4476 Fawn Ridge TrCITY OF EAGAN
Addition FAWN RIDGE ADDITION Lot- 5 Blk 2 Parcel 10 ?SRnn nsn n?
Owner street 4476 Fawn Ridge Trail State Eagan. MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 Z29.35- 11.47 20
STREET RESTOR. Rlg 19$4 499.46 49.95 10
GRADING S ? 1981 61.26- 4.08 15
SAN SEW TRUNK ?'"')S 198]. 20rj. 44/ 10.27 20
SEWERLATERAL i 19$1 33.07- 1.65
Sewer Lateral S 1981 23.57, 1,18 20
WATERMAIN
WATER LATERAL 19$1 43.67- 2.18 20
WATER AREA 1981 205.44 / 10.27 20
Water Iateral 1981 27,68 , 1.38
STORM SEW TRK ? 1985 557.79, 37.19 ?
STORM SEW LAT- f 19$4 222. 51_ 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CiTI( OF EAG AN
t
3830 Piiot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PH O N E: 454•8100
BUI DING PERMIT Receipt#
To be used for Est. Value Date ' ,19
Site Address O FFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage _ Occupancy
MWCC System _ Zoning
ParCel NO. On Site Well ? Type of Const _
City Water _ (Actuaq
ac Name (Allowable)
W
3
Address # of Stories
Length
° City Phone Depth
Total
S
F
, p Name .
.
Footprint S.F.
H Address APPROVALS FEES
c
P
City PhOne
Assessments
_ Permit
yVj W
Name Water/Sewer
Police _ Surcharge
_ Plan Review
? z
x -
Address Fire _ SAC, City
u?
`W
City Phone Engr.
planner SAC, MWCC
WaterConn.
_
Counci) _ Water Meter
I hereby acknowledge that I have read this application and state
i
f Bldg. Off.
APC _ Road Unit
TreatmentPt
n
thatthe
ormationiscorrectandagreetacomplywithallapplicable -
State of MinneSOta Statutes and City of Eagan Ordinances. Variance _ Parks
Signature of Permittee Copies
TOTAL
A Building Permit is issued to: ort the express condition that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances
Building Official
-- Perrtfit No. Permit Holder Dste Telephons ?
Plumbing
H.V.A.C.
EleCt(lC
Softener
Inspection Date Insp. Comments
Footings I a j
Footings II
Foundation
Framing ? ? . ?.
Roofing
Rough Plbg. - f g . ? ??•-?7 /S f? ^G
Rough Htg.
Isul. tG S? 7-27 ?7
Firep4ace d'
Final Htg. yr.6? ?-p
Fin?l Plbg.
Bldg. Final
Cert Occ.
Temp. LP 'LIP C~_ ?
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MECHANICAL PERMIT RECEIPT # 9?-
' • CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?-A"6?
Site Address
? Name _
?o Address
c City _L
Block
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. X-1 New
-? Mult Add-on
,, p , Comm. Repair
Phone Z -7 _ , -7 .? Other
FEES
RES
HVAC 0-100 M BTU -$24
00
. .
l? ADDITIONAL 50 M BTU - 6.00
:Y
;,
_
: --: ': Phone (RES. HVAC INCLUDES A/C ONNEW
?_
,
,
- CONSTRUCTION)
' GAS OUTLETS
MfNIMUM
1 PER PERMI 1
50 EA
(
-
n - .
. .
COMM/IND FEE - 1a/o OF CONTRACT FEE ?
M 8TU 7, APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON-B
M BTU $ REMODELS - 12.00
M 8TU -It MINIMUM COMMERCIAL FEE -
STATE SURCHARGE PER PERMIT - 20A0
?
50
CFM
(ADD $.50 S/C IF PERMIT PRICE GOES .
/ R BEYOND $1,000)
FEE:
_
?- ? ?- ' _1 'c i 1 "?",la ? --- I
S/C: E-1 SIGNATUR
OF PEHMITTEE I
TOTAL:
FOR: CITY OF EAGAN
PERMIT # CI r ? ?
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
;
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHOME:454-S1Q0
Site Add ess A ; s C , Z- BLDG. TYPE WORK DESCRIPTION
Lot , Block Sec/Sub Res. X New
Name • ? A-- Mult Add-on ?
Comm. Repair
m Address
:
Other ?
c City Phone
L Name _
c Address
0 C'ty
-
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. ` r M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
3
t`
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU - - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEfiilAlT) - 1.50 6
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
-l ,,.,....
/ 7- `=- 11
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Name _
Address
Phone
Name -_j? ? • ?T.
Address A-A%
City ?, • Phone
FEES
COMM/IND FEE - 1ai6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
RECEIPT #
DATE: _
BLDG. TYP_E , WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - 53.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - S1 50
Whirlpool - S3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT) .
?_Softener - $5.00 _ l
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
II STATE S/C:
OF EAGAN GRAND TQTAL: ?-
_. ,
Site Address _
? lot ,4
PERMIT #
PLUMBING PERMtT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE; -
PHONE: 454-8100
m Name ( arc ,p'?'? - ?,c.?} C •
?v Address 41,Sr.1._?,?
c City ci?40G c Phone
? Name
3 Address
p City Phone
FEES
COMM/IND FEE - 19'o OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8. CONDQ - FiES. FiATE APPUES
MINIMUM - RESIDEN7IAL FEE - $12,00
MINIMUM - COMM/IND FEE - $20.OU
STATE SURCHARGE PER PERMIT - .SQ
{ADD $.50 S!C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION ?
Res. .?? New a' - ?
Muft. Add-on
Comm. Repair ' •?
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_LWater Closet - $3.00 $ ? =' `
Bath Tubs - $3.00 _2 °
-,L_Lavatory - $3.00
- $3
Sh
00
ower
.
-,LKitchen Sink - $3.00
Urinal/Bidet - 53.00
-4 Laundry Tray - $3.00 3
_Z_Floor Drains - $1.50
Water hieater - S1.50 LSV n
l .1 I-,
(MINIMUM • 1
VYGll ' '?.V.VV
Private Disp. - $10.00
--- ?_Rough Openings - $1.50 ?? 00
FEE:
STATE S/C: ? ?-GRAND TOTAL:
? ;At. '64€.?
(Irr#i#trttfP uf (Orrupanry
Citp of eagan
Eppatmrni of ludldntg JWPriinm
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cenifying that at the ti»re of issuanee thrs structure was in compTianee with the various
ordinances of the City reguladng building construction or use. For the follawing.•
Use Cle-sificatioo ::Dt'nw??'? HMg. Ftrntit Na. I3665
o-p--y Tnv tt3 zoving DistM R 1 ryix com. v
owwocsuaa* ITrRR OAK BT1]R_S TK:. A? 11473 MLENROD ST NW. OOCN RAPID6
Hwiaingnaarm ';+lfi FAWN RIIXE TRAIL I,m;yLS. S2. FAWN RID(E
au?: MAtim 28. 1988
suMng oMcW
POST IN A CONSPICUOUS PLACE
' OF E., ')AN Permit No: Datec
i PNot Knob Road Meter No: Size:
Box 21199 Reader Datec
m, MN 55121
_ rr
er. '
Ga?: illdrs.
Address: 4476 Fawn T'.idge Trail I, .5 ;'? I'a?,-n
iber zake Side
V
VAKI
i. Chg: 525.00pd
onin
PL7.
no.,• 15 .?, oeTo re iggin? Ceii i9 ??,.... z
Fee: '-`)• 0W1IurnuI1[ • tLtW KJG • (iAJ W.
? ge: 1: r l ? ? r i e t ply wlfh the City of Eagan
UIR
,d] •?/ I ?j
IF^ n_ ,
WATER SERVI
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road ,
P.O. Box 24199 PERMIT NO.: 10024
EaSM, MN 55121 DATE: 7--8 - 3 i
Zoning: Rl No. of Units: I
Owner. ?urr np,. 71 A,.s.
Address:
- _..-.,, 1 ?7LL
1 agroe to comply wilh the Ciry of Eagan
Ordlnances,
By
Date of Insp.:
100.Onpd
Connection Charge: 0033e
Account Deposit: 11 - AnPd
Permit Fee: n(lnd
Surcha?ge:
Misc. Charges:
Totai:
CITY OF EAGAN No
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8700 Receipt # -i O I
To be used for SF DWG/GAR Est. Value $57, 000 Date
Site Address
Lot-5 E
Parcel No
4476 FAWN RIDGE TR
2
SeGSub. FAWN RIDGE
a Name BliRR OAK BliILDERS INC
z Address 11473 GOLDENROD ST NW
o City COON RAPIDSphone 452-2906
o Name_
? a Address
' City_
Ww Name CRADIT & ASSOC
w
s? Address
aw City MPLS Phone 379-4947
I hereby acknowled9e that 1 have read thfs application and state
that the Information is correct and agree to compiywith all applica6le
State of Minnesota Statutes Fan'tl? City ot Eagan Ordinances.
Signature of Permittee ?'`?? 6 - Q?-L'
A Building Permit is issued to: URR OAK BLDRK
ali work shall be done in accortlance with all applicable tate of ?
Building Official
MAY 25
79 87
OFFICE USE ONIY
On Site Sewage Occupancy R3
MWCC System ? Zoning Rl
On Site Well Type of Const ?
Ciry Water X (pctuaq
(Allowable)
# ot Stories
Length
Depth 14!,
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit 353
00
WateVSewer _ Surcharge :
50
Police _ Plan Review 176, 50
Fire _ SAQ City i on _ no
Engc _ SAC. MWCC 59 S_ 00
Planner _ WaterConn. 59 S_ f10
Council _ WaterMeter 67_(10
BIdg.Off. _ RoedUnit 305_00
APC _ Treatment P1 7 An !1O
Varlance _ Parks
Copies
TO7AL 2 Z .00
on the express condition [hat
Statqtes antl City of Eagan Ordinances
13665
REQUEST FOR EIECTRICAL INSPECTION ee-ooooi-os
, See insiructions tor camoleline <his form on beck of yellow copy.
E` 2752.7 '.- "X" Below Wark Covered by 7his Request
New Add1 li T4De OfBuilEing Appliancea Wired EquiUmBnl Wired
Home Range Temporary Service
Duplex Water Heater Ligh[iny Fixtures
Apt. BuilAinq Dryer Bectric Heatm
Corranercial Bldy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm ONe.r SoawFy lhm lSpenify)
t er Sueci(y Other 01hox
Compute InspecUOn Fee Below
M Fee ServiceEMraneeSize fl iea FaxJees/Sabieeders d Fee Circuifs
0 ta 200 qm 5 0 to 30 qm ps 0 to 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_AmpS
Transiormers Irrigation Boorris Partial-"Other Fee
Signs SpeciallnsUection
-Q
S ro '{ e
pert,arks IU.5 y'? Q
L
Rough-in Date ?,tha ncal
Inspectoq heraby
cenily thet the above
Final r ?e
4 inspaction hes been
made.
Tnie requesl vola 18 monlhe (rom
This request void
18 «?onths from W y J
E 27527 LS 7, _(20?V_e?
??va ?--
?.?? ? a
/i
Request Date "
Fire No.
qepu ieA?1'?xfmctim.
eady Now C] Will Notify
Inspec-
I
co yZ 3II,
y ?yes . ,
ior When HentlY
?icensed ElecVical ConVactor I hereby re
ques[inspecfion of above
? Owner electrical work insta11e0 at
Streei AdAress, Box or Route No. Citv
4lY7c0 F(iw") f?ilo(jfc rz
ecbon o. Townshio Name or No. flange No. Cowrty
i4
Occupant IPpINTI Phone No.
TtiomAs F2N(Ls
Power SupVlier Address
Electrical Contraclor ICompany Name) ConUar.tor's License No.
CufIl-Ax.(? EI.Ec.i?Y6C IniCC. O?fad(oi
Mailinq Address IConVac[or or Ow er Making InstailatioN
LIZ'33 C-1nbrt ww) 7-P-l E?a?Aw mw
Authqr. z Signeiur (C J"a -'r/Owner Makine ?nstallationl Phone Nomber
?
"
t?
?
MINNESOTA STA E BOARO OF ELECTRICITY THIS INSPECTION PEQUEST WILI NOT
Griggs-MiAwav Blde. - Aoom N-191 BE ACCEPTED BY THE STATE BOARO
1821 Univarsitv Ave.. St. Paul, MN 55109 UNLESS PflOPEN INSPECTION FEE IS
vnona tat9l aa9-mtnn ENCLOSED.
REQUEST FOP ELECTRICAI INSPECTION ea-aoooi-os
? See inxtruetians 10F compietirg Ihis form on back ol yellow copV.
D i'7 0I "X" Below Work Covered by This Request
FYew4Fddj Npp.I Type ot 9uilding I ApOliances WireE I Equipmant Wired I
Heater
? ?ommerciai Cmg. rumace aiio unioader
Industrial Bldg. Air Conditioner Bulk Milk Tank
?P
C Fae SarviceEnirenee5ize !1 Fea Feeders/5ubleeders Fax Circuits
0 to 200 qm s 0 to 30 qm s ro 30 F?m s
Above 200 q???py 37 o 00 Am,n t 31 to 100 qm s
Swimming Pool qve 100Amp Above 100_Amps
Transiormer5 Irrigation &?orcis Partia6'Other fee
Nemarks bi9ns Special insUection g y?"D 70TAL F /
. i r? ! / f H04
nal
I, eha ElecdfCTr
Inspectoq nereby
cartity thet ih0 above
inspaclion has baen
Thiarequeal void 18
18 rmnths 1rom ??-? 5?57
D 17901?.?
i ? O G ?-J--
`
Aen??e oa ¢'
n
+ Fire No. Fouph-iminsver,tion
R t
reA?
?NOatlY NuwAWill Notity
Inspec-
??
? 1'
?es ?NO ,
tm When p¢
d
y
a
icensed Electncal Conlmcbr 1 hereby request inspection of above
Ownyr electrical werk installad et'
Svee[ Address, Box or Hoate No. ,/7 J C?iy
GLh /1 ?Q V
ecUOn o. Township Name or No. Rnnee No. County
ij GL A! V 4a
/
OccupnntlPqlNTI
D
k .
Phone Np,
r
a
Pow r SuDPlier
?ee-
AA tlress ?
Electxi.?l ep,(r?tor (Cojnpany Name)/ Conhar,mr's License No.
?V G( I?tCa (e G`FI'/C
??(
l0 ^?
.
-
0
Mailmg Address IContrac[or or Own Making In ailatiunl
? oo W o ?d L4 611
??sv?fle
Authori d SiBnature ICo r ct /Owner Making Inptallati n) Phone Number
8?U - 96[/
nr.cau?q STpT BOARD OF ELEC?TflbCITY THIS INSPECTION qEaUEST WILL NOT
Griggs-Midwey B 9. - poom N-791 gE ACCEPTED BV THE STATE BOAND
1821 Universitv Ava.. St. Paul, MN 56109 UNLESS PNOPEN INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION . EB-ooo(o?i-os
1 See instrvctians for compleling this lorm oq bxck ot yellow coDV. ~ F?? //
?? r 7 815 "X" Below Woik Covered by 7his Request
ine AAtl NeO. 7YPe of 6uiIEiRB APOliances Wired EyaiVmOnt Wire!1
Home Fange Temporary Service
Duplex Water Heater LiyhtinG Fiztures
Apt. BuilAing Dryer Electric Heatnn
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Corxlitioner Bulk Mflk Tank
Farm +n,i, oen:i v lnc, (Srv>nlf?l
t. UCCI V Ot Cr OtM1m
omnute Insoectian Fee Below
p Fea SarvicaEnbenceSi:e d Fea FanEe,s/Subfexders # Fex Circuns
0 to200qms 0 to30Ams 0 tn30t\ms
Above 200 qmps 31 to 100 Amps - 31 to 100 A s
t}, OO Swimming Pool Above 100-Amps Above 100_P.m
Transiormers Irrigation BoortS -,V Partial."Other Fee.
Signs Speciallnspeclion
5 ?
-
T
FE ?
Remarks _ . ??
L
I?11wi? ICAi '
Inspector, hereboye
certilv that the
linsoectimi hes'QO
This requeat voiC
This re4uesl void M///?C% '
18 momhs trom // Q
E 7 8 5 k ?L
9 /
Reques[ Date Fire No. Rouph-in In ec[ion
He?wre
dt
Ready Now Q Will Nolity Insaec-
"' ?Ves No tor When fleatly
KLicensed ElecVical Con[racmr I herebv ?equast insoection of ebove
? Owner eleclrical work installeA at:
Sneet Atldress. Boa or Route No. Ciry
-
51 7
6
Ea ? E
,
N
J? r? C
ecUOo o. Township Name or No. ange o. Cow ty
47
Occupimt (PflINT) y + Phone No.
Power Supolier
'?_ AdGress
??
Electri Contractor ICOmpany Namel ConVacme's License No.
?
dJF?-
?? ? Z Z
?
Mai m q AtlJryss IC nVaclor or O ner 2Aakiny Insteilationl
Y
`
Auth,,,I ed $iB tu IConha tor/0 ner Making 1, Ila onl one Number
MINNESOTA STATE BOAflD OFElE ICITY THIS INSPECTION qEQUEST WILL NOT
Griygs-MiOway Bldg. - Room N-181 gE ACCEPTED BY THE STATE BpqRD
1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS ,
Phone (612) 642-0800 ENCLOSEO. ,?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New Construetlon Heautrememe
• 3 registered stte survays showing sq. fl. ot bt, sq. R ol house; and au roofetl areas
(20% ma)dmum bt coverage albwed)
• 2 copies of plan showiry beam 8 w'uMOw srzes; poured tound deslgn, etc.)
. 1 set of Energy CalcuYations
• 3 copias of Tree Preservatbn Plan tl lol platted aNer 7/1193
• Rim Joist Detag ODtions selection sheet (blGgs wilh 3 or less unh)
DATE L -,`LO?
? I _?).-1 IT
AemotleVHeoalr Beaulremants
. 2 copies W plan
. 1 set of Energy Cakulations for heatetl additbns
• 1 site survey Mr Merior additions 8 tlecks
. Indicate 8 hane served by septic system for addttbns
VALUATION ?6fy)0. 6c)
SITE ADDRESS MULTI-FAMILY BLDG _ Y
NPE OF WORKI ? -?h$4 nFF - 4LQ QooF FIREPLACE(S) _ 0_ 1
APPLICANT
STREET ADDRESS /0 J`I W, <l n'^_11? TW19Si.7I' CITY?CI M: nl
TELEPHONE #?oSI" V6?• I/3? CELL PHONE #??/- 77,5 - yol?/ FAX
_N
_ 2
_STATE /INZIP 9'S :5 UC/c?
y?d- ?,aa ?/
PROPERTYOWNER I YU, .SeS TELEPHONEi
COMPLETE THIS SECTION FOR uNEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) • Residen6al Ventiletion Category 1 Worksheet Submittetl • New Energy Code Worksheet Suhmitted
• Energy Envelope Calculadons Su6mitled
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor.
Mechanicalsystem includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
I hereby acknowledge mat I have read This applicatlon, state that The informal
with all applicable State of Minnesota StatuTes and City of Eagan Ordinances.
Signafure of Applicanf
agree to comply
OFFICE USE ONLY
Fee: $90.00
TEUN 0 5 "tOUZ
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
.'
(oga4 ??
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??U dU
New Conslmction ReauiremeMs
RemodeVRepair Reauiremenis Of? eOnN
Ced 4T SuiveyRecd
Y N
3 registered site surveys showing sq. N. of bt, sq. fl. of house; and all roofed areas 2 copies of plan
7 set of Energy Calalations (or heated additions TreePresPlail R2ctl _ 1` IY.
(20% mauimum lot coverage allaxed)
2 copies of plan showing beam & window sizes; poured found desi9n, etc i site survey for addifrons & decks T2e Pres Reqw?ed
0?-sileSeplicSysiem ?y ,... N
N
F?Y
1setofEnergyCalculations Addifion - indicafeif on-sifesepficsyslem _
3 copies of Tree Preservation Plan if lot platled afler 7l1193
Rim Joist Detail Options selection sheet (buildngs wiih 3 or less units)
Date 3 /19_/ o S Construction Cost y/yS
Site Address UgA 4QJ.tr'n.cd gp`T UniUSte #
rk
f W
i
i
on o
o
Descr
pt
Multi-Family Bldg _ Y? N Firep ace(s) _ 0 1 _ 2
y
? ? Telephone # ((p5 ! ) SSoZ ??9?
Property Owner t-4"-
o P
r
t
C
t
on
rac
o
Address ???G ??9??i .C?' ?• CitY
State Zip Telephone#7(a:3) V7/ -.?raf
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Workshee[ • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257, plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which reguires^a ?revie_?rd
approval of plans.
Applicant's Printed Name
?? .??? ,Y,p.,z._T-,?I .j ?':" 4R "• 5 2005
Applicant's Signature I
?- -
1:3 OAKWuOD Ito F Rf "63 CRWN RIOGt" iRAiL
1987 BOILDING PERMIT APPLICATION - CITY OF E6GAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
OF SQItVEY, 1 SET OF ENERGY CALCOLATIONS
AiOTE: ADDRESSES FOH CORNER LOTS - CONSRACTOR/HOMEOANEfi MQST DESIGgATE AHICH 9DDRESS
ZS DFSIRED. NO CHANGES WILL BB ALLOWED ONCE BDILDING PERMIT IS ISSiTED.
MOLTIPLE DAELLINGS - RFSIDENTIAL RENTAL IR7ITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SOFVEY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO.RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
57, a?. =
To Be Used For: Sgl. Family Valuation:?? Date: 20May87
Site Address 4476 Fawn Ridge Trail
Lot 5 Block 2
Parcel/Sub Fawn Ridge
Owner Burr Oak Builders, Inc,
Address 11473 6oldenrod St. N.W.
City/Zip Code Coon Rapids, Mn. 55433
Phone (612) 452-2906
Contractor Sdme
Address
City/Zip Code
Phone
Arch./Engr. Cradlt & ASSOC.
Address MplS, Mn.
City/Zip Code
Phone II 379-4947
On Site Sewage_ Occupancy ? 3
MWCC System ? Zoning • 2•(
On Site Well Type of Const
City Water ? (Actual) ?
(Allowable) 5Z
OI of Stories
Length 3b
Depth -44--
S.F. Total
Footprint S.F.
ArraovAr.s FEgs
Assessments Permit 3,'rj3.
Water/Sewer Surcharge 28.3'
Police Plan Review J'l(,.s-°
Fire SAC, City I 00 .
Engr SAC, MWCC S LS ,
Planner Water Conn 575,
Council Water Meter C07.
Bldg Off Road Unit 305.
APC Treatment Pl 180.
Variance Parks
Copies
TOTAG 00
? -
PENGINECRING COHSlllT1H0 EHGiHEf4S,
PLRNHEAS and LAHD SUAVEYO!!S
COMnfiNY, lNt.
? 1000 EA57 146Ci S7RE;7, HL'RH`_VILLE, LIIHHESGT71 5.`.237 pH 4=2'5060
C4erZz?'z cu?e o? ??'v"? c?.
-sg7cl .L7-,j crkp?zcrz •
( f// ? ) OC NOTtS GX1c?-'iNG
C9/z.9 ? vENCr7v YR?rO"CD
LOT5.BLOCK2, FAWN RIDGE,
GAK07A. CDUNTY, MINNE,"?,OTA
ELG VA T ION
?Nv.C-AT?= ptR?=TIGN
'J/2.83Z i=isV!$i4 C:.: Gk
?
i
I .
?
,.f -..,
? ?yq\?' S7
. /?5 2
/ ? i
5 ?. o
s R?
(0,
``
o e
J
oo
,?6
r
P9-
1 _P.4 r
?
36c .sJ 00%.
r fi ?? 158;
0(
? _.
30"FRON7 BUiLDING
?OET c AC K L
?909.25?? I her:by cartify that thia ia a t:ue and carxYCt rapraaent:tien of a traet of
lind as shovn' and described heraon.• Ae prapared by me on tlsii -711` day of
Aoe?c? , 19 s 7 . .
/l Hinn. les. No. /66frs--
:.F riJi<<=,aw= t:? c:,41niAGc
f:U,-rR __,MVA'C'tGN
DRAiN46c AND v-,-+LrY
?,4:enne?vr
_?--
•
s7e-eae7
3,6
0101 a ...ocrr., h,c.
r?e ? rwr •. ?w...x.?. n.u
'?rcnlbtlunl O?Uprrn ol eu4Em n ortNs
FJ?Tm'RIOR ENVEIAPS AVERAGP "Q" COMPIITA'TIODf
owcm
PLAN
SITE ADDRFSS
'reoN+ 5 PL4
aW#-1 PLaO
Determine "II" value of each xall segment
a. (o , 46 x ^o^ 44 3,
b. ' °bz? a "U" ,
0. i0 x •jJ„ a .O
d. x "II" ?- -
e. x "U"
• S pV a ?
B•^-`?? x „p„
h. z "II" So
1. ? 2 X"U^
?
4. ............ 0.............. .....??. Z'ot8ik ° QO
?
Determine xorldag aquare footage oY saoh
1. ToLl eucposed va2l erea.... ..,12?* sq.ft. x,L1- °L[?
2. Total roof/oeiling araa...... 105 eq,ft, x.OZsO=
.i__E.L?_LLl
3. Total floor/cant. area....... sq,ft, a`=
Total exposed wall area above floor 050
8• T0t8l wall wirxiow area....... ......... 0r .000• 9(P.45
b. Total door area ..............................
c. Total ali,ding glass door Qrea................ ?
d. Total Pireplace wall area.........
.'..........
e. Total xall 2raming area (avarage 10%).,,,.?.? ,
T e TOt.81 h9Y. WAll 8T98 $YlOV9 flOOI' ..........
g. Total rim joist area..........................
Total exposed faundation area _ 7'7,1 .
t1• Totalfouri3ation window area.......... o.9oo*9
i. Total ttet foundation area above grade.......
.
If item #4 is the same as* or less than item f1g you have met
the intsnt of SBC 6006(0)2.
' •• Total exposed roof/osiling arsa 12!r2
` J. Total elSqlight area .....................................
k. Total rooSfoeiling 1'raming area (owr. (.10816"0/0),,.,,
(.o62yA24^o/0)...
1• TOt.81 21BL Sh81116't6d 1'OOr/08i1ing Y2'9Y...??????????????• 1
Datezwine "U" value for eaah roof/oeiling aegment
J. E nUo a
k. X "U" .,OZ?? a ?fo
1.?i1°L X NU? •O-0 =
' 5. ................................................. Total
If total of #5 is the same as, or lese than f2* you hace met the
intent of SBC 6006(o)1.
:
Total oxposed floor/oant. nrsA
m. Total floor/CBht• fP8IGi11 nra? (average •10???????????•
I1• Total nat insulted floorfOAilt• i2'98???????????????????•
Determine "II" value Tor eaoh floor/oant. aegment
m. X RD° ?
n, x ujln o
6 . ................................................. Total a ?--1
If total of $6 is the same as, or less than #3, you have met the
intent of SBC 6006('0)3.
NI,TNMNATE BUIIDING IINVELOPE DESIGN
To utilize the total envelope aystem method* the naluea established
by tha sum of items $4, #5 arxi f(i shall gd be greatsr than the sum
of items #1, #2 ard #3. '
i. U 2. Z7, 17 3. = 5, 41 a
4. OE-2 s. 2L21 6. a I?S,?a
Prepared by?? l/?1W
Date. J141
?w
?.: STM , .
8 SIDIOIEi
Iat. Air .68
1/2" S.R. .45
stya (a,001s
25/32" Hi].d . 2.06
9iding ,Le?
Ext. Air •17
Total wRo s ) O? ?
1/R a "(J" ° •O?Z
THEiII RIM
JOIST
Int. Air .68
Ina.
Opt. 3tyro.
i 1/2^ wood 1.89
25/32^ Hilrl. 2.06
S7ding (p1
Fxt. Air iq
Opt. Briok
Total "R" _
1/A = °0• _
? --i?---?
TfffiU CL(i. Int. Air - -=.61--
S.R.
• clg. rsemb.
, Ins•
Still Air
.61
Total "R" _ ?> j • Cf ?
1 /x = "U" _
TARII LIS. WALL Int. Air .68 .
x/ sR. a smrNa 1/2• S.R. 45
.
" I?a• ICf.o°
L?X 25/32" es1d. 2.06
r 9iding
Bkt. 41r •1(
.ToEal "R°
1/R=NpM
THtU CoNC aLOCB Eat. nir .68
C.B. ( • ) I
opt. iaa. c??o
HSCt • Ol' 2' ?17
-?-
?
•?.
;
Opt. S.x.
° Op't. Sid.
/ a TOL81 "A" _
1/RO"Us 6 • O
TEatII CLG. Int. Air -- .61
Id1SULATION B.R.
IAB • ( ") ? O
Still 41r .61
IU? Total "R"
S
?. 1/R =
"D" a
.OZO
C1TY OF EAGAiV
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS : y??(o
r
*A'P:': PAYM6?TP" OF FFE AT TIME i
APPLICATION DOES N7f 001`1SITITTZ
APPROVAL OF PERMII'P, .
? 4•'?4e r. :
RISPnCTzorr oF sEwrR Arm/caz W7-
TTlSTA77ATTON$ WILL j+X)R' $E $(1]F--
ULID i]NM PE12I111T AAS BEE`J :
APPE2dVFD. -
° -
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
ZF EXISTING STRCCZL,TRE, DATE OF ORIGZNAL B[.'ILDING PE4MIT ISSL'ANC:E: '
(Nbntn YearJ
PRESENI' ZONING/PROPOSr'D L'SE:
CD CC,%ZE.RCIAL/FtETAIL/OFFICE
Q INLLTSTRIAI,
? INSTITL"TIONAL/GOVERNNENT
2)
NAl^E:
ADDRE55:
CITY, STATE, ZIP:
PHONE:
3) ?u inx•
P,DDR.ESS:
CIT1', STATE, ZIP:
PHONE:
4) .a.uv;. . ??..
NAME:
ADDRESS;
CITY. STATE, ZIP:
PHONE:
f7? R-1 SINGLE FAMILY
Q R-2 DL'PLE% (Two L1+Lits)
Q R-3 ZUWNrIOUSE (Three t Uni.ts)
? R-4 APART=/CObIDOMINIUi1
s
d,
- 7(n Ob MASTER LICaISER e2?Z2" rJ /fJ(7
( C?nits )
( Units)
NIURIDErS L1CER52:
Active
EScpired
Not recordec
Stat irutial
5) I::?IfYp Y' :11Y: •'D19 ' ?.. :1?1?? •7J(4:/:aY7D .
?j coNbEcriav Zv ciTr sEIAER ? corrNr?x.Tierr M c=Tr waTER p oTHER ?
6) 0,mr' +- k? C3 PLF'iaSE fiOID APPROVID P£RMIT E'CR PICK-UP BY ONE OF ABr7VE
. ? P.LEASE MAIL APPROVID PE4MIT ZD I. 2,0 4. ADOVE
?
r (Circle one),
. ` . _ .
17, K . Z42n.,r-t ,. ,J.c.J m(,?/ -" L /
:-FOR -CITY USE ONLY, • .
. , . ._ . .
PERMIT $ ISSUED
Pd w/Bldg. Permit FEES: ^ Z?
$
$ c
$
S
$
$ 5 Z 5
c
S
/ 9D rr -o
$ /U'> SEWER PERMIT (INCLIIDE SDRCHARGc)
WATER PERMIT (INCLC'DE SIIRCHARGE)
$ WATER METER/COPPERHORN/OC'TSIDE R_°ADER
$ WATER TAP (INCLIIDE CORPORATION STOP)
$ ScWER TAP
$ ACCOUN T DEPOSIT - SEWER
$ / S ACCOC'NT DEPOSIT - WATER
$ wac
$ sac
$ TRUNK WATER ASSESSDIENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE:aER
$ LATERAL BENEFIT/TRL'NK WATER
$ WATER TREATNIENT PLANT SURCHARGE
$ OTHER:
? /397O Z? $ Ci- CJ TOTAL
7.3
RECEI?T ;r RECEIPT #
OES UTILITY CONNECTION REQIIZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MIIST SE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
':BJECT TO THE FOLLOWING CONDITIONS:
;nROVED BY: ,-?? ??17z_???? •
TITLE:
D,mF: 7/f, Xf
7
: _.
? S, 8a
RECORD OF COMPLAINT
Date 7-9" ql
Complaint taken by
Type of building -.? ?.
Name •??-'?==-a ? r_?vo
Address
Legal description
Phone number ?sa ' eD 7 S
Complaint
Action taken
/
Signature
BUII.DING COMPLAINT GUIDELWES
• When a complaint is received, get the address, name, phone number, and a general idea
of what the problem is.
• Always have two City employees present to (1) verify the conversations, (2) offer
additional opinions, and (3) lend credbility.
• Get 'both sides" of the story if there is a conflict.
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies or departments (ie. Dakota County Human Services, 431-2424;
police department; fire department), if necessary.
• Provide hand-out materials if they are available.
• Maintain a record of inspections and conversations on a City complaint form.
F-For- Office Use
Permit*
City of Evd a~ c
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2C 0 7 Site Address: < 7 76- (Y, 2 T-P L
Tenant: Suite
RESIDENT / OWNER Name: (U Z 3 4 ~ Phone: S
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 1? h r'~ )
Construction Cost: Multi-Family Building: (Yes Noy,-)
CONTRACTOR Name: F License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • 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?
_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 they are trade secrets.
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 star t withou permit; that work will be in
accordance with the approved plan in the case of work which requires a review and approval plans.
x L C Lv,~~ x f
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
Permit#:
411100 Incin
City of Ea Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L, ~ a c Site Address: i-( "7 C~ mac, ~ _ 1 r Unit M
Name: L c ,a a Phone:
Resident/
Owner Address/ City/ Zip: ` 1t_7fa Z=~ > L r fir. ~a ca . M f) r ?--I
Applicant is: Owner x Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact: 0(1 N
Contractor Address: L } 7Lf 3 4 n J r City:
State: jN-) ~i Zip: Phone: L S 1- 4 S 7G o
License P) C-1, `-3 3 3 Lead Certificate ~JAT- 7vvga - r
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ong
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x E L C-_S R I G LE 11 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
4/I`
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: J c tr
las
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /30/ 1 if Site Address: 4414 Fatah 9-4VXS•14. -rm.% i Unit #:
Resident/:
Owner
# `
Name: Bi 11 Lu n4,2.11 Phone: 41Z- 131- 3445'
Address / City / Zip: 4411, F00-01.1 Rt Tr •A1
Applicant is: Owner X Contractor
t3
14, Ori 4-ier►4 ek.0..}yh newglViNl�v1�M
Description of work: Rte. " $(CL ' Vt�Y4 on Sid. S t rt..- w�
S 412
Construction Cost: I4f 730• _IL! Multi -Family Building: (Yes / No X
Contractor
Company: Zttt+sct�l�.o Saks k $enliet3, LLC-. Contact: S�11 MUt�sc171Go
Address: 1S3o 11"161, Circt4. City: 1 tf Grove.
M N Zip: x.s' 1 3
State: Phone: (o St- `(1 `1 � 1`15l Email: W►11«,n�llc�scl�lto Ng', i• cin
License #: BC 703 30 3 Lead Certificate #: NSA
If the project is exempt from lead certification, please explain why:
on1� ��s 6,444- ;H 1987
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOPlans a . u rporti .. �p�r a thyt v® `�® it are'considered d� . '�. trma 10 ®® i
orma . vide specific
.'?° 'x *a T•j k # B rlen a ®. < �..�,'# „, �.
tf ... cre
trae s
m
p
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Gtl� I
1;a,. l Ie4sciko
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
City of Badu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Pemiit#:
Permit Fee: le 5.` �j
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
sidentl
Owner "'
Name: J ZZ -712-4 2.4 2 U/UOQ Phone: Cd 2 - %S 1-- c --7
r �-,,q
Address / City / Zip: L( X76 /717---(1^-, RE�U 6 if
Applicant is: r Owner Contractor
Type of Work
Description of work: ir/l�,-1 rr ��0 / / y 10 %jU J(/1h.V0LJ
Construction Cost: Multi -Family Building: (Yes / No.4 )
contractor.
Company:.5-1/:6 /- Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documentsthat rou s anon
the information may be ss fie public ifs u prole ecru _ ® d pe t the Cit o
de that
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota ,,b�ate Building Code must be completed within 180
days of permit issuance.
x ;GC 1%► L vN ,ok. C tc
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3