1345 Easter LaneRESIDENT OWNER
Name: 51 C� Xi G Phone: qc -3 -7273
Address City Zip: i 73 ak 61N p Ay L Lg, "i") 'a'7`'
Applicant is: X Owner Contractor
TYPE OF WORK
Description of work: /6' 4
Construction Cost c UOC: Multi- Family Building: (Yes
k No
CONTRACTOR
Name: `e` f License
Address:
City: State: Zip:
Phone: Contact Person:
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:
Sewer Water Contractor:
Phone:
Phone:
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CityofEaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0y' t)..00ti Site Address: j34^S ets-ter- I-e, `'""dal J M 156 2 3
Tenant: Suite
CALL BEFORE YOU DIG. Call Gopher State One Cali 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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; hat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
x SK�irl�i k��
Applicant's Printed Name
'Lhu U 0 4 2009 i
Permit
Permit Fee:
Date Received:
Staff:
Use BLUE or BLACK Ink
a.. =7i`
Applican igm�
Page 1 of 3
SUB TYPES
Foundation
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
Interior Improvement
Move Building
Fire Repair
Repair
D
Fireplace
Garage
Deck
Lower Level
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice Water _Final
Framing
Fireplace: Rough In Air Test
Insulation
Meter Size:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit Surcharge
Treatment Plant
Copies
TOTAL
DO NOT WRITE BELOW THIS LINE
Porch (3- Season)
Porch (4 -Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
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
Sheetrock
Final C.O. Required
Final No C.O. Required
X HVAC
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
Reviewed By: I �j
0,2
Page2of3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1345 Easter Lane
Lot: 4 Block: 5 Addition: Wildemess Run 5th
PID:10- 84354- 040 -05
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
Quesetions regarding electrical permit
952- 445 -2840
TINA NEUBAUER
16411 ABERDEEN ST NE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Shengqi Xie
17346 Gettysburg Way
Lakeville MN 55044
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Issued By: Signature
Mechanical
EA092128
11/23/2009
ePermit
cal Inspector,
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot 'Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By _ , Date Paid:
Date of Insp.: 7j e7 .4.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood
Eagan, MN 55122 PERMIT NO.:
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Char ge:
Ordinances.
Account Deposit:
Permit Fee:
By: Surcharge:
Date of Insp. :� Misc. Charges:
Insp.: ,�,- Total:
Date Paid: