1775 Crestridge Lane
Use BLUE or BLACK Ink
For Office Use
d I Permit
non
I I
City of EaE
Permit Fee: V
3830 Pilot Knob Road I I
Eagan MN 55122 R F 0 171 V F D I Date Received:
I I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 AH
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:, 2 I I Site Address:
Tenant: /i Suite
RESIDENT/OWNER Name~)e,Af r1A. h'A M Phone: go "
Address / City / Zip: 15 r- A 4::C, Lei k, 4 r44 4:1 tn -5~~
CONTRACTOR Name: 31-18 1 5874 License
Address: Appliance Connections Inccity:
1313 Danita Circle
State: Zip Sha NP f
Contact:
Email:
TYPE OF WORK _ New -X- Replacement _ Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL ~yI
Water Heater J1 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 $J C
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.om
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 ap roval of plans.
'Jug A
Applicant's Printed N me Applicant's Signa
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
CITY OF EAGAN Remarks
Addition Ridge View Acres Lot 7 Bik 2
owneLguiS 4 1=1otEncp kFch-ist,eet 1775 Crestridge Lane
MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 711 f?
STREET RESTOR.
GRADING
SAN SEW TRUNK -40 1968 $100. 00 $3. 33 30 PAID
*SEWERLATERAL & Stub 1972 ZO
WATERMAIN
*WATER LATERAL & Stub 19?Z ZO
WATER AREA 8 7
STORM SEW TRK ? L 1983 561. 0 37.40 15
akSTORM SEW LAT 1972 $3243. 50 $162.18 20 P
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, yS320.00 8740
- -
BUILDING PER.
sa,c $200.00 3068
- -
PARK
`CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
CTION
SITEADDRESS: ' 11 10 -'•40HN-Qij0
? ftl : ? F?? cxrK :
• ,?. ? Vf '-; f kt i 061: ! ANF
! C)llF V i F LJ A t !tf
PERMIT SUBTYPE:
icoRn
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? ??,;? ? o.?;? ?;.,???; ? r,<,
f-,!,!•?ir:7k
TYPE OF WORK:
Q lf' r.; 1, p I 1a ( 11.1 N
H1?1 1 1?iroti
????+It+?l
??I?lts/Q7
AL tURA7'fuN
rFnfr -nFF'/RFRnOF
INSPECTION DA • DA
Permh No. Permlt Holder Date 7elephone M
ELECTRIC
PLUMBING
HVAC
Inspachon aate Inap. Comme?ts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TAWNSHIP
N° 1653
?p BUILDiNG PERMIT
Ownex ......... _.. ......-. . . . Eagan Township
Address (Preseni) .--_'-.--_....... Town Hall
Builder .._..??=-..-?-le;ecra?. .-----"------.......... Dafe 9/ ?G'.7
Address ........ ?Z:. ./..--... --?-- - -._ .J.. . ...--"' .............
-
.... --.-----:..------- ------ --..
DESCRIPTION
Siories To Be Used For Fnoni I Depfh Heighi Ec;si
. Cos! P
e
r
mit Fee Rem
arks
_ -
d
- /
O w., 4•
' /J " LOCATION
streen, xoaa or otner uestripsson ox i.oaaiion i Lot ItiacK ; aaauion or -rracx
This permiY does not auihorise the use of sireels, roads, alleps or sidewalks nor does it give ihe owner or his agen!
the righS So creaie any sifuation whiah is a nuisance or which presenis a haaard fo the healih, safeSy, convenience and
genexal welfare io anyone in the communily.
THIS PERMIT MUST BE KEP-T-ON THE PREMIS - WHILE THE WORK IS IN PROGAESS.
This is !o eerYify. Sha!_. .................. has permission !o erec! a..- ?_a"?"c-?--_..-•-t '-""-'--"' -/ upoa
? ,r •"? }-?" ...............
the above described pr ise subject f?he provisions ot the Building Ordinance for Eagatd/Township C4dopfed April 11.
1955.
.? ?
................ ............. .
....... Per --------------- -_'-- ------ /-
-__"----'-"-----' _ '--'-""-"-'....'-_ "'....
C Irlsirman of Tn?bvn Board k, Q f Huilding li?specfor
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?
aIATFR SERdICE P@RMIT
VILLAGE OF EAGAN 1275
3795 Pilot Knob Road pERM11'N0
.8/10/73
?
'
'
Eagon, MN 551I2
.
I
}
1)
A
: _i
_
R-1 N??, ?,r uluts: - - -
z?,n?nu
oK'IILCI _ Louis Rx81+8tg'
. _
Recht2Sge1
!?' _ (i? I ?,
?•??
?
_
Ad(IYCtis: -"-
_ 17 ._ _
----
75 Creatridge Lane
--- -
Addrevs:
tiit
c
11,u1,11wi: weRZQ71 P-lum"ng e??•??-- ? o 00 _pd
.
e32
Ch
ht? ter N??.: ._ 22802911 _ _
art;
Coimection
15.00 pa
s;..?•: _. _ 5/$ _Rockwell _ A«onru neµ,s;c:
-- 10.00 pd
__ _ --
Iteader Nn.: _G6?7499 . _ _ - _ _
- - -- ?- Yermit Fee: ._ ___. -
• SO
P
?-.
_
-
1 ogree to comDly with t6e Village oi Eagan Surchlrge:
a
Ordinances. Misc. Charges: --345.50 pd
_
1'otal:
DacePaid:
y
-- - -
' - --
Insp.:
D rtc ul
ZCE PERMIT
WATER SER
VILLAGE OF EAGAN i
NO.
PERMIT
3795 Pilot Knob Rood B10/73
'
Eogon,MN 55122 R_1 _
-
TE:
DA
No. of Uni[s: 1
`Loning: - Rechtzigel - •
Louis 8ssk8t8
Ownec r--
?_
naaress: -1775 Crestridge Lane _
Site Address: ---
Plumber: --?-ps?
n Charge320
i
Meter Na: ?28029L1 o
Connect
15.00_pd
518 Rockwell
' Account Depnsit: -
10.00 pa_
J
Siae:
Reader No.: -946499- permit Fee: _
$0 Ad
{ ogree to eomDl1 +^th t6e Vill,9e o# Eagon Surcharge:
Misa Charges: -345.54
pa
Ordinoncec. f
_-.
Tolal:
8/10/73
DatePaid:
BY lnsp.:
Date of Insp.:
PERIVIIT
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: $uILozNG
Permit Number: 0 2 9 7 6 R
Date Issued: @ q/18 J 97
SITE ADDRESS:
1775 CRESTRIDGE LANE
LQT: 7 BLOCK: 2
RIpGE VIEW ACRE5
P.I.N.: 10-69000-070-02
DESCRIPTION:
" TEAR-OFF/REROOF
BuiF'dind?'-P=ermit Type SF (MISC.)
rF'Suildi,ng Wb'-r-k,, Type ALTERA7ZON
.? Ce_t7sus Cod439 ALT. RESIOENTIAL
0
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f' .. - -. ,?...
;.. . . . .. , ^=t;
G
j ? ? F- rM 3 2'?F e' ? rva -s ; ? Z ! §n
v?
? .rx
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$99.75
$2.50
$102.25
$5,000
CONTRACTOR: _ qpplicant - sT. Lzc.OWNER:
RTGHT WAY ROOFING 15578678 0003999 GRAHAM PAUL
16111475 45TM AVE N 1775 CRESTRIDGE LANE
PLsYMOUTH MN 55446 EAGflN MN 55123
(612) 557-8678 (612)
I here-by acknaw2edge that T have t^ead'=ChiS`ap`pl'icaGion and stat2 that the
S.nfio;rmation.is correot and ayree to comply with o11 appl3cab7:e S'Cate afi Mn.`
L Statutes, and Gity of Eagan Clydinarrces:
_ _ - --? -- - -- _
...,?? ,
APPLICANT/PERMITEE SIGNATUFE ISSUED BYAIGNATURZF?
??,997 BUILDING
PERMIT APPLICATION (RESIDENTIAL) ???a• 60
ciTr oF encaN
3830 PILOT KNOB RD - 55122
681d675
RemodeVRenair Reauiroments
? 3 registered aRe surveys
? 2 copies of plans (indude beam 8 window sizes; poured fid. dasign; atc.)
? 1 energy alculaGons
? 3 copies of tree preservation plan 'rf bt platted after 7/1193
required: _Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
,P?- SUBD./P.I.D. #:
V
2 oopies of plan
2 ske surveys (exterior adAifions & tlecks)
1 energy calailations for heatea adtliGons
CosT:
Name: _ (? i'c( kt ir?, Phone #:
?.
Zip:
Phone #: 6-6746?
?
Street Address: (Ie?f"]6 4s? License #: ?
City: O * State: Zip: -6
Street Address: ? -'S k-?- 712,75-M
City: Lo-?Cz r\- State: ?
Company:
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
5tate:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this appliption and sfate that ihe infortnation is correct and agree to comply with ali applicable
State of Minnesota Statutes and City of Eagan Ordinances.
?i
Signature of Applicank -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
EAGAN TOWNSHIP
3795 Pilot xnoh Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE COAtNECTION
Date: Hecember 14. 1970
Biiling Name: Louis RechtziAel
Owner• same
Plumber: Wenzel Plumbing d Heiting. Inc,
Connection
SIGNED UTILITY AGREEMENT -
NOT HOOKING UP AT PRESENT,
Number• 51??
Site Address: 1775 Crestrid¢e Lane 55111
Billing Address same
Meter Size
Meter No. ?Permit Fee 10.00 pd 12/14/70
tPd, by Mr, Rechtaigel
Meter Reading Meter Dep.
MeCer Sealed: Yea_ 'Add'1 Chg.
NO I1bta1 Chg.
Building is a:
Residence xxxx
Multiple No,
Commercial
Induetrial
Other
Inspected by
Date
Remarka:
By:
Chief Iaspector
In conaideration of the ieaue acul delivery to me o£ the abwe permit, I
hereby agree to do tte propoaed work in accordance with [he rulea and
regulaCioas of Eagan Townahip, DakoCa County, Minaeaoea.
Sy:
Wenzel ,dPlumbing d Heating, Inc.
Please aotify the above office when ready for inepection aud conaection.
EAGAId TOS,INSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICB CONNECTION
DATE; December 14. 1970 NUMBER 671
,74°a ? v A,
OWNER; Louis Rechtaigel Address 1775 Crestridge Lane 55111
PLUMBERWenael Plumbin¢ TYPE OF PIPE cast iron
DESCRIPTION OF BUIID ING
Industriall Comerciall Reaidential I Multiple Dwelling I No, of units
Location of Connections:
Connection Charge 200.00 ,Qd 12/14/70
Permit Fee 1o_(ln ? t9/t4/70
Fee paid by L. Rechtzigel
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration oF the issue and delivery to me of the above pezmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulatioas of Eagan Tormship, Dakota County, Minneaota
$Y
Wenzel Plumbing & Heating, Inc.
1955 Shawnee Road
Pleaee aotify when ready for inspection and connection and before any portion
of the work is covered.
r
r
EAGAN TOWNSHIP
DAKOTA COUNTY, MINNESOTA
I[We hereby request of the Township of Eagan permission as
followB:.
water
1. To connect the smattaxyxxinmr service line from my rgsidence/
commercial building at 1775 Crestridge Lane to the
water
=Wdoxftexim lateral located on Crestridge
2.
3.
