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1 River Ridge Cir CITY OF EAGAN Remarks Addition Seet~ion 9 ~ot sik Parcel ~4 00900 060 28 o er streec_ ~~-v~' ~Ldge CY', state Eag2t1~MN r'zK121 ~'fi- c~`~~ -L Improvemen4 Date Amount Annual Years Payment Receipt Oate STREET SURF. STREE7 ftESTOR, GRADING SAN SEW TFUNK ~ 9 $ 3~ ~~.d ~ SEWER LATERAL ~ Q 20 WATERMAIN ic~IWATER LATERAL ~ 'I O ~ O~OO . O 2O WATER AREA # STORM SEW TRK ~ 970 ~0 STpRM SEW LAT CURB & GUTTER SIDEWALK S7REET LIGHT WATER CONN. OO• - - BUILDING PER. SAC PARK INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: E, r.; h. ; APPLICANT: ~ , ~~~t t i'lfllil' f'1R ,:~ir~ , ~ i , .Iril~r~l ~'~~.il i ~~1~ i; i ,t 1 ~,~.1 PERMIT SUBTYPE: TYPE OF WORK: , . . , ~Iia~i;~ ~~i ~ ~ i ; s ~ i~~,, . . , ~ ta ~ ~ I ~ - re.mn No. r~ermn Hoiasr naee T~none sNv PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Date Insp. Comments Footings I Foundetion Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Htg. ' Orsat Test Final Pibg. Plbg. Inspector - Noti(y Plumber Const. Meter En~JPlen Bldg. Final Deck Ftg. Deck Final Well Pr. Diep_ ~/V ~ 6 9 C~i i r5" ' i S'~ i ~ Y EAGE~N TOWNSHIP ~ 3795 Pilot Rrtob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMiT FOR SEWER SERVICE GONNL+CTION DATE: r.,1~ tq~ iq7~ NUMBER 1058 , /O 6o9do a[oD ~ `a' OWNER• Clarence Cordes [~dress 1 River Ridge Circle PLUI~IBER ponry RrPt~felt TYPE OF PIPE Heavy Cast Iron AESCRIPTZON OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of ssnits ~oc Location of Connections: Connection Charge $260.00 pd 7/19/72 Permit Fee $10.50 ~d SYreet Repairs Total Iaspected by; Date Remarka• By Chief Inspector In consideration of the issue and delivery to we of the ahove permit, I hereby agree to do the proposed wark in accordance with the rules and regulatione ot Eagan To~~nship, Dakota Count , Miunea t~8 gy ~ ~ ~ ~C Please notify when ready for_inapection and counection aad before any portion of the work is covered. EAGFN TOWNSHIP 3795 Pilot Knob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERt9IT FOR WATER SERiIICE COPINECTION Date: September 29, ~ 972 ~er: 7 1001 /[~C? CUIpC~ ?id ce Billing Name:Claren/Cordes Site Address:1 RiverRidge ~ircle, 55~z2 Owner• same Billing Address Plumber: Gretsfeld Plumbing Co. Location of Connection Meter Size -d"/~_ Caanection Chg. 00.00 a 9/29/72 ~8 y.,c Acct. Dep. .00 pd 9/29/72 Meter No.~~~i~3 Permit Fee ~0.00 d 9 2 ~l . 0 pd 9/2 /72 Meter Reading PSeter Dep. Meter Sealed: Yea` Add'1 Chg. NO Total Ch~. Inspected hy Date Buildiag is a: Remarks; Residence~ t2ultiple xo, units ~25.00 RE-SP,SPECTfOPd FEE fOR IMPROPERLY INSTALLED METERS. Commercial Iudustrial By; Other Chief Iaspector in consideration of the iseue and delivery to me of the ahove permit, I herehy agree to do tl~e proposed work in accordance with the rules and regulations of Eagan Toamship, Dalcota County, Minnesota. By: H. Gretsfeld Please aotify the above office whea reedy for in~pection and connection. PERMIT ~~°~s ~ 7~> CITY OF EAGAN y~~j~~ ` 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: t{- SITE ADDRESS: ~ 2~ 9 DESCRIPTION: ru ~ ~ , 16:~i ~ • ~1=. . , , - ' ! ~ ~ r `t~ . ' t ~j T?, C', / { r'' i l r ~ ~ ~ ~~r7 ~+~i~ ~r~f;~> ` ~ . ~i~~_~ ~ ~ ~ x~~~'~. , ~t _ ' ~ ~ ~ - REMARKS: FEE SUMMARY: , CONTRACTOR: OWN~R: ~ ~ , . ~ . „ _ . ~ . ~ , . . . ~ y - r Ibf! I APPLICANT/PERMITEES~GNATURE ~SSUED Y: IGNAIUAfEI REALTIYATE _ ~Jr~~OC~ CIIY OF EAGAN PERMIT ' ~ ~ 1993 BUILDING ~EriMlT : : NLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, i copy of energy calcs. 