4136 Cashell Glen
iiu °
a
We1'tiftCRte 0f cCClIpQnC?
(Fito of CFagan
Wevarta?cut of lea[iang anocction
This Certificate issued pursuartt to the requircments of the Uniform Building
r.
• ? X`
?
Code
certifying rhat at the time of issuance this structure was in cornpliance with the various
ordinances of the Ciry regulating 6uilding construction or use. For the following:
use a.asirwmiow SF DWG Ok, swg. emuit ro. 25665 ;
o-P-r TYW R3/U 1 ZAning nisn;a R I rya cow. VN -
oww or suiw,HM Aeda, 4130 B[AMM RD. FAGA1V
eu;ai,g Aaam, 4136 CASHEL1., (,?IId L=w;?yI..2, B3, UMU0C1D PCNIDS
;
7
,4?'
? Buildio? OJr?ial '
&.4 POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ? r , 0 1
HI i ! kiI t'.r4
PERMIT SUBTYPE:
TYPE OF WORK:
rsu?? niMt?
?: ?:.{ t tr
!11 1 i I?l1 ) E 4 1rd
INSPECTION DA • DA
hli?l
I i; rq rk hl. '.• A' - F:PAt1l111 Vt:RMI'I Iti ItFt1+1'11i1U f Uk ANV FIIIMiki ll'1.I;,1)K Flli.'ti4 TCAI. 4II1114
?
?
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
{ n l.' ) ?.ts 1 S+.•' t 1
Permft No. PertnN Molder Date Telephons =
ELECTRIC /f
PLUMBING
HVAC
Inapactlon Wte Insp. Comments
FOOTINC3S
FOUND
FRAMING
I? 9S .
7 Id ?qa
?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
?
DECK FfG
DECK FINAL
`CiTlf'OF EAGAN
3830 Pilot Knob Road
Eaqan, Minnesota 55122-1897
StTE ADDRESS: `
.•:?ti r t i?t r t?
PERMIT SUBTYPE:
PERMIT TYPE: ?t?„ ? i? ? Nr,
Permit Number:
Date Issued: ,,??•; ; ,??, /?i!.
0"`' -` APPLICANT:
- TYPE OF WORK:
INSPECTION D . D
i .ti:,.? i!? , , ,.., I i?ili..? !: ! i •,
, I;, i ! r I?? ( f1?t 1
.11;K'; :? `. F. I_J f't ftlt
€ q
R,?
1
-.? ? .. .,.,. ?-
_ ?
Permit No. PermR Holder Date Telephone #
ELECTRIC 1?9j ?
PLUM8ING
HVAC (-ON/9 7ell- 1-.11
Inspection Date Ins . Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING rj
j_)
PLBG
AIR TEST
_ d -
ROUGH
HEATING
flk-A ? l-11, -
GAS SVC
TEST
INSUL ?
GYP BflARD
FlREPlACE
FIREPIACE
AIR TEST
FINAL PLBG
FfNAL HTG
ORSAT
TEST
BIDG FINAL / .ZD/?s-
/
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
-tL VG ?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reouiremenls RemodellReoair Reaulrements Otfice Use Oniv
3 registe2d sile surveys showing sq. ft. of lot, sq. tt of hause; and all roofed areas V 2 copies of plan Ced of Survey Recd Y N
(20% mazimum lot coverage all(ywed) 1 set of Energy Celwlations for heated edd'R'ons Tree Pres Plan Recd Y_ N.
2 copies ol plan slawmg beam 6 windovr sizes; poured found desgn, etc. /I gite survey for additions 8 decks Tree Pres Required _ Y_ N
isetofEnergyCalcula6ons Addmon-iMicafeHonvtesepticsystem OnsiteSeptlcSystem _Y _N
3 copies af Tree Preservation Plan'rf lot platted after 711193
Rim Joist Defal Oplions selection sheet (buildings wtth 3 orless units)
Date ?/ 30 ! 05f Construction Cost ?P (o
Site Address q ( 3j? G c. Siivf uoiuste a
Description of Work /4,4 d n, 1 6
Multi-Faroily Bidg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Sir L-1? S /' CJd O w? S Telephone #(?5 I)
Contractor pe?i ?r w x<'? h 60"'
Address ? Z) 7 1 6 ?-?vi??'e'? Ail-e • City ?i k
State !lk, Yl Zip 5 ,s041 Telephone#(qSZ) !j/'32-2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cetegory . Residential Ventdalion Calegory 1 Worksh ef ) /? New Energy Code Worksheet
(Jsubmissiontype) Submitted / i , ' `.7 ?' ed
• Energy Envelope Calculations Submitted?/?I qPR ? U
Have you previously constructed a building in Eagan with a si, ilar pl n8y ? Z'Y?S ?lII l If so, 25% plan review
fee applies. tY 1J
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
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 appiication 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.
?
(3 Y'V?=
ApplicanYs Printed Name
?
Applicant's Signature
r
OFFICE USE ONLY I
Sub Types
0 Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex PO 18 Deck ? 23 Porch (screen/gazebo)
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pi6g_Y or_ N? 25 Miscellaneous
Work Types
^,!!P 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation ?I. ODA "V10
Census Code ? 5cl
SAC Units
# of Units
# of Bidgs
Type of Const v ?3
? 30 Accessory Bidg
? 31 Ext. Ak - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
•Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
? Footings (deck) ?Q FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water
Final AidGas Tesu Final
Pool
Ftgs
? _
_
Framing =
=
=
Siding Stucco Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Pe r-ee-
s'?
Z'oP 8l-oc. u- C l,
$PchGmEh.?i El..
N 84' o7'y/
13?, 36
a,LA -
.
?
? Ile's CA
Apr,¢.?.?
4t??
p??ca„Wooa poo..ib4.
p Arc.Cs?'?. GoUN"CY?
M 1 tic at C s c>?-t-/.?
06:
!
p r++ 89$.to
w
I hereby certiPy that this survey was prepared by me or
under my direct supervision and tha't I am a du].y Registered
Land Surveyor u.lder the laws of the State of MinneSOta.
Date:?< / /5 .?????
LeRoy . Bohlen
Registered Land Surveyor No, 10795
ex 9ipo, e
Fiu 900.3
-cz:Zz s6, Lti 1,H61 Tad Szz
Zc.p,-6 t".3o'
aLL a6eSL1NC,4 AsSWrwo
o Diemo7rs4 GRq.t MohtuWlC-MT
7 -772 ? yr? (0
0
9
?
,
Reque t Dffi Fre No Rquyh-In Inspb:tion Reqwretl Inspection Olher Than Rough-In
9/ 05 / 95
1
(YOV ?maust call mspecmr when reatly) ? Featly Now [RWill NoV(y Inspecmr
?
qi Yes
No Da[e Reatly
IW licensed coniracfor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet Bov or Roule No,) Qry
4136 Cashell Glen Eagan
Section N.
Township Name or No
Range Na
County
I Dakota
Occupanl(PRINT) Phone No.
StephAn Homes ?? ?
Power Suppber qddress
Dakota Electric
Eleclncal ConVactor(COmpany Name) Comradors Lbense N.
Joos Electric CA 00961
Maihng Ntltlress (GOnvaclor or Owner Making Inslallation)
3980 Beau D' Rue Drive, Eagan, MN 55122
AulM1Onzed Signature (ConlractotlOwner Makin alla??on Phone Number
688-6180
MINNESOTA STATE BOARD OF ELECTRIGR HHH THIS INSPECTION FEQUEST WILL NOT
GrIggs-Midway Bltlg. - Roam $-128 I I I II II I I?II I BE ACCEPiED BY THE STATE BDARO
1821 Universrty Av¢., SI. Paul, MN 55104 II UNLESS PROPER INSPECTION FEE IS
Phone 1619 642-0900 FNCIOSE[]
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
L/?J ? See inslmctions br compleling this lortn on back ol yellow wpy, ,/n
/7,s "X" Below,Work Covered by This Request Y
Ne Add Rep. Type of Building Appliances Wved Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heafing
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specity
Farm Air Condrtioner
Olher (speqfy) Conlractor's Remarks'
Compute Inspechon Fee Belaw
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 Amps 00 -Amps
Signs Inspecmrs use Omy TOTAL
Irrigation Booms (?(Q- $40. 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the ElecMcal Inspector, hereby Rouyh-in oata _7_ t
cetlify that the above inspection has
made.
been
F?°a?
oa`e
OFFICE USE ONLY ?
This request vmtl 18 monihs irom
ows
s? 181 ? °''
9 ?Ca ,?3 ??,1 9.?
Req est Da e Fre N. RouSh-ln Ir?peclion Feqwretl Inspection Other Than Fouqhln
5/ 30 / 9 5
I 1 (YOU must call inspeclor,S[,nen reatly) ? Reetly Now ?] Will Nalify Inspecmr
2 Ves u No Date Read
I[Rlicensed contractor ? owner hereby request inspection of above electrical work at.
Job Atltlress (Straet, Box or Route No,) City
4136 Cashell Glen Eagan
SecUOn No.
Township Name or No
Range No
Counry
I Dakota
Ocwpant(PRINI Phone No
Wensmann Homes 423-1179
Power$uppher Atltlress
Dakota Electric 4300 220th St.W. Farmington
Eiecincal Con[2ctor(COmpany Neme) Conhactor's License No
Joos Electric Co. CA 00961
Mailing Address (COnVactor or Owner Makmg Installatmn)
3980 Beau D' Rue Drive, Eagan, MN 55122
ANhonzetl $ignaNre (COnVactor/Owner Making n) Phone Number
688-6180
MINNESOTA STATE 80ARD OF ELECTflIqT THIS INSPEQION REQUEST WILL NOT
Grlgga•Mldway Bltlg. - Poom 5128 6E ACCEPTED eV THE STATE BOARO
7821 Unlverslly Ave., SL Peul, MN 55109 UNLESS PFOPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
6/ 1 REQUEST FOR ELECTRICAL INSPECTION °?="?? ? ?e/e? oooloio
? ?
See mshuctions for complellng this torm on hack ef yellow copy g ?fl ???/
-/ .?.
"X" Be/oiy Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
x Home X qange Temporary Service
Duplex Water Heater Electric Hea6ng
Apt. Building Dryer Load Management
Comm./Industrial X Furnace Other (Specify)
Farm Air Conditioner
Other (specdy) Coniractor's Remarks
Compufe Inspection Fee 8elaw:
# Other Fee # Service EMrance Size Fee # Cvcwts/Feeders Fee
Swimming Poal 0 to 200 Amps D to 100 Amps
Transformers Above 200 Amps 100 -Amps
$I OS Inspedor's Vse Only TOTAI
Irrigation eooms 3' pO $93 . 50
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO09n""
certify that the above inspecAOn has
b
een made. F?nai ? •??
fle
J
OFFICE USE ONLY
f
This reauest voiG 18 mon[hs from
Address 4136 c,AS[E[.L (,'LEtv Zip 5512 3
Lot' '' 2" Blk 3 Sub nffo.TooD rorIDs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
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.
Contact engineering division at 661-4645 before working in rightof-way or installing underground sprinkler syscem. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Conatructbn BeaWrementa
• 3 registerad sfte surveys ahowing sq. tl. of bt, sq. ft ol house; ana gq roofed aress
(20% m"mum bt coverage albwed)
• 2 copies at plan showing beam 8 window sizes; poure0 found tlesign, atc.)
• lsetofEnBrgyCekulations
. 3 coples of Tree Preservatian PWn'rf bt platted aner 711/93
• Rkn Joist Detail ODtpns selection sheet (61dgs wiVi 3 or less unils)
21,q , 75"
BemodeVHeoalr Reauiremenla
• 2 coples of plan
• 1 set ol Energy Cakulatbns Por heeted additions
• 7 sAe survey lor exterior atldllbns 8 decks
. Indicale il nane served by septic system for addHions
P
VALUATION ?-7( •0
AULTI-FAMILY BLDG _ Y ZC N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANTGYN-C"Wk) &4444- C?1?-RtxV7t.?Ar-
STREET ADDRESS r 2z `1 -;t- /1J/rlj/IY l /?urS , CITY Z4&r?tLGe'STpTE kt1N yp?
TELEPHONE # (clr, 6(r9'S CELL PHONE # FAX J
PROPERTY OWNER J I?4U/1/ ?U// /ly/ TELEPHONE #
---------- --------------------------------------- ---------------- ------------------------- -----
COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submiasion type) • Residentlal Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculetions Submitted
Wumbing Conhactor:
Plumbing system includes:
Mechanlcal Coniracfor: _
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
_ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Air Conditioning
Heat Recovery System
Phone N
I hereby acknowledge that I have read this applicatlon, state that the information is cortect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan 0rdinance3J -141
Signature of Applicant
OFFICE USE ONLY
Fee: $90.00
Fee: $70.00
Certificates of Survey Received - Tree Preservatlon Plan Received _ Not Required _
Updated 4102
DATE () 66 I Lo Z
CITY OP EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
G2 0CIA/ q9
BUILDING
025665
05/25/95
SITE ADDRESS:
P.I.N.: 10-19975-020-03
PERMIT
4136 CASMELL GLEN
LOT: 2 BLOCK: 3
OEERWOOD PONDS
DESCRIPTION:
B.uilding?-P,ermit Type SF DWG
6uilding Wo`rk, Type NEW
.,UBG Occupar7cy'?, R-3 U-1
Construction Type V-N
2oning R-1
, Building LengCh 70
Buildinq Width 67
`-. Bu.3'idiaig stor^i'es ' 2
Sq u?re Feet 2,693
, .t', -
?y ?-
,% Ircl;l?1:
I?,
't q
REMARKS:
S & W PLBR -
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
5urcharge
SAC
SAC ?
SAC Units
Lic. Search Fee
5ubtotal
$993.00
$645.45
$100.50
$850.00
100
1
$5.00
$2,593.95
$201,000
MISCEI.LANEOUS $1,892.50
Total Fee $4,486.45
CONTRACTOR: - qpplicant - sT. LIC. OWNER:
STEPH-AN HOMES 16819777 0001457 STEPH-AN HOMES
4130 BLACKHAWK Rp 114 4130 BLACKHAWK RD
EAGAN MN 55122 EAGAN MN
(612) 681-9777 (612)681-9777
I hereby ackndwledge that I have reed thi•s
informetion is correct and agree to compl'y
Statwtes and City of Eagan 6rdinances.
APPLICANT/PE 'MI E appiltcatian and state that the
4U ?TURE
with all applicable State of Mtt.
I
-A ISSUE?D?' I ATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025665
05/25J95
SITE ADDRESS: P• I• N. : 10-19975-020-03 pppLICANT:
LOT: 2 BLOCK: 3
4136 CASHELL GLEN STEPH-AN HOMES
DEERW00D PONOS (612) 681-9777
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
INSPECTION
FOOTSNGS .. .
FOUNDATION ,.
FRAMING ROOFING
INSULA7ItlN FIREPLACE
OUGH IN PL66 ROUGH TN HTG
FINAI. PLBG FINAL
REMARKS: S & W PLBR -
1-
? - °
?
_ ,....?
' CITY OF EAGAN s ? , (1 ; ,? J
[¢? ?
16cu 3830 PILOT KNOB RD - 55122
7995 BUILDING PERMIT APPLICATION (RESIDENTIAL) nA / ?
681-4675 ? lllO1'( ??
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window slzes; poured fid. design; etc.) ? 2 sRe surveys (exterior atlddione 8 dedcs)
? t energy celwlaGons ? 1 energy wtwletions for Aeated edddione
? 3 copies of Vee presenaNon plpfi H lot platted aRer 711/93
required: _ Yes ? No
DATE: 5?4--'?S CONSTRUCTION COST: 2 2?6&-&
DESCRIPTION OF WORK:
STREETADDRESS:
LOT 2, BLOCK SUBD./P.I.D. #:
PROPERTY Name: _ Phone #:
OWNER ,,.•* run
Street Address,
City: State: Zip:
CONTRACTOR Company: ,;v e S Phone #:
Street Address: 611-30 License #: 1 Y5?
Cfty; State: Zip•
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address•
City; State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 have read this appliqtion and state that the inform 'on is co e and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 4? 2?'?
) %•(.I , , / f;
OFFICE USE ONLY L-S s<? ? - ' u ? s, o
Certificates of Survey Received Yes _ No MAY 18 1,995
---------------
Tree Preservation Plan Received _ Yes _ No
BUILDING PERMIT TYPE
OFFICE USE ONLY
fo;
+?' ?S?.,Y 1rI?
J
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
00-02 SF Dwelling o 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 73 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Firepiace ? 21 Miscellaneous
n 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
,Ae 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Basement sq. ft. 7q 1 MC/W5 System °L
-
N Main level sq. ft. 1,,9ts! City Water ?
?"3 IltiospiA s9• ff• rr Fire Sprinklered
a-/ sq. ft. PRV
L, /S?r- sq. ft. Booster Pump
74' s4• ff• Census Code. Go /
T7 Footprint sq. ft. Z 6 3 SAC Code ?
? e Census Bldg
C i
? ensus Unit /
_ Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
rotal:
°k SAC
SAC Units
Valuation: $ Z-04000
/61q,K L«c?
?- ,? ze•s' ' `03
Z8 x S"? ? /, slob
Z x 1z
Gr,???2 , 7Y
/. rx 6.83 = lo
TiLI? ?(? _ /aoS
Z? ?L = Zy
z x y - 'G
? r tJ
? p!( XSY-
,
7f 7x` 7
Zla, 93?
l.? 4
? z 30 . Conc
?6 x `
CGX-
Z'c+P Bt,.cx.s4 GL
6F?hG MEN i EI.
9
N B9' 07'
!3?.3G
Fx
9o
?
s
9
0
9oh?
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01•h J``'?O
1,'`6
go''\
r_.._
Z ,
A
?
Gx 9om, 8
_Y_
e x ?JZ>O,6
F.u $'00.'3
4v3(G--? $ 9 $, ?
Apt3R..
r?N g99.3
9D l.?a
993?4
- 1-1- ..-?? - ?? ..??. r ?? ?.? ??. ??
ARA/IJqGE ANA
7'IL1 Py EAS?"MENT
S'
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IV
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M .:
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8' : 9oa.S
pQ° PnS-O
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a WAl,K Ct?l'r
1.
/
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v
? 7
i s
F?C E98.b
?, ``?•
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ti?"_?w 893.b
'J? •
0
4 vx?t`
r? ? °?on ? Y
` i
yVICfl ? ?S
o CA?sNC- l.- G-- C?? et?t
?367 ?° C?K 39S`3
?d?O°o?? :,?r S9s,3
oo
? L, A mgr o, o
L
M ??w 1 TG ?':? 9
.? ?
S? ESC?.?I PT t O!? . I?e?T G°aIl?TI
4. coT' 2 , 3 I
DM2.v.tao b Po f..rDS ,
P a.K-carA couw'tY,
MIt.6NCSea`C'A
_D
A-L-_
IDEM
N
AU? ??e,RtNGS A?,VM?D
o DFNOTES VRW Mol.tuMEll'S"
I hereby certify tkzat this survey was prepared by me or
under my direct supervision and that Z am a duly Registered
Land surveyor under •the laws of the State of hSinnesota.
Date_ ! /5, ??l./_ ?
LeRoy X. Bohlen
Registered I,and Surveyor No, 10795
zz:zz scl, ei a.11•1 i08 ezz
LOT SSTRVEY CHEC3CLIST FOR RESIDENTIAL
. ? HIIILDIWG pERMIT APPLiCATION
4ROPERTY LEGAL•=
m D 9 -
Date o! 8urveys
DOCIIMENT BT1ND*enA
V 0 • Registered Land Surveyor siqnature and company
0 • Building Permit Applicant
0
H • Legal description
0 • l?ddrees
D • North arrow and *at scale
2,13 0 • House type (rambler, valkout, cplit v/o, split entry,
? / lookout, etc.)
[?? ? • Directional dtainaqe nrrows with slope/qredient t.
ra- 0 • . proposed/exicting sewer and water services
D • Street aame
D 0 • Drivevay
ELE9ATiOHB
Ex3?t3na
? 0 • Sewer service
?
V • Lot corners
?
v • Top of curb at the driveway
D • Elevations of any existing adjacent homes
0' D 0
• Proooned
Garage floor
0?13 D • First floor
0 • Lowest exposed alevation (walkout/window)
? - Property corners
D D • Front and rear of homa at the foundation
• 40NDING 71REA8 (if aflalicablal
Easement line
D F7 NWL
0'?EI ? HWL
0 Li? • Pond N desiqnation
D D 0 • Emergency Ovnrflow Elevation
DIMENBIOliB
6'0 D
0 ?D- 0
13
13 n
ID' D 0
0 ; D
• Lot lines
• Riqht-of-way and Qtseet width (Lo back of curb)
• Prapoaed home dimensions including any propoaed decks,
overhanqs greater than 21, porches, etc. (i.a. all
structures requitirfg permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks of proposed ctructure and setback of adjacent
existiag homes
• Ret
Raviewed
Octobsr 1992
1)
? ELEC.
ox ?
37.0' ?
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23.0 ',?
42.0'
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S6W0+
889.3
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36.5'
sawo 17
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70.0' $ - \
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.
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?' 3^ 56.0? 889•0 I Sg,W I+50
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? 30.5' . '' 0.5' - - - - ?J I W-
6"-I/32 BEN01. 899.6 _
L - - -
- -HYDRANT- ? - ?6"GATE VALVE
. 611x 611 TEE--? ? UTILITY & DRAINAGE EASEMENT
6 PLUG 51.
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[IASEU Dtl CIIAPTER 5 OE TIIG
F1QHL-U1FRQ o F- 1987 EnITLti
Adoption Effective
,
Owner phone Date
Slte Address /cJG' 0?? f"&.,-,
Contractor
- 1qN
l3uilding Classlficationt Type A1 (Slnqle Famlly 6 Duplex)
'I'ype A2 (Residential, J etories or lesa) (OVer 3 atories) (Other)
ll4TEuSnmAl???z?sa?,2_Anil_9_f.l.rflx •
?Et1?13AI?,illE4i3[19Ti4t1, c?? h .
1. ?uilding Perlmeter
2. Wall hei Iit ?? •
g (qround L-a bave) ft.
]. 1. X 2. (aUove) gross wall area eq.ft.
4. Dulldlnq dimenslons (L) }( (W) Bq.ft.rooE 6 floor area
5. Sq. foot nreu of rlm jolst - Floor jo%_i????lzo (z H?B _)
xf5 ?l,?iPerimeter) ? 4Z6 gq.Et. _.. '
6. Doors - Area
Thi.ckness in U. iaAat
Typo oE Construction perlmeter Et.
. 1lahufacturer
7. Total door's perlmeter ft,
8. Windows: Flanufacturer_ (&J?;(%i,, 9tate upproved
U factor ,1l(19 1
TYPE SIZE AREA (3q,Ft.) tI1111UER OF TpTAL
EAC11 UIII'P9 Sq FEET
9. Total sq.ft. Glass J
lo. Fireplace urea; Widtli X Ileight = X b sq.ft.
11. Exposed foundatlon: Ileiglit X Perimeter 1614 X w 0sq.ft,
COt1PLETI011 OF TIIIB FORH 113 REQUIRED FOR AL[, IIEt9 CON9TfiUCTIOt1, 11hJOR
REI(oDELINC AtID OUILDItIGB UEItIG 1lOVEp WIIERE EtIERGY, OTHER TIIAH TIIE ISIIIIMAG
CODE ALLOSiAtJCE, IS USED,
-1-
12. -Framiiiq ?ren = 10t
of groe s wnll area.
13
G
.
COSS wall area sq.ft.
%7
Wlndow area A ?J -? . sq. ft
U windawa =
;?26
.
.
UxA =
Rim joist area Asq.ft, U rira joist=041 UxA =
Door area A sq.£t, ' U dooY area= A UxA = ?
otlier doore area Aw eq,ft, U other doore=1*7 UxA
Expoeed fndli A I? aq,ft, U foutldation=?d ? UxA
j
FrumLiq ?ren A ??
S q.fL. U framinq area=+?L5_ OxA
llot w411 oroa A " ,/ sq,ft, U Wqll-
•aq?7 UxA =c?-1
_
(la0) R'OTAI. . . . . . . . . . UxA
14. Gross wall nren x 0.11 (A-1 eingle family 6 duplex) = allowable UxA/Code-'
(13. above )
x 0.23 (A-z othor renidantial) •
.
x .z] (other Uulldlnqe) _
.
x .20 (OVOr 9 etorlea)
A DTUI[ muet be lnrgar
T
/
U thah or eame
x
ca(,o
Z OF:. pg 13B 4uove
15. Ceiling framing nrop (AE) nquale 104 ot oeiling area
15A. Gross ceillnq proa =(L) ' x(?q) ?' = tYl sq.fk.
ZJrB. a10iBt 9L'0A ()1E) - 14$ ceilinq QY'OA Bq.Et.
15C. Ilet ceillhg area (A )(15A - 150) eq,fr,
-
u ceillnq x Ac _ 5
li. & x, m?/o
U framinq x A f ? x ,?7. o 4
3 C?
15D. TO'PAL U x h .............. .........
16. ceil7nq aren (15A) x 0.026 (A-1 einqle family 6 duplex)
= nllowaUle UxA/c:odo
x 0.037 (A-2 ottier residential)
H 0,06 (otYleC)
A(15Ax ll Code orUit must be larger than or seme
F. ae 15p abo ve
110'PE'S U9B U Ahli A Vq1489 Ot]tq111ed EYOfi paqee. 1, 3 At1Cj 4.
GER'LIFICATIQtlI I tieroby certlEy tliat I linve calculnted tlia ??Ull
"u'? factore and
vnluos hereln nnd L•hat tho bullding hera descrlbed meate or
stnte of Itln
t exceods tho
nesu
a Liiarqy Connorvotlon Aot.
Dute
8 gnature
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? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
p.T.N.: 10-19475-020-03
u.4WI
PERMITTYPE: gulLozNs
Permit Number. 026316
Date Issued: 0 9 J 01 / 9 5
4136 CASHELL GLEN
LOT: 2 BLOCK: 3
DEERWpOD PONDS
DESCRIPTION:
Bvi1eGJ.6`d',permit Type
Oui2d,inq,40r?k Type
= .. «., ° ?'R
e rUL
A
BASEMENT FINISN
ALTERATION
??( ?'?r+ .S ?.W9
P : F«
s?,K f,F,r y €`7'?::q''?''E;i= lu ?i
REMARKS:
A SEPARATE PERMIT Z5 REQUIRE[7 FOR AMY PLUMBING OR ELECTRICAL WOf2K
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
TvCal Fee $35.50
CONTRACTOR: - Applicant - s-r. Lzc. OWNER:
STEPH-AN HOMES 16819777 0081457 STEPH-AN HOMES
4138 BLACKHAWK RD 114 4130 BLACKHAWK RD
EAGAN hIN 55122 EAGAN MN 55122
(612) 681-9777 (612)651-9777
?? . . : ..., ? , . :
I h?eY-eby;acknawle?dge-'Gttat`.Z hrab&".ro:gdl?tErfs
€n_fv?rmatx4n "is-616?er?lc?t ,aP?d slgre'a:. ta, -a amply ".
sta•tuCss and City, ctE, Eagdn Otz#; 0attces,. ,
APPLICANT/PERMITEE SIGNATURE
?
PERMIT
41't h' a`S1 ap.pl,i'd abl,s--S tat-e 0?`
?. a
,
? I??DI,fA 1 ?I?
issueo e . sic URE I
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:p.I.N.` 10-19975-e2e-03 APPLICANT:
LOT: 2 BIOCK: 3
4136 CASHELL GLtN STEPH-AN HOMES
DEERWOOD PONO5 (612) 681-9777
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
suzLorNG
026316
09/01/95
ALTERATION
INSPECTION
FRAMING .. .
INSULATION D•
ROUGH IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK
f-
L
4
d
?
-j
1 ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
_1 3-?,-5
? 3 registered s8e surveys ? 2 aopies of plen
? 2 copies of plana (indude beam 8 window sizes; poured fid. design; etc.) ? 2 sfte surveys (exterior additions 8 dedcs)
? 1 energy cakulations ? 7 energy calauletions for heated additions
? 3 copies of trae preservation plan if lot platted atter 7/7/93
roquired: _ Yes _ No
DATE: 81??^ 9 S CONSTRUCTION COST: ?/ V- ac ?
DESCRIPTION OF WORK:
k
STREET ADDRESS: ' 9l3G C/`'-? ,??
LOT _I? BLOCK J SUBD./P.I.D. #: ^ i I•b-rMfL
PROPERTY Name: Phone #:
OWNER
Street Address-
City: State: Zip:
CoN7RACTOR Company: ???? --s Phone #:
Street Address:
T _!Mflk???A License #- A52
Ciry: State: Zip-53 /?2-?
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
PenaPty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnati ?corr?C nd agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY R '2CEQV[gD
Certificates of Survey Received _ Yes _ No AUG 2 8 1995
Tree Preservation Plan Received _ Yes _ No _______________
OFFICE USE ONLY
BUILDING PERMIT TYPE
..
•r r
. ,
n 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-piex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
? 31 New ?3 Alterations ? 36 Move
0 32 Addi6on o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
t16C Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg /
Census Unit ?
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permk
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% 5AC
SAC Units
?
-city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 26, 1993
SUBJECT: STREETLIGHT ENERGY COSTS - DEERWOOD PONDS (28 LOTS)
7his memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in the Deervvood Ponds
Addition.
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
.J?
Edward J. Kirscht
Sr. Engineering Technician
cc: Michael Foertsch
EJK/je
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L CITY USE ONLY RECEIPT#: '?`
?- BL 3
SUBD. DATE: (O l"I 3
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 6814676
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add-on fumace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: lo- 13 - Cn
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
TnSt0.?c?Cln cF LQmOX-?u`r'1C1cQ. (GZ0QtV(oE-1Z5)
Gc,,,;x\q ??Vevtb 4 ?) rb.vw .
SITE ADDRESS: n?'ashP I l GIPn
OWNER NAME: Z::PUX1'
FFFS
$ 20.00
1.00 $30.00
00
2 - $ c? .00
.50
u?6: f1k (3%2_!on ??5y2
PHONE #:
INSTALLERNAME: rI ? A nir r rvif
STREET ADDRESS: ?Pid?? i ?a ? I -
CITY: Ede=L PralX l Q_ STATE: HM ZIP:
PHONE #: ( w) U- `1 ZI I SIGNATURE 01-1PLKMI I r
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(672) 687-4675
Please complete for: ? all commercialAndustrial buildings.
? multi-family buildings when separate permfts are pgi required
for each dwelling unit.
DATE:
CUN"fRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Qr 1% of contract price, whichever is greater.
? Processed piping - $25.40
? State surcharge of $.50 per $1,000 of gganft fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SI .TC ADf34ESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
?
CITY USE ONLY
L ? BL J?_
SUBD.
RECEIPT #: '7`"323/
DATE: W8` Q5
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x I = 3. UCl
Water Closet 3.00 x la?•DO
Bath Tub 3.00 x = l?.00
Lavatory 3.00 x 7 O
Kitchen Sink 3.00 x = 3•00
Laundry Tray 3.00 x = ?00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ? _ • i0
Floor Drain 3.00 x = , GO
Gas P'iping Outlet * minimum -1 3.00 x ?? _ <Of1
Rough Openings 1.50 x ? .
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL vG'
34?
SITE ADDRESS:
aw) A4
MZ
OWNER NAME: -
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: /yl /y ZIP:
PHONE #: ( l0/,?2 ) LlS`a - /S~d .S G? ?• ' .P?t?'??'??
SIc,"AA Il'rEE-
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �]
Permit #: ) j 1 O r 1
Permit Fee:
Date Received:
Staff: �!
INFLOW &I NfITRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: q A 2 $ - 1-3 Site Address:
Tenant:
Suite #:
Address/City/Zip: 4/3 Cci'he)( G®`e..e-‘
pc
Name: Revs i o h pi,. r..S i .44- License #: 9 3 J8
Address: P 0` 4,'L , 2 .2 1-3 2 City: Tac.,-.
State: T''t- Zip: SS' /0)Z Phone: (, f l (, 4P 1 ? t S
Contact:
PLUMBING (Within the building envelope)
dump Pump Repair
Other:
,' /1 fc1,'Y _ Email: %'+ 63 �►C, f �'��
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work:
FEES
$60.00 1 Each (includes $5.00 State Surcharge)
TOTAL FEE $ Cc, a cJ v
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit WI repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 1 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 a d approval of plans.
x
1
fc), hlr
Applicant's Printed Name
Applicant's Signature
Use BLUE or BLACK Ink
r"
For Office Use
I I
City of Ea Permit
I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~.7 6, Phone:
Resident/ /
Owner I Address (City /Zip:
Applicant is: Owner Contractor
„ ~ JNWmx
Type of Work Description of work: ~ f ^h
5-Z5 d Mult amity Building: (Yes / No
Construction Cost: `
7=,
rom a ~ 'vS~07i1 A S 4'"C
Company: ontact: l
Contractor Address: ~,5 l City: ~A'y
State: _ Zip: /a Phone: 0~
-3-
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 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.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conf ance with th rdinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i not to start without permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of tans.
Exterior work authorized by a building permit issued in accordance with the Minneso State Building Code mus be completed within 180
days of permit issuance. x I v ib C" l v 7- x
Applicant's Printed Name App i ant' re
Page 1 of 3