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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