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2018 Diffley Rd Use BLUE or BLACK Ink -----------------i I 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 ? ?I 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 ?? ? D•N. /I * 2. EOAR (%LOYE - AREA C G TYPE . Ept, r, fZoVE CZ AME L?HEGK C?aoE I f i W Z T h LO CI Of a W a crf L 24 FrZC. -j ; . V . " 1, Y.. . I ; . . . -,. ? ,6,.U • 3•?-E:e _.-L. -'-' .?:....& .*. :::a;.."..it'.,.:/-? '.?stt93°:3 ?^_ '.''3k.?."?i si r A y_,.. - _ _ - 1 I AdUS ? Otl3X ANJ -, A t.J ?. 3i f? 1 Otl3% [ ' Otl3% ,, " F - Otl3% t ? `? l t ^ ' , C • " ,.{ / 4 f? y O Y a od$r:-Grove Canat? . v ? : ?? LE M r .•„ i , : s. JACKS®N C . F I .. . LAND GuNvEYON ,., I . R[OlfTtil[D UND[0. LAW[ W fTAT[ OF YINNKW A e , OC NGKD [T. OROINAMC[ Or CITY of MiNN[,,ro1.if 1 4618 CAST SSTN STREET PA x"4861_ ` - $urbeg6c'g Certit<tate 7 1 1 Rd x.30; " Co - - . . , ; . , 1 • u I E?B o : ?- b s , ,- I ,•' I bA 381 Y , : r i I 1 µ 'y L ` I S i 1 .. I . ? . F . ! 4- ' r 5 ,i 1 1 .. t 1, - v , .. :.' .. ,, 1 1 i ' I ' 3 t J 1 ; BB. . 1 ' 1T ?i 1 ? l ;' I:? Scale i na'.501 ; , AOOYL 1f A T11V[ AND ODRR[CT 1•1.AT.Of1 A $URV LY O/ r ' (^' NAT TY[ 1 N[ROY G[11TIIY T I 1 Cedar Grove Ila.8.`', 5 BIOek 1 L6t , : , Dakota County, % tRinn. Isagasz Tovmsh . 1 I„ i ., 1? , ? ? . ?. ?.??' , : I . o 1964 .. ? .1 I Au(; 1y th . / . D? r RL - ? "Y A{ fURV[Y[D [T Y[ TM14 - I' I"- : FL.'JAC SON: MINN[f0 auTRATfON. No. 3800 f - -- = - r _' , .. - : " %ERO COPY A wa XERD 1 f ' %1 EROI? /'?I -- PY COPY T? XEROI CUPYR ? 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