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3998 Cedar Grove Lanetee°/(/ 6w_6(0K-7r 4Pik City of aau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED Date: e7t 576 Use BLUE or BLACK Ink For Office Use /Dw;75 Permit #: Permit Fee: 70 i r+ Date Received: Staff: 20 RESIDENTIAL EBUI 1 I BUILDING PER IT APPLICATION Site Address: �� .� 9� cl. (?-i- Name: 1!NNA!t [lJi Phon 4 -69.2,R -36w Address / City / Zip:,f ,. 14 Ali S%, 4 4 //04•4•4 IrN 5•.� m Applicant is: Owner Contractor L2 41L(/.� I N - Description of work: 060 A40.44. 4000 A% hit Construction Cost: ,"O Multi -Family Budding: (Yes / No ) / , Company: Aiwa / i�(%? Contact: /' e Address: s.7 42r,wj pd Gdeat /`� '/City: Ea !,�th►siou State: b$' AJ Zip: ..S.7701.34- T Phone: 6 99U 69 %/'-. License #: /41/..3 Lead Certificate #: 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? es No If yes, date and address of master plan: . /.2-7 (edit/L. 64/•04.04€?' Licensed Plumber: ...CA - l c Phone: (�j,/`i �,2/-0 Mechanical Contractor: // / / Phone: Sewer & Water Contractor: 4 k4 phone(tri) 7 092 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 o�tissuance.. x icfP vAttreti ApplicantVrinted Name x Applicant's llf Lure Page 1 of 3 zggc L('4' 671 DO NOT WRITE BELOW THIS UNE SUB TYPES _ Foundation_ Fireplace _ Single Family _ Garage _ Multi_ Deck X 01 of a Flex____ Lower Level Accessory Building WORK TYPES New Addition Alteration _ Replace — Retaining Wall DESCRIPTION Valuation Plan Review (25%_4 100%_) Census Code # of Units # of Buildings Type of Construction _ Porch (3 -Season) — Porch (4 -Season) — Porch (Screen/Gazebo/pergola) Pool _ Interior improvement — Move Building - Fire Repair — Repair _ Siding Reroof Windows Egress Window Agt-•.d0_5 _ 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 Occupancy L 3 Code Edition el i a v ,y) Zoning 3 Stories Square Feet Length Width REQUIRED INSPECTIONS X Footings (New Building) Footings (Deck) Footings (Addition) )C Foundation Drain Tile Roof: _Ice & Water _Final X Framing Fireplace: ° Rough In'_,_Air Test Final ( Insulation Sheathing Sheetrock Reviewed By: 32-' 1 co MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: y Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: __Footings _Air/Gas T-sts Final Siding: Stucco Lath - tone Lat' _Brick Windows Retaining Wall: _ Footings , Backfill _ Final )14 Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ry) 75-q y (i0,73c(4qf it s� 90,2-3=t0gNyof 3 r9 y ?Yak': a 614406 )W346,--1/ Page 2 of 3 New Construction Energy Code Compliance Certificate Per NI 101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table NI101.8. Date Certificate Posted Mailing Address of the Dwelling or Dwelling Unit C e EAGAN Name of Residential Contractor LENNAR HOMES MN License Number A96/ - Place your logo here Community Ai it IM ki5 R THERMAL ENVELOPE Insulation Location 0 0 Vl a H 0 5) 0 o 0 2 Plan ID B Unit Type: Check All That Apply Fiberglass, Blown Fiberglass, Batts Foam, Closed Cell Foam Open Cell Mineral Fiberboard Rigid, Extruded Polystyrene RADON SYSTEM X Passive (No Fan) Ith fan and monometer or vstern'. »ionitoring;device) Other Please Describe Here Below Entire Slab NA Foundation Wall NA Perimeter of Slab on Grade Rim Joist (Foundation) NA RimJoist i0 Wall 21 Type In Iocatton: interior exterior or integral Ceiling, flat 44 Ceiling, vaulted NA BayWindows or cantilevered areas - 38 Bonus room over garage 38 21 10 6 Describe other insulated,areas Windows & Doors Average U -Factor (excludes skylights and one door) U: Heating or Cooling Ducts Outside Conditioned Spaces Solar Heat Gain Coefficient (SHGC): MECHANICAL SYSTEMS 11 Appliances a Not applicable, all ducts located in conditioned space R -value Make up Air Select a Type Heating System Domestic Water Heater Cooling System x Not required per mech. code Fuel Type NA Eiectri R A. Passive Manufacturer Bryant A.O. SMITH Model 340AAV240( Bryant Powered 113A AO Interlocked with exhaust device. Describe: Rating or Size Structure's Calculated Input in BTUS: AFUE or HSPF% Efficiency 92 60,000 82 Capacity in Gallons: 50 Output in Tons: Beat( SEER: 1.5 13 Calculated cooling load: 623 18,000 Other, describe: Location of duct or system: Cfm's " round duct OR Mechanical Ventilation System Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air source heat pump with gas back-up furnace): Select Type " metal duct Combustion Air Select a Type x Not required per mech. code Passive Heat Recover Ventilator (HRV) Capacity in cfms: Low: High: Other, describe: Energy Recover Ventilator (ERV) Capacity in cfms: Low: High: X Continuous exhausting fan(s) rated capacity in cfms: 80 Location of duct or system: furnace room Location of fan(s), describe: IMAIN/MASTER BATH Cfm's Capacity continuous ventilation rate in cfins: 80 " round duct OR Total ventilation (intermittent + continuous) rate in cfins: 210 " metal duct MULTI -FAMILY PLAN REVIEW FOR COMPLIANCE WITH AIRCRAFT NOISE ORDINANCE Submitter: Noise Impact Area Lennar 16305 36th Ave. No. Suite 600 Plymouth, MN 55446 952-249-3000 Airport - MSP International Noise Zone - 4 New Infill Residence is a "COND" use in Noise Zone 4 Plan. Reviewed: Vot t - 3-6CtZ.56N Y19?) Ceo z, Information Submitted: Annotated architectural drawings including: Windows: Atrium Swinging Patio Doors: Atrium Entry Doors: Therma Tru Skylights: N/A Compliance with STC Requirements: Average window/wall area for exterior wall: \2 (.070 With this window/wall area ratio and STC 40 walls, windows with an STC 30 can be used to meet the noise reduction requirements; Summary: Other measures including duct bends and caulking are being taken to ensure minimum transmission of noise through the exterior building shell so that the construction should meet the compatibility guidelines. Therefore, the materials and construction as proposed should meet the requirements of the Eagan aircraft noise ordinance. Review Completed (date): Review Completed by: Tom Tamte Compliance with Procedures to Ensure Adequate Noise Attenuation: Exterior wall construction: Vinyl 15/32" sheathing Tyvek wrap 2x6 studs 16" O.C. R-21 batt insulation with 1/2" gypsum board Roof Construction: Peaked roof with manufactured trusses 24" O.C. Roof vents Shingles 15# felt 1/2" sheathing Blown insulation R-44 5/8" gypsum board Mechanical Ventilation System: 2 -ton central air conditioning unit Window, Door Frame, Perimeter and Other Seals: All window and door openings are to be caulked with butyl -based caulk Fireplace Chimney Cap: N/A Ventilation Duct Exterior Wall Penetrations: All exterior ducts will have bends as required by the ordinance Door and Window Construction: Windows: Atrium (30 STC) Sliding Patio Doors: Atrium (30 STC) Entry Doors: Therma Tru (29 STC) Skylights: N/A Other Exterior Wall Penetrations: Sill sealer between plates and blocks Lennar - Jefferson Model B HVAC Load Calculations for Lennar Homes RHVAC X HVAC LoALe Prepared By: Sabre Plumbing And Heating Wednesday, May 09, 2012 Project Report is e r 1Project=Inforr ti• Project Title: Project Date: Client Name: Company Name: Reference City: Building Orientation: Daily Temperature Range: Latitude: Elevation: Altitude Factor: Elevation Sensible Adj. Factor: Elevation Total Adj. Factor: Elevation Heating Adj. Factor: Elevation Heating Adj. Factor: Winter: Summer: Lennar - Jefferson Model B 12/08/2011 Lennar Homes Sabre Plumbing And Heating 44 834 0.970 1.000 1.000 1.000 1.000 Minneapolis, Minnesota Front door faces North Medium Degrees ft. Outdoor Outdoor Outdoor Indoor Dry Bulb Wet Bulb Rel.Hum Rel.Hum -11 -12.38 32% n/a 88 73 50% 50% Total Building Supply CFM: Square ft. of Room Area: Volume (fti) of Cond. Space: Indoor Grains Dry Bulb Differenc e 72 n/a 75 35 555 CFM Per Square ft.: 1,911 Square ft. Per Ton: 15,288 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: '47,082 Btuh 6,957 Btuh 3,666 Btuh 10,623 Btuh 0.291 2,159 47.082 MBH 65 % 35 % 0.89 Tons (Based On Sensible + Latent) Calculations are based on 8th edition of ACOA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent Toads. C:\ ,..\LENNAR - COLONIAL ROW - JEFFERSON B- HAYFIELD.rhv Wednesday, May 09, 2012, 1:36 PM I3hvac es 0- •17.V.00.4. & 1.1gh#Qrntk►�rc1aT ;Sabre Heating & A/C Inc Plymouth; MN 547 oad Preview Report Scope Building System 1 Ventilation Zone 1 1 -Kitchen / Great Room Has AED 2 -Main Floor - Foyer/ Bath 1 Stairs 3 -Upper Floor No Net Ton Rec ft.I Ton /Ton 0.89 122 0.89 122 Area Sen Gain Lat Gain Net San Gain l Loss 1,5641 1,9111 6,957 3,666. 10,623 15641 1,911 6,957 3,666 10,623 877: 3,666. 4,543 1,9111 6,080. 0 6,080 467; 1,539 0 1,539 2921 856. 0 Min Min Htg Clg CFM CFM 47,082 555; 285 Sys Sys Sys Htg Cig Act CFM CFM CFM 555 285i 555 Duct Size 1,152'. 3,685. 0; 3,6851 14,316 192 C:1 ...1LENNAR COLONIAL ROW - JEFFERSON 8- HAYFIELD.rhv Wednesday, May 09, 2012, 1:36 PM Lennar HAYFIELD: Glazing -operable window,e=0.28 on 163.5 3,934 surface, wood frame with metal clad, outdoor insect screen with 50% coverage, u -value 0.29, SHGC 0.26 11P: Door -Metal - Polyurethane Core 40.8 982 12F-Osw: Wall -Frame, R-21 insulation in 2 x 6 stud 1514.1 8,169 cavity, no board insulation, siding finish, wood studs 16CR-44: Roof/Ceiling-Under Attic with Insulation on Attic 1152 2,104 Floor (also use for Knee Walls and Partition Ceilings), Vented Attic with Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-44 insulation 22C-10pm-t: Floor -Slab on grade, Horizontal board 115 10,576 insulation extends 4' under slab, tile covering, R-10 insulation, passive, heavy dry or Tight wet soil Lennar TH-c: Floor -Over open crawl space or garage, Custom, R-38 blanket cover insulation + 1" foam board, carpet covering Subtotals for structure: People: Equipment: Lighting: Ductwork: Infiltration: Winter CFM: 0, Summer CFM: 0 Ventilation: Winter CFM: 158, Summer CFM: 158 AED Excursion: Total Building Load Totals: Total Building Supply CFM: Square ft. of Room Area: Volume (fti) of Cond. Space: iiling. Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: 0 284 0 1,309 0 963 0 284 1,309 963 351 874 0 84 84 26,639 0 5,772 5,772 0 0 0 0 0 0 0 0 0 0 14,844 0 0 0 0 0 0 0 5,598 3,666 877 4,543 0 0 308 308 47,082 3,666 6,957 10,623 555 CFM Per Square ft.: 1,911 Square ft. Per Ton: 15,288 47,082 Btuh 6,957 Btuh 3,666 Btuh 10,623 Btuh Calculations are based on 8th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. 