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1059 Hummingbird LaneR \ I CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 tt¢ceIvso . FROM AMOUNT $ I ? GASH & DOI.LARS t oo ?-C'H E C K FOR . ?? /? C?C?4r / _ ! o ? ? PUND COD6 pMOUNT t r ?. L .i. Thank You ?- / ? - BY White-Payers Copy Yellow-Posting Copy Pink-File CopY CASH RECEIPT 1 {,? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATit`....-ti Y . 19 ? RECEIVED FROM •' AMOUNT $ I,- & DOLLARS coo 0 CASH Q CHECK.' White-Payers Copy Yeilow-Posting Copy Pink-File Copy Thank You --? BY BLDG. PERMIT NO. 01-3210 Bldg. Permi 01-3422 ?Plan Check 01-345 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL BUILDING PERIVIIT ? a . %.ll I T ur e^uAn A ? ?,3193 PRot Knob Road, P.O. Box 21-199, Esgan, MN 55121 - PHONE: 454-8100 ; Receipt # $61,000 is 87 SiteAddress 1059 HUMMINGBIRD LN Erect 121 Occupancy -`23 Lot 6 Block 1 secisub. LEXIt1GTOt3 PL SOemodel ? Zoning R1 Parcel No Repair ? Type of Const. it . Addition ? No Stories . a ORR I1V TfI0A3PSC?TV HOfiT: S Name Move ? Length 40 = 3 Address 1712 HOPKINS CROSSROAD Demolish ? Depth L 6 ° i?TKA 544-7333 City Phone Int.lmpr. Install ? ? Sq. Fr = o Name $AME ? ? Address ~ CiN Phone cc W Name c5 Addre Z W r.;t, Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Permit $ 367. 00 Surcharge 30.50 Plan Review 183.50 SAC 625.00 Water Conn. 525. OG? Water Meter 67 • 00? Council Road Unit 305.00 I hereby acknowledge that 1 have read this application and state that the gldg Off i i PI. 160 • 001 Tr . . nformat on is correct and agree to comply with all applicable State of . Minnesota Statutes and City of Eagan Ordinances.,- APC PBrks Signature of Permittee Var. Date Copie J 00 . I Total A Buildin Permit is issued to: ORlZI[J TI ?F?!?SO?! liOi?IFS 9 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciy of Eagan Ordinances. Building I I Permk No. I Pennll Holdar I Date I TNephone M I Do Ntp. Final occ. olop. CITY OF EAGAN Remarks Addition Lexington P1 ace Se?t:h Loc k 1 Parcel 10 45060 060 01_ Street 1059 14umingbird.LILIU_ State E2Q2n MR7 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK 431 247 64 ' - SEWER LATERAL J . ' 3 2 6'. Z O Services Ol 98 729. 9 - 145.87 WATERMAIN 1 • WATER LATERAL 161 19 8 6 8 7 3. 43 _ ' 17 .. 6 8 _ WATER AREA 1986 3,7 _ 48 . 7 4 WAT LAT BEN 101 1986 111.9 -.22. STORMSEWTRK 101q 1986 426.54 ' 85.30 5 STORMSEWLAT lol( 1986 803.34 ? I6Q.6 6 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK PERMIT # MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN Ja rpr: r. v ' 3830 PILOT KNOB RO AD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address BIDG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub i nci *. rtt J .,^:ce ='.,u11, .. ., , Res. New . Name Cen-_?ya,? 7.F Add ?c Addreas 14745 Sou'-',I -on Mult Comm Re air '" " ' . p c 's emount , Ciiy - NIIJ Phone . 1`' 1 Other Name 'S Hotn es! C`rr. i., 't'nomps-r FEES ? 17 ' ' _ c '';' :'? r r?ssr.nar,. ?-2 ri° Address RES. HVAC 0-100 M BTU -$24.00 0 Ciry:-lz.nne'.nnti•a, M7 phone ADDITIONAL 50MBTU - 6.00 ADD-ON AIR CONO. 0-24 BTU - 12.00 ADDtTiONAL 6 M BTU - 6.00 TYPE OF WORK 7?/ ? 72 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MfNIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent. CFM BEYOND $1,000.00) Gas Piping Outlels # Other /. f FEE 1-, s/C, SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN . , .. , <p ?I ? ? . L . - PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE January 2?7, 19R? CONTRACT PRICE PHONE 454-8700 1059 'Humm 1 ng 1_ r ne Site Address 6 1 gLDG. TYPE WORK DESCRIPTION Lot Block Soc/S b ?ington ?ace 5out? XXX:cXX XY.XXX}{ NeW Res. ` Ger?9-Ryan F&H Name Mult Add-on m 5 14745 Sout _ Ro ert Trai.l Address Comm. Repair . Rosemount 423-1144 MN ? City , phone Other US Homes/ Orrin T ompson Name N FIXTURES W t r Clos t - $3 00 307A4, m c 1712 Hookins Crosstoad Address . a e e Bath Tubs - $3.00 - Mi nnetonka M 544-7333 = ? ? C?? , phone Layatory -$3.00 Shower - $3.00 ZKitchen Sink - $3.00 - FEES COMM/IND FEE - 1% OF CONTRACT FEE ?-Urinal/Bidet -$3.00 1-aundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE _ g1o,pp ?Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 ?Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 ADD $ 50 S/C IF PERMiT PRICE GOES TWhiripool -$3.00 ( . Gas Piping OuUets - $1.50 BEYOND $1,000.00j Softener - $5.00 Well - $10 00 . ?Private Disp. - $10.00 _ Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE t STATE S/C: FOR CITY OF EAGAN GRAND TOTAI. ? PWMBING PERMfT t CITY OF EAGAN , c3830 PILOT KNOB ROAO, EAGAN, MN 55122 , PHONE:454-8140 PERMIT # _ RECEIPT # _ G? oArE: - Phone Name f Address ? City FEES M/IND FEE - 1% OF CONTRACT FEE BLDGS - COMM RATE APPLIES NHOUSE 8 CONDO - RES. RATE APPLIES V1UM - RESIOENTIAL FEE - $12.00 vIUM - COMM/IND FEE - $2a.00 'E SURCHARGE PER PERMIT - .50 $.50 S/C IF pERMIT PRICE GOES CITY OF EAGAN BIDG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FI?(TURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Srnk - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Orains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ___.?g__Softener - $5.00 Well - $10.00 Private Oisp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ? GRAND TOTAL: l• • ?? " (iler#i#irafit of (Orx?paury Citp of Cagan loppr#nrnf nrf lutiaing jwrrtuan This Certi, ficate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code cenifying that at the time of issuance this structure wns in comp/tance with tire mrious ordinances of the Crty regularrng building construclion or use. For the following.- [be Claaifiatioa NG/{.iEui 81t1S. Rrmk No. oxup.-r TYm R3 zomog o;,u;a R 1 Tya COWL oww or eWw;ng "RRIN TKHP9CN HCMf:,y pddrm 1712 1400:U.S' t:;F's.tzSRil'?: ?? ?Y &6d BI. ?+t.n'`?'il?v' ?'(, ing Add? - Loality ? ?, . " . Dalt: A.PRM 8, 198/ Buiiding OHiciel POST IN A CONSPICUOUS PIACE CITY C?fEAGAN WpTER SERVICE PERMIT 3830 Pilol K;x: 4 Road P.O. Box 21199 ` PERMIT NO.: '••= Eagan, MN 55121 DATE: '/ 1() IR7 Zoning: ?' 1 No. of Units: ? Owner: C)rr-ln u Arnip ATl Address: - Site Addess: Plumber. - Meter No.: _ Size: Reader No.: I agree to comply with the City of Eagan Ordinancss. sY Connection Charge: S'c; (111 Account Deposit: L nt) Permit Fee: o" Surcharge: rn Misc. Charges: (,x, Q.,? ?*nr Er TOtal: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pllot iCnob Raad ., E? '7 -- PEFiMIT NO : P.O. Box 21199 Eagan, MN 55121 DATE: ' ' Zoning: ?T No. of Units: Owner ?'TZ'IR T?:O.T;??SC+T] Address: T..,,o n Plumber: I agrae to comply with the Ciry of Eagan Ordinances. ? BY Date of Insp.: Insp.: L _ CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 ? Zoning: r 7 Connection Charge: ' 25• On Account Deposit: 1 r), ne Permit Fee: Surcharge: Misc. Charges: Total: WATER SERVICE PERMIT PERMIT NQ.: , 1 n 7, DATE: - No. of Units: 1 owner. Orrin Thor:rson Addess: No.: to comply wRh the I,ane L6 Iil Lex 535.nn ir, nn ?ct1..D 467.00 meter "`? ] R!1 _ .1p rT Total: ? Date Pald: _ Insp.: ??. ',.?;='•? ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 13193 BUILDING PERMIT ' PHONE: 454-8100 Receipt# Tobeusedtor SF DWG/GAR Est.value $61,000 pa1e FEBRUARY 9 19 87 siteAddress 1059 AUMMINGBIRD LN Erect n Occupancy R3 Lot 6 Block 1 Sec/Sub. LEXINGTON PL SOFtemodel ? Zoning Rl Parcel No. Repair ? Type oi Consl I7 Addition ? No. Stories Name ORRIN THOMPSON HOMES Move ? Length 40 = o Adtlress 1712 HOPKINS CROSSROAD Demolish ? l ? ? Oepth d ti Ft S city MT? phone 544-7333 nt. mpr. Install ? . q. o me SAME Na s a j ddress A ? City Phone c ? w Name ? ? Address i : w City Phone I hereby acknowledge that I have reatl this application antl state that ihe information is correct and agree to comply with all applicable State oi Minnesota Statutes and C' of Eagan Or inan Signature ol Permittee z4otn A Building Permit is issued to: ORRIN HOMPSON HOMES all work shall be done in accordance with all applicable State of Minnespta Assessment water & Sew. Police Fire Planner Council Bldg. Off. Var. and of Fees Permit v ?° • • "I Surcharge 30. SC Plan Review 183 . SC SaC 625.OC Water Conn. 52 5. 0 C WaterMeter 67.OC Road Unit 305.OC Tr. PI. 18 0. O C Copies 2. 2 3.00 on Ihe axpress condition that an Ordinances. Building OHicial REQUEST FOR ELECTRICAL INSPECTION ?EyB-?00001-06 0 bee instructio.s for comobtilg this torm on beck of vellow covY• w /G 7p/ (? "K" Below Work Covered by 7his Request ??, , ?ARtl e of BuilAine Aaoliancea Wired Equiyment Wired Mi M Fee ServieeEnlrenceSize B Fea Feetlera/Subtaeders k iee Circuits / /Z- ? to 200 qm s 1 0 to 30 Am s 0 to 30 Am A6ove 2 0 qm zs 31 to 100 Amps 32 100 Am Swimming Pool Above 100_Am s Above 100_Am s Transiormers rrigation Booms Pertial-'Other Fee Signs ?pecial Inspection I, the ElecVicel Inapeclor. horaby earcily thet the nbova inaoection hes bean metla. Tlils requaat rold iB montM irom `fo1'?5 % • Thi.c repuesl voitl ,e moncns from 7?5`& 7 y Street Atldress, B n or Route No. - ? C' p r eclion o. Towns?i0 ame No. NanBe o. C? OCwDant (PqINTI one No P + . / ? 7 iJ ? / Pow r SuoVlier Adaress ? ) G v Eectrical Contractor ICompany Namel _ Convactor's cense No. ' `r ?LC ? ?f? U 3Z Meilin0 AdJr se (Contra ror or Ow'ny? r MakinO Installati 1 ( C LD ? ?c-Z? , i o P AuMorize SiB?e?ur (Contt tor Own Makin9 Ins Ilati n) P?one Numbe r + / '? L? Phone(617) 842-0800 ENCLOSED. V- =..=v., c.vvu?cei I hareby reQUest inepeetion ol above ? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTIOM flEQUEST WILL NOT BE ACCEPTED 9Y THE STATE BOAXD Gripps-MiEwey Bldp. - Room N-797 1821 Univeraitv Ava.. St. Psul, MN 661 UNLESS PROPEN INSPECTION FEE IS ? Owner - elecfricel work instellad at: ? 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date ? Y ? f U it # Site Address [ 1 r 114(Y1 J n CC ner P rt O / (? r'CD (I G Tele hone # ks 7 s `t - &q ?< rope y w p ,, _ Contrsctar 8 AIR CONDITIONING C0. Street Address 410 WE3T LAKE STREET City INNE APOLIS, MN 55408-2998 State 812-8242656 Zip Telep6one # ( ) Bond H: Expires: X The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement ' air exchanger ? airconditioner _New x Replacement other State Surcharge $ .50 T l ota I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to staR w? c?a ermit; that t ork will be in accordance with the appro ed plan in the ork which requires a review and approval pl? . / Applieant's Pr' ed Name Applican' ignature ?? ? . r, ?UN 2 3 2009 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings , multi-family buildings when sepazate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work TyPe New Construction _ Underground Tank _ Install _Remove `•see below I _ fnterior Improvement _ Install Piping _ Processed _Gas Nature ofWork: "When installing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing lnspector Pe1'mit Fe¢5: $70.50 Underground tank installation/removal $50.50 Miaimum (includes State Surcharge) or Contraet Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 ar less, add $.50 => $ State Surchazge If ermit fee is over $1,000, add $50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be' in conformance with the ordinances and codes of the Ciry oF Eagan and with the Mechanica] Codes; 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. Applicant's Printed Name ApplicanPs Signature Approved By: , Inspector RESI6ENtIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 New Conttruction ReaulremeMs RemodellReoair ReauiremeMs • 3 registered site surveys sM?rrinrg sq. fl. ot lot, sq. ft. of Muse; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 7 set of Energy Cakulations far heated additions • 2 mpies of plan showirg beam & window s¢es; poured fourid desyn, etc.) . 1 site suney for ezterior additions & decks • 1 set of Energy Calculations • Indicate if Irome served by septic syslem for additions . 3 copies of T2e Preservation Poan H lol platted afler 711193 • Rim Joist DeqY OpGore selection sheet (ddgs vrith 3 or less unils) DATE VALUATION JOB SITE ADDRESS IOS:I Nq1mm41tA Lrt,&9- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNERm•l(-0_ Keo1+C-V, TYPE OF WORICQ,a0ftpa th LSvnfOro?'RUlr1-L:. M..o ryIs?-Srw . FIREPLACE(S) _ 0_ 1_ 2 APPLICANT*yem "t!a&Adyd.arla*?\ -,?• PHONE# (OSL•`eUo14-41;H` ADDRESS Iq2,b Cavc??u?'?G" WtS'F•. t?,oS¢.?11t.d`tV?? ZIPCODESSl13 PAGER # _ CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 I???? (check one) - Residential Ventilation Category 1 Worksheet Submi MAY 0 8 2002 - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includcs: Mechanical Contractor: Mcchanical System 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. Signature of Applicant _ Water Softener I hereby acknowledge that I hdve read this application, state that the information is correct, and agree to comply ances. with all applicable State of Minnesota Statutes and City of EagaXAp&_r_nz5n1 Water Heater _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. 13aths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OlPFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-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 ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EnHre 81dg 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. PRV Nbr. of Bldgs Length ,. Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Ftgs _ Air/Gas Tests Pool _ Final - FmminB _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector "?• ?i?.s Luv ic. uv rnp 1 oJ O/1 '4460 ???;r? jjyt. ?U?.?? re al au„a 7, 2001 Cicy af Ea.gan 3836 Pilot $nob Rosd Eagan, MN 55122 To Whom It May Concern: IIder Jones is authorizmd to ptill bniIding petmits for Renewal by Andersen_ Please allow Eldcr Jones to provide tbis ser'vicc for us in Fagan. `Ihis muharimaticm is valid for any date beyond 616J01; until a 1?"enawat by Andersen manager expctselq revokes it in writing to tha City. I rccNest this autliorizatian be accepted expedidously, aa to not delsy in the processing of ovr buIlding pctmits any fusthcr. Plcasc caII mc If thctc acc eny qneattona. I can be contacted at 763-502-4706. Your immpdiato attcntion to this mattcr is apprectatecL Sinceiely, ` ymond R. Rau astallarion Manager Ranowal by Andersar Corporatiton C'c: Karn-F.Trler 7nnea CUUZ! UU: c3H DA?. ?CiqMAL _ aEa?+n.a?,zoos Received Time Jun. I. 1:01PN S? D SS' RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3850 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New CansWCtlon Rwuiremenb • 3 registered sila surveys showirg sq. R. ot lal, sq. R. al house; and all mofed areas (20%maximum lot coverage allowed) • 2 copies o( plan showinq beam 8 xnndow s¢es; poured fomM design, ele.) • 1 set of Energy Calculatbns • 3 copies of Tree Preservatbn Plan'rf lot plaCed afler 711193 . Rim Jaist Oelad Optlons selec6on sheet (bldgs with 3 ar less unds) DATE '?;/3 SITE ADDRESS ld TYPE OF Wb* ? AP 41 . RsmodeURamir ReauinmeMs . 2 copies ol plan • 1 sel W Energy Cakulatlons for heated adAil'rons . 7 site survey far exteriar additiorc & decks . Indicate if home served 6y sepfic system Fw additions ?b. VALUATION '70C)6• 4?1 MULTI-FAMILY BLDG _Y ?!N FIREPLACE(S) _ 0 1 1 _ 2 STREETADDRESS CITY-fle?1 STATEz -ZIP ?i,'jl23 TELEPHONE #eK??-207'695? CELL PHONE # SIT"k L FAX #?SZ- 707 - 992? PROPERTY OWNER Jp/,F-C Kli cL TELEPHONE# CcS? 49 ---'----------------------------------------------------°---°--°----------------°---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINtiESOTA RiJLES 7670 C:ITEGORY I MI`1NESOTA RULES 7672 (J submission type) • ResidenUal Ventliatlon Category 1 Workshee[ Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calwiations Submitted Plumbing ConMactor: Plumbing system includes: Mechanical Contractor: Mcc?anical system includes: Sewer/Wafer Conhactor. _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 -----------------------°-------° °--°--------------...-°-----°---------------------°------°------°--------------- I hereby acknowledge that I have read this application, state that the inform ion is c e, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi s. Signature of Applicant OFFICE USE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 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 08-plex , O 18 Deck ? 23 Porch (screened) ? 38 Multi ? 05 03-plex ? 17 70-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemoliUon (Entlre Bldg oNy) • 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. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ A'u Test _ Final _ Windows (new/replacement) _ Insulaaon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . FOR CITY USE ONLY ` ?: . PERMIT # 2SSLED J? /?-?- Pd $ $ w/Bldg. Permit 8 $ FEES: ic $ / 7. F?` 5 $ $ $ $ $ $ $ S $ $ /, J?