4494 Mallard Tr N
fter#tf tratt of (Orrupanry
Citp of eagatt
Ewtumllul" u# littidim ituwrtimi
M Catijrcate issuod pursuant to Me raquinemexts ojSertioR 306 ojMe Urdjorm Building
C.ode certifyin8 tJra1 at Me ttme of iesuance lhis sduclurr Kns irr conrpliaiwe with Me tarious
ondinQncGr of Me (Wy &%,ulabn8 buildiRB conwrreckon or im For Me foldowtng.
uR cbmiscwm SF I7WG?GAR eW??,kL 62
Zoming Dw&W R1 TFIX VN
owm at eaa? WIlEdl'lM 00 II ?? P.O. B? Z4324, APPIE VAI7?.'Y
DOC 6/24/A2
POST IN A CONSPICUOUS PIJICE
t
,??
INSPECTIUN RECflRD -IControl No.- 0083
'Ci°fY OF EAGAN PERMIT TYPE: "t" ? ?? ? M44
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: 03/ 2 3/ `4?
(612) 681-4675
i SITE ADDRESS: tp t7 09 s Lor: R> > APPLICANT:
?
? 4494 MAL LAR[l TR N WINOWAOb c0 INC
THOMA3 I.AKE W4UQS (61?) 891--4606
PERMIT SUBTYPE:
"I t?I-M
TYPE OF WORK:
NEw
INSPECTION
111 I+ ..
FOOTIMp .A
f RAM t N(t IlUSUI.ATxON
I.JAi 1.E34qkty RINA1.
f rKt Pt nr.F !
? tt i Ni A R Y:. I P N'V
MATT}iEW-DANIE l S
.. .
wnan "a. wrmn Haao? o.ce r.lepnor,e #
snrv
PLUMBlNG - 13 Z ?
HVAC 'g
ELECTRI 8'?. ? ? p9
ELECTRIC
Inspectbn Dttis Insp. Commerrta
Footings I 3,24,JF ?
Foundation
o .E C
F-min9
Rooflng
Rough llbg. y-jS'f
Rcwph Fttg• ya ftz
Isul. % .1. - ?
Firopkm .S-Sfa
Final Hlg. ?
.
OrsatTest
Final Plbg_
?r Plbg. InBpeCtor - Notity Plumbei
canet. Meter
EngrJPlan
Bldp. Final _ Z Z DS
Deck Ftg.
Deck Final
Weli
Pr. Diep.
?
11
CITY aF EAGAN
3830 Pilot Knob Road
I Eagan, M+nnesota 55122-i 897
(612) 681-4675
SITE ADDRESS:
r1 AI l n111t1 I t? W
I ?{?ri{?:!', ?;qf.l I,fllflll':
I PERMIT SUBTYPE:
(1(li t Nii'+
0
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
, ?. ? i ?rii , I I i•?i
TYPE OF WQRK:
414 '0 1, 111 1 ! oh1
f ! fV A i
N.•t.1'?i1
n? t w
f ?l11?II:t N11ftt_!l;
, . . a.?, *( t?, rj # rij i{( puut, ?i I?; Ill.AraNr•0 FOir 1111 •001111 HAi f Ili' tiif lif r.h .
011111 : ((l{; i) I 0 0 ('f.Nt i'; AV F 1lF:'.1[,Nr i:l A(:CC+l;CI tNllY . ( t+ltJlt f 11 I..1)ItNl f? I nM f I F1i? ia ?•
(I 1 "111,; f)f 1 k tlfdl Y! 1
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.. . . . .. . . . . . . . . . .
?
L? . .
Permit No. Permit Holder Date Tslephone M
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBfNG
PLBG
AIA TES7
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECKFINAL
CASH RECEIPT
CITY OF EAGAtV ;
3830 PILOT KNOB ROAD %
EAGAN, MINNESOTA 55122
DATE ? ? < < 19
rWcervEO . , _;!
caow i
AMOUNT $ _-
& DOLLARS
,ao
p CASN 9- CHECK
FOPt
? 017nO6 M".--.Paym
Yedow--POStlng Copy V-J-`f
PirJc-FMe C,opy ?.??r• .
Thank You
8Y .?_.d
SEWER & WATER PERMIT
CI1'Y OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MXR 230 1992
r
I SITE ADDRESS 4494 MA,Li,ARD TR N
LOT 9 BLOCK I SEC/SUB T1qi3MAS 1.AKF vnnns
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
OFFICE USE ONLY
METER # PERMIT DATE 03I24/92
CHIP # PERMIT # L 26.34
METER SIZE /
B.P. RECEIPT #`J'
ISSUE DATE B.P_ RECEIPT DATE 03/23L92
2L- PRV - BOOSTER PUMP
ZIP
PLUMBER: MATTHEW D NIELS IHC
ADdRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEliOUNT MN Zip 55068
PHONE: 423-3730
OWNER: WINDWaOD CO INC
ADDRESS: P 0 BOX 24329
CITY,STATE APPLF VAi.i.F3( ?tu ZIP 5omL
PHONE: 891-4605
PERMIT REQUESTED
_.JL SEWER _X_ WATER - TAPS ?
,
_ COMM/1ND _X_ RESIDENTIAL ;
X NEW - EXISTING
a-n.rS,priakler Meters are to be Installed
74head 'qf Domest c'Rrtejers on Water Line.
Gredit W N ba-given for Deduct Meters. :
I AGR E O COMPLY WITH CITY OF
EAG ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SWU .4 4ATER PERMIT
CITYbF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 23. 1992
FICE U$E ONLY
METER # 5 1,? PERhAIT DATE 03/24/92
CHIP ?` °xO PERMIT # 1
METER SIZE ? P s N? B•P• RECEIPT # O I O(p
15SUE DATE B.P. RECEIPT DATE 03 f 23/92
x PRV _ BOOSTER PUMP
SITE ADDRESS 4494 MALLARD TR N
LOT 9 BLOCK _I SEC/SUB TIIOMAS LAKE {JOODS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PLUMBER: M.°?'PTHEW DANIELS INC
ADDRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEMOUHT MN Zlp 55068
PHONE: 423-3730
PERMIT REQUESTED
X. SEWER X WATER - TAPS
- COMM/IND X RESIDENTIAL
? IVEW - EXISTING
eters are to be Installed
d f Domestic ers on Water Line.
(Sredit en for Deduct Meters.
COMPLY WITH CiTY OF
OWNER: WINDWOOD CO INC EAG RDINANC 5
ADDRESS: p 0 BOX 24329
CITY, STATE APpLE V LI.EY MN ZIP 55124
PFTE: 891-4605 SIGNATURE WHEN ETER ISSUED
I ? ? -? r7 -rr
lF'
PtE`?1$?lALL 6W O4V,0RKING_ DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
r j ' ?
SEWER PERMITS, CONTACT ENGINEERING DEPT.
norw piegai Tns&lled %teS
3200 Cr,bb Cialleria Pkary., Ste. #200
Atlanta, GA 30339
763-542-8826
BC-20268257
RESIDENTIAL
,INC PERMIT APPLICATION
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
851-881•4875
New CanstruRion ReaulremeMS ? • 3 registered site surveys shcwnng sq. ft of lot, sq. ft. of howe; and all roofed areas
(20% niaximum laf mverage allowed)
• 2 copies o( plan showing 6eam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calalations
• 3 wpies of Tree Preservadon Plan if lot platted atter 711193
. Rim Joist Detail Options 5elecGon sheet (61dgs with 3 or less units)
? ?-?g . ?? S
!O -la-d l
RemodeVRewir Reauirements
• 2 copies of plan
• 1 set of Energy Calculations tor healed additlons
• t site survey for extenor addihons 8 decks
DATE VALUATION (exCwDING LAND) I a. R0T
JOB SITE ADDRESS j'[9y ? fiN0.NWd T Gi\
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?0(U SA"C?Y,cs!'
TYPE OF WORK ly t)GS'Sftr FIREPLACE(S) _0 _1 _2 _3
APPLICANTO)61,?S CJQl26NQrD, PHONE#I92.9194 •SIo_S
ADDRESS IIP CODE 5?;tI,20
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical5ystem Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
?P fp, 1? ?
I hereby acknowledge that I have read this application, state that the information is correct, a agree to cor
all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
1
Slgnature of Appitcant
? -- -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ MINNE50TA RULES 7670 CATEGORY 1
- Residential Ventilation Category t Worksheet Suhmitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener , Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Updated 1l01
Address: , Lot q Blk Sec/Sub THCK?S IAyE yopDs
These items were/were not complete at the time of Che final inspection.
Date: 6/24/92 Yes No Tnq;
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry a
e
Permanent drivaway ,.?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch Q: r yy
Basement finish l/
Deck W-I
Please verify with the builder the ramoval of roof tast caps from tha plumbing
system and the shut-off of vater supply to the outside lawre faucet before
freeza potential exists. &
neevnEOween
White - City copy Yellow - Resident copy Pink - Contractor copy
J33?182 a i? ??? ?5s°?
Reques Date
? Fire No, Rauy'fi-in Inspection
Reqmr ?
s ? No
? Reedy Now 6YFM Nobty Inspec[or
When Ready+
I icensed contractor p owner hereby request inspection of above electrical work at.
Job Atltlress Slreel Box Route N I
?
egzdA?a
Q? q
5 n No.
?.9 Bl Tow hi Name or No Range No.
Gv?v-?_ Counly
Oc?u a IP 7 T?? w ?
1 Phon€'q
Power Suppher Atltlress
¢al ConV br (COm ny Nam
W Ef
tr
?
M ling dCress IGOnvat,tqr or Owner Making InsI IlaLOn) AAKP
V
•
,
Amn r?zed Signalure (COnttactonn nq 1 tal
?
? iwn'
)a?
5
P
mb r- -^?i
r??
?i
MINNEgOTA STATE BOARD OF ELE T CITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlOwey BIEg. - Hoom 5-173 BE ACCEPTEp BY THE SThTE BOARD
1821 University Ave , St. Paul, MN 551114 UNLESS PROPER INSPECTION FEE IS
Ptwne (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
7 ?$ee instruqions br completmg IM1is form on back oi yellow copy.
.? ? ?
y 4?; 2 "X" Belaw Work Cgvered by This Request
F-°??" EB-00001-08
? ?'? /055?7D
?
e Add Rep. TypeofBwlding AppliancesWrted EquipmentWved
Home Range Temporary Service
Duplex Water Heater Elearic Heating
Apt 8wlding Dryar Other (Specdy)
Comm./Industnal rnace
Farm Air Conditioner
Otner(syeciTy) Conttador'S Remarks.
Compufe Inspechon Fee Below:
# Other Fee # ServiceEniranceSize e # Circuils/Feetlers Fee
Swimming Pool 0 to 200 Amps t 0 to 100 Amps Q,
Translormers Above 200 _ Amps Above 100 _ Amps 7.d
Signs Inspeclor's Use only TpTA
Irngation Booms
Special Inspection
Alarm/Commumcation THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspecror, hereby
certify that the above inspection has
been made. Rough-in Date ?;? ?r
f-
Final
? ?;-
OFFIGE USE ONLY ?
This re0uest voitl 18 monibs from
RESIDENTIAL BUII.DING
.- • Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-5 4-aa_ c? ?
o JLP_& ib03
New Construcfion Reouirements RemodeURewir Reuuirements Olfice Use OnN
3 registered sile surveys showing sq. ft of lot sq. ft, of house; and ell roofed areas 2 copies of plan _ Ger[ o( Survey Recd
(20% mvcimum lot coveraqe allowed) 7 set of Energy Calculations for heated addilions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 site survey for addifions & declcs Tree Pres Not ReqA
lsetofEnergyCalculaUons AddA'on-mdicateilonsAesepticsystem _Oo-siteSepticSystem
3 wpies of Tree PreseNa6on Plan if lot pWried aker 711193
Rim Joist Oetail Options selection sheet (bklgs wM 3 or less units
Date 10 /_?_/02) Construction Cost Z..? 00 0
SiteAddress yq q L{ ?kJ- mpmc'r•? "?(-- Unit/Ste #
DescriptionoFWork \L1 k I iD -l Sw_5 U1 t-VV\ al" 2-1 LQLL
Multi-Family Bldg _ Y)( N Fireplace(s) X 0_ 1 _ 2
Property Owner JfJ t1 JT t1 'Qc Telephone #(&Sk
Contractor ? ? y??,??
. \? rt??MLS
t'
Address ? _
?_
?j'• ?? S?' L' ?
City"?L7
State INN vN zip 55 0 y y Telephone #fjS`L) 'i61 3Z-5Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Licensed Plumber 2_...----" Telephone #(
Mechanical Contractor I ? `' `" ? Telephone #(
"
Sewer/WaterContractor OCT 0 3 200 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 NIN
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 accordazice with the approved plan in the case of work which requires a review and
approval of plans.
J E2Ry AcEvy* 0 ? -----
Applicant's Printed Name A plicanYs ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage "W 22 PorchlAddn. (4-sea.) ? 33 ExR. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ribg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New / ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Y_ 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demotition (Entire Bldg) - Give PCA handout to appliwnt
Valuation / 7d./ O Occupancy -U' MC/ES System
Census Code 1- I 9 T Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? A/ Width
Footings (new bldg)
? Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Y Framing
? Fueplace _ R.I. _ Air Test _ Final
Insulation
T?
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Fina]
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ? L , Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1 ?33?
ti-aa.C) ? ??
S-y ?. o., ov(
? y? v9?
t/
N :
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release ld
Data filename: D:\CEG\Energy Calcs\Wageman Eagon 4 Seasonrck
PROJECI' TITLE: Eagon 4 Season Addition
COUN'CY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCT'ION TYPE: Single Family
DATE: 10/02/03
DATE OF PLANS: September, 2003
PROJECT DESCRIPTION:
J.L. Wageman Homes
Lakeville, MN 55044
DESIGNER/CONTRACTOR:
Contemporary Engineering Graphics
16656 Imperial WAy
Lakeville, MN 55044
John L. Konopa
PROJECT NOTES:
4 Season porch praposed.
Elcisting Home built 1992.
COMF'LIANCE: Passes
Marimum UA = 383
Yout Home UA = 320
16.40/o Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factar UA
Exist Ceiling: Flat Ceiling or Scissor Truss 1284 44.0 4.0 32
New Ceiling: Flat Ceiling or Scissor Truss 224 44.0 4.0 6
Exist Wall: Wood Frame, 16" o.c. 2722 19.0 4.0 123
Exist Windows: Above-Grade:Woal Frame:Double Pane 223 0.350 78
Exist: Solid 40 0.070 3
Exist Patio Dr: Glass 40 0.550 22
New Wall: Wood Frame, 16" o.c. 352 19.0 4.0 11
New Windows:
Above-Cttade: Vinyl Frame:Double Pane with I.ow-E 125 0.310 39
New Door: Solid 21 0.070 1
New Floor: All-Wood JoisVTruss:Over Outside Air 224 38.0 4.0 5
-? proposad and Masimum U-FaMOr Averages
Proposed Maadmum
Average U-Fac[or Allowetl U-Factor
Above-Grade Windows and Glass Doors 0.358 0.370
Includes Foundation Windows> 5.6 112
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with [he permit application. The proposed building has been designed to meet the 2000 Minnesots
Energy Code requirements in REScheckVersion 3.5 Release ld (formaly MECchec? and to comply with the mandatory
requirements listed in the RESchecklnspection Checklist.
Date/
Buildet/Designer d 2
a 3
,
L -;. j: . ( (,-/,
n04E IT1 ? I'? _ W/NQIVDOD ,
C LPOf,HEflf ond0L(I /??
ND SSU(IVEYOBS t k't':j, #
9D82.0/
ENGIPJEERING aK 172
PG. S
COMPANY, INC. -.
? 1000 EAST 1161h S7REET, Ollfi115VILLE, A1INNGSOTA 55l37 PII 432'3000•!I
CERTIFICATE OF SURVEY
Legal Description: 107?9 9ZacZ /, 7%lOiIJAS Z4VF i100o,1?
pA,E'oT.9 CoU,V7Y M/NNESOTA.
(SE,Ee ), UCNOTES EXISTING ELEVAfION
(955,7) , DCNOTES PROPOSEU ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
YS .ao ? FINISIiED GARAGE PLOOR ElEW1TION
14d• 29 = UASEMENT fLOOR CLC-VAl'ION •
Y57, BB ='fOP OP FOUNUAIIUN LLGVA'I'IOtJ
scnLe : r = 3u'
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Z haraby certify tliat tliio ie
lund ue ehown and descrlbed
1917?-_.
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4 truo and aorreot rapraeonl:ation oP,a trant c;
hereon. Ae praparea Uy me this /3711 day o
/ /usr^ ? /.?•?•.•L. 141nn.
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fROLHRMA HOAE DEPOT AHS
7635428227 T-928 P.001/001
T.OIITED POW]EIi OF ATTORNEY
COUNT'Y OF CO+-1, PFi,)
STATE 4F MINNESOTA
KNOW ALL PEOPLE BY THESE PRESENTS:
F-768
THAT T, Todd Daniel Lewis, a resident of QAn'I-?E'/ County,
Minnesota ("Princigal"), and a licensed contraccoc of RNiA EIome Services, Inc.,
DBA Home Depot Instailed Sales locued at 646 Mendeissohn Avenue North, Golden
Valley, MN 55427, having a ticense munber of BC- 20268257, do hereby appoint,
name and constitute Elder-Jones Building Permit Service, Inc. ("Agen2") as my true
and lawful attorney-in-fact and do authorize and granc said auorney-in-fact for me and
in my name, piace and scead the power to execuce, acknowledge, sign and deliver (in
such form az may 6e required by the municipality) a permit applicauon, ar any other
instrument(s) which may be necessary and appropriate, in order w obtain the proper
permit(s) from the Ciry of Eagan, Minnesota for the installaaon, maintenance and
repair of windows and siding (the "Work").
Tha powers conveyed to the Agent by chis Limited Power of Anomey are
limited solely to the express powers delineated herein and apply solely to the Work.
This F.imited Power of Artomey shall expire and automatically be revoked on the (L'
day of,SL?'? , 2002, which daLe is one year £rom the execution hereof. Fischer,
the powers conveyed by this Limited Power of Aaomey may be revoked by Principal
at any time by express revocation and shall also 6e revoked by the Principal's death,
disabiliry, iacapacity or incompetence_
IN WITNESS WFIEREOF Lhis Limited Power of Attomey is executed this
L-.*= day of S„.je , 2001.
(T?4
Todd Danie! Lewis
?wORN TQ AND SUBSCRIBED BEFORE ME by Todd Daniel Lewis on
Chis ,day of -:J?NkQ , 20-4-.
. •v.vw^^^^r
?PIe lyublic in fot't e 5tate of Minneso ? 9 BURTON T. eAOWN ?
NpTllp'/ PUBUC-MINNESOTA
My Commission EXpires: WearW'°"f??M.ium°i
. •
39fi816 vl
Received Time Juo, 1• 2:56PM
JUN-07-2001 15:43
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
IN5PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0083
BUILDING 000062
03/23/92
51TEADDRESS: LoT: e9
4494 MALLARD TR N
THOMAS LAKE WOODS
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
SITE ., .
FOOTING .,
FRAPIING INSULATION
WALL80AR0 FINAL
FIREPLACE
REMARKS: PRV
?
MATTHEW-DANIELS
BLOCK: 1 APPLICANT:
WZNDW000 CO INC
(612) 891-4605
?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Date Issued:
BUILDING
000@62
03/23/92
SITE ADDRESS:
4494 MALLARD TR N
LOT: 09 BLOCK: 1
THOMAS LAKE WOODS
DESCRIPTION:
Building Permit 7ype SF OWG
8uilding Work Type NEW
UBC pccupancy. R-3 M-1
Construction Type VN
2oning PD
Building Length 62
Building Width 42
IJ..i
REMARKS:
PRV MATTNEW-DANIELS
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Subtotal
$727.09
$472.55
$62`.50
$700.00
100
;1,962.05
=125,000
MI3C FEES $1,610.50
Total Fee $3,572.55
i CONTRACTOR: - Applicant - ST. ]QaIVNER:
WINDWOOD CO INC 18914605 0002 97 WINOWOOD HOME5
P 0 BOX 24329 P 0 BOX 24329
I APPLE VALLEV MN 55124 APPLE VALLEY MN 55124
I (612) 891-4605 (612)891-4605
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 Mn.
S d City of Eagen Ordinances.
?
P MITEE SIGNATURE I'SSU?iED 1'. SI-GIJ TURE
Control No. 0083
PERMIT # CITY OF EAGAN ?
, 1992 BUILDING PERMIT APPLICATION
681-4675
9AAR 1 3 RcCD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lat chan e is re uested once ermit is issued.
Date 3 / 16 / 97- Valuation of work ?'"?°"' ? ?• t? ?
?-TT
Site Location: 44-94 N, Mh.A" 1x4-ti„_
STREET STE M
Tenant Name:
LOi -I
I
BLOCK I
SUBD. _F4oWIfl'S LA-pC42!7
I
P.J.D. #F
weeg?
Descri tion of work: Ic:f
The applicant is: Owner Contractor ? Other <oescrine>
Name Phone
Property LAST i1R5T
Owner
pddress
STREET STE Y
City State Zip
S
Company +n1L1Ult?ola fii:S Phone 091 -"0
Contractor Address PJ?? License #4mZlg7 ?Exp.
?
&
Zip
1+ State
City UhiA
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber r4FLlA? ?Fil.b . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read ion and state that the information is
correct and agree to compl licable State o-1' nesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: V
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Oi Foundation
13 02 SF Dwg.
? 03 Two family
O 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
O 11 Res. Add./Porch
? 12 Conen./Ind. New
? 13 Cortm./Ind. Add
? 14 Comm./Ind. Rem.
O 15 Public Fac.
? 16 Agricultural
O 17-Building Move
0 18 Demolition
? 20 Miscellaneous
p 31 New ? 34 Remodel O 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 M-/ Basement sq. ft. MWCC System
Zoning 7T_ lst F1. sq. ft. l//y City Water
Const. (Actual) ? 2nd F1, sq. ft. ? PRV Required
(Allowable) i/ly Sq. Ft. total Booster Pump
t of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth Ys. On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
k
?
777-
? Site J?I Foating fa Framing 12? Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee ')z? veiuacion: : zS o?aa
Surcharge ?, z,so Rs?•+ /sr-
Plan Review , 72,ss 3a,r4!S
License
MWCC SAC
OD
e/S -
2 OW e Z z ?
/yo
City SAC
? G
Water Conn.
water Meter (o
?s
ys 6x??
Acct. Deposit ?o
S/W Permit
S/W Surcharge 30
So
? 2? = 708
?----
Treatment P1. ?-
Road Unit
3 D
Park Ded. ?l •r /, li
Trails Ded.
Copies ? 3yXS3 ? 329d7
Other > Z
1 ? v
Total : ?
SAC %
SAC Units
, ?
CONSUlTIN6 ENGINEEflS ',::: LV/.VQWOOD
PLflNN(BS and lBND 3UAYEYOBS 9:,a? # tjp32.0/
eK. 172
ENGINEEAING
c z
COMPANY, INC. <9. s
1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICAI'E OF SUR\/EY
LegaO Description:
SCALE : 1' = 30'
OTA CV!/N72? M/NNESDTfI •
DENOTES EXISTING ELEVATION
(955,7) DENOTES PROPOSED ELEVATION
?-- INDICATES DIRECTION OF SURFACE DRAINAGE
95 ,oo = FINISHED GARAGE FLOOR ELEVATION
948. 29 = BqSEMENT FLOOR ELEVATION
957, BS = TOP OF FOUNDATION ELEVATION
3o,cr czo,vr Bv/LO/NG
$ETBACK L/1/E -) '
L'v 14
: q55 y2
2\ \
O ?
:? _
69' ye
IZZ'SI _
pRA/NAGE A.VD
(946.0) UT/UTY LZFKmf
RE!'lE1NE D
? ----?°
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J ?j? N p?
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Z.O? ?
qq
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-9/
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D/
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00
i
'
16
,p3a2
?•oa°
AAGAN ERTCG;TNEER3NG D:Z-,a
2n
?9
k5'' rtVCRoVo R!?`?UMPFE,?,
I hereby certify that this is a trua and correct representation of,a tract
land as ahown and dascribed hereon. As prepared by me this /3-m day
?YIf1?ec'N , 192_. '
x,..;, 14inn. Rey. tVo. /??8?
INSPECTIUN RECUKll
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026190
08/07/95
SITE ADDRESS:
LOT:
4494 MALLARD TR N
THOMAS LAKE WOODS
PERMIT SUBTYPE:
DECK
APPLICANT:
9 BLOCKs 1
POST CONST INC
(612) 941-7980
TYPE OF WORK:
DESCRIPTION
OTINGS
FINAL
NEW
(FUTURE PORCH
REMARKS: A 12'x 12' FUTURE PORCH IS PLANNED FtlR 7HE SOUTH HALF OF THE DECK.
SOUTH 2(OR 3) FOOTINGS ARE DESIGNED ACCORDINGY. (NORTH CORNER FOOTING BY
F S7ATR$ IS SIZED FOR pECK_ONLY1) _ 7
? ? .. ?. . .. . _ _?
? GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
a4 G z?
PERMITTYPE:
Permit Number: BuzLorNe
026190
Date Issued: 0 8/@ 7/ 9 5
SITE ADDRESS:
PERMIT
4494 MALLflRD TR N
LOT: 9 BLOCKs 1
THOMAS LAKE WOODS
DESCRIPTION:
(FUTURE PORCH)
B,aiild.[ng`:p;ermit Type DECK
Building Wor-<,Type NEW
r
-?
?? ,. -..
,, .
r - '
REMARKS:
A 12'x 12' FUTURE PORCH IS PLANNED FOR THE SOUTH HALF OF THE tlECK.
SOUTH 2(OR 3) FOOTTNGS ARE DESIGNED ACCORDINGY. (NORTH CORNER FOOTING BY
FEE SUMMARY:
Base Fee $30.00 COPIES $1.50
Surcharge $.50 Total Fee $32.00
Subtotal $30.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
POS7 CQNST INC 19417980 0007061 STIENER JOHN
8911 YORK CIR 4494 MALLARO TR N
BLOOMIN670N MN 55431 EAGAN MN
(612) 941-7980
I hereby acknbwledge that I have read this applicat3on and state that the
information is carrect and agree to comply with all applicable State ofi Mn.
Statutes, and CiCy ofi Eagan Ordinances.
?- - _ _ _ -
APPLICA? ? m?-
-
NT/PERMITEE SIGNATURE SSrUEO BY: SIG TURE I
3830 G PERMIT AP BCATION (RESIDENTIAL)
ligo 1995 BUILDIN
681-4675
-k3 PL, D U
cQl`c!',IP
? 3 regbtered site awwrys ? 2 copies M plan
? 2 eopies o} plena Cmdude beam 8 windav saoa; poured fitl. tlesign; etc.) ? 2 ske surveys (exterlor atlditions & dedcs)
? 1 enargy cakuletions ? 1 energy celcuWtions for heated additions
? 3 eopbs of Lee proservation plan H lot pletted after 7l1/93
mquired: _ Yea _ No
DATE: 8,z?295 CONSTRUCTION COST:
DESCRIPTION OF WORK: 1 z x yp 722-,y/Z0 p292L /ZxIL Ra,cctr L°
,Sokra l?ra of ?c?K
STREET ADDRESS: y4t9it 77e*'e-
LOT ? BLOCK _-/_ SUBD.IP.I.D. #: -7-WorYr.a-s ??.,eG? tvoo
PROPERTY Name: To,f,j .sriEv? ? Phone #:
OWNER ""' Street Address 44 9`r n<. ?r1.v..c,?o C,-,
City: ?'.460r7j State: teAl_ Zip: 1?
coNmtaCTOR Company: ra s: &.vsr. 2^?c? Phone #: Nl' 7 7-40
Street Address: 8911 Yoz& License #- -20&1
Ciry: 6,00nw- idly State: Zip:
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber
change are requested once pertnit is issued.
Penally applies when address change and lot
I hereby acknowledge that I have read this appliq6on and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appi(cant:
OFFICE USE ONLY ? ??? ???
??/'???
Certifiqtes of Survey Received _ Yes _ Na AUG ? 2 1995
Tree Preservation Pian Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
a 02 SF Dwelling o 07 4-plex
0 03 SF Addition o 08 8-piex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
,0-31 New o 33 Akerations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Ailowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging o
? 12 Multi RepaiNRem. o
0 13 Garage/Accessory ?
? 14 Fireplace o
,::Pl 15 Deck
0 36 Move
? 37 Demolition
u ?
wx
?
?
.w r ...
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
,v ? /a /y ' X12 ' Fi*uae,c I$*"w
Zs aK? Fe?z 7,?c f°?r-.v
N?4F oio rHC At?K.
( y 4s ,qa ?b
c ?ss?4R/
s C Ar s•qwr
/?Cu?a?wc?oy (AloYArN ??wta tG44.
ts f ac0 bee,"
MCNVS System ?i?
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
y3y
o/
?
b
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
I-e 60
City Water
Fire 5prinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
Valuation: $ Iy?? 3
% SAC
SAC Units
y
P?LHNNEAS ond IRND SfURVEY08S
f1IGINEEA1NG aK 172
COMPAN4', INC. . ?
1000 EAST.146qr STREfT„ BURNSVILIE, MINNLSOTA 86337 PN 432-3000
r'?;:` ,. . • .. .,. , , ? .. . _?..:; ? . . . .
` - -- -- CERTIFICATE ? OF SURVEY
Legal Description:
\?
DENOTES EXISTING ELEVATION
(955. 7) DENOTES PROPOSED ELEVATION
.. _,,..?-? . INDICATES DIREC710N OF SURFACE DRAINAGE
,,. S.Oa - FINISHED GARAGE FLOOR ELEVATION
948.29 = BASEMENT FLOOR ELEVA'I'tON •
• 957. BS e TOP OF FOUNDATION ELEVATION
. , SCAL.E : 1• • 30, .. , . • -... . . .
3oF7. F?orvr BviLDi?v6
: fETBACK L/NE ? •? ,
•? i
?
??. . ?1 /
, \\ :, Ar.
.t Z \
--A:.
?
._ . _., ?
a' \
\
b
m
y°
a
,. .. \A r?
1? ??
DRA/NA6E AND
646.n) UT/UTY?S'??%w
REVIEWED 0.0
???.
rTE
\ ` )\ $ LT
00
? Panarl
?iz,riz
A' /
/
?; ? :?.? j/? . ?•
\m 4`? 9?3', ? ? ? I ??
D' ?ye
?? .
i
TAGIAN ENGINEERING DEPT
\k?y3ro' PAeM. s 3GQUIRED
I hereby cartiYy that thls is a true and correct representation of;a tract
land as ehown and described hereon. As prepared by me this /37" day
/YlsI?P.CN , 19?Z . '
14inn. Req. 110. 146086*
_.C=_?? /,,?c • , r
17' , -
58, ?.,. .?..
9
$.5V5, ?
?.' ?Q.."si?ry1 1k5.:1N'ai?xIi_',1 ? :'1 . .
CITY OF EAGAN
1' ? B- L??7/1?MECHANICAL PERMIT RECEIPT #? CC ??? 3
SUBD. (612) 681-4675 DATE Z-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DVVELLiNG5. ALSO, COMPLE'I'E FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PERMTTS ARE REQUIRED FOR EACFI DWELLING UNTf.
OR'NER: L ?y FM
SITE ADDRFSS•
J ? ADD ON/REMODEL (EXISTING
CONSTRUCTION ONL1) $ 15.00
AC: 0-100 M BTU 24.00
I'ir83'ALLER: nG ' ADDTI'IONAL 50 M BTU 6.00
ADDRFSS: GAS OUTLEIS - MINIMUM 1 Q $3 EA. 12 - oti
cry; ? P; ?
SIGNATU SURCHARGE:
TOTAL: $ .50
s3?'
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. A1S0 COMPI.ETE FOR
APARTMENT BUILDINGS OR OTfIER MULTI-FAMILY BUILDINGS WHEN SEPARA'I'E PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPI'ION: CONTRAGT PRICE:
196 OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PAaCFaSED PiPiHit'. - 825.00
MINIMUM FEE - $25.00 a
OVVNEg: TOTAL: $
SITE ADDRFSS:
TENANT:
SUITE #: ,. , .
IIVSTALLER:
ADDRESS:
CIT'P: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
CITY OF EACAN `
3870 PILUT KNOB ROAD
F.ACAN, 2^: 55122
YNONE: (612) 454-8100
I.Uli9ING PERliI1'
?... : .......<...:... ,. . ....?. ..:.,;
FOK CITY USE UNLY
PERHIT # J
RECEIPT M ? 4 SS/ !o
DATE: ? -?•'?' "?7?
PLEASE COtiPLETE UPPER PORTION ONLY FOR SINCLE FAMILY DAELLINCS 6
TOVNtIOMES/CONDOS WHEN PERHITS ARE REQUIRED FOR EACH UNIT.
- - -----_-___^__---------____
-------------------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME:
? c?k? a-?'d -Trc?
S1TE ADDRESS: ???q M
lAT: 11 SLOCK i SUED. -Th,"'O
INSTALLER: Matthew Daniels
ADDRESS; 15185 Carousel Way
CITY: Rosemount
yip: 55068
423-3730
? COMPLETE THE FOLLOWINC:
N0. FIXTURES EA,. TOTAL
? ADD-ON HINIMUH 15.00
bo 0
St1oWER 3.00
WATER CIASET 3.00 `) •,v V
1 BATii'TUB 3.00 3. v ?
IAVATORY 3.00 `1 0 ? 1 KITCHEN SINK 3.00 ? -O o i
I IAUNDRY TRAY 3.00 3'? v
J(L HOT TUB/SPA 3.00
WATER HEATER 3.00 '? FLAOR DRAIN 3.00 3 ?°+
CAS PIPING OUT.
? (MINIMUM - 1) 3•00
C> ROUCH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00 . '
U.G. SPRINKLER 1.00 '
SUDTOTAL s y;?. oo
?
ST. SURCHARGE .50
SICNA RE OF PERMIT'IEE TOTAL:
GOMltEItCIi(1./INI1lTSTRYP.I:?:` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS AND
HULTI-FAMILY BUILDINGS H1lEN SEPARATE PEttNITS ARE NOT REQUIRED FOR EACII
DWELLINC UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDAESS:
FEES
18 OF CONTRACT FEE. '
STATE 5liRGiiAtiGE - j.50 FOP.
EACH $1,000 OF PERMIT FEE.
lAT: BLOCK ? SUO-D. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18
ADDRESS• STATE SURCHARGE,
CITY: ZIP:
, TOTAL:
PNONE #:
(SIGNATURE)
FOR:
CI1'Y OF EACAN
$
pw?/
rAt 9 Biak ?._
suba. ?iaut"Iw cl-I
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date 7T l-0--?-' 2-?-
Receipt # C (? C b'
Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
/ adding new service, a water permit will be required, as well.
? EAsting residential: $15.50 (Plumbing permit not required if backflow preventor was
' previously installed).
Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
/
(Address to be sprinklered)
Homeowner/Plumber: Az/- J6 C!,
Phone#:
Street Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor:
Phone #: ?7 ?-J
?f /7- 9z T?` ? ?'? a
I hereby aclmowledge that I have read this application and state that the information is
conect and agr e to comply with all applicable City of Eagan Ordinances
cc: ngineering Department
------------------
? For Oflice Use ?
? I
j Permil #:
i PermilFee: o C) ?
I
? Dale Received:
I ?
I ?
I Statt: i
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/2 710 g Site Address:
Tenant:
411911 r'14//4.r0/ Trad
Suite #:
011 VL.,He I Phone: 15%2' y32 - &WO
N
RESIDENT ! OWNER ame:
Address/City/Zip: yy941 /%4116U r'qi ?Q4Ah SS/ZZ
Applicant is: _ Owner Y Contractor
TYPE OF WORK
!?ol4C'e roor-
Description ot work: 4MOdt Q r/d? r
Construction Cost: 4G Sd 0 Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: 0SS EKA/Ors License#: Z66Z?i
Address: 7S j& / th s{I" /'4111 5'5.y/1/
City: ?i?nvreVOhr7 State: )qN Zip; 65-y117
Phone: G/Z' jI 7" U414 Contact Person: Dq?rK 7hal'H9?I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category t Worksheet • New Enerqy Code Worksheel
Submitted
Category Submitled
(4 submission type) • Energy Envelope Calculations Suhmitled
In the last 72 months, has the City of Eagan issued a permit tor a similar plan based on a master plan7
_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.su6mit are considered to be public information. Portions of
the information may be classified as non-publlc if you provlde speclflc reasons that would permit !he City to
conclude that the are trade secrets.
I hereby acknowledge that this informalion is complete and accurate; thal the work will be in confarmance with the ordinances and codes of the Ciiy of
Eagan; that I understand ihis is nol a permit, but onty an applicallon tor a permiL and vrork is not to start withoul a permiC that the work will be in
accordance with ihe a?roved plan in the case ol work which requires a review and approva? lanCC
x 1?A ?!'f? rV/Mqv? x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
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