1517 Woodview Ave WC!ty otEapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: L L 7 -
Permit Fee: 0 v
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: "61j \ID Site Address: lSr u3aDg V Lo too Pi-_ W
Tenant:
Suite #:
1
J
RESIDENT / OWNER
Name: 3(, v°' j. one: 1If "9, -(2 0
,;A .
Address/City/Zip: ‘Un J* V L3CJ..,3 At_AQ W„,,s ��i ,s I
CONTRACTOR
Name: s lam' i %W4 A cert
C��{ ,� , Q -L
Address: �Jl/ J Cli; ��`l) - City:
State: CC* Zip: %1 Phone: (661—'
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
r aleguipmen s reg�u,tre. 4' cj by Ci
:,, • • ,il • u 1 r ° n e tc
e ; easecpp . ct the Mephanical.lnspectornfor Information on;penrntte• screening,methos
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
_ Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_
_ Under / Above ground Tank ( Install / _ Remove)
_
Other
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
bumed out appliances, ductwork, etc.) (includes
$e5o�ate Surcharge) 5),(00 �+�
$.50 State Surcharge) $ 5,400 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ 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-$2,000
_ $ `�6-' (�, cy�
V TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.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 requirga a review and approval of plans.
x ZU\KW,
Applicant's Printed Name
x
e
AppI1L`a It's Signature
9 g WAtr*T sty .. as ervtce
,Exterior HVAC Screening Inspection:
411'
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 / Cf Site Address: /; / 7 bJOC U e...1/4`.e...1/4`.LA) S4- e��
Tenant: Suite #:
Name: C IAPS kt S Phone: S (27%�( 257..5
Address / City / Zip: / / 7 1,43 ��,� 'L ) ,S -F 1-'C%Q1 /'
Name: Sd (,�i it gam C--t(n CCAA 0C License #:
Address: pi 00 5 L-et,i. iCj co City: IG -t (`1;/-4_2
State:
--
State: fr'V Zip: S F3 S <f)- Phone: E is / ".I'll -5C7:5-
Contact:
5C7'5Contact: I'LU Email:
New _ Replacement _ Repair _ Rebuild /- Modify Space _ Work in R.O.W.
Description of work: C( ��jj l/ L /�Ct-(
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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 conform nce with the o dinan -s and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and is nq(j o ar vyftho a pe it; that the work will be in
accordance with theap ro ed plan in the case of work which requires a review and app
oN ‘,„le
(e
Applicant's Printed Name
x t4" 1
Al�plic nt's Signature
411,11 City of Ea�afl
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 MAY 2 2 2012
RECE._'�!c.
Use BLUE or BLACK Ink
For Office Use / r�
Permit #:19C/L'� :�
iLf7
Permit Fee:
Date Received:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
f�2l/I Z Site Address: c? 4 e t 6' cuiA
TC
Unit #:
RESIDENT /
OWNER
Name: 1 \yc. 5 Phone: (05 1- 2-71(0-25- 75
Address /City /Zip: 143 1r '? 1`�, �-1 n t 112..
Applicant is: Owner bk. Contractor
TYPE OF WORK
A ti -a_ `�, ;�\ `'.jam w
Description of work: 6'F tM r l'�L+.r�+ �` f� ►+�1�1 � Lr9l (J�t BESY�+ /
t
_ 6
Construction Cost 7 Sw Multi -Family Building: (Yes X / No )
CONTRACTOR
Company: A C3QX C514 - \el Contact: ,('..K- e1
Address: 14 Se--; i`f 6LhN t 4 1 4 City:
11
State: �V� Zip: S 5 Li325 Phone: (� Z45 ' `1
3-.
License #: l C (D37 5Z09 Lead Certificate #: \ P 1 ' 1047 �� - 1 ` �' '
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
?31'i. ; !.✓ t 9 7,
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are cors red to be puiblt intormrattfotlr. Porters of
the information may be classified as non-public if you provide c rens t wo Id pi rrnit Lhe Cir tion
conclude that they are trade
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Mi ; = ' tate Bunds Code must be completed within 180
days of permit issuance.
is c.r, , j - 21-12
Applicant's Printed ame
Page 1 of 3
/h
617 C . /14``` DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
g. 01 of W Plex _ Lower Level
Accessory Building
WORK TYPES
New Interior Improvement
Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation -30l0
Plan Review
(25% 100%
Census Code
y3L1
# of Units /
# of Buildings
Type of Construction 8
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: ,Footings _Air/Gas Tests
Siding: Stucco Lath
0- Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
Final
Stone Lath Brick
u , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/02z Ots 02-06'1
w//P00)
Page 2 of
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:08 #166 P.008/037
� kA,yA:tVe.,— ISIS 1511, ISIS , 1521
*' City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Wood's Prue, LO
Use BLUE or BLACK Ink
For Office Use
Permit #: ( -c 12 4 d 1
Permit Fee: 319.15
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-1-t9 Site Address: 91G, t 1511 Wood view wts+ (fspone 5 T$ Otm>S)
Resident/
Name: SIATIt Ki 3t'Tt Nan COl(T1pantj
Owner Address / City / Zip: (DIA;2 Ci(1 j W . PArkWOWI I 94< i P1'Gi rit/ MN G.31-1L-1Applicant is: Owner X Contractor J
Phone:
Type of Work
Description of work: Tfav Off I Re- Rile'
Construction Cost:. 111, 2O0 , OD Multi -Family Building: (Yes X / No
Contractor
Company: AIIS'to►Y COMtnitctiun IVIRlimeMar[i Ll-(, Contact: bant MCli0101n
Address: 5195 IfOIVIS1Ti011 Sf # 1 Off, city: MApI? MOI i n
J
State: Iy1IV Zip: 55351 PhoneP52)941,--P-19i Email: dalne ti4aIIStDtI`.bL
License #: P,C,tp31515 Lead Certificate #: N A'I - 2ooi109 - Q
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:
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.4
CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.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.
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.
,u,lleh Mcheiemalt
Applicant's Printed Name Applicant's Signature
Page 1 of 3