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1278 Timbershore LaneJul 12 10 08:13a Gates General Contractors City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (763) 498-7710 p.1 Use BLUE or BLACK Ink For Office Use (� Permit #: f .7 7 -- Permit Fee: 3v e Date Received: Staff: �7 2010 RESIDENTIAL BUILDING PERMIT APPLICATION�/ ,{/ Date: r �I 2i r G% Site Address: /2-7Z7/71 Y j I `Z /�70 f7J I /z - r d"f S4.4711 _ ," Suite #: Tenant: RESIDENT /OWNER Narne: ` mnl( Jr_ : •�...: h ` Phone: ... Address) City J Zip: i • / Applicant is: Owner t%Gontractor _._ TYPE OF WORK Description of work: 4/4" .,! Construction Cost: i 16 Multi -Family Building: (Yes ,f No ) CONTRACTOR P / Name: ell rt ..4# 11. r,./' License #: (I. '79;7 ..Li 7 �%� /l � Address: S �J l�IC. b, L1✓ City: v State: I' /Y Zip: 5:5-17V SPhone: C4'a-557 df (L 77,3z--4.31--- , f4.+Contact: Contact Pe t--- 6 ` Email: c,,,e-6'' 7 3-7 o'1.fT sj COMPLETE In the last 12 months, has Yes 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: _No Licensed Plumber: Phase: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. Iwww_gor herstateonecall.org I I hereby acknowledge that this information is complete and accurate; that the work will be in conforma • with the ordinances 'nd codes of the City of Eagan; tha derstand this is not a permit, but only an application for a permit, and work is r' o start without a perm' , t the work will be in acco ce w' the approved plan in of work which requires a review and app X U l Coe- (7fe J Appli 's Printed Name x Ap . ' nt's Signature Page 1 of 2 1,11 City of Eaaali 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: /031.07 (Dv - Date Received: Staff: 467 2012 MECHANICAL PERMIT APPLICATION Date: 3 2.0 -. 2 012 Site Address: 1 x-16 'k -1m 1)2 Y itfax% Axib Tenant: Name: �iCAI Suite #: Phone: los 1 . 21 t . -LS-71 Address / City / Zip: Name: Ccfin5 Coe la h(5 O ' t )" • License #: M f3 OCs c 31 Address: 1(0 b 3 0 C1 j Q .11 City: 1 CAh4 State: VYWN Zip: SS --.5‘4 New Replacement Phone: la l 2 - i.et u G-7 T Description of work: RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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.00pherstateonecall.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. (/2-(74-y Applicant's Printed Name Applicant's Signature Date: City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: r MpR1%101'1 Use BLUE or BLACK Ink FigVIRRIKe Permit Permit Fee; Date Received: Staff: O 3 L1 , 2011 RESIDENTIAL / - PLUMBINGEPERMIT APPLICATION 0,2 �� Site Address: 71 i /»/ 1'o(orz Le..,) e Suite #: RESIDENT 1 OWNER Name:j4jtt-Che Sas s Phone: 1151- 974 9-5-75 Address / City / Zip: CONTRACTOR /J Name:., ,)W 14.- WII.'�_aiet-04.ethidl'/iG�+'� • License #: , Address: __j/[-�`l �J y t € City: O State: " .5-3.5..5-3.5.Phone: _q/a,-ftd /%Zip: Contact: KM& Email: TYPE OF WORK _ New Replacement Repair _ Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: PERMIT TYPE RESIDENTIAL .Water ,-e), Water Softener Heater re.g.ni.c-.a% Lawn Irrigation L„-, RPZ 1 _ PVB) Add Plumbing Fixtures (_ Main / Lower Level) Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water $35.00 Lawn Irrigation $55.00 Add Plumbing 'Water Turnaround $105,00 Septic System $95.00 Fire Repair (replace Heater, Water Softener, or Water Heater and Softener (includes $5.00 State surcharge) (includes $5.00 State Surcharge) Fixtures, Septic System bandonment, Water Turnaround' (includes 85.00 State Surcharge) (add $166.00 if a 518" meter is required) New ($10.00 per as built) (includes County Fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) AA TOTAL FEES $ JIU'83 CALI. 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.gopherstateonecell.ore 1 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 r• h the approved plan in the case of work which requires a review and approval of plans x iM j �LLbl nI. JS r �wV'L Applicant's Printed acne Applicant's Si nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In _Air Test _Gas Test Final Use BLUE or BLACK Ink � r----------------_, � � For Office Use � � � Permit#: �� C3 � S Cit� of �� ; P . . �� . � ��,�-, ermit Fee. � � 3830 Pilot Knob Road �/ I Eagan MN 55122 � Date Received: �'`7`f� � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � Date:��` / � Site Address: �Z--�o Ti f�1'�e�`S��[D�'- � �� Unit#: � �' � .' Name:��r1� % �C��Yi Phone: ��.s�d+�n�t l2� b Q �"��'� �V'C'. � .�]j �� Address/City/Zip: � �� Applicant is: Owner � Contractor r F Description ofwork: ��`1 S r� C� �lZ �` �f��G � TY�'a��1ar�k -- ?X ` Construction Cost: �'"�� J Multi-Family Building: (Yes � /No� , h I-� / /�� I J /�, ' I / � Com an Y��7�/r GT'�`I �C�h ��. � /'�'�r !�l 1 � p y: - Contact: / r � ��1' Address: �L � ! �� / �� City: ��/�� ' �� ' V� -��--- q p �,��{ State: � Zip: S� orie: . 7 il: /'�'�r V�'�q� �RO` Ca�'1 ° License#: � 6 � �/� p,�Lea C rtificate#I � 1 / "' ` �,�J��'` � 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 8�Water Contractor: Phone: Fire Suppression Contractor: � � ' • phone: , i��`E �'��t��dt��r►�e��,Y��sr��e c��[�er'�1��r��, �r'��`cr� ' #he i�r��ic��►r��c�a.�+�i'�s r��f��'Y�'�� 4��#��" � . � t'�Glt�d'��# .:�re�r��e�r�'� �.: �L.��. t� � 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.ponherstateonecall.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. X ��-� �� 1 X � � . ApplicanYs Printed Name Applicant's Signature Page 1 of 3 ��` �,`�6��.�p� ��NOT WRITE BELOW THIS LINE ( �`�� , . r SUB TYPES � � _ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Familyj _ Single Family Garage _ Porch(4Season) _ 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 _ Repiace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION a� Valuation 3L�"� Occupancy //l,G — .� MCES System � Plan Review Code Edition °�Ui7 SAC Units � (25%_ 100%� Zoning � City Water -� Census Code !�3�[ Stories "'"" Booster Pump -- #of Units -- � Square Feet /'�U PRV .-- #of Buildings �' �' Length � Fire Suppression Required -� Type of Construction � Width _' D REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings(Addition) � Finat/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls � Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector , RESIDENTIAL FEES f ?p � fJff�(�, � /j�/� o�.',� �� Base Fee � 50 Surcharge Plan Review �?��--- MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . .._------ �. ; • �+G'�.� �78,G� ' �� t+i��e� �, �„�, � .. � � ,� , �- � �, �o.o�� . , � � �� ,,� � �,�= �. c� � .�..�. � � ,� ��,,,� I �` �'` �°��= ' � � � ,� � �� , �� '%G � � � . , � �'�.;�'��bl.?'�r�f'/� � ��1��'.0�' „�r� I r�� ' ; � , �- �/.�'� �,'� ��'. � � "�` � � � � � � �� t � �,. � � � �' � . � � � �, Y � �`' " `' �� , �, M � � � r .. o � � � � � � � � .`� � �..-� `- � � � � �- � �� . - ��`',� � ° �� c�' `� . _�--� �n �`�;f�"o �` �j � �f�l G'�r�'Do � � � � � ; � � , � °� I °� , r `� � { f� �; �� - � � ,c� � i ��• � � ^ � � �`-- `� —��`� (�� — �-�� 1 �� .�, � � � � � � ` _ [ `'�� ,�� i � ..��.� . � � � ,��,s,��.,� �rv : � .�. _ ,� � /�� ( �. � 4 S Tt � � � �V � � � � � � ! � � � � � � � � � ..�r, ��'��91� 00./� �r � �.��''�' . �'�"�,� �►� t�� . �