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2074 Flint DrBUILDING PERMIT =%RWg To be used for R- rt I ? i Receipt # Est. Value Date OCTOu-`'•= Lot 23 Block 4 SeGSub.CTEDAR GRt7VF' 3F:.D Parcel No. . Name GLEN A !MMI4Ans z Address 2074 FI.I''<'t' Z.t' ? City. EAGAN Phone 634--3394 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 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to:- GLIV't i` i`ti:?,4i'if?!d on the express condition that all workshall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Building Official . - ' - . .. .. . ., . - . .. . . - •-4 ' . - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Ailowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner 5urcharge Council Plan Review Bldg. Off. SAC, City Variance _ SAC, MWCC a Water Conn. Water Meter Road Unit Treatment P1 Parks ? N ! TaTAL Permit No. Psrmit Holdsr Date Telaphone # Plumbing H.V.A.C. E lect ric Softener Inspectfon Date Insp. Comments Footings I Footings II Foundation Framing Roofing • °? SC-p ? ?ZGc-?y [ Rough Plbg. e ? -L, _ Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN , 86 ?i 3795 ?Ilof Knob Raod Eoyan, MN 55122 ` PHONE: 454-8100 BUILDING PERMIT Receipt # Te be w.d fer rAl'`A(E ALID"N• Est. velue $2 ,O(;C p,tp October 31 19 33 Site Addrcss -. ' . . - ---- - - - - - - Lot 23 gtock 4 ?/Sub Cedar Grove Srd Parcel # 16. 1; 7'J2- 30-•04 W NOme ?:1cu r?. ??ctivwnu ? Addross ' j74 Flint Drive Y'?ocn Sri177 L,Sb_• p Nome Erect ? Occuponcy /\Iter 0 Zoniny • Repoir ? Fire Zone Enlarye ? Type of Const. Move ? # Storief Demolish ? Length_= Grade ? Depth Sq. Ft. Approvols Fees 9? ^?fe? Assessment u ~ Ci Phone Woter 8 Sew. PoNce ?W Nome Firo Addreas Eng. L Ci Phone Planner Council I hereby acknowledge that I hove reod this applicotion ond state that gldg. Off. the information is correct and ogree to comply with oll opplitobte Store of Minnesota Statutes ond City of Eagon Ordinonces. APC }. Sipnnture of Pertnittee G ' No n A r --- e . Permit "•"? Surchorpe 1.00 Plon check SAC Water Conn. Wuter Meter Rood Unit Total A 8uilding Permit is issued to: on the Express oondiNon Ihnt oll work sholl be done in occordonte with oll cppliwble Stote of Mi-nnesoto Stotutes a?+d City of Eagan Ordinances. , -- Buildinq Officiol Permit No. Permit Holder Miu. Permit No. Holder Plumbing H.V.A.C. Wdl Water Diap. Sewer Ekctric Intpection Date In9p. Other Footinps /0-,?dJ ,?0?' Foundation Fnminp 111AS3 Rouyh Plhp. Rouyh HVA Inwlation Final Plb¢ Finel HVAC Finel /All,? Water Doeribe Loeation: YVall Sewer Pr. Disp. CITY OF EAGAN ^ Remarks C2d2r GT'OV'G' ACQJl11S1t,iOri ? aadition Cedar Grove #3 Lot 23 aik +-F Parcel 10 16702 230 di owne ,. •???• -??L'tEreet 2074 Flint Dr. stare Eagan,1'N 55122 ' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET AESTOR, GRADING SAN SEW TRUNK # SEWER LATERAL 1 2 1304.00 52.16 2 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STFEET LIGHT WATER CONN. BUILDING PER, SAC PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15675 PH ON E. 454-8100 BUILDING PERMIT Receipt# To be used for BE-ROOF Est. Value Date OCTOBER 4 ,1 g 88 Site Address 2074 FLINT LN Lot 23 Block 4 Sec/Sub.CEDAR GROVE 3RD Parcel No, x Name_ S,LEN A NEWMAN W 0? Address-074 FLINT LN City EAGAN Phone 45[h3594 ` Name_ .o ?Q Address ? Ciry_ •? W W Name _ Fw iz Address u aw CitY_ I hereby acknowledge that I have reatl ihis application and state