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:
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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
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