1750 Flamingo Dr?
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print /eglbly Tat 1. Date ' 2. Installation Cost
3. Job Address Lot ? Blk. Tract
4. Owner
r ;
5. Contractor Phone
6. Address
7. City " State Zip '
8. Building Type: Residential b Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?'
10. Descri6e Fuel Type "A / ?
11.
No. Equioment BTU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. " Other
Air Cond. . ? • , ?... `C..
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work,
Signed : - for
Rough Flnal "
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
\
?'?y ??-???
?
INSPECTION RECORD TControl No. 0317
I CITY OF EAGAN PERMIT TYPE: ?? ?tolm"
3830 Pilot Knob Road Permit Number: 0003h6
Eagan, Minnesota 55123 Date issued: 04178192
? (612) 681-4675
I SITE ADDRESS: l o t 1 I H 1. UCK e 11 APPLICANT:
( 17010 FLAM[MOU t1R FiAUKOF l:pNST IMC. J 8
TfIWN lsi[W 1 ST (b.1:') q.3?J-Aas19
( PEp"T
jt?RUff TYPE OF WORK:
E
S k E p A I Ft
RE--(iOUvI Nfi
wrmR No_ w?mit How.r oot. iikpnone s
SJVY
PLUMBING
HVAC
ELECTRIC
ELECTFi1C
Inspectton Dete Inrp. Commmnta
FOOtinge 1
FDUrdeGon
Freming
Roofin9
Rough Plb9_ ?
Rough Htg. ?
Isul. I
Fireplaoe
Flnal Htg.
Orsat Test
Flna) Plbe. Pibg. Inspector - Not(fy Plumber
COns1. Meter
EngrJPlan
Bidg. Final
DerJc Fty-
Deck Final
weli
Pr. Disp.
CITY OF EAGAN Remarks
Aduition 7WNVIEW TOhTNHOUSES i n* 1 aile 11 Parrai 10 77100 010 11
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. SB 1975 141.08 14. 10 Pald
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 10
SAN SEW TRUNK
iE SEWER LATERAL 1,429.03 --476-.34 3 t
WATERMAIN
# WATER IATERAL $C Stll}JS 1973
* WATER AREA 1973 3
?F STORM SEW TRK 1973 3
iE STORM SEW LAT ? 1973
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 2 0.00 9764 1-31-73
BUILDING PER.
SAC 260.00 - -
PARK
CITY OF EAGAN Remarks
Adastion ?IEfnT TOWAIHOUSES 2 11 10 77100 020 11
Lot Rlk Parcel
Owne? eet F'lamingo Drive state Eagan, mN 55123
Improvement Dat Amount Annual Years Payment Receipt Date
STREET SURF. ?.1 SB ? IJ.41..08 1.J4.?.1 ZO P3'LCI
STREET RESTOR. J
GRADING
Street 1009 200.75 20.07 10
SAN SEW TRUNK
# SEWER LATERAL 1973 ]- 29•?3 476.334 3
WATERMAIN
# WATER LATERALBC gt'll}jg 1973 3
# WATER AREA 1973 3
?F STORM 5EW TRK 1973 3
3fSTORM SEW LAT 191 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 240.00 9764 12-31-73
BUILDING PER,
SAC 260.ou 12-31-73
PARK
CITY OF EAGAN Remarks
d,,,,;,:,,,, TOWA]VIEInT TOWNHQUSES
-1 btraeY
Street
k 11 Parcel 10 77100 030 11
state Eagan., M21 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. A-ii SB 1975 .OS 14-11 ZO Paid
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 10
SAN SEW TRUNK
# SEWER LATERAL 197 1 9•03 7•3 3
WATERMAIN
# WATER LATERRL& gt'u,bg 1973 3
# WATER AREA 1973 3
? STORM SEW TRK 1913
.? STORM SEW LAT
21 1973 3
-
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 240-00 9764 1-2-31-73
BUILDING PER.
SAC . 12-31-73
PAR K
CITY OF EAGAN Remarks
Adtlition TOWNVI'W TOWNHOU''SES Lot 4 Rlk 11 Parcei 10 77100 o40 u
Owner •:7n,r I ; -a Street 1756 Flamingo Dr ive State Eagan, MN 55123
?? ?-
Improvement Date Amount Annual Years Payment Receipt Date
RE ET SURF. ,S$
E 1?5 ],G1.OS ZJa..ll lO P11C1
REET RESTOR.
ST
GRADING
Street 1009 1986 200.75 20.07 10
SAN SEW TRUNK
SEWER LATERAL ? . 476.34 3 Paid
WATERMAIN
WATER LATERAL S Ll S
* WATER AREA 1973 3
?F STORM SEW TRK 1973 3
STORM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 240.00 9764 12-31-73
6UILDING PER.
sAC 2 0.00 12-31-73
PARK
I
EAGAN TOWNSHIP
BUILDING PERMIT
OWnei .... /..!L.:.fJi.....................
Address lPresentl .....?' L 0V.............. '.(I.D..--,ddrD
Builder ...............................
.._.............---..........................._---............
Addreas ...............................................
__..._ .
DESCRIPTION
N° 2933
6--?
Eagsn Township
Town Hall
Dnts . . ...........
Siories
- To Be Used For
7y Tot-v?l.? i7 aJSL`s Froni
1 O, S Depih
4
? Heigh
Q Ee Coat ermi! F a
--? Aemssks
?
^ + Sx 4?{
_ '?,f ti/ n ?v n .?4 ?J t?rs - ?
LOCA IO
SlreeS, Road or other Deseription of Locafion I Lo! 8 ock Addition os Trad
This parmit doea not auihoxise the use oi slreaffi, roada, eAeps os sidewa]ke nor does it glve the ownsr u hL egoet
the riqhf So oreate any sifualian whiah is a nuisaaea os which presanto a hasard !o ffia healt6, setslp, eoatsaieaee and
general wellere !o anyone in the communilp. -
THIS PERMIT MUST BE KEPT ON TAE PREMISE WHILE THE WORR IS IN PAOGRE
This is !o certify. ....... ..C?c......... has parmissioa !a exect w...7?.Z?d?le?kf ................._npon
the ebove deseribed premise subjeei !o the provisiom of the Building Ordinance for Eagan Toansfiip adoylsd Apr31 11,
1955. /J
---.._---- . Soard .............. Per .....L?j?Y.i,?C,....5 ? -- __....--
Tnwn ....--•.............
' J'- ' • -
Chairman of
? Buildinq Iasyxlos
REQUEST FOR ELECTRICAL INSPECTION
q? See inslrudions lor completing this lorm on back W yellow copy.
p?
IYI 6?23 1 "X" Below Work Covered by This Request
aTM?
.,? eeoooo,-oa
' 6G?/
.?
e Add Rep. i Type of Building AppliancesWired EquipmeniWiretl
Home Range Temporery Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specity) ConVadorS Remarks:
?9OVI1CIL-561A CIC.T'Fbi4 NOT" V416
Compute lnspection Fee Below:
# Other Fee # ServiceEnlranceSize Pee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above _ Amps
$i9n5 Inspector5 Use Onty: ? 7'OTAL
Irrigation Booms
L
Speciallnspeciion C
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ?"f) COMPLETED WITXIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oaie
certiry that tha above inspection has
6een made. Final oaie ?
-3?
OFFICE USE ONLY This request voitl 18 momhs trom
????6??2 31
p ?/
?
Request Date .. pira No. Rovgh-in Inspeaion
Requiretl?
NOTICE: Vou Must Gall Eleclrical Inspecbr
Ii A Rough-In Inspection
? 9 ?yes a IsRequrtetl.
Icensed conhactor ? owner hereby request inspection of above electncal work at:
Job AOOress (SVeep Box or Rome NoJ Ciry
`?SCo ZR-,4M/NCip , 64LVW
Secfion No. Township Name or No. Fange No. Couny
?v?TA
(PRINT) Phon N
\J ?? ?
Power Supplier Addre
?--?
ElecMCai CanVactor (COmpany Name) ConVacmr9 License No.
M 1 - ,2 C Nc. o a-a
Mailing Atldress (COnlractor or Owner Making Inslallation) -
a$ l S MnJ
AutOOnzed Si naNre (COnlract /Owner Making In tallation)
? _?/
BC??.` PM1One Number
?\ ?2
Ci J
MINNESOTA SIATE BOIIRD OF ELECTflICI
Grigga-Mitlway Bltlg. - Room S1T3 /b
1821 UnlversHy Ave., St. Paul, MN 55109 ,? ?'
hane (612) 602-0800 TNIS INSPECTION REQl1EST WILL NOT
BE ACCEPTED BV THE STATE eOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
5_L/,iPa /
Z{-// /
- • .. __. ? _. _
a? .
YILLACE OF EAG4N '
3795 P;I?' Knob R...„I
E WATER SERYiCE PERMIT
uynn. MN 55121 P1.111111 1'4,. 1364
R-4 12/11/73
Mdnito l nu.. 2
7'ownhouse
1754- 756)Flamingo .
D
?.,,Lkunal?lsoq_
Yive
?
cCOrmick
tt , \
1 nyree ?u comp1f vifF F-_ 10.00 pa '
lhe Villoye o/ Eayan ti
Ordmonc
et iir? h.iiSi ?
.50 pd
V1, ( h.?rCe?.
CJ .? I w
? ? /??G?. 'J?" oC _ .
/
\
' /
r,.;.... ... ... /.?
YILLAGE OF EAGqN
3795 P"I Knnb Rund WATER SERYiCE 1"ERMl7
Euynn.MN 55137 ???'.I(1111'.N4). : , ._ j364
Aming:it-4 _...... 12/11/73
nw•??,???: Manito
- 2 ._-- .__T?ovnhouae
-
n???i???.:
- .
Site nddre?.. 1759 1756 F
? hn??h,?,Dona - lamin4o
-
DYive-
- -
--
- ----
-- -
.
? n-MCCormick ? --- -? - -
.. -
.
Nr,:
_ .
------ --
-----
Sizc: _ --?
_.. Conncction C
? harg?-r o. --o i?q?
-
?-._..... ..
com
l .
unl Urpr mit. r
?
p
r ?•i1h fh
e Viiloge of Eagon
O d9nonces. R,,'j,a[gt't
?,d
SO ..-?---'
By _
- - - 1'ntal:
.
D:ilcul'hrsp;
_.. _. --
1)n??•!'aid:....._.. --------
'_'..__...
.
_
.. .. .
.__.___ ?
a
J
?q
i /
?
. ?.ys?•?'ewi . . . a.r. ?... , r . : . ,. . . . . .
TO u.? n S v'?.:pw?
/ -//--- /
WATER SERVICE PERMIT
VILLAGE 0F EAGQN ? -
vF:H%.tI'r No.. 1363 _
3795 Pilot Knn6 Rood .. lZ?l]?'J3.
. U?11'F.'. ..._..
Ea9on, MN 55127 Nn Cniu: 2 TpW}1}1OU80 _,.-...
_......__...-.
you?uc R-4
' • '.._'_- _-"_? --_.
fl,cu,?c puill ..
?
' site ndd."'.,: 1750°1752 Flamin8o Drl
Plumb?rWAal IIrMCCO1?C?C.-
, ('onnucunn C.hargao-?f
\lctcr Nu.. lt:
Account tePnc
s,,.E,. lo.oo Pe
--- ----
. _.._--
_._._ I,rrwit Fecr SO pd
.-
Re.iJc[ Nn.! _
Surcharge:.__'__'__ _
1 agree ro comDlY with Me Villo9e oi Eogen
Ordinonces. 7ulnl: ' "
? . I)atc Paid:- -----?-
µy _ . .. .. _._ _.__.. _..___..__._,.
In.p.:
---
I d J
1 v _?--?
r ?
I
.
1-7
- ? /C!Ct,44i l? : PcJ
WATER SERVICE PERMIT
VILLAGF OF EAG4N
i.t ji%tn ?u
1363
3795 7Jor I(nnb Road ]
2?11/73
Mr+ 55122
Eaq,,,, U:111.
? .
Z Townhouse
, nn?
Nn. of I
;??_• R-4
?
µanito
.
.
7 52 Flas??9o prive
Su?? nddm.. 1750
i•Itmd,,roonaldson-?'7c ormick.
(bnncction
( hare
%lricr N-, . ?
Ac?:oun, I)e i s?c
v' 10.00 Pa
ti -
50 pd
HrmJi?I Nn
to complr .?rh rAa Villog? o/ Eoqe^ y??rcha?R?` .
... .?...
?
1 agree Mi.,?. ( h:u -
K".
0,dI000Cl5. 'IUTAI:
4iy f)atv Vald?
?In.p.: . - --- - ? - ._
. .. . _?
Z
r-
7
/
'7v
'7 4
, 7-LG-Q -- -?z?.?;z ? ??& g -- ?h .?? / °?
y"puihS?i Pc?/
CI`I'Y OF EAGaN
3795 Pilot Knob Road
Eagan, P4innesota 55122
PERTWST NO.: 4II9
The City of Eagan hereby grants *,Binder s Son Znc
of i20 DLtier F7e * St. Paui 55118-
? ?.
, ,o"r: (Owner) w ?f??ro.a?ho??a
M ? purauant to applieation dated
thi of, ????
+ dated tIL
Fee Faid: 81Z ._?
1t3.50 s c-•'ywsl?w.?_ ,_ ..
Building Inspector
PQechanical Permits:
>
??--
? 7SCo CitCA,?'n?.?o
/0 77/?0 ?vt? I1?.
??? ? rst
vzL r.nc:, o?, r?;v„0r
3795 Yilot Knob ttoad
Sagan, Minnesota $5122
PERMIT iVO. 412
The Village of T'a ,Y,an hereby grants to nonaldson-MCCOrmick Co. -
P1wnUing & HeatinR of? r,,)^7 So., Mpls. 55419
a PLUM2'7G permit £or: (Ovmer) t7anito Townhouses
at50-56, 1737-47, 1736-38-42, 1726-28-30-32 F1 ?n o,nri e nd 3760-6G-70,
???c_ze un ?n nc ??a13sPi??1}?? to app?ic2tlon Xate?
--?-.---'
Fee Paid: $380.00 dated this llth day of December ,19 73 .
9.50 s/c
Uuilding Inap2ctor
1•iechanical Yermits:
liicl 'P<,La.L:
1743
1745
1750
1782
1754
?
1749
1751
1753
1755
1757
1759
1760
1762
1764
1766
Golden Hill Terrace
3762
3764
3766
3768
3778
3780
3782
Bluebill Drive - 1726
1728
1730
1732
1734
1738
1744
.
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.59
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20•50
.. { ..__„
CI'I'Y OF EAGaN
3795 Pilot Knob Road
Eagar., P'finnesota 55122
Fee
7`0 WfU> v
PERNST N0.• 489
The City of Eagan hereby grants *, ni 'Pr & Son Inc
of i20 r BLtlar Y'eGtSt Paul 55118
- . •'.
o : (Owner) mcm,ho,.ses
?,
? purauant to ?application dated 'g?/7-4 . • - .
P?dated thisi2th_day lcnr i?"a4;•?
Building Inspector
u
PQechar,ical Permits:
Bid Total:
?'7
BINDER SHEET METAL - HEATING PERMITS
.
Flamingo Drive - 1728
1730
y'"..
1750
175Z
1756
1749
1751
1753
1755
1757
1759
1760
1762
1764
1766
Golden Hill Terrace
3762
3764
3766
3768
3778
3780
3782
Bluebill Drive - 1726
1728
1730
1732
1734
1738
1744
?
?y . . . F. .
20.50
20.50
20.50
20.50y
... :?*.w.k6M,1ZOYSP
^.. .:tf:": ._ 20.50
? 9.. 20:50-
20.50
' ..? 20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
?
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
TOTAL -------------------------'---------°--°-- 5758.50
..
03 o ?i
cTTY oF Lacr;?..a
379" Pilot rtnob Road
i?;inn.<rctz. 55122
PL F _?1, iT DiO,.: 437
The Ci±y of Eagzn her2by grants to Summit P1_umbinq & Heatinq Co., 2nc.
ef 712 No. `'?:tling Avenue, St. 1-0:'55104
a PLC`0 i'.., Pei'r^.it for: (O,nmer) XY•.':=-':'. `- -.
24 Perriits
ac _;Er, - , Fursuant to applicaticn da+,ed q
Fee Faid: dated thi.^, day of , 19 74
12.00 s/c
Building Inspector
,-
.=
SOMPIIT PLUNBI[dG CO. - PLI'MRI*TG PF.Rl".ITS
Bluebill Drive - 1726 7n.50
1728 2nsn
1730 20.50
1732 ?0.50
1734 7050
F'lamingo Drive - 1740 20.50
1739 20.50
1741. ?_0.5n
1743 20.50
1745 20.50
1752 2n.,n
C-_17 5_4Y 20.5r)
175]. 2050
1753 7(?.=0
1755 ?n.5q
1757 2eso
1760 2nS0
' 176? :>n.,n
1764 ?n.5n
l7G) 2n.50
Golden Hi11 Terrace
37f?. 20.50
3764 20.50
37F,f? 20.50
37P.2 20.50
Total ------------------------------------------
67
?
?
? ?
?
H,.
_ . ?
'3k /1
("i n v ! e c.iJ
CITY OF EAG:AN
3795 Pilot Knob Road
Eagan, D'Iinnesota 55722
PDR111IT NO.: 48?-
The City of Eaoan hereby grants Son I
of n tter 4'eGt St Paul 55?18
'' -
, . ? ' .. i r. (Owner) ,
?• , ' '
? pursuant to apglication'dated 4/?a??4 p•
II 'l
Fee ?ca • ,' dated,.th1,ellW..-daY bE+t.,,:.Y,
1?Sll ?? _a11P I 0 .?
Ta .
'7?`\~ Building Inspector
Mechar.ical Permits:
Bid Total:
AINDER SHEET METAL _ HEATING PFRMITS
1756
1749
1751
1753
1755
1757
1759
1760
1762
1764
1766
Golden Hill Terrace
3762
3764
3766
3768
3778
3780
3762
Bluebill Drive - 1726
1728
1730
1732
1734
1738
1744
20.50
20.50
20.50
20.50
20: 50 . , .. _._ ..? _
20.50
, . c.. . 20.50
20.50
",?"ti? ?2Qe:?:Qia,.r
,• 26.50
20.50
- 20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
.
20.50
20.50
20.50
20.50
20.50
20.50
20.50
TOTAL -------------------------------------------- 5758.50
I
Flamingo Drive - 1728
1730
CIZ'Y OF EAGA.N
3795 Pi1ot Knob Road
Eagaaz, P'Iinnesota 55122
7`o a?n ?"d i PcJ
_
PL;R?ST NO.: 489
The City of Eagan hereby grants *, &i der ? Son Inc -
of i 70 *' IIutler 4T G* G* Paul 55118 _
Mechanical Permits:
prr?
pursuant to'aPRlication dated a/ . ?/'j? r, ' .
.
dated thisl7th daY of 1lflrit ?e" i?+ _..a
``?. . .. +ir" . .?. -+-. -. ?
.. . _•
: (pwner) wa j n
VILLAGE QF' aGAIV
3795 Pilot Rnob ttoad
Eagan, Minnesota 55122
Building Inspector
1150 )0 7-7/00 orv ?r
?c,?'tUi? Ist k.
PERMIT N0. 412
The Uillage of Eagan hereby grants to DunaldsoA-MCOOrmick Co. -
Pltmibing & Heating o£ h011 Lyndala Ave. So.,. Mpls. 55919
a PLUMIDING Permit fors (Owner) ManitO TOwnhOuses
1750-56. 1737-47, 1736-38-42, 1726-28-30-g2,F1?? Bri e nd 3760-66-70,
at 3apjR&t to app7ic?'ion ?afe2„i,_
Fee Paid: $380.00 dated this llth daY of Ueaember , ?.9 73 •
9.50 s/c
Building Inspector
Niechanical Permits:
Bid Total:
1743
1745
750 '
1752
1754
1756
1749
1751
1753
1755
1757
1759
1760
1762
1764
1766
Golden Hill Terrace
3762
3764
3766
3768
3778
3790
3782
Bluebill Drive - 1726
1728
1730
1732
1734
1738
1744
TOTAL -----
?
