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2089 Marble LaneCITY OF EAGAN Addition Grove Street it_ 36 Blk 7 Parcel 10 167o1 360 07 Marble Lane 5tate Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt date STREET SURF. 8 j 1966-95 84 46 19 STREET RESTOR. - GRADING SAN SEW TRUNK jt SEWER LATERAL 1972 130 .Qd 2.1 2 Pa1.d WATERMAIN WATER LATERAL 972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LlGHT WATER CONN. U (?, BUILDING PER. SAC PARK CITY OF EAGAN 3795 Pilot Knob Road Eo9an, MN 55122 PHOPIEs 454-8100 BUILDING PERMIT T. 6. u.A fm I:'tjP.C.C Site Address 4:J t5'? P v3ID.1.B Lot Block 7 Sec/Sub.('!'Vi:lrT.DVe ? ; . ._, ??' l 0 ? Parcel # - - cc Nanw `x:s(tiu l7tLL41t:t 1 z ?JA9 ''Sa?l? I.ai)c 3 Address b • ?.?„ .!7-n_'7inA Receipt # N4 5161 Erect p- Occuponcy Alter ? Zoning Repair p Fire Zone Enlorge p Type of Const. Move ? * Stories Demolish 0 Front ft. Grode f'l DeDtfi ft. Name ' '??ic ? ? o ~ u V /?1?flSS Assessment - ? (), P WOtBf Si SEW. hone Ci Pol ice ?W Nome Fi re ME /lddress Eng. <W Ct Phone Plonner il C I hereby acknowledfle that I hove rend ihis opplication and stote that ounc gldg pff. _ the informaYion is wrred and agree to comply with oll opplicable- State of Minnesota $totutes and City of Eagan Ordinances. APC Signature of Permittee ? • ? • A Building Permit is issued to: {-`L` '-L?-`1' on the exPress condition thot all work sholl be done in occordonce with oll opplicable State of Minhesota Statutes ond City of Eagon Ordinonces. Building Official Pertnit Surcharge ^ ^` Plan check SAC Wnter Conn. Woter Meter Total ? PN+nk # OaM lawd ?ermMtN Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Final FooYings Dote Irnp. Date Inap. Foundation Plumbing Frame/ins. Mechonical Finol Remarks: EAGAN TOWNSHIP BUIL.DIIVG PElaN@IT Ownex ._.... -° ------ - .l?-t•?-r.?t? U'-+?4C?. ee. ._ ........ . ....._/_?..._.___. ...__--------- .---- .. Address (Preseni) --- - -r ..712e Suilder .._-------------------------------- Address _-..------------------ --------................... .--------...-----..._......_. DESCRIPTION N° 764 Eagan Township Town Hall Date Stories ? To Be Used' For Froni Heigh! _ Depih _ Esi. CoaR Permii Fee Remarks ? 7•.? I JS' { ? LOCATION or ox rdoCx i NaQlllon aT -dTICI This permii does not auihorize the use of sYreeYs, ioads, alleys or sidewalks nor daes i3 give the owner er his ageni the righ! !o create aay siiuafion which is a nuisance or vshich presenis a hasard io the healih, safe2y, convenience aad gsneral welfare !o anyone in the aommunity. ? THIS PEAMTT MFJST BE KEPT ON THE PREMISE" WHILE THE W09K I3 IF] PROGRE35.?J??? This is !o cer2ify, Sha3...C ----- jc----- .?'___y2p_e'________has pzrmzssion }o erecS iw ..__!?''?._.?t'_"'_"_?_'-...... upon the above destribed premise sub" f?rovisions of ihe Building Ordinance Eor Eagan Township a apfed April 11, 1955. ? ' Fer . B ............ . .._.....__.-- ----'--'.._.---.__.. - - _'S`..'..E-7.C.-.....v----..-. -- Chairman of Tnwn Baard uilding Inspecior crrr oF En"N 9795 Pilot Knob Rood Eagan, MN 55122 PHONl: 4548100 BUILDING PERMIT APPLICATION N? 5161 Receipt # Te be uud for FenCe Est Value 600. Date 4-17 ___. 19-79_.. Site Address 2089 Marble Iane Erect [k Occuponcy _ M Lot 36 Blxk 7 Set/Sub.Cedar C'YOVe 2 Alter ? Zoning ? pQrcel #. 10 16701 360 07 Repoir ? Fire zone Enlorge ? Type Of Conrt. z Name GL-Y3Yd BudZ1C'Tl Move ? # Srories Z A?? 2089 Masi?le Ldri2 DemolisF? ? Front ft. ? ci Eagan pF1O18 454-7144 Grade ? Dept++ +f• Aoeeerala Faes ?o Name M1dWE5t Feric2 o5 AddroES- "l r?... So. St. Paul oti??p Name I hereby ackrwwledge tMt I have reod this the infoimation is coirect and agree to c Steta of Minnewta Statutes 6ro City of rtion and state thot with ali applicable^ Psseument Water & Sew. Police fire Eng. Planner Council Bldg. Off. APC Permit b•UU _ Surtharge • $0 Plan check SAC Water Conn. Water Meter Torai h _ 50 Signature of Permittee "? I A Building Pem+it is issued to: raY[1 B Z12R on the express condition that all work shall be done in acmr ith a Iiwblq e of ' newta Statutes and City of Eagan Ordirwnces. ? <,Q 4, . Building Officiai DATE J-1- I / " 7 / BCII.DItiG PE2MIl' APPLICaTIO:: Include '_' sets of plans, 1 si[e plan w/elevations and i set of energv caicuations. i1? /ya uation ? To be used for rQ ne e eka KVal?LO( 00 O6 Site Addzess:.:) o 0 f f'lQ-v I-? Le- Ci'1 , Lot Block Sec./Sub. 36 7 ? owT,zz (S2Y'ciri SuA12,1e)l Addrzss A(DR/ / //aa& t, yV ?,(2-C3 L o') 1 M A) ° Contractor + ? l.t)P,S 1 roI'1(.?' 2- I ??1 /V Ad?ress Sny S 1, f"'de t14 Arch/Eng. Address Parcel \ucber 10 I&'ta l 34=-v 07 'Telephone N57' 7?yy Telephone Telephene OFFICE CSE 0'QLY Erect Alcer Repair Enlarge Kove Demolish Grade Date of Approval and Initial ' Assessment Wa[er/Sewer Police . Fire Engineer Planner Council ... .. .?. _.._ .. _ .. _. _.,_..?..`..? A Occupancy Zoning ? Fire Zone Type of Const. ? 0 of Stories Frnnt ? Depth Fees / ?- Permit f? rJ- ? Surcharge Plan Check SAC Water Connection Water Meter ' R (34;3 ?1` rc+?t G b N* f `. R CTCL. ? ? ? PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083551 Eagan, MN 55122 . Date Issued: 06/16/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 2089 Marble Lane Lot: 36 Block: 7 Addition: Cedar Grove 2nd PID 10-16701-360-07 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Roofing & Sidling Michael D Super 944 Oriole Dr 2089 Marble Lane Apple Valley MN 55124-0000 Eagan MN 55122 (952) 891-1919 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I 1 City of Eajan I Permit 41b~ I I Permit Fee: I 3830 Pilot Knob Road RECEIVED I Date Received: 1 Eagan MN 55122 Phone: (651) 675-5675 DEC 16 2011 'staff: Fax: (651) 675-5694 1 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Dater Site Address: ~J / f r r;? y2 Tenant: y Suite SIDENT / OWNER Name: ZL-~' S0 &-,--~Phone: Address / City / Zip: 0~0~'~Cc t c4t~sz CONTRACTOR Name: ) ~►r ~ License q y. Address: 79 01 L-nit 1rj l;~ t City- State: -M Zip: _75dcl ~3a Phone: -7Lc jr.LiD,;4-Ko?a Contact: LYw- 1 e-s ke 5 Email: TYPE OF WORK New Replacement _Repair -Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 00 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.gopherstateone(;Nl.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 C,/VA 0rJp s 166 S x~ , Applicant's Printed Name Applicant's Signdture FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111478 Date Issued:06/25/2013 Permit Category:ePermit Site Address: 2089 Marble Lane Lot:36 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-360 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Michael D Super 2089 Marble Lane Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 4 Use BLUE or BLACK Ink I For Office Use I il Permit /3~ao I Permit Fee:. ity ~Olf EaE ~n n t` 3830 Pilot Knob Road RECEIVED 1 ~ Eagan MN 55122 Date `Received: Phone: (651) 675-5675 APR 2 1 2014 I I Fax: (651) 675-5694 1 Staff: I 3 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ek," Date: Site Address: Unit Name: - M i KG .5; ct P6 /-a Phone: 951-3o-?