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2089 Quartz LaneCITY OF EAGAN 3795 Pilot Knob Reud No Eogon, Minnesota 95122 Phone: 454-8100 PERMIT Date: June 9, 1980 Site Addreu: I 1 "? Lot Block C Sub/Sec. L-2 Nome thrynYe a c o cir . °e Address ? City Phone: ? -`V-?7 5;: Nome . ? Address ? e E }. ` QC ? f ? V ..< . City Phone: - This Permit is issued on the express condition that oli work shall be Minnesoto Stotutes and City of Eagan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installotion Permit Fee Surcharge I TOt01 done in accordance with all opplicable Stote of Building Official CITY OF EAGAN Remarks * Cedar Grove Acquisition Additio-n?? CIDAR GROVE #4 Lot 12 Blk 4 Parcel 10 16703 120 04 Owner •? ? n ? e- ? JU =) r', , '' ? Street 2089 Quartz Lane State Eagan, M 55122 l? u W(lA Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 WATERMAIN WATER LATERAL 19 2 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION ? --, --? ? -? OTY OF EAGAN 3830 PILOT KNOB RD - 55122 ', 651-681-4675 0 I b ' 1 ? -0 ? New Construction Requirements RemodeURepairRequirements • 3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; anc?ll roofed areas • 2 copies of plan (20% maximum lot coverage albwed) ? • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) ? • 1 site survey for extenor addi6ons & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 I • Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units) ? -}' DATE ' VALUXION JOB SITE ADDRESS 2c?ROUQY'f-I., yll?? IF MULTI-FAMILY BUILDING, HQW MANY UNITS? PROPERTY OWN TYPE OF WO T 1UU -D RE APPLICANT -PHONE# (PSI' `fa7I V ADDRESS 0-d? Q ?? i? Z ?/l`? ZIPCODE 5 51 Z'Z PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- Fill OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Reside;ntial Ventilation Category 1 Worksheet Submitted - Energy; Envelope Calculations Submitted 11 MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plttmbing System Includes: vVater Softener La.tivn Sprinl:ler Fee: $90.00 Water Heater No. of R.I. Baths No. of Batlis Mechanical Contractor: Phone # Mcchuiical Systein Includes: 2kir Conditioninb Pee:' I'70,00 ? Heat Recov,ery System ' C)c?v? _06 Sewer/Water Contractor: Phon,e # All above information must be submitted prior to processing of;application. ' , I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and 'City of Eagan Of"" in nces. f , ? Signatur'e of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ' Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mu{ti ? 05 03-plex ? 11 10-plex A 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor)? N ? 25 Miscellaneous ? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair \9?' 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement "Demolition (Erttire Bldg only) - Give PCA handout to appiicant .?? Valuation e? Occupancy 9` 3 MC/ES System Census Code Zoning /2 ?l City Water SAG Units _if Stories Booster Pump Nbr. of Units -10/ Sq. Ft. PRV Nbr. of Bldgs G? Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Foorings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Other ` Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total r? .?2 .-?' REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. , Plumbing HVAC Building Inspector ?? _ ?? EAGAN TOV1/N S H I P . BUILDING PERMIT Owner ---- •-? , . ------ (present) . `3?"'/-..??.------?r -?•-- ?-••?=•?..? ?"'• 'Uu"'`'? Builder .- -•-----=•-----•-•-•------ ----••------------ ?-.................. ......................... --• Address ...... .---------------- •............. .......................... DESCR2PTTAN N° 826 Eagan Township Town Hall Date 2- 52ories To Be Used For Front Depth Height Est. Cost " Permi3 Fee Remarks . O`- ' '7f/ r'V ;r-7" _? 1(?/ This: permit does not suthorize' the use of streets, ioads, alleps or sidewalks nos does it give the owner or his agent 3he right. to creaie any siYualion which is a nuisance or which presents a hazard to the health, safeYp, convenience and general welfare to angone in the community. THIS PERMIT MUST $E KEP Ol? THE P?fEMISE WHILE THE WORK IS IN PROGRESS. This is 3o certify, that.-?-`=--C?o----•..... = ---- --------------- has permission to erect a._.-?-• -- •-• -•-- ••----•-------••--• op f-•• - the gbone dFSCribed premise subject to the piovisions of the Buildiag Ordinance for Eag •-- an Townshi ade - - upon d April 11, 195$ f ? . , ._ ...:• •••-.. . , -•-- --;-•• ---........ -..................... -• Per ...................... L?" •-• : -• • -----• •-••- -•--- -.... ._ •••- -----• .............. .... ' Chairman,' Tnwn Board : --- ----_ • Building Inspecior . A? LOCATION 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ? C7 2007 RESIDENTIAL BUILDING PERMIT APPLICATION . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. 8. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage aliowed) 1 Soils Report if proposed building is to be placetl on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc: 1 set of Energy Calcula6ons 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellReaair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated addi6ons 1 site survey for additions & decks Addifion - indicate if on-site septic sysfem Office Use Oniv Cert of 5urvey Recd _ Y_ N Soils RepoR _-Y _ N Tree Pres Plan Recd - Y N Tree Pres Required _Y _N On-site SepUc System _ Y_ N F'I.qilS f3YP ('.f7i']SIC'1P_rP_t1 mihiir infnrmntinn isnlP.qc vot, state thev are trade secret and the reason. Date ?/-ja / d'7 Site Address ? gI Qe p ?'A? l Z L Construction Cost &2, > 7(, 'tL Unit/Ste # Description of Work O&Q e ei'V l17 ( AO t ?lCLe ?ZS Multi-Family Bldg _ Y2<? Fireplace(s) 2 Property Owner t' 't v ? Telephone # ( &S [ Contractor ? 4 r' ?2rS Address : State 111,14 • 14u-) .. City Zip 5s337 Telephone #( qs2 )?? ? 3 Cg oC? COMPL.ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - MinnesotaRules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?l submiSsion type) Submitted Submitted • Energy Envelope Caiculations Submitted I ln the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ' _ Y. _ N if yes, date and address of master plan: Licensed Plumber Mechanicpl Contractor Sewer/Water Contractor Telephone # ( ) Telephone # ( ) Telephone # ( ) 1 hereby apply tor a Kesidential tiuiictmg Yermrt ana acknowieage tnat tne mrormanon is compiete ana accuraie; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be iri accordance with the approved lan in the case of work which req `res a review and . aPProval of plans. - ` Applicant's Printed Name plic nt's Si re ° DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola ) ? 36 Multi Misc. ? 05 03-Qlex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration I ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement *Demolition (Entire Bldg) - G ive PCA handout to applicant DeSCflptlOtl: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length - Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. - Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Ice & Water _ Final Roof Pool Ftgs _ Air/Gas Tests _ Final _ _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation Retaining Wall Approved By: , Building Inspector - -- - ------------------------ - ---- - ---- - ------------------ - ----- ---- - ----- - - - ----------------------------------- - ----- - ---- - - - - - - ---------- Base Fee Surcharge Plan Review MC/ES SAC City SAC . Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies : Other Total _ ? ? ?9_? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?-? 0 New Construction Requirements RemodeVReoair Reauirements Office Use'0nlv 3 registered site surveys showing sq. ft. of lot, sq. ft. oi house; and all roofed areas 2 copies of plan Cert of Survey Recd _'Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree PresPlan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic sysfem On-sife Septic System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / I )-- / () 13-- Construction Cost 6Do Site Address ZQPp LCm h c,° Unit/Ste # Description of Work 46d-/ ",f,F 046e, Multi-Family Bldg tk/ Y _ N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) Contractor ? CO ? Ll C 01,X Address FlOcGt S'j' ? k,' City CG0 h 6,G' j S State i.°?O T 4, Zip S<( Telephone #( 70) N2- 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateizory 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an 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. ci ?SS<- rrrS P/ Applicant's Printed Name ? pplicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex 0 06 04-plex ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or r , N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bld g) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Sooster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Final _ Ice & Water Roof Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Final _ Air Test Windows _ _ Insulation _ ! Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ??(--)4 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ?? O'jo S? - Please complete for. single family dwellings & townhomes/condos when pemuts are required far eact Date Site Address ( ) ar Z n ? d8 ? -- - - ' Property Owner v a! ?2- Mto TelePhone # (&61 )-L Contractor Street Addre i ss C ty State ?k) Zip 5sa? O Telephone #( tpS? )?O?a " O?d2'(o Bond #: Egpires: The Applicant is Owner ?.Cuntractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Addifional ?,eplacement air exchanger air conditioner _New _ Replacement other State Surcharge $ .50 Total $ o30 ?CJ I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and ' e echanical Codes; that I understand this is not a but only an application for a permit, and work is not to start with e't; that the work will be in accordance with the appro ed plan in the pa,sg of work w?rich rgquires a review and approval of lans. , ? /f A, /. Applicarit's Printed Name Applicant's Signature RESIDENTIAL BLTILDING Permit Application City Of Eagan 3830 Piiot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReaair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N (20°/a maximum lot coverage allowed) 1 set o6 Energy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _ Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 7 / 53 / Construction Cost ? 2-(300 Site Address Z (f?)'Bq Unit/Ste # z2 -Z?2Z Description of Work W{'T4} Multi-Family Bldg _ Y_ N Firepiace(s) _ 0 _ 1 _ 2 Property Owner ?d--PA ?-{'cTZ-tylAn'? Telephone # ( (pSo ) 4GZ " -1 -7 Contractor C)(,c_V__ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categor? _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted vio• 60 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25%a pian review fee appiies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an 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. - . Applicant's Printed Name App icant's d-" ature OFFICE USE ONLY Sub Types 0 01 Foundation .W'02 SF Dweiling ? 03 01 of _ plex ? 04 02-plex 0 05 03-plex O 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-piex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 35 ? 36 ? 37 Valuation `-?- Census Code saC units ?- b "- Nbr. of Units d Nbr. of Bldgs ? Type of Const ? 13 16-plex ? 20 Pool 0 16 Fireplace ? 21 Porch (3-sea.) 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N 0 25 Miscellaneous Int Improvement ? 38 Demolish (Inte(or) ? 44 Move Bldg. ? 42 Demolish (Foundation) ? 45 Demolish (Bldg)* ? 43 Reroof oe 46 *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System zoning R • ( City water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Foorings (addition) Foundarion Drain Tile Roof _ Ice & Water Final ? Framing /Fireplace _ R.I. _ Air Test _ Final J Insulation REQUIRED INSPECTIONS FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Siding Stucco Stone _ Windows (new/replacement) Retaining Wall ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors Final Approved By 61?', Building Inspector Base Fee Surcharge ' Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? r ?- ------------- ? Far,?7ffrce:tlse ' ' I j Permit #: t I v ? Permit Fee: I 96,00 ? Date Received: ? j I Staff: ? I ? ?----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I I t/ -06 Site Address: Tenant: ? E?'a {'ZGA_11_ ? Suite #: RESIDENT / OWNER Name: ??? ?t' ?a?VlO? rl Phone: C12,5 - Address / City / Zip: ??? ?a?'?'2. L.n. ??• ??S/Zz Applicant is: Owner Acontractor TYPE OF WORK Description of work: 4"lt F ofF ? tGSi _r Construction Cost: ??.3?d0ev' e>V Multi-Family Building: (Yes / No -xj CONTRACTOR Name: s? 9?4?_!' License #: Z4D (268&5 ' Address: Iti/ 1-7-1 City: LerAtS State: /un• Zip: ?3zig Phone: 952 - Contact Person: L? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672 Energy Code • Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans.and supporting documents that you submit are considered to'be puhtic information. Portions of.: the,information may be classified as non public if you'"provide specific reasons that would permit the City to ,-: conclude that the ' are trade secrets. '<. I hereby acknowledge that this information is complete and accurate; that the work wiil 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 plans. X ? a? c Applicant's Printed N e p icanYs ig r Page 1 of 3 Use BLUE or BLACK Ink I For Office Useff G I Permit I1 j City of EaWin C2.~ Permit Fee. I 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: 9 lawo I Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 946-(3 Site Address: dQS9 QOgCt-7_ L0 . Unit Name: ~_Rt `(R _~z VIA q L'1 Phone: 65-1- 4t-,g - 7 (97 RESIDENT / OWNER Address / City / Zip: o2U g ~ Qo g d-~-z. Applicant is: Owner Contractor Description of work: q6- e TYPE OF WORK ' Construction Cost: , 06a Multi-Family Building: (Yes / No ) Company: UO" to Q Contact: e 6-)A,2~~e~ CONTRACTOR Address: -7ao+ ST (6l{- City: 55 e,Ui~L of- State: Zip: A_-V~ Phone: R6 a - 1~ 3'5 ( License QC I o2 (,8g0 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting` documents that you submit are considered to be public information. Portions of the information maybe 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 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 State Building Code must be completed within 180 days of permit issuance. x le-clL ~"6ed x :AU-Ltn Applicant's Printeld Name Applicant' Sign ture Page 1 of 3 4(° CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For OfficeUse (/ I Permit #: l� Permit Fee: /®�' Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Description of work: f)0, - ,.MA Construction Cost: -Ylsrl 42- rvQ ' vp1 e e- d 3`g.&\, Multi -Family Building: (Yes / No X) Company: ,I_ CCk d 01-16n Contact: ( 1 eC c1 Address: i 7� I 1da11'1v')" C:'L City: G -\ State: r 41\Zip: 5516 o3 Phon S5l�4(00&-c1810 Email: b License #: 6 3Y60 6 Lead Certificate #: If the project is exempt from lead certification, please explain why: ina(Ernitogiu/co i 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: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: meats.>.ti as non - .r l a mit are cons, you Prow tle hey are trac ec_. 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 1 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 BuildingtCode must be co pleted within 180 days of permit issuance. &CX Applicant's Printed Name Applicant's Signature Page 1 of 3 c,?e gj�( Ln DO NOT WRITE BELOW THIS LINE /3V - SUB TYPES Foundation Fireplace Single Family Multi 01 of _ Piex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test /Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: t,((sl Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3