3989 Cedar Grove Lane600(0-i_iy /01273:c'
130,-=
411'e1,11,--10(0?--t
,o,
City of Eagthic /0/0-z-
1 . 7 3-
3830 Pilot Knob Road 10107-2"1
Eagan MN 55122 S
Phone: (651) 675-5675
Fax: (651) 675-5694
2012
Use BLUE or BLACK Ink
For Office Use
Permit #:
/1,Z/
r
Permit Fee: 10 'f73 5-7
Date Received: ` /
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
3 JP Cedl Gvovc 1>&
Date: % j /2.
Site Address:
Unit #:
Name: IL°NMAIL Care L95L)
Phone
Address / City / Zip: 1. ,10,'x* _? Ate �, .Sk 17� 440/r / �{1 y "ow
✓
Applicant is: Owner Contractor 4 g(ock. 7 t
as ge-167,::,. 4
Description of work: /114M0 )4,m € off, /d�
Construction Cost: 1196, /76 Multi -Family Building: (Yes / No
X )
Company: 444041, i./i . Cali Contact: /' I' //'t
Address: 15.79 ,S,/`iv w ,d 4,14 City: aii AIid
State: /N /V Zip: if:ri 2 J Phone: 44/4+1 Ktf .-4047S f
License #: /y/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 masterp la
7i �C7 n?
3,96 - P-
Phone: s'f? y f ' 51/02_
02_
Yes No If yes, date and address of master plan:
Licensed Plumber: _� .+'9- dce
Mechanical Contractor:
Sewer & Water Contractor:
1 /
Phone:
Phone:
I I
11
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.aooherstateonecali.orrl
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 72/ tN4C-e, Sat,
Applicant'srinted Name
x
Appl ants Sig re
Page 1 of 3
MIX=
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYP c
New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%4,,100%___)
Census Code
#of Units
# of Buildings
Type of Construction
DO NOT WRITE ! 62,4 ,„ C1 ✓ c Lc, fi- —
BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:"„Rough In .Air Test
Insulation
Sheathing
Sheetrock
eviewed By:
RES_ IN_TIA FEga
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Porch (3 -Season)
Porch (4 -Season) -- Storm Damage
Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool
Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
TOTAL
Siding
Retool
Windows
Egress Window
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
Meter Size:
Final / C.O. Required
Final/ No C.O. Required
HVAC Gas Service Test
Other:
Pool: ,_Footings
Siding: _Stucco
Windows
Retaining Wail:
_. Radon Control
Erosion Control
Building Inspector
Gas Line Air Test
._Air/Gas Tests
Lath ,Stone Lath
Footings
Backfill
Final
_Brick
Final
41ViriY.0 .
/ V4131 7o
O a
17- 5v
Page 2 013
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: t 11g, (Y)4\D15 ) a . SkC4,10 a, Grc,
Y1osci Gam= LAS
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: \ I 1 9
)15
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
New Construction Energy Code Compliance Certificate
Per NI 101,8 Building Certificate. A building certificate shall he posted in a permanently visible location inside
the building. The cedificate shall be completed by the builder and shall list information and values of
corn nents listed in Table N1101.8.
Moiling Address of the Dwelling orDweltng Unit
'99
Nome of Resideotiol C:entactor
ILNAR kHQMES
Community
HERMAL ENVELOPE
/o(co )-1g
Place your
logo here
r
ID
icon
Type: Check All That Apply
RADON SYSTEM
X Passive (No Fan)
Insulation Location
Foundation Wall
Rim Joist (Foundation)
fling, vaulted
Bonus room over gore e
ptacrjb fh$er 'eels ed brefts t( r,. ax _;
indows & Doors
21
tt
NA
38 21 10
Avera!e U -Factor (excludes sk lights and one door U:
Solar Meat Gain Coefficient (SHGC):
MECHANICAL SYSTEMS
satin • ev Cooling Ducts Outside Conditioned S . • cos
0.3f1 ■I►L'itiltl'1 +tbl , 111
.20 - .21 R -value
Make-up Air Select a Type
Heatin System Domestic Water 11
Cooling S stem
Manufacturer
Ratin: or Size
B ant A.O. SMITH
Input u
BTUS:
Capacit
Gallons:
Output t
Tons:
Not r . uired • r mech. code
Passive
Powered
Interlocked with exhaust device,
Describe:
Other, describe:
Location of duct or system:
AFUE or
HSPF%
92
ffieleue
Mechanical Ventilation System
Describe any additional or combined heating or cooling systems if installed: (e.
source heat pump with gas back-up furnace):
Select Type
Heat Recover Ventilator (HRV) Capacity m cfms:
Energy Recover Ventilator (ERV) Capacity in cfins:
X Continuous exhausting fan(s) rated capacity in cfms:
Location of fart(s), describe: MAIN/MASTER BATH
Capacity continuous ventilation rule in cfins:
Total ventilation (intermittent + continuous) rate in tuns:
210
Calculat
ling load:
two fiirnaces or air
18,000
Cfn
80
bund duct OR
metal duct
Combustion Air Select a Type
Not required per mech. cod
Passive
Other, describe:
Location of duct or system:
furnace room
•
" metal duct
•
Lennar - Madison Model
HVAC Load Calculations
for
Lennar Homes
Prepared By:
Sabre Plumbing And Heating
Tuesday, August 07, 2012
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
Project Title:
Project Date;
tient Name:
Company Name:
Reference City:
Building Orientation:
Daily Temperature Range:
Latitude:
Elevation:
Altitude Factor:
�*, z
'iaSrw'�ac�vi4 orglek
Lennar - Madison Model
8/7/2012 -- __.
Lennar Homes
Sabre Plumbing And Heating
Winter:
Summer:
Outdoor
Dry Bulb
-11
88
1r}4
Tota! Building Supply !Y CFM
Square ft. of Room Area:
Volume (ft3) of Cond. Space:
Minneapolis, Minnesota
Front door faces North
Medium
44 Degrees
834 ft.
0.970
Outdoor
Wet Bulb
-12.38
73
Outdoor Indoor Indoor Grains
Rel.Hum Rel.Hum Dry Bulb Difference
32% n/a 72 n/a
50% 50% 75 35
489
1,799
14,849
...a ^V &rade , 2, 5 CI,'i^c'�' . `.—
Total Heating Required Including Ventilation Air:
Total Sensible Gain:
Total Latent Gain:
Total Cooling Required Including Ventilation Air:
sly. •; F�4 il�'SSi�,
CFM Per Square ft.:
Square ft. Per Ton:
42,161 Btuh
5,967 Btuh
3,666 Btuh
9,633 Btuh
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
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 according to the manufacturer's performance data at
your design conditions.
42.161 MBH
62 %
38 %
0.80 Tons (Based On Sensible + Latent)
0.272
2,241
C:\rhvac projects\LENNAR - COLONIAL ROW - MADISON-HAYFIELD.rh9
Tuesday, August 07, 2012, 6:53 AM
Net ft.2 Sen
rape_...__.._.___.__._-------...__.._--------_-_ i Ton ..__./Ton ____Area .__.Gain
ulfcting-
0.80 272-4-1-i 1,7991 5,967
System 1 0.80 2,241 1,799] 5,967
Ve ntilabon 877
Zone 1
1,7991 5,090
1 -Great Room Dinning 2601 1,326
2 -Foyer / Bath / Stairs / Kitchen
4561 906
3 -Master Bedroom / 1/2 Of Bed 2 320; 632
4 -Bed 3 / Closets / Master Bath 3801 1,185
5 -2nd Floor Bath / Stairs / Nledt Rio / Bed
3831 1,041
Sen Sys
Ht
wi
3,666i 9,6331 42,161
3,6661 9,6331 42,161
3,6661 4,543i 5,598
01 5,0901 36,563
01 1,326 10,404
01 906: 13,452
-
•
0: 632 3,3841
0' 1,1851 5,537 i-0
0 1,041. 3,784
Sys Sys
Duct
Gig Act
--CFM GFTvl
489 238 489
238 489 8x12
238 489 8x12
62. 139: 2--5
42 1802 2-6
30 451 1-4
56 74 1-5
._.........
49 51 1-4
C:lrhvac projectslLENNAR - COLONIAL ROW - MADISON-HAYFIELD.rh9 Tuesday, August 07, 2012, 6:53 AM
- --
Lonna,:HAYFIELD Glazrn - _ _ ....---- - - _.._
'11P: Door -Metal - Polyurethane Core 40.8 982 0 2$4 284
12F-Osw: Wall -Frame, R-21 insulation in 2 x 6 stud 1129.5 6,092 0 976 976
cavity, no board insulation, siding finish, wood studs
16CR-44: Roof/Ceiling-Under Attic with Insulation on Attic 1083.2 1,978 0 906 906
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-1Opm-t: Floor -Slab on grade, Horizontal board 91 8,369
insulation extends 4' under slab, tile covering, R-10
insulation, passive, heavy dry or light wet soil
Lennar TH-c: Floor-
Subtotals for structure:
People:
Equipment:
Lighting:
Ductwork:
Infiltration: Winter CFM: 0, Summer CFM: 0
Ventilation: Winter CFM: 158, Summer CFM: 158
Exhaust: Winter CFM: 158, Summer CFM: 158
Total Building Load Totals:
7A
Total Building Supply CFM:
Square ft. of Room Area:
Volume (ft') of Cond. Space:
's'9j yF�3_
380
946
0
0
91
91
22,192 0 5,090 5,090
0 0 0 0
0 0 0
0 0 0
14,371 0 0 0
0 0 0 0
5,598 3,666 877 4,543
42,161
3,666
489
1,799
14,849
Total Heating Required Including Ventilation Air:
Total Sensible Gain:
Total Latent Gain:
Total Cooling Required Including Ventilation Air:
CFM Per Square ft.:
Square ft. Per Ton:
42,161 Btuh
5,967 Btuh
3,666 Btuh
9,633 Btuh
5,967
0.272
2,241
a�.
42.161 MBH
62 %
38 %
0.80 Tons (Based On Sensible + Latent)
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manua! J 8th Edition, Version 2, and ACCA Manual D.
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 according to the manufacturer's performance data at
your design conditions.
C:Irhvac projects\LENNAR - COLONIAL ROW - MADISON-HAYFIELD.rh9
Tuesday, August 07, 2012, 6:53 AM
PROPERTY LEGAL:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
I— i -3J Zk e..k A1:cAIs R,'igt 4 Add
DATE OF SURVEY: —2/ Z3%/Z,
LATEST REVISION:
c
R
.c
0
Ois-
z Q DOCUMENT STANDARDS
0 0 • Registered Land Surveyor signature and company
0 0 • Building Permit Applicant
A 0 0 • Legal description
2 ❑ ❑ • Address
P 0 0 • North arrow and scale
p 0
0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
/9 0 0 • Directional drainage arrows with slope/gradient %
0
0 • Proposed/existing sewer and water services & invert elevation
9 ❑ 0 • Street name
;f 0 0 • Driveway (grade & width - in R/W and back of curb, 22' max.)
2 0 0 • Lot Square Footage
,El 0 0 • Lot Coverage
ELEVATIONS
Existing
--E+ 0 0 • Property corners
r0' 0 0 • Top of curb at the driveway and property line extensions
O .E 0 • Elevations of any existing adjacent homes
.g' 0 0 • Adequate footing depth of structures due to adjacent utility trenches
O . 0 • Waterways (pond, stream, etc.)
Proposed
..„12' 0 0 • Garage floor
O g 0 • Basement floor
7 0 0 • Lowest exposed elevation (walkout/window)
,B' 0 0 • Property corners
0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
O )1 0 • Easement line
O ,0' ❑ • NWL
O /2' D • HWL
O 0 • Pond # designation
O , 0 • Emergency Overflow Elevation
O g 0 • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
1 0 0 • Lot lines/Bearings & dimensions
Y❑ 0 • Right-of-way and street width (to back of curb)
' �0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
0 0 • Show all easements of record and any City utilities within those easements
,ja' D 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
.9' 0 0 • Retaining wall requirements:
Reviewed By: Date ��/DA.
G:/FORMS/Building Permit Application Rev. 11-26-04
Surveyor's Certificate It'L;-1
eaAre_ e_0().6-, 61,
SURVEY FOR :Lennar
DESCRIBED AS :Lots 1-3, Block 7, NICOLS RIDGE 4TH, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
' t 1 SlcpeS
g Wall Will
ad
29.2x
0
0
0
0
0
O)
0
830.7
0
PROPOSED ELEVATIONS
Top of Foundation = 831.9
Garage Floor = 831.5
Basement Floor = n/a
Aprox. Sewer Service = Verify
Proposed Elev. = n
Existing Elev. —
Drainage Directions —
Denotes Offset Stake = •
58.00 S83°30'00'
SCALE: 1 inch = 30 feet
► � � Lfsi+J1vLL1uNG OLP(.
BENCHMARK,
Front Offsets
MIN. SETBACK REQUIREMENTS
Front —
Rear —
House Side —
Garage Side —
HEDLUND
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 _ HOWN.
DATE _7 / 23/12
ORtDO.
. LINDGREN, LAND 2VEY0R
NESOTA LICENSE NUMBS 4376
JOB NO:
12R-096
BOOK:
PAGE:
CAD FILE:
Nicols Ridge 4th
City of Cagan
Address: 3989 Cedar Grove Lane Zip: 55123 Permit #: 10621E
The following items were / were not completed at the Final Inspection on: all 4//5
Complete
Incomplete
Comments
Final grade - 6" from siding
Permanent steps — Garage
✓
Permanent steps — Main Entry
V.
Permanent Driveway
Permanent Gas
Retaining Wall or 3:1 Max Slope
✓
Sod / Seeded Lawn
✓'
Trail / Curb Damage
f
Porch
.7-77
lit - .A.---
Lower Level Finish,----
�—.
Deck
�----"
�--�
Fireplace
f
• 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.
• Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing
irrigation system.
Building Inspector: /v( LG40 41.4X___..
an
G:\Building Inspections\F
ISMS\Checklists
Cllyof Eaall
3330 Pilot Knob Road
Eagan MN 53122
Phone: 051) 075-5875
Fax: (651) 675=5694
Use BLUE or BLACK Ink
•rmWW +fans
Permit It 1 VM3
Permit Fee:
Date Received:
�
Staff:
J
2011 RESIDENTIAL PLUMBING PERM T APPLICATION
Date:4ll
S"� O'-
—� i� \' 1� Site Ad nee: � 1 D � ��e-p�,p�/�J�_Y`�V'C �' �'� ��
Tenant:
RESIDENT OWNER
Name:
CONTRACTOR
Sults:
L°1 a5t) —4;1)914—
Addroes/City/Zip: )141/f _ 61N
Nance:.MILBERT COMPANY INC.dba CULLIGYAN WA
Address: 1801 50Th ST EASTCity, .:1N' ER GROVE4IG7S
•
State: • MN • zip: 5S0??* Phone' • 65.1.[..4S1`.2241 •
Contact BILL,MILB ?I`•I , Email:
TYPE OF WORK
New _,_Replacement Repair _ Rebuild Modsfy Space _ Work k .R.O.W.
escrtptton of Work:,
PERMIT TYPE REIDENTIAL•
• • • . Water Heater
• Lawn Intgatign L RPZ /_ PVB)
_�• Septic Systetn •
. _Abandonrnent
7ZWater Softener
Add Plumbing Fixtures L_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
•
$55.00 Mlnimum,Water Hdater, Water Softener, or Water Heater Inst Softener (Includes 55.00 State Surcharge) •
$35.00,Lawn Irrigation (lnclddes 55.00 State Surcharge)
$55.00 Add Plumbing FIxtules, Septic System Abandonment Water Turnaround" (Includes 55.00 State Surcharge)
'Water Turnaround (4:15166.00 Ka 5/8* meter is required) • •
5105.00 Septic System M.2:1
4t ($10.00 per as bum) (Includes County fes incl 55.00 Stats Surcharge)
585.00 Flre Repair (replace bumep out appliances, ductwork, etc.) (Includes 55.00 State Surcharge)
1 TOTAL FEES $
CALL BEFORE YOU D16. Call Gopher State One Cao at (651) 454-0002 for protpctton against underground utIllty damag..
Call 48 hours before you fnten l to dig to redetvd locates of underground Wades: www.00aheratateonetxti.ot2
I hereby acknowledge that trill kRirmadon le complete and accurate: tog the we*** be In conformenes with the ordinances and oche el the City d
Eagan; that I uneentend this h nota permit, but eny'an appflci len'far a permit, and work h rlQt without a parmif: that the work will be ki
accordance wI the op la n In Mr d work which requires ■,mNew and
x Natoli,/ -art-71—
'Applicant's
Printed Name
• I plc
Applicant's
Ignature
Cayo[bin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (WI) 875-8676
Fax: (88i) 6755694
Use BLUE or BLACK Ink
For Office Use
� r j
Permit !t_ A' I l
Permit Fee: ,�1a/,4�
Date Received:d (L'
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? /41/9 site Address: 39(7, 3q.��i / 'IV unit #:
Resident/
Owner ..
Name: /(/,' d 7< 1 s ell/ Ou/4ABiv,e5 Phone: 763 -aa - °irD
Address / City / Dp: 307 7 (. e l CEJ to Gr , L-( 1 (
Applicant is: Owner A_ Contractor
Type of work
Contractor
Description of work: lJ e 4® F
Construction Cost 10 / a 0 o Multi -Family Building: (Yes,a__/ No )
Company: 51‘1,0 �i �� �� m ' �o� / Contact 15)r se,it jft y,/ e/
Address: %4%2a,5 ew,jg `s►a I
.1 �2 �C ✓4 City %��� �t to i/.'//� r!�
Stabs: 4741 _ Zip: 5:(3 0 6 Phone:�� a� — 20 6 -~ 1 2 7 6 / /77°
License # BC .„6 5 7/rte Lead Cerbflcate s:
If the project Is exempt from lead certificatiion, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL DING
In the last 12 months, has the City of Eagan issued a peen* 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 downtowns that you submit we considered to be public ation. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the Cfty to
conclude that they aro trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (851)454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecail.orq
I hereby acknowledge that this Information Is complete and accurate; that the work well be In confomrance 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 worts witch requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Sulldi .- plated within 180
days of permit Issuance.
avi
ApplicanrPrinted Name �.