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1510 Deerwood BendAddress: 1510 Deerwood Bend Zip: 55123 Lot: 19 Block: 1 Subdivision: Woodstone Townhomes THE FOLLOWING ITEMS WERE/WERE NOT WMPLETE AT FINAL INSPECTION OV Yes No Comments Final grade - 6" from siding ,f Permanent steps - gazage ? Permanent ste s- main ent Permanent drivewa Permanent as Sod/Seeded lawn TraiUcurb dama e Porch Lower level finish Deck Fireplace Verify with your builder that roof test caps from the plumbing system have been removed. Turn off water supply to the outside lawn faucets before freeze potenrial exists. Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing irrigation system. IIUILDINGINSPF,CTOR ]acd/bldginsp/Fortns/2002/finalinspecdon checklist (6 59 7 s'1 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,P ?? ? a_&LL1JQ_ 4ay New Constmdion Reouirements RemodellReoair Reouirements _._._..... __.. _ Office Use O?Fd 3 registered site surveys showing sq. ft. of lot, sq. fl. o( house; and ail roofed areas 2 copies of plan CM&Stm'eY?Recd '?Y -11 (20% maximum lot coverege allowed) 1 set of Energy Caiculalions for heated addilions 7AT'1025 PI9f.itiOCtt _Y _N.. 2 mpies of plan shaxing beam & window sizes; poured found design, etc. 1 site survey for adcfitions & decks Ir88Pre5Raqurced t;Y N iselofEnergyCalculations Add'Aion - indcate'rfon-sitesepticsystem DirSileSeptic5yslem ..`.Y_N 3 copies of Tree PreservaGon Plan if lot platted aHer 7/1/93 Rim Joist Detaii Options selection sheet (bldgs with 3 or less unils Date Constructiou Cost SiteAddress Unit/Ste # GA Y. ? S/. Description of Work ?g[n 6[ ed4? ?ru,ro in _ ? . Multi-Family Bldg _ Y ?N Fireplace(s) 0 _ 1 _ 2 n PropertyOwner <•?-[ nB ?z, 4r (,? -?- nre(' ?Ohnrm Telephoae#(fpS'1 ) 71(0 -00577 ContraMOr BCtsittl Z QA sq Address 9-Dv/ ?4 Ae 4z City /19.nn e: ,ovit'i State Zip_?S Telephone#((Piz ) 3v; -4C36'1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review 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 in the case of work which requires a review and approval of plans. &a.e / LE Applicant's Printed ame % Applicant's 'gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 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 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex Cy 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg'6Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 4 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Vatuation Occupancy MCES System-' . Census Code Zoning ? City Water •-, SAC Units ? Stories Bobster Pump # of Units d Sq. Ft. PRV # of Bldgs ? Length Fire Sprinklered Type of Const -611%1 Width REQUII2ED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ;[ FinaVNo C.O. Footings (addition) JY Plumbing Foundation ? HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? graNing _ Siding _ Stucco _ Stone _ Brick Air Tes[ R.I. Fireplace _ Final _ Windows _ _ ? Insulation _ Retaimn5 Wafl Approved By: 'S f r a 3 0y, Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total b iv? 1 IC) 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?O•SZ) Date --6- l-:22-- I C"'"f DF?P P2w p? Site Street Address ???n C? Unit # :fA Pro ertOwner p y ?? ?? ?`./ Telephone # . Sa?s' f Contractor Telephone # ( ) Address City State Zip The Applicant is: -klowner _ Contractor _Other Aiterations to existing dweliing $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnarou (add $121.00 if a 5/8" meter is required) LL Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Totai $ "L.? I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will e'n accordance with the approved plan in the ev nt a plan is required to be reviewed and appro Applic nt rinted Name r- i ' qTv ' natur ? ? o ? 0 ? m ? ? T ? z 0 .. U y r ? z N V 0 o ? ? ? ol 0 W ? N I W ? N .. m ? w ? ?`+ I T N O ? N I ? ? O h Q? ? o • ' ? .. . 1#5 @ 18" OP L''C}U1Y. Steel #6 0 16." ? Edge F and Back 60 i/,,2 lote: 1. Top Lateral Support is Provided Prior To Backfilling 2. Provide Perimeier Drain Ai. Back of 1Vall• 4° Perforated Tile Witla Fabric Wrap 3. Grout All Cores 4. Min. 24" Lap Length All Bars 5. F'm = 1500. psi, 12" Blocks S, Fs = 60 ksi 7. F'c = 4,000 psi 8. Grout: 4,000 psi Section A-A $CALE: NONE .05;03/02 08:22 FA% 6128927900 MW JOHNSON CONST _UCTION - -` ?-- - -'- - - -- - - > ?CD? y y 1 i 1? P• G0 Cdooa . 13., r1-?" t. r I w ?DENTIai ?3 ? ? ?°r??'S 6 ? ? BUILDINC PERMIT APPLICATION ?a . s a P P W ao cQ- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 -4 53 651-881-4675 New Conatruction ReauiremeMS RemodeVRenalr ReauiremeMS C.( / • 3 registered sile surveys showiig sq. R. of IM, sq. R. M house; and all roofed areas • 2 copies of plan ?0 (20%maxMum lot coversge allowed) 1 set of Energy Calculafions forheated additions .? Z? • 2 copies of plan showing beam 8 window s¢es; poured found desgn, etc.) ?. 1 stte survey forexterioraddilions & decks • 7 set of Ene`gy Calculations . IndicaGe'rf Iame served by seplic syslem for additbre /U • 3 capies ot Tree Preservatlon Plan H bt qatled aNer 711/93 • Run Jolst DefeY Optiore selectlon sheet (Wdgs wilh 3 or less unils) (. Y-? DATE V/ALUATION JOB SITE ADDRESS 1,51ZO IF MULTI-FAMILY BUILDING, HOW MANY UNITS? - PROPERTY OWN TYPE OF WORK 1017?9-/ /'e2)1 ? APPLICANT ?zt"' ?JIJ x /I ADDRESS PAGER # CELL PHONE # FIREPLACE(S) 0 _ 1 _ 2 _ PHONE# ' I?W ZIPCODE=??,?` _ Fax # 2!i?-?9,?- NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMP M Energy Code Category ? MINNESOTA RULES 7670 CAT'EGORY 1 O?? u? (check one) - Residential Ventilation Category 1 Worksheet Sub d MpR 14 2002. - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 By? S , - New Energy Code Worksheet Submitted Plumbing Contractor. ?/ p/I?)ZZ _Ik6l Phone #: Plumbing Syscem Includes: Water Softener /f/a I,awn Sprinkler Fee: $90.00 L Waler Healer / No. of R.I. Baths .? No. of Baths t- 04, 10 MechanicalContractor. ? ?7l '4 a, Phone# Mechanical System Includes: o Air Condilioning Fee: $70.00 Y AtO ?l ?- Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have repd this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan /Ouli7 ces. Signature of Apptlcant \_ An ? ?//' Cert?cates of Survey Received ? Tree Preservation Plan Receird _ Not Req red Updated 2002 OFFICE USE ONLY ? Ot Foundation ? 02 SF Dwelling ;,k? 03 01 of 2 plex ? 04 02-plex ? 05 03-plex O 06 04-plex ? 07 05-ptex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ,6? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y ar _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscelianeous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi g 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding z ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /;Lp? Occupancy 9-3 MC/ES System Census Code loA Zoning r' 0 City Water SAC Units a/ Stories o9- Booster Pump Nbr. of Units d/ Sq. Ft. P,05O PRV Nbr. of Bldgs o/ Length 50 Fire Sprinklered Type of Const ? W idth t?*' d REQUIRED INSPECTIONS ? Footings(new bldg) ? FinaUC.O. ? Footings (deck) _ FinallNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC ? Drain Tile Other Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests _ Final ? Framing _ Siding ,?V Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) .? Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ? l UltlI=,N,r,,ia ?3S,•?f C' /0 l? fL 90/ PC`' 6y ?- Building Inspector ---- 9 8 ?6 ?- / 33 6)- 4i8n ?f $ G54 ' ToWI MNcheck COMPLIANCE REPORT i Minnesota Enerqy Code I Permit # MNcheck Software Version 3.0 I I ? Checked by/Date I COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-6-2002 DATE OF PLANS: 03-06-02 INFORMATI ot 19 ne Eagan OMPANY INFORMATION: MW Johnson Construction, Inc. 17645 Juniper Path Suite 100 Lakeville, MN 55094 COMPLIANCE: PASSES Reauired UA = 435 Your Home = 358 17.7% Better Than Code Area or CavitY Cont. Glazinq/Door Perimeter R-Valu e R-Value ---- - U-Value ---------- UA ---- ----------------------------------------- CEILINGS 1800 ------- 44.0 - -- 0.0 49 WALLS: Wood Frame, 16" O.C. 1116 19.0 2.0 62 WALLS: Wood Frame, 16" O.C. 1008 19.0 2.0 56 BSMT: Conc. 8.0' ht/8.0' bq/8.0' insul 992 10.0 0.0 57 GLA2ING: Windows or poors, Above Grade 246 0.480 118 GLAZING: Windows, Foundation, <= 5.6 ft2 6 0.480 3 DOORS 38 0.350 13 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------- -------- ---------- ------------ ----- ------------------------------------- COMPLIANCE STATEMENT: The proposed buildina desiqn described here is consistent with the buildinq lans, cific ations, and other calculations submitted with the permit pl' The proU?sed buildinq has been designed to meet the re ' e n f the Min nesota E nergy Code. Builder/Designer __ ? - ? Date0> -a -d2- ? n ? -- ? Q ? m ? N N or Equiv. Steel m' ? , `n ?( G @ 16..? Edge F i anci Back ? T ? CI I W ? ? m H I !+? N N ? O C! ? ? ? m Q Li. l.) ?I-- -lA GARAGE WALL TYPICAL SECTION SCALE: HONE lote: 1. Top Lateral Support is Provided Prior To Hackfi]ling 2, Provide Perimeter Drain Ai. Back rai Wal1• 4" Perfarated Tile With Fabric Wrap 3. Grout Al] Cores 4. Min. 24" Lap Length All Bars 5. F'm = 1500. psi, 12" Blocks 6. Fs = 60 ksi 7. r'c = 4,006 psi 8. Grout: 4,000 psi Section A-A SCALE: NONE Z O r.? F U ? r ol V 0 N 71I O ? 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IC) Q A D 1Yzy yT-L (A Unit # PropertyOwner l' h-P-.ti QQ- -?bLQ 1x-u Telephone#LO7)1 ? t Cuntractor \ Y, Address City State Zip 5? b 1 LO Telephone #(1 The Applicant is _ Owner ? Contractor _ Other Septic System New Refur6ished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water sokener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener _ Water heater D OC? 'A? ?L 2?03 $ 15.00 _ replacement jj additional By State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and aclmowledge that the iuformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 plaas. Applicant's Printed Name licanYs Signature ‮⸿മ匊牵敶潹❲⁳敃瑲晩捩瑡൥匊剕䕖⁙但⁒›睍䨠䡯华乏਍䕄䍓䥒䕂⁄十㨠潌獴ㄠⰹ愠摮㈠ⰰ䈠潬正ㄠ‬佗䑏呓乏⁅佔乗佈䕍ⱓ䌠瑩⁹景䔠条湯‬慄潫潴䌠畯瑮ⱹ਍楍湮獥瑯⁡湯⁤敲敳癲湩⁧慥敳敭瑮⁳景爠捥牯⹤਍䥴奁ㄠ‰䕒❃ൄ爊✫慩湦✷眠㈠⾰⁡湍楥眬Ⱬ㽳㤠敲㽡䝉匠⬱䘠䭇假൩䘊‧數瘬⁳慸潥漮਍㥎뀰〰〧∰⁗〱㄰〰਍൏伊਍佌⁔兓‮但呏䝁⁅ി㴊㌠㐬㈴਍午⁅兓‮但呄䝁⁅൯㴊ㄠ‬㜷‴뀭൯䰊呏䌠噏剅䝁⁅⺰਍‽ㄵഥ㼊਍⁉⁉慯正਍镲਍⁷慡⸿‿敵䭣䤠ⴠⴠ∠਍汭✠锢›‿‭⁠㔮㔷ㄮഴ渊‿牐灯慯摥㌠⸹㌸਍⁉㘱吠楷⵮潈敭倠潲潰慳⁤佌⁔兓›但呏䝁൅䤊ㄠ挲⹳搠䤯吠楷⵮潈慭圠琠䕒⁔䅗䱌 ⰴ㔰സ䤊漠〠〠ㄠ挲⹳搠䤯爠⁶⁷汌൬嬊弭ㅟ椠潳⁳⹳㝥牎⁩ㄱ㌳㙦楦‷猱漬漠䠠䕓匠⹑䘠住䅔䕇਍愲ⴠㄠ‬㤴ല뀊䰠呏䌠噏剅䝁൅挊牡⁡⁥‿⁩‿‬൨䐊潲㥰挲⹳丠瀠䜠牡条⁥⁰㜳ി弊彊  楥愮甿㼿㤸⸹′潎䕲愺㽮湗ൕ䤊䄠汇⁓⑃笠Ⅺ坻歱റ倊佒佐䕓⁄䱅噅呁佉华਍䐧਍ാ吊灯漠⁦潆湵慤楴湯ⴉ朠攤Ⱞ൑䜊牡条⁥汆潯⁲뀿婔ॏ愽慳⽳慌䥲㵡慡穥਍慂敳敭瑮䘠潬牯㴉㜸⹥൳䄊牰硯‮敓敷⁲敓癲捩॥‽敓‬潮癯഼倊潲慰敳⁤汅癥म‭ി䔊楸瑳湩⁧汅癥मഭ䐊慲湩条⁥楄敲瑣潩獮㴉਍敄潮整⁳晏獦瑐䌠湴䅵ഉㄊ〰伮⁖㨳‱慍桸浖匠潬≰਍‿⁡敗慴䵬杮圠污਍敂删煥極敲൤Ⰺ਍爿属‬⸿⬭椠਍性㼠⬭‿മ㼊਍ി䨊㽟䨠䤠牁❡ി✊㭲‭Ⱝㄠ锺⹲ⴭ爮⬿Ⱜ਍ ⸮⸠⸮‮›㨮㨠㩺ി䈊久䡃䅍䭒ബ䰊潩൱䌊倮മ䔊⁉略›㜸⸵〸਍䍓䱁㩅ㄠ椠据⁨〳映敥൴䠊䑅啌䑎਍䱐义⽎䝎䈠䝎义㙂汒䝎匠剕䉖䩙䝎਍〲㔰倠湬传歯䐠楲敶਍慅潧Ɱ䴠⁎㔵㈱ല倊潨敮›㘨ㄵ
〴ⴵ㘶〰਍潆㩸⠠㔶⤱㐠㔰㘭〶ശ䴊义‮䕓䉔䍁⁋䕒啑剉䵅久協਍牆湯⁴‭潈獵⁥楓敤ⴠ਍敒牡ⴠ䜠牡条⁥楓敤ഭ䤊䠠剅䉅⁙䕃呒䙉⁙䡔呁吠䥈⁓卉䄠吠啒⁅乁⁄佃剒䍅⁔䕒剐卅久䅔䥔乏਍䙏吠䕈䈠問䑎剁䕉⁓䙏吠䕈䄠佂䕖传卅剃䉉䑅倠佒䕐呒⁙十匠剕䕖䕙൏䈊⁙䕍传⁒乕䕄⁒奍䐠剉䍅⁔啓䕐噒卉佉⁎乁⁄佄卅丠吰倠剕佐呒吠൏匊佈⁗䵉剐噏䵅久協传⁒久剃䅏䡃䕍呎ⱓ䔠䍘偅⁔十匠佈਍䅄䕔㼠ℯ佸⁚⹏਍䥌䕃华⁅啎䉍剅ㄠ㌴㘷਍ぎഺ《刲ㄭ㤰਍佂䭏ഺ圊潯獤潴敮 i Aaron Perkins 651-493-0706 p.3 Use BLUE or BLACK Ink For O-W-meUse--------- I I so g(01 Permit it City of Fatah I Permit Fee: ✓ 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: 1 Phone: (661) 675.5675 1 Staff. Fax: (651) 675-5694 1 2012 RESIDENTIAL BUILDING PERMIT!! APPLICATION Date: 6 ~ 1 SiteAddress• 15096F10 DeeluooU lg#-nA Unit: i t f Name: Phone: I RESIDENT I 1Q~ _ OWNER Address I City I Zip: Appf'rcant is: Owner A Contractor J • o i- ` Description of work: Q0.'r - o Te a K d Rc - Ro ~n TYPE OF WORK Construction Cost Is . 