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1621 City View DrCiTY QF EAGAN . .. ? ??4 ? 3798 Pilot Kao? Rood Eayon, MN 5512= a t. PHONE: 454-e100 BUILDING PERMIT Recelpt # - Stte Address _ 1631-111513 City View Drive Lor 3 Block _ 2 Ssc/Sub.Rob't Karatz pcrcel # 10 41300 030 02 p Name Owner ? u' Address e?--- I hereby acknowledge thot I heve read this opplication ond stote that the information is carrect ond ogree to comply with nll opplicobla State of Minnesota Statutes and City of Eogon Ordy?onces. Sipnature of Permittee ? A Building Permit is issued ro: Gerald L. Hartrsan oll work shall be done in accordance wlth all opplicable 5tate of M{r Buildinp Officiot Erecc ? Occuponq 8--3 Alter ? Zoning R-4 Repoir ? Fire Zax iXA Enlorye O TYpe of Const. V Mova ? # 5tories Demollsh p Lengthi,4^ Assessment Woter & Sew. Police Firo Enp. Planner Council 3-15-8 3 Bldg. Off. 3-16-83 APC Ft. SurGhorpe ? - Sn Plan check Woter Conn. Woter Meter Road Unit Totol ? ??3._ on the axpress corbdition thoe Statutes ond City of Eaqan Ordinonces. Permit No. Psrmit Holder Misa Permit No. Hoide? Plumbing H.V.A.C. Wdl Water Disp. p. Swwr Ebetric Inspection Date Insp. 4ther Footin¢ Foundation Framinp Rough Plbp. Rouph HVA ? Inaulation Final Plbg. ,*?,...... Final HVAC Final ? ?7 F Wmr Waaribs Loeation: - MWII Sew?r Pr. D'ap. , . CITY OF EAGAN I f-;W 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # ' To be used for T Est. Value ' Date Sj 19 Site Address L12-.15? 3 "? 1Y V!; Lot '• Block ? Sec/Sub..' -;i ?b `.<^,T-'• r,'', OFFICE USE ONLY Parcel No. occuPar,cy T?-1 • ? , ? FEES ? ? , '. Zoning : - ? ? ? . ., N „ Name ALi... _ . AF, lActual) Const ?s Bldg. Permit ? l •+? W ; Address (Albwable) ??? p T f t r : Surcharge r , City ` • ? ' " Phone # of Stories ? 1) Plan Review r? ?'? '' Lengfh /1 o Name • Depth ??x SAC City ' , oQ _/ ; S Addre? !? S.F. Total - ? „ SAC, MCWCC F City Phone S.F, Footprints - ?Nater Conn On Site Sewage _ r F Name On Site WeU - Water Meter W ?; Address MWCC System - grz a W Clty PhOfl@ City Water - qcct. Deposit it SNV P PRV Required erm I hereby aCknowlege that I have read this application and state that the Booster Pump - S,'W Surcharge information is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee 1 ? APPROVALS Road Unit A Building Permil is issued to: Planner - Park Oed. on the express condition that all work shail be done in accordance with all f Mi li bl S S ?ncil -- ??Eo ies ca e tate o nnesota app tatutes and City of Eagan Ordinances. gid9, pff. P Building OffiCial Variance TOTAL , . . ? _- Permit No. Parmit Holder Date Talephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspeedon Date Insp. Comments Footings I Q - J9 t4? '- Foundation Framing Roofing Roto Plbg. Rough Htg. Isul. Fireptace Final Htg. rmal P16g. Const. Meter Plbg. Inspector - Notify Plumber Engr.fPian Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPEC SITE ADDRESS: PERMIT SUBTYPE: , . i.i) i ON RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: iiiiI I N r, H'. !, i TYPE OF WORK: 1I1 '.1 141111 1{1N r«t I ( utrtf 0 ,?Wt I-, i Af, /H6 /93 NPF•AfF< hf i'l At I t,r)flF INI*, !' P9 t11 h !?'; i I 11 l'! i PermR No. PermR Holdsr Date Tebphone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspec[lon Date Insp. Comments Footings I Foundation F??? 7/-/?.3 i? Roofing Rouyh Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Flnal Plbg. Plbg. Inqpector - Notiiy Plumber Gonat. Meter EngrJPlan Bldg. Fnal Deck Ftg. DeCk Ffnal Well Pr. Disp. C INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 S1TE ADDRESS: APPLICANT: ?,;iak, I:1iiil 1241F11 {11 k Attp i 1 ( I?? {.' ) '):3!;,. Hb!,; I f,i!t, 1i•':3I tiu H t? t r+c; H: gHI .8 0?> 1tAhl??'i " PERMIT SUBTYPE: TYPE OF WORK: j E, ALH ; Vt R(' t k00 V LH ff ? Pern,n No. Perrr?n Holder oate relephwne a S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspsction Dab Insp. CommeMs Footings I Foundation Framing Roofing 7171?2 14)46 Roug, Plbg. Rough Htg. Isul. Frepleoe Flnel Fltg. Orsat Test Flnel Plbg. Plbg. Inspector - Notily Plumber , Const_ Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. - -ts!? i CITY OF EAGAN Include 2 sets of plans, . .. 1 site plan w/elevations & BUIIAING PERNIIT AYPLICATIOAI 1 set of energy calculations. To Be Used For Dar? Z? 15?? ?EA ValuaYion ? Site Address: -a?- 6 V-j4--'a,y... oFFICE USE ODLY Lot ?- Bloclc ? Sec. /SUb. m-?z Erect K OccupvicY Parcel #: 0 0 O ?o Ci a ?1ter Zoning Repair Eire Zone AIA Owner: Enlarge _ Type of Const. Address: Dennlish Frontr?s ft. City/Zip ?a Grade Depth ,a ft. Phone #: r.-1 5'- Y/ y APPROVAI.S FEES Contractor: Owy,E . q Y Psldress: City/Zip Code: Phone #: Arch./Eng. Address: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Ehg. PlannerFIlngAiffiiM Council a Bldg. Off. P.PC Perntit Surcharge ? s?`-? Plan Check 5AC Water Conn. Water lKeter xoad Unit TO'PAL '5 3 1 C) 0 CITY OF EAGAN N? 16420 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT . Receipt # Tobeusedtor GARAGE ADDITION EstValue $9,000 Oate 5/5/89 19_ SiteAddress 1631-1633 CITY V1EW DRIVE Lot I- Block 2- SeGSub. ROBERT KAL2ATZ AD OFFICE USE ON?v P0rC81 NO. Occupancy B-1 + 2 FEES 4 R Zonin9 _ ? ALBERT M. HAFNER Name (ACtuaq Const -V-N BId9. Permit i nx _ nn w z 3 Address 1456 NORTH HAREL (Allowable) 4.50 h S ° City ST. PAUL Phone 774-1465 #ofstories 1 arge um Plan Review Lengfi -24- o Name (Self) Depth ? cay snc . ?¢ Address S.F.Total - . SAC,MCWCC ? City Phone S.F. Footpdncs - Water Conn On Site Sewage _ ?w Name OnSiteWell - WaterMeter E z Address MWCCSystem - , , aw City Phone Ciry Water - Acc, pePos t SNJ Permit PRV Required _ I hereby acknowlege iha[ I have ead fhis application and stale Ihat ihe Booster Pump - S!W Surcharge infortnalion is correct and agreE ? o ly with all applica6le State of Minnesota Statuies and Ciy of E i ce . T:eatment PI Signatufe of Pefmilee APPHOVALS Road Unit A Building Permi[ is issued t0: A ERT M. H NER Pian^ef - Park Ded. on ihe express condition ihat all work shall be done in &Qbordanc,e wi[h all Council - 1 50 applicable State of Min ota Statutes a City of Eagan Or inances. Bldg. ON. STD . S/ Copies Building Official ? Variance - TOTAL 114.00 CITY OF EAGAN Np 7845 3795 Pibt Knob Rmd Eagan, MN 55112 PNONE: 454-8100 BUILDING PERMIT ? 2eceipt # - _5? ?0 Te M wad forSTORA6E SH&D Est. Volue $5,000 paTe March 17 I q 83 Site Address 1631-1633 City View Drive erect M a???ncy R-3 Lot 3 Blatk 2 Sec/$ub. Rob't Karatz Aiter ? Zoning R-4 porcel # 10 41300 0 30 02 Repair ? Fire one Z NA v Enlar9e p Type of Consr. W Name Gerald L. Hartman Move ? # Stories ? Address 3252 Valley Ridge Drive pe,,,oiish 0 Length ? c; Ea gan 55121 phona 454-8145 Grode ? Depth Sq. Ft.- o Nome Ow[ieY Avvrovals Faes ?u Address Assessment ? Ci Phone Woter & Sew. ? Police ?W Nome F • Fire Z ?Z Address Enq. <W CI Phone Plonner Coundl 3-15-83 1 here6y acknowledge that I have rend this application and state that gldg. Off. 3-16-83 the in(ormotion is torrect and agree to tomply wiih pll applitoble Stnte of Minnesoto Stotutes and Citv.of"Haaan Ordilwnces. APC Permit JV.JV Surchorge 2.50 Plnn check SAC Water Conn. Woter Meter Rond Unit Total $_,.5? - ?? $ipnofure of Pertnilfee ?- -? ? A Buildin Permit Is issued rm Ge a d L. Hari an.7 9 on fhe express wndition ihnt all work shall be done in occordonce with o11,6 Ilwble tat' Minnewta Stotutes ond Cfry of Eagen Ordirances. Buflding Officiol 1989 BDILDING PEEMIT APPLICATION - CITY OF E6GAN / /c-? -n 4% SINGLE FAMILY DWE[.LING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS :- NOTEt ADDRFSSFS FOR CORNER LOTS - CONTEiACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DFS IRED. NO CHANGFS WILI. BE ALLOWED ONCE BOII.DING PERMIT IS ISSOED. MQLTIPLE DWELLINGS EENT9L IINITS FOR SALE i1NITS i OF UNIT3 t INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C04A?RCIAL ' INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ADDi T ON -b ?- (?v ? q?p ASIP- To Be Used For: ?? W G Va-1 on: fb31 - 1633 Crry \iiew DRwg Site Ad3ress n Lot t* -3 Block -Z Parcel/Sub AT Owmer I'l 2 X a (r City/Zip.CodeZ J Phone (0 Contractor ? C- L.r Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 0 raY :o a 10 Date: 1?1'0 dv - ur r tcz usG UnLi Oecupancy $ - 1, 2 FE&q LZoning Fc-4 Actual Const a-N Bldg. Permit 106,00 Allowable Y-N Surcharge 1S0 1l of stories I Plan Review Length Zy SAC, City Depth 24 SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aeet. Deposit On site sewage _ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV required Park Ded. Booster Pump _ _ Copies TOTAL - '? APPROVALS Planner Council Bldg. Off. ? 5/4 Varianee NOTE: Sewer & Water Permit fees and account deposit fees will be ineluded in the building permit fee. Processing time for sewer and rrater permits is txo days once a licensed plumber has applied for a permit at City Hall. x CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE Permit Number: Date Issued: 1633 CITY VIEW DR LOT: 3 BLOCK: 2 ROBERT KARATZ REPLACE ROOFING Building_,Permit Type MULTI. (MISC.) Building Work Type REPAIR s? ? BUILDING 020858 05/06/93 ' .. REMARKS: INCL 1635, 1637, 1639, 1691, 1643, 1645, 1647, 1649, & 1651 GITY VIEW DR FEE SUMMARY: VALUATION $6,000 Base Fee $81.00 Surcharge $3.00 Total Fee $84.00 CONTRACTOR: - Applicant - OWNER: GRU3SING ROOFING 19350557 HAFNER AL 9305 SHAOY OAK RD 3240 HILL RIqGE DR HOPKINS MN 55343 EAGAN MN (612) 935-0557 (612)774-6013 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinartces. L t ? APPLICANT/PERMITEE S ATURE ? 4 ? ?1 I ED : SIG INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BuiLDzNe 3830 Pilot Knoh Road Permit Number: 020858 Eagan, Minnesota 55123 Date Issued: 0 5/ 06 / 9 3 (612) 681-4675 SITEADDRESS: Lor: a BLOCK: 2 APPLICANT: 1633 CITY VIEW DR GRUSSING ROOFING ROBERT KRRA7Z (612) 935-0557 PERMIT SUBTYPE: MULTI. (MISC.) TYPE OF WORK: REPAIR DESCRIPTION REPLACE ROOFING L- I REMARKS: INCL 1635, 1637, 1639, 1641, 1643e 1645, 1647, 1649, & 1651 CITY VIEW DR REACTIYATE _ PERMIT #" CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $j#, 99 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3] lot change is requested once permit is issued. Date Yaluation of work 5-; 5-00 Site Address: STREET SU(TE M Tenant Name: (commercial only) IAT BIACK ? SUBD. P.I.D. N Descri tion of work: The applicant is: ? Owner ontractor ? Other (Deaeribe) Name Phone ''1 7 4f ?-Ca 0t3 Property LAST FIRST Owner qddress 4-L STREET STE M City 2a4c-v? State Zip Company Phone _j7 -o 7 Contractor Address ? ? ? A'0r License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: -5f PERMIT ? CITY OOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 1621 CITV VIEW DR LOT: 3 BLOCK: 2 ROBERT KARATZ ? S''° 5 -? B U I L D 020851 05/06/93 DESCRIPTION: REPLACE ROOFIN6 Bviilding.,Permit Type MUITI. (MSSC.) Build3ng Work Type REPAIR REMARKS: INCLUDES 1623, 1625, 1627, 1629, & 1631 CITY VIEW DR FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge $2.00 Tntal Fee $65.00 CONTRACTOR: - Applicant - OWNER: GRUSSING ROOFING 19350557 HAFNER AL 4305 3HADY OAK RD 3240 HILL RIDGE OR HOPKTN3 MN 55343 EAGAN MN (612) 935-0557 (612)774-6013 I hareby acknowledge that Z have read this applicatiort and state that the information is correct and agree to comply with all applicable State of Mn. ? Statutes and City of Eagan Ordinances. J luovvzyti-- PLICANT/PERMITEE SIGNATUR ISSUE : SI RE INSPECTION RECORD CITYOF EAGAN PERMITTYPE: BuxGpING 3830 Pilot Knob Road Permit Num6er: 020851 Eagan, Minnesota 55123 Date Issued: 05 /06 J93 (612) 681-4675 SITE ADDRESS: LoT : s eLo c K: 2 APPLICANT: 1621 CITY VIEW DR GRUSSING ROOFING ROBERT KARATZ (612) 935-0557 PERMIT SUBTYPE: MULTI. (MISC.) TYPE OF WORK: REPAIR DESCRIPTIQN REPLACE ROOFING 1- -7 REMARKS: INCLUDES 1623, 1625, 1627, 1629, & 1631 CITY VIEW DR REACTIYATE _ PERMIT.#. iol ft5 1 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 1(6,00 681-4675 SINGLE & MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date X, Valuation of work 2300 Site Address: aA- -a5- :2 ? -??-3 ( 'STREET ? SU1TE 0 Tenant Name: (commercial only) IAT ?3 BIACK SUBD. -R ?J„?i I ? '?C I? P.I.D. N Descri tion of work: k The applicant is: ? Owner ontractor ? Other (Describe) Name Phone Property L.ST F I RS Owner ,r? Address !?!_2 STREET STE • City ? State Zip Company ? Phone qj = 57 Contractor Address aLicense # Exp. / City ? 5tate Zip Company Phone Arch(tect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable S ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? ??M VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilo: Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zc•ing: No. of Units: Owner: Address: Site Address: Plumber: Meter No.• Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: "11.41.,...1 By g ` s - r Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot.Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoi_ing: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By: Surcharge: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Citi of Eaau 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK in 1 For Office Use /-*--7-3 Permit #: 1 Permit Fee: 6-<261* 75 11 1 Date Received: 1 i Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLIC-4-1(4,3 A-? oiA. Site Address: city View Dr. / Eagan / 55121 sidenti weer Type of Wtr Contractor 3 unit #: /<2 /• /L 3 / Name: Valley Ridge Townhomes Address / City / zip: 1650 City View Dr. / Eagan / 55121 Applicant is: Owner Y Contractor Description of work: 404/1.. Construction Cost: 331408, 10 Company: Capital Construction, LLC Address: 406 Gateway Blvd. Phone; CF�I� Som- q‘‘ Multi -Family Building:: (Yes ?t / No Contact: Cole Quinnell State: MN Zip: 55337 License #: BC645094 City: Burnsville Phone: 952-222-4004 Email: cole@capitalconstruction-11c.com Lead,Certifica a #: NAT -F156131-1 I If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? Yes No If yes, date and address of master plan: tensed Plumber: Mechanical Contractor:, Phone: Phone: I Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: cirments that you submit are considered to be public info ' n. Poriitr f ed as non: public if you provide specific reasons that would permit the ode that the are trade secrete. OTE Plans and supportini he information may be cla CALL BEFORE YOU DIC,. Call Gopher State One Cali at (651) 4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateoneca1l.ora 1 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. ttco ns city to x Cole Quinnell Applicant's Printed Name x - Applicant's Signature Page 1 1(0 Use BLUE or BLACK Ink r For Office Use q�j :::: 401' l 1City of Ean : 222 3830 Pilot Knob Road 22 ,P`f G Eagan MN 55122el J? 7JDate Received: Phone: hone:(651)675-5675 Fax:(651)675-5694 Celt"' Staff: _, A 2016 RESIDENTIAL BUILDING PERMIT APPLICATION C t ' Date: "1 of 6 Site Address: / 2/ Unit#: /y Name: lick(reAil p�.lV��s��-C-�' Phone: owner Address/City/Zip: U 2 / C Ute/ ,)`YC .' Applicant is: Owner Contractor Description of work: -Gm,/ ie? a reeye 1-o !!c ,• ( o Construction Cost: CfCom. Multi-Family Building: (Yes /No_) Company: a�r4 i Contact: �k � (' Address: Yes C 7 Z 4 a dav, gi ec City: ./.>c,r-r'►-5,Ji tCFCtI'lC t., I State:r14! Zip: S S33 Phone: s07-2c32 i/4¢SEmail: 0,/ra r,�rrC'c si-epr-�o - License#: —VS-a9 V- Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NESTE Pfar an sung doc ents , x s b t ns d tib is or. , othat ,fes 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.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 ofpermitissuance.� x (_.Uf/k 1 �'�c�r�nc rr x ����t, �� /./dor Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE l?�1 1 SUB TYPES t WA V t' r Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) (((— Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace )C Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation LOccupancy If MCES System Plan Review Code Edition pihiNi).,/re SAC Units (25%_100% \I ) Zoning City Water Census Code ��`` Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 'fb. Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) X Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings Air/Gas Tests Final )c Framing 30 Minutes X 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS )C Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: fe"Reviewed By: _, , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC1/2 ' °`A Utility Connection Charge SSW Permit&Surcharge ro° Treatment Plant 6 0 ,20 Copies (� TOTAL Page 2 of 3