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2848 Vilas Lane CITY Of EAGAN 3795 P16t Knob Reaa Eagap, MN 55142 PHONE: 434.8100 BUILDING PERMIT Receipt # Te be wed foe Est. Value Dnte , 19 Site Address Erect Occupancy Lat Block Sec/Sub. Alter ? Zoning Parce1 Repoir ? Fire Zone Enlorga p Type of Const. W Name Move Stories ~ Address Demolish ? Length ci phoM Grode ? Depth Sq. Ft. ~ Name Approvals Fees uU Mdress Assessment Perrnit ci Phane Water & 5ew. Surcharge F Police Plon check °C Nume ~ Z Fire SAC Addrtss Er?p. Woter Conn. <W Ci Phone Planner Woter Meter Council Rood Urtit I hereby acknowledge that I have read this opplicotion and stote that gldg. Off, the intormotion is torrect and ogree to comply with all appliccble APC Totol Stote of Minnesota Stotutes and City of Eogan Ordirances. Sipnoture of Permiftee /1 Building Permit Is issued to: on the express condition thnt ol) work shall be done in acrnrdance with oll opplicable Stote of Mlnnesotu Stotutes ar?d Ciry of Eo9on Ordinances. Buildinp Official Parmit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sawer Eleetric (nspection Date Insp. Other Footings ~ Foundation Framing Rough Plbp. Rouph HVAC Inwlation Finai Plbg, Final HVAC Final Water Desaibe Loeation: VYell Sewer Pr. Dhp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae fill in numbered spaces S/C Type or Print legibly Tot 1. Date ' 2. Instaliation Cost • 3. Job Address Lot Blk. ~ Tract 4. Owner A09, 5. Contractor • Phone 6. Address 7. City • State • Zip 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? , 10. Describe ' Fuel Type 11. No. Equipment BTU - M. Ea. No. EQUiament CFM Forced Air ?~'~'i~(-~~' Air Handling: Mfg. ,rt°C- Boilers T&! `t 7~ 14Q Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets c:•_,: _ . 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 XO -L - -Z CITY OF EAGAN Remarks addicionCountry Home Heights Lot 9 Rik 8 Parcel 10 18300 090 08 Owner ` , Street 2848 Vilas Lane State Eagan, MN 55121 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING AN SEW TRUNK 1968 $100.00 $3.33 30 PAID SEWERLATERAL & $tUb 1972 $3162.60 $158.13 20 WATERMAIN * WATERLATERAL & Stub 1972 WATER AREA 1977 LGQ•QQ 10.66 Lrj i STORM SEW TRK 1984 509.85 33.99 ; _ STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN, 8UILDING PER. sac 500-00 11581 9-8-78 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ;a ; ;s~~..;•; : Eagan, Minnesota 55123 Date Issued: (612) 681-4675 V SITEADDRESS: ,iAPPLICANT: i ANF , r~i : , : P~, i~;;, + r~~i•.! ~r<I~.f I I' i Il~~l+li ~II, I~~I{ i'. ~ ~ 1 ~+"•1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . i I r,r•t ~ td~~ ~ 1~'~~ F L - Permk No. Permtt Noldsr Qate Telephone N S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dab qisp. Comm~nb Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Flnal Htg. Orsat Test Fnal Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Dedc Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogon, MN 55122 DATE: Zoning: No. of Units: Owner: n~d ess: 14 Site Address: o r' - Plumber. . . . Meter No.: Connection Charge.- Size: Account Deposit: Reader No.: Permit Fee: ` r'^ ~ : I agree to eomply with the City of Eagan Surcharge: . v Ordinanees. Misc. Charges: _ . - . . Total: SY Date Poid: Date of Insp.: I "Sp" SEWER SERVICE PERMiT CITY O.° EAGAN - 3793 Pilot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner. Address: ,i.-. T :il^,~•. Site Address: ~ Plumber: ' I ogree fo WmpIY wit6 fhe City of Eagon Connection Charge: ~ . Account Deposit: Ordinances. ; Permit Fee: Surchorge: BY Misc. Charges: Date of Insp.: Totol: I nsp.: Dote Paid: ~ ~ M ' p/ p vr~ _ [U ~ ~ ~ 9 ~ 8 ~ 7'1 1-t cirr oF EAcaN 3795 Plbf Keo! Raad Eagon, MN bS1Y! NO 7459 PHONEz I54-9700 - BUILDING PERMIT rteceiPt # 34S To 6s wed kr GARAGE En, yalue $4,500 pOfe AUqRSt 20 ~q 82 Site Address 2848 Vilas L3ne Erect ~ Occuponcy Lot 9 Blxk 8 $ec/Sub.CotlfltL'y HOme Hte. Alter ? Zoning parcel # 1 O 18300 090 OS Repair ? Fire Zone Enlarqe ? Type of Const. c Name JOe HsluZa Move O # Stories ; Addrau- ZSdR VilAC tana Dertwlish ? Length?2 Ci Eaqan 55121 phone 454-4680 Givde ? Depth--22_Sq. Fi.