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3859 Heather DrC!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 /000794/ Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6710 %/o Site Address: 3 $ 57, 38 S 3/ 3E6 / 3863 HG7477IE - Dpi vE Tenant: J Suite #: RESIDENT / OWNER Name: .e). .9-ssori4no4/ Fin";t/re/.4sG /II ewer Phone: 76, 3 —1/199— 372 7 Address / City / Zip: 70 <2a . 5 T F/SA/ LTE ,o#D 41P6 6go/E S-5.3/1 Applicant is: Owner X Contractor TYPE OF WORK Description of work: E/u a UE ,4410 jEEPc1+GE Edi Construction Cost: OW fat% Multi -Family Building: (Yes / No ) CONTRACTOR Name: BE/ eX7ER.iaR ,/,wie./7: Loam License #: aa a 41//3/ Address: frO.s— Gv 4" csrLb7 7 City: /(Ice."76.0 e" -r State: /U/✓ Zip: 575-q/7 Phone: 6/..? ' / /- 6a V3 Contact: I.4 v/© J3 . Email: in @ X f'! e AO' /77 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: 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 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 C(giS ,4 96ZgO, Applicants Printed Name Applicant's Signature Page 1 of 2 WATER Ski PERMIT NO.: ;?11512Z - DATE: Connection Charge O. Account deposit: Reader No • - Permit Fed: 1 twilit to comply wMA the City of Eagan Surcharge: winces. / Misc. Charges: 60.00 pd meter Total: Y / Date Paid: insp.: CITYF EAeAN' 3795/ pikiriKnob Rood Eoi ,. MN' 55123 Zoning.' RIV - Owner: Address: Site Address: Plumber: 1 agree to comply Ordinances. SEWER SERVICE PERMIT PERMIT NO • 5813 DATE: -1,lo..af_Uoi�s \ 1 unit tnhse 5/17/83 Tol i+tfson` Bnl1 tiers' 3859 Heatker !'?rive 13 Genz Ryan 5/16f&ij 5 with the City4of Eagan Ina Connection Charge: )Cccount Deposit. Permit Fee 1 Bri4r r Surcharge. By __.Mi Charej+ Dote ofi Jlt _--1 . Tota • Date Paid. HII i 4th 100.00 pd 425.00p .I 0 _ jlt1 pd 5Q pd Qtyof 3830 Piot Knob Road Eagan MN 55122 Phone: (661) 6T04675 Fax: (651) 6758844 Use BLUE or BLACK Ink For office Use Pon** Ponnit Fes: Dat, ,ed:II Sara: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ,� Site Addison: 38s'74 aS L3xei, sass HEi¢i•Hek DR, unit* Nane:1 #F .1k.;A 64 AIy "i . -#.) e; Phone 741 - 93' 9`770 Av A� sa` z p iaei a Sw f%KtvY ArAi s3-41.7 Address / city /Zip: w S'0 a �. �a`r-v rc2 „ .APPlIcantis: _ owner �, contractor • Desaip3Qn of work `7-tV1,2 OPF a QE - Construction Cost /4, 9 oD . aro Muip.Famiy Building: (Yes / No Company: L / Efts -TT -12'0.e AfahA i• 62R Contact. ►vl A crit," 2-2. ► 5 Address: VC's (.3 Pt S7 . City: PL 5 . State:14 zip: SSy, 9 Phone: lost - Q6 /— �.� 4 uomiso #: Load Certificate #: tt the project is exempt from lead certification, please explain why: (see Page 3 for additional information) U s_...6) Pos- / 97 T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILOIIia in the last 12 months. has the City of Eagan Issued a penal for a similar plan based on master pun? Yes No If yes, data and address of meter plan: ucerpsed Plumber Pho. no: Mechanical Conbaclbr: Plane: Sewer & Water Contractor: NOM • Pho r, `^-�.�..w � •�� �-r .rte -z-+'.. r:- 'et'r.�rti vr-,L.;�i�Ktw:. '�"r�rr a-. � �. �., j± �;NkT 'i...4 •1:.+2, STTa *hi -'....!!...`=,;449.••.ti ... h M.it1+JaL A"�'= ��*�� r,i�--•1�^y� .y,.��,,n,.�� s",.•,1,,.,�,_..,,,��� _ _C•)''AS"]fIti before"kiyau� dig) a • IoaU00 GoPhe 1clOrgr MB am ea at (I) 464-0 2 for p a0 und° gramd u Iy damage. Cal 48 hours I gszsgsbaggistmsema herobY ackhnteedge that Mb indamation is complete and accurate; that the work w H be in conformance with ths ordinances and codes of lite City c4 Eagan; that 1 understand this o not a pens t, but of an application fora permit and work is not to siert without a mimic tint the work oaf be in aotovdmnos with lAs awarom.e www to lain owe o/ worn vi.400h heat••• n i•••••4 and approval a pain. Exterior work aulhorized by days of permit i a building permit issues eo In aobenre with the lltnrweota Stets With Code met be completed within 180 x %Quare Applicant's PTIntsd Nemo b0/Z0 39tid INICW lX3 I3S �C' Applicant's Signature Pagel GIS L9Z9198ZI9 ZO:tT ETOZ/90/TT 40111 CityofEaaafl 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 675-5675 Fax: (651) 6764694 . Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: Date Received: Staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 -9--/q Site Address: 285-", 3>Ps9,3ti, tito-S nr;A'Th/G2 d12.. Unit#: Resident/ Owner Typeofwork Name: e//D ,e r "6,3 46ErKF�t-� .�:•� c. Phone: 74 - F3 - 9770 Address / City alp: 'SO E C14-7-1-, 2 tiles, A Coot &E, 1/441.2 Y /VA)_ Sr V2 7 Applicant is: Owner Contractor Description of work: RE•".o a. RE PL.4-cf_ Ji P'at'1Ga a' /4 47-4 L Construction Cost: / Multi -Family Building: (Yes / No _...J Color Company: Q E 1 C D 2 fk 4-i a -r . Cn 42k Contac: DA ✓ r 0 Qo2Qi S Address: 11°SS LJ 100 ' y City: m PL S State: /'tIAS Zip: S.S'S// y Phone: 47/1, -' (o /- to 2 y3 License #: '� L Z Y/ / 3 / Lad Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Il - (ps_ Po$:' /777 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iset 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: NOV Pte ,, a404.c ****00 : .. rho,ir ks*Ei�t100.'r ayr� saai egiss #pt ac' a #004, ' I a. .: S• cor+cl►alfail`rlRatlb '' :' ,...;;?;', CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utirdy damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_oopherstateonecail.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end 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 piens. Exterior work authorized by a building permit issued In accordance with the Minnesota State Build' Code must be completed within 180 days of permit issuance. x r4 ✓' 240/2-#2,/ x. Applicants Printed Name Applicant's Signature 90/Z0 3SVd Page 1 of 3 y 9:5 1NIvW lX3 I3S L939t98Zt9 SS:tt btOZ/bZ/E0 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEf °ED JUL 312017 r Use BLUE or BLACK Ink For Office Use j Permit #: / C3 / Permit Fee: / 47' /53 Date Received: '` - / 7 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION &l '7/ Site Address: � #611116-1Z- leC6k0 GLA "OA) Unit # Name: 15Nzi.r +te 1 'i Phone: it sol ' ("tit ' 6 511 Address / City / Zip: 3 S-5-1 f-1 c wttn of Or,; ve. G .M.r , /lit /V Resident/ Owner roAppticant is: Type of Work Description of work: Owner !C Contractor Covtcre,f e. ' toce Construction Cost: C.`"400 p Company: —lj;) S f 74*t.er•` c -� Contractor Address: to ll 14.44. Gr_ Multi -Family Building: (Yes )c / No ) Contact: Ky(.�—M Leto WI City: 2t -€ -Grove__1(e.i t 1415 Stater! Zip: 59'o3-)- Phone: /V-14 S MI- Email: acwG¢t,eter.u,,. ca••, I License #: I,9, CPI ' ' Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: 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 you provide specific reasons that would permit the City to conclude that theare 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.gooherstateonecall.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 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 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. x Kjte OevYk&ovh Applica ht's Printed Name Appli is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code _ Fireplace _ Garage Deck Lower Level 3c5ci 1?)( - Porch Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) io Pool Interior Improvement Move Building Fire Repair Repair 6' 3 ooa # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) _ Footings (Addition) p Foundation Roof: _Ice & Water _ Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls 2eviewed By: Siding Reroof Windows _ Egress Window /Vy553 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy Code Edition #0/1 2015. Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required yd Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Final Pool: _Footings Air/Gas Tests _Final Drain Tile Air Test _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector tESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /Jpe5 64 AD + t of it Page 2 of 3