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1842 Carnelian Lane
CITY OF EAGAN 10573 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING rERMIT Receipt # To M wed ier f; C' I, Est. Val ue , V U: Dcte •. 19T Site Ad ess Erect ? Occupsncy Lot Block ec/Sub Remodel ? Zoning . Repair ? Type of Const. Parcel No. Addition ? No. Storiea Name Move li D h ? ? Length ? emo s Depth Address Int Impr. ? Sq. Ft. City Phone 4 5 4 ? 4 ?? 1 ?1 Install ? Apo?o vals Fees Z5 Nsme uu Address ?- City Phone Neme _ Address City Phone I hereby acknowlsdQs that I haw rood fhis opplicotion and srote that tF?e iniormotion is torrect and ogree to comply with all cpplicCble State of Minnesoro Stotutas and Ciry of Eoqon Ordinonus. Assessment Water 3 Sew. PoliCt Fin Eng• Planner Councl I eld9. off. 7' 9/ b?; APC Var. Dste Permit tS U . IIU Surcharge 1i - (10 Plan Review SAC Water Conn. Water Meter Road Unlt Tr. PI. Parks Siqnotum of Pertniftee I Copies Total - '? - :; Li A Buildlnq Permit Is Iuuod fo: ?. i ;'- -,)O on tho exproas oondition Iho+ all wark shnll be dona in acoordonu with oll oppliwbl• Stote of Minnesota Statutes ond City of Eapon Ordinonces. 9uildinp Offltiol PKmit No. Pwmh Holdw 01b TeNphone • Plumbfnq H.VA.C. Electric .jG- C, 1 Sottener InWection Date Insp. Other Footinps 1 Foodnpsll Fou ndatfon Frsminp Rooffny Rough Plbp. Rough Htg. ? . Insul. Finplaw Ffnal Htp. Flnal Plby. Final Cart/Occ. Wetsr asaibe Locnion: Wsll Sewer Pr. Diap. CITY OF EAGAN Remarks Addition CEDAR.GROVE #7 l.ot 5 131k 4 Parcel 10 16706 050 04 Owner "- ' ? Street 1842 Cazxielian Lane State Ed43I1. MN 55122 2sN-rL ?? -/ Improvement Date Amouni Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK S 1970 58.18 2.08 28 PSiCZ * SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL L 1971 1,615.00 80.75 20 Paid WATER AREA * STORM SEW TRK 1971 20 S70RM SEW LAT CURB & GUTTER SIDEWALK STAEET LIGHT WATER CONN. 260.00 3779 6-30-71 BUILDING PER. SAC 200.00 3779 6-140-71 PARK 7his renuest voia 18 months fmm J O ? W 1 7 Z 7 3 L ? ??????- _3v.UO Reqoe.st Uate //,,,/? Fire No. Rough-in Inspection ReqwreA? ?Reatly Now ? WiII Notity L'spec- 8 / ! ? Yes ?NO lor When ReadY LicenSE(1 EI¢CViC01 CoillrBC10! I Ilefeby IBquest inspactioll 01 abOVo Owncr electricel work installed ot Street Atldress, Box or Foute No. - ? 8/,(a N? ?/I H t.H Ciry Ert-A? ecLOn o. Township Name ur Na Fanpe No. County Occupant (Pfi1NT LoJV Phone Nn. 7Zo Power SuOPlier Addres+ Elecvicrl ConVac[or ICOmpanY Namel ? c Go 1 ? ? F` Contrar.tor's License No. 9 ?U ? a / Mailin?yAdJress (COnv I o?r7or Owner Making Installationl ?/f / ? / ?" O /\ / Authorizetl Signa re IConv tor Owner inp Ins[allationl Phone Nu iber13Z 6?6 - -- MINNESOTA STATE BOAflO OF ELECTRICITY a Griggs-Midwey Bltlg. - Room N.791 1821 University Ava.. St Peul, MN 55104 Phone 16121 291-2111 TMIS INSPECTION REQVEST WILL NOT BE ACCEPTEO BY THE STATE BOARD UNLESS PflOPEfl INSPECTION FEE IS ENCLOSED. ???j ?j ? ? REQUEST FOR ELECTRICAL iNSPECTION EB-00001-03 w. B? ??, See instructions for completing this form on back o1 Vellow copy. Xelnweork Covered by This Reques#* New Add Rep. Typo Of BuildinB Applipncns Wired Equipment WirBtl Home Range Tempwrary Service Duplex Water Heater Liyhting FixTUres Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fyfm ffier Specify Lher ISVecityl t er SPecity Othnr plhar Compute lnspection Fee Below K Fee Service Entrence Size # Fee Feeders/Subfoetlers N Fee Circuits () to700Am s 0 to30Amps 0 to30Am 101 to 200 qmps 31 to 100 Amps 31 to 700 Am s Ahove 200 qm s Above 100-Am7s Abuve 100_AmPy 7ransrormers Remote Control Circ. Partial%Other Fee Siqns Special Inspection S TOT ^ Remarks ?/?.n /A?[?i N, AnL_. O AL FE ,\ /2n`.n[i J ? i• -' . ... ? .?_ tha Eloctric?l Inspector, hareby yeftily that lha nbove Final • ?! ? O?ue ns0ection has been i _ V??? made. months fiom TOWN OF EAGAN -- 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. 161 The Board of Supervisors hereby grants to Cedar Gzoce_Ggnstruction Go. of 7343 Goncord B2vd, E, So St. Paul 55075 a PLUMBING Permit for; (Owner) Cedar Gxove Construction Co. at 74? pursuant to application dated 9/]9/7] Fee Paid: $160.00 Dated this 20th_ day of eo emhe,r 197 1. 8.00 s/c Suilding Inspector 7 s- ?- 7 ?. ? • TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0, 151 1 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 1343 Conc rd BLvd E So St Paui btinn 55075 a HEATING Permit for: (Owner) Cedat Grove Construction Co. 4T 5-10, 29-10 9-49 28-91 17-19 28-5 at 7_10 CG 07 , pursuant to application dated 9/17/71 Fee Paid: $160,00 Dated this 20th day of September , 197 1, 4,00 s/c ! Building Inspector ? Rg SIDENTIAL (? BUILDING PERMIT APPLICATION ?J CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881•4675 New Construction Raouiremenb RamodellReoair Raauiremenls • 3 registered sile surveys showing sq. ft. of lol, sq. R. of house; and all roofed a2as • 2 copies of plan ?20°k maximum lot coverage allowed) . 1 set af Energy Calculations for heated addiGons • 2 copies of plan shmring heam 8 window sizes; poured found design, etc.) . 1 site survey for aclenar addNOns & decks • t set of Energy Calculafions . Indicate if home served hy septic system for addiGons • 3 copies of Tree Preservation Plan 'rf lot platted after 711/93 . Rim Joist Deuil ODtions selection sheet (hldgs wiN 3 or less unils) DATE Ul'+vv VALUATION W ?1vCU ? SITE ADDRESS / 8 y a(IY'?1 ?e('atn L.ln . MULTI-PAMILY BLDG _ Y ?N TYPE OF WORK ?1 C?? n.q FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 1-4 15 C,TYIL • STREETADDRESS iaay-7- AkcE,/(a CITY ?lrv'asv.`(?STATEZIP ?S ?3 ? TELEPHONE #?¢Sa???-69f9 CELL PHONE # FAX #(q5:R)SD$ - S$ t16, PROPERTYOWNER Lar'"% 4'4.1? Savc_ TELEPHONE#C6sf?YS'!- "I?o? ?-' COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SO"CA RULES 7670 CATEGORY 1 MINNESOTA RULCS 7672 (J submission type) Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Y Air Conclitioning _ Heat Rccovcry System °------° •---•----° •-----° ° ?!. . ". .. Phone # z ' 6e6;, 7 $70.00 ? ?, - Phone # i I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofAppltcant v _ OFFICE USE ONLY . Residentlal Ventllation Category 1 Worksheet Submitted . Ener9y Envelope Calculations Submitted _ Water Softener _ Water Heater No. of Baths Phone # • New Energy Code Worksheet Su6mitted Iawn Sprinkler Fee: $90.00 No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 y CITY OF EAGAN No - 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? 0 5 7$ PHONE: 4548100 BUILDING PERMIT Receipt A! Te M uwd ier SWIMMING POOL Est. Volue 10,000 Date .7rii.V 1 9 , 1 9-8,y Site Add Erect ? Occupancy Lot Block Sec/Sub ????-? ] Aemodet ? 2oning . Repair ? Type of Conrt. Percel No. Additfon ? No. Stories L.A. PEARSON Neme Move ? li D h ? Lengtn ? S?E emo s Depth ? Address Int Impr. ? Sq. Ft. City Phone 454-4720 Install ? CUSTOM POOLS ? Name Approvah Feat pddms 601 EXCELSIOR Assezsment Permit 510 Sn u3 ? Cfty HOPKINS phone 933-2255 Water 8$ew. Surcharge 5 Q?n G Polica Plan Review Neme Fin SAC H Address Enp. WaterConn. City Phone Plonner Water Meter Council Hoad Unit I herebY ackmwied9e that I haw mad this oDDlication ond state fhut Bldg. Off. 7/9/8 5 7r. PI. the inlormotion is correCf and agree fo wmply with all applicoble AP? Perks Stora of Minrxtota Statutes and Ciry of Eogan Ordironces Var. Date Copies Sipnaturc of Permittaa CUSTOM POOLS A Bulldirq Permit Is iuued ro: 7otai Q?t ?s0 on fhs expren cordiflon Ihat accord e wit oll opplicable St f Min ta-?ord City ot Eoqan Ordirancss. dl work shall be do in ??w ? ! / ??"f Bulidirq ONicial ?J?L}? ??e?.t?? ? ?`?"" s p c6 5 ? ? ? 1985 BUILDING PERNIT APPLICATIQN - CITY OF EAGAN NOTE: ALL CONTRACTOES MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ?JW ?r0 Qp Valuation; ?090• ?' Date; Site Address: le7 Z- A2pue?/r LA) OFFICE USE ONLY Lot; ? Black -y- Sect/Sub 7 Erect x Occupaney Remodel Zoning Parcel ll Repair Type of Const Addition ? # of Stories Owner ?- A - PPa l2S d t, ? Move _ Length ,/ } Demolish Depth Address ?f ?`t ? {?-2j?1)LW Int,Impr. ? Sq Ft ?n R? Install City/Zip Code rK-? ---------- ----------------------- Phone APPROVALS FEES Contractar (_ ?S 7771-h /DO 0 f S Assessments Permit 80.? Water/Sewer _ Surcharge ?j.°= Address Police Plan Review Fire SAC City/Zip Code ? Engr Water Cann SS_j Planner Water Meter Phone Council 'Road lJnit Bldg Off l' 1Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL QS, S l? City/Zip Code Phone # 3 -4" !? x3Z ??c.1?otin0. i ?? ??- , ? L.`?.\ ST 11J c.? ?'VSb. ''`1L Z ?" ?KS _ L- • y-??3?1.1?So f?.? ..?,o 4?4-4Z? . ? ??? C 1 _ - * EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER19IT FOR WATER SERVICE CONNECTION Date: June 30, 1971 Number• 672 ? Billing Name: Cedar Grove Const. Co. Site Address Owner: Cedar Grove Construction Compan}gilling Address 7343 Concord B1vd. E. Plumber;Stein Plumbing Building is a: Residence 5O°x Iiultiple Ao. Commercial Industriai Other Meter Size ? 6/30/711 Meter No. Permit Feen nn„i,d 6/30/71 Meter Readiag Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Remarks• $25.00 RE IfJSPFCTION FFEC FOP, lMPftOPERLY INSTALLED METERS. By: Chief Inspector In consideratioa of the issue and delivery to me of the abwe permit, I hereby agree to do tke proposed work in accordance with the rules and regulations of Sagan Township, DakoCa County, Mianesota. By; Cedar Grove Construction Company Please notify the above office when ready for iaspecCion and connecCion. v ? EAGAN TOWNSHTP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephoae 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: .Tune 30, 1971 MMgg 830 COl 1k?A 71 OWNER: Cedar Grove Construction Co.Address -l.E5A '' ??- PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTIDN OF BUILDING Industriall Commerciall Reaidential 4 Multiple Dwelling I No, of units xcx Location of Connections: Connection Charge ft3OE 200.00 pd 6/30/71 Permit Fee 10.00 pd 6/30/71 Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue aad delivery to me of the sbove pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Sagan Toeinship, Dalcota County, Minnesota $y Cedar Grove Construction Co. Please notify when readq for inapection aad coanection and before any portioa of the work is covered. O ? \ wi •?°' EAGAN TOWNSHIP BUILDING PERMIT o,wna. .S?..... ----------- -- .._..._ ---- -- Address (preseni) ?_..?"..: ..__......----------------- ........ ..... Builder ..........-'------------ ............................... Addseas .................................. -............................................. DESCAIPTION Sione To Ba Used For Fron! Deplh HeighiI Eei. Cos! 4ermit Fee Ramarks -- p7y ' o? L"-„- O ?C_ /?U ?•? <.G' /acicR_ G o 2547 Eagan Township Town Hall - Date ..?.::3?/1.1........................ LOCATION ?.Sb zua / f(S o or /7y/ This psrm!t doef'not aulhori'ie the use of -siree!!, roada, elleys or d3d"evlalka'xi6r doss ft glve the ownas ar hit syen! !ha righ! Yo ereale anp ailuafion which ia a nuisanca os which presenis a hazard !o ihe heelih, safelp, tonveniencs aad ganeral weltare !o anyone in the eommunify. THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRES . T6is is !o cariifY. !hal.l'.c:!::.'........t!.._..:...._....has permission !o esecf a___?.?._?_NUpon !he' a6ove described premise eu6jec! !o the provisions of the Building Ordinanee for Eagan ? ownchip adopled April 11, 1955. . -, r. . ...._ ............. _ -? -- - - ^- ...-'-"'----'--. Per .......... ...... . ......------]--- Chai._an of Tnwn?Board A B ?y" vildiny Inapector ?????????? MASTER CARD -u OWNER STRUCTl1R: AND LAND USED AS .. L . Permi} i No. Issued Issued To Con}ractor Owner BUILDING PLUM8ING CESSPOOL - SEPTIC TANK I ! WELL ELECTRICAL I HEATING GAS INSTALLING SANITARY SEWER a OTHER ? . OTHER I • Items Approved (Initial) Date Remarks Disiance From Well ? GOTING FOUNDATION SEPTIC CESSPOOL FRAMING TILE FIELD FT. FINAL EI_ECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL ! SANITARY SEWER -7P-- v?r ? • Violations Noted on flack COMMENTS: L5/$ w CcdW CM4\"`_7 OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 July 22, 1985 Mr. L. A. Pearson 1842 Carnelian Lane Eagan, Minnesota 55122 Dear Mr. Pearson: BEA BLOMQUIST Moyar THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Couricil Members THOMAS HEDGES Clry Admirvshafar EUGENE VAN OVERBEKE Ciry qerk Eagan Building Inspector William Bruestle inspeeted the location and installation of the permitted swimming pool at your home Wednesday, July 17, 1985. The installation and location will meet Eagan's minimum standards once a fence is installed around the pool. Inspector Brueatle did notice that a utility building on your property was not five feet from the property line as required by Eagan code 11.20 Subdivision 6. You are ordered to bring the referenced storage building into compliance with the code at once as this has already been be£ore the City Council and the requested variance was denied. Sincerely, C~/- IYIi?%1 Dale Peterson Chief Building Official cc: Parcel file DP/dk _ THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV F "THE lfORNING AFTER^ JQLY 17, 1984 "The Morning After" is an extremely brief report of the action that was taken by the Eagan City Council at a regular meeting held on July 17, 1984. There are no faets reported in this account; however, the action taken by the City Council on each of the agenda items and eaeh of the other business items is refleeted. "Bp$ 1. Bids were authorized for either a 3/4 ton or one ton pickup grass truck (replacement) to be used by the Fire Department. 2. The adoption of a hearing conservation program with the City of Bloomington was approved at a cost of $900. 3• The hiring of the consultant firm of Arthur Young to develop a job evaluation program for the City of Eagan was approved. -rG 4• Authorization was given to the Director of Public Works to further pursue a lease agreement with the Northern Natural Gas Company for a meter station adjacent to the water treatment plant. ?£TS 5. The contractor license list was approved as presented. ?£N 6. The hiring of Hugh Peterson as a temporary part-time maintenance person for the Park Department was approved. 7. The final plat application for The Pines was approved. _TL 8. The final plat application for Fawn Ridge Addition was approved. ""`C_ 9. Change Order U1 to Contract 84-6 (7984 Sealcoating) was approved in the amount of an additional $20,955•94. GENc- 70. The fifth and final payment for Contract 83-15 (Lexington Place Addition - TC" Utilities) was approved to Encon Utilities, Inc., in the amount of $12,775.96 and the public improvements accepted for perpetual maintenance by the City of Eagan. GE.a E 11. The fourth and final payment for Contract 83-11 (Eagandale Office Park - "TG Streets & Utilities) was approved to W& G Rehbein Brothers, Ine., in the amount of $28,955•59 and the public improvements accepted for perpetual maintenance by the City of Eagan. TC. 12. Change Order #6 to Contract 83-1 (Water Treatment Plant) was approved in the amount of an additional $3,755•00. TL 13. The final assessment rolls for Projeet 374 (Eagandale Office Park - Streets & Utilities) and Project 387 (Lexington Place Addition - Utilities) were received and the final assessment hearing set for August 21, 1984. TG 14. A petition was received for the installation of streets and utilities within Golden Meadow Road and the preparation of the feasibility report for Projeet 418 authorized. TL 15• The feasibility report for Project 416 was received and a public hearing set for August 21, 1984. 1 TL 16. A public hearing was held for Project 406 (Hackmore Drive - Streets & Utilities) and the project was continued until a public hearing is held on Golden Meadow Road on September 18, 1984. TC 17. A public hearing was held for Project 409 (Brittany 7th Addition - Streets & Utilties), the project was approved and the preparation of detailed plans and specifications was authorized. -rG 18. A public hearing was held for Project 411 (Patrick Eagan Park/Birch Park Additio? - Trunk Storm Sewer Outlet), the project was approved and the preparation of detailed plans and specifications was authorized. DR 19. A renewal of the conditional use permit to operate a service station for Tires Plus Standard was continued until the 8-7-84 meeting. TL 20. Bids were received for Contract 84-14 (Lexington Place 2nd Addition & Lexington Place South - Utilities), the contract was awarded to the lowest bidder, Orfei & Sons, Inc., for the total base bid of $669,332•91 and the initiation of condemnation against Parcels 030-53 and 044-53 for the required temporary easements was approved. DR 21. A conditional use permit for a pylon sign for James Refrigeration Company at Hilltop Plaza was approved. 22. The request to rezone approximately 13•2 acres from PD to R-1, the preliminary plats of Blackhawk Lake Addition and Blackhawk Oaks, and a variance to exceed the street grade for a private drive were continued indefinitely. 23• A preliminary plat for Haeg Addition and the rezoning of approximately 5 acres from A to R-1 for the subject property were approved. 2 A var'a'n e to 1 ow c s uetio swim ' ool th the ' ear yar set-ba area Lot 29, I?Tbck 6, Grove , was approved. 25. 9iance o the 5 ont set a requir e t alon a i Pas ?ad / ' to Lo 10, ti-I B1 1, an ots 1-4 ek 2, o afari Addi ion was ? approved. 26. A variance to allow construction of an accessory building within the side and rear set-back areas of Lot 5, Block 4, Cedar Grove #7, was denied. 27. An application by Federal Land Compaay for two special permits to allow temporary advertising signs for Cedar Cliff Shopping Center was approved. 'pR 28. An application for a special permit to allow temporary advertising signs for the Thomas Lake Heights Housing Development was approved for two signs. 1 ?p?LCS 29. A directive was given to Dale Peterson and Dale Runkle to allow a maximum of two temporary signs for consideration by the City Council for future developments. GENE 30. A public hearing to consider industrial revenue financing for Road -TN Machinery & Supply in the amount of $2,500,000 was set for August 7. 1984. 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA114089 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 1842 Carnelian Lane Lot:5 Block: 4 Addition: Cedar Grove 7th PID:10-16706-04-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Ryan Davis Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry A Pearson 1842 Carnelian Lane Eagan MN 55122 R Davis Construction Inc 710 N 4th St #306 Minneapolis MN 55401 (612) 259-5363 Applicant/Permitee: Signature Issued By: Signature 7 N i F F f i=ts d Y•, A { 1 ;`b•. ~'is yv,'~Tv r` t,..~ + ,.r CIS eIN. . t•F.,/'~ ,i _ _ Use BLUE or BLACK Ink - - - - - - - - - - - - - - - For office use, I rl~ u, vx . z rL•r s . l Permit a: wz 'y 3830 Pilot Knob Road t r~ yarn ,4 ~ i Permit Fee: Eagan MN 65122 •.a,,'~ :~Rf<r' ~</t; Phone: (651) 876-6875 ,'r s Date Received r , t Fax: (t3bt~ 67bL6694 ' a' r r, • <u t Stan: 2011 RESIDENTIAL, gUIL'`ING'QERMJT APPLIcATlp- - - - Data: ll~ ® ' _ N Site Address:` Unit d; Name: Del. RESIDENT Phone:S~o» OWNER Address / City Zip: Xh L ' Applicant Is Owner Contractor ' TYPE OF WORK Description ofwork: Construction Cost. MUIO-Family 6 ilding: (Yes No Company.'/lt~w''~~ 1.: W»~,A Contact:E~E CONTRACTOR AddregS; Q~ •y,,4 "iq~ City: k~~~~"b i~=r t ti State. J" Zlp;•a Rhotte,~'~`+'.` , ' c~ G~" ' ••Jh M1.id t5d[S.,'rNF~•. '';Si~J r N•r.•{y urons t:ead,CSttlflcnty #s A~•-~ If the p• ro1'ect is extm ~ . pt.lrom lead certlflcatlon,•please explain 0yl, ~~8e9 page 3'for additional information) COMPLETEZHIS AREA ONLY l~'C~$TRUCTINO A NEW BUILDING In the last 12 months, has the City of Eagan lsauod a pbrmit fora almllar•plan basod'on a master plan? _Yes -NO It yes, date and address of master plan: ' ~lconsod Plumber` K»k° i•i»»y's » Kure: t. ,S_ Mechanical Contractor. w '4 Phone: s } s, Phone: SavrOr Water Contractor: NOTE: Plans and su Phone; APortJrtg document . W.,voy stlbJrtJt c W ta•ba utillc Informath©Jnformatlon mtot~~ ubljc.iJ~; o P n. Portions of ; „y cdrld(u ~dk a~ .,4~. seasons that would permit the City to ri'ie'.•arb'id~;socrrots:~ % r ; t . rr , u t, , CALL BEFORE YOll bIG "Cal Gopher9taty 0io,Cat!'rt (¢b,> ) 4§"0g2 celcre you Intend to dt9 to rocoly® und4rprour3d VjUltlo;, tOcata$ of joEprot6cUoit o9 In;t undarprovnd WIRY damage. Cau t8.novrz i roreoy ecknowedge that this IntORTtaUQn I3 CofnPI0t0 arldyaccUrale,' a,r'rrJr;:i~~ ta,K :~A: Eagan; V',31 I vndenland this b not a PP t work QV be.~ conrormance with the ordinances and codes of the City of 30=dance with the approved plan in the say o1i tWNCh regUlroa a lrQ*w andltsPproWWI rk 14 nil to scan without a pormit: that the wo{x ,,,tt oe i.,) Exterior work avthortzod by a bUlldln • , ' ' Cays of permit Issuance, t7 parr~lt Iasgod In accordance with th% State Building Coda must be completed within tso APPI!cant's Printed Name ' r Applicant' Signature • Page 1 of ;