1494 Kings Wood RdCITY OF EAGAN
3830 Pilot Knob Road
i Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
lill ? t 1I 1 hJ?M
?
Permft No. Pertnit Holder Date Telephone M
ELECTAIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR 7EST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK Ff6
DECK FINAL ?jx ?
CASH RECEIPT .`? r
CITY OF EAGAN ' . ;
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
oarE
r?cervEO -- ? -? ?? .
r?
AMOUNT a - - . - ? ?
DOLLARS
,m
O CASH ?S CHECK
,r,? /, L •?/:
Wt
r^ ?
.-. . _ ? I l. . . ? _ , i? . • . - ?
fUND OBJECT AMOUNT
I
Thank You
BY
C ? 17532
?
YVhite-Payere Copy ?
Vellow-?Pattln9 ?PY
Pink--File Copy
SEWER & WATER PERMIT
CIT1fFUF fQGAN
3830 Pilot I(nob Rd.
Eagan;MN 55122-1897
,1
DATE ..FEB 26. 1992
?
METER #
OFFICE USE ONLY
CHIP S -
METER SIZE
ISSUE DATE
PERMITDATE 02/28/92
PERMIT # +c.?oc
B.P. RECEIPT #
B.P. RECEIPT DATE 02/
PRV _- BOOSTER PUMP
I SITEADDRESS 1494 nIiQGS 1+'001? F.u
LOT 30 BLOCK I SECiSU6 ?' ,"_"S WOOil 2hD
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: LAKESIDE PLBG
ADDRESS: 12469 ZINRAV AVE
CITY, STATE SAVAGE MN ZIp 55378
PHONE: 894-7600
OWNER: SUNRIDGE HOMES INC
ADDRESS: 755 BRIDLE RIDGE RD
CITY, STATE EAGAN MN Zlp 55123
PHONE: 688-8245
PEF3MIIT REQUESTED
X SEWER _ X WATER - TAPS
COMM/IND
X NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr di1-WILI N T be given for Deduct Meters.
I AG ?P_E Ya COMPLY WITH CITY OF
EACAORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALIOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE FEB 26. 1992
?O/FFICE USE ONLY
METER # FERMIT DATE 02/28/92
cHIP# D44F 3 ya /a PERMIT# 12582 _
METER SIZE B.P. RECEIPT # l?. () J? 5 c
ISSUEDATE b?8 9a B.P. RECEIPT DATE 02/26/92
_ PRV - BOOSTER PUMP
SITE ADDRESS 1494 KINGS WOOD RU
LOT 30 BLOCK 1 SEC/SUB KINCS WOOD 2ND
APPUCANT:
ADDRESS:_
CITY. STATE
PHONE:
ZIP
PLUMBER: LAKESIDE PLBG
ADDRESS: 12469 ZINRAN AVE
CITY, STATE SAVAGE MIIV Zip 55378
PHONE: 894-7600
OWNER: SUNRIDGE HOMES INC
ADDRESS: 755 BRIDLE RIDGE RD
CITY, STATE EAGAN MN Zlp 55123
PHONE: 688-8245 /
PERMIT REQUESTED
X SEWEFi X WATER - TAPS
_ COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr ?L N T be giv n for Oeduct Meters.
I AG E COMPLY WITH CITY OF
EA RDINARCES
SIGNATURE WHeN METER ISSUED
PL15ASE'ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
/?'i .
s.A
f?l.r. v
O
(grr#t#irafr uf (Orrupanry
Citp of eagan
Mrprtaunt uf NuOing JnWertiun
This Cerrfficale irsued pursuartf to lhe requirements of Section 306 oflhe UniJorm Brdlding
Code cerafying that at lhe lime of irsuance rhissftcture ms in comp/iance with (he varrous
ordixances of rhe City regulalin8 buuding rnnstrucrion or use For the following.
?Cbsdfica;,, SF DG1G/C?R 1114. h .. ;, N,. 20151
ow4w,rTYc, R3/141
zoniq nbbicc RI Type cam VN
o? of W.Ift SUN.RID(E HQ?',S IIY' Add? 755 MIDI.E RIDCE ?tD, EA('?AN
BOdn Add= 14Q4 KDM WOCID RD Loamy L30, B I, KINC'?S WOOD 2NID
;
;
? 7/ 14/92
a ?„
POST IN A CONSPICUOUS PLACE
BUILDING PERP
To be used for si
Site Address 11
Lot 10 Block
Parcel No.
Name _
cc fiCdf2SS
0
Address
Ciry _
ZP
I hereby acknowlege that I have read this application and state that the
information is carect and agree lo comply with all applicable Ptate ot
Minnesota Statutes and City of Eagan Op,i,Wces.
