3010 Poppler LaneCITY OF EAGAN Remarks
Addition Popplers Homestead Loc ? Bik ? Parcel- lftawk? o a
Owner Street 1310 Lone 0&k Rd. State Eagan,NIlV 55121
? Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
STREET RESTOR.
SAN SE
SEWER
WATERMAIN
STORM SEW TRK
STORM SEW I.AT
CURB & GUTTER
SIDEWALK
3830 Pilot
?
BUILDING PERMIT
10
To be used for 7??90199 iRiST'FtL
454-8100
Site Address 1316 IDNE M[ 8D
Lot I- Block 00 Sec/Su
P2fC61 N0. Occupancy
Zoning
W Name ?? ???R jnccuaq consi
; Address 1.31 0 L011E OAC RD (Allowable)
°
City EAC•wN Phone 454-3475 * ol stories
o
Name ICHARL RASK Length
oeF,m
Z
? Address 914 ULLMS s.F.Taai
? City K 3? PAUL Phone 450-7635 S.F. Footprints
On Site Sewage
r
W W
Name
On Site Well
?? AddreSS MWCC System
i W Clty Phone City water
PRV Required
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree lo comply with aIl applicable State of
Minnesota Statutes and City oi Eagan Ordinances.
Signature of Permitee -`i ..c ' ti APPROVALS
MICHAEL RASC
A Building Permit is issued to:
Planner
on tfie express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City o( Eagan Ordinances. Bldg. Off.
Building Official -? ? Variance
Eagan, MN 55121
i
Receipt #
Date ?iUV 14
OFFICE USE ONLY
M-1
FEES
117.00
5.00
?? Bldg. Permit
24'
?
Surcharge
Plan Review
sAC, ary
SAC, MCWCC
Water Conn
Watar Meter
Acc1. Deposit
S/W Permit
SiW Surcharge
Treatmenl PI
Road Unit
Park Ded.
Copies
TOTAL
iZZ.OQ
Permit No. PermR Hoider Dale Telephone #
WATER
$EYVER
PLUMBING
H.VAC.
ELECTRIC
ktspsctlon Date Insp. Comments
Footings 1 ???La L?',l (fJ?'
Foundalion .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify PlumOer
Const. Meter
Engr./Plan
eldg. Firial
Dedt Ftg.
Dedc Fnal
weli
Pr. Disp.
LAW OFFICEB
STALLAND & HAUGE
2340 DAIN TOWER
MINNF'APOLIS, MINNESOTA 55402
August 30, 1971
Mrs. Anna Goers
Eagan Town Hall
3795 Pilot Knob Road
St, Pau1, Minnesota 55122
Dear Anna;
I am enclosing a fully executed ponding easement between the Town of Eagan and
William Cartwrights, a copy of my letter to Bob Rosene of January 26, 1971, and
a copy of Bob Rosene's letter covering acreages in the LeMay Lake area dated
October 15, 1969.
Zn addition, I am enclosing a copy of the ponding easement from Lawrence Poppler,
and i find that ?aI"srLot B. Popplet's homestead, was deeded as a street easement to
the Town of Eagan on October 21, 1969. Hope y this wi11 answer your questions
concerning credits along Lone Oak Road.
PHH/jeg
I
E14Ge40il TOWNS H 1 P
(2, BiJlLDING PERM1T
o?.ne: . --- ----- -- -
. . ................------
?
Address (Preeeni) . ..? .. ..... .....................
... ----...--------....----------....
Builder --.....P-AMA /.Y..._------------------'..
Address ........-------'------------"---...------°'--------...---------------. .
DESCAIPTION
N° . . 709
Eagan Township
Town Hall
Date ..._?.f_..-?--1.Q.° `-CO.?.........
5fories
1 --To Be Used For
" Fron1
X3 Depfh Iieighi EsY. Cos! '
a0?0410 Permii Fee
a-O `?° Remarks
LOCATION
5freei, Hoze or oiher Uescr3p23on of Locaf3on I Lo} I.P.loek I Addi}ion or Traci
L.LU o?w Qh ?P. -?_-
This pexmii does not aufhorize the use of sfreeis, roads, alleys or sidewalks nor does i! v the ownes or his ag_nY
the righi to creale any sifuation which is a auisance or which presenis a hazard to the healYh, safe2y, convenienae and
genexai welfare fo anyone in the communiip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE TH£ WOHK IS IN PROGRESS.
This is Yo ceriity. Yha!.... '----------------------------------------- .------- -------- has permission So exeei a --------------------- ..----------------- ------------------- ..upoa
the above described premise subjeei !o the provisions of the Suilding Ordinance for Eagan Township adopled April 11.
1955.
---------------------------------------------- .._.......................... ............... Per ... ?-j--?---(?
. " ---'?-'-----------?----------------- --------------------- ---------
Chairman of Tnwn Board Buildin Inspecior
CITY OF EAGAN NO 19881
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ??GE HoDITION Est. Value
[?p $10,000
Date
NOV 1
4 ,
1g4L
Site Address 1310 LONE OAK RD
Lot 1 Block 00 SeGSubPOPPLER HOMF.STEAD OFFICE USE ONLV
Parcel No. occupamy M-1 FEES
Zoning
W Name PETE POPPLER (pcmapConst V'N BIdg.Permit 117.00
o Address 1310 LONE OAK RD (Allowahle)
V=N 5
00
Surcharge .
EAGAN
City Phone 454-3475 r a stories
24, Plan Reviaw
length
o Name MICHAEL RASK Depth 22 ? SAC
cn
o?
Address 914 BELLOWS
S.F Total ,
y
U? City W ST PAUL Phone 450-7635 S.F. Footprints _ SAC. MCWCC
Water Conn
On Site Sewage _
F W Name On Site Well W
t
M
x?
Address
Mwcc system -
- er
eler
a
aw City Phone Cny Water _ Aat Depasrt
PRV Required _ ShV Permil
I hereby acknowlege ihal I have read this application and stale that the Booster Pump - SNJ Surcharge
informalion is correct and agree to comply wnh all applicable State of
Mmnesota Statutes and Ciry oi Eagan Ordinances. Treatment PI
•?-lw?.-
<7
Signature of Parmitee / APPROVALS Road Unit
H
AEL
RASK
A Buildmg Permit is iswed to: MIC Planner - park Ded.
on the ezpress conditwn Ihat all work shall be done in accortlance wrth all Council
applicable State of Minnesota Statute
s a
n
d
C
i
ry
of Eagan Ordinances. gy9 pry, Copies
?/
/
-
?
,
?
/
BuildingOlficial (lnun Rli/A,I 11111
?t Varia^ce - TOTAL 122.00
14ill
1991 SIIILDING PERMIT APYLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES VHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSllED.
NOTE: ADDRESSES FUR CORNER IATS - CONTRACTOR/HOMEOWNER IitIST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
Re12ooF PouSE PWS 90
To Be Used For: Valuation:???-p- Date:
Site Address 1310 LnnE BNk 120.
Lot ? Block 6 0
Parcel/SubI[r gOMtS/f U9
Owner
Address /Y/O lo.yE oloet ,69
City/Zip Code ?jVGNxI
Phone y$51'
Contractor /?Atk /rRSk -
Address ?J/y' PRV _ Copies
Booster Pump _
City/Zip Code LU57P 6S//8 SUBTOTAL
pPPROVALS Penalty
Phone L/S?-?(e3f Planner _ Lot Change
Council TOTAL
Arch./Engr. ,:5?VrE /15' G'oir7j2rtcTwt Bldg. Off. bS
Variance
Address
/ OFFICE IISE ONLY
? FEES
Occupancy ? M-1 Bldg. Permit ? ? n• a?
2oning Surcharge S.o a
Actual Const V` N Plan Review
Allowable V-N SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth ? 2L' Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site aewage_ Txeatment P1.
On site well Road Unit
MWCC System _ Park Ded.
'City water Trail Ded.
City/Zip Code
Phone #
122,90
Sewer/Water Licensed Contr.
agrees that all vork ahall be done in accordance with
(5ig' naturo?'of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. ? . w• .
114 Vu.a77
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!
EAGFN TOWNSHIP
3795 Pilot Knob Road
SC. Paul, Minnesota 55111
Telephone 454-5242
PERt1IT FOR WATER SERVICE CONNECTION
Date: December 9, 1970
Billing Name: Peter Poppler
Owner• same
Plumber: Wenzel Plumbing d Heating Inc,
Number• 513 h?nSi
Site Address: 1310 Lone Oak Road. St, Paul 55111
Billing Addreas same
Meter Size 5 8" Connectioa Chg.1,0.6 00 od 12/9/70
Accouat Dep. 15.00 pd 12/9/70
Meter No,?i.7? 63c 3 Permit Fee 10.00 od 12/9/70
Ouf' ?"3'/G i G
Meter Readiag Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO ' Total Chg.
Building is a:
Residence 2=
t2ultiple tio, Units
Commercial
IadusCrial
Other
Inspected by
Date
Remarks:
525.60 Rt-fKSnJFI6,`1 F_f[: F' UA
IMPROPERLY 11!STA!.Lrr, ?tiL;ERS.
Sy:
Chief Inspector
In consideration of the iseue and delivery to me of the above permit, I
herehy agree to do tUe proposed work in accordance with the rules and
regulations of 8agan Township, Dakota Couaty, Minnesota.
By:
Wenzel Plumbing d Heating, Inc.
Please notify the above office when ready for inepection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SE+IER SERVICE CONNECTION
DATE• December 9. 1970 NUMBER 670
D /O thyz]'Sl??
OWNER:Peter Poppler Addreae 1310 Lone Oak Road, St. Paul 55111
PLUh18ER Wenzel Plumbing & Heating TypE OF PIPE cast iron
DESCRIPTION OF BUI1DING
Industrfall Commerciall Residential I Multiple Dwelling I No, of unfts
Location of Connections:
Conaection Charge 200.00 pd 12/9/70
Account Dep. 15.00 pd 12/9/70
Permit Fee in_nn ? ??/a/70
Street Repairs
Total
Inspected by:
DaCe
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota County, Minnesota
By
Wenzel Plumbing d Heating, Inc.
j
1955 ShatRnee Road, St. Paul 55111
Please notify when ready for.inspection and connection and before any portion
oP the work ie covered.
,sco, pqtle'- ?Wy.?--.j
Ordinance No. 114:
WELL CONSTRUCTION AND ABANDONMENT
WELL PERMIT
DAKOTA COUNTY PUBLIC HEALTH DEPARTDUNT
E[dVlftpNMENTAL HEALTH SERVICES SECITON
WATIIt QUALITY MANAGEMENI' UNTf
14955 GataAe Ave., Apple Valley, MN 55124
Telephone: (612)891-7556
QHEREAS, the NON-TRAN3FERABLE
PERMITTEE/DBAS Keys Well Drilling ISSIIED TO #62012
ADDRESS: 413 N. Lexington REVIEWED BY JML
St. Paul, MN '
Pemtit No.
91-9266
has submitted a permit application, has paid the sum of one Hundred
($100) dollars to the County of Dakota as required by Ordinance Number
114 and has complied with all of the requirements of said Ordinance
necessary for obtaining this permit to permanently seal the well(s)
described herein:
An abandoned well(s) with a casing diameter of 4 inches, depth(s) of
272 feet and completed in drift will be permanently sealed. The
well(s) shall be cleaned of equipment and debris, disinfected, neat
cement pressure grouted and terminated at least two feet below qrade.
The well is located in the municipality of Eagan as follows:
Well Location: Property Owner and Well Owner and
ABdress (if different) Address (if different)
1310 Lone Oak Road Pete Poppler
Eagan, MN
NOW, THEREFORE, Keys Well Drillinq, Inc. is hereby permitted and
authorized to permanently seal the well(s) described and located above
for the period November 1991 to November 1992 subject to all provisions
of said Ordinance, the Minnesota Water Well Construction Code and any
conditions attached on the reverse side of this permit form.
Given under my hand this 30th day of December, 1991.
X?k ?)tN - ATTEST QZ;4geAzLU ? . n 1!'1?LLi ^•/?
ENVIRONMENTAL HEAL SUPERVISOR EN1 ONM TAL HEALTH DIRECTOR
f
POPmING EASEMENT
C
TFiIS INIDENTURB, made and entered into thia t/ day of
Av 19_70, by and bctween L•awrence konn 1ia Ponn1
as follows; The South ? eet of the North 510 feet of?0utlot_l! ?
? NOW T?IEREFORE,. the said Grantor s, in consideration of One Dollpl:
($1.00) and o[her good and valuable consideration to th em paid by Grantae,
receipt whereof is hereby acknowledged hereby grants an easement to thP
above premisea to said Grantee, its heire and assigns, for permanent lake
and ponding purposes including the normai practi¢e of filling with water
the above described premises fzan atorm sewer runoff and to maintain an
outlet etructure which haa a crest elevation of 875 feet above mean Sea
7.eve1, Datum of 1929 aad a high water level of up to 878 feet for short
perioda of time. I
And the eaid Gxantor s, for th?l ves, their heirs,
executors, adminiatratora and assigns do hereby release the 'said Town •
of Eagan, its succesaors aud asaigns, from all claims for any and all dam-
ages resulting to the lenda through.and across which tha parcel of land
hereby conveyed ia located by resaon of the location of said lake or
ponding area.
? -3
.
It is expressly understood that the Grantee, its succeasors or
asaigns ehail waive and release said landa or that portion thereof used
for permanent lake or ponding purposea from any special aasesament on ----- --
account of any improvement fn the Town of fiagan for such time as eaid landa
are used for permanent lake or ponding purposes, but at such time as such-?""'..I
usea or purposes are abandond then said lands may again be subject to, eilcfi,,.::>;";•r.?;°,,
epecial asaesamente.
N
O
_ ,°„ hands and
. '
? c
z
;. .
a
r- ._-
?
N
and Aure_ er,
husband and wife as Grant?y and Eagnn Township,
Dakota County, Minneaota, as Grante4x ?
WITNLSSETH WHLREA?t?id Grantor s is/are the owner? of the tza•:t-
of land in the Town of Eaga ' kot?Caunty, PIinneaota legally descri??y???
? Poppler_-Fiomesteads?in Section 10, Township 27N, Range 23W.
, parties hereto have hereunto set -tHeirc.,: i. =>j= •
IN WITNESS 4dHEREOF the
seals the day and year first above written.
In presence of:
HOARD OF SUPE Sr ".
Town of Eag
ay .
ts Chairman
GRANTEE y
tClerlc
NL- __
6itit¢ Of....... Ki.xkt!.?.sota......_ ..............................
1 .
J CounbJ of . . ..... . 1?a15.4ta ............................................... .. u On thix / day of .19 7?,
before me, a .................. NoLax.y...Emhlic........ ........ ............ ....... ......witliin and for said County peraon,ally dppe¢rad
.................. John...3._...K1sixL ...................... ................... .,................ anl............ AlY.r,.e....k.41ke..............................................................
...............
to me personably known, whn, Lein.s e¢ch by me duly sworn ........................... did say that they are respectively
of
the.......... Gha.irman .................................... 772RQ? and the ....... Clerk..... .............. ...... ............ no..... _........l t i.?ned 1.n
.:................_................. ?yty
_.Ea an...Tawnship,...$oaTd..o.f...$.upexvispra?.,"„?•,,;,:??: the?Fm.?fett? u
fore aing inatrument, arul tlwt th,e seal n.?j"i?2?tb?dairkin,sErument is the cor.por t seal nf s¢id ,
u ,
mnd that aaid instru?+ient v;as aigned said $ mwthority of its Bo¢rd
„ , . -.
of............ .?BovkeQr$......_._..._ .............. and ... - ..............................................................................................and
?.? 1. ,A.?Y ?¢itl tns ?t to be the free act and de.r.d of said
?
