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4745 Narvik Dr, - . BUILDING PERMIT (?'2 11994 To b e??d'?or :: r' J'?iEst Vatue o:?, U? U Date :'•AY ? 1 , 19 Site Aotiress ?t f' ?? `• Y ' -'ti' ? ? _ ? ?'? Erect EY. Occupancy A3 Lot Block ' Sec/Sub. Fiemodel ? Zoning Parcel No Repair ? Type oi Const. V rt . Addition ? No. Stories a Name Move ? Length 41 = ; Address i. r 1. 2 I.VS CROSS Demolish ? Int Impr. ? Depth 4-+- Sq. Ft .0 City Phone 5 y 4- 7 3 3 3 Install ? a Approvals Fees o Name • - 0 i Address Z '" City Phone a ?Q F W ? Name_ ??-y Address z i W Citv - CITY OF EAGAN 3830 Pilot Knob Rcad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 agree NofE Receipt # Police Fire _ Planner Bld Off. with all applicable State of 9' ?a"s. / ? APC ( /„ , , 1 .?, Var. Date 8 Sew. Permit $ 337 .00 Surcharge 34.00 Pian Review 168.50 SAC 575.00 Water Conn. 5 U U. U 0 Water Meter t)3. jU Road Unit t? ti. U U Tr. Pi. 15 i) . ': U Copies Total 1J:?1111v -..lvt? A Building Permit is iss ed to: 111v.'lc ?xv. 1a_?.1 on the express condition that all work shall be done' accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official " , I _. I POrmlt No. I Permlt Ho1dN I Dde I TMephorM M I Plby. Hty. m9- Olsp. 1 N,)PEc.Ti(N1 OF Filx.e SQUEAje5 '56T Up F'oCZ l I/ S/b'7 . FbM C,l-WM460 To 3' 30 1 t Ib 190 AND ?St31W- SNOwEO c.cP. ((,,neY • PERMIT # PLUMBING PERMIT RECEIPT # 3a30 PILOT KNOB OAD, EAGAN, MN 55121 DATE: 'T PRICE: pHONE: 454-8100 Site Address ti 1yD Lot 81 ck, m Name ?o Addre A17'y- c City c ? Name ? ; Address O CitY COMM/IND FEE - 1% MINIMi1M - RESIDEIN MINIMUM - COMM/I STATE SURCHARGE I (ADD $.50 S/C IF PER BEYONO $1,000.00) Sec/Sub Res. Mult Comm. Other WORK DESCi?IPTION I ? New Add-on Repair FOR CITY OF EAGAN Phone FEES CONTRACT FEE L FEE - $10.00 FEE - 20.00 PERMIT - .50 PRICE GOES TOTAL s 9 P? 9 • FEE _2 y- 00 N FIXTURES Water Closet - $3.00 ?Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Tray - $3.00 Laundry Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $1 Q.DO ? ou h O in s-$1 50 STATE S/C: '6-0 GRAND TOTAL: ?? `sO CITY OF EAGAN Remarks , 1. Addition PARK RIDGE 1SP ADDN Lot 17 Bik 5 Parcel 10-56750-170-05 Owner street 4745 NARVIK DRIVE state EAcAN KN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , STREET RESTOR. GRADING SAN SEW TRUNK 1982 147.21 9.81 is *SEWER LATERAL 626 . 16 1 . 7 WATERMAIN *WATER LATERAL WATERAREA 1982 147.21 9.81 1 STORM 5EW TRK 1985 370-93 24-73 15 *STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Hat Knob Road P, O. Box 21199 Eagan, MN 55121 Zonlnfl: Owner. Acldress: WATER SERVICE PERMR PERMIT NO.: DATE: . No. of Units: 762r; ? ?-7 SfM /lddress: - "- Lr i vg L17 195 P:-,j- k 1 , i rT o e Plumber. Meter No.: a t ? nedion Char9e: ' ` ! ' } ? ?'• Siu: 1ltooy DeposJt: Reader No.:?NQ??? di?gEr?gcatl lo?l?ioa I •p•• b mmoy wI&T+iifj*ftR•WCTRI£,?ALWc. ^ r/t ? sY '? Date Poid: Date of Insp.: Irop.: GITY OF EAGAN SEWER SERVlCE PERMR 3830 Pilot Kno6 Road P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 pATE; Zonirg: Na of Unita: - OriMr: - •::1?3.^•Fi ?ClaRE.'8 AddlCSS: S7te Address• 4 745_`3eruik Dr ive-L1%°, -:sz k Plumber: 1 Mm te eew* wt16 Nr CRp of apw Conrnctton Cha*e: 7 5.0 0-? - z ;? 0?+iMeeM. Aopcunt p,eposit; Permlt Fee: 5urchorpo: By Dota of Inap,: Misc. Chorges: Totol: Doh Poid: C -1?; 1;1"%.7G't^ „ . ? . y ??a PERMIT # MECHANICAL PEIiMR ? ` ! / •- ? RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCAIPTION Lot ? ?? ?I clt ?ec/Sub Res. New v m NameCt L? ? Mult Add-on Addr o ?T- rc. ?. c City. ?phone ?'S"? ?em. Re ir Name 2 -c 4 & L c f Address * ' p Ciiy Phone TYPE OF WORK ? 7 Forced Air t, v0U M BTU •? Boiler M BTU Unit Heater T M BTU ` Air Cond. M BTU Vent CFM -- Gas Piping Oudets # Other FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 FSTATE SURCHARGE PER PERMIT • - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EACAN 73 3830 PILOT KNOB RD - 55122 651-681•4675 Naw ConsWctlon ReauiremeMS RemodeVReoalrReauirements . 3 registered ske suneys showing sq. ft of bt sq. R W hause; enCH roofed areas • 2 apies M plan (ZO% mazimum bt coverage abwed) . 1 set of Energy Calculatlons for healed additions • 2 copies af plan shaxing beam 8 window sfas; pouied fomM design, e1c.J . 1 sile survey tor exterar addiUons 8 decks . 1 set of Energy Cakuletions . IrMicafe if home served by septic system Por additions • 3 oopies of Tree Preservation Plan if bt platted aRer 711193 . Rim Joist Defail Options selection sheet (bldgs with 3 or less unNs) DATE T Z` "Q 1 VAW/[ION ?S q(4O • 00 JOB SITE ADDRESS y9 4 S 0. 2.%11 I C p? ? IF MULTI•fAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER _?Wtr ?j?? V?JS6V? TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PHONE# 6fS7 gq<6L0 ADDRESS 910-0 ?6U $?? ZIP CODE S. 3 PAGER # CELL PHONE #CDKa-k 3 6 3' 13a-I FAX #q,?Z I , ?ffl?? Z NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plutnbing System Includes: _ Water Softener _ Iawn Spruilcler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanfcal Conhactor. _ Mechanical System Includes: Sewer/Water Contractor. _ Air Condirioning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applfeanf is correct, and agree to comply Certiricates of Survey Received _ Tree Preservation Plan ReceivQ'd/_ Not Required _ / Updated 7I01 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11994 ' BUILDING PERMIT PHONE: 454-8100 Receipt # 6d- -7,?-r ? _ ? 86 TobeusedPor SF DWG/GAR Est.Velue 568,000 Date MAY 21 79_ , i ' SiteAdaress 4745 NARVIK DR Erect C? Occupancy R3 4ot 17 elock 5 Sec/Sub. PARK RIDGE Remodel ? Zoning R1 Parcel No. Repair IJ Type of Const. V14 Atldition ? No. Stories w Name ORRIN THOMPSON HOMES Move ? Length 42 ? 1712 HOPKINS CROSSROAD Demolish O Depth 46 o Address Int. Impr. ? Sq. Ft city MTKA phone 544-7333 Install ? F Name SAME = oa Address s ? Ciry Phone hQ w w Name tz Address z a W Ciry P ne I hereby acknowl et tlhaverea thisapplicationandstatethatthe ' information is corre d agree t om y with all appli le State of Minnesota Statutes a Ciry of E n ina es. C Signature of Permitte ? ., A euilding Permit is iss etl to: ORR IN THOMP SON HOMES all work shall be done n accordance with alt applicabl tate Minnesota Building OHicial o fJ& Assessment Water & Sew. Police Fire Eng. Planner Council 5 21/8i Bldg. Off. APC Var. Date Permit $ 337.00 Surcharge 34.00 Plan Review 168.50 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 RoadUnit 290•00 Tr. PI. 156.00 Copies? 0Q Tnlnl ? - on the express condition that Eagan Ortlinances. This raquest void ? - 1 ? ?j ?` ? (/ 2 10 rrqn[hs trom Cr I ( T? C 212 7 g L 1-? [? ?Qajr 2rnV cvf'/ NeQUest Dats , Fire No. Rouph-in InsVection R rred? ?Peatly NowW?ll Nolity Inspec- ' Ves ?No or When Heady &l.icansetl Elechical Convactor I hereby reQUest inspection of above ? Owner electrical work installed ei: Street AAdress B a or Poute No. - Cit ' . / ? 'f- s ?n i?i ecumi o. Township Name or No. anBe No. Co ?ly OccuOantIPPINTI Phone No. /'rN , ? 7333 ow r Sup lier Address JD"G E tncal ConVact or 1 ompany m el Conher,tor's License o. / / ? /.?/ .Y??(? ?IL?? ? ?' O_" Mailinp J ss ICoMra or or Owne Makmg Instellation ?J? ut orize Sq^ature IConrtactor Owner Making lnstnllatiqjn Phone N um ber / , Y- ? MINNESOTA STpTE BOARD OF ELEC711,190?- THIS INSPECTION NEQUEST WILL NOT Grie9s-Mitlwey Blde. - poom N-191 . BE ACCEPTED BV THE STqTE 90ARD 1827 Unive.sify Ave., Sc Paul. MN 65104 UNI.ESS PROPEH INSPECTION FEE IS PMnn 16141 797J111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 , See inatrucliona lor complalin0 thia form on back oi yellow copv. ?7? C 21278 "X" Below Work Covered by This Request &qlu ev4 Addl flep. ' TVPe of BuileinB Appliontes WireA Equiument WireA Itiofie flange Temporary $ervice Duplex Water Heater Lightiny Fixtures Apl. 8uilding Dryer Electric HeaLn CommerCial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bidk Milk Tank Falm Other peu y Othnr(5nerify) ! er Suc6 y Other Other ompute Inspection Fee Below N Fee SauviceEntrenceSixe M Fee Fextlers?$ubfaede?s b Fee Circuils U to 200 qm s .etJ 0 to 30 qm s a tn 30 tlm s Above 200 qm ps D 31 to 100 Amps 31 to 700 A s Swinvning Pool Above 100_Am s Above 100_AmPs Transformers Irrigation Booms Partial-'Other F Signs Suecial Inspection 5 TOTA emarks i' 1 • ? . ro EE ? ? ? l?c??. flouoh-in Final Dnte ?f? ?.3 ?, ?he ecVica Insoecto , eby certily tha? the abova inspectian has been mea. tltlsrequasivoi0lBmonthshom C% y, RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ? `] 651-681-4675 ?a 1b New Canstmction Reuuiremenh • J registeretl >ite surveys showing sq. fl. of ;oC sq. %. of housc an0 all roo(ed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 3 window vzes; poured (ound desgn, etc.) . t set o( Energy Calculations • 3 copies of Tree Preserva0on Plan if lot platted after 7l1;93 . Rim Joisl Detail Options selection sheet iOIEqs wiM 3 or less unds) DATE RamodeUReoair Reouirements . 2 coDies of plan • I sel of Energy Calculations for heated adaitions • 1 site survey for extenor additions & decks • Indicate il home served 6y sepfic system for additions c? ?. li VALUATIONi' (TI? - l SITE ADDRESS 'f 7- yS /'l v: MULTI-FAMILY BLDG _ Y $!.N TYPE OF WORKRaSt.? cJ Oycc1 FIREPLACE(5) _ 0_ 1_ 2 APPUCANT A45 -?-- STREET ADDRE55 L9 2 '-f 7 A Il2Y'?'c k D i^. CITY ESTATE IIIAZIP .S I a a TELEPHONE # C '1?90CELL PHONE # fAX # - 3 FS `-I4 PROPERTY OWNER S?'? -t( Jo ? kl3 b n. TELEPHONE # C651/qO5 -pa 2 Q- ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?dlNuF.50'1:?1 RULE:S 7670 C:A"CEGORY ( V[IY\ (V submission rype) . Residential Venolation Category 1 Worksheet Su6mitted • New • Energy Envelope Calculations Submitted Plumbing Contractor: ____ P1umUing system includes: Mechanical Contractor: Mcch,uiiril scstcm include,: Sewer/Water Conhactor. _ Water SoFtener Warer Hcater No. of Balhs .air condiuo„i„n HeaL Rccovci}• Systcixi _ Phone # Iawn Sprinkler No. of R.I. Balhs Phone # Phone # OCT 0 4 2002 rcr. :$ i 0.00 ----------------------------•--•---------------------°----...-°---------.....------------------°°--°--°•-----°----- I hereby acknowledge that I have read this appiication, state that ihe information is correct, and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinanc?s. ??j/y??',? Signature of Appllcanf `?"'" ----------------- ---------------- ----------- ------- ----------- --------- -------------- ---------------- _--------- OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ UpAated 4102 * ??.., . . npPLcrAT:c:a * ArrxovAL or t=:r>.•uT. 1 * ? APPLtGATION FOR PERMIT * . * INSPF)CPZON (3F SE??v'h?t At?ID/G2 FG'?TF1t rmTArrATrONS W1IZ, ixJP BE 5(Hm-- + SEWER AND/OR WATER CONNECTION ?ULED UMn PERMIT HAS $EEN * APPAWID. * * r * • _.... '?:?*???,r*****x*****te*+e**k******sx?** .1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Please Pririt 1 JiF kLOL/niocx/bubaivision or Tax Parcel"ID ?j IF EXISTING STRL'CI[.7RE, DATE OF ORIGINAL BLILDING PERMIT ISSC'ANCE: ' -- PRFSIIIP ZONING/PROPOSF,D USE: {Nbn ear F-I MMx'ff'ItCIAL/RE,TAIL/OFFICE Q IML'STRIAI, 0 INSTITL"fIONAL/GOVII2NR7E,TTP ? R-1 SZNGLE FAMILY ? R-2 DL'PLEX (Two C?nits) ? R-3 76WN[IOrISE (Three + Units) ? R-4 APARTMENT'/CONDUNLiNlUM 2) ADDRFSS:L71?...__f.r`_??? , CITY. STATE, ZIP:?,f ? PfiGNE:-?(?,/" 3) tvAME; ,ADDRESS: CITY. STATE, ZIP: PxorE: MASTFI2 LICENSE# ¢j asa ? • ? tu,rE: ADDRESS: CITY, SI'ATE, ZIP: PHONE: ( L?nits) ( Units) Plimibers License: Active LJ Exnired Not recorded sta?'Initia]. 5) f' 0 m ??: t ? m• •?- • a •?? u-'vro? . 0 CONNECPION 1n CITY SEWE2 ? CpNNECTION TO CITY WATEEt 6) PLEr'1SF HOI,D APPROVID PEE2MIT FOP PICK-U? BY O\E GF AB0VE ? PIF-^SE MAIL APPROVED PERMIT TO 1, ¢. ABOVE : '? 7) ,!V ? A (Ci.rcle one) L ? r r 6 s? ? d '- ??4 ?? ? ??!J-l? ?-?_e??'1 •r 1?. r 1 e??f tir: 4 1?.:_ p 7.?.." 6..???F-??.Sir_ ??ci~ i tl f-::T.' . ?f'?e'?..i ?B ? . _ .. . ri?_.,F Y 1 f i ry. ? C/I"m. ?OR Gi i"Y USE- Or??-Y ?'Ei:%fIT # ISSi'F.J I'e w/Bldg. Permit FEES: .? /6 , 5 D $ $ $ $ ????'? $ $ $ $ $ S s /? ? a ` t; e, $ $ $ S $ $ ' $ $ $ $ ,. $ 42-? ? S O s -.? ? o'7J CP RB EIPT RECEIPT SEWER PERMIT (INCLL'DE SCRCHARGE) WATER PERMIT (INCLUDE SCRCHARGE) WATER METER/COPPERHORN/UCT'S"1CIE WATER TAP (INCLL'DE CORFURl7'iON Siuz ) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRCNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT I LATERAL BENEFIT/TRONK SEWER LATF.RAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: 'S'OTAL 1I.0'r;5 OTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC Q ROADWAY" MC?ST BE ISSfIECl, BY THE ENGINEERING NO DIVISIO[V. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CpNDITIONS: APPROVF.D BY: TITLF.: ?a?'? . ._ / 1986 BQILDI PE T APPLICdTZON - NOTE: ALL CONTRACTORS MOST BE LICENSED iiITH THE CITY OE EAG.'!N SINGLE F9MIILY DWELLZNGS PL?q - 6-G3 -/A INCLUDE 2 SETS OF PLANS, 3 CERTIrICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 2+1QLTIPLE DSiELLINGS - RESIDENTI9L RENT9L IItiITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECK `d2TH BLDG. DEPT., 1 SET OF cNERGY CALCULATIONS CQP4iERCI9L IvCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIrICATIONS AND 1 SET OF r.NERGi CALCULATIONS, $2,000 LaNDSCAPE BOND T_o Be Used For: J\kf?j1Q11J,lli..? Valuation Site Address ??iS? N(yz i;i Lot ? Bloek S Er=et Remodel Parcel/Sub Owne^ Move Address Int.Impr. City/2ip Code Phone Address ?7+? ?T,q,y6 (/I hSS/i,-si' City/Zip Code??if-q?, p( `yl ??1/ Phone Arcn./Engr. Address City/Zip Code ?hone v? ? OFFIC? ASE ONLY Repair _ Addition _ Denolish _ Install APPROVALS E'EFS Assessments Permit ?7 I.(.(J Water/Sewer Surcharge Police Plan Review r ire SAC ?? . Op Engr Water Conn Planner Water Keter • ? Council Road Unit 2 O Bldg Off,T - Treatment Pl APC ' Parks Variance Copies SOT9I. 2/$ Data: Occupancy 93 Zoning R 7 Type of Const ii of S tories Length Depth ? Sq Ft YOTE: ADDRESSES FOR CORNER LOTS - CGNTRACTOR/HOMEOfiNER MIIST DESZGNATE HHICH ADDRESS IS DESIRED. 90 CHANGES SIILL BE ALLOHED ONCE BIIILDING PERMZT IS ISSIIED. Lu7rANY • 2815 WAYZATA BOULEVARD • MSNNEAPOLIS • PHONE: 374-4740 CER1'IFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' PROPOSED ELEVATIONS: • Iron monument found . l BASEMENT SLAB: o Spike or wood stake set ? t el. = 942.43 ft. .500.0 Existing spot elevation, FRONT GARAGE SLAB: oo.o Proposed spot elevation el. = 945.30 ft. ?- Drainage direction BENGNINABK.: Top NUT qY0RPN7 EIEVATiON= 940.77 FT 9 \ S °' F3e K ? ?G v? Y? 4933S?c 9'!? ?30 ? ` `vy y?3, X lr g ?. ? . %? / \a?\ a ? 4 1 b % ' C oe ' ? .g ?.i. ?. P / ?:o ?•s '6 ^ ? i So4 ?S, ?o k? ? ?qa4.2 , .. . .. 32.89 S?gp ?2 0? W , Lot 17, Block 5, PARK RIDGE Dakota County, Minnesota I hereby certify [ha[ thia is a true and correct cepresen[a[ion of a survey of the boundaries of the land above described and of the loca[ion of all buildings, if any, [hereon, and all visible encroachments, if any, fc«n or on said land. I further cer[ify [ha[ (his survey vas prepared by me or under my direc[ supervieion and [hat I am a duly 12) tered Land Surveyor under the lava of the SCate of Minnenota. s LLL. M Reg. No.1577,4 Da[e ?'I q'9(1 Proposed Housex As-Built House_ Drawn by PE Project no. 8510 d I- For Office Use/S136 • ••, ::::;ee: os, , E AG N '' /di) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: t _ Name: 5c 4A tAS d` 1 Phone:(r, STA/ 0 Resident/ Owner Address/City/Zip: V\ 5 o.v u s.Vt i?V Applicant is: Owner Contractor Type of Work Description of work: 142._-- OOV' Construction Cost: % o00 ° `7 Multi-Family Building: (Yes /No ) Company: \--=--- 0_•-1•\ \�rvLec3A Contact: Contractor Address: 1-V3\1‘ S�crMs 1/4V0..k\ City: State: OJ Zip: �J\2.� Phone: L 'L 1(S �,2 Email: License#: )CAZ-1 O Lead Certificate it If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.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 n. a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordan - ' th- -•• • -. •ir1rthe case of work which requires a review and approval of p gns J_ 7-11011°7''- 441111/111 Applicant'- Prin : • 'ame Applicant's ignature - \ .?_;0\f 1-(.- \\A a V\