-0020 Resident/ Owner Address / City / Zip: 2t9$5L w.4 21'3 Z 6- L,4 Applicant is: Owner Contractor Type of Work Description of work: A15- G 4-a46 C 6 So'Pf ~`6 des / ~ C Construction Cost: use', 000, Multi-Family Building: (Yes No Company: #y ff L qo,,t- GOrv•~nz-,,e- 7-,a, Contact: tv-~4Dc 771"- Contractor Address: 60`;, 143, p gv 9 City: ~u2VSi/tZ-ec State: MIJ Zip: 553 7 Phone: 4!Z a9.'-38/1 License 6C-- S2~ K 3,9 Lead Certificate AZA- r- 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 fora 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 ContractoF: • 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 thex 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. s-www.-ool)herstateonecall.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 -V/43>6 I lM r-I x Applicant's Printed Name Applicant' ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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 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 klt/ Oe.W _ Occupancy j,QG - MCES System Plan Review Code Edition 94V7 SAC Units (25% 100% Y) Zoning ~L-/ City Water Census Code ~y 3Y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length ~G Fire Sprinklers Type of Construction ]!A Width "y 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 Roof: Ice & Water *Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ~G ~9AiJ~t(,G CR7Aea)Q 1Y Base Fee 412 2~ U Surcharge 1 Wf.r~Il~ ~ Plan Review Aye/ MCES SAC City SAC I y3~ly t~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 MAY 2 7 Jeffrey Wheeler From: Wade Timm <Wade@hybrook.com> Sent: Wednesday, May 21, 2014 6:35 PM To: Jeffrey Wheeler Cc: Jamie Kurth Subject: Hybrook plans for 2089 Marble Lane Attachments: Super 1.pdf, Super 2.pdf, Super 3.pdf, Super site plan.pdf Follow Up Flag: Follow up Flag Status: Flagged Hello Jeff, Pioneer Engineering went out to the site at 2089 Marble Lane yesterday and marked the property line on both sides of the lot. It was exactly where I figured it was. The site plan I have included is accurate. I made the modifications to the plans as you requested. Please let me know if there is anything else you need. The drawings are set up to print on 11x17 paper at 1/8" scale for the floor plans and 1/16" scale for the site plan. Thanks Wade Timm, Owner Hybrook Construction www.hybrook.com 612-598-3811 wade@hybrook.com RE-CEIVED MAY 0 8 1.014 . ~ 3 16701 360 .k Nk e t o ~~torb der. fineer "/"ed EACI N REVI t:v ff BY: MATE: BUi G S€ ECTI NS DIViSiON I I ~ , I , I I I I ~ I ~ I I I I I ~ I North I ~ I ~ I I I I I I ~ I I I I I I I I I I I I I ~ I ~ I I I I ~ 24'-Ol1 I I I I ~ - I M I N I ~ - N~~~+ amp 8u2 sq, ft, \ O ~ I O vco I i 401-011 23' -6 I I ~ I ~ L ------J 5 ,0 651-011 5 -OI O O O Lot size: 10968 sa, ft. Cedar Grove No, 2 2089 Marble Lane, Fagan, MN. 5 0? Parcel 119: 10-16701-07-360 Scale 1" _ ' -O" 75 -0" S~ree~ A ITT a ` � Use BLUE or BLACK Ink r----------------.__, I For Office Use � ' � Permit#: /�v�"�� I Clty of ����� � / �� ; � Permit Fee: ! ��. 3830 Pilot Knob Road I � � I Eagan MN 55122 RECE�vE� � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 pUG �71D14 I Staff: I � � ----------------U� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: Site Address: Unit#: �� ' Name: t^�-l t-f� � �.c�rz t su�E�z Phone: Residen#/ ' UWtI�Y Address/City/Zip: 2 a$9 {^'►�4 cz i�, �L L A •,�'� Applicant is: Owner �Contractor � — � Description of work: 1U���- I��K � � � T�Pe 4f'WO�k ' , Construction Cost:�`'l��b Multi-Family Building: (Yes /No� �; ��' : ��� Company: ��iC32aar � cb,v� � Contact: �-vADC' `�t^'�� . , Contractor Address: �S o'� i 43�� � : ����'" City: State: �`"►dv Zip: S 5337 Phone: ��z- S9�S�3��t EmaiL �^i4��� ��H�nmoft��Gd""� ': License#: P�CS2--$`r'3,� Lead Certificate#: 'N�r — loS�9 k- t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �L�� 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: 1Y�7TE��Plans�nd�upPo rn �t�► � � r#' g� c��„�m�nt� h�t��au su�m��ar�e�#ns�dered,ta=Fb,e,�perbli���t�C�rma�ion. Par��ons a� >#he rr�fc�rmati�rt,�may bu��c°la����e�t�as rrai��p�bli�"�f�r���prr�v�d�sp��i���re�sons°flra#'#�rau�d perm�t'tl'ie City�t5 �,,�, ����, : conclutle�hat��ie are tradea�s�cref�. 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.orq 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 W�D� T-��-��-, X . �'��7 ��" "' � ApplicanYs Printed Name Applicant's Signature Page 1 of 3 � 4�� /V����t �� ✓ DO NOT WRITE BELOW THIS LINE �4�lt�c�`�� SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ ExteriorAlteration (Single Family) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Exterior Alteration(Multi) 01 of_Plex Lower Level Pool Miscellaneous 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 .��-C..� MCES System Plan Review Code Edition �,r� M5�3C. SAC Units (25%_ 100%� Zoning `�-,� 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) Sheetrock � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Drain Tile Other: Roof:_Ice &Water _Final Pool: _Footings +Air/Gas Tests _Final � Framin9 Siding:_Stucco Lath _Stone Lath _Brick Fireplace:_Rough In _Air Test _Final Windows Insulation Retaining Wall:_Footings_Backfill_Final Meter Size: Radon Control � Erosion Control Reviewed By: _ � ►� ) Building Inspector RESIDENTIAL FEES Base Fee Surcharge � � C � i ! f � i S� ,,, � (Q � .�' Plan Review MCES SAC ���,� ,�� City SAC Utility Connection Charge S8�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 2 ��c�:i��a --� . .,,,� 1���3�. : ., � ��� Q��o��� �� � � ���� � ���� � � � � � � 3 � i;. � �� �!��.C L= � � '� �� �. t�- l� ��i -a�-� 3t� �' � � � °�O �r�? M�tR,QG,ic �,�/ � � e�;. •"!�, ''� oet , 1/j �„ F °' '�l�i . s, ag$h �� � � � , � 84!/� � .� � : i��/�j�,p , �°CpjC�js,�` ♦ ; �A��� � Cx /'�•` jG �� ��r 2� �`'�6 �` °`'�. �l + � �f�� �...,, �:' � �� s' �'"�,,..+-�`,,.�"" �t,� � �k� 4�. � ����c � i ��- � �l` Z3 S.:J �� ; by�/`,��8 to . . �S, ����� °w�ie�'���, #�� E/-�^f-�N i�E�i���,�J� BY DATE: � BUI G S �:CT! NS D�VI;ION � � ,.. -�+ ,�I�"+ � i Use BLUE or BLACK Ink ,- ForPermit Off#:ice/Uss(Ciei'ee �---�/U� city 0f En 14 C//� 1i11 �Il Permit Fee: (0-o 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 cr 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l y`(7 Site Address: ZO lY fh 4L L CA] Tenant: al ( ' a) L-Edit-( S-12- Suite#: I Name: i'V11 'e CJ Resi t 0Wher I L 2 2` Phe: — on , Address/City/Zip Name: C/ det i(t41d' R5 T-2„✓( License#: S1"/(19 ' Corrector Address: G 05 8,91LS 4 City: eti State: eh/'- Zip: 5-S-044U Phone: -7S-3 2 Contact t 0,1 0C-qt."t..