It ia underatood that i/we will not hook up and uae the service
until S/we have paid to Eagaa the necessary connection fee for such
hookup. It is further underatood that in the event that I/we do hook
W d t- C- r--
up and use said ssia*eezy sewer service before paying the required
connection fees, thaC I/we will be required to pay the Township a sum
in additioa to the cormection fee of $ 100.00
I/we aiso uaderstand that I/we will also be required to pay
to the Township in addition to the fees required above the normal
inspection fee for each inapection by the Esgan utilities department.
Dated•
Signedj"1???! ??
y
612 681 4612 p
10-17-95 12:51PM . FROM CITY OF EACAN. PO MAINPENANGE P001/001
. , ,... ?-
10/1?i95 1B:2g DRkOTR COUNTY-WESTFRN SETtV. CTR. Wei
,CJ
MuOicip$1 ]valioe of Well Yermit Applicatioa i
Dakots Counly Tm'vunmenWl Mattagumemt Dcparqnent
Watp' aod Laad Managemont Sectlon
14955 C3elaxie Avcnuv West
Tel (612) A8? 9?i.rypaju?j F?g 2) 91-7031
DATBr OcOOber 13,1995
710: Tom Cdberk/VJayne Sehwa2
` Fax*: (612)681-4612
FROM: Wa4er and 2and Maupnnmn
nn: weu rwmtc u: 9s.9294
Muniotpplily: rnpn
wdi'tyre! sfti
E1vh1X8n0#al 8peoialist: Luehra
Tha Wster and Land MansBtln+enc 8aetion of am Datota Coanry 1Bnvironmaital 1vlwiegsmoot
DOP°Mwrc hae roceived the flbflowin& permit applieat3on fa the woli doscribeA. Jf you rsquiic further
rcviaw of the applicetbn or if you hsve any quecirons or canceres about rt, oomact ft IInv;ro„n,ontal
SpeoialJsc l3eiW above cx our o117ce at (612) 897.701 1. Iftliae is no z%VonM &= yo?r of}77ce wfthln 74
HOURS (mceludiug weelcmWs yip Iiolidays), yyp yWIi A66Lqp6 II1CL y6u I1qYC !ID Objactions lo tha issuana of
tile pepnit. Plaace non thet pormit lssuappe is ulwaya conditlarod on the ppnnlt appliCah['S OBSeNiillop of
and ootnplianvw with a}1 appliwble stete, county, wO muaioipal Ltws and eorJcs.
WeU Conunvtor, HAvtmana Weil Caanpanry
DaW nFrplloaticn tace+ved: Ootober 10, 1495
/?ndclparad Dr1111ng pew. I ?
-? ..?..«?.
Arrtlelpatad Orou[ing Dute: TSmm:
I /
Ttme:
propelq'0..7lOt; Loisltephiyrj8w
Weli Ownet; Lois Rx.hlyxigal
`'VELL lACA1TOIV:
Pls Cooraiaates: iIa va
sdco[ addroaa: 1775 Cres4?idge Ln
Pu•?Numt?: rM.roooaoa9-aa
WELIa lWFORMA'iTON:
Alameter. 4
Caeing dspth; 336
Totat depth: 363
Sletlc Wa1er Lpye1: 115
.+quikr. Jwdan Smdemne
C70MMEN7'8:
114, 5ec 7 7. Tuwn 27, Ramge 23
a-eax I
. 612 861 1127 10-17-95 10:14AN P001
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13-e a - f?
5 C N t? 30 ? C?-?-? '?
?
100
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA098685
Date Issued: 04/20/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1775 Crestridge Lane
Lot: 7 Block: 2 Addition: Ridae View Acres
PID: 10-64000-02-070
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Sheri 1 h Graham
1920 County Road C West 1775 Crestridge Lurie
Roseville NIN 55113 Eagan NIN 55122
(61)264-4777
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA099146
Date Issued: 05/19/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1775 Crestridge Lane
Lot: 7 Block: 2 Addition: Ridae View Acres
PID: 10-64000-02-070
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Renae Freimvald
2200 Hwy- 13 W
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Genz Rvan Plumbing & Heating Shea 1 h Graham
2200 West Highway 13 177 Crestridge Lurie
Burnsville NIN 55337 Eagan MN 55122
(92)767-1000
I hereby aeknowledae 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 Cite of Ea-an Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1275
Eagan, MN 55122 DATE: 8/10/73
Zoning: R-1 No. of Units:
Owner: Louis ReiltYft Rechtzigel
Address:
Site Address: 17 Crestr ge ane
Plumber: wmgirii ° 14110a=fle-Q
Meter No.: 22802911 Connection Charge: 320.00 pd
Size: 5/8 Rockwell Account Deposit: 15.00 pd
Reader No.: 466499 Permit Fee: 10.00 pd
` I agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges:
Total: 3 k3. p
By Date Paid: 8 10 73
Date of Insp.: Insp.:
Use BLUE or BLACK Ink
I For Office Use I
Permit#:
City of Ea ~ I I Permit Fee:
3830 Pilot Knob Road
1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PE MIT APPLICATION
Date: 2 . 5 Site Address:
- Unit
4Z Z~E_
Name:-' Phone:
Resident/
Owner Address / City / Zi
Applicant is: Owner Contractor
Type of Work Description of work: 1~7e cf
Construction Cost: JCJ' Multi-Family Building: (Yes / No )
Company: %c Contact: 1 e Y
Si City:
Contractor Address:
State: ,f7 Zip: //,7 Phone:
License #:5L&,2 /ram l /~p /
Tl~ 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) !
ii
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I
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:
i
Mechanical Contractor:
Phone: ~I
I Sewer & Water Contractor: _ Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
-~w~ffim- `
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.org
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 1 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 ermit issuance.
r
x
Z3 _
A
pp icant's Print Name Applicant's Signa re
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use / /�
pii)
Permit#: 7 6.. '
4111' City of Ea an / .5tio
Permit Fee: A`R. •b (D
3830 Pilot Knob Road //-19-7
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinuinspectionsacityofeagan.com Staff: ‘;F�
f t
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t V I q— 2-01/ Site Address: 11, S C Slr 4 "'`l . Unit#:
r �% ri/%%
/////i
/% '
�� Name:S e+N"y r 612.0.(+t Va -5% 1;1'Z(o
%6/3,'A,,,,r4'/)//// Address/City/Zip: 1115 C iteS!V.1etre 1—lo ct AA) ��IZ3
;
%,!;/%/4 Applicant is: Owner V Contractor
/>r�r
�'r
,�� Description of work: 12. ttt� �,�Ce(C� �� I Gi -e-
za Construction Cost: 1- OW, 0 0 Multi-Family Building:(Yes /No /)
5,%,e4
/ 0" / ' Company: IA,005e P iZM$il S Contact: 14%`v...t S ore.1e—
%;e , 'I Address: 1 LiI S 266 City:
�///%�%/ ,;/ State:qt/j Zip: 7
/�//� • r, jzPhone:fp5� �ZR' Sv� ,ail: onc��s�.. ,v#rttar� ► c�� ., NeT
ke,�jr , y License#: 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:
f 8 a&0 ;' R P 8 9 B 8 8 a.', R ,/
/ .
%
dDD a as k9 a B d� a sus 9 8 e e 9 & a o f as a fid a �' Pa e ay6, ; e a•�. is
47/
r r, r // r/- ✓moi /„ri / ;ri
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaqan.com/subscribe.
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.
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.org
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.
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Applicant's Printed Name Applicant's Sigdgure
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DO NOT WRITE BELOW THIS L NE l6S`f-(
SUB TYPES
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 _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation t 2 Occupancy p .L � MCES System
Plan Review Code Edition ,,, G SAC Units
{25%_100% ) Zoning 4f l City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction f Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
2c Footings (Deck) Final/C.O. Required
Footings (Addition) 7 Final/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
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
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:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee Vli 4"
Surcharge ;
Plan Review LI'i 3.
r
MCES SAC
City3 -17/SACUtility Connection Charge ,,,— c: „2.67 0
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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