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3232 Evergreen Dr<* -? 2% b S 2006 RESIDENTIAL BUILDING rERAIIT arrLicaTioN #3"; r.zs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 regislered site surveys showing sq. ft. of l04 sq. tC of house; and all roofed areas (20%maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joist Detail Options selection sheet (6uildings wdh 3 or less unifs) Minnegasco mechanipl venGlaUOn form RemodeVReoair Reauirements Ofifce Usg.Onlv 2 copies of plan showing (ootings, beams, jasts Cert of Survey, ReaJ Y . N 7 set of Eneagy Calculatbns for heated additions Tree Pres Plan Recd Y _ N, t sde survey for additions & decks Tree Pres:Reqwred `Y N Addifion - indicafa if on-s'rte sep6c sysfem On-site Septic System -_Y_-N Date ?! Construction Cost Site Address 3 Z Z g l UnitlSte # ?- 323b 3 3z '?z3`f VZ36 3a39 Description of Work V4Ci(.e :y1Q n ? W 1 n L?9v7S Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner l o,,k. N mA ,) 149 040W I vwn N Omt S Telephone #( ) ?(1 Contractor Tit YkA r$_,?q r) d ?_A 'Kf_1()6 Address 'j3Sl biekwoock [y N It 130 City 61eovC State /? IJ Zip `7's3L6J Telephane #qo'j ) 1L?` DS?/? COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, dafe and address of master plan: licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; 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 p1an in the case of work which requires a review and approval of plans. 2 ?il?tTTlh?J4t? C Applicant's Printed Name ApplicanYs Signature ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: au.r.LDitvc Permit Number: 034067 Date Issued: 11117 / q8 3228 EVERGFYEL-N OR LOTe 68 f3l.pCK, 1 CC1ACSiA1AN HIGHLAN05 P.'i.IV.e 10-18075-500-01 DESCRIPTION: P L ex muLrz? (M.zsc,) REPAtiR 434 ALT. RESIDEN7IAL i ? . ? RER00F1 6 BGilding-A_ermir Typs t3uildinq W6's4; Type ,`Census Cnde - ? i - :. ?. .?- -- REMARKS: ThCLUC1ES FEE SUMMARY: 3Z'3b. 3232 . 3234 , 3:'36. FiMti 3.^38. VAL.UAT;Ct)N Base Fee Surchar-ge Total Fee $137 .?5 .._.._.._?.... _. _w....._..? ? .:_? B. $191.25 $8,000 CONTRACTOR: - a p p 1 i c a n t- OWNER: ' BEISSEL WINDOW & SIDING 24616536 CONCHMRN HIGHLAi+1175 AS50C. 3;e'13 EVERf,REEIV pR 3228 EVERGftEEN DR E?AGRN MN 55121 EAGAN MN 55122 (612) 0.51--6835 R C hereby acknowledge that S Nave read thi5 a'Pplicatican and 5tote that the infarmation is correct and agree to comply with ali appli.cable Sfate cs€ Mn. Statutes and City of Eaqan Qrtlinance5... ? APPLICANTlPERMITEE SIGNATURE I D 8Y: SIGNATUR I foll ' t btain 1998 BUILDING PERMIT APPLICATION (CObIMERCIAL) CITY OF EAGAN 681-4675 .,,:. ubmit owing o o ,,.. ....•, ,.. Foundation Only VV -•,••.• New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis t (1) (7 set) code analysis (1) civil plans (2 sets) specs projec soils report - (1) ecs (1) t landscaping plans code analysis (2 sets) (1) " Key Plan energy calculations (1) not always " projec sp Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (t) notapxays " SAC detertnination letter from MCMfS - SAC determination letter from MCM1S - SAC detertnination letter from MCNVS - call 602•1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " project specs (1) energy calculations (1) Electric Power & Lightin Form (1) " S Contact 8uiltling Inspecnons tor sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: ? ?- ? b"9e!?? WORK TYPE: _ NEW ? REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: 51TE ADDRESS: SUITE #: 3a7)6, 341 3a?4, 3a=a?- LOT (nC) BLOCKSUBD. G.U..AA P.I.D. # ? PROPERTY Last OWNER Street City Fust State: Zip: Company: Phone #: y-fEL UR 3S _ CONTRACTO R Street Address: lrcense # 1 \ ? _ ?City S4ate: ? ?-J - ZiP: ??- ARCHITECT/ ENGINEER Street Cily Sewer & water licensed plumber (only if installing sewer & water): Phone #: ----- _ Registration ti: _ S4i[e: -------- Lip: I hereby acknowledge that I have read this application and state that the information is correct.and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. TENANT NAME: Phone #: Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./lnd. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MCN11S System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance Permit Fee ? Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ ? '/ ? Zb Be Used Pbr CITY OF EAGAN h (? u / Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. zBd,P S3,ooo 1 of 6 Plex valu? $35r9B0 Date Suly 13, 1983 Site PddYeSS 3232 Evergreen Drive Ipt 62 Block 1 Sec./SUb. Coachman Parcel #: Highlands Oali12Y: Brutqer Companies, Inc. Addx25S: One Sunwood Drive, P.O. Box 399 City/Zip Ccde: st. cloud, 2a[a 55302 Phone #: (612) 252-6262 COntYdCtAT: Brutqer Companies, Inc. Addre55: One Sunwood Drive, P.O. Box 399 City/Zip COde: St. Cloud, MN 56302 Phon2 #: (612) 252-6262 Arch./Elig.: Blumentals Architecture, znc. Addr255: 6100 Summit Drive North City/Zip Code: Bxooklyn Center, MN 55430 Phone #: (612) 571-5550 OEFICE USE ONLY Erect ? Occupancy /[ Alter Zoning Repair Fire Zone Enlarge _ Type of Const. ` Move # Stories 7i Denolish Fmnt ft. Grade Depth ft. APPROV21T.6 FEFS Assessments Pesmit 2 y 2 ?9dt2L'/$2W2T SllTC]IdYCJe 2 I `j:! Police Plan Check ? y 6 Fire SAC Eng. Water Conn. ? Planner Water Meter 6a COUnCil Road Unit y r„ Bldg. Off. APC vcrrAt, • CITY OF EAGAN Bldg. A-4 9795 Yilot Nnob Road Eagan, MN 53122 ` PHONE: 454-8100 ? BUILDINGi PERMIT Receipt # 41? Te 60 YbA FOI 1 of 6 PLEX Est. Value $53,000 pote AuQUSt 1 1983 Siro Addreu 3232 Evergreen Drive Erecr p$ Occuponcy R-3 Lot 62 gl«k 1 Sec/Sub: Cbachman Highlands Alrer ? Zoning R-3 Repalr ? Fire Zona NA Parcet * Enlarge ? Type of Const. V e W Neme BrutQer Comvanies, Inc. ?„e p # Sto.ies 2 z Address One Sunwood Dr., P.O. Box 399 Demoiish p Length_ G St. Cloud Phone 252-6262 Grade [D Oepth Sq. Ft.- p Name Ownex Approvolf Fee? ?U Address f f:n. Name _ Address 1 hereby ackrwwlodge that I have reod this applicotion ond state that the inlormation is cortecf and ogree to comply with oll applicobla State of Minnesota Stotutes and City of Ecgan Ordirwnces. all work shall be done in accordance with ull ooDliGobla StaAssessment Permit °'?•"" SiBnoture of PermiMee ru ger ompan es, /1 Building Permit Is issued to: Water & Sew. Surcharge 26.50 Police Plan check 146.00 Fire SAC 525.00 Enp. Water Conn. 4sn"no Planner Water Meter 60.00 250.00 Councll Road Unit Bldg. Off. AvC rota? $1749.50 _ on tha exDress condition thnt and Ciry ot Eagon Ordinances. Buildinp Official CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Z?ing: WATER SERVICE pE?µ?T NO.: a/1TE: No. of Units: PERMIT 4966 - - Qwner. Addross: Re Addeu; 3234_E vergreen Dr L63 Bl Coachma n Highlands lumber: Ha es Contractors Nbtar No.: 3 3 7/ ?v -5- (P ? Connedion Char9e: . 