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1302 Kolstad LaneCity of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Cs} Use BLUE or BLACK Ink 4vreciffiri.a Permit Fee: GV' ao Date Recfived: 1? -l1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICA Date: 5 'a - vlf Site Address: /3©Z koIS+et-� L� ON Unit #: RESIDENT / OWNER Name: oS M QA Er v.S 4 Phone: l9' z - 3 M - S -98 -8 - Address / City / Zip: )302 koxS+-A-di (yt-rtic G.4..,1 ruin Applicant is: cc Owner Contractor TYPE OF WORK Description of work: �d a— '„-2 Pi he a�.t .-,-.."-‘+' Construction Cost: • , oa a Multi -Family Building: (Yes '----/ No ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: Does this project require Lead Remediation? ❑ Yes ❑ No (see Page 3 for additional information) If no, please explain: In the last 12 months, _Yes If 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? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.00pherstateonecall.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 1 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 accor., - with the approved plan in the case of work which requires a review and approv .fans. plicant's Printed Name ant's Signature Page 1 of 3 733c:2 L"7 _iA y RESIDENTIALBUILDINGn City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys shavirg sq. ft. oi lot, sq. ft of house; and all ioofed areas (20°h maximum lot coverage albwed) 2 copies of plan showiig beam 8 window sizes; poured found desgn, etc. 1 set of Energy Cakulations 3 copies of Tree P2servalion Plan if bt platted after 711/93 Rim Joist Detail Options selection sheet (buildings wBh 3 or less unifs) Minneqasco mechanical verttlation fortn RemodeVReoair Reauirements OlficeUse Onlv 2 copies of plan showing foolirgs, beams, joisGS Ced of Suney Recd -_ Y- _ N 1 set W Eneigy Calalations for heafed addftions T2e Pres PWnReM: ,-_ Y?_ N. isttesurveyforadd'itlons&decks TreePresRequired "._Y _N Adddion - indicate if on-sfte septic system On sRe Septic System ?. _ Y_ N Date S l%/ l UC.P Site Address j,302 beni,t{,Qr{ 1 ew? Construction Cost I:30 U• u o Unit/Ste # Description of Work VVo-L ibpLk- Multi-Family Bldg ? Y _ N Fireplace(s) ?0 2 Property Owner Jo:;r Telephone #(l.t. i Contractor SAw?rZ Address State City Zip Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submittetl 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( 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 permit; that the wark will be in accordance with the approved plan in the case of work whi h requires a review and approval of plans. s 0 ?Ljmti FFr-ns? plicant's Printed Name A?icant's Signature DO NOT WRITE BELOW THIS LINE i Sub Tvpes ? Ot Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-piex ? 10 OS-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ?2 34 Replacement ? 13 16plex ? 16 Fireplace ? 17 Garage P 18 Deck ? 19 LowerLevel pq G) c e ? 20 Pool ? 21 Porch (&sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous Dec K.. ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroaf ? 46 Windows/Doors 'Demolition (EnUre Bldg) - Give PCA handout to applicant D05CflptlOn: Water Damage _ Yes Valuation ? , UvG . O ? Plan Review 100% or Census Code I SAC Units # of Units # of Bldgs Type of Const ? 1? l? Occupancy R- 3 MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length ? J Fire Sprinklered Width ? Footings (new bldg) ?p Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS _ Sheeffock FinaVC.O. ?A FinallNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Approved By: _, Buitding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ? "` ?f? • .... ? . J6lU ? ?6lG •? ??S ? , •,??.?• ?. .?M ??...?r?.j?f."Y'ti:CTYiII ?4...'ii????w}.S. ? ... ? ? ? ,? e ? . . ? ' . . • ? ?w?? u ?w?r' r?r?? ' • V.a T ? ? - "? ?• ? ? ' i 1:+' a4?y '•• ,` ' : ' , Zi 0 ? N? '". ? I Su p ;, 2 ? 3 r°_ ro • a c % ' ? ° ? ? ?, ? 2 3 +o ? I TIMBERS5HORES_ 41 gy RE N ??-.- p • ?? ?4 C ?t1---?1 `? :: -? ??' • 3 ? 1 BUIL.p NG INI 1? ? ?? .: _ U u ? 