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1427 Highview AveCITY OF EAGAN Addition HiqhV1eN Ar,,p¢ Lot 2 wh Blk I Parcel 10 32880 022 00 Owner s?blas R. & Jennifer street 1427 N; ghview Ave State Eagan, MN 55121 Y Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUMK 260.00 , 26.00 Q SEWERLATERAL • 3069.60 ' 306;90 10 OD WATERMAIN * WATER LATERAL 1977 IO ?. WATER AREA 1 l0 66 l. ' r STORM SEW TRK -_STORM SEW LAT (p C., -3 1982 1437-14 5 °y 19. CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, f BUILDING PER. 4-242 SAC PARK CASH RECEIPT CITY OF EAGAN J 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ AMOUNT ? I DOLLARS toa ? CASH [I CHECK NUMERICAL FILE COPY 1 ? ? BY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT To be used for Est. Value i 1, WJO Site Address - Lot Block Sec/Sub. l Parcel No. _ c Name W z Address 3 0 City Phone ' _ ., Name _ Address City _ 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 Statutea and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that al I work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OHicial _ Receipt # Date ,19 OFFIC E USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Consf City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permft No. Psrmit Holder Date Telaphone # Plumbing H.V.A.C. Electric Softener Inspsction Date Cammsnts Footings I 7 I Footings I I Foundation .z,k /.- Framing . ZZ_ - y3. Roofing Rough Plbg. Rough Htg, lSUl. ?T ' ST/(??. <'¢•?'2/Y?ri! ?r Fireplace Final Htg. Final Plbg. Bidg_ Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well ` - Pr. Disp. /S.? ' ' _.,22 454-8100 PERMIT Date: fuly 14, 1577 Site Address: ; ' ' ;_ , r?v : ? ?•_ , Lot " Block Sub/Sec. i,-hvic:ta uc_r?s _ I Nome ? e ? Address ' 254 WPSt 7th St. City 5t . Paul Phone: 'l"3-4921 No. - Receipt No.: ' Single I Residential .; Multi Res., Comm./Ind. I New/Alter. / Repai r Cost of Installotion Permit Fee ` Name ' F' Surchorge _ .50 L g Address City Phone: Total J? This. Permit is issued on the express condition thot all work shall be done in accordance with all applicable Stote of Minnesota Statutes and Ciry of Eogan Ordinances. Building Official BUILDING PERMIT Fam ` Name z ?i ua< Addre ? Nome _ Address thot I have read this application rrect and ugree to comply with State of Minnesoto Statutes ond City of Signoture of Permittee A Building Permit is issued to: "07_-` all work shall be done in accordance with Building Official CITY OF EAGAN 3795 Pilof Knob Road Eagae, MN 56122 PHONE: 4548100 Receipt # Permit _ 5urcharg2 Plon check _ SAC ° Water Conn. _ Water Meter ?An Total " on the express condition that ble State of Minnesoto Statutes ond City of Eason Ordinances. N2 4242 Erect [I Occupancy ' Alter ? Zoning Z ra e ? p . Approvols Fees Assessment _ Watsr & $ew ? Police Fi re Eng. Planner _ Council _ state that Bldg. Off. _ applicable . S, APC Porcel # Repoir ? Fire one _ Enlarge ? Type of Const. " ? # Stories W Nome = !; • '" ? r'?' Move Z Address - "• 7 th S E. ?16 pemolish Q Front ???• ft. o . _ .... . .. .. . ' .. G d De th (t r.mir # oato i..m.. p..at.. Plumbing _ ?(pG > /? `7 7 Mechanical INSPECTIONS DATE INSP. Rough-In Ftnal Footings Date lnap. Dote Irnp. Foundotion Plumbing 7-f-7) f' j6-7 Frome/ins. Mechanical la ?6 Final & _ Z 6, 7 2 ? 7 Remorks: CITY OF EAGAN SEVNER SERVICE PERMIT 3795 P'ilot l:nob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: '1 td 1 Waq)31ljt1 •, t•- rL?r P(umber: fln (+.i I 09ree b eomP1Y with tho City of Eogan Connection Chorge: Ordinances. Account De sit• By - Dote of Insp.: ? • - Perrnit Fee: 5urcharge: Misc. Charges: Totol: WATER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO ; Eogan, MN 55122 . DATE: Zoning: No. of Units: Owner: _ Address: Site Address: - .? •. Plumber: •-? Meter No.: Connection Chorge: Size: Account De posit: Reader No.: Permit Fee; ?°9me to wmPh w'Oth the City of Eogan Surcharge: •51' Ordinoeees. Misc. Charges: rQ•QO p-I n`?ter By Date of Insp.: ?'ot'OI: Dote Poid: " Insp.:- 1 n cirr oF eacnN 3795 Pilot IGnob itaid Eagun, MN 55122 N2 4242 PHONE: 4548100 BUILDING PERMIT APPLICATION 5509400 Receipr $k_ T. tiA ..A fs. Sing, Fam Dwlg. 6 Garg. D„tp Mar. 25, 19 _77 Site Address- Lot165? of Block Parcel # s z 0 Sec/5ub. Highview Acres Nome - wugia Address 2254 W o IName Fahning Homes r Address ? Ci[v waterville phone Name _ Address I hereby acknowledge that I hove read this application and state thaY the information is correct and ogree to comply w all appli ble State of Minnesota Stat7ute nd City of ogon din ces Signature of Permitt A Building Permit is issued t: ll 125 $81b all wark shall be done in ordance wit oll plicable Stote of Mir Building Official < Selby 7th St, #16 Erect N Occupancy 1 Alter ? Zoning Rl . Repair ? Fire Zone _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 48 ft. Grade ? Depth 28 it. Aoorovals . Fees Assessment- - Permit 142,00 Water & Sew. Surcharge 25.50 Police Plan theck 4-?'00 Fire SAC - 2 TU'60 Eng. Water Con n. Plonner WaterMeter_?QQ Council 81dg. Otf. 1 5 ? APC . Totol _ on the express condition thot igsota Statutes and City of Eagan Ordinonces. CITYOFEAGAN N-! 15344. 3830 Pilot Knob Raa;i, P.O. Box 21-189, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# To be used forADDITION&PORCH Est. Value $11 , 000 Date .IULY 15 ,1 g 88 SiteAddress 1427 HIGHVIEW AVE. Lot 0ZZBlock 00 Sec/Sub. HIGHVIEW ACRES Parcel No. m Name DOUGLAS SELBY ; Address 1427 HIGHVIEW AVE. 0 City EAGAN phone 454-3572 , o Name SAMF. z1- ?a Address , i- City Phone w w Name ? s z. Address aw City Phone I here6y acknowledge that I have read Ihis apPlic n and stat hat the information is wrrect and ree to com ly wi a applica State of Minnasota Statutes and Ci f Eagan ma ? Signature of Permittee ? ? A Building Permit is issued to:_-lc ?$-SEI,$Y ontheexpressconditiont atallworkshall6edoneinaccordancewithall applicable Slate of Minn sd a Statute a d C a9an Ordinances. Building OHicial ?L OFFICE USE ONLY OnSlteSewage - OCCUpancy MWCCSystem _ Zoning On Site Well _ (ACtual) Const City Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engc/Assess. Permit 41I4._QO Planner Surcharge 5.50 Council Plan Review ?7 _ nn 81dg. Off. SAC, City Variance SAC, MWCC WaterCOnn. _ Water Meter Road Unit Treatment P1 Parks TOTAL 1$ 76•SQ ?i9&.C/8'? NEQUEST FOH ELECTRICA . ECTION . ePa-oooot-as ? , See instructio.s tor wmpletirg this torm on back of yellow copY? E10-512 "X" Be/ow Work Covered by This Request ft4 Add neu_ `7vua ot euiieioa APCliunces wiroa Eauin.,e.t w„«n Home Range Temporary Service Duplex Water Heater Liqhtiny Fiztures Apt. Buildmg Dryer Electric HeaUn Commercial 81dy. Fumace Silo Unloeder Industrial BIAg. Air Conditioner Buik Milk Tank Farm 01nHi Per,iPV ,iner ISVncifvl t nr Succi/v Othnr Oth,;r ompute lnspectron Fee Below _ k Fee ServiceEnhanceSize n Fee Fenders/5ubfeeders N Pee Cbcuits i(, ? f) to 200 Am 5 0 to 30 Am s ?G -fl to 30 Am>s bove 200 qmps 31 to 100 Amps 31 to 100 Ai S ?A wimming Pool 'Above 100-Amps Above 100_Amps anytormers Irrigation 8oorc?s @ O 'QILQL Fee Signs Speciallnspection ?7r ?y' 5 T E Remarks L'r,?Xl / ?R .? ? Nough-in Ele - il??a/ Insoecbq hereby ceoilV Ihrt tpe above Pinal inspeetion has been ? J matle. I Tin ronuwsl unln f9 montlre fmm This ranuest voitl ?lw &/y e 18 nomhs fwm E 16512 a oo flequast Date Fi e No. FouGh-in InsVection fleduired? QReady Nuw ? Will Notify Inspeo ?yes ?No f Inr When fleadY Q'LicenseA EI c[rical Contractor I hereby requeal inspection ol ebave ? Owner electrical work installad aC Sveet Address, Box or Route No. Citv ecLOn o. Townshio Name or o. ATnBe Na . Coun?Y ?? ?.. Occopant IPflINTI x5p // Phone Nn. Power Supp/li'er? / 1 , i \ ? , Addresjs ' A k Vs?? c` l 1 ???? .?L Electncal,Cqnnlractor 4COmpany N/a?me) /.? Cainvar,tor's Lir.ense Nb: Mailing AdJress (Contractoror OwnetMakm 9nsiailatio`q! AuthorireLd'SiBnawre (ConVa?c?tor/Owner Making Installatiunl ' Phone Numher MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION HEQUEST WILI NOT eE GriaBS•Midway Bldp• - Hoom N-197 ACCEPTEO BY THE STqTE BOAflD 1821 Univarsity Ave.. 51. Paul. MN 56104 UNLESS PNOPER INSPECTION FEE IS PhOne 16127 642-0800 ENCLOSED. # . . 1988 ?UILDPNG PERMIT APPLICATION - CITY OF EAGAN .? SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS li OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUROEY - CHECK WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS CONAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS A9o41'r ? oY, "Po,eti To Be Used For: A-i-&arPs-e-t Valuation: -m--o-?- Date: Site Address /tdL / H4n v; e w/~ west ??a ? Lot Bloek d0 Parcel/Sub 11+`9A?;ew Owner QO c/qhS ? -S e y Address / 171?h vie w AvC'. City/Zip Code Phone Contraetor 1)0r.{g SL M Address City/Zip Code re? f 0.9 lesIal • Phone qs 4 -S'S7-2, Mch./Engr. Address City/Zip Code Phone # ' (y/ •? VL'L1VY VV 4 On site sewage_ Oceupancy MWCC system Zoning On site well Actual Const City water _ Allowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Planner Council Bldg. Off. Variance Permit Surcharge Plan Aeview ?/ '7/13 SAC, City sac, Mwcc Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Py SS? S? ? - ?X ,2 t ,og LPk3 =? r s q k f?.s- - j1ss 'klo ?I?. 5= 1P9,? zr? = 3 2?'o J ` F l ? 9 3S ? ? T I-vPst %a of L /7? 1?74vl'cw 14crc.s ?- 1?os % ?o M A,?rl; ? ior?i IT ?o' $ ?-'e-a64 e GZta? a l X?-l S i ro ? ? ? .` ? ? f a.6 Sfrt?? of ()iJAVirN AVe, i _ , ? t Ajjl ?l ,a?J .. • . . . CW,'nJo ..M,/lworl??) ?. ?a? ?U ?? eK ?ra La? orh e?o, Csl?e???ucl?'e? L/ecir,' To ? ? C moveJ,C4??e?sreug? ro?g(? SeC VBpW S k3fl - ----- -- R'-R'a_t i°1$-' --- - -- - - - ax • ? t . . .? Date: / oz EUILD2't"G PF.RM?T P..rPLICAt^IO_'7 LO:?? ?ELOCK J ADAI:IOid fl- PARCEL E uECTION PNi13ER IF UiTPLRTTED IfDllRFS5 OF PARCEL /`"" '2 ? ? ? •' y ?_ ZOedY[;G ?' ? OCCI7pANCY L USE ,TbSTL;A.i''3D COS^t ? j ? ' . ? _•C? ?(?? ? / i C?'T l'tsR f C u s/7 TELEPHOTdE \O. ? FLMFSS L"0I,rl 1ZAL'iOri }--- : / . 1?d0. TELEPHO= AI)D:LSS ??,a '? c->• v,. - /1;?.?l? ? [?.`,C?'.' .,7 Tdote- Include si.te pZan, building plans, and energy calculations with tliis application Sianed O:.FTCE USE c?'J VA*.iJn,2a-0 ?j"O'gO?J ?Cl Slkc - r. ?? Yl:? co.?r?sc^_o?? C?7."iTER M:i'ER BoaLDarrc PEEiI3IT FL'E; SiJRCI?ARGIs' PI'.f's FI,M Cg:TCK FEE PAFiIC DEDMATIO?3 P`EE o2EM R wsw ve r TOTAL* F_S'PP.OVnLS : O ? ?? ? Bf /?ooLNI/?F ??I.<<!!?!'Al ? ASSi:SSME:r:'!' CLL'F:,C SUILDIIJG DEPT. POLICE DEPT. B3ATER & SEUEA DEpl. FI?2L DrFT. PAZIC D.r.PT. a Wo > ?o ?)% WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMEDITS I/k'e hereby request of the City Council, City of Eagant Minnesota, utility improvements on and over property owned by me/us as follows: (Mention type of improvement, e.g. water, sanitary sewerg etc.) Sewer b 47ater The location of said utility improvements shall be generally as folloks: Seul 3i?L` /GG4.56 W-165'off Lot 2 B1ock 1 Highview Acres lG? Acr /?jD3.. 5D 1427 Highview 3`OG9• ??J I/4?e hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any assessments necessarily levied by the City of Eagan for such improvements. I/G?e further agree to grant to the City of Eagan any easements neces- sary for the installtion of such improvements. It is further understood that this request shall be :eviewed by the City , Council of The City of Eagan ox its agent and I/we will be given reasonable notice as to whether this request ie possible under present utility planning as to timing, locationg Dated: Mar. 25. 1977 i'equest aceepted City of Eagan Request referred to ?ity Engineer; D te Copieso 1. City y, City Engineer 3. Applicant Date ?Za??/77 CITY USE ONLY PERMIT #: ' I " 1 qT5 RECEIPT DATE: RESIDENITAL MEGHANICAL PEiiMIT APPLICATION crrYoF EAs,xx 3$36 PILOT KNOB RD SAfiAN bIP 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: I ':q" I o ( SITE ADDRESS: tcY C' I V9- OWNER NAME: C11,0 TELEPHONE #: ?vSII (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: STATE: ??1 ? ZIP: Place a check mark next te the nermi[ wark tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other ? Nature ofwork: State Surchar e $ .50 Total Reminder: Call for inspections. ATU OF P ITTEE Upda[ed 1/Ol CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMEtCIAL MECH"CjII. PE$MIT APPLICATlON C1TY Of' &kCEk1V S$SO PILOT KNOB RD E,e?sAv,Mv 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (ARL•A CODE) CITY: STATE: ZIP: WORK 1'YPE: New construcrion Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Natu:e When instalfing/removii:g underground tank, call 651-681-4675 far inspection by Fire Marshal and Plumbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground [ank removaUinsta;lation = min;m•.ua fcc Conhact price: $ x 1 % _ $ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATCJRE OF PERMITTEE Updated 1/Ol RESIDENTIAL ? L/(p 9a? r? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construclion Reaulrements RamodeVReoalr Reauirements • 3 registered site surveys showimg sq. R of lot, sq. ft. of hoLxie; end gli roofed areas • 2 coDies DI Plan (20% maximum bt coverage allowed) • t sel of Energy CalalaUons tor heated add'Abns • 2 copies o( plan slwwirg beam & wirMow sizes; poured (auM design, etc) • t sile survey far eaterior additlons 8 decks • 1 set of Energy CalcWatiora • Indicate if hane served by sepfic system for add'Aions • 3 copes oi Tree Preservation Plan N IW platted aRer 711193 • Rim Joist Detail Options selectbn sheet (bldgs with 3 w less unifs) DATE VALUATION ,°??oG • - JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WOR G'U e !// A °-t % (-.a o 4 ???4":Z- s,n?F "'.1 ?Va /?, 1 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT Ag, - 72e,/` ?-4 SSocf? C?nj? PHONE# ADDRESS ZIPCODE SS3G y PAGER # CELL PHONE # 763 ???Lo° ° ( FAX # Z3- Y13'°16l 0 / NEW RESIDENTIAL BUILDING ONLY - FILL OUT CQMPLETELY Energy Code Category MINNESOTA RULES 7670 CA'1'EGORY nn (check one) - Residential Ventilation Category 1 Worksheet 5 Fy4 nergy Envelope Calculations Submitted E MINNESOTA RULES 7672 - New Energg Code Worksheet Submitted --'_" Plumbing Contractor. Phone Plumhing System Includes _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # AlI above information must be submitted prlor to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan f-- Signature of Applicant 4- ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updafed 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plsx ? 