20,.50K.,. .i
..? a„
20.50
20.5??;;y,
? 20: Sb 24? - =
_,. 20.50 -. ?_.
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
20.50
5758.50
.?-.
f
?' ? s.?- . ? A ` `:.<?i??? ;'4 _ -• -' ._.- -
,.?;
t
?.. Cl`I'y OF a?G;';'_'i
3795 Pi]ot ICnob Road
I',iir..ic?ota. j5122
P7C., t 437
The City of aa.-an hereby grants to Summit P7ucnbinq &?3eatina Co., Inc.
of 712 No. -:lling Avenue, St. „'. 75104
a PLC`L3a-;: Permit for: (OUmer) :•1-q. -24 Permits
at pnrsuant to application dated
Fec Faid: dated this ' day of 9 74 _
12.00 s/c
Building Inspector
4
i3iu 'Po b;?l t
l
!
SUMMST PL[7P1III?7G CO. - PLTTMf3,i^TG PF,9S4ITS
Pluebill Drive - 1726
1728
1730
1732
1734
Flamingo Drive - 1740
1739
1747.
1743
1745
17 2,>
1754
1751
7_753
1755
1757
1760
17E?
17f:4
17Fif
colden Hill Terrace
3762
3764
3768
3782
20. 50
20.50
20.50
20.50
70.50
20.50
20.50
?n.5n
20.50
20.50
20.50
2n,_5n
20.50
2n.50
2n.50
20.50
2n.50
20.5r)
2f). S 0
20.50
20.50
20. Sf7
2n.5!?
2050
TOtdl ""__'__"__"__"____________ __' y4 ¢?qh.0!1
...
Z
?
?
EacEiN zrnaxsxtr
3795 Pilot Krtob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SEWBR SERVICE CONNECTION
DATE• I , Lq/79
'jC?cc?Fi.?7?r ?
NUMBER 1416
OWNER: 2mxunrim Manito Address 175? ? 752 Flamingo Drive
'?-
PLUMBERA°^?a151s?n?^ rsl ^-
??""?'^" . TYPE OF PIPE heavg cast iron
DESCRIPTION OF BUIIAING
Industriall Commerciall Residentiel I Multiple Dwelliag I No, of uaits
+ ? I xc 1 2 townhouses
Locatioa of Connections:
Connection Charga_ew-,,'-
Permit Fee 10.00 pd 12/29472
.50 pd 12T9/72
Street Repairs
Total
Inspected by:,
DaCe
Remarks:
By
Chief InspecCOr
In consideratioa of the issue aad delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of I3agan lbemship, Dalcota County, Minneaota
By
DOnaldson-McOormick
Please notify when ready for inapection and connection and before any portion
of the work is covered.
jot a ,
7-own v?e,d
EAGAN TO[dNSHIP
3795 Pilot Knoh Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SFWER SERVICE CONNECTION
DATE• 12 f?Iqi7?
NtJMSER 1416
OWNEP.:ixKRxisx Manito Addrese ja, 752 Flamingo Drive
PLUMBERk4??4#?5??#??x }uf????s x?cSt, TypE OF PIPE heav,y cast iron
DESCRIPTION OF SUIId1ING
Industriall Commerciall Residential 4 Multiple Dwelling I No. of units
I I I xoc I 2 townhouses
Location of Connections:
! st
Connection Charge_- _4? ?- =<r
Permit Fee 10.00 d 12/29/72
. Opd122972
Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration nf the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Fsgan Toc?mship, Dakota County, Minnesota
By.
?DOnaldson-McCormick
Please notify when ready for inspection and connection and before any por[ion
of the work is covered.
3-i1-/
ERGEai TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• i?/?ai»
v iG GJ
N"ER 1417
OWNER: ,?? Manito Address 1_754 754lammngo Drive
lds 4c ormi k
PLSIMB7???f3??6. TYPE OF PIPE heav,y cast iron
DESCRIPTION OF BUIIA ING
Industriall Commercfall Residential I Multiple Dwelling I No, of tinits
I I I xx I 2 torauhouses
Location of Connections:
Connection Charge_<__'.
X-y
?.
Permit Fee 10.00 pd 12/29/72
.50 A
Street Repairs
Total
Inspected bq:
DaCe
Remarks•
By
CMef 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 Tocroship, Dalcota County, Minnesota
sy.
Copoo6ddatie[kx36tuabdi-4;ck]asAonaldson-McCOrmi ck
Please notify when ready for inspection and connection and before any portion
of the work ia covered.
?
1/- // /
EAGHN TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEFIER SERVICE CONNECTION
DATE• i12j2on1
ro cti?v v) jef6j
NUM$ER 1417
OWNER: JMW6WW manito Address 1754 756 lammngo Drive
?-!
PLUMB lds - c ormi k . TytpE OF PIPE heavy cast iron
DESCRIPTION OF BUIID ING
Industrial Commercial Residential Multiple Dwelling No, of units
xc 2 toxNhouses
Locatioa of Connections:
Connection Charg,
Permit Fee 10.00 pd 12/29/72
.50 P
Street Repaira
Total
Inspected hy:
DaCe
Remarks•
By
Chief Inspector
Ia consideratioa 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 Toianship, Dakota County, Mianeaota
By
naldson-MCCormick
Please aotify whea ready for iaspection and connecYion and before any portion
of the work is covered.
CITY OF?EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Datelssued:
BUILDING
080356
04/28/92
SITE ADDRESS:
1750 FLAp1ING0 OR
LO7: 1 BLOCK: 11
TOWN VIEW 1S7
DESCRIPTION:
Buildiricy, Permit Type
Building 4tork Type
,-'U6C Aocup-sney',
/ cet?t
REMARKS:
MISCELLANEOUS
REPAIR
R-3
? E
..'? , t•;
RE-ROOFING
INCLUDES 1752, 1754, & 1756 Finn+TNCn nu
FEE SUMMARY:
Base Fee $60.00
Surcharge t.50
Total Fes ;60.50
CONTRACTOR: - Applicant - 3T. LIC. OWNER:
NAUSE CONST ZNC, J G 24390189 0005350 TOWN VIEW ASSOC
1034 EAGLE RIDGE CIR 1771 FLAMINGO DR
STILLWATER MN 55082 EAGAN MIV 56122
(612) 439-0189 (612)686-6247
I hereby enknowledge that I fiave read this applicaEion and sCate tbat thg
informetion is oorrect and agree to comply with a]1 applicable S€ate af Mn.
Statutes and City of Eagart Ordinances,
?
APPLICANT/PEAMITEE SIGNATURE
PERMIT 1ltln
IS I? eI SUED Y. I NAT RE ?
Control No. 0 317
?
INSPECTION RECORD I Control No. C 3 1 CITYOFEAGAN PERMITTYPE: BuiLDiNG
3830 Pilot Knob Road Permit Number: 000356
Eagan, Minnesota 55723 Date Issued: 04 J28 /92
(612) 681-4675
SITEADDRESS: LoT: 1
1750 FLAMINGO OR
TOWN VIEW 1ST
PERMIT SUBTYPE:
PIISCELLANEOUS
REPIARKS: RE-ROOFING
?
?
BLOCK: 11 APPLICANT:
HAUSE CONST IMC, J G
(612) 439-0169
TYPE OF WORK:
?qri,d
.;'I, r 'i?n?i ? :1 1111 r? I,li
! 11 :• I f:? 11('I' ' 1 t
I ?-d'.iV(1 '1.
REPAIR
. i 1.,:. _ .
'S;I I t 1 I j'f'
PERMIT i ? CITY OF EAGAN
? 1992 BUILDING PERMIT APPLICATION .
681-4675
$INGLE 3 MULTI-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 when typing of permit is requested, but not picked up by.last rrorking day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date OLk / 0'01_ /(3? c?- Yaluation of work `
Site Address• ?2.sl? ?awlA?(? .OQ
STREET STE !
Tenant Name:
Lm ?,_ eLocK 1[_ su?o.TOWNVfEW IST i
A-DDtTlO
Descri tion of work: -RERooP
The applicant is: 0 Owner ?.Contractor O Other cueKrtbe)
Name -Tt) ?.\ 0 C 1 ; ? l ??S GC . • Phone L?1 La I",?
Property uST F1RST
Owner ^
-
Address S
t I?C4, nix 1 nr!j o 11? .
7
STREET fTE i
City FJ?C?AN State Nl ft/, Zip ?s I ai
Company t? S-NGPhone L?1e1 -6 66°I
Contractor Address \C\__?a\'? R.? 6 e,iQ.cltLicense #?3 l? Exp. i445A
Ci ty c?J j5LE Sa State
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is twc days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
,ILDING PERMIT TYPE
, 01 Foundation
,] 02 SF Dwg.
? 03 Two family
't] 04 Multi-fam. T.H.
WORK TYPE
? 31 New
O 32 Addition
El 33 Alterations
vrru.c var. voiLT
? 05 Apt. Bldg
? 06 Garage/Accessory
O 07 Fireplace
? 08 Deck
jg 34 Repair
13 35 Tenant Finish
? 36 Move
... . '- .
11.
O 09 Basement finish
O 10 Swim Pool
? 11 Res. 11dd./Porch
? 12 Lomm./Ind. -
[3 13 Puhlit Fac.
? 14 Agricultural
? 15 Miscel]aneous
O 37 Demolish
? 99 Undefined
GENERAL INFORMATION
Coost. (Actual Basement sq. ft. MWLC System
(A1?rowable? lst fl. sq. ft. City Mater
UBC Occupancy ? 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
/ of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code -
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance •
REGIUIRED INSPECTIONS RF-MARKS. RF_-Ro0F)N4
? Site ? Footing O Framing ? Insulation
? Yallboard ? Final ? Draintile ? Fireplace
Permit Fee 15.00 wiweia,: s_
'Surcharge ,30
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Mater Meter
Acct. Deposit .
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total : /5. So
SAC %
SAC Units
CTTY USE ONLY
LOT ? BL t 1 RECEIPT #: ( I D Sa ?
SUBD. ?oQ\1A RECEIPT DATE: I D?ab" 1?
MECHANICAL PERMIT #
1999 M£CHANICAL ?EMIT (RESIDENTIAIa
crrYoF Ensnx
3$30 PILOT KNOB RD
E146AN MN 551 EE
Date:
Complete this section onlv if you are installing FiVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-100 M B T U
+.PDrTrn?.ter cnA?nTrJ
$ 30.00
6,00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New ?Alteration Repair _ Other
Reminder: Ca11681-4675 for inspectians.
_ Furnace ,'?eD Air conditioning
_ Air exchanger _ Other
SITE ADDRESS: F?S0 F l a m i nCi o Dr.
$ 30.00
State Surcharge
Minimum Total Due 30.50
OWNER NAME: KC. ( T! I°q YI Y IQ? ?b bo k-Cl PHONE #: V5 -qUS -"0C90
p,
INSTALLER NAME:1?,'?DY I IX? J I,,In'?(?,?, ??lJu?tf??I? (AREA CODE)
_?l?J PHONE #: [plo?- ? -? 1
-
srxEET wnnxESS: (AREA coDE)
CITY: AviJ ?,Q STATE: M&) zIP: 554;)-q
S GNATURE OF PERMITTEE
1993 MECHANICAL PERNIIT (RESIDEN'I7AI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWEI:LINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
? ADD-ON FURNACE replace existing furnace
DATE
4-14-93
I-iVAC: 0.100 M BTU
ADDITIONAL 50 M BTLT
CrAS OU1`LETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (Ex]STINC corrsT[tucnoN)
STATESURCHARGE
TOTAL
FEES
$ 24.00
6.00
$ 15.00
.50
$15.50
SITE ADDRESS: 175o Flaminao nr_.
OWNER NAME: steve Raiavuori TELEPHONE #: 686-0882
INSTALLER: Fredrickson Heatina & Air Conditioninq, Inc.
ADDRESS: 3650 Kennebec Dr., #101
CITY: Eagan STATE: MN ZIP CODE: 55122
TELEPHONE #: 452-2775
?, -.?-4 _ ?" • e?
SIG A E OF PERMiTTE
CITY USE ONLY
L BL ? RECEIPT#:
SUBD. ?f?AGJ4l RECEIPT DATE: ??? 1 d
1998 PLZJIYIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOS xD
EAGP.N, MAt 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backBow preventer for underground sprinklersystem
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
B-cih Tub 3.00 X =
Lavatory . 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water+Heater 3.00 x _L =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construdion 5.00 x =
Water Softener ` for existing dwelling 20.00 x =
U.G.Splinkler `fordwellingunderconst. 3.00 =
U.G. Spfinkler ` for existing dwelling 20.00 =
Alterations ` to existing residence 20.00 = 'POfOO
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposai Systems'Abandonment 20.00
STATE SURCHARGE .50
TOTAL ?O §=
---------------------°------• ----------------------------------- -- --------------------------------------
I hereby adcnowledge that I have read this epplication, state that the infortnation is wrteG, and egree to comply wkh ell applicable City of Eagan ordinancas.
It is the appliwnPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operetional and maintenance activdies to the facilities wnstructed under this permk within City propertylright-of-way/easement.
SITEADDRESS: /7S? Fls+..+?-fGo p2
OWNERNAME: J ,*a-ojST-
INSTALLERNAME: IN?Ip ?So-r3 PIR- TELEPHONE#: J11WY7S-U;;'5Co
STREETADDRESS: 3?S Sv''r?U Lrl
CITY: /J1Y*1-fejLXr-# STATE:ZIP:
SIGNATURE OF
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
Sep. 4. 2661 9:12AM Crest Ezteriors No.6226 P. 2 11
2006RESIDENTIAL BUILDING rERmzT ArpLtcarioN ?(p?• OZ6
V City Of Eagan
3830 Pilot Knob Road; Eagan MN 55122
Telephone # 651-675-5675 FA.X # 651-675-5694
New CansWClion Reauiremp,nts
3 regislered site surveys shawing sq. N, af bl, sq. ft oi Bouse; ana ell roofed areas
(zo% manimum Wt coverape albwed)
2 copies of plen shaxing beam d winewr sizes; youretl found design, etc.
t set ot Eneryy Cakule6ons
3 copes of Tree Preserva6on Plan if bt platletl aner 7N193
RimJabl0018i1 Op1i0ns 9¢ICC600 ShCel (buildingSwllO 3 W less uNts)
Mfmicgasco inechanical ventilaUOn form
Date -9_(4 /(D-7,
Site AddYess k `1 ? 0 , `'I
RemadeVRenaUReouiremenis ;i G)HIEe:Uss9me
2 GOpI¢S 01 pl2n ShOwing foofings, 6eams,jdsls Ce.Ra[qUCVey Recd _,Y ",N
1 5Et of Energy Calalalioris fa healed additions Yree PresPl.en RB4d ?_Y N,
151f85Urvey(aaddiliore&dedcs TRCPf25:R2W7Atl _Y _N
Addffbri - lrt"piiq+sifesePlicsyslem On4fteS86dC$yil8m':::..._lf ._-N
C? 1 w CD?-
Construetion Cost am--? -c-b
Un1USte #
110 -'zrS., ?f
Description of Work T Ctx" p(? c- Irb0c-
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
I Property OWner 1y!L-) , Teleplione#((,Q?`? ??'? ?1? • I
Coutractor
Address
State .
Zip =()nju . Telephoue # (??)W
COMPLETE THIS AREA ONLY IF CQNSTRUCTING A NEW BUILDING
- MinnesoYa Rules 7670 Cateaorv 1 _ Minaesota Rules 7672
Energy Cotle Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wofksheet
(Jsubmissiontype) Submitted Submilted
• Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, daTe and oddre5s of master plan:
Licensed Plumber
Mechanical contractor
Sewer/Water Controctor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Fermit and acknowledge that the information is complete and accurate;
that the work will be in confozmance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wozk is not to start without a
pecznit; that the work will be in aceordance with the approved plan in the case of work which requires a review and
approval of plans.
Telephone #(
pliczuat's inted1 Nazne Applicant's Signahtre
MECHANICAL (RESIDENTIAL)
Permit Application
City OfEagan
O 3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
-1 -3C,.5?
Date 0-1 / C \_ / C' J
Site Address Qp V Q Unit i?
? r-\r-) 6412-2- 1 1 ? 3
Property Owner S?k-p? Telephone #((?6 I) 4/S 2- LoG?F?
Contractor ?. -,`c"
V
Street Address -21 p(D,5 ? 454t SV l,J BCX 146
5 City Nnc?A_Vrnn -(O-
State lzY? it-3 Zip ?-rj,-rj?f?Fi'-G?fSS Telephone #( b S I).SZ2-S`) Z S
The Applicant is _ Owner P?slz Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
? air conditioner
other
S[ate Surcharge r
? ? $ .50
Total t .. $ -3cl, 5C?
I hereby apply for a Residential Mechanical Permit and acknowledge that the inFormation is complete and accurate; that the work witl
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pernvt, and work is not to start without a pernvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
? ? ?` L£ ?'? . ?-2 f?t'ti _C aC \ ? ? in'?• -?R.,r?l'`.
Applicant's Printed Name ? ApplicanYs Signature
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
-#40?-
Date-,g(a/3
?
Site Address /C1evYI /qb lor,
Unit #
Property Owner ?__ ?LJ/L°i f'y U.h.CJO ?G Telephone # (rvs? ) ?(?s
Contractor fiYLLIYI /^b dolkmbirrGj _
Address ,ry
? yJ y q / iyi'lU/ Y_!t) ?[Je.
(//
City e
State Zip SsO yy Telephone# `i99"%
The Applicant is _ Owner Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional eonsultant fees may apply.
Alterations To Existing Dwelling Unit, [ncluding $ 5D.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.OD)
Other:
_ RPZ _ new installation _ repair _
Lawn irrigation system rehuild I
?
$ 30.00
_
W
t
ft
W
t
h
t
_
a
er so
ener
a
er
ea
er $ 15.00
_ replacement _ additional
sy
$ 50
State Surcharge
Totai S 1S"? 0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the wori: wdi
be in conformance with the ordinances and codes of the City oF Eagan and with the Plumbing Codes; that I understand this is nol a
permi[, but only an application for a permit, and work is not to start without a perrrtit; that the work will be in accordance wi[h [he
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applic t's Signature
(P&`? //-/
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15.50
Date2/16 / Q`l
Site street Address F 7Sb /f/f{ fn1ago
Y'T QAO unit #
PropertyOwner ?1..? /JA,1r`CY Telephone#
Contrector I 76E?J?Q ?C?/.?]`?l G[/??/L [/?
Address (p 6,6L 61' S'e- City ?f%s0/Yf?lelephone # (9-SR)
{" /iLe State,&) Zip 2
The Applicant is: Owner _ Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener _ Water Heater
_,L? replacement _ additional $ 15.00
Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total 2
$ /5•50
I'5Y 1
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved
1-c- IrIz
Applica 's Printed Name App can s Signature
1~ 50 , 5a 1 5~' t t S(o ~'I a-w1 io• Use BLUE or BLACK Ink
For ofOceuse n l
Permit
City of Ea~a~ I I
I Permit Fee: ola . ~5 1
3830 Pilot Knob Road I I
I
Eagan MN 55122 Date Received: ~.a )131
I I
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff. [/V 1
L--------------- I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "I ° 13 Site Address: 7 U 17 ~J I 1'75(o f_la- tr, O bl, Unit
i
i Name: Phone:
Resident)
Owner $ Address / City / Zip:
i
Applicant is: Owner Contractor
Type of Work Description of
work.- Construction Cost: 0 Multi-Family Building: (Yes 1 No )
Company: ~'1ot~QO Contact: 4'' It r
l!U(TS` ~y~ ,r,;,Lx ~br, CSITy: 'tnhE- ~C4
Address:
Contractor I Cy
State: zip: Phone: t `f
s
License _)967 ~p q Lead Certificate A -F- ~C'CTC3'7 ° 1
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:
y NOTE. Plans and supporting documents that you submit are considered to be public Information. Portions of
I "the information maybe classified as non-public if you provide specific reasons that would permit the City to
i conclude that the are trade secrets. '
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protecting. against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will ne n 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 186
days of permit issuance.
x tlorr i c fit` xaa~ Z
Applicant's Printed Name Applicant's Signature
Page 1 of 3