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2011 Vienna Lane
4,11/' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 [(log MAY 3 1 2011 Use BLUE or BLACK Ink Permit #: fi Permit Fee: 2011 MECHAN ICDAL PERMIT APPLICATION Date: `Ji , Li//` Site Address: (2t�!%/ t/ /Lfl % l/j� 7 JUA) 5 S) Tenant: 15f -1/Y1 Q.rtC, Suite #: 1 RESIDENT / OWNER Name: `- f ®iY7 .Q� Phone:b `D 1- 2 7. • 71, g` Address / City / Zip: 2 01/ Y / / 7nt.1 _ J_ / Zl'! l ee4-2. 11/L/L) hl 2 2 CONTRACTOR r Name'�/�/.1.r., 1 1-160_ iin . * A / e License #: Address: '�/ �F) J (.3 if%? 7 City: L A iLn/ � �1 State:M/1U Zip: 5 5/2 Phone: U, - 8/L71 18/A / Contact: aa��neaJ R Email:. rzJ / 55 te �%L� /1 eJJ a(- TYPE OF WORK NewReplacement Additional Alteration Demolition Description of work: \\ NOTE: Roof mounted and ground mounted mechanical equipme s r #uired to be screened by City Code, Please, contact the Mechanical Inspector for informatio ` 1 ed screening methods. PERMIT TYPE RESIDENTIAL Fumace COMMERCIAL _ New Construction Interior Improvement Air Conditioner Install Piping Processed _� Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 55 (r) ("TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 pproved plan in the case of work which requires a review and approval of plans. Ap is nt's Printed Name Applicant's Signature FOR OFFICE U Required :Inspectio _Uncle round Rough In ert i s Service Test In -floor Heat `Exterior HVAC Screening Inspection RESIDENT / OWNER Name: 7b10 !IC Phone: C/ Address / City / Zip: i2l C2 L ? ! CONTRACTOR yiF Name: </t yt G..- • u _Vi( es. znse #: 41 5ZL � — /� Address` J / City: /4'iM C- ,e,d l� ty: State: Zip: 7 Phone: c 57 - _--.3i) Contact: a Email: TYPE OF WORK _ New Replacement Repair _ Rebuild Modify Space _ Work in R.O.W. _ Descri • tion of work: PERMIT TYPE RESIDENTIAL Water Heater . Softener Lawn Irrigation Add Plumbing Fixtures {_ RPZ / PVB) (_ Main — Lower Level) _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) , 3 $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Tumaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ *) City of Evan Applica 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -S / Site Address: 0e C `'I /?Gf Tenant: 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.popherstateonecall.orc7 I hereby a 7 owledge that this information is comple rate; that the work will be in conformance with the ordinances and codes of the City of Eagan; th understand this is not •- •ut only an application for a permit, and work is not to start without a permit; that the work will be in accords with the appr• - • - in the case of work which requires a review and approval of plans. ®1, 9'! "'' - Name x Applicant's Signature Use BLUE or BLACK Ink M Permit #: 3055 - Permit Fee: t� - . Date Received: Staff: Suite #: Under FOR OFFICE USE Required Inspections: _ Rough- irt Air Test _, ,, ; , Gas T RESIDENT /OWNER I Name: Ti7 f �GCrt °S S S Phone: “( ^ 7 6g? Address / City / Zip: 4-6 (i V ∎ 'e a u ('4 14 5 Applicant is: Owner 54, Contractor TYPE OF WORK Description of work: a Ltd ore-e.) F ga lP y pc9'.6-7 Construction Cost: f ra' r-- Multi- Family Building: (Yes / No 1< ) CONTRACTOR Name: Cr w C ativy-t License #: 3 3 Address: D /7 /1 A' c cf°`"~Q— City: S State: 14A i4 Zip: 5 3 6> (l cf Phone: / - r) ? 9 - 7/0)s Contact: b(__ Q6r144 fit Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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 they are trade secrets. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date:/ O l 6 Site Address: © ( t 'f'– VI (/t ' y► Tenant: Ap • ant's P inted N me J o s•e,s 110 / a. ti AppIJ n Si 'natur r Permit #: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink Permit Fee: CYD Date Received: Suite #: 3 2 4I 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.gooherstateonecall.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 ac .., with the ap•rove p . n in the case of work which requires a review and approval of tans. ) 3: 1kA —€4— ,, --■ X ���� � X Page 1 of 3 4'101' City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: RECEIVED DEC it g 2011 Use BLUE or BLACK Ink For Office Use ,� /l/� Permit #: / (.