600 Lone Oak RdCITY OF EAGAN Remarks 'Addition AUDITORS SUH #38 Lot 1- e? Blk 1 Parcel 10 03800 090 02
.
Owner??'?.. ?ts????? (eon Losye- /%/r Qi State
3s?9.s/i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUAF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1970 540.00 21.60 25 Paid
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORMSEW TRK 1984 2249.00 149.93 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET I.IGHT
WATER CONN.
BURDING PER.
SAC t? 00
PARK
i
CITY OF EAGAN Remarks
Addition "AUDITORS SUB # 36 Lot
Owner
Street
State
9•d
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 452.25 18.09 25 ? ?.. 3?y 9 a i?-7
SEWER LATERAL '
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
1 Parcel 10 03800 090 02
.?
CITY =of EAGAN
BUILDING PERMIT
Oaner ••.......... DEDRICKSON.t...STEVE
.. . ........................•••••-•-•
Addrese (presen!) ..... 5.1.1 .... . a.r.a.t.oga ..,..... S . t ...... P . a . u . 1
...... S ..................... •......._..........
Builder .............MARV,IN__,VIESROCK........
...............................
Addraas Box 167 Osceola, Wisc. 54020 715-294-2188
..............................................................................................
DESCRIPTION
..: j.
N2 4133
3795 Pilc3 Knob Road
Eagan, Minnesofa 55122
454-6100
Da3s ...11/8/76
.........................
aries To Be Used For Front Dep3h Heigh!
I
Est. Cost erm!! Fea • Asmarks
7 S/F Dwlg. & Gar. 1 44' 50' I 37,000 108.50 c
LOCATION S
Slreel, Road or other Descriptioa oi Location I Lo! Sloek Add[lfon os TraC!
600 Lone Oak Road ? I Section 12 $arcel
Ain niann
This permit does nof aulhorize the use of streets, roads, alleys o: sidewalks nor does it give the ownes os hia agent
the :igh! !o create any situaiion which is a naisaace or which presenla a hasard !o the health, aafe3y, eoavealsacs aad
general welfare to anpone in the cammuniiy.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o certify, lhat._ Ma r v i n V i e b r o c k has permission !o erect a.S / F_ Dw 1 g & G a r: _upon
......... .. .................•••-
ihe above describemise subject io the provisions of all applica e r in aes for the C' pf Eagaa.
-•••••••.....-??L••• .. ...... r..::.•• ...................._•••°-..... Pe ------- . . . __ .... . .-°---•••••••••........__....... ........................
ayor Huqdiny Inapeclos
09(
0:
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
d ?ozz:)
Date
Site Address ? K ? Unit #
Property Owner 1"\ I 1! Y V L_°?? Telephone #( )
' ?l?h__
b;r-, 4 f-1jCkj-'
h
?
Contractor v? k
Street Address 19 c) 1 V-1-- V
C, <; ` ,
`' , ??- ':4City 4-1
State fQ ::? OL v-? Zip Telephone # ( )
The Applicant is Owner _ Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
? air conditioner
other
State Surcharge $ .50
$ ?-
Total
?
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work Il be in accordance with the
aPProved Plan in the case of work which re4uires a review and aPProval of Plans.
v ,vs K ? C(/Y1/YICv ?I
Applicant's Printed Name Appli ant's Signature
.P
city oF eagen
PATRICIA E. AWADA
Mayor
May 12, 1999
Mr. and Mrs. Ken West
600 Lone Oak Road
Eagan, MN 55121
Dear Mr. And Mrs. West:
I am returning the enclosed photographs that belong to you. This would include the
photos sent to Tom Hedges, and those supplied to me during an inspection of your
property.
As an update, I would like to make you aware that the last site inspection of 560 Lone
Oak Road indicated no zoning or storage violations. In addition, I am enclosing the
engineer's report regarding the status of the drainage issue.
Should you have any comments or questions, do not hesitate to contact me at 651-681-
4690.
Sincerely,
M. Granley
Code Enforcement
PAULBAKKEN
BEA BLOMQUIST
PEGGY A. CARLSON
SANDRA A. MASIN
Coundl Members
THOMAS HEDGES
City Administrator
E. J. VAN OVERBEKE
City Clerk
Cc: Tom Hedges, City Administrator ;
Mike Ridley, Senior City Planner
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122-1897
PHONE: (651) 681-4600
FAX:(651) 681-4612
iDD: (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opporfunity Employer
MAINTENANCE FACILIN
3501 COACHMAN POWT
`eA6AN. MINNESOTA 55122
PHONE: (651) 681-4300 FAX, (651) 681-4360
iDD: (651) 454-8535
: , .
MEMO
? city of eagan
TO: Russ Matthys
FROM: Crsig E. Knudsen
DATE: Apri127,1999
SUBJEGT: Outdoor Specialties - 560 Loae Oak Road.
Identified wittun is a brief mmnery of everns associated with the drainage problem at 560 and 600
Lone Oak Road. The pmblem originated with the construction of the home at 560 Lone Oak Road a
couple of years ago and then escalated this summer with the corninuation of landscape and grading as
we11 as an expansion of outside storage.
On 7uly 16, 1998 the City received a complaint about the drainage &om 560 Lone Oak Road. A1so
about the same time the Community Development Department received a complaint regarding outside
storage and a landscape business. In addition to several letters, MarS' Granle5' and I mex with Chris
Rossman of 560 Lone Oak Road on site to zvaluate the problem and establish nacessary coeredions•
Many of the complaints by the neighbor were legitimate and primarily due to the original neglect from
560 Lone Oak Road to conuol erosion and to follow outside storage requirements.
As a resutt of efforts to eliminate the problems the property owner proposed to conshuct a pole bam
for storage and stabilize the site to eliminate the erosion In addition, Mr. Rossman constructed a small
detention pond to reduce the runoff to the adjacent property. With the control of erosion and reduction
of storniwater discharge this property owner has made considerate efforts to eliminate the problem. It
should also be understood that Mr. Rossman did not significanfly change drainage pattecns within this
drainage district. The stormwater runoff has always followed the same general direaion. It was only
with the lack of erosion control cariying silt and an increase to the impervious surfaces adding sliShtlY
to the volume that created the problem. With additional time for the e.stablishment of additional
vegetation this issue should be resolved.
However, the property owners at 600 Lone Oak Road at some point constiucted a bemi along the
property line blocking the natural drainage. It appears as though the berm was constructed `"'itlun the
limits of the City Code although it can resuh in a back up of stormwater runoff Thei'efore, damages as
a result of this dispute is between the two private property owners and should be subject to claims
based on litigation if so desired.
_ r ' MASTER CARD
LOCATION 600 Lone Oak Road, Section 12 Parcel 10-03800-090-02
OWNER STEVE DF..DRICKSOPT
STRUCTURE AND
LAND USED AS Single/Fam. Dwlg. & Gar.
Permit
No.
Issued Issued To
Con}ractor Owner
BUILDING 4133 11/II/76 i kar.vin Viebrock
PLUMBING ,? ?d ?,? ? ? ?
CESSPOOL _ SEPTIC TANK
VJELL ?-
ELECTRICAL ?
HEATING
GAS INS7ALLING I
SANITARY SEWER i
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTFICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBWG - -?
WELL
SANI7ARY SEWER
,
Violations Noted
on Back
COMMENTS:
;?
` nate: !O- <Z -?.C
BUILDITdG PERMIT APPLICATION
LOT BLGCK ADDITIOlU
PARCEL & SLCTION PNT4T3ER IE' UNPLATTED
,ADDRESS OF PARCEL b O0
7,OiQTNG OCCUPANCY USE C'/iIZCLC pAMjL-j R?5!'Oa1JTf,AL
?' ?} 4 X
ES2Ii?lATED COST J? ?o v-:::-o
OF1idER 57t?L%E C?E02lC:KS 0 iU TELEPAONE N'0. 6L75-AyJDRESS 5?I cS/1AWT0614 S7'•Y'iiz)[. .J1???itJcc5pTr3 SS//? .
b
CONTRACTOR M,41WuU 0l625e-?'OG< TELEPEiONE 110.
DRESS B01C /E3 7 65CEO Li} CjjkS (;-Ck)•S t,CJ 540 ZO
Ydote- Include site plan, building plans, and energy calculations vrith this
appiication • ? Signed?? . ?%?1!lcr?ut.x LLAocQ
OFFICE USE
VALUATIOid /??
01-
J '
SAC
CZA^tER COidNEC^1I0P1
UdA'I'ER HETER
BUILDING PERhTIT FEE
SURCHARGE FEE
PLADT CFi13CK FEr.
S/
PARK DEDICATIOi1 FEE
oTxErc
ToTAL* .
APPROVALS:
ASSESSME'NT CLERK BUILDING DEPT. POLICE DEPT.
TrJATER & SZdMR AEPT. FIRE DEPT. PARif DEPT.
' ??
cuWc uiviSiuri
i • ' [X1EIZ1UIt LNVE:Lbf'E AVEItA,iE °u" (,OM{'UIl1TION
UWr1[R ?T?j c- AED22I cKsarj
1 SITL ADDRESS L601E' OqK ?OWF'? RdflC
COPJTRIICTOIZ W(W. JiC-R2GCK D(1TE 10-Z4 --7?p PHONE 7j5-244-Zt8?
. DeCermine working square fooLage of cach.
l. Totai exposed t•rall area ...... J//a? sq. ft. x•?7 =?SBZJ?I
2. Total roof/cei 1 i ng area .. ... sq. ft, x.O 6
Total exposed wall area above floor = I d S 3- 3
a. 7ot;al wall window ai°ea ........................... ./68. ?4
b. Tota l door area .................................
c. Tof:al sl iding cilass door -area ................... tl t/? . 79
d. ToCal fireplace wall area ....... .. ............ --?-
e. ToCal wall Pi•ar.iing a.rca (average 10%)............ 9?._
f. ToCal net wall arei above floor ................. .S
y. ToCal rim joisi: area ............................ BT?
Total exposed foundation area = '-'
^
h. Total foundation wirdow area .....................
i. Toal net foundation area above grade ............
Uetermine "U" value of each wall segment.
a.?g• ? 4 X $lull
b. 0 •Xliuil • 33 = L 3.3 S
c. A 4.779 X ,,U,l • ?s = z.9.1J
d. -- z "u„ = C?Y oTNF.P.S
e. ?•? ? Xlluii
f.73 x „ull
9•-v i?x lluti Dg ? ?p•??
.
h. - X llu" .-. _ ?Y DTN?eS
;. X 11U.11 _..,. = Y UTN E?.S
3 .....................................Tota1 =
If item 1'3 is the same as, or less 1;han item #1, you have met the intent
of SaC 6006(c)2. ? • , ?
,
y, f
,
` Votal exposed roof/ceiling area
,
.i. Total skyiiqht area ....... .... ............. .
k. ToCal roof/criling framin9 area (average
1. Total net insulated roof/ceiling area........... .
Detcrmine °'U" value for each roof/ceiling segment.
J. X u.U u
kX liull jo4 -??
1.?2-6 X,iUi; . d Q(o _ 4 s 7 1
4 ..................................Toi:a1
If toCal of N4 is the same as, or iess than ;12, you have met the intent of
SBC 6006(c)l.
Alternate Quilding Envelope Design
"fo utilize the total envelope system metliod, t{ie values esCablished by the ,
. sum of items 1P3 and #4 shall not be gi•eater than the sum of items #1 and #2:
1. _? 8 • ??_ + 2. Z ? 3 . 'Z.
3._! .7,?• ? 7 + 4. S777. Z 5'3.06
. . ?
. ,-.,?..._.,.. __.. .. „
_..._.-- _ _. -_ , •?-----?---T _ ., _, .
,
MiNrii sUTA :;LO?IC ItUIIJ!li;?; i:01)1: uiviMuN ?v#
?
EXfLR10R LNUFLOf'E AVEIt,1V:lL "U" GOPif'Ui/1TI0iV
. UcCennine working square foota(le of each.
1. Totai exposed t-rall area ...... sq. ft. x•1?
2. Total roof/ceilir,g area ..... sq. ft. x.05
Total exposed wall area above floor = 1 o 8 3. 3
a. Totil wall winrlow area ........................... . L68. 4.4
l). ToCril cloor arca ......... .. ...................... ?. d S.. S?
c. ToCal sl iding glass door •area ................... t? 4.
d. ToLal fireplace wall area ....... .. ............ --??
c. ToCaI Wrill frariing area (averlge lOx)......... .... ?
f. Total net ti•iall area above floor 7 3g•
g. Total rim jois?: area ............................ 931 .`I
1'otal exposed foundation area = -?
h. Total foundation wirdow area ..................... ^
i.' Toal net founclation area above grade ............ ?
Uetermiiie "U" vaJue of each wall segment.
a.?g• ?F 4 X oull
b. ``I ?•?S X ltupi • 33 = 7.3 S
c. 44.-i9 X u?, . ?Os
d. --- x "u" ---- = [boY oTNF_iz5
e. X ?lull?2- = 1D?
f.7? Z7 • c5 ? X????t 0-7_ = 5 ?
9• 5 1.-L- Xlluii D g = 6. S4
n . -r-
z7£3S3
017P1[R St-EOr' DEpfZ,[.C"UIJ _
SITE ADDR[SS L-01.)£ 6AK F20 Cati l4V RCb1t0 Zb
CUN-fRlICTOR MA2J Jtc$fZC)G?_ nnTE W-24-'i6 !'fIONE 1%S-Z94-7I$'R
; . ---
x"u" --- = E,Y DTN Ee5
X. liu,i &Y aTN Ee.s
3. .............. .................... Total
.
It' itcm 1?113 is the same as, or less than item #1, you have met the intent.
of SaC G006(c)2. , , ??
'fotal exposed roof/ceiling area
4 ..................................Total ° ?
t. Total skyligPit area .............................
k. ToCziI roof/ceiling framing area (average 10%)..._ . '
1, Total net insu]ated roof/ceiling area........... .
Dctcrmirie "U" value for each roof/,:eiling segment.
J X u U u ----
;? „?„ ./o4
x u„ . 0 46
1.9s_3„
If total of !14 is the same as, or less than 112, you have met the intent of
S[3C 6006(c)l. -
lllternate Building Envelope Design
To utilize i:he total envelope system metliod, the values established by tf2e ?
sum of items #3 and V4 shall not be greater than the sum of items #l and #2.
1.??8•t??= + 2. Z 5-3.'Z3`
3.?q,?. 87 , + 4. ,;-?7• Z 5?3.?6
.
__. . .. _.?.,.?.,. ._.. ..? W,:,, ,. ?..._.?-., ,,.-.., ?_.. ..
r?
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.....
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.
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.
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a. - e
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. .
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44
40
\
Form ApqoY W
VETERANS ADMINISTRATIONfU.3. DEPARTMENT OF MOUSINO AND URBAN DSVELOPMEMT
HEALTH AUTHORITY APPROVAI
INDIVIDUAL W HUOlFHA OR VA CASE NO.
AT9 Isl
ATER-SUPPLY AND SEWAGE-DISPOSAL SYSTEM H4O/FHA OR VA OFFICE
IMPORTANT-This Carm should be completed and filed as requimd by ezisling Iaw 38 U.S.C. 1806 and 1810. 3?- Ao u`w
PART 1-TO 8E COMPLETED BV HUD/FHA OH VA
MORTGAGEE NAME AND ADDRE55 (lnNude Z1PCode)
• MOFTGAGOR OR SPONSOF
L• Ga?r e?
L/?: ?ed/?J?g. Qo?p•
6g?9 !/ //Py Q?. 2d,
l!/0o?o?6wiy, ?l?Y SS7'2 S PROPERTY AODRESS
Gpo - Lo.,e DaK Rd.
E?C44v. /0/? s?vt/
?,
? o -,2--
SUeDIVISIONlLOT NO.
?y
TOTAL NUMBEfl IS THERE A BASE-
MENT7 IS TMIS A NEW
INSTALLlaT10N7 CAN THE ATTIC OR OTHER AREA BE MAD ? O
ADOITIONALBEDROOMSt(!J"Yes
"h
?
LIVINGIJNITS
BEDROOMS
BATHS ,
owmany
)
[] VES ?NO ?YES ?NO ?VES ?NO
ER-SUPPLV BY:
? SVSTEM DESIGNED FOR
PUBLICSVSTEM ?COMMUNITV SVSTEM INDIVIDVAL NO.OF BEDROOMS ;GARBAGE DISPOSAL
SEWAGEDISPOSAL BV:
?PUBLICSVSTEM ?COMMUNITYSYSTEM ?INDIVIDUAL
?VES r-INO
PART II-TO BE COMPLETED BV HEALTH DEPARTMENT OR COMPiIANCE INSPECTOR
INSPECTOR'S SKETCH (TO RBPORT AS-BUILT DEVfATfONS FROM APPROVED PLANJ
- - - - - - - - - - - - -
H I I H
he opinion of the Q State Q County 0 I.ocal D¢partment o( Health that this individual watervsupply system Q is Q is not satisfactory as a domesUc water-supply
e subject property.
L
e opinion of lhe 0 Stace ? Coun[y Loca1 Departmen[ of Health tNat this individual sewageiiisposal system with proper main[enance ? Can be expected to function
satissfactorily,
xnd is not likely to create unsanitar r conditions OCannot be expected to function mtisfactorIly.
?A SIGN
7, ' ;- _ / TITLE
?
NOTE: The health authority should complete the appropriate opinion statement above and aftix date, signature and tiNe in the spaces provided.
NOTE: Use of the reverse of this form is at the option of the health authority.
PART III-FOR USE OF FIELD UFFICE
I have reviewed the foregoing and the pertinent Compliance Inspection Report and recommend that the individual watersupply system be
considered ?acceptable Q not acceptable and that the sewage-disposal be considered 11 acceptable ? not acceptable
DATE
vncnAnnx??uc ne?.?o.. SIGNATURE
, TITLE
aHUD ARCHITECTURAlSECTION CHIEF OR DEPUTV CHIEF
? VA CHIEF APPFAISAL SECTIpN OR DESIGNEE
.
MUO FORM 92573
SUPERSEDES VA FUNM 26?6395, OCT 1976,
WHICN WIIL NOT 8E USED.
. i?*)
citu oF
3795 PILOT KNOB ROAD. P.O. BOX 21199
EAGAhI. MINNESOTA 55121
PHONE: (612) 454-8100
DATE: November 1p 1983
DAKOTA C1aNZ'Y ABSTRACT C0.
1250 Highway #55
P.O. Box 456
Hastings, MN 55033
SPECIAL ASSESSNfENT SEARCH
BEA BLOMEViSt
Mava
THOMnSEGaN
JAMES A. SM{TH
JERRY THOPnAS
THEODORE WaCHTER
counN Men,oa:
THpMAS HEOGES
Crty nomu.snofa
EUGEHE vAN OvERBEKE
Citv clert
RE: Auditors sab #38
Parcel # C10_03800-090-021
600 Ione pak Road, Eagan, P7N 55121
Enclosed herein is tha search which you requested made on the above described property.
Kind of Improvement Runs Seginning Original Amount .".Balance Due
Storm Sewver Trunk 15 yrs 1984 . $2249.00 $2099.07
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved, and are notia in the process
of planning or completion. '
Kind of Improvement Approzimate date of Compietion Approcimate cost
NONE T
WAIVER:
Neitlier the City of Eagan nor its employees guarantees tlic accuracy of the above in-
formation which was requested by the persai or pcrsons inJicaLed: Nor does the City
or its employees assume any liability for the correctness thereof. In consideration
for the supplying of the indicatecl information in tlie above form, and for all otlier
consideration of any nature whatsoever, any claim against the City or its employee;
rising thcre from is hereby expressly waived. Levied assessments to be paid to the
County Treasurer at Hastings, 6N. 55033
Very truly yo s,
cy??
? THE LONE OAK 7REE...THE SYM90L ANO GROWTH IN Ot1R COMMUNITY
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA092850
Date Issued: 02/17/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 600 Lone Oak Rd
Lot: 009 Block: 002 Addition: Auditors Subdivision 38
PID:10-03800-090-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Kenneth W West Jr
1920 County Road C West 600 Lone Oak Rd
Roseville NIN 55113 Eagan NIN 55121
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For For Office Use I
CiPermit ty Ol n ~
E QR1A1I Permit Fee: ~ W I
3830 Pilot Knob Road
Eagan MN 55122 Date Re ived: 7 - /
Phone: (651) 675-5675 / Y V '1 staff: 11
Fax: (651) 675-5694 1 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: p Unit
Name: 4 (y il`I ~-C Phone:
RESIDENT / } -
OWNER Address / City/ Zip: Ob t"pN a~ lL~ C~,csl~ 12
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: LE Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
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 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 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 q F VO 'tel . W iE S `F x
Applicant's Printed Name Applicant's Signature
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