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1385 Cleome Lane Use BLUE or BLACK Ink Permit #:q -70 -7 / Ciq of Ealan I IC C:_~. I Permit Fee: E C) I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: _ Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Live- LLG/c(,fl - Tenant: 4*,M,6 f6 I/ We' 116,9,./ Suite fit: RESIDENT/ WNE Name: /tYf Phone: Address /City/Zip: eL fAll Applicant is: _ Owner Contractor ~ TYPE OF WORK Description of work: ~j I'S e- Pao K Construction Cost, a Multi-Family Building: (Yes / No CONTRACTOR Name: U--,~l 60,2r 9*e, ec yz/~ License A0160 fd l ! Address: City: ~57,ip. State: 4,1 zip: a~lC 7 Phone: Contact: 3z 6 e-2.. 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: q'~t ;,.,a.:a..d.•..;,:.1, ,~.,t~.:/:~.-.:...:,,..._. ....(..'.l,~~~..., ~,w CPR* t1Fl~"F+L`R"i~'^ir1k 'n".IFfC'M'~•aL°~4~"'T'rm.' FEIL~II k9!"!F{~~*.~~R'I~',.Nr,~~R~~~~~{'!SY[ :lY'.; Ifri7l if47+e?"Q~,.;.. g•. - th, 14 wamm. I~IIr 4~~t~la f EJr. L 4%,. . ,y~ +}y 00"0 MpQ AxY . FS: iCn'e`n»'•x~:' CALL BEFORE YOU DIG. Cali 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.orrl I hereby jcknowt6dge that this information is oompleto 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 of 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 I x JD ry ht !i V & d t x Applicant's PrAted Name A nt's Si 19 Page 1 of 3 T,T:Geed t769SSZ9:01 :woJ3 ST:T0 DT02-20-93C PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA089198 Eagan, MN 55122 . Date Issued: 05/15/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1385 Cleome Lane Lot: 024 Block: 002 Addition: Wilderness Run 2nd PID 10-84351-240-02 Use Description: Sub Type: e - Water Heater & Water Softener Work Type: New Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Permit expired without required inspections. 11-25-2009 CE Laura Foschiatti 1424 3rd St N Minneapolis, MN 55411 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Al's Master Plumbing Timothy A Hansen 1424 3rd Street North 1385 Cleome Lane Minneapolis MN 55411 Eagan MN 55123 (612) 822-5292 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 Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature v 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY GF EAGAN 3830 PILOT KNOB RD - 55122 Q.? 651-881-4675 o?kY-J?ox New Conshucfion Reauirements Remodel/Reoatr Reaulremenh ? 3 regfstered ske surveys showing aq. fl. ot lot, aq. M. ol house and gQ roofed areas (209 maxlmum lof coveraae allowed) > 2 copies of plana (show beam i window sKes; poured Ind. deslgn; etc.) ? 1 sef W energy calculaHOns ? 3 coples of hee preservaNon plan B lot platted after 7/1/93 DATE: t,- 7 -q 9 DESCRIPTION OF WORK: 2 copies d pion t sef of energy calculaflom for heafed addXlons 1 sNe survey for exierior addMions a decks UON COS,T: Z) STREET ADDRESS: I? ?? C l 2a w?Q_ Lq ?n Q?'? ?+ A4-.N S LOT:-t BLOCK: ? SUBD./P.I.D. #: ?-?-? ?u--i'? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: R '41 A S e Y? I, wn Phone #: 6 S) -9CJ `1- 6 9a l La# first Street Address: 13 116- G ?e- 6v?Q Vi City e State:/44 ?v Zip: :5 Company: /r?[ D uJ K 2?' Phone #: (area code) Sheet Address: license # ExP• City State: Company:& A-VL .Q?' Name: Telephone #: area code ( Street Cffy Sewer 8 water Ilcensed plumber (reaulred for new conshuctlon onivl: State: , PenalFy applles when address change and lot change Is requested once permit Is issued. Zip: i hereby acknowledge That I have read thls appllcatlon, state thal the irdwmaHon h cortect, and agree to comply wkh all applicabl State of Mlnnesofa Sfatutes and Clty of Eagan Ordinances. Slgnature of AppUcant: :Z?? OFFICE USE ONLY Certificates of Survey Received _ Yes ? No Zip: Regishatfon #: Tree Preservation Plan Received - Yes - No - Not Required i BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-piex )k 18 Deck ? 23 Porch (screened) ? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 1'0 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) J5 . dj Basement sq: ft. Census Code L (Allowable) ? Main level sq. ft. SAC Code b( UBC Occupancy ? sq. ft. No. of Units ? Zoning sq. ft. No. of Bidgs ? # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building \q4 Engineering Variance Permit Fee 5urcharge Plan Review License MC/E5 SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $? ;. SAC Units % SAC 4PR-08-1999 THU 05:54 PM BURNET REALTY _ ??,?JOZ,fi514525481 P. 01 (4?,G'au?l ' BY ??f ?C nrnT ' . . i i1 l.:, i-l :;i : 5 .•,:? i_: i??: ' : Sti` ... .. ? ? d'• :i " . I ... .' `r? . "• fl •? ... y. ?.? _ . r?•.,?; .. '+ ,: .:.?: ? `"'.? :=i _;_?. I JiY•'.: ? ? ' ' ? ! %'P•''?Y?r`, t;tt',:•??r.,. I ? ? ? .? L ? _ ? ? ?_ ? ? ? .-. ?.. , _ ? •?l ? « t /:.vw/y sEe.zy_rs?n?- -•- io,9,s'o ... - ? R234C/ X ..... ..... SOO ?:6 jp'E .... bsd.7S ._.. ' •. i } ? .... ? ? ?zw.oe•• ---': Z ?.. b _„rt s ae:.ci. x ? ROAD N0. 3111 ti „ N ' ? I?OO°G9?4?0?lN ? a \ o ? ? iSB.oo ?i., /6s!ao i63.SV ? . BS.on ? 'e ? a m !/S. ao i \ D ? ? Y N O o MI V N T ? g?. /?',e4 §N?t' I r ea ?6 i N °° N . wl ? N 2 u a 6 1 ! y ?, ' L? o? q t t n' '? ?? e'? ,? ?A ` >? a' .} 1'? lE°? 1. ? -l? • ry? ° o?r, i tl?l i n ?o9?YO":rJ N?3. ??y' b' a„ `?s' '''tti 9? ? ?is- er'1,?0?? ?d ?•'s. M ?" ? 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