2 ~ Penalty applies: 1) when permit is typed, but not picked up by last warking day of month - in which request is made, 2) address is changed or 3) lot change is requested once permit - is issued. s Date /~a / Valuation of work ,~/b0 Site Address: l ~~-Pil `7`S~=Z~' ~ STREET ~ SUITE 1~ Tenant Name: (commercial only) ~ w ~/~°'"~`-,~-~1 # IAT ~ SIACK ' SUBD. p~~+ n~ P.I.D. k .LLi7 , ~ Descri tion of work: ~ G~~L.O 3 The applicant is: ? Owner Contractor ? Other (Describe) ~ : Name Phone~Jrh~- ~fJro~ Property LAST F,RST ~ Owner Address :~~r` STREET STE # ' x ~ City State Zip s ~ Company 'NVIN CITY S70RM SASH, INC. phone Contractor Address MINNETONKA, MN 553a5 License # D D Exp. ~ # City State Zip rt ~ Company Phone z, Architect/ Engineer Name Registration # ~ Address ~ ~ City State Zip ~ Sewer & water licensed plumber Processing time for u; sewer & water permits is two days once area has been approved. ~ I hereb acknowled e that I have read this a lication and state that the information is ~ correctyand agree to comply with all applicable State of Minnesota Statutes and City of ~ Eagan Ordinances. ~j ~ Signature of Applicant: 7~~ - ; 2a D ~ R. 1 . . . ' f ~ ~ _ ~o~~~ ~a,~ 2007 RESIDENTIAL BUII+DING PERMIT APPLICATION CiTy Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements t[~modeVReoair Reauiremenfs ~ Ofike"l1se~0i~v 3 regislered si[e surveys showing sq. ft. of l06 sa. ft othwse; aM aB roofed areas 2 copies M plan shv~uirg footings, heams, Jasts Cert~M Stirvey Recd Y~~_ tl (20 b mmcimum IW coverage albwed) 1 set of Eneagy Calalations for heated atldiGms Soils ReQoA Y~~_ N i 5oils Repat'rf proposeA building is to be placed on distur6ed soil 1 si[e survey for additians & decks Tree Pres~Plan Recd _Y. _ N, 2 copies af plan shawing beam 8 windmx s¢es; poured fwnd design, etc. - Addifion • irrdicafe il oo-sife sepNc sysfem Tree Pres Re.quired _ Y:_ N 1 set ot Energy Calalations Oo-site Septlc Sy3tem ~~_Y _ N 3 capies ofTree Presmatim Plan H bt pWtteO aRer 717/93 Rim Joist Deiail Optians seledion sheet rouildings wifh 3 or leu uni~) Minnegasco mechanical ~enblation tarm _ Pians are considered ublic information unless ou state the are trade secret and the reason. Date .i ~ ~7 ~ /f. gC.o,nsuvction Cost ~ Site Address ~ y, /.C+er~t [.its 7/"~' UniUSte # Description of Work .i~ 'J ~``~~~'e~~' Multi-Family Bldg _ Y'~ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ~D~2_~~~,J 1.~~'t~~"O Telephooek((p~/ ) `L~ 7 ``/~'z-' Contractor ~-e'~ ~~f~~t~~~~ A Address lCSz-rti'e i CiTy ~Q~->~7'~ "t~ State y/'Ge-~~-- Zip Telephooetl~n~~) .~~/"-~~1-~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING - Minnesota Ruies 7670 Cate¢orv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted ~ Submitted ~ . Energy Envebpe Calculations Submitled In the ~ast 12 monihs, has ihe CiTy of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date ond address of master plan: Licensed Plumber Telephone ) ~vlechanical Contractor Telephone J Sewer/WdierContractor 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~~ ~7 ~ ~ ~i~l~//~ ~<~li~v. -~fl"1' vL<~' ~-J,/~~L,tiY+~-~'t^ Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW TffiS L1NE . Sub Tvoes ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIU - ? 03 Otof_plex ~O 09 07-plex ? 17 Garege ? 22 ParchlAddn.(4-sea.) ? 33 ExtAft-SF ? 04 02-plex O 10 08-plex ? 18 Dedc ~ ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ~ ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? D6 04piex ? 12 12-plex ? 25 Miscellaneous Work Tvoes O 31 New ? 35 Int Improvement ? 38 Demolisb Interior ? 44 Siding ~ ~ ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windov+slDoors. ? 34 ReplaC2ment ~ •Demolklon (Entlre 81dg) - Glve PCA handout to applicant . - ' ~BSC~ID~IOII: WaterDamage_Yes ~ Valuation Occupancy MCES System Plan Review 100% or 25°k Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) ~ Sheetrcek . _ Footings (deck) FinaUC.O. _ Footings (addition) FinaVNo C.O. _ Faundation HVAC ~ _ Drain Tile pt}~~ Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ Stucw Lath _ Stone Lakh _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 Utiliry Connection Charge S&W PeYmit & Surcharge Treatment Plant License Search Copies Other Tota I ~39~~ 3o-sr~ 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleast comple[e for. single family dwe0ings & townhomeslcondos when permits are requircd for each unit Dsh~_/~/~~ - . ~ Site Address Uait # Prnperty Owner Telephone # ( ) _ Cootrac~or _Lofgren Htg & A/C Strcet Address 57081Jpper 147th St W#102 -Apple Valley, MI~' S5124 C'h' - SWte Telephone#~~a) ~.~J.j~Jf Elond Expira: Tde App4cant is _ Owner ~ Contractor _ Otl~er Ad~-on or e?tention to existlng dwelling uoit S 30.00 fumace _Additional ~Replacement _ Ne~N . airexchanger air conditioner _ heat pump , other Siate Sureharge S .50 Total g I hereby apply for a Residential Mechanical Pertnit and acknowledge that the infortnation is complete and accurate; tha~ the work will be in conformancc with the ordinances and wdes of the City of Eagan and with t Mechanical Codes; at 1 undersGv~d this i not a pertnit, but oniy an application for a pem~it, and work is not to start without it; that the wor ' 1 be in ccorclance th the approved plan in the cas of wo k which requires a review and approvai of pl Applicant's Print d Name ` A licant's Sign u r____ ~ For~Office Use ~ City of E~~~~ ! Permit# i/~ i I~ Permit Fee: ' 3830 Pilot Knob Road j l,!~ j Eagan MN 55122 I ~ale Received:_~~ ~ Phone:(651)675-5675 I ~ Fax: (651) 675-5694 i Stafl: (.1~~ ~ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ ~ Site Address: ! ~ 1.J-~-e.f~[~~~• ~ Tenant: Suite RESIDENT 1 OWNER Name: Phone: ! SZ ~ 7~ J E2,~,.-~ ~s'z ` s9~/- 3~ Address / City / Zip: ^ Applicant is: _ Owner _ Contractor - TYPE OF WORK Description oi wo ~Q~?'~,7~ n 1~ ~Y.~rna.w o:. ~'~e~a%~/~o. T Construction Cost: Q ~Q Multi-Family Building: (Yes _ 1 No ~ CONTRACTOR Name: S License Address: City: State: Zip: Phone: Con(act Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheei C8t2gOfy Submifled Submined Submission type) ~ Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?- _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Cantractor: Phone: NOTE: Plan§ and suppoKing documents that you submit are consfdered fo be publlc information. Portlons of the informatlon may be classified as non-public /f you provide specflic reasons that would permit the City to conclude [hat the are trade secrets. f hereby acknowiedge ihat this information is complete and accurate; that ~he work will be in contormance with ihe ordinances and codes oi the City oi Eagan; that I understand ihis is noi a permit, hui only an applicalion 1or a permit, and work is not [o stan without a permi~; ihat ihe work will be in accordance wiih ihe approved plan in Ihe case of work which requires a review and approval of plans. X 1 U S"n ~M U ~ ~l Y'S 0~ x~ l~dr Applicant's Printed ame Applicant's Signa Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm ~amage ~ Single Family _ Garage _ Porch (4-Season) ~ _ Exterior Alferation (Single Family) ~ ~ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Euterior Alieraiion (MUlii) 07 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ Additlon _ Move Building _ Reroof _ Demolish Interior _ Alieration _ Fire Repair _ Windows Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage : 'Demolition of eotire 6ullding - give PCA handout to applicant DESCRIPTION Valuation ~-C~Od ' Occupancy ~ MCES System Plan Review Code Edition ~Op'7 YUtS~GdAC Units (25%_ 100%~) 2oning (2 j City Water Census Code Stories -r Booster Pump # of Units Square Feet PRV - # of Buildings Length Fire Sprinklers Type of Construction ~ Width REqUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (DeckJ Final ! C.O. Required _ Footings (Addition) ?"Final / Na C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: _Footings _AidGas Tesis _Final ~Framing _ Siding: _Stucco Lath _Stone Lath _Brick _ Fireplace: _Rough In _Air Test _Final _ Windows Insulation Retaining Wall Meter Size: Reviewed By: _/vl ~ e v«e.~ , Building Inspector RESIDENTIAL FEES ~ Base Fee `7 r~'. 75 Surcharge j, O 0 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7 . ~ I Foi Offloe:Use I I ~7 Cit of Ea aIl I Permit#: ~hL-C ~ , ~ 3830 Pilot Knob Road ~ Permit Fee: I / ~ t/~~r• I Eagen MN 55122 ~ Date Receivetl: 1 Phone:(651)675-5675 ~ Fax: (651) 675~694 ~ Staff: ~ 2008 MECHANICAL PERMIT APPLICATION Date:~ V~~-~ Site Address: I'\ ~ V Z^ l 1 ~ l Tenant: Suite RESIDENT / OWNER Name: 1' Ur O ~ P,j Phone:_ la;~j -~S}~-~l5 Address ! City 1 Zip: Name: 1~1 Q\ v:. ~T ~ r^ , C. ~LieeRSe l.'~ 1 J~~~ CONTRACTOR Address: 1 V~l ~C7 W C~ 1[~U~~ Ciry: ~ t1 r' ~ 4\~A State: ~ Zip: J 5~~~ Phone:e~ ~ -~1a Contact Person: ~ h~.. ~ p~Q TYPE OF WORK - New Replacement _ Additional _ Alteration _ Demolition Desc~iptian ot.woric: NOTE Both°roof moanted and'gmvnd mounteal,mechanical equ/pment;fs required'to be screened by.,Clty;Code: 'P(ease coMac~ fhe Mechanlcal;lnspector or oree ot;the - =Planrlelsifo~fxfntwmeflan~on: 'imi~ted~scneenl '~methods.; PERMIT TYPE RES/DENTIAL COMMERCIAL ~ Fumace - New Consiruc[ion _ Interior Improvemen[ Air Conditioner Install Piping _ Processed Air Exchanger -Gas _ Ex[erior HVAC Unit - " HVAC uniGS must 6e screened _ Heat Pump Under! Above ground Tank Install / Remwe) Other When installing/removing tank(s), call for i~speclion by Fire Marshal and Plumbi Irs ctw RESIDFMIAL FEES: $50.50 Minlmum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) j c> $ / TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installatioNremoval OR Contract Value $ x 7°~ $50.50 Mihimum (includes State Surcharge) _ $ Permit Fee - If Permi Fee Is less than 51.000, surcharge is $.50. - If Permit Fee is 5$1,000, surcharge increases by $.50 for each State Suroharge $7,000 Pertnit Fee (i.e. a$1,001-$2,000 PermR Fee requires a$1.00 5urcharge). $ TOTAL FEE 1 hereby acknowledge that this infortnation is complete arid xcurete; ihat the nork will b0 in contortnance with IFre ortlinances and codes of the Ciry of Eagan; ihat 1 understarM this is not a permit, 6ut only an appl~alion for a pertnd, and woik is rw[ to atart without a permit; ihat the work il be in accordance with lhe approved plan in the case of nnrk which requires a review and approval of plans. r x ~,h S ~h~~~~ ~ Appllcant's Pri ted Name . ApplicaM's Signature FOR OFFICE USE Reviewed Byc Oate: Required Inspections: Under Ground Rough In Ajr7est ___.Gas'Service Test In-floor Heat _Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1 River Ridge Cir Lot: 006 Block: 028 Addition: Section 9 PID:10- 00900 - 060 -28 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant on 2 -5 -10. (pi) Building EA090938 08/31/2009 ePermit Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. $88.50 $1.50 Total: $90.00 Owner: Russell T Ramsay 1 River Ridge Cir Eagan MN 55121 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature r 1 ,:. OHA / v Ft' ,e,..c-- ; ,c e/e.!' E E �— �`? _ r. - ,„I (' E \ 1C � , c V � i r h F a 0 h j / t. -,PAIL:- O4 I k b r, ROBERTS- HAMILTON ,CO. 2 715 S. Ew0 STREET • MI IS MINN. 55415 PHONE 330 E. S.R STREET • •r. PAUL. MINN. SE101 339.9611 -" -- - 221-1323 r i- ti City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 D JUL 2 2012 Date: 7-2 2 S (Z Site Address: I %\. VQ t R• c q e Get (t. r Use BLUE or BLACK Ink For Office Use Permit #: 5-76 I Permit Fee: ! 2 2 1 Date Received: Staff: ;1/1 Unit #: r1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION RESIDENT / OWNER Name: RIJSS itgay4Sa� Phone: b1 Z-1 b 3-Z3Z4 A < < Address / City / Zip: 1 K.. Yee A ch? e Gi'c I e Applicant is: X Owner ' Contractor ' TYPE OF WORK ff Y Description of work: i�Ace d el: /11A/01 Construction Cost: 4) I O 0 . . Multi -Family Building: (Yes / No ) 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) 4/ST d MiS( Lee coezikierd4_ In the last 12 months, Yes 1( 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 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 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.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 Minnesot State Building Code must be completed within 180 days of permit Issuance. x r(VSS /\o. WI Sok)/ Applicant's Printed Dame x Aiiplicant's Signature Page 1 of 3 DO NOT WRITE. BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration j* Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair ooa (25% 100%jr Census Code k �' # of Units / # of Buildings / Type of Construction .7Z0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous lle (-v -62)�. Storm Damage /6576/ ,v Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required - Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: . Pool: Footings Air/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 /it0 n 4- /.9-=/0 / &V 23 Ai N - Page 2 of 3 Page 1 of 1 /D5-7(0/ V 2 iJ h 0 z /�c"� 55' O. o &i _71'', http://gis.logis.org/output/ea_LOGISMapSDEDAK 10-arcims3278814834532.png 7/27/2012