1630 Raindrop DrRESIDENT / OWNER
Name: ee9 N - I6t-{ LAS- 1 HiiS.Phone:
Address / City / Zip: s-S1d LJ F - {G1 DX.
Applicant is: Owner XI Contractor
TYPE OF WORK
Description of work: RF geoi
Construction Cost: // e.‘..._
Construction Multi - Family Building: (Yes X / No )
CONTRACTOR
Name: Rcoj r /v4 :.ANC. License #: oZo 7a l 5
Address: S S ( Alit / City: S 7 1 gA..- L.
State: /0 Zip: S 'i Phone: 76 3 - S ` O c - / c/ 7
Contact: 521 Email: » . kair+ -/ 4) ro of - Ca Awl .Cow
COMPLETE
In the last 12 months, has
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:
_Yes
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 Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RI() RO .
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: kte" /0 Site Address: f 2.. s' 80/4 -- f /)L C
Tenant: -I ( ‘) 2 l to L-i-F 11024=?, t 136 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.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 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 Signature
Permit Fee: '227. oC
Permit #:
Date Received:
Staff:
Use BLUE or BLACK Ink
Page 1 of 2
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Cit of ��o�Il i PeRnit#: I �� �� j
� b � Permit Fee: � � " �
3830 Pilot Knob Road ¢.
Eagan MN 55122 j Date Received:U � j
Phone:(651)6T5-5675 1 t�. �
Fax:(651)675-5694 1 Statf: 'J I
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
�t�: �°� I�� Site Address: l��l� -- �b3C� "�Zr��r�Dc�O� ��!-Zt�/�. unit#: lb c�- Ib30
` Name: Phone:
Residentf
t)wner ' address r city i zip: �t���� �b�t7 1Z�1����� ���.V�
Applicant is: Owner �Contractor
T Of WOfk' ' Description of wrork: ' `�- ���'
y� Construction Cost: � � 'to1lo� Multi-Family Building:(Yes �` /No�
Company: �ulJ�G� • 'v •� • ..�-1�.�� Contact: �� �I''�1���7
Ct>tt�#'�CtOt' Address: �5�� ��� �U L-� � L City: �! . 1► ��C—�W°S�..�...
State:l'�� Zip:���� Phone:�9�"b�S"��� Email: C[�F�U►'1G�1./�G�,��li)�'Mw� t,,
' License#: �t��l�3 Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA OIdLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone:
NDTE:Plans and supporting+documer►�#hat yvu�ubmit are considered tcf be pe�bt#c irtforrn�on. Portians of
the infamratio�r�►ay be cla�si�'ied as nar�pubfic if you prov3t�e speci�ic�aarsons�iat wt�u�d per►r�it the City�o
concluae tna#the are tr�de,secr+�ts.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protec�ion against underground utility damage. Call 48 hours
before you intend to dig to neceive Iocates of underground utilities. www.goqherstateonecall.orq
I hereby acknowledge that this infortnation is complete and accwrate;that the work will be in confo►mance writh the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, a�vuork is not to start without a permit; that the work will be in
accordance with the approved plan in the case of wo�lc which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accorclance witl�the Minnesota State Building Code must be completed withi�180
days of permit issuance.
x `��� ��IG , X�
ApplicanYs Prir�ted Name Applican Signature
Page 1 of 3
Use BLUE or BLACK Ink
__�
� For Office Use �I
. I /� �
� Permit#: � V� i
Cit� of Ea�aIl ECEIVED ; . �"-� �
3830 Pilot Knob Road R � Perm�t Fee: � �
Eagan MN 55122 � 3 2015 i i
Phone: (651)675-5675 NdV i Date Received: �
Fax: (651)675-5694 � Staff: �
I
��______����__���J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commerciai applications.
Date:__l�'��1 l�J� Site Address: ��Pj 0 �����o� Df`.
Tenant: /L1 i�/�Y �es�e �.s�'4�c Suite#:
�� �� � ��� � �� Name: MG9/l� �nS�� �.S��Q�t Phone: ��-�cc��-�`�y�
R�$�t1����C" ;
Address/City/Zip: ���� � _ ..+ /�'�� ,�,T�1�
' Name: G�;y�e�� l�ec �r,� u�� Co�Irys_ License#: /�'1Bad.J-� ��
� ' , Address: y�1�1 ( )1����,,,,r O�.ic �•� 3a� City: ��� J'� �„ �
, �QI�'�`�t'�1`` ' ` ._
State:_/�'�� Zip: S'�l 07.� Phone: �e 3'�'.3y0'-3�`�N'�
Contact: �c9 b�✓1c,/� Email: 9'c ��' .-�-5 . . co
New �Replacement Additional Alteration Demolition
. `�'��e�#'V�t�.�� � ���� Description of work: � ' a,.. L
P���'E ��r���c��r�+���,i�n�d���t����a►�tc;�����"�����+�����+���y��, ��;`
, , � � . «.��m"'.�i�,.���ii�=.'_.„'.
��'`.i�(�tn:��"�B��t�E�i�`��������IG�1��11'1��� ,�.��
RESIDENTIAL COMMERCIAL
k =. .�Furnace New Construction Interior Improvement
� X Air Conditioner Install Piping Processed
r<�����`"T��� _ �
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, inGudes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
Surcharge=Contract Value x$0.0005
_$ Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 onfy 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.
'�//�n/`v
X �,�Q� ���e�l� X "
Applicant's Printed Name Applicant's Signature
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Use BLUE or BLACK Ink
For Office Use
Per
city mit#: )1-153of Eaiiaii Permit Fee: q 3 E /
3830 Pilot Knob Road
Eagan MN 55122rw,uE!V LD Date Received:
Phone:(651)675-5675
buiidinainsaectionstcityofeaaan.cam SEP 1 9 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Atir,-l-,•.y e 1-i.t; hi
Name: C " -' ' { h I'..,cis }.��:,; : a � A. Phone: `)S -� c��S - 3=S=),t,,
Resident/
owner Address/City/Zip: I(e3-3 !. %� rp Dr•,V'2 t'+r1 G5 i 1
Applicant is: Owner }C Contractor
Type of Work
Description of work nnr�:- i "- �svta rt 43..k �1r_
Construction Cost Multi-Family Building:(Yes 14 /No )
Company: 51A..->-xz n i s tc \.<r�, T�t Conti kit; S`a1yza
Contractor Address: City:
State:l"(+:p Zip: `3S 1'" Phone: t 7— S c3-1-3 Email: 5-a‘0aC-4":-,si� �i ha..N`a:I, f
License#. 13(:-1-3 1 1`f Lead Certificate#: t' I i
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 submitare considered to be public informatPortions of
information-may be class/fist/is class/fist/isnon-public If you provide specific reasons that would pennitthe City to conclude that they
are tradesecret
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for email update on
the City's website at www.cityofeasfan.coadsubscribe.
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)4540002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.eopherstateonecaliorrf
I hereby acknowledge that this information is complete and accurate;that the work we 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.
52-4;-a..st:k re,•z_. —
Applicant's P i
rinted Name pplicant s Signaturce
Page 1 of 3
/t 36 Altiliel:72°416:'
00 NOT WRITE BELOW THIS LINE Ji./.4:2-g.3‘,.
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi ye 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 0 6 0 Occupancy MCES System
Plan Review Code Edition / / _„ / f SAC Units
(25%ike100% ) 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:
X" Footings (Deck) Final/C.O. Required
`y 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 Feed
/9 I '
Surcharge ricIA/P -411
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge ri
Thi
�
Treatment Plant 2
Copies
` °`
TOTAL
Page 2 of 3