1077 Kenneth StCITY OF EAGAN Remarks
Addition McKee Addition #1 Loc 12 aik 1 Parcel 10 47750 120 Ol
Owner & `le '? ZW,\ screet 1077 Kenneth St. State EaQan, MN 55121
nrn 4 !? Il
Improvement ate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. paviaggi 1969 $311.50 $31.15 10 PAID
GFiADiNG
SAN SEW TRUNK p 1968 $100. 00 $3.33 30 PAID
• SEWER LATERAL 1968 ZO
WATERMAIN
WATERLATERAL & SEW 1968 $8$0.00 $42.50 20 PAID
WATER AREA
STORM SEW TFK 1984 403.00 26.87 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
' WATER CONN. $200.00 657
- -
dUILDING PER.
sac 657 2- -68
PARK
Zl \ ?J1 L
CITY OF EAGAN i 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' I N I CI I y n' ?
I-'? i ? NNt 1 Ii ', 1
? ^I? I 4 i
I PERMIT SUBTYPE:
i ii 1=1) mI ru
PERMIT TYPE: ',III I ia ? Nfi
Permit Number: "•' ? 004
Date Issued: ",' / 61 196
F+t APPUCANT:
t 1I f! M! 1, I o F2P: Y nRl';l
TYPE OF WORK:
? . 1 t i :,N'
it111IriH 1 N ii l i;
nI rr irn I i nk I
Mpf' •,rillNl:i 7Nfilt1 At [ON I
? 1E tr.1r.i
Pertnit No. Parmlt Holder Date Telephone 71
ELECTRIC
.
PLUMBING
HVAC p(p ?G ?6
Inspsction bete Insp. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG
FINALHTG
7
ORSAT
TEST It
BLDO FINAL
7
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECORD ?
? CITY OF EAGAN PERMIT TYPE:
I 3830 Pilot Knob Road Permit Number:
i, Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
II SITE ADDRESS: , ? J: ;ah.i! T6i ?-7
I PERMIT SUBTYPE:
j APPLICANT:
t f?`I .1 i'.q TYPE OF WORK:
3FY'.flPl
Rt` f'Rtw
t i'i. F. 12FR[aoF,1Sir114M
INSPECTION D• • D A
? ?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
((/
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD !
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
e.?, ,,...
IIIII III I
* 0 2 2 2 9 5 7 IIII IIIII REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity ?
1821 University Ave., Rm. S- 29, t. Paul, MN 55104
3* P'none (ei2) e42-0800
Home Dup eac Apt. Bldg. Other: New Addn
Commercial Indvstrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"k' above the work covered by this reqvest. Enter remarks in ihis space and on ihe back of fhe whife copy only.
///,# C 3-0'/'7
Calculate Inspecfion Fee - 7his Inspection Request will not be accepted withouf the correct fee:
Other Fee # $ervice Enhnrxe Sae Fee # Circuils/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps to 100 Amps ?!(7
Sireet Ltg./Traffic Sig. Above 200 Amps • Above 100 Amps
Trans{ormer/Generator INSPECTOp'SUSEONLY ? TOTAL
$ign/Outline lig. Xfmr. s? .! o
Alarm/Remote Control
r
Swimming Pool I hereb cerli fhaf 1 ins ected 1he insiall ' d r'n dates stoted
Irrigation Boom Ro„9h.i„ ? Tiato
ecial Ins
edion
S r
p
p
Invesiigative Fee F?nol ? ?Ak
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1 B MONTHS.
?
222 9 5 7 .??.,'?,
OFFIC 0SE O Y This reques
Y?
t void 18 mon}hs fram validafion dale pnnted in IFiis boY,? ?
PLEASE PRINT OR TYPE
Requesl D k Rough-in inspedion required2 ? Y ,;gNo Inapection OiherThan Rou9h-In:,a Ready Now ? Will Coll
(You mus} toll the inspedor when ready) Date Ready.
I, ?ficensed contrador ? owner hereby requesi inspection of the above electrical work at:
lob Address (Streel, 60x, or RouM No.? Q1y ' Zip Code
I? 7 ST u? u .Z/
$eclionNo. Township Name or No. Range Na Fire County
OccuPonf Phone No. .4J) 5/) S/ 4, Z S/Z
? f,rJ - 5/ '
Power Supplier Address
Elecinml Canlmctor (Compony Name) Canirocbr License No. Mesbr Lic. No. (Plant Eled. Only)
O? r O
MailingPd ress(Canimctor otOwnerPe inglnsWllotion)
.
Au onzed Sig °ture (Contmctor or Owner Pedormi g InsYallafion)
x
Phone No.
EB-q?&A-10 6/95 STATE BOARD COPV - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
INSPECTION RECUIZD
CITY OF EAGAN PERMIT TYPE: B u z Lo z NG
3830 Pilot Knob Road Permit Number: 0 2 7 0 0 4
Eagan, Minnesota 55122-1897 Date Issued: 0 2/ 01 / 9 6
(612) 681-4675
SITE ADDRESS: P' I• N.: 10- 7 7s 0-1 e-01 APPLICANT:
LOT: 12 BLOCK: 1
1077 KENNETH ST DIVERSIFIED AMERICAN CONST
MCKEE (612) 929-7982
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
AL7ERATION
DESCRIPTTON MAC SOUND INSULATION
INSPECTION
FRAMING .. .
ROUGW IN HTG DA
FINAL
?
a
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
1077 KENNETW 57
LOT: 12 BLOCK: 1
MCKEE
P.I.N.: 10-47750-120-01
DESCRIPTION:
MAC 50UND
Bauildirig,, Permit Typa
Building Glv,rk Type
a ;Census Cod`e ` ?'•
3 ;
1.
?
. . . .. ???a?.
8 @.
, • ? .. .. ^ ???•?
? ? a ? g `F? it e ¢i
1 e. /
b
INSULATION
SF (MISC.)
ALTERATION
434 ALT. RESIDEN7IAL
r' s
0. ?
REMARKS:
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
Total Fee
PERMIT
VALUATION
$237.25
$118.63
$8.00
$363.86
V
?
$16,000
6e osa(a s?
BUILDING
027004
02/01/96
CONTRACTOR: - Applicant - ST. LIC OWNER:
DIVERSIFZED AMERICAN CONST 19297982 2001734 SK06LAND JASON
5115 EXCELSIOR BLVD 107 1077 KENNETH ST
ST LQUI5 PARK MN 55416 EAGAN MN 55121
(612) 929-7982 (612)794-3146
I"herebyr acknowletlge thatrI ?Ma?ve re-ad, thi?s rapp'kiecation°'arSd •state °th&`t-the`?= t
irlfiormation is lcorrect and agr,ee-.tc2. comply wi t,h, a13. aPp11;001ale;,5tate. of N n,. ;;. Statiutes and City of Eagan Qrdinanaes.
--
APPLI NT/PERMITEE SIGNATURE ISSUED : S TURE
CITY OF EAGAN
00 3830 PILOT KNOB RD - 55122
1141995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsMudion Reouirements RemodeVReoair Reauirements
? 3 registerod aite surveys ? 2 copies of plan
? 2 copies oi plans (indude beam 8 window s¢es; poured (nd. design; etc.) ? 2 sfte suneys (exterior addRfons 8 dedcs)
? 1 energy calaiations ? 1 energy plwlations for heated add'Rions
? 3 Copiss ot tree proservation plan H lot platted after 711/93
mquired: _ Y s _ No Is
DATE: /Z?y-h f, CONSTRUCTION COST:
DESCRIPTION OF WORK: ZO/"?;,
STREET ADDRESS: 14?9 ?27
LOT ?.? BLOCK SUBD./P.I.D. #:
PROPERTY Name: ?i?0(-?:) L-,il/f' Phone #:
OWNER LAST •MS'
Street Address,
City: State: Zip:
CONTRACTOR Company: Phone #: `??19 - 2?2L
Street Address: ? i1J- License #: ?200 ? ?j 5Z1'
City: State: /f.L? Zip• S J3?/?
a a
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address•
City:
State:
Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this appliqtion 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:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ? A?29 1996
Tree Preservation Plan Received _ Yes _ No _______
OFFICE USE ONLY
BUILDING PERMIT TYPE
...
. r--• -
n 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling o 07 4-plex a 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 GaragelAccessory o 20 Public Facility
a 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
cfK-05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
13 31 New ,-?3 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?'_
Depth Footprint sq. ft. SAC Code
Census Bldg _L
Census Unit _1-2
APPROVALS
Planning Building Engineering Variance
?
Permit Fee Valuation: $ leal i ?
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VH Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47750-126-01
DESCRIPTION:
FERMIT
PERMIT TYPE: B U I L IJ I N G
Permit Number: @ 3 3 0 4 7
Date Issued: 0$/ 2 7 f 9 8
1077 KENNETH ST
LOT: 12 BLOCK: 1
MC KEE
,?,, T.O. & REROOF/STORM
8 ug11 di-ng°?PermiC 7ype STORM DAMAGE
Br???cJing W&Kk 7ype REPAIR
nsuseCade434 ALT, RESIqENTIAL
i
R a
*t .. k.g '?.-.. ?-?k•' : ? i:,` ; .:...... \.' A".3 E? `a 1 #-w. L. SS'§.
#S rc
REMARKS:
FEE SUMMARY:
CONTRACTOR:
OWNER: - Applicant -
SKOGLAND JASqN
1077 KENNE7H ST
EAGAN MN 55121
(651)454-6242
? 1998 BUILBIllTG PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
2830 PII.OT KNOB RD - 55122 9
681-?75
New Construction Reauirements
RemodeURecair Reauirements
? 3 registered site suneys 4 2 eopies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; ete.) ? 2 sRe surveys (exterior additions & decks)
? 1 energy qlculations ? 7 energy celcWations for heated addRions
4 3 copies of tree preservation plan if lot platted after 717l93 S7-o ?• ?,,,?
required: _ Yes !L No
?U
DATE: g?I S CONSTRUCTION COST; U?.DESCRIPTI OF WORK: ?oo ?? ?? l?wst. F=.--?.?-? sz'?.-?..-t ?.?u--?-,-,?5 ?,
ST - ADDRESS:
LOT: ???-- BLOCK: ` SUBD./P.I.D. #: ? C_
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: S1(o /?,, d -7S77? 5 v.? Phone #: L s?-`? ?`?' G ZY Last First
Street Address: / c9 -7 -2 ! < e,"' ^'t-A-(' s T
City State:
v
Company: My Sc-l
Street Address:
City
Company:
Name:
Street Address:
Ciry
State:
State:
Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?..,
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
vve nJ Zip:
Phone #:
License #
Zip:
Phone #:
Registration
Tree Preservation Plan Received _ Yes _ No _ Not Required
L_
OFFICE USE ONLY
BUILDING PERMIT TYPE STo r",I )?a-nn C? 5,?
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4plex ? 12 Multi RepairiRem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
O 04 SF Porch ? 09 12-plex ? 14 Fireplace
?
? 05 SF Misc. O 10 _ plex 13 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition 0,34 Repair O 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zcning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
a
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
!Z -3l VY
CITY USE ONLY
L/? BL RECEIPT #: 5 U?
SUBL?&. DATE: ?
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 7'-3 - 16
1?5r? frS'4i'+=ue, a.Z4 W~P
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
FEES
$ 20.00
24.00
6.00
.50
SITE ADDRESS:/d7-7 ea •v'v6#-w- SJ,
OWNER NAME: .T//I"DV -& SU SXOgC•9?16 PHONE #: jS ' 2Yl
INSTALLER NAME: STREET ADDRESS: L4* 614rP ? Nu
CITY: 1?ooa STATE: ZIP
ssyze
PHONE #: ( &t 536 -Ofo(n7
?g 6L ?
KF_ PERMITTEE
?Tv"RATO
cin use oNLY
L BL
SUBD_
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are nD.t required
for each dwelling unit.
GATE:
CUivTFtNCi PKii;E:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Qr 1°/a of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Rermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER:
ADDRESS:_
CITY:
PHONE #_
SIGNATURE:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
EAGAN TOWNSHIP
3795 Pilot Knob Raad
St. Peul, Minnesota 55111
Telephone 454-5242
PERtdIT FOR WATER SGRVICE CONNECTION
Date: March 4? 1968 Number: 67 ?-
Billing Name: Victor Poen Site Address: 1077 Kenneth Street
Owner: Biiling Address
Plumber: 94?
Location of Connection Meter Size Connection Chg. 200.00
Meter No. Permit Fee Z-50 _ 0.
Meter Reading Meter Dep. u P?
Meter Sealed: Yes_ Add'1 Chg.
PIO I Total Chg.
Building is a:
Residence
Multiple no. Units
Commercfal
Industrial
Other
Inspected by
Date
Remarks:
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit,
hereby agree to do tlm proposed work in accordance with the rules and
regulations of Sagan Township, Dakota Countv, Minnesota.
sy:
I
Please aotify the above office when ready for inspection and connection.
EAGEiN TOWNSHIP
3795 Pilot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE. March ¢, 1968 NMOER 116
044NER• yictor Poen
Address 1077 kenneth Street
PLUMBER .J?? TYPE OF PIPE _-
AESCRIPTION OF BUILDING
Industriall Commercial` Residential Multiple Dwelling No. of unfts ?
x
Location of Connections:
Connection Charge $200.00 Pd.
Permit Fee . 7.50 Pd•
Street Repairs
ToCa 1
Inspectad by:
Date
Remarks•
sy. Chief Inspector
In consideration of the issue and delivery to me of the above per.m3.t, I
hereby agree eo do the proposed work in accordance with the rules an,d
regulations of Eagan Township, Dakota County, Minnesota
By.
,
. ---
Please :±ot.ify ?;hen ready for inspection and cor.naction ar.d before an.y portio-a
of tha wcrk is covered.
Cities Diaital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
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NON-TRANSFERABLE
:>;:ISSUED?:'TO i 00145
Park ? ";k_ k REVIEWED BY DS a
F k , a >.g y.
?1..' ..:
t
1f .-
60# 1003 IaaEZ:70 66-92-90 TEOLI68ZI9
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%96=x
MUNICIPAL NOTICE OF 108LL PERMIT APPLICATICH
DAKOTA COUNTY ENVIRONMENTAL MANAGffiMSNT DEPARTHENT
WATER gND LAND MAlIAGSMENT sECTION
14955 Galaxie Avenue Weet, Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 891-7031
DATE: MAy 25, 94
TOi Tom Colbert/Wayne Scharanz
i+"ROM: Hater ard Land Manaqi6u46nt
RE: Well Pernit 94-9141
Munioipality : 8agan
FaX 0: (612) 681-4612
Well Type: 3ealinq
Reviewer : DS
xaxxcE:
The Water and Land Management Sectian of the Dakota County Environmental
Management Departmant has received the following permit applicatfon for
the well dsearibed. If you require futher rev3ew oP the appiication or
if you have any questione or concerns about it, contact the Environmental
Specialist liated above or our offiCe at (612) 891-7011. If there is no
response from yovr office within 24 HOURS (exclu8ing weekerldg and
holidays), we vill aesume that you have no objectionm to the iseuance of
the permit. Pleasa note that permit issuance is always conditianee on
tne permit appiicant's observance oP and comp lianae with ail applicable
laws and codes. A COpy oP the wsll permit will he forwarded to your
offiae when completed.
WL>LL CONTRACPOR INFORMAxION:
Alt Well Repair
Applicatiorl T2eceivsd: 05J25/94
Anticipated Drilling/8ealinq Date if knowz?s 05/27/94 Time: 10:30
LOCATION OF WELL;
PLS Caardinates ki SW %, $B kr SE k, 3ec 3, Town 27 , Range 23
Well Lacation 1077 xenneth St
property owner John Heddle
Well owner John Heddie
PID Number - - -
WELL INFORMA'
Diaraater
Casing depth
Total dapth
SWL
Aquifer
r=oN ;
4
132
136
102
Unconsolidated Bediments
COIdMEt3T8 :
T 39tid jE0LT68ZT9:m1J OSM-D"J tl1C3,Q: 0 I V£=VT 176. 9?V50
Use BLUE or BLACK Ink
r
For Office Use
City of EaEan Permit
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
20 2 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Addr ss: b Unit
Name: Phone: 7`
RESIDENT /
OWNER Address/ City/ Zip:
Applicant is: - Owner Contractor
Description of work: `P 44&
TYPE OF WORK i z2~
y~
Construction Cost: /_~_M Multi-Family Building: (Yes / No
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
please explain why: (see Page 3 for additional information)
If the project is exempt from lead cerif`catIT5-7
((/l CO
MPLETE 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I and--rstand 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 St a Bui ing Code must be completed within 180
days of ermit issuance.
xL e x
Applicant's Printed Name Appli a is Si nature
Page 1 of 3