- o Name ~ner ApProrals Fees Address Assessment Permit 50.50 ~ Ci Phone Water 8 Sew. Surcharga 2.50 ' Police Plon check °C Name F W Fire SAC Address Erg. Water Conn. ~ W Ci phone Planner Warer Meter CqunNl Rood Unit . 1 hereby ocknowledga thot I hove read this application and sfate ihat Bldg. Off. the informafion is torrect ond ogree to wmply with oll apvlicabla AP~ Totol ~-nn State of Minnewta Statutes and City of Eo9an Ordirwnces. Signoture of Permittea A Building Cermif Is issued to: J02 Hd1UZd on ths express wndition Ihni ull work shull 6e done in acwrdance wifh pplicable Stateir inne a Statutes ond City of Eagan Ordinances Building Officlal ~C~ ~OLn CITY OF EAGAN Inclucle 2 sets of plans, 1 site plan w/elevations & - UIBLDI~ PERNIIT APPLICATION 1 set of energy calculations. 7.b Be Used For G0.~- ~T_ Valuation q~~ ~ Date Site Pddress p2(yg i 0.~. l~?v @- tqt 1~~ pgFICE USE ONLY Lot ~ Block g Sec./Sub. Cour.~ f~° _ Erect OccuPancy Parcel 10 1 $ 300 OOtO p g Alter Zoning '1 Repair Fire Zone Owner: D ~ hial,lZa- Enlar3e TYPe of Const. Pddress: g~g ll`~~ i'L~ Move # Stories Demlish Front 2 0l ft. City/Zip Code: rC0.~ l(~ ss~~ Grade Depth ft. Pno~ s . APPROVALS FEES -eV Contractor: Ow {'\-E.(_ Assessments Permit / Water/Sewer Surcharge Pddress: Police Plan Check City/Zip Code: Fire SAC Phor~ Water Conn. Planner Water Meter Council RAad Unit Bldg. Of~ Address: APC City/Zip Code: Phone TUrAL ~ ~ ~ EAGAN TOWNSHIP BUILDING PERMIT N? 2317 Ownex . % Eagen Township Address (Pseceni) A~tP_'. ^ . . Town Hall suilae: 9/a9 1 ~ Date Addrese DESCRIPTION 7ories To Be Used For Fron! Deyos! Parmit Foe Ramarke LOCATION 8lreet. Road or other Deeesip!!oa of Loaelion I Lo! Slock Addi!!on os Trae! ThL pesmit doea aot aulhorlsa !he uee o4 etrae3e, roads, allape or aidowalks nor does !t giva !he owass os hG ageat the righ! !o creele any ailuation whieh le e nuisenee or which presenla a 6esard to !he heallh, safelp, eonvenienee and general welfere !o enyona in the eommunilp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR~ESS.e This Ss Yo cesHfp, 3hat._...t4-0-6~:~J ......................hm Permissioa !o esea! a...!`°.'.^ :._~~................_upon !he ebove dascribed pra ce eubiec! !!he provlaions oi !he Suilding Ordinaaee for Eagaa Towaship adopled April 11. 19db. 'n e~ ......`.~k:R...1-:..,y.,.l..=--.-..•"~--'^=.._....---.....---... Per ....._..............&5~~:~.......[!...`~s:.°..:":~::~.....:.................. O Churbtan of TnwaBoard 8ulldinq Iaepecw -Iff ~ MASTER CARD • LOCATION ~~as L a he 9 owNeR STRUCTURE AND LAND USED AS Q Issued To Permit No. Issued Contractor Owner BUILDING 423 9- 2 7-7 S',• .l~- PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I • Approved Ifems (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - • Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVEN7 OP OBSERVEU VIOLATIONS • PERMIT NO. DATE OF INSPECTIQN CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABLE StJ85TITUTION$ OR DEVIATIONS. ? COMPLETION OF CER7AIM17 1MPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. IiEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest premnt or prospective, and that I have reDOrted herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BIJILOING INSPECTOR ~ OATE COMMENTS: • ~ z3 ~ . . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: t; u i: L o Eagan, Minnesota 55123 Permit Number: o~;t!n n 0 9 (612) 681-4675 Date Issued ni 3/ 0 ;Z / S; SITE ADDRESS: 21q8 VLL/i'S LFr.i'dE: L.OT: 9 BLQCKe 8 C0Uh!1"R'l NE'LC117"S Pel'.IV.~ :I.