47.082 MBH 65 % 35 % 0.89 Tons (Based On Sensible + Latent) zit 0.291 2,159 n3: C:1 ...1LENNAR - COLONIAL ROW - JEFFERSON B- HAYFIELD.rhv Wednesday, May 09, 2012, 1:36 PM Approx.Delivery Date ,.:0 cssi 1,0, 1= (3- -:-t-ss . i-- .m- - . ,Itali . .... z , ffn. . . ... _ . m 8 - .- .. ..... — 0 0 0 7 ::: r. : < cc = 2 i-1-• * 0 C.) •.; CC !-_- z 1- , ..,, E g w al . . ••••• N ... w ' .,Z.tri...... (1) Z .. ...J Z .....•../........• o Lii 2 . ,.: . ;, -.:'':', ' -.• > - ', re :.: ; .....u..... :,..:.....• Ca o ' 1.1.... '..- .' .'5'..•; . CL (i,:.)) , (j) in '. it-) .03 iii • -.I —) a) i. E c.) ..) z ,.... 6.,... . 2 ! 0 ' '--- . . tl) u) ,,,. : ,.....,..:-....:.:,-..-.:.: — :-. ,..-... :..-... 0 r .:':''..-.:-:tis' .0 ,L0 INI '0 '''"' 0 Z< c) -z , Ct. CL CL U.I1 . C/) (/) U) ch . ....1 • Alif a. GP E LEN NAR MULTI FAMILY .rt CO (0' NY xto ,XW > <0X ,4 cn, 0) 0) X X°( 1 8 c2, X X (0. - 0) 0 1••••• l'•••• it WuJUJWLUWWWW 2ZZZZZ ZZ Z 0 0 0 0 0 0 0 0 ZZ #201 FIXED,LE/ARG,STC30,GRDS(2W 2H) #201 SNG HMG TWIN,LE/ARG,STC30,G.T.S.(2W 2H)SCR #201 SNG HNG,I_E/ARG,STC30,G.T.S.(2IN 2H)SCR #201 SNG FING,LE/ARG,STC30,G.T.S.(2VV 2H)SCR #201 SNG HNG,LE/ARGSTC30,G.T.S.(2W 2H)SCR #201 FIXED,LE/ARG,GRDS(2W 2H)STC30 D/A-GLAZE IN PLACE JOBSITE IN/SCR DELIVERY o 0 ZeV CV CV CN1 C'J OM oti cNt 0 2 ' vcs = 1 m z 1 m x TS 1 0 )..• C 0 N •fi) 7.7i r., ...... 0 •.- N CM it (-, 6 'I' 6 6 6 o 6LL- 4., ,„2 4) 0 L. 41 to to tit 00 CL 7 E 3 7<) to co X X X X X X X X 42 c) (.)v.> hi w CI 1:1' (?1 c) tO z o ❑ 0 0 ❑ ❑ 0 ❑ ❑ ;'0 ❑ Jd'❑ ❑ ,ef 0 ❑ �'❑ ❑ 2 0 0 ,$' ❑ 0 ❑ )' ❑ ❑ ❑ LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT.�A�PF'LICATION I ' 3,��i'J� +�!// CO/S ¢- DATEERTY LEGAL: 1-43+ OF SURVEY: /% 7/1/ LATEST REVISION: //4//e iL 6(20U6 /4°2 DOCUMENT STANDARDSZo if / • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient • Proposed/existing sewer and water services & invert elevation • Street name • Driveway (grade & width - in RAN and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing g 0 0 • Property corners 0 Top of curb at the driveway and property line extensions Afr❑ ,' • Elevations of any existing adjacent homes - S�d� , Z /./, 3 ifs pSS, 6% ,2` 0 0 • Adequate footing depth of structures due to adjacent utility trenches ❑ .52' 0 • Waterways (pond, stream, etc.) Proposed ,2' 0 0 • Garage floor 0 • Basement floor 0 ❑ • Lowest exposed elevation (walkout/window) .ef ❑ 0 • Property corners Z 0 0 • Front and rear of home at the foundation PONDING AREA (if applicable) O 7if 0 • Easement line O I 0 • NWL ❑ g ❑ • HWL O ❑� ❑ • Pond # designation ❑ /❑' ❑ • • Emergency Overflow Elevation ❑ /P' ❑ • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District ¥ 119• Conservation Easements DIMENSIONS 0A A 0 0 • Lot lines/Bearings & dimensions ,�a 4 Zr 0 J" • Right-of-way and street width (to back of curb) - 5/ C1 PG e4f.,1 p'1 S!, /4 �ob - 0 0 • Proposed home dimensions including any proposed decks, overhangs greater han 2', porches, etc. (i.e. all structures requiring permanent footings) 0 0 • Show all easements of record and any City utilities within those easements yf 0 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ • Retaining wall requirements: i7 is Date �-OZ Reviewed By: G:/FORMS/Building Permit Application Rev. 11-26-04 • Surveyor's Certificate SURVEY FOR : Lennar DESCRIBED AS :Lots 1-3, Minnesota Block 5, NICOLS RIDGE 4TH, City of Eagan, Dakota County, and reserving easements of record. 3'1 Flra.ryr++S.iB" Si peS, WiLt tyuired 8 LiiUAN h.j.NiGiN1 E1NG DEPT. PROPOSED ELEVATIONS Top of Foundation Garage Floor Basement Floor Aprox. Sewer Service Proposed Elev. Existing Elev. Drainage Directions Denotes Offset Stake = 830.9 = 830.5 = n/a = Verify = 0 • PROVIDE AND MAINTAIN INLET PROTECTION UNTIL FINAL TURF IS ESTABLISHED BENCHMARK, SCALE: 1 inch = 30 feet MIN. SETBACK REQUIREMENTS Front — Rear— House Side — Garage Side — HEDL UND PLANNING ENGINEERING SURVEYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. DATE 8. OR D. LINDGREN, LAND YOR NESOTA LICENSE NUMBS 4376 JOB NO: 11R-088 BOOK: PAGE: CAD FILE: Nicols Ridge 4th City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA108030 Date Issued: 11/13/2012 Permit Category: ePermit Site Address: 3998 Cedar Grove Lane Lot: 1 Block: 5 Addition: Nicols Ridge 4th PID: 10-50903-05-010 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Charles Sundean 8201 Old Central Ave spring Lake Park, MN 55432 763-286-6956 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Water Doctors Water Treatment Company 8201 Old Central Ave, Suite F & G Spring Lake Park MN 55432 (763) 535-1800 - Applicant - Owner: Us Home Corp 16305 36th Ave N Minneapolis MN 55446 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. Applicant/Permitee: Signature Issued By: Signature c‘ CityofEaall Address: 3998 Cedar Grove Lane Zip: 55122 Permit #: 104225 The following items were / were not completed at the Final Inspection on: Final grade - 6" from siding /04/n... Permanent steps — Garage Permanent steps — Main Entry Permanent Driveway Permanent Gas Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn ✓' Trail / Curb Damage Porch Lower Level Finish /) Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • CaII the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an irrigation system. Building Inspector: /14,;(/ 4/" 1 G:\Building Inspections\FORMS\Checklists GityofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5678 Fax: (651) 875-5894 Use BLUE or BLACK Ink FOr Office Used� Permit*: i of 17 Permit Fee: rj� Date Received: 'iei Staff: L j5 /2014 RESIDENTIAL BUILDING PERMIT APPLICATION , Date: / °�6 //� Site Address: .799 `I , 3091 Unit #: Resident! • Owner J Name: A/ 4B /S 41'615( /dra/h1:1Pnite3 Phone: 763-0)01.s--6 yo Address / City / Zip: 3 f7 ' 64 ' Applicant is: Owner Contractor Type of Work' Contractor Description of work: e r Construction Cost / , f'D Multi -Family Building: (Yes/ / No _) Company: ✓i7 /)/C //AV- ®KJ lOoc/ Contact 6 (y 1l /1/9 y✓C5CJ Address: / �/ 2af.4 ' L' - �w.A 7p v114 444 �1�' City: Qvi State: m/1% Zip: 5:5-3 0 6 Phone: q — d 6— 3 a 7 6 f 61 1 -o731 - Contractor / License EC l 57/5-0 Lead Certificate #: 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 t Water Contractor: Phone: NOTE: Plans and euppordng documents that you submit are considered to be public information. Portions of the thio i tion may be classired;as non-public If you provide specific reasons that would permit the City to conclude that they arm trade secnimts CALL BEFORE YOU DIG. Cell Gopher State Ons Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive loci 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 wont 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 penult issued In accordance with the Minnesota State solidi days of permit issuance. .}-�'' X (lc. r1 IJ w � e ApplIcabis Printed Name must -be completed within 180 s Signature Page 1 of 2