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4467 Clover Lane40°. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN Use BLUE or BLACK Ink Permit #: /' / Permit Fee: `" 5 , 0 Date Received: Staff: 2011 MECHANICAL HANC I IAL� PERMIT APPLICATION Date: l.e 9 I Site Address:i)1 0`l�yv, ( (Dm_ L'v )` i A Tenant: I -3w. ltitp<.ki (l 'G' Suite #: RESIDENT / OWNER Name ,L\, Walert h(\ Phone:t o� (' ° C Jv 49 ���� ^ ��,� Address / City / Zip: 1c.;620 0k Cj L-3-- 1�� � CONTRACTOR Name: g CSC- � �r,OCSij License #: � t �� ® � `j Address:6?5r ' elr t'Jt�t 1 City: - \e/% `' f /CSG State: Zip: G-?� Phone:! .`-� �/ Contact: LA Email: TYPE OF WORK New Replacement Additional Alteration Demolition .. Description of work: NOTE: Roof mounted and ground mounted mechari # etluipment.is required to sened by City Code. Pleasecontact the.Mechanical Inspeotor for information oft perrtmi screening tliodls PERMIT TYPE V Furnace RESIDENTIAL Pump COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) j� $5.00 State Surcharge) $ i 00 TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ 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.ropherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance_rvith 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 isnolo start ithout a •er`t; that the work will be in accordance with the approved the case of work which requires a review and approval of plans..° x A Jr16/N) /1 x i �'ic n • •in ' App ica 's - ri ted Name A FOR OFFICE USE Required Inspections: Under Ground F :ericr !- RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK ='` v- y Description of work: 1 .910 CP_ 120, a b t tt-ii.. t .t.} 'k Aj'e -t if Construction Cost f a © C2 Multi - Family Building: (Yes / No ) CONTRACTOR Name: . P_c.,,k.s 6. . X.A f c . License #: In Co O 7O`,. Address: f Ol (n C C e v City: l) Ct k Ltr.. State: Zip: S Phone: 65"/ - 75? - 783 Contact: S kJ Email: \_,1G C a \tt.ckc8y3,e, - cod-. COMPLETE In the last 12 months, has _ Yes No If yes, THIS AREA ONLY W 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: Phone: Sewer & Water Contractor Phone: NOTE: Plans and supporting documents that you submit am considered to be public information. Portions of the information may be classified as nonpublic N you provide specific reasons that would pent* t City to conclude that they are trade secrets. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: �c c. �; 5/ x . , C\—f t� 4 Applicant's Printed Name City of Etali IJUL 21 RECD s Signature F 'Olga the Permit*. / 3 Permit Fee: 1 `-4 7, Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' 7 -aO /0 Site Address: 4 / 4 /(9 Lk tZ cJ-e.r l.. C.t J Use BLUE or BLACK Ink Suite 1: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 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 approv of plans. Page 1 of 2 -� ctoct6_g L. f� ` `" DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Garage Deck Lower Level _ Single Family Multi 01 of , Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation 3ev0 Plan Review (25 %_ 100% ✓4 Census Code # of Units # of Buildings Type of Construction I/$ kiJiy REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies _ Interior Improvement Move Building Fire Repair _ Repair TOTAL 5i7 5/ 7 _ Porch (3-Season) _ Storm Damage Porch (4- Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) — Exterior Alteration (Multi) _ Pool _ Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width _ Siding _ Demolish Building* _ Reroof ! Demolish Interior _ Windows _ Demolish Foundation Egress Window — Water Damage "Demolition of entire building - give PCA handout to applicant Ido- MCES System 2,a SAC Units PO City Water Booster Pump /6 PRV Fire Sprinklers — A0 Sheetrock Final 1 C.O. Required Final i No C.O. Required HVAC Other Pool: Footings Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Final Windows Retaining Wail: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector /‘o pi /5r0 =-- .24.01:7 Page 2 of 2 OBE CONSULTING ENGINEERS NGINEERING PLANNERS and LAND SURVEYORS COMPANY INC. .1000 EAST 146Th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 i < l . /N. i Cert..z -sesi- „sur NORTH 5 CALF : /” =30' ti 7,„„ = •Fi N/SNED ,`' LOTS 5, 6, 7 AiID 8, BLOCK 1 EOER.I ADDIT /a,l DAKOTA COviVTY MitJNE50 DENOTES Ex I STING E[E'V,T /oN DENOTES PROPoS6D EL EVATioAJ iND /GATES •770A.1 0C 5 uR P"ACE OP IAIA6E GAKitIgt f"IAa/c EL.EvAT /oAJ - •\ E ( AN `J ED 3o' FRo1.1T Butt_p lNG SETBACK L /A/E I hereby certify