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3859 Windcrest Ct          ÿ  ÿ þýý  üûúüùû     øýý ú ÷öý       þýö  þýüûúù  ø ÷ ò ýûúù  ûúù ø ÷ ö ø÷õ ù ô   ùóý ò  ý ò ñíýùú ð  þïý î  ôùì ô  ë ëô  ïý  ô    ü ô ê é  øøù  ÿééô   ý  ù êòéé ù é  ê òüôè      ïý üúø   éôúëô ê  î æñåæêê õø  þýë  çýæñåæêäê ä çýñÿê  ôó ö òñ ùù òëôùøòôùúéãù å ìó  óâäöÿáñä ò ö øóù ãö  ãö ñ àßñÞß  ë  üúø  ë ëì  ë ùù  ëë éô    ôùúøëùùü þ  éã þý òúé í ê ùù÷ ý úþ ý ars • • n • Y v &y _ * % a 4 d sT of � � ; ''":;"1,:.` fc # � : � �.3 'r .tk � � � �. � r y : ,� F ar ." it s s a #'' "0 ;`;' '..ci ":d ''. ,far, .��1 � r � y � : s� y ' ° 11�a. : 1 € API r � J , g tee' xm @' -F i x ' z . �."f 'e4 f �- ' i dr e w r «, r s is a. Use or BLACK Ink t For trice Use Imp -7 City z of Ea Permit Fee 3830 Pilot Knob Road t t Eagan MN 55122 Date Received: Phone: (651) 675.5675 i ; Fax: (651) 675-5694 1 Staff. l t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2-~ ( Site Address: Unit Name: jAJ 4 tjI) 13ZJ`t,3 ~tgZG,)C ! l 3&-,Qhone: Resident/ Owner Address City t Zip: ")C rrZ~-L OaA-) S ;;Z-f ?4 Applicant Is: Owner Contractor Type of Work Description of work:~~ Construction Cost: Multi-Family Building: (Yes 1 No ) Company. A` Contact: 11~ u t., R ..r►,~, e ,r -rt t T Contractor Address: -i Cu V ru d2tP~ i t city: 07 0 Ao State: W( Zip: J L~ Phone: L~1 Z License 4 !5 3-b 8 Lead Certificate -A " - $ ` -1 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. CALL BEFORE YOU DIG. Gall Gopher State One Call at (661) 454-0002 for protection against undergfound utility damage. Call 48 hours betwe you Wend to dig to receive locates of undergsowid uhhties i hereby acknowiedge that this inforrnaton is complete and accurate that the ::pork will be in conformance with the ordinances and codes of the Gib; of Fagan that I understand this is not a peimil, bit only an apphcation for a pormil, and.vork is not to staff wilhout a pormii. that the work mill be to accordance with the approved plan in the case of work w ich 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 , x Applicant's P ted Name Applicants ignature " � tJs�':t3�UE�r E�L��fi�ink � �� ��, �--��_____�__�� _� J � / r FQc�?ffi�e Use � 1 ' � � 1 : ,��' �p ; ���,��:I�1 l�r��� I ���. . ���� � ( ' ( rrnit Fe�', 1"' f � � : U_ Re_ �t�3f1 Pil�t Knc�b'F�ar�d t t ����MI+C''S5122 � Date Receiued:� F c��- 1� t ��c���:�����sx�-�s�� r � ��x:{sst�sr�-���a � s�:5� JUN 2 3 ZDiS � : : � �0#� �E��[1�NT��L E��ll�.[�Ih1� �ERl�fIT �iPPL1��tT1�3[�1 I�ate: �� �r1 site:A�#�iress: ,�,�t �f�l���.'IEtC~'�"'�` f'o�✓�— un�t�: ` ��� ��; R���� �►�rne� �„i��t'`(2..� '�'�'C'�i��J'+'�C� .�'�-t�j�e: �.< � �� � � $'�� Adcir�ss!City J�ipA '�' '�,� � � �� � ��" ; � � . 3 �' �pplic�n#is: C�mer �Ccintractt�r r ., . � ,. � �� l � ;��, � D�Scription of�vork: 4 t�-� �` � � �� �,a�� ��� �� � `�°��'!� ���� �� �•� z Gc�nstruc�ic�n Cost:��� Mul�i=�`�'nil�Suiatii�tg.�Yes ' !Nm��. �.�[� & �b.� � �S kq.n .. �. .�' �`tL. .. �� � ������ . _ . ���� '� �a fiOCYi{3r"lily: ' E:�Dt1�Ct:�_„�,�;�„�+�..�"��,,,,—. � � � � ��.�..��-� 3� ' .�`.��c���. ��.a.. ���: �����-,� � � � � �c���e�s;�. � � � ��� �t ������� ������������ st�t�:�tz��: ' �� �h�►,$: _1�"b.� ���� �������������� ma,�, � �� � �' ���'��` ����#"��i�' ��-" �z ����'�y��s������ ��"�` t,lci�ns+�#: t,aead�rfifl�ate�:��'".����� � If�he pro��ct is exempt frarr����ad+c�rti�ca��t�n, please explain wh�:�s�e�age 3�c�r additiortai inf�rrrnatlon} Ct?NIPL�TE TNt3 AC�Ea4€3ML�IF CtJN�T�tUCTI�t#a�4��1�"IN B�tLL�tl�lt`s tr�the l�st 12 rntsnfhs, has#he�i#y of E�garr�issuetl a p�rmlt f�r a simiirar pl��t bas�d�r�►a m�.stee plan'�' �,lf�s :�,Nrt If�res,�ate�nd atldre�s of masfer plan: Li�ens�d Piumb�r� Phone: Nte+chai��cal�i��tractoe. Phone: Sew�r 1�1�1�tetF����ract�t: Phesne� � �, .� � ��_.., �. ����,.� �,' t x� ,. �:� , :.��. � .., � u� , �x� , ' , . . : v. _ > , ��.e�� � � , � � ��� � � ��� ,��7 � ��� ����: � �� �� � � ��� � �s ���. � ���, �. �s. � CALI.BEFC��E 1€QU�IG. Gal�Gapher 5tate�.1ns cail�t(ssi)4S�-aao�f�r protecq�rr ag�inst c�nder�tt�utxt ukit�t�r aamage. �an 48#�i��s befor��u fntend#o dig#e�,rec�iue IoCa�of urtdergrbund ufiliti�s. �..9cr rstaEeonecall.orq I hereby ackt�anAecfg�that this irrfottnation is�atrt}�lete artd accurats;#hat the aroMt wiit�Se in�nfornt�n�e wittt Eh�brd+inan�es and r�ci�t�f�.G€ty tif �agan; that;{und�t�nd this is not a p�rrrtit.:but c�srly an�ppiic�tit�n#or a perCnif,�mf r�rit is not to sf�tt�Arithout a pem�tit; tFiat fhe work:+nntt b�in ae�c�rd�nce vufth the approaed ptan in the c�s�o�vu4rk a�tti�h requi�s a review and appir�u�l ot.p�ans. E��iar work authoriz�ad by a bnilding y�rinit'rssued 1n�ccordarl�e wittr�the Minn�sota�#a#a'Bultdtng Code must Ei�cam�3�s�1 witF�"rt�'!� tlays of perrnit issuanc�t. � ����.��'�`�.��� �_���-��n�.� � � � � ;. : '"`� �p�fi�ar�t'�,Pr�rttted Name �� �Ppli��ti � ��r��#�ce � � � � � � Pag�1�f 3 'f2� ����-��� � , , DO NOT WRITE BELOW THIS LINE t ?j1��j� .- SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ 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 ration _ Fire Repair _ Windows _ Demolish Foundation place _ Repair _ Egress Window _ Water Damage _ etaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3�'J Occupancy � MCES System �""' Plan Review Code Edition �a,� SAC Units "`� (25%_100%✓ ) Zoning � City Water -�' Census Code �3�l Stories ^' Booster Pump --� #of Units 1 Square Feet �GO PRV �"' #of Buildings / Length p Fire Suppression Required � Type of Construction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/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 Base Fee �'� Surcharge Plan Review 'r 7 �� MCES SAC City SAC ' Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies ���� TOTAL Page 2 of 3 '`�����-. �""�" ,." �� "''� � r. � x . i , '.����1'�1�'+�3F��`'�, ���t'�1�'��/�"C'� w��,���' �g��' ' � �� � � �.3c�5 � �1������� C-� . � � u� , ,� � , .,, � � �._�.�i i~ � i�� c�t�.! i ;;� � � t,-� � ,�; +� =. � S�� 34 � E ��_� � .v 1t9�;89 • ,_' �.� �S.4t� ,`.. 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