAC Code / Census Bldg Census Unit _1 Building Engineering Variance Perk Fee Surcharge Plan Review License MCM/S SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pt. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ /Zoo % SAC SAC Units ? j l b' it { 1T LL. ?" Jy5 ? av ?, vN pV PC- - Hom o o- L` ^S" ,d Qau H !o n t+r Pw 1'f wrb (Letendre st.) S a V N c Y I a I ? I hJ n I ? I ) ` WAS 4eP _I c L 6 m 3 ? a eu9 At*dad m zl y 'ZaC,- I -T)aA )ALA jd. \/ L PERMIT CITY OF EAGAN 383,0 Piiot"knob Road Eagan, Minnesota 55122-1897 051) 6804675 SITE ADDRESS: P.I.N-° 10-44901-022--03 DESCRIPTION: f .. i 3251 DONALD AVE LOT: 22 BLOCK: LETENDRE 42 PERMIT TYPE: 6UiLDIN6 Permit Number: 034302 Date Issued: 12 /so /98 ,«1 f.O. & REROOF 8.114 he tPermit Tvpe STORM DAMAGE ?+l ildinq jowl Type REPAIR Census Code 434 ALT. RESIDENTIAL t? % REMARKS: FEE SUMMARY- CONTRACTOR: - Applicant - s'r. LIC. QWNER: WESTURN CEDAR ..SUPPLY 1541.0304 KNUTSON JEFF 705 N HWIY 169 3251. 00NALO AVE PLYMOUTH NN 55441 EAGAN MIN 56121 (612) 541--4207 (651)905-9665 I hereby acknowledge that I have read this application and state that the .lntarmation is correct and agree to comply with all apolicable State pt kn. Statutes and City of Eagan Ordinances.. APPLICANT/PERMITEE SIGNATURE SSUED BY. SI ATUR I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN ?, ?? -D- 3830 PILOT KNOB RD - 55122 ++ 681-4675 I a " 3b 9 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured Md. design; eta) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 712193 required: _ Yes _ No DATE: ?0 - DESCRIPTION OF WORK: R R_ Name: kP1 J I S od-) J L V-Y Phone Lan First STREETADDRESS: LOT: d 2 a BLOCK: r? SUBD./P.I.D. #: e 1? ILA ?- _ PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Y CAS 1 - ?C) S - a?D(?s Street Address: 325 t (J ? rj c W City C?P_ C Q,C ? State: In v J Zip: SS1 LI; Company: ?? ? 1 lJr?-IN ?0-&--r Phone #: Co t, 2 -C 14 t -CAS 0 Street Address:__ O I 6A-(J_J I (? cC U City ^^.C__ J' 1_-- State: w'- r_Company: Phone #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 2 energy calculations for heated additions CONSTRUCTION COST. o Zip: Registration State: Zip: License # ZOfJ ( 't ZQ MASTER CARD OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING -r CESSPOOL -SEPTIC TANK WELL ELECTRICAL HEATING !/ y ?s a ^?"4 GAS INSTALLING SANITARY SEWER 072 OTHER 30 OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING -/? TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 9_)2 _ -7 WELL SANITARY SEWER Violations Noted on Back COMMENTS: S?TAy MINNESOTA VALLEY ?gpTA-yq FaE= -q<<,.1 SURVEYORS & ENGINEERS CORP. N N N N p 120X0 E.12TH AVENUE SOUTH BURNSVILLE, MINNESOTA 5111A AL. G 11- 990.7750 ?y?RS ENG\ YOBS-£NG Certificate of Survey for: KEN ?IPpFLBAt2M w / M /02.0 zz.c ?y j o Q to OY ? 300 _ ?1 Q monUmenf ?,? /02.0 LETENORE STREET M The South 122.0 feet of Lot 2, Block 3, Letendre Addition No. 2, except the. East 30 feet thereof. 1 her.bv...ru,'HOT IN.,'„ M -U ..d ....e...ep....nrolf.n Minnesota Valley Surveyors & of o 1-H, of 1h. ,+ 1h. <b.V. III.... b.d Imd, Engineers Cor. 9i -and-ol--16.Jnmli,i,H of 011 b,d,nq. 1he.eon, and all v sable by R.L 5 env o.chmen,s, A .nr. +.o,n o• en I..d hind. As ..rV.,.d b, n,. 1h„;; 71?4.,0Vwe-----°. o. 19Minn. Reg. 04/08/2014 TUE 11:22 FAX 8774423424 Craftsman Restoration CityofEaau 3830Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)675-5694 IQJUU1/UU1 Use BLUE or BLACK Ink For Office Use ii5g3 Permit*: Permit Fee: ! a L° 5 Date Received: ((f13 f i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '✓`5 1 PONPCt4) kj1 . Unit #: Name: J Y-NIU-TSt-N Phone: S - 54 - Address / City / Zip: 25 ► DvtOrLD KvS Applicant is: Owner Description of work: (� Construction Cost: • 00 tractor CCompany: C L -Pc • um Contact 11 Address: 9909 S • 5ti-e, yelp— 2 -AO MA r�City: t LMMm.A.r State: tA.14 Zip: _ 5S-41-1 Phone: 10.12- 2-2-4-I1041 License #: Px' l : 1 D Lead Certificate #: If the project is exempt from 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 Eaga issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of ma r pla Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Plans and supporting. documents thatyou submit are considered to be public information th"e information maybe classified as non public if you provide specific reasons that would permit include tiatthe airel tradesecre CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protectionagainst underground utility damage. CaIl 48 hours before you intend to dig to receive locates of underground utilities. a w.aooherstateonecall.oro 1 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 ompleted within 180 days of permit issuance. x iftf14%4124P711.4 Applicant's Printed e Page 1 of 3 Use BLUE or BLACK Ink r Office Use I For J&16 "7r I , City of Ea~~~ , Permit#: _ I Permit Fee: V 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 Z A".1d / IVt Unit Name: S~Tt I`„ytSo~ Phone: Resident/ 372 S7 yy~~ /f Owner Address / City / Zip: .UDrI~(CF . Applicant is: Owner Contractor Type of Work Description of work: geniove t'`p/aCe_ S'C('l 5 Construction Cost: b 4U Multi-Family Building: (Yes / No Company: l~~lT(f~n°~ Contact: Address:. / 10 City: Contractor State: Zip: Phone: License y (o 3 3 610 Lead Certificate If the project is exempt from 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? I i _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: i 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, 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.oopherstateonecall.org 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. Applicant's Printed Name Applic Signature Page 1 of 3 , --I For Office Use Lrl - Permit#: /6/1 3. Permit Fee: / a 7 -6 I ,. ...., ECEDate Received: Li-k- a 1 -- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 53 IVE - ;;)'- (651)675-5675 I TOD:(651)454-8535 I FAX:(651)67 94 Start:8 2020 Staff-• Jl I I I buildinginspectionsacityofeattan.com , L_ _______ 2020 RESIDENTIAL MIT APPLICATION , Date: 01'4' Site Address: 3 J e __4-.... c._./.141) .5.5). I Unit ft: Name: kfr h.IA 1 '/,-;,t i Phone: ‘.751 35 3 C)7 T;, Resident! — Owner'.4%.-4,... Address/City/Zip: 5 2 1 i Doo A 1 f) 4 Je ,-... ‘,1 c6 I 1 ,- ..,„tql, c .-7 ,4 Applicant is: Owner A Contractor tie - - 1_, 4 ' - -.4d.. t). Type(*Work ,, .. , 1 - ' Description of work: (...._ c,;vi I 0c,)I I t' _,5 it i,/ a 0 „i2 i L.y 15 f,el (n•,r e ic. kt . ) ,. C)' 7 Construction Cost: f Multi-Family Building:(Yes /No,.. . ) 4 , t2 -- 4 -- Company: I 66 4.- i/il potic yr) '1k1-1.-6 Contact: C.,i 5 / -- t(.-) )4 14"14 5) Contractor Address: 111.'0 ( ri.c o,,) 0,,V. 4-t ta. i _City: '.,,,A1 it / )-)0N.It I , , ,.. , - lie !--6. . r State: Zip: 5 5 Li) / Phone: &iv< ' X`.1-b-5 *mail: tt-4.10.1 "•i m -icherriefirr•,Ct.:01 License#: PC - I 6 Lead Certificate#: If the project is exempt from lead certification, please explain why: 1,„ ,',. 4,v,if- ,°.,-, 73 ,. , ...--.X,I t-,,r,c, 4,+0 17 5 )1..„, iii,A. f eiv,i,), olike,,,i, i- it.,, t)-- 7 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 Anitsunporting documents that you submit are considered to be public Information. Portions of the inform -,., may class t°-• as •;i a•ublic If 42A • • ' • -c reasons that would. it the C to 0 nciu. , are • :• 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.citvofeanan.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. wwwoopherstateonecall,org 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 pl s. -,----"... - x 1 fe-,k1f4.1 6 0 C x 17400) Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE S 5 / _—1)00 Aid Aii / 7/'- / SUB SUB TYPES _ Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) y<-Single Family _ Garage Porch(4-Season) — Exterior Alteration(Multi) _ Multi — Deck Porch(Screen/Gazebo/Pergola) — Miscellaneous 01 of_Flex Lower Level Pool Accessory Building WORK TYPES _ New — Interior improvement ^ Siding - — Demolish Building' _ Addition T 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 , Occupancy -5:::12-,C 1- MCES System Plan Review Code Edition ;p M)JP-L.. SAC Units (25% 100%K ) Zoning ^-1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final t No C.O. Required Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test_Hood Roof: ice &Water Final ______ Pool:^Footings Air/Gas Tests _Final 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: 411, , Building Inspector RESIDENTIAL FEES Base Feei Surcharge Plan Review +ems + e w -17,5kLJ. ori. MCES SAC City SAC6 PCS. c x r S V; y fro,* i~n t.-r•y s ef Utility Connection Charge ) F S&W Permit&Surcharge , Treatment Plant ''� '�� tsr- 1 Radio Meter Read Copies TOTAL Page 2 of 3