66 Multi-Family Building: (Yes I No F I Home 19 V►i dtr Contact: Aaron- Per kipi Company: woIndeC~ s -1=1- Address: L i n 0A m Lars e city: ci r' a A r1 eS CONTRACTOR State: Zip: af Phone: :Zy--2yS - 33S501 73 License #l 83 Lead Certificate NA-F-11 93A3 -1 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? v f' Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I k } 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 classed as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. M CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours www. be I r fore you intend to dg • to receive locates of underground utilities. aooherstateoneca I.oa . 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 win be in accordance with the approved plan in the case of work which requites a review and approval of plans. Extedor 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 Act Ir`o pey, k i vt 5 ( P-a x Appti nrs Printed Name Appl' nYs Signature Page 1 of 3 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: h5300 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: / c/O (3 d6-;:/(7/LC Phone:,2c-/-72_5---g75-3--- Address / City / Zip: /SOS - /< / 0 /�-e , WOQCC Ij,G- -C------12--Z- �_Applicant Applicantis: Owner Contractor Type of Work Description of work: eii-le POh t Construction Cost: 1 C O O Multi -Family Building: (Yes / No ) Contractor i Company: I i C ..,,,,i- /g r Ea ' ontact: 410i1 /Wk Address:2S-0 0 v/C i.aCif , �f City: �(� 'OCy / / State: Zip: Sri- 7 Phone: 763- 5,�0.-- ocl i-{ cjct ---7 )— License #: 6 773 Lead Certificate #: 0 1T.5-- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.qopherstateonecall.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 per issuance. �c Applj ant's Printed Name Page 1 of 3 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ,^i n 3 Permit #: 1 . 0g Permit Fee: Date Received: L/ %iiih(1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner / lsc,�r Name: I', / (od.� �e Phone: T 7757--0; 6'S Address / City / Zip: 46-0---/.�l'C-) )oou',.-,C. _S-12:2— 1ZZApplicant Applicant is: Owner 'L- Contractor Type of Work Description of work: fviQfi(' Re/1(7_60-S j,:; Construction Cos /: 000 Multi -Family Buildii •: (Yes / No ) Contractor Company: CL . A S 6k4L -ntact: a 0 ,i, Address:V lC-k3'(3t3�c1 `ii- ►i.J.`�''e_,�fQp 1 pf1&1L.1 State: V. i,) Zip: 4,5 1{ 7 Phone: 73 SS -0- 0 License #: J0 i679%? Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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.qopherstateonecall.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 permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x a ure Page 1 of 3