2018 Diffley Rd
Use BLUE or BLACK Ink
-----------------i
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I I
City 0 oIl Permit
~~-001
Permit Fee: I
I I
3830 Pilot Knob Road
Eagan I VIN 55122 1 Date Received:
` Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 L---------------
s
INFLOW INFILTRATION PERMIT APPLICATION
17 Plumbing / Sewer & Water
Date: I r~ ' la - I Q Site Address:
- J m2s ` 14~tk Y'i' Ye, Lkca~ s Suite
Tenant: Name: 1c Yyk<-- -5 0d Y't'vL Xu(!!~-4' Phone: (0
RESIDENT / OWNER
Address / City / Zip: 0 0(3L CL
ssra
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: d / /a C~ it /i q °E- V 0 --0 11 A -tt", ~2I M
DESCRIPTION
e 'C ~b NIJ
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.
x~ayYl S C - L a x
Applicant's Printed Name A plicant's Signatur
FOR OFFICE USE Reviewed By: t :
Required Inspections: „Under Ground -Rough-In -Final
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
lit lit TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1;1 14Atr1, 1;. is !-f I`AIyAI1 1.1 1141 i 1'• 1;1 11111 k1 0 1 ov fiH'i 1 lit 11,11'A1 t 0P I
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Permit No. permit Holder Date Telephone #
ELECTRIC
Q
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
T 7
FOUND
FRAMING Au-i /lea?v Lc.
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 n
A/b
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. _ r
EAGAN TOWNSHIP N? 1272
BUILDING PERMIT
Owner .....r717- ---------------------- Eagan Township
Address (present) ...? ..... L.`..v...:...... ,: .. ?------......----- Town Hall
Builder ........ "- ..-_....s?f5. ------------------------- ------ .-.
Date ..?°vaL.? ........................
Address .................................. .------------------- ....----_....--.....----------....
DESCRIPTION
Stories To Be Used For Front Depth Height Est Cost 'Permit Fee Remarks
(/ ? LOCATION
Street, Road or other Description of Location I Lot Block Addition or Tract
;?- ? E9 -W -, -
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if 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 KqB PT ON THE PR MISE WHILE THE, WORK IS IN PROGRESS.
This is to certify, that ....?- ........ ------------ has permission to erect a.... ns ..:...... ........ .................. upon
the above described promise subject to the provisions of the Building Ordinance for Eagan To- ship opted April 11,
1955.
...................._.....K '! 'u: .-?!."'.. -"' .._....-..... Per ...._---'----..._..-° - ---... 1". ...-...?.`" ....
Chairman of Tnwn Board Building Inspector
4-9
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .-..?G?s -e-..."-------'.
O c
Address (present) 4-_----- iGret*r.Ly... .?
Builder
Address
---------- ---
-'------...
DESCRIPTION
N° 1204
Eagan Township
Town Hall
Date .. .---------- --------
Stories To Be Used For Front Depth Heigh£ Est. Cost P rmit Fee Remarks
LOCATION
Street, Road or other Description of Location Lot Block ' Addition or Traci
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 HE PREMISE ?AeWHILE THE WORK IS IN PROGRESS.
This is to certify, Thai.. .-. _..Ltr --- has permission to erect a-f 7.... ................. .. upon
the above described premise subject to the provisions of the Building Ordinance for Eagarf'TOwnship adopie April 11,
1955. 1
........... I........... 44- .....{i?Q?c .s . ................ Per ---- -....-........ ?5........Kae.' -'C-k'--. .................-.
Chairman of Tnwn Board Buildmg Inspector
I
CITY OF EAGAN
Addition l WUd.i' lxl"VVU ffC
Owner' 9 t . t L)._^ r Street
Lot 5 Rik
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. o 1985 1266.95 84.46 15 1266.95 0009356 9-4-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL (kk 1972 1304-00 2.1 2 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. f
BUILDING PER.
