4170 Starbridge Ct
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RESIDENT /OWNER
Name: S er- (pi►nSor∎ k(4 S eG )1 I el Phone: (0 f – /SLi -eYIy'7--,
Address / City / Zip:
CONTRACTOR
Name: JL.A.4. ( lc., VA - c-- Xi' r 7i/LC. License #:
Address: P —o • ( 1c —71 Cit L--+ K zor (i e
State: /AAA/ Zip: cciJ"tiV Phone: 9'c -9S ff 1 ee-(/ G /.1 -9/9-y
Contact: C.._,L4. / + k. / 4 Email: SC- i <" 4 P v P f i itT - r: NE
TYPE OF WORK
New Replacement Additional Alteration
11
Demolition
Description of work: 1-u Nnrx e e. $ is /aca
-1 t
N OTE Roof mounted and ground mounted mech anical equipment
Cod 'Please contact the, ,Mechanical Inspector fo(1nformation o
is required
p ermitted
to be screene by City
screening metho
PERMIT TYPE
RESIDENTIAL
)< Furnace
COMMERCIAL
New Construction Interior
Improvement
HVAC Unit
Install / Remove)
call for inspection by Fire
)Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior
Heat Pump
Under / Above ground Tank
(_
tank(s),
Other
** When installing /removing
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR Contract Value
State Surcharge) _
surcharge is $.50.
increases by $.50 for each =
- $2,000 Permit Fee requires a $1.00 surcharge).
=
$ x 1%
$ Permit Fee
- If Permit Fee is less than $1,000,
$ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
$ TOTAL FEE
4 City of Eapu
x
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
x
Applicant's Signature
Use BLUE or BLACK Ink
Permit #: q(-�
Permit Fee: -,Se)
Date Received:
Staff:
L
2010 MECHANICAL PERMIT APPLICATION
Date: — 1 0 Site Address: 41 7 — (""°'-'1' a + c L5 C, e±
Tenant: Suite #:
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.qopherstateonecall.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.
367
SEP-13-2013 12:49 From:7637841426 Pa9e:3/8
4t'VZl 4tca(oI4t~v, ~8, l82
~JI` 1~j1'1 dO~ C~ Use BLUE or BLACK Ink
0 I For office use
I
City of Evan ; Permit b:
40plll~ I
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122
I
Phone: (651) 675 Date Received:
-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL
I'BUILDING PERMIT APPLICATION
Date: 13 I Site Address: I lei- " (9-L Yl Unit
Name: Phone:
R6~SI.a61
u•vVx Address / City / Zip: owhlrh~qL
Applicant is: Owner X Contractor
Description of work
a ell
ry
r.. , CD
: ka'i:,r; Construction Cost: Multi-Family Building: (Yes / No
• Company: LulllmbuL d~ Contact:
:0Address:l~~ C~ I~U City: ±LLLE~ 2~6
State; J Zip:
bI I Phone; I~OJ ~ OIOa ` g`!~~
License il ,_00311'1 Lead Certificate u:NlqT- I Qo0O,5 - I
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:
t„ypu su,bMit 4,vo onsidere l`o be public information,. Portions of
h
0P ply P- bihfa:'t': emu. rt3tF%Op.: -e0' ic. suns that would permit the City to
A. t;,f11: aro fr'ade. 5erets
CALL BEFORE YOU DIG. Call Gopher State one Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utilities. my y_.Qopherstateonecall.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,
Exterior work authorized by a building permit issued In accordance with the Min sots State. Building Code must be, completed within 180
d f permit issuance-
Xays byint7it-wasiry X
App lca is Printed Name Appl- n s Signature
Page 1 of 3
r
-,r For Office Use
�4• 'i a Permit#:
AUG. , E AGA N 2
? 018 Permit Fee: I)' ,1°)
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsecityofeagan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V 21170;.6 Site Address: J4141 billy, r oW H il Otat 5 Unit#:
-r 7T 4v&r ia7e C�--
rw Name: / 9 Phone:
• Address/City/Zip: 4/70 JT4ilirei7e (
• Applicant is: Owner )d Contractor
i er 5 N.4,4*f 714" c a/d de c•ki�5<l'cil 1,'.y5 QN4 .,Sc/G(
s , ;.• Description of work:.TsM'r// kiln c ' rx -4-v
1 Jrihea-kd L ckAj i Rkl/i-) r
A _ AA
' t Construction Cosi#2r3'0d Multi-Family Building:(Yes i" /No )
Company: I L tY' MUM Lrl''ke ri ov'S Contact: Fdt Gla vUe s...--Li
s� � Address: ISJ/Z 4 14,v it Ave City: Apple 2r//"7
. State:44 Uv Zip: Ga`Z'( Phone: 175-2-111746/y Email: 13 oc 14 (1/ Aresi v-..s,Cod-.1
..*N ,j.t ,a License#: G Z Z�9z Z I Lead Certificate#: A`j'— ) ZC?8 - Z-
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:
a'. r ..� ^*c +r�'x.:,.ery - smss - t x✓ a��,.,�y,
. ,. .,._. ._ >.�_,-..... F.. � .. .. e... r o .. r.. �.- . �_, ...:.., �e - nowt i✓}ti,�ia. �„f
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.nopherstateonecail.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 perm; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Fex OJ4y'iSe-ni x A �t1®iQ "_"'-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE qi ('-)D 53(-`! 0 ( S7 v -I
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
Valuationt� Occupancy 5 MCES System
Plan Review Code Edition 449;4SAC Units
(25% 100% 1 ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) NI Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall:_ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan ( Other:
�
Reviewed By: `1 , Building Inspector
RESIDENTIAL FEES
Base FeengA( P-1 �(
Surcharge ("
Plan Review o
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge 2ei ,
Treatment Plant
Copies ,
TOTAL
if 1 Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177443
Date Issued:07/01/2022
Permit Category:ePermit
Site Address: 4170 Starbridge Ct
Lot:026 Block: 001 Addition: Wenzel 2nd
PID:10-83571-01-260
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard & Janice Larson
4170 Starbridge Ct
Eagan MN 55122
(651) 278-7660
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature