3635 St Francis Way GCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA094316
Date Issued: 06/07/2010
Permit Category: ePermit
Site Address: 3635 St Francis Way G
Lot: 020 Block: 04 Addition: St Francis Wood 4th
PID: 10-65903-020-04
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $0.50
0801.4087
9001.2195
Total: $50.50
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Hamas Elmasry
3635 St Francis Way G
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA126593
Date Issued: 09/02/2014
Permit Category: ePermit
Site Address: 3635 St Francis Way G
Lot: 020 Block: 04 Addition: St Francis Wood 4th
PID: 10-65903-04-020
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Sharon M Rosner
3635 St Francis Way G
Eagan MN 55123
(651) 230-7170
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 1 3 2016
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
/3612
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/
Owner
Site Address: 3ti:25 'f+ 5 lam`
Name: tikit `e) . J
Address / City / Zip: 3.03"-j- k • F( => +S WCy
Applicant is: Owner jit, Contrac%r
Description of work: t; 1/4tJA I tG'Mt3c� 6
Unit #: LAJ
Phone: - -Z ' I (0 Z
Construction Cost: Z -I 000
Multi -Family Building: (Yes / No )1 )
Company: �l -NAt \J0-Jv^-t St rZ 4k k Contact: Vt.AIA(;.\.- tAI II ).)V\ '.
Address: c'—Oto pLE- 6t. v� • K1< old % � City: tts-A- ( U
State:NW Zip:15bhV 1 Phone: (QS 1,-.2.010- 4 "Email: tvM►V:�`::i � 7 �u c�y+n� \_ , c r
License #: i L• to f i3`t 4 Lead Certificate #: N
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 yousubmit are considered to be public informationPortions' of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.
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 V it i At3.. I(, l,l T( V
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01of7Plex
'6 DO NOT RITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New 40 Interior Improvement
Addition Move Building
Alteration _ Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
�- as
Valuation 0 GOV
Plan Review
(25%_ 100%3Zr
Census Code 413Li
# of Units
# of Buildings /
Type of Construction
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
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
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 Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill — Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES v
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
ar-
76,
. /3 elk/roil/A)
Page 2 of 3
May 06 1611:16a C&N Plumbing
411061City ofEaQan
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
9528082635 p.2
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
[3i -e -P-10
Date Received:
L Staff:
�
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
3-b�YSite Address: 3t3S$t. Framis N
Resident/Owner
Contractor
Type of Work
l
Permit Type
J
Address / City / Zip:
Name:
Address:
Slate:
Contact:
Pumb
icuk
License #: F !
u rs�t- Laia'fVyrsTjf/f'
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Zip:
Phone:
Email:
New Replacement — Repair Rebuild Modify Space Work in R.O.W.
Description of work:
IRESIDENTIAL
Water Heater
I
1
I
E
Lawn Irrigation ( RPZ/_ PVB)
Septic System
New
Abandonment
Vd Plumbing Fixtures ( Main / Lower Level)
IWater Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener. or Water Heater And CnfI
i $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"'Water Turnaround (add $280.00 if a 3/4" meter is required)
I $115.00 Septic System New (includes County fee and State Surcharge)
)
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend lo dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conforrnance with the ordinances and codes of the City of
ffi ila.112. I IlnffA I rfl thea rc nn4 eCar ti..a ....i...._ ___r__.:__ r_..
vui� u�a aovea pran m me case of work which requires a review and approval of plans
NIS criCrsOn
Applicant's Printed Name
x
Applicant's Signat
re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: :Under Ground Rough -in Air Test Gas Test Final
Meter Related Items: Meter Size
Radio Read Manometer Staff: