2232 Liberty Lane7SD1/
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NTN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Requiremenfs
3 regmtered site surveys showing sq. ft. oi lot, sq ff. of house; and ali roofed areas
(20°h maximum lot covecage allowed)
1 Soils RepoR'rf proposed bmldmg is to 6e placed on disNrbed soil
2 copies of plan showing heam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 mpies oF Tree Preservation Plan if lot platted after 711193
Rim Joist Det2il Optlons selection sheet (buildings wdh 3 or less uniis)
Minnegasco mechanical ventilalion fortn
RemodeVReoair Reauiremen4s
2 copies oi pian showirg foolings, beams, joists
1 set of Enefgy Cakulations forheated addNons
1 srte survey for additions & decks
Addrtion - indicate if onsrte septic sysfem
Pimnc ara rnnciriararl nnhlir infnrma4inn imlacs vnu
/ ??O_OD
Office Use Onlv
CedofSuneyRecd _Y _N
Soils RepoR _ Y _ N
Tree Pyes Plan Recd _ Y _ N,
Tree Pres Required _Y _N
Oo-siteSepticSystem _ Y' _N
lJ
SY9tP. tIIEV 81'2 tC d8? t and the reason.
Date 0-7 Constructian Cost -A/bo v
SiteAddress aU3o2 C?,aBrrt e EG-?? /rli- SS/?2 UniUSte #
Description of Work Fi+ 's,1 oFf ,l?ii e.nen % ;ee-c OCo
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2
Property Owner es Telephone #( GS 26 7 -ssa z
Contractor ?C I
Address Cih'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Su6mitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #?
Mechanical Contractor Z31?'2007' Telephone # ?
Sewer/Water Contractor Telephone #
T herehv annlv fnr a Recidential Rtlilding Permit and aCltTioWledffe t118t t11e iT1fOrn13t1
1
complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
ApplicanYs Printed Name pplicant's ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E>ct. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ?1_ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)I:f- 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - G ive PCA handout to applicant
DesCription: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review ? 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ? W idth
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Dram Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
Y Insulation
yt,
?
Approved By: ?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIREDINSPECTIONS
_ Sheehock
Final/C.O.
? Final/No C.O.
? HVAC
Other
_ Pool Rtgs Au/Gas Tests Final
_ Siding _ Stuceo Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
??? ?1?? ?
??" ???
~ ~~ts - sass r mGa3r2 , aa3to, ~a~b~ o~a~"cr ~a4g ~i~-~~ U~
Use BLUE or BLACK Ink
I ForOffice Usef~ ~
Permit#: 15A------
City of E*n I - ~ .
I Permit Foe: I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (661) 676-0676 I
Fax: (661) 676-0694 1 Stall' 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
~tlttlt ~ ~1 2~ ~ 8
Date: / ( Site Address:
Sa)iic;'ri:k;iili(i: Name: Phone:
Address / Cit /2i
tirt'diir> Y o:
IiJ,!:ml:!iYcgUdi~'t~iY:n:..o. m•: in;r'i!':
irk; i;+Applicant is: Owner Contractor
Description of work:
.
Construction Cost: y~ Multi-Family Building: (Yes t No )
777.
Company: (contact:
..tin,.1....,.°1
i 1i :::.r..........
i ` Address: 93 2E F---dXd~ ~F4 City:
i.L.l•I.ti01Y~r:.l:llf:.'N::a:.if.:~. _.I..;MI;,;i';i l
. ° State: zip: `V\ Phone:
i iii:{ i i'•'s
License iz' Lead Certificate q
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 Cagan 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:
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CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dlg to receive locates of underground utilities. www.oooherstaleonecall.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 1 understand this is not a permit, but only an appllcatlon 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.
Exterlor ork authorized by a building permit Issued In accordance with the Minnesota S to 11 ng Co a must be com led within 180
days it ssuance.
X G~ x
Applicant's Printed Name Applicants Signatu
Page 1 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 676-6676
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
I `a dq9
`.IL dO
Date Received:
Staff.
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION 'D3'3
aay
Date: 5- "i " \ 9 Slte Address: t V` Unit #:
eside t '. `<
owner :..
Name: i tk% Ir 1A
Ink I. _1t A i ' Phone: (J'\. `Q�.Q� U \
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Address / City / Zip: ,a/tA,
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Applicant is: Owner x Contractor
:i. .,
TYPO Work
: