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1778 Bluestone Dr E. . . . ? .'N ?. . . . ?ITY O! r EAGAN . . . 3795 Piot Kerob R+oad Eagain, MN 55122 It - ?? PH": 454-8100 BUILDING PERNAtT ReceiQt To beused for ? PAtiODe?Ck Est. Vclue 18(3n•o(1 dqft 2,,I?0j 8(} j .¦ ??w...ile?o.? ?r ; i Site Address 177$ E. 31Ueo-vC?rie Erect , . ?, C>ccuparscy Lot ir Block 9 Sec/sub. ''?'dar Grove z`7 Alter p Zaning 21. Parcel # RepAir ? Fire Zane ZTI. Enlarge t7 Type of Canffit. W Name r'eT'8.1.c3 SCh7qi'?Z Move Q # St+ories II? , 3 Address 'am Demolish ? Front ,ma ft. ' ` o Ci ';8gwn, ?- Phone 425-4560 Grode p t? epth ? Nome P&t3.o Vi113'r7e /tppmrata Ir?us= . 5 ?O o Address?l , v",(eS'? /-?c? ,.c'itZ'eet ?i Assessm?nt . ?'+amiit, ? ug ..L.1I18 :. 926-217171 - Woter & Sew. Pltione Cit Police Plan tMock Ti9 E W Plame Fire SAC 2'1£t ?z Address Eng. Water Cem, • 11$ .? ¢'Z " Cit Phone Plunrter 1A?? ? Councit I hereby acknowiedge that 1 have read this opplicatic>n o state that ' gld9. Off. 23..9180 the information is.correct and ugree to comply' o icable APC fic#+a1 i ?i State of Minnescrta 5totutes a++•+ ±.;-f?FUgSin s ' l?J . .. ' . .i Signature of Permittee T'a tio Village A Building Permit is issued to: ' tsn 1'ke e all wark shall be done in rsceordcrnce witM all appliq;;bte: 5tote of Minnesota SYCttfts Ord oty af 6Var?"i? B ildi Offi i i u ng c o 5 I _. .. . 0. , . ti.. . . .s?..,??v.? " r.mit # oaft holed ?«mmo» Plumbing Mechonicol INSPECTIONS D^TE INSP. licsupM-In Firns1 Footings . Q Date InsP. Date hv4x Found4tion P1umb€rtg Frame/ins. - Mechonicai Final Remarks: ? ?.757 .7-77-- Crr( #F EAGAN 8745 Pidat Kuab Reard Eugan, iM{14 SIM$ ? 54" ? PHOWt 484-8100 ; Bun.crNG"' Recetpf 2& ?.st? W?. To be used it?r 9 S C? ., ? Est. Vatue $00• Dgte 11"-28 19 7$ Acf Site ress ?. ?i E. T3?.L?E? ?i?e I?]C. •? ?? Erect ? ? Qccuponey Lot Block Sec Sub. Alter ? rZoning ' Parcel # I-? 16600 ?0{? ?J? ? Repair ' ? Fire ZEx?e , :'1?? a?C?'tfiL'? Enlor9e ? TyPe of Const. ` . ; W ?? '' Move ? # Stories Z _771 F`. ?.t1E` Stcm- ?'. 3 AddreSS Derrrolisfi ? Front ft. ? p C' . ? Phone . 5 " r Grade [] Death ft. ? ? Name a C7 VLUacje App*orols ?rt o' Address ` co TI, ?? 17i ;{"t• Assessment Peranit ' ' - Ci Phone 92?Z??'. Water & Sew. Surdarge? ? Police Pion choek , W Nome . Fire SAC ?? Address Er?. Watar Conn. d' Ci Rhone z" Planner Watsr Mster Council I hereby ncknowledge thot I hcaVe rejsd this application and sfote that 61dg. Off. 6 50 the information is c rect ahd a e to comply with o11 applicable . State of Minnesota S ...ef :Eagan rdinances. . PC Totai ' Signature of Permitt"' ' ? A Buildin Permit is issued ??' ?9 on the expme corndiCiort that oll work sholl be done in oecordance wiZ41 _04 a i?bl?state of Minnesota Stcttsit?es e?+d City af Eag?on ?e?s. ? ? Building Offitial ; ? __. _ . .. , _....?..,._.._ , .. ,..;a? P+esnsit # p+N !mai PaMifT" Plumbing Mechonecal iNSPECTIONS DATE INSP• RuugR-in Riexal Footings Dcte , Insp. Dafie Ir"P. - Foundatior+ p{umbirg Frame/ins. Mectuaniovl Final f Remorks: CITY OF EAGAN Remarks Addition CEDAR GR.?VE #7 Lot 10 Bik 9 Parcel Il 00 100 09 Owner6??iV1? a. A"dyts' L. S'+?+?Street 1778 E. BlueStone Drive StateBWA?1, rIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 5;` 197 ?"j8. 8 2.08 2 Paid • SEWER LATERAL 1971 20 WATERMAIN • WATER LATERAL WATER AREA yt STORM SEW TRK 97 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3396 4-6-7 BUfLDING PER. SAC 200.00 4-6-71 PARK CITY OF EAGAN 3795 Pilot Knob Rood Eagun, MN 55122 N2 5615 ? PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 'ro be used for Patio Deck Est. Value 1$00.00 Date 2/20/ , tq 80 Site Address 177$ E. Bluestone Erect [1? Occupancy R3 Lot 10 Block 9 Sec/Sub. Cedar Grove #7 Aiter ? Zoning Ri Parce1 # Repoir ? Fire Zone TTT Enlarge ? Type of Const. v W Name Gerald Schmitz ?Ve p # Stories Ila 3 Address Same Demolish ? Front na ft. ? Ci Eagan' MN Phone 425-4560 Grade ? Depth na ft. p Name Patio Village APP.ovals Fees ?? Address`?91gaWest Li.9Z Street _ ~ Ci Phone Name Address I hereby ocknowledge that I have read this appiication an state that the informotion is correct ond a ee to comply a licable State of Minnesota Statut s a og di es , Signcture of Permittee . ? Assessment Water & Sew. Police Fire Eng. Pfanner Councii BIdg.Off. 2 1 80 APC Permit 7. vv SurcFwrge 1.00 Plan check na SAC na Wcter Conn. ria Water Meter ria Total 10 . 00 A Building Permit is issued to; Patio Vllla 2 on the express condition that all work sholl be done in acwrdonceJwith ull app' le State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sEts of plans, M ~ - 1 site plan w/elevations & BUILDING PERfviIT APPLICATION l set of energy calculations. Zb Be Used For Valuation Date t???'? r Site Address 3 F s L Lot Bloak ? Sec. /Sub. Parcel #: Owner : Address : T City/Zip Code • ?WG 1qj Phone # : Contractor: 3'/Wo Address: 737(r?,? City/Zip Code: Phone # : - 2 7 7 ( Arc11./Eng. . Address: City/Zip Code: Phone #: / OFFICE USE ONLY Erect 'v occupancy Alter Zoning Repair Fire Zone Enlarge Type of Const. Nbve # Stories h_.. Den?olish Front n ft. Grade Depth hook ft. APPROVAIS FEES _ --- Assessmexits Permit Taater/Sewer . Sureharge ) Police Plari Check Fire SAC Eng. Water Conn. -y? Planner Water Meter ,i/a'! Council Road Unit A/A Bldg. Off:1,! -4' APC TOTAL . ?. ? TOGJN OF EAGAN 3795 Pilot I:nob P.oad St. Paul, Minn. 55111 PERMIT Pdd, lfll The Board of Supervisors hereby grants toCltdar Grrottt Cvnsttuctioa ca- o? ?anco,.d BW E. o.:th St_ Pgy. 55073 a PL iNC Perma.t for: (Owner) :s at 1778 E. B?uatat0ne, 1835 and 1847 Rarcenita Tzail, 1787 E. glu"tots, 1795 CarntliAtA and , pursuant to application dated 1856 TaconiLs Trsil. J0-0; 16-1, 13-1, 19-8, 19-9„ an+d 2•2 oi CG #7 A&=11 -1----1-271 Fee Paid: 120,00 Dated this ??tIL,,.day of Uril , 197_L. Building Inspector c'• !s, . .W ; TOGJN OF EAGAN 3795 Pilot Kiiob Road 5t. Paul, Minn. 55111 PEPMIT N0. 96 The Board of Supervisors hereby grants to C4dar ftaye CMtrnctit>n _._l;o. of a ?gg,aXM I'ermit for: (bwner) Ong at 1778 L. Bluastoas, 1835 aad 1847 Tacsnite Traii, 1287 E. Blueatone&„ 1795 Qj;g1,jjkn jUNL_, pursuant to applicaCion dated 1$56 TiCOAite 'C'rJllil• 10-9. 16??t 13•1t 14?8# 19-9# #1Qd 2•2 of CG #7 April l,_i271 Fee Paid; $12000 Dated this 6th day of A,p,r11 , 197_?. Building Inspector -J ,,..,. . CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHON6: 454-8100 BUILDING PERMIT APPLICATION Re lace existing wind? To be used forW S11C?].ri? C7.OOY' Est. olue $00. Site Address 1778 E. BlU2 St:Ori2 DT. Lot 10 Block 9 Sec/Sub. OG 7 Parcel # 11 16600 100 09 cc Name Blll SC17Ti1.1tZ z Address 1778 E. Biue Stone Dr. o ,,,- Eagan 452-7534 lm Neme Patio V].lldg2 il?- Address 3918 W. 49 1/2 St. I- r:... Ed]_Tla pL,,,.,e 926-277I Name _ Address I hereby acknowledge that I the information is cQrrect State of Minnesota St?uo this application and state that to comply with nll applicable _DVtaaan ,Qrdinonces. N2 5068 ? ?. Receipt # Date 11-7$ _-, 19-7$__ Erect ? Occupancy I Alter 0 Zoning Rl Repcir ? Fire Zone Enlarge ? v Type of Const. Move ? # Stories Demolish [] Front ft• Grade ? Depth ft. Approvols Fees Assessment Permit 6•00 _ Water & Sew. Surcharge • 50 Police Plan check Fire SAC Eng. Water Conn. Plonner Water Meter Councii Off Bld . g. . APC ratal Signoture of Permitt e9/ `-- ? A Building Permit is issued ?O 1111 on the express condition that ull work shall be done in •rdante bi tate of Minnesota Stotutes and City of Eagan Ordinances. Buiiding Officiol -?-J?' ? ? ? .- ?- DATE BUILDING PERMIT APPLICATION Inclhde 2 sets of plans, l site plan w/e,,llefvations and 1 set of energy calcuations. i4- L.A.E: i(= ? S c ? i.l<:.j W+rl? D",r-? ? o e? To be used for vj f S L„ D o ac, Valuation 8v? Site Address: Lot Block Sec./Sub. I (:? (i C C-.. -7 Parcel Number Owner ?i IA. Telephone ? Address _ / 77 --)Lvia J? l.?i? ???L , Contractor Lk ? 1L.L1? '' ? Telephone ..? 7'7 ? Address ?? j A ?,,J , 49 Arch/Eng. Address Erect Telephone OFFICE USE ONLY Alter Repair Enlarge Move Demolish Grade Date of Approval and Initial Assessment Water/Sewer Police Fire Engineer Planner Council ' Bldg. Off. A.P.C. Occupancy .i? Zoning - Fire Zone Type of Const. # of Stories Front Depth Fees ?. Permit Surcharge ? Plan Check SAC Water Connection Water Meter TOTAL 1999 BUILDING PERMIT APPLICATlON (RE51DENTtAL) CITY OP EAGAN 3830 PILOT KNOB RD - 55122 c? 651-681-4675 New Construction Rec1u1cements ? 3 registered sffe surveys showing sq. ft. of lot, sq. ff. of house and all roofed areas (20% maximum lot coverove aliowed) ? 2 copies of plans show beam & window sizes; poured ind. design; etc.) ? t set of energy aiculations ? 3 copies of h prese ion plan if lot platFed qfter 711 /93 DATE: I? DESCRIPTION OF WORK: ?t?- S' ._y STREET ADDRESS: LOT: A V BLOCK: . ?1_ SUBD./P.I.D. #: Remodel/Repair Reauirements 2 copies of plan 1 set of energy calculctions for heated addffions 1 sffe survey for exterior additions 8 decks 7'LLLA . ot. Ov CO TRUCTION COST: ? ?t?? ? Name: ? ?z.n.? Phone #: c PROPERTY last Pirst OWNER Street Address: ?A1711 City State: Zip: Company: Phone #: (area code) CONTRACTOR !5A,7,1 e,,::- Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Compcny: Name: Telephone #: area code ( ) Street Addresr. Registration #: City State• Zip: Sewer 8 water licensed piumber (reauired for new construction onlv): PenaHy app!(es when oddress change andJot change is reques#ed once permit is issued. i hereby acknowledge that I have read this appiication, state that the information i ? State of Minnesota Statutes and City of Eagan Ordinances. x-, Signoture of AppH l OF FICE USE Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No Not Required to comply with all applicabl BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 13 02 SF Dweiling ? 07 5-p{ex ? 03 1 of _ plex ? 08 6-plex ? 04 2-plex E3 09 7-plex ? 05 3-plex d 10 8-plex OFF{CE USE ONLY ? 11 10-plex 0 16 Fireplace ? 12 12-pfex ? 17 Garage ? 13 16-plex ? 18 Deck ? 14 Apartments ? 19 Lower Level ? 15 Lodging ? 20 Poo{ ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea. ? 23 Porch (screened) ? 24 Storm Damage ? 25 Misceifaneous WORK TYPE 13 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bfdg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handou t to applicant for demolition permit GENERAL tNFORMATlON Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. Na of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies TotaL• SAC Units % SAC ? EAGAN TOWNSHIP BUILDING PERMIT lq°• 2411 Owner .-•. . ..... -?!__.?::__.._••-........... -• Eagan Township Address (presen!) ........... 4dz ....................................................... Town Hall Builder ........•••••-••-•-•---•--••---••--• ................•-•--•---•---------••--•---•-•--• •--••-•-•-• -3?* 171 Date ........................... ...••--••-••--..:•--. Address .._....-•--•---•-•--•--•._...__..__.•-•...........••-••-•--••-••--•-._._._...-•-._.....•--•--• DESCRIPTION Siories To Be Used For Fron! Depth Height Est. Cost ' Permi! Fee Remarks LOCATION Sireet, Road or other DescripYion of Location I Loi_.._,? 81ock I Addition or Trac! 0 This permit does not suihorize the use of streets, roads, alleya or sidewalks nor does it give the ovirner or his agent !he righ! !o create any situation which is a nuisance or which p:esen2s a haaard to the health, safety, convenience and general weifare !o anyone in !he communi2y. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGREIS This is io certify, lhat__....has permission io erect A__. ............. .......... ....?...._....-------- _upon the above described premise subject to !he provisions of the Building Ordinance for Eagan ownship adopted April 11, 1955. . ........................................ Per .............. -........................... . •-•••••--- ••-• - .-°-----...•--•- --•••-• - of Tnwn Board Buildin.:Q .. Ins.... pector.......---•-•••----•---......_... Chai man ?-4 ?? MASTER CARaD ? LOCATION OWNER STRUCTURE AND ?? ? LAND USED AS 7 Permit No. Issued Issued To Contractor I Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK V'?ELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ' OTHER . OTHER ? ? Items Approved (Initial) Date Remarks Distance From Well FGOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PWMBING WELL SANITARY SEWER 4* ? Viofations Noted on Back COMMENTS: r? 04` COMPLIANCE INSPECTION REPORTS " TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS ? PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. F-I COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL ITEMIZED AND DESCRIBED AS FOLLOWS: is ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions oL-served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. 7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: DATE 23 41 %%. EAGAN TOWNSHIP 3795 Pilot Knob Road SC. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date• April l, 1971 Billing Name: Cedar Grove Const. Co L Owner: Same Plumber: Stein, Inc. Number: 10-9-7 Site Address; 1778 F_,u1„P-qj,-n„a a-r4l,7o Billing Fddress 7343 Concord Blvd. E. out t. Paul, Minn. 55075 tion of Connection Meter Siz e_ Connection Chg.26oy oo.pd 4/6/71 Meter No. lPermit Fee 10.00 pd 4/6/71 Meter Reading ,Meter Dep. Meter Sealed: Yes- 1 Add'1 Chg. NO iTotal Chg. Building is a: Residence xxx t'Iultiple R'o. Units Commercia 1 Industrial flther Inspected by Date Remarks; Sy: Chief InspecCor In coasideration of the issue and delivery to me of the above permit, I hereby agree to do ttm proposed work in accordance with the rules aad regulations of Eagaa Township, Dakota County, MinnesoCa. By; CEDAR GROVE CONSTRUCTION COMPANY Please notify the above office when ready for inspection and connect3.on. At ?11 EAGAN TOtJNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:April 1, 1971 _._.._..`..r........_ OWNEF.: Cedar Grove Const. Co. TYPE OF PIPE Cast Iron (Lot 10, Block 9, Cedar Grove #7) Address 1778 E. Bluestone Drive PLI?MBER S t e in , In c. D ESCRIPTION OF BUILD ING . Industrial Commercial Residential Multiple Dwelling No. of uniCs xxx Location of Connections: NUMBER 0 718 Connection Charge 200.00 pd 4/6/71 Permit Fee 10.00 pd 4/6/71 Street Repairs Tota 1 Inspected by: DaCe Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed wortt in accordaace with the ruies ancl regulations of Eagan Township, Dakota-County, Minnesota By CEDAR GROVE CONSTRUCTION COMPANY Please noCify when resdy for inspection and connecCion and before any poreion of the work is covered. Jun 23 08 01:19p Kathy 4110? City of Eaian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 952-492-6828 p.2 ------------ ? For OlfiCe Use ^. - !. -` E ? ? Permit#_ E ?I ? Permit Fee: j Date Received: ? ? d f Staft: 1 I I ?--w---r-.----....---rJ 200$ RESIDENT1AL BUILDtNG PERMiT aPPLiCaTIoN date: Site Addrass• Tenant: ? e-('?[ -S_.., Suite RESIDENT / OWNER Name: Cclrn?s Phone: Address ! City / Zip: ? ? 7'?? ?1(' t Applicant is: Ovrrner _2!?'Con#ractoc TYPE OF WQRK qescription of work: f`? e, -F, () 6_? Construction Gost: L0 Multi-Family Buildirxg: (Yes / No CONTRACTOR '? C ? Name: 1 ? ? Licertse #: 30 Address: --A(1050 VV abd & City: `J 0 rde, n State: I+ ? Zip: Phone: ?? ?? 1??' 3Conlact Person: 1 1 t?? K retJrjQ't''r COMPLETE THIS AREA QNLY IF COAISTRUCTEMG A NEW BUILDING _ Minnesoia Rules 7670 Categorv 1 Minnesota Rufes 7672 Energy COde • Residerrtial Ven6lation Category 1 Wor[csheet ~* Plew Energy Gode Warksheet CSfegOP'yI 5ubrriitted Submitted (4 submission type) • Energy Envelape Calculatians Submitted In ihe last 12 months, has the City of Eagan issued a permit far a similar plan based on a masler plan? _Yes `No If yes, date and address of master plan: Licensed Plumber• Phpne- AAechanical Contractor: phane• Sewer & Waber Contractor: Phone• NOTE: Plans and supportfng dacuments that you submlt are considared tn he puWfc Jnformaifon. Portions of the infcrmativn rnay be ctassified as norr--pwwblic if you provide specific reasons that would pamift the Clty to conclude that the are trade secrefs. i hereby aCknowledge that this irltarmation is complete and aocurate; that the urork will be in corrformance with the ordnances and cades of the Ciry of Eagan; ihat f understand this is not a permit, but only an appbcation for a permit, and work is not to start wiihout a permit; that the woris wilf be in accordanee with the approved plan in the case of work which requires a review and approval of plan5. x ??G1? ?ef) AppficanYs Printed Mame x ,Applicant's Sigrature Page I of 3 Use BLUE or BLACK Ink r For Office Use C 1 Permit City of EaRo~an I » _as-; 1 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M F._...._..-_.....-. 0 Name: ! C-~ Resident/ F C-f k 1 c Phone: foy~' Owner Address /City /Zip: _ ~p Ccf~ X77 Applicant is: Owner ) Contractor Description of work: Type of Work Construction Cost: 6(10 °a Multi-Family Building: (Yes / No Company: 2-eEiGeAh-a.C Contact: (I& r_a_ ~~«5~-►~ Address: A Q V0 V, xtYl_d /1°tys ~Q City: 1 Contractor II ? State: r Zip: -3 Phone: Yl - W,6 - /3 5? /y C /C ± License 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 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.clopherstateonecall.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 Stat ding Code must be completed within 180 days of p rmit issuance. x -e SY) 661- x Applicant's Printed Name Appl' an ' Signature Page 1 of 3 I I