Signature of Permitee
A Building Permk is issued to: $UNRIUGE FiOME$ IN
on the express condition that all work shall be done in accordan e with all
applicable State of Minnesota Slatutes and Ciry oi Eagan Ordinances.
Building Oflicial
CITY OF EAGAN t>. (?+?r-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i;.. 2 Li f.,i 1
PHONE: 681-4675 ,
Receipt #
GAR Est. Value $160*000 Date p'EH 26 .1992
Sec/Sub.
755 BRIDLE RIDGE fiD
EAGAN
FICE USE ONLY
?3 ?1 FEES
Occupancy _
a-!
Bldg. ParmK
850•00
Zoninq
(Actual) Consl Sucharge 80•00
(AllowaCle)? Plan Revlew 552. ?
x or smries ? ?;?,? 5.00
LergN
36#
100•00
Depth SAGCiry
S.F.TOEaI - SAC,MCWCC 700 '00
S.F. Pootprirns -
Water Conn 675.00
On Sile Sewage _
OnSitewen ? walerMeter 95•00
MWCC System ? Acct• Deposit 30.O1?
City Warer
PRVRequired - S/1NPermit 30•00
Booster Pump - S/W Surcharga • ?
Treatment PI 300.00
APPROVALS Road Unit 380•? ?
Plenner - park Ded.
Council
Copias 1 ? ?
BWg.ON. _ 39798.50
Variance - TOTAL
' Permit No. Parmit Noldsr Date Telephone #
PLUMBING ,'/?QUU
Wnc .ro 15?A- 75 xzg
ELEcrRiC 35sv ? ? lP?°fl
ELEcrRic
Mspection Dale Insp. Commenta
Footings I '2?aL• 9 ?[/?
Foundation
Framing s-Z ? fZ S
Rooling
Rough Plbg. v,S lA¢L
Rough Hlg.
l5ul. ; C. 6 s z
Fireplace ?C W,eti Z- Z
Final Htg.
Orsat Test
Final Plbg. 7 pibg. Inspectw - Notity Plumber
Const. Metei
EngrlPlan
Bldg. Final
Dedc Ftg. -
Deck Final
Well
Pr. DiSp.
` DATE: FEB 28, 1992
RE: 1494 KINGS WOOD RD (SUNRIDGE HOMES INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the follo.wing
reasons:
- Your Sewer & Water Permit ior the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
.
Address : 1494 KINM WOOD RpAD Lot 30 Blk I Sec/Sub ? 2ND
These items were/were not complete at the time of the final inspection.
D t : 7 14 92 Yes No ,P
Final grade (6" from siding)
Permanent steps - garage lf
Permanent steps - main entry ?z
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck
Please verify with tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavrt faucet before
freeze potential exists. ,,
?
PfLfREYIYHR
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN " ??? 2 Q"? 51
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 661-4675
BUILDING PERMIT Receipt #
Tob2usedfor SF DWG/GAR Est.Value $160,000 Date FF.R 26 19.42-
Site Address 1494 KINGS WOOD RD
Lot 30 Block 1 Sec/Sub. KINGS WOOD 2ND
Parcel No.
NalTle SUN1illlGE HOMES INC
WAddress 755 BRIDLE RIDGE RD
z
? Ci? EAGAN MN Zp 55123
Phone 688-8245
cc Name SAMR
? {ddfBSS
? CftY ZP
Phone
v License #
I hereby acknowlege that I have read this application and state that the
information is correct and agree to com ly wilh all applicable State of
Minnesota Statules and City Or ina ces.
Signature of Permitee
A Buiiding Permit is issued tn.-NRIDGE HOMES INC
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official Pt
OFFICE USE ONLY
FEES
Occupancy R_3 M-1 850
00
Zoning R-1 81dg. Pertnit .
(ACtual) Const -V-- N - SurCh2rge 80.00
(Allowable) Pan RWew 5 52_ (lO
# of Stories -
Length 70' Ucense 5.00
Depth SAC, City
O
100.0
S.F. Total - SAC, MCWCC 700. 00
S.F. Foolprints -
On Site Sewage _ Water Conn fi 7 5_(ln
On Site wen - Water Metei 95.00
MWCC System X
X
AceL Deposit $0. 00
City Waler
PRV Fequired - S/VJ Permit 30_ nn
Booster Pump -
0
S/W Surcharge .5
Treatment PI
0
300.0
APPROVALS Road Unil I R()_ 00
Pianner - park Ded.
Council -- 1
??
Bldg. Off. _ Copies .
Variance TOTAL 3. 798.5?
08
? REQUEST FOR ELEC,TRICAL INSPECTION ,?T`?T ?e-
• S e insimctions tor completing this form on 6ack of yellow copy 4?€??;_.
? J 3 9 3 0 3 ?
3;244,6X'Below Work Covered by This Request
ew Add Rep. TypeotBuiiding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner ?
Other (specify) Co'ray[or5 Rem rks? ? i 1 1
( i ?/Ll
Compute Inspection Fee Below: q`R59 'RP
# . Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 io 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 0_ Amps
SignS Inspector'S Use Only: TOTAL `
Irrigation 8ooms o j ?T 1J
Special Inspection
Aiarm/Communication THIS INSTALLATION E O ? CONNECTED IF NOT
Other Fee COMPIETED WITH ON
I, the Electrical Inspector, hereby Rough-in
r oa+?
3l ?-y
certiiy that the above inspection has
been made. pinai Date
-f'?-
OFFICE USE 3NIY
Thi3 reques[ void 18 months from
. /?s? 5-s
?93? ?
J c?
? d
°-
a
Request Dat Fire o. Rough-in Inspection
?? ? Req iretl? ? Ready Now Will Notify Inspedor
hen Reatly?
No
es ?
I'icensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. eax or o No.) '
4 i•? r ?
?.? y ? Ciry
Sec1ion No. Township Name or No. Range No. Coun
Ocw t IPRMTI phone NoC. 0^
?/V v - 4f> o7-
Power Supplier Address
_qD
Electric onlraclor (COmpany Name) ? Contractor5 License N.
C)
MailiAdd ess IGoniracbr or Owner Making Installation)
?
Authorizetl Signatu (Contracior,'O Making Installalion) Phone Numb
MINNESOTA STATE BOARD ?F ELEC7RICITV THIS INSPECTION REOUEST WILL NOT
Griggs-MlAway 81dg. - Room 5-173 BE AGCEPTEO BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Chone (612) 6420800 ENCLOSED.
2006 RESIDENTIAL MECHANICAL rEaMiT ArrLacaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
3?), S?
Date
Site Address lY `7 (2 C, (&)pU ? Unit #
Property Owner Telephone # ( lA-) ,>t O (E$7.2-
Contractar iin
g(JRNS/ll I F HEATIAIr'' n nir+
,
.
3451 W. Bumsville Parkway
SheetAddress ?? -?2n City
cr
State Burflsville, MN 5W?7 Telephone #( )
Bond #: Expires: / - .),/ -6 -7
The Applicant is _ Owner 7y- Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
__lel_?furnace _Additional i.?placement _ New
air exchanger
air conditioner
heat pump
other
- r,
State Surcharge OCr 2 42006 $ .50 m
Tota?
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; th understand this is not a
,atl per[nit, but only an application for a permit, and work is not to start without a permit;,W?e work w be accardance wittt the
approved plan in e case of wo ch requires a review and approval of plans. l??CJL?
Ll S!R_
Applicant's Printed Name Applic'afit's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
T?O 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenri
• 3 r?gistered site surveys showing sq. ft. of lot. ,q. ft. of house; and all roofed areas
(ZO% maximum lot covera9e allowed)
• 2 zopies of plan showirg beam 8 window sizes: poured found aesign, etc.)
• 1 set of Energy Calculations
• 3 copies of 7ree Preservalion Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE xliO I0 '4
RemodeUReaair Reauirements
• 2 copies of plan
• 1 sel of Energy Calculations for healed additions
. 1 site survey for extenor additions 6 tlecks
• Indkale if home served by septic system far additions
VALUATION I yiP37
SITE ADDRESS I`f yy 1 Rd, MULTI-FAMILY BLDG _Y _N
TYPE OF WORK ?ta.-o?f reof - Z?j?d(f w+„?'?'SY?4rd Sl.,,,5?i , V<??'s ???• FIREPLACE(S) _ 0_ 1_ 2
APPLICANT IopsidE -Thc•
STREET ADDRESS 040 IY1otqHA ' L{
TELEPHONE #(61V aill` CELL PHONE #
PROPERTYOWNER 0"ary Gere6;
TELEPHONE#C(- S") 489 -7392
------------------------------------------------- -------------- -...............................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNf:SO`1'_1 RL'LES 7670 C.ATEGORY 1 -MI\NESO`l'A RULL:S 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshee[ Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mcch.uiical svstcm includes:
Sewer/Water Contractor:
_ Water Softener
Water Heater
No. of Baths
Air Conditioning
-- Heal Recover}- Systctn
_ Phone #
La,wn Sprinl
No. of R.I. I
fvy
Phone #
00
15
AUG 2 0 1002
?.