.................. municiPalit -:: ; -' -. ;? •:= ? ? :..??'? .........................................................................
? Y• - - <<...:..:5=..?..,.?-..;.......r.;.:,?_..,.
..??. ?.?..
. , . ..
................................ ..?..:....County ..
........---......................9......._..
P"
.
. .
19
- d1y. c'drn?,i'ssionexpirtaPAVL.FL.H.?UGE ...............................................
' Net¢[y :' ? -^ F+'an?pin Coun[4
rvt.. C.omivisswn ExDiizs Oct. 8. 1$71
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA101194
Date Issued: 09/26/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1310 Lone Oak Rd
Lot: I Block: 0 Addition: Poppler Homesteads
PID: 10-58400-00-010
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Apple Lake Heating & Air Conditioning Peter P Poppler
207 10th Street West 1310 Lone Oak Rd
Apple Vallev NIN 55124 Eagan MN 55121
(952) 431-4328
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use
I I
Permit I d I
City of EaEd 4o~
I Permit Fee: I
~ '
3830 Pilot Knob Road RECEIVED I Date Received: 12/6M
Eagan MN 55122 I
Phone: (651) 675-5675 DEC U 6 2011 j Staff: I
Fax: (651) 675-5694
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1916 Infi' t - y- am]) Unit
Name: c1 ~M UI / l E Phone: b I Z ' ~(1 • S5 g
RESIDENT ! f~ COVE _ t
OWNER Address /City /Zip: ~ VI I
Applicant is: Owner -k- Contractor
TYPE OF WORK Description of work: L~(W V t PC Q1 GT W /4)0
Construction Cost: ✓ 150J • Multi-Family Building: (Yes / No )
Company: M i I Contact: SI ?/'711A ou FIS~JC,
l
ll~ LElrl
CONTRACTOR /L~/ ~ Ln r
Address: SO] lu L n') City: 1700
s '
i State:i"I/ V Zip: S5Z/Z/ Phone: J?) " (d ZISCJ
License S ( I 1 Lead Certificate !V V1 - 3 L/0-TZ - '
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
i the information may be classified as non-public if you provide specific reasons that would permit the City to
s 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.aopherstateonecall.ora
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 Minneso ate Idling de must be completed within 180
days of permit issuance.
x ~N&) 600a x
Applicant's Printed Name Applican s Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106781
Date Issued: 09/11/2012
of 3 a R Permit Category: ePermit
Site Address: 1310 Lone Oak Rd
Lot: I Block: 0 Addition: Poppler Homesteads
PID: 10-58400-00-010
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Action Roofing & Siding LLC JOHN TSTES T KLINE
1315 Southview Boulevard 1310 Lone Oak Rd
S St Paul MN 55075 Eagan MN 55121
(651) 457-2642
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use
46!5~ MCP I 11
City of EaInOn ~aI Permit J 4 5 as
I Permit Fee:
3830 Pilot Knob Road '~Q'13 I I
I
Eagan MN 55122 QC~ Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
-------`---------.1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 / Site Address: 13/1) bON 00- Unit
I
Name:. T~~r& Phone:
Resident/
Owner Address / City / Zip: 6A~n r 1 t
Applicant is: Owner Contractor
Description of work: t C ( f n
Type of Work
M H- i1~nC5
Construction Cost Multi-Family Building: (Yes / No
Cr Budget Exteriors, Inc. Contact:
8017 Nicollet Ave. S
Contractor. A` Bloomington, MN 55420 City:
St 952-8874613 Fax: 952-887-1659 ie:
License # BCU06564 Exp. Date:3/31/14
License Lead Certificate ~ U21
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 the 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.got)herstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work Witt 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 pe it issuance. _
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Applica s Print d Name A4po
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n s ignatu e
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