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
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