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 ~ ~ ,
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REMARKS:
FEE SUMMARY:
,
CONTRACTOR: OWN~R:
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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
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~ ~
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~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
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2 715 S. Ew0 STREET • MI IS MINN. 55415 PHONE
330 E. S.R STREET • •r. PAUL. MINN. SE101 339.9611
-" -- -
221-1323
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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
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23
Ai N -
Page 2 of 3
Page 1 of 1
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2
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