4-50-00 pd •? S?Z°? OL v'' ,?CCOUnt Deposir: 10.00 pd L,,?A 5 Reoder ?D a. Permit Fee: .50 pd pr? to aampir wuh tM Cify ef layoe Surchorge: 60 UD pdmnt pr ?Mnw. Misc. CFaryes: Totul: I Dots Paid: By ?s I of p-- I^ap•t ? .'Y F EAGAN WATER SERVICE PERNIIT .s830 1 iot Knob Road `?') ?'?' P. O. Box 21199 PERMfT NO.: Eagan, MN 55121 DATE: No. of Un1ts: Address: Site Address: 3234 Tver reen ? Plumbee jaYes ontracto! MaMr No.; Size: Recder No.: I aqr" to aaaPb Wub t6W Ciryr of Eaqen O.diwoaam By pate of Insp.: Y.lV?v r?. Cpt111CCtlOfl ChOfgB: Acoount Deposit: ? . 0 i1G Permit Fee: .5 pa Suricharge: 60. 00 Id Misc. Clwrges: 1 ?tBt?T; Totat: -- Date Paid: CtTY OF EAGAN WATER SERYICE PERMIT 3830 Pilot Knob Road pERMIT NO.: 4965 P. O. Box 21199 g_3_83 Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Add ress' r c? Ni 4hl'dt'idS Site /\ddress: ?? e? piber. Ha es Contractors r No.• 3 3 7 r??•'?_G? Connedion Chorge: ?Q.-Qn ?- ixe: /1ccouM Deposit: 00 pd 10 der o.: ??.cb--? Pemur Fee: . 50 pd 1a9m to oomoh? witw !Iw Cih? of Eagaw Surcharge: . 60 00 mete: ??mnew Misc. Choroes: Totol: By Date Paid: f Irop.: ? p.. o CITY OF F-AGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road f r`: = P. O. Box 21199 PERMIT NO.: V? Eagan, MN 55121 DATE: Zaninp: ? No. of Units: p,,,,ner; 1?rut • er o Address: 5ite Add+ Plumber: 1 a9rae M oomply witfi tlw GM of EaeeA Ordieoneas. By Dote of I nsp.: I nsp.. Connectton Charga: 425. A0 ud Account Deposit: n. 00 Permit Fee: .5Q py-?----- Surchorpe: Misc. Charges: Total: Doft Pold: .- INSPECTIDN RECORD? ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 SITE ADDRESS:' APPLICANT: 'i P?,}; 1 f- td t?F• ? PERMIT SUBTYPE: TYPE OF WORK: It! 1'R 1 i< fi F k flnf / i'• N1-t X INSPECTION D• • D• -1 ? ?? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? Fi/I in numbered spaces S/C ?I Type or Prini legibly Tot,.-? 1. Dat4' r? l? y 2. Installation Cost • I 3. Job Address ?.? ile? If nLot r it-), Blk. ? Tract r 4. Owner 5. Contractor Phone 6. Address - J? U ?9-?1c..? ? Q --? 7. City State Zip 8. Building Type: Residential O Commercial D Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 1 10. Descri be 1 11. No. 7 Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs 5eptic Tank ? Lavatory Softner Shawer Wel I ? Kitchen 5ink ? Urinal/Bidet l.aundry Tray Other ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Rough for Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN Fee ?Fill in numbered apaces S/C Type or Princ /egib/y Tot 1. Date , 2. Installation Cost ' 3. Job Address ? t Lot Blk. ? Tract "' ! 4. Owner l? 5. Contractor Chone 6. Address 7. City %' . 1- t State ? Zip ' 8. Building Type: Residential ]Ej- Commercial ? Institutionat ? 9. Work Description: New ? Add O Alter O Repair ? 10. Describe Fuel Type ' 11. No. Equipment 8TU - M. Ea. Forced Air . No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other _ Air Cond. ' Mfg. Gas, Piping Outlets ? 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ;ie- ; CITY OF EAGAN Bldg. P,•4l 3795 Pllet Knob Raod Eeqan, MN ss12t " . PHONE: 154-$100 - BUILDING PERMIT Receipt T„ L. „..a i,,. 1 of G PLEX F.. v„1... S53.000 n,,.e Aupwat 1 1083 Site Addross .. . _ . _. , _ ?