1326 Jurdy RdYILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Sca.Knob Road PERMIT IVO.: 1600
Eogon,MN 55122 DATE: 10/11/74 _
Zoning: PUD No. of Units:
Housin4
Owner: Creative
`?
Address: ?7 LP7L"f6 1i?
Site Address: 1326 Jurdy ad
Plumber??amm P1umUing
Meter No ry?4?? Connectlon Charge: 130. 00 pd
Size: Account Deposih
p
Reader No Permit Fee: 10.00 pd
I a9res to rnmply with tha Villoga oF Eogan Surcharge: • 50 pd
O.dinan ei Misc. Chazges: 60. 00 pd
To[al:
B Date Paid:
Date of Insp.: Insp.:
I
vaUc¢ oF E?oaa SEWER SERVICE PERMIT
3795 Diks.Xqo6Rood PERMIT NO.: 2360
Eayan, MN 55122 DATE: 1 O/11./74
Zoning: PUL' No.. oF Units:
Ow?er: ?reakive HOusing
Address:
Site Address: 1326 7urdv Ro3c3
Plumber: Klanun P1tunLinq
1 ogree to camply with }he Village of Eagan Connection Charge00.00 jJd
Ordinences. Accoun[ Deposi[:
YermiC Fee: 10. 00 pa
Surcharge: .50 pd
BY: Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid:
?
CITY of EAGAN
BUILDING PERMIT
own.: ?/'..-. . . .. . ....... . . .....?.....y..?¢ ....
Address (Drasen!) .....T.a R.Q....- ' - °--...., -°--.....L'./.(..........
Builder ......... 7-. R........?.^..-G.r .......................................
Addrese
M jm
N4 _3410
3785 Pilo! Knob Road
Eagaa Minnesola 55122
454-8100
Dals
Sloriec To He Usad Fox Fron! Deplh Hefgh! Eei. Cos! Pezml! Fsa Ramarks
-
- --
b Zs', 3 9 .
!Y/a --
.
??l 5 6a 7 3, o-a
/S . y-n
0
?
oz
This permit does not aulhorize the use ot sireels, roads, alleps or sidewalks nor does it glve the owner os htf agen!
the righilo ereafa anp situation which is a nuisanee or whieh presents a haaard !o the heallh, eafetp, eoavealencs and
general welfa:e !o anyone in the communily.
THIS PERMIT MUST 8?j?KE??OeN T PREMISE WHILE THE WORK IS IN P (iR . ?
This is !a eariitY ihat.(„t1P?k?'..- ...................has pasmissioa !o eree! ... ... - - - ....... ....................... _upon
the ? oe descr' ?premise subjecf !o the provisions of all appJiee?M?/6idYq1ances Ciip of Eag
? /.
.^:............................ :................. Per
Mayor
9- ?-/
CITY OF EAGAN
3795 Pilot Knob Road
Esgano Minnesota 55122
PERNIIT NO.: 588
Co.
s ?t. - :
_'?',
= . Y,.,- .. .
? .. .
pursuant to applica
Fee Paid: $60.00 dai:ed this 17tfi ?
1.50 s/c
Machanical Permits:
Bid Tatal:
Building Inspector
?
The City of Eagan he
r3ox, Z)" YD -
- • lD 690 n`F
CI`Irf Oi EACtiN d/Of\R?t,ikX? 3795 rilot Iu;oo °oaa
Eagan, S,iinnasota 55122
PERICT NO.: 515
The City of Eagan he^eby gra:.ts to ylamm plumbing & Heatina
of 12409 Co. Rd. 11
a nl„mt,ing Permit Por: (0-wner) creative
1326 & 1321 Jurdy Road and
at 7 a5E3 (3„arrr gaud an s pursuant to application dated _ 9/27/74 =
Fee Paid: S60_00 dated this 11 day of Oct. , 19_74 e
1.50 s/c
Suilding Inapeci;or
Mechanical Permits:
Biu Total:
.- - 1 \
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ???
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
(iP. `?? t' i I i 0???J krl. ltitttl
INSPECTION DA • DA
, . ? , .I .
(tl MAhtK'?,: FtAi: tl1-f ANlt Rp R[1[1t
F
L J
-----------------------------------
Permit Holder Date Telephone p
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFWG a? cl+
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
•
FINAL PLB6
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDHOSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FWAL
CITV OF EAGAN Remarks
Addition Doru?ywood Addn. Lot 9 Bik Partel -
Owner/?•?!'?i.? /?' ??2?? j?/i5 J Street 1326 Jurd,y Rd. State ESg2.ri.PMI 55121
t;'i L1
Improvement )ate Amount Annual Years Payment Receipt Date
STREET SURF.
STR E ET R ESTOR.
GRADING L
SAN SEW TRUNK 1q-3 1070
SEWER LATERAL Z49
WATERMAIN
WATER LATERAL 1975
WATER AREA
? STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 130.00 '
6UILDING PER.
SAC OO OO 11780 1 9-30-74
PARK -
i
326 .J o20? iZo
2009 RESIDENTIAL BUILDING PERMIT APPLICATION L
Date: 1 4./13'Q Cl Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: hI /'? ??y 01"' c GAA Ti1Y Phone: Ce 12 rG `i'S'-77 114
Address / City / Zip: ? 3 J? R'O Y R0 12: A GAM S5 I 2 I
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: 5 R n, 2a! j j Z 2?n o o,c ?
Construction Cost: $? G, ?Uo• b U Multi-Family Building: (Yes No ?! )
CONTRACTOR Name: i iZiwv SViyf(bJ,? S E' Izt,Xi ¢.+trvAS License#: ?L03 c.l $S?
Address: ''Z cf e) J e-c> unl T(L Y D2 ?
City: L L T rl-kl CAN n t? A State: /"'"I Zip: .SS t! 7
S ( f 77 G- d3 ? G Contact Person: I a? 13A K'Z 41? 3? J
Phone: 6
,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 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: Pfans{and suppor[erig docvments tha( y,ou submit are considered to be p'ublic information, Portions of
: the information may be classified as non pub/ic. if you provide specrfic reasons thet would permit the City'to
_
.
?
="=conciade.thatthe aie tradesecrets.1K
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the Ciry 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 p mit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plaAs. ?7
X
ApplicanPs Printed Name ;,' L'-, u
Ftar?
- - - - - - - - - - - - - - - - -
? Permit #:
I Permit Fee:
? Date Received:
I ?
I Staff: I
I ------------------
2009
Page 1 of 3
o /
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
,Y Alteration
?Replace
DESCRIPTION
Valuation
Plan Review
(25%, 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace Porch (3-Season) Storm Damage
_ Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
Deck Porch (Screen/GazebolPergola) Exterior Alteration (Multi)
?Lower Level _ Pool _ Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
Siding
Reroof
Windows
Egress Window
Demolish Builtling*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
?? Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
_ Foundation
Drain Tile
Roof: Ice & Water Final
? Framing
_ Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
_ Final ! C.O. Required
Final ! No C.O. Required
?. HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
_ Windows
_ Retaining Wall
Reviewed By: :12, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
G- Cf ( 3iI °i'sr ? l?
?44?) o )
CITY USE ONLY
LOT ? BL ? PERMIT N:
SUBD. A/OH nt! In)dOU RECEIPT #:
t 34S3a
RECEIPT DATE:
7- 19 -a0
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: }•r)'• 00
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome w condo under
construction and not owner/occupied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
?
.50
$;3 ?-
Complete this section onlv if you are remodeline, addinQ to, or reoairin¢ an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
? Furnace
Air exchanger
Reminder: Call for inspections
SITEADDRESS: 1326 JURDY
_ Repair ` Other
_ Air conditioning
_ Other
Fee $ 30.00
State Swcharge .50
Total $ 30.50
OWNERNAME: MARCIA McCARTHY PHONE#: 651 - 454-5965
(AREA CODE)
INSTALLERNAME:_RON'S MECHANICAL, INC. PHONE#: 612 445-8585
.
STREETADDRESS: 12010 OLD BRICK YARD RD (AREA CODE)
CITY: SHAKOPEE STATE: MN ZIP:55370
CITY OF EAGAN
3830 PZLOT IQ408 RD
EAGAN tMI 55122
651-681-4675
`??? AvraP-#j/
SIGNATURE F PERMITTEE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.S.N.: 10-20960-090-04
1326 JURDY RD
LOTc 9 BLOCK: 4
DONNYWOOD
PERMITTYPE: guzLozNG
4
Permit Number: 0 3258
Date Issued: 07/17/9$
DESCRIPTION:
SF (mISC.)
REPAIR
434 ALT. RESTDENTIAL
REROOF
Bu?ildirrg._ Permit Type
,Building W,ork Type
r'Census Code
., .
l 4 ??
?
REMARKS:
TEAR OFF AND REROOF.
FEESUMMARY: vALunTZON $4,000
8ase Fee $87.25
Surcharge $2.00
Tntal Fee $89.25
CONTRACTOR:
J&B ROtlFING
'4175 DODD RD
SO ST PAUL MN
,(612) 457-0391
- Applicant - 57. LIC
14570391 2006969
55075
I
OWNER:
MCCARTHY
1326 JURDY
EAGAN
(651)454-5965
MARCIA
RD
MN 55122
x hereby acknowledge that I have read this application and state that the ?
information is correct and agrAe to comply wit'h e1I applicable State of Mn.
SCaZu:tes an,d GaCy of Eagan Qrdi,nanees.
" " /-
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
FERMIT
s ?s9. a ?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTY oF Enaax
asao rn.oT xiNoB izn . ssiaz
e61-4e75
--l _
New Construction Reauirements RemodeUReoair Reauirements
• 3 registeretl sile surveys • 2 copies of ptan
• 2 copies of plans (inGude Oeam 8 window sizes; pouretl tnd. design; e[c.) ? 2 sRe surveys (exterior addkions 6 decks)
? 1 energy ealculations ? 1 energy nlwlations for heated adddions
• 3 copies of tree presenafion plan if bt platted aRer 7/1/93
required: _ Yes _ No L
DATE: *-? - 1-7 " R? CONSTRUCTION COST;
/DESCRIPTION OF WORK: I2?.(- 6'Yr
STREETADDRESS: ?-')DLQ_ ,?IA?C?U ? •
LOT: 9_ BLOCK: 'A SUBD./P.I.D.00"v1?j WOUCI'J
Name:MelL?r 4V I 1 late_10, Phone#:
PROPERTY Imt First
oWNER
Street Address: 13a49 Lu,-dV L4.
City State: mZip: ? ?-D"
Company: A+ P) ?QC3f'IY1Q Phone#: U`J 7'6?9 I
CONTRACTOR A
Street Address: (? -! 3 LI ' JS ?` ?-tU'2 N Q License # Q66!o 5!o S D ?/
City ?. ST • i"QV, ? State: m? Zip: 5 S C? 7 S
ARCHITECT/
ENGINEER Company: Phone #:
Name:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalry applies when address chang
I hereby acknowledge that I have read this application and sfate that the infortnation is correct and agree to comply with all applicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ? JL `T"
State:
Registrffiion #:
Tree Preservation Plan Received _ Yes _ No _ Not pequired -
16
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
0 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04
?' SF Porch ? 09 12-plex
05
# SF Misc. ? 10 = plex
WORK TYPE
? 31 New 0 33 Alterations
? 32 Addition Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepairlRem. ?
? 13 Garage/Accessory O
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
,? -I . a?
?
Tota1:
°h SAC
SAC Units
_ _ . __. _ . _.....__....?...!
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
Valuation: $ 1000,00
CITY USE ONLY
L 9 BL
SUBD.
,?.? - ?yra- ?c
? Sa
RECEI T #: ? ?
DATE:1.??.i?
1995 MEGHANIGAL PERMIT (Rt?IUtIV I IALJ
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ ??
_ New construction _? Hda-on furnace ?Cv?,?%9?"/G?/
_ Add-on air conditioning Fireplace conversion (to existing firepiace)
Date: / ??? ? /?
FFFC
? Minimum Fee: Add-on/Remodel (existin? residence only $ 20.00
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
5'uTi.?
24.00
6.00
Errs?iR-?
.50
?'1..b ??
SITE ADDRESS: ??aC? ?TU,??D Y ?
OWNER NAME: ?/?C/? ? ???? PHONE #: ?? S
INSTALLER NAME: ?/????G ?U? G
STREET ADDRESS:1?? J???N? ?-?
CITY: ???i?l? STATE: /?/J ZIP: ?J?/O? ?-
PHONE #: ( ) v?- - 0???? ???
?-3? '9s ,-?3?- 9 y ?4
J?'?' // ?? Gr???
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1326 Jurdy Rd
Lot: 9 Block: 4 Addition: Donnywood
PID:10- 20960 - 090 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Champion Window Company of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574 -2054
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael l McCarthy
1326 Jurdy Rd
Eagan MN 55121--211
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA089686
06/15/2009
ePermit
12/15/09 Received letter from Champion Window, Scott Pierson, that they sent a letter to the homeowner informing them o
the required inspections. pf
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1326 Jurdy Rd
Lot: 9 Block: 4 Addition: Donnywood
PID:10- 20960 - 090 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Champion Window Company of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574 -2054
PERMIT
City of Eaan
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael l McCarthy
1326 Jurdy Rd
Eagan MN 55121--211
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA089854
06/23/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139463
Date Issued:10/24/2016
Permit Category:ePermit
Site Address: 1326 Jurdy Rd
Lot:9 Block: 4 Addition: Donnywood
PID:10-20960-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Marcia Mccarthy
1326 Jurdy Rd
Eagan MN 55121
(651) 454-5965
Clw Companies Llc
15204 Wood Duck Tr NW
Prior Lake MN 55372
(952) 292-5220
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
F � For Office Use
, . , , 0 57
/c•:) .,....,,,,r,"Is Permit#:
Z
A o Permit Fee:
dA 1`
°.i r s e eo Date Received:
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I Fax:(651)675-5694
buildi nainspections(a.citvofeagan.com
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: NDD a ri Site Address: B2 6 -3LIR7(y - rfjo.f\ Unit#:
Name: I%}i
� I me_ 6-,(4-11 �
y Phone: 3�-413" 3-0
Resident/ f �/;
Owner Address/City/Zip: I32 Z -1 ed
Applicant is: Owner x, Contractor
Type Of Work Description of work: Fret. , S3?
Construction Cost: __ Multi-Family Building:(Yes /No )
Company: CSU_'•C'l l//Cay');)4ru C Cr7 Contact: '10tiing re a
Contractor Address: 32-37 5Iie't 1IV1 S Ove- City: ►/ 1 Pi
State: 111/1 Zip:.171106 Phone: 't3 /f67 r(0'231gp'ail: S Y>9 i''r'r (cr 9///(//Cc, ,
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:
NOTE:Plans and supporting documents that you submit are cOnalefored to be pub tion. Portion of the**am.*mbe
classified as non-public if you provide specific masons that would permit the City to conchtde that they ,'< ;
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.cityofeagan.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 undergro •• ih dam-• - 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in co • ance wi th- • . ances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work' not to st- a permit; that the work will be in
accordance with the a proved plan in the case of work which requires a review and approval • plans.
Applicant's Printed Name A A..lir—'� .�
// Page 1 of 3
DO NOT WRITE BELOW THIS LINE ) N6s-- y
SUBTYPES 3� 3,.s r
` Foundation Fireplace Porch(3-Seaso ) 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 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100% ) Zoning City Water
Census Code 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/C.O. Required
Footings(Addition) 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: 4,„/.1.„ _..... , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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