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1718 Deerwood DrCITY OF EAGAN 3795 Pilot Knob Road Eogon, MN $5122 N2 4594 PHONE: 454-8100 BUILDING PERMIT $45,000. Receipt # i To be used for R C M r o Date . 19 Site Address t'er''t:ac? Erect fl Occupancy Lot Block Sec/Sub. Oak "idge /+cres Alter ? Zoning Parcel # _ Repair ? Fire Zone Enlarge ? Type of Const. 0? Name Move ? # Stories X21 f i W 3 Address Demolish ? Front < ft. city Phone ?`•L. j 7 Grade ? Depth ft. A.,.........r. cee. W Name Tel l efsen n . r u? Address R 16 Hn 1 VA11P' ML--- 54-6171 Name _ Address Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit _ Surcharge - Plan check -: c n n SAC Water Conn. Water Meter ."Jo ? I hereby acknowledge that I have read this application and state that B;dg. Off. the information is correct and agree to comply with all applicable APC Total i C State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building peewit # Date lamed Peredttee Plumbing ,e o © c!o Mechanical 1 / i .3 INSPECTIONS DATE INSP. Rough In Find Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. a_/b _lQ Mechanical 7 le ?T Fina l Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 69122 Phone: 494-8100 PLUMeIN _ PERMIT 2of No. Date: Ja3nua y 31, 197P Receipt No.: Single I Site Address: Drive Residential Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Name 'fscn Construction New/Alter./Repair Cost of Installation Apple Valley 55124 Phone: Permit Fee NameC'e'nr-Ryan Plumbing & Heating Inc. Surcharge Address 4745 So. Robert Tra] City Phone: I Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of nn a Statutes and City of Eagan Ordinances. Building Official CITY OF EA"N 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: t'ebruary 24, 1978 Site Address: 1718 Deerwood Drive Lot Block Sub/Sec. _ r-\3k Ridge Acres Nome 'Y?11e4 Buy. !.<;. r. ¦ Address City 'c'le 4allov Phone: Name . 0 t P Address e City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. iI13 Receipt No.: Single Residential I X Multi Res., Comm./Ind. ` New/Alter./Repair. Cost of Installation 20. " Permit Fee Surcharge Toto I done in accordance with all applicable State of Building Official I? CITY OF EAGAN f 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , +V It IFIG r' ACRE PERMIT SUBTYPE: !I °tl;k- Ili ECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 1 if 1141 TYPE OF WORK: I i NAI NIf l 1 11 I N1i 0311,11 1 /01 J"T Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ' 1J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: f rk;aK ft ttlH AC Fit c PERMIT SUBTYPE: I ,u PECTION ;CORD PERMIT TYPE: Permit Number: Date Issued: fill 01- K , APPLICANT: TYPE OF WORK: FillItDIN(i 0300170 04/79/97 kilt) j t I rr?, INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i? Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments 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 u/?G C BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: +ir I1' Ili? Fl ?f . PERMIT SUBTYPE: TYPE OF WORK: RI C11112IPIION Pti I I (IT 146 A'3®f.I K *"joy 197 MAFz6ARUI RUPA 1R ( Rf Pt ACE11I NI 1 INSPECTION DATE INSPTR. • TYPE DATE INSPTR. - - - - -- - - - - - - - - - - - - - -- - CORD PERMIT TYPE: Permit Number: Date Issued: R1.06 r APPLICANT: Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments 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 BSMT R.I. BSMT FINAL DECK FTG T DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: All D I NO 3830 Pilot Knob Road Permit Number: 1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ' ? I'4iF}+113 I?fi tai, 1- h i 1'21) i` PERMIT SUBTYPE: liN- IN IARK-S, INc I I?1)F': GO%', IIF Af FR IN [,AI+AW L TYPE OF WORK: N r f,.t f?