-----------------------------------------------------------------------°------...------•---------------------------------
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesoto Statutes and City of Eagan Ordin nces. ?y
Signature of Applicant
OFFICE USE ONLY
CITY WriS STATEmn ZIpSSN+9
FAX # (54mt )
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/iNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tasts _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wail
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
L.icense Search
Copies
Other
Total
Building Inspector
INSPE(:TIUN RECUKll
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1494 KZNG5
KIN6S WOOQ 2ND
LaT: 3e eLocK: a
wann Ro
PERMIT SUBTYPE:
DECK
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
HqRWATM CONST
(612) 773-3253
TYPE OF WORK:
NEW
guzLorNG
025282
03/29/95
? .
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-42001-300-01
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1494 KINGS WQQD Rp
LOT: 30 BLOGKc 7
KINGS waoo 2NLl
DECK
NEW
A4
dfi, ?x -4zo qF'Wi is4??t '??i
L' 0 v?
BUTLCJING
025282
03/29/95
REMARKS:
FEE SUMMARY:
Base Fse
Surcharge
Lic. Search Fee
Subtotal
$30.00
$.50
$5.00
$35.50
° COPY .50
Total Fee $36.00
CONTRACTOR: - Applicant - 5T. l.ZCe OWNER:
HORWATH CONST 17733253 0905142 GEREBI MARY
4457 HTLLVALE AVE 1494 KINGS W000 RD
OAKDALE MN 55128 EAGAN MN 55122
(612) 773-3253 (612)688-7392
c
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
oV
r, n
? ??p?
?,-h?"'.,Ts'
? 3 registerod site surveys ? 2 copies of plan
? 2 copies of pians (include beam 8 window a¢es; poured fnd. design; etc.) ? 2 sfle sunreys (exterior addkions &docks)
? 7 energy caiculations ? 1 energy ceiwiaUons for hested additions
? 3 coprea of Vee preservation plan iF lot platted aftet 711193
required: _ Yes _ No
DATE: . ???75f t;ONSTRUCTION COST:
DESGRIPTION OF WORK:
STREET ADDRESS:
LOT J? BLOCK ? SUBD./P.I.D. #:
2 ?
PROPERTY Name: Oerrt e? ? 1?U Phone #:
OWNER ^_* rR
Street Address•
City: /? 29 w State: Zip: ?? l 2 Z-
CONTRACTOR Company: /4`fdec? 4-4-!2 T'ti n s7-e vc t +a ?,z Phone #: ?3 3 z 5 3
Street Address: ALI( vIIY ) v.? License #•
City: OState: /??C'!y,v Zip• (,ze
ARCHITECT! Company: ?? ?'?, ql lz Phone #-
ENGINEER
Name: Registration #•
Street Address-
City: State:
Zip:
Sewer 8 water licensed piumber. _ _ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all
applicabte State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY ??CEVE5
Certlficates of Survey Received _ Yes ZNo MAR 2 4
1995
Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OFFICE USE ONLY
BUILDING PERMIT TYPE
?„?" }?? ?"" , ' . ..»+??•?-.
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
a 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory o 20 Public Facility
a 94 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 = plex dz?- 15 Deck
WORK TYPE
C4-31 New o 33 Alterations ? 36 Move
a 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS 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. ?/3 y
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit O
APPROVALS
Planning Building Engineering Variance
Permit Fee ?
Surcharge
Plan Review
License
MC1WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies 150
Total:
?
Valuation: $ l000
% SAC
SAC Units
6'e?eb,, ? , ? i ?, t, ? ? •
, . ,
G8P - 7,? qz / '
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$ X /O Tir4r,? 7? ''
?%rs( lle '• -k' r
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79 '.} ? je;.
?* g^+
°?'?r Bot7P/T
?orwq7" ?
? ? f.loar ,Boah?s
?%o., .sT ? ? T'eK 44 siHa
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L yx Y e«/..,. `
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?73 3 L's 3 ? .z K y e?./r? ?,+?L?e f r 3L ?
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CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
"No?._L+'?,?1; "m DATE: 3 0'10
?T?`TA?;':' PLEASE COMPLETE IIPPER PORTION ONLY FO& SINGLE FAMILY DWELLINGS &
????V V?? TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------"j? -------------------------------------------------------
WORK DESCRIPTION 1 FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRES S: AP ?? ?•
LOT : Jo BIACK ? SUBD. coy
INSTALLER: n- I` ?--I P?'? [.?' I?
?7?C
?}
ADDRESS: J
CITY: ZIP:
PHONE s?bma
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
$15.00
24.00
6.00
3.00
$c4w 00
.50
$ ?a J?sio
. / ? ?
SIGNATURE OF PERMITTEE,
NDM"p::: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WkiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
___________________-_____-_____--____--___-___--___---___--___--___----
CONTRACT PRICE:
OWNER NAME:
SITc, fiLI'iRES J :
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
.,,?.. C., „nr? .,- nvp
VV4r J?rTT ^EL.
•••7Va• ?rl•- ' Y 41ai
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
»::•;;:.:......: ?..::..::. ? .< ..:......::::..:.
FOR CITY USE ONLY
PERMIT #
RECEIPT #1050 g(P_
DATE: 3 // 9?-
..:.. ,.,_ :......................
PLEASE COMPLETE UPPER PORTION
ONLY FOR -
SINGLE FAMILY
DWELLINGS &
>:;::...: n..: .....:......:..:.. .......
TOWNHOMES/CONDOS WHEN PERMITS ARE
REQUIRED FOR
EACH UNIT.
-
------
------
-------------------
WORK DESCRIPTION ----- ------------------- ----------- --------------
COMPLETE THE FOLLOWING:
N0. FI%TURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON / SHOWER 3.00 J.av
REPAIR J WATER CLOSET 3.00 g, w
2 BATH TUB 3.00 6.40
LAVATORY 3.00 r'.f • w
OWNER NAME: KITCHEN SINK 3.00 3.do
% LAUNDRY TRAY 3.00 3•w
SITE ADDRESS: 9'Y !?/i?LSW?O RO HOT TUB/SPA 3.00
J % WATER HEATER 3.00 3•?
LOT:dO BLOCK ? SUBD. FIAOR DRAIN 3.00
? GAS PIPING OUT.
INSTALLER: PA9G +yf^? (MINIMUM - 1) 3.00
3 ROUGH OPENINGS 1.50
ADDRES S: .rY41 4rv _ OTHER
WATER SOFTENER 5.00
CITY: o<X/?GG ZIP: .S.Y32&r _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #: 6'S,9 •/'YsW
PERMITTEE
SUBTOTAL $ YC• 6-b
ST. SURCHARGE .SO
TOTAL: S 40
?OMMER??AY.jiI7DtJST?IAL°` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
- - - - - - - - - - - -
CONTRACT PRICE:
OWNER NAME:
SITE ADDRE55:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
__-__---- - - - - - - - - - - - ----------------
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHAR6E
TOTAL:
$
(SIGNATURE)
? 0•A
870 • U0+
00°00{-
552°001-
21 315°5Q?
1 °001'
3?'7?3•5D*
80•00+
552•UOti
2>jl5) •50+
1•OO`
3 '79 `S°5 0 r
201461
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & 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
speci?' ations, 1 copy of energy calcs.
Penalt a
y pp1
yping of p,,rm?ijt is requested, but not picked up by last working day
'
of month in ?dr,lot chan e is re uested once ermit is issued.
r e ad
Date Fcb ' / j -7 / I
? Valuation of work
Site LocatioV 30 .ZT ?
? STREET Jt.?q? STE !t
?
Tenant Name:
LOT __30_ BLOCK / SUBD. ?
i P.I.D. #
Descri tion of work: 14
The applicant is: 19 Owner ES Contractor ? Other (Describe)
Name Phone
Property LAST ? F1RST
Owner
. Address
STREET STE #
City State Zip
Company ?,??qr,.? a?tr?,? GV?c.. Phone
Contractor Address -7s?63-Je License #Iloelrt) Fov-
City State 04h Z i p 13?s
Company Phone Z/ 3a -)0 `/?/
Architect/
Engineer
Name jn2ej-r k ? Registration #
Address !V7S--6
City ? State MH Zip
Sewer & water licensed plumber ? kc..sIac- 10( ,w.L,?.-,? . Processing time for
sewer & water permits is two days once area has been.appr d.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with atl applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
J
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
a 02 Single Family ? 07 Fireplace ? 12 Comn./Ind. New ? 17 Building Move
? 03 Two-family 0 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
0 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Cortun./Ind. Rem.. ? 20 Miscellaneous
O 05 Apt. Bldg. O 10 5wim Pool ? 15 Public Fac.
woRtc nrae
? 90 New ? 93 Remodel ? 96 Move -
? 91 Addition ? 94 Repair ? 97 Demolish ?
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 m -I Basement sq. ft. MWCC System ?
Zoning R-i lst F1. sq. ft. City Water rr
Const. (Actual) V-N 2nd Fl. sq. ft. PRV Required '
(Allowable) V-N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length o On-site well Census Code tv!
Depth 3(-,r On-site sewage SAC Code d?
APPROVALS
Ptanning Building Assessments
Engineering _ Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
? Draintile
O Insulation
? Fireplace
mcc snc
sac z
x
SAC Units
Fees:
Permit Fee 85G. o 0
Surcharge p,a. ?v
Plan Review 55 2:ov
License 5 , 00
C i ty SAC i-? , o 0
Water Conn. 1-1 5, 00
Water Meter 95,oo
Road Unit _3'6 o,cx?-
Treatment Pl. 3 oo . oo
Read-4?Rtt 122 ? c?o
P-3.?k-DEd.mu?u:.SAe.. 3?, o?
