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2255 James Str..?-- . 16267 CITY OF EA GAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING'PERMIT Receipt # . l I , To be used for 3-S&A54'N Est. Value $ 7,rOO Date AkR 1 0 , 19$9 5ite Address 2255sAVL9 ST Lot 1, Block 2 Sec/Sub. QhX CLTI'F 2X;) OFFICE USE ONLY Parcei No. oocuPancy FEES ? Zoning Vn ? W ROU? Name ?O A ?? (Actual)COnst - BIdg.Permit ' o Address 2255 .I?1;`S?b ?T (Allowable) - S h 3• ?u urc arge Clty F-AG" PhOn6 894-0%8 # of Stories 1fi 1 Plan Review Lengih o Name -at''E a?m ' 12 ciry sAC Z , Address S.F. Total - ?? SAC, MCWCC ? City Phone S.F. Footprints - Water Conn On Site Sewage _ ? F W Name On Site Well - Water Meter !? Address MWCC System - U qcct. D it ? a W City Phone ary waler - SNV Permit PRV Required - I hereby acknowlege that I have read this application and state that the Booster Pump S,'W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: ?? ?SP'ROI'LS Planner - Park ped on the express condition that all work shall be done in accordance with all Council 2.5t, appiicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies ?? " ` Building OtfiCial ? _ . i Variance - TOTAL PermH No. Permit Holder Date Telephone # WATER ? r SEWER PLUMBING Q °' ELECTRIC Inspection Date Footings I Foundation Framing ? Roofing Rough Plbg. Rou9h Ht9. Ist?l. Fireplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan BMIg. Final O ? Q.,S Deck Ftg. Deck Final Welf Pr. Disp. 4. _ -?.?.. ? BUILDING PERMIT To baused tor S'l' j CITY OF EAGAN 1?t 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, M N 55121 12170 PHONE: 454-8100 Receipt # 6 S ?- $126,000 2255 JAMES ST Erect Black 2 Sec/SuG. GAfC CLIFF 2ND Remodel Repair Addition RUSCON HONIES INC 3 Name e? PENN K AV O 3 \1 d2']-l o Name SA ME = 0 ¢ Address ~ City Phone W ? Name - PIR OBE ENGR. /[•1. 1VAGFL i W Address - City Phone Occupancy R3 Zoning R1 Type oi Const Vp No. Stories Length 61 Oepth &0 Water & Sew. Potice Fire Eng. Planner Permit Y JVJ. Surcharge 64. Plan Review 251. Water Conn. Water Meter Road Unit- Tr. P I. I hereby acknowledge that I have read this application and state that the Bldg. information is correct and agree to comply with all applicable State of Minnesota Statutes and Citwof EaaanrOrdinapces. APC_ Signature oi Permittee ` _ ` ' ' --.4 A Bullding Permit is issued to: XI1.SCO HOt1 all work shall be done in accordance with all applicable Building bfficial Var. Date I Copies Tota, $2,403.00 on the express condition that Statutes antl Ciry of Eagan Ordinances. vwmn No. Permn Mow.r ost. Til.pnon. M PlumWny ? C (C.= l , ' ` , - ? ? ? ??C H.vA.c. o Lc1ZNZC ? ??/3 elacuie Cv 3? ??'.5 -, /', soMerw Inspectlon Dafe Insp. Commsnb Footfnps I ?? &) Footlnyt 11 Foundafbn Framiny A1? Roofing Rouph PIbO. ? f - LD : • ?G R? - Rouyh Hiy. Insul. Flreplaes Flnal Hty. ?-? Flnal Pibp. - • . ?I &dp. FNud Cert.Occ. Doclt Fty. Deck Frmy. WO11 DMCNbe l.ocatlon: Pr. Dkp. --; ?.1. v--. _ ` ' ' . .. . . .. . . v ,d?.,?_ - . ' _ - . ?, . . f. •F, .t-' - ., -. . PERMIT # , i c? ' . . MECHANICAL PERMIT `'- ! RECEIPT # ? ? ; CITY OF EAGAN 3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE . . 'JO PHONE: 454-8100 Site Address '- Lot - Block ' `' ?• Sec/Subr /' , BLDG. TYPE WORK DESCRIPTION - ? ~ New R es. Name t;?6HL M l Add aa Address ?:; ?? ?? n•...u t? c: 1J r i e: -on u t Repair Comm « 4 . c City .5 Phone 2-1565 Oth er Name :,u: .co:, FEES c Address '453 12 1 ,::iock ??ve RES. HVAC 0-100 M BTU -$24.00 0 Ciry rtPple :.:lLy phone 43`" -`433 ADDITIONAL 50MBTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ?> U, u U u ;' y 00 GAS OUTLETS - 1.50 EA. Forced Air M BTU . COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - SO (ADD $50 S/C IF PERMIT PRICE GOES Vent Gas Piping Outlets # CFM ? BEXOND $1,000.00) Other =5.50 FEE SiGNATURE OF PERMITTEE s/C; 50 ' ''' • 0 U TOTAL• FOR: CITY OF EAGAN PERMIT # Site Acjdress - Lot ? Block ciry 3 Add p City PLUM8IMG PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF FOR CIN OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mutt Add-on Comm. Repair Other ! y0. FIXTURES TOTAL ' -ti Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ° ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - a1.50 ' ?Water Heater - $1.50 -J_Whirlpool - $3.00 =_ v I Gas Piping Outlets - $1.50 ' Saftener - $5.00 -' - Well - $10.00 _,_Private Disp. - $10.00 y?_-Rough Openings - $1.50 FEE STATE S/C: { c GRAND TOTAL: ` ? CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pA7E; Zanlnp: No. of Units: Owner: Addrsss: _;1 Sitf AddlCii: C WUTber: Met.r No.:376 193 46 111AWWW"on . Siu: '? Roe(t, i??? ' i ; ' 0 ., pZfnrp d gQIOR q?+ t Reader No.:43N/7 S FAN: 0.. ? EIC; 1 prM 1o eo?lr ? llq?r??wELEC?o . rge Orli?wa?. es,-&,.vAO ! ` ? ' . o0 p J "' a: f BY Dote Poid: Date of Insp.: Imp,• OF EAGAN WATER SERVICE PERMR Pilot Knob Road gox 21199 PERMIT NO.: i, MN 55121 DIITE: p: No. of Units: ?' - No.. h eensplp wMb lie Citi of lowo CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Esgaa, MN 55121 ZwWnp: Owrnr. Address: Site "ress: Plumber: Conrrecrion Charpe: SJO.:i•)7? /lccount Deposit: = Permit Fee: Surdwrps: Misc. Cha?pss: Total: Date Poid: SEVm SBVECE PERMR PERMIT NO.: DATE: No. of Units: ? t pn+ to oeNh wMr 60 Cft oF 1"06 Oediwnwam BY Date of Irop.: Cor+rNCtlon CFwrge: =? . _ .• i?5' Accotpvt Deposit: Pelrrdt Fee: Surclwrpe: _ Mhc. Ciwrom _ Total: ._ Dolr PoldW. CITY OF EAGAN Remarks Addition OAK CLIFF 2ND Lot ? Blk 2 p ;a 53551 070 02 Owner Street 4777 Burr Oak Street State Eagan' 2255 ames ree Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 312•7 31•27 A STREET RESTOR. GRADING SAN SEW TRUNK ! 1973 118-79 - 15 SEWER LATERAL WATERMAIN WATER LATERAL • WATER AREA 19 2 • 7 12.27 15 STORM SEW TRK o 1979 399.97 20.00 20 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CQNN. BUILDING PER. SAC PARK CITY OF EAGAN N? 16267 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /i j./47 BUILDINGkRMIT PHONE:454-8100 Receipt # ?•^ / ? To be'used for 3-SEASON PORCH Est. Value $7, 000 Date APR 10 ,19 89 Site Address 2255 .TAMES ST Lot 7 Block 2 Sec/Sub. OAK CLIFF 2ND OFFICE USE ONLY Parcel No. aouPanoy R-3 FEES Zaning p Name LEO A SPROllLS (qcmai) COnst - Bldg.Permit 90.00 W o Address 2255 dAMES ST (Allowable) - 3 50 h S City EAGAN Phone 894-0568 sorstories - . arge urc LL , Plan Review length F o Name SAML Depth 1z ? SAQ City , ?a Address S.F. Total SAG MCwCC Clty PhOne SF Footpnnis - Water Conn On Site Sewage _ U. Name On Srte well - Water Meter sE AddfeSS MWCCSystem c+a cw City Phone arywa?er - Awl Depasil S!W Permit PRV Reqwred I hereby acknowlege thal 1 have read this applicalion and state that Ihe Booster Pump - SiW Surcharge mformahon is corcect nd agree lo comply with all applicable State of Minnesota Statutes ancil City of E gan Ordinanc d Treatmem PI Signature of Permdee A APPROVALS Road Und A Bmldmg Permrt is issu k ro• LEO A SPROULS Planner - Park Ded on ihe express conditwn that all work shall be done in accordance wrth all Councn _ 50 2 apphcable State of Minnesota Statutes and Qry of Eagan Ordmances. gldy pry • Copies BwldingOffiaal ? ?Ail?,I?II111 Variance - TOTAL 96.00 3830 Pilot Knob R di P.O. Box 2G-A199, Eagan, MN 55121 N2 1217 0 BUILDING PERMIT PHONE: 454-8100 Receipt p ? 4 )? ?;? Tobeused#or SF DWG/GAR Est.Value $128,000 Date JUNE 24 1986 2255 JAMES ST Site AAdress Erect ? Occupancy R3 Lot 7 elock 2 Sec/Sub.OAK CLIFF 2ND Remodel ? Zoning R1 Repair ? Type of Const. v} Parcel No. Addition ? No. Stories RUSCON HOMES INC Move ? Length 61 i i Name 45 PENNOCK AVE Demolish ? Depth-5, o Address Int. Impr. ? Sq. Ft. City A•V• Phone 432-1737 Install ? ? o Name $p?jyE APProvals i $ ¢ Address Assessment ? , ciry Pnone Water & Sew. Police ti Name PROBE ENGR./M. NAGEL Fir e ? a Address En g. W a Ciry Phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld .Ofl. 6/19/86 9 information is correct and agree to comply with all a licable State of Minnesota Statutes and APC Var. Date Siqnature ol Permittee Permit $ 503.00 Surcharge 64.00 Plan Review 251.50 SnC 575.00 Water Conn. 500. 