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4116 Skylark LaneCllyofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 0'1/ Pemrit Fee: .9 —" Co Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C' Date: /%' 2010 site Address: 'Wo®—q//r S,C'y/aa,i- L4 4t: lGl c, `S" Tenant: Aleocd»-tar / i % ity ET , •"�6��' , X14' 53/2 Z Suite #: /l RESIDENT / OWNER Name: /7<.4Pa�44./. r G.sssen et -",,,,Y Phone: 9952 ;7i 3 .r '/ 2 7 Address / City / Zip: S.' 3 r 4, fy 41-174 P /&b...aj,,, /2V.eem ,&i.'ow aj.5N-3VY ,...Ar Applicant is: Owner )( Contractor TYPE OF WORK Description of work: A.. ¢ ae.e//.r«...er+e 40 oke st 6.1.14, z-1«ee .44.4-., -'-r ' Awavt 4* Construction Cost s/3, c od> Multi -Family Building: (Yes / No ) CONTRACTOR Name: A/jS`r 0, 4,4.1rt.,c ki,,,e-r ,e416, .--1 7" License #: 20.g3/.5-7.5"- 0.g3/$7Address: Address:57'V3— ,.27 /Sf.."41c/ --Cif City 715,m/«c ,e .4 State: /Ix, Zip: 53-3S% Phone: /75-2, ?+'Z. 795'Y Contact 371.50,4/ /i f 4 Email: J .4.,54:1 ,,r& • /_sf ,,-.. 6. COMPLETE In the last 12 months, has Yes 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: Licensed Plumber. Phone: Mechanical Contractor Phone: Sewer & Water Contractor. Phone: NOTE; Plans and supporting documents that you submit are considered to be public inn. ',Portions of the information may be classified as nonrpubllc if you provide specific reasons that would pt the City to conclude that they we trade SW s CALL BEFORE YOU DIG. CaII 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.ciopherstateonecall.oro 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 walk is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which regtrres a review and approval of plans. x A,N 4 +Ct41'V7 Applicant's Printed Name 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family 4 Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction _ Interior Improvement Move Building Fire Repair Repair tr` 6°0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Additio )„, Foundation 61, Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: t*5 Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: 'I Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ 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 Sprinklers Sheetrock Final / C.O. Required )e. Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control L(Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL tvot Page 2 of 2 PROPERTY OWNER Name: fr7raookk -Ms /1;,{,,. / ga 6;A fcs✓ 6. Phone: 0.S .?S3 027 Address / City / Zip: 6 y3 er c, a,/ ANkcJ� ao,,,, PJa,Ync. Ad .5 r, y y Applicant is: Owner X Contractor J TYPE OF WORK Description of work: - L / c J •� - ;.� / Construction Cost: i / V V JPe ' 1 CONTRACTOR Name , t ., ,_,,,t v ..• L ee ,,. , ,. . ..:-- License #: tOt ,3 /$ 75 Address: S'/ ys Z J' Jw,le. Je3 City: M 4A y /4 • State: *41 Zip: 53"?Sq Phone: (:r/ -) 9 2 -- ? 41' Contact: �a V Lix.4/6'Emai1: C c- //4 a / /$/w - . Az ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone .Phone #: , ,y p �p G r p /� nf�{} T x 7 a s and su ppo tin iii hi' I . I p N� l � cons de te" !ffo m tf�is t/foirm tr n may t a d nit tt 7i f� ' 7 i r t * �► e Ir o Fram:ALLSTAR CONSTRUCTION CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675- 56 .t1�4 ; sl 19529427464 10/14/2010 14:16 Former Tenant: x Applicant's Signatu Permit #: 9 405/24 Permit Fee: to • S9 Date Received: St Use BLUE or BLACK Ink 2010 UILDING PERMIT APPLICATION 5 L0.4. L. 0- Date: /Okil /ZOO Site Address: boo, y /oz Y /esy y/s96 , ?vox, 5/ //s y// Y / / 5/ //d Tenant Name: 04-04/o44/* , ii44e f0,4 (Tenant is: New / Existing) Suite #: #165 P.002/025 a 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.ciopherstateonecall.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; the work will be in accordance with the approved plan in the case of work which requires ayevi?w and approval of plans. &MO Applicant's Printed Name Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Insulation Meter Size: DESCRIPTION Valuation Plan Review (25% X 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Fire Repair Repair V 6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: C Ice & Water Final Framing Fireplace: _Rough In Air Test _ Final Reviewed By: C� RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) _ Porch (Screen /Gazebo /Pergola) Pool $s. . tar: ) '3fWc Interior Improvement _ Siding Move Building Reroof Occupancy Code Edition Zoning Stories Square Feet Length Width Windows Egress Window *Demolition of entire building - give PCA handout to applicant Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 60 crYL.S Ft- OO Demolish Building* Demolish Interior Demolish Foundation Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 1C Final / No C.O. Required HVAC Other: Pool: _Footings _Air /Gas Tests Siding: _Stucco Lath _ Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector 6'-OPA6- nelit IOR/c--/l/vak/r4P, /9Duri4 1T- f o-o(- Final Brick Final Page 2 of 2 EAGAN TOWNSHIP 3795 Pilot >ICnob Road St. Paul, Minnesota 55111 Te 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:_ 54 /72 ' NUMBER 9)7 • • OWDTER; Hueriw -I1117 nda]« Bldg. #$ Address PLutessaliaierke Trenching TYPE OF PIPE iIaary C iron DESCRIPTION OF BUILDING Industrial Comaercial Residential Multiple Dwelling No, of units xx 10 Location. of Connection:: Connection Charge Permit Fee =(3 E ' / / �U i /I /l� Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulation of Eagan Township, Dakota -County,, Minnesota By •4)..t+ukc PranakLing Please notify when ready for inspection and connection and before any portion of the work is covered. 1110, Fram:ALLSTAR CONSTRUCTION 19529427464 10/18/2012 16:34 #614 P.001/010 • City of Eaaao 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 207 Use BLUE or BLACK Ink For Office Use % Permit #: ,hi %7 3 Permit Fee: /It r q1 % Date Received: /�! / 7✓! Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 19 Date: d 17/ a Site Address: oa o 0 via P HI; i t U ; unit #: Name: /ri.e.La' j/ L ieh/p G/O �, t,(PA, /,v,r��,4 / j Phone: 0_57 \ 2..C3-.7 9 rf Address / City / Zip: la c/.3ff 1j, ,d,4„,-/- ./ e,k.t..14 --et/e, ,.e. -4..„;:,L, Jit. // 5-s'3 f° V Applicant is: _ Owner X Contractor i p_ RESIDENT./ OWNER Description ofwork: / GG ..- o /p /r,&71; ramp.- fC� , J I t $l©I. ,., J J Construction Cost: 4t G 0, fit; '4. . Multi -Family Building: (Yes / No ) Company: Qi/si-a.-Civari-c7SD,- /144 „�mg.o.7 Z. ' Contact: 4/4,4ites r, CONTRACTOR Address: S% �� .ik dr/ _ ir'ze./ Sp 1e /6�i City: /.Jei.�L_ State:lar4Ar' Zip. c---3 ` Phone: 9r2- - 272-- 7V.5 -Y" License #: G' 6'3/576- Lead Certificate #: /47^_ !o'6 r— If the project is exempt from lead certification, please explain why: see Page 3 for a-/dditional informattin) 1.1-1 iq 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• Portrons.of the information,ay 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.000herstateonecall.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 GL �%/[ �� / Div,. // X ad! App icant's Sign ture Applicant's Printed Name Page 1 of 3 • 1 I L LAKt& DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family Garage Multi frL:..i/5(,(;Iji Deck `01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration tenor ImpFovem nt _ Siding _ Demolish Budding* Move Building_ Reroof _ Demolish Interior Fire Repair_ Windows _ Demolish Foundation Replace Repair _ Egress Window_ Water Damage Retaining Wall Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool /(277-3 9 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous DESCRIPTION Valuation Plan Review (25%_ 100% /�, ) Census Code 1 # of Units # of Buildings Type of Construction (121)./IC-2,2- Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: ' (Ice & Water Final �.l Framing--- Vt.0o','3- L!,Lki Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 5 of -A p-rtr3 Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:19 #670 P.002/016 41oO I A t Oa. 41 bjk ( ~ 1 b (c) oil 4-1101 4Use BLUE or BLACK Ink 4 a I t 1 $ I - For Office Use I I City of Evan 11 Permit Permit Fee: 504. RS I 3830 Pilot Knob Road I i O 17 I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 r p~ 1 Fax: (651) 675-5694 I Staff: ~_r7 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- ~0 _W3 Site Address: Lh • n) Unit Resident! Name: C Clo• n CDMWrJN Phone: tt Owner Address / City / Zip: UL438 Lit Wt 21216 V1 UAJ , Edit I?Y01 M C t MIN V_-Pj3LiL4 . Applicant is: Owner _k Contractor Type of Work Description of work: 1 l1 li i UII U111i~{ 1P r( (~hi~i ,~~C(,~ J- Construction Cost: S3I I X55.1 1 Multi-Family Building: (Yes J& /No Company: A8tay QnS~VtQn MOMM& LLGContact: l tP r Contractor Address: ~5195 11 pU al J i 1et;* lp~ City: AtV& nat n State: MN zip: 55-26f Phone: JZ" CH2- lq(~L I License FJI ~~IGJ1r'J Lead Certificate N A-T 211)9 [Dy ' 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that yoy 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 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.oooherstateonecall.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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso State Suildi Code must be comp) d within 180 days of permit issuance. x t .tn yt x Applicant's Printed Name A lie Ps Signal re Page 1 of 3