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3724 Falcon Way cremtcate of cccuwanc4 Wit4 of Wagan Te0artmeut of e i" an"edion This Certificate issued pursuant to the requirements of the Uniform Building, Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use_ For the following: SF DWG 1939 Use classification: - M-1 R-1 W& Pbuk Na Occupancy Type Zoning District 15136 --- AType X_ E OZMUN BLURS Owner of Building Address Building Address 3724 A A m =, , T FRANCIS MOODS 6TH MARCH 26,. 1993 Bwldiog idol POST IN A CONSPICUOUS PLACE - INSPECTION RECORD I Control No. 1398 CITY OF EAGAN PERMIT TYPE: Iitl I 1 1) 1 NA 3830 Pilot Knob Road Permit Number: 31) Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT x 0026 H1. Of: V - AOBAPPLICANT: ? 3?-4 FAtCON NAY OI.MtIN BLDRS INC i FRANC 1,; 1Jf711DS 6TI•I (612) 4;11-•60*0 PERMIT SUBTYPE: t I LU4 TYPE OF WORK: ME td INSPECTION TYPE t tiltI IN?, .DATE INSPTR. INSPECTION FRAM I N6 DATE INSPTR, IN1;IF1 A F I (IN FINAL rTRf PI.AfF 11I.-HARK'31 RFI:F,YN1 v W CONTRACTOR Prime pipe - - - - - - - - - - Permit No. Penult Holder Date Telephone # S/W PLUMBING HVAC I q S', ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation , Z. Framing 2'?Z Roofing 12-1293 ,S' Rough Plbg. Rough Htg. Isul. 2 -i3 ?' r? ?2 2 3 ' Fireplace Z •/6- f S ?$ Final Htg. a3 Orsat Test /Y /I Final Plbg. .?3. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final /Zfa rf Deck Ftg. Deck Final Well Pr. Disp. p9F K45250 :??y Zcr?5 a ' ,X9?7 Request Date +? -. ire No. ough-in Inspection Required? J Ready Now ill y Inspector / /2 4' es _ No when I )caned contractor ? owner hereby request inspection of above electrical work at: Job Address )Street. Box or Route N &e ) City Aj , A$ 17 Section No. Township Name or No. Range No. Coun // 1 o e - ? .¢ l a o / Occupant (PRINT) I T /`J .,-I/, Phone No. j/ -tiGG<:) Power Su r / ? L? Atltlresa <r ? r b ? as,, < h .?.t: d Electrical :g r r ICOmp Name) Contra or's License No. Mailing Au re ntranor or Owner g Installation)/ 72 P Authorize Signat o hactonOwner Making Installatiory Phone Number ' ` h x 3 - a- MI SOT 5 E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Pitons, (612) 1142-0800 ENCLOSED. K 45250 REQUEST FOR ELECTRICAL INSPECTION I? see instructions for completing this form on back of yeLlow copy. X" Below Work Covered by This Request Earn .08 New 'Add Rep. Type of Building Appliances Wired Equipment Wired rl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Other (Specify) Comm./Industrial urnace Farm it Conditioner Other (speciy) Contractor's Remarks'. Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 6;b 0 to 10 Amps Transformers Above 200 _ Amps ?- a 100 Amps Signs Inspector's Use Ony. TOTAL Irrigation Booms Special Inspection f r Alarm/Communication DE D IF NOT THIS INSTALLATION MAYy Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-en certify that the above inspection has been made. Final r oat OFFICE USE ONLY ... This request wid 18 months from Address 3774 FAI.nnN way Zip 5512 L,ot- 25 Blk 2 Sub ST FRANCIS WOODS '6TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: MARCH 26, 1993 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass t/ Trail/curb damage Porch Basement finish t/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow. - Resident Copy Pink - Contractor Copy INSPECTION RECORD I Control No. 1398 CITY OFEAGAN PERMIT TYPE: BUILnrNG 3830 Pilot Knob Road Permit Number: 001939 Eagan, Minnesota 55123 Date Issued: 12116/92 (612)681-4675 SITE ADDRESS: LOTe 0025 BL.OCKa 00(,)APPLICANT: 3724 FALCON WAY OZMUN BLORS INC ST FRANCIS WOODS 6TH f612) 431--5000 PERMIT SUBTYPE: SF DWO TYPE OF WORK: NEW INSPECTION TYPE FOOTING .WE INSPTR. INSPECTION TYPE FRAMING - - - - DATE - - - - - - -- - - - - MSPTR. INSUKATIOiN F=INAL. FIREPLACE REMARKS; RECEIPT 1$ S A W CONTRACTOR - PEINE PLNG L _CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.. I . N. r. 10--65 905--250-02 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: :3724 FALCON WAY 1,01 0025 BLOCK: 0002 `eT F[F AN(:IS WOODS 61'11 -B.uiJ.d3?ii,.q Permit Type SF DWG Building :`Work Tvps NEW UBC Occupancy R-3 M-1 ConStrLletion -T,ype V-N Ion nq Building Length 67 Building Width 66 # r- ? 4 I ? ? ? Y r 't i i to e ? " 's 1 ! k ? REMARKS: RECEIPT tli tr ` W COieITFACT0FR - P E f N E PLBG BUILDING O0 1939 12/16/92 FEE SUMMARY: case Fee P.Lan Review SurcP+arge SAC SAC SAC Unite Subtcrt.aI VALUATION $657°00 $q27. 05 652.5f0 ?700e00 1.00 1. 8S6 55 $1+75,000 MISCELLANEOUS Tocal Fee: $3,44 ...@5 CONTRACTOR: - pPTican'r: - ST, LzeOWNER: OZMUN BLORS INC 14315000 A0010A?i 07MUN 91 ORS 15136 GALAXTE AVE L5136 CALAYIE AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-5000 (612)14 31-5000 I hereby acknowledge that T have read this application and state ttiat.. the information is correct and agree to comply with all applicable state of ton Statutes and City of Eagan Ordinances, APPLICANT/PERM - E SIGNATURE ISSUE aY. SIGNA U ?^?° Control No. 1398 I PERMIT # REACTIVP,TE _ 193 4 CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATIO.r$EC i i REM DEC + 1 RGCO r o! T??& MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & 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 guest is made or lot change is re guested once permit is issued. ' _ Date & l /--t- / Valuation of work Site Address: FAA 1) W&d STREET SUITE 1 Tenant Name: (commercial only) LOT ? BLOCK SUBD * ??11 1?1U` P.I.D. # Description of work: The applicant is: 0 Owner [X Cont ctor Other (Describe) Property Name 67- ?? 1, Phone LAST FIRST Owner /I Address TREET STE K City f Va State Iv Zi p Company iiiiiiii Phone Contractor Address G{ k v License # Exp.? City State NO -- Zip _4M IbRd Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Mu' f . Processing time for sewer & water permits is two da s once rea a been approv . I hereby acknowledge that I have read aicati n and state that the information is correct and agree to comply with a appl a of Minnesota Statutes and City of r Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging &02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-N Basement sq. ft. (Allowable) v 1st Fl. sq. ft. UBC Occupancy R-3 M-I 2nd F1. sq. ft. Zoning R_I Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth ( On-site sewage APPROVALS Planning Building 17 ItI4 DS Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units Vehotim: $ IOS, 000- GAnAGt:s 32x2Z=r?04 &X12= (Z4) o x16 = Io/BoO issm -t 14 K 14 = 191. 3?(3L67_`TS ?9 X 4 z: 1323 bX3(a c ztG 2yclb= Z? ry,33?ro? ?? ISr 1993 q JT= 29, 7!95 f3 4 3 1 2.e?I K S'3 = 6 31 W) r.----- /09, S8'1 F. y j -u -? 16 Baselil'ent Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System 14915 City Water r s PRV Required Booster Pump Fire Sprinkler Census Code SAC Code o! Assessments * PIONEER eing nn®r ng r Certificate of Survey for: Ozmun Builders. Inc. House Address: Falcon Way Eagan. MN FALCON WAY 00'1 • y '7 ?.. t1 i 1 1 ,q 111.1(0 to s 10.0 f/1 fa ? r ? e m / 906 24 1f i I ?I I n{ I II 1? ? {I ao. A6.( ORWEytAy OARAOE ---J P.41 2422 Entarpriee Drive, Mendato Haight. MN 55120 612) 881-1914,F09 e81-9488 625 Highway Blolne, MN 812) 783-1 gotc.8b bt?• 0- `?5a?w y I I I 12 2e.at 1 I , PROPOSED NOUSE f+' 12 COURSE BSEMENT ""00 - A :DECK °e WALKOUT a7 K0 I o o I 14.0 , 87 N 87 '02- W ?. I I 1 ? I I 1 I i I I I I ai 25 ?I 1 If I i 4 I 1 B? 1 o Northeast aFax 783-1883 19 907 ?? c obi 9p?.3'r 69q.00 O Vl 26 D K eoo.o Denotes Existing Elevation B 90.00 8"39'" H PROPOSED HOUSE. ELEVATIQN ;cl Denotes Propoed Elevation Lowest Floor Elevation: 904.55. Denotes: Drainage & Utility Easement Top of Block Elevation:912.66 - Denotes Drainage Flow Direction -o- Denotes Monument Garage Slab Elevation: 912.33 - ta- Dcnotes ' Offset Hub Bearings shown are assumed LOT 25 , B LOCK 2 ST. FRANCIS WOO DS DAKOTA COUNTY, MINNESOTA 6TH ADD i TI 0 N I hereby cattily that this wrvev, plan of report was.. nppr??edared by Me or,,v,, rmy ream s 0n an t em duly Re9tstared Land surveyor under the laws of the State of Minnesota. Dated the-uu?ui dsy of 3 Lao,.m A.D. 1. J t. q r ri I a' 1 Inch. l ISBN DRi T i lC . rt D. NO. 14491 S $7'06'52" E 0TT' 8 ?0 D 0 D 0 D D D 13 i 0 Cd_,f) 0 FQr D D D 0 VOLJ 0 LOT BURVEY CHECKLIST FOR RESIDENTIAL Bull PROPERTY LEGAL: Date of Survey: p0 NT BT S • Registered Land Surveyor signature and company Building Permit Applicant Legal description • Address North arrow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient t. • Proposed/existing sewer and water services Street name Driveway EAistinv • Sewer service Lot corners • Top of curb at the driveway • Elevations of any existing adjacent homes Pro osed / Q 0 ? Garage floor EV D First floor [p?_?/¦ ? H' 0 - : Lowest exposed elevation (walkout/window) Property corners 0 0 Front and rear of home at the foundation PONDING AREAS (if aeolic ble) 0 Q / 0 / Easement line - D C? 0 / ? ? D ? HWL D [3 D Pond A designation u 13 Emergency overflow Elevation DIMENSIONS ?0 0 Lot lines D/ D 0 D 0 Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks , overhangs greater than 21, porches, etc. (i.e. all ? ? structures requiring permanent footings) Show all easements of record and any City utilities within 0-113 those easements D Setbacks of proposed structure and setback of adjacent existing homes D C?' ? Retaining quients, if any 4 Reviewed: October 1992 Name / D to 0ZMUN BUILDERS, INC. DESIGNERS AND BUILDERS MNLic.0001044 ME 15136GALAXIEAVENUE, APPLE VALLEY, MN 55124 (612)431-5000 "U".Computation Job Site Address Legal Description: v? I Lot.2.E? Block 2 Addition_ t I lrGtW?? 1f 'f? ?A Date AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE Main Level I. Lineal'ft of framed wall above gradeZ0l x height of wal l=_11D1 Second level Lineal ft of•framed wall above grade x height of wall Vaulted Area rr11 Lineal ft of framed wall above grade 10 x height of wall 7 _ ILI) Rim Joist Arta. 'Lineal ft of rim ?x height of rim Lower level Lineal ft of framed wall above grade_?Lxheight of wall 5 =_ .Lineal ft of framed wall above grade x height of wall = Lineal ft of masonry wall above grad x hgt:.aboVevgrgde = Total mall 'area above grade including windows and doors 4 ? ? a WINDOWS: Brand and Tvoe 6eVALD ?I?r1 (L1G??ILISPAA ih. ft. 'r x sq-ft. sq. ft. x ft SZ: ft ft _12?04s q. 11, sq. ft ft I to, 44o sq. ft sq.ft. x sq.ft. x sq.ft.x ?,GV1?-7(??7 ROK sq.ft.. bl0 x DOOR Area •x "U" value _A_$Cz 5 e. sq. ft x 8 _sq.ft sq. ft,-,? ql?.x OPAQUE WALL•CONSTRUCTION:,Area x"U" va ul e Framing members sq Framed wall sq Rim Joist Area sq Masonry wall . sq Total wall area including Windows-and-Doors Total(U) Values , Divided by total wall area a. ??67 _b. aJI???D(/ _ a. lull • 3 uUn _ :: 02H °U" ?U" _ b_11 0, l67& .. Avg." U AVERAGE "U" Minimum .11:or less for 1 & 2 family dwellings .. I?AMI{-l? M?MR ?la??? #?-VaLUE ?XTE21o? P-IR FI L N 17 ?LD11-tGa , /p? SFFEhTH I I-IGo 2.OCo 51/21 SOFT wool? !o •'8'75 I/21 b`I P• 5p ; 'feRlolz AIR FI L M ::>I w& M#7tfI HL- }GATT I NgUL vYF• v-v- .17 (Q1 2 . aCo .45 rER1012. p.l R. FI L.M ,(v0 11-JTE 1ZIOR PSI R- F I L_}-/I . Lv8 Ta•r7+. L I? ? I D? X05 uFl/rte u=. U?I1 ?I?M ED ?/p.LL EXT?rLl01? AIR FI LM -51PIMfa. . gIfaAT44I NU • I??L'I 5opr woav -m'? IusuL?•71a? 14TEIZI o1z. &I1;z F I L.m Fk'fERlor- AIIz FILM .17 IZ? G01`IGI?'1'>+ psLOGK- 2.45 I° ?oaM IµyuL,aTlo?l ?.oo A-Ir- FILM TOTaI Iz = :4) -S J" u- Viz U_. . l0"1 ?`' -? C??i..???? ?-VALUE. ?IOiz PIfZ FILM ,loi GYP ? rx 5ro E.1z I op Aq rz- pi L-M u :?-: , 11,2-1' A*- E?rE2iofz-filrz FILM 'LoI I" ?llz?ip i4&uLa*TIaN c7o 121 F ,4v, t wtPuLP"tloµ ??I GYP• f3D• `? 114-rERIV17- #-lP FILM 7o'TAL_ R.. 1-5.'"113 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 .3, 61r) WATER CLOSET 3.00 / BATH TUB 3.00 LAVATORY 3.00 h UO / KITCHEN SINK 3.00 v? LAUNDRY TRAY 3.00 ua HOT TUB/SPA 3.00 ap WATER HEATER 3.00 FLOOR DRAIN 3.00 3:-6 GAS PIPING OUTLET • mfnlmum - 3.00 y" z) ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaiLcty. ne. 15.00 U.G. SPRINKLER • nom, under const. 3.00 ALTERATIONS • to misting 15.00 WATER TURN AROUND 15.00 y3 s° CITY: STATE: / PHONE #: ( ) S^) ZIP CODE: 5 0k SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CPPY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: / 7 7 r a% vGu-? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR` TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ?-" NEW CONSTRUCTION _ ADD-ON A/C ADD-ON FURNACE DATE 13 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 $ 15.00 .50 a 33 ?-- SITE OWNER TELEPHONE #: ?x a / ?5 7?? CITY: STATE: ZIP CODE: TELEPHONE #: 5-3 SIGNATURE OF PERMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 LOT 0BLOCK SUBDI J/Wtct*-o ?C RECEIPT # ZI7//7 & DATE 8?2/ L-;'- CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Application Date: F-11-13 Commercial project Pi- ?5'D/ Residential project (sprinkler systems for development projects) X Existing residence Area/address to be sprinklered: Installer: Street address: / / S( - City, state & zip: Telephone #: 31?- q ,-a lce. W< Gallons per minute/commercial only rr A4 ? d Owner name: Street address: /?may Fdkl"' W= f City, state & zip: -s •-- S-r7 Phone #: Vfa- 97t j Irrigation contractor, if different: U. 0 4.c a.c? 0 14""Wa.c wDnlcr Phone #• ?f-d nib I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. Signature of Permittee New service required A)0 Sl Fee due: $ ?s Calculated il-7-fV /&? CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. A plan must be submitted to the City's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City will only install taps up to I"). b. Residential project: $ 15.50 underground sprinkler permit. $ 50.50 water permit, fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existin¢ residence: $15.50 underground sprinkler permit - (fee not required if backflow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility Billing Clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for. water turn-on and set and sea] of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. RONALD L. SNELLING JOSEPH J. CHRISTENSEN THOMAS A. BRIANT ROBERT P. LAUE JOHN A. MURRAY SNELLING, GHRISTENSEN, BRIANT & LADE, P. A. ATTORNEYS AT LAW SUITE 400 5101 VERNON AVENUE SOUTH MINNEAPOLIS. MINNESOTA 55436 TELEPHONE 16121 927-8855 April 5, 1993 Ormun Builders, Inc. 15136 Galaxie Avenue Apple Valley, MN 55124 OF COUNSEL WALTER C. GUSTAFSON FACSIMILE 16121 927-5427 RE: St. Francis Wood 6th Addition/Street Landscape Islands Maintenance Dear Ormun Builders, Inc.: Our offices represent Richard Land Associates which was the developer of the St. Francis Wood 6th Addition subdivision. As a lot owner in that subdivision, you are probably aware of the "street islands" located in the culdesacs on Blue Heron Court, Bald Eagle Court and Falcon Way. These islands enhance the attractiveness of your neighborhood and each lot owner benefits from these landscaped areas directly and indirectly. Although the landscaped street islands require very little maintenance, the City of Eagan has required that a plan be formulated to provide for the maintenance of the landscaping in the street islands on an ongoing basis and expects the lot owners in the subdivision to join in and support this effort. To this end, we have drafted a Declaration of Covenants for Maintenance and Repair of Landscaping which has been signed by Richard Land Associates with respect to the eleven lots in the subdivision which Richard Land continues to own. The Declaration also contemplates additional owners in the subdivision joining in the covenants by signing a separate Consent. A copy of both the Declaration of Covenants by Richard Land and the Consent to the Covenants for the other lot owners is enclosed for your review. It is anticipated that the cost of maintaining all three street islands will not be more than $300.00 to $500.00 in total annually for the next several years. This would result in a cost to each lot owner of approximately $10.00 to $15.00 per year with all lots participating. If areas are not properly maintained, the city does have the right to remove landscaping in islands. By becoming involved, other lot owners can assure themselves that the islands will continue to be an amenity to their neighborhood and not become a detriment. Please review the enclosed documents and let me know if you or your legal counsel has any questions. If not, please have the enclosed Consent to Declaration of Covenants for Maintenance and April 5, 1993 Page 2 Repair of Landscaping signed by each owner of the lot and spouse, if any, in the space indicated by the red "x". Please also have the Consent notarized with the notary completing the acknowledgement and signing in the space indicated by the blue 11x" in the area provided for that purpose below your signature area. The notary should place the notarial seal in the area to the left of the notary's signature line. Once the Consent has been signed and notarized, please return it to me in the return addressed envelope enclosed and I will see that it is recorded with the Dakota County Recorder. We look forward to hearing from you in the near future. Very truly yours, SNELLING, CHRISTENSEN, BRIANT & LADE, P.A. Joseph J. Christensen Attorney at Law JJC/bc Encl. cc Thomas Colbert, Director of Public Works, City of Eagan J. Donald Giefer, Richard Land Associates CONSENT TO DECLARATION OF COVENANTS FOR MAINTENAINCE AND REPAIR OF LANDSCAPING The undersigned, being the Owner(s) of the following described property: Lot 25, Block 2, St. Francis Wood 6th Addition, according to the plat thereof on file or of record in the office of the Dakota County Recorder (the "Lot") hereby consents to that certain Declaration of Covenants for Maintenance and Repair of Landscaping executed on behalf of Richard Land Associates dated the 8th day of March, 1993, and filed on the 16th day of March, 1993, in the office of the Dakota County Recorder as Document No. 1107468 (the "Declaration"). The undersigned also hereby agrees that all of the terms and conditions of the Declaration shall be binding upon the Lot from and after the date this consent is recorded in the office of the Dakota County Recorder. Dated this day of OWNER(S): Ormun Builders, Inc. Its STATE OF MINNESOTA) )ss COUNTY OF ) 1993. The foregoing instrument was acknowledged before me, a notary public, this day of 1993, by the of Ormun Builders, Inc., a under the laws of the State of on behalf of said Notary Public THIS INSTRUMENT WAS PREPARED BY: Snelling, Christensen, Briant & Laue, P.A. 5101 Vernon Avenue South, Suite 400 Edina, Minnesota 55436 a I. 2. 3. 4 5 6 Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other Method of Installation or Construction Work to start on or after: 8 //-57 and shall be completed by: unless an extension granted to: by: DATE STAFF/DATE Will detouring of traffic be necessary?,I?p If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT 0rvOkRU'a. -0 W rf?tu yck3 PHONE $5S -?ui(6 PLEASE PRINT 593 3 ADDRESS to3L.2'VSVf?c47 STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING CONTACT PERSON: /VJ?k ADDRESS A A.,. /a-4A- t,f- AOEAAA.. '3 wRr^?2wo.yty ERG ENCY (24 HR.) PHONE #:. dF5S-du r? ) 3 O -17 DAY PHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: Title: A, r3 DATE: -N 97 --------------------------------------------------------------------------------------------- FOR CITY USE ONLY FINANCIAL SECURITY: _ TYPE: (Cash,bond,LOC,etc.) Fee: $?/ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: AUTHORIZATION OF PERMIT AMOUNT: 11 OF PUBLIC WORKS 9 C(_ ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ?ELMPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPOD TO THE EAGAN CITY ENGINEER. CITY OF EAGAN Page 1 of 5 PERMIT TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS Permit No. Page 2 of 5 PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do.so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of.the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, workmanship or non-compliance with City Standards or specifications. Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does-not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to. unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of. 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: SIGNED: Revised 5/93 LTS#I-PERMIT.FM Y PAGE 5 OF 5 PROPERTY LINE TRAILWAY SAME AS REMOVED (3" MINIMUM) SAME AS REMOVED (6" MINIMUM) 1. Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May 1st and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100%, crushed aggregate base. 6. Roadway closures in accordance with Appendix B - Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in 06 above. 8. Backf ill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. city of eagan STREET AND BITUMINOUS TRAK*AY approved : standard plate PUBLIC EXCAVATION/PATCH DETAIL 5/93 P-1 WORKS DEPARTMEN TRAFFIC CONTROL REQUIREMENTS L CITY OF EAGAN Page 1 of S PERMIT TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS 1. Location 3'72-`( /calcc? VJ24 2. Nature of Work S??.n Ek $?sk, 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk. Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other 4. Method of Installation or Construction 5. Work to start on or after: 8 //-5 ) and shall be completed by: e"tz "-3 unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? ND If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 ours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT U,v04a4,fj?No W4TkA K-k-5 PHONE $5f-?vib PLEASE PRINT ADDRESS ?3?c M f- ?t 2 ?s? ?c4 /vy/ S3^3 37 STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK 14-. OAAAA- ...o ? ArA• wx,y,3 CONTACT PERSON: -Vv?-k EMERGENCY (24 HR.) PHONE # gP41F d?/x ADDRESS /?o 13.x to-; ,.. tc nn? . 7 DAYPHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: Title: //r3 DATE: --------------------------------------------------------------------------------------------- FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash,bond,LOC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby' stated: OF PUBLIC WORKS ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON PECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPO TO THE EAGAN CITY ENGINEER. I Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to, unnecessarily impede the safe and efficient use of trailways by the general public. PAGE 5 OF 5 PROPERTY LINE I I SAME AS REMOVED (3" MINIMUM) SAME AS REMOVED (6" MINIMUM) TRAILWAY 1. Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall- be paved between May 1st and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B - Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. 8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. city of eagan STREET AND BITUMINOUSTRA.ILWAY approved: platloaru plate # PUBLIC EXCAVATION/PATCH DETAIL WORKS 5/93 r ;: PARTkAFN TRAFFIC CONTROL REQUIREMENTS P-1 i73Z, a/ RESIDENTIALBUILDINGs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (200% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegascq mechanical ventilation form RemodebReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system ?a Office Use only Cart of Survey Recd '_Y_N Tree Pres Plan Recd _Y'_N. Tree Pres Required _Y -_N On-site Septic System _Y _N Date 0 $ l.3LY 106 Construction Cos[ / ! / JI O 6 Site Address -3 X02 4 .& 1/GO d t i l / V Unit/ste # Description of Work I `EA Da fG Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner ??JJ /(O / f Telephone # (?:q ) ?SeJ-8900 Contractor wrs T,n , c j Address '72,90-13 > X City ??/ -? l ?mO r?f1 /? l State /T?4/44111,4 j? Zip 5S 6a 3 Telephone # (X3) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categga I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: 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 requires a review and approval of plans. Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA104955 tit~ Date Issued: 06/18/2012 of QR Permit Category: ePermit E Site Address: 3724 Falcon Way Lot: 25 Block: 2 Addition: St Francis Wood 6th PID: 10-65905-02-250 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,600.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen Mark D Reed 1920 County Road C West 3724 Falcon Way Roseville MN 55113 Eagan MN 55123 (651) 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 City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119150 Date Issued:11/18/2013 Permit Category:ePermit Site Address: 3724 Falcon Way Lot:25 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-250 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark D Reed 3724 Falcon Way Eagan MN 55123 Cedar Valley Exteriors Inc 3369 Coon Rapids Blvd Coon Rapids MN 55433 (763) 755-2221 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink � r-----------------� I For Office Use I � � Permit#:�C.> �� I � '�7 I Clty of �ao�� , . /, , 1� Permit Fee: l.� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 , I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� Site Address: ,�7'L�7 f'��N w a�' Unit#• Name: /�� 't�� p Phone:�p�1""zr� �67L— = Address�city�zip: J� 7 Z Y l�� o�t1 Gt1�� [—�4��N S�J�jz � Applicant is: Owner �Contractor Description of work: ��p r�-� �✓��E �� Construction Cost��G 7 �� tilulti-Family Building:(Yes /No� Company: �c� C � /�'�� -Contact: S�et� �ro�� '' � � : �; Address:_��'�� d�� 1Q l/� �p . _City: �Q 6 S . r �" State:�/f Zip: �✓ �Z� Phone:��=�cf�`��E:m�aiL License#: �.;3 0 3 ��. Lead CertificatE:#: �!µ!-7 z 3?3 �) If the project is exempt from lead certification, please explain why: (see P�age 3 for additional information) �� COMPLETE THIS AREA ONLY IF CONSTRUCTIING 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: ; CALL BEFORE YOU DIG. Cail Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. �nvv.aooherstateonecall.orq t hereby acknowledge that this information is complete and accurate;that the work will be in�:onformance with the ordinances and codes of the Gity of Eagan; that I understand this is not a permit, but only an application for a permit, and worF; is not to start without a permit; that the work wiil be in accordance with the approved pian in the case of work which requires a review and approval of plans. Exterior work authorized by a buiiding pertnit issued in accordance with the Minnesota;>tate Building Code must be complsted wlthin 180 days of permit issuance. � X S ✓e �r�G,�a � � :��= - -z—.��. , X � ApplicanYs Printed Name �— Applicant's Signature Page 1 of 3