3 Oi 34 93 ? Do rq . iQRES 4 -3 ? : PE ^ n 151VIS?0 40 i ? ? ? .? ----i- -- - ?-1 il i i -.?`- - - ? -- ?- - - ?- . r1 , . ?--? ` ?f.?'..""'M. ,. .?- .-'. ?.?.--_ u. : . • - - - - L1 • EAGAN TadNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT POR WATER SERVICE CONNECTION Date: u „ zst 7, 1)72 Number: y o Billing Name: -L.” 4.urizun ' Site Address:' - w`f `% . _I :• u Owner: - Billing Address plumber: Location of Connection Meter Size Connection Chg -Li 1/( /12 Meter No. Permit Fee ; /7= Meter Reading Meter Dep. Meter Sealed: Yea Add Chg. ,u /t,, NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple No. units 4 $25.00 RE•1lSFECTION FEE FOR Commercial IMPROPERLY INSTALLED METERS. Industrial By: Chief Inspector Other 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: T ().11,..u... • .L:iL;nUitly; Co. Please notify the above office when ready for inspection and connection. i 3795 � Pilot t Kao o Road d St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: August 7, 1112 NUMBER IOW OWNER � alizur Hanna Address 1 ;A; 2-00 -129 1 J-;i6 i:a2 iii Le { P EER ;Oa Pl� Co. TYPE OF PIPE DESCRIPTION OF BUILDING Industrial Multiple Dwelling No, of unite Location of Connections: Connection Charge �f := /( /72 Permit Fee 13 .L , *:.3 0 /7 Street Repairs Total • Inspected by: Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above hereby agree to do the proposed the rules and regulations of work in accordance with th Permit, I Eagan Township, Dakota County, Minnesota By Please notify when ready for inspection and connection and before an y portion of the work is covered. • .t,`SIAM OFOVfl OR MORE 11131113, "iti' IAIL MOENT TO 54I?TO2`Ot 0 11ANDI Ul €D.— t:OS iGlSM:>" Otk 10f.,: OF M;r,'rrvi. 36' RAIL : - -733a0 - BALUSTER WE Mt imrium 1 /e 20.- a — p ' 2 X 2 SPINDLES 6' Q.C. 0E04 PLA . 3l $ el 'djo rri e /t1" •l, SO@Z-ZZ-ddd For Office Use •", r '' e a f e Permit#: /-- Z�l C) ' m a E 0A ANF,,,,,,,,:.„.. ‘,,, „,,,., Permit Fee: .' ,,,, '..:,,/ L...) _,,,...."„._ Date Received: 1/ l 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 OCT 1 1 2018 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: =41 buildinoinsoectionsCa�citvofeagan.com L ' 2018 RESIDENTIAL BUILDINGPERMITAPPLICATION Date: Site Address: / 0/. ` Aid Ln 1 Unit#: 4 Name: Phone: Resident/ 1 Owner I Address/City/Zip: I t Applicant is: _ Owner Contractor 1--------` of work: i�G r� �(.2 {7 C v Pe S/ f Type of Work i Construction Cost:7 2 , 6 00 - Multi-Family Building: (Yes )\'''' /No ) Company: GVvSS�owN 6,hCt/c`G 4-4YtGftntact: 6i''i gte /13 Contractor Address: 9 03 6 fix/a d L 444: LL/U a i -hs Id ; State:MN Zip:3-5/3/ Phone: 95-01 �. 3 c7''"-EfYi IU,32_ 6/4 )e 7/,503"Gr0 ` / e 0"7 i License#: Lead Certificate#: • ,•____________ __ If the project is exempt from lead certification, please explain why: � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 8 r 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: i I Mechanical Contractor: Phone: • Sewer&Water Contractor: Phone: •I • 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 ou .rovide s+ecifc reasons that woulermit the Ci to conclude that,efr 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.citvofeanan.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.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 tans. x &V ee7 At ./.1c) x Applicant' rinted Name App icant's nature DO NOT WRITE BELOW THIS LINE / -cam 0G znr ,- / � qcl @ - SUB TYPES _ 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 1c 01 of q 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 �j / Valuation cps 01 jflflO . Occupancy -.R c ' 5 MCES System Plan Review Code Edition FTh/1 2.0/ $ SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \f6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required X Footings A> ition.) Sl OO t p 7q Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final 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 i I, / Other: •Reviewed By: / O Tr �. 1-414- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3