{?rf;tPTCnk ((iA`i LIME) f 1`4 A I Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD 13Y &,z FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: • ° Fit ! ti,F i.t ! F I t E- PERMIT SUBTYPE: N :CORD PERMIT TYPE: Permit Number: Date Issued: 011111 111 "1 03,11011 61 /IIF,/91 Hco+ APPLICANT: _ H!, n (61;1) F184-66h3 TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE J- DATE INSPTR. RFMAHF` 1 PAttAiF 1 FF?MEi 1 kE[1I?112f11 fr?R AN 't P111JARf 11; W? F1IrrTIRtfA1 WUV f V( AN PFVIf11F 0 HY MIV.f PAP VF Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS O FOUND FRAMING YO ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 7 c? q p $ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG aO._ DECK FINAL CITY OF EAGAN Remarks Owner Lot 2 Rik 1 Parcel 10 53700 020 01 1718 Deerwood Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1 68.6 6.86 10 1-4-77 STREET RESTOR. q(f GRADING 1975 XAA 116-.4-8 10 A003564 1-4-77 SAN SEW TRUNK 1970 7.20 25 122-40 A003564 -4-77 * SEWER LATERAL 1977 AMa"dillb 377-36 in 3773 64 C007380 30-6-76 • serviCe stubs 1977 . WATERMAIN * WATER LATERAL * WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 8308 12-5_77 BUILDING PER. #4594 SAC 475.00 8308 12-5-77 PARK No.: to nomPly with the City of Eagan WATER SERVICE PERMIT Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Date Paid: Insp.: 000 il' 1? 3 2B07 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Re irements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and ail rooted areas (20% maximum lot coverage allowed) I Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes, poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1133 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical' ventilation form RemodeVReoar Requirements 2 copies of plan showing footings, beams, joists t set of Energy Calculations for heated additions t sits survey for additions & decks Addtion - inafcste if on-sdte septic system Office Use or?) Cart of Survey Reed - Y _ N Soils Report _ Y _ N Tree Pros Plan Recd _ Y _ N, Tree Pees Required _ Y N on-situ Soptic Syetem Y _ N Mans are ronsidered pubfic information farness iaot.l state tbe'tf are trade secret and thv% rt-ac nn Date 10 I 23 Site Address ! d Construction Cost J tJ = / 7/P &.G? r. Ea-40--, Unit/Ste # Description of Work aA,- o +- rL - ?atJt" Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - I - 2 Property Owner tknj w" Tod l Telephone # ((pS-) Contractor 6 $ror Cwu*z#r c? Address O e.<N ?I 1. State MN Zip 53901/ Q City _ AVA4 Telephone # (45V) 7J;f- 3 33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - N mnesota Rules 7670 Catewry I _ N t nesota Rules 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 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 plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the casaz f work which requires a review and approval of plans. , , ?i 7&Y-1 Applicant's Pri ed Name Appli is ture 5? a3°I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan If lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE I (? I G SITE ADDRESS TYPE OF WORK APPLICANT aF IULTI-FAMILY BLDG _Y FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS _1t1 3 S 10 _P1 J1 Ld k? l CITYI TATE kNzIP J? I TELEPHONE #USL- 'JLPA?CELL PHONE #LQ Q-SDI-c 575 FAX # U--I 'q27 Q-QL4SLP PROPERTYOWNER W(rt5 &O bdiL tip I?ILI?? TELEPHONE# U4?I-W)I` I COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery Syste3n Phone # Phone # Fee: $90.00 V--," 2. R 2-2 I hereby acknowledge that I have read this application, state that the information is correcf, and agree o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Remodel/Rerrair Requirements • 2 copies of plan ?j • 1 set of Energy Calculations for heated additions n, • 1 site survey for exterior additions & decks e-- * Indicate if home served by septic system for additions _ }/ VALUATION 9-9IOaD Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool W 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi -o31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant ?Oa Valuation Occupancy MC/ES System Census Code LI3 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const (? ?\ Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. _ Footings (deck) _ ?O Final/No C.O. ??e Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final \,O Framing _ _ _ _ Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test -Final Windows (new/replacement) Lo Insulation _ Retaining Wall Base Fee Surcharge Approved By Building Inspector Plan Review x ?f J D J MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total AAW- N 9 I W?E I h 1 1 0 EXISTING DECK i PROPOSED TEMO ROOM ADDITION r 1 rtr 6t N r EXISTING HOUSE 1 r r (P N 1 o rrln ? ?' ? TEMO w o tur ir w w w" w r ,a i J ' JOB NUMBER : W39 CUSTOMERS NAME : MORRIS 4 JODIE HENJUM ADDRESS : 110 DEERWOOD DRIVE CITY / STATE / ZIP : EAGAN, MN 55122 HOME PHONE : 651.681.1582 (HIS) WORK PHONE : 651.681.3092 (11ER) WORK PHONE : TBD DRAWING DATE : IIA2102 SITEPLAN i REVISION DATE : 11/25/02 AI SCALE : I" , 20'-0" ' m z a H ?. CITY OF EAGAN 38 30 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: BUILDING 030971 Date Issued: 10/15/97 SITE ADDRESS: 1718 DEERWOOD DR LOT: 2 BLOCK: 1 OAK RIDGE ACRES P.I.N.: 10-53700-020-01 DESCRIPTION: (GAS LINE) Building}'-Permit Type „.Building Wd,P15, Type Census Code REMARKS: INCLUDES GAS HEATER IN GARAGE FEE SUMMARY: FIREPLACE NEW 434 ALT. RESIDENTIAL r4 t 3 LY } 1. 4 ."2M ELM' } ryww..., F?'.. °.L'?;.F Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: ACCREDITED PLBG'& REPAIR 38926918 FAY MARGARET 16520 JONQUIL AVE 1718 DEERWOOD OR LAKEVILLE MN 55044 EAGAN MN (612) 892-6918 I hereby acknowledge that I have read this applicatian and state that the infortt&tiron is corr,e`ct and agree `to `amply .with all a pli`tabl'e' State 6-f Mft. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE -Iva Plitt I M ISSUED .S URE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 50Q11 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: t 6-'q 2 ?z PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING INSTALL GAS INSERT ONLY X INSTALL GAS LINE ONLY OTHER: ZUC?7(??e5 5as?iNf?0 UAIN T I r ??S it ??l C``1^ Z r.t CTa rF?-Q STREET ADDRESS: 1 7 I Ds,2 y W 0 0 4 r- LOT BLOCK SUBD./P.I.D. #: 01j.ri APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER Name: ?? y I<ndltt p Phone #: Signature: Street Address: City: Company: Signature: Street Address: City: 1 4State: GAS LINE Company: A c c r ?d I4 INSTALLER Name: 0C, Signature: Street Address: State: Zip: Phone #: License #: Zip: Phone #: 01 aN City: GG U i 1 ) -A- State: J h-,.J ZipSLO `{ PERMIT - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-53700-020-01 1718 DEERWOOD DR LOT: 2 BLOCK: 1 OAK RIDGE ACRES DESCRIPTION: BiaiIdinq' Building Census C hermit Type Wok Type )de" l PERMIT TYPE: Permit Number: Date Issued: FIREPLACE NEW 434 Al T. RESIDENTIAL BUILDING 031193 12/01/97 ij id, 1'4 I C# REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 >t r CONTRACTOR: - Applicant - GAS LINE PLUS INC 12266220 4806 RUTLEDGE ST PRIOR LAKE MN 55372 (612) 226-6220 OWNER: FAY 1718 EAGAN MARGARET DEERWOOD DR MN I`hereby acknowledge that l'-. hava'r'ead 'this appl`icati'on and state thift 'th'e information is correct and agree to comply ;wi?th°all °ap`plicabl`e State of Atn Statutes and City o1='Eaga,a, Ordinances..:. r ; L- -- /L ' _ _ ?.. J APPLICANT/PERMITEE SIGNATURE -ISSUED : SIONA E 14'i j - - d i lei I. i r. MTTMTTTTMMTTTMMm??('MTTTTTMTTMMMTTTTTTTTM CITY OF E.AGAN CASHIER% S TERMINAL N0: 594 DATE: i2/Oi/97 TIME: 1405:53 1D: (GAME: GAS LINE PLUS INC 32t0 9001 1718 DEERHOOD D 50.00 2155 9001 1718 DEERWOOD D 0.50 y .'i.`. , 01 1 A0 (! U7 n;.l Si 1(1 ; . A L ;P ^• vn Total. Receipt Amount; 50.50 CRO83574 USER Iii: NANCY NcNc?c%c?X*ktXc%<?K?kBc%<Xc#kc:K?kX<*?c?X(Xcr'7•??Xa?>aX<*Y???k?k??c?k?X CITY OF EAGAN q5 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: I 111i (? PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT NM FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: - "61 1 I'M STREET ADDRESS: b Y/V P /- 6/00 c LOT L BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: ?j r y J0 n ? Phone #: OWNER R Signature: Street Address: City: State: FIREPLACE Company: INSTALLER C. Signature: 4808 Rutledge Street Pffff t RN 5587Z Street Address: City: GAS LINE Company: INSTALLER Name: Zip: Phone #: a?-?aao License #: State: Zip: Phone #: Signature: Street Address: City: State: Zip: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: Base Fee Plan Review Surcharge Total Fee 1718 DEERWOOD DR LOT: 2 BLOCK: 1 OAK RIDGE ACRES P.I.N.: 10-53700-020-01 DESCRIPTION: BuildingmPermit Type Building Wo,r,k Type Census Code =f s- 13 A ' r ir. $174.75 $113.59 $5.50 $293.84 C7 t j?ktra r'< ?x'? rd,+;...'a" L f? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION t SF ADDITION NEW 434 ALT. RESIDENTIAL $11,000 PERMIT PERMIT TYPE: BUILDING Permit Number: 032017 Date Issued: 05/15/98 CONTRACTOR: - Applicant - ST. LIC OWNER: HATZENBELLER CONST 18846663 2006687 FAY JODY 8924 1ST AVE S 1718 DEERW00D OR BLOOMINGTON MN 55420-2923 EAGAN MN 55122 (612) 884-6663 (612)681-1582 II I her,'eby'ackhawledge that 'I have react this a-ppli4a'tian andstlate that. the; information is correct a'nd'agre-e to comply with all applicable _State- of Mn. Statutesantl City of Eag'a'6 -0 R IWFQCANTIPERWIEE SIGNATURE ISSUED Y: NAT E II .r. .:71:1. , _.. _. !? ::?1; i`II?I:7:!Y'14'... ._'S?.:: ,. '?. r"ict +actt-. ?J,cJ`M1Ii :: II?"fl"7.Etdli'EL..L..I,:.??."r???<:i l" I' 22:1 t 'SOCl1 :. "J. Ctl=: ::F?H!CIf7I C7 .1 4. 34 .R2 9C.0:!. CA:9R M0,01.1 LI D 50 r ?II 3101f 998 BUILDING New Construction Requirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) • 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1!83 required: _ Yes _ No DATE: 5^?? q€1 Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; * DESCRIPTION OF WORK: cox t3 (? !sleek ?F ?K v?.? c C?rrmr ??? _F sA\ Cock?nx' STREET ADDRESS: LOT: a BLOCK: SUBD./P.I.D. #: 0cJr-', \o,-F- AirQ-?, -i . gi Name:; Phone #: PROPERTY r First OWNER Street Address: \`1 \? a7?ac.JOCC\ 71 c' e City sn State: c..,3 Zip: S5(z2 Company: \ ??zbQ c?,•.x? n-? Phone #: E,.-G'4 _t cal CONTRACTOR Street Address:pq 2-4 r s+ Avg . s ji License # zoo t.obS-1 City State: W\N1 Zip: JCL ZV l ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Nc? /xa Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received - Yes OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex P,,03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations g 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. fr. sq. ft. sq. ft. Footprint sq. ft. Building A Engineering Valuation: L134 of r 0 Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies 14-?n IT to d $ // vav.- LL -1, A?4r Variance ( C> Total:' % SAC SAC U 'its 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit ' tilders Inc. Or. 10760, 183-12 .. . RtOleTmo 0 ?1ATNN or, A1 Of;,sRMRMYA Ucum RY OlIOR.iUfCR CW,WTY,OI 11111MMMArOLlf sate sAeT bal?pt?!ETSSg1 } 72I-3484 j ? . ^Y x.? 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HCRf.RY CXIITIFY THAT TN[ ABOV{ if/ A TRUK AMP OORRFCT Pu(T eA CF' t 4, i Lot 2,Block 1,Oaksidge,Acras,pivat Addition Dakota. County,Ninneseta - f 25th. lxo 3977 r As SURVEYED By ye THIS OAY'OF may" O. .... SIGNED F. C. JACKSON. MINNRsar LTRATIOM. NO. 3600 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681.4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 030578 08/07/97 SITE ADDRESS: 1718 OEERWOOD OR LOT: 2 BLOCK: 1 OAKRIDGE ACRES P.I.N.: 10-53700-020-01 DESCRIPTION: (REPLACEMENT) Building--,Permit Type DECK ,,building War_k Type REPAIR 3 Census Code J,= t J L P} ?i?Y ?:' REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 434 ALT. RESIDENTIAL CUB r ? _ ?? _ A +, li. sd t'1 (3 CONTRACTOR: OWNER: - Applicant - FAY MARGARET 1718 DEERWOOD OR EAGAN MN 55122 (612)432-5900 , I hereby acknowledge, that I have read this application and state that the information is correct and agieet`to cbmplyy°w' th a,ll oppIIeable.=,State gf J1n._' Statutes and-City of Eagan Ordinances. % a4 2a?r?c Ka4L_ Lau& a'Alm? LICANT/PERMI SIGNACURE - ISSUED B : SIGNATURE lln I; l.rA'I il' if r L 1. ? f rl,i '!.l l.? k;:':>%8<'0'; V3k::1o!;.y : M:k l 0:171' OF? UtGI"LN '1r"iWI.. NO 39 S r.:".1. 6 j ':( PJ (fit I?:.:; f`5(-1i'Slr'1! E:'r M F-AY ";LLO 3IOO1. 1.11.8 DE:E:R:IIOOD 7 `;C!„00 1 * `;)011:1. :1.7:1. f:3 T1 iak!:RI+It:1C =i :I:! n :'1 rr.! Amount =Y' -- . ? ? ? 1 . . ? ? ? .I i... ? ' r! ? ? ! , ?'I 6 (,C . ?i>??? k¢nk?"-;t.?'}.'. .?J,.'.?h,i 'iF.e r+.V7'::::•n Y r7r '. Xht>K i:'. 1 1 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RGAN 3830 PILOT KNOB RD - 55122 681.4675 ?.gU.. v U t e 3 registered site surveys e 2 copies of plan ? 2 copies of plans (Include beam S window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additons & docks) ? 1 energy calculations ? 1 energy calculations for turatetl additions ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: _ Yes _ No ? DOO ! ? DATE: -2 3 ° /9 7 CONSTRUCTION COST: A DESCRIPTION OF WORK: ReP[geE.•f? v? pL eX/sn ?q 7jenK STREET ADDRESS: ) 7 / 9 f?E cJao p LOT 9_ BLOCK I SUBD./P.I.D.* OAKRiDbE ACAPS , f/RaT 4GDr17101 A9 Y (vJ°f-V-) x{.32-590o f ROPERTY Name: ?f}LI /J ?'lSi?'rrT /d l.. Phone #: 69-1-16-91a- 0 WNER ,., ) Street Address: 17/E nff LUZ) ploe, city: E44ZQ f State: IRA Zip: ?5 1,2 ? CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): and lot change are, equested once permit is issued. Penalty applies when address change hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applic Yes No Yes No Not Required RECEIVED FUG 0 4 1997 BY: OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace a ? 05 SF Misc. ? 10 _ plex j( 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition X 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Variance Permit Fee Surcharge Plan Review License MCM/S SAC City SAC Water Conn. Water-Mete, Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: `Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building N Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 7 0 (612) 681-4675 Date Issued: 09/29/97 SITE ADDRESS: 1718 DEERWOOD DR LOT: 2 BLOCK: 1 OAK RIDG ACRES P.I.N.: 10-53700-020-01 DESCRIPTION: ermit Type GARAGE/ACCESSORY 4,r1k Type ADDITION e ., 438 ALT. GARAGE %ai w OF cz si?' %?a ;,F ,P ' AN 0 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $74.75 $1.50 $76.25 $3,000 CONTRACTOR: - Applicant - ST. LIC OWNER: HATZENBELLER CONST 18846663 2006687, FAY JODY 8024 1ST AVE S 1718 DEERWOOD OR BLOOMINGTON MN 55420-2923 EAGAN MN (612) 884-6663 (612)681-1582 y? ' t F F0 1 h &S 5( &a!q t 1 ai .3 y +. } G II i . n NC tt? £ §'" Pe L%2 P @ £4iW P Z hereby' aokrtiom?edge, tha hawa,rr?W?r. pplazton?P?sE x atffprw9 4on z cor`raot itcJ gt?ew_ >t >I y„a " i ?S a tJt erand Dlt ?;0- E ari DfC11?$fi1Le ce it xr ffi p usv im ?? y 5p (, ?? ..? f? «?, a LLI a oS t _ a (+? t$d£m ar wamE 1 %m,s Iffi4 Lamm ?ARD LICANTTERMITEE SIGNATU ISSUED 8V: 51 NATUR? A p i ? I ? ;, .. •.?: ? i?, ?.?i;i ,?,? ? h ,? ?,.. 1 ? J .BSI •? ?i.l? ????i , ?_:I. ?i.. il.- ??'.I?•. F , Sofia 7 BUILDING PERMIT APPLICATION (RESIDENTIAL)'`r<? CITY OF EAGAN ¢ 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements RemodeVReoair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window saes; poured find. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 7/1/93 required: -Yes _ No DATE: z LA m n? Q' ? CONSTRUCTION COST: 1,A S0?-off DESCRIPTION OF WORK: STREET ADDRESS: LOT I_ BLOCK S-Ho? c?s_ c.c? ?_ o? Crrac?c?a? I SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: "-cN- .',N =; Phone #: _ Cc D - \Sg Z 3T MST Street Address: t? .J aA_ ?? ve City: State: ?i Zip: Company: Phone* Ek'A-t-ae-(jz-', Street Address: \S'r S. License#: z0CLoW `12 City: \oov :,aaaoc? State: Zip: SS` _Z_h Company: Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water liceraed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No i; SEP 2 u ):,'_ Not Required BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ?( 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex /?\ 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # Stories sq. ft. Booster Pump Length sq. ft. 5 Q Census Code. G3 Depth Footprint sq. ft. ? ? SAC Code Census Bldg Census Unit APPROVALS Planning Building- Engineering Variance Permit Fee Valuation: $ -72000-60 Surcharge Plan Review Li cense MCM/S SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: . % SAC SAC Units DATE 22L L). / BUILDING PERMIT APPLICATION `".. include 2 acts of plane, 1 site plan w/elevations and 1 set of energy calculations. To be used for Site Address: Lot Block 02 / a Valuation" /Sub. Parcel Number ? , C. z6j Owner A? /C) Address ! fL_----- ywi/r X7/r ,tw 1?Y Y Contractor Address 1 1 / ag4oig 0. Arch./Eng. Address Telephone T S V - 1`5 7 7 Telephone !o 4-6, Telephone OFFICE USE Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Date of Approval & Initial Assessment /x/117 2 Water/Sewer Police Fire Eng. Planner council Bldg. Off. , ^~ A.P.C. Occupancy _ Zoning Fire Zone _ Type of Const. # of Stories Front Depth FEES d Permit Sy? Surcharge --y2 Plan Check SAC y7?' Dater Conn. 0 Mater Pieter TOTAL t `? CITY OF EAGAN ` J 3795 Pilot Knob Road Eagan, MN 55122 N°- 4594 PHONE.- 454-8100 BUILDING PERMIT APPLICATION $45,000. Receipt # 8308 To be used for Cino_ Fnm iklg x Gcr& Date Dec. 5, 19 77 Site Address 1718 Deerwood Erect 1S] Occupancy 1 Lot 2 Block 1 Sec/Sub. Bak Ridge Acres Alter ? Zoning Rl Parcel # Repair ? Fire Zone _ 3 - Enlarge ? Type of Const. V a Name Ken Hollrren Move ? # Stories Split 3 Address Demolish ? Front - 46 ft. City Rurns*i l l a Phone 454-1 579 Grade ? Depth 48 ft. Approvals Name Tal-le€sen Bl-dTs., Fees ?? Address 13816 Holyoke L n City ARRIe Valley Phone 454-6873 FW Name u? Address <w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statuterand City of Eagan®Ordi?ancees. Signature of Permittee /ice? A Building Permit is issued to: y T all work shall be done in accord E with all Building Official <- Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. - APC Permit _ Surcharge 22.50 Plan check SAC 475.00 Water Conn. 230.00 Water Meter 60.00 Total 915.50 rir<- on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Xolle€son Builders Inc. Or. 10760 183-12 F. C. JACKSON LAND SURVEYOR ,If'fy' REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED NY ORDINANCE OF CITY OF MINNEAPOLIS 3815 EAST 55TH STREET5.5417 727-3484 BnrUcgot'g ?ecHfitatc sr,'tr. G 3O , zz' ,nom c 1? p d .4 3 ? a , l ? J J 14 0. 