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.�
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Applicant's Printed Name Applicant's Signature
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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
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