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3234 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: $ n? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ? BUILDING PERMIT APPLICATION 1 set of energy calculations. 2.t?d. R •f3 a o0 Rb Be Used For ? af ti 121px Valuation $3?,960 Date July 13, 1983 S1te Pi1dr2SS _?2-?4 Evergreen Drive IAt c, -?_ BloCk 1 SeC./Sub. Coachman Parcel #: Highlands OamPx: Brutqer Companies, Inc. AClclr25S: One Sunwood Drive, P.O. Box 399 City/Zip Code: st. cloua, MN 56302 Phone #: (612) 252-6262 COntr3Ctor: Brutqer Companies, Inc. Pf3drESS: One Sunwood Drive, Y.O. Box 399 City/Zip Code: St. Cloud, MN 56302 PhOI1E #: (612) 252-6262 PsCh./Ehg.: Blumentals Architecture, Inc. AddZPSS: 6100 Summit Drive North C.lty/Zlp COd2: Brooklyn Center, MN 55430 PhOn2 #: (612) 571-5550 OFFICE USE ONLY Erect Z-, ^ Occupancy ?g Alter Zoning Repair Fire Zone 7j ,,,.r Enlarge 2ype of Const. ?y_ _ Nbve # Stories ?. Demlish Fxont ft. Grade Depth it. APPROVAiS FEES Assessments Permit 7 k Z ?4ater/Sewer Surcharge LG Police Plan Check ,a6 Fire ? SAC Eng. Water Conn. Planner Water Meter ?o Council Road Unit Bldg. Off. APC TOTAL ' jr? f s C?) Bldg. tY-4 CIT1f OF EAGAN 3795 Pilot Knob Rood Eogan, MN 33I23 PHONEs 4548100 BUiLDING PERMIT t_ " ,,.., ", 1 o f 6 PLEX $ 53 , 000 Sire Address 3234 Evergreen Drive Lot 63 ei«k 1 Sec/SubCoachman Highlands Parcel {k s IName Brutger Companies Inc z Address One Sunwood Dr., P.O. Box 399 ?:..St. Cloud e.,,__ 252-6262 a Name _ f ?U Address Name _ Address I hereby acknowled9a thot I hove reod this op0licatian ond store thot the informetion is cArrect and ogree to comply with ull opplicoble Stote of Minnetoto $tatutes and City of Eagan Ordinonces. SiBnature of Vermittee ru er ompanies, nc. A Building Vermit Is Issued to: ull work. sholl be done in accordonce with I applico Ite ot h&loi Buildin9 Officiol ? ??_ N° 833u Receipt _ AuQUSt 1 ._83 Erecr A[ Ocwponcy R-3 Alter ? Zoning R-3 Repoir p Fire Zone NA Enlarge ? Type ot Const. V Move ? # Stories ? Demotlsh ? Length_ Grade ? Depth $q. Ft.- Appeerob Faes Assessment Permit LlL.UU Water & Sew. Surchorpe 26.50 Police Plon check 146.00 Fire SAC 525.00 Enp, I Water Conn. 450. 00 Planner Wuter Meter 60.00 Council Rood Unit 2$0•00 Bidg. Otf. APC rorol $1749.50 on the expreu condition tf+nt Statutes ond City of Eapan Ordinancea. 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 `/ -/ ?( ' 'K/ 1. Date 3. Job Address 4. Owner 5. PLUMBING PERMIT Permit No. ' ?/ c7 CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legibly Tot?-) Q? J 2. Installation Cost c 4)! ' P -4, etot?_Bik. ? Tract 6. Address J'Z f U /1 a. ? ? 7. CitY -3111 8. Building Type: Residential ? 9. Work Description: New ? 1 10. Describe 1 11. J ? Phone ?? / - ? ? J State' i I".E_ , I I ZiP ? '), i?T y Commercial Cl Institutional ? Add ? Alter ? Repair ? No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shower Well ? Kitchen Sink T- Urinal/Bidet Laundry 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 code; governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN FiII in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3, Job AddressL!4 C C? ' iLot Blk 4. Owner 5. Coniractor Permit No. Fee S/C Toi. / Tract u I " 6. Address w, i 7. City 'r 41 State 4? I )L,n- Zip $. Building Type: Residential 'g- Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type _ t" / 11 No. Eauioment STU - M. Ea. Forced Air No. Equipment CFM Ai H li Mfg, r and 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. 5igned: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?? CITY OF EAGAN T' 1dp. 1? -4 ' 3795 PIlO Koob Road Eoyaw, MN 55122 ? PHONEs 454-8100 BUILDING PERMtT tteceipr # - Te e. ...e so, 1 of 6 PLLX FN vA,,. $53,000 M-6e Auguat 1 0 83 Site Addreu "" "•" Lot ( 3 Blxk 1 Parce1 .# / b ^ /M ac Neme L)ju6K6i t1VILYail1C*, tnc. ? Address One Sunwood Dr., P.Q. Box 399 ,.,-_ St. Cloud 252-6262 9 Name _ ? Address Assessment _ ? Cit Phone Warer & Sew. Name Police FW Fire llddress Eny. Z < W CI ?1Ofl! Pianner I hereby ocknowledge that I hove reod this app?icotion and sfate thot Council 81dg. Off. - the informotion is correct and agree to tomply with all applicoble Stote of Minnesoto Statutes ond Clty of Eogon Ordinonces. A? Slynoture of Pertnittee BfUtReT _ , fxL . /1 Building Permit is issued to: all work sholl be done in accordonce with: all applicablb State of_?Ainr+ Bufldirq Offltiol Ercct 11 Occuponcy '. ? Alter p Zoniny R--3 Repoir C] Flre Zone N A Enlarye ? TYpe of Const. V Move ? # Stories Demolish p Length Groda p Depth Sq. Ft. Approrols Feas Permit Surchorge . -? Plon check -57570- SAC Water Conn. ?? Woter Meter Rood Unit Tota! on ths express condition thn+ Statutes ond City of Eoqon Ordinonces. Permit No. Permit Holder Misc. Permit No. Holdar Plum6inq H.v.a.c. w.n Wetsr Disp. Sewar Electric I t T ` ( Inspeetion Dm Insp. Other. Footinys Foundation Framinp ?. Rouyh Plby. -? 9•? kJ?+ • ? Rouqh HVAC 3 Inwlation ? - Final Piba ?? g (?ci Cj Finai HVAC 7 Q Final Weter asuibe Location: , YVell Sawer Pr. D'ap. CITY OF EAGAN Remarks ?ipl' ?`- 7 1 Addition_• COACMIAI+I HIGtII.AAiDS Lot 63 81k 1 parcel 10-28075-630-01 Owner street 3234 EVBRGREBAI DRIVE state BAGAAI MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? STREET RESTOR. 1156 1974 GRADING 1007 1986 354.14 35.41 10 .35 , - / 5AN SEW TRUNK p 0 iQ 2750 o10-03 SEWER LATERAL 1994 to u • WATERMAIN ? 1972 Paid tmd r iDarcel 10 2750 -010-03 WATER LATERAL n it 91 • WATER AREA 1972 n n n N tt ?1 STORM SEW TRK 19PS n it of STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 450.00 BUILOING PER. SAC rr rt 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 For Office Use City of Ea ,au Permit1 /�y1 s Permg Fee: "/3 f I 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 building nspectionsecltvofeaaan.com Staff: SLY 192011 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: C... z*.te-17‘ l:,:;n�=<' 4 1 y7,sem= a i�->;� Phone: 4..-,:�.5 A Resident/ Owner Address/City/bp:L - �v.42Ar-y, ,-, t' vIR-1 Applicant is: Owner 'X Contractor Type of Work Description of work i2-,e rte:�S fit' ��t i 4 1} - 1c Construction Cost Multi-Family Building:(Yes 14 /No ) Company: 5A,‘,-,a. =�,=�'�, .t c ,%c c. contact !r1 Contractor Address: Z. .sc `� �- city: l).a .)9S-t*:.v- State:;'°+'PJ Zp: �5` 's Phone: t -3 ?-'2"/;i,3 Email: 5-2�na License*: '6(1-1-.3-21-11(t. Lead Certificate#: !% I If the project is exempt from lead certification,please explain why: r. l 3;2 e- Z j T i G '7-- -te-t4 t (L� 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 ssubmit`a are considered to be publicinformation. Portions ofthe information`may be classified as nonpublic if you provide :pawns that would permit the Citytoconclude thatthey are trade secrets. 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.citvofeagan.comisubscribe. 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 utilkies. wwwsropherstateonecaii.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. Applicants Printed Name Applicants Slgnatur Page 1 of 3 . 'tc-- hie-' 5,9 32 (,, kei 0 TE BELOW THIS LINE iq 60! SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi X 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 E12,i0j.0 Occupancys MCES System Plan Review Code Edition 1 / „ SAC Units (25%)( 100% ) Zoning , 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: X(" Footings (Deck) Final/C.O. Required / - Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill 1 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 , ` A / at, Surcharge rf.,r r ` Plan Review MCES SAC City SAC Utility Connection Charge ��} S&W Permit&Surcharge _ r "i pv Treatment Plant (1116 ) 19 C.-2 Copies TOTAL Page 2 of 3