1798 Serpentine DrCITY OF EAGAN Remarks Sew & wtr permits and wtr con pd_ on 11-111-68
Addition Cedar Grove #6 Lot 26 Rik 6 Parcel lo 16705 260 o6
Owner,! !) LL) L4 /'' Street 1798 Serpentine Dr. State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 1 0 1472.00 20 Paid
WATERMAIN
* WATER LATERAL 1970 20
WATER AREA
* STORM SEW TRK 1 0 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1072 11-2o-68
BUILDING PER.
SAC 200.00 1072 11-2o-68
PARK
CITY OF EAGAN 40 17063
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT A-e Receipt #
To be used for DBCB Est. Value $1.000 Date SEP 13 , 1 g 89
Site Address 1798 SERPENTINE DR
Lot 26 Block 6 Sec/Sub. (MOVB 6TH OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name JOHN I=RAIL (Actual) Const Bldg, Permit 26.00
1798 SER
EN
41 P
TINE DR
Address (Allowable) .50
o
City EAGAN Phone 434-3661
# of Stories Surcharge
161 Plan Review
Length
F Name SAME Depth 16, City
SAC
z .
O
O Address S.F. Total
U SAC, MCWCC
City Phone S.F. Footprints -
Water Conn
On Site Sewage
F
Fw Name On Site Well Water Mete
r
_z
8 Address MWCC System -
U Acct. Deposit
s W City Phone City Water
S!W P
i
PRV Required erm
t
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
Permit is issued to: JOHN MCGRAIL
A Buildin Planner Park Ded
g
on the express condition that all work shall be done in accordance with all
Council .
1.50
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official i Variance TOTAL 28.00
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp_ Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough H?g.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
Engr./Plan
Bldg. Final
Deck F?g. • /
Deck Final
Well
Pr. Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
(present) _:...:._
N° 1911
Eagan Township
Town Hall
Build .................. fac!`.:............. ................. '.....................
/
Date ...,,<.(. . Z?.f ......................
DESCRIPTION
stories To Be Used For Front Depth Height I Est.
Permif Feel Remarks
?os
LOCATION
StrseL Road or other Description of Location Lof _ Block Addifion or Tract
? G L
3
This rmit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the ri hi to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
goner welfare to anyone in the community.
THIS ERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. _
This i !o certify, 1hat...:....4..'.-'Y'. :....c.-C
..._...bas permission to erect a....fi..A2...... ..._...._ _ ..upon
the at ve described premise subject to the provisions of the Building Ordinance for Eagan 4ownship ad !ad April 11,
1855.
Per ............. ..__._,K.€-...C...,....-y/.t+_ll?.+.......--.t'4::!_...........
Building Inspector
an of Tnwn Board
r g
EAGAN TOWNSHIP
BUILDING PERMIT
DESCRIPTION
N° 1872
Eagan Township
Town Hall
Date .._
Stories To Be Used For Front
- Depth
_- Height
___ Est. Cost • Permit Fee Remarks
p /,.".-w? - ?[•W.'?1V ?? Qom- l
q?o• ? ?0 ?,Q.(.?L. ?!-??4 x.[_
v
Street, Road or olner Uescripnon or "canon Lox nlocK Acattion or 'Tract
I-? -3
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS
This is to certify, that..... j...,.(l........?cr• A.!----- has permission to erect a......d.... ...... ........ ...... .------ .upon
the above described premise subject to the provisions of the Building Ordinance for Eagan To nship adKpted April 11,
1955.
.................. ......z:-....... ...VC[:c.1.^..-................_. Per ...................... (f+?"'?
Chat an of Tnwn Board Building- Inspector
C. • e,
CITY OF E_4GAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: A79
The City of Eagan hereby grants to C+xadarA Rna+jnU r air ConA_ o.
of Aln m TAIre Af- , Hpla_ SSdf1A
a AJ" Chad Permit for: (Owner) T r m r al
at 17ou cer.,emtjve r,.ioe , pursuant to application dated 25
Fee Paid: 00 dated this 2n _day of may , 19-75
.50 a/c
Building Inspector
Mechanical Permits:
Bid Total:
l Will
BUILDING PERMIT
To be used for DECK
Site Address 1798 SERPENTINE DR
Lot 26 Block 6 Sec/Sub. CEDAR GROVE 6TH
Parcel No.
W Name JOHN MCGRAIL
o Address 1798 SERPENTINE DR
City EAGAN Phone 454-3661
o Name SAME.
N Address
City Phone
N Name
Address
City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to cpmply with all applica E State of
Minnesota Statutes and yo ag Ordi es. t,
Signature of Permitee
A Building Permit is is ed to: JOHN MCGRAIL
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN N2 17063
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 f/
Receipt # :3
Est. Value $1,000 Date SEP 13 , 19 89
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
16'
16'
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
26.00
.50
1.50
28.00
?? , ??