SAC
PARK
i
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
2016 DIFFLEY RD
LOT: 5 BLOCK: 1
CEDAR GROVE 2ND
6o0 flo
PERMIT TYPE:
Permit Number: BUILDING
0 2 5 5 8 3
Date Issued: 05/15/95
DESCRIPTION:
Building Permit Type
Building Wokk,Type
GARAGE/ACCESSORY
NEW
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY-
VALUATION $10,000
Base Fee $117.00
Surcharge _ $5.00
Total Fee $122.00
CONTRACTOR: OWNER: - Applicant -
LUCAS JAMES
2018 DIFFLEY RD
EAGAN MN 55122
(612)454-6962
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
(7 APPLICANDPERMITEE SIGNATURE
PERMIT
application and state that the
with all applicable State of Mn.
nou P-Pl j
ISSUED B SIG TURE
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
prffi3 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? i zz. 00
? 3 registered she surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7IM3
required: _Yes _ No
DATE:
CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _ 5- BLOOK SUBD./P
#: tl?izouc
2- O'??>
PROPERTY Name: ? 1,ea 9/ Phone #: !Z- plk?g
OWNER " `
Street Address-
City: C - State,/ Zip::
CONTRACTOR Company: Phone #: -?
Street Address: License #•
City: State: Zip _
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #
Street
City:
MAY 0 8 1994
Sewer & water licensed plumber:
change are requested once permit is issued. ---------------
I hereby acknowledge that I have read this application and state that the inforrnatio is
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
MAY
Yes 1z;j?
Tree Preservation Plan Received Yes No
L? Will-'
1995
--- ------ ----
Zip:
address change and lot
comply with all
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
X31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
o 37 Derrclition
APPROVALS
Planning
Building
i
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $ 14?2r Osu
Permit Fee
Surcharge
Plan Review _
License
MCMS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
28 xvY = (,7z x /V= 9,Yv D
51Y6
% SAC
SAC Units
7x-
454-1084
LOT ?_
5 NAME
VA RE LL G 55 SIZE
2-4 'x
22'
BLOCK 4A ADDRESS VALUE
? -60 ??
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4?> City of Eap
3830 Pilot Knob Road
Eagan MN 55122
-.Phone:(651)675-5675 _
Fax: (651) 675-5694
I -------------?
For OfficeTls e
j Permit #
Permit Fee:
Date Received: j
I I
1 Staff:
I I
. 2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
RESIDENTIOWNER. Name; `J//! / ?IE}T/ ?clC?B s Phone:
Address / city / Zip: 0"2 0/,? (l?-r=/? p
Applicant is: Owner 7>!? Contractor
TYPE OF WORK Description of work: SIIDI
cA
Construction Cost: e260 Multi-Family Building: (Yes ! No.
CONTRACTOR Name: !9 }d s e!5 514iEt r> License#: Sir; ?05??CSS?
Address: ?/G 3/ GiL1?Je i !?
City: .47/.U yJ Stater Zip: ZJZ 3--2
Phone: _6T/--Z/3 7- 34C2 Contact Person: 6? R/?67??d ?'/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J 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 prov/de specific reasons that Wciuld permit the City to
conclude that the are trade secrets.
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 ans.
x x
Applicant's Printed Name Applicant's Si ature
Page 1 of 3
Site Address:
Use BLUE or BLACK Ink
r
I For Office Use I
I I y ~ I
Permit 3,05
City of Ea
EdR I
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 13113- 1
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
J
7 _ Site Address: L' 6" l ` Unit
Name: 7) 4~1 iJ C"_ S Phone:
Resident/
Owner Address / City / Zip: Z- CST y RP
Applicant is: Owner k Contractor
Type of Work' Description of work: e-a ~ '~7
Construction Cost: O , - Multi-Family Building: (Yes / No
Company: As k~f,~i Contact:r°°:`~C
Contractor Address: 5 `l y jl'~ cJ ~J ~r City: s ~C
C
State: A'-V Zip: _5 7 7 S Phone: Z - cv 9 37
License _ )3 1 t1: 3 IC5 7 0 Lead Certificate /V
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?
_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
i 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.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.
x cam/
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3