_... _._ ?.. .. Lot 6` elock 1 Sec/Sub. Cb8chman Highli Parcel # /D - i Ao ?s -dtoao- O/ W Name z g Addra Erect ?M Occupancy R--3 Alter ? Zoninp R-3 Repair ? Fire Zone i1A Enlarye (] Type of Const. v Move Q # Stories Z Demolish p Length Grode ? Depth Sq. Ft. Aoprovals Fees ? t- ? NOfl7Q ••••••••• ?? Address ~ Ci Phone Name L /lddross Ci Phone ( hereby acknowledge thot 1 have reod this opplication ond stote that the informotion is correct ond ogree fo tomply wifh all applicoble Stata of Minnesoto Statutes and City of Eoqon Ordinonces. Sipnuturo of Permittee g . . , . /1 8uilding Permif Is issued to: oll work sholl be done in accordorxe wlth all opplicable Stal"f Mi[ Bulldinq Officiot Assessment Permit L7.4. vu Woter 8 Sew. Surchorge 26.50 PoHce Plan check 146.00 Firo SAC 525.00 Enq. Woter Conn.4 Plonner Wcte? Meter 250.00 Counc{I Rood Unit Bldp Off . , ^PC Total 7 9.50 _ on the express conditfon that City of Enpon Ordinonces. Permit No. Permit Holder Misa Permit No. Holder 1 V tr.. Irnpection Date Insp. Other Footings Foundation Framinp yy d Rouph Ptba 2-2 f-9? Gt1? -?-d'? Rouph HVA j v Inwlation Final Plbp. Final HVAC ?S?7f Final z 9 Water ??ibe Loeation: VYell Sewer Pr. Difp. CITY OF EAGAN Remarks ' J `)?? Addition COAC!'MAN HIGH(.ANUS Lot 62 Rik 1 Parcel 10-1$075-620-01 owner street 3232 EVERGREEN DRIVH stace EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? 1 75 Paid Ln1d T ilCel 10 Z7rJQ 010-03 STREET RESTOR. 1974 1? ?t re GRADING 1007 1986 354.14 35.41 10 SAN SEW TRUNK 196$ paid uTid T aTC@l lO Z7S OlO-O3 SEWER LATERAL iggq n tl it * WATERMAIN 1972 Paid tmd reel 10 2750 010-03 WATER LATERAL 1975 ti It * WATER AREA 1972 to plATER LATBRAL 1975 " STORM SEW TRK $ 1975 so 11 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 11 11 BUILDING PER. 9-329 SAC PARK RESIDENT / OWNER Name: - -1-1164-4(.413 S' ? tithu 1f/ Phone: Address / City / Zip: Sik- a F (Lt DP- Applicant is: Owner Y Contractor TYPE OF WORK Description of work: RE /goo( Construction Cost / / )®C Mufti-Family Building: (Yes x / No ) CONTRACTOR Name: R ,41 /U - .44-/C. License #: ao l 7� l .5 Address: S 'U' ,4t t City: Sr P L State: ,4A- Zip: S 7 Y Phone: 76 3 - D - 4 y c / c Contact: I. 2 (Z Email: I Q -'V' +w J 0 ra o f Co nit . Cosh 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: 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. *' City of Evan Date: P _ S /C) Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 obfl) /7U Applicant's Printed Name 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink For tJse ii� Permit #: qNo - 7S Permit Fee: '2 Date Received: 12s 10 Staff: Site Address: 8 c • b)/1- b /AA n - 3120.3 3P , 3234, 323 ' l 3 Suite #: 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 plans. App icant's Signature Page 1 of 2 , _ �, �� 3 �3�, 3 �,13� 3� ��(j ��3�� d�� Use BLUE or BLACK Ink �----------------- � For Office Use � ' j Pennit#: '��Q C11��113 I Clt� Of ��l�Il � pertnit Fee: � ��-�� 3830 Pilot Knob Road � ¢1!� /,, , � Eagan MN 55122 � Date Received: d / //y � Phone:(651)675-5675 I r� I Fax:(651)675-5694 � Staff: _��_ � �..��r��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION oate: �GI,I �Ul s�ndd�ss• �c��" �3`� �V��E.£►�➢ �'t v� un�t#� ��"�3� Name: Phone: ��ti 3aa� - 3a3� £v��l �� Qyyn�� ' Address/City/Zip: Applicant is: Owner �Contractor 7yp�Of W�Nc Description of work: �� IL�(�1� 1 w� Construction Cost: � �� cX6 � Multi-Family Building: (Yes /No� Company: �� C� • �� . l Y�C-- Contact:��'"1 ��1'�� Ca►ntractar ada�ess: J� �J ��'✓� �v�.. 