00 Watertuteter 63.50 Road Unit 290.00 Tr. PI. 156 . 00 Parks Copies 7otal $2 .403.00 A Building Permit is issued to: nua?vLN nvanc,0 iir? on the express condiUOn that all work shall be done in accordance with all applicable sota Statute d i%tEagan Ordinances. Building Official State of Mi d tz=?(L['J? C} ?./S_=.? ? REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 1 Sae insVUCbans br complelin0 this lorm on beck o1 Yellow copy. ?6 C f r C 3 5 8 5 6 "X" eeloW Work Covered by This Request ?FAtl Beo. Tvoe ot Builtlina Aooliancea Wired Equiyment Wiretl Water ectric ndustnal B k Fee SernceEntronce5ize H Fee Feeder tlers M Fep Cvcm?s 0 to 200 qm s 0 to 30 Amps Ahove 200 qin ?s 4 3 1 to l s Swimming Pool Above 1Amps Transrormers Irivos .,Cp Partial-"Other Fee SignS SpeCial InSpeCtion S y, -0 TOTAL F e9rks / 2 /V' 1, the Electncal Inapecioq hereby cerbfy that the ebove ins0ectmn has been maee. ThisroQUeal void rnls .dudola 9-/5 184non?hs?om C 35856 L-7, 5ec Request Date ` Fire No. RouPh-i Hequ Inspecbon ? [jReady Now dl NoUtv Insoec- l/- f es ?NO [or When Ready <censed Elec[ncal Coniracmr 1 hereb rey pues[inspection of above ? Owner electrical wark installed at. Street Address, eoz or Route No. ? ? ? ?ti 0-4 Citv ' ectmn o. Townsnip Na or No. Range No. County Ocu n[ IPpIfJT) c b? Phone No . 142? Pow Supplier . Atltlress Elactncal onUactor ICOmpany Namel L.??'i C Iraclor's License No. 6dt.5 S aihnp Address IContractm or Ownar MekinB lnswllatmnl .?P ? ?caa. ?''S3 Authonzed i W Co tracto Ownc akin0 lnslallauo one Number 9 -si MINNESOTA STATE e NO OF EIECTNICITV THIS INSPECTION REQUEST WILL NOT Gripge•Midway eldg. _ Ibom N•191 BE ACCEPTED BY THE STATE BOARD 1821 Univeraitv Ave., St Peul, MN 66109 UNLESS PflOPEP INSPECTION FEE IS Phona I6721 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 111. ins[ructions lor mmpbung tlJS fortn on back ol yellow mpy. r Q 4?8?6? ~)C" Below Work Covered by Thrs Request AFTIA EB-00001-0] -2 e Add Rep. TypeofBUilding AppliancesWiretl EqwpmentWrtetl - Home Range Temporary SeNice ' Duplez Water Heater ElecVic Heating Apt Building Dryer Other (Speqty) Comm./lndustrial Furnace Farm Air Conditioner Other (speciry) ConVactor maMS: 12 Compute lnspection Fee Below: # Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps 100 _ Amps Signs lnspector9 Use Onry: cc) rn 7p pL Irrigation Booms ?' J.. Special Inspection Alarm/Communication Other Fee ,os l I, Ihe Electrical Inspector, hereby if h Rouqn-in cert yt attheaboveinspectionhas been made. Finai _ a OFFICE USE ONLV Thia request wi0 18 monlns fmm &/sy'Yy - S1101,?v fF 0 4 6 8 0-t-?,? ?-?- C ? `J - 9ai&? Repues ate ? ' Fire No. Roug InspBCtion Raqmre . s ? No ? Ready Now n ? Will NoUy Inspeclo?r f When Reed 7 O"? I fDJie,;gnsed contractor ? owner hereby request inspection of above electrica work aY . ? .bb Atl ress rae( Box or Rate No.) ? r Ciry ? Secii No Townsh?p Neme w Raige No County ttu q(PE D S • O L S OL ? Pho? RWI _ 9 PawerSUppLer ' Q Hdtlress ? Elerdq T L?('V?*[?T?-ry 1?' ?-+lllll. 1454 Contratlor§ L' ense No Mah ss n ra ?P ?,?'LE VALLEY MN 55124 AuOwrizetl Signawre (COnhador/Ownar Makirg Installation) Phone Number MINNESOTA STATE BOAflD OF ELECTpICT' iH15 INSPECTION REOUEST WILL NOT Gtlggs-Midway BICg. - Room 57n BE ACCEPrED BV THE 5i.47E BOFRD 1827 Univarsily pve., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS PMM (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r. ee00001-07 "i See insimcGons for completing iMS Form on back of yellow copy. .1"'i, PF t-5?912 X" Below Work Cavered by This Request ew Add Rep. Type of Building AppliancesWired EQuipmentWired Home Range Temporary Service Duplex Water Heater Elecvic Heating Apt Building Dryer Other (Specify) Comm./lndustrial Furnace Farm ' Arc Conddioner Other (spealy) Coniracror5 Remarks p.? Campute Inspection Fee Belaw. 