CITY USE ONLY
PERMIT #:? RECEIPT DATE:
8008 I-SID£PTIAL MECHANICAL PERMIT APPLICATION
crrY or Ekthu
3$30 PILOT KNos ftD
EAfiM MR 55182
651-681-4675
Please complete for: ? single family dwellings
l townhomels and condos when permits are required for each unit
Date: n / / Q
SITE ADDRESS:
NAME:
TELEPHONE #: &51- -3l0 I
INSTALLER NAME: ' l TELEPHONE #: 19f?L ZP
STREET ADDRESS: c,W0 JG ?'t 5 `^ Q' '? r
c?SO?Cl Q fJ?J
CITY: STATE: M v ZIP:
Place a check mark next to the permit work type
_ Add-on, modification or alteration to existing dwelling unit $ 30.00
• fumace replacement
?T air exchanger
Nature of work:
State Surcharge
- $ .50 _
_
$
Total
4I
SI A U RE OF IITT
1102
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF E16M
3630 PILOT KNOB RD
rl AGM, MN 551 EE
651-6$14675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
WORK TYPE:
Specify Nature of Work:
_ New construction
- Interior Improvement
- Processed Piping
STATE:
ZIP:
Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ xl%=$
State surcharge
TOTAL
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/02
u
%,.h
1 26.001
0
U
.5u+
i???1N 2H-00!
V
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SST OF ENERGY CALCS.
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
1100
!lDLTIPLB DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
ICBECH PITH BLDG DIV.)
1 SET OF ENERGY CALLS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF OBITS
NOTEi ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER 6 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT RAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY' APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. SEP q 1 in,
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For:
Site Address
j`?c Valuation: 100'0
/?J?0 ?,?7jyp {?j^ OFFI
Lot 2 L Block 6,
Parcel/Sub Cc-oAQ, 6Ro-e C?7'1 At)pP
Owner To],, L2 M&-c/ 1 /
Address V1-
City/Zip Code ?faa a?, , //I 31.14
Phone sy ??6W /
Contractor 51?-- /f
Address
City/Zip Code -
Phone
Arch./Engr.
Address
City/Zip Code
Date: 9--? ?/
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length T
Depth /ti'
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water _
PRV required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. f , ° s 2?
Variance
COMMERCIAL
2 SETS OF ARCHITECTURAL
i STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALLS.
FEES
Bldg. Permit X47, D'o
Surcharge A?o
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL I .0 n
Phone #
L,,1
EAGAN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: //1 d' ' Number: 1 fit
Billing Name: Z?L Site Address:';244 -G
Owner: /f Billing Address
Plumber:
of Connection Meter Size Connection Chg.c?--?.
Meter No, Permit Fee 7.50
Meter Reading Meter Dep-
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected b.
Date
Building is a: Remarks:
Residence
i
Multiple No, Units
Commercial
Industrial By:
Chief Inspector
Other
I
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota. _
By: ' "J
Please notify the above office when ready for inspection and connection.
i
i
EAG!*] TOWNSHIP
3795 Pilo*_ Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERbIIT- FOR SEWER SERVICE CONNECTION
DATE:///j NUMBER 2733
OL7NEP? Address.2(o-6-6 179?.?lDrs
PLUMBER ZJ? TYPE OF PIPE G yirr/
DESCRIPTION OF BUILDING
Industrial( Commerciall Residential I Multiple Dwellings No. of units
Location of Connections:
Inspected by:
Date
Remarks:
Connection Charge a ^ • .
Permit Fee 7.50
Street Repairs
Total
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, M nnesota
By rc
Please notify when ready for inspection and connection and before any portion
of the work is covered.
?] CITY USE ONLY
LOT2?j r? BL v PERMIT #: q34 O q
SUBD. ldeAa Pmye _ RECEIPT #: .
RECEIPT DATE: I0-23-00
Date: 1 0/1 S' 00
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to. or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New
Furnace
- Air exchanger
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN mu 55122
651-681-4675
Alteration/ _ Repair
/U'Oa.u-,
Other
Air conditioning
Other
Fee
State Surcharge
Total
Reminder: Call for inspections
$ 30.00
30.50
SITE ADDRESS: 1-79(o Ee,r p ch-hoe nr i vex
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
lers Southside Htg. & A/C, Inc.
Wohlers
) West 146th Street, Suite 106
le Valley, MN 55124
STATE: _-L ZIP: - "
UCT 2 3 2000
2000 MECHANICAL PERMIT (RESIDENTIAL)
3
PHONE #: (o51 _ 145 LI -31S
(AREA CODE)
PHONE#: C15 o-1 N3f- 7099
(AREA CODE)
OF
L BL
SUBD.
CITY USE ONLY
APPROVED BY:
INSPECTOR
PERMIT*
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN, MN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE:
'LIP:
SIGNATURE OF PERMITTEE
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6 (141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
8
Block 2, Lots 1-8 18
Block 3, Lots 1-18 11
Block 4, Lots 1-11 9
Block 5, Lots 1-9 53
Block 6, Lots 1-53
(Lots 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
11
Block 9, Lots 1-11
TOTAL 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Ed Kirscht
Sr. Engineering Tech
Cc: Mike Foertsch, Asst. City Eng.
EK/je
RESIDENTIAL BUILDING
J Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Require ents Remodel/Repair Requirements office Use OnN
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Can of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 6 decks _ Tree Pros Not Reqd
1 set of Energy Calculations Addition - indicate it on-site septic system - On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Jost Detad Options selection sheet (bldgs with 3 or less units
Date <, / /
' J Construe ' 06
Cost
II
Site Address 7 Se{?7CN-7'? Unit/Ste #
u -
Description of Work / M
Multi-Family Bldg - Y N Fireplace(s)
0 - 1 _ 2
Property Owner '\,3 brl A l
e, _'reCG Y a r 5 Telephone #
Contractor r
Address
4101
City t^
State Y?l r Zip Telephone # (( (v(P -A/p??
&1L '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING j
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telepho e?Y+ i J
uIJ "I
blia {ion-is complet ltd accurate;
I hereby apply for a Residential Building Permit and acknowledge that the in
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 Base of which r?pires a review and
approval f plans.
. v? 6 S
plicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. 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
Roof - Ice & Water _ Final Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding
Stucco
Stone _
_ Fireplace _ RI. -Air Test - _
Final _ _
_
Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
-' New construction Requirements
3 registered site surveys showing sq. ft. of lot sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Repod'd proposed building is to be placed on disturbed soil
2 copies of plan showing beam &window sizes; poured found design, etc.
I set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodedRegair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Cart of Survey Recd _Y _ N
1 set of Energy Calculations for heated additions Soils Report _Y -N
1 site survey for additions 8 decks Tree Pres Plan Recd _Y _ N.
Addition - indicate ifon-site septic system Tree Pres Required _Y _N
On-site Septic System _Y _N
131c arc rnneiAnrnrl nnhlir infnrmafinn nnloss vn12 state they are trade secret and the reason.
Date .23 d- Construction Cost
1
Site Address 179'Z SQV'?Y?vl"T' 11??? y Unit/Ste #
Description of Work NsuJ C O-t
- N
Multi-Family Bldg - Y Fireplace(s) _ 0 _ 1 - 2
p
Property Owner 761AU ?Pcc,"l 1 Telephone#(6 1 USN-3"1
Contractor $? 1 F
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 - Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
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?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
)
Mechanical Contractor Telephone #(
Sewer/Water Contractor Telephone #( )
i hereby anoly for a Residential Building Permit and acknowledge that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Mate oT rviN
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.
si9?A1U /1?ICr4lrall (-
Applicant's Printed Name yAppanf's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool - ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 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 (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
? 32 Addition ? 36 Move Building ? 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
Description: 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) _ FinaUC.O.
Footings (addition) _ Final/No C.O.
Foundation _ HVAC
_ Drain Tile _ Other
Roof - Ice & Water _ Final _ 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
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
1 For Office Use
City of Ea on ; Permit J/717q
I
I I
I Permit Fee: 10 5. a 5 I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: L &
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
Qq -
I
2013 RESIDENTIAL BUILDING PER IT APPLICATION
Date: Site Address: f --~rR
Unit
Name: 'Lsi/ ~ee Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner P---Contractor
Type of Work Description of work: sJe
Construction Cost: h~ Multi-Family Building: (Yes / Noe -j
Company: D'-.-L- ~Contact:
Contractor Address: rCity: ~
State: 42~ Zip: Phone: Z 42
License le 1.7,oP 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 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.oopherstateonecall.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 B e must be completed within 180
days of permit issuance.
00
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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411'
City of Eallo
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 351--//e---
Permit
--//e`Permit Fee: //t9-5'.'
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
OWnw
rn /�% 669w -i— ®ZL14IName: 6 � �¢ �Phone:
Address / City / Zip: / 77g $c2 r -e 1 e_ r
Applicant is: Owner --..\-- Contractor
i pe of 5
Description of work: �/ C� e. 7 Lf// z d �.S 3�rit�/-e Sic. --
Construction Cost: S/ Multi-Family(Yes / No
3 / 0 Building: )
Company: r c, b/ (i��'e<'TitS <--.7C Contact:T.6.',/
Address: 1"--4--ed LCL/& i /. J vrr�5 6/i //e.
1,2_,R 2.9'City:
v
//)Zi �� eK��/U
State: p: j �,�% Phon/1 ��'��t��mail: G! GG�c/ '
,
.�
License #: Lead Certificate #: R T- g-3 5/,& t 7
/
If the project is exempt from lead certification, please explain why: 7- 1-,/,,
IA csk- ..-k au. - 0_0 '0 (1 � bz6 4-.
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
MCT Ply
the rnfo ar
suthat you std 'i r ,,
m ybe class'` aon ubli l sp6'ct L re so
s.
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.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 Bu„ing Code mu j• - completed in 180
days permit issuance.
r3 �',� �'��Z`4 n5 r
Apple ans Printed Name Appli •ant's Signatur
Page 1 of 3