4463 Woodgate Ct - Zoning Permit
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Permit
City of Ea
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Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: 0
Phone: (651) 675-5675
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Fax: (651) 675-5694 I Staff:
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:..'
Resident/
Owner Address/ City/ Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: ! Multi-Family Building: (Yes / No )
Company: Contact: _AAAJ~ Contractor Address: City: Qr
State: ` Zip: Phone:
License e 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 & Water Contractor: Phone:
NOTE: Plans and supporting documents that you 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 they 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.gopherstateonecall.ora I
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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 Wthout 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. f
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Applican`t's Printed Nam Applicant's Signature
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