70 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg Y or _ N 0 25 Miscellaneous ? 31 New ? 35 tnt Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ,$D 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Vatuation Occupancy MC/ES System Census Code Zoning City Water SAC Units c/ 5tories Booster Pump Nbr. of Units l Sq. Ft. PRV Nbr. of Bldgs l Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Footings (new hldg) Footings (deck) FinaVNo C.O. Footings (addition) Plumbmg Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fueplace _ R.I. _ Air Test _ Final Siding Srucco Stone Insulation ? Windows (new/replacement) Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. ? HVAC PERMIT City of Eagan Permit Type:Building Permit Number:EA126748 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 1427 Highview Ave Lot:022 Block: 0 Addition: Highview Acres PID:10-32880-00-022 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Micah Olson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: 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. Contractor:Owner:- Applicant - Micah Olson 1427 Highview Ave Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature city of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 zCEt IE MAR 0 It 2016 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 'TZ -1 1. 0 4', Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Phone: Address / City / Zip: 'i Z. 7 Applicant is: X Owner Contractor Description of work: ,M A a.4 Construction Cost: Multi -Family Building: (Yes / No ) Company: Sz L4' C ; TC <c; Contact: Address: City: State: Zip: Phone: Email: 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 x No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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. 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. Applicant's Printed Name x (, Aplfticant's Signature Page 1 of 3 SUB TYPES DO NOT WRITE BELOW THIS LINE _ Foundation _ Fireplace X Single Family _ Garage _! ' Multi_ Deck _ 01 of Plex Lower Level WORK TYPES New Interior Improvement Addition Move Building S Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction �o 0 YYr REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing Fireplace: Rough In lc Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch j"3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant y MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings ___Air/Gas Tests _Final Drain Tile Air Test Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL tiny ����ti)0 /( 2-03 Page 2 of 3 City of Eaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use _ Permit #: - H Permit Fee: Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Contractor Type of Work Permit' Type Name: M I (-A 1—,S0 Address / City / Zip: I `/i 1 H161 K Name: 5fr cT ?n Phone: Suite #: SZ --7©i —'1e-,1 d'M License #: Address: City: State: Zip: Phone: Contact: Email: _ New _ Replacement — Repair Rebuild $ Modify Space _ Work in R.O.W. Description of work:' RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 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. x d��'it leu uLS ^' Applicant's Printed Name Aipl ant's Signature • FOR OFFICE USE Required Inspect Meter Related items: ns: =Under Ground ' Rough -In Air Test Gas Test Final' Meter Size anometer Staff: