3650 Knoll Ridge DrCITY OF EAGAN
3795 NW Kneb Road Eeqan, MN 55122
PHONE: I5I4100
BUILDING PERMIT Receipt .#
To be awd fer Esf. Volue Date ?
19
Site Address Ercct [] Occuponry
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Firc Zone
Enlorya ? Type of Const.
W Name Move
Stories
; Address Demolish p Length
U
Ci phone
Grade p
Depth Sq. Ft.-
p Name Approvols Faes
?
Addreu Assessment Permit
?
~ Cit Phone ' Woter d Sew. Surcharqe
G? Police Plan check
FZ Ncme Firo SAC
53 Address Enp. Water Conn.
iW Ci phone Plonner WoterMeter
Council Road Unir
I hereby acknowladge that I have read this opplicotion and stare that gldg. Off.
the informotion is Correct and ogree to tomply with oll applitable
Stote of Minnewta Statutes and City of Eugan Ordinances. APC Totol
SipnMure of Permittee
A Buildinq Permit Is issued M: on the exprcss condition thnt
all work sholl be done in xcordance with oll opplicable State of Minnewto Stotutes cnd City of Eapan Ordinances.
Buildinp Offlciol
Permit No. Permit Holder Misa Permit No. Holder
Plumbing
H.V.A.C.
Wall
Watar
Disp.
Sewar
ENctrie oV4 ? ' ve `?
WZOiO(oS M4?IE.beed? ?<. 4`z- Z
Inspeetion Date Insp. Other
Footings ? ? .
Foundation
Freming
Rouph Pikq.
Rouph HVAC
Inwlation
Finel Pibp.
Finel HVAC
Final vzel
W??
P Dsaeriba Loution:
Well
Sevuar
Pr. D'ap.
.
-.- _. ----- ?------
INSPECTION RECORD ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: t;(6
f (612) 681-4675
i t nl ! ct ,,:?cfxr?3 y? +?1 c+?
I SITE ADDRESS: APPLICANT:
?• ?,?,, ? ?. , ?;?,? e?r? . , ?.. ;?; 4t l.l??li V li lJ iS? kF • l e?? 1.' ) ?t'att ,.'!,ts
PERMIT SUBTYPE: TYPE OF WORK:
N: w
,.
Permlt No. Parmk Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
Fi00FING
ROUGH
PLUMSING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?
DECKFINAL 6_q_
J d
? -T INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
HUllelthtr
029248
{ 1 I'! S) J
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• ON TYPE D•
-- --
Permit No. - Permlt Halder Date Telephone 8
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST K lf 7 ?( ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition R1dgE View Acres Loc 3 eik 1 Parcel 10 64000 030 Ol
Owner V641•. t •, ?' Street 3650?vno}??idge DiHVe State EBgan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 3 75 1387.81 138.78 1
STfiEET RESTOR.
GRADING
?JOSAN SEW TRUNK 1968 100. 00 .33 30
36*SEWER LATERAL
.95
115.80 2
WATERMAIN
*WATER LATERAL 1972 ZO
WATER AREA
STORM SEW TRK 7 1983 A7,40 15
STORMSEWLAT 1978 $$0.77 8$.07 10
CURB & GUTTER
SiDEWALK
STREET LIGHT
WATER CONN. $300.00 6228 8-8-72
9UILOING PER. 1 4-75
sr,c 260.00 28
- '
PARK
RMA HOME SERVICES INC. RESIDgNTfAL ?
xome Depot Installea sales DING PERMIT APPLICATION ?j
3200 Cobb Galleria Pkwy., Ste. #200 CITY OF EACAN
Atlanta, GA 30339 ??' 2 C'
' 763-542-8826 ? ?,y 383G PILOT KNOB RD • 55122
sC-20268257 651-681•4675
New Construction Reauirements RemodeVReoair ReaWrements
• 3 regislered site surveys showing sq. ft. of IW, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot croverage allowed) . 1 set of Energy Calculations for heated addiUons
• 2 copies of plan showing beam & window sizes; poured (ound design, etc.) . 1 site survey for enterior additions & decks
• 1 set of Energy Calwlations
• 3 copies of Tree Preservation Plan i( lot platted after 711/93
• Rim Jast Detail Options selection sheet (bldgs with 3 or less unils)
DATE It 'f?3041.O) VALUATION (EXCLUDING LAND) ce*"
JOB SITE ADDRESS 3EoSb X.rn11 i+d"
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER +-48?Q" i L1.N4.?Cvr,
TYPE OF WORK QW?O.R.Q l?Abp 'Opot 6A? VfIREPLACE(S) _0 _7 _2 _3
APPLICANT ?.Uti;544rvac9aJ?n;nr?PHONE# 95a'3q5'-(o(iU1
ADDRE55 ZIPCODE SS'`19-6
PAGER #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted 00
- Energy Envelope Calculations Submitted ?i N
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes
Mechanical Contractor:
Vlechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicanf4' "
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE #
Water Softener
, Water Heater _
_ No. of Baths
_ Phone #:
La.wn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Updated 1lOt
OFFICc USt ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration El '37 Demolish (Bidg)* O 43 Reroof ? 46 ° UrYindows/Ddors
? 34 Replacement `Demolition (Entire Bldg 9nly),Give PCA handout W appl icant ..
Valuation
Census Code
SAC Units .
Nbr. of Units
Nbr. of Bldgs Type of Const
, n .
Occupancy
Zoning
Stories
• Sq. Ft. '
Length
Width
MC/ES System
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Jther
Total
Cit
y Water ,
Booster Pump
PRV '
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
HVAC
Building Inspector
EAGAN TOWNSHIP
UILDING PERMIT
Owner ?
?-^ X406--° --• ?•-°-
Address (Preseni) .... ?.t•,_.1.._I•••-----°a - -? !
Buildez ._...-°--°??---...................................................
Addresa ....................................... -...................................... ..°-°--.......
DESCRIPTION
11T° 2'703
Eagan Township
'Iowit Hsll
De:a * ....Y;;,, ..l.1?..7.../
5lories To Be Used For Fron!
2i DepYh Heigh!
7 Est. Cos!
3?; yBo` Pezmit Fe
? Aemarks
,
or
6 5?0
/
This permit does nol auiharise the usd of streets, roads, alleys or sidewalks nor does it dive the ownes or his agea!
the xigh! !o oreale anp siiuaiion which is a nuisance or which presents a hazard !o the health, safety, convenienee and
genesal welfare to anpone is? the community.
THIS PERMIT MUST BE KEPT PR MISE WHILE THE WORK IS IN PRO? E/SS.
This is to certify, ihet.?,tt:t:!?t. ..... .L_........ haspermisaion !o erect a4;Y.i.,?. .......... _upoa
!he ebove described premis ubjec! to the provisioas of the Suildi ' ance for aga aship adopted April 11.
1955.
.••-•-l ••......... ...u?...L Per .... ..
•••••.........••• ................ ... ...°° •--.xav v.C . s'??y??..:?.._.......:.....-••••..............
Chairman of Tnwn Boa:d Building Inapecfor
f
LOCATION
I??
? s
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy calculations.
Zb Be Used For }?oo? 4r- )?,a dtL` ? Valuation erO? Q Oc) Date 7' Z(o-'X'i
Site Address : kn o Il A-c,
ccD-
,
`
a OFFICE USE ONLY
Lot ? slocx ? sec./sub. J2 l ? v?
?O'Er
e
t
_ occupancy sf?3
Parcel #: lp (oq6C70 p30 Alter Zoning
Repair Fire Zone
Rvner:
?
E? ? ge
) D ?
2 E D Const.
?o
n ?4 t i a ?
e 1e
Address : 3L50 ieTrolish Front i? ft.
i
i
d
E Grade Depth ft.
C
ty/Z
P Co
e:
A4. 4ni
Phone #: 4y? SI -/ I9 V APPROUAL.S FEES
Contractor :?b N A Lv -P'qL. M E^I Assessments Permit 8IC9
Address: X5'?20 A LB 4 AU AL)E . water/sEVaer Surcharge y
' ,
Police Plan Check
City/Zip Code: si .
PA <-IC. Fire SAC
Phone #: [o?? j13 Eng.
7
? Water Conn.
,
planner Water Meter
Arch./Eng.: Council Road Unit
- Bldg. Off.
Address: APC
City/Zip Code:
Phone #: TOTAL
? 7/
C@? /
CITY OF EAGAN
14 3795 Pllof Knob Raad Eagan, MN 551"
PHONE: 454-8100
BUILDING PERMIT
Receipt
N° 7413
Te bs owd 1or pOOL & FENCE Est. Value $8t 000 Date July 29 1 q 82
Site Address _ 365o Knoll Ridcre Drive Erect }p? Occupancy R-3
Lot 3 Block 1 Sec/Sub. PddgB View ACres Alrer ? Zoning R-1
Porcel # 10 64000 030 Ol Repalr ? Fire Zone NA
V
Eniarge ? Type of Const.
W Name Roaer Frediund ?ve ? # Stories
z
Address 3650 Knoll RidcTe Drive
pem,t;st,
?
18
Length
c; Eaaan 55122 pE1O1e 454-1194 Grade ? Depth 36 Sq. Ft._
CX Ronald Palmen ADprorola Fees
p Nome
Addreu 1520 A1bAAy V[pfl AVe. Assessment -
CitSt. Paul 55106 Phone 646-7375 Woter 8 Sew.
? _. Police
Name _
Addreu
I hereby ocknowledge that I have read this applicotion ond stote thot
the in(ormotion is correct and ogree to comply wlth all applicable
Stote of Minnesota Sfatutes ond City of Eagan Ordinonces.
Signature of Permittee
A Building Pertnit is issued to: Roi
oll work sholl be done in accordance with oll
Fire
Eng.
Planner _
Cauncil _
Bldg. Off. _
APC
Permit 6H.50
Surcharge 4.00
Plon check
SAC
Water Conn,
Woter Meter
Road Unit
Total $27-50_
on the express wnditlon thnt
of Minnesotc Stmutes and City of Eagan Ordirwnces.
Building Officiot
20
os RESIDENTIAL PLUMBBNG PERnnir apPUCaTiorv
CITY OF EAGAN
3830 P1L0T KNOB ROAD, EAGAN MN 55122
aa4 _G'7c_49'79
Please complete for modifications to existing residential dwellings.
V-7F?
i
DEC 12 2006
Date /Z 1 y 106
Site Street Address Cindy Welch Unit #
3650 Knall Ridge Drive
Property Owner Eagan, M N 55122 yOS = 0 f5/f
Telephone # ((,S/ )
Contractor NQr btuyn PULrY1 ( 1'Z q Telephone #((nly)
Address 2q05 Ejar'-fle(.d tl-v. 50. city YYt ats 5tate M f1J 2ipr'l'09
7he Appficant is: , Owner V Contractor _Other
Septic System ? New _ Refurbished Submit 2 sets of plans anii MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
rAlteratians to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes installation of a wa2er softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener !' Water lieater $ 15.00
?
_ new
replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
5tate Surcharge $ .50
t
Total $
I hereby apply for a Residential Plumbing Permit and acknowledg;: that the informatfon is complete and aCCUrate; that the
work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a pe mit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is req??d to be,;pviewed and approved.
jeff-r-eV L,. Pjor,?lo,-n,
Appficant's Prin d Name p
licanPs Signature
4 -
RESIDENTIAL
BUILDINC PERMIT APPlICATION
cinr oF Ea?caN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstrucfion Reauiremenb
• 3 registered site surveys showirg sq. ft. of lot, sq. fl, of hause; and alt roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window s¢es; poured tound design, etc.)
• 1 set of Energy Caiculatians
• 3 copies ot Tree Preservation Plan i( lot platted aRer 711l93
• Rim Joist Detail Options seleclion sheet (bMgs with 3 or less units)
DATE IA . ID . (J?
??-
RemodeURenair Reau(rements
. 2 capies of plan
• 1 set of Energy Calculafions for heated additions
• 1 site survey tor exterior addiGons 8 decks
• Indirate if home served by septic system for add'Aions
VALUATION 4?s, g/ o Oa
155ID13:1!
SITE ADDRESS J4'? ?.( l? 11111U? MULTI-FAMILY BLDG Y N
TYPE OE WORK_ ?,Q L. A?J OG?-S I ?I ? ? d?1?-? ?
?-
APP CANT
STREETADDRESS SjASf1N1?DIfYA CITY STATE ZIP
TELEPHONE #
Ph. 3?q?9Fax952_935-9544 PAX #
PROPERTYOWNER h• LO(,I.b? . L? I?S1X.?(ll TELEPHONE#
T
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitted
. Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone # --
?rrFee:)i
?I
D?C ? , 2002 Il ?
Phone # I
I hereby acknowledge that I have read this application, state that the inform
with all applicable State of Minnesota Statutes and City of Eagan Ordinanq
Signature of Applicant
-?- .--?.?--•
in is co ect, and agree to comply
Vv,v5
OFFICE USE ONLY
? Water Softener _
Water Hea.ter ?
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 42-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) '? 36 Multi
CI 05 03-plex - ? 11 10-plex ? 19 Lower Level ., O 24 Storm Damage
O 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish {Bldg)• ? 43 Reroof ? 46 ' WindowslDoors
? 34 Replacement tDemolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water.
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. "014 AUXuA A????WJV
?
,
G;
rifta
Nbr. of Bldgs Length Ge Sprinklered
?
?..
?,
TypeofConst Width ?Nk". „,y;,y,., ,,,•;°'_,??
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test ^ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
-
- Approved By , Building lnspector
---- _
Base Fee ---------------------------------------- ----------------------------- ----------------
? ---___
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Permit # -?!?
Receipt Date:
C" 3 `+,19-0 1
CITY OF EACAN
SEWER/WATER REPAIR OR DISCONNECT PERMIT
2002
Date ?- 2-0 ' d Z.
Address/area to be repaired
Description
Sewer Water
Fee: $50.50
Owner: ? et,; Telephone: j; ri - ? o S- .- 4 cF S--
StreetAddress: ?C"p /vC6z o!`,ea? R_ ZipCode:
Installer: Telephone:
(area code)
Address: P (o • 6 (0? -2:),) 1
City
rnI--j
Zip Code:
S??b 3?
, ?
Ai ermittee
JUN-07-2001 15:43 FROM-RMA HOME DEPOT AHS - '? *• 763542822T T-928 P-001/001 F-766
g.,g1VIi'I'EYY) POWER OF AT'TORA]'EY
coutqry oF NEijsj ? p&')
STATE OF MINNE50TA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, Todd Daniel Lewis, a resident of QAM.'>& Y County,
Minnesota ("Principal"), and a licensed contraccor of RNir1 Home Services, Inc.,
DBA Home Depot Instalied Sales locased at 646 Mendelssohn Aveaue North, Golden
Valley, AM 55427, having a license number of BC- 20268257, do hereby appoint,
name and constitute Elder-Jones Buildtng Permit Service, Ine. ("Agent") as my true
and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and
in my name, place and stead the power to execuce, acknvwledge, sign and deliver (in
such form as may be required by the municipality) a permit application, or any other
inscrument(s) whieh may be necessary and appropriate, in order to obtain che proper
permit(s) from the Cicy of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conve7?ed to the Agent by this lLimited Power of Aixomey are
limited soleIy to the express powers delineated herein and apply sotely to the Work.
This Limited Power of Artorney shall expire and automaticatly be revoked on the
day ofa?YU, 2002, which date is one year from che exeeution hereof. Furcher,
the powers conveyed by this Limited Power of Attorney may be revoked by Priacipal
at any time by express revocation and sh211 also be revoked by the Principal's death,
disabiIity, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attomey is executed this
daY of 1?a e_ , 2001.
Todd Daniel Lewis
?WORN TO AND SUBSCRIBED BEFORE ME by Todd Dfsniel T..ewis on
?
Chis day of ,?i hl n , 20,?,,.
¦ • .?w
y ub ic in foc e State of Miruleso BUFi'I'ON T. BROWN
HOTAfiY fUBUGMINNES07A
My Commissioa Expires:
I `IRAP%P AP NAA0AA4AAAA&VW0d urawd
4
796815.v3
Received Time Jun. 7, 2:56PM
GI7V QF EAGAN
CASHIER: tg TEfiMTNAL NOe 32
L+A7Ee 04l30l97 TIMEs 14a35e13
I04
NAME: D & A RllTLLiEh'S
320 3001 3650 F:idOGl_ RDG 50.(]0
2155 5001. 3650 i;NOLL. RDG 0.50
3430 9001 3650 Y+NOI..L RDG 0.25
!
To+a:l Receip+, pp,nurNt: 50.75
CfiD7286.-;
t1SE"F l:D: 1pN.
??%?X%c?XY,cX? %c?kX?%?Xc%csk%c?XX??Xc?F ?k?k?c%?%tmXc?%?X%??kXc?%?kXsX??k?C?c
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3550 KNQLL RIpGE DR
L07: 3 BLOCK: 1
ftIqGE VIEI;J ACftE5
P.I.N.: 10-64000-030-01
BUILDING
829871
0A/30/97
DESCRIPTION:
ermit Type DECh
ia?,?,k 7 yp e N E W
434 AL7. RESIpENTIAL
,<<
???rAx ra
?,
? ,? 8?.. .
9
L? ? ?* "?t 5
a " ??' ? -»- x??t
t
REMARKS:
FEE SUMMARY:
8ase Fee $50.00 COPY .25
Surcharge ,6fd Total Fee $50.75
subtotar $50.50
CONTRACTOR: - App 1 i c a n t- s T. LIC OWNER:
0F& A BLDRS 15982258 2000767 WQLSH l0U
11095 KENDRR WAY 3650 KNDLI. RTDGE DR
LAKEVILLE MN 55044 EAGAN MN
(N12) 898-2258 (612)405-0845
A ?' . ry . '. SIZ3A k£k` CMFV NMP, L(ti-{'n s+'" >?"
{ai r
? o P'^ .?s r .? t uk mG, ?si?xi t5v s?" ena..a?F i e u v? ?« ? d t i ' S
b
y ????n=?,????;?? ?????p ?@???a?? ????????.?xh???°?_?????????? ?????'????.,?
?informstion J?'??
'Kfi?7 .£ JW'41tiS4.Z?ttl63 f?i3A'li"44 ?giN£i
' ?+, 9?$ W rN
-
. ,?
?.5,,..i?`?re?.'??`'..?..??? a?wAt?,..bm
-
APPLICAN ERMITEE SIGNATURE ` ISUED BY:? StGNATWRE V
?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
.
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681?4675
New Construetion Reauirements RemodeUReoeir Reauirements
H-1
? 3 registered site surveys 4 2 coP1B5 of Plan I(
• 2 wpies of plans (inGude beam & window sizes; poured fid. deagn; etc.) ? 2 site surveys (exterior addftfons & dedcs)
? 7 energy cakulat'wns ? 1 energy calculations for heated additions
• 3 copies of tree preservetion plan 'rf lot platted after 711193
required: _Yes _ No •
DATE:
DESCRIPTION OF WORK:
STREETADDRESS:
OT ? BLOCK CONSTRUCTION COST:
2_ 6 S O 4:LL
? SUBD./P.I.D. #:
PROPERTY Name: WCfi? Phone #: ?? OLYS
OWNER
?
Street Address:
2
o
City: State: Zip: ? s? Z 2
CONTRACTOR Company: ?i Phone #:
Street Address: 4!4 `L' S'? f(?-cJ? * (i(f?yy License #: 12-000 26
„
01- ? 9.?V
~ ? ?
`
4
1`
city:_ State: ?- Zip: 5
s
f
1
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Stree; Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the info ation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ? .
Signature of Applicant: \
C IVED
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
v
7ree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
r?. I
, -
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-piex
0 03 SF Addition n 08 8-plex
? 04 SF Porch o 09 92-plex
? 05 SF Misc. n 10 _-plex
WORK TYPE
t 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuaf)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
? 14 Fireplace o
1s? 15 Deck
/'
0 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump ?
Census Code.
SAC Code
Census Bldg _?
Census Unit
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City S,a:C
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other ?
Copies ?
r
Total: . .
,
Valuation: $
% SAC
SAC Units
C CYp??,
?-
vr
0
?
z
,
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I ., .
EAGFN TOWNSHIP
3795 Pilot Knob Roud
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date• August 8, 1972
Billing Name: Evard Best
Number: 928 13-1 jetdkV
Site Address;3650 Knollridge Drive
Owner: same Silling Address
Plumber• Weierke Trenching & Excavating
Location of Connection
NO iTotel Chg.
By:
Weierke Benching & Fxcavating
Building is a:
Residence xx
Multiple ho. Units
Commercial
Industrial
Other
Connection
M-3 8/8/72
Meter NoPermit Fee 10.00 pd 8/8/72
P /0'/72 s/c
Meter Reading ,Meter Dep.
MeCer Sealed: Yes_ lAdd'1 Chg.
Inspected by
Date
Remarks;
&y:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Couaty, Minnesota.
Please notify the above office when ready for inspection and connection.
? ..
EAGLjN TOWNSHIP
3795 Pilot Knob Road
St. Paul, MinnesoCa 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: August 8, 1972 NUMggg 1090
OWNER: Evard Best Address 3650 Knollridge Drive q?'??11? \
?
PLUMBEATeierke Trenching & ExcavatirfgypE OF PIPE Heav,y Cast Iron
DESCRIPTION OF BUILDING
Industriall Commerciall Residential , Multiple DwelliagI No, of uniCs
Permit Fee 10.00 d 8/8/72
`8'j$T2 s c
Street Repairs
Location of Connections:
Connection Charge 260.00 pd 8/8/72
Total
Iaspected by:
DaCe
Remarks•
By
Chief InspecCor
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tormship, Dakota County, Minneaota
By
Weierke Trenching & Excavating
Please aotify when ready for inspection and connection and before any porrion
oP the work is covered.
? -
RECORD OF COMPLAINT
Date ?2 `//?,/- ?, "
Complaint taken by G
Type of building -7
Name
v
Address 36 SO
I.egal description
Phone number
Complaint
?
?t--GL 1 ? /.?CP ` .
, j
??f?./?7?"rd:GY/'a`_?6?-?' - C?-?`y?h?v..?n-Cr ?c.t.:?--•, .,i.?icO`?Y?:?i ??
Action taken
i2ee`. ?le-Gv-k d?C
Comments
F
_1 ?,6/1?
r Lcs?1 ?v/3 C%'?CY (,v Lw ?1 ? !26 ?
-?
Signature
??,?? J-? c1d-c--?1? ?u 1?-Gcd/ h?Lcfe YQ-?DdTflY. .
r
3 lU ,9s LYr P
? ? -
BUII.DING COMPLAINT GUIDELINES
• When a complaint is received, get the address, name, phone number, and a general idea
of what the problem is.
• Always have two City employees present to (1) verify the conversations, (2) offef
additional opinions, and (3) lend credibiliry.
• Get 'both sides" of the story if there is a conflict.
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies or departments (ie. Dakota County Human Services, 431-2424;
police department; fire department), if necessary.
• Pro«de hand-out materials if they are available.
• Maintain a record of inspections and conversations on a City complaint form.
???
?0?? _6&
L ?1? pmoi-
?_ ?
?
9 LOCATION
MASTER CARD
.
?:WJ2?
OWNER rZ .
LAND SED AS 6? 4IitX ZS/
Permit
BUILDING
PLUMBING
-
CESSPOOL - SEPTIC TANK '
No.
?
'D
??
Issued
---
J I??'?!
--
-- Issued To
Contractor Owner
S •
- ,
WELL
ELECTRICAL I
HEATING '
GAS INS7ALLING
?
----
SANITARY SEWER
OTHER 017
I
OTHER I
• -
Items Approved
(initial) I
Date
=00TING
FOUNDATION -
I?
6 ?d ^
FRAMING 7 jZ•Y0
FINAL
ELECTRICAL
HE4TING
GAS INSTALLATION I
I
SEPTIC TANK I
CESSPOOL ;
DRAINFIELD
PLUMBING !J_?"? ?2 Za ? 7
WELL - I
SANITARY SEWER I
Remarks Disrance From Well
SEPTIC _
CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
-x -
?- -
COMMENTS:
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO. COMPLY.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
DATE OF REINSPECTION
Li
REINSPECTION REVEALED
CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions oL•served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING WSPECTOR
COMMENTS:
DATE
w
cOZOD 23
14•00 +
14•00 +
28•00 ?
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Scafe,
(-S iYPe-&
PERMIT
~ C Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
cRL 0 q9
PERMIT TYPE: s uILo x NG
Permit Number. 029248
Date Issued: 11 J 19 j 9 6
SITE ADDRESS:
3650 KNOLL RTDGE C}R
LOT: 3 SLOCK; 1
RIDGE VIEW ACRES
P.I,N.: 10-64000-030-01
DESCRIPTION:
(TWO GAS INSERTS)
Permit Type FIREPLACE
?rk Type ALTERATTON
d''eh?? 434 ALT. RE5TC1EN7TA4
„?
??
?s?s
? E
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.@0
$.50
? $25.50
CONTRACTOR: - R?plicant -- ST. LIC OWNER:
FTRESTDE CORNER INC 15331042 0001068 WELCH CINDY
2700 N FAZRVIEW AVE 8660 KNOLL RIDGE DR
ROSEVILLE MN 55113 ERGAtU MN 55122
(612) 633-1042 (612)452-1038
APPLICANT/PERMITEE SIGNATURE
L aIn 6kI m.1
ISSUED B: 51 ATU E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMTT APPLICATION
otkI4 b 681-4675
'DATE: //-S/9 b
?
DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: WOOD BURNING
INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
GAS
ROOM TO BE INSTALLED 1N: e) /?, ?` & tv J
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER 6
1.rz?
I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FII2EPLACE
INSTALLER
GAS LINE
IN5TALLER
Name: 4(zr,- Le- Phone #: ??- 0c4 4?
Il$! FlY$I
Signature:
Street AddresA,5-o Lk`i ver"
City: a 4AJ State: ? Zip:
A l., ft?11P 6kc1ve--?
Company: ./'L6!/?c' L,mjL__,la_ Phone #:
Street Address;36sb - u1 -*Y ?1-3 License
City 2_?vl2als- 16iL(., 4,1;, State)wN Zip:
Compar---
Name:
Signature:
Street A
City:
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
? ? 5 t
f t r? ?fn
, •?:
J ?
Chimney/flue must be inspected before concealing.
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New ConahucNon Reauiremenh 6A+??j`?D7 0 RemodeUReoair Reaulremenh
? 3 reglatered ette suneYs ahowinp aq. ft. of bt, aq. B. of house 740V 2 copies of plan
and 20 rooted areas (2096 mazimum lot coveraae aliowed) 1 set of energy culculations (or heated addiNons
? 2 coples of plais (ahow beam d wlndow sizes; poured fid. deslgn; etc.) 1 sBe aurvey for extedor addiNOns R decks
> 1 set of energy calculaHona
? 3 coples of lree preservatlon plon II IW platted atter 7/1/93
DATE: 7' S- 0O
DESCRIPTION OF WORK: ?2-e
CONSTRUCTION COST: T l7 d?
O ? /7//l`SC°
STREET ADDRESS: -')6,7 0 //? 0, '?'j /°
LOT: ? BLOCK: SUBD./P.I.D. #:
Name:_/Ztf XCh 6?1h CK4 Phone C `70--?-' os??`5?
PROPERTY taat 1nt
OWNER
StreetAddress: 3KS6 City _,Zs?4 f4 Stqte: Zlp:
• Company:???.f?f/ Phone #:
(area code)
CONTRACTOR Sheet Address: ? O`7 6/ ?Gf?T/? /V LlCense #72?? Exp. 73? A V
CNy ?. ? State: Zip:
ARCHITECT/
ENGINEER Company:.
Telephone #: ( )
Name:
Street Address: RegtstraHon #:
City
State:
Sewerlwater licensed plumber (if installina sewer/water): Fhone #:
Zip:
I hereby acknowledge fhat I have read fhis cpplication, state ihat Ihe InfortnaNon is correct, and cgree to comply wHh ctl apptlcable Stati
of Minnesoto Stafutes and Cify of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 08 06-plex ? 17 Garage 0 22 PorohlAddn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OB-plex ? 19 Lower Level ? 24 Storm Damage
? 05 037plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New O 36 Move Bldg. E3 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
E3 33 Alteration ? 38 Demolish (Interior) E3 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
13 Stucco/Stone
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 31 Exc. ,vc - Muni
? 33 Ext. Att - SF
? 36 Mufti
SAC Units
% SAC
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3650 Knoll Ridge Dr
Lot: 3 Block: 1 Addition: Ridge View Acres
PID:10- 64000 - 030 -01
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578 -9205
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling
finish(i.e. sheetrock) has to be removed to install a smoke detector.
$132.75
$3.00
$135.75
Owner:
Robert L Welch
3650 Knoll Ridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA077960
05/25/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
e� o i c Fs For Office Use
E� �fr E A :::::ee
-13 G A : (D `"
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810PR A
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Date Received: -I I g
Email:buildinoinspectionsecityofeagan.com
Commercial Plan Submittal:eplans(&cityofeaoan.com Staff:
L J
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email,CD or flash drive
4
Date: 4-110-15-18 Site Address: c3 19ST 16 10 11 (2-i ay_
'`'
I Suite#:
Resident/Owner
Name: t10, Wei c.14 Phone: 1_051�( - WS)-
Address/City/Zip:"Jt 4A.°)I 04'dc DY- elg 0
Name: Snelling Company
License#:
Contractor Address: 1400 Concordia Ave. City: Saint Paul
State: MN Zip: 55104 Phone: 651-646-7381
Contact: Jody Pflipsen
Email:Jody@sneilingcompany.com
New Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RES/DENT/AL COMMERCIAL
AFumace New Construction Interior Improvement
Permit Type —Air Conditioner Install Piping Processed
_Air Exchanger Gas
Exterior HVAC Unit
Heat Pump _Under/Above ground Tank ( Install/ Remove)
I Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge .$ /o0' 0 0 TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum Contract Value$ x.01
$75.00 Underground tank installation/removal,includes State Surcharge =$
Permit Fee I
Surcharge=Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$
TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Cid
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not tg staff
with the approved plan in the case of work which requires a review and approval of plans. / a Peet that the work will be in accordance
xPhilip Krinkie
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: / Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
A
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections cD ityofeagan com
RnCEIVE
MAY p 5 2022 D
BY:
r-----------------,
I For Office Use i
Permit #: _ I �} lQ lQ �Q %
jPermit Fee to. 2-3j
I t
Date Received:. 5 2j
I i
I Staff �
- - - - - - - - - - - - - - - - - -
2022 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/25/22
Site AddressS4js KNOLL RIDGE DRIVE
I Name: LOU WELCH
I
Resident/ �ScrS L "OLL RhDGE DRIVE
Owner Address / City / Zil..
Phone: 651-395-1324
Owner ✓ Contractor Owner Email: LOUWELCH007@YAHOO.COM
Type of Work
Description of work: INSTALL (5) INTELLIBRACES AND (4) PUSH PIERS
Contractor
Construction Cost: 11000.00
Multi -Family Building: (Yes ! No X
Company: INNOVATIVE BASEMENT AUTHORIT'
Address; 6265 CARMEN AVE E
Contact: SAMANTHA
City: I G H
State: MN Zip: 55076 phone: 612.424.5165 Email: IBAMINNEAPOLISPERMITS@TEAMINNOVATIVE.COM
License #: BC765730 Lead Certificate #: NATF216631-1
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE: Plans and supporting documents
classified as non-public /f you provide si
't are
that
Phone:
Phone:
Phone: `
Phone:
to be public information. Portions of the
t the City to concludes that that. awn #. 4_
may be
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeagan.com/su bscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.qopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
XSAMANTHA ROUTS "�
Applicant's Printed Name Applic nt's gnature
00.0 $ -I`d101
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