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1747 Bluebill Dr          ð  ÿ þýý  ðûüûü     úýý üÿ ÿ  þ ûøçø     þýö  þýüûúù ó  ûúùöø   ù ó ã þÛã ûúùãýéý  þ öýôü õôöýôü þÛ  ý å  í ñà õ  ÿôñ   ôîáþÝ÷ óßæêê õú  þý ë îèæêäêä  ôïóï ö òñ ùù òëôù ýôü âë  ú ñà õêÿÚýü  ãöñ ãö áàßñàñ ë üúø ë ëì ë ùù ëëé ô   ôùúøëùùüþ éã þý òúé í  ê ùù÷  ôþ ý  ýúþ ý  Use BLUE or BLACK Ink For t!#fic~Use 1 Permit I City of ~I I Permit. Fee: oZ o7 I 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Z 1 I -10-~--~ I Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff 014j L------------------- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 -;n-13 Site Address: 1-7 441 1 '7q3 1-7 q5, 17,4 -7 Unit e 0 Phone: {Name: Resident/ i Owner Address / City t Zip: Applicant is: Owner Contractor 3 Type of WOrk Description of work: )e=g_ CaQ I I Construction Cost: Multi-Family Building: (Yes l No ) Company: ~C ~'lofr~ ¢ ,e ~1" t V eion Contact: J 01 t✓ctr 1 Contractor i Address' ~~e f~ tr q ~t City:+ nne~k a f State: mAJ Zip: Phone: License ILL cJ 5 Lead Certificate A -F_ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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. 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 approvalof plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of pennit issuance. X S- a,,, I --5Q c* 4t-r x ii,>-- Applicant's Printed Name Applicant's Si nature Page 1 of 3 Use BLUE or BLACK ink �-----------------, � For Office Use � , f���� � (��} O� nn n n I Permit#: I 1� 1 M.�t ii 1 I � l) b l.11.l�tlll � � L�' I � Permit Fee: � � 3830 Pilot Knob Road � �J Zjl- � Eagan MN 55122 I Date Received: � ✓1 I � Phone: (651)675-5675 � Staff: � Fax: (651) 675-5694 i_ � ------ _ I 2 1 -- - �� ��� 0 4 RESIDENTIAL PLUMBING PERMIT APPLICATION � � Date: �� qTdt� /�I Site Address: C 7 � ;T /�j L Lc. E,� i LC..- � /�Z , �'/fG-�� ��/ �-�- Tenant: Suite#: Resitlent/Owner Name: �+�1 dL�D r.� S �-c�`,,°1". � Phone: �� Z-- ��� !�� Z- I Address/City/Zip: f � �7 g L���f c� �� �S � �-�- Name: License#: COt1tGlCtOt' Address: City: State: Zip: Phone: Contact: Email: Type of Work �New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: N�W f��- ��Tif /Z E�t/t-G� FKGL 13j;yj','� RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type Septic System Add Plumbing Fixtures�Main/_Lower Level) New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 p ns. X Im/j-It�,f/ sGDTT � X ApplicanYs Printed Name Ap canYs ignature FOR OFFICE USE Reviewed-By: Date: Required lnspections: Under Ground Rough=ln Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: • Use BLUE or BLACK Ink ; r------------------� I For Office Use I I / �/ I ' � Permit#: /� 7 ��� � City of �a�a� � ��5 � � pCrclvE� � Permit Fee: ' I 3830 Pilot Knob Road «c'�'�''! I -����� I Eagan MN 55122 � Date_Received:�_ � Phone: (651)675-5675 �UN 1 9 �q�CEIVED � ��° � Fax: (651)675-5694 � Staff: 1 I' f�� � � �� �----------------- � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �\� Date: � _...)��t �� Site Address: � 7� � �L"i"� ���'"�` �2 , SS� � 'Z-- Unit#: Name: ��!'d-'�v,�J .� C v i l ,� Phone: �C 2 �`��] (.� ��./ Residentl Owner Address i City/Zip: � � �� S�-����t z !� i2 , �s�-G�`�; ��I Z �z-- Applicant is: �Owner � Co�fractor 1�! TU�€� ' ��tlrc'�� �-P'/o I`r17t� T Description ofwork: L�W�- •����L �/i✓'r S�-�i'�A7� 3�D ��.���� Type of Work . Construction Cost: Multi-Family Buildi�g: (Yes�/No� Company: Contact: C011#PaCtOP Address: City: , State: Zip: Phone: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) '�'� 1ll�i L.!c�'�`��17 �o ni�.�i�c�7 v.r� .�4-N 1� �t(�J �J�< S T/�'lr- ��4-��..S rS��=��c � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has Eagan issued a permit�for a similar plan based on a master plan? _Yes _No If yes, date and address of master p . Licensed Plumber: Phone: � Mechanical Contractor: Phone: � s S�wer&Water Contractor`,,�` .� ' " " � Phone: NOTE:Plans and supporting documents that you submit are c�nsidered i�o be public information. Portions of the ir3formation may�ie c/a"ssifieal as n'b�-public if�yod provide specific reasons that would permit the City to con�clude#hat the are tra e secrets. � CALL B�FORE YOU DIGt Cal1 Gdpher State One Call at(651)4b4-OUO2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.qopherstateonecall.ora .� I her�by 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 a�plication 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. Ex�erior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x � �:'Lf�"t—Dfr1 �C c�l� � x �''�'°- . _. ApplicanYs Printed Name Ap icanYs Signature Page 1 of 3 1�7�7 ���ti%�/ /��=- � � DO NOT WRITE BELOW THIS LINE /d s� .� } 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 - - � 01 of�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 �„ N Valuation 1� � Occupancy G ^3 MCES System "" Plan Review Code Edition C�? SAC Units -- (25%_ 100% ✓ ) Zoning �-3 City Water — Census Code �3y Stories "-' Booster Pump �- #of Units I Square Feet ^ PRV — #of Buildings J Length �' Fire Sprinklers "�'� Type of Construction � Width `�� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation �, Windows Sheathing Retaining Wall: _ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ,(,1► /'l+� �.?GI�Q i�/X�' �,��'vOp o�Ct - `�6 Base Fee �- J �/� � � Surcharge � ��'� � �'�'�� �.� ��� Plan Review 17•Z �-- M� „v ? ? � MCES SAC �'� ��►/�. �3�I ''�Q �/� � �` City SAC j�/ ��/� < < Utility Connection Charge lN��/Y,J�/h�s S&W Permit& Surcharge � 1,,,,j ?3y � Treatment Plant Copies TOTAL Page 2 of 3 » , . �. Use BLUE or BLACK Ink �-----------------, � For Office Use � ' ������ � City of�a�a� ; Permit#: � � �� � 3830 Pilot Knob Road j Permit Fee: � Ea an MN 55122 � � g I Date Received: � Phone: (651) 675-5675 � � � Staff: � Fax: (651)675-5694 � �������������_���J 2015 RESIDENTIAL PL�IMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: � : � �t,�n aO.�i��-�� �,��3�.3 7��3 �:�Resl.°.;ef1 0�� .:��. ; Name: i"IPhone: " � Address/City/Zip: � f3i�� �1..� � �:, ;r } � Name: M�bert Cor�pany Inc dba Culligan Water �icense#: WC6413 76 �� � pntr c : Add�esS: 1801 50�' St East ��ty, Inver Grove Hgts., , State: Mn Z�p; 55077 Phone: 651-451-224� �'i �-_ ;'; contact: William R Milbert Email: x ���� � �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: RESIDENTIAL r Vl/ater Heater Lawn Irri ation �Water SoRener .nil. _ 9 (._RPZ/_PVB) � Septic System Add Plumbing Fixtures(,_Main/_Lower Level) _New Water Tumaround :�,d ,_Abandonmen� � � �� RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $175.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /� TOTAL FEES$ V D O 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.aopherstateonecall ora I hereby acknowledge that this information is complete and axurate;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 permlt; 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 . ��//,�-�. � � d���----_ x � ' Applicant's Printed Name ApplicanYs Signature � �� i e ,; . _ ��;la �::