- P? C> S S S $ $ $ $ ' $ $ S /?'o.cnr) $ $ $ SEWER PERMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLC?DE SORCHARGE) WATEH?METER/COPPERHORN/OUTSIDE READER WATER TAP ( INCI,UDE CORPdItATION` STOP ) SEWER TAP ACCOUNT DEPOSIT"- SEWER" ACCOL'NT L7EPOSIT - t4ATER WAC SAC TRUNK"'WATER ASSESSMENT TRLNR SEWER' A'SSESS'FIENT LATERAL BENEFIT/TRUNR SEWER LATERAL BENEFIT/TRLNK WATER WATER TREP;TMENT PLANT SURCHARGE : OTHER: ' S ??,'CI I• ?y'% $ S/ . CO TOTAL ?e:55 U f.`l ? ? ,? RECEIPT? RECEIPT? DOES UTILIfiY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF'WAY? Q YES. IF.YES, THEN-A "PERMIT FOR WORK WITHIN PUBLZC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION.. SIIBJECT TO THE FOLLOWING CpNDITIONS: 7 APPROVED SY: _,?jil_? ?a TITLE: DATE: R . CITY OF EAGAN APPLICATtON FOR PERMIT SEWER AND/OR WATER CONNECTION R-1 SINGLE FAMILY ?J R-2 DC'PI.EX (TWe Onits) R-5 ROWNiOI)SE (Three + Unitg R-4 APARTmENP/CONDOMINILTI `. "Y1tZ?'ltiRltA'1t1t]tllZltl?Zx?tx'lxl[xsa?'RR1[9?l[9lRf ' P ease Print ?l) PROPERTY ADDRESS: LEGAL DESCRIPTION: ,I-OT 6 , VLOCK I . 4??-C/itI6-77J.1} A .SF':E .S0a7fl IF E2QSTING SIROCIL'RE, DATE OF ORIGINAL BuII.DING PERMIT ZSS['ANCE: I•bn YeatT PRFSIINS 7ANING/PROPOSID LTSE: ? CO.RCIAL/RETAU,/oFFICE ? IbIDL?SIRIAL INSTI2UTSONAL/GWIIWE7T 2) N71NIE: ADDRESS: r CITY, SSATE. ZIP: 1 - PH011E: ^Rfl':: YAYS`1NKA' Ur [nc EfL T.LMt: Ul'' APPLICATZON DOES N0T ODNSn2LflF APPROVAL OF PFRNIIT. nvsrnclzON oF SOM ANro/Ot W= TnSmnr.ramrON5 WII.L NOT SE SCMED- Ur.m vMrL PERMIT HA5 BEEN a,rrxwFn. . 3) y- NAME: ADDRESS: . CITY, S'PATE. ZIP: PxorE: llr -? gfSdG 8 - MAsM rscEvsE# /1?f'9^ Units) Units) F1Lanbers License: Active . ? FScpiTed Not xecprded st uutial 4) ?. . , i?- NAME: ' ADDRESS: ` CITY. SrATE, ZIP: . PFiONE: . •53 ?:? r- ? r: • a?• • a ?? - aa y- ^?4?? . . CONNECTION T0 CITY SE,'WFli Cff CObNECTI0N TO CITY WATER n OTHEI_' 6) ?'' • '?` [? PLEASE FiOLD APPROVID PEFtMIT E'nR PICK-LTP BY ONE; OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,(D 4, pBOVE • (Ciscle one) , . ? 7) c r• u• 1. ? ''?" ? i" I: •- I. R?' 1?. ? ! "?' ?+:b •.el?? U • 1" 1 1 1 t? • DI' •' ? •?' P Ip' i? :A' ?. ? F YJI' ' x' 1 '•?. 4 ' p' • ' P• ??? ' • 1 ` • ? q,3 1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ZNCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCIII.AYIOHS NOTE: ADDRESSES FOE CO&8ER LOYS - CONTRACTOR/HOMEOWNER MIIST DESIGHATfi WHZCH ADDRESS IS DFSIRED. NO CHANGES iiILL BE 9LLOWED ONCE BIIILDZNG PERMIT ZS ISSIIED. MOLTIPLE D1iELLINGS - RFSZDENTIAL RENTAL DHITS FOR SALE QHISS INCL[1DE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhIl9ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: -? 1:.3 iDti.yC(5 Valuation: uJJ_ Site Address I Q5q 64FnK\%!A(A'9?QS? OF'FI Lot ? Block ? ZA) On Site Sewage MWCC System ? Parcel/Sub LXXINGi? SL1-41On Site Well City Water ? Owner Address City/Zip Code Phone APPROVAIS Contraetor O-j? 12 l t-X a11ai18J1J *TlACS I Assessments Address n Q- ? 1 U• ?lI?S ?S?Q/N Water/Sewer Police Fire City/Zip Code ?AN-%q fFkhl SS3rAj? Engr ? Planner Phone Sqti - "?333 Council Bldg Off Arch./Engr. APC Variance Address City/Zip Code Date: L-6'67 Occupancy {z3 Zoning (2•I Type of Const (Actual) (Allowable) ?L U of Stories Length 4p Depth 4G S.F. Total Footprint S.F. FEES Permit 3 0. uu Surcharge 3a.so Plan Review I53_50 SAC, City SAC, MWCC j.Ju Water Conn $Z,y.Jo Water Meter Road Unit 305.00 Treatment P1 J•O4a Parks Copies TOTAi. y 3, Oo Phone l1 '?"......? .... .........._. ....'.. """"'.... ................ _ ur..w.ox.inrrc . _ nurvac. o-iw wvnn CERTIFICATE OF SURVEY E'OR: ORRIN THOMPSON HOMES A Division of U.S. Nome Corporation BENCHMARK: Top nut of hydrant at south side Hummingbird Lane at bend in road. Elevation= 910.08 ft. (NGVD-1929) PROPOSED ELEVATIONS: FIRST FLOOR: El. = 911.40 ft. FRONT GARAGE SLAB: E1. = 909.93 ft. Scale: 1" = 30' • Iron monument found a Spike or woad stake set .900.0 Existing spot elevation, Proposed spot elevation s- Drainage direction DUCKWdOD DRIVE S 89°Z I' 54" E 70.00 b `O c v v ? LOT 6 ? O O <h ? ?? - \ M W 90?.6 . , J ?a 40.o ,o. ? a o N 16. N NOUSE # 1059 I3_5 _ m O e._io'_ zo.o j --iO? ° ? Z - It 30'20.0 10_a a? ? o m ?T o N 89° ZI' S4" W70.00 HUMMINGBIRD LANE Lot 6, Block 1 LEXINGTON PLACE SOUTH Dakota County, Minnesota ? 2 hereby certiEy tha[ [hie ie a true and correct representa[ion of a survey of the boundartes oE the land above described and oE the loca[ion of all buildings, iE any. Chereon, and all visible encrwcMienCS, if any, Ec«n or on said land. I furthec certiCy Chat [his survey vae prepared by me or under my direct supervision and that I ? am a duly Registered Land Surveyoc under the lavn ot the State of Minneeota. t " 14 .U?i !W Reg. No. I`J ZZ Da[e ? Prooosed House x As-Built House_ Drawn bv LL'• Proiect no. 8%00% Ko?,l«k 105l1 HUir.mlR? ICtf?c? ?/1 q5q 53 S J `? x l?! TR?led ?..?, Q31? of" ?"X• ?• bvi 14' 1 787 f-4m14- _ LIYCC ?:.'I 5.lb /i lbtck stZ?t iaxA l??m z-Z?ID G,'PpP,e;- _ MR . . _ ?. _ , , _ . ._ . . :. ?: ?--. .... _. ? _ ;.. r: _ t . . .. ? ? \; ?? a?? ? '??\ / ' 1?"? ? '?'!4h F. n - . ? `m ? . ?`.JY?. ? ? ? ? ? J ?//? ? ? 1 • .. ? j' 1 +"c .......... ? G2 . y ? . . f ??' ' I ... _ . .. . , ... . . r P T) a Y ? .. . ... _ _... F _ ` '??:+' . S f ? ' Is? X .r 1 i ..,f. i 1 ; ?-I ne ?I / . - - - - - - - - - - - - - - - - For Office Use I~ l I Permit ~t Y City of Evan R JUN X Q 2000 Permit Fee: SD 3830 Pilot Knob Road Eagan MN 55122 Date Received: ko- /b Phone: (651) 675-5675 Fax: (651) 675-5694 Staff - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: OS L~Lh'A Tenant: Suite RESIDENT / OWNER Name: Phone:.1 C~~ "1 c~^t vC Address / City / Zip: L (Q OS Amu I CONTRACTOR Name: T~ V1 U(,VY~ i vu, License 1 Q J Address: o_,_ S Lt tt7 Y t L& k V City: ffrjGt,n State: v ~v Zip: Phone: Q I Ri i' l O Contact Person: J TYPE OF WORK New _ Replacement - Repair _ Rebuild - Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener 4 Lawn Irrigation Add Plumbing Fixtures RPZ 14- PVB) Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 ans. x JL~huL ~f ~Cc~ x Applicant's Printed Name plicant's signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final GA~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1059 Hummingbird Lane Lot: 6 Block: 1 Addition: Lexington Place South PID:10- 45060- 060 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Quesetions regarding elec 952- 445 -2840 Kim Renville 2200 W Hwv 13 PERMIT City of Eaan ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Michael Krolick Sr 1059 Hummingbird Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 h all applicable State Issued By: Signature Mechanical EA083459 06/10/2008 ePermit cal Inspector, ýñ ÿþþ ýüüû úþþñýí õ æë ÿ âææ ÿþù ÿþýüûðëÿ÷ ù÷ýüûÝ ÷ûßð÷ ß÷ Ûß÷ýüûßÿíÿ÷÷ ÷Ýÿìþ÷ ìÝÿìþ÷ Û ë÷ þ ïëáá ô÷ßÝââ ãæóà åâéáéáã ôú ÿ÷÷ ðëåâéàéàâ óññð ùîö ûû ÷ ßä÷ ÷ âàöÿìì þ÷ ô÷ßÝââ ßÝââó êãæóèà ÷þü î÷ûûí÷ì÷÷ ÷ìûüûûþ íß ÿôüí ï÷é ûûø ÿü ÿ÷ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140029 Date Issued:11/18/2016 Permit Category:ePermit Site Address: 1059 Hummingbird Lane Lot:6 Block: 1 Addition: Lexington Place South PID:10-45060-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Debra Krolick 1059 Hummingbird Lane Eagan MN 55123 (651) 308-8825 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158455 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 1059 Hummingbird Lane Lot:6 Block: 1 Addition: Lexington Place South PID:10-45060-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Debra Krolick 1059 Hummingbird Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164862 Date Issued:10/09/2020 Permit Category:ePermit Site Address: 1059 Hummingbird Lane Lot:6 Block: 1 Addition: Lexington Place South PID:10-45060-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Debra Krolick 1059 Hummingbird Ln Eagan MN 55123 Refresh Exterior Llc 16526 W 78th St, Suite 266 Eden Prairie MN 55346 (952) 221-7526 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165252 Date Issued:10/26/2020 Permit Category:ePermit Site Address: 1059 Hummingbird Lane Lot:6 Block: 1 Addition: Lexington Place South PID:10-45060-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Debra Krolick 1059 Hummingbird Ln Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174782 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 1059 Hummingbird Lane Lot:6 Block: 1 Addition: Lexington Place South PID:10-45060-01-060 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Debra Krolick 1059 Hummingbird Ln Eagan MN 55123 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature r________________- ,, 0 P 1 For Office Use i 1 Permit#: 177653EAGAN I aeo• � je I � s � `� I Permit Fee: I I jDale Received: 7/12/22 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E v E ! V E I MR (651) 675-5675 1 FAX: (651) 675-5694 I Staff: 1 buildinginsgections@rityotea an.conj JUL 1 Z 2022 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2022 RESIDENTIAL. Dt PPLICATION Date: 7/12/22 Site Address: 1059 Hummingbird Lane Name: Deb Krolick Resident/ 1059 Hummingbird Lane Owner I Address / City / Zip: Type of Work licant is: ^ Owner Contractor Owner Email: _V(D Unit #: Phone:612-240-5433 Description of work: rebuild existing deck (same size)with kdat and 2 new helical footings Construction Cost: 12426.72 Company: Home Pro America, LLC Contractor I Address: 10523 165th St W State: MN zip: 55044 License #: BC7168107 Multi -Family Building: (Yes / No X Contact: Kelly —city: Lakeville Phone: 612-470-6677 Email: production@homeproam.com Lead Certificate#: NAT-17182108 If the project is exempt from lead certification, please explain why: house built in 1986 PD, Lexington Place South 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 VNo if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.cityofeagan.com/subscribe. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or wwy.gophers tateonecall.oro for protection against underground utility damage. Contact Gopher Stale 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 ilia 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 plan.. x Kelly Robbins Applicant's Printed Name 4�911�_atul