4408 Cinnamon Ridge Cir• CITY OF EAGAN
3850 Pilot Knob Road, P.O. Box 21-199, Esgie, MN 55121 ,. ;
PHONE: 4548100
6UILDING PERMIT
i 'N
Recelpt *
549,
•? ~ ? ..` i0..1 N : I L?G F; C i 1 Ereet L;l Occ.vPencY r._ i
Site Addr,Mt
,
C. i "Y!! 3
l Remodsl ? Zoning
lot b,
B
ack Rapeir ? Type of Conrt. ?
Pwcel No.
Enlsrge
?
No. Storias
Move ? Langth
Name Dsmotifh ? Depth ; c
? Add?ft s Grade ? Sq. Ft.
Citv Phone .• `' i: - Instell ?
Nsme
Addrus
? Citv Phone
Name
I hereby otknowledge that 1 havt road this opplitotion ond stote fhat
tM inlormotion it oorrecf ond ogree to comply with all applicable
Stah of Minnesota Srotutes ond City of Eogan Ordinonua
$ipnoturv of PonnittN
A 9uildirq Permit Is issusd to:
dl work shall be dont in ocaordonct with oll oppliooble SMte of Mit
8uildirq Offi[fol
Assessrr+ent
Water 3 Stw.
Poliu
Fin
E+W
Ptaruw
Cowncil
81dg. Off.
APC
Var. Date
Pe?mir ' c i a. 7jv
Surchorqt 14 .50
Plan Review 13 .+ . ` a
0
S/1C
Woter Com.
Wcter Meter ?
Rood Unit
Total
on tM oxpnst tadiHan thot
Stotutes ond City oi Eoqan Ordlnar+as.
Permit No. Pwmk Hokbr Dm Tels hon* iF
Pi°"'bi"0 5,)!o / ` s- sd?' - s,zqo
H.VA.C.
Ekctrfc
Soft,n..
Inwoction Date Insp. Othw
Footinqs
Foundation
Fnmino
Roofing
Ro,gh olbg.
Rough HVA
Inwlation
Finai Plbo. ?
Finsl HVAC 7
Final ?
CwtlOoe. ,? ,f ? ? ??
v?
Wat?r Wmibs Location:
YWII
Sower
W. Dhp.
CITY OF EAGAN
: 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagsn, MN 55121
PHONE: 4548100
BUILDING 'ERMIT Rece+ot # .
Sits Adckaa
Lot Block
Percel No.
?G Name
Addnal
? City
Name
uZ Addreu
?W citv p
Sigrwtun of PemwffN
A 8uildinq Permit is issued ro:
all woric sfwll bt dorw in o000
Bnildirq Offitial
rood this applicotion ond stote that
gree to comply with oll appliwble
Gry of Eoqon O?dinonces.
Ersct 13 Occupsncy
Remalel ? Zoninq _q
Hapeir ? Type of Const.
Enlarge ? No. Storiet
Move ? Length .
Osrnolish ? Depth
Grade ? Sq. Ft.
llsssssrnenr
Woter 3 Saw.
Poliu
Fln
Eng•
Plonnwr
Council
Bldg. Off. 4 lZ 85
APC
Var. Date
with oll cppliooble Stote of Minnesota Sfotufes
Permir Q c r a . ;0v
Surchorqw 24, ?0
Plsn 139,
yAC 525.00
. 0
WOtEf COM ?
Woter Meter fi-l..-? 0
Rood Unit 2 S A_ A Q
T..p. 132.00
Tocal $1 . 94 2. 2 S
on tM expros eandition ehot
y of Eapon Ordinonas.
PKmft No. PKmk Holder DeM Tele hone ?
wumb:ng
5--) 6,;?- offmonimmse-
s•) T
H.V.A.C. 15 ,.,.7t- L v ?-
Eloctdc 3i Go,.#.? a ? ?I? y,
soft«wf
Inspection Dste Insp. Other
Footin¢
Foundation ?
Framinq ?
Rooff ny
Roud+ Plb4
Rough HVAC
Inwl,einn
r
Final Plbp.
Finsl HVAC
Final
Cwt/Oae. ?
Water Ofte?ibe Loeation:
NNII
Sovwr
Pr. ?ap.
Reoeipt V ? pAECHANICAL PERMIT Permit No.
` CITY OF EAGAN
r; Fee
• Fi!l rn numbered spaca S/C
Type or Prin[ legiMy Tot.
1. Date 2. Inatallation Cost T 3. Job Address - Lot Blk. ' Tract
4. Owner ? ? • %
- ?
5. Contractor Phone 8. Addreu
7. City State Zip 7 ?
B. 8uilding Type: Residential El
9. Work Description: New 0
Commercial O Institutional ?
Add ? Alter ? Repair ?
?
10. Describe ' -' Fuel Type - ? ?
E 11.
No. Equ'oment 8TU • M. Ea.
Forced Air - ' No. Eouiament GFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Air Cond. Other
Mfg. '. /
Gas, Piping Outleta
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.
Siqned : for
Rouyh F fnsl
)nspections: Date Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAOAN 464-8100
Reoeipt ?
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill In numbered spacea S/C
Type w Prin[ legibly Tot.
1. Date ' 2. Installation Cost
3. Job Address Lot Blk. Tract •
4. Owner
5. Contractor Phone - ?
6. Address ??'2'e G
7, City ? State Zip - ?
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New O
10. Describe
11.
Add O Alter O Repair ?
No, Fixtures
Water Closet No. Fixtures
infield
Cess
o
l/D
Bath tubs p
ra
o
Se
ti
T
k
' Lavatory p
c
an
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othe
?
Laundry Tray r
Floor Drains
Drinking Ftn.
' Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed for
? Rou9h Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,6100
Radipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
y ? Fes
FiU in numbered spacas S/C
TYpe or Print legibly Tot '
F
1. Date ' 2. Installation Cost '
3. Job Address Lot Blk. , Tract
4. Owner
5. Contractor Phone
6. Address i
. 7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New 0 Add O Alter O Repair ?
10. Describe Fuel Type
1 11•
No. EQuipment STU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
Mfg. r
andling:
Bailers
Mfg, Mech. Exhaust
'
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signsd : for
Rough Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. r
R8C@Ipt
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini /egibiy
l _ i?-
Permit No. ?
Fes
S/C
Tot , -
1. Oate 2. Installation Cost
3. Job Address Lot Blk. Tract '
4. Owner
5. Cantractor ,
Phone '
6. Address
7. City State Zip s?---
$. Building Type: Residential Commercial ? Institutional 0
8. Work Description: New 47 Add ? Alter ? Repair ?
10. Describe
11.
No.
' Fixtures
Water Closet No. Fixtures
i
Cess
o
l/D
fi
ld
Bath tubs p
ra
n
e
o
$e
ti
T
k
? Lavatory p
an
c
$
f
Shower tner
o
W
ll
Kitchen Sink e
Urinal/Bidet h
O
Laundry Tray er
t
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets .
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordin ces and codes governing this type of work.
Signed: ?? for
' RoUgh Final
InSpeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
- - -- - o..
Additio?n Cinnlmnn Ridge 3rd Loc 052 gik 05 Parcel /0 1r7*40.2.
Owner&l -?'+-c?A?-,s+2 -Street 440$ Cinnamon RidQe Circle state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
990 1995 5711 - 40 15.68 5 Paid under ori inal arc 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA rr ?? ? ii n
STORM SEW TRK
407
1979
190-84
9.54
90
STORM SEW LAT
CUFB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit $280.00 50832 4 12 85
RATER CONN. 500.00
SUILDING PER.
SAC
PARRC
CITY OF EAGAN
Addicion_Cinnamo?441gg 3rd Lot 051, eik 05 Parcel 10471g? ?a15.
Owner-Z-„w,,.g?AStreet 4?410 Ci nnamon R i dgP Ci imiep F.agan MN 55122
Q-¢-tt'? .
Improvement Date Amount Annual Years Payment Fieceipt Date
STREET SURF. $90 198
STREET RESTOR.
GRADING -
5AN SEW TRUNK
SEWER LATERAL
n n
n ?? ii
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
5TREET LIGHT
Roc1d UIllt $280.00 50832 4/12/85
WATER CONN. 500.00
BUILDING PER. 10068-10069
sAC 525.00
PARK
OF EAGAN
Remarks
Lot S Rik
Owner
Street
Improvement Date Amount Annual Years '%?' Payment Receip Date
STREET SURF. 1 1156.810 231.36 5 925-44 CO 47 $-$-$
STREET RESTOR.
GRADING
5AN SEW TRUNK 1 C010 8-$-$5
* SEWER LATERAL c? 3q:-
50
647.90
5
1. Ej0
C010547
8-8-85
n
WATER LATERAL ?8
WATER AREA 7 3 1 1 1-7,56 C010 8-8-$
?
Services
x 1985
STORM SEW TRK 4
01 1 248.13 C010 $-$-$?
-
? STORM SEW LAT x 1985
CURB & GUTTER
SIDEWALK
STFiEET LIGHT
WATER CONN.
?UILDING
S'AC
P
' OF EAGAN
Pilot Knob Road
Box 21199
n_ MN 55121
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
dunler.
_ No. of Units:
DeVries Bldrs
Add,ess; 4410 Cinnaraon Ris],.ze Circle LS B5 Citan Ridge 3
IL_r. i.o.
ve -
ir No.: Cannection Charge: 5p0.00 pd
Accourn Deposit: ?i5. ')0
kr ryo.: Permit Fee: 10 . 11`10
roe to eaevh? wilh Mw Cih ef Ewn Surcharga: • 50
Mlsc. Charqes: • P
?osw. ,.. p:n e t e r
Total:
Dote Paid:
? of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilet Xnob Road 6117
P, O. Box 21199 PERMIT NO.:
4-25-85
Eagan, MN 55121 DATE:
?
'
Zon;ng; R2 ex
? dup
No, of Units:
DeO i s 111-d'r
p
-
s
N„er;
Mdress:
'
Slta Address: 441n Cinn mo inn Riflga 3_
n RidgP i rcle T 5 R5 (
plumbeT; sssavsocK rsuusus????
nneter No.: ? 516 9.5' / / ?_-
Size: '
Reoder o.. L
1mgm to oomVh wifU Hie Citr ef Epe¦
Ordiuo
C
By " )-- 02A9
Oate of ls?sp.: 7
Ca??ction p,a,ge; 900.00 pd
Acoount Deposit: 15.00 -
Permit Fee: 10.00
Surc.harge: ?0
132
Misc. Chcroes: .00 pd 63-.00 Total: p mete
pote Paid:
Insp.:
CITY OF EAGAN SEWER SERYICE PERMR
3830 Rilot Knob Road 7--,! )1
P. O. Box 21799 PERMIT NO.
c ;
: - -
Eagan
MN 55127 .
DATE: .
,
R ?-
a
Znning: No. aF Units: ?
ua _x
Owner. DeVt'188 LiiArs -
j Address:
; Site Address• Cinnazon Rid ge rClt'. ., . inxl t dRe 7
Plumber. olayloCh P"tui??• _
f '_'
4--I2--J 3 .:s 7? '.l' . i'7 -'7
1 rgne eo oemoy wi& tM Cihr ef Eagsa Conneetion Charps:
425.:10 pd
Oediwnea.
' /lccouM Depesit: i
??(i?
r
k
Permlt Fee:
Surdharpe;
By Misc. Charpex
Date of Insp.: Total:
Insp.: Doft Poid:
PERMIT
3A Pilot Knob Road
v. Box 21199
gan, MN 55121
-•--- ? -
No.:
Render No..
1 pm te aanrlp wilb tM Cirr of !y?¦
N?
OnamemaM.
By
Date of I nsp.:
PERMIT NO.: 6116
DNTE: -
_ No. of Unitr. ?i dup7
Connectlon Chorye:
Acoourrt Deposit: _
Permit Fee:
Surcharge:
Misc. Choryes: _
Total:
Data Paid:
0
_ CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 61 16
P: O. Box 21199 PERMIT NO.:
Eagan, MN 55121 D^TE: 4-25-85
Zon(no: R2 No. of Unirs: ''i duplex
f pw,w: DeVries Bldrs
? /lddrosx
±Site Addrowr 4408 Cinnamon Rid Qe Circle LS BS Cinn Rid e?3
Plumber. Blaylock Plumbing Co.
Meter Noa 3S6 lS/ D'J' Connecrion qarge; 500.00 vd
Size: `' Aooount Deposit: 15.00
Reode No.: a ?L ?•?' ? n_ q permit Fee: 10 . 00
I Nm 10 oanpy wh6 era Citr oi Ee"w Surcharpe: .50
p,di¦. . , Misc, Charoov 132.00 vd
rotal: 63 _ nn nd mPte
By Dor. Poid:
Dote o Insp.: Insp
:
.
CITY OF EAGAN SEVYER SERVICE PERMIT
38's0 Pilot Knob Road -
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zdlirlp: No. of Units:
' Ow".
I Add.ess:
Site Address:
Plumber:
I.'n. eo e0H46 with Hm CRy ef E.". Connection Gwroe: 4'-5 • J?? ?? j ?
1
Ormrenam Acoount Depodt: .., , ?
VA.
Psrmit FM: ?
Surtfiorye: s ?
By Mfsc. Chorpes: ?
Dote of Irop.: 7ald: ,
Insp.: Qotr Poid: I
?. • CITY OF EAGAN (v° 10 0 6 9
3830 Pilot Knob Road, P O Box 21-199 Eagan, MN 55127
PHONE:4548100
BUILDIN(i PERMIT R«eiw #
OF TWIN HOME
Siuaddram 4410 CINNAMON RIDGE CIR
Loc 5 el«k 5 ?ec/Sub. CINN RIDGE 3RD
Parcel No.
9,000
W I Neme DEVRIES BLDRS
? Address 7564 I ER DR
citY MAPLE GRVPhone 420-4685
Sff I Name S?E
U Addresa
?9
1- City Phone
Nama GAGE
Addms OONE AVE NO
City BROOKLYN vghone
erect fB occuvency R3
Remodel ? 2oning R4
Repair ? Type of Const. v
Enlarge ? No. Stories
Move ? Length 2¢
Oemolish ? Depth 3$
Grade ? Sq. Pt.
Assessment
Waror 6 $ew.
Polfce
Flrs
Erp.
Plonnar
Council
Pem+it r
Surchorgs 24.50
Pian Review 139.25
5AC 525.00
Wotar Conn. 5 0 0. 0 0
Water Meter 63,.Q 0
Rnad Unit 280-00
I hercby ackrowledga that 1 ho ad rhi: aoni+cotion ona :mra n,ar eids. ?. 4/12/85 IT. P. 132 . 00
the intormotion fs correcf a ee fo comDly with ull aOPlicoble APC ? Total $1,942.25
State of Minnetoto Stotutes ry 1 Eogan Or 'rances. ?
j Var. Date
Sfprwturo of Permittee
A Buildino Pem.it Is Issued ro: DEVRIES BLDRS m the axpmn conditlon lhal
oll work shall be dons in accordance with all a 'cable Stofe qF"Mrnnesota Stmute? ard City of Eaqan Ordirqneea
Buildinp OHkiol
e ?
4 CITY OF EAGAN ?J? 1 O O C 8
' ` 3630 Pitot Knob Road, P.O. Boz 21-189, Eagen, MN 55121
PHONE: 4545700
BUILDING PERMIT Receipt # o ?
Te M uwd Mr 'g OF TWIN HOI& yalue $49,000 pafe APRIL 12 , 1985
siteAddr?u 4408CINNAMON RIDGE CIR
Lot 81ock 5 SeclSub. CTNN RTnrF. Parcal No.
? Name DEVRIES BLDRS
? Address ?RINER DR
City MAPLE GRV phorie 420-4685
Nsme SAME
? Addtas
City Phone
W Name GAGE
_? p?? BOONE AVE NO
?W City BROOKLYN PI(none
Erect EX ocwpancy R3
Remodel ? Zoning
Repair ? l'ype of Conrt.
Enlarge ? No. Storin
Move ? Length 24
Demolish ? Oepth 38
Grede ? Sq. Ft.
Install O
Apqo.ols Faea
Assessment
Water 8 Sew.
Polica
Fin
Enp.
Olonner
Council
SiQrwture of Permittes "`-'? ? el'Jo? Permit r c i u.?..
I hercby ackrrowladga thaf 1 have raod fhis application und state that gidy, pry, 4/12 /g
the inlormotion is eorrect 9ree to wmply with ell applicable A?
State of Minnesota Statutes Citw,o4 Eoqan rdinnnces. Var. Date
Surchorya 24.50
Plan Review 139.25
SAC 525.00
Worer Conn. 5 0 0. 0 0
Woter Meter _63.+9 0
Road Unit 280 _ 00
T.p_ 132.00
Total S1 .942.25
A Buildfnq Permit it issued to: vEVAiES BLDRS pn the ezpross conditlon thol
oll work shall be dora in aemrdonce with oll jjiq)licoble Sr of in soto Stotutm and Cfty of EcOan Ordirwncsa
Buildirq Offlcial p l 4,a?
This request voitl i? (0
? L' q
5/rV(? ?
Request Date I Fve No. xoapp-?n cu.... I?Ready Now W WdI NoLdv Inspec-I
u retl. lor When qeady
may ti 19ts5 ?1C Ye? ?Nin
R Licensed Eleclncal Contractor 1 Mreby requast insDection oi abova
n?o??.ica1 work installed et
? .,....?.
Crty
Street AddFess, eox or RoWe No.
4410 Cinnamon Rid e Circle
ectmn o. Township Name ar No. Ranpe No. Counry
ea an Dakota
Occupant (PflINT) Phone No.
DeVries Builders -
Power SupDlier A?feu 55024
Dakota ELectric 4300 - i
'
s L?ce se No.
Electncal Lon[ractor (Companv Na?) Comractor
COntemporary Electric, Inc. 0419
M.iding AdJress lCOnvac[or or Owner A1akias? I?raila?ioN
6810 Hemlock Lane Ma le Grove ?
Authonzed Sig^amre (Conhact ? r Making Iretalla?iunl Phone Nvmber
424-4232
? _,,... _,,« W,
Af`NNESOTA STATE BOAIiD OF ELE? BE ACCEPTEO BY THE STqTE BOARD
Griggs-Midway Bid9. - Ro?? N-19 UNLESS PftOPER INSPECTION FEE IS
1821 UniversitV Ava.. St Paul, MN 55104 ENCLOSED.
Phona 1612) 297-2711
5? ?, Cr p REQUEST FOR ELECTRICAL INSPECTION Eg-1O?1 -?
1/??j C
' See i?truetions (or rnmwleting this idm on beek ot Yel low copv. ?? ?l ??
R?l '?i .'r1 q ""X" " Below Wnrk Covered by This Fequest
U ...?
Fdtl ..,..
ReP _
TVPe ot BwlEing
Home
APOlianeeaNired
X ?n9e
Equiamenl WireA
Temporary Service
Duplex Water Heater Lightiny Fixmres
Apt. Buildmc? Dryer Electnc Hea[in
Commercial Bldg. Furnace Silo Unlu.?der
Industnal Bldg. x Ai? Corditioner Bulk Milk Tank
Farm Other ItiV??r.rtVl
t r ISpecrtV Ot p O?hi:r
6om
p pute rnn
Faa yecum.. cc oc?.?..
Sarvice EntrenrceSize #
Fee
FeeAers/Subteatlers
H
Fea -
Circu?ts
U? 0 to 200 Am 5 0 to 30 Am 0 to 30 An! ?s
. Above 200 qm 31 to 100 Amps 31 to 100 A s
Swinuning Pool V Above 100-Amps Above 100-Amps
"
Transiormers Ivigation Boort.s " Other Fee
PdrUal-
Sfgns Special Inspec!ion g TOTAL FEE?
47.5 /,?.vcl
wirin or n
meEle?y??l?
Fouen-In L
7 Insoacbr, hereby
certdy lhat the above
np} e-.? mspecbon has been
Final nuaae.
Tnwrepuestvmatnmomm na?" LlA?< - i
Th,S.reqorst voitl 516 yq
months imm
? ?
RMUest D'ate
May &, 1985 FirP No.
] Licensed Electncal Convartnr
] Owner
unovergity q?e., SL Paul. MN 55104
Phone (612) 297_2111
L? NOT
B ?
E qCCEPTEDBY THE tUVEST STqTE BOAD
UNLE55 PqOPER INSPECTIQN FEE IS
ENCIOSED.
?L(7 REQUEST FOR ELECTRICAL INSPECTIOIU Es-00001 4a
' See instrue[,ons lor comp?etirp this larm on baek of yellow copy. /??
D 316 5 8 ,•X.. BeloW Wnrk Cnvn:ad h,. Th... o,.,...,._. 4 Y Il (/l(te
.4
Ad BeD.
TvPe oi Bmltlmg .._, _._..
Apohancee 1lired .,.
?1 ?IU?
Eduipment Wired
Home Range Temporary Scrvice
Duplex
APt. 8ui iii[i9 Water Heater
D Lightiny Fixtures
Commercial Bidy. ryer
Fumace Electnc Heatin
Industnal Bldg.
Air Conditioner SJo Unloeder
Farm x
OtliNr Specify Buik Milk Tank
Oiher Ispac?fvl
f Mr Sucoifv Ot er
Othm
ompute lnspection Fee Belaw
u ServiceEn[mnce5iza p
0 m 200 A m s pAa Faetlers/SUbfeeders N Fee c,•=.
n Above 200 qm ;s 0 to 30 qm s
37 to 100 qmps 34 . 0 to 30 qm
Swimming Pool 31 tu 100
Transiormeis Above 100_Amps
Irngation
Boorc?s
si
gns
ns
pecial Ins
ect er Fee
Rernr.k? p
ion ?
Q/-1' r,p1UlAr'VFEE ?
f
TIMS Rpuesl voW
the Elecnical
Inspecwr, Neroby
( Date certify that the above
pec[ion hes baen
O? O ?da.
5/l?(85
?7•Da
._ „
E)ReatlY Ni,w)UWill NnLfV InsPei
N. 'or When Reatly
I hereby repuast irspeclion of above
electrical work installad at
C?? L 1? I N H. H E D L U N D 7728 Morpan Avenus soutn
Rfohfleld,MfnnasoTa 35423
Land Surveyor qvti Enqinesr Phone : 866-2323
survRord' eertifixte
JOB NO.
SURVEY FOR: John DeVries
DESCRIBED AS: Lot 5, Block 5, CINNAA".ON RIDCE 3RD A?PITION, City of Eagan,
Hennepin county, A7innesota and reservinF easements of record.
MAx. ?wPIE- Ia7o
Top of Foundat' =9ZZ. I
Garage Floor 92z, /
Basement Floor =9zZ.4-
Proposed Elevations O ?
Existing Elevations - (
Drainage Directions--r ? J
Denotes Lot Corner O ?
_ o CINNAMON RID E C/lRCL(E o,
N5y'44" ?
f 3.00 30
,
.?
i8A
?•??? 2 I a4
1 ?? 1
iTu?N 30
pC
N \ \ \ rl
(o'mSt4Ke$ Iv'?SYUK S
?
2 S or 8p
M
b M
\
tlz
?? O 92?,7 q.g ? z7,7 ? QO ? O
N I $
a 2 P4I
z
_? 585.3o•o4"W 9i7,! I z
?
, V
-? ? ao
.• ?
L'
CERTIFICATE OF SURVEY
I hereby certify thof on g/ lQ'8G I surveyed ihe property described above ond ihot
the above piat is a correct representation of soid survey.
Calvin H. Hedlund, Minn. Req. No. 5942
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACI'ORS NUST BE LICENSED itITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1/Z OF ?(VME
?WIH 1'1 1 SET OF
- ENERGY CALCULATIONS
To Be Used For: A."" Valuation: _4 1 Li2'7. ' Date:
Site Address:
c,c/ae OFFICE USE ONLY
_
Fa.sT 1/2- oF
,
, ? "
/
Lot: ? Block ? Sect/Sub ?
Erect X Occupancy ?Z-3
Remodel Zoning Q-4
Parcel p Repair _ Type of Const ?
Owner
(I Enlarge 11 of Stories
/ Move _ Length 2-4
Demolish Depth 35
Address Grade Sq Ft
City/Zip Code
, o -------------- --------------------
Phone rr- 9PPROVALS
Contractor Assessments Permit
?
Water/Sewer Surcharge
sO
Z -?
Address Police Plan Review 139 Z?
Fire SAC
City/Zip Code ? Engr Water Conn ? m
Planner Water Meter (03 °`
Phone - Council Road Unit
Hldg Off ? [?_ arks
Arch./Engr. APC reatment Pl 732.°?
Address ?. CQ,.
? Variance TOTAL ?? ??• a $?
City/Zip Code c-:n.J?Q,,_
Phone 11
,. r
BUILDING PERNIT APPLICATION - CITY UF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
?2oF rWl?-4 Op,Me: 1 SET OF ENERGY CALCULATIONS
To Se Used For: Valuation: ?
? 4?f,cx)U. - Date: v lo d'.sJ
Si te Add r e ss : 'Ic/sp 94, ?
WEST 1/2oF ui-t. C-1 pe)e-
Lot: ? Block S? Sect/Sub 3RO
Parcel 11
Owner & (/"
Address -75-C. U ?•,,,,,,a ,(x?.
City/Zip Code 9
Phone ycto y6 yS?
Contractor ? _ .
Address r?
City/Zip Code --
Phone ^
Arch./Engr.
Address 0? A? k -
City/Zip Code .? ?? -
QFFICE USE ONLY
Erect x Occupancy 2-3
Remodel _ Zoning [Z-4
Repair _ Type of Const ?
Enlarge ll of Stories
_
Move Length Z4
_
Demolish Depth 38
Grade Sq Ft
APPROVALS
Assessments Permit 278. 9=
Water/Sewer Surcharge =. 5b
Police Plan Review 13q. LS
Fire SAC 5Z5 °-°
Engr Water Conn 5Cp. °-'
Planner Water Meter (p3
Council Road Unit
Bldg Off1q? Parks
APC Treatment Pl 772. =
Variance
TOTAL
Phone #
1
?? •?3 ?i
? 2/84
? CITY OF EAGAN
APPLICATION FOR PERNIIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINi)
1) PRoDERr! ADDRZS3s: L
?,24,7 19 m n
ZEGAL DES=?YPICy_
(Ir?t/Blocic/Su?ciivision or Tax Parcel I.D. Ntrr?er)
i u-`,zST_:c s-'mcc"- naTE or oRIcuLu. BU2ZDr:c issu,?,.N?.:
P.`Sr."NP ::^`m"r,/n?OPOS''?J" US': ? R-1 Siy,= FT?YSLY .
0 R-2 DU?L--{ (T,ip L?IITS)
0 R-3 'iCf.1,-2,U-?CUGE ('!'f-REE + MN7ZT5) { L?IZmS)
? cc-4 APZ?.2?'t?'T/CC2?-LrP1IL?I ( Wi ITS )
? CClmA%ERCrAL/RE:AII,/OFF=
Q ?.'CIIST=
Q NSTI;LTIO:]AL/GGVE^'E-El,^r
2) pppj,T='?r (PLEASE_P_RiNL)---
?-lE: ?vlo?Plun-,nr
-
?---?-- Jy/- ?-- - - --- _
PDDRESS
!
?
?
?
: ? w
-
I/
Pv
CZTY, ST,-,:'y', ZIP: 41C Il f, P?d l' lllJ
PfiONE:
3) FLL:ffiER
rAME: SE PHINT),
/?
(
/
? FOR CITY USE 09LY
CC
,
?,n/-
? AA
W
rDDRESS• • , PLVHBEPS LICEYSF:
` Ac[ive
CITY, $TA'Ir., ZIP: Expired
PHQNE' _ p C ? ??? ?
PLU,MBER LILENSE # Q Nat of Retord
TE-a initia
't) CX.tiI;Ylu?Pl'/CT.vi••E:i2 IYLCN?L?ini?
ruArtE: /?,r E? u i lcl??2 ?
aDDREss :
CIT'!, ST;TE, ZZP:
PHONE: ?
5) IINI7IGtTE ;$fICH PER%IIT IS BEING REQUESTFD:
&CO:INEC.TION TO CITY SEWER
cCr"=zoN TO czTr waTER
? diIFR (PLFASE DF_SCRIBE)
6) R?IDIG= C::i: •
? PLyA-SE E?OID APPPOVID Pgg,+1IT FYJR PICFi-(3P BY ONE-OF ASGVE
PLEASE ?%*AIL APP PROVF? ,%LIT-TJ 1,( 2- 3 4, AIBC7i/E ?
j? ----
? ?- - --(C-irele-one_ C7/
)
7) SIGZ-ATCRE: /l_?t--?7?-?% ? -? ///piYlC?c?'y"ZlC?? DATE: 410-?.?
M! mA:rl?_A! i S lm:4?! i I7tii?iO M If i Iiiii :i a 1t !! ?lfryllsylFJ? S i lAwi?1? 2
F 0 R
PE??MIT " ISSUED
C I T Y U 5 E O N;, Y
F°ES : $ /O• S v
$
$ cO S ?
$
S
$
$ i
$
$
$
$
$
$
SE."+ER P"3MIT (I",C:,:;DE JURCH?RGL)
WATE? PEPSIIT (Ii7CLUDE SIIRCHA2GE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SESJE4 TAP
ACCOUNT DFpOSIT - WATER
WAC
SP.C
TRliNK WATER ASSESSiAE:1T
TRtiNK SES•7ER ASSESS:IEDIT
LATERAL BENEFIT/TRUNK SE?•:ER
LATE?2AL BENEFIT/TRUNK TVAT°R
OTHER
$ TOTAL
$ .?aG•?u P.MOL':QT PAID/REC°IPT ? S?SC1
DOES UTILZTY CON[VECTION REQUIRE EXCAVATION IN PUSLIC RIGi-IT OF WAY?
? YES IF YES, THEN ii "PERMIT FOR 'AORK WITHIN
FUBLIC ROADWAY" itilUST RE ZSSUfD BY THE
' NO E'tVGINEERID]G DIVISION. LIST AS A CONDI-
TION_
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED
TI:LE:
DAT°:
? a?+ls w ? s? !? ?? ? ?l? wJ? l? ? /e iJ4 ws? R? ?k? f! ?wi? ?}?1 R? ?E ? ?! s?ll ?a.a fF? 1F sl? ? ?
!._ ' . '
2/84
I 1 r.ti CITY Or EAGAN
A PPLZCATION FOR PERb'IIT
SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINi)
i> PROpEIRTY aeDREss: 19 r))T ??d
tCq i L
a ?
t.Frar DES?RIPTICy: ?
(Lot/Blcck/Su:division or Tax Parcel I.D. Nt.ur?er)
' ic STPI;C^M, DAZ:' 0F OiZTGi IAI, riiII.D211:G
PRFS47?' LS: ? R-1 SZ;GLE rA'JSLY
? 1Z-2 DUPL...?"; (?A'0 L'PIZTS )
0? 3 ZC{,,-1\FC{.1cg (mrm.?-i(J:1ITS) ( Wi 7^'S)
? R-4 AFARYIEN'P/COiDG:'lIi`IILni1 ( CNITJ)
? CCfMME,4CI]mI,/RE;AII,/0FFICr:
p mcusnrAi
II I:asTTTU?rzoaAL/covMn^r
2) Appj,jC-7??,^T
N?
?`'
? A
? (PIEAJE PRINT)
b
•
:?
U
o? u m
, '0 rnqi ?
ADD:tESS: SU , ??- - -
CTTY, ST?1T?.'. ZIP:
PxoNE:
3} pj,j,rmgzo
NAME: ?!? /' (PLE?_s/??, P/R(NT) < ?{ fOR CITY USE ONLY
P,DuRES57 i ? PUJHBERS LICE4SE:
= Attive
CITY, STATE, ZIP: Expired
PfiO?]E: n????n
PLUMBER LICENSE N Q Not of Record
a?t Initla
'tl ? tr?cpu,
NANtE: E?__?
aIDnREss: c- IY1f12
?I1J?I'
CITY, STATE, ZIP: mya?lr? ?i;?r;?i? /'rll1 • SS°3G ?7
Pho>rE: ?
5} TNpZG*,T'E WyICH PE1Z•IIT IS BEING RFFC)IJESTEp:
r?2( CGNNECPION 'ID CITY 5a1ER
QODINECPION 'IO CITY ATATER
?O?E'.ER (PT.FASE DESCRIBE)
o) LauLI.;.C. v.'+C.:
7) SICz-Amm:
f PL--:?SE f?OZD APPRCJVM PER.',LIT FOR PICi:-UP BY O.IE OF AEdl/E
? PLEASE b^.aIL APPRpVEp PER.?LiT 'PJ 1, ?'3, 4 FIBOVE?
'- - --(Circle one)"-
DATE:
? _}. • . . ?
?! /? O1?il1lA:f? ir @ l?.afl? ! i i'ltiii?i#1? ? i i?ii?i:? a lt !t!flsY'l?J?! i 1S ? i0Flga11 [
FOR C I TY U S E ON;,Y
Pc?MIT °- ISSUED
F°ES: $
$
$ S
$ 1???.?S?;iEB n?R?'1T_T (I`ICLCD? SU°C?:aRGc)
$
$ $ $ J C>f7 . /?
$ $
S
$
$
WATER PERP4IT (IiICL'JDE SliRCHArZGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE?dER TAP
AC^OUNT DFPnSIT - 47AT°_R
WAC
SAC
TRUNK 6VATER ASSESS:?E.1T
TRU:1K SEWER r;SSESSMENT
LATEP,-AL BENEFIT/TRUNK SE?•:ER
LATERAL BENEFIT/TRUNK WATER
OTHER '
$ TOTAL
$ AMOUti'T PAI?/REC°IPT
DOES UTILITY CONNECTION REQUIRE EXC?.VATION IN PUBLIC RIGrIT OF WAY?
L YES IF YES, THEN ii "PERMIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST B? ISSI'EU BY THE
?NO ENGZNEERIr1G DIVZSION_ LIST AS A CONDI-
TIO[V.
SliBJECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY:
TZTLE:
DATE : 7/
twrw??e???s?.c?+aMUM ME= w= w017M w"N WL?+wE?PR M:M Wkm RaWt= ses?PW RancM weWrw?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
New Constructlon BeaulremeMs
• 3 regisleretl s0a surveys shaxing sq. fl. M lat, sq. fl. of house; and ?II roofed areas
(20% maximum bt coverage albwea)
• 2 copies ai plan showing baam 8 window sizes; pouretl fourM tlesign, etc.)
• 1setWEnergyCakulatbns
• 3 copias Of Tree Preservation Plan J bt platteG elter 7/1193
• Rim Joisl Deteil Options a9lectbn sheet (bidgs wlM 3 or IeSS unNS)
DATE .?/ ZC91c-z
BemodeVHeoaU Requirements
. 2 copies W plan ? O
• lsetofEnergyCa1CU18ti0nsforheatedadd'Abns
• 1 silesurveylorextefioraddalons&tlecks
. Indirate M Mme aerved by septic systemtor addAbns ?-
VALUATION f 2"d
fj O
-,:)- t
SITE ADDRESS ??- I 10 [r„K??? JZ,-r(SP Ci-K I-e MULTI-FAMILY BLD6 3.'Y _ N
NPE OF WORK D?soY r`?ep,,?r 1" FIREPLACE(S) ,?0 _ 1 _ 2
APPLICANT k'\Y-S .A- fi >,
STREET ADDRESS 14 (-lIO Cd"?V.ae.,o.- V1,zIg Crwc (i CITY ES?u,. STATE M!?/ ZIP S"SrL t
TELEPHONE #6?-I -s?',(2-i 7c,-/ CELL PHONE # 6 sl -ra -S vj FAX # -
PROPERNOWNER I1(y("7*4PV ?''?•+3`*s:'^^p?- TELEPHONE#65'_i-9-sr1-1705/
COMPLETE THIS SECTION FOR °NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?,W54R&?S'94
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • nIvI?1s?gyot WwksF?eet
T U LUUL
. Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanicalsystem includes:
Sewer/Water Confractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone A
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this applicatlon, state that ihe information is correct and agree to comply
wiTh all appllcable State of Minnesota Statutes and City of Eagan Ordinances.
SignafureofApplicanf
-...... _......_._._----------............ _......... _ .....__.?..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
upaacaa aroz
PERMIT #: -.?z g- ?/
CITY USE ONLY
RECEIPT DATE:
/j f 11?/6 Z
2008 RES1DENT[AL lYl£CHA1VICAL PERMIT APPIICATIOIV
crrY oF Ene,yiv
3$30 PILOT KNOB {{D
f.Ak6RN bIN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0-1)-
SITE ADDRESS: 4410 by)V-Ia'YYI 0y) k
OWNER NAME: IVU Y+pch (S-V- TELEPHONE #: C I p? a"?C? a.
INSTALLER NAME: TELEPHONE #: 60SXQJ-3J
STREET ADDRESS: )d? l 1 m ?
CITY: elj ?' k0""'" "- STATE: I y(tv ZIP: aA` f
Place a check mark next to the permit work type
Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
. air exchanger
• air conditioner ? r- ? r7 ??
• other Lr
n
,?,;1n,?
? 14? IJ 1_ 12002
Nature of work:?v I"CJ r 1?
ru
- ------ ?
State Surchar e $ .50
7otal S ? .Jrb
UAY1n fu Ld
SIGNATURE ERMITTEE
I/02
-70003
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmple[e for. single family dweliings &[ownhomes/condos when permits aze required for each uni[
Date 7 / ocs?_ / QS
Site Address qya<? C(ti.U,4M6,Cj KiQCpp C(iQCk Unit #
Property Owner /)') Di(1 IQ?lE-- T ?I?d/t Telephone # ( &51
Cootractor AQ(J//19-
Street Address City /Y]O (I u T
State /n /l) - Zip cj cJ?Q &p Telephone # ( (OS? ) c7QD' 8 (?a ?2_
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existiog dwelling unit $ 30.00
il. furnace _Additi
r° onal ?Replacement
air exchanger
? air conditioner _New XReplacement
other
State Surcharge $ .50
Totsl $ 3oso
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accwate; that the work will
be in conFormance with the ordinances and codes of the Ciry 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. _
,1?13E.T Lv L f (t nms
Applicant's Printed Name Ap icanYs Signature
Oct.18 2013 8:58AM Crest Exteriors 651-463-8095 P. 7
Use BLUE or BLACK Ink
~
ForOfflceUs ~
I
/I
j Permit:
I Permit Fee. I
City o~ Wan I 0
i I
3830 Pilot Knob Road Date Received: I
Eagan MN 55122 I
Phone: (651) 676-5676 15taf.
Fax- (651) 676-5894 I -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; -J Site Address; ~v ) Unit ,
. Name: Phone:
:v= ;Res nU- - ~
er Address/ ON/ Zip:
Applicant is: Owner V Contfactor
Description of work: r
K
` ~ , " Construction Cost: Mutt-Family Building: (Yes ~ I No ~
• ^'~~''e ~ ~ ~ Contact: rn\~~
.r:~. Company:
Address: qty'
' Z. 1 2. °I
state, Zip: Phone: b9 I 'Z
2 U Lead Certificate
License It
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 simllar plan based on a master plan?
Yes ZNo If yes, dale and address of mastefplan;
Licensed Plumber; Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
"-o sl e' fo be'" tC.InfoXfnad9on Porto s;iif
0 =<P/ sand support`s g'' dc'- s s . - .1-
e.in~o/~a on,►.►1a abe cf~ss.f a o f s sat` at►vWd pefTP*'sC . o `
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.ggpherstat onacall.org
I hereby acknowledge that this information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that 1 understand this Is not a permit but only an applIcallon for a permit, and work I5 not to start without a pemtil; (hat the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
pxlarior work authorized by a building permit Issued In accordance with the Minnesota Stale Building Code must be completed within 180
days of permit Issuance,
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
~~F,._ For Office Use
p j Permit
City of Eat4 I Permit Fee: 1
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
L - - - - - - - -
2014 RESIDENTIAL BUILD~iING PERMIT APPLICATION
Date: Site Address: G%G /ivN ) //z g/, Y~ Unit
Name: r i- Phone:
Resident/ ~
Address / City /Zip: (W.t ~ ),c A I' ?VX S
Owner
,22 Applicant is: Owner Contractor `
Type of Work Description of work: 1 ti /LS
Construction Cost: Z~ qo (D Multi-Family Building: (Yes C/ No )
Company:- hl c A N tW..1/f~ntact:
Address:.e;.: City: 00, 0AP f`y N 5"
Contractor
State: .#4V Zip: t~ V Phone: ~ P/ S4 042
License 21 2,' Lead Certificate 104-7- - 37 1 - l
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X
Applicant's Printed Name Applicant' Signature w..._.._
Page 1 of 3
Use BLUE or BLACK Ink
~d For Office Use
° Permit City of Emu I Permit Fee:
3830 Pilot Knob Road j ( I
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 6i fI t 57 r-,r E Unit
Name: Phone: P
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: S Multi-Family Building: (Yes / No )
,a r .ft. I IFFY ~11r'~'d<`w"-t~^,;•'
Company: CJ1-0hlStreV) ef's~ntact:
r
Contractor Address: ; 61 yy 5 o City: ~4•p. /V f f"
State: Zip: Phone: ~
License 69}} aZ- ir° Lead Certificate 114,47-- 37 i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer $ Water Contractor: Phone: _
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil ust be complet in 180
days of permit issuance.
Applicant's Printed Name App igna ure
Page 1 of 3