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4545 Oak Pond CirCASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ( r DATE REC6IVEO 19 AMOUNT $ I DOLLARS 1 oa E] CASH [:] CHECK FOR White-Payers Copy YellOw-Posting Copy Pink-File Copy T !nk Y ou ?, BY , CITY OF EAGAN 3795 Pilar Knob Raod Eogon, MN 56122 ' PHONE: 4544100 N2 4847 BUILDING PERMIT nr., Rece'pt # Site Address , , M "• • `'on:i Hills Lot Block Sec/Sub. ' Porcel # oc Norr,e I'ian Turnaui S c - .. r? `•!??nr.,T ? Z Address a ,,.. . Pal. ,,. 31 5-2320 Erect ? Occupancy ' Alter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ' ft. Grode ? Depth ft. Appro vals Fees ? Nome Zo oa qddro u? Assessment _ Water & Sew. Police Fire Eng. Planner Councii Permit Surchorge Plan check SAC Water Conn. Woter Meter I hereby ocknowledge thot I have read this application.nnd stote that Bldg. Off. the information is corred and agree to tomply with all applicable State of Minnesota Statutes ond City of Eagan Ordinances. APC Total Signcture of Permittee A Building Permit is issued to: -'C bn the express condition that all work shcll be done in accordance with oll opplicable State of Minnescta Stotutes and City of Eagan Ordinances. Buildfng Official a - r - '? g 1 t - &-- 7$ Pwmk # I Daft Issa*d Plumbins J ca -a -s:r X- 3a - Iv1-4wwie6l cLLt - 6 Sl2Q $ /O -1 d - ? ?..2 s - ? .3 a. INSPECTIONS ? DATE I INSp, Remurks: 4 oote ,??1s {?,?-1 Ffnd Dore I iruw. CITY OF EAGAN 3795 Pilot Knob Reed ' Eagae, Minnesoto 55122 P6onr. 454-81QO . I i"ATT._` t" Dote: ? . Site Address: 4545 Calc Ponci Clzrale Lot `"ka',•= PCR7[i N'? l l8 IZ . ? 3 O PERMIT Block Sub/Sec. - Nome "3fT1 'll]I7<'Z._: : ? . ., Address ? I/ F. Mc' Q} ? City _ P?tL'?. Phone: . 1, fic? Address No. j ?45 1 ??I?4 Receipt No.: Single Resideniiul x Multi Res., Comm./Ind. I New/Alter.IRepair Cost of Installation Permit Fee Surc}wrge V City Phone: Total ' This Permit is issued on the express condition that cll work sholl be done in accordance with all applitable State of Minnesoto Statutes and City of Eogan Ordinances. OOMBUSTM pIZR ROf1UIM Building pfficiol CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesala 53124 Phone; 454-8100 pTT!pa.BlNC _ PERMIT No. .%Q2 .%tLl{3llSL .i-,? ],"L ... ?!i : Date: Receipt No.: Single I , Site Address: '-)?'=5 Cia ?'.-'t ; tr c' e Residentiol Lot Block 1 Sub/Sec. Multi Res., Comm./Ind. I Name New/Alter./Repoir . 3 Address Cost of Instollotion O Ciry Phone: Pe?mit Fee Name ? Surthorpe ? ?A ? o " t? - City Phone: Total This Permit is issued on the express condition thot a!I work sholl be done in accordante with all appliooble State of Minnesoto Stotutes ond City of Eogan Ordinances. Building Official .,? - • CITY OF EAGAN 3795 Pilot Knob Road . ? Eagan, Minnesota 55122 « Phane: 454-81 Q0 PERMIT No. 2f I Dcte: 1:?? Receipt No.: .11224 Single I Site Address: ? 5Q [?? Poi-e r??3-c Residential Lot Blxk ? Sub/Sec. O' pmyi Multi Res., Comm./Ind. I Name New/Alter./Repair. . ?'1" l, ? • s?-Z-?.1 ; . 3 Address Cost of Installation ? r :=:+:? Ciiy _ Phone: Permit Fee Nome ?? ?['TS ?`C,??? : -.. :_?,r. ••,-.r ,. ,,,-.r . ?n ` Surchorge ? - ? •^ ? C'-?1 ifnx--i.-? <' ?- Address e City _ Phone: Total This Permit is issued on the express condition thot oll work shall be done in accordance with oll npplicable Stote of Minnesota Statutes and City of Eagan Ordinances. 'I Building Official ,: - • : CITY OF EAGAN 3795 Pilat Knob Resa • _ ? Fa9en, Minnesola 55122 . Phone: 454-8100 'ELL _ pERMIT Na Date: Receipt No.: Single I Site Address: }•' ??' ''?' G'`?';? C:1.rCie Residential Lot Block ? Sub/Sec. 'il" `T Multi Res., Comm./Ind. I Nome I'uTT1QuNew/Alter./Repair . ; Address 274 F. ?+fZ±rn011a Cost of Installation O ., City `'t• :3`t Phone: Pertnit Fee " Aisson Well ` Name Surch(irpe ? Address '00 Ke11ri8beC ' :)',• e 0 t? City Phone: - Total This Permit is issued on the express condition thot all work shall be done in accordance with oll opplicable State of Minnesoto Statutes ond City of Eagon Ordinances. Building Official • ?. ciTr aF EaGwN 8795 Pilor Knob Road ' Eoqaw, Minneiota 55122 • PMeno: 454-4100 PERMIT No. Date: ';c.Qtember 15. 197f? _ Site Address• 45`L'` o::'i Circle Lot ' Block 5ub/Sec. Oak Pom' I"i _ Nome !'•r.ad TLLrn:ulst . 3 Address O Ciry Phone: Name Weier}ce Trenching for i'ux'r,cru.ist ?. ,?°•,, Address ? ' '=11ff Road e 0 V • --?? City - Phone: This Permit is issued on the express condition thot ull work shall be Minnesota Statutes ond City of Eagan Ordinances. llf Receipt No.: 5ingle Residential Multl Res., Comm./Ind. I New/Alter./Repoir "rW Cost of Instalfation Permit Fee 19.00 Surcharge • Tota I ' ? :- ?• done in accordance with all opplicable Stote of Building Officiol CITY OF EAGAN Remarks Addition OAK POND HILLS 2ND ADDIITON Lot-1 RIk 1 Parcel 10 53601 010 Ol Ownerbv ??a `? ? t?k- ?•?Tfrr?a? i?f str?t 4545 Oak Pond Circle State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATEFAL WATERMAIN WA7ER LATERAL WA7ER AREA STQRM 5EW TRK 979 1416.79 141.68 10 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, sAC 500.00 10480 - - PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?? 7 ?/r ?? J? ? 11 ?) nZ 3830 PILOT KNOB RD - 55122 ???? 651-681-4675 New Construction ReaulremeMS Remodel/Renair Reauirements • 3 registered site surveys showing sq. ft. of b6 sq. ft. of house; and all roofed areas • 2 copies of plan (20%maximum lol coverage allowed) • 1 set o( Energy Calculalions for heated additions . 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey forexterior additions 8 decks • t set of Energy Caiculations . Indicate if home served by septic system for additions • 3 copies M 7ree Preservatlon Plan A Iot platted aker 7)1/93 • Rim Joisl Detail OpGons selection sheet (bldgs with 3 or less units) DATE a- 1a - U 1 VALUATION (EXCLUDING LAND) 0t0t, , q`??i •( c? JOB SITE ADDRESS L1`j`1?i C-)C'wIC ?bf1l Q-lrG. s2 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? F:P.EPLR^.E(Sj _G i 2 3 ? PHONE# ("'SI' y?1'12o 3 ADDRESS ?L1CA? ZIP CODE NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY 1 - Residentiai Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. Mechanical SysCem Includes: Sewer/Water Contractor: New Energy Code Worksheet Submitted Phone #: Water Softener Lawn Sprinkler Water I-Ieater No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone # Fee: $90.00 Fee: $70.00 Phone # ? Ii I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply tvith , all applicable State of Minnesota Statutes and City of Eagan Ordinances. " ---° •,_? Signafure of Applica Cerlificaies of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alf - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg oniy) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Coae c'o,,iny Gity 6Na?er SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof ? Ice & W ater Final Other _ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector cIrr oF encAN 9795 Pibt Kao6 RoadFagan, MN ssias N? 4847 PHONE: 454-8100 BUILDING PERMIT APPLICATION $70,000 Receipt # 1n[.nn _ . To be uled for S£ DWl¢. &gLa2'fmt Value Dote L+na 16- , 19-7II Sitc Address 4545 Oak Pond Cr, Erecr (3 Occupancy T Lot ? Block 1 Sec/Sub. Oak Pond Hills II qlter p Zoning Ri Porcel # LO 53601 010 Ol Repuir ? Fire Zona 3 Enlor e ? e of Const V T g . yp ¢ Name Bria n TuYn[?U st Move ? # Stories z Address 2074 E. Magnolia pemonsh ? Fronr 71 N. ? St. PeLl 735-2320 Gmde p Depth 30 fr. Citv Phone ° Name Eagan Eil O ?? Addr?e. au 2074? ? ru., m,...,o Nome Carl Ai rhrirlgp Address I hereby acknowledge that I have reod this application and the InformWion is correct and agree to tomply with all State of Minnewta Statutes and?City_of,fagcn Ordyrwrx A55essment - Water & Sew. Police _ Fire Eng. Pianner - Council _ Bldg. Off. - APC Feet Permit 169 50 _ Surcharge 35_00 Plon check SAC 500.00 Water Conn. Water Meter Read IInit 75_00 Total 779•50 Signature of Pertnittee I A Building Permit is issue to: Brian Turn uistz EaRan Enterprtg%eexpress mndirion thot a11 rrork shull be done i r nc w' all appliwble Stote of Minnewto Statutes and Ciry of Eagan Ordinances. Buildirg Officiul Minnesota State Board of Electricity 19b4University Ave., St. Paul, Minn. 55104-Phone 645•7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST P 68273 Type ot Building New d. Rep. Check Appliances Wired Foc Check Fquipment Wired For Home ? ? Range ? Temporaxy Wiring ? Duplez ? E) ? Water Heater ? Lighting Fixtures ? ApL Bldg. ? ? ? Dryei ? Electric Heating El Commeccial Bldg. ? ? ? F'umace ? Silo Onloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Mtlk Tank ? Farm ) List L ist ) Other ? ? ? } p HeheTSf p Herers} 1 COMPUTE INSPECTION FEE BELOW Secvice Entr+nce Size: u Fee Feed ubf ers: C¢cuita: # Fce 0 to 100 Am s. 0 t? 0 ? 0 to 30 Am eres 101 to 200 Amps. 31 t?? A- 31 to 100 Am eres Above 200 Amps. Abo ' 100 ?? Am . Above ]00 Amps. Transforme[s RemoteControlCire. Partialoto[herfee S- ns Special Ins ection Minimum Cee $5.0 Rema&V,r--1 / TOTAL FEE ? I, the Electrical Inspector, hereby certify that the above inspection has been made. (Final) This request void 18 months from OMNIak- Date ? rciqitest void 18 months from Date of this Request P 68273 9? 7-? 7? I, as O Licensed Electrical Contractor wner, do hereby request inspection of the above electri• cal wiring installed at: ,i? ! ,eB Street Address or Route Section Township Rsnge County Which is occupied by (Name of OcCUpant) Is a roughin inspection rcquired on this job? No%B-*' Yes ? Ready Now ? Will Call I? Powet Sunalier?AddressW7-A ' ° -' Electrical Contractor ? Cont:ac iCPNo. _ (COmpany Name) Mailing Address • o sL ?: / b (EI rl 1 Con ctor or Ownar Making Thls Installatlon) Authorized Signatur ? Phone No,,R e> S?j &U(? a Q&20 "Shis inapection reqPesPwill nPt be accepted 6y the ?? GC State Board unless ro er ins ectian fee is enclosed. Minnesota State kioard oi tlectrfclty ? 54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ? ? REQUEST FOR ELECTRICAL INSPECTION ?ECK BELOW WORK COVERED BY THIS REOUEST //97G P 68298 Yype of Bu dCag New dd. Rep. Check Appliances Wved Fox Check Fquipment W'ved Foc Home ? ? Rxnge ? Temporary Witing ? Duplex El D WaterHeater 0 LightingFixtures ? Apt. Bldg. ? ? ? Dryec ? F,lectric Heating ? Commercial Bidg. ? ? ? Fumace ? Silo Unloader ? lndustrial Bldg. ? ? ? Av Conditioner ? Hulk Milk'Iank 0 List l List Q rs} e Rehers? Othec ? ? ? H 1 re COMPUTE INSPECTION FEE BELOW Selvice Entrance Size: n Fce Feeders&Subfeedets: # Fee Circuits: n Fee 0 to 100 Am . 0 to 30 A s Ili 0 to 30 Am eres lOl to 200 Amps. 31 to 100 es 1 to 100 Am res A6ove 200_Amps. Above 10 A bove 100 Amps. Transformecs RemoteC col OW. Partialorotherfe 'Signs S cial lnspection Minimum fee $5 Remazks TOTAL FEE ? I, the Electrical Inspector, hereby tha e?bq+e inspection has been made./ J-o??] ?4 (Rougtt-in) ? t-' Date -3?? d" (Final) 4_ Date This request void 18 months fr m 7%,request void 18 months from 74 !Oak )%nd P 68298 Date of this Request f o- G-- --7 E . ?, ?? I, as 0 Licensed Electrica? Contractor O Owner, do hereby requ?st inspection of the above electri- cal wiri .. . at: Street. Sectior Which Is a rot Power Electrio Mailing Authorized (Company (Electrlwvconer,dctor or owr MUN B0ARD COPY or Thia inspection request will not be accapted by the State Board unless proper inspection fee is endosed. (p 33 LP Z ? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan \v ?? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenls RemodeVReoair Reovirements - ce se FFkil 3 reg'mte2tl site surveys shvxing sq. R of lot, sq. R of house; and a0 mofed areaz 2 rqDies of plan Cerf ofSuNe?i2eod (20%manimumlotcoveregeallw+ed) lselofEnerqyCalculationsforheatedadditlons rre¢;PresPla{t,,?e?l-.? 2 copies ol plan showing beam 8 window sizes; poured fountl desi9n, etc. i sRe survey for add'Nons & decYS `free Plps',Re?uired _t_Y lsetofEneigyCalwlatians Atld'Non - indicafeilon-sdesepticsysfem OnsileSepffiSysftan.,,,;;,,,,Y,=.?'Y 3 coVes of Tree Preservetion Plan If bt pWtted afler 711/93 ry_[ Rim Joisl Delail Options selection shcet (bldgs with 3 a less units Y'0l0-e4 11? raor 7/GGG/ l [a & O u tionCost C / Date s - Site Address ? 0,1,( UnitlSte # Description o( Work Mu1N-Family Bldg _ Y / Fireplace(s) _ 0 2 r Owner t P Telephone ropu y ? Contractor 7 Address ? , City State Zip Telephone # ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation CateBory 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted SubmiCed • Energy Envelope Calculations Submitted . Have you"previously constructed a fee applies. Licensed Plumber Mechanical Conhactor Sewer/Water Contractor Eagan wiih a similar plan8 _ Y _ N If so, 25% ptan review 1 0,4R c- • Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN Statutes; I understand this is not a pemut, 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 ,of plans. ??, G,?'6??? A?? ??-___J XApplicanYs Printed Name ApplicanPs Signature OFFICE USE ONLY Suh Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Att-SF ? 04 02-plex ? 10 OS-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31New ? 35 Intlmprovement ? 38 Demolishlnterior . ? 44 Siding ? 32 Addition ? 36 Move Building 42 Demolish Foundation ? ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ` -/ "$ 43 Reroof ? 46 Windows/Doors ? 34 Replace m ent `Demolition (Entire Bldg] Give PCA handout to applicant y ? Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbiag Foundafion HVAC Drain Tile Other Roof _ Ice & Watec _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Franilng Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows . _ _ Insularion _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector CITY O:F EAGAN 3830 PIL01' KNOB ROAD EAGAN, AfN 55122 PHONE (612) 454 8100 R."c, o"CMIi 'mml: FOR CITY USE ONLY PERMIT # REGEIPT # LATE: PLEASE COMPLETE IIPPER POR.TION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR _ OWNER NAME: SITE ADDRESS: LOT:_L BLOCK ? SUBD. INSTALLER : ? ADDRESS: ? /? / CITY: ? ZIP: --?-? ?? PHONE #: ?22L/- ) FEES ADD-ON MINIMiiM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: )"e-o STATE SURCHARGE: .50 TOTAL: $ lJ• f6 SIGNATURE OF PERMITTEE G.¢,? ,E'Ael ,.*/,41?/ PLEASE COMPLETE THIS YORTION HOIt ALL COMMERCIAL/INDUSTRZAL BUILDINGS, " APARTMENT BUILDINGS, AN]) MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN ? J lfi Loe, Block PID #?('? P(I?pl l`1?' LS aSewcr /water permit # Plat, Date Receipt # -5M 3 ? . ? ? CITY OF EAGAN 2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Water La 1 charge @$2230/ff $ La 1 chazge $22.55/ff @ $ Trunk $900/connection connecrion Tnutk 940/ City SAC 100.00 Water supp storage 840.00 Base SAC 1,100.00 Date paid Date paid Receipt # Receipt # Treatment plant 492.00 Account deposit 15.00 Water meter •'Inspections req rior 114.00 Septic abandonment 30.00 to issuuig Sewer permit & surcharge 50.50 Account deposit 15.00 Subtotal Water permit & surchazge 50.50 Subtotal $ Total $ Plumbing permit & surchazge 30. Total $ Sewer and Water Sewer latera] chazge @ $2230/ff Water lateral chazge @ $22.55lff Sewer hvnk @ $900/connection Water uunk @ $940/connection City SAC Base SAC Date paid (o iG ?teceipt # / 0 ??? Water supply & storage Date paid Receipt # Treatment plant Water meter ••Inspections req'd prior to issuing Account deposit Septic abandonment Sewer and water permit & surcharge Subiotal Plumbing permit 8c surcharge Total Property owner ?f ? C'. r. 1 l,? V Vl CD l A i SJ Address C)a ? T O V\ C5t C?'F ? Phone number Plumber ? v U ? cp .A-- ?Jf rr?? r ~ f ?J j ZIl 840.00 492.00 114.00 30.00 30.00 100.50 ' P ? ,C rz w, $4r/?'6,50 s?Pcrt48 30.50 $ OFFTCE USE ONLY PRV required: 4 R-O-W Pertnit: City/1ount?rr- Unpaid Permit Fees: City financed: ca Carolyn Krech,Finance Department U • >r J 0 0 • ;i C + 4 i; • i; ,. + 6 A i; • ?' i? + 4 9 2 • , ; (? f 1 1 4 • 1 ;; } 3 Q• ; i i, ? S v • ., . 'r S. Y ? Q b 3, 4as:5;;* 3,aa(*;•so+ 3 U • > ,; L 002 a477 ? 0 i;': ***?**T*t*****t*****t**x?*t********x**? CSTY OF EAGAN CASHIER: JS TERMINAL NO: 992 DATE: 07/07/00 TIME: 08:50:40 ID: NAME: BRIAN TURNQiTIST 3811 9379 4545 OAK POND C 900.00 3811 9378 4545 OAK POND C 940.00 3865 9220 4545 OAK POND C 840.00 3868 9220 4545 OAK POND C 492.00 3716 9220 4545 OAK POND C 114.00 2252 9220 4545 OAK POND C 30.00 3719 9220 4545 OAK POND C 30.00 3743 9220 4545 OAK POND C 50.00 3713 9220 4545 OAK POND C 50.00 2155 9001 4545 OAK POND C 0.50 Total Rec eipt Amount: 3,446.50 CR133 939 USER ID: JAN **rr,rrrrr**********xx***?*******:r:r*:r*****? L , ra-2/_qg ?'? , A C?l? 5f?. ?. ???PS ??-a Ge a.vai?bl^? 6Y la te -{p crar?av? D"` b??ef. J o?^ Lot ? Bbck ? PID 9 r Pla[ C; S ? ?Aa Sewer /water permit 4, Date Receipt CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING RESIpENTIAL PROPERTY S wer Connection & Availability C arges Water Connection & Availability harges Lateral be s fit @ 2 l30/ff $ Later benefit @$21.50/ff $ Trunk @ $8 connection Trunk 95/connection SAC 1,100.00 Supply & stor (WAC) 807.00 Date paid Date paid Receipt # Receipt # Account deposit 15.00 Treatment plant 44=4 00 Sewer pertnit & s hazge 50.50 Water meter **Inspe ons re nrior l to issui Subtotal untdepos' Acco % Water permi surchuge Plumbing rmit & surchazge .50 Subtot Total S Plu ing pzrmit & surcharg Total $ Sewer and Water Connection & Availability Charges g 1 Lateraf Benefit @$21.30 and/or $21.50/ff $?