Gep*esAcc.+ veP. 30, o0
pftker-
Total: GO?'
YaLLat;o,: : 1601 o00 "
6PA/QA6fa: 3Zkr.L = 932
, J4 X j y a
asn?cr; iszx 1 5*= u,zeb
3?x3o? 11140
y?tly: S4,
9 xI oa_
12 87 X 14s /8,or8
?sr FuooR ,
r3SMTs 1297
2x7%2= 14
z K3X2 ?? T?_
1313 xsa= 69,589
2N?-g
ax??S 3?+
14y1h%tt6= 1157
4IIz,i 3 = Cz??
1K4= CzeJ
?i- 3 3e 53=
apao.sE t?Ap,???? ?°?xpa f????o.?
ENOia?Faiac? " CaMpaNY, lNC. ? 1000 EABT IAiN 87REBT* BURNSVILLE ? MIN11950A 56137
CERTIFIC/Q?,TE 4F SURVEY
Legal DesCription; 107' c.e i ael? iw/
-
lfiqMr~
($ „?.? o`) pENOTEB LXI6TINIi ELEVATION
(877,0 ) pENOTES PROP08E0 ELEVATION
..?.----- INDICATES DIRECTION OF SURFACE DRAINAGE
, S 79. 33 ; pllrlStiW OARAGF. FtAOR K1.6YATfON
BASEAAENT FLOOR ELEVATION •
8e1,67 x+ Tpp pF FOUNDA7fON ELEVATION
scuE I r . W
30 FY. `'Ra.vT Bdi[.DiNG
AETS9CK L/NE
!N
?
,.
?
0
(1?/?)
? j .
1
1.
? ._ L
a
r
•
?`? kVd itil!
LB77 fi? z $81. 9W
iv ;?S°so-?Ow
?w-T, A6 J
?---
? -?
.
i.?
?7
'd?
?n .. _
,
,
,
,
r.av 15.8.14-
/1/ 890 .vj#/.ri" ?
`t7
:V"/N#M iPYVO
UT/LlTY awswAvNT9
,
? O ? . .
r?
./
?
{/ f rr=
FK)
,
DEPT
I hezeby aerbify that this is a true and avrreat repreeant.ation of,a t7raat o
laAd aa ohown and aaavxLbad hezeon. A4 grapared by me thia Z4?k ., aay o
/??
a -?.a.LQ??,,`.t? f 141nn. Sey. tto.,f,?I
. ...__?
• • J??ui?'fid ??aiiuruiru?. (?tc.
14750 Galaxie Ave. Suite 104
. Applc Valley, Minnescta 55124
(612) 432-2044
EX'I'ERIGR ENVELOPE AVEPAGE "U" COieTjTATION
2AME, l,-) Wt+L (?O-l1C ? PLr1: NUMBER il- 1- 2`5 Z
? Determine workin,a?, square footage o-f' each
1. To ?al expo sed wall area...... 2 3 sa . ft . 1 11
2. Total roof/ceilinJ area...... z 31? sq.ft. x. .026 ? 0• zq
Total exposed wall area above i lcor = Z'-6 I I
a. Total wall windcw area . . . . . . . . . . . . . . . . . 7z/
b. Total door area ........................
c. 'otal sliding glass door a_rea........... 61,51_
d. Total fireplace wall area .............. 31-1
.
e. motal w211 fram.ing area (averaje 10?) ... 7 ? Z
f. Total net wall area above floor ......... Z f S(a
g. Total r,im joist area ...................
i
Tota1 ex-Dosed foundation area = II ?
h, Total foundatyon window area............ -
i. Total net foundation area above grade...
Deter.mir.e ":U" value o° each?wall segner.t
a. X "U" .52 Z (,.7
b. X "U" .139
c. X „U„ .52 = 3,4, 3 Z
. d. X "U" .68 = z ),7
e. X ,tUn .096 = 2710-7
.L ; x Itutl .00
= 9 Z, 70
g X "U" .041 - I 2, 5
h... X "U" .52 = -
i. X „U" ,082 = 9•2
3. ToTAL . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . 1 1 3 z 9, E(- Z
..?
If itam #3 is the same as, or less tha.n item #1, you have
met tne intent of ST'-C 6005 (c) 2.
-1 -
' Total exposed :ooi/ceiling area = 2 3 f?