� d ( _ Permit Fee: /;2 . J Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION t - 2e Site Address: e` / Y./ �'2C�� G Unit #: /02f l L fr RESIDENT OWNER '-f"-?- Name: ) a M'' %V Phone:6Z7- W.8? Address / City / Zip: Z-0//U/e�� p L�a�� Applicant is: Owner Contractor TYPE OF WORK' Description of work: Construction Cost: ^' / , Multi -Family Building: (Yes / No4 ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt ,-,,,r- Co-)7tAC7v,/ from lead certification, please explain why: (see Page 3 for additional information) 1-74,.r� (,i/-- j5'13. In the last 12 months, 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: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NATE: Plans #0,4!,..0 orb'?documents that you submit are considered to be public information. Portions of F the information maybe classified ei non-public if you provide specific reasons that would permit he�City`to a ' .. , ; 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.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. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 AO 1l SUB TYPES Foundation L/1rI,'L /A " DO NOT WRITE BELOW THIS LINE Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck X, Lower Level Interior Improvement Move Building Fire Repair Repair V /0?t4 Porch (3 -Season)_ Storm Damage Porch (4 -Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 'C Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0 Page 2 of 3 a ; k .IF' 7 'R,.�'+ P � N''�.t _4�� S'F•,fi�. rt 3 - g r z y � x a 3 kr Rps A m' 1 ro 4 a * ✓ti ': • x a d� �' ' _ 4 ?afs+ d { � a 44 " .,..'9' � ''y P ' .4 ..' 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Y.. 3 vgiF tom' X Use BLUE or BLACK Ink r For Office Use n Permit l City of EaACID I Permit Fee: 3830 Pilot Knob Road - -(3 I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 IC~ I Fax: (651) 675-5694 I Staff: / I I I 1 x,2013 RESIDENTIAL L BUILDING PERMIT APPLICATION Date: " t ` q " d'U 3 Site Address: 9,0 11 V e v~ vk c, La v` e Unit Name: I ©W AS ~e S Phone: Resident/ 1 r Owner Address/ City/Zip: V ie lnha Lr^ K P Applicant is: Owner X Contractor Description of work: ~P_ _ { Type of Work Construction Cost: S 00 ob Multi-Family Building: (Yes / No Company: PV-P- s Cu v, N~ ,v Jt Contact: P i R 1, ]M'P V I I,t.Q r s Contractor Address qsa,--l -P A City: C HU S Stater Zip: r~ 01 Phone: '7C93 License Lead Certificate If the project is exempt from lead certification, lease explain why: see Page 3 for additional information p ~ ) -71 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: m_~ 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.-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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota ate Building Co a must be completed within 180 days of permit issuance. x 70.11 ~-t JI >r~ x Applicant's Printed Name Applicant's Signatur Page 1 of 3 Use BLUE or BLACK Ink For Office Use 1 I I City O1 EaPermit 11 I vJ I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit b p-S 5 Phone: 6S 1 3S 7' 7 Name:Dw, Resident! nn f 1' Owner Address / City I Zip: 90 lI V I I^~ Applicant is: Owner X Contractor Type of Work Description of work: @c - Construction Cost: (,PC D 6 Multi-Family Building: (Yes / No C Av1 Contact: ~ay~ C f ~ /ic Company: rl`29_C4cAlt4 ktc~ Address: X,e.aern City: S lc T-- Contractor State: _ Zip: d I Phone: 513xn 4170 License bc(9 3S a0 y Lead Certificate If the project is exempt from lead/ certification, please explain why: (see Page 3 for additional information) Ail l~ I'r2 Co 79 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: 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.oopherstateonecall.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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code ust be completed within 180 days of permit issuance. _ 4" x ~t,r, Ott ( l A QJ cku rs x Applicant's Printed Name Applicant's Signature Page 1 of 3