4322 Megan LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Plumbing
EA087962
01/13/2009
ePermit
Site Address: 4322 Meghan Lane
Lot: 405 Block: 03 Addition: Meghans
PID:10-48250-405-03
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
New
Water Heater & Water Softener
Meter Size Meter Type
Manufacturer
Serial Number Remote Number
Line Size
Comments:
Mike Skaja
2090 County Road 42 W.
Bumsville, MN 55337
Fee Summary:
PL - Permit Fee (WS &/or WH)
Surcharge -Fixed
$50.00 0801.4087
$0.50 9001.2195
Total:
$50.50
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Edith A Amporful
4322 Meghan Lane
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 242012
2011 RESIDENTIAL
Date: /°(-7.-7.8-ite Address: q 3 1
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
107-139
I72,3V
Date Received: � ®� / 7D—
Staff:
ING PERMIT APPLICATION
f 1441 6- 16 Unit #:
LictL000 otzaKcial6.
Phone:
J
Name:
Address / City / Zip:
Applicant is: - Owner Contractor
Description of work: ko,; t r--
CA 1 f)mctcfJ c,rr1L41 SKAI //2q3/C f2e4 'S -S
Construction Cost: f 60 O— Multi -Family Building: (Yes Y / No )
Company: M11
Address: i 4St S cot -404-1
State: .Y1 \��
Contact77\ Trivzekr i Jr'S
City: )100rtA?bA
Zip: Phone: CO (X—C C't 1 —`-% 4-4 0
License #: .3L_ (Q "5f , 3 e7 Lead Certificate #:
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
(i /9
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you subm!t are considered to be public information t Portions c
the information maybe classified as non public if you provide specific reasons that would permit
conclude that they, are` tradessecrets:;
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 Buil inq ' ode , st be completed within 180
days of permit issuance.
X F14/114./1 • -C 1,ec.
Applicant's Prted Name
x
pplican
ture
Page 1 of 3
SUB TYPES
Foundation
Single Family
1� y Multi
01 of _ Plex
Accessory Building
Napa
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
WORK TYPES
New Interior Improvement
Addition
Alteration
Replace
Retaining Wall
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation �I U v
Plan Review
(25%_ 100% y
Census Code
# of Units
# of Buildings
Type of Construction
til�
Porch (Screen/Gazebo/Pergola)
Pool
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
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
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
Final / No C.O. Required
HVAC Servi Tet ( Gas Line Air Test
Other: U&G11/4.; 1
Pool: _Footings _Air/Gas Tests _Final
y 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
i -V0 yam
074 tr'L
0 4-20
Page 2 of 3
41'
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use[// !�/64a /
Permit #:
G�dJ
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL _PERMIT APPLICATION
Date: �— l `o D 1 1
Site Address: L1 3 az w\, r \ jL. itAk
Tenant:
Name: 0‘..4SZ7c.Adu1/41\LN
Adder •+., Zi _
Name:
Phone:
Suite #:
/1 Fla tl�kj L L- License #:
Address:d- i b1g <v' P`.�t .l I S �t - City:TF-1\01," G -Qi ----e).
State: p1 /1/41
Zip: 5S-3 7c Phone: q5 --t. -• 0.3 " 310
Contact:k Email:
New Replacement
Additional
Alteration
Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanicalequipment lire uired to be screened by"City
Code. -Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL
XFurnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR
Contract Value $
= $ Permit Fee
= $ Surcharge
_ $ TOTAL FEE
x 1%
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.gopherstateonecali.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.
x
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground
eviewed By:
Date:
ough In Air Test Gas Service Test In -floor Heat " Final HVAC Screening
AUG -17-2012 02:01 AM
Tho M 4VACG r\ Ca.\ 'Aye. G4 -o--( V`i`i ‘-6( STA Li
5,01k/k , M IQ -e_ P S lVeGl& c4 r 5
(es) -
?\-tuct-4 r\
R-et-vk,v‘
csic-4 ctS i 9
•
Co - 90
Sick-cK Tervy 7-- JC, 0
Use BLUE or BLACK Ink
Ana- r - - - - - - - - - - - - - - - - -
I
I For Office `Use l~
Permit* A I
City of EaWin
ilk
I Permit Fee: 41
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
V
{ I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r t -13 Site Address: "Z-1 v3 z Unit
Name: 0 ya, mk, -~:)Cj I C Q)a Anamx (2 S Phone:0,')_-&-70 -(a l {
Resident/ y~3i~- '/JW~
Owner A dress /City / Zip 3l _ p- z - 3_ hwd
~ vrL
Applicant is: Owner Contractor
Type of Work Description of work: 2l~_ Rc~ f k k ,t
Construction Cost` Multi-Family Building: (Yes Y / No
Company: ¢M~ -L Contact: t t-~'t~ ~(--LE
Contractor Address: 013kVAIu RIO 33 City: v~00's
State:V~w Zip: y` o Phone: I - _T7~
License ( (o?S ~J Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THI 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:
I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
4
g 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 State Building Code must be completed within 180
days of permit issuance. n
x l'1.2.C~~~l ~s x
Applicant's Printed Name pp J gi~ature
Page 1 of 3