3 'S" # Olher Fee # ServiceEMranceSize Fee # Qromts/Feeders Fae Swimming Pool D to 200 Amps 0 to 100 Amps Transformers Above 200 - Amps Amps Signs Inspecior5 use only ? v j TOTAL y D Irrigation 8ooms ic aD p Special Inspection t Alarm/Communication Other Fee I, the Electncal Inspecror, hereby f th t th t b i i Rouen-m ? d o ?? cer i y a ove e a nspect on has been made. OFFICE USE ONW This request wld 18 monihs lm. y/i'?2/r9 e i5 ? 9 5 912 4> >3 N Request Oate Flre No. Rough-m eclion RequireC ? ReaOy Nax WJI Noliy Inspector 17 s ? No When Feyqq'S7 1 ? ? I p licensed contractor 'Kowner hereby request inspection of above t: ? - 5 .bb Atltlres9 (SVeet, Box or Route No.) s??lmes Ciry? ^ I? H 5ectnn . Tavnship Name or No Renge No Cwnry Occupant (PRINn Phone No. - OS6 SR4 Poqr Suppller? / Atltlreas Elecvical Contractor (Company Name) Contrarcena¢ No Mailing Atldress (CaMedor or Oxner Meking Irvstalla4on) SS 7 tliorizetl ' aWre (Contra o ner Making Install ' n Phone Number ??S6--)g MINNESOTA STATE BOAHO O UCRiICRY THIS INSPECTION FEQl1EST WILL NOT Grigga-Mldway Bltlg. - Poom S-1]3 BE ACCEPTED BV THE STATE BOARD 1821 Unlversily Ave., Sl. Peul, MN 551 W UNLESS PROPER INSPECTION FEE IS Plwne (612) 66241800 ENCIASED. ! " RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 l??P .? 657-681-4675 New Conetructlon Beaulmnents RemodeVHeoelr Neaulrements • 3 reglstered slte surveys showing sq. iL of bt, sq. ft. of house; and alI roafed arees • 2 copies ot phan (20°kmaximumbtcoveragealbwed) • isetofEnergyCakulatbnsforheatedatldrtiais . 2 copies ol plan showing 6eem & waitlow saeS pouretl Pound design, eta) • 1 sne suney for exAerior atltlnions 8 decks . 1 set of Energy Calculatians • Indicate N home served by sepNC system tor atlditbns • 3 copies o1 Tree Presarvatbn Plan 8 bt platted atter 711/93 . R'vn Jnisl Defail Optbns Setection 5heet (bltlgs wtth 3 or less unks) DATE ?' -4 '6-2- SITE ADDRESS TYPE OP APPLICANT oC .?5s TW_ STREET ADDRESS 42;Lq7 &co//Af Av: TELEPHONE # 9'5-z'707' ( 0 CELL PHONE # If //< STATEI?ZIP?,SS/2Z FAX #?tJZ?'t) '?'&(P ?eKaY TELEPHONE # ? 1a - aai-so6 7 Jol?asvnl lO PROPERTYOWNER '" ----------------------------------------------------------- --------- ----------------- COMPLETE THIS SECTION POR -NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submisaion rype) • Resi4ential Ventiladon Category 1 Worksheat Submitted • New Energy Code Worksheet Submiried • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: _ Water Softener _ _ Water Heater _ No. of Baths MULTI-FAMILY BLDG _Y ?N FIREPLACE(S) _ 0 _ 1 _ 2 Mechanical Contractor. _ Mechanical system includes: Sewer/Water Conhactor: Air Conditioning Heat Recovery 5ystem Phone # Lawn Sprinkler No. of R.I. Baths Phone k Phone # SEP 0 S 2002 Fee: $70.00 I hereby acknowledge ihat I have read thls applicatlon, state that the information is correct, and agree To comply wffh all applicable State of Minnesota Statutes and City of Eagan dinancesk-) Signofure of Appliconl ----......... _._-......... ---.... °...... --°-_........ _...?.. OFFICE USE ONLY VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 1986 BDII.DING PERLM 6PPLICATIOH - CITY OF EAGAA NpyE; ALL COATRACTORS M[JST Bfi LICIINSED iiITH TSE CITY OF EAGgN SINGLE F9MLY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULA'tIONS MOLTIPLE DWELLINGS - SESIDENRI9L INCLUDE 2 SETS OF PLANS, CER 7 SET OF ENERGY CALCQLATIONS CONIMERC1bi: RENT9L 09ITS FOE SAGE ONITS OF SURVEY - CHECK SiITH HLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?2?j? • To Be Used For: Valuatioj Date: ?4 Site Address OFFICE IISE ONLY Lot q Block 2 , Parcel/Sub ?{V, UW Owner ]T.lr--U V-;- U'9FL Address City/Zip Code Phone 4 z" i / ari Contractor f yC jalr° 14*-.?i Address L.H? City/Zip Code Phone Arch. Addre City/ Phone # 437-" ZD44.43Z 3Q2-L-? r? Erect t Oceupaney X-1 Remodel Zoning AL Repair _ Type of Const M/ Addition # of Stories Move Length ? Demolish Depth _ Int.Impr. _ Sq Ft Install 9PPROVALS FSES Assessments Permit ? Water/Sewer Surcharge 6141? Police Plan Review Fire S9C ? Engr Water Conn - Planner Water Meter aFiS D Council Road Unit -?-- Bldg Ofi' `yt?G i9 8u Treatment Pl ' APC Parks Varianee Copies TOTAL ? NOTE: 9DDRESSES FOR COftNER LOTS - CONTRACTOR/HOMEOiR7EB HQST DESIGNATE WHICH 6DDRESS IS DESIRED. NO CH9NGES WILL BE ALLOTaED ONCE BDILDING PERMIT IS ISSDED. Zz ?cZ4 ??... ? x-4+z?, a? `ZD 3 s< <= .- . , /273/o, ao ffR48E EfflS R?-n Rr".ES; t?1L.. CdHSlllT1H6 EH6iH ENGiNECA1NG PLAHNEAS cnd LAHD SUAVEYOlIS COMPANY, INC, 1000 EAST 146L1 57RErT, BURNSVILLE, YINNE=OiA SS337 PH 432-j060 CerZZ?Z cczZe o SSz,s-rY? c? LaQCZ .Ik+?C?"{SP?ZDrL; L07 7, BLOCK 2, OqK CLlGF 21U0 ADD/T/0+(/, DAKOTA CDUAITY, MfAlAIESOTA 30' FkONT EuILTil1J6 p,4qrnlA6E AND SETRi) CK C ll?[E UTlL17Y EAcEMENT i 30•0? .? L-?"'? ' E ?965e? ? 53 j9o ?' ? 91.73 l? 5 ?0? A NOFZTH SCALE ` I (969.7? 34? 3 s3 m ? ?C vn ? I a e.a O ? gbs.?` DENOTES EXIS7/N6 ? M (y69.7? ` ? ? ELEUA'TION 27.0o I 3A ? Q ` 5-? I m ? M ? m/2-67 ?m y p ?A?? ?6.; e?a.a ° (969,7 ? DENOTES PROFnSER s^ N 24.33 m:r«.? C%b')w,-N? ELEVATlON ?r d9697) ?- ? wa? I I 97c.00) IAIDfCATES D/R5C7lO,U OF g ? I ,c SURF-ACE DRAflJA6E 5 , ? m --1 970. ao a F/itll SNED .64RA6E ?b? o ---- o ?9697) ` FLOOR ECEVqTIoitl /az.ao (9c4.4) N 99° 42' 04"E s`4.g7 ? 0 m _ 0- JAMfS _ STREET ! 963 b9 ? Iuher:by caMify that thia in n t:- and cor^4ct rsprzeeatation of a tract of l+nd as ahovn'aad deecribed hereon.• Aa prsparad by me on thi? 12rll day ot Ninn. 1laS. Ho. ?_ 8S v YEIILLIPS PLAN SERVICE 10700 Lyndale Ave. So. Bloomington, MN 55420 • EXTERIOR ENNELOPE AVERAGE "U" COMPUTATION ? Suitef 106 OYtNER _ , w... .,.: ' ' ',? . ..- _ .3?:.- r.F?- . :•. _ - ' _, - SITE ADDRESS - CONTRACTOR Jjr• t r•_ ?.,1e'.•,?-? •?(j;;c( DATE PHONE ..?3? I 73 7_ . . , Determine working square footage of each. . , . . .. :: , 7. Total exposed wall area .... .2?n --- sq. ft. x.If ? .3 2. Total roof/ceiling area ..... Ui sq. ft. x. bZt- Total exposed wall area a6ove floor = 2-796 a. 7ota1 wall window area ........................... 2 99 b. Total door area .. ...... ..................... c. Tatal slidiny giass door area .................. ?5 ? o d. 7ota1 fireplace wall area ......................... e. Total wall framing area (average 10%)...:........ Z?k f. Total net wall area above floor ................. 2,:) `6'4-_ g. Total rim joist area ........................... Z?_n Total exposed foundation area = 1 h. Total foundation window area..................... 1. Toal net foundation area abpve grade ............ Ib7/ Determine "U" value of each wall segment. a. X "U'l x „u„ X ??U?? = , 3-3 ZH,?? - d. ?D g „ull ?_ e. ??Y x ??U" ,10 ^_ -a x "U'l ,643 = IbZ.i\ 9' x I?- h. x "U., M ;. !o"=? x 11U,1 , o-7 _ I, 4`1 3 ......................................Tota1 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ? Total exposed roof/ceiling area =' 1?4 7S Total gross roof/ceiling area j. 7ota1 skylight area . ................... L k. Total roof/ceiling framing area ........ _ 1ItL•L 1. Total net insulated roof/ceiling area..... .. Iy2S Deterinine "U" value for each roof/ceiling segment. j. l. g iiuli k. 13c?.Z x „u„ 1. 122? xIv-, o Z. = 2H,S 4 ..................................Tota1 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)S. To utilized the totaT envelope system method, the values.established 6y the sum of items #3 and k!4 shall not be greater than the sum af itens #1 and #2. 3. + 4. _ +Ei O 8 E CDNSllL7IH6 E3i6i}tEf!tS E Ef?itNG PIANNE$S and LAHD iURVEYO!!5 MGiN COMPANY, INC. 1000 E/.57 I46L1 STRE=7, B[]RNSVILLE, YIH!i==0-ka 5=2=? PH A=2-?060 eerZz?'i crz?e o? if ??S,??p2icrz: Co7 7, BCOCK 2, OAK CLiFF 2N0 Ao01710411 OAKOTA CDVAITY, M/NAlESOTq 30' FROAIT E?lLAING p,4qINA6?g RNV SETBACK C!/?E UT1L17Y E45EMENY ?•p0 ? _, g? • 2y, Sa° & C965• 7e s• r sv5. j ?` ti o Q? 1 A NORTH I? ?_ ? - ?? & - ScAtE : ?" = 30 I r I J L, Lr ? sr. ? (qc9.?)3,,a l A ? I (96 34.33 N ?C h n r , ,L; ° aa ?7 ? m N ? ? I ous s?_ 1fti DENOTES EXIST/NO ELEVL? i loN o Q` Z?.oo ? 3? \ S.o ? m ? \ m i2.67 M <333?? ? GarueE Ibo (969.7 ? DENOTE? PROFr}SEC Et-EVqT10N _- , 5n Lq.'33 m?697) ?G4.oi W? I WDlCATES DIRECTIO,t! SURFACE DRAI/JA6E ? m ---? 97o.QO ? F/AliSHED 64RA6E 56? a (969.7) . FL0o2 ELEVi.}TiaA/ ia 2. oo [964.4) N 89° 4E' 04"E yf4.a? S a m ?AMES _ STXF.ET I`Aer:by caMify t`?at thia ia a t:t== and cc?ed bPaontthia? ?dtY?o? t llnd as shcwn'and dencribed herecn.• Aa prep Y mn Tw'E , 19 8 e. . . OF ?iina. leE. No• ??'f v .. '? .? 1989 BUILDI9G PfiRMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLIIQG3 I 4 z ? q INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATZONS NOTEs ADDAESSE3 FOR CORNER LOT3 - COATRACTOR/HOMEOWNER MUST DE3IGNATS WRICH ADDRES3 IS DESIRED. NO CEiANGE3 WILL SE ALLOWfsD ONCE BUILDING PEAMIT I3 I380ED. MULTIPLE DWELLING3 RENTAL QNITS FOR 3ALE UNIT3 # OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CAECK WITH BLDt3. D6PT.9 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 1.0'`?-G'?Yaluation: Date: ?? r v _Ij..? Site Address Lot ? Block Parcel/Sub ?a - U? ' ? Owner At I S Address Occupancy ?k- 3 F6ES Zoning ?? ? Actual Const Bldg. Permit • Allowable Surcharge ? 5? # of stories - Plan Review Length 1? - SAC, City Depth IZ,r SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aect. Deposit On site sewage` S/W Permit On site well 5/W Sureharge MWCC System Treatment P1. City water _ Road Unit PRV required Park Ded. Booster Pump Copies 2.50 _ TOTAL QL.no APPROYALS Planner ? Couneil Bldg. Off. Variance City/Zip Code Phone ??13 `A ` C) J (.p el? Contractor ^sA me, Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # NOTEs Sewer & Water Permit Fees and aeQOUnt deposit fees s+ill be ineluded in the building permit fee. Processing time for sewer and water permits is two days onoe a liaensed plumber has applied for a permit at City Hall. ? L-1 ,1C I 2 ? ? l6Ff ?')C??-lo%,r (/A c. u A7'td = G 72 0 V ? /' (: ?1 ?• , _-??`1? ? o-? _ ?. ?.c e-? w? ?? ce-ti,?-2,-.? . ?,? .?... %? •??. ? , / .?.z?< <.. f? , a-e?.,s • ?c ? X ?o f'? c?'4. ? i e!l ? ?-O. ? . /?.G S _ L??.?-1 ? -E.a.G-.-.- • ? ?? ?• ? ? // ? .L. ? ? 2.?: G f ? L __ -?.,_: ..: .. •{., D x 7`'?',.ei??r?'- . d-y-'.? ?? r.?.i. !?_?.?/ /?sJ,. _ ? -• _ . . l.R? i i 1 / /L? '? - , a-.-•.?: u??_E( :?.?fi , ,?w. • :_ k- ? 9 A 4_? ? ? - L r ^ /? .?. t ?C?- ?n ? X ? ? ., ? .z. , ?__i? ?'/u., . !°-<+.?? ?,? r. . ?`%T..j ! ??_ ..?1 ? % / ? '?r . ?-_? 4i d ?C ?07 ? /7+-[iC??G-e? • (/+0`e, ? • . / ? .?GV-e??i? ,?•..? /I ,.?- ?,n.l)'? Q_? ??.0 X ?y ? t?l n ?-`+^-0 a Z-,e n ^ ?.?? + G ,l d..--..-._ .....--'-?f-C-? ? eL. 7 ?.i..r ?v?ej c. ?r-?n?ef•. ??????t' ??.??. , . . . . . ' ? ,-_.. ?,. ? _ ?-,?...1'c _ + 'r'.• , c .J:e_r, -:? , ? z X 1-z )P-3 ?./"rL! •7 `t.?.'Y-?J • ??_ ??. ?' ?.sZ . ? lc?rL? -?JZ.???--. ?- O"s?-G' ?t? !?Y^LS_'/?-•a• ? ?i» P-•?ti.. /? ...//J ?6?.t.?-?t.4- • 6?£x ?? d?c_1L ? ? e-A_ ?-.G??? ?c.?-,_.e. ,? Q ". ec-•l ,.?..."?C( ?o ?? n... -^ ..,Q'.• ?.._1 ?. /L! ?Lv./.?Ce?-/`..? ?.? ?f'.,a.,l-_A 4_ . 6'--/'5... ?C??t.tli i._ -?'^?'? "?"-- ??? JU.1'4C-? ?Q?'('.!.^ • ? - --- - - - n -- ? - ? - -- ---- ? ? ? -- -- - -y?Tr- -so-A- ?-r y = - ?- - -- - -- - - - -A??auN?-?!?- - I - - / ?O di - -- - ---?---- --- ? x?s: inye.- --- - - - - - x-? -?o-*iAS-S-?_ - --- -- - 4 - - ------ -- ---- / - - -- - - -- - ? ? - ? - ?0 7 ?"? . - ---- --- -- - ---- ----- ; ?/_,_3-.- - -- - --- --- --- ? -V EY?-l 5-- - - - - - - -- - -- - -- -- ----- t-B?`-FFELS -- -- - - - - - - - ----- - -- -- - ? 1-???Z??cLo?l -- -- -- -- -- -- - ---- -- ---- -- -- -- I --- --- - --- - - - - - --- --- - ? ----- ---- --- --- -- --- - - ? i -- -? i) .... --- - ?-?'?-Bc.E__?s- ??- ? --- -- --- ---- ---- ?za??f? ?-? Sc.??s_LLw_oa'1J--.?'-?-?"?'??-h t'? Tkt?-- - - -- - -- `?''?.l?'?tH.?'?_ _ .-7_5 .. - --- - - - -- - - --; --- -- I ? - - - - - J o ? d?'y! e ?j/?? _ _ . - }-i? a T / NC+ - --??? ? - ?-??---?"?-?