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4125 Countryview DrRESIDENT / OWNER Name: Sh A'W x) 14U N tG t2i Phone: 7C2.- 681 - (/03 3 Address / City / Zip: 4 742-3 -- e0 f/4vPeAr eW D, R. • 6 A /Ma Applicant is: Owner X Contractor TYPE OF WORK Description of work: / !g2 , d F Pgd 0, Construction Cost: 5 Multi- Family Building: (Yes / No ) CONTRACTOR Name: R,(/ (10ox /A1 f (m6O% /6l License #: 3983 Address: ‘Z6o 4,9?e -e°6 #///2 la/ /IA City: / seryd k y 40,C_ State: ////l) Zip: c5 Phone: 74 3 20 S 7F/7 Contact: DOA/ S Email: G /do F /•r 0 yi9 hoo • G a. 4 ^ COMPLETE In the last 12 months, has No 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public info rrnation.,. the information may be classified as non - public if you provide specific reasons that woul # permit conclude that they are trade s ecrets. Portions o the `Ci to City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 c\ 17) Use BLUE or BLACK Ink (J • Permit #: Permit Fee: Date Received: St 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '7 i LS etUd/17e7 //l e*/ DR Tenant: / Suite #: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.bopherstateonecall.ora 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 app • al of plans. X Schrt rrt Applicant's Printed Name Appl cant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150220 Date Issued:06/26/2018 Permit Category:ePermit Site Address: 4125 Countryview Dr Lot:2 Block: 5 Addition: Coventry Pass 4th PID:10-18403-05-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Shawn H Hunter 4125 Countryview Dr Eagan MN 55123 (651) 341-1373 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154062 Date Issued:02/15/2019 Permit Category:ePermit Site Address: 4125 Countryview Dr Lot:2 Block: 5 Addition: Coventry Pass 4th PID:10-18403-05-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Shawn H Hunter 4125 Countryview Dr Eagan MN 55123 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature For Office Use ,` /53g 0 �, ° % ; � ::::: .„„ E AGA N : /97r2. 69 "/"' Date Received: -de- If 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810RECEIVER .c► (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-569 Staff: buildinginspectionsAcityofeagan.com JAN 28 2019 2019 RESIDENTIAL BU PING PER APPLICATION Date: /ex Site Address: 47'!Z 5 67 ✓,`t`-' I-'• Unit#: Name: SAOOtpirt gy Phone: 45/- 3`/1-/373 Resident/ Owner Address/City/Zip: `ill S 1/'z:- ) a. //` Applicant is: Owner X Contractor `( ,11��`�(� ( SS � ULt I / Type of Work Description of work: R-eoh/ /41/4 Sft 0". Construction Cost: 7k Multi-Family Building:(Yes /No k ) Company: R(Z 5Tc1VL 443+, Contact: Y" -c--' 14 /4/fOti.1 4..0 Contractor Address: &it/6. r,1L /kr— City: Ltrdy//-c State:MAI Zip: .5-SULIN Phone:/,S/-'1`l "0/1'74Email: jtischee a --str License#:,( , 3D/,5 f Lead Certificate#: ,1- - 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 you submit are considered� the beCity a to conclude#n be information. they are Portions of the secrets. information may classified as non-public if you provide specific reasons that would You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.aooherstateonecall.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.U x �G p144 -O x 1/ Applicant's Printed Name Appint' 'Sig DO NOT WRITE BELOW THIS LINE ";//a7 5- 00 6 tr,/,A e I/J ✓ /,:c.,3 s)--42 " SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous eous _ 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 Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ()_t_O_C2D Occupancy. . MCES System Plan Review Code Edition ilk 1,. ' SAC Units (25%_100%4) Zoning 1 / City Water Census Code ii Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction --F)--- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Service Test Gas Line Air Test— Foundation Foundation Before Backfill HVAC Hood Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath Brick_EFIS 7( Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control ) , Shower Pan Other: Reviewed By: II , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 191611 Plan Review ' 1 MCES SAC0 fh City SAC Utility Connection Charge / 0 jr) Y S&W Permit&Surcharge " /` 20= 0 0 0 Treatment Plant f Copies TOTAL Page 2 of 3