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1459 1_2 Lone Oak Lane
,CIT`!-OF EAGAN PERMIT TYPE: '' 1, 1 t' 1 N'., 'j 3830 Pilot Knob Road Permit Number: 00 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . . , ?? ?.,? . ? : ? r: i i , ? ? , ? ? - , PERMIT SUBTYPE: TYPE OF WORK: - ?r . • ii.':y: ''? .: ...1..'--' ...-,. . . , . . . i .. >,: . ? .. ? . ? . _...,? . F('ic)( ?NF, . I I I ' ftAM1Nf• I iM`;t11_til littd ? _•• ; :s. 1P ! I'1 Al (. I"AI I ia. - . 1; {" M/1 IA! S: N `, S, W 1' t R 12 -1 ParmR No. Permk Holder DaDe Telephone # S/W PLUMBING ? 44/0 HVAC ELECTRIC ELECTRIC a °'O InspeCtlon Date InsP• Comments Foolings I Foundetion Framing l ?r43 .?s Aoonrg Rough Pibg. ! _? ,t Roueh i-us- > i? S • Not r?4 [S,l. '7-z g S' Fi?W8ce Flnal Htg. 041 OrsatTest ?u/G?OiNCr A-3 ???Ss ?- f''LO-•t= cu 7 Final Plbg. Plbg. Irepector- NotifY Plumber ConsL Meler EngrJPlen Bldg. Fnal Deck Ftg. ??O /?-/?. o-J /Ssn T 9.???5 - H G oeck FinW weli Pr. Disp. O'YG + a OCt??/G1?.5 ? _ _ CITY OF EAGAN Remarks /Drtcc?,•??'?/?/ ?/? ` ????' /" y??•u;• ?. - ' i?; ?? ?/?•4? ? ? Addition ZEI-IIVDER ACRES Lot Pt . 10 Rlk Parcel 10 888/00 107 00 ? 1?IlV 55121 r ? StateEagan Owner _ ? Street ' `- ?) _?[<<C. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1970 1961.73 98.09 20 WATERMAIN * WATERLATERAL& W stub 1970 ZO WATERAREA 34;1- 1977 160.00 10.()() IS STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK , STREET LIGHT WATER CONN. BUILDING PER. 5AC PARK / REQUEST FORELECTRICAL INSPECTION Es-00001-o ? 6e inslr chons for aompleling ihis torm on back ol yellow copy d 1, $ 4 3/5 ???X" 8elow Work Covered by This Request aw kila Pey. ' Typeof8utlding AppliancesWired EqwpmenlWired Home Range Temporary Service Duplea Water Heater Elednc Heabng Apt. Butlding Dryer Othar_(Specity) Comm./Industrial Fumace Farm Air Conditioner Other (syeoAy) Conireotor5 Remarks '7? c J? Y`?__ ?.e Compute lnspecfion Fee BelowlJ? TU # Other Fee # ServiceEniranceSize Fee # CircuAS/Feetlers Fee Swimming Pool 0 to 200 Amps %?ls 0 to 100 Amps Transformers Above 200 _ Amps o y 0_ Amps SignS Inspector5 Usa Only TOT L Irrigation Booms ?? yssG Special Inspection A n ?y_,? Alarm/COmmunication , THIS INSTALLATION M? E O R D QISCONN Other Fee COMPLETED WITHIN4V ONT 'ill I, the Electncal Inspector, hereby R°°9n"" , v certify that the above inspection has been made. F,?ai oaie OFFICE IlSE DNLY - Th?s requast vai0 18 months imm ¦ G ss?? ?' ? ? d c 4 5 , - 30 ? 3 ?. /o 5 ?o Re uest ale F Na FougRm Inspection ReqwretlP '.J? ? Ready Now W II Not?ly Ins or e No he ae0y'+ Q?J [ ?O I licensed contractor ? owner hereby request inspection ot ove electrical Joo Aaaress Isheet aox or Roule No I ?e Qy z. ii!!0we ou I< A Semmn No Township Name or No. Renge No Co nry ! `?\ Ocwpant(PRINT) Pbone No 4,11'7 5 Gu TZ 5-q-5-y13 Power Suppher ' /!/ Atldress 000 yfQX We.i.?- /?V• Eieancal Comra ror 'GOmOany Namel ? Gonvacmr5 Licensa No 441d w-P-sa -c-fiii co? cabiz?i MaJing Aaaress tCOnVactor ar Owner Ma ng Installanonl , 3 b$ - . ct.ti 7 / AWh 0tl SgnaW!a ICOntr ovOw?er ak?ng In on? Phone Nomber MINNESOTA STATE BOP D OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT Griggs-Mltlwey BIGg - Room 9.173 BE ACCEPTEO BV THE STqTE BOARD 1801 pnivenlly Ave., St Peul, MN SSiOi UNLES$ PROPEF INSPECTION FEE IS Ppone(612)66Y0800 ENCLOSEO Address 1459 ? tptC oax Roan Zip 55122 Lob • 4o7 Blk on Sub zamm ar-REs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: /S' 9 Yes No Inspector: Final grade (6" from siding tll? Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass r/ TraiUcurb damage Porch ? ?C?„? Basement finish ? Deck Please verifV with the builder the removal of roof test caps from the plumbing system and the shuFOff of watet supply to the outside jawn faucet before freeze potential exists. Contact engineering division at 681-4645 6efote working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow • Residcnt Copy Pink - Contractor Copy t A SEVERSON,SHELDON, DOUGHERTY & MOLENDA, P.A. SUITE 600 7300 WEST 147TH STREET APPLE VALLEY, MINNESOTA 55124-7580 (952) 432-3136 TELEFAX NUMBER (952) 432•3780 E-MAILbauen@scversonsheldon.com FiECEiVED U C T 3 U 2603 'f0: FROM: DATE: John Gorder, Assistant City Engineer Robert B. Bauer, City Attorney/A.,/ October 29, 2003 RE; Kennerick Addition - Easen?ents Project 806 Our File No. 206-18571 John, Er??AN rNIGlNEERiNG DE°RRTMENT Enclosed for the City's records, please find the following original recor&d easements: A. Ponding and Utility Easement (William M. Overn and Ann M. Ovem - /LO - ? Easement No. 899) dated April 15, 2003 and recordeu with the Dakota ?o s-oO County Recorder on July 15, 2003 as Document No. 2078304; s- B. Ponding and Utility Ease;nent (William M. Overn and Ann M. Overn Easement No. 923) dated April 15, 2003 and recorded with the Dakota ? County Aecorder on July 15, 2003 as Document No. 2078305; ? C. Ponding and Utility Easement (Christopher Mazshall and BrendE Marshall - Easement No. 920) dated Aps•il 15, 2003 and recorded wiflz '(:ie Dakota ? County Recorder on 7uly 15, 2003 as Document No. 2078306; D. Ponding and Utility Easement (Anne M. Maag - Easement No. 921) dated /0 __ April 11, 2003 and recorded with the Dakota County Recorder on 7uly 15, 091-60? 2003 as Document No. 2078307; E. Ponding and Utility E'asement (Dale M. Naatjes and 5uzanne NaaYjes - Easement No. 922) &ted April 17, 2003 and recorde-'• with the Dakota ?p - 8gjoo ? County Recorder on Jul,, 15, 2003 as Document No. 207n308; ,0 j? d'16 John Gorder October 29, 2003 Page 2 Xjo.l aaa- F. Drainage and Utility and Temporary Construction Easement (Skyline Limited Partnership - Easement No. 926A) dated May 16, 2003 and recorded with the Dakota County Recorder on July 15, 2003 as Document /o _7 70,rb -jpO" v° No. 2078309; G. Drainage and Utility Easement (Skyline Limited Partnership - Easement No. 926B) dated May 7, 2003 and recorded with the Dakota County Recorder on 7uly 15, 2003 as Document No. 2078310; H. Drainage and Utility Easement (3kyline Limited Partnership - Easement No. 926C) dated May 7, 2003 and recorded with the Dakota Counry Recorder on July 15, 2003 as Document No. 2078311; ? ? i 1. Ponding and Utility Easement (Todd J. Lutz-Chase f/k/a Todd J. Chase and /I Mitsuko M. Lutz-Chase f/k/a Mitsuko M. Lutz - Easement No. 927) dated c? ?n; _,?p April 11, 2003 and recorded with the Dakota County Recorder on July 15, /6 _f'` gDD ? $O 2003 as Document No. 2078312; 2003 1 d elreo ded Kathleen th the 1t Dakota ?0 ?'? - b93-? J em n No. 929) datd Ap1 (Michael EasCounty Recorder on July 15, 2003 as Document No. 2078313; and 8 6(0 K. Drainage and Utility Easement (Gerald L. Braun and Edith L. Braun - Easement No. 972) dated April 11, 2003 and recorded with the Dakota ?60 County Recorder on July 15, 2003 as Document No. 2078314. ? % ?ruc °-- P? :?'= f? D?;? . __?--- k . EG S'' 'r e^"tl S ?r?u.3Ei,,..• a? 7 ? ~a W ? ' o a? z ? $? 3 2 Z p y o ° L'i uiy W a ?^? U ? w ? , ? Z Z V N s F a? W ? N =? o a U v a. ((pp CL a Y ce) v x w? Z ? ? j U ? ? ? =W C1Q? 7 2 V ? ? - LL. a ?m? o cY, m a W ° W N Y W o 2 uU CiQLL WO m f ? ? ? = 3 CL 0 mN M. liE y U Q U W6 v3 0 W LL Is 2078312 \ ? 2 (A o Wl'fE RECEtYED -D3 DAKOYj„GUII+?TV TREASURER-AUDI70R IAA_? PONDING AND UTILITY EASEMENT DESCRIPTION IN CONNECTION WITH EAGAN CITY PROJECT NO. 806 THIS PONDING AND UTILITY EASEMENT, made and entered into this -/i%day of , 2003, by and between TODD J. LUTZ-CHASE f/k/a TODD J. CHASE and MI SLJKO M. LUTZ-CHASE f/k/a MITSLTKO M. LUTZ, husband and wife, hereinafter referred to as "Landowner," and TBE CITY OF EAGAN, a municipal corporaUon, organized under the laws of the State of Minnesota, hereinafter referred to as the "City". WITNESSETH: WHEREAS, said Landowner is the owner of the tracts of land in the City of Eagan, Dakota County, lVfinnesota, legally described as follows: An easement over, under and across that part of the following described property: That part of Lots 9 and 10, described as follows: Beginning at a point 144.25 feet north of the southwest comer of said Lot 10, running thence RECEIVED North along the west line of said Lot 10 a distance of 130.00 feet, running thence East a distance of 30.00 feet, running thence southeasterly a JUN 17 2003 distance of 157.6 feet, more or less, to a point on the east line of said Lot 10, said point being 22235 feet north of the southeast comer of said Lot pAKOTA COUNTY 10, running thence southeasterly to a point on the eastline of said Lot 9, 7REpS1REit-pWITOR said point being 425.0 feet south of the northeast corner of said Lot 9, running thence South along the east line of said Lot 9, a distance of 42.46 J ? feet more or less to a point on said east line of Lot 9 distant 144.25 feet north of the southeast corner of said Lot 9, running thence West along a ? `- line pazallel to and 144.25 feet distant from the south line of said Lots 9 and 10, to the point of begiruilng, all in Zehnder Acres, according to the ? recorded plat thereot Dakota County, Minnesota. 0 v Lying easterly of a line described as commencing at the intersection of the west line of said Lot 10 and a line 144.25 feet northerly of and pazallel with the south line of said Lot 9 and 10; thence easterly along said parallel line a distance of 174.90 feet to the point of beginning of the line to be described; thence deflecting to the left 90 degrees 00 minutes 54 seconds a distance of 125.67 feet and said line there ternunating. See also Exhibit "A" attached hereto and incorporated herein. NOW, THEREFORE, the said Landowner, in consideration of One Dollar ($1.00) and other good and valuable consideration, to it paid by the City, receipt of which is hereby acknowledged, hereby gants an easement to the above premises to the City, its heirs and assigns, for ponding and conservation purposes, including the normal practice of filling with water the above-descnbed premises from storm sewer runoff and for utility line putposes. The City shall have the right to do whatever is necessary for the enjoyment of the rights herein granted, including the right of clearing the easement azea to allow for the use of the land as stated herein, and also including the right to excavate within the easement azea and to inwrall lay, maintain, operate and repair storm sewer pipes and utility lines and the right of ingress and egress to and from said tract of land and over and across the easement azea for these purposes. And the said Landowner, for itseW its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to said land by reason of the location of lake, ponding area or utility line. By acceptance of these easemerns, the City agrees that it shall restore the property locazed outside the anticipated perimeter of standing water to as near the existing grade as is reasonably possible and fiuther agrees to replace existing cultivated shrubs or sod and to seed all other areas not covered with standing water. It is expressly understood that the City, its successors or assigns shall waive and release said lands or that portion thereof used for permanent lake or ponding purposes from any special assessment levied on an azea basis on account of any improvement in the City of Eagan for such time as said lands aze used for permanent lake or ponding purposes, but at such time as such uses or purposes aze abandoned then said lands may again be subject to such special assessments, as have been levied or may hereafter be levied. IN WITNESS WI-IEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. TODD J. WTZ-CHASE f/k/a TODD J. CHASE -0 ka4_Q_ MITWICO M. LUTZ-CHASE f/k/a 1?TSUKO M. LUTZ ! STATE OF MINNESOTA ) )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this 2003, by TODD J. LUTZ-CHASE f/k/a TODD J. CHASE and„M f7k/a MITSUKO M. LLTTZ, husband and wife. / 9 APPROVED A3 TO FORM: 1?? ?. /' City Attomey's Office Dated: (c APPROVED AS TO CONTENT: Public Works Department Dated: Notary day of ; : JOEL ALAN RAUSCH ? NOTARY PUBLIC - MINNESOTP. MyCommhsionExPiresJan.31,=C " s? THIS INS'I`RUMENT WAS DRAFTED BY: City of Eagan Engineering Department 3830 Pilot Knob Road Eagan, MN 55122 651-675-5646 Easement No. 4M 927 Project 806 . Ill , 1 EASEMENT SKETCH FOr9• THE C/TY OF EAGAN ? Denotes panding and utility easement Areo = 13,886 Sq. Ft. p?Q I C, p I.) ihis sketch does mt purport to he a bountlory survey. 2.) Caortlino[e bosis: Oakoto County coordinate system 3.) Existing 9"VCP sanitary sewer and wetlond shawn hereon provided by Bonestroo, Rosene, Anderlick and Associates. 4.) Bearing ond distantes snown in parentheses ore per deed. I '1 /1 (EAST) 8957/4£ 30. OQ y s?1 S) P? ? 1,fb. q W ? n? ? Za0 ' o p0 O -v ?, m ' 90 0 ? 9"VCP SAN 5 174.90 W w ;' --- N89 5620 ? LINE PARqLLEL i0 SWiH pj O a N ? LINE OF LDiS 9 k 10 N J N ? z°?p W LiNE OF LOi 10? E LWE OF LOT 10 ? .. o , SW CORNER OF LOi 10 SE CORNER OF LOi 10 ? ? . ..:......::..?.?.?.... .. _ E LINE OF LOT ? SE CORNER OF LOT 9 ?SOUTH LINE OF LOiS 9 k 10 C.S.A.H. 26 (LONEOAKf70AD) We hereby certffy thot this sketch, plan or report was prepared by me ar under my ins[ruction ond that I am 4 a dWy Registered Land Surveyor under the laws of the o State of Minnesata n Doted this 19th doy of April, 2002 SUNDE LAND SURVEYING, LLC. eY '__ a ? 5cott J Soukup, .L 5. Minn. Reg No. 17256 2000-105 4261J4 J27. R.7J, SOf 20002050040WG OBP NE CORNER OP LOi 9 ? v \ o 0 / N J \ N ? S7a=. _. \ a ':.EOCE OF ?WEiLPNO. 44"_r':.'.. .. . .... ? .. ,399.80 ?. \?L - m 2 x B ? w ?44n PROPOSED PONDIN, AND UTI ITY ASEM NT 0 S RIPTION An eosement over, under ond across lhat part of the follawing described property Thot part of Lots 9 and 10 tlescri0ed as follows: Beqinninq at a poin[ 144.25 (eet north o/ the southwesf corner of said LOI 10, running thence North olong the west line of said Lot 10 o distonce of 130.00 feet, running thente Eost a distance o! 30.00 feet, running thence southeasterly o distance of 157.6 feet, more or less, to a point on the east line of said Lot 10, said poin[ being 222.35 teef north of the sautheost corner of saiE Lot 10, rummng thence southeasterly ta o point on the easl line of soid Lot 9, said point heing 4259 feet south of fhe northeast corner of said Lot 9, running thence South olong the east line of soid Lot 5, o distonce of 42 46 leet more or le5s to a point on said east line of Lot 9 distant I4425 feet north of the southeast corner of soid Lat 9, runninq thence West olong o line porallel to and 144.25 leet distant from the south line of said Lots 9 and 10, ta the point of beginning, oll in Zehnder Atr¢s, according to the recorded plot thereol, Dokota County, Minnesata. ; - Lying easterly of a line Oescribed as commencing ot ? the intersecNon of the west line of said Lot 10 ond a ? line 144.25 leet northerly of ond porollel with the yp south Iine o/ said Lot 9 and 10; thence easterly olong - soid parallel line o dis[ance o! 174.90 feeL to the point of beginning of the hne to be described; thence deFlecting to the left 90 degrees 00 minutes 54 secands a diatonte of 125.67 Feet ond soid line there - terminating Sunde Land 9001 East Bloamington Freewoy (35W) • Suite 1 18 Blmming[an, Minnesota 55420-7435 Business: 952/881-2455 • FAXr 059/ARA-059f. LLC. ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN =N o 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConsWclion Reaufrements • 3 registered sRe surveys showing sq. ft. of IoL sq. ft. of house; and ?II roofed areas (20Yo maximum bt coverage allowed) • 2 copies ol plan showing beam 8 window s¢es; poureA tound dasgn, etc.) • 1 set of Energy Calalations • 3 copies of Tree Preservation Plan d lot platted after 717193 • Rim Jaist Detail Optrons selettbn sheet (bldgs wAh 3 or less units) DATE 'HLa iULTI-FAMIIY BLDG _Y LN FIREPLACE(S) _ 0 _ 1 _ 2 APPL{CANT STREET ADDRESS 12a7 CG?l 60T` Air S CITY. TELEPHONE Ata1n-(o? CELL PHONE # JLl?P STATEY-)_ZIP?? PAX "4b6'ffi PROPERTY OWNER -le-AA Cjl?qjm?'?'?/l?tr _TELEPHON E #jo57I ? COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNnSO`fA RUI.ES 7670 CATEGORY I MINNF.. LJI;ES 7?i7.2'. (v'submission type) • Residential VenGlation Category 7 Worksheet Submitted • New E e? y6ode WorksheeCSutim ie(? • Energy Envelope Calculatione Submitted [?j jl ? Piumbing Contractor: Plumbing system includes: Mechanical Contractor: b[cclaiical systcm includes: Sewer/Water Contractor. Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all opplicable State of Minnesota Statutes and City of Eagan !O?rdinances. Signature of Applicant " OFFICE USE ONLY _ Water Softener ? Water Heater No. of Baths ?5 RemodeUReoalr Reauirements . 2 copies of plan • 1 set of Eneqy CalculzGOns for heated additions • t site survey for exteiior additions & decks . indicate d home served 6y septic system for additiom VALUATION ? tOi b ??- _ Phone # Iawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery Systetn Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT kON OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: sur.L () 1.N t, Permit Number. 001980 Date Issued: 1; ]3 1/ 9 'v SITE ADDRESS: irib 9 1j;' LCINE OAK rtL/,' LOT: 0107 E;1 r]CK: 0000 ZENIVfJFR A('RES DESCRIPTION: Sui].cfl'ra4g Peririit: Type SF [JWO f)+al7.d%nq' Work Typc N[l,J USL: Occupattey I?-:3 M-1 ` fionSCruc:ticsr) 'Yypc ;/-N , ?onir-i9 ' Fi-5 6ULltiiJlg LFbngtt'1 ,75 SU`IlditIC,} W3.dth ? 62 '"?'•Iiy??-:v1I?, _.\?:` -3 Jl"{r?.,., REMARKS: R r.cE i:;± y FEE SUMMARY: ? I:tn K?: urchEI r4r? :,A (' '- SN^,C 5 u 1-i,: r,t, c: J 5 S 61 FLB F{ - vrn! uAT t() iv 'L4; , ti ?d'3 . J.3 v 4;0 ? 0 0 L?+D 94.63 CONTRACTOR: OWNER: - rsnptitcarit - LUTi M11"SUKO 2 3EQ ? GAN FVE tl1C7W14 i?'IN 55 171 ( (3_L2 i ;SL?1-331 3 I herat,y acknowledgs thaC 5 haw•a read this applicati'on ancf SCaCe thaC t.ha 5.nfor-netion 3s rorrect ind a9rec to c.onip3y with a3.1 appli.ca67e Sta4:e o1" Mn„ St?aI:UCes and Git}, 07r Eapan fJrdinanrws. L_ T 1 t8 ,0 0 0 I715, C?lLP,NEOUS Tu1t31 Ff,c_3,3»?J?'i?..s3 y? -,? y? ?rn nr,n ? 1. t'? i APPLICANT/PERMITEE SIGNA RE ISSUED Y IGNA RE , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE Permit Number: Date Issued: ??;; ? u rt?r= tifd14t;4,? SITE ADDRESS: f1PPLICANT: ( n i e ? i??7 6i ocY: ?v?;? L d1/ ,' I,ON#= iLA !` F), i? LUT? 0 1"1',UF'.rl .:'llidUER f? CRFS r,hl;'.y 18 2 8-:S'313 PERMIT SUBTYPE: s F oW rs TYPE OF WORK: N i H INSPECTION F t1ClT.[NC, .. . I;P,PhLn!r, .. 1N:; 4iI.N`fIC1N fTPtRL - 1 I f?; (iCc rE rI n,?r:s: KEr.L, I r' r tt 1- ? s ? ],i r? ? Sf? Ftlr?, PERM3T # KAc?ivATE , ?9A o SINGLE 8 MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies xhen typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date aa / aa Yaluation of work &bje,,ooc, fy5-9 %z Site Address:_+w3c4.Lo,,a_ p4K R?? R? - STREET SUITE A Tenant Name: (commercial only) 3ee LOT ?c.c-hnld D. BIACK 0- 1 SUBD. .20lNlER P.I.D. M?o-gggoo-?oR-po Oescri tion af work: New The applicant is: 10 Owner ? Cantractor ? OtllEl' (Deseribe) Property Name L"tZ M ttsUKo Phorie us4 - s4i? ro.? LAST F1R5r S?t3-3973 worK Owner pddress egpr pvp. - STREET STE M City Eo'aa? State Mu Zip Company _ S eZ? Phone C011traCtOf 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 d water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?M?Kn 'A? CITY OF EAGAN 1992 BUiLDING PERMIT APPLICATION 681-4675 Z3, "i ?5 . 15 DEC 2 Ct RECD aFFICE USE ONLY Bl11LDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 02 SF Dwg. O 01 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE 31 Nex ? 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) V-ri Basement sq. ft. (Allowable) v- N lst F1. sq. ft. UBC Occupancy -I m_4 2nd F1. sq. ft. ' Zoning R_I Sq. Ft. total # of Stories Footprint Sq. ft. Length 9 14,-7 ? On-site well Depth 62,2 ' On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Nater Cann. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.?Mt;Q,: $ I`l SS, 0 Q0- &A?R?4erE; 3?, x2i. ,: S3z ,c ?G ? I3, 31z ? 3(- )e 6d s 2N4X ISXlo= ?fSJ) 34/4710 'l?r Fi.?evt; ?"?T= 2?pYY rzz?2. /?r?l Z`tj E4,1 x 53= Iz?,yaG ? r?r? 208 f ? ?? ? 1 Baement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. E3 20 Public Fati7ity 13 21 Miscellaneous ? 37 Demolish MWCC System IlEt. City Water YZ " PRY Required Booster Pump Fire Sprinkler Census Code /°i 5AC Code 0, Assessments SAC % ln, SAC Units ?_ 0 $XHIBIT "A" That part of Lots 9and 10 degcribed as follows! Beqinning at a point 149.25 feet North of the Sotithwest corner of said Lot 10, running thence North along the West line of said Lot 10 a dist2nce of 130 feet,tunninq thence East a distance of 30 feet runninq thehce Southeasterly a distahce of 157.6 feettmore or lessi to a point on the East line of said Lot 10, said point being 222.35 feet North of the Southeast corneY of said Lot 10? running thehce Southeasterly to a point on the East lihe of said Lot 9; said point being 425.0 feet South of the Northeast corner of said Lot 9? running thence South along the_Eest lihe.•of said LoE 9pa distance of 42.46 feet more or 1ess, to a pvint oh said Vast line of Lot 9 distaht 144.25 feet NoYth bf the 5outheasti corner of said Lot 9,runnihq thence West alonq a line parallel to and 194.25 feet distAnt froin the Svuth line of said Lots 9 and 10, to the point of begihninq# a11 ih Zehnder Acres, accotdinq to the plat thereof now on file and of record in the office of tht Couhty I2ecoYder within and for Dakota CountytMinnesota. This is Abstract Property. • Plat and Parcel No.10-88800-107-00. ? U ,t I Jr e • } U > ?? . E? 4- - aJ Q u ? i .A ? ? ? ? ? ? ? \n ? . r I I 1 ..i. .... ?? ---?.-.- 1 ... _.... ?.?d,., ?C? h eue ? noml e?enrne?+T n.a. Re.o '. • ' _ ? • 1 i ? /7\ I I . I I I? I ' d p i R I? I e ? n IP I f ' __' I• I I I I I I ? ? x 'I I I K I ^ U ? I f.oT 090 -00 -6 I i _? • , ? ,'!JQ 7G4LCS?L"aa-? LOT SIIRVEY CBECICLIBT FOR REBIDENTIAL HDILDIIiG PBRFIIT ]1PFLIC]1TIOli ? YROPERTY LE6AL2 /(?? - OL44 O -? GrT,j qrra Date o! Surveys ?4CIIMENT STANDARDB H 0 0? 0 13 0 • • Reqistered Land Surveyor siqnature and company Buildinq Permit Applicant o • Leqal description 0 0' 0 • Address 11' 0 0 • • North arrow and bar scale House type (rambler, walkout, eplit v/o, split entry , lookout, etc.) 0 Er o a • • Directional drainaqe arrows with slope/qradient t. G' 0 11 • Proposed/exiating sewer and water services street name ? 0 0 • Driveway ELEVATIONS Eaistinc 0 H? 0 • Sewer service d 0 13 E" ? 0 • • Lot corners • Top of curb at the driveway Elevations of any existinq adjacent homes PrOD08@C 0?0 ? 0 • Garage floor F1 0 cr- 0 • First floor , 0 • Lowest exposed elevation (walkout/window) ? ? 0? 0 0 0 • • Property corners Front and rear of home at the foundation pONDINO AREAg fif aonliewb7al [? 0 0 • Easement line D' 0 0 • NwL Q' O O • HwL 0'? 0 0 • Pond # designation 0G' 0 • Emerqency overflow Elevation e D,lIENSIONB ' 0 [? 0 • Lot lines 0 0'-? D 0 0 • • Riqht-of-way and street width (to back of curb) Proposed home dimensions includin an g y proposed decka, overhanqs greater than 20, porches, etc. (i.e. all ' atructures requirinq permanent footings) Q 0 D • Show all easements of record and any Cfty utilitiee within Er those easements D 13 • Setbacks of proposed structure and setback of adjacent ? existing homes 0 0 Retaining wall requiremente, if any - Rev iewed: October 1992 1 CITY OF EAGAN ERTERZOR ENVELOPE AVERAGE OUI COMPUTATION ONHER: N/\ ?}SuKO Lo-A-Z SITE ADDRESS: \L43Q COK CONTRACTOR: 5?\? DATE: PHONE:454 -5L!\3 Determine vorking square footage of each: 1. Total exposed xall area ., a8i}8 sq. ft, x.11 = 313.a?5 2. Total roof/ceiling area sq. ft, x.026 = Co3 .a,3 Total ezposed wall area above floor = 'dS4s a. Total wall window area ............................ %k5 b.(D5 b. Total door area ................................... ioo.b`l c. Total sliding glass area .......................... -p- d. Total fireplace wall area ......................... -c,- e. Total wall framing area (average 10%) ............. d8y•so f. Total net wall area above floor ................... ao45•Ss g. Total rim joist area .............................. aas Total exposed foundation area = _b- h. Total foundation window area ....................... -o- i. Total net foundation area above grade .............. Determine 'U' value of each vall segment: a. 4%Fi6,0(FJ x' U' , aaab b. too.b'l x 'U' ,o(n`l c. -O- x 'U' - _0_ d. -o- x 'U' - _p_ e. 2,$4 ,43t? x 'Ul f. a.045:88 x 'll' ,0498 - 10?.88 9. aa8 x lU' %o,bp h. -p- x ' U' - -o- i. -o- x 'U' - -0- 3 . ................................................... 'lozal = 6cq,114 If item 63 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. iotal exposed roof/ceiling area = -,),kl32L J. Total skylight area ............................... -o- k. Total roof/ceiling framing area (average 10%) ..... a43:do 1. Tota1 net insulated roof/ceiling area .............. a?8 8.80 OVER Determine IU' value for each roof/ceiling segment: ? _ 3• -o- x OU' - -0- k• a43.a,o x' U' u.0%(? 1. x I"U' 4G ,03 4 . ...................................................... Total = ?3.G If total of 1F4 is the same as or less than 62, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and ll4 shall not be greater than the sum of Items A1 and 02. 1. 3. + 2. - + 4, - 2 ., . SINGLE & DOUBLE FAMZLY HOMES 1984 ENERGY CODE REQOIREMENTS , On or about March 1, 1984, the following energy code requirements ' should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor basrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets *_his requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIOEIU¢ TO (p) R.q'URS rrton n;un;,t rv.uwL Of T1fP1U4lt USCD PROCNCTS Intcrior hir iilm (Votls) (R) 0.68 6ypswn or plastcr board 3/B" (P) 0 72 Ercerior Air illm (tialis) I 0.17 typsum or piaster 4oard I/3" . 0 45 Mterior Rir film (Vanted Ceilinq) O.GI Gypsum or pl„ster board 5/8^ . 0 56 Eiteri - .r Air illm (Vented Ccilin9) I 0.61 Plywood 7/8" . 0 47 nlcrlor Alr iilr.n (Ilcn VcnteA) 0.61 Plywood 1/2" . 0 63 Laterior Air illm lllou Yented) 0.17 Plywood 3/4" . 0.9; ??uminuw Sid;.a Sheathinq, reg. denslty 1/2" 1,32 Al.min.n ..ith Backer 0 :61 1 82 Snra minn, ren, densicr 75/32" N - " 2.06 Aluminun wixh Bat4cr L Feiled . 2.96 all bose she+thing I/2 1,14 117 x B lcp Sidinn (NOee) 0.81 Built-up RoofS 0.37 7116 x 12 Ilaraboara Siaing 0.67 Asbestos-cement shinal's 0 21 7,sbcstos SiAtnqs 1/4 Lapped 0.21 Asphait ro11 raafing . 0.15 Stucco (Or,„m an0 Finlsn Coat) Aipahit Shingles 0.44 3:4" Wooa s.cfioar or Sh,athing •' 0.94 InsulMion: $-2 7/4" Iiberoldss 7.00 t/2 Plywood noacnin, " 0.62 Insvla[ien: 7 1/1'• ilEerqlass Ih.oo I/I Pariiclc tl?..rtl 0,66 Insuiation: 6" Fiberglass 19.00 woos: eLoumr. uoou rlr, pinc L slmilar sotC t loods I I/3" 1.89 Approa. 3' • 9.00 I . 7 1/2" 3.12 ApDrax. L I/2" 13.00 ) 1/2" 4.35 Approa. 6 I44" 19.00 5 I/2" 6.87 Approx. 7 1%4•' I4.00 ' Appras. 14" 30.00 AVVrax. 18" 40.U0 AIl ather insulation material5 nuSl be Fllted verified (R Paccor) (R) Vermicuiitc 8" Contrete Block (5 d G Rep.) I:II 1,9j . 12" Concre[e elock (S C G Reg.) 1.28 3.15 8" LiSht ucight 2.18 S.OS 13° ligSt 1:eignt 2.48 5.82 ?teee.naeaeenee.:o?+?eeaseseex NOTE: (U) x Area Spuare Fect `F3)LJ_ All VInAOws . (?/Storns 1" to 4" Spacc) .56 aeMval Double Lloxinq (RDL) .S$ Mctal .715 . • Tnermo or wcldeE 3/16" air spacc .69 1/4" air :pacc .65 1/2" sir space .SB (Other wlndrn+s specifically testce un use 6et[cr ra[ings) 1 3/4 Solld core door ,66 w/scorm, wood ,31 w/ztorn, me tai .26 ?ease StcelUOOr Insl/R/LL 7,45M1 ,13 Slldi,q Lluss Door, Yood ,65 rPIINIPN;1 "U" FALUE !XD F-FACTOR AT ROOF, SdALL, RIP3 A?\D CO::CRETE BLOCl: ?• .? ' ' • . ? RooF ( c.ZElL(NC, . . (Y? . 0 ?r?-(Ev to? ? ?It? FlU, j . O Sls" UV ED. . . OO 1h5ULA j?DN - . C?41 • . O EX ?ER;oi A1R FtLM ''u°= Ij?z = .o?zs_ 16TAL (tz)= ? (R) V ? Il? lEP-Iof= AlR F(LM O UYP" ZD.' . . , ? OO a;?'` 1r1S?CATIo?' Siz1' . ?o ?{"f•'.?`oNt-(c SID1N(? u ; lo; A?'. F1Lt1 . . ToYqL (R) _ . - ? I11TE11oP- tiT, r-1ul' . i3 5 ??Z tN5UU,71c;a ? ? . kc, ? z FlR fir?j %?OisT ' ? >Z S? =? ?iTG . ' • . . u• . f sor?I N . ? ; TE s?o?r? : . . - O . eXT?n1?R qtF- FtLM ' uut, ToTp` (R)= CQ VAt ? ' • ? s O ?N El7 ? t?I? Auc ?«ta - ? ?. . - . A {2lX$cbrt?. 3UK, ? LL O i" 4ri- YP??oA?"i 9.5 - v, W D EXjEP,lo2 Afrt FILM • uu,l _ ? ?[z= ;?, To1a? (r<?= . Floors ove; unhezced spaces must have mininum R-fac[or of R-20 (tuck-under garaoes). Floors ovc.r outdoor air (overhangs) aust 2iave a nininum P.-factor of R-33. 1994 MECHANICAL PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. x NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE \ -aco - ay FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) (u) laq ADD-ON/REMODEL (EXISTING CoNSTRUCi'ION) $ 20.00 STATE SURCHARGE .50 O TOTAL -?6 ' SITE ADDRESS: Lor?o- ???,-o" OWNER NAME: M I?SU.K? LuJZ- TELEPHONE #: Ll 5??-C?y13 INSTALLER: SeA} O e_ CITY: 'Pc?.a a.n STATE: M N ZIP CODE: TELEPHONE #:_y5U - 5y \"S SIGN TURE OF PERMITTEE PLEASE COMPLET'E FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT. NO. FIXTURES EACH TOT? r sxOWEx 3.00 3 -' 3 WATER CLOSET F 3•00 j I BATH TLTB 3.00 3 _ q LAVATORY 3•00 ? j / KITCHEN SINK 3•00 --?- -T LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 / WATER HEATER 3.00 3 ? FLOOR DRAIN 3•00 3 GAS PIPING OUTLET • minimum - t 3.00 3 ? ROUGH OPENINGS 1.50 y WATER SOFTENER 5.00 PRIVATE DISP. • Dewccy. iic. 15.00 U.G. SPRINKLER • nome uneer ?c. 3•00 ALTERATIONS • w aascing . 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: ?YA2 SITE ADDRESS: 1459 lIc"Z Lot"12 oQ.K wd • OWNER NAME:_ Mi?V Lazl-z INSTALLER: A'l?Z? L+-GI • ADDxEss: i9a0a MuShtown ?2d PL. CR537a CITY: STATE: ZIP CODE: PHONE #: ( (p/a, ) 9LID'377,q ? SIGNATURE OF PER TEE 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 a SGREENS 26,29&30 REAL ESTRTE INQUIRY - NRMElRDDRESS/LEGAL PARCEL ID:,-,10 888@0 107 00 ? GLA7 NRME: ZEhiNDER qCRE5 SF'ECIAL A58ESSMENTS FIRST DIVISION: LRSI" DIVISION: FEE CURREIVT OWNER: MITSUKO M LUTZ 2960 EAGRN faVE ERGAN MN 55121-1310 TRANSFER TO SCREEN NUMBER: PFB-SCROLL FORWARD XINPN003 LEGRL: GT OF LOTS 9& 10 BEG 144.25 FT N DF SW COR LD'f 10 N ON W LINE 130 FT E 30 F7 SE 157.6 PT ON E LINE LOT 10 2c^5.35 FT N OF FN COR LOT lm S TO PT ON E E LOT 9 425 F7 S OF NE OF LOT 9 S ON E LINE LQ7 9 k?.46 FT TO PT 144.25 CFT OF SE COR W TO HEG 1@ ---t Z Z z. j 5 112e? lz,? X SURVRT gono MITSY LUTZ iei4 r.nxA nex ROAI1 _ RAGAA . NN I ? v s ?.i \ tre? W"? I 1- s 0 V ` ? - J , a Scale: 1"=3o w a Z x w ? Q O + O ? M o ? I J ?z ? WJ?) 2 V' O ? e J V a' i ? ?l {AeusE a13? x 00 3.t ' ( 71 " S' 7 ?