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1508 Deerwood BendAddress: 1508 Deerwood Bend Lot: 20 Block:l Zip: 55123 Subdivision: Woodstone Townhomes THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FQVAL iNSPECTION ON ?' / -" '7 Yes No Comments Final grade - 6" from siding ,J Permanent steps - gazage ? Permanent st s- main entr / Permanent driveway Permanent as v Sod/Seeded lawn TraiUcurb damage % Porch Lower level finish ? Deck Fireplace ? • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum oft' water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-681-4645 prior to worldng in right-of-way or installing irriga[ion system. BUILDING MSPECTOR cd/bldginsp/forms/2002/final inspection checklis[ n?,?• So /-)-- ?N- -? B- so i-;13 wcodls4o.,. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 96 s / 0• ? / ? 7 .4 d. S o 53?0• New ConsWCtlon Reauiramants RemodellReoair Reauirements }? / Q • 3 registered site surveys showing sq, ft of lol, aq. ft of house; end all roofed areas • 2 wpies of plan (20% mazimum lol coverage allowed) • 7 set of Energy Calculafwm for heated addi6ore • 2 copies of plan showing beam & window sizes; poured found desgn, elc.) . 1 srie survey for exterior additiore 8 decks • 7 set of Energy CalcWatians . Indicate if home served by septic system for additions • 3 capies of Tree Preservatlon Poan if IM patted aRer 711/93 • Ren Jolsl DeNail Optians selectlon sheet (61dgs wAh 3 or less unils) DATE 3? /?? &VpA,L A T N JOB SITE ADDRESS 1,?5W .?Z??/L?l??,?4??J/?/ IP MULTI-FAMILY BUILDING, HOW PROPERTY OWI TYPE OF WORK APPLICANT / ADDRESS 12 PAGER # PLACE(S) _ 0 X 1 _ 2 PHONE# /?? ?907'?07? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLE Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Subm - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted PlumbingConhactor: ?z??n-2__ Phone#: Plumbing System Includes: I1/o Water Softener _ Lawn Spruilcler Fce: $90.00 72,j Water Heater L No. of R.I. Baths ? No. of Baths Meehanical Contractor. Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 ? /4' /23 Ait` Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the info ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or an es. Signature of Applicanf G Certificates of Survey Received Tree Preservation Plan Receiv d_ Not Required ? Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi "k 03 01 ofkLplex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt- SF ? 04 02-plex ? 10 08-plex X 78 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous )" 31 New ?- 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolitian (Entire Bldg only) - Give PCA handout to applicant Vatuation Occupancy /2 -3 MC/ES System Census Code /po2 Zoning p_ City Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. ?ti H4 PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const /t/_ Width y ? REQUIRED INSPECTIONS ? Footings (new bldg) )Ilt FinallC.O. ? Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumhing j? Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final ? Framing Z Siding i? Stucco Stone ? Fireplace :# R.I. _X Air Test Y Final _ Windows (new/replacement) X_ Insulation _ Retaining Wall Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1z90 Building Inspector v - ? UN/",N .7SMY 1165 ?7 638 O@ 16 ? lo -208 O ? f s? /=LR /?.o? l?1 C? bFl ? ?o? 7G ;-=° /'L2 11030 @ 5 4 Q' J?0/5 / 5?L 31 0 MNCheck COMPLIANCE REPORT Minnesota Enerqy Code MNcheck Software Version 3.0 90.0 AFUE Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-6-2002 DATE OF P • 03-06-02 CT INFORMATION: Lot Woo tone an COMPAN NFORMATION: MW Johnsan Construction, Inc. 17645 Juniper Path Suite 100 Lakeville, MN 55049 COMPLIANCE: PASSES Required UA = 520 Your Home = 935 16.3% Better Than Code CEILINGS WALLS: Wood WALLS: Wood BSMT: Conc. BSMT: Conc. GLAZING: Wi Area or CavitV Cont. Glazinq/Door Perimeter R-Value R-Value D-Val.ue UA -------------------------------------- Frame, 16" O.C. Frame, 16" O.C. 4.0' ht/4.0' bq/4.0' insul 8.0' ht/8.0' bq/8.0' insul idows or poors, Above Grade DOORS HVAC EQUIPMENT: Furnace, -------------------------- COMPLIANCE STA'PEMENT: '1'he consistent with the buildi submitted with the permit designed to meet the re? Builder/Designer Permit # 2334 94.0 0.0 63 1224 19.0 2.0 69 1328 19.0 2.0 79 80 10.0 0.0 6 928 10.0 0.0 53 327 0.480 157 38 0.350 13 -------------------------------------------------- oposed uildinq desiqn described here i.s plan specifications, and other calculations ion. The Aroposed buildinq has been e of the Minnesota Energy Code. ? Dateo-3 0" ?? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 .?l 651-675-5675 -ju. 1?. ? v Please complete for modifications to existing residential dwellings. Date -? / ? / Site Street Address _2,-? z? Unit # Property0wner? Telephone# Contractor (? rT Address /2ddS? 1_1?tZ 2? I Y2 tZil c- City &4,1Q4f Telephone # ?5&4& State,04)_ The Applicant is: _ Owner AContractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 ?Water Softener replacement _ _ Water Heater additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge -I $ 50 r Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 e nt a plan is required to be reviewed and ap7pro;v. ApplicanYs Printed Nam . 08?18-02 07:91 FA% 6128927900 _ MW JOHNSON CONSTRUCTION -- -i-- ? Iih ooz Site address: /S7J 86 Qe -?qad 6--d Lot 420 Bladc --L SIIGC. WA c On April 15, 2000 tfie Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and venGlation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. ?4- Thia sUuciure: I9 construCted W meet minimum raquiremenis of the Mn Energy Code, Chapter 7670 OR _ 7his structure: will be oonsWctetl ro meel more restrictive requirements of Chapters 7672 ar 7674 APpl,IpNCE GAS ELEC MANUFACiURER MOGEL BTU'S VENTINGiYPE Water Heatw 1:95i?41.t- F D 000 POLA FumaCe 70L71Jo Dryer X .. uKd 5 N YENTED EXHAUST 5YSTEM LOCATION TYPE MODEL CFM's YES NO Kitchen t Bathrooml i Bathroom 2 eathroom 3 ;? r?? • ?• L• Li, X Bathroom 4 otner VENTING fIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL 8TU'S DIRECS ATMOS ?b60 ture ^ CompanyName Date ` This form is ihe respansibiMy ot the Generel ConVactor. i hereby acknowledge that the ahove informafion Is correct and agree to comply wlth ihe Minnesota Energy Coda and Ciry Of Eagan requirements. JUL 10 2092 11:45 FR MENqRDS-GEN OFFICE 715 876 2868 TO 19528927900 yV?• ?.U . ',?J?h?s.UV? Lt•-...e P ??iZ.o ?522 1508 ??trwuaa ?+-cV-y E^5? MN ? (02 ?NN? r?f???d' N 4T 41 ?tho ?c ?C? a.. ??le u ??c P?aw w? o? ,'s 4e55 44 U 5 E 2,e la 5?- ?(9 I I Q 1.POTE (-k a c(.-c, 4 r-} 5?-vc{S -?a Le ?,ov?v,4 i heeraby certify that thi s plan, specification, os report was pmpatedbyme orundermydirecc supervision andthffiI am aduly Licenscd ProfessionalEngineernnderthelawsofthe StateofMinnesata. PrintN phili Robatts STgpatume: Dats?U I- I.iceoselF 25977 P.01i01 TQ: T?J?Skcyer :K* TOTRL PqGE.01 ** • ^ •• ? ? ?uai? a ? ?.i i i ? 1 ?L? ?N .L.? VLI1 VI I l'?G /??? ?e?oocC ?Hc? l?5?22 Q?el-?oac?' ?eKcC 7 ? ! ? ? " a? o <coo 11 i?_ ca?e ??JeJ r. ne: ?G ?• W- J Q?N J tl N Co L1'3 T. C (c(;5 1 ? `I i ? ?i ?? Fi ! ??I ?, ??\ 2x?? t?G..?, h°4 ? lf l _" 1 C ; ? '? ;? Zx 6 5. L IL t?. LVL An? ; ?? ?? . --_ ?-. . ?Pk??u oT s? ` ; -- ?? ? wl zzb Fc??. ?l, -• `']cLL r sdfi ??L ?v? IDR.. . ? f4? 'T `Z/2•lV ST?V FLtCL ?'I. ' • . '. ?. : ? ,;:?f ? . . ?.-•?-?? ? ?? ?..s i? . ? ' ... _.__ . ? ' I I , ' .. ..... ' ...,.l.-.... ? i ? ?L.. / Li. ? ' ?i I , i. .`?? ? ??[? ocC?rS ;U(a Fc.R i5 ? I? CpuTc.? un? ? :'.'tcLevrt.?! YZ .ti.a,- Ib IPI"t erebYcmyfythatHvsplari,sPm1$cadoa,ol -_ ( rec[ suPe {- rn's on znr d tha I am adulYLicensed Ptofes6i0p21Engince??••1;tztthelawsofthe \ StateofMinnesnr.a. Prin[N F;,iii R batts SignaWre• . A I:iceose# 2_ 5_977 rp???s?; r+uil I; ........... .---_...-_.:' ?q') 1x G Pa i..'C S_ 5'a-?,,, d u??- •? j4?ccb ?o?i5 _4-, 'Po S?C Lo A o :c:r. rnrai oer.c a? .? , JI.J..- SO?b ?teC?..saa "Qx? T.a• UAJ?AGc ¢'LeoR S ?k3 I hereby eertify that this plan, specification, at repan.Yaspreparcd 6y me orundermydirect supcrvision and that I am a dnly Licensed Professional Engincerunderthelawsofthe StateofMinncso[a PrintN arav, Phil; Rohar[s sig.naNre:1..,.? D?L j 7 uceaae# 25977 P,44 (%)a* 4- Aa.r&` -IFa. F= o,x? Grav'i" ?n ae .4r0 O.L. I'vu?t-4 . . . o Sl?ti. H?u'vt u 4 -Flu ??. ? 4 ec? t( o f? v?CIA) • 2.?.co [,r:W, L,.f-kl ,?( u-?u u?A•?? G?Lr_... ?Cc L,114 ., . t 0 Lr 1zcu.W r4.MewFuT ? 9:--, yuAkt. WIC?) 4- S }k !?: S, o. EYL S"[. a Cow?We.ctvr No?.tS ? / Q„v- ( qV,.L) 99? -79690 *=+: TOTAL PRGE.01 -K:k ? ???Q ?ZESIDENTIALBUILDINGo d?0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenls 3 registered stte surveys showing sq. ft of lot sq. ft of house; and all roofed areas (20% maximum bt coverage allaved) 2 oDpies of plan showing beam & wirdow sizes; poured found design, etc. 1 set of Energy CalcuWtions 3 copies of Tree Preservatlon Plan A lot platted afler 711193 Rim Joist Detail Op6ons selection sheet (buildirgs with 3 w less unifs) Minnegasco mechanical ventilalion fortn RemodeVReoair Reaunements 2 mpies of plan showing footings, beams, joisLs 1 set of Enetgy Cakulations for heafed addNOns 1 site survey for additions & decks Add'rtion - indicate if on-site septic system ?A `l Q oa aece use onn GeAOtSurveyRecd _Y _N ireePresPlanRecd'? _Y N. Tme Pres Requi2d : - _Y _ N On-sdeSepticSysfem ?'. _Y _N 5IALO - (`.o.RLL& - Jv Date Construction Cost ? Oo ? bn? • SiteAddress Unit/5te # A/ Description of Work 1C E/yl /1 ?E ? y,2 Multi-Family Bldg ? Y_ N Fireplace(s) 0 X 1 2 d ~ w / p Z-n-ra 4?1xEN1 PropertyOwner !r ( i Lh0.0---? -4' SLkIp-?P Cl LLISVTelep? ho?d(/?5?) 9 4S eP- t t ? I- 7-5 (A ? Ss Contractor Address City ?- State ?1?-- Zip .5r ? ' Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?^' . I ) +-L I S VI l`? "? ? Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ly 33 Alteration ? 34 Replacement ? 07 05-plex ? OS O6-plex ? 09 07-plex ? 10 O8-plex ? 11 10.plex ? 12 12-plex D@SCfiptlOn: Water Damage ? 13 1Frplex ? 16 Fireplace ? 17 Garage ? 18 Deck x 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 6ct. Alt - Multi ? 33 6ct. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Daors •Demolition (Entire Bldg) - Give PCA handout to applicant Yes Valuation ?DAO ` Plan Review /! 100% or _ 25% Census Code ?1311 SAC Units - # of Units - # of Bldgs _ Type of Const Occupancy /L `3 MCES System Zoning City Water ? Stories -? Booster Pump - Sq. Ft. - PRV - Length ? Fire Sprinklered - Width _ Foorings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final ?- Insulation Approved By: Base Fee " Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit R Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaVNo C.O. HVAC Other _ Pool Ftgs A'v/Gas Tests Final _ Siding _ Stucco Lath _ Stoce Lath _Brick _ Windows _ Retaining Wall Building Inspector ? 252 i Aaron Perkins 651-493-0706 p.3 Use BLUE or BLACK Ink For O-W-meUse--------- I I so g(01 Permit it City of Fatah I Permit Fee: ✓ 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: 1 Phone: (661) 675.5675 1 Staff. Fax: (651) 675-5694 1 2012 RESIDENTIAL BUILDING PERMIT!! APPLICATION Date: 6 ~ 1 SiteAddress• 15096F10 DeeluooU lg#-nA Unit: i t f Name: Phone: I RESIDENT I 1Q~ _ OWNER Address I City I Zip: Appf'rcant is: Owner A Contractor J • o i- ` Description of work: Q0.'r - o Te a K d Rc - Ro ~n TYPE OF WORK Construction Cost Is . 66 Multi-Family Building: (Yes I No F I Home 19 V►i dtr Contact: Aaron- Per kipi Company: woIndeC~ s -1=1- Address: L i n 0A m Lars e city: ci r' a A r1 eS CONTRACTOR State: Zip: af Phone: :Zy--2yS - 33S501 73 License #l 83 Lead Certificate NA-F-11 93A3 -1 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? v f' Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I k } 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 classed as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. M CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours www. be I r fore you intend to dg • to receive locates of underground utilities. aooherstateoneca I.oa . 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 win be in accordance with the approved plan in the case of work which requites a review and approval of plans. Extedor 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 Act Ir`o pey, k i vt 5 ( P-a x Appti nrs Printed Name Appl' nYs Signature Page 1 of 3 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: h5300 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: / c/O (3 d6-;:/(7/LC Phone:,2c-/-72_5---g75-3--- Address / City / Zip: /SOS - /< / 0 /�-e , WOQCC Ij,G- -C------12--Z- �_Applicant Applicantis: Owner Contractor Type of Work Description of work: eii-le POh t Construction Cost: 1 C O O Multi -Family Building: (Yes / No ) Contractor i Company: I i C ..,,,,i- /g r Ea ' ontact: 410i1 /Wk Address:2S-0 0 v/C i.aCif , �f City: �(� 'OCy / / State: Zip: Sri- 7 Phone: 763- 5,�0.-- ocl i-{ cjct ---7 )— License #: 6 773 Lead Certificate #: 0 1T.5-- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 per issuance. �c Applj ant's Printed Name Page 1 of 3 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ,^i n 3 Permit #: 1 . 0g Permit Fee: Date Received: L/ %iiih(1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner / lsc,�r Name: I', / (od.� �e Phone: T 7757--0; 6'S Address / City / Zip: 46-0---/.�l'C-) )oou',.-,C. _S-12:2— 1ZZApplicant Applicant is: Owner 'L- Contractor Type of Work Description of work: fviQfi(' Re/1(7_60-S j,:; Construction Cos /: 000 Multi -Family Buildii •: (Yes / No ) Contractor Company: CL . A S 6k4L -ntact: a 0 ,i, Address:V lC-k3'(3t3�c1 `ii- ►i.J.`�''e_,�fQp 1 pf1&1L.1 State: V. i,) Zip: 4,5 1{ 7 Phone: 73 SS -0- 0 License #: J0 i679%? Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x a ure Page 1 of 3