3918 Turquoise Pt CITY OF EAGAN Remarks Sew & wtr permits and Sew conn. pd.. on 3-17-69
Addition Cedar Grove Lot 39 R,k 6 10 16705 398 06
Owner 1-;~~street 3918 'Ilix'quoise Pt. state Eagan., .1)'R~_~5,K122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
n SEWER LATERAL 1970 1 2 0 20 • d
WATERMAIN
WATER LATERAL 1 24
UVATER AREA
STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER,
sAC 200.00 1262 3-20- 9
PARK
RESIDENTIAL ~ ~ ~ 0_6
BUILDING PERMIT APPLICATION
CITY OF EAGAN _ n
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenb RemadeVReoalrReauirements
• 3 registered site suneys showing sq. ft. of lot, sq. ft. of house; an~ll roofed areas • 2 copies of plan
(20°h maytimum btcaverage albwed) • t setof Energy Calalations forheated addNOns
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & dedcs
• 1 set of Energy Calculations • Indirate if home served by septic system for additlons
• 3 copies W Tree Preservation Plan if lot platted afler 7/1193
• Rim Joist Detail Optlons seled'an sheel (bldgs wiN 3 or Iess uni5)
DATE I r VALUA[ION
JOB SITE ADD ESS Gw-- ~I Z
IF MULTI-FAMILY BUILDING, HO ANY UNITS? IJ 14
PROPERTY OWNER 4
TYPE OF WORK FIREPLACE(S) ~ 1_ 2
APPUCANT 53~~' IPA066~1 PHONE#
ADDRESS ln,b ZIP CODE
PAGER # CELL PHONE # U1I 7Z ~X) - Mn _ FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULLS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing Systcm Includes: _ Water Softener _ Iawn 5prinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Badis
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone # ~ ,
All above information must be submitted prior to processing of application. I9'2)-6,61
I hereby acknowledge that I have read this application, state th t the information is correct, and agree to .
with all applicable State of Minnesota Statutes and City of Eagan ~ rdinances. -
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Re uir
Updated 1/01
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 01 of _ plex O 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 Multi
? OS 03-plex ? 11 10-plex lie, 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PlbgXY or _ N ? 25 Miscellaneous
? 31 New X 35 Int Improvement ? 38 Demolish (Inte(or) ? 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 •Demolltion (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy R"' 3 MC/ES System
Census Code Zoning City Water
SAC Units 0~ Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const V41 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) p]unibing
_ Foundation ~ HVAC
Drain Tile
Roof Ice & Water Final O[her
Framing _ Pool _ Ftgs _ Air/Gas Tests Final
Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone
~ Insulation _ Windows (new/replacement) •
Approved By , Building Inspector
aase Fee zO n~---- -
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
EAGAN TOWNSHtP
BUILDING PERMIT N° 1960
Owna: ---V_- dv.:.................... Eagaa Township
Address (Preceni) l....G`C.`."................................. Towa He11
Builder 3/2o/G~
Dale
Addreu
DESCAIPTION
Siories To Be Used For Fron! Depih Heighi Eaf. Cos! Permi! Fee Remarka .
• .,p_ _ p_ i . /S~ . 'l`d'o` ,/o. ~ ,,(e,~,~_.~~-l
LOCATION
Streei. Road or olher DeseripSion of Location I Lo! Block Addition or Traci
This permit does aot aulhorize the use of sireefs, roads, alleys or sidewalks nor does it give the ownes or hia agent
the right fo create anp si2uation which is a nulsanee os which presenis a haaard !o the healfh, safely, convenienca and
geaeral welfaxe !o anyoae in the eommvaifp.
THIS PERMIT MUST BE KEPT ON THE PRE~MIaS HILE THE WORK IS IN PROGRESS. ,
This is !o cerSifp, lhaf-_~-liB~:`.~ has permission !o erecY a....d..:°-°° .°e`".:'~1.`_.J....---..._upon
the abova described premisa subjec! !o the provisiona of the Suilding Osdinance for Eagahip adopfed April 11,
._........"--'.....~k .'_~--....-'aia-' " Per ~~°"~~'-......LCtiL~C?
U
Chn of T~ n Board Buildinq InsPeafor
4.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number• 238
Billing Name: Site Address: c37-6 '.6 3 Z2
Owner:~ Billiag Address
Plumber: Location of Connection Meter Sized~ Conaection Chg. 200.00
Meter No,,(,~i ~s 3 Permit Fee
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
DaCe
Buildiag is a: Remarka:
Residence_L
P4ultiple No, Units
CommerMa 1
Industrial gy;
Other Chief Inspector
In consideration of the iesue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Hagan Township, DakoCa Count~ota.
By:
Please notify the above office when ready for iaspectlon and conneceion.
EAGEN TO[JNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55211
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE'-- NUMBER
OWNEP.:~ . (-B, 2.ddress 4~rz
PLUMBER TYPE OF PIPE a/J
DESCRIPTION OF BUIIAING
Industrial Commercial Residential Multiple Dwelling No, of units
Location of Connections: Connection Charge 200.00
Permit Fee 7•50
Street Repairs
Total
InspecYed by:
Date
Remarks:
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 accordaace with the rules and
regulatioas of Eagan Township, Dakota County, Minnesota
BY
Please notify when ready for insgection and connection and before any portioa
of the work is covered.
, r„ -
4~. ~ ~N MEMO
- city of eagan
T0: DlANE DOVlINS, 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 intorm your department to begin to invoice the energy costs at the single
famify rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 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
Block 9, Lots 1-11 11
TOTAL 141
The City is currenUy being bilied by Dakota Electric for streetlighting in the above listed
subdivision.
Ed Kirscht
Sr. Engineering Tech
cc: Mike Foertsch, Assi. City Eng.
EK/je
1999 BUILDINC PERMIT APPLICATION (RESIQENT~L)
CITY OF EAGAN
3~tS ~j`4 l 3830 P1651-68/46 5- 55122 N
lo
New ConshucNon ReaufremeMs Remodel/Reoalr Reouiremenis
? 9 regLsMred sRe surveys showing sq. k. 01 lot, sq. R. of house 2 copies of plan '
and,gll roofed areas [40% maximum bt coveraae allowed) 1sei ot enevgy cakulations for heotetl adtlMfons
? 2 coples ot plans (ahow beam R window shes; poured ind. des(gn; etc.) 1 fMe survey lor exfedu oddiNons R decks
? 7 set of energy caiculafions
D S coptes ot hee esenation plon tl bt platted alter 7/1/93
DATE: l~ lJ~ CONSTRUCTION COST: - V
DESCRIPTION OF WORK:
STREET ADDRESS: /
LOT: ~L BLOCIC, ~ SUBD./F...#: G rU
Name: C' ~a V i~/ Phooe V~ ~ I J (DD " / ~
PROPERTY Lan First
OWNER Sheet Address: D / S.Ze- n -/z
Cfty Sttrte: 6~1 I-) Zip:
Company: ~ ~Tl/~ Phone
(area code)
CONTRACTOR Sheet Address: ~-E u' //~,gAUcense# __2L126E:xP•
iL
City State: Zip: '5 ~S-_a~
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Shee't Addresr. Registration ik:
City State: Zip:
Sewer S water Ilcensed plumber (reauired for new conshuctlon onlvl:
penally applles when address change and lot change is requested once permM is issued.
I herwby acknowledge that I hwe read lhis applicatfon, siate that fhe Int fion is eorrect, and agree to amply wNh all ppllcabl
Sfate of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicant: '~L=d
~
OFFICE USE ONL gECEIVED
Certificates of Survey Recsived _ Yes _ No OCT 1$ 1999
Tree Preservation Plan Received Yes No Not Required
- - - BY:
PERMIT # ~ I 6 _01-0 RECEIPT DATE:
RESIDEN'1'IAL PLUMBINfi PERMIT APPLICATIOR
C11'Y OF KAfiAN
3$30 PILOT KNOB iiD {
EAflAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for ircigation system
SITE ADDRESS: I p J^ 1 6
OWNER NAME: : ~ TELEPHONE ~ ( UZ9~ - ~cI,S I
(AREA CODE)
INSTALLERNAME: J~MK~ TELEPHONE#: U? I . 61
'I (AREA CODE)
STREETADDRESS: gm~ aS / '~pv~
CITY: LViru..~ STATE: ZIP: ~W--~-
Place a check mark next to the permit work type
New residential dwelling unit under construction and not owner/occupied $ 90.00
~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system ~
• new installation/repair/rebuild of RPZ
• lawn irrigation system ' e ~e I
• water turnaround / oWer
Nature of work: 14+ .T~ UA~Ikr~r \
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
rotal S d
$ ~
Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknovAedge that I have read this application, state that lhe information is correct, and agree to complywith all applirable Cityof Eagan ordinances. It
is the applicanPs responsi6ility to nodfythe property owner that ihe City of Eagan assumes no liability for any damages caused by the Ciry during iLS normal
operational and maintenance actlvities to the §cilitles constructed under this permit ' City prope rig t-o - y/eas ment.
SIG ATURE ' ERMI E Updated 9101
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Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� � Perrnit#: ���� �
C�"d O� �^b�� I Permit Fee: v "/ �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
f�' � /
Date: �C/ / Y Site Address: ��� ��`�(/l�� � Unit#:
Name: ° l�� ,/' _ r �.f�''�t� Phone: �✓�(t�U�����
Resident/ �/` � �'(/
OWngr Address/City/Zip: ��� / �"�(/�1'� C.� �
' Applicant is: Owner �Contractor
�a�� .,J��,,,
' Description of work: � �(,�'�.- (1'�1�� i� . 1�'� �c.�/�""f�'
Ty�pe�o#�Work � � �
' Construction Cost: %?f �''G� Multi-Family Building: (Yes /No�
�? /y y
'. Company: - o�('�°l ��l �i t:C,�'�L(L''�'!`-` Contact: i`��f�'
' Address: ��-�'6 ��c�t�l iU` r City: ���a'" [�C�� G!�TJ
CQt1xC�CtOf
t�.. ��d �. {
State�r�Zip: L��j�� Phone: ����F";��~ �mail: �iL��U`�ZICl!✓Z'v��l rJ�rl,l-Cy�
u.�..,
�i; License#: ������ Lead Certificate#: ��
If the project is exempt from leatd certification, please explain why: (see Page 3 for additional information)
� ('C ���l
C:,�`��_/y!�"�wC ��
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:
1VOTE';Plans antl support�ng.do�umen#s th�#�vu,��brrtFt�r��anside�'�d fv be pvi�l��infctrm�tlon. Portior�s of
the irrform�tiora►rtay"�ie classit`ied as npn����k'��i%��t`y�a�i�xrQV�d�r��p+�cifi��i�as+�ris�t�a��inrµcici/tl p�rri7it the�lty ta
Y
� ��.,,a�o�n�cl`+�de tl����`,�a"e �����e�tr�de,se�crret�. '����
CALL BEFORE YOU DIG.YCall 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.ora
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 ' ing Co ompleted within 180
days of permit issuance.
x � ��� � �� r�
� J �
Applicant's Printed Name Applicant's igna ure
Page 1 of 3
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5884
buildinainspections@citvofeagan.com
BY:
r For Office Use
Permit U:
Permit Fee:
1 3S
Date Received:
Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/3/19 site Address: 3918 Turquiose Point
VrA°)
Unit #:
Resident(
owner
Name: Jessica Porter Phone: 952-3814142
Address / City / zip: 3918 Turquiose Point
Applicant is: Owner ✓ Contractor
-
Type of Work
Description of work: 128'drain tile
Construction Cost: 8320.00 Multi -Family Building: (Yes / No )
Contractor
CompanyStandard Water Control Contact Kelly Henderson
Address: 5337 Lakeland Ave N City:Crystal
state: MN zip: 55429 Phone: 763-53748V Email: mike@standardwater.com
License #: BC001522 Lead Certificate #: Nat21436-2
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
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:
_Yes
Licensed Plumber:
Mechanical Contractor.
Sewer & Water Contractor:
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans.end supporting documents that you submit aro considered to be public Information. Portions of the Mfonnatlon may,be
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trach secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribq.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.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 app plan In the case of work which requires a review and approval of tans
Appl cant's nature
x,OCIi�` 7.411
A lican 's P nted Name
PP t.
1.
