2029 Jade LaneCITY OF EAGAN
Addition Cedaa
-1 L, ZV,,., ? I Z?' I
Lot 16 Blk
State Eagan,MN 55122
Improyement , i Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEW ER LATERAL . 2.1 2 paid
WATERMAIN
iE WATER LATERAL 1972
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
, 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
Control No.
0481
806607
06121192
(612) 681-4675
SITE ADDRESS: Lo t x 16 fi L f)C K: 4 APPLICANT:
, 2029 3AQE tRN[ T4,?TN GZTY 37'OitM SASlt Ga
, CEp14R GRUVf 3{RO (61:?) 646-81 6li
PERNY'st?PA.?P?tU s
TYPE OF WORK:
RErAIa
REMARl?S : RECUIPT #L l I 7? t.,.
0
SASNES, 'YRI11' SOFFITS. FACIA. OlitTFF?3 & S7tJNM
?
Permlt No. Permlt Holdar Date Telephone k
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspection Date hssp. Commenta
Footings I
Foundetion
Framing
Aoafmg
Rough Plbg.
Rough Fltg.
Isul.
FiTeplece
Fnal Htg.
Orsat Test
Fnal Pibg. Ptbg. IraspecEOr- Notify Plumber
Consl. Meter
Engr./Plan ._-
eldg. Final
Deck Ftg.
Oedc Final
Well
Pc Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
owae: --..... _. ..r.:.-._..-? ......L ........-------..._..........-- - - - -
?? . p- ...._........._...
Addxess (Preseni) --.. .er?c.-
_._.....-- -. ' '-'----'-'-'---
Builder ....;.SW??.------------------- ..........._'---..............-°'----........._..
Aaa:ess
DESCRIPTION
N° i'78'7
Eagan Township
Town Hall
naze 7ories To Be Used For FronS Depih Heighf Est. Cos! Permit Fee Remazks -
//
?.s?..
or
LOCATION
iw1 -V I e- ??
This pesmif does nof aulhoriae the use of siseels, roads, alleps ox sidewalks nor does if give the owner or hSs agen!
the zigh!!o creafe anp sifuaiion whieh is a nuisance or which presenfs a hezard fo the healih, safetp, conveaienee and
genesal welfare 2o anpone in the commuaify.
THIS PERMIT MUST BE (K?EPT ON TFIE PAEMIS£ WHILE THE WORK IS IN PROGRESS.
This is !o cerlifY, lhai."-'?`_ ..... .........._-----~.........--------..has permission fo ereet a---_'-' ---'--"--'- -"' '---- -............."_..._upon
the above described premise s' jecS !o the pronisions of the Building Ordinanae tor E? gan T nship adopfed April 11,
1955.
...........'---"'-?"'- ."'.....'-'------. Per 4114 'c' A`eCc -' _ ......._ '. . .......__._ --------------- ..._........"""..'.g...fnsp.....................................
Chairm of Tnwn Baard Buildin Iecloz
4 - ?
EAGAN TOWNSHIP
BUILDING PERMIT
N° 13'79
Eagaa Township
Town Hall
Dafe ...J.?(..?.`f?G.d_?...__.__:.._.......
? ? - LOCATIOI3. ? SYreei, Road or ofher Deseripiion ot LocaSion , Lo! Slock Addition or Tracf
i --- -=- -- - -- ---
---------- --__
This permit does not aulhorize the use of sYZee2s, zoads, alleps or sidewalks nor does i3 give the owner or his ageni
the righ! 2o create any sifuaiion which is a nuisance os which presenis a hazard Yo the healih, saYeip, coavenience and
general welfare !o anyone in ihe eommunify. . .
TIiIS PERMIT MUST HE KEPT Oli THE P,IREMISE WHILE THE WORK IS IN PROG(H/"E SS.
This is fo certify; ihat...______has permission 3o erect a.....A...??f_...??,: :^7',?.,..vpon
fhe a6ove deseribed premise subjec! !o lhaprovisions af the Building Ordinanee for Eagan wnship adopied??April 11,
1955. ///? ?J p
.--------- _.'_......._..----------------- Per _ ........... ....: ;t??-c........ _..
t'....."'.. . .....
..
Chairman of Tnwn Soard I Building Inspeetor
4 b,
2005 RESIDENTIAL BUIL.DING PERMiT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?70 00
New Constmction Reauirements RemodeVReoair Reauiremenls O(fice Use OnIV
3 registered sRe surveys showing sq. fL of bt, sq, ft. of house; and all roofed areas 2 copies of plan Ced of Survey;Recd '- _ X_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculatlons for heated additions T(ee.Pres Plan Recd Y_ N.
2 copies of plan showing beam & windax sizes; poured found desgn, etc. 1 sAe survey for additlons & decks Tree Pres Required . _ Y_ N
lsetofEnergyCalculations Addfion-lndicafeifon-sdesep6csystem On-s'deSepficSyslem _Y _N
3 copies o( Tree PreseNatan Plan if lot platted after 711193
Rim Jaist Oefail Options selectlon sheet (buildings wAh 3 or less uniGS)
Date Construction Cost
Site Address ZU Z? Sct c? e_ Lc,V-P_ Unit/Ste #
Q '`
?
,
Descriptian af Work - B`?
?
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner J'e K ?eQ aa s-Q Telephone #(6,TI ) C? ? I-(L( I v
Contractor
Address :S-C?Lw?S S` City
State Zip Telephooe # ( `9SL ) ?' ??' ' ? 2 dn
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv l _ MinnesoYa Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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 pian in the ca of ork which requires a review and
a roval of plans.
_?!i/' V\VV?
Applicant's Printed Name Applicant's Signature
PL PBImitAppliaEonI?)
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each un :
03 ?
to
?
-:J /
Date
/
KRAUSE,JEFFREY
Site Address 2029 JADE LANE Unit tf
EAGAN, MN 55122
(651) 681-1410
Property Owner Telephone # ( )
Contractor ??BLOM P.?ING Co,
(612) 82T?033
Address _ City
e
State ip Telephone # ( )
The Applicant is _ Owner ? Contractor _ Other _
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply.
Alterations Ta Existing Dwelling Unit, Including $ 50
00
_ Adding fia4ures to lower levels or room additions, excluding water softener and water heater .
Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener X Water heater $ 15.00
X replacement _ additional
StateSurcharge
OCr 2 9 20
3 50
Tots, $ 15. SCl
BY
1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accura e; chat the work will
be in conformance with the ordinances and codes of the City of Eagan and with tlie Plumbing Codes; that I understand this is not a
pemut, but only an application for a pernut, and work is not to start without a pei7cut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of pians.
J? I?oc-blU-"n
Applicant's Printed Name Appll/aliVs
IA WY OF EAGAN
3830 Pilot Knoh Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
2029 JADE LANE
LOT: 16 BLOCK: 4
CEOAR GROVE 9R0
Control No. 0481
PERMITTYPE: guiLozNG
Permit Number: 000607
Date Issued: 05 / 21 / 9 2
Builiitng Permit Type PIT5CELLANEOU3
?Bu3lding,.4ork 7ype REPAIR
?
REMARKS:
RECEIPT N
FEE SUMMARY:
Base Fee
Surcharge
Total Fes
e,q54Z SASHE5, TRIM, SOFFITS. FACIA, GUTTERS & STORMS
VALUATION
$144.00
16.50
$150.58
CONTRACTOR: - Applicant -
TWIN CITY STQRM SASH CO 15468166
10825 GREENBRIER RD
POINNETONKA MN 55303
(612) 546-8160
E13,000
KRAIISE JEFfREY
2929 JADE LANE
EAOAN MN
(612)681-1410
i hereby acknowledgQ CMat I have read thfs applie8tiorr a:nd state tihat the
information is correct and agree to comply aith ell applicable SCate af Mn.
Statutes and City of Eagan Ordinanees.
L-
APPLICANT/PERMITEE SIGNATURE
. L
P&',Lx? "
ISSUEO B . IGNATURE
J
1992 BUILDING PERMIT APPLICATION
? , , ?,J'-? ?? • ? ?'? ? ? CITY OF EAGAN
$EOUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET.OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAI PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING
DAY OF MONTH IN WHICH FiEQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTc: ADDRESSES FOR CORNER LOTS - Ct7NTRACTOR/HOMEOWNER MUST DcSIGNATE WHICFi
ADDRESS tS DESIRED. NO CNANGES WILL BF ALLOWED QNCE BUtLDtNG PERMIT tS ISSUED.
To Be Used For:,,? ,_f,,_r-n;, Valuation Date:
Site Address
Lot Li Block
Parcel/Sub C-e-S
Owner J P ?4? f
Address a9U ?
CttY/ZP UL u.?t
?
Phone ; q -
Corrtractor7MN?
Address una?oi
City/Tip
Phone,? 4(,-- License
Arch./Engr. _
Address
City/Zip Code
Phone #
? 6?L
(iREENBRIER ROAD
Occupancy
Zoning
Actual Const
Aliowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On•site sewage
On-sRe well
MWCC System
City water
PRV
Booster Pump
Planner
Council
Bldg. Off.
Variance
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
ACCt. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park f3ed.
Traif Det1.
Copies
SUBTOTAL
Penalry
Lot Change
TOTAL
W-41
Sewer/Water Licensed Contr. . Processing time
for sewer/water, permits is two ays once area as been approv .
agrees that all work shall be done in accordenos wfth
ignature o ermtttee - -- -
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PEA?+IIT CITY OF EAGAN
? 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLf & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 topy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty appties when typing of permit is requested, but nat picked up by last working day
of month in which re uest is.made ar lot chan e is re uested once ermit is issued.
Date Yaluation of work
Site Address: Lp,?Nlc
STREET STE ¦
Tenant Name• '
LOT BLOCK SUBp. C.I.D. i' ..
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other coescrine)
Name Phone
Property . , LAST FIRST
Owner " A'''
Adaress
STREET ' STE t
City ' State Zip
Company Phone
COntl'BCtOf Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City. State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved. ,
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.
Signature af Applicant:
vrrw? u?G vi??r
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
b7'02 SF Dwg. ? 06 6arage/Accessory ? 10 5wim Pool
? 03 Two family ? 07 Fireplace -0 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
._ .., .
? 13 Public Fac.
? 14 Agricultural
? 15 Miscellaneous
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
?O 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
? 99 Undeflned
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft. MWCC System
(AlTowable) lst F1. sq. ft. City Water.
UBC Occupancy 2- 3 2nd F1. sq. ft. PRV Required
Zoning Sq. ft. total Booster Pump
?Y of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code .?-
Depth On-site sewage SAC Code
APPROVALS
Planning Buildi.ng Assessments
Engineering Variance
REQUIRED INSPECTION S Rom,aRKS:
?'elisIpk PA-er.4 j G.u.7702S. 57Z)RM5
? Site ? Footing D Framing ? Insulation
0 Wallboard ?ff Final ? Draint9le ? Fireplace
Permit Fee 4 veiu.c;a,: s
Surcharge , a
Plao- eview 1
icens , .
AC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units "
l:ll'Y UDE V1VLY
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^w.. `.? . . . I!L ..Fr 3? Y~• .? .' ? _
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Date:
PP ion 60 CO
City of Iaall2�� ���Na�' /83. (pi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
log
Permit Fee: / D-3- `t 7
Date Received: 1 - Z
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/ ?-02G\
? II , I yy
Owner Address / City / Zip: LU %L\ 10 ca \�1\,r11�, E('t t f ��I �I � ��
1,;
Name:
Site Address: U 'Z IX-
e ga /,/ a
22 -Unit #:
Phone: qSZ 9H
Applicant is:
Owner Contractor
Type of Work Description of work: � U�1 Go: `(tY
Construction Cost: 2_5 DC' V
Multi -Family Building: (Yes / No
Contractor
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
A/off' Mu c�.rFRi� ci�lZ��1
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 V No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secret.`
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x J `�ae)h eJICLL .. x fy i q
Applicant's Printed Name an'' tsigs S gnature G
Amp
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
t- Alteration
Replace
Retaining Wall
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
At Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation ,ZCe?J
Plan Review
(25%_ 100%_
Census Code Hak
#of Units /
# of Buildings I
Type of Construction
yh
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73
1()
% 7411
3C�
Siding
Reroof
Windows
Egress Window
C
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
-
oZ ao?
It
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meteir
Fnal / C.O.
Final / NoSize: C.O.Required Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
Page 2 of 3
CityofEaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
L
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 0' CDC)
Date Received: (- Z ) 3
Staff: (5.
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: \ (2-/ 1O\ Site Address: 2 7A Mt r N 65f 2
Tenant:
Resident/Owner "a" Vii, €,Ev)
Address / City / Zip: 20-2,-q i. : �C�\,'
Contractor
Suite #:
Phone: qJ2-' `l D 2 `)/
Mrd/ 5S/U__
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Prinited Name
FOR OFFICE USE
Required Inspec
ound
Rough -In
Test
Use BLUE or BLACK Ink
r----------------
I For Office Use � ���
I --7
Cl6 Ol L� �11 j Permit#: � � l � �
Y � � ��� a.�;
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � Site Address: �-' 4 Unit#:
Name: o D.� �ef��f �/� 1/11.� ,( Phone: ��� �-������
�B��d��� ^T `
�1Ni'��I' Address/City/Zip: ,�--(� � .�q p �P{� �a�� tvZ?rj � -�-.�f��
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Applicant is: �Owner Contractor
Description of work:_ �L��
Type ��Work
' Construction Cost: Multi-Family Building: (Yes /No�
Company: Contact:
' Address: City:
�Q�'1#1"�C'�Qt'
State: Zip: Phone: Email:
License#: Lead Certificate#:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
.N�C?i'�:Fla»s�rad;sc�ppor�in�r�locuc��e�#�tt�a�you;swb►�r`t are,.cor�ssiatered to b�p�r#��F�r�'vrr�a.��r�. P��or��vf '
t�ae in�orr�natipn rraay be classif�sd��raa�-p�blic►`f,�or��ro�l��pe�i�ic r�c��s t�#�vo�ld per�a���Gi�,y ta '
con��%►tl�tt�a��.: . �re tr�d�secret�;
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant s r�n ed Name Ap cant' Signature
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