Total gross roci/ceiling area = ?
j. Tota1 s?vTlight area .................. -
k. Total roof/ceiling framing a.rea....... 2-1. Total net insulated roo:/ceiling area. Z O??
ent
Determine "U" va.lue For each :^oci/ceilir,g seFri
J. Y uUtl -
k. x. f[u,l .024 = S, 57
1. xflLTff .022 = Z 51
4. TarP.r,......... .....................
I
If total of ?4 is the same as, or iess t:-,-.,n #2, you ]-.ave
met the intent of SBC C005 (c) 1...
'I'o utilize the total envelope systern method, the values
established bv the sum of ita-ns #3 and #4 shall not be
g^eater ?han the sum oi ite,is -#l and f,12.
1. S3 + 2. 1gp , ZC1 Sfz-
-----?-?
3. 3 Za.Lfz +4. s? Lf? 3?so
?ia.terials ?Ihe ,,.a1 resistance
Exterior a.ir.........
Sidi.?:g material......
Sneathing............
Insulatior............
Sheetrock............
Interior air.........
Stuas................
Ri.m .... ............
Concrete blocks......
-2-
--__
220897
OFFICE OF 7}fE PEUISTRAii OF
TI7lES • ONaOfA 001MY. Ua1.
(eRTIFIED 7TV1T TYE NnT/#N
fJSTRJMENT VYAS FLEO W TNIS
OfFICE ON NJD R
C:r
ooe r+n
cEwrFcvX na
?? ?
6M a. A .
iEE i7v•00
?
CASH T
aHeac
auraoe
CKARGE www
REFUND
orts63?(0_.
SFV?.CSAN, ?CQD? F ?NCCUOqf
oQa ? s -t o
t.lm-kA 'A--o "T?-?t-Lz-
y07011
oFFlCe oF tr+e couNlv
RECORDER-DAI(OTA COUNTY. MN.
CEflTIFlEO TMAT iME WITHIN
INSTflUMENT WA5 FILED FOR
RECORD M TMIS OFFICE
ON AND AT
OcT 4 2 31PN'69
? NO 90"loii
JAAIES N. COUNTV RECOROEN
DEPUN FEE i0. ca
usH Z) CHECK g cruRGE u
CHARGE NMOM
REFUND
p0 NOi REMOVE
,:? 66 ')-
?-
? ?, ('s.?1 . )u .
1?3 ?.?i?? ?q91jL-
? 1 ? .? i?17V 9'19?/ /
r9 -3 ?!?t8? &Y ?y;Y
?93 ?.?i9? 8y9?r?;
19 3 W.00?) 33Poo*'
?? =.
.3 1-1
woa3q? &(i% ?r
iS 3 w'o? 3-? ? &`19C- •?
I S.3 1/ -3 371Y E `I i? ;
IS3 ,??38+? ?`19N;.
1c? 3?. ?3.1,? ?Yil.c
. 193we?)3??
193 yG''
??`l ?? S H`1 il
193,CdLla?
y,, ,
5
220897
.
90701JL
[IIIGB MOOD 2ND ADDIlIOA
PIE860aE AEDDCI9G YALV6 AGR66MBNS
TH AGREEMENT, made and anteced into the tCl?# a++y o=
, 1989# by and between the CITY OF EAGANt e
llunici lity of the State ot Minnesota, (heceiaaftec callea the CITY,
and tl?e Ow+ner and t6e Developer identifiec herein.
The terms •Developes" and 'Owner' ns uaed herein refer to NOBNe
DEVELOP11ENT CORPORATION whoae eddresa Se 3850 Coronation Road, Eegan,
llinnesote 55122.
WeEFEASr the Developer Aas applied to the City for appr w al of
,the plat O[ 8ubd1vS810n known ae AINGS WOOD 2ND ADDITION, located
wiLyin the Cityf and
NeEREAS, the Ovner and Developer ngree to notify the proposed
potentiel buyeze of a..l lots within 1CINGS NOOD 2ND ADDITION thet Lots
27, 28, 29 and 30, Hlock 1 and Lote 11# 15, 16, 17, 18, 14r 20, 21,
22, 23, and 24, elock 2 ace in a high veler pressure zone and a
preesure zeducing vnlve ehnll be inetelled in each home below the
elevation of 875 feet, All coste shall be the tesponaibility of the
Ownei and Developer and shxll be inetallcd to prevent aamage aue to
high vate= pteaeuce.
NOW, TBEREFORBr the City, Or+nec and DeVelope[ agtee as follows:
1. B ord na. This egreem:nt ahall be recotaed with the Dakota
County Recorder so as to provlde notice to tha arnesa of Lote 27, 28,
29r niid 30, BlOCk 1 and Lote 14, 15, 16# 17r 18o 19r 20, 21* 22r 23r
and 24, Block 20 AINGS WOOD 2ND ADDITION. The a+nec stiall pcoviae ano
ezecute any and all docmoenta necessary to Smplement tAe cecor6ing oY
this agreement.
2, NpS1,GL• The secording of tnia document shnll constitute
notice to all ownecs and tutuce a+ners of pcopectY in the RINCS wOOD
2ND ADDITIOII thAt Lots 27l 29• 29, and 30# Block 1 and Lots 14, 15r
16* 17r 18, 19r 201 21p 22, 23# and 24, BloCk 2 a[e ltf a hlgh Mate[
pceasuse zone and that a pcesaure [educing valve sball be installeo
in aach bome bel w tba elevation of 875 feei. A31 eosts sha21 De ihe
responaibility of the Buyer and shall De Snstalled to prevent demage
due to righ water pceasure.
;, v lid,icv. If ariy portion, section, aubsection, senteace,
cleuse, paragceph or phcnse of this agreement !s for any reaeon hela
to be invnlid, euch decieion ehell not affect the valioity of the
remaining poction of this Contsact.
4, Ajn4np,aqreement. The pnrties mutually cecognize and agree
that all terme and conditions of ihie recocdable agreement ahall run
with the land hezein deaecibed anc ehall be binding upon the delca,
eucceasocs, administratoss and asslgna of the a+nera and developere
ceferenced in this ConLrace.
IN WITtiESS WHEREOF, we have hereunto aet our henda.
CITY OP AC11A1 QWNER AND D6VELOPER
(Dates • ) dORNE DEVELOPMFNT CORPORATION
By s By ° ?
Ite Mayor I =
Atteet,
Its C sk ?
STATE OF MINNESOTA)
) 88.
COUNTY OF 69fI-7)
Oa this N day ot ':r- t 1989, befoce me a NoCary Public
within and for saia Couaty, personally appeared VICTOR L. ELLISON anu
S. J. VanOVERBEKE to ma pecsonally kna+n, who being eacb by me auly
aworn, ench did say that tbey a=e cespecilvely the MaYor ano Cleck ot
the City of Eagan, the municipality aamed in the foregoing
inatrument, and that the seal afflxed oa beAalf of eaid municipality
by authotity of its City Council and eaid llayos ane Clerk
acknwledged said instrument to be the free act ana deed of eaia
mnnicipality. ,
wmn ? wrcetnrruna Itx y,? un wnrc - ?mawr? A Publ iC ?
DAKOTA COUNTY
M? La.?sss 41 fH ? f941
-2-
,.
ST11TB OF MINNESOTA)
) 88.
COUNTY OF DAKO?Ot )
On this jZE!! day of M+y , 1989, beioce me e Notezy Public
vithin and for said County, personally appeaced
a06- to me I nally; _.,
knowng who being eeeA by me duly swocn, eeek cid any that 1?3.Ga
!e_r_ __.ai1 LTIQ PRFTiOff?T 04I11 of the Cocporation named in the focegoing ?.
inattument# - --- - - -- -'`- 1 ..---- - ---
and tAat said Snstcuaent vas.
eigned erd--eeeirtd on behalf of enid corporation by authocity ot ite
_
Board of Dicectozs snd aeid pRas.e.-" r -0n0-
ackn a+lecged Salo instsument to be thg lcee
act and deec of the corporation. ;, t
EELILnBETN A. WITT L
????•f 1.1
? ?arMrn»uo.ruuKWrA !G : . .
DwhOTA COUwTY Notaep Public
Yy Cw?.?n ??YwKK?
APPROVED AS TO FOAM:
? .
? ..,
.?
C' y Attorney'
te:
APPROVED AS TO NTENTt
Publicwocks De astme t
Dnte: ?-??
TBIS INSTROMENT NAS DRAPTED BYt
!!elIENOMY i 86VERSONt P.A.
7300 iiesi 147th 8tree!
P.O. 80: 24329
Apple Valley, !!N 55121
(6D? 10 3 2-3136
I?e
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Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
I I I
Permit l
City of EaRaii
11r, ,
1 Permit Fee: 4✓
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 9Z1 ' 13 1
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: _cf-, a Phone:
Resident/
Owner Address / City / Zip: L4C1 ' ~c
Applicant is: Owner contractor
Type of Work Description of work: y
Construction Cost
Multi-Family Building: (Yes No A~)
Compan Contact: l\
Address: "1 b'SC, ld9
Cite `/c.~),9,~
Contractor
State: /V\J~- Zip: X12.1MA Phone: --1-x{'"71 -7
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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 Miesota State uilding Code mus ompleted within 180
days of permit issuance.
X_ X:
Applicant's Printed Name Applicant's Signature
Page 1 of 3