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4672 Lenore Laneb gce 0 & /7 /,7S - 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas (20% maximum lot coverege allowed) 2 copies ot plan showing beam & window sizes; poured (ound design, etc. 1 set oi Energy Calculations 3 copies of Tree Preservalion Plan if lot platted a8er 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) RemodeURenair Requirements Office UseDnly 2 copies of plan CeA ot Stirvey Rectl Y _N 1 set of Energy Calculations ior heated adddions Tree Pres Plan Recd _ Y_ N lsitesurveyforadditions&decks TreeP2s'Required _Y`N Addition - indicate H on-site septic sysMm On-site Septic System '_ Y`_ N / Date d -) Site Address i-/ 6 7 Z? YA??q (0 7 y r? au Construction Cost L t-° nJ u?0 L A? ? Unit/Ste # Description of Work FS Q 00 ? Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Cl•`Ff- P S S C , Telephone #( 7a Q 12- 5,?2 (o Contractor ? Uf?-,.i! L. ?°1Ai9tl6J 3 c ..J Address 13t19 (o t-I: ?4." ? %N State m n) City t4,4 $7-, ?7 S 1 zip 0 33 Telephone#((o/2) q j'-2 - 93 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations SubmiHed Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( ) Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? .1V?? 1ti/I. /1 /' !C ??'«? 6 Applicant's Printed Name Applicant's Sign e ?\??v?.(,,.L?? I??? i?.L?I?JJ.." /"??.1?Uvlr7lr?.?• ? c ?? VV I V f f 1/ i"? (?.1 ?? M?u? ' ? 07 4,4 A-? -- ?` 4711 `diol0 y?76 qb73. .'lI77 ?. .._.- ? Iv. , ?d ? sz ? .??92 ? ?'~, ? y7d2 ?/7aC ? ;, C> ,?? ? ??'?L.? `..,„ ' . L!.^" c5 y7fJ2 ?1771771 ? 117,02 y7b I v?' 1''? ? ` • ?. Vu H7D/ M loq `I7? ?.. 1-7 47dZ 1170 ?70tt ?1701 ?. . ? 3 • ?? ::, ? `1701 '11,63' aits,,. rD?1 s['? zr_ ?1? ,?, t0? _: ? 7 q'?9? ? 7,? ,? ? ? ?? I ? ? '4?`? ? ? t a O?„ fD 1'14p IiD , ki JP3 ----------.. i1V (4c ,.? ??.r'? ? ; ;,? ,?. . ?+ w... \?u? CITY SF EAGAN ( WATER SERVICE PERMIT X795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: — Address: — Site Address: 46 7� Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. , Misc. Charges: - Total: te Paid: Date of Ins .• [ ‘ —g/ Insp.: • CITY. 6F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address -- — — Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: posit: Permit Fee: B Surcharge: y -- Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: