2050 Diffley Rd
Use BLUE or BLACK Ink
-----------------h a c►
~
i `For Office Usk LI ( ~p
4fl*
My on I - i Permit Ct
E v I Permit Fee: I m
Pilot
Eagan MN 551 2 R SEP 10 VO I Date Received: I
I
Phone: (651) 675-5675 I I
f n
Fax: (651) 675-694 Stag
v
I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t ~ - t y Site Address: 70S v b~:t ct ,vtnl _s-SJ Z Z
Tenant: 3Lqsz^w' A a-1 Suite
RESIDENT I OWNER Name: A iae- 4 ,,%k LCvLL0 L 4 Phone:
Address / City / Zip- ~1~ ~tJ t7 c=;-t ~cJ Y~ _L >
Applicant is Owner Contractor
TYPE OF WORK Description of work:
$ a~
Construction Cost: e Z' Z06 Mufti-Family Building: (Yes No
CONTRACTOR Name: Alh - - License
Address: City:
State: Phone:
Contact Email:
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: F ans and supprsr ng documere *Wtat you submit at+e considereFf to be 7;W 406A" on. Pots of
the information may be classified as non-public if you provide .spedFic reasons that would permit the City to
conclude that they _ are trgie met :
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 434-0002 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; stud 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 std ut 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
a54-'!:4 AC X l DG X
Applicant's P nted Name A pli g ture Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 41 of Plex 4- Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES $00 Y j KWA--0 JVVv
- New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteratio _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window e Water Damage
_ Retaining Wall *13emolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition/~ SAC Units
(25% 100% ) Zoning r City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction ~L _ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation _T_
HVAC
Drain Tile Otter:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: eStucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: ^ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review o
MCES SAC
City SAC r~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Use BLUE or BLACK Ink
--------I
FOF OtfiCe. Use
I I
Permit#:
City of Ea a~ I
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Staff:
Fax: (651) 675-5694 L -----------------I
010 RESIDENTIAL PLUMBING PERMIT APPLICATION
-n
o
C'~-
Date: 7 F Y U Site Address: (X
Tenant: 1A~ / / Suite
RESIDENT / OWNER Name: J f " ~ - 6" r I 'k Phone:
Address / City / Zip: (6
CONTRACTOR Name: m -e rG c (LA. License PA
Address: '7 > C/ City:
State: Al-N Zip: 5r( Z lb Phone: r7
Contact: W4 Email:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) _),e Add Plumbing Fixtures Main / Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.aopherstateonecall.orc
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 wi approved plan in the case of work which requires a review and approval of plans.
x Wot~ I~,~~(~ ~tQ'td x
Applican s r' ted Na Applicant's V nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r I
r~ I For Office Use,/! (I
Permit
City of Eanon
I Permit Fee: O
3830 Pilot Knob Road I I
Eagan MN 55122~ Date Received:
I
Phone: (651) 675-5675
I Staff:
Fax: (651) 675-5694 L -----------------I
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: IQ Site Address: A)
A /7
LAL uite
Tenant: c.~
RESIDENT/ OWNER Name: c Phone: 1 ' ~j lp`~7
Address / City / Zip: r c 646,41U, *It) 0-IZZ
--:7 o 0 CL CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email
TYPE OF WORK - New - Replacement Repair _ Rebuild - Modify Space - Work in R.O.W.
Description of work: AJcL QvL ; `Qi- ~ A ( ~
RESIDENTIAL ` Frzo.r-t `s u, -74
PERMIT TYPE
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in confor it the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, Zwork of to sta ithout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and ans.
r
X. L. ✓u- v x
Applicant's Printed Name ASign ure
FOR OFFICE U SE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In Air Test Gas Test Final
CITY OF EAGAN Remarks Cedar Grove Acquisition
Addition Cedar Gro e 2 Lot 4 oIlk 4 Paroel 10 16701 040 Q
owner r,,-,IienX . ?-?fci4?.+ Street 2050 Co.Rd. #-30 State Eagan,MN 555122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. FP0 198$ 1266.9 84.46 15
STREET R ESTO R.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 3 52. 2 f L 0
WATERMAIN
WATER LATERAL
1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...... --' -`--° '- J6!,[..t'.'t^?a ee,
--n-------- -------------
(Present) ......---...?...
Builder ........
Address -.....
..._.__.._
DESCRTPTTnT,T
N2 764
Eagan Township
Town Hall
Dale _?---Jf
Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks
/ ."S'
14re -o
TION
sneer, noaa or omer uescripnon or Location I Lot I Block I Addition or "1"rac1
This permit does not authorise 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, safely, 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, that- r. '
y. ....-..has permission to erect a------ 1 ............................... ..................upon
the above described premise sub" !o xovisions of the Building Ordinance for Eagan Township a opted April 11,
1955.
............ --------------- Per ---...................---- .....- - «-°- -------------------------
Chairman of Tnwn Board Building Inspector
EAGAN TOWNSHIP
B? UI/LDING PERMIT
Owner .._- - - --- -- ---- -. .?/ ..x----- - . ----
Address (present) .------. ...`..L.----------.-..
Builder ------- •'n-x------------------------------------------.-"'_--
Address .... _----------------------- ...----_._...--------._......._"---------------
DESCRIPTION
N° 991
Eagan Township
Town Hall
Date .411` ....................
Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks
LOCATION
mxree:, noaa or oxner uescnpnon or nocanon Lot Block I Addition or Tract
<f .22-1 . sa-- ??_
-17Z ? 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, safely, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE K PT? TH PREM E WHILE THE WORK IS IN PROGRESS.
This is to certify, that._.___. _ ----------------- .__._...._-...__-.._.-._-has permission to erect a.-.----.-. ---..._._.- . upon
.. ... .. ... ....... ........
the above described premise subject to the provisions of the Building Ordinance for gan T nship adopled April 11,
1955.
'.'--------------------------------- ..."----- Per
? .- _. - --___-_...- .....
-
Chairman of Tnwn Board Building Inspect,or
e_ . S.
24' `f' 2007 RESIDENTIAL MECHANICAL PERMrr APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan. MN 55122
Telephone # 651-675=5675
Please complete for. single family dwellings & townhonks/condos whey permits are required for each unit
?5D 6_n
Date
Site _Lnb •??iti U nit #
Property Owner -dXZ?Yt'1(/a I I (! It (d I L V? Telephone # (Iy I )
U /?A ?' ??1-?
Contractor
Street Address ?, ZI ?t1 City_
state
tY11J __ Zip 55 ? N Tele
phone# (lySl )??Y`! 7?G
(t
p
Bond t{• Expires:
The Applicant is ? Owner ? Contractor Other
- ?
r
Fire repair (replace burned out appliances, ductwork, etc,) $ 90.00
This fee applies when extensive mechanical repairs are made to a buliding.
Add-on or alteration to existing dwelling unit $ >0-00
furnace.; -Additional Replacement New
air exchanger
"air conditioner
neal pump
-; ` other
State Surcharge $ .50
Total $
T heiaby apply for a Residential Mechanical permit and acknowledge that the information is complete and UY be in conformance with the ordinances and codea of the City of Eagan and with
the Mechanical Codes; th dbr
permit, but only an application for a permit, and work is not to start without a permit; that the work will 4 approved plan in the case of work which requires a review and approval of
plans, Ulitf
-7ho M%-s •F.., Q)
? rv`
Applicant's Printed Name Applicant's Signature