1'��. c�ty: �I• I'�,lG I��C... sc�e:�11� zp: ��37b Phone:l4��"��S"�OC3v� Email:`�;�7 1�1011 Y�,G� I'Y�'WW,i � �t.o�► License#: � t�� J � Lead Certificate#: If the project is exempt from lead certification, please e�lain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 morrths,has the City of Eagan issued a�rmit 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 Corrtractor: Phone: MOTE:Ptans and suppor2�ng documenis that yau s�rdmit are cc�nsidereai to 4e pubi�ic i»fvnr+�►tion. J�br#ions+Qt' the ir�'t�rmate+�n r»sy b�e�class+fied as no»pubiic it`yv�t provicile spec�c�+easons#ha#wauld pe�mlt the Cily to " cc��relude that the ar�e trade s�cr� CALL BEFORE YOU DIG. Call Gopher State One Ca11 at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to rec:eive locates of underground utilities. www.qopherstateonecali.ora I hereby acknowledge that this information is complete and aax�rate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permit; that the work will be in acxordance 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 Stabe Bu'ding Code m�t be completed within 180 days of permit issuance. X��W ��-�� X Applicant's rinted Name Applicant's ignature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use 41,11`City 01 Ea I Remits: Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ;, Date Received: Phone:(651)675-5675 buildinginspections@citvofeagan.com sa_� 1 9 2017 Staff: 2017 RESIDENTIAL. BUILDING PERMIT APPLICATION Date: Site Address: Unit t: j� Ater,- iRt y Biu s(%hy 2 g Cs. -LN-c-11‘ \�y+\ '�'1"4 1 Y\ '3 /""�'��`:>i'..i 1.T1�.s;� C ^jl+��'7 " J�)..\' Name: � Phone: `i � Resident/ Owner Address/City/Zip: 3.)3,- v-unci- f-, r \12.1 ��? s•a 5` , Applicant is: Owner X Contractor Type Of Work Description of work rn''"�\ ' a.` s"z`'' `'k 1)=-` Construction Cost Multi-Family Building:(Yes ' t No ) Company: , 'x _ .n= r.�cl�r;c_. Contact VII', S'ab Contractor Address: 2--1 4s-t� city: 1�-.)2 4.;1a v— State:i"1;. Zip: 55<>`6 is Phone: t -a ? Q3 3 Email: S-2b >-4 License#: e' l 1 ct Lead Certificate#: l= I 11)- If 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 ao considered to be public lnfomta'tlon. :Portions oftl tnfonnatlon may be classittecdas°nonpublic-ifyou provide specific reasons:that would permit the City to conclude that they are tradesecrets. 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.citvofeauan.comdsubscribe. 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(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecaf.oro 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. Applicant's Printed Name Applicant's Signalmre Page 1 of 3 ci,e412_66-,1._. b l4 ' `i DO NOT WRITE BELOW THIS LINE it/6ei3 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi le 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 Valuation 12,4Occupancy MCES System Plan Review Code Edition f ,, i ` SAC Units (25% 100% ) Zoning r, City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction / Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill / HVAC_Gas Service Test Gas Line Air Test 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: , Building Inspector RESIDENTIAL FEES Base Fee p / ari, - Trp...'''' .° ° Surchargel P r ''`� ie Plan Review MCES SAC City SAC Utility Connection Charge rj� S&W Permit&Surcharge V t1 Thi Treatment Plant x 62 ( Copies ifrfi '` `-1, TOTAL Page 2 of 3