%-2C",30 0 --00--4'7° DESCRIPTION: - 6dTHL1f)6J Fi,EPL1;CEi1EP1T B4t5.1dI'riq ('csimi'C lvr,ct SF (i+17S~e) 8tdildin4'?WOek Type ALTLRFITION ULiC.' f}cCUpari`cj, R-3 i' f~ - ~ . r REMARKS: FEE SUMMARY: o8,0 0 0 S u rr, ha r 9`-' ToC't;:l Fee $103.00 CONTRACTOR: A i-~ ~~i ca nr - OWNER: CAFRFE yP!A/IitO C:IJNS'1' 1.78 7.691% H0, {_V Zt-1 F_STEf2 7.`S17 PPl-r'.13f)PJ 81- IVE 28 43 VTf.AS 1.N NClNN EA PlL1 S MIM 5f5i11p E(A GAfd MPI 55121 (~)12) 781-09<77 ( 'j)588..2 0 35 I hereby acl;riouLadge thaT. L have, rsaci khi5 applieatfqri and stare tlla.e Lhe s:riformetihn 'ss carr--r,t arid agree r,n cornply wi4Fr nli cpp.lic.,3,ts 4t~r.e ofi Mn. 5tatutes and G.ity of Eaqan t?r+5i.nancesn n nufi ~-~'A~P CA /PERMITE SIGNATURE ISSUEO Y: I NAT R, REACTIVATE _ CI7Y OF EAGAN PEwMI7 ' 1993 BUILDING PERMIT APPLICATION 10409 681-4675 SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of ~ specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yal uation of work -lab 74%-!L2 ~ Site Address: ~g~S L46ff Cep'7~ STREET SUITE 0 Tenant Name: (commercial only) P.I.D. M IAT ~ BIAC& SUBD. r_ . j(~~u 4b) ~urL rr~ Descri tion of work: Gt~v4%+.?~~c,c7 aecxti~rr~ The applicant is: ~ Owner ? Cantractor ? Otll@M (Describe) Name 11~lvzr4 ~57z~ Phone (253S - Z03s Property LAST FIRST Owner qddress Z~41'0 STREET STE L' City •85 Rit) State '0~ Zip f~5/z/ Company e gpuitri>, ar,77- Phone 781-09L17 Contractor Address /S/r/ 5V- .Sv` License # ZX Exp. City r2O/5 State /0~ Zip S.5 Y/8 <PkES~ F//rJOa Phone &K l- 03 Company 0/2 Architect/ Engtneer Name Ge7F F127e1e_S&A1 Registration # Address z.?az2x J441, ~4~ c;ty State z;P -50109 Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY . • At ~n ~ f ~ BUILDING PERMIT TYPE - ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging [3'I6 Basement Finish ? 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace _ ? 19 Comn./Ind. Misc. ~.05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System SAllowable) lst F1. sq. ft. City Water UBC ccupancy 9 -3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y 3 Depth On-site sewage SAC Code 7r APPROVALS 6" a Q ~ Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS wJn+aV%.d 11 Site ? Footing 19 Framing ? Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee 49,0t) v,imcip,: g YDoo ~ Surcharge y,uo Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units STATE RESIDENTIAL CONI'RAGTOR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license to the Department of Commerce. Date of Applicadon _ Residential Building Contractor Remodeler Signature Date 2. I am exempt because I am agm specialty remodeler. Aignature ate 3. I am exempt because my annual gross receipts are less than $15,000. Signature Date 4. I am exempt because contracts on individual projects in aggregate do not exceed $2,500. , Signature Date Questions regazding the licensing law should be directed to the Department of Commerce, 133 East Seventh Street, St Paul, Minnesota 55101, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). . ~ . g • SITH PLAN ! )REAR PROPERTY LINE I ~ n ~ C+ LIN ti ~ l ~ - HOusE Feet' ~ F e ~ ELV. f ' Garage ~ PROPERTY .n ~ LIAiE ~ C1( ~ StL_Aet Ad ess ~ 1 ~ RONT ROPFAIY LINE d 3 ~r r7 i 100 ~ j ~ ELV. ~ ~ ~ ~ , I i ~ 2s RESIDENTIAL BUILDING Permit Application City Of Eagan ~ 2 rj I 3830 Pilot Knob Road, Eagan MN 55122 (fJ J Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenls RemodeUFieoair Reauiraments Office Use Oniv 3 registered site surveys shaxing sq, fl. of lot sq, ft of house; and all roofed areas 2 copies of plan Cerl of Survey ReW _Y _ N (20% maximum lot coverage allaved) 7 set of Energy Cakulafions for heaied additions Tree Pres PWn Recd _ Y_ N 2 copies of plan showing beam S windax sizes; poured found desgn, etc. 7 site survey for additions 8 decks Tree Pres Reqd Y _N 1 se[ of Eneyy Calalations AddNon - indicate iion•sife sepfic sysfem On-site Septlc System _ Y_ N 3 mpies of Tree Preservation Plan if Wt platted afler 7!1l93 Rim Joist Detail Options selection sheet (61dgs wBh 3 or less unils Date tcz-5~ / Construction Cost Site Address 5 t~L( UniUSte # ~ ~A` ~i? /~t-At DescripHon of Work &r-otf 1d DU x 4' 5~-'O.~a Iq~ L r Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 'JaP7 -j- 5O Py iDe Arn-,f Telephane # (63f ) 9,o5' 0 3 ( / Contractor ~ 0 GL l- J Qt/`'~ ~q A 1 u` Address # ;167 7cd' /d L/ City /`t= 4yo State lkA~ /iLn Zip Xrp y6 Telephone #(,~Va )c74'S-o a~ 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Enefgy CAde CategOry . Residential Ventilation Category 1 Worksheet + New Energy Code Walcsheet (J submission type) Submitted Submitted • Energy Envelope Calculadons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y ^ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Coniractor Telephone ) Sewer/WaterContractor 3 \ Telephone ) P I hereby apply for a Residential Buildi ermit and wledge that the information is complete and accurate; ~~oinances and codes of the City of Eagan and the State of MN that the work will be in conformance ytb Statutes; I understand this is not a permit, liut only an application for a permit, and work is not to start without a permiE; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. / TOG Z- bmNf E~, C4 Bur,? ApplicanYs Printed Name Applic iNs Signature OFFICE USE ONLY 5ub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ~O, 42 OemoGsh (Foundatlon) ? 45 Fire Repair ? 33 Alterafion ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By , Building InspecTar Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ q112-163 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reouirements Office Use Onlv 3 registered site surveys showirg sq. fL of lol sq. ft. ot house; and all ruofed areas 2 copies of pWn CeR ot Survey Recd _ Y_ N (20%maaimumlotcove2geallowed) iseto(EnergyCalculationsforheatedadditions Tree Pres Plan Recd _Y _N 2 oopies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Reqd _ Y_ N lsetofEnergyCalculations Addfion - indkateifon-sResepticsystem On-siteSepGcSystem _ Y _N 3 copies of Tree Preservation Plan if bt platted aker 711193 Rim Joist Derail Oplions selection sheet (bldgs with 3 or less uniLs Date ~ / S2 / 0,3 Construction Cost Site Address 4g ~`rAn UnidSte # ~ ~S l Description of Work \ Multi-Family Bldg _ Y X N Fireplace(s) X 0_ 1 _ 2 Property Owner Telephone ) 905 "0 ?~-101 Contractor Address L()r State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted • Energy Envelope Calcuiatlons Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. licensed Plumber ` ~ I II I1 Telephone ) ~ Mechanical Contractor ~ AUG 2`7 2003 J I Telephone ) ~ Sewer/Water Contractor qrp Telephone ) BY-- 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 pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~(X3,1 ~ !'Y~~C?.~~ , Applicant's Printed Name pp icant's Signature OFFICE USE ONLY Sub Types ~ ? 01 Foundation ? 07 OS-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 / El 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~0 ~p, 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handaut to applicant Valuation iE Occupancy MClES 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) FinaUC.O. Footings (deck) V FinaUNo C.O. ~ Footings (addition) Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By T 2 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC CitySAC ~ -712 Utility Connection Charge U S&W Permit & Surcharge Treatment Plant License Search copies Other Total ..Z. ~ ; 'v' _ y„ ` y. + ir~'~~5~ . ~.S ~ Y +c • Y t ~y' ~x ~ . ?.~~1/ rs r.+ itF'i~ f~~ ? ~ i~4v'I~F~~' f 5~'r~{;<. I1• I} ~ t~f ~ 11„, ~ IAf ~ ~ {''yu3- ,{,aSh' ~ ~V ~ S y„ i+t y q t . { } N3l., ~ ' ~ , "„~{X'9 tl' i"7~t~~ O I f u~ ~ G MsflV ` G~~y+: l?`9<~,'t ~ 0 a ! J> .iY2~ t : ~ . ~ ~ • + w~aw aya e Fa'~, . , ~ J , y N4PJ.S~.{ , 6. v4, i r SyM1 }1 ~ O1 ° 4~R i u t.- i ~'~rf Y dCF~ 6 4 W 1~,,~'t iP vI~"'°~~h h '~Y'•.. e. -ri At~~t'~-34RljA , ~ - • ~i ^ <`'`~r ' Q, N . , • J~,•, ~,~'~c~,. ~ . ;