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1343 Easter Lane PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA081148 Eagan, MN 55122 . Date Issued: 11/19/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1343 Easter Lane Lot: 4 Block: 5 Addition: Wilderness Run 5th PID 10-84354-040-05 Use Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Abraham Tesfai 21210 Eaton Ave 1032 Kettle Creek Rd Farmington MN 55024 Eagan MN 55123 (651) 460-6022 X253 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota SS122 Phone: 454-8100 PERMIT No. 17 ?' Fe-bruiary 8, 197P 09012 Date: Receipt No.: Single Site Address: y 3 1As.er "one Residential Lot Block _ Sub/Sec. wfaef'AfXf VJt S- Multi Res., Comm./Ind. I Name Mnn; s Dpn Address T-a 5:; i, r ']. ' R? a 1_ City Phone: Name TLLiclsay .ct:r Address t1S Cedar. - %!-. ::iii. e 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. New/Alter./Repair. =.itAC3*-ion Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 4 elk 5 Parcel 10 84354 040 05 Owner- Street 1343 Easter In. State Eagan, MN 55123 l3'?S '{Litt t?;L'r? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $132.60 $6.63 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA Paid with water ronnpction STORM SEW TRK ?', Q? Cf?.7979 p-/?o-cvS STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $640.00 1148 9-18-75 BUILDING PER. #3681 1148 9-75 SAC $850.00 1148 9-18-75 PARK RESIDENTIAL BUILDING PERMIT APPLICATION qq5j5 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681.4675 New Construction Requirements RemodellRegair Requirements . 3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . i site survey for exterior additions & decks . t set of Energy Calculations . Indicate If home served by septic system for additions 3 copies of Tree Presewat*n Plan Slot platted after 711193 . Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE L- Z? -U I JOB SITE ADDRESS IF MULTI-FAMILY BUILD G PROPERTY OWNER U TYPE OF WORKh APPLICANT ADDRESS ZN3 PAGER # UNITS? P CODE -53) Z NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7670 CATEGORY 1 Residential Ventilation Category 1 Worksheet Su Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the in r tion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Applica Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ 10IINW1 oya ob VALUATION (EXCLUDING LAND) 9 J4') Water Softener Water Heater No. of Baths _ Phone #: Lawn Sprinklcr No. of R.I. Baths Air Conditioning Heat Recovery System FIREPLACE(S) Updated 1101 CELL PHONE # FAX # OFFICE USE ONLY ? 01 Foundation . ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex pr\ 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 ? 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 appli cant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof Ice& Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation MC/ES System City Water Booster Pump PRV Fire Sprinklered _ Other Pool Figs - Air/Gas Tests - Final Sidmg Stucco Stone Windows (new/replacement) Approved By Building Inspector 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 Ito Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS _ FinaliC.O. Final/No C.O. _ Plumbing HVAC T• I (I ?? CITY OF EC?G-AN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO,: 724 The City of Eagan hereby grants to gay ta. Welter Heating co. of a HEATING Permit for: (Owner) Marell Construction 1335=37, 1339-41, 1343 45, 1347-49, 1351-53, at RaateF Tanya pursuant to application dated _o/r47r Fee Paid: $299 96 dated this 11 day of Qgp+ 19-75--- 5.00 s/C Building Inspector Mechanical Permits: Bid Total: J CITY OF F- _., N 0 -5 3795 Pilot Knob Eagan, Minnesota P.oad 55122 PEXv1T NO.: Fos The City of Eagan hereby grants to Thornson Plumbing Of m nnetonka a PT.nmRTmr. Permit for: (owner) 1377 E. Sigfrid, 1356 1'ster 1,ane, 1135-37 faster, 1339-41 raster, 1343 5)Easter, at 1zn7_ag roarer i ? .i-ti i Eag#W,jW eto application dated a/i 8 Billed Fee 4W. S24o_On dated this jjL_da.y of Sept. a 19 75 a,nn q/o Billed on Statements T7o. 154 and 158 Building Inspector Mechanical Permits: Bid Total: aSCIS OF EAc-,r; 3795 Pilot Knob Road Eagan, ;Minnesota 55122 PERtff T NO.: 605 The City of Eagan hereby grants to 't'horn n Plumbing of Minnetonka a vr.TTmnTmr. Permit for: (Owner) Marpll o 1377 E. Sigfrid, 1356 1'ster T,ane, 1335-37 faster, 1339-41 Faster, 311'1-45 Easter, at 77d7-da Raatnr x i-Aei-51 EaWt7ftul "veto application dated 9/18 Billed Feel i': sg.dn_nn dated this 1.?L_da.y of _ Sent. 19 75 a.nn s/c Billed on Statements ;70. 154 and 158 Building Inspector Mechanical Permits: Bid Total: S CITY OF FAoAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 724 The City of Eagan hereby grants to gay 14. welter Heating M. of a HEATING Permit for: (Owner) Marell Construction 1335=37, 1339-41, 1343 45, 1347-49, 1351-53, at a?-iana , pursuant to application dated Fee Paid: $2g0 00 dated this 11 day of Sagt , 197.5 . 5.00 s/C Building Inspector Mechanical Permits: Bid Total: VILLAGE 95 EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1837 Eagan, MN 55122 DATE: 9/18/75 Zoning: RII No. of Units: 2 Owner: Ware nst. f Address• '?? ? Ji! %.? 9hl9AO,l1 ?1J /7_ Site Address: 1343-45 Easter Lane Meter No-..;1'-S"' -5?' `- --- e9 Connection Charb40.00 Pd Size: •?Account Deposit: Rid _- - ._ Permit Fee: 10.00 billed .50 billed 1 o ree ro comply wiM?th6 Vill ye i Eagan Surcharge: Drdinonees Misc. Charges: Total: -? r ?"'?? flY ? - Mete PtitL2 r--a'J Uate of Insp.: Insp.: VIICROE?*EAGAN SEWER SERVICE PERMIT 3795 pilat knob Road PERMIT NO.: 2596 Eagan, MN $3122 DATE: 9/18/75 Zoning: RII No. of Units: 2 Owner: Marell Const. Address: Site Address: 1343-45 Easter Lane Plumber: Thompson Plumbing Co. I ogres to Comply with the Villogo of Eagan Connection Charge 850.00 pd Ordinances. Account Deposit: - -- ea Permit Fee: 10.00 bill Surcharge: billed By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY of EAGAN BUILDING PERMIT Owner .. p? Address (present) ..OLi.Y?....W ..4LG? Builder ....................{...:................---...............-.-....._......... Address ......... ..................................................................................... DESCRIPTION ft ;" N6 3681 3795 Pilo! Knob Road Eagan, Minnesota 55122 454-8100 Dale ..%•••-'.V...... (..C ................... Stories To Be Used For Front Depth Heigh! Est. Cos! Permit F Remarks This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE PT E P M WHILE THE WORK IS IN PROGRE This is to certify. that .. ..... ...................... '............has permission to erect a...... ....................................upon the above/ ¢escribe .erm subject to the provisions of all applicable O es for th i ......I.. ......... ... .................................. Per .......... .......------........... ...................................... or Building Inspector a1 u{S RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 00 90 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N l set of Energy Calculations Addition - indicate ifon-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 71V93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date /Z I /L / 0 Construction Cost 700 - Site Address 131-13 ) Unit/Ste # ) C4 6.n/ Description of Work /, 3 5 / ?(? ( T?? / ?S C Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 - 2 Property Owner (n? Telephone # ((???) ?/j? yzil Contractor Address 36-D 41-2. H- )7 /3 City State zip 5 i33 z_ Telephone # ( 9;2) t) i4) -07 f?, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 permit; that the work will be in accordance with the approval of plans. C Applicant s Prrnired Name g ? ? U l ll ll Telephone # ( DEC 2 2 2003 1011 Telephone #( an application for a permit, and work is not to start without a approye,d planIt the Fatse of lwot( which requires a review and 84354 WILDERNESS RUN 5TH 84355 WILDERNESS RUN 6TH EASTER LANE (PAGE 2 OF 3) 1314 10 84354 020 06 1315/ 10 84354 112 05 1317 111 05 1318 10 84354 030 06 1319/ 10 84354 100 05 1321 1323 10 84354 090 05 1327 10 84354 082 05 1329 10 84354 081 05 1331/ 10 84354 070 05 1333 1334 10 84354 140 03 1335/ 10 84354 060 05 1337 1338 10 84354 150 03 1339/ 10 84354 050 05 1341 1342 10 84354 160 03 1343/ 10 84354 040 05 1345 1 1AA 1 A 9 A1 GA 1'M Al MASTER CARD ) A- - C YV LOCATION STRUCTURE AND LAND USED AS J2 y d Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING ? 7S- CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING INS GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ? CESSPOOL FRAMING ??0• _ ?? _ ILE FIELD FT. FINAL ELECTRICAL HEATING -DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS L 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN S (, C),'1 ?? tit Lv 3830 PILOT KNOB RD - 55122 L >a 740 651-681-4675 S - a -0 O Now Construction Requirements 6 --5-60 Remodoil erxi r Requirements > 3 registered site surveys stowing sq. ft of lot, sq. n. of house 2 copies of plan and gQ roofed areas (20% maximum lot covetous alloweA) 1 set of energy calculations for healed additions 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions d decks > 1 set of energy calculations > 3 copies of tree preservation plan If lot platted after 7/1/93 ?U??' DATE: _ Z' ?U CONSTRUCTION COST: DESCRIPTION OF WORK: &E-Lsk I C) S-`-(3 `(U -G STREET ADDRESS: /J7 v- LOT: !_/ BLOCK: SUED./P.I.D. C PROPERTY OWNER Name:_ ? r /???5 A)37) )37) Phone #:X Last First W city -State: T Street Address: 113`1_3 ` 1(_ Ilp: 'V33 / _3 Company. v ?6?_ Phone #: _ (area code) CONTRACTOR Street Address: License # Exp. City State: ARCHITECT/ ENGINEER Company Name: Telephone #: ( ) Sheet Address: Registration #: city State: Sewerlwater licensed plumber (if Installing sewertwater): Phone #: lip: Zip: I hereby acknowledge that I have read this application, state that the Information J cnd agree to comply with 00 aPPlicable Stak of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No Not Required v OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code b I No. of Units o No. of Buildings Const. (Actual) (Allowable) 15, t l UBC Occupancy (Z Zoning 1Z? # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: (oG .-r?' c'1 bt Engineering Valuation: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water . Booster Pump PRV Fire Sprinkiered Variance ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Mufti SAC Units % SAC /0 8h/35? d y? os r -? t!?-!? u n s Z?.. June 21, 1977 „„_- - Mr. Dennis Dunn 1343 Easter Lane ,. ,,. Eagan, Minnesota 55122 Dear Dennis: r, 'Regarding the location of_8.firq,bydrant.logated-.. adjacent to your property,,,,I_aeked,the City. Council at a recent MkIting,if they.woUjd_okyjdct to re- //I. locating the hydrant because.of..thq-,past, and potential hazard-it creates.in,relationship.to.._ driving an automobile on„your,drivsway.,,_jt,wss the decision of the City,.Council-that since,the hydrant is located three,feet-from,a.driveway it doesnnnb normally constitute,a_hazar4.and,since the hydrant in question w4e,j?*aq&dce at the„time that the driveway was conotructed,.it is.opinton, of the City Council that,therq_i*.nQ,ob3-ig4tion to move the hydrant: f; I l i i , . lJ. ` t 'The City Council also stoted<tbat,if you,wish to,. „. move the hydry" a few f9et.tq,thOw*g4t.it O,,. estimated that the Cost .ytguld,be,approximAtelY.- 0 00 to $700. Ns>{, :... ., If you have any questionq_rQgarding.?thg_city„.„s , Council's decision on thiOYmmat#er,,,pleere feel free to contact this office..ot apy.time, Sincerely, / Tia`omas L. Hedges C,?ty Administrator ' T.?.rskk r y .: uY4?+. s+. nRq to Bosrea ,Wa, Radeoe, yQadedU & 4d"a4-ed, 59C. G'""&m¢ C'aposs" 2335 W. -Amx 4 oOfA&" 36 A Pam4 M&muwa& 551f3 Pkoae: 636-*600 April 19, 1977 City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Attn: Mr. Tom Hedges Re: HYD @ 1343 Easter Lane File No, 49 - General Gentlemen: Otto G. Bonestroo, P.£. Robert W. Rosen, P.E. Joseph C. Anderlik, P.E. Bmdlord A. Lemberg. P.S. Robert D. Frigaard, P.£. Richard E. Turner, P.E. James C. Olson, P.E. Lawrence F. Feldsiem P.E. Glenn R. Cook. P.E. Keith A. Gordon, P.E. Thomas E. Noyes, P.E. Richard W. Foster, P.E. Robert G. Schandchb P.E. Marvin L. Su,.la, P.E. Charles A. Erickson The City of Eagan has received complaints from the resident of 1343 Easter Lane that a fire hydrant is located very close to his driveway. He further states that this hydrant is located in such a place that he will hit it with his automobile in the normal use of his driveway and that he would like to have it moved. On April 19 I responded to the complaint at the request of Bill Branch and observed that the hydrant in question was located at the edge of the property and was approximately 3' from the edge of the property. Since an object located 3' from a driveway does not normally constitute a hazard and since the hydrant in question was in place at the time that the driveway was constructed, it is my opinion that the City is under no obligation to move this hydrant. The cost to move this hydrant 9 few feet west would be approximately $500.00 to $700.00 Yours very truly, BONESTR00, ROSENE, ANDERLIK & ASSOCIATES, INC. Keith A. Gordon KAG:mb kL Suite 105 Bridgeway Office Building 900 West 128th Street Burnsville, Minnesota 55337 Phone 612/8945020 &SI.PAULTITLE INSURANCE CORPORATION December 12, 1975 Eagan Town Hall 3795 Pilot Knob Rd. St. Paul, MN 55122 Please find enclosed 2 checks for a anent of special assessments on the following propertys Lot , Block 5 Wilderness Run 5tbj and Lot 2, Block 5 Wilderness Run 5th Thank you, Sincerely Franklin Yours, t 0. dZV One of the ST PAUL COMPANIES 11?BOI Tyndale Bl^om1!<^tor., ?Fi7negnta rSLA2 DELMAR H. SCHWANZ LANOSURVEYOR RW 151ar" Uneel Laws of The State of Mmnesbta 100'% MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55058 • SURVEYOR'S CERTIFICATE 1?f3 `/ ??^4` J ? G 17!5? ??y 90,F t o -/'9" '?:Zif. ^ert. F1c2 PHONE 612 423-1769 ?_ ti c / -h0 4- i?• lv . F .11 '? Il ? ' w 1 • - W N 1 1 N ? 7x3 13 T hereby certify thRt thir is a true and co-Tect mprerentation of Lot L, Block 5, ?IIL`BF? S5 RUT. F=7 APT)MnNp Dakota County, Yinnesota. Also showing the locr--Lion of a proposed building; thereon. 7-11-75 '>+ MINNESOTA REGISTRATION NO. 8626 f r Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - V0F office Use Permit C11110 City of Ea Ea~ 1 e1 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT/ OWNER Name: 3- CFuf Phone: 12 -3 q3 ' 7~ Address / City ! Zip: SAM, Applicant is: _)L Owner Contractor TYPE OF WORK Description of work: ~-d~ df7 Construction Cost: loo Multi-Family Building: (Yes X_ / No CONTRACTOR r6 S &t i 0,K) ~ ,tt Name: License 2. ~1~ q ~G5` Address: 1 3 b v` r,, City: we'State: Zip: Phone: - QL J Lib-7 Contact Person: s 4ku'LJ 0 hA COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide` specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. x x - App icant's Printe Name Applicant's Signaf Page 1 of 3