that this is a true and correct rep 1 • se ntation of a tract of land as shown' and described hereon.. As prepared by me on this , 3 e day of Gtz , 1975 . ninn. Reg. No. i‘osts CITY OF EQGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 0: Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: - No. of Units: Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By x/16 Date Paid: Date of Insp.: / i/ _ Z/ , % S Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot 'Knob Road P. e, Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:29 #582 P.017/079 Use BLUE or BLACK Ink I For Office Us `e ~j I j Permit l tttI l City of Cap I Permit Fee0-3 a I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: - l Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: _ t. -------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '012,013 Site Address:44tA.44L66l'yybli4LiUl(5 UpVtY L V1& Unit#: Name: _eft" ftp ~CJIV l QJS t" Wh1 tit Phone: ~k Res1dent/ lI Owner i Address/ City/ Zip: _k0413$ G I V W. paq_-W", Eotw pUGt a , MN CsNq Applicant is: Owner Contractor Type of Work Description of work: ItCAY Off GIYICI VC-YOOf Construction Cost S I IDlgw ' O V Multi-Family Building. (Yes / No Company: .T1IC ll' ~~Y►SIYUGf101r1 M4ffiJ M , It Contact: l ~b d Address: 5IL6 4100M AI S-tVWt 0103 City: Contractor n ryc~ T t State: M1~ Zip: %2FO') Phone: '15Z-'I-IZ" 1-1CJ~ License 2CU3I515 Lead Certificate NAT- Z0q Pq -D 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: i Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: c 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 pennit the City to conclude that they are trade secrets. 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.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. 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_ Vl x ~-...c Applicant's Printed Name Appli n 's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:04 #301 P.017/022 4116City afkali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use 3�bLit Permit #: Permit Fee: Date Received: Staff; 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I//O / Co Site Address: `f'/GS- WO �i`/0Vele- Lr**•G Unit N: A ►3 Resident/ Owner , Address / City / Zip: 'HIPS- G✓8 L- Lie Name: WA/ 4' A th h%Ofl Type of Work Contractor Phone: /t'//, J Applicant is: Owner X/ Contractor Description of work: /Si -54 W/7 ti y/ 67A'/ j - t /Am'a/04;4OAIy (J Construction Cost: I U/ VOW — Multi -Family Building: ;.: .., .:... _ ty 9 (Yes No Company: A11544,t 6, 41. Baan / // /I /,-dera l Ct' Contact: vi i on A dErn kr Address: C./ (n1i4 4-r; A I S?_ _5-1.4 /4 3 City: M}ple.- TLA-; l State: /4 Zip:663.59 Phone:g0-90•7'I5t% Email: /%14444-1/5114,-r• ••'7--_ x License #: OQO3Ss ® Lead Certificate #: /'i+7 - ,78 9eP V If the project is exempt from lead certification, please explain why: Blit 1. ,,tr `e4 /9g3 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 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. Cali 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. www.gopherstateonecali,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 Suildin r +-amu jl . mpleted within 180 days of permit issuance. v� x C..)I r, n x Applicant's Printed Name Applic , nt's Signature Page 1 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a-)cityofeagan.com r--------------------- I For Office Use I I (% / I I Building Permit #:� 0' lC I I I I I S&W Permit #: I 91. Permit Fee: 0 ' I I I I Date Received: I I I I I I Date Issued: I t- - - - - - - - - - - - - - - - - - - - - J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3h I el 12 Site Address: Applicant is: ❑ Owner aContractor Unit #: 1 Name: �GC t/� -} 0 o,/ e— CS I '23 C-2 C ► Ct_41 6 l/\� Homeowner Address: H&S Ai R yqV-- AIR City: kaQ0. ,'I10V�v Lv� Stater 1/R: 512-Z Phone: Email: Description of work: P,Q- C� Type of 1 Work Construction Cost, 2 19 of building: ❑ Single Family ❑ Townhome, of units J4,Twin Home Compan L Thy /-, Contact: Building Address:/LlPWQST T City:tr;cCPy-, le Contractor State ftkip:.55.3�T`� Phone6tZ-J'/5 EmaiICVtke�C Ae,,1j(- -6 ^ems` Ui O Z Cp License #: D =�l �r�C Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: [_I l understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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 L are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.orq for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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 A licant's Signature