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4429 Clover LaneLIAU'r.S _ t'Oii .5lii,f; CITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 °'• - ' ' PHONE:454-8100 BUILDING PERMIT Receipt tt To be used tor 1 t)1 4 t''?'.X Est. Value ?' ? 8? ??? Date '?Z"? = 1'? 11615 19 86 4929 CLOVER LN 6 R3 Site Address Erect Occupancy Lot 19 Block 3 Sec/Sub. EDEN ADi7IT 10N Remodel ? Zoning Yp ParCel No Repair ,? Type of Const V . Acfdition ? No. Stories ?'Q01? VAL[31; liON4ES I?1C Move ? Length Q W Z l Name ? ? L? Demolish ? Depth ? ; Address I I t ? Ft S ° city BLAIivi:{?hone 780-5510 . mpr. n Install ? q. ix 0 U? Q ? Name SA`E Address a F W Name ? ? Address i W Ciry Phone I hereby acknowledge that I have read this applic, intormation is correct and agree to comply with - Minnesota Statutes and Citv of Eaaan Ordinance Signatyte ot Permittee -? A Building Permit is Fssued to: (UOUI3 all work shall be done in accordance with all appli i Permit Surcharge ? ?± • ?? ' ? Plan Review i SAC 575.00 Water Conn.500.OQ water Meter63.5f1 ' Road Unit -290-00 Tr. PI. 156A00 _ Assessment _ Water & Sew, - Police - Fire - Eng. - Planner Council o Bldg. Off_ 3/14/86 Parks Date Copies-.._ ? TOtal - • E,` .. :i . _ , L' on the express condition that tes and City of Eagan Ordinartces. Building Official ?? ? - ? P*rmR No. Pormlt Hdder Data Telephone N Plumbiny ? ??,.y?? • H.V.A.C.. 3 9?- Y J d 8L Electric SOItMK Inspectlon Dete Insp. Commonts Footlngs I FooHnys 11 FoundaUon Framiny Rooting Rough Plbg. ??(c . • 5? ' W, ? (,?, .w F Rough Htg. / Insul. Fireplaee Flnai Hty. Final Plbg. Bidy. Final Cerl.Occ. Deek Ftg. Deck Frmg. Well Pr. Dhp. PERMIT # MECHANICAL PERMIT RECEIPT # - ' ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _ 1NTRACT PRICE: PHONE: 454-8100 , •, •- ; Block ? Sec/Sub E ? Name , m Address C Clty' y ? ? Name ' c Address O CitY T1fPE OF WORK Forced Air `' •'? M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU ' Vent CFM Gas Piping Outlets # Other FEE: $/C: TOTAL• r _/U. ? BLDG. TYPE Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - C4MM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,040.00) OF PERMITTEE FOR: CITY OF EAGAN , , . 3830 PILOT Site Addr 4-71')Pt': - Lot Block ? Name ' m Address c City `- ? Name ; Addre p City,?-- PLUMBING PERMIT CITY OF EAGAN PERMIT # RECEIPT # 55121 DATE: _ ola BLDG. TYPE WORK DESCRIPTION Res. New _ Mult Add-on 4 ? Comm. Repair. Phon? Other FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCFiARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) I SIGNATURE FOR: CITY OF EAGAN Np. FIXTURES W Cl $3 00 jOTAL S ater oset - . ?- Bath Tubs - $3.00 -T- Lavatory - $3.00 Shower - $3.00 ZKitchen Sink - $3.00 Unnal/Bidet - $3.00 + Laundry Tray - $3.00 =Floor Drains - $1.50 -.L-Water Heater - $1.50 Whirlpool - $3.00 _ ?2 Gas Piping Outlets - $1.50 Softener - $5.00 W811 - $10.00 Private Disp. - $10.00 " Rough Openings - $1.50 FEE ? - ? STATE S/C: ? l ? ORAND TOTAL• .'. (...Y ? , . F.. CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 EIIJILDIWG PERMIT Receipt q N." 11616 Z- To be used ror 1 UF 4 F'I+FX Est Value $48,000 Date AA?Cf, 14 , 19 _Bla_ SiteAddress 4429B CLOVE'tZ L1i Erect Cl? Occupancy R3 Lot 2 U 81ock 3 sec/Sub. FDc;tV ADDiTIQN Remodel ? 2oning kD Parcel No. Repair ? Type oi Consc Addftion ? No. Stories = Name ?'?n VAL[JE HOFIES Move ? Length 4 4 RD LN Demolish ? Depth ; Address Int Impr. ? Sq. F, ° ICity BLrii.<r?phone 780-5510 Install ? a Name SAME Approvab = ? ¢ Address Assessment City Phone Water & Sew. ¢ Police LU Name Fire = ? n Address En9, W i City Phone Planner Council I hereby acknowledge that I have read this application and state thatthe 3/ 14 8 1 Bld Off information is correct and agree to comply with all applicable State of g. . Minnesota Siatutes and City of Eagan Ordinances. APC Permit ' Surcharge Plan Revie Water Conn. 5 U U. UU Water Meter63, o Road Unit 290, QU Tr. PI. 156.00 Var.Oate I CopieS- Signature ot Permittee `- _ _ _ - -----? Total- A Building Permit is issued to: GOOD VALUE HUriES on the express condition that all work shall be done in accordance with all applicable State pfMinnesota Statutes and City of Eagan Ordinances. Building ? PermN No. Pwmll Holdw DaN TN*phone K Plumbiny ,N- G H.Y.A.C. Electrlc SW1MN Inrpsctlon Date Insp. Commenta Footlnqsl .? Foodnysll Foundatbn Frsminq %8 B Rooflny Rouph Plbq. ?o y?y !J• ? Gt y.. ?h0 ?a, Rouph Hty. ? Ir?sul. Fkeplace Ffnsl Ittg. FInN Pibg. Bldy. Final Cart. Oce. Deek Ft9. Deck Frmy. Wdl ' Pr. Obp. ; PERMIT # ? ? PLUMBINQ PERMIT RECEIPT # CfTY OF EAGAN • 3830 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE: - Site Address _;' Lot Block ? Name ? Address' c City - Name 3 Addre?s O Cifi? y_.- i. ./ . 4.? ?' Sec/Sub FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SIIRCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES OF PERMITTEE FOR: CITY QF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other Np. FIXTURES Water Closet - $3.00 70TAL 4 TBath Tubs - $3.00 ?l.avatory - $3.00 ' Shower - $3.00 _L-Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 - -7- Laundry Tray - $3.00 ?Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 - Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 h O i 1 =R pen ngs - $ .50 oug FEE STATE S/G` GRANO TOTAL: ?' PERMIT.# MECHANICAL PERMIT RECEIPT # ?-?- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 2_4 - Site Address `1 7 /-c , Lot =? 1)_ Block 3 ? Name j ? Address ' . 3 c City??•? `•,/, , Ph L Name ' c Address p City Ph TYPE OF WORK Forced Air Boiler Unlt Heater Air Cond. Vent Gas Piping Qutlets # Other M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• FOR: CITY OF EAGAN WORK DESCRIPTION Mult ?-? Comm. Other New Add-on - Repair _ FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) UNI'I`S IfOR 5AL.1: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Tn be used inr 1 OB 4 P'LEX Est. Value $48+ 000 oate t"diRCH Ni 2 .i1G17 14 .? 86 Site Address 4431 CLOVER Erect L'r Occupancy R3 EDEN ADDI Lot 18 elock 3 Sec/Sub TION Remodel ? Zoning t'D . Parcel No Repair ? Type oi Const ?J . Addition ? Na. Stories GOOD VALUE HOtitilES Move ? Length 44 ¢ Name ? W 460 93RD LN Add Demolish .d Depth ? a ress cih, BLAify: ph 780'`?510 n Int. Impr. ? ll ? I t Sq. Ft o e a ns Z o Name SAME 0 ¢ Address City Phone F W ? ? Name Address a z W City Phone Signature all applicable VALUE HdMES Water & Sew. Police Fire _ Eng. _ Planner Permit ? sqb'v v Surcharge - 24 • 0 0 - Plan Review 137 ! a 0 SAC 515.00 water Conn. 500.00 Water Meter 63.50 Road Unit 290. Ua Tr. Pi. 156.00 _ Parks _ Gopies- To#al_ $2-0 Q?g-cl on the express condition that an Ordinances. ? Permlt No. Permit Hdder Date TNephone M binq F Elect dc ?? Inspectfon DsN Insp. Commenb Footings I Fooiinya 11 FoundaNon Framing Roofing Rough Plbq. ??S'-?( y? ,? (G( ? Rough Hty. T 3 y? ? Insul. Firsplace Final Htg. Ffnel Plbg. Bldg. Final Cert.Occ. Deck Fty. Deck Frmy. Well Pr. Disp. . ,, . • fANTRACT PRICE Site Ad r ? Lot ? Block m Name .S Address c City - Name ? Addre O CitY'- 3830 Phone PERMIT # RECEIPT # DATE: C? PLUMBING PERMIT CITY OF EAGAN KNOB ROAD, EAGAN, MN 55121 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $1U.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SfC IF PERMIT PRICE GOES BEYONp.41,000.00) PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. J New - Mult Add-on Comm. Repair Other N?. FIXTURES C -7OTAL Water loset - $3.00 TBath Tubs - $3.00 - 7 Lavatory - $3.00 Shower - $3.00 T- Kitchen Sink - $3A0 Unnal/Bidet - $3.00 T-Laundry Ttay - $3.00 - - F Floor Drains - $1.50 Water Heater - $1.50 ` Whirlpool - $3.00 -`r Gas Piping Outlets - $1.50 Softener - $5.00 Weil - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 FEE STATE S/C: `' ? QRAND TOTAL: ' ` PERMIT # (O v `?, S .. , , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: :ONTRACT PRICE PHONE: 454-8100 Site Addr C/ `/ ) ' r ' , r - c ., Lat ? Btock Sec/Sub ? Name _ ? Address c Ciry(?? m c 3 O Name _ Address City - TYPE OF WORK Forced Air Boiler Unft Heater Air Cond. Vent Gas Piping Outlets # Other BLDG.TYPE Mult 11 ? Comm. Other WORK DESCRIPTION New Add-on Repair M BTU M BTU M BTU M BTU CFM FEES RES. HVAC 0-100 M BTU -$24.00 AQDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE S/C: '?? j GNATURE OF PERMITTEE TOTAL• 64W 1 FOR: CITY OF EAGAN FOx SALE IJNITs CITY OF EAGAN ??6,? 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 . BUILDING PERMIT Receipt # 1 ? Tobeuaedior 1 nF 9 PLEXEst.value $48,000 oAt, MA22CIi 14 yq 86 44316 CLOV ER LN 6 R 3 Site Address Erect Occupancy EDEN AUDI Lot 17 Block 3 Sec/Sub TION Remodel ? Zoning PD . Parcel No Repair ? Type of Const j/ . Addition ? No. Stories G?? VALUE HOMES Move ? length 44 W Name 1460 93RD LN Demolish ? Depth 24 3 0 Address BL,?x•'v Z Ph 7 S 0- 5 310 Cit Int Impr. I ll ? ? Sq. Ft y one nsta Z o Name `3A`4E 0 a Address H r:«, a F W Name ? ? Address i W City Phone I hereby ackn+ iniormation is Signature of A Building Permit is issued to: all work shatl be done in accordance with all 8uilding Official Assessment Water 8 Sew. Police Fire Permit ? Z74' Surcharge - 2 • Plan Review -l'= 1 _ Eng. Water Conn. -Iu u. u u i Planner Water Meter?.50 niniluatnLeulat ulc Bldg. applicable State of nor Road Unit 290.40 3/14/S Tr. PI. 156. QO Parks , Copies . ? Total • _? on the express cuoidition that rrd Ciry of Eagan Ordinances. I I Pwmit Na I PertnN Hdder I Dab I TNePhons N 1 Commenb P1bp. Nty. FMaI Occ. Fty. Frmy. D{sp. PERMIT # 1L PERMIT RECEIPT # ?? ;i)-_ EAGAN D, EAGAN, MN 55121 DATE: ?? BLDG. TYPE WORK DESCRIPTION Res. New ? ? Name h ? Mult Add-on aD m Address Comm. Repair c City. CPhone Other m c 3 0 Name _ Address Ciiy _ TYPE OF WORK Forced Air Boiler Unii Heatec Air Cond. Vent Gas Piping Outlets # Other ? FEE S/C: TOTAL: ? Phone 'I> ? M BTU M BTU M BTU M BTU CFM FEES RE5. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND, 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) *NATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # ` , Y • PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: - Site Address f i Lot Block Sec/Sub m Name ?o Addre c City Name ; Addre O CitY L, ? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDEMTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $30 S/C IF PERMIT PRICE GOES BEYOND41,000.00) , BLDG. TYPE WORK DESCRIPTIOM Res. New Mult Add-on Comm. Repair Other NO• FIXTURES TOTAL_ - ?-Water Closet - $3.00 t Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 T- Kitchen Sink - $3.00 Urinal/Bidet - $3.00 T Laundry Tray - $3.00 , /Floor Drains - $1.50 ' Water Heater - $1.50 Whiripool - $3.00 ?Gas Piping Outlets - $1.50 ? Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 j Rough Openings - $1.50 FEE STATE S/C: ;- J " GRAND TOTAL• I FOR: CITY OF EAGAN ? CITY UF EAQAN Remarks Addition Eden Addition Lot 19 Bik 3 Parcel #10 22750 190 03 owner Street 4429 Clover Lane State Eaga11 MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ],9$2 504.70 1.00.9'4 5 STREET RESTaR. [ GRADING 9 2 232.99 . 0 5 -- SAN SEW TRUNK 7 62.93 20 1$ SEWER LATERAL 19 1896.46 3'T9•29 5 -?- WATERMAIN WATER LATERAL 1982 WATER AREA ? Services 19 - 5 STORM SEW TRK (?,^ G? 19 Q 2rj .OQ rj1.2O S STORM SEW LAT 19 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PAR K CITY OF EAGAN Remarks Addition Eden Addition Lot 20 Bik 3 Parcel #10 22750 200 03 Owner Street 44293 Clover Lane stete Eagan MN 55122 Improvement Date Annual Years Payment Receipt Date STREET SURF. Q 1982 4.70 100.94 5 STREET RESTOR. L GRADING 1982 46. 6o SAN SEW TRUNK 1974 62.93 4.20 15 • SEWER LATERAL $2 1896.46 379.29 WATERMAIN S WATER LATERAL 1982 WATER AREA 1977 62.93 4.20 LS * 8ervices 1982 STORM SEW TRK CQ li 1982 256.00 _ '1.20 STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PARK C17Y OF EA(3AN Remarks Addition Eden Addition Lot 18 eik 3 Parcel #10 32750 180 03 owner J street 4431 Clover Lane srate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?5 ? ].?j$2 504.70 1.00.94 ?J STREET RESTOR. GRADING ugo 1 SQ 232.99 46. ? SAN SEW TRUNK 93 4.20 S ?F SEWER LATERAL 1? 1896.46 379.2?L _ WATERMAIN ? WATER LATERAL 1 8Q WATER AREA 8 * Services 1 82 STORM SEW TRK 7 ], 82 256. o0 1.20 ?F STORM SEW LAT i9? S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY_OF EAF'aAN Remarks Addition Eden Addition Lot 17 aik 3 Parcei #10 22750 170 03 owner street 4431B Clover Lane State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. s p ?$2 504.70 100.94 STREET RESTOR. ? GRADING 1982 2 ? 46.60 SAN SEW TRUNK l? 1974 62.93 4.20 14 * SEWER LATERAL 1896.46 319,29 5 WATERMAIN M WATER LATERAL 1982 WATER AREA 8 • Service 2 STORM SEW TRK 1982 256.00 1.20 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 ' SITE ADDRESS: 1141 ?? i i l/f ii t FI N i' ; PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: iq., HLOrK , APPLICANT: TYPE OF 1NORK: Ili f ki I i i-if Hll 1 1 t+ I A:?411 9 0 t lei, , Kr I'r? 1 14 kFi'I Af.U `;T{11M1 `fN1A1 ? S4oo aermlc Hader nau relepl,or?e s sEwEw WATER PLUMBING HVAC Inapectlon Dete Insp. Commenffi FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucnvirr TEST HYDROSTATIC TES7 BSMT R.I. BSMT FINAL DECK FTG ?ECK FINAL ; INSPECTIOI'v RECORD CITY OF EAGAN PERMIT TYPE: «' ? 3830 Pilot Knob Road Permit Number: 4I'' h ` Eagan, Minnesota 55122-1897 Date Issued: ? (651) 681-4675 ? SITE ADDRESS: ' APPLICANT: ? J 1. •,. , , i1VrR t AHr , ;i 1 .1 E,111 ; 1' ; . , 10: , PERMIT SUBTYPE: t: ) t4T)tt- 711 90 TYPE OF WORK: I t?1MIi I r', f: t'? ?, U N 1 1 1t ?;r-ParR V I I tnN hEF'Ln('! MA 51dco Pe?mit Holder Date Telephons f EWERI WATER PLUMBING HVAC Inspectfon Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION REC4RD ? CITY OF EAGAN PERMIT TYPE: ' ""'4 '' 3830 Pilot Knob Road Permit Number: "{'? 't S 7 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 . . , ? SITE ADDRESS: APPUCANT: OVElt LANF 4 H . , 1) i>> 1 ; 4 W i f i . , "I i i 1 ? 1 M ( F+ 1. .' ! Alii:t.... /19N PERNAIT SUBTYPE: TYPE OF WORK: ,:, , ? , i „ • ? ? , INSPECTION D• . .ATE INSPTR. F ????w ? L PermR Holder Date Telephone N SEWER/ WATER PLUMBING HVAC Inspectlon Data Insp. CommaMs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IFRIGATION METER FLUSH MAINS CONDUCTIVITY TES7 HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN PERMIT TYPE: 1' t 3830 Pilot Knob Road Permit Number: H Eagan, Minnesota 55122-1897 Date Issued: i' 1??? (651 ) 681-4675 _ :ti SITE ADDRESS: t. : APPLICANT: I . ., . ! IIVt R 1 (1fdt P 1 t tiIq'. t ; ir 1 ? + . , ;? ?•; 7240 , PERMIT SUBTYPE: TYPE OF WORK: F rI'A I rr (}1:?}rRrPTic?N FiF.I-ItACE S1D1Nii (IVAt I li rr i r 13. ? L ekb 5?141oti ? Pe?mH Holdw Date Telephona N SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PIBG AIR TEST FOUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIF TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVffY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OR tAGAN WATER SERVICE PERMIT 3834 Pi'--.t Knob Road ' ? ,, ,t ? P. O. 6ox 21199 - PERMIT NO.: ' Eagsn, MN 55121 DATE: Zoning: . Na. of UnRs: Owner. ' •--Lue . 4, J5 _ Address: > ,I:_ ver L- ? Stte /lddress: -`•• , ? • Plumber. . ' `su^ ? ?C5 R10 . t? ^??. ' VZOnIng: Meter No.: 3 -I sr?: s ejore t Depq4k ?. 0c?pc'. , f-tiLA Y OF EAiAN 0 p?'c?t Knob Road . eox 21199 an, MN 55121 OWrflf: IW ? dress: ' ?t! /?I?DlSS: 4429B r•1 C' , Plwnb*r: iC1:e1r;??.. Mtter No.: ?.370 /f??? S1ze: "1?ocF{ WATER SERVICE AERMIT PERMIT NO7 -? ? sj DATE: "--- - = -No. of UnIfS: PS,- s en JVU. V{SF d 5 . ljpc: I y?'N ?O 00?1? w? ¦we ??? RlGi?I NO.: M e' ? v . EL?-1r?i?c.. ?. r? _•.I .?_ L? re O?Mnaw ? Mlsc. CFw I N?w !w eeMplp wh•?Gt?.?? !"? .} U P, ^?: R TMoI: Misc. cho rOes: Br "A? Date Poid: B Totai: ...lpd ?e t er Date of Inap.: Irnp.: Dote of Ir?sp.: Dote Poid: Intp.: cITY oF iAGaN SEWER SERVlCE PERMR CITY OF EAGAN 38=14kot Knob Road 3830 rilot Knob Road SEINER SERVECE PERMIT P. O,Box 21799 PERMIT NO.: :4' P. O. Box 21199 PERMIT NO.: Ea?San, MN 55121 DATE: ?? - 3--86 Eagan, MN 55121 pATE. , Zaninp: R3 Na. of Units: {+-nle.v Z°^i^p: ? No. of Units: _ Owrnr. C.ood ••Ziie ?tnme,5 Ownsr: Address: Address: Site Address: 4429 - 7 , L .i Site Addross: '"+ 19kl "; •-- .?_. ??de;: E,idrtEt . Plumber: Y, i r l_Ql son_ 7'11 +2A-1 ? Plumber. _.11..beisaYa P? umh-i no IDCa1 utt?vnw. 100. QQp?;. 1 .....??h??.,. cN??;3?g ? ? 5 . oop?. ?unt 15. uo a _- ? ti v 9j?ILEp? ?- 10. c?opa EQUtn??: ` BY ? MisC. Chdrws: Dote o"F* ? Totol: InsP.: DoFe Paid: Nu Cthr.E l.ter Conn.ctlon c]iorpe: ' OrdINAaes. ?,nr ??r: PemMt FN: e BY Surcfwrpe; Date of I?np,; MiscT. otol; Cho? 1nap.: Dob PaM: CITY OF EAGAN WATER SERVICE PERMIT ' cITY OF EAGAN 3830 Pil!!ct Knab Road -- , ?WATER SERVICE PERMIT P. O. Efox 21199 PERMIT NQ.: ? 3830 P1..tdCnob Road Eagen, MN 55721 DATE: 4 ' -" ' P. O. Etox 21199 PERMIT NQ.: Zonirp: No. of Units: "P ex Eagi?n, MN 55121 DATE: -`' ?,M?. >u?l Y'SiLI(- TlC^' Zanirq: -n ex No. of Units: ?df?Rf3: OWMrC r , _ . `• . ? -? : . . . . . _ . ' • '' Sift Addmn. 4431 C lover Lan f? '? i?r: en Add n. Addross: lF Clover Larie L' Ed?.r. n;i:;?? -, f c'„-+Qlson r- ?. S?te Address: , AAetlr No.. 70` M? r . );i l . U U ? ?. ? ! Pltxnber • ? .'? c" F 1 .? C8 . 15. f!Opd Meftr No.: 370 Zg ?yS ?!?'•, . Opd Size: . ?? Rea No.• rmet F 10.oopr?_ Size: '? oC(?/ 'y i%l-t,1?w to aow?pl?r 1w 5!lpc? Reader No.' ?rmi •t 1' .?Opd QI?OwOM. 'c??ilC. ?.f10fQQ5: nrT TT'. I N?M tOOM?? M'? ? ??1??` ?•? r 51??7J Totol: Mlac. Cha.pes: '- , 6. 00pd TP ? 9y v?? Dat? Paid: Totai: r3 . SO?c? Teter ? By ' Dots Paid: ? Dote of Insp.: Irpp.: • Dote of Insp.: Inq.: 0 g? ? ' CITY OF EAGAN CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knob Rosd HWER sLWVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: P. O. Eox 27199 PERMIT NO.: Eagan, MN 55121 pATE. Eagan, MN 55121 DATE: ?3-I-C ? Zq1iRp ' NO. Of Unifii: Z017111p• NO. Of UnitS: _- OMRN/. 't ? ? •'• :CTi ? l S Q1M11l?: ? G Address: - Address: Site Address: Site Address: , - Plumber. Plumber. 1 Mne to esw* wkb !M p!q of Eegew Connectfon Charpe: ve to asMpay w" tM CNr ef gop• Connwction Charpe: ddi"nas. AooouM Deposit: llcwunt Depoalt: " Pom?It Fee: • "' Pormit Fee: Surchorpe: 5uRharpe: By Mtac. Chorpes; By Miac. Chorpes; Dote of I?np.: Totol: Dote of Ir?ap.: Totcl: ?`?" Dcts Peid: Insp" Doh Pa1d: ------------- ------------------ ' j Pertnit A: V:/ ?Y ? J j ? Pertnit Fee: ? nw j Date Received: N 1 ? I I Statt: I 1 2008 RESIDENTIAL BUIIDING PERMIT APPLICATION Date: Site Address: `Z C-/OUel- h Tenant: Sulte S: RESIOENT / OWNER Name: (9'ae.4 4q??i r C 6j Phone: Addrsss / City / Zip: Applicant is: _ Ov,mer 41-( Contractar TYPE OF WORK Dascription of work: ( Cpnstruciion Cast: 000. fl O Multl-Family Bulldng: (Yes / No.? CONTRACTOR Name: Os; ??P?S ND a't1P -?-l?4O?4?? S License #: ?Z ? Address: 1??5 ? 2`[? ? S? ? • City: rWrh , nq ?p ^? Swte: OII") ZiP: -53D 2 Phone: - 2?r- 3 2' Contact Person: 606 &LL2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUtLDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . amklwtiW vensianon cateear i woftn" • rrew Enerey c«de waicsr,eei Category submieed submiaed 8Ubmisslon typ@) • Ener9y £nvelope Calcufation5 Submitled In the last 12 moMhs, has the City of Esgan Issued e permN Mr a aimllar plan hesed on a mester plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: MecheNcal Connactar: Phane: Sewer & Watar ConVactor: phpne: ? NOTE P_lansand si!Plwrxl?'daawmen? s d?t yo?i sub?Wnr? +???tk?ered to tre ptiblk irltortriaflarr ' 1ort7oirs of „ _ _ r ? s; , the ?r+fptmaHdre maY bm claasiNed as tton-ptrbNc jfyvif pr»vld? ?''lftc re?seh? t?et Wsulfd}?emnlEl?e L^Ify ta _: ?`?. ? SYIJI/CINY9?Sl' r1WV61i?1i?aB ?`I : F t i fiereUy adcnowledge that ihis iMormation is canplete arM accurate; Mat the work wlll be in conformance with Me ordinances arM codes of lhe City af EaAan; that I understand this is not a permit, but anly an applicatlon tor a permft, and work is not to St wNh a pertnR; thffi Ihe wark wili be in accnidance wRh the approved plan in the case of which requires a review ard approval x U ? ? ?? b? x di,s'?,,' Dkg ApP11caM's Printed Name Applicant's Signeture Page 1 of 3 4 2>0 s?? MECHAIVICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellmgs Townhomes and Condos when pertni[s are required for each unit Date/C?/ Site Address / U ? nit # Property Owner ??kc -hr / er Telephone # (&51) U 7- 0[),?2 d Contractor 990118 ' Stree[Address p? ([y ((1 I 1• W- City State Zip ? Telephone # The Applicant is _ Owner 4--Contractor _ Other Add-on, modiiicaGOn or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner other State Surcharge $ .50 l L ?)U $30 Tota _ . I hereby apply for a Residenrial Mechanical Pemut and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with t e Mechanical Codes; that I understand Uus is not a / mn but only an application for a pernut, and work is not to start without a emut; that the work will be in accordance ith the ap r ed plan in the cas"flw or wlric equ' es a review and approval pla . ln6l pp icant's Printed Name ppli ant's 5ignature 1986 BQILDING PEAMIT APPLICATION - CITY OF ELGAli HOTSS ALL CONTRACTORS M[JST HE LICSlTSED AITH THB CITY OF EAGAIY COMMERCIAL SINGLE FAMILY DWBLLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, t SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSJ ? $2,000 LANDSCAPE BOND To Be Used For: ? ?eOe- Valuation:V ? L? Date: ? ?.,._ p Site Address q? o b?-v- OFP'ICB IISE ONLY Lot 19_ Block _-?_ Pareel/Sub ". azz2?? Owner' (:;, o.s ae' Address /?/?D City/Zip Code _/51/A.,,, &?,_?"y?,3 ? Phone 2g0 - vrvr?d Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Ereet Remodel Repair Addition Move . Demol3sh Int.Impr. InstaTl Oceupancy Zoning Type of Const S of Stories Length Depth Sq Ft 9PPROVALS FEF.4 Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Hldg Off 3•?? W?satsTreatment Pl APC Parks Varianee Copies ? YOTdL ? NOTE: ADDHSSSES FOR CORftER LOTS - CONTBACTOE/HOHHOWNEB MIIST DESIG6AYE SiHICH 9DDRESS I3 DESIRID. NO CHANGFS WILL BE ALIAiiED ONCS BDILDING PERHIT IS ISSUfiD. ? UNITS FOR SALE CITY OF EAGAN N? 11616 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 ? BUILDING PERMIT ReceiptN dS?S 7obeusedtor 1 OF 4 PLEX Est.v111e $48,000 oate MARCH 14 86 44295 CLOVER LN R3 Site Address Erect ? Occupancy Loc 20 eiock 3 Sec/Sub. EDEN ADDITION Remodel ? zoninq pn Parcel No. Repair ? Type of Const. ?7 Addinon D No. Stories GOOD VALUE HOMES Move ? Length-4r^ Name i p Demolish ? Depth G y a Address Int. Impr. ? Sq. Ft Ciry BLAINE Phone 7 0-5510 Install ? SAME o Name i ? ¢ Address ? Ciry Phone a w W Name ? Address 0, a W Ciry Phone Assessment Water 8 Sew. Police Rre Planner Council Iherebyacknowledgethatlhavereadthisappiicationandstatethatthe gldg.Off information is correct and agree to comply with all applica6le State ol Minnesota Statutes and C(Iy ol Eagan Ordmances. _ APC- Signature oi Permit? "_•?" 2 4 .00 Surcharge _ . Plan Review 137.00 SAC 575.?0 Water Conn. 5 0 0. 0 D water Meter 63. 50 Road Unit 290. 00 rr. Pi. 156.00 Parks Copies_-$ 2 ' 019 . 5 U Total- - A Building Permit it! GOOD VALUE HOMES saued to: on the express condition that all work shall be done in accoidance with all appticabl n o at? City of Eagan Ordinances. Building Official -'?1 .e t INCLUDE 2 SETS OF ARCIiITECT[JRAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSJ $2,000 LANDSCAPE BOND / To Be Used For: Valuation: Date: Site Address UU-eti 4, OFFICE IISS ONLY SINGLE F9MILY DASI.LINGS Lot `7?_ Bloek 3 Pareel/Sub Owner Address Jy?Q 9??ti??/fl City/Zip Code . Phone 1791D Contractor cS?piA,O Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # 1986 BDILDING PERMIY APPLIC9TIOA - CITY OF E9GgN NOTE: Ai.I. CUNT8ACi0$S MQST BE LICENSED IiITH THB CI1R OF E9G9A HOTE: ADDEESSES FO& CORAER ADDRESS IS DFSIHID. IS ISSUED_ Erect Remodel Repair Addition Move Demolish Int.Impr. Install Occupancy Zoning Type of Const U of Stories Length Depth Sq Ft APPROVALS FSES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off'31?.56 Treatment Pl APC Parks Varianee Copies ? TOT9L IAi3 - CONTRACTOE/HOMEOA6ER HOST DESIGNAiE HHICH NO CHANGFS WILL HE ALLOiiBD ONCE HDILDIPG PERHIT UNITS FOR SALE CITY OF EAGAN t?1 j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I V? 11615 BUILDING PERMI.T PHONE: 454-8100 ? Receip[#_ 7obeusedfor 1 OF 4 PLEX Est.Value $48.000 MARCH 14 Date ,19 86 siteqddress 4429 CLOVER LN R3 Erect L Occupancy Lot 19 Block 3 SeciSub. EDEN ADDITION Remodel ? Zoning PD Parcel No. Repair ? Type of Const. GOOD VALUE HOMES INC Movle'on ? Lengthries 44 w Name 3 Address RD LN Demolish ? Depth_ ?aT ° cih, BLAINEPhone 780-5510 Int.lmpr. ? Sq. Ft. Install ? JX SAME i o Name $ ¢ Address ? C4 Phone : ? W Name- ? ? Address a W CiN _ Phone Assessment Water R Sew. Police Fire Planner Iherebyacknowledgethatlhavereadthisapphcationandstatethatthe CounCil information is correct an agree to comply with all applicable State of Bldg. off. 3/14/86 Minnesota Statutes and ty of Eagan Ordi ances. APC Permit $ z74 _ 00 Surcharge _ .2 4 - 00. Plan Review 137.00 SAC 575.00 Water Conn. 5 0 0. 00 Water Meter 63. 50 Road Unit 290.00 TcPI. 156.00 Signature of Per ' ee Var. Date Copies_ I 7otal_ $ 2? O I9 _ 5 0 A Buddmg Permit is ssued to: GOOD VALOE HOMES all work shall be done in accordance with ail apy?? bl te of Minn ota St utes and Ciry of Eagan Ordinances. condition that BuildingOHicial _y;- _ ., d?. Y .' M 1986 HOILDIAG PERMIT APPLICATION - CITY OF EAGAN NOYE: ALL COH?RACTORS MOST BE LICENSSD iiITH T9E CITY OF BAGAN COt4fERCIAL SINGLE FAMILY DTiiBI.LINGS INCLUDE 2 SETS OF ARCHITECTIIRAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCIILATIDNS ENERGY CALCULATIONS? $2,000 LANDSCAPE BOND To Be Used For: ,` _ Valuation: Date: ?_ 1.?. Site Address L, OFFICS DSE OPLY Lot 1?f Block 3_ Ereet _ Oecupancy - Remodel _ Zoning Pareel/Sub Repair _ Type oY Const Addition # of Stories Owner /,-e Move r Length Demolish Depth Address Int.Impr. ? Sq Ft Install a City/Zip Code ?-!?x e S,S3 y ---------- -- ------------------° Phone 9PPROVALS FSES Contractor Assessments Permit Water/Sewer Surcharge Address Poliee Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil Road Unit Bldg Off 317-86 Treatment P1 Arch./Engr. APC Parks Varianee Copies Address TOTAL City/Zip Code Phone S NOTE: dDDRS3SS5 FOR COBPER LORS - CONTEACTOR/HOMEOWNER HIIST D&SIGHATS iiHICH 9DDRESS I3 DSSIRED. NO CHANGES iiiLL BE ALLOflBD ONCB BOILDING PERMIT IS ISSIIED. . .. UN ITS FOR SALE CITY OF EAGAN N? 11617 P O B 21 199 Ea an MN 55121 3830 Pilot Knob Road, .. ox - g, PHONE: 454-8100 BUILDItJG PERMIT Receiptp 7obeusedfor 1 OF 4 PLEX EstvaIue $48,000 oate MARCH 14 t986 4431 CLOVER Erect C] R3 Occupancy Site Address 3 18 EDEN ADDITION Remodel O PD oning Sec/Sub. Block Lot Repair c? ype of Const T Parcel No. Addinon ? No. Stories 44 GOOD VALUE ? Name HOMES nnove ? Demolish ? Lenqth Depth 24 p Address RD LN Int.lmpr. ? Sq Ft. Ciry SLAINE phone 78 0-5510 Install ? o SAME Name i ? a Address ? e.,...,.,.e?. Fees City Phone ? c w?' W Name ?z r3 Address a w City Phone I hereby acknowledge that I bave read tbis application and state that the informafion is correct and a8ree to comply with all applicable State o( Minnesota Statutes and Ci{y of Eagan Ordinant.ey. ,., Signature of Per ' ee ` GOOD VAL A Building Permit ' sued to. all work shall be done m accordance with all lic Bwldmg Official HOMES ite of Minr Assessment Water & Sew. Police Fire Planner Council Bidg. on. 3/14/86 214_00 Permit_ , 24.00 Surcharge - 13 7 . 00 Plan Review- - - SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies__ .. ._- Total_$ 2 r o 19 . 5 0 on the express condition ihat and City of Eagan Ordinances Y . . • ? ? '??` (e?7l ? . ? I 1986 HQII,DffiG PERFQT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS 14[[fST BS LICSBSED WITH TH6 CITY OF BAGAN COMMCI9L SINGLS FAlIILY DTiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLIIDE 2 SETS OF PL9NS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFZCATIONS AND 1 SET OF t SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSJ $2,000 LANDSCAPE BOND ? To Be Qsed For: ZoV .? Valuation: Date: Site Address 4qSj OFFICE IISS ONLY f? ?? Lot Z7 Bloek 3 Parcel/Sub Owner Address J ? D City/Zip Code Phone Contraetor Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone 4 Erect Remodel Repair 9ddition Move Demolish Int.Impr. Install Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft 9PPROVALS FEFS Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off 3 l7%? Treatment P1 APC Parks Variance Copies ? TOTAL NOTS: ADDRFSSHS FOR C09PER LOY3 - COPTRACTOB/HOHEOHflER MOST DFSIGHATE WHICH ADDRESS IS DFSIRED. NO CH9NGES iiILL SS 9LLOWED OHCE BQILDIHG PERMIT IS ISSOED. FOR SALE UN ITS CITY OF EAGAN N 2 11618 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 ' ' PHONE:454-8100 a??S BUILDING PERM17 Receiptu 86 1 OF 14 $48,000 Date MARCH 4 PLEX l t V '19- To be usedtor ue . a Es R3 4431B CLOVER LN y, Occupancy Erect L p Site Address 3 17 EDEN ADDITION Remodel ? Zoning elock Lot Sec/Sub. Repair ? Type of Const. Parcel No. Addition ? No. Stories ? GOOD VALUE HOMES Move ? Length Demolish ? Depth 74 = Name 1460 93RD LN Int Impr. ? Sq. FL o Address City$I'AINE phone ?80-5510 Install ? Approvels Foes . Name a ? Address ? Ciry Phone m w W Name ? ? Address a w SAME $ 274 00 ? o Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stale oi Minnesota Statutes and City of Eagan Ordinances. SignaWre of Permitte GOOD VALUE HOME A Building Perm s i eaccor all work shall e in e wit h all ap lica 1 it o Building Official Assessment Water & Sew. Police Fire Planner Council Bldg. Oi Permit 24.00 Surcharge - 137.00 Plan Review_ - SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies__ $ 2 , 019. 50 7otal- - -- on the express conditian that an Ordinances. PERMIT CITY OF EAGAN 3830 Pdot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: RuiLorNr Permit Number: 0.34355 Date Issued: (41 /+J 8/ 9 9 SITE ADDRESS: P. T.IV. : 10--22750--190--03 A429 CLOVER LHNF. t_0'ie 19 F.3L0 CK: 3 EfILN DESCRIPTION: srD rNG ST"ORp; 4iAi'4AGE REF'11Ift 434 AiJ, HL:SIlJEiVTIAL i z ??\. ?Y . „; x _ • J 7' i ? . ? . r ? ' ?ti\\ ? ea. ?.. ??' r . _ ?._ . .?.. .. t-?... REPi_nr:;- SeT3.lciinPermit; "iyP:' Vuild.inq i?'n?°k l'voe rCensus Cvde ? y r ' -t i . ? - ? r" \S_ J. a?\ `• S? t { REMARKS: FEE SUMMARY: CONTRACTOR: - ApPlicanT - - ii?OWNER: CUSTGM1I CO?dCFF'7S CONST 1?;98TZ9?A 701R2A17 M71?G0 DAN 16540 KEiVRL4K LOUP(STE 0 4?d2n CI.Q`Jf:R LfaIVE LFlrFVJ.i_I_E MN 55044 ER6PN MN 65122 (672) 299--?29P, ? I hereby acknnwledqe ttaat-1 have read th±s applicatian arid sGate Chat the information is carrect and aqree tp conzply•with a11 applicable State oi Mn. S::aLuT,es and City df Eaqan Qrclinances. APPLICANT/PERMITEE SIGNATURE A c ? I ED BY: SIGNAYCiRE __j 1999 SUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 `t J (651) 681-4675 ? New ConsVUCtion Requirements ? 3 registered site surveys ? 2 wpies of plans (inGude beam & window sizes; poured Fnd. design; etc.) ? 1 energy calcuiations ? 3 copies of tree preservation plan if bt platted after 711193 required: _Yes _ No DATE: I 7 - / (i DESCRIPTION OF WORK: Remodel/Repair Requiremenls ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated addihons CONSTRUCTION COST; (-t 3 7 S STREET ADDRESS: -1 Lia q C? tSZ ?? n 0 LOT: ) Gl BLOCK: 3 SUBD./P.I.D. #: Phone#: ------ PROPERTY i=u?--- F'r<t --- ( )1WNLN Sticct Address:--------- ---------------------- - --- City --- ---------- State: ---- ---- LP' Compau}?:_ C-U-?j'u----(to nGe?fjl) - Plione n`?? L'?!------ 7 CO\TRAC'I'OR / Street AdcL-ess:_??Q_???i"'?L?_? _ I.icense I____Exp. -?--- Qtr -------?-?--- -- State: ??? ---- Llp: e? ce cile ----- ARCHII'ECTi ENGINEER Company: Strcct AddressCily Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 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. ?p Signature of Applicant: ??-rl/?•/? //// OFFICE USE ONLY Certificates of Survey Received _ Yes ------ Plione fk: ----- Rc,ish'atton -- ------------ SL1te: ------- --------- Zip: _ No Tree Preservation Plan Received _ Yes _ No _ Not Required I I ---- % ? l - ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) . . ' CITY OF EAGAN / ` 3830 PILOT KNOB RD • 55122 U ? v o y 851-681-4675 New Conshuetton ReaulremeMs Remodel/Reoah ReauiremeMs / ? 3 rcgkFered sHe surveya showing sq. fl. of lof, sq. R. of house and Q1 roofed areas f2095 maximum bf eoveraae allowed) D 4 coples of plans (show beam a window fizes; poured ind. design; etc.) D 1 set of energy calculaHOns D S copiea of hee preservaNon plan B lot plaMed aRer 7/1 /93 DATE: DESCRIPTION OF WORK: 2 copies of plan 1 seT of enmgy caleulaHona fa heated additlons 1 sMe survey for exle8or addlHons A. decW CONSTRUCTION COST: (:) dDO. D d STREET ADDRESS: `t `t / ' `7 --?? ? LOT: ! 'I BLOCK: SUBD./P.I.D.#: I9IL PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name:Q'' W017 2 Lz' / 'S Phone #: tasf Fhsf Sheet Address: q4(.3 /R. LhUe-/' L D// e?' CiFy EaaD/7 State: Zip: Company: Phone#: (area code) Street Address• Ucenge # City State: Company: Name: Telephone M: area eode ( ) Sheel City Sewer 3 water Ilcensed plumber (reaulred for new conshueHon onNl: State: Penaly appltes when address change and lot change Is requeafed once permM is luued. Zip: Zip: I hernby acknowledge that 1 hove read this applicaBOn, state thaF fhe inlormaNon is tortect, and agree to comply wMh all app6cabl Stafe of Minnesofa Stalutes and CNy of Eagan Ordinances. Slgnature of Appiicanh o0z /oJ v- ? - 13 -' / OFFICE USE ONLY Certficates of Survey Received _ Yes _ No , Tree Preservation Plan Received _ Yes _ No _ Not Required ? Registration #: Troy Haskina Eden Homeowner's Association PO Box 22195 Eagan, MN 55122 City of Eagan Birilding Pern?its Department June 22, 1999 To Whom It May Concem: Lois Dewanz of 4431B Clover Lane has the approval of the Board of Directors of the Eden Homeowners Asaociation to extend her deck per the plan submitted to us. All decka (including steps), not on the street side of the btrildings, aze allowed to be built out a maYimum of twelve feet (12') from the building. All decks (including steps) are allowed to be taken to the end of the building (frrnit of unit), but no part is allowed to extend beyond the brick on the front of the unit. If you tiave any questions or concems, please feel free to contact me. Thank you for your help. Sincerely, & 4- Troy Haskins Maintenance Manager Home: 651-687-0597 VM: 651-458-7010 Email: troy@haskins4homes.com PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651)681=4675 PERMITTYPE: ???L WING Permrt Number: 47 3 43 5 8 Date Issued: 0 1 / 0 8 / 9 9 SITE ADDRESS: P.I.N.: 19-22750--170-03 493113 CI_fjVEPZ LRNL- LOT? 17 81-I"1CK. 3 FpEN DESCRIPTION: REPi.AcE Liu?.lciiRet Fei°mir 7us?Q ?FUild'zng 4oLrk Tyne Census Coda ? 1 rf / -' i sro.rNe STORN UFlMAGL REf'AIR 434 AI_T.. f3FgIpEMfI,flL ? ? REMA?KS: . u i i ? . 11 FEE SUMMARY: CONTRACTOR: - Flpnlicanr_ - sr. Lrc, OWNER: CUS'f01+1 CONCF'?'TS CQNST 1N'3?a7298 20.1.92A:17 DEWNPIZ LOIS 761?40 KENRICY I..OOP/S'1'E 6 /4431R CLOVER LANE LFlKEVZILE MN 55044 EAC,AN h1N 55122 (612) n9^o-7299 I hareby aekncwledoe that I have read this applieation and state tihat the 3_n1'ornnation is correct ancf aoree, Cra comply w.ith ail appiicable 5tate of Mn. Statutes and c;iCy nf Faqan drdinances. ? APPLICANT/PERMITEE SIGNATURE I (JZSUED BY: SIGMA URE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Construction Reouirements RemodellRepair Reqmrements ? 3 registered site surveys ? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required: _Yes No DATE: L 7 - / q DESCRIPTION OF WORK: ? 2 copies of plan ? 1 site surveys (extenor additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; z-/37S STREET ADDRESS: b1 WJ ( t") b9 \/C (Ia/?-L- U LOT: 1-1_ BLOCK: 3 SUBD./P.I.D. #: ?n???- \:une: 'j ? u `?_?--W ?_----------- Phone If: PROPERTI' I,a" Frs` cnw Lii sti«<naaie5,:--------- ---------- --------- --- Gry stzte: iin Compauy':_!%r"?-(J - - - - - - ?--- NPhoneA:!------ - - ? ----?-- CO\T1L\C'COIt /s / S[rectAddress:f? ?G?-?9 Ircense#ZO/42?/2 -- //? -?--?- -- ---------- Ctty ?[,.?-1?--------- $tate: LiP' =-------- - ARCHITECT/ ENGINEER SuYCt Citr' Sewer & water licensed plumber (new construction only): , change and lot change is requested once permit is issued. Penalty applies when address 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 ?,. OFFICE USE ONLY , i Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes - No _ Not Required - ---' Ptioue N: ----- -- --------- Regis[rahon -- --- - --------- Stalc: ---------- Zip: PERMIT Cy"TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 6804675 SITE ADDRESS: f'.I., fV. : :149--2215O-180-03 4 4 3 L LOT: FULN CL{71/FR t.ANE 18 E3LOC.K: 3 PERMITTYPE: eutLoirdG Permit Number: 034397 Date Issued: m 1. I 0 b' I 9 9 DESCRIPTION: ReF?LAcE 8u-t151ng: Per•miC 1"yoe b"uiidinQ O+aJ•k 7voe 11" ^Censuc Gpde 1... srornG STpftm CJAMAGE fYFf'liLf'3 434 AIT, ftc.SIDI=IVTIl1l v i_.. REMARKS: FEE SUMMARY: CONTRACTOR: - Applicar,t -- sr. Lzc a OWNER: [.USTOM CQi'JGEPTS CON57" 18387290 20142417 Sf)IJIERLl11V0 STEPHFN 16540 KFfdRICK I.OOPISI"E 8 4431 CLOVER LANE LAKfVILLI_ MN 55014 EAGAN hiN 55122 (6:12) 898-7290 I herPby acknowledge that I have read this applicatinn artd stste that t'he ihfiarmatiori is correct anci aGree Co campS,V wit;h all apPlxna6le State oT Mn. Statutes and C3Cy of Faqan Ordinarrcesr ' ? APPLICANT/PERMITEE I ED BY: SIGNATII E -i - • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ? n (651) 681-4675 l New Construction Reqwrements ? 3 registered sice surveys ? 2 copies of plans (include beam & window sizes; poured fnd. tlesign; etc.) ? 1 energy picula[ions ? 3 copies of Uee preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: ? - z ? ? DESCRIPTION OF WORK: RemodellReoair Reauirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculalions for heated addihons CONSTRUCTION COST; ( 3 7 STREET ADDRESS: _I q " ? Cp()i h? ? 11A Oknf,?-O U LOT: I ?? BLOCK: ? SUBDJP.I.D. #: PROPERTY oWvi:a i vt strccc Ci[v a: Slale: Zip: n Cump:ury':/ ---- Plione$: (zGf/--1'-(J -C?---- CO\'CR:ICCOIt S[rcet Address:c/ r U License #C:?QfU ? f?!-Exp. Cilp Sta c: --ZY------ Gip' ?0v?---- ARCHITECT/ ENGINEER Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 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: 61 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required v ? Plione k: ------ ------- Re6nstta[iou.?.:--- ----------------- State: ZiP: CIN USE ONLY L do ? B?L- -22 RECEIPT#: SUBD. RECEIPT DATE: PERMIT # y 3 a q z 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT I¢i08 RD EAGAN, TM7 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when pertnits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTIIRES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet ' minimum - i 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC Ilc. 75.00 X = $ SBptic S stem abandonment 30.00 x = $ RPZ new installatian/repaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rfdwelling is underconstruction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Waterturnaround 30.00 x $ State Surcharge 50 -> --> -> $ 50 4ota1 -> -> -> --> $ 601 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------- ------------------------------------------------------ •------------ • • ------ • ------------------------------------------ I hereby acknowledge that I have read this application, state that the infortnation is cortect, and agree to wmply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during its nortnal operational and rnaintendnce_activities to the facilities wnstructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: I FECHNER, MARTY ? 4429 CLOVER LANE #B I OWNER NAME: : EAGAN, MN 55122 I TELEPHONE #: (651) 687-0260 (AREA CODE) INSTALLER NAM : TELEPHONE #: (AREA CODE) STREET ADDRESS: NORBLO CITY: L0A VENTOO/APPLIANCE IN3tA:.lC'STATE: ZIP: •anr.,?n- ?r.l 2GQ5 (3A'FiFItLD AVE. SOt'T=? MINNEAPOUS, MN 554Ua RMITTEE SIGNATURE 0 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, h4innesota 55122-1897 (651) 681-4675 PERMITTYPE: BuiI-olnic Permit Number: 0 3 4 3 5 6 Date Issued: +D 1! 0 8/ 9 9 SITE ADDRESS: 4429B CLUVER LANE LOT: 20 k3LUCK: 3 f:OEN R.I.N.: 10-22?50-200-03 DESCRIPTION: / 2. RF?LAcr szozNe Buildinti,Permit Tvpe STnRm DAMAGE P,uildina 4Jo,rk 1'yue REPASR =Census Gode 434 Al'T. RESIDEN'i'TFlL i ? ? -- ?...?. REMARKS: Uldl'T CI. FEE SUMMARY: CONTRACTOR: - Applicant - >'r. l.[c. OWNER: CUSTOM CONCEPTS COP?ST 18987290 2G?7.42a1? FECHNER MFlRTHA 16540 I<tNRTCK LO(JPlStE B 44296 CLOVER LANE LAKFVTLLL" MN 55044 EFlGRN MN 55122 (612) 898-7290 « I hai-eby acknqw.ledye that I hiave read this appli,cation and state ti-iat Che inivrmation is corrsct and actree to comply with a11 arap.ti.cabte StaL-e ai' hSn. StaCutes and City ot Eaoan prdininces. APPLICANT/PERMITEE SIGNATURE S.UUED BV: SIGNA7 RE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3t f?C?? 3830 PILOT XNOB RD - 55122 (651) 681-4675 Ne.w Construction Reawrements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; poured (nd. design; etc ) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required. _ Yes _ No DATE: )-7- 9 c/ Remodel/Repair Reouirements ? 2 copies of plan ? 1 site surveys (extenor addiGOns 8 decks) ? t energy calculations for heated additions CONSTRUCTION COST; u3 7S DESCRIPTION OF WORK: STREET ADDRESS: "I'"I a-f V C,I D\1P_J' Lct'r\4 LOT: _-D () BLOCK: 2 SUBD./P.I.D. #: \:unc:_J___?C,V I 11 ? f_------.1! ta! 7"V llk/ _ Phonc #: PROPERTY Firsi c>wv c;R stre« Aa(I,ess:--------------------------------------- ------ City stace: zil): C:omp:un':---?.J'T!?_rN-- C.Q-??yl/ ?--- YhoneH:?-2???--------- ---- --?------T- C'O\'1'li:\CCOR `? !l? k_?? License#2GYU2?/!? -- Slreet tlddress:lN-_(r?Q?«? c[uARCHITECT/ ENGINEER Comp \:unc Strcet Ciiy Sewer 8 water licensed plumber (new construction only): . change and lot change is requested once permit is issued. Penalty applies when address 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: r i ,-;- Ij?i•, , OFFICE USE ONLY ? --- -- Certificates of Survey Received _ Yes _ No ?? t I I' 1 Tree Preservation Plan Received _ Yes _ No _ Not Requir'ed , st,te: _" I - - ------- ziP: Plioue 1t: '-------- Rebris[iaUOU H: --- -------------- Statc: _------------ Zip: CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION DTOTE: PAYMMNT' OF FEE AT TIME OF APPI.ICAIZON WES NOT ODb1S`iZ1[.T1E APPROVAL OF PF.EtI-ffT. nasrECTIorr oF sEWM nrro/ox WA= INSTAT.7ATTOD]$ WIIL NOT BE $CF¢D- ULFD i]NTII. PII2NIIT HAS BEEN APPROVID. *+,t:,r*,t**r+r,t,r,t,t,e,t,t**t****,r*?P ease Pr1nt 1) PROPERTY ADDRESS : Yl? /,3J /3 LEGAL DESCRIPTION: - Lot Block Sub ivision or Tax Parcel ID ) IF E}ISTING S'IRL'CIt)RE, DATE OF ORIGINAI, BLI ILpING•PERMiT ISSL'11NCE: . e . .. . PRFSENP ZONING/pROPOSID USE: Mon Year q C%J-\lE32CIAL/REPAIL/0FFICE YDIDC'STRIAL ? INSTITUTIONAL/C,OVII2lMW 2) J?? 0 R-1 SINGLE FAMILY G R-2 DLPLEX (1vn Onits) ? R-3 2OWNHOL?SE (Three + Units) ( t?nits) R-4 APARIP'ENT/CObIDOMIDTiUM ( Units) WE=/V/L .-IE-. 15- O N rf - ADDR£SS: ?Cr S? /z fiy CITY. STATE, PHONE: 7/ 3] ?? u?r ?• NAP1E: ADDRFSS: CITY, $TATE. ZIP: ' PHONE: MASTII2 LIC.ENSE# 4) ?..u•:.'??..1'+t,,:7! NP,bE: . ADDRFSS: CITY, S'rATE, ZIP: PxoNE:_7 rtD - S-S'D / - . Active Expired Not recorded Sta Initial •5) i ? ?? m• • ?• : oi • o. - ?? ? CONNE(,`rION TO CITY SEWII2 ? CpNNDCpION 40 CITY WATER Q pTHM '. . 6) ? • w • r ? PLF.ASE HOLD APPROVFD PEE2MIT FY)R PICK-[JP BY ONE OF 11BOVE -'-'- -- ? PLF.ASE MAIL APPRWID PERMIT TO 1,?1 3, 4. ABOVE . (Cifcle one) / 7) r r. u• -,?j-1`? // i/_?.t%i lG?.. s?-c-wa Ju /?, /?i C--_ O 0 d C/ s9- /Gf c?- /fn'Yrtd FOR CITY USE ONLY ? PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $_ ?U • 5? SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ &3-Jo $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ 16-'? ACCOUNT DEPOSIT - SEWER $ $_ _ /S l?D ACCOC'NT DEPOSIT - WATER D c? $ WAC $ ,57.5 S sAc $ $ TRL7NK WATER ASSESSMENT $ $ TR['NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRPNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 4,113 3 RECEIPT RECEIPT DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSLED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY; TITLE: DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION PNT:': PAYM6Nr' OF k'EE AT TIME OF APPISCATION DOES NOT CONSTI1ViE APPROVAL OF PF32MIIT. ixsrnMoN oF sE.M Arm/oR cA=R IISSTATS.ATTONS WII.L NJ'P BE SCRED- ULID UNfIL PEEtMIT HAS SEQN APPRUVID. P ease Print) `F??RS ^^^^ ^ 1) PROPERTY ADDRESS: S/1?.3f C?d L?E?c Z/9,i1/E ° LEGAL DESCRIPTION: •- _ Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRCCMME, DATE OF ORIGINAL BLILDING PERMIT ISSI:ANCE: . . . . PRFSEBTf ZANING/pROPOSID [7SE: (I•bn Year 0 MtiP1ERCIAL/REPAIL/OFFICE [7 IDIDC'STRIAL n INSTI1UTIONAL/GOVFRIZ= rl R-1 SINGLE FAMILY r-I R-2 DC'PLEX (T,.o Cfiits) ? R-3 'IOWN[i0I]SE (Three + Units) ( Dnits) ? R-4 APARZP7ENT/COAIDOMIDIIOM ( Units) 2) ? NAME• ADDRESS: CITY, STATE, ZIP: rxorE: -/?.j3-.s-/ 7/ • 3) u c?• NAP?. For City Use Plumbers License: ADDRESS;_ Active ? ired ? CITY, STATE, ZZP: E7cp • Not recorded PHONE: MASTER LIC:QVSE# St?Initlal 4) rPi • ? ip• ? y ?ME'- ( •? C cr d 0 19 . AwDREss: !?/?a ? ?/41' CITY, STATE, ZIP: /-? PHONE: '7 6-6 - S ?S`?> / • . 'S? 1 ii V• I 1 Y' .?. .. , ' ] • o? U"YY7? ? CONNEGTZON TO CITY SEWER CpNNECTION ZU CITY WATER ? OTfM ' 6) @i •' • i- ? PLF.ASE I30LD APPROVFD PERMiT F'nR PICK-IIP BY ONE OF ABpVE -'-•- -- PLEASE MAIL APPROVID PEEtMIIT TO 10(j) 3. 4, ABOVE . ,{ ?n/..-?/? (Circle one) / 7) r..C ku: - //? e?'z ..ri 4 /i . /V/ -,?? so,v //O<c It/ l ,;. /-- FOR CITY USE ONLY PERMIT # ISSUED Pd w/gldg. Permit FEES: $ $ /6 SO $ $ /, 3 Sa $ s $ S $ $ $ $ ? /?,?? ? $ $ $ $ +S ??(.tr • CZ) $ s RECEIPT $ s /S ?6 $ $ $ $ $ • $ ? $ $ v / c-o //33 . RECEIPT SEWER PERMIT (INCLODE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OC'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC . TRti?NK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRLNK SEWER LATERAL BENEFIT/TRONK WATER WATER TREATMENT PLANT SORCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC Q ROADWAY" MLST BE ISSUED gy THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED By; TITLE: DATE : ?j3 .?? CITY OF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *10'1'S: PAYMENT OF Fh'E AT TIME OF APPI.ICATION DOFS Pl(n COPb'7'INl'E APPROVAL OF PERbffT. iNSrFx-rsON oF sEVM arm/OR WATM I r.raTrONS WII.L N0T BE S(HED- ULID UNPIL PEE2NIIT HAS BEM APPRC7s7ID. +*sf,t* *?t #t * **t r,t*,t,ta*,t,t+,r*** *** ** P ease Print ?1) pROPERTY ADDRESS: LEGAL DESCRIpTION: •- . Lot Block Subdivision or Tax Parce ID ) IF° ElZSTING SiRC'CZURE. DATE OF ORIGINAL BLILDING PERMZT ISSC`ANCE: PRFSENP ZONING/pROPOSID C?SE: ? Ye?? ? COMP1EE2CIAL/REPp.Ii,/pFF^ICE ? R-1 SINGL,E FAMILY 0 INDUSTRIAI, ? R-2 DCPLEX (7wo Efiits) n INSTIZS]TIONAL/GOVEftNMENT ?- R-3 70WNHOOSE (Three + Units) ( Lnits) • [? R-4 APAR'IP7Q1T/COfIDOMINIOM ( Units) 2) - - - . ADDRESS: CITY, STATE, ZIP:S ?-,g NO?i /a r?f n/ PHarE: 3) u r ?• tuAM: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICINSE# 4) ...v?? NAME:?aady ?i Xlo rw E S _ r,DnREss: C;-P--f 1 n .,,,%• ' CITY, S"PATE, ZZP: ? PHONE:???'fG - 53 60,?r ' - Active Expired Not recorded S?al .5) ??r• IV' i O d: •24• : o • o? a?? CONNECTION TO CITY SEWF12 jEj cpmncrION TO CITY WATIIt ? p=_ 6) ? • a- • r ? PLEASE HOLD APPROVPD PEftMIT FY)R PICK-L?P BY ONE OF ABC)t/E --'- -- F223 PLEASE MAIL APPROVID PERMTT ZO 1,(P 3. 4, ABOVE (Circle one) ? 7) r. r u•• A16/1 riS.LSZ" ///, / G/ . ? . ? FOR CITY USE ONLY PERMIT # ISSUED ? 0 Cl U? Pd w/Bldg. Permit $ $ s l?3 FEES: S_ /D - S-b $ /0 SO s SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSI T - SEWER ACCOLNT DE O P SIT - WATER S .?DO o U S ' wAC . $ ?"7SG--o $ sAC . $ $ TRUNK WATER ASSE SSMENT $ $ TRONK SEWER AS SESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BE NEFIT/TRUNK WATER $ WATER TRE ATMENT PLANT SURCHARGE $ $ OTHER: $ U TOTAL RECEIPT e?ll .3 ? RECE PT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES Q NO IF YES, THEN A" ROADWAY" MOST BE DIVISION. LIST PERMIT FOR WORK WITHIN PUBLIC ISSUED By THE ENGINEERING AS A CONDITION. SU BJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE ; /,3 ?? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTF: PAYMM:Nr OF FEE AT TIME OF APPT.TCA'LZON DOES NOT CONSTI1T11E APPF20VAL OF PFRNQT. itvsPnerioN oF sMM AND/ox WxEt TTaSmATSATTONS WII,L rQ'1 SE SCfgD- ULID []NT.II, PII2MIT AAS BEIN APPROVID. ?***?*t***?r*?**x:*?r**?+**?******P ease Print . 1) PROPERTY ADDRESS: !?/?1a9- LEGAL DESCRZPTIONe -- _ Lot B ock Subdivision or Tax Parcel ID IF EXISTING STRCCISJRE, DATE OF ORIGINAL BLILDZNG.PERMIT ISS['AfXE: . PRFSENP 7ANING/pROPOSID USE: Mon Year ? Ca'"MCIAI'/RETAIWOFFICE ? R-1 SINGLE FAMILY Q YDIDC'STRIAI, ? R-2 DT-IPLEX (7tao Units) ? INST2ILTIONAL/GpVII2Nh4,'NT ? R-3 ZUWNHOOSE (Three + Units) ( Units) • [? R-4 APARZ?ENP/CONDOMINlL?Nl ( Units) 2) ? Nl1ME:/G.C?F ?S C? N A-.( ADDRESS: E• CITYs STATE, ZIP: ,S?C /g JI/? /'?q ?j N S SG'7 3 PHONE: -lfj.5 - -S/ 7 j 3) • u m?• NAME. For C1ty Lse Plumbers License: ADDRESS: Active i CITY, STATE, ZIP: . ??d Not recorded PHONE: MFISTII2 LICENSE# Sta Initial 4) •?• • • i?- NAME:oc/ U A 4E' . ADDRESS: I5l10 G 3 .C f3 NE CITY. STATE, ZZP; f17 IA /.vE /" N ? PHONE:' rO - S?/ U . -5) ? :? v i m: • ?• : a • ?? - ?? ?c CONNEC.'TION TO CITY SSWER ? CpNNECTION DO CITY WATER ? pTfER 6) Q PLEASE HOLD APPROVID PMtI-'IIT FY)R PICK-C?P BY ONE OF ABC3VE -°•--- PLEA,SE MAIL APPRdS1ID PERMIT TO 1, /l? 3, 4, ABOVE -?/? (CiY'cle one) 7) r. i• u• - ?/?"7p? ? /1?%,E? ? ?- ? {??T FOR CITY USE ONLY PERMIT # ISSUED ?L2 9 7 Pd w/Bldg. Permit $ $ $ $ • $ $ $ S Sa ? . ? $ .? 7S • ? $ $ $ $ $ /`JLv• G?Q $ $ FEES: $ I6 ' SO SEWER PERMIT (INCLUDE SORCHARGE) $ /U•5-o WATER PERMIT (INCLUDE SORCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLODE CORPORATION STOP) $ SEWER TAP +5 /?iS (CrZJ ACCOUNT DEPOSIT - SEWER $ a ACCOUNT DEPOSIT - WATER $ WAC $ SAC _ $ TRDNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ ' LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SDRCHARGE $ OTHER: TOTAL ? a?s'- l. 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CbNDITIONS: APPROVED By; TITLE: DATE : -I I 3S'a- I m t 5 .15`? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 10 / 9-14 ! 6 S7 Site Street Address q & C-fGVP.V' jl,Ln g, Unit#? Property Owner LU Is Q2(,() OL1?12 Telephone #(f? H.P. PIPEWORKS Contractor 3670 DODD ROAD Telephone #( ) Address EAGAN, N 55123 ?ity State Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water soften er and/or water _ heater at the same time. !i Zrou are installino onlv a wafer softener and/or water heafer, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 rotal $-I-'-`' b I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved.,, Anl I n ?r?pyUre ApplicanYs Pridted Name AppffdarrltT?Si?/V .--- . 37 Yae.E ? ? 4.<, , i (OHSULTIHO EH(31NEERS ' ± ?"?`3 EAING PtANHEAS und lAHO iURVEYOlIS Jy1pANY1 INC. ppp ullT 1461h 57REET, BURNSVIIIE, MIHNESOTA 55337 PH 44332-3000 " CeTzva CQ1 u?'LCJ"Ye l? Lgg-a1 -Qeocr4p2 2Qr2: LOTS 17, l8, 19 AA/D 20, BLOCK 3, EDEN ADDITION) DAKOTA Col/NTY MfNNE50TA r; . J, 1 ?l . ? ' • 51,oi .? L' /q3si? ?5 NORTFi • 5 E ?(? I , ? ScAtC :/" = 30' o? z q?• qi Zo `\ d' \ lv' ?6 ?a1? ?O I 0 30' FRON7' SV/LD/Al6 ??-? `/ ?53?• ? 13 -?? I 5ET(jAU( L/NE ?j LoT IB ? q • M o LOT (43a_q ? ^ ??. ? g 9a5,a3 i z 935, sa 4; r •988. I00 ? ? m ? a'?\ C935°? ? q._uNIr ? N4'oo"E PROPD ? D 86° 4 b • ?'^ 7@•04 _' - oc a ?a v ^ d w/`1?ffi) tqa - 5 ?93o.26i a ? ? 79.00- ,guli olti16 ? In . ? y p. I` ? 9i5.61 ? Ir? R r _?? ? b ` \ v p ?a ? ` 89I 00 4385) `..i m \ V ? 'XI LoT 20 o ' ?p ?935•0) / G LoT 19 -j I; 5!? 32?I E - i I Lf \? `^mN i? ,-' /?8•?b N 72 ?..?-; ?"? DRAINA6E ANO UTII.ITY EASEMENT i ?93? 9j 1 a `3?5) L% ? (q??4? DENOTES EKISTINb EL6VATION (935,0) pEAIdTES PROPaSEU ELEVATION .r-- JNU1CAr455 DfREC71oN OF SUfZFACE ARAINA6E 93543 = FIN/SNEO 9ARA6E FLOOR ELEVATIOAi I hareby cnrtify that thie ie a true and correct repreeentation of a tract of land as ahown'and described hereon.• As praparad by ma on thit -7rv day ot MAru! , 19 84- . . Hirtn. ltg. No. /GnBS ? ?E ? ,Eaose- NGINEEAING `P?ANHEAS ondalANC S'?UIlVECOMPANY, INC. N432-30 1000 EAST (46tl? STREfT, HUNNSVILLE, IIINNESOTA 55337 Cer?i}?i ? ?Su rve y ?OC1 1aC,fcr4p2torL; LOTS l7118, 19 AIJD 20, BLOCK 3, EOEN ADDITION? DAKOTA COUNTY, MINN£SQTA N o RTFi scqtC : /" = 30, '?93a.2b) ?- ? - i ryg2 ?9J DEh10TE5 (935, o ) p6NdTES ...N- IAID1cATAF5 935,83 = F/N/SHED . \ ?(1 \ EXISTIN6 E1.6VATION PROPa56D El-6VATION DlRfC710N OF SURFACE DfZAlNA6E GARA6E FI.ODR ELEVATiO1.1 I hereby ceMify that thie ie a true and correct repreeentation of a tract ot land as thwm'and deacribed hereon.• As prepared by ma on thi¦ ?n! - day of 19 X4 ? . Hinn. I?s?. No. _/GES. Use BLUE or BLACK Ink For Office Use Permit I City of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122'` j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: _ 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 Z0CZ-- Site Address: `7 c1' ZQ c4c~-,el- Lag, Unit Name: f~ ~iG^ G~ i A ,5~ Phone: RESIDENT / OWNER Address / City / Zip: ZQ Glir'ey- L 1 C Applicant is: Owner Contractor on ' TYPE OF WORK Description of work: Kefat~ I& f CA0Ck Construction Costs Multi-Family Building: (Yes / No ) Company: ~11~ ~11 .~o1- Contact: O' CONTRACTOR Address: II&S- 6l°newAye - /V City: ckde- State: M IV Zip: /as Phone: (PS-1- 717 - 3 Y.12 License* 1~~ d Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) . ) t fS ,9 va r IN ~?G 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a' building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x le-L 4" Z~-~---" x Applicant's Printed Name A icant's Signature Page 1 of 3 I I DO NOT WRITE BELOW THIS LINE f e 5S~ 7~p SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi' Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code y3~1 Stories _ Booster Pump # of Units Square Feet g0 PRV _ # of Buildings Length Fire Sprinklers v Type of Construction _be!:~A Width /O REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES _ Base Fee 73~ Surcharge 9 Plan Review 49 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 'p-Q ;La TOTAL Page 2 of 3 ' RosE 3 7 paa~~~ ENGINEERING pLta~IANHIAS EAS SOI an d d LAND as 9DRVfY01I5 1-147 ~ COMPRNY INC. ...~........~..~1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 53337 PH 432-3000 L jv-i &zJ?r= -3nay Mir 2_GtL LOTS 17,/8,19 AAID 20, BLOCK 3, EDEN AbDITIOti j DAKOTA CoUA17 K A41NNE'50TA yD r''; ".CMONS DIVISION fit NORTH 5CAL.C 30' 30' FRONT immA/b L / q~I z 5Er8,44x cINrr N$ LOT ~-7 $ 9~ sn ~ r j ~ O e t ~p M LOT (93x_5). 1 N ~ ~ I $ 93~5•a3 I ~ X35 , S3 r 9~s.4' .n L93 -4~ 8$. ~ ~0 ~ m J r (%C, 40 opoSEA I 4- UNIT N 96° 44100" r93O.2'bZ o _ = 78.00 %~eZ ! ! I d' car ( r ` a o Bull D1A16 iIrli b a s° 1 s35.b OT 20 f LOT I 3z L _J -4 jig. 4 DRA INACGE AND UTILITY EASEMENT f N (j p s~ It, DEMOTES EKISTIN6 ELEVATION (ftS, o) DENOTES PROPOSED ELEVATION ,..F-- IWICATE5 DIRECIMN OF 5URFAC4 DRAINA66 g35,g3 = FIA1151-JED GARAGE FLOOR ELEVATION I hereby certify that this is a true and correct representation of a tract of land as shorn'and deseribed-hereon.• As prepared by me on this 74 day of 19 _~.c~~2~! ' ~ Minn. log. No. /....cam From:ALLSTAR CONSTRUCTIOR 19529427464 09/17/2013 08:36 #582 P.035/079 Use BLUE or BLACK Ink For Office Use ~n 1 j Permit I I t I j 4-1h. 1 City of Evan I (30 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Ot3 j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~~5 ~ZbI3 Site Address: 49n I f 1 1 Ur +0 j14431 PJ Clover LQM Unit ~.~.=~.e,.~.,..v...,~.~..~m.. Name: GlAtitr 1 'IIVn CID. ~~S~ih l~Ctmunn~_ Phone: Resident/ n -ft Owner. Address/ City/ Zip: (H1e l Vl t,si ~k~((~V yt~Y~t, , M IY ~"7 y Applicant is: Owner Contractor Description of work: Tyr (>f qnd YE-I~DDf Type of Work Construction Cost~~ 0 ~V Multi-Family Building (Yes / No Company: A'Mr CbftM00 ftU t LLC Contact: Address: FJIt-IcJ 1Y1G1US1YICt~ StYal'-4- # ~D3 City: wple, 101 i 1'1 Contractor State: MN Zip: _5C2-31501 Phone: g5Z_gq2 License W?J Lead Certificate C (5 WT 20 lvy -D 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 they are trade secrets. rx ~v 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.aopherstateonecall.ora 1 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 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. 0 l Applicant's Printed Name Appl' ant's Signature Page 1 of 3 ® 6 ® B I o e ®®®® �00 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(@cityofeagan.com -------------I For Office Use I Building Permit #: U I I S&W Permit #: I I �r� Permit Fee: T?I L`l zl I I I I Date Received: I I I I I I Date Issued: i---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Applicant is: ❑ Owner Contractor Name: �GCQV\ "b 0-e_ (L>L U'Q_y'S tqs�s & C I ct_4l i Address: 14y 3 1 9 ui Lk�2- AIR city: aCt Q Homeowner State:% W i .5 2 Phone: Email: — Pik 1 Description of work: c Type of q Construction Cost Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan T7(� Building Address: L/&P_) (_. r am W Qs-�_ l tF--� y City:GkVA Contractor `, 1 _ State:mllh : 553�T Phone61ZJ1/Email. Q \[ �e ✓� �CSti^eo``��`� �E�x �z2�_W License #: iration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Ex iration Date: I I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. i CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A licant's Signature