� G© Su Avn, Email P.��CL� L 4'200\ New K Replacement Repair —Rebuild —Modify Space Work in R.O.W. Type of Work — ,y _ — — ; Description of work Irk - kc ( 61tp . C CIRESIDENTIAL i Water Heater Water Softener Lawn Irrigation ( RPZ/—PVB) Permit Type Add Plumbing Fixtures ( Main/—Lower Level) i Septic System i —New Water Turnaround 1 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) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ i 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 hereby acknowledge that this information is complete and accurate;that the work will be in conform ce with the ordinances and codes of the City of Sagan; that I understand this is not a permit, but only an application for a permit, and work is n to tart without a permit; that the work will be in accordance wi the appy'd plan in the case of work which requires a review and approval of plan . ,--1 r 1i.tovav toivi d SuNel t(C. tx _____.) 4, cant's Printed Name Applica is Signature 'OR OFFICE USE Reviewed By: Date: teq:urred Inspections: Under Ground Rough,in AirTest Cee TestHMI Aeter Related Items Meter,Size; • Radio Reed Mai eter` Staff Use BLUE or BLACK Ink vilrFor Office Use "� a7 Permit#: 1�v l 7�� 1�J' 4*‘.. Permit Fee: City of Eaaall - C / 72 3830 Pilot Knob Road Eagan MN 55122 K-.' rE Date Received: ' I 1 Phone: (651)675-5675 Fax: (651)675-5694 Staff: �7 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: a I Name: IA/1 I (; 6 d"" Lo 2 I S 4 p£2 Phone: 65/ 3o 7 -00 17 Resident/ Owner I Address/City/Zip: Z 0 U9 vvt 4 2 i L ti. t-,q. w ar Applicant is: Owner / Contractor Description of work: {� Gw f2- ^^o E4 Type of Work Construction Cost: - 0/01:6: Multi-Family Building: (Yes /No 'x' ) 1 Company: PHI 0-E7ol> 6-,(,/A}6 Contact: VVi1bE T(,.-, ,--1 l iAddress: 3 5 0 0 &I L ti. Bi,e(2-6 L.1✓ N cZ City: P L`l v'-to li 7'-h 1 Contractor (,tom JJ`tz — 3. 1\ I State: +/-7 0 Zip: 5 5.4 47 Phone: 6/2"59Q15' 1 t Email: w4t i pil( r i n.v wGSaT/,t .co-.. L636Ir7 #: �V� o-7D.S - ( 6r-X34'D-f License#: Lead Certificate 7 i 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: i , Mechanical Contractor: Phone: I s Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: 1 NOTE:Plans and suPPOrtini documents that you submit are considered to be pubilic information. Portions or-i 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. , , .. p 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.orq 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 W ) r i t^1 0A x Applicant's Printed Name Applicant's Signature Page 1 of 3 (9O / 1 ntb16 69 DO NOT WRITE BELOW THIS LINE / -72/ 7 - SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) rSingle 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 3/410. ' Occupancy MCES System Plan Review Code Edition y,)y 20/r SAC Units (25%_ 100% ?°) Zoning —1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction tr�j3 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 70 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 O 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: j o UV\ Im i k.l.r f} , Building Inspector RESIDENTIAL FEES i 3 ,/ 0 )1, Base Fee Surcharge 1 5 Plan Review p 5, s ¢ . MCES SAC City SAC o e 11.07 k'evc7 4 3 urCf. Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3