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4259 Dodd RdCITY OF EAGAN NO 18390 k 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 J-7 ? BUILDING PERMIT Receipt # ^ / a Tobeusedfor GARAGE ADDITION Est.Value $6,000 Oate SEP 20 g90 Site Address 4259 DODD RD Lot 2 Block 1 Sec/Sub. SADDLE HORN OFFICE USE ONLY Parcel No. Occupancy M_1 FEES Zoning - w Name JAMES & TRACEY OXBOROUGH lAclual)Const Bldg. Permit 81.00 Address 4259 DODD RD (Allowable) 3.00 ° surcharge City EAGAN Phone 456-9145 # of Stones zz! Plan Review Length - ? Name SAME Depth 161 City SAC i Q,¢ Address S.F. Total , SAC. MCWCC City Phone S.F. Footprints - Water Conn On Site Sewage w Name On Site Well Water Meter ? x? Address MWCC System - H Acct. Deposit MW City Phone City Water rmit S/W P PRV Required e I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City At Eagan OrdinancgS. / Treatment PI Signature of Permitee ' ?• iy'?'?'-""'7/iU APPROVAL$ Road Unit JAM OR TRAM 0XBONDUCH A Building Permit is issued to: Planner Park Ded. on the express condition that at) work shall be done in accordance with all Council -- 1 50 applicable State of Minnesota Statutes and Cittyj of Eagan Ordinances. Bldg. Off. Copies . Building Official ?, 1 1 ??.? 111,11 Variance TOTAL 85.50 CITY OF EAGAN - 3795 Pilot Knob Read Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for GARAGE Est. Value 4,500 Date N2 6248 10-2 1980- Site Address 4259 Dodd Rd. Erect - ® R3 Occupancy Lot 2 Block 1 Sec/Sub. Saddle Horn Alter ? Zoning R1 Parcel # Repair ? Fire Zone 3 Enlarge ? Type of Const. V W Name Pdm- Oxhorongh Move ? # Stories 3 Address 4259 Dodd Rd. Demolish ? Front 22 _ ft, city Eagan, Mn phone 452-3623 Grade [3 Depth 24 ff. o Name same as owner Approvals Fees oU Address Assessment _ Permit 18.00 V? Water & Sew. Surcharge 2-50 CI Phone Police Plan check Fw oW Name Fire SAC z- U Address Eng. Water Conn. aw city Phone Plonner Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. . the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinc APC Signature of Permittee - A Building Permit is issued to: Wm. 0x' bLb OL1Ls)_7 all work shall be done in accordance th all appli ble ate of Building Official di L Water Meter Road Unit Total 2n 5n on the express condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN N°_ 14206 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PNONE 454 8100 BUILDING PERMIT To be used for WOOD STOVE Est. Value $1,200 Site Address 4259 DODD ROAD Lot 2 Block 1 Sec/Sub. SADDLE HORN Parcel No. Name JIM & TRACEY OXBOROUGH 3 Address SAME O City Phone 456-9145 o Name SAME Z? 0a Address P City Phone tia W W ?y Name z? Address a W City Phone 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 Ci of Eagan Or 'fiances. Signature of Permittee 0 A Building Permit is issued to: JJI _& OXRORf111(_H on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciity?bf Eagan Ordinances. Building Official Receipt # LOI Date SEPTEMBER 23 19 87 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES $23.90 Engr./Assess. Permit Planner Surcharge 1.00 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL $24.90 CITY OF EAGAN Include 2 sets of plans, l site plan w/elevations & BUILDING PEF3,1ITAPPLICATION 1 set of energy calculations. To Be Used For - r Valuation y? s(r6 Date /,?,l - Site Address 2/,- OFFICE USE ONLY Loto,.ZD Block C) / sec./sun. Erect Occupancy Parcel #: 6690c) Alter Repair _ Owner: W i U_-i L;(? _X bO Ra 1 -4 H Enlarge Address: 4,' 6'1 [ ndd K/ City/Zip Code: k,4EJ n5la°, Phone #: 4"55 - 3L?5 Contractor: A) i I L<A ?c Y I n r c? l Address: L4 a nod c? I° GL City/Zip Code: (fY1 n Phone #: I/S'l - 3 (o 4 3 Arch./Eng. Address- City/Zip Code: _ Zoning "r/ Fire Zone 3 Type of Const. Move # Stories Demolish _ Front i ft. Grade Depth ?y ft. APPROVALS FEES Assessments Permit $ Water/Sever Surcharge Police Plan Check . Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC Phone #: TOTAL v 96 EAGAN TOWNSHIP BUILDING PERMIT Owner .......................................::.......-------.------- ...---------.._..--- ?is9?-u r Address (present) ........................Y-..... 7 1 . . Builder ...... ................. ................................................ ....... .... Address .... .................................................................. ........................ DESCRIPTION N° 2750 Eagan Township Town Hall 6 Date ... gam".. - Stories To Be Used For Front Depth Height Est. Cost Permit Fes Remarks 2A /0 1 V v LOCATION Street, Road or other Description of Location I Lot I Block I Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BEPT-ION THE PREMISE WHILE THE WORK IS IN PROGRESS. _ This is to certify, that ...... ....... . --....... .-.has permission to erect a_. .a::.`.^:- ..?.yy......... upon the above described pre ise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11. 1955. ............................... . ?-..-. ..... Per .................. ............ A K ---...f .. Chairman of Tnwn Board Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner ............ .......... °-?- ..................................................... Address (present) ....J:`.'ey...N 7.._Jsc ...................... Builder ....................... .......°°.............................................................. Address N? 2531 Eagan Township Town Hall Date ..... F .AI .-----............. Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks or TION This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE?iK'EPT O THE?PREMISE WHILE THE WORK IS IN PROGRE S. This is to certify, that ...,,;u . ...................................................has permission to erect a...... ........._\.................... ..........._upon the above described premise subject to the provisions of the Building Ordinance for Eagan ownship dopted April 11, 1955. ........................ ......... . . ..• Per Qj Chatrm of nwn Soard Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 88 The Board.of Supervisors hereby grants to Bisson Well Drilling of 1955 Shawnee Roadg Eagan 55122 a WELL Permit for: (Owner) Harvey Kirchner at 4259 Dodd Road. Eagan 55120 , pursuant to application dated 10/28/71 Fee Paid: 10.00 .50 s/c Dated this _28 day of October _, 1971. Building Inspector d--/ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 86 The Board of Supervisors hereby grants to Roland Kisling of South Robert Trail, a cesspool Permit for: (owner) Harvey Kirchner at 4259 Dodd Road , pursuant to application dated Oot. P0, 1971 Fee Paid: 11.50 Dated this 20 day of October , 1971 Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 165 The Board of Supervisors hereby grants to Complete AirHeatiig d Cooling, Inc, of 15267 Forest Blvd., Hugo, MN 55038 a PLUMBING Permit for: (Owner) Harvey Kirchner at 4259 Dodd Road, Eagan 55123 , pursuant to application dated 10/5/11 Fee Paid: $20.00 Dated this 8th day of Octoberf .56 s c , 1971 . Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. W The Board of Supervisors hereby grants to Wenzel Plumbing & Heating of _ 1955 Shawnee Road a Plumbing Permit for: (Owner) Harvey Kirchner at 42259 Dodd Road pursuant to application dated October 5. 1971 Fee Paid: 20.50 Dated this 20 day of October 1971 Building Inspector /o/tea/5?0 0 69468??2 Request Date Fire No. Rough-in Inspection Required? ? Ready Now IPyill Notify Inspector -Vic) ? Yes ? No When Readl licensed contractor F3 owner hereby request inspection of above electrical work at : Job Address (Street. Box or Route No.) is city Sec[idn No. Township or No. Range No. County Occupant (PRINT) Phone No. IM lL Power Supplier Address Electr Contractor (Company Namel Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Au[hora ignature (Contractor( wner Making Installation) Phone Nu mb er ? ? / 41_ LJ'- MINNESOTA STATE BOARD VLV ICRy THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 Unlvenity Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE is Phone (612)BS2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,: Ee-00001-07 G/// ry See instructions for completing this form on hack of yellow copy 1 %1, 9 / 1 ! r? ssy 694B8 ? "X" Below Work Covered by This Request ? New Add Rep. ; Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contbactorb Remarks Compute Inspection Fee Below.: r ""- rye " ?i w? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 0 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final 9 OFFICE USE ONLY This request void 18 months from CASH RECEIPT -CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE & _DOLLARS 'a 0 ? CASH ? CHECK RECEIVED FROM AMOUNT FOR FUND CODE AMOUNT o d ? ?p D d O J 1a a do o 4510 / 1110 1 .0.6 Thank You ?? . 19 / Sa-e BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN A `? . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 18394 PHONE: 454-8100 BUILDING PERMIT Receipt # i J Tobeusedfor GARAGE ADDITION Est.Value $6,000 Date SEP 20 _ 1990 Site Address 42 59 DODD AD Lot 2 Block 1 Sec/Sub. SADDLE. HORN Parcel No. W Name JAMES & TRACEY OX80ROUGH o Address S ?D City EAGAN Phone 456-9145 Phone Phone I hereby acknowlege 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 Citypf Eagan Ordinances. // v r Signature of Permitee ,[Y r A Building Permit is issued to: J*= CR 7RNM G i on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy M"1 FEES Zoning 81.00 (Actual) Const Bldg. Permit (Allowable) - Surcharge 3.00 # of Stories Length 22' Plan Review , Depth SAC, City S.F. Total SAC. MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System _ Acct. Deposit City Water PRV Required SSW Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council -_ 1 Bldg. Oft. Copies 85.50 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I ?- 7 ` ze% S Foundation Framing 2/. s Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Ptan Bldg. Final Jl', !5 _ ^ } ,,-. ?r7 Deck Ftg. :• f , ., c'? uE?? 3 - ? f; ' ?? Deck Final we 11 Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P. 0. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for , '.)V@ Est. Value y i • ;"; m Date Site Address ' Oi !p.' Lot Block f Sec/Sub. Cl No. ac Name W z Address 3 4; ° City Phone a Name- 0 c, < Address city- WW Name FW Address `W City Phone 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. Signature of Permittee _ A Building Permit is issued to: f 07OgO M7Gtt on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. ?r&.' 06 19 APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks `µ?'?" TOTAL Permit No. Permit Holder Date Telephone Plumbing MAC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing ry .rYi ? ? / f? G- Rough Plbg Rough Htg. Isul. /?c v L i9 Fireplace 7 7ZO l 15 Final Htg. r Final Plbg. - Bldg. Final dDeckFinal CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N? 6248 PHONE: 454-6100 BUILDING PERMIT Receipt # To be nod for Est. Value Date 19 Site Address Erect p Occupancy Lot Block Sec/Sub. Alter ? Zoning Repair ? Fire Zone Parcel # E l f Const T n arge ? . ype o Name Move p # Stories W Z Address Demolish Q Front ft. Grade rl Death ft. p Nome ~ ou Address Assessment . ~ city Phone Water & Sew. Police F W Name Fire Address Eng. <W City Phone Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. - the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all of J Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Building Official Penult # DoW loved Perod"as Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Irmp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: ( r Ad For Office Use Only: MECHANICAL PERMIT PERMIT # $? ov CITY OF EAGAN RECEIPT # ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE , . :c PHONE: 454-8100 Site Address i - D c,.:';_:• TYPE WORK DESCRIPTIO BLDG N Lot Block Sec/Sub . Res ? New ' m , i'17 Name Mutt Add-on Address ,,.;-•'- i. ' Comm. Repair c City L Phone { Other FEES Name RES. HVAC 0-100 M BTU - $24.00 3 Address -' ADDITIONAL 50 M BTU - 6.00 p City Phone G (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) 1.50 EA. TYPE OF WORK COMMAND FEE -1 % OF CONTRACT FEE Forced Air M BTU APT. BLDGS. -COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON A Air Cond. M BTU REMODELS - MINIMUM COMMERCIAL FEE - 12.00 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: SIC: SIGNATURE O1J)ERMI EE TOTAL: " ' t' FOR: CITY OF EAGAN Receipt '-? C' Z PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date 2. Installation Cost 3. Job Address - - Lot -? Blk. Tract kin 'r i-) 4. Owner J 5. Contractor / y >? % Phone - ? r 6. Address / 7. City State Zip 8. Building Type: Residential 9. Work Description: New ? Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe - ' - `- 11 No. Fixtures Water Closet 1 No. Fixtures Cesspool/Drainfield Bath tubs {,1 Septic Tank Lavatory Softner Shower Well Kitchen Sink L } Urinal/Bidet Otheril? -? - " Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date -e/7-0J nsp. w Il This is your permit,trhen numbered and approved. Approved ,= Cllr OF EAGAN 454-6100 CITY OF EAGAN + 8795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: november 15 , 1977 Site Address: 159 Old Dodd Roa ? Lot Block Sub/Sec. Name Janice Tarvestad C Address 4259 Old Dodd Raod City "aan Phone: ` Name i'van Well Co. g Address L•=7_ South Robert Trail 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. &" e No. Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair ` Cost of Installation `1 ?r l Permit Fee - Surcharge Total 1 ' done in accordance with all applicable State of V Building Official r-- CITY OF EAGAN Remarks Addition Saddlehorn Lot 2 Rlk 1 Parcel iffit 65800 020 01 Owner-A's r Street 4259 Dodd Rd. State Eagan, MN 55123 Improvement Date Amount Annual Years 14 Payment Receipt Date STREET SURF, jtpp. j 981 1944.00 97.20 20 1555.20 0008847 4-9-84 STREET RESTOR. -'70 981 1210.00 60.50 20 968.00 0008847 4-9-84 GRADING C 4-9=84 SAN SEW TRUNK .?, 1981 280.00 14.00 20 224.00 000884 4-9-84 .SEWER LATERAL 1981 3 59.51 167.98 20 2687.59 •0 0 4-9-84 WATERMAIN *WATER LATERAL 1981 WATER AREA S 1 280.00 14.00 20 Q //570 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 420.00 31852 9-15-82 BUILDING PER. SAC ti of PARK CITY OF EAGAN 3795 Pilot Kntb Road Eagan, MN 55122 Zoning: - Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Ordinances, By Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Reaulrements • 3 registered site surveys showing sq. ff. of lot, sq. h. Of house; and At roofed areas (200% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 2 /Z /0 2-- RemadelfReaair Reaulrements • 2 copies of plan • l set of Energy Calculations for heated additions • 1 site survey for exterior addrions & decks • Indicate r home served by septic system for additions VALUATION 3 av SITE ADDRESS 4/ °'-q Q0 p 20¢ 1 MULTI-FAMILY BLDG _ Y TYPE OF WORK DeE - ?DOr OA/ (r t Ott' y FIREPLACE(S) -Zd _ I _ 2 APPLICANT S C'X X e 20 a t1-11- STREET ADDRESS q2- S--? (9a d 4 CITy, STATE/V ZIP S-5-/d3 TELEPHONE # ?Sr - ysb-9?y CELL PHONE # 4?1-2 - S l 7 - 6-26 J? FAX # PROPERTY OWNER ??5 yX ??ouU.S? TELEPHONE# 6r1- /-rL9i57.5'- COMPLETE THIS SECTION FOR 11NEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone if Fee: $90.00 I hereby acknowledge that I have read this application, state that the Information is correct, and agree t comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN r Q/v ? 3830 PILOT KNOB RD - SS122 / V CJ 9? (651) 681-4675 b V New Construction Requirements Remodel/Repair Requirements 10 , 1 - (? 1 ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • t energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: ?d / P?- /i? ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: 24,60 : o ?'000 DESCRIPTION OF WORK: STREET ADDRESS: i? -r" Df,, f7 f E6A5 ' /*-' A .?1 41-o4d . - ' ll' Y\ LOT: _ BLOCK: SUBD./P.I.D. "D e? 2P 60 not o rn W 8.2 q `o?3?a ?/ Name: tWft 6U v? f :; ? ?" e; ZW ,, ?t Phone#: (6 e'TG,' PROPERTY Last t OWNER Street Address: y?"a 9 0,360 J?66? 6 City F?,41 State: Am ?j Zip: S.J Company: -50""r A-5 / 100 ff&15" Phone #: CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: .5714/?& i``r`:S ' Phone #: Name: Registration #: Street Address: City State: Zip Sewer & water licensed plumber (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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: e OFFICE USE ONLY Certificates of Survey Received Yes No 5t'? z Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex ? 11 Apt./Lodging ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE ? 31 New P 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. Census Code y? (Allowable) Main level sq. ft. SAC Code (l / UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building t Engineering Variance Permit Fee 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: Valuation: 21 .7,d U % SAC SAC Units ':-r...;:``?}:i';: C; F: P f 6}ri r y L BL CITY USE ONLY SUED. RECEIPT #: S(L&L,. RECEIPT DATE: 0r6 PERMIT # 1999 PLUM$INfi PERMIT (RESIDENTIAL) cn'Yof E1kGAN 5830 PILOT KNOB RD SARAN, MN 5512E (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ " Floor drain 3.00 x = $ Gas i in outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 - x = $ Laundry tra 3T O = $ 3.00 x = $ - Minimum fee alterations to existing dwelling 30.00 x = $ 'RQxate Dispil5sal System new/refurbished ` requires MPC Iic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- State Surcharge .50 > > > $ 50 Total --> > > ' S Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. 1 hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: % S9 o j ieo f OWNER NAME:: JAlt? dSC?Se/LOG(S TELEPHONE #: -511 (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: _ STATE: ZIP: 0 S NATURE OF PERMI EE i R340 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS -S 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. 'P'a S d .gyp To Be Used For: !i 1)1)1 ooli a at ion: T Date: P//?/pb Site Address ygS$ 4o44 /L 6 Lot ,2 Block Parcel/Sub // Owner ?AMiS.( KAccs OX60 .P0 ?t Address q'?S? 0C)"0 0 ? 6 City/Zip Code l fl j r1N SS/ .2 2 Phone ( & /Z) C/ ?!c ?j/ yS Contractor S/ Z Address City/Zip Code Phone Arch./Engr. 4;ko S t G r Address City/Zip Code Phone # 60pbrj' OFFICE USE ONLY FEES Occupancy M'1 Zoning Actual Const Bldg. Permit J,0 O Allowable Surcharge 3100 # of stories Plan Review Length SAC, City Depth & SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage - S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water Road Unit PRV Park Ded. Booster Pump Copies /.SU SUBTOTAL APPROVALS Penalty Planner TOTAL R FF Council Bldg. Off. Variance r` . (/?4 ua A-77 o ------------ c3 Ix •e n ? .QO I c? 81 -00+ f A e ?r 3.00 7 , 1-50+ i I 85.50x+ ti ? l z z-- 6.- S?'? d'6' .y.y.gr, ?......•? x 3^TW?"f?"'?°;? Ktn° PROPERTY DESCRIPTION SEC TOWi RA DAKOTA-COUNTY ASSESSOR LOT BLK NOE T GOVERN 1ENi CENTER a, i3sDHwYSS SADpLE 1iD?CP7 AL?DI?d HASTINGS yA71NNESOTA;55033 £STIi1AkLAZ' Z ?$a{ MARKETVALUE V 59154 t 1 } f e MARKET VALUE: NAME AND ADDRESS OF OWNER JAifES` rX13CRCIUGH ` z, RACE S?AHL tsr 429 DC1'D RD EAGAN- filly SD123 F a NOTIFICATION OF VALUE CHANGEFOR (TAXES:PAYABLEIN (PROPERTY CLASSIFICATION I r ?tE?3D? IAL HGME STEAD a. II i v 1\i 0 v - -- 1,?1 p?DAO?,: ? I ? z ly liz I? v x ? "5v 1 .M s ?t -, PROPERTY.IDENTIFICATICN 'DBT PLAT_ PARCEL 10 b?S?u X20 01 lV O D C /?3- 1987 BUILDING PERMIT APPLICATION - CITY OF EAG v SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND S'NSTi4GG/n1 fo vo To Be Used For: Q) oo D SifJtJG Valuation: /o'00 Site Address `/a S9 06,06 ?tl OFFI Lot 2, Block On Site Sewage C z MWCC System _ Parcel/Sub Qx Q_el?E V / On Site Well _ Owner TIM City Slater ? 7',eH c['i OX 402OC((? N Address rfas 9 b0 k 6 2 lb City/Zip Code LFA(04N 3 Phone tF APPROVALS Contractor Addre b W City/Zip Phone _ f Arch./Engr. Address City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: 9//7177 USE Occupancy Zoning Type of Const (Actual) (Allowable) S of Stories Length Depth S.F. Total Footprint S.F. FEES Permit a31 9v Surcharge /'00 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL n .. d C `R s ;E :15 v -- S 'A Q 6 _ 'SL u o ?x? y- o vJ ? r P ? D SL ? -t N o ? ? - o 0 3 6 0 J p z Q tJ?' (d 9`17 x 9> r ???m 10 i s _--i i t I i E e?,St NOV. -26' 96 (TUE) 1034 DAKOTA CO ENV 4GT TEL;612-891-7588 Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel (612) 891-7011 Fax (612) 891-7031 DATE: November 26,1996 TO: Tom Colbert/Wayne Schwan FROM: Water and Land Management RE: Well Permit*: 96-141 10463 Municipality: Eagan Fax #: (612) 681-4612 Well Type: Sealed Environmental Specialist: Rutten P. 001. The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it contact the Environmental Specialist listed above or our office at (612) 891-7011. if there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Kimmes-Bauer Well Drilling Date application received: November 20, 1996 Anticipated Drilling Date: Time. Anticipated Grouting Date: Time: Property Owner Tracy Oxborough Well Owner: Tracy Oxborough WELL LOCATION: PLS Coordinates: 1/4, se 114, ne 114, nw 1/4, Sec 25, Town 027, Range 23 Street address: 4259 Dodd Rd PIN Number: 10-65800-020-01 WELL INFORMATION: Diameter. 4 Casing depth: 393 Total depth: 397 Static Water Level: 127 Aquifer. unconsolidated sediments COMMENTS: R=96% 612 891 7588 1i-26-96 10:38AM P001 #08 RV,5 x A?YCA nor, 1, o ]" 2 BLo S 9' too dW u ? d ?d ?/ C r n 14 dd; 7`ic? ro&!. C Z L or 13G.?k l o , e y? y.9 39 o dcl fa cry MASTER CARD LOCATION • ?tr STRUCTURE ANDS drMT A/t/r fa? GAIL LAND USED AS Permit BUILDING PLUMBING No. 27.rrZ Issued 7_ Issued To Contractor Owner z -s'??? CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • G Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING •,>u TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 74, 24 -- Violations Noted on Back COMMENTS: MASTER CARD 0 STRUCTURE AND LAND USED AS Permit BUILDING PLUMBING CESSPOOL - SEPTIC TANK No. rl/ - /& 9, S? Issued r., •' J Issued To Contractor Owner WELL ELECTRICAL HEATING ,br GAS INSTALLING _ SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING -00 4.0.00 SEPTIC FOUNDATION CESSPOOL FRAMING FINAL I ELECTRICAL TILE FIELD • FT. 4 ? HEATING /V EPTH F WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING T- WELL SANITARY SEWER Violations Noted on Back COMMENTS: OWNED iy - 04ft ` NOV, -26AOTUE) 10:34 DAKOTA CO ENV MGT TEL:612-891-758B II P, 001?? , r Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel(612)891-7011 Fax (612) 891-7031 DATE: November26,1996 TO: Tom Colbert/Wayne Schwan Fax #: (612) 681-4612 FROM: Water and Land Management RE. Well Permit #: 96-14110463 Municipality: Eagan Well Type: Sealed Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (612) 891.7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. We]1 Contractor: Kimmes-Bauer Well Drilling Date application receivers: November 20, 1996 Anticipated Drilling Date: _/ / Time: Anticipated Grouting Date: J / Time: Property Owner: Tracy Oxborough Well Owner: Tracy Oxborough WELL LOCATION. PLS Coordinates: 1/4, se 114, ne 114, nw 1/4, Sec 25, Town 027, Range 23 Street address: 4259 Dodd Rd PIN Number: 10-65800-020-01 WELL INFORMATION: Diameter: 4 Casing depth: 393 Total depth: 397 Static Water Level: 127 Aquifer unconsolidated sediments COMMENTS: R-96% 612 891 7588 11-26-96 10:38AM F001 #08 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Fax: (651) 6755694 --- ----------- I For Office Us2Qy/ / I Permit M V / ?! Permit Fee: Date Receiveed/:o(?o .26- Staff: r I --------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:vW'ZS 0B Site Address: l a 59 ???D? Tenant: Suite M RESIDENT IOWNER Name: --li Ica C* -T J? tj ?Ybd'noo ,IL Phone: ?o51- SSG-%/`I `j' Address / City / Zip: y3 5C( 'Odd, eQ rg , _ Applicant is: - Owner ontractor Q I rn? pp - pk?iS° y t ?? t P 'ge TYPE OF WORK C) i r i-} ? . ld?^ Description of work: tt J u /4 X as f Construction Cost: y, y O Multi-Family Building: (Yes Not::::? CONTRACTOR ? w 51 License #: ?c kl y a f? S Name: Ro 01 5( o' t / Address: '13 7d- /? A t IM w w i 5 tdJ ?t 7 City:-41 C tG State:w Zip: / Z 3 Phone: Y 1? Contact Person: 6 -3 1- ?Sa- --1B 7.11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateooly 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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 s 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.j'- 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 t`he/case of work which requires a review and approval of plans. x a,Q 1 ?A2K re x ), Lt ` Applicant's Printed Name Applic nt's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage 'k Porch (4-season) ? Ext Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building" ,K Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PGA handout to applicant DESCRIPTION: Valuation 5&V Occupancy MCES System - Plan Review k-11, Code Edition SAC Units (25%_ 100%? Zoning City Water Census Code y3?r Stories I Booster Pump # of Units Square Feet 3?1 PRV - # of Buildings Length .u Fire Sprinklers Type of Const. Width /11 REQUIRED INSPECTIONS Footings (new bldg) SheeUock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: _ Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Stone Lath -Brick Stucco Lath Siding: ``,, Fireplace:,R.l. Y/-Air Test Final - - Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - - - - - -i3 ------ ---------------- ----------------- ----------------------- RESIDENTI L FEES: y Play v ocf I' /V 35? 7/ ;, Base Fee a 99A Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 I f a '3 i -a* , 0 ', S 80 9104 E 1 ? ------- -- 30.9.. 30 9"- ?? I L IL IL ------------------- .r ` } µ 2 6 /0 2, Z - 33 34 9 M m ZT74 V ?ASSL r4 Generated by REScheck-Web Software Compliance Certificate Project Title: Jim and Tracy Oxborough Report Date: 07/15/08 Energy Code: 2000 Minnesota Energy Code Location: Dakota County, Minnesota Construction Type: Sing le Family Glazing Area Percentage: 17% Climate Zone: 2 Construction Site: 4259 Dodd Road Eagan, Minnesota 55123 Owner/Agent: Jim and Tracy Oxborough 4259 Dodd Road Eagan, Minnesota 55123 Designer/Contractor: Mel Raeker Pro Vision Construction 4372 Kaufmanis Way Eagan, Minnesota 55123 651-452-5878 melmeker@mmcast.net Compliance: 0.0% Better Than Code Maximum UA: 71 Your UA: 71 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building hag been designed to meet the 2000 Minnesota Energy Code requirements in RESchecck-Web and to comply with the mandatory requi(?rt'ants listed' he RESc eck Inspe on Checklist. L Name - Title Signature Date Project Notes: We will be installing 1"Thermax under floor joists. Project Title: Jim and Tracy Oxborough Data filename: Report date: 07/15108 Page 1 of 3 Wall 1: Wood Frame, 16in. o.c. 480 19.0 0.0 22 Window 1: Above-Grade, Vinyl, 2 Pane wl Low-E 84 0.310 26 Door 1: Solid 18 0.310 6 Floorl: All-Wood Joist/Truss Over Outside Air 352 38.0 6.5 8 Ceiling 1: Flat or Scissor Truss 352 50.0 0.0 9 RESIDENTIAL BUILDINGn City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone !# 651-675-5675 FAX # 651-675-5694 New Conslrudion Reauirements 3 regisfered sfle surveys showing sq. fl of lot, sq. R. of house; and all roofetl areas (20% manimum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Trce Preservation Plan H lot platted aker 711/93 Rim Joist Detail Options selecGon sheet (buildings wAh 3 or less unAS) Minnegasco mechanipl ventilalion fortn RemodellReoair Requirements 2 copies of plan showing foolirgs, beams, joisis 1 set W Energy Calculations for heated addi6ons 1 site survey for additions 8 decks Add'rtion - iMicate if onsRe septk sysfem V"10 .`94?2 Office Use OnN Cert ofSunieyReoi N Tree Pres Plan Rerd ? -_ Y_N. TreePresRequired Y _N On-srte.SeptlcSystem . "_Y _N / Date S oz Construction Cost 4-?)06 - Site Address y? S/ !JC p? /e G/'¢ ? UniUSte # Description of Work ? ?' - ? Multi-Family Bldg _ Y X N Fireplace(s) ? 0 _ 1 _ 2 PropertyOwner TA?n/„S? ?-/f Telephone#(16S/) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiantype) Su6mitted Submitted . Energy Envelope Calculations Submitted In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( 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 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. 1?1I.? ApplicanYs Printed Name A.Micant's Signature