2835 Vilas Lane
CITY OF EAGAN Remarks
Addition Countrv Home Heights Lot S gik 9 Parcel ~ 050 09
Owner Street 2835 Vilas Lane State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 00 . 33 30 PAID
SEWER LATERAL 2 PAID
WATERMAIN
* WATER LATERAL 20
WATER AREA
STORM SEW TRK 1984 495.00 33.00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $260. 00 3757 6-29-71
BUILDING PER.
s,nc 3757 6-29-71
PARK
-7
INSPECTION REC4RD
,~111141iNf4
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ~APPLICANT:
PERMIT.$,UBTYPE: TYPE OF WORK:
INSPECTION D, . DA
i
t "..~nu y s, ~ t t~€dP
'k
~ _ ~
Pe?mit No. Permit Holder Date Telephons i
ELECTRIC !~20 pO
PLUMBING
HVAC
InspecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMlNG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TES7
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
A!R TES7
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
~ JV EAGAN TOWNSHIP
• BUILDING PERMIT ~0 2456
Ownex 4:~ Eagan Towaahip
Address (precenf) Town Hall
.
Bvilder Dale
~ ~~~--7.1
Address
DESCRIPTION
' 7ories To Be Uaed For Fron! Deplh Haigh! Eei. Coe! Permi! FaeI Aemarii
• ~ a~- . ~ G .z ~ 3°i ~°'a '3S ' ~~-Q-
v
LOCATION
, Slreel, Roed or othes Deseripiion ot Localion I Lo! Bloak Addition os Trac!
I S 9 t} • -
Thk permit does aot aulhorise !he use of elreeis, roads, alleps or sidewalks nor does it give !he owner or his agen!
!he righ2 !o creafe anp sifvalion whiah is a auisenee or which preseais a hazard to !he healfh, safelp, convenieace and
general welfaxe !o. anpoae in !he communilp.
THIS PERMIT MUST SE ~KoEPT ON THE PREMISE WHILE TFIE WORK IS IN PROGR SS.
This is !o eerlifY, thal.....G-._.c1....... ....r......-e--J...._.....----- hes parmission !o eree! a.-_ _ . - - - - upon
. - . . .
!he above deacribed premise subjeet fo !he provisions of !6e Suilding Ordinance for Eagan ownship dopled Ayril 11,
1955.
- pas - ..-.-.........'2..
maa of Tnwn Soard ~ ~ Bu[Idfn Iaa acior
/O /~~06 oSa oy
C /V /A
C1TY OF EAGAN
3795 Pilot Knob P.oad
Eagan, NIinnesota 55122
PERMIT NO.. 51
The Cit3 of Eagan hereby grants to mi1bert Co• 'Culligaa
of 1001 Marie Ave. So. St. Paul _
a a r Softener Permit for: (Owner) M. Sttose & J. Ronchetto
835 Vilas Iane & 6~Zg/76
at e Dr. ~ pursuant to application dated
Fee Paid: $10.00 dated this 9 day of JulY r 19_76.
1.00 s/c
Euilding Inspector
Mechanicll Permits:
Bid Total: ~
_ TOiJN OF EAGAPI
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERMIT N0. 122
The Board of Supervisora hereby grants to Carroll S. Anderaoa
of
a PLUriBYT?G Permit for: (Owner) oamm
at _2835 V11as Lane. Eagan 55121 ~ pursuant ta application'dated
5/2tsJ71
Fee Paid: S20.00 Dated this 8th day of June , 197 1,
Buildi.ng Inspectmr
TOLIN OF EAG.^-Sd
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERMIT N0, 116
The Board of Supervisora hereby grants to Caxxall S. Andcrson
o£
aPermit for: (Owner) -CArroli S. Azcderson
at W"igs T0 ,3,&d,,,, 55171 ~ pursuant to application dated
Fee Paid; $20•00 Dated this 8th day of June , 197 1
Building Inapectmr
~aa
91
w ~
,
~
~
- am - - -
G ~ I
o T s 8i K 9 c! N h~
~
~ MASTER CARD
LOCATION ~~l ~CCJ 3~ "j ~J •
• OWNER
STRUCTURE AND
LAND USED AS y~,~ G!C~
Issued To
Permii No. Issued Con}ractor Owner
Bl11LDING j2 Y s-b
PIUMBING
CESSPOOL - SEPiIC TANK
V?ELL
ELECTRICAL ~
HEATIN6 ~
GAS INSTALLWG yyJ-~~-
SANITARY SEWER
47
OTHER L' I
OTHER I
Approved
Items (Initial) Date Remarks Distante From Well
=00TING SEPTIC
POUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL , I
ELECTRICAL
DEPTH
H`cATING OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL • ~
DRAINFIELD n ~ 11 -f~-
PLUMBING
WELL
SANITARY SEWER 17
~ Violations Noted on Back
COMMENTS:
COMPLIANCE INSPECTION R,EPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
~ NO EVIDENCE OF NON-COMPLIANCE D NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION -1 certify that I have carefully inspected the abrne in which I have no inxerest present or prospectiva, and that I hsve reported herein
all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
. BUILDING INSPECTOR DATE
CONJv1ENT5:
•
PERMIT Ck.31q q3 •
~ CITY OF EAGAN pERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road 025198
Eagan, Minnesota 55122-1897 PermitNumber: 03 08 95
(612) 681-4675 Date Issued: ~ ~
SITEADDRESS: ZgsS VILAS LANE
LOT: 5 BLOCK: 9
COUNTRY HOME HEIGHTS
p.I.N.: 10-18300-050-09
DESCRIPTION: MAC SOUND INSULATION
BUi1'-dzn,9 Permiti Type SP (MISC.)
/Buildirtg`,Work Type ALTERA7ION
i
\
_ y..~. . . -
4
_
REMARKS:
A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEESUMMARY: vALuArroN $10,000
Base Fee $117.00
Surcharge _ $5.00
Total Fee $122.00
CSONCONCTWST INC 17846910 000893 O5`fR'E5~ MURIEL
9901 XYLITE ST NE 2835 VTLAS LN
BLAINE MN 55449 EAGAN MN 55121
(612) 784-6910 (612)452-1541
I hereby aaknawl.edge th-at I have read this application a-nd state that the
inPormatipn is correct and agree to comply witN all applicetrle State of Mn.
II Statutes and City of Eagan Drdinances. -
~
? ~y~~ ~
ISSUED
A LICANTIPERMITEE SIGNATURE BY: SIG ATUR
.
CITY OF EAGAN 2 Z. 00
~ 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construdian Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 ske surveys (euterior adddions 8 dedcs)
? 1 energy calculations ? 1 energy ealwlations for heated additions
? 1 tree preservation plan fT bt platted after 7N/93
required: _ Yes _ No
DATE: 2-I`l CONSTRUCTION COST: 9~
DESCRIPTION OF WORK: JL c t C o.ti ~o I C S Z
STREET ADDRESS: 2-g 3r) V,IcL5
LOT BLOCK _Q SUBD./P.I.D. 1h(DI/ihd'"~F'
PROPERTY Name: 5} r t s t phone qS"z - i 5 y/
OWNER ~T
Street Address, 'ZQ> -3 v, i 4 7 La
City: State: Zip; ~ ~ i 2/
5« o u ~-ow 5+. Phone 7 8
coNTRACroR Company:
5treet Address: yi l ; +Z 5 + ~ ~ License 8 9 3 ~
CIhl. '1~ tci. , v L.
ARCHITECT/ ComPanY~ C E i Phone 3yg-7 337
-
ENGINEER ' yg _ZS
Name: ~ ~Registration Z- ° so
~
Street Address, °`A's~ A"-,- S
City: i2: c- L, Id State: n, lj ZiP: 5 5 Y`' 3
Sewer 8 water licensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY R`~CHVED
Certificates of Survey Received _ Yes _ No MAR 0 1 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
`i,~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
X_ 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New 43~'-33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION '
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code o/
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
a
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit.
S/W Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Other
Copies
Total: . ' ~
°k SAC • .
SAC Units
CITY USE ONLY
L r BL RECEIPT
SUBD. N2 DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 68114675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction ~ Add-on furnace
_,Z,Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: 3- 026 - ~S
FEES
°.~;;~i ~r~i~~i°~Fwee"'~i~~d'•d:,o Re ~ o• e e~ •is""~i'n~"g~~esi"de,, nnit e o ~0 U HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL ,
ao ~o
SITE ADDRESS: a~113 J Vi LCLS ,LU le_~
OWNER NAME: A1L1,/';Pl 5ere',5e- PHONE -q'Sa- I'5-41
INSTALLER NAME: LlclCKSSCn'1 /N lG
STREET ADDRESS: _TSaf21z'Z• vz~.
CITY: STATE:~ ZIP:
PHONE
TEE
-
cirr use oNLr
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? ail commercialfindustrial buildings.
? multi-family buildings when separate permits are ngt required
for each dwelling unit.
DATE: CONTRACT PRICE: -
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: • $25.00 minimum fee gl 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of p&= fee due on all permits.
'IO
/l1~IT /1/~T. \IVL 1(~C A t 0
VVIY I V
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (iMPROVEMeNTS oNLv)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PER4UT FOR WATER SERVICE CONNECTION
Date: June 30, 1971 Number: 662 JT 9 C-~/
Billing Name: Carrol Anderson Site Addreas: 2835 Vilas Lane. Eartan 55121
Owner: same Billing Addreas same
Plumber: Southtown Plumbing Co.
Location of Connection Meter Size Connection Chg. 260.00 pd 6/30/71
RO No.: 52376-
Meter No,21508212 Permit Fee 10.00 pd 9/11/71
~ 9,[ 11171
Meter Reading ~000 Meter Dep. 15.00 pd qr.s0//1
Meter Sealed: Yes Add'1 Chg. 8.00 pd 9/11J71
Id0 Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx
t4ultiple xo, vnitg $25.00 RE-INSPECTION FFT
commercial 0MPROpERl_Y lNSTALLEb f~Af_TFRS,
Induatrial Hy:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do ttn proposed work in accordance with the rules and
regulations of Sagan Township, Dakota Couaty, Minnesota.
By: ZQ 9w., 1.Pa
Southtown Plumbing Co
Please notify the above office when ready for inepecCion and connection.
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEFTER SERVICE CONNECTION
DATE: June 30. 1971 N[IDiBER 819
OWNER: Carrol Anderson Address 2835 VBlas Laae, Eagank55121
PLUMB&R TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industriai Commercial Resideatial Multiple Dwelliag No. of units
xoc
Location of Connections: Connection Charge 200.00 d 6 30/71
Account Deposit 45.00 pd 6 30/71
Permit Fee 10.00 ad 9/11/71
.50 pd 9/11/71
Street Repairs
Total
Inspected by:
Date
Remarka:
BY
Chief Inspector
In consideration of the issue ated delivery to me of the above permit, I
hereby agree to do the proposed work ia accordance with the rules and
regulatioas of Eagaa Toc•mship, Dakota County, Minneaota
$~I YgQ Oiw _ qJ-D.wIT
SemUhtown Plumbing Co.
6636 Penn Ave. So.. Mpls. 55423
Pleaee notify mhen ready for.inspection and coanection aad before any portion
of the work is covered.
LOT: ~ BLOCK: ~ SUBD./P.I.D#: COUfliTV ~IY1Pi ilCiQhIS
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN ~ 43ILI
. ~o
~0 3830 PILOT KNOB RD - 55722
~V 651-687•4875
New Construction Reauirements Remodel/Repair Reauirements
? 3 regisfered slte surveys showing sq. ff. o( loi, sq. ft. of house 2 copies of plan
and all raofed areas (20% maximum lot coveraae allowed) 1 sef of energy calculations for heuted addlf(ons
? 2 copfes of plans (show beam & window skes; poured fnd. design; e}c.) 1 sNe survey for exterlor addHlons 8 decks
D 1 set of energy caiculations
D S copies of free preservation plan if lot platted aRer 7/1 /93
? Rim Jalst Detail OpMons selection sheet (buildinas wRh 3 or less unNsl
DATE: CONSTRUCTIONCOST:
7~ r~ov.c~ x~sfi~
DESCRIPTION Of WORK: CJ~~ 'ei-"CJ ~~ppr H multi-family bldg., how many units?
STREETADDRESS: -s- ViIQa 4N.
Name: Phone#: ~~~I 6 g~~~'~S
PROPERTY Last Ftrst
OWNER J
Sheet Address:
City State: Zip:
Company: ~2Yl~eh ~ (Nh'~4W4r-Phone '-~lt~
(area code)
CONTRACTOR
StreetAddress: ~IGi" Ltij • License# ~S~?6cp.
City State: Zip:
(
ARCHRECT/
ENGINEER Company: Name:
Telephone ( )
Sfreet Addreas: Registratlon
Clly State: Zip:
Sewer/water licensed plumber (if installine sewerlwater): Phone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and Ci an Ordfn nces.
Signature of Applicanh
OFFICE USE ONLY
Certifcates of Survey Received _ Yes _ No I
Tree Preservation Plan Received _ Yes _ No _ Not Required NOU Z 3 2000 ,
- =I
OFFICE USE ONLY
? 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 Ect. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 WindowslDoors
? 33 Alteration ? 37 Demolish (Bldg)" ? 44 Siding
? 34 Replacement ? 38 Demotish (Interior)
• Demolition (Entire Bidg onfy) permit • 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
IN5PECTIONS REQUIRED
_ Footings: New Bldg _ Insulation _ Windows - new/replacement
_ Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addirion _ Final/No C.O. _ Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test fmal Roof: _ ice & water _ final
_ Framing Pool: _ ftgs _ air/gas tests _ final
APPROVALS
Planning Building Engineering Variance
- - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112260
Date Issued:08/05/2013
Permit Category:ePermit
Site Address: 2835 Vilas Lane
Lot:5 Block: 9 Addition: Country Home Heights
PID:10-18300-09-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Muriel Strese
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Muriel M Strese
2835 Vilas Lane
Eagan MN 55121
Applicant/Permitee: Signature Issued By: Signature
For Office Use
Permit#: C5:3-!,
Permit Fee: by "CC-
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:
buildinginsoections@cityofeaoan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/20/2019 site Address: 2835 Vilas. , Eagan MN
L/96 c—
Suite#:
Resideflt/UWtler Name: Phone:
Address/City I Zip:
Name: Midstate Plumbing & Heating PC652126
License#:
Contractor
Address: 3500 Cannon Street City. Hastings
State: MN Zip. 55033 Phone: 651-480-1195
Contact Ben Radant Email: office@midstateplumbing.com
Typeof Work _New Replacement Repair t/ Rebuild 1/ Modify Space —Work in R.O.W.
Description of work: Kitchen and Bathroom Remodel. Add Basement Bathroom
Tankless Water Heater
Lawn Irrigation( RPZ I PVB)
Standard Water Heater
Description ✓ Add Plumbing Fixtures( Main/ 6/ Lower Level)
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)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$ ( U
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.00pherstateonecall.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.citvofeanan.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 is not to start-wftl1 ii 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.
x Benjamin Radant
Applicant's Printed Name Appttcaf s g ature
Page 1 of 2
1,
r vts i��
For Office Use � O
11
i •i • , ::::e. 1:/ c / i
'
flEcEIvE, Date Received: /� -/9- I
�I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 DEC �I I
(651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 19 1019 Staff: VI I
buildinginspectionsC&cityofeagan.com i
BY'
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: /Q 1 U(, Wo / ' ' Phone:LS/-7c5- c)t 71 G
Resident/
Owner Address/City/\Ziip: o� 8 S V[ /GS 1-6(11 E,,S G!.,! Y 5-S- 4 L
Applicant is: r.L Owner Contractor / ( Cr '-41-k44.6F i ! 5
A e�
Type of Work Description of work: r k tvr, I,2�r o-- 'LC modes, s* Nye,
Cost: C))a a/000•°-' Multi-Family Building: (Yes /No X )
Company: t'Utia tA1ni1, LA&il) Ott / Contact: 4l.l.5(
Contractor Address:2 I b Lit 464414461 u 4vt44 City: Cu ar �(//5/
State:'1 11 Zip:-65tx�el Phone:(f' t lS--)-7g0Email:/ LL'y' 14 ,./: i`
License#:. Y 3 x-38 Lead Certificate#: s AP r l✓!
If the project is exempt from lead certification, please explain why:
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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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of theinformation may be-'
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade 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.citvofeacian.com/subscribe.
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.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.
x -//(,) (ti l/:-.p, x -�—i .
Applicant's4 rinted Name Applica Signature
DO NOT WRITE BELOW THIS LINE0.0 .5 `i` )mss n , /S 9's C '
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
\(, Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
r 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
?( 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 1 1 t#9 Occupancy bs..4 i , VICES System
Plan Review Code Edition wfit (, SAC Units
(25%_ 100% y) Zoning —jt�rf /J ,— City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1 /yJ Width
REQUIRED INSPECTIONS�/ '
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
x Footings (Addition) k. Final/No C.O. Required
Foundation Foundation Before Backfill " HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests Final
sK Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
/
Reviewed By: / 1 , Building Inspector
RESIDENTIAL FEES
Base Fee ITL/0:0 4.,., P‘
Surcharge -:e 57 /
0 )1 IJJJ
MCES SAC
City SACfif'
d
Utility Connection Chargei f-4.. p c
S&W Permit&Surcharge * r
Treatment Plant -At.,, ��-j°/�j , (`
Radio Meter Read t.= /2 CA
r
Copies t 0
(,70
TOTAL ." , 9
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