that ihe information is correct and a to comply with all appllcable State ot Minnesota Statutes and Cit I agan Ortlin Signature of Permittee _? A euilding Permit is issued lo:__ GLEN_A__HEWMAN_ on ihe express condition thal all work shall be done in accordance with all appliceble State ol Minnesota Statutes and City of Ea9an Ordinances. Building Official_jJ.Ik?At1,jAA,,_I_ 1 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ (ACtuaq Const City Water _ (Allowabte) PRV Pequired _ u of Stories Booster Pump _ Length Depih S.F. Total Footprint S.F, APPROVALS FEES Engr./Assess._ Permit N C Planner Surcharge Council _ Plan Review Bidg. OfL SAC, City Variance _ SAC,MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks TO7AL N/C CITY OF EAGAN N? g621 3795 Pilof Knob Read Eogon, MN 5512= , • PHONF: 454•8100 BUILDING PERMIT ReceiPt # Te be uwd Fer GARAGE ADD'N. Esr. Volue $2 000 pate October 31 _ iq 83 Site Address 2074 Fllnt Drive Erect ? Occuponcy R-3 - Lot_2.3_ BI«k4Sec/Sub. Ce dar Grove 3 rd Alrer ? Zoning R-f 10-16702-230-04 Repalr ? Flre Zone Parcel # V Enlarge }[$ Typa of Const. rc Name Glen A. Newman Move O # Srories Z Address 2074 Flint Di'ive Demolish ? Length 12 C; EaQan 55122 pF,a„e 454-3594 G.ade ? Depth 22 Sq. Ft- 1-.._ e.....,.,,..1. e... p Name _ i? Addrass Noma _ Address Assessment _ Water 8 Sew. Police - Fire Enp. Plonner - Council _ I hereby ocknowledqe that I hove read this opplication ond state ihat gldg. Off. the intormotion is correcf ond ogree to wmply with oll applicnble APC State o4 Minnewta Stat es and City f an i nces. Sipnature of Pertnittee en A. ewman Permit ?c.Ju $urchorge 1•00 Plan check SAC Water Conn. Water Meter Road Unit Toral $33.50 A Building Permit Is issued to: on the express condition Ihnt oll work sholl be done in accordance with oll appii le Stafe o in e- o S-tatures and City of Eopan Ordinances. Buildirq Officiol ? EAGAN TOWNSHIP 1180 BUILDING PERMIT Ownez ----- L°"'(-?.tL...C..f?`t.:?Eagan Township ?.s. _.?.......... .. Address (preseni) ............. Town Hall Builder ._.._......._........ Address ........ .... . ...... ..__.- ---- ...... _.._......... _. _.. ..... ..... _... _ .......... ------ ?_._ _._......___......_......_.......... Dafe ._ /? _.._Lq...._......_.. -- DESCRIPTION - Sforiesl To Be ------- - I?/ % Used Foz ' ---- ---- Froni ? Depih Heigh! I Esf. Cosi ?-- __-- -- -- --- , Permif-Fee ----- ?IbS? - - Remar-ks - ------ ----- ---? ------ LOCATION -- Si:eef, Road?ofher 7jescription of Loca2ion I Lo! Block I Addiiion or Traci ? ?/'7-. o?l?4 -l9- This permif does nof aufhorize the use of sireeis, roads, alleys or sidewalks nor does ii give the owner or his agenf the righf !o create any situation which is a nuisance or which presenis a haaard fo the healih, safety, convenience and general welfare fo anyone in the communify. THIS PERMIT MUST BE KEPT ON yTH?EPA?EMISE WHIL£ THE WORK IS IN PROGAESS. This is fo ceriify, ihai......dd.._haspermission fo erecS a..... ?I_',_Q?,.{?_.,?/, ......._'___......._. pon the above dcscribed premise subjecf So the provisions of the Suilding Otdinance for Eagan T6tvnship adopied ril 11, 1955. q ......... ..._...._.._.. I........ ?. .?_.?...??Per .............(.?:c..G1.?r?_._...U.a..s_X-. p Chairman of Tnwn Board 4 i < Buildin Ins ecio ?+?CITY OF EAGAN Include 2 sets of plans, ?? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of erergv cal.culations. Zb Be Used For C?#/L A G G v I,9,9,(TiC)A/valuation d0 G Date .j/ -,? 3 Site Address: a? ??V /?/ //l/7"' OFFICE USE ONLY Lot R j Block ? Sec. /Sub. Ct: &a1? 6 r0U ?- Erect Occupancy Parcel#: 0 `-230 -C)(( ?-5?-` Alter Zoning Repair Fire Zone O.mer: V._L F) f? -/ifE ?i1 /?7 i9 /(?? Enlarge?? Type of Const. Nbve # Stories Address: ? Q 7V F,z ! y'T /,yDetnolish Front /2 ft. City/Zip Code: r ff /j-J Grade Depth 0,;2 ft. Phone # : 'y?171- 3,?5 ?u/ ? APPROVAL,S ` FEES ' Contractor: CZEAJ /-) 4/?0,f1,071$7fl1 Fvssessmnts Address: City/Zip Phone #: 7 Fl Water/Sewer Code:' ?AC/?ti ?/r! SS i? aFi ? re - Eng. Planner Arch. /II79• : 1'Cl-?l-tlf A N OE 1Zso n/ Address: City/Zip Code: 6?^11 ( fJ /L-/ Phone #: Z//W 9 council Bldg. 0 APC Pexmit 3v? Y?- Surcharge / Plan Check SAC Water Conn. Flater Meter Road Unit 'ICYPAL \ _ ?` o' '' " - 'a y' °• '6 " ' . _ n M 16 `•.?. 30 ?a-43 ?zo- ni5' a"p:1s ti 4- a?'ti 90 P'?5 9L = 1 01 a Zf 28 0 3 ? 6)0.., ??+ .. sc• '?,y a ?v 75 >S h > ,y h . 2 No 7 .'S? I y/?3 pp p. 30 6Sa jR `M i`h • ? . . o o ' i r. ?b;L 0,o? w \ ` `' ?os j4 ` 4 ti ? , . . / / / ?8 m pyy ?~\? •?i? ?a' 4 ? 6 o_ 20.Pt.le /ZO q?' ? n?°c .Z Q 3 0 p \ < O b r `OrO+ A ? ?`TS 1 /'?? . h 6 p • / / / q ? ~ ryb \ ? j WY `? ? tr /° HA ? ??o'k 1?)4jZ< 9. f? ' ?O e,y 9?, 8?? ?,/ O . ? ? ? ? ? ? O ,o. ? n?h• . ? a /?\ •{?b p1 300'•??.r PN n jo q 6o j?" ? 66e 8 0 o'..ro ti . 1e SS8 N ??f?? ;> ? 9 T o ? ti >o o ?y,• / ?+ ? //0 qryb. ?NOt . `SJ 16 10 \ J0 ^0 A. ?e.W 30 ; ?.? a'' S ? ?60 o • ?S ?r 9>.., ?S 14 jo 4 90 13 ' s S ` h. 1 3 ? 70 '•s,,, 3a j o ? 5?` O 9 137 )S 7f 75 ) 66 60 17 O JSE . JS . 21 ? 6E \ jf ? > ? ? // ` ?? ?1D !9 0 75 '•_ 44851 ?S /g ?0 0 ,3rn?r'; >f ?S ' / ' ? 40••. ? ?? \ e" .?•.'2 0 ?S "'`, . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 I? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL IiVCLUDE 2 SETS OF 1 SET OF SPECIFlyG FOR SALE QNITS # OF UNITS OF SURVEY - CHECK WITH BLDG. DEPT., ECTURAL & STRUCTURAL PLANS, AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Site Address z C? ?]?} F'LIN! -AJdt?;..? ? Lot Block On site sewage Occupancy MWCC system Zoning 1 Parcel/Sub ArueJ 3.n6( On site well Actual Const CF/ &? City water Allowable Owner ? - PRV required 4f af stories ? 7 J/ L A Hooster Pump _ Length D ? ddress ? /I /Z C C S.F.Total y p it i ode FootPrint S.F. Phone ?f S ? - 3595? APPROV9LS Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone Il Engr/Assess Planner Council Bldg. Off. Variance Date: 1o'"y- si' FEES Permit N , Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL R' /_ PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101597 Date Issued: 10/14/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 2074 Flint Dr Lot: 23 Block: 4 Addition: Cedar Grove 3rd PID: 10-16702-04-230 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Sue LaMeyer 1635 Oakdale Avenue West St. Paul. MN 55118 651-451-6835 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Beissel Window Siding Mark AiTiola 163 Oakdale Ave 2074 Flint Dr W St Paul l\IN 55118 Eagan SIN 55122 (651)451-683 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink I For Office Use 1 1 alt fEa ~Il ; Permit -7 to 3 _ CL_/ o b Permit Fee: 1 fJ J" U 1 3830 Pilot Knob Road I~ Eagan MN 55122 p EE I Date Received: Phone: (651) 675-5675 ~r ; Fax: (651) 675-5694 MAX ZO'1 staff. L L 4------------.----'A 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: o3D`1q -VI,r)1r Qrive- Unit#: Name: ~0_k A r P i 1,10' Phone: (O51- 09!09 -91111 RESIDENT / OWNER Address/ City /Zip: c~ ©'1 I n+ 'b" yl e. , &)-Qan= Mr J 55,1-13' Applicant is: Owner Contractor A Description of work: o_ TYPE OF WORK Construction Cost: M O Mufti-Family Building: (Yes / No )cc Company: ~c~o + j~ cwContact `ftlI600-L, LAI"'n=2 CONTRACTOR Address: oun5 Lks 'ws City: state: m- Zip: 5 5 3 5 Phone: 3 ac) - License # RC_ L1 y tQq 89 Lead Certificate * NAT- 1 DLo a a9 I 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 Fagan 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 am considered to be public information. Portions of the information maybe classed 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-M2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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. x~01~ 1 , Dn~Ql1 ~-K1fY II A I~Adisi X ~ W IL 01'U.A64 od Applicants Printed Name Applicant's Signature Page 1 of 3 • ~L IYI~ O NOT WRITE BELOW THIS LINE LI) / SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi - Deck Porch (Scroen/Gazebo/Pergoia) _ Exterior Alteration (Multi) - 01 of _ Plex i Lower Level ^ Pool _ Miscellaneous _ Accessory Building WORK TYPES New _ Interior Improvement Siding Demolish BuildiW _ Addition Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair i Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 4p ' Occupancy /2,-, - MCES System Plan Review Code Edition ao ? SAC Units (25%_ 100%, Zoning T,~ City Water _ Census Code , Stories Booster Pump # of Units / Square Feet PRV # of Buildings / Length Fire Sprinklers 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 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: Building Inspector RESIDENTIAL FEE Base Fee Surcharge Ala G3 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink AMR- r - - - - - - - - - - - - - - - - MOM I For Office Use j Permit Permit Fee: U al I 3830 Pilot Knob Road I Q I Eagan MN 55122 Date Received:5 ~3 1 Phone: (651) 675-5675 I /~,3 1 Fax: (651) 675-5694 I Staff: 4-fl I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: --Ct 16 1 1 Phone: Resident/ t n Owner Address / City I Zip: El Iyt _ _ L y Applicant is: Owner Contractor Type of Work Description of work: V Construction Cost: Multi-Family Building: (Yes / Company: V6 A 0 V Contact: a Contractor Address: City: OU C I/ TL/ State: l- Zip: _ Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) F 5E t COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 I 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. Exterior work authorized by a building permit issued in accordance with the Minnesota a Building Cod must be completed within 180 days of permit issuance. X_ Pkf l[ - V~A x Applicant's P nted Name Applicant's S' nature Page 1 of 3 4111. City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use r q Permit #: 1 16W D Uy Permit Fee: (PO ! ° `} Date Received: 1 O • X70 ° Staff: 1 �S 2013 MECHANICAL PERMIT APPLICATION ❑ Pleaseub?it two (2) sets of plans with all commercial applications. �iB'l r �C� 7 y Fbr i D11; -e...— Date. IU Site Address: Tenant: Suite #: J Name: Met /1k 1rool Phone: ‘s /—)C 9 — 7711 Address / City / Zip: Si ti Name: HE SNELLING COMPANY, INC- License #: Address: 1400 CONCORDIA City: ST. PAUL, MN b5104 State: Zip: 651 646-7381 Phone: Contact: Email: New )(Replacement Additional Alteration Demolition Description of work: P 1° Air Conditioner Air Exchanger Heat Pump COMMERCIAL New Construction _ Interior Improvement _ Install Piping _ Processed Gas Exterior HVAC Unit Under/Above ground Tank L_ Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 Permit Fee Surcharge* TOTAL FEE 1 hereby acknowledge that this information is complete and accurate; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, and work i with the approved plan in the case of work which requires a review and approval of plans: 1.6 Applicants Printed Name ance with the ordinances and codes of the City of out a permit that work will be in accordance Applicant's Signatur NAY -1-2014 15:50 FROM:TREBILFOUNDFTION SYS 3205938720 City of Eaall 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 675.5675 Fax: (651) 6754694 RECEIVED MAY 01 Nit TO:16516755694 P.2'4 Use BLUE or BLACK Ink For Office Use Permit #; 212,Y1212,Y1% Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �1/17 Site Address: 17 P/N hr- Unit #: Resident/ Name: /14Prilk Atm/0 / 4 Phone: 0/ ""c27 -q7/1 Address / Ci / Zip: PO 74 1.-1/ n. 6 Applicant is: Owner Contractor `/ Typo of 'Work Yp Description of work: 1 elf ' 1 %27a/'L 1 /e- 1 (� �1 ��,,,(( Construction Cost:'6•r" 335v, 00 Multi -Family Building: (YeS / No ) Contractor Company. ,,,I�.�--r-vQ. 071. -dentad•J2/1I /ID Address: �D3 51/S 7M y //9- City: t!.I.1 C� -�f� State: Y/Y Zip: 55` 5 Phone: , -y� -87e99 / License #; k/ 14 061 Lead Certificate #: NAT /47e9 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional) information) 0 1�%5_. In the Last 12 months, _Yes __No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Phone: Phone: Phone; NOTE: Plans and supporting documents that you submit are consldered to be public information. Portionsof 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. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 464.0002 for protection against underground utility dama0e. Call 48 hours berore you intend to dig to receive locates of underground utilities. wwW,ponher$(ptimecall.orrl I hereby acknowledge that this Information is complote 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 en application for a permit, end wont 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 lssuod in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. Applicant's Printed Name x,Jr Appllcanrs Signature Page 1 of 3 VAY-1-14 15:51 FROM: TREBILFOUNDATION SYS 3285938720 SUB TYPES Foundation Single Family Multi 01 of .,. Flex Accessory Building WORK TYPES New Addition Alteration / Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Y _ Garage Deck Lower Level TO:16516755694 P.3/4 Interior Improvement Move Building Fire Repair Repair 5'0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile (L- i .- Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Codo Edition Zoning Stories Square Feet Length Width Sheetrock Reviewed By: Storm Damage Exterior Alteration (Single Family) ExtoriorAlteration (Multi) Miscellaneous Siding w Demolish Building* Reroof __.._ Demolish Interior Windows _ Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Unita City Water Booster Pump PRV Firo Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Alr/Gas Tests _Final Siding:.„ Stucco Lath Stone Lath _Brick Windows Retaining Wall: — Footings — Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 1 Pfw Page 2 of 3