1 1 J ? 1 HERESY C[RTIFT THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 2,Block l,Oakridge Acres First Addition Dakota County,Ninnasota. 25th. Oct. As SURVEYED ET ME THIS --DAY OF •.D.- /7/s D SINCE 1885 Y ?V ??? HERIT?H? PhorpMLS BURNSVILLE OFFICE: 2901 EAST CLIFF ROAD BROSANC. EALTORS BURNSVILLE, MINN. 55337. (612) 894-2000 REAL ESTATE: RESIDENTIAL* COMMERCIAL INDUSTRIAL PROPERTY MANAGEMENT 9 GENERAL INSURANCE JG i XJL? @ 1117 ?2 l/ 10 OFFICES TO SERVE YOUR NEEDS! HOME OFFICE: 8085 Wayzata Blvd., Minneapolis, Minn. 55426 • (612) 545-1111 Member of Local & National: Real Estate Boards, Building Owners &Managers, Institute of Real Estate Management. `G L -?? ?p f'. Xolle€son Builders Inc. Or. 10760 183-12 F. C. JACKSON LAND SURVEYOR ,If'fy' REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED NY ORDINANCE OF CITY OF MINNEAPOLIS 3815 EAST 55TH STREET5.5417 727-3484 BnrUcgot'g ?ecHfitatc sr,'tr. G 3O , zz' ,nom c 1? p d .4 3 ? a , l ? J J 14 0. 1 1 J ? 1 HERESY C[RTIFT THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 2,Block l,Oakridge Acres First Addition Dakota County,Ninnasota. 25th. Oct. As SURVEYED ET ME THIS --DAY OF •.D.- Use BLUE or BLACK Ink For Office Use City of Ea I Permit ~ l Permit Fee: - C/ 3830 Pilot Knob Road Eagan MN 55122 F Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:.10 2~! U Site Address: / l --eW Woo Fir' v C Tenant:D ( Suite RESIDENT I OWNER Name: Phone: rv Address / City / Zip: CONTRACTOR Name: d T License Address: / f 60 6~ Lane! S N w city: -nS p- State: P7 Zip: Phone: Contact: `Q : Email: TYPE OF WORK - New K Replacement PC Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: /rove ~QLu,rr~ 6,~ N Q tc 5e.n e v `f v l~cc dc`l' h i^ PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Q~j Main 0, Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair re lace burned out appliances, ductwork etc.) (includes .50 State Surchar9e ( p ) ( $ ) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora 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. x arse e k 0 u_1-1(6 S x Applicant's Printed-Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093889 Date Issued: 05/11/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1718 Deerwood Dr Lot: 2 Block: I Addition: Oak Ridae Acres PID:10-53700-020-01 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Jodie 1\1 Henjum 2700 N. Fairview Ave 1718 Deenvood Dr Roseville MN 55113 Eagan MN 55122 (61)633-261 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature City or Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Resident/ Owner /DSzs -#-130/8 Use BLUE or DI.ACK Ink I For Office Use ermit : LI I 7--- • Date Received: 9 /6-1 Permit Fee: 1 Staff: 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: I Name: Address / City / Zip: / 7/X i Applicant is: Type of Work I Description of work: GG Construction Cost? D Multi, Family Building: (Yes / No Contact: Address: 7r( S .S'*_ 7 CiIO fes. L. .� 200 City: e State: 141/4/ Zip: L/3 6S� 7�S' V"-Oo y Phone: License # !3G 7,__3i2___511,_ Lead Certificate #: -9C, ? 8 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Contractor Owner t/ Contractor Unit #: Phone: 6 -jt- 6 8/ ^/S-) 41 "V/ 53/Z 1 Company: J F 4 C -41 -1 -- 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before yo, to dig to receive locates of underground utilitieswww goprerstateonecail oro 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 Buffing Code mustlhe completed within 180 days of permit issuance. f x (tel /e/S C� f/:J Applicant's Printed Name x Applicant's Signature Page 1 of 3