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864 Ivy Lane,* * * PIONEEq * eng n? ari * * * * 2422 Enterprise Orive Mentlota Heights, MN 55120 ENGINEERS 11 (612) 681-1914 FAX:681-9488 LAND PIANNERS • LANDSCAPE /RCHITECTS 625 Highwo 10 N.E. Blaine, MN . ', 54 (612) 7aic,880 FAX:783-1883 Certificate of Survey for: COUNTRYHON House Address: 864 & 866 Ivy Lane SFlN SEw6R B IAT 17 LOT 18 PROPOSED BUILDING ELEVATIONS PROPOSED BUILDING ELEVATIONS Lowest Floor Elevation: 885.7 Lowest Floor Elevation: 885•7 • eoo.o Danotes Existing Elevation Top of Block Elevat(on: 886.1 Top of Block Elevatlon: 886•1 N? Denotes Proposed Elevatlon Garage Slab Elevotion: 885.7 Garage Slab Elevotion: $$5•7 - Denotes Dratnage Flow Directton (at door) (at door) - Denotes Drainage & Utillty Easement -o- Denotes Monument NOTE: ProposeE OuilCinq slte groCing ie in occordance witn the gradinq plane apOrovetl by the cily engineer. -? Denotes Offset Iron Bearings 9f10W11 OrC O3811T@d NDTE: Contrxtw must wrify all 0imensione B Eriveray design. I,OTS 17-18 . BLOCK 2 THE WOODLANDS NORTH 3rd ADD. DAK07A COUNTY, MINNES07A We hereby certify thot lhis survey, plon or report wos prepared by me or under my direcl supervision and that 1 o duly licensed Land Surveyor under the lowe of the State of Minnesoto. Doted this 10th day of AUgu9t A.D. 19 98. New Building 4172199 Reo S?iu?4S Signed: PIONEER NGIN NG, P.A. kEMOJC Poac„ s-Jz, f9s ?-? Seale. 1Lnch = 30feet BY ? Robert B. Sikich, L.S. eg. No. 14891 or 4, 93169.17 Terrence E. Rothenbacher, L.S. Reg. No. 20595 I . _ , . LOT SURVEY CHEC'r4.i8? FOR RESIDENTIAL BUILDING PERMIT APPUeariON V ? v ? N .>?y > m S m p 4 m 6 Q Z 2 Y0 ? s12 ? Q--'0 ? ??j 0 ?S?0 ? T/? a 3?0 c e-'0 ? a?y Z ? ? a a ? PROPERTYLEGAL: DATE OF SURVEY' LATEST REVISION: DOCUMENTSTANDARDS J'T /O Z • Registered Land Surveyor signature and company • Building Permit App4cant • Legal descriptfon • Address • North azrow and scale . House type (rembler, walkout, apfit w/o, spNt erwY, lookout, etc.) • OirecEOnal drainage arrows wilh slope/gradert % • Proposed/exiasting sewer and vrater services 8 inveR elevadcn • Streat name • Orivevray • lot Square Footaye • Lot Coverage ELEVATIONS ExisCna ?? ? • Sewer service (or Ptopoeed) 0 • Property comeis ur--Ci n . Top of curb at the driveway LT' Z ? • Elevations of any mdstlng adjaceM homes Praoosed = 3dr-z- er- ? n • Garege floor y ? p y ? ? . Firstfloor • Lowest exposed devatiun (walkoufMrindow) 2r? ? ? . Property eomers Z/ ?? • Front and rear of home atthe foundadon PONDING AREA (if aDokahlM ? er-- ? • Eaeement6ne a d' a • NWL ? ? ? • MNL C; cr o • Pond # deaignadon ? cYa • Emergency OveAlow Elevatlon DIMENSIONS a"o o • Lot GneelBeerinys 8 dmemions ? ? ? RiyhtaRweY and street widCi (ta bsck of curb) decln. overhangs 9reater than 7. Perches. etc. Proposad home c5maneb?s indu?np anY ProPo? a q.e. al atrudures reQuMny Damianeryt footin9°) / . Show a9 easementa of reeotd and any Cily ulwtles wiMin thosa easements p a d? ? • Setbacks ot propoaed struehire and sideyard setback oT adjacent exdsting structures ?erE3 • Retaininy waA requkementa, N a? 11114 Reviewed: Mueh 19BB CaMGRLDavN?R FN . C { 1_''/ C)f= F.tlr;(lr: f A`:iHTF'F. J'; ilil'?M7.i.tAL NO;: 7"98 PA'iEr 05i12/99 T-_iiV: 15:4500 Tri, ;; 140(:IYJJI)N7? i_aUS,ETn'?I-IC}MC;.i .T.N!" 200 `.?PPi_i Bh,?r ilf'1' i.(-il'ii:. 11600 3290 `?rYlll 864 LV'Y LfZI:'i. I,:}.i.! „K) ;ii4,f:, S1379 '01 f:,4 1.'J" 1..r"ii!L: ll7f!. 00 3422 9u{ll r);t+ 3.v'•1 LdYrdF: 722.29, 075 9220 f-!64 PA' !_!ll'JE '! ,03`.'1,,50 34e6 900; 864 N'r Lf5i3!i kri.50 .!h5; 9:.i0'). $761 TU`J i..ANCL 0.50 3743 9020 164 LU'y' I_f71tiL. 50.00 205 3001 S:)F:64 'fU'•' LAiat_ 69„E;Q 2868 9220 2r,•f .Iu'J I..F1NL. 466 00 Gk 4f)s3:, l E, 'BJ.; r tJi,! tDiUt IJEi;_f' U.Ig .'.flf! ?:;* t::ft4'rPJLlfi" 0*50:t11*AXl;t 'i,7nW7X% Lf)V.IiMIL. C::I'(Y 11P ii AGf-1P.1 C'Af;!•I:1'G 4i' !r !Ii i;ItLPdisl. 1*!ftg i'.`itf Y.iFlfl:'; i '1".i/J2 1`1O t?:ti1=a j;`.,;4500 L fi ;, I•.fA4E." HOOI,iI.. ANi,l f,fiUNI7P<`41'If) P1F.1ii 7.NC 371.f, '-?i.'.`r.?0 864 '!'J'd i i.fi „f}f) 3711 '9220 064 ]'!lY I_.Ah!le ':K taa aBr;'°r Qr c?CI 864 1:11V L..Afdf_ 925.00 22:'Sr` 9220 s.;66 1:VY I_Pitif: 'W,Ur) 'si:':S q`_'?Cii71 066 I'J'x' !. F1tJF 909.75 ;it;h.r(r "').;•t,q ri!SL '..VY Lf}!VE :I.fl0„00 ?4?'? :i9Clf.t;. r..c_ cf:,E, ?'1`{ i CiAll= `.lidl .34 2275 9220 f::4,t, rv,, i._nrai:. t, r.7 >.:. so 0146 9001 Pur, Wv Lnr.?E io.50 2110 9rO] i. f:;EA., i:U" i_r,NF: =450 CR:t088!. ri :"Ot@ r'?PA It_ tICiI::R :i.D,^, iRitd ;•'r''. i;i:U:'Y'7:NliFi: (;f.:NTW11E:. CS? Y iJF- f-Ftr;AN C'tlbH:til"'i:s J`l :11::RM.T.NN. Nr;v ,°;;;f; L4ATEt us/ip!99 ` ItSL',s ,..=i` „ ;J. ID: , ? 371:1 9220 ;:SP.r, Tu1' l.Par.L 011 2155 9001 866 7V7 l.A"dli: A-r,.(')0 3u'D<`:r 92PO li(:Ii .{VV I.i".11''!I:. 9?fJ(',?(.?U 371b 9220 066 i:V`f i..A}JF_ H4.,00 3713 9220 ?t? ??E?.? 7?.J•.r i .Piii?r_ u- ??fl ?_( ..; J. ., p? r .,r??;? r.7.1'??.. _ c,._ i,>c . .,,,4, I?1 ?? I..f1MF' !,J 525. i'n+,d:l I{ece1.4..,r1 AnirulP'd % f-1Q4,3'r.`. =i)t;D;:i:L 6 IJF;i_R f.Ds ,sAld CITY OF EAGAN .. t Ci cM 3830 PILOT KNOB RD - 55122 ts95 BUILDING PERMIT APPLICATION (RESIDENTIAL) B81 -4675 ? 3 registered site surveys ? 2 wpiea oT plan ? 2 copiea of plane (indude beam 8 window saes: poured fid. design; ek.) ? 2 site suneys (exterbr addiGOns & decks) ? 7 eneryy cakuletiona ? 7 mreigy celaletions for heated eddttions ? 3 copies of 4ee preaervatfon plen if IM platted after 7/1/93 requlred: _ es No ? DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ?W 4?"KMtj - STREET ADDRESS: LOT ZZ BLOCK o2 SUBD /P I D . . . . PROPERTY Name: OWNER ? Phone #: Street Address• Zip: Phone #: City: State: CONTRACTOR Company: nuf'rTV-y R&06 Street Address: `76:2S MGmao License #: 0-1?108 Cfty: E't>kN w4, state: M rJ zip- ARCHITECT/ Company: ENGINEER Name: ? Phone #• Registration #• Street Address City: State: Zip: Sewer & water licensed plumber. A i?' I'??` • Penalry appiies when address change and lot cham3e are requested once permd is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all appn`cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?-? ?? --?_- - .. ,, OFFICE USE ONLY Certlficates of Survey Received _Yes _ No Tree Preservation Plan Received Yes _ No - ?- _ ?Y OFFICE USE ONLY BUILDING PERMIT TYPE 0 1 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ,A(/31 New 0 32 Addition 0 33 Alterations o 36 Move 0 34 Repair o 37 Demolition GENERAL INFORAMATION Const. (Actual) (Allowable) Basement sq. ft. ?A Main level s ft MC/WS System ial69 Ci ? q. . ty Water UBC Occupancy ? sq. ft. 620 Fire Sprinklered Zoning ? ?A( sq. ft. SDy PRV # of Stories sq. ft. Booster Pump Length Slz 3 sq, ft. Census Code. /a Depth ??? Footprint sq. ft. SAC Code &? Census Bldg o/ Census Unit "q/ APPROVALS _ Planning Building yitl Engineering Variance Permit Fee /!//„4!r Valuation: $ /a (1DO0 Surcharge Ao,so h4;A Plan Review mv,38 N3?X 2,5,3 =/lao,Ng License ? y 1 Hy ? I1 N,67 MCNVS SAC iduo,o& 137 x a` = 33146 City SAC 100,0/5 15- y N= 60•00 Water Conn. W ?zs,nn -2,7 X 2' = 6 61 71? 331,25 ater Meter Acct. Deposit lno,aa S/W Pertnit ao,s a dP?tR ' SNV Surcharge utis',a? 3s x l06 = e) '7,j Treatment PI. iy X,7?- aH-y" °f) Road UnR y3 7, Sy ? 7Gi?25 =33 Park Ded. 62 R Trails Ded. Other Copies GAn 2 _ yyD a.a x z - Total: u 6R1i 73 X?? 6 -$ B6y,O0 50NGl? X 14 % sac SAC Units . . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION WNER ' ?GLc.c ?{.r ? 7?51YXD _ ?Gu La.rz , ?? r.nti,'4T!tYHOME 3UILDc-RS, INC • 3. 6,1Z1 735-511ZCo DCTERMINE WQRKIiVG SQUARE FOOTAGc dF EACH: 7CTAL EXPOScD'NALL AREA .............. I(O S?p sq -It x'•U'• 0.1.10 =; ,i 70TAL RGGF/Cc ?.'P1G AP,EA:................ ?•50? s' F.:<'U" GA26 = 39 TGT?.L E<?CS=D`i!?.L_ AREi. CA;_CUL.S i iG:S: Total exposed .vzll arza abcve flccr........ _ sq f; al Total wirdc-.v area: Dcuble ela.ed ........... ........... 215 Sti .. ?.?,? ?. y.3U 92, y ? g!a_ed ........... ............. sq f[ x ..?.. _. _ -_' b) io:al eoo; area: _ -,t . ,?°u• d.0?6 - 3,34s y$ -? _ e; Totzl slicir,G deor zrea: 3 Couole ;Iac_d ........................ ?d glzzed ........... ............. Sq?.Y30 _ /?, z0 sq :t x , - - d1 i -otal `ireclace wall area :........................ N, sq tt X °u° G.370 el Total waif frzming zrea cavER,acE 1o%7.......... 135 5q Ft X ,.u° f} Total net wall arez sq fc x"U" Q, ??3 = 5Z• '3? above ftoor (insulz;ed) ...................... I L? g - 91 Total rim joist arez :............................... NA_o_ sq ft x"U" V.U 3L/ - - Total fcundation area (exposed) ..............N,i sq ft = h} Total fcundaticn window area ............... NA_ sq ft x"U" U. 30 (?? sq "t x"U" V• ??f?` = Z• g3 i) Totaf net foundation area above grade.....?- Total a) thru i1 /4?• ^' if item °3 is :he same as, orless than itam #1 you have mzt the intent of 2 MCAR 1.16008 A and O. Page -1- TOTAI FXPOSED ROOFlCEILING CAICUCATiONS: . . Total exposed roaflceiling area . ............. /50 5 sq f: I) 7otal skylight area ................................ `11GL-, sq rt x'U' Totai rooilceiling freming arza kl fAveraga 10°'0 ............. d1 Totzl net insulated roo`/ceiling area .................................... isi S?,.X•u- 0.?39 - 5. 89 !f item R4 is :ha same zs, cr less !han it2m =2 !cu nav> me? :he in;ent ai 2 P;1C:,A 1.1EOC3 A anc c. ALTERNATc aUl'_C;NG ENVELOPE D'tSIG`l i C U:IiIZ° :he 'C[dt 3v2l0G° 5`/`-...... TC:hOC, iF2 ?S:C-.IIS^°.'?i "'i .,•., SUT C: ii--M5 .., df:d ,^ali r,o; Ee greatar :han'he scn cr it=ms #1 anc =_. ,. ??-lla_ _ 2 ? . /3 = zz/. z9 ? ,s/.o3 -4 37.3T .. zi9. CERTIFICATION I hereoy certify that I have calculated the "U" rzc`ors and "R" values herein and tha; ;ne L-u-ildi-19 hcre in desaioed meets or exc==ds ;he state ef Minneso.a cnergy Conservation Ac:. G?-f L!_ ZZ-?g (0,:a) Page -2- C- T T ? T .* PIONEEF! * engieeri * * * ? 2422 Enterprise Orive Mendata Heighls, MN 55120 LAND SVRVEYORS • CIVIL ENCINEERS 1? (612) 681-1914 FAX:681-9488 LANO PIANNEftS • L/NDSCAPE ARCHIlECTS 625 Hi9hway 10 N.E. Blaine, MN s', 34 (612) 7bbr_,880 FAX:783-1883 Certificate of Survey for: C, V U!V 11%I17V1V House Address: 864 & 866 ft Lane ? 0 Q1r SFlN. 56wER rJA'ffR ?r? ? TR 4D-VU-AD ? N89'4 ? eez.o ?3.59, ? aao I F,.:?,s> ? i ? 10 J?? I? 9.66 ? e ? 18.00 0 5.0 w 9.6 0 1 0 1 'I p0 PROPOSED BUIAOE G g SlAB ON GR t Ess98 ? 130.89 7+ i .?nn 4.0 7? -- ------ ss ? I ?a pRpppSED BUI 10 _00 SLpg ON GRpDE i ? o ? \ H.0 0 •? ? 10.0' n ro5.0u u 22,00 0 9.86 I?27.6 1 ? ? __-- ? _ _--- ol '?__---------- 130.52?E 1; exisr. euiLoirvc GRQ- EL = S'M3 LO O M?-i I b N O? m p a H M_ 150 s ?M' -21?32' ? N w A ? ? o N 4,A ?o D 1 0 ? ? v' 0 9 ? ?cr 2.0 0 - 0 76.00'?0 2 .5 snv N tT D y^ ? ? WtPO O N 1W ? 1`J ( -? o ???25 1 AA Sewer Invert: 875.5 IAT 17 LOT 18 PROPOSED BUII.DING ELEVATIONS PROPOSED BUILDING ELEVATIONS Lowest Floar Elewtion: 885.7 Loweat Floor Elevation: 885•7 * 900.o Denotes Existing Elevation Top of Block Elevation: $$6.7 Top of Block Elevation: 886.1 K<? Denotes Proposed Elevation Garage Slob Elevotion: 885.7 Garage Slab Elevatlon: 885.7 - Denotes Oralnage Flow Dlractlon (at door) (at door) - Denotes Drainage & UtJlity Easement -o- Denotes Monument N07E: PropaeeA buBdinq eila graEinq ia in acewtlance .iih lhe gratlinq Olane opproved bY the eily enqinner. Denotes Offset Iron Bearings shown OrB 033UlilBd NOTE: Conlroclar musl verily all Eimansions @ Ariwway tleaign. LOTS 17_18 • BLOCK 2 7'HE WOODLANDS NORTH 3rd ADD. DAKOTA COUNTY, MINNESOTA We hereby certify thot this survey, plon or report was prepored by me or under my direct supervision and thot I o duly licensed Land Surveyor under lhe lows of the Stale of Minnesota Daled this 1 Oth doy of AugUSt A.D. 19 J8. New Building 4112199 RE? 5?iu?9S Signed: PIONEER NGIN NG, P.A. Pemov[ Pepcr? 4-121 19S ?'1 Scale. 1inch = 301eet BY ? Robert B. Sikich, L.S. eg. No. 14891 or-4] 93169 17 Terrence E. Rothenbocher, L.S. Reg. No. 20595 LOT SURVEY CHECKLIST FOR RESIDENTIAL • • BUILDING PERMIT APPLICATION T ' ? 4? ? d-- ?? ?) PROPER Y IEGAL I 7 /? .?d,? - - .J I Y UX.{ - DATE OF SURVEY .a'//O 2 '9- U ? ? 7 LATEST REVISION: p? N j y S Y v m m DOCUMENT STANDARDS a Q m N Q Z J f ? ? • Registered Land Surveyor signature and company ? ? ? ? • Building Permit AppGcant L l d ri • ega esc ption gi-- C] ? • qddress :1--7, ? • North arrow and scala C?--13 a • House type (ramtiler, walkout, spfit w/o, spfit entry, lookout, etc.) Z-?o ? • DirecUonal drainage arrows with sbpe/gradient % a---6 ? • ProposedJepsting sewer and water services 8 inveR elevation ' S---? ? • Street name ???13 ? • Driveway ? o. ? • Lot Square Footage 3-?o a • Lot Coverage ELEVATIONS Existin c-'a ? • Sewer service (or Proposed) :1 ? • Property comers ?o :; • Top of curb at the driveway e? ? e • Elevations of any adsEng adjacent homes Prooosed a'' a zi • Garege floor r ? ? • First floor p- ? ? • Lowest exposed elevation (walkouNnindow) a? o ? • Properly comers O'? ? • Front and rear of home at the foundadon PONDING AREA (if aoo6cablel ? er' ? • Easement6ne ? cf ? . NWL ? ? ? • HWL ? c?a • Pond # deaignaton ? 3?0 • Emergency OverAow Elevatlon DIMENSIONS e'o a • Lot IinesBearinga & dimensfoire o- o? • Rightof-way and atreet width (W back ai curb) Cr'o o • Proposed hame Qmenaiona indudn9 anY Proposed decics, ovefiangs greater than 7, porches, etc. / 6 ? ? • (i.e. aB struclures requidng permanentfoo6ngs) Shaw ap easements ot record and any Cily ut1'ih'es wRhin those easemenb d a o • Setbacks of proposed structure and sideyard setback of adjacent existing sVUCtures ao-'o • Retaining waq requiremente, R an Reviewed: March /96B GRAICaB1,D6PRbfr FM V(::n tj,!, .,LIT?Y"OI''' [i.AGAN r,PE;aTr_R:: 38 ! li i:?1TPlAL No: 7?0 raAr_N t:r-sr;.,i99 -i,.MEz 4°.::a41-;o ISi•i h'4h'il=': P00I!1.nN1) Ct.ll_)NTF;Yi'Q('1':S :`:C i'252 9220 864 1'VY L_6aNL 20.07 3?'n 9rO:4 864 I11'd L.Ahal; 1.,3.1 1..:3;i 9R$6 93r'9 864 IVY I_.FdvE 100„70 3L22 •900 064 'I:l•Y L(-1N.-_ 72'r2.38 i.'.i?7D 9220 864 7VY L",iJi' .QCi`:1..':0 14% 900! 869 IVY LPudF: .Q.:iC) %i'.'t:i;:; 7CCli Sr?,<. TuY LAME: 0.50 2740 S)c'£'c:r 514 IVY i_(SNii 50..013 205 S'9fii]:i 864 ]VV I_i1Nr r;i.l.`Srl 2850 9`r.'c^..t.i 864 .C'.1''l L.ftliP. W;?,l3G I'4i0E2.°,:.5 f'CNTT.Nl::'. l;3'_R TD;_2FlN GC)N1'S'vt;: Xnid'T7WG:. C"{TY Or tPG?lN `'F'iNT E(;, , I(n YG:Rt1:[KA!_ NC'.. ':=.. naTPg r ?Jia.f., _!?'?j ? ? rl,,,l:.... i- ?tii ".O"?:?) ...1 jn,. PJA19C° ' ! ;(lQl:l_ R4:U GQI..IKrRVFI[)11F..S TW.: 3716 132ii:0 8r:,4 IVY L(-?NE 1;Q..0'J 3713. 9220 E364 .T.'JY 1_A'ic 5'_7.00 205 9220 E364 :f1J`;' WE 22:3„00 2c'.'.:;P 9220 FtGr., 7:vV i_An!_ 300p 32i.p 9001 FC:.E, rV'? I_(lNfi'. 909„75 3066 ^i:;7"i? :iC;,L- IVY I..AIJF: i.0fl,00 ?422 9001 866 IVY I..RNE 59i..34 2275 ,., `?E c.G :,E; iY 7:? Lfa'?c: ?:; S.,ii3.a.. .i] ,.446 ^(i(:lj. 866 IVY LriW: iQ.":Ll K55 90L7'. 4:366 TVY LAP!f_ C' "iO CFii.t.Jk:d;;:1.6 dv)n f;0N71.i4U(_ U.;P:f2 :'De iAP- r::t)N"iTNUl_ CflN?7.i\UI= c;:r., v nr- r:::AGr,N L'ASH:L!='R: 'S 7f"I;:itSNF?(.. N"J:: 70 L'AiCr 05/1i?19::) 'TM:=. 1.,`-.:i4e'.i3*^,. rn: irF?•M;i_: 10,001IiLANC? rOi..iNl"F,YNOMES :I:NC, 3743 3i??_0 R66 TVY I.P-iNE 50.00 2.1°5 9O0:l. 866 'C'.lY L,A«F: 44„(:)0 3flr,8 9c?;:0 866 IVY LANE 1s,8.,00 374 3220 8h:,i1 I'JV L.r`,^.:' 114..00 3713 0220 86i SW LFlr:E 50.00 383:::5 c'''?O E306 IVY I_(5W: 820.01,11 , I 'io";'i i:r.,ceipi Amoun+,r a73140:2 CRi0861.t-, U".iEii ]:Dr JfiiN CITY OF EAGAN 3830 PILOT KNOB RD - 551?2 s 3 - . -4995rBU1LDING PERMIT APPLICATION (RESIDENTIAL) q ' 651-4675 C?kXA-?' ? ? 3 replaterod eite surveys ? 2 wpies M plan ? 2 eopies of plena (indu0e beam & window aizes; poured fid. design; etc.) ? 2 site surveys (exterior addkions 8 dedcs) ? 1 energy ealaletions ? 1 energy alculations Mr heated add'Rions ? 3 copies ot tree piessrvetion plan iF bt platted after 7/7/93 requfred: _ Yes No ? DATE: 9 °l CONSTRUCTION COST: ????? ??? DESCRIPTION OF WORK: STREET ADDRESS: w i ly G4r+5 LOT J?L BLOCK GZ SUBDIP.I.D. #: ???affaE PROPERTY OWNER CONTRACTOR Name: „?. .a., Street Address: City: Phone #: Zip: Phone #: rLicense #- 05D8 Street Address: "X??S !YI a2o Z-U7 ?I?( City: i--Ci ri k State: 'M^j Zip• State: Company: / .fxCn?/b/jO AUC&es ARCHITECTI Company: ENGINEER Name: Phone #• Registration #• Street Address• City: State: Zip: Sewer & water licensed plumbe6?? P4 ?? . Penalry appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to comply with all applicablb State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant: ` OFFICE USE ONLY ! L Certificates of Survey Received _'Yes _ No Tree Preserva6on Plan Received _ Yes _ No ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ?, 02 SF Dwelling o 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool n 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous n 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move n 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? ? i ?,g u Basement sq. ft. Main level sq. ft. GA-R sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building '1/ _ MC/WS System 4 - i4,vo City Water r H97 Fire Sprinkiered PRV Booster Pump Census Code. /oi 1,77 SAC Code ?L Census Bldg ? Census Unit Engineering Variance Permit Fee 9104, 7S Valuation: Suroharge NN,OU H„'/? Plan Review h yi.3N y7"rx 26 = 1 239,33 License MCNVS SAC 105'O'60 y 3" 37 Cfty SAC !00 .OG /06 X 16 ? ! 60- W t C er a onn. aQ Water Meter t I N.ao Acct. Deposit /ao . orJ o S/W Pertnit 36 U S/W Surcharge ro ! 9$ X d a Treatment PI. Hh'K.aO /6 x H Road Unit Park Ded. Trails Ded. Other Copies Total: q A 3a55 $ ?d DOO iH190j33 z5ti = 7 9 1 '311 = ?13a?67 = 6HI oD y v6?ib = 7 9H61 67 ,?r9l SSu9 , ? . ` % SAC SAC Units EXTERIOR EN.ELOPE AVERAGE "U" COMr jTATION iWNE Y- :ONTRACTOR: _ COUN?LRYEiOP4L DiJILDERS, • INC. DETERMINE WORKING SQUARE FOOTAGE OF EACFi: T07A1 EY.POSED WALL AREA .............. Z7 sq ft x'U" 0.110 = I OG. 9!> I ?. OTAL FOOFICE1lItiG AREA :................ 3. 07AL EXPOS"cD VJALI AREA CAICULATIONS: ____ . ocal exposed wall area above fioor.......... al otaf window arca: Double 9lazed ........................ qla•.ed ........................ J sq fi x"U' 0.026 = 39• 3 sq ft sq r; X °u- 0.430 113•9-5' sGftx"U' -- ° bl Total door area :.................................... sq ft x"U" 0.070 = 3. ??0 .Y? c) Total sliding door area: Dovble Olazed ................ ... s4 ft x"U" _ 0.430 = ?7• ?'" glazed........... 54 ft x "U" d) Total ;ireplace wall area :....................... NA sq ft x"U' 0.370 = ? e! Total watl framinp area IAVERAGE 701101.......... sq ftx "U" _ 0.095 = 7.3• ? f1 Total net wall area •= G?1(.r,30_ above floor iinsvlatedl ........................... 9.3 s4 fc x 'U" 0.643- . ? `T • Z? 9! Total nm joist area :............................... LZ?p s4 ft x "U" 0.034 Total foundation area lexposedl ..............NA sq ft 0.430 = ? ------ h) Total (oundatian window arca .. ............. NA sq ft x "U" il Total net foundation area abova grade..... Lr3 _ sq ft x"U" _ 0.045 3 Total al ihru 0 If icem p3 is the same as, or less than item !/S you have met the inteni of 2 MCAR 1.16008 A and 0. Page -1- TOTAL EXPOSED ROOF/CEfIiNG CALCUlATIONS: Tocat cxposed rooflceilinp area . ............. sq ft . ........ ? Qi sG tt x 'U' Il Total akyliqht area ........................ Total rooflceiling framing area Sq f; x"U" 0.039 = 5' gg k1 (Average 10°0 ............. d) Totai net insuiated 3-/ 3 z. y9 = rooflceiling area .................................... /?`! s4 i? x"U' 0.024 Total a) thru i) k.. if item »4 is the samc as, or less [han i;em 412 You have mc[ the inien; of 2 MCAF 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize thc total evelope systc"n method, :he vatues es:ablished by the sum of items X3 and Item #4 shali not be 9reater than the sum of items °1 ;nd RZ. ,,-3p(o.90 s. ZS9 . /0 CERT1FlCAT10N + z 3 9 • %3 = * a 3q . 3l? •_ 3c./U, a.3 0,2 7, C/8" I here6y certify that I have caleulated the "U' factots and 'R" values herein and that the buiidinq here in described meets or exceeds the staie of Minnesota cnerQy Canservation Act. ? gnamrc) ??-ZZ--gy ?o.,<? eL ? CITY USE ONLY RECEIPT #: SUB? ? Uy rA RECEIPT DATE: ' ie'q PERMIT# c3wZs 1999 PLUM$uNc PERmrr (REstDEv1iAL) crrY of E?s,vv 3930 PILOT KNO$ RD EAflAN, MN 55122 (651) 6$1-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL °uth iJb 3 3.00 X $ pO Floor drain 3.00 x $ . O G85 i ifl oUtlCt ` minimum • 1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x $ Laund tra 3.00 x = $ .G0 Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x - $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal 5 stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Watercloset 3.00 x = $ -Q7 Water heater 3.00 $ Watef SOft@nef if dwelling under construchon 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 --> ----> ----> $ .50 rotal --> --? ----' --°' $ 3 Reminder. Call for inspections of alterations, i.e. water heaiers, water softeners, etc. ------------------------------------- -------------- -------- --- --- --- ------------------ --- --- -------- --- ------ --- ------ --- ---- ---- --- --- I hereby acknowledge that I have read this appliqtion, state fhat the informalion is correct, and agree to comply with all applicable City of Eagan ortlinances. It is the applicanfs responsibiltty to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permd within Ciry property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : TELEPHONE #: ?_ ?_'?7 -y(aCl? (AREA COOE) INSTALLER NAME: Q16&4TELEPHONE #: CoS? ?/37-9a?S (AREA CODE) S7REET ADDRESS: cirv: _ STATE: n2a ZIP: SIGNATURE OF PERMITTEE CITY U$E ONLY ?7 / „ L • BL RECEIPT #?J l?? . SUBD. I RECEIPT DATE: I r"" L? 1 PERMIT # 1399 PLU1VI$INri P£ftMIT (RESIDE8TUL) CITY OE £AfiAN 3$90 PILOT [{IIOB RD E4fiAN, MN 55] E2 (651)681-4675 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath ?ut b 3.00 ? x-- r ?- - $ w Floor drain 3.00 x = $ Ga5 i in outlet ' minimum -1 3.00 x $ 100 Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x 1 = $ . OO Laund tra 3.00 x 1 = $ 00 Lavator 3.00 x q? = $ Minimum fee ' alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installationlre air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ -W Water heater 3.00 x = $ Water softener If dwelling under wnstruction 5.00 X • _ $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> ----> $ .50 Remfn::er: Caii for mspeatians ci alteratians, i.e. waier hea4ers, water sorteners, etc. ------------------------------' --------•--------------------------'-----------------------------•------------------------------------ I hereby acknowledge that I have read- this applica4on, stale that the information is cortect, and agree to comply with all appliwble Ciry of Eagan ordinances It is the applicanfs responsibility to notify the property owner that the City of Eagan assumes no liability tor any damages caused by the City during its normal operational and maintenance adivities to the facilities constructed under this permit within City property/nght-of-wayleasement. SITE ADDRESS: SsLPLO -TUC ?- OWNER NAME: :{.(IL(/I?fY .(JYI'L(????f'.? TELEPHONE #: Cf?(? cS??S' YIo7Ca (AREA CODE) INSTALLER NA&yW:SON PLUMBING & HEATING TELEPHONE #: 69 (-/37- 7cP/j 3550 Vertnillion Sm (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT iu- BL - _ 1 RECEIPT ?!: u SUBDw` RECEIPT DATE: ? " I Mj%vWA-111y- MECHANICAL PERMIT # 1999 MECHANIICAL PERM1T QRESIDEN1'IAIa crrr of'EAsAN S$SO PILOT KNOB RD BABkN MN 55122 (651) 6$7-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occuoied. • HVAC: 0-i00MBTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total $ 30.00 6.00 CO4C) .50 $ Complete this section aitlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair _ Other Reminder: Ca11681-4675forinspections. _ Fumace _ Air conditioning _ Air exchanger _ Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: ?)(p-i ZV \j OWNER NAME: (nLU U{'' .hnP'1jL° II ?i.?.Q.l^? PHONE #: I a. - R J S-4I oZ? o (AREA ODE) INSTALLER NAME: C1.' n?0 I-?(.urlbLnQ,a-? L/LG. PHONE #: ? - -c'I o1I , Q (AREA CODE) STREET ADDRESS: CITY: STATE: VYLi1 ZIP: ' 5O33 SIGN TURE O PERMITTE CITY USE ONLY LOT BL y ? ? SUBD. 09 RE?IPIT #: 112`1 v RECEIPT DATE: -7 6 ?0l01 MECHANICAL PERMIT # (r- 1999 MECHAN1CAL P£RMIT (ft£SIDENTIlkL) CITY OF SlkfiAP 3$30 PILOT KNO$ RD EAfiAN MN 55122 ? Date: P Vg9 (651) 6$1-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • I3VAC: 0-] 00 M Ii T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) 30.00 6.00 (p Dc) State Surchazge .50 2-50 Total $-Y Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Furnace Air exchanger Air conditioning Other $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: 161010 14 OWNERNAME:?`I1YI',!? PHONE#: &ld'' (AREA CODE) INSTALLER NAME: _S@fJdRCf11J PI IIMR161f: JL HEU'NP, PHONE #: (o? (AREA CODE) sTUEET nDDREss: 3550 VeM0ton StfEet astings, CITY: STATE: ZIP: Alteration Repair _ Other Reminder.• Ca11681-4675for inspections. SIG ATU OF PERMIT E O City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 864 Ivy Lane Lot: 17 Block: 02 Addition: The Woodlands North 3rd PID:10- 75892- 170 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 $1.50 Owner: Donald W Schwappach 864 Ivy Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091771 10/26/2009 ePermit - - - - - - - - - - - - - - - - - For Office Use f , Permit #E: City of Eaall • A: 2009 PermilFee:l1• 3830 Pilot Knob Road Eagan MN 55122 Date Received- Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION Date: b'lI 09 Site Address: 'i' rd Tenant: Suite RESIDENT/ OWNER Name: ' O t7el 3,uyA Ka t Phone: Address/ City /Zip: , LAL. ea ,II q~ !1 CONTRACTOR Name: `"C License 13"1 I '10 Address: X A (e r L am ` t 1 t y 1 }.77 City: State: p Zip: 5? } Phone: Contact Person: t t- 1 , TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: 7 C`I NOTE: Both roof mounted and and mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL ~r Furnace New Construction _ Interior Improvement Air Conditioner _ Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under/ Above ground Tank Install!- Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee If P rmi Fie is less than $1,000, surcharge is $.50. If Perm! Fee is > $1,000, surcharge Increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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. X1 X Applicant's Prt to Name A - pI' nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In "Air Test _Gas Service Test -In-floor Heat -Final _ Exterior HVAC Screening Inspection Oct 02 13 03:48p Meschke 7637548901 p.1 Use BLUE or BLACK Ink I For Office Use I Pr•.imit!!: I City of Eap I g,~-,~ I Permit Fee: I 2 3830 Pilot Knob Road Eagan MN 55122 Date Received: 1 101_~.h3...___ 11 Phone: (651) 675.5675 1 1 Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING :PERMIT APPLICATION i~ l3 ur40j , & LI ~6Tr 1'26,83 ~ Date: Site Address: ?i~l?~✓;' G1~. Unit ` JJ J`A•ILA I `L.. Phone: 63--Z3 1,(o7z f Name: F.1)Q?pI AN~ •.~D~)~~'izy /M~ `~J hll~ s` ~ Resident/ 54-q Sig a! Owner Address / City / Zip: 3 y ,7-0, e r, a A rv~ ~J s.~ rZC Applicant is: Owner X_ Contractor Doscription of work: I ``Gt~AI ROOF- Type of Work Construction Cost: .J~r Multi-Family Building: (Yesx _ / No Company: Mrs C P CON -'5rn t1 C: r DvV DX_ Contact: yrVZ ; f...alkf Address: Contractor Nth City: /n1fi~0i/~c~i $tate: Zip: Phonc: 7~ 7S y^ Z-7 77 License Lead Certificate If the project is exempt from lead certification, please explain why; (sec 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, (late 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 they are trade secrets. CALL BEFORE YOU DIG. Ceti Gopher State One Call at (651) 454-0002 for protection against undt3rground utility damage. Call 48 hours boforo you intend In dig Ib receive locates of underground utilities. www.ooor or_~_it~~~ni+fall_~xg I hereby acknowlodgo that this information is complete and accurate: that tnF 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 :applirrilion for a permit, and work is not to start without a permit: that tho work will bo in accordance with the approved plan in the ease of work which requires a review and approval of pl:9ro;, Exterior work authorized by a building permit issued in accordance with the Minnesota Stato Building Code must be a ted within 180 days of pormit issuance. ~r r Applicant's Printed Name Applicant Signature Page 1 of 3 Oct 02 13 03:48p Meschke 7637548901 p.4 Ir ~p 491 U I yy` J11 POMW s - F 7 rtl 1 Y. ~ E J+ % a v 44 wY!W w"L O ~1~ rDai j Y~ lclhHPno_wR,Ginc 7'la~ S• l1 oo w m elpie ft- ~~4A ws~ ,W ~'7y ~ •p R~ y g W n:o~~c. •"+Y i,l spe 114.1- 'aow p: '~~n~a4rW ~Z~Y•9Yf~~ry~na M,f.~~ ~;M~ n , vi tore "~vlo►r EwrLu `~S Now,.n f eN x7ln n• ay 1• 4"73 If, tzA- ns VL y Mwiy "yo ~ ~y~J• ' w ~ti 59~OV l," !1 . ~ ~ ~ ay/yL W/n„ /M ~ ~ H''F~~ N~''.e •.,yrt- i atyn yl~ ^ ~ ~ ~ ~'C~` ~~p~ ' { ~R lghe r10 7 ~~y~„•cn ~ 1114 : ~yau w ~rd~~,y`.~ jL n genie , 49 v y i'Zoe Jrd y!C~r`~ pY1Ctl W~I~ T Oct 02 13 03:48p Meschke 7637548901 p.5 77- W VGA ~I i,1 ~ ~ V y l~ a.r I: - a. 1 Oct 02 13 03:48p Meschke 7637548901 p.6 c ~ r ,rte I IIJ3 1\ , 1 j • • 71• :t r , For Office.Use CC %. °, t t air Y,• .. • Permit#: /✓ / l f * {' g4 ` M x... q • a Permit Fee: 6 6 .v. • OCT 01 2018 I 3830 PILOT KNOB ROAD I EAGAN,.MN 55122-18.10 Date Received: p '(651)675.5675 I TDD:(651)454-8535 I FAX: (651)675-5694 .bulldinginspectIons ancityofeagan.com Staff: L J 2018 RESIDENTIAL PLUMBING P -.MIT APPLICATION �Date: $3Site Address: 'f:� A41101, A `� y .• Tenant: ,r, �..iriWroil, r,e.,._ ,,,,, i ait,OA ��0 1RI 0 aY h� r r lAh/r_ Phone:'' q"` ! �j� t, r • z, ;Rl ,:-:y,{U}xr• :r: Address/City/Zip: I /`�i�� L� r • 4,}l' T {,SIF"'r } rr+ -,= _ .r 411', r / ' " tk tit Name: MILBERT COMPANY dba I�LIGAN WATER WC641376 fitiOv,,` t Y, t il, 3,( License#: li f tc, /5 ,0.51; ,,, i r`.'l'�: i * fzfi r; Address: 1801 50TH STREET EAST C,, kF(aci�, f�•, • Ci( INVER GROVE HEIGHTS t lik1 ti-}r .�µ� ,� heat} State; MN . Zip; 55077 651-451-2241 'c,. ,. ,:s,,,,4 A's} Phone: Vr.i9i �T`e'i �.*,t—�l� �tyhs"� . Contact: BILL MILBERT VI,f 'tt! jte ° Email: loria.abas culligan4water,com ,,'17, t f'i'lm a'f+� gas F zJ 1; Q• .n Q �F New —Replacement Repair h PWIr $41.4° f 1 P Rebuild Modify Space Work in.R.O.W. f>s,Mi:tt>�IrAki3ct+l;,ti ,,iit Description of work T >r 4��•'iw:t , z 'izy,t.• RESIDENTIAL __-'--. "?',a'},•^J f l..tw(((.ui,t i) _Water Heater P > 1 rr�lt ' A >' E ' _Lawn Irrigation RPZ/ PVg Op 13 e e rill X Water Softener iN 0,1 h�,,c rrf� my,X.,„p), Septic System Add Plumbing Fixtures ( Maln./ Lower �iS Ccr}�') 5 i r4ttil..),xx.31„, �. Level) t'lti!itl''>� kik New d t1S F1x , rr,, WaterTurnaround Abandonment RESIDENTIAL FEES: -- - --- r r_,_ $66,00 Water Heater,Water Softener, or Water Heater and Softener(Includes State Surcnarge) �~ - $60.00 Lawn Irrigation (Includes Stale Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround* (includes State.Surcharge) 'Water Turnaround (add $280.00 if a 3/4"meter Is required) $115,00 Septic System New(Includes County fee and State Surcharge) 'TOTAL FEES .$ 60.00 CALI.BEFORE YOU DIG, Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call'48,hours�beffore you Intend to dig to receive locates-of underground utilities. www,gopherslateonecall.orq You may_subscrlbo to receive an electronic notification from the City of proposed ordinances py signing up for an email update on the City's ♦ website at www,cltvofeagan,com/subscribe. 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 den application for a permit, and work Is not to start without a permit; that e work will be In ac ordancew th'the approved n the ca e'otwork wI tch requires a review and approval of plan . x l -Cen i atir--- —Ati.4111 • Applicant's-Printed Name x �I` Applicant's Signature (ft"Si if(�y"4f l�iL i�vlS,rt`'11ci c:S'.4s �(-.,k r.s'ir 15 r/�iu irr 'ry� °,F•7,0,)2t ll.tW M tt.i itrygli )tliM �h iNill , ti�iSi'a lVttNt-tir'r)!{( ,..)I .,Nc. Z cr5):.f { `".t ti,V1*- ,,,, y,( ,i`,9• .).,,y ;,,0,r„ 1,.. ,3r. cq. T r r t�, t} j{11,1,1 Ttyk }}{'u'-:iv tlAso..'t. t 1, v. it?�A,:x ' �(t"t�r -NC -'.A 4,4A4 k%(„7� -j.*,_,SFjs3t->>, r tq..4 ?,i_StevlewEidzs �,0-4 �.(,-,i`� f'�t S- I�kr7 t4.irvs{:,tat: ^�;�+!N&tt�Srzrs tYh ,, i -7'k i ,91I�1�.lint -il.A,4-1144.60,A1%1�!�#,(.,;J rl , +: �s i-,laS ni}};. c „ ,>;.):45,);;;'.'...''''''T'',''2'{ ..,5 t v i e ..it c t�-z t”k �, r a Regilll'edtlns.p Gt O,.S, h'�t 'a t �4 it ;rc tt piti* F f7t ,%;q20 ' V.. r , !; - > 7,, bate >ai's\' ,xlt -.r*f f rS c ;r.✓,1Y) •SSip,',,}•s-471,_r),,o,,, ((�A f041:w,-;,,int.,IF f F,- tR 4.9h Ind - {'a ,V r ;. 1/rt.-, �,2 ih84,,,KutZ.:x..} #irk {p, t.>� 1��c .iL�.r:�,� >��.�... , �a4 1 Z� �Y7��xrb-T"_"_' �r.e.S h� P,1 , i-x'AIYr 1( Sf�!� i�� (� f . ittF.�,�t�r.if:k �?, ,:e11°R9la,tecl" ems>. r�,i,p,l �> -. i �sJ�6:, r v, Agra}r(td}L 1- �rro 1;`Ft."��1, c} t l 1 s ,eSkr it r,t,?at F)tlm z �.{. ;.r+ s1Y,',NterTSlzei S7 3 a 1ks !�f A ger(� def hr f 6 Ul L l I4� f}.,; a,afRaefo egi-O r - `'" i ., , J t it ) 3t Y� ,, 1 . , e,,,, ? li _ R .4...S,,M a no h s-I,t,,y k k 4 f. -tW z , . m�kertl`it�(y},i'>rr�Sta +t ri;,��r�'>�Zy,yr;<:tr'� *'r�Pry�^1 —_----