1472 Highview Ave
Use BLUE or BLACK Ink
r
For Office Use
Permit 1c) / V I
inG City of EaEd I ( ' ] I
Permit Fee: "i / /)3(1/
3830 Pilot Knob Road
Date Received: -
Eagan MN 55122 M!=(' IVLD
Phone: (651) 675-5675
Fax: (651) 675-5694 I Sta , I
MAY 0 5 2011 - - - - - - - - - - ~
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: .c Unit M I
Name: b~ o~ i?1 Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
y
TYPE OF WORK Description of work: 12 yc~
Construction Cost: _q/"- sap- Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 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- , caeper X V.,Ija -
Applicant's Printed Name Applican Signature 41
Page 1 of 3
L
~O dW"4 BELOW THIS L~V i
SUB TYPES
- Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi -;;"Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES
ew _ Interior Improvement _ Siding _ Demolish Building*
- Addition Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
1/Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION 00
Valuation /0- Occupancy MCES System
Plan Review 19~-5 Code Edition Itoo7 A*SBL-- SAC Units
(25% 100% ✓ Zonings City Water
Census Code Stories Booster Pump
# of Units Square Feet Al ~ PRV
# of Buildings Length Fire Sprinklers
Type of Construction V L5 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) - ":51 e°X~ Ad- Final / C.O. Required
Footings (Addition) i/Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: N` KG Z- , Building Inspector
RESIDENTIAL FEES o? ~rD X ~~3a~~ Od
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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CITY OF EAGAN Remarks
Addition, ?Vallev View Plat 1 Lot 3 eik 4 Parcel 10 81400 030 04
Owner cll?a.a.?`??'?•':-Street 1472 HighView Ave. State Ea£an, MN 55121
?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR.lidV1I1 1962 $73$.00 $73.50 10
GRADING
SF1N SEW TRUNK 1968 $100.00 $3.33 30 PAID
k SEWER LATERAL 19]0 ZO
WATERMAIN
kq6WATERLATERAL 1970 $ZSI.O.OO $125.50 ZO
k WATER AREA 1970 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
snc $200.00 1498 6-1 - 69
PARK
L
J
EACANI TOWNSI-IIP
BUILDING PERMIT
Owner +?-
-------- ......._?._. . .... ." J-?-''--"'--'- J ---...'---
?
Address (Presenl) ............. ._.s?.:?:«r_-`c<:?C.....----------
O
Builder __..................... ...._.....-._"'----.----...----...__....__..----......---
Address
DESCRIPTION
N° 1647
Eagan Township
Town Hall
Dale ..... ;?/r-l? ..-"--"'---..°---
SYOries To Be Used Fos Fronf Dep1h I Heighf Est. Cosf PFee Aemarks
?-7?c
if
% ?..3 U '?. ?
o?+-?-?- _
j v % ,p.t..t?. .?-?'C=' ?=?•4 .
// LOCATION
or
This permif does nof aulhorise the use of sireeis, roads, alleys or sidewalks nor does it give the ownes or his agenf
the rightSo creafe any sifuation which is a nuisance or which presenls a hazard !o the heallh, safely, aonvenience and
general welfaxe fo anyone in iha communify.
THIS PERMIT MUST BE ?KJEPT ON THE PREMISE WHILE THE WORK I5 IN PAOGRESS.
This is !o eerfify, lha2.... /.?.'.._ ...... . ..__....has permission !o ereci a........... ......... . ? _•_ "' . ..........upon
?r. . .............
the above deseribed premise ? bjecS fd the provisions oi the Building Ordinance for Ea n Tow ship adopled April 11,
1955.
........................ .......r?!-`..'_.." ? ??c.._.+' ..."'------ Per ........----..' ?'/---? e? ,.(7Jo--L'"??.,....._ ._....
........_._""_"'.. Jf.?*! l_ '......_._![.."".._"' '__..._.._..
.........
. Chairma? oi Tnwn Soard / Building InsP ecSor
mwnar?,?,?op?-y EAGAN TOWNSHIP
BUILDING PERMIT
........ ?_...--?:??.r.; -?? ............. J... ._._..
Address (presen!) .? '. , ,?'? y?
................ ....
i
Builder ... A
., .. ?'?.'..... `1:'tC?..:.--?--`----------.--......_......._.
Address ...................... "_"....---------'----"-------..'---'----'-°------.__.....----
N° 1305
Eagan Township
Town Hall
Date
%
6fories To Be Used For Front Depih Heigh! Esl. Cosi I P
e
rmit Fee Remarks
.?i??l? '1- 9
lG
3.? , ? Of rr?
? ?
,?,
?Jlo2 S. ' %O / ,9?-"t.[ _ `v
sneex, noaa or omer uescripsson ox i.ocanon I a,oi nioax aaamon or -rsaci
T6is permit does not aufhoriae the use of slxeefs, roads, alleys or sidewalks nor does it give the owaer or his agen!
!he righ! !o ereafe anp silualion whieh is a auisance or which presenis a haaard to the health, safetp, convenience and
general welfare !o anpone in the Communiiy.
THIS PERMIT MUST S£ PT ON EiE PAEMISE WHILE THE WORK IS IN PROGAESS.
This is to oertifp, .:---?...x----------------- ...has permission !a eree! a_ ."'...... ?.....?."'..... .?. "--upon
!ha above descxi6ed premise subjeei !o the provisions of the Buildiag Ordinance for Eagaz( Township adopfe Ap:il 11,
1955. /
,?dt?f...-._'.."__.'..._...... ' '_.___9'...._p?._...??......
_....._----.......Gv.:[? ........_`....'._ ............... ' Per ....... 8?.:""
Chairman of Tnwn Board Buildin Insecios
3- y U, v, 7?
TOWN OF EAGAN
3795 Pilot Rnob Road
Eagan, Minnesota 55122
PERMIT N0. C
The Board of Supervisore hereby grants to St2ndard H;:a:cira; N: Air
Conditioning of !;1 r, ?;est Laice Street, hdnnea,,alis 55407
a Air Cond. permit for: (Owner) fc• Coei.2r
at 1472 Hip;hvietiJ P_irenue
2/21/72
pursuant to application dated
Fee Paid; $5•CO Dated this 25thC day of Febx^3=z'S' , 19;R .
c
Buildiug Inspector
CITY USE ONLY
PERMIT #: 'l-+ r7 (, a" (D
RECEIPT DATE: I C) ' I U' 0 1
RESIDEPTLAL MECHANICAI. i'ERM1T APPLiCATION
crrY oF ensnx
3830 rnor icxos sn
$A6AN Mft 55122
651-681-4675
Please complete for: ?
Date: /0'Y a
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: AQn? W.1' • ?jG
STREET ADDRESS: yJ(p 6(T/?BQec
CITY:
?
TELEPHONE0,65
(AREACOUEJ ?
TELEPHONE#:
(AREA CODE)
)Ill
STATE: MiV ZIP: 1551ae2-
PIaCe a CheCk mark next to the oermit work tvoe
_ New residential dwelling unit under constructionand not owner/occupied $ 70.00
1< Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
/
Nature of work:
State Surchar e .50
Total ??'$?
,
Reminder: Call for inspections.
?
SIGNATUPk OF PERMITTEE
single family dwellings
townhomes and condos when permits are required for each unit
Updated VOl
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMEtCIi4L MECHkR1CAI. PEiiMIT APPLICtkTION
CITY Of' EAHAN
3$30 PILOT KNOB IiD
EAsM, haiv 55 122
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:
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT Nt1MB (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New conshuction Install U.G. Tank
_ Interior Improvement ? Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
- When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspecdor.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minunum fee
Contractprice: $ xl%=$ (BaseFee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55121
Telephone 454-5242
PERMIT FOR SEF7ER SERVICE CONNECTION
DATE: Sune 18, 7969
OWNER: Robert J. Cooper
NOMBER 416
Address 1472 Highview Avenue 'g-'/ VVP
PLUMBER Roger Weierke TypE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIAING
Industriall Conmerciall Residential I Multiple Dwelling I No, of uniCs
Location of Connections:
Connection Charge 200.00 nd.
Acet. Dep. 15.00 pd.
Permit Fee
Street Repairs
Total
Inspected by:
DaCe
Remarks•
Sy.
Chief Inspector
In consideration of the issue acui delivery to ine of the above pexmit, I
hereby agree to do Che proposed work in accordance with the rules and
regulationa of Eagan Toc•mship, Dakota County, Minneaota
By.
G
Roxer Zeierke
Rosemount, Minn. 55068
Please notify when ready for iaspection and connectioa and before any porCion
of the work is covered.
Cities Digital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
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P ERLNI T bPPLICF;T ION
`(Submit in Triplicate)
ST1iTE OF MINNESOTE:)
COUNTY OF !3 ss.
I- We, the undersigned, being first duly sworn, hereby make the following
application to the Board of Supervisors and/or Advisory Planning Comnittee of
Ea$an Township, Dakota County, Minnesota:
1?.'/ Full n?me , $?'esent address and phone number of applicaht:
r.6L, u.?/i??/t
2. Application is hereby made for: (Check appropriate item(s)
d Dumping permlt under Ordinance No. I.
r j ZYailer Coach Park permit under Ordinance No. II.
Buiiding permit under Ordinance No. III.
Kennel permit under Ordinance No. V.
Re-zoning under Ordinance No. VI.
Special Use permit under Ordinance No. VI.
T-1 Gravel Pit peaoit under Ordinance No. VIII.
? (Other)
3. Legal description of land to be affected by application
or square foot ge of land inv?o lved, and street address iF any: _
?? 3 :i -71-,.. -
4. The present zoning of tbee above described property is: ?a.:
S. Zoning Classi£icatiort Deaired:
b• The me and address of the present owner of the above described land
is: c .
7. Estimated cost oE improvements to be made within one year after issuance
of permit applied for if granted, is $%Z¢. ? . The nature of improvements
is: '?cu,- ?
8. If proposed improvements consist of buildinga or structures, specify in
detail; Dimettsions: .IG 'x /J'" Number of stories: ?
Type of Construction: _Z?? 9. i:ll real eatate taxes on the above described land have been paid through
the year 19-9.4Z except:
10. The method of financing the above improvements will be:
11• Persons, firms, corporatfons, or other than applicant and present owner
who may or will be intereated in the above described land or proposed improvements
within one year after i.suance of pexmit applied for, if granted, are:
12, Attached to this application and made a pazt hereof are:
? Plat
F?a Plot Plan
t7 Sketch of inVrovement layout
?-T Plans and specificationa
Photographs
r1 ?6ther)
Dated• _ QG=? 7,s' , 194-,: /
? ?/L
Subscribed and sworn to beEore me this
day of
>
Do not write below thia line
=Approved Disspproved: [iDVISORY P71aNNIt<G CQMMITTEE (Date)
=Approved !,.1. Disapproved: BQ1;RD OF SUPERVISORS (Date)
L.? Approved ±"=3 Disapproved: TOWN ENGINEER (Date)
r-llapproved, F-y Disapproved: T'OW1V ATTORNEY (Date)
including screage
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$ 0-0
2006 RESIDENTIAL BUILDING rERNnT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reoulremerrts RamodeVRenair Reauitemenls Office Use OnN
3 registered stte suneys showing sq. ft o( bt, sq. R N house; and all raoted areas 2 copies of plan showing footiigs, beams, joisGa Ceil of Survey Recd . -_Y_, _ N
(20% mazimum bt mverage allowed) 1 set of Energy Calculatlans kr heated additlons Trea Pres Plan Recd; _Y?-_ N.
2 capies ot plan shovAng beam & wfndow sizes; poured found design, atc. 1 site survey for additions 8 decks T2e Pres Required. _Y_ N
1 set of Energy Calwlatbns qdd'dion - indicafe i/arske septic syafem On-slte Septic System _Y •_ N.
3 coples of Tree Preservation Plan if lot plaGed after 711l93
Rim Joist Detail Optlons selection sheet (6ufldings with 3 or less units)
Minnegasco mechanical ventilation fova
Date 6,7 /Dt.-/ o(o/ Construcdon Cost ? CO 6 go . U 0
Site Address ) 4`r a ?-?-'+ Ll A4"f e-J Q"'r ? UoiNSte #
Description of Work
Mu1tI-Family Bldg _ Y ?N Ftireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #((!,51) y S-4- /a L--o
contractor s, 6h_e_5
Address
3tate '-/7)
? Zip ciTy o0,;'-;. h7x-
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Caueorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiletion Category 1 Worksheet . New Energy-?o o heet
(Jsubmissiontype) Submitted Submitted?? ? ?/7?
• EnergyEnvelopeCalculetionsSubmitted I_( V
J L; JUN 2
In ihe last 12 monThs, has The City of Eagan issued a permit for a similar plan based on a masTer plqn8
_ Y _ N If yes, date and address of masier plan: __.. __ _
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
ielephone #(
Telephone # ( )
I hereby apply for a Residential Building Pernut 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 applicarion for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pl(a? ,?
C?? ? ?-?,---?
ApplicanYs Printed Nama( Applicant's Signature
DO NOT WRITE BELOW 'I`HIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Twes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
DescrPqtion: WatarDamage
Valuation
Plan Revlew
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
100% or
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Diain Tile
Roof Ice & V?ater Final
_ Prawing -
_ Fireplace _ R.I. _ Air Test _ Final
_ Iasularion
Approved By:
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
*DemolRlon (Entire Bldg) • Give PCA handout ta applican!
Yes
25%
REQUIftED INSPECTIONS
_ Sbeehnck
FinaVC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco I.ath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093243
Date Issued: 03/29/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1472 Highview Ave
Lot: 3 Block: 4 Addition: Vallee View Plateau
PID:10-81400-030-04
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 openings, 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: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Robert J Cooper
1920 County Road C West 1472 Highview Ave
Roseville NIN 55113 Eagan NIN 55121
(61)264-4777
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
r For Office Use /� //�
� Permit t /S%lo�� 1011
EAGANPermit Fee: I
Date Received: �2 C
'—' ECEIVE�4� (
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 DEC 1 9 2019 Staff:
buildinginspectionst citvofeagan.com
2019 RESIDENTIAL BUILDIYOvERMIT APPLICATION
Date: Site Address: Unit#:$
Name: O T 4 UG•lo,l, )L\ Phone: 612-670- 52-a
Resident/ i
Owner Address/City/Zip: ' 7z l/((/ it/1Ywl ' jjv'L.
`)
Applicant is: Owner V Contractor '\
Description of work: rPA 4 d v� I/l.Oli1 s i-m(, anal ce/01t r v'4 1l /w S�i/
Type of Work' 4_44/4-c/3-
•
Construction Cost: Multi-Family Building: (Yes /No "1"--)
1/)
Company: 1/1/L G4a,(, 6ptet.51' t v Contact: L 1//Ab✓►
Contractor Address: '9 O P-Ar S .4 t/t , City: G v-c- 1/e/. 6
State://v'Zip: s<L077 Phone:6 c / " J Email: IA/ge,(5G4bti-GG, l"-Gltir qi ce.)4,
License#:13C / 1 1 LJi Lead Certificate#: .//3/00 o AAT' r °L i/ ok
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:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. -.
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.citvofeagan.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.qopherstateonecall.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.
I'v''I/cwt =..-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /(4-7 14--'1 t VI EUL} Ali E. / i7--
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
,k 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 1/4'4' Occupancy 1;/. –/ MCES System
Plan Review Code Edition ,j, SAC Units
(25%_ 100%_Y) Zoning y2 -/ City Water
Census Code //3"/ Stories Booster Pump
#of Units / Square Feet — PRV
#of Buildings Length — Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice 31Nater Final Pool: Footings _Air/Gas Tests _Final
Framing K 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:
i
Reviewed By: ,L f , Building Inspector
RESIDENTIAL FEES i /�,i,i,ifi?ti` 6 � 1,3' ,%7
Base Fee M
Surcharge
Plan Review
7 -.
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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1
r For Office Use
•
i i • A Permit#: /)✓` �//� Z� ( -Z
E AG N
Permit Fee:
I�r
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildindinspectionsacitvofeagan.com
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /-2-1-2.0 Site Address: /Y 7 Z / 74--7Cr6cd
Tenant: Suite#:
Name: Phone:
Resident/Owner •
/f
Address/City/Zip: /V72- <g f'' � G Z <4f<4,-J, ! -il
Name: g„4-e-,..
j License#: ��&•213 1.4
2
Address: l 'eP 7 Z./4eCity: Ae-eter
Contractor:.
State: (A Zip: .S�7Z Phone:
Contact:Zeds.. 'Q Email: _.14r/ fW✓-nd AV
T of Work _New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
ypeDescription of work ''/4ti 'e fei;j itrc . f•7`1r2
Tankless Water Heater Lawn Irrigation( RPZ/_PVB)
Standard Water Heater
Description Add Plumbing Fixtures( Main/_Lower Level)
Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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
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.citvofeagan.com/subscribe.
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.
air
x Zof-neeiz_e_/-1--Asio")
Applicant's Printed Name App • nt' ignature
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-ln Air Test Gas Test _Final
Meter Related Items: Meter Size Radio Read; - Manometer .Staff:
i t
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspectionsacitvofeagan.com
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