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586 Allan Lane FSEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # 94~ J Z? PERMIT DATE O f 12 i 4 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # ? 1 E D 7 METER SIZE 54'B.P. RECEIPT # r 1 IQ DATE ISSUE DATE B.P. RECEIPT DATE A 1 / I h / X PRv - BOOSTER PUMP SITE ADDRESS • b ' •A L = PERMIT REQUESTED LOT BLOCK -SEC/SUB M6" s~OF+ .,V r X SEWER WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE w i ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATUR WHEN MET & ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OFIAGAN METER # PERMIT DATE - I 1 / ) i 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 11,',Q7 METER SIZE B.P. RECEIPT # C 1 14 DATE ISSUE DATE B.P. RECEIPT DATEDI / 16 r - i PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT -BLOCK ' SEC/SUB MANOR 1-.A-111, 2 . ;'a; A SEWER WATER - TAPS APPLICANT: ADDRESS: - COMMAND RESIDENTIAL CITY, STATE ZIP Y NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: / I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: i',~ ~l 7.3CT 1 CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ;DATE: FEB 12, 1991 ' llE: 586 ALLAN LN (ROXBERG HOLIES) Yi x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLI Y. Tlease submit a cop of y?ur master plumbers license for 19 1 icensing with the ity o EAgan. Secretary, Building Inspections Dept. CITY OF EAGAN 0 1865 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # i / To be used for SF DWG/GAR Est. Value $86,000 Date JAN 15 19 91 Site Ad ress 586 ALLAH LN Lot - Block Sec/Sub. HANOR LAKE 2ND OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning R-1 W Name ROXIILAG I~iRM~S (Actual) Const V-N Bldg. Permit 577.00 I Address 8251 € S? (Allowable) V- Surcharge 43.00 I.""I'M 461-2254 # of Stories City Phone -471 Plan Review 375.00 Length o Name SAM Depth ~ SAC, City 100.00 cL) Address S.F. Total SAC, MCWCC 650.00 u¢ City Phone S.F. Footprints 660.00 On Site Sewage Water Conn w Name On Site well Water Meter 90.00 Address. MWCC System 34.00 Acct. Deposit 4 W City Phone City Water 30.00 PRV Required SfW Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge • 50 information is correct and agree to comply with all applicable State of 276.00 Minnesota Statutes and City of Egan Ordinances./ , n Treatment PI APPROVALS Road Unit 370.00 Signature of Permitee A Buitding Permit is issued to: ROXBERG t1 RS Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 3.201.50 Building Official } Permit No. Permit Holder Date Telephone N WATER 1 SEWER 171 PLUMBING ~~~.'S / 3~ ~SGrJ - Q(p(p H.V.A:C. o~7Ga 61F! 9/ 'ylid- ELECTRIC 578 g Ov Inspection Date Insp. Comments Footings 1 ~116 el Foundation Framing /S Roofing Rough Plbg. Rough Htg. I -31 Isul. Fireplace Final Htg. • U 020? Final Plbg. Cont. Meter Plbg. Inspector - Notify Plumber En gr.IPlan 7~ • • .s,A Bldg. Final 3~ S loop' Deck Fig. Dec* Final Well Pr. Disp. CITY OF EAGAN NO 865 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /0 t Ii F& tJ 311Gf' BUILDING PERMIT - Receipt # 0 To be used for SF DWG/GAR Est. Value $86,000 Date JAN 15 1991- Site Address 386 ALLAN LN Lot 6 Block 3 Sec/Sub. MANOR LAKE 2ND OFFICE USE ONLY Parcel No. Occupancy R-3 M--1 FEES Zoning R-1 X Name ROXBERG HOMES (Actual) Consl V-N Bldg. Permit 577.00 Address 8251 E 230TH ST (Allowable) V-N Surcharge 41-00 O City LAKEVILLE Phone 461-2254 xofStones 0 Length 471 Plan Review 375.0 iF Name SAME Depth 48' SAC. City 100-00 N Address S.F.TOtal SAC, MCWCC 650-00 F City Phone ST Footprints - 0 On Site Sewage water Conn 660-0 will Name On Site Well Water Mater 90_00 z~ Address MAFCC System X t,ts X. Acct. Deposit 30.00 aW City Phone City Water PRV Required SAN Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge - 50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. e~~ APPROVALS Treatment PI 276-00 Signature of Permitee Road Unit 17n nn A Building Permit is issued to Planner Park Died. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota I Y Statutes and City of Eagan Ordinances. Bldg, Ox Copies 0 Building Official I}Mifl ICifij Variance TOTAL 3,201. 1 Address: 586 ALLAN LN Lot 6 Blk 3 Sec/Sub MANOR LAKE 2ND These items were/were not complete at the time of the final inspection. Date: FEBRUARY 28, 1991 Yes No Inspector: Final grade (6" from siding) L Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ✓ Deck ✓ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 0 White - City copy Yellow - Resident copy Pink - Contractor copy a 57838L4 3 c~ a Request Date Fire Rough-m Inspeckon Requiretlz ❑Reatly Now ~IIen Notify Ready? !~j Yes ❑ No Wlien Reatly? ~~en Ed contractor ❑ owner hereby request inspection of above electrical work at JoE As r o x or Rcule No.)~ City Seo0on No Township Name or No Range No Coun Occupa RINT) Phone No P. 9r ier Morass Electric ConlraCOr (Company Na III Co/n~iractor5 L rise No. Mailing Addrreess( on[raclor or Owner Making Inslallalion) xc^,~ Authorize gnature IComractorlOsvner Making Installatenl Phone Number MINNESOTA STAT OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gr180s-MlCway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED (P/!'~ REQUEST FOR ELECTRICAL INSPECTION M ► See instrucimns for completing this form on back of yellow copy /Q&I In1 5 7 8 3 8 ' Below Work Covered by This Request e Adg Rep. Typeof Building Appliances Wired EgwpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fur ac Ai e Farm r Conditioner Other (specify) Contractor's Remarks Compute fnspectron Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f 0 to too Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only UCY TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ! COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Finai Date been made. OFFICE USE ONLY This request void 18 months from • 1991 NG NG BUILD PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. y To Be Used For: j Valuation: Date: Site Address r~L A~~l~r/y .4 N, ,,,OFFICE USE ONLY Lot Block O (O~ FEES h Occupancy R 3 M- I Bldg. Permit 9i0O / Zoning - I Surcharge 00 Parcel/Sub % Actual Const \/-/,I Plan Review 375,Oa f/ J Allowable V -N SAC, City / t7 Q 10 Owner ✓S0 bBY~i of stories SAC, MWCC (o~.1J0 Length- Water Conn. 660,U0 Address Depth y$ Water Meter 9~D,DO l/ S.F. Total Acct. Deposit 30,0 City/Zip Code L ~kZU/l~Z, ~l A! SAD Footprint S. F. S/w Permit O DO 2 / S/W Surcharge 1SO Phone 7 Z On site sewage- Treatment Pl. %,00 On site well Road Unit O OD Contractor S~ ryJ Qi MWCC System ✓ Park Ded. City water Trail Ded. Address PRV ✓ Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change g~ ll Council TOTAL Arch. /Enr. i /Yl /DN_5~ Bldg. Off. Variance Address //bC~K City/Zip Code IY /elk 1 Ile I/ Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan ordinances. V SF VA L_ U ~T-Ia GARA &S 3Y,3A L4 3)5 SSMT. 3x32 In Is~r- /z2 x 5~ _ ~Z 3z'z- ~S X31 OF Of z 1y ~ Al..-L AN L A ►•CE ' qp. . i -so9,00 N 89 24 dr"1 E--- „7p<~°rO pp o ~ ~ 1 zo.o F ,a , T.G. ;7 4A, 4 I2.o LL 23.33 0 ! z 111 ~ PR°PoS~O •N p N Vi r~~ 6 ~(Y { ~ ~°0~• ~ 'v Sty 43• / y,C uTnrTY EA5&ME4I'° y 51 -~1° X 9 = - - Ln 3 1 - Q)-x 9' ` '~nP BL•O~w Isl., 950.3 SGP.I.E l+>30- ALL B6AR~Nl.S A"OKED DFI~~-¢tPTlo~ °pEuar~S {W~ MoN~MENT LoT t01 &LOeV- Aoe- LPaLG N\& N% wa 1.1 F So TA, r . I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. p LeRoy Bohlen Registered Land Surveyor No. 10795 v.~t.r r;,; );,,y. J ffUl:, c/GNl;.L✓, .f'/.ice. ' °esidentiy Dcti£cerc;. Pie..^.r,ca V=9cy . Le i C ~~ec k MANOR, LAVA - -Z ~z` kJ ~J D T?C V r^~ip] ~ hl_t7?1; lJ ' Dete rdre :aorfsg square °ootaze cf eac:^.. Total exposed wall area..... _7Z~~ sa.'t. X t I 2. Total rocf/ce_I:L g area..... 1 I q ~ so. ft. X . OZ~ _ "I . V r Total exp~csed :azli area ahcve _lcc _ 2-Z S?. a. Total wall window area b. Total door area c. Total s]fd.'Lnz- glass Coo-- area.......... z 8 d. Total fire'Oiace *.;all area e. Total wall -'2^.ing area (average -10%)... Z Z t . ~5 Total net wall. area above floc... ZF r• g. Total ri.^t joist area Total exposed foundation area = 7G„ h. Total foundation 'Window 'area.......... i. Total net foundation: area above grade.. 7 Deter:-,ine "U" value of each wall se~ent. a. 17Z X "II" _ .52 ~39, y g i;U:; ~c = S• O c. 36 X uU!i 52 X i,TJoi .6P = e. Z21.BS X:aIUn .096 = 71e~ f . I 75~•/ ` it -n _ X Z (-2 7~ g. 1,? Ct x nuiv .0 P. y "'TU .52 = i. 7G.S X Mull C82 -Z 3.TV_.. . . "~,p G I T_ ate.:, 413 is the sa^:.e as, or less t:,a ~cu :,.;vc t-^.e invent of. S30 6006 (c) 2, i b -1- - Total exposed roof: ceilinE area = Tot2ll gross area =cta_ net insulated rcof'oeil ea..... ! 07.E ca Sete ^d~e "ti` value _cr each rocf/ceili ert. l7Fj.G r nun !07.4 g rya -Ji^~' _ 3.6, If -otal c° #4 is the same as, or (less ~f^?r #2", you have met the intent o SBC 0006(c) i. To utilize the total envelope system the va.ues established by .,re st^ of itE,,s `3 ct'.C" r4 small ?:Ct .^.e Sreater t^2.E: i..^.e sur. of _ itams :71 and .;-2. + 2. _ :'':2Le-.e. r_.Y.....i -1SyS T.^•e.' al ?esist?..-:Ce "FVll 2-..Zerio w_ Sidi-.- :%atcrf...... S`eetrGC............ tt2d s . Ri-Cc`c. 3locks........ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # / 7!0 PHONE: (612) 454-8100 RECEIPT # 10 ~1EG1~A'NICliI:s""~am DATE: :428 - A ULi 4X;i PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT riX (lE Sl E-_S OWNER NAME. CA y~ ` SUBTOTAL: SITE ADDRESS:-, ~11E \l i STATE SURCHARGE: .50 LOT: BLOCK ~ StJBD. n~- rl TOTAL: $L INSTALLER: l\~ CC), 1E l\ \ f- fti-( C~ v . ` 11 f~ C Q ADDRESS: \ //'SI/GNATURE OF PERMITTEE CITY: - (0 c~~Y1 ZIP: ~_c~~ PHONE G ~ y W U ~n pQF4MERGTAL~INDpgk AL. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 1.2-1,17 PHONE: (612) 454-8100 RECEIPT # d o? / 9/ xNG' t .S DATE : O ,...>..>,..s...:... . aft"gCAI-:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: / NO. FIXTURES EA. TOTAL NEW CONST V ADD-ON MINIMUM 15.00 ADD ON 3 SHOWER 3.00 3 REPAIR _Z WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: O a r 'e_5 l KITCHEN SINK 3.00 _ a ,LAUNDRY TRAY 3.00 3_ SITE ADDRESS: ~0 6 HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: U_ BLOCK j SUBD, c+Pa_. 1 FLOOR DRSTN 3.00 g p GAS PIPING OUT. 3 INSTALLER: 1' `u y r I ~~m 6 "Ic (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 ADDRESS : m o S~ ti SQL ~V OTHER 0j_ e p ( WATER SOFTENER 5.00 CITY: S~Sf ~uMl ZIP: S~flp PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE 30~Cv SUBTOTAL $ J ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ 3840 D1Af8RCIAL.IlVD1TSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. _ $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~(#~t%k###9,cM~K##Xt:k~k# ttM$tYRY,UK7k?t:?k#1k##>k>k76###Y,t?Bi1 CITY OF EAGAN CASHIER: JS it RMINAL N0: 7129 DATE;, 08/06/99 TIMES 1405W? ID.- NAME;; R.M. HENNE.B Y 3210 9DOi 586 ALLAN LANE 60.00 205 9001 586 ALLAN LANE 0.50 z Total Receipt AITIOUT ' 60.01 CRJ.M960 USER 1% JAN #####~'C7F'It#######&cYt:X<#Xt#ktAoX# St###7X#X####### 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 31' `G CITY OF EAGAN Ph 3830 PILOT KNOB RD - 55122 651.681-4675 Ray w,i O.t i• ~O• New Construction Reaulrements Remodel/Renalr ReaulremeRts Io ➢ 3 registered site surveys showing sq. H, of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) 7 site survey for exterior additions A. decks D 1 set of energy calculations 3 copies of tree preservation plan 0lot platted after 7/1/93 DATE: 3 C7 CONSTRUCTION COST: boo s= DESCRIPTION OF WORK: &iC-e y J/p i T osV STREET ADDRESS: SrG ~~Nn{ G/ftiliz LOT: BLOCK: SUBD./P.LD. Maw L 131-^l l~ Csy- 90e Name: ~/=l _ ~l ic rr e}-/vii//LY Phone#: ~ PROPERTY Last First OWNER Street Address:'5'e~ 1E (_4AtV LA1Vd city '6A-G!}M State: e`-1 Zip: SS/~ 3 L/iGc~ Company-7,66!Z 121-cH f dvy2 f~ . c Phone 6/ L - ?his' (area code) CONTRACTOR s Street Address:// ? Z i4~itv.v A✓~z J License # YS Exp. /~ou City/N✓rzk dtic /s>Ci 1 State: NIIV Zip: _5"217--N, ARCHITECT/ ENGINEER Company Name: Telephone area code( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only Penalty applies when address change and lot change Is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabi Stater of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No I~~~ Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex 'W 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE X 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 5- KI Basement sq. ft. Census Code 3-f (Allowable) s Main level sq. ft. SAC Code 61 UBC Occupancy p k.-5 sq. ft. No. of Units i Zoning 77 t sq. ft. No. of Bldgs 6 # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance I oe Permit Fee Valuation: $ 17~ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ' Other Copies Total: SAC Units % SAC ~L ~4b `J# z Q7 ~l7 Njy ~t,u (i4 . N 9 gam, t 31 ; . %Ar Io9,oo N 89° 24'4'l' E--- / .y ~s~ o0 v 9O0' V Ifv~j + gK~yS ' a 10 y ; i ~ ^ Olw p 4Q m G^ 94 9' 9k 1.11 0, N A k~a N m F'`' °i'~ q 7 4 Sze' u z3.s3 9a9.b / " -0 ? IP ~ I PR°PoSSp •N L. / A 'All ,d 7 1 y 4V.o 4/1 lv Z t I V ~ 1 r ORAINAC~p A,. 0 / y uT14-Y y EA`j~MF D ' s /10 - 9 i ce- - - LA ^ ~ 9ai~,~9 tiw1 s sag°z•F'4-ew °";'c9 j/ 3 , 7 TnP Bl~o~w FsL. 9SQ-5 ~jC.ALE l~=3p" °~r.F~.t.REr~-r >d-. 94ce.8 ' _ J#U. 66A¢It.165 0.4SUMED pF~c.RIP r~owt °DE11ORi Igo" MONUMENT DoT (p l BLOGIL~ 31 MsnlO~ LA1LG ' SGC.o 1+0 A0DITI0►..►1 p4Y-ETA cO~f wIT `CI '~,1 rv~t%AWF So To l I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date: Iwwys,~_j.~ LeRoy Bohlen Registered Land Surveyor No. 10795 ~;X%c~{>.c~{%{ <.:kJ%+%:i{?%>XM%rv~%%{:uti~>k>tiX{)~:Y,okR:i%;;:PSS%J%k:an~:~{>Krti CITY O CAGAP CASIITL:ftc l9i 11J.,'MIML_ NO: 7•4E'r PATEN 08/30/99 TIME: 1048::8 io % NAMEe ROBERTS' RESIDENTIAL, REMODEL. 3210 9001 506 ALLAN L_N a.c":ii,dj 205 '.3001. 586 ALLAN L N 3.00 latal Receipt AmounU 0805 CR11 6 L75 usup W~Cy;v(?#>'nyt)Ky('s'MMJ%YSi JF`i.1;(14.F.ri;;%J%r();{in:ti{%ii%A: ~MJkr%)X:d?%${?%Y:: 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) I a 25' CITY OF EiAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Reoak Reauirements 3 registered site surveys showing sq. ff. of lot, sq. 8. of house 2 copies of plan and go roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam a window sizes; poured Ind. design; etc.) 1 site survey for exterior additions i decks D 1 set of energy calculations ➢ 3 copies of tree preservation plan R lot plotted after 7/1/93 DATE: ,5a CONSTRUCTION COST: DESCRIPTION OF WORK: Poe! STREETADDRESS: geo 1N Iti~ LOT: BLOCK: SUBD./P.I.D. C Name: Phone*: PROPERTY Last First OWNER O~ Street Address: O .C. City Z A:' 6,4 State: zip: S / 2 3 Company, ~StfiPTj~t E5/JJd 46 LI ~&Vd~' Phone C ~2 7G X 3/ OO (area code) CONTRACTOR J/~~ 0 Zoo IVO Street Address- O e{ License # ~Y`-' ExP• City l..A~&U/Lf49r Stater Zip: ~SO ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: l: Sewer 5 water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit Is Issued. 1 hereby acknowledge that 1 have read this application, state that the Information is correct, , and agree to comply with all opplicabl state 'of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PordUAddn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg." ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. 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 Building 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 PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC V3q_~ i29 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construction Reauirements Remodel/Repair Requirements office Use Onlv _ 3 registered she surveys showing sq. ft. of lot, sq. ft. of house; and L11 roofed areas 2 copies of plan Cart of Survey Recd _y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _Y _N, 2 copies of plan showing beam & window sizes, poured found design, etc. 1 she survey for additions & decks Tree Pres Required _ Y' _ N l set of Energy Calculations Addition- indicate ifonsife septic system 4n-alto Septic System _y _N 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date r 1(0 (p Construction Cost Q O o O Site Address 58 to A 1 ( a rl Lan C Unit/Ste # Description of Work 1,~jf n r/O tN re Dl a C e ri en 7L 46'- //j & Multi-Family Bldg _ /Yr N Fireplace(s) _ 0 _ 1 - 2 Property Owner e T i I~ -CA C-} 4 Telephone # 9 ~ 117 Contractor L Q}Yl>,er j' u 7L VI Ul s Address c ~ 7 ~ l a EQ i r VI eu) City L f U ( t i c State I l N zip _y5S/13_ Telephone # (bS f) In 5 .3 (a RO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling . X3 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Ak - Multi ❑ 03, 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 0d 02-plex D .tll 08-plex ❑ 18 'Deck ❑ 23 Porch (screenlgazebo)' ❑ 36 Multi Misc. ❑ 05' 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plea ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof (a' 46 Windows/Doors Q/ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) - Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick Fireplace _ R.I. _ Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date/ GG//j~J Site Address Unit# Property Owner Telephone # Contractor O'Connor's One Hour 1904 Vermillion St. Street Ad Hastings, MN 55033 City State / p Telephone # (~p mil) 3 7`717 Bond IZLI s'~~~(o Expires: /D /0 -7 The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 L/ furnace -Additional 1 ,Replacement _ New / air exchanger air conditioner heat pump other ipl ,ICI' k ; ~ n State Surcharge lL, $ .50 ll AUG 2 3 2007 Total $ 5'U I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. \l&4uNzzGt Applicant' Printed Name Applic nt's Sg ature For Office Use I of Ea an I Permit City I I Permit Fee: ' 3D • d 0 I 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i Staff: I Fax: (651) 675-5694 - - - - - - - - - - - - R - - - I / i Lf 4 I l 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ~--C~ Date: 6 ADT 09 Site Address: 5cA era Al lays Lr t Tenant: _ C ri_e,+0,af e_r Brown Suite RESIDENT/OWNER Name: Ck('15foa,e✓ 34,0 n Phone: C51-111y-X17011 Address/ City/ Zip: 6g6, Ai jaVI Lei Eg Gue 114AI 65/,-23 Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Qddf -(-i on ' Lx S ji,n u ~~ciC Construction Cost:$ 61000 ICJ Multi-Family Building: (Yes / No ) T CONTRACTOR Na °v v License - 3 . 3 Address: GZc ok City: State: MAJ Zip: Pho~ G ° 75L Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 / 4 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace - Porch (3-Season) _ Storm Damage _ Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family) Multi( Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation _ Replace _ Repair Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy r' t MCES System Plan Review Code Edition ~1,,,_ SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock }C Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , , Building Inspector RESIDENTIAL FEES Base Fee Surcharge t 7' _ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 40. v, 00 i -109.©O tha 89~ 24: dr"y" - - -7p4V) ~o -No m on" ' O U Ot1~1q VIA- 9 e C ' I ,o ~ y 9x±9 1 ~tjj ( p -osec~ ?o x' 3 4 bCtAi~JA(~G. QNCS ~V I UT;y +Y IEEAy%MFy ; 1-7 -1 y. p, q ,1 ' r }~r Y . 4 _ Wes: Naffs ►'t 4)414.5. ' : Arta. gr~a►u~hu,y Aysi~~+~a _ s~uy1.+CDh1Tto►A1 I hereby certify that this survey was prepared by me or under my.direct supervision and that Y am a duly Registered Land Surveyor under the Laws of the State'of Minnesota. Dates ~a"w.t•r~/ / tP'/ --r LeRoy IV. Bohlen Registered Land Surveyor.'No. IO?95 PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA106589 Date Issued: 08/29/2012 Permit Category: ePermit Site Address: 586 Allan Lane Lot: 6 Block: 3 Addition: Manor Lake 2nd PID: 10-47276-03-060 Use: Description: Sub Type: e -Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL -Permit Fee (WS &lor WH) $55.00 0801.4087 Surcharge-Fired $5.00 9001.2195 Total: $60.00 Contractor: -Applicant - Owner: Champion Plumbing Christopher M Brown 3670 Dodd Rd., #100 18386 English Ave Eagan MN 55123 Farmington MN 55024 (651) 365-1340 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.  ApplicanvFermltee: Nignature issued tiy: NIgnature PERMIT City of Eagan Permit Type:Building Permit Number:EA116743 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 586 Allan Lane Lot:6 Block: 3 Addition: Manor Lake 2nd PID:10-47276-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . James Hennen 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 - Christopher M Brown 18386 English Ave Farmington MN 55024 (651) 503-4161 Hennen Home Solutions 7950 165th St E Hastings MN 55033 (651) 457-9010 Applicant/Permitee: Signature Issued By: Signature CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �I Permit #: /3,// Permit Fee: (C O. 6 0 Date Received: (0 -(3" // Staff: / 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION /00-16 Date: / O / '/(o Site Address: 5 c))G i4/(2 'L e/ Tenant: Name: e_ h `' c1 --S Address / City / Zip: Suite #: Phone: 5-(.-ESY Name: ri r a �. License #: C V 3? Address: "? c?.._ %, p744 7C// City: L, q State: /14._ ip: J O7 f Phone: 0 7 Contact: /ALA !z l fJ _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL a er Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) "Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. can Gopher State One CaII 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.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 work will be in accordance with appro ed plan in the case of work which requires a review and approval of plan 4'71 -0_,Aes-7-- Applicant's Printed Name 0Z Use BLUE or BLACK Ink For Office Use 11,111° City of Eaaafl Permit#: c� , '7 Permit Fee: (0�' �' CC 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7-/5 -/7 Phone: (651)675-5675 pp 1 2017 Fax:(651)675-5694 Staff: 1 J /^� 2017 RESIDENTIAL BUILDING PERMIT APPLICATION / Date: -/9- .1 7Site Address: r Le 41 t' 1A. Unit#: Name: k r 1 'E S—Oi1 Phone: (05 ( ,23?- Z 8 a Resident/ , owner Address-/City/Zip: J ( /4-1 tct ' . /Pk I 5-S /2 3 Applicant is: Owner Contractor Description of work: i( iC)6 Type of Work Construction Cost: 1 ?,6 zero . el v Multi-Family Building: (Yes ' /No ) Company: �cot II- �. 4 6'. m1[..tt ��it$1Contact: Address: 76/...ca ‘ / i* . / , : City: 45.� / 3 Contractor `_ / �j J ^� State:Ael Zip: $333 Phone: (p)"l J37' Email f <�r*NN ke- / '� 4:C License#: 0 C C S 91 o r Lead Certificate* ,k)17 --- /ei -'74 ( If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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.qopherstateonecall.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 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 S to Building Code must be completed within 180 days of permit issuece. x 2eJ ' J1 ' vi �f G1/1" ..... x Applicant's Printed Name Applicant's Signature Page 1 of 3