- - --- - - I ?QL/?*T1_21?J .. - - ---- f? r ? ? - - -- - - - - ? -_ -- _ _ _.Sv?ST ???LG?._ - _ ____- _. _. ____-- _ , I " i - - --- - , -- ----- - - - --- -- --- -- --- - - - --- - ---- - - - - -- - --- - I -- - - ----- - - - - - - - -- - --- ?-- - --- - i ---- - - - - -- - - -- ------ I -- ?-- --- --- - -- - -- - -- i -- ? -- i --- I ---- -- ----? ----- -- - ---- --- - ---- - --- --1 ---- -- - - - ----- ------ ---- ---- -- -- - ----- ' - ----- - -- --- -- - - --- -- + - -- - - -- -- - - - --- - - - - - -- i - - - - - -- --- i - --- ----- - -- -- -- - -- -- - -- ? - ---- --- CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/AR WATER CONNECTION NCYi'?': PAYMFNC OF FFFF.'E AT TIME pg aPPLscATIoN DoFS rx7r cwmnm APPROVAL OF PERFIIT. INsrFx.'riON oF sMmt Arro/Ct MM rTa'rIONS WIId. NOT BE S(HED- cu?Fn UrrM PERMrT HAs sEW AePxovFn, ---------- P ease Print) 1) PROPERTY ADDRESS: • LEGAL DESCRIPTION: " . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING SiRL'LMRE, DATE OF ORIGINAL BLILDIM PERMIT ISSL'ANCE: - (rbn YearJ - PRFSEEb77f ZONING/PROPOSID LTSE: r-I CaNTEl2C?liI./?FTAII./CKTICE C2 IIIDC'STRIAL C] INSTI2L'TIONAL'/GOVEUZJENT 17X R-1 SINGLE FAM2LY Q R-2 DL'PLEX (7uo Dnits) ? R-3 TOW[+H0IISE (Three + Units) ( Units) ? R-4 APARTNESIT/CONIDOMINI[JM ( Units ) 2) NkME= Ruscon Homes, Inc. ADDRESS: 14530 Pennock Rve. .. CITY, STATE, ZIP: Apple Valley, f'ln. 55124 PHONE: 432-1433 3) u c?- NAME: 41 ADnxFSS: QTY, STATE, z2P: O/P f- ? ?pired Not recorded PHoNE: - y ' MASTER LICENSE# NP,ME: ADDRESS: CITY. STATE, ZIP: PHONE: 5) n r• r a: •00: ae • a• - a?? -- - ITICOMECTZON Tl7 CITY SEWER ET-ICO-b7NECTION M CITY WATER 6) '? • ?` ??' ? PLEASE HOLD APPROVID PEROIIT FOR PICK-L?P BY ONE OF ABOVE -' --'- u????{?? ? PLEI?SE APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r.,i: k : (:)L . ??i?+ / 1Mr.,--7w FOR -CITY USE ONLY PERMIT # ISSDED , 76 Pd w/Bldg. Permit FEES; $ 1/` - ST $ $ ??7 • 52? g $ $ $ $ $ $ $ $ $ ?+ C u n $ . $ L 7 5-, ? $ $ $ $ $ $ $ $ $ $ /?S?• ? O Z? $ $ $ $. $ ? , SEWER PERMIT (INCLODE S(JRCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHORN/O[.'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER wac SAC TRL'NK WATER ASSESSMENT TRL'NK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SDRCHARGE OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MLST BE ISSLED BY THE ENGINEERING ED NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: CJ TITLE: DATE: ' °f'Please send copy for water meter to: Genz-Ryan , 14745 S. Robert,Trail Rosemount, 14N 55068 Copy for sewer and water connection goes tol Star Plumbing Thank You Ruscon Homes, Inc. *1dtV oF eagnn ? 7 1 6a ?4 xy THOMASEGAN Mayor February 2, 1994 PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS NEDGES City Adminishatar MR JACK MCCANN 2255 JAMES ST EAGAN MN 55122 RE: _ OUTSIDE,STORAGE ?_ _P.I.D.4-10-53551-079-? Dear Mr. McCann: E J. VAN OVERBEKE City Clerk The Community Development Department has received a complaint regarding storage of a trailer on the west side of the garage located at the above-referenced addxess. Our records indicate that you own this property. I was unable to find your phone number so I am writing to inform you that the Eagan City Code requires that trailers stored outside cannot be located in any building setback area. Trailer storage is not allowed within 5' of your side property line on the garage side or within 10' of the side property line on the house side. Your trailer must be moved by February 13, 1994. Please inform me of your intent and provide me a schedule of compliance no later than February 9, 1994. I would appreciate an opportunity to discuss this matter with you. I can be reached at 681-4689. Sincerely, Mike Ridley Zoning Administrator MR/js MUNICIPAL CENiER 3830 PILOi KN08 ROAD EAGAN,MINNFSOtA 55122?IB97 PHONP (612) 601-4600 FAXt(612) 681-4612 iDD: (612) 454-8535 ifiE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal OpportuNty/Alilrmatlve Action Employer MAINTENANCE FACILITV 3501 COACHMAN POINI EAGAN, MINNESOiA 55122 PHONF. (672) 681-4300 FAX: (612) 681-4360 iDD: (612) 4548535 2007 RESIDENTIAL BUILDING rERMrr aPrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 3 regislered si[e surveys showing sq. H. of lot, sq, fl of house, and ail roofed areas (20 % mazimum lot coverage allowed) 1 Soiis Report it proposed buildmg is fo be placed on disWrbed soil 2 capies of plan shovring beam 8 window sizes; pou2d found design, etc. 1 setof Energy Calculations 3 copies of Tree Preserva6on Plan if lot platted aRer 717/33 Rim Joist Defail OpUons selection sheet (6mldings wAh 3 or less units) I I f f RemodeVReOair Reouiremenls 2 copies of plan showing foolings, beams,joists 1 sel of Energy Calculations for heated addilions 1 sife survey for addNOns & decks Addfion - rndicate ilon-site sepfic sysfem /?7, ?3 G?,? Office Use Onlv Cert ofSurveyRecd _Y _N SoilsReport - _Y _N Tree Pres Plan Rectl _Y? _ N. TreePresRequired _Y _N On-siteSepficSystem _ Y _N Minnegasco mechaniq ven6 a ion orm / I I ?? Piar,? arP considerPd nuhiic information uniess vou state thev are trade secret and th reason. --- Date 1,07 Construction Cost ry c? (?)0• ? Site Address ?2--) ?;;? Unit/Ste # A6A ? J ? Z Descrip[ion of Work Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2 f? Property Owner J TelePhone # (? ??)2? 0 O 5-0?4J 6A&'v J eL' ('r'I 6- Contractor " "? Address c(e ? S ? A, ?I ? - ?^/L ` City -t' ( ?G?N State Zip 02 Telephone #(75Z}? ?- 2 1? 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlLDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ven6lalion Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Telephone # ( Telephone #( Telephone #( Building Permit and acknowledge that the complete that the work will be in conformance with the ordinances and codes of the City of Eagan and trie Ntate ot MN Statutes; I understand this is not a permit, but only an application for a perrrtit, 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 re uiresc?ap v w and approval of plans. p?? 0 v A vIPl 57"eznJ ?l o Lr'? ??"?" ? u ,1UN ? 4-2007 ApplicanYs Printed Name App icanPs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg / ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex 6 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous W k T ? vT 1 o r vpes ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair Y_ 33 Alteration ? 37 Demolish Building' ? 43 Reroof p 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant DesCriqtion: WaterDamage_Yes ti V l ( ? O MCES S t on a ua e ccupancy ys em Plan Review 100 % or 25% Code Edition Census Code :3d- Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ? Width _ Foorings(new bldg) _ Foorings(deck) _ Footmgs (addition) _ Foundation llrain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIRED INSYECTIONS _ Sheetrock FinaUC.O. 1C FinaUNo C.O. ? HVAC Other _ Pool Ftgs Au/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaiaing Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 6 /J' ,6 ff fl'? i Use BLUE or BLACK Ink j For Office Use I City of Ea a~ I Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: l I 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,I 'f Site Address: /r il„ Q+y-dz/ - Unit Name: 6-V I> kAJ A Phone:e~~l2- l .SP6,-7 Resident] Owner Address / City / Zip: ~7i~ Applicant is: Owner Contractor Type of Work Description of work:" L L' r 6,~2 i Construction Cost: Multi-Family Building: (Yes / No Company 1 t/~ ✓[✓61l yt Contact: Contractor Address: 440 "f ® t ~i ,I~/r~i~ City: State•_ Zip:. Phone: (f/ l~ I 1 of 7 License tri `J 14~ Lead Certificate A-r 0 q0 ° If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. 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.gor)herstateonecall.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 Minnesofird to Building Code must be completed within 180 days of permit issuance. X_ ek+VIG ,1 x Applicant's Printed Name Applicant's Signature Page 1 of 3