--20? - - - -- ? 25.5 ? 1 ' I o, i I I IS I x u?:r+y io•G `^ - 30, - _ Easemen} / _ ? 48 pe? ?oc. No. ? 3Zito3 ? ? o s3 2 9 ? g11tti ? " v N ? l? LONE 64 K, C?f ' 0 ? R0 , 309 ys?'?b gb8.9 Ex;s?e -SURVEYORS CERTIFICATION- I hereby certi4y that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. W"t!n-1L`d4L'Date: ( [Z319L Wayne D. Cordes, Minn. Reg. No. 14675 . ???° • ??, y?t? ??. W XBbZ 5 /0 ' 4sSf$00 - /o7 -oa -LEGEND- o Denotes a Denotes Iron Monument . Nood Hub Set _ ?q ,?•? Denotes Existing Spot Elevation l+t? Denotes Proposed Spot Elevation I - -"^ Denotes Drainage Oirection PROPOSED GARAGE FLOOR ELEVAiION= PROPOSED TOP OF BLOCK ELEVA7ION= YqL??-?S 1 ? PROPOSED BASEMENT FLOOR El.E4ATI0N= O *NOTE: Uerify atl Bld9. Dimensions and N Fioor Heights with Final House Plans. , ? ? ? ? 2 x w N3 ` N +1 0 ? N ? ? s rl ?y BY r m Nf?'d"?^' D o D o 0 47 ? ^ That liart of Lots 9 and 10 described as follows: Beginning at a point (ll iU 144.25 feet North of the Southwest Corner of said lat 10, xwvking thence North along the ti9est line of said Lot 30 a distance of 130 feet, running ? thence East a distance of 30 feet mmning thence Southeasterly a distance 7 I of 157.6 feet, more of less, to a point of the East line of said Lot ? 10, said point heing 222.35 feet North of the Southeast corner of said Lot 10, mmning thence Southeasterly to a point of the Last line of said Lot 9, said point being 425.0 feet South of the Northeast corner of said Wt 9, mmning thence South along the East line of said Lot 9, a distance of 42.46 feet more or less, to a point on said East line of Lot 9 distant 144.25 feet North of the Southcast corner of said l.ot 9, rimning thence West along a line parallel to and 144.25 fect distant fran the South line of i SIG MA SURVEVINCi said Lots 9 and 10, to the point of beginning, all in Zehnder Acres, Subject to an easement for road purposes over the West 30 feet thereof; Together f the IVest 25 f t 4 v+ N?1 e. o . ee with an easement for road purposes over the South 14 ? SERVICES INC. 30 feet of said Lot 10, according to the plat thereof now on file and of Aiinnesota order within and for t?kota Coumt?? f tfi t R ffi h \ ? ? , y ec ce o e o e Cow? recor8 in t ?}? E. - J. ? .•\, .\. N ??0[S4\o 5` / ?/? / 8? / a d ^ 2 s Ul N 0 0 ? e ? xab2. • " I `. . 'Sa"• M. 866 ? #4k ?5 SIgs9.3Tr V ._. -TU+,w y-----? E1se?cw? ? ta per occ. No. 3,tto3 M c??_?\ o -sss ? ?, ? zc.-r '?? -- iu.o ----_ "_? _ ? I -- toa.o -- ï ÿ þ ÿ þ ÿþþýýþ üÿÿ þûõþýøóèø Ý ì ú ýüûúùø õó á ä üúùø õúùø õó á ô óáî ø ï øü ä ü ä ííãüø ù Ýÿ ýÜü ÷ ïøå ï ì ìï Üü ï û ï é ð ÿóóø ÿ þ ðð ïÿ ø éä ðð ø ð é ä ûïö Üü ûù ó ÿ ð ïùìï é ÷ æÛæééí ÷ü ýüì ÿ ê ü æÛæéé ê ü þé öô úóò øø î ó úâú üñäì äüùî äõ íá ã î å òô ÿ òô èëçëíí ì ûù ó ÿ ì ì å ì øø ì ì ðï ÿ ïøùóì øø û ý ðò ý ü äùð ÿ ã é øø á ï ýÿ ü ü ùýÿ ü Jul. 14. 2017 9:47AM No. 5845 P. 1 Use BLUE or BLACK Ink For Office Use t- / 401" City of Eaall Permit#: Permit Fes: `3J 3630 Pilot Knob Road Eagan MN 66122 Date Received; Phone:(661)676-6675 Fax:(661)676-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION li (\ Date: V11/19 Site Address: /VS, ©A/Ir' L<'i-A-- Unit#: /,a Name: Q 46:2 Phone:OS,— Resident/ S,-Resident/ Owner Address/City/Zip: ' / _' ! A ; II A Applicant is: Owner x Contractor of Description of work: 7". 01.), D1 ,4> 0-S¢mak r ��� ><� & Type Work `o 4-4,r4,,t SA• Construction Cost: U� Multi-Family Builil�ding:(Yes /_ Company:4-04-1.1/D .t..) 7�NJ(/, Contact: ( .cry /ToG/slearLj Contractor Address: 3/5 ' i/dps YX 4'd City: �a33/ &S�l State:NA/Zip: -fir' Agog Phone;74tT ."4-Z P Email/ vt.-4/0,11DA y eJe r44 coin License#: 4g f 3?S / 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 end address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: • NOTE:.'Plans and>supporting,doconientethat you.•submlt-are conisidered to,be:publiC'infbrrifation;. Por'tions.of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG, Call Gopher Stale One Call at M51)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecat1.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 uaJ Minnesota State Building Code must be completed with in 180 . days of permit Issuance. G/..../l/0. f-g/ n !' e 4-y~74,x ofIyOb/ eot j=. Applicantl Printed Name •-Iv'gna ure Page 1of3