1366 Quarry Lane4,11'City afRain
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
cc�
Use BLUE or BLACK Ink
Permit Fee: z` 90, az)
Date Re
Staff:
ived: 6r1/
2011 RESIDENTIAL BUILDING PERMIT APPUCAT
6/6/ 20 11 Site Address: IA Quarry Lund Egg o
N
J
Unit #:
RESIDENT /
OWNER
Name: Aida rr Brur'►$
Address /City / Zip: 134 Otici ry Lq# &
Applicant is: Owner Contractor
L'9 th
Phone: 4 7 2 q? '
,'5j21
TYPE OF WORK
Description of work: H�'i�
Construction Cost: ,F1 --S
('0
Multi -Family Building: (Yes / No x )
CONTRACTOR
Company: Contact:
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:
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.
x Man) &ruins
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
° CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55124
Phone: 454-8100
;"?ATING/Ai.r Cond._ pERMIT
Dote: `? - 25 - I" '
site Address: 1566 Quarry Lane
Lot Block i Sub/Sec. _ nU1lTtywOOil
Name
?
; Addreu
O
City iiiv°i Gl't3v'=: :eig}lts Phone: =11r5-11S G
? Na? `Aastings Iieating _
? X
Address 1S963 Fa.me Averue
Combustion Air Reauired
No. 6
Receipt No.: "
Single I
Residential X
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installation _
Permit Fee r '
?
Surcharge
?ICiry ii3.5?:7rig5, Phone: y%-S43S
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
Total '
done in accordance with all applicoble State of
Building Official
* . . CITY OF EAGAN
° - • " 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
E ; :': ?;?iBING _ PERMIT
Dote: ApZ'11 ?. `:. r I g
Site Address: '- "' 82 nuarry Laz1e
Lot ? Block 1 Sub/Sec.
I Name
.
m
C
a
Address
No
1090
Receipt No.: 712
Single
Residential
Muiti Res., Comm./Ind. ?
New/Alter./Repair. ?
Cost of Installation
City Phone: Permit Fee r1 - ? ?
Name ?a•.-,.?.,:..r,?. r>> ,? - ?,
? ?.-?.-zzt?;:.. r?I'.•' Surcharge
L
? Address 1,?
e
0
V
City ? Phone: Total
This Perm' is issued on the express condition that oll work shall be done in accordance with all opplicable Stote of
Minneso Statutes and City of Eagan Ordinonces.
Building Officiol
CITY OF EAGAN
3796 Pilot Knob Road
Eogan, Mlnnasota 55122
Phone: 454-8100
PLtJNLBIFQC, _ pERMIT
Dn*P• 10-13=78
Site Address; 1366 ()uarrv
?
Lot Block ? Sub/Sec. _ 21, ?' 1-1 'c"I''
Name "uWay Bldrs.
3 Address 1 "'ih Tj_on.,n i, ?v,`.
O
Ciry °`''"w Brighton Phone: 6743
Name 'aknta Plbry.
- F Address 4030 _ BESl1 D' RUE
No.
S?
Receipt No.: 124
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair. "
Cost of Installotion
Permit Fee ^'1
$urcharge '
0
u _
"a,s .
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesoto $totutes and City of Eagan Ordinences.
Tota I
done in accordante with all opplicable State of
Building Official
CITY OF EAGAN
? • 8795 Pilot Knob Road Eagan, MN 55122 NO
. PHONEs 4548100
BUILDING PERMIT Receipt
Tn la u*ad Fee •• _. ..,... ... V. .<. FcY Vnlia `t's 3 t?`'- ? Dntn
Site Address `w" `t"°+i r "a„
Lot Block Sec/Sub.
Parcel # lU 20460 C 1
w Name 3eu.zay L1dTS.
3 Address 1866 Tioqa F?1`Id.
? ,... vi 6r g n - 6,33-6743
ce Name f a o M1i111f11?
z0 7319 Cleve Ave, td
o? Address
Name _
Address
I hereby acknowledge that I have reod this application and state that
the information is correct and ogree to comply with all opplicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued to:
oll work shall be done in accordance with all applicable State of Mir
4923
Erect ? Occupancy '
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. ?f
,
Move ? # Stories j
-
Demolish ? 4
Front ft.
Grade ? Depth ft.
Approvols Fees
Assessment Permit _
Water & Sew. Surcharge
Police Plan check
Fire SAC
Eng. Water Conn. '-5 '
Planner Water Meter -
Council
Bldg
Off. _
.
APC Total
on the express condition that
Statutes and City of Eagan Ordinances.
Building Officiol
s ?