VI
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
�( Single Family _ Garage
"� Multi _ Deck
01 of _ Plex _ Lower Level
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
_ Interior Improvement
_ Move Building
_ Fire Repair
Repair
(25%_ 100%4)
Census Code
# of Units
# of Buildings
Type of Construction
•-rurc (124—
Porch (3 -Season)
Porch (4 -Season)
Porch (Screenloazebo/Pergola)
Pool
Exterior Alteration (Single Family)
^_ Exterior Alteration (Multi)
_ Miscellaneous
Accessory Building
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation Foundation Before Backfill
_ 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:
'V/
4
Siding
Reroof
Windows
Egress Window
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
'Demolition of entire building — give PCA handout to applicant
MCES System
vvoif" SAC Units
ift / City Water
i• Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test ^ Hood
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: _ tuc Lath _Stone Lath _Brick _ EFIS
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
Radio Meter Read
Copies
TOTAL
019 0
Page 2 of 3
Use BLUE or BLACK Ink
41"
For Office Use
Cit of Eaall Permit#:Y Permit Fee: (Oil • t
3830 Pilot Knob Road /
Eagan MN 55122 RECEIVED Date Received: 0`) '474
Phone:(651)675-5675
Fax:(651)675-5694 FEB 2 6 2020 Staff: -7
y J
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
DateLV-21? Site Address: Y1 16 -k-Af (.4 oisc Pt Earl MSV X51 12 Unit#:
E ,
Name: ��.rb-c 2 3 -siCa +�Yk{ Phone:
Resident/ at,
Owner Address/City/Zip: I Til
U E l s e PO t vi - 67=104,1 +"l N 5S I 2.-2.-
,
Z
Applicant ii Owner Contractor
Type of Work
Description of work: c1SrffleVl r 6 v-c,� ,S H
Construction Cost: Z 9 00 0-A P Multi-Family Building:(Yes /No X )
Company Z 1bf,S t�{►`\ h U,ti t, Contact: )l'uC C SCh Ul)t t Lill:;--)
Address: i C)05 add '�c\2e,r\' \(ClA 1 City: � 0101411i ;l
Contractor pp l c,
State:IAN Zip: .S.- 0U'JU LD Phone: i�-,� ^333` 93VEmail: l✓1c-6, \-)2_C:,t'S 11 k)bw 1 I A •C-47-0'-)License#: �3 1 t 7, ficate#: i 1 98 If the project is exempt from lead certification, please explainLead why:CertiI
J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
1
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
1 Sewer&Water Contractor: Phone:
Fire Suppression 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 Minnesota State Building Code must be co • . - !thin 180
days of permit issuance.
-
x /3 r f/G.e._ Soli 1 t--k t'L t-1 x
Applicant's Printed Name Applican s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 39/e 7J/'' Jo;se P71--- /6Q 35-7
SUBTYPES I
• Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
V Alteration _ Fire Repair _ Windows _ Demolish Foundation
_/�Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION !@
Valuation Xi " Occupancy - MCES System
Plan Review Code Edition t. t P 1 ( SAC Units
(25% 100%" ) Zoning rt;- City Water
Census Code �� Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction l/rt, Width
REQUIRED INSPECTIONS �J
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) )( Final/No C.O. Required
Foundation Foundation Before Backfill iG HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water Final Pool: Footings Air/Gas Tests _Final
Framing )1 30 Minutes 1 Hour Drain Tile
Fireplace: 1 Rough In Air Test �L Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation 1` T Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
1,.. Shower Pan NI., Other: 0 pf 1,1J I{'h'a.,
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee6:1\)).-'
Surcharge Jv,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
I 2-6' Y :;') 0I --'. -- coo
Treatment Plant �
Radio Meter Read
Copies
TOTAL
Page 2 of 3
I—For Office Use/ n i
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Permit
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EAGAN
Permit Fee:
..� Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacityofeagan.com J
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 3 y /ik -7/-0 1 o c) ( 3'Q PO rA, 9-
Tenant: Suite
#:
GIlName: J SO l _ oj��
._...___.._..r 4-C,r Phone: / -.3k1-L// Z1,
Resident/Owner (r11
Address/City/Zip: S aktA.Q Q -21-46L-4
Name: r)( X(� A-Q jfk,, 1. License#:�
Contractor
Address: 3.3 z/5 U,l` kjii.)r)c, I ' City: f(O 1\l' biltt'
State: pJZip: $ 37,1- Phone: &/ a �,;? l- ,5. 2.RContact:
0A) Email: So Ut/A 4 t . ; d/ oCUA
New (_Replacement Rep it Rebuil Modify Space —Work in R.O.W.
Type of Work — 1 C f we1,,-t' 15c
Description of work: � �
-p,��, .A1 (ter Cr4nr 41' {JJ e.tinJ STc)-9LAAJ
Tankless Water Heater
Lawn Irrigation ( RPZ/—PVB)
Standard Water Heater
Description Add Plumbing Fixtures( Main/—Lower Level)
P Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
1 $115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges I
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.uopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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 ' not t start withou a permit; that the work will be in
accordance with the approved plan in the case ofworkwork which requires a review and approval of ns.
x k OVIA ox A
y,..z i . , /
Applicants Printed Name Applicant's Signature
Page 1 of 2