Pamit # Date lauad PannittK
Plumbing 11C?-o? lciA '7 Ss' - kC?? 6['tr 14"6i
Mechanical /A G . /aq
- < < 6L I ?] 0 - - Z S? ?'?:, ?-Cl! F:2.? ?, ?
INSPECTIONS DATE INSP.
Rough-I n
Final
Footings f-t-,7r Date Inap. Dote Insp.
Foundation Plumbing
Frame/ins. Mechonicol
Final _
I
?
Remarks:
CITY OF EAGAN Remarks
Addition Dc,innymoc1 Ar3dts. Loc 3 eik 1 Parcel 10 20960 030 Ol
Owner i: .,',%i, Street 1366 Quaz'zy Lat1e State Ea9an,m 55121
r l* `` -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (pZ ], SZ 8O .2O 80.52 I.O
STREET RESTOR. 1975
GRADING
SAN SEW TRUNK 1970 62.80 2.51 25
.? SEWER LATERA ?- 1975 2278.78 455.75 5 '
WATERMAIN
WATER LATERAL & StLtUS 1975
3£. WATER AREA 1975 5
x STORM SEW TRK 1975
* STORM SEW LAT 1975
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Char e 75.00 11171 8-4-78
WATER CONN. 250.00 11171 $-4-78
13UILDING PER. #4923
sac- 500.00 11171 8-4-78
PARK
? MECHANICAL PERMIT DATE: 6/10/91
a ?
v
SITE ADDRESS 1366 QUARRY LANE Unit # Permit # 138 17
L 3 B I Sect./Sub. DONNYWOOD
WOHLERS SOUTHSIDE-431-7099 INSTALL A/S.
INSPECTION INSPECTOR DATE COMMENTS
?/G. T? lel??q ;?
CASH RECEIPT
CITY OF EAGAtd
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1g
RECEIVED
FROM
AMOUNT Is I
? CASH F? CHECK
FOR
too
DOLLARS
? BY
a- ?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
SEWER SERVICE PERMIT
CITY OF EAGAN
3795 Piiot Knob Road PERMIT NO.:
Eaonn, MN 55122 DATE:
Zoning: _ No. of Units: -
O
wner:
Add
resr
'
Site Address: - - -
umber:
gree to eomply with tl?e City of Eogan Connettion Charge: - -
dinanaes. Account Deposit:
Permit Fee:
I Surcharge:
Misc. Charges:
te of insp.: Total:
:
ns Date Paid:
p.
WATER SERVICE PERMIT
CITY pF EAGAN
3795 Pil:,t Knob Road . pERMIT NO.:
goi., MN 55122 DATE:
No. of Units:
oning:
ner: ..
-_----
ddress: .
ite Address:
Plumber:
Connection Charge:
Meter No.:
Account Deposit:
Size:
Permit Fee:
Reader No.:
1 agree to eomply with the City of Eagan
?
h?
?
: ?--'-
rges
C
S
`Ordinances. Total: • ,. - , • •
Date Paid:
BY I nsp.:
Date of Insp.:
CITY OF EAGAN
3795 Pilot Knob Road
• Eagan, Minnesota 55122
Phone: 454-8100
WATF.R '?FTSNER PERMIT
Date: D-'C"ber 14, 1978
Site Address: 1366 Q?u&r?? ?ne- _
Lot Block Sub/Set. _ roh21•j'APoAtF _
Name i1oQ18jhleY _
e Address QuilZZy LdriP,
3
O
City Wa9an Phone:
Name '.AndSay watex CandikA?n.,
?
?
? Address 4215 Ceda2' AvellUsca 50.
e
0
V r.r y7-?
City Phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Statutes and City of Eagan Ordinances.
No.
254
Receipt No.: 1.2718
Single
Residential X
Multi Res., Comm./Ind. I
New/Alter./Repair alteration
Cost of Installation
Permit Fee 5•'??
Surcharge • ?t?
TOYOI
done in accordance with oll applicoble State of
Building Official
:
cIrY oF EA"N
3795 Pilot Knob Road Eogan, MN 55122
PHONE: 4548100
BUILDING PERM(T APPLICATION
To be used for SF DYLG. 88 G}1R. Est. Volue 45,000
Site A 3ress
Lot
Parcel #
Block 1 Sec/Sub.
10 20960 030 01
, Name NUWaY Bldrs.
z Add 1866 Tioga Blvdo
re
o ,,,- ?ew Brighton 33-6743
cc Name pat Kirwin
z° 7319 Cleve Ave. E.
ol Address
nver rove -
o?^- e
Name
Address
N° 4923
Receipt #
Date
19
Erect $] Occupancy I
Alter ? Zoning Rl PD
Repair ? Fire Zone 3
Enlurge Q Type of Const. v
Move p # Stories 1
Demolish ? Front 55 {t.
Grade ? Depth 40 ft.
Approvols Fees
Assessment tU 41 10
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Permit 140.vv
Surchorge 22•50
Plan check
SAC 500.00
Water Conn. 250.00
Water Meter 60.00
Road Unit 75.00
I hereby acknowledge t t I have re this ap ication d state that gldg. Off. ???
the informotion is corr ct and egree o co piy wit II applicable APC Total 1035.50
Stete of Minnesota St tut nd i of a a rdinances.
Signature of Permittee r
A Building Permit is issued to: on the express condition that
all work shall be done in q/,ccQrdance with,eR applicable State of lylinnesota Statutes and City of Eagon Ordinances.
Buiiding Offkcial
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
,. -: '?EQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REQUEST
0697
Type of Building New d. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range Bl- Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures 21--
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace 0' Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? 2ehers? Hehers?
COMPUTE INSPECTION FEE BELQW VN-zi YJ
Service Entrance Size: # Fee F s: # Fee Circuits: Fee
0 to 100 Am s. 0 eres 0 to 30 Am eres
101 to 200 Amps. 31 . 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps. ?
Transformers 11 Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remazks TOTAL FEE
I, the Electrical Inspector, hereby certNF, the?vnspection has bee?m. e. a6.o (Rough-in) Date
(Final) ? Date
This request void 18 months from • ?%??i?
?This request void 18 months from /I g f 9
? R ? 06?97
Date of this Request
I, as 2Licensed Electrical ontractor Owner, do hereby request inspection of the above electri-
cal wiring installed at: Z.? _L-3 " /
Street Address or Route No. 1 -3? City?
Section Township ange County
Which is occupied by
o ' (Name of Occupant)
EY
Is a roughin inspection required on this job? No ? Yes [i-`_'Ready Now ? Will Call
Power Supplier?i &,e_ Address ?--
Electrical Contractor; , +'s? `- ? KPIQi 0 Contractor's License??
-r
?ozmPa7??? N )A d ?b 1
Mailing Address 13813 " _ ??.r ? l r ?. ' - ? ,
( e t ic'al oriYtattier or Owner M g II t n)
Authorized Signature_'-'R Y ?e king This InstallationPhOIIB NO._
432 (Electrical Contrac or or 6
pUAT This inspection request will nat be accepted by the
State Board unless proper inspection fee is enclosed.
.'
.
. Di#7.'E G' 07
-7
BUILDING PERMIT APPLICATIQN
Include 2 sets of plans. 1 site plan w/elevations and 1 set o£ energy calculations.
To be used for ? ? , ?
site Address; ,4¢,c,e
&V-
Valuation I C5--0670
Lot Block See, Sub.,
'?-3
OH.Tner .
Adclress 496 /a
Contractor `?i !'j ?•??/?' •?.?
Address
? u ez
Arch./Eng.
Address
Erect
Alter
Repa ir
Enl.arge
Move
nemolish
Grade
??,.a? /l a n
OFFICE USE
Occupancy
Zoning
Fire Zone3
Type of Const.
# of Stories
Front
Depth ?
OFFICE USE
Date of Aplaroval & Initial
Assessment ?/• ,G(
Udater/Sewer
Police
Fire
Eng.
Planner
Counail
Bldg. Off.
A.P.C.
FEES
Permit
Surcharge ---
plan Check
SAC
Water Conn.
t7ate Meter f9 ?
TOTAL I D ? .S •.??
Parcel Number /d ao9e,,?p p3o 01
Telephone ?--7, -3 ' 6
Telephone
Telephone
. ._. .r ? . a.
. ? ?
• ? +???d? ?? ?Svr ?c?
P I ?
.,?;.
,
v
.
? a?
,
,
i
€ A.
90. 4
80,06
g pQp/
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1.
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-? ?A
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r
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # 13 9 / ")
RECEIPT # U ?
DATE: 4
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------* --------------------------
WORK DESCRIPTION I
NEW CONST
ADD ON S ?p
REPAIR
OWNER NAME: DA'1.-cJ WEGL? ITl??1?
SITE ADDRESS : i346
LCT : ? B;.OCK ? S'JBD.
INSTALLER: VVDNZ? au-'tN?l ?
ADDRES S : s a, 6 vV I `t'? ? ST•
CITY: ht-mc Vpaq ZIP:
PHONE #: ??'wInqq
--------------------------
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ff'-±00
STATE SURCHARGE: .50
TOTAL: Y?'$
S AT E OF PERMITTEE
?O1. IMIA:?';;TTIDU:STR??AI:;:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIA'L/INDUSTRIAL BUILDINGS,
..................... .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
Use BLUE or BLACK Ink
For Office Use
City of
Permit#: -/V
Eaton
Permit Fee: C _ C/ 0
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675 Date Received:
Fax:(651)675-5694
Staff:
J
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 12/20/2016 Site Address: 1366 Quarry Lane,Eagan MN 55121
Tenant: Suite#:
Name: Adam Bruns Phone: 952-388-7251
Resident/Owi er
QuarryLane,Eagan MN 55121
1366
Address/City/Zip:
Name: License#:
Contractor.;. .
Address: City:
State: Zip: Phone:
Contact: Email:
New X Replacement Additional Alteration Demolition
Typeof Work Description of work: Replacement of Furnace and Air Conditioner Unit
NOTE,Roof mounted and ground mounted mechanical equipment is required to be screened by Cit"y
Code. Please contact the Mechanical inspector for information on,permitted screening methods,
P
RESIDENTIAL COMMERCIAL
X Furnace New Construction Interior Improvement
Permit Type j X Air Conditioner _Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 $ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 Adam Bruns
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections Reviewed.By Hate
Underground. Rough;In Air Test Gas Service Tesf ` ..-. .In float teat Final HVAC Scree Ing
Use BLUE or BLACK Ink
1
For Office Use
PermitCIty o Eaftafi Permit Fee: / (�'V
(F�
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Staff:
Fax: (651)675-5694
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/20/2016 Site Address: 1366 Quarry Lane
Tenant: Suite#:
Resident/Owner
Name: Adam Bruns Phone: 052-388-7251
Address/city/Zip: 1366 Quarry Lane, Eagan MN 55121
Name: License#:
Contractor' Address: City:
State: Zip: Phone:
Contact: Email:
fl -
New Z Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
'Type of Work — —
i' Description of work: Replace water heater
RESIDENTIAL
✓ Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
,_ Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 appro/vall ofd'plans.
xAdam Bruns x t'l �UA/V MA/
Applicant's Printed Name Applicant's Signature •
FOR OFFICE USE Reviewed By Date
Re utred Insp ecttonsUnder Ground Ro�gft In Air Test Gas Test Final
�
g
Meter Related Ite,Pts ;Meter' ize .. Radio Read' Manometer Staff
r For Office Use
. • Permit#:
E AG N
•• •••� RECEIVED Permit Fee: 077 3, 0 0
JUN 19 2019 Date Received: /Q-/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
-/
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/16/2019 1366 QUARRY LANE
Site Address: Unit#:
rfuF y /41 Adam and Janine Bruns Phone:
952-388-7251
;_. .��' Name.
4200141 :1
Address/city/zip: 1366 Quarry Lane, Eagan, 55121
e leCe Ve Applicant is: Owner Contractor
co
k, Replace Window/Doors/Siding
8 Description of work:
Construction Cost: 45,000 Multi-Family Building: (Yes /No )
e.
0 �= Company: Contact:
Y,,„. Address: City:
State: Zip: Phone: Email:
qtr
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:
wv n
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.cityofeacran.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.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.
xAdam Bruns �
Applicant's Printed Name Applicant's Signature
r For Office Use
li/0 4
(.0-m
* : :
196... ----a
• � � i,, Permit#: I
,, E AG A N
Permit Fee: 1 97 i:::?0 6/1
` RECEIVED
6-1g -/Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 JUN 19 2019Staff: I
buildinginspectionsCilcityofeagan.com J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/16/2019site Address: 1366 QUARRY LANE Unit#:
w�4` . •
4 Name' Adam and Janine Bruns Phone: 952-388-7251
,
1366 Quarry Lane, Eagan, 55121
'' Address/City/Zip:
° Applicant is: ✓ Owner Contractor
.°,°IVa •i� Description of work: Deck Replacment/New Deck
Descri 012
k , 10,000
alt Construction Cost: Multi-Family Building:(Yes /No
'77,14 i;, °" Company: Contact:
Address: City:
'4y State: Zip: Phone: Email:
" ' 7. ^; 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:
704;7'4 f
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 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.
xAdam Bruns x 01/A4Alki
Applicant's Printed Name Applicant's Signature
DO.NOT WRITE BELOW THIS LINE )�(fi(D O12P2(fbi ' 1`7%
' SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi jDeck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
V 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 4_,t4a Occupancy pUr a- MCES System
Plan Review Code Edition Ariau Sr SAC Units
(25%_100%sX, ) Zoning City Water
Census Codetories Booster Pump
p
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction YY,I rh Width
REQUIRED INSPECTIONS����
Footings(New Building) Meter Size:
XFootings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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 1
Fire Walls Fire Suppression:_Rough In Final I
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC _
City SAC I / � r t c-o
Utility Connection Charge / r q
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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