- ?y? yiTrunk @ $860 and/or $895/connection SAC Date paid k? Receipt #12y6`?`f? Supply & storage (WAC) ' Date paid Receipt # Treatment plant Water meier **Inspections req'd prior ro issuing Account deposit Sewer and water permit & surcharge Subtotal Plumbing permit & surcharge Total Property ownef 9/?/?C:'?-<1-1(-, Address d?? C/I C4? _ Phone num6er VS-y - 2 2 5' 2 Plumber C: J ? 807.00 444.00 111.00 30.00 100.50 S 3 3'?Irf •5? 20.50 --------------------------------------- OFFICE USE ONLY PRV required ia5 R-O-W Permit: City/* Cty /?14 Availability $ City financed Co.-? la aa -V Lot Block PID R Sewer /water permit Plat Data Receipt CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Sewer Connection & Availability Charges Water Connection 8 Availability Charges _ Lateral benefit @ 21.30/ff $ Lateral6enefit @ $27. I S/ff $ Trunk @ $1,790/acre Trunk @ $1,875/acre SAC @ $1,100/unit Supply & storage (WAC) @ $2,955/acre Date paid Treatment plant @$4441SAC unit Receipt # Water permic & surcharge 50.50 Sewer permit & surchazge 50.50 Subtotal $ Subtotal $ Plumbing permit & surcharge 20.50 Plumbing permit & surcharge 20.50 Total $ Total s Sewer and Water Connection & Availability Charges Lateral Benefit @ $2130 and/or $271 5/ff $ Trunk @ $1,790 and/or $1,875/acre SAC @ $1,100/unit Date paid Receipt # Supply & storage (WAC) @ $2,955/acre Treatment plant @ $444/SAC unit Sewer and water permit & surcharge 100.50 Subtotal s Plumbing permit & surcharge 20.50 Total $ The number of SAC units is cfetermined by the Metropolitan Cauncil t3'astewater Services (602-1000). Property owner Address Phone number P(umber OFFICE USE ONLY PRV required Number of taps Availability $ City financed BUILDIIdG PF.RMIT APPLICATION Telephone ?j,35 - 232.U Include 2 sets of plans, 2 site plan w/elevations and 1 set of energy calculations. 7b be used for k-,eSi lev.T Valuation 51te Address; 4µ d ?? • O6{K 4dk 2nd 44+6 Lot ? Block , See. Sub, Parcel Number / p 5? bd Om.+ner ?rk ar VO rh!q.}La{- Address aoR4 V--: . M?e?ne ??u S{-.35fo6 Contractor V?4!Jg„ ky?{P,y.,?r??es Address 10"14 E+& l- ?1.You\ 5>lob pq` 4555 LP.+ore M4"r hS?17- Arch./Eng. Cnr( 3ur?t-?dcg Address Erect y Alter _ Repair Ertlarge Move Demolish Grade OFFICE USE Date of Approva2 & Initia2 Assessment Vdater/Sewer Police Fire Eng. Plantzex' Gvunci.l Bldg. Off. A.P.C. Telephone ?d?} - 3?jy"j er S•214-° Telephone -.1a6 - c12Z ° 02zc? 4yo-I 1( ?7 na2E OFFZCE USE ? Occupancy .1? Zoning ? I Fire Zone 3 Type of Oonst. i/ t1 of Stozies ?-/ Front 7 Depth 3 FEES PeZmit /69 .ra SurchaYgC Pian Check SAC -!?Aq• 06 6Jater Conta:. /??- - Vlater Metex ?? yt J7„ { ia. d. _6addLJd.tLJ./.?'" .00? ? TOTAU v ??'_'r?' ? ?? ?? ? \ ??? //I ?.?/?/• .y?,???l? ?g icsIc? , ?I iixcH•ioaFFEt i ??-,?, G? ? 11? ) pTEP EIEVP0 ?/?'? 9lee j / ? ?' __ ? / ?. / ?? Jr... i 1 . ?? ?? V ? ' ?,??? ?? \ ?? '1?? ?- '??A ? ?? y,h• ???? f?(} M POND $I ? \`;? .\ ?\WCTEN ELEVATION \ B9Z9 ' ? I 1 I??III \ . s a ? ? T „? i I; I?IIII 1 .?? x '?= "? ' " ? ; ., \\ ? •.:? _?\ `i \ ? r P 0 N D ---- i. ?GiEwELEVeiION - /- o? r 4 J EM1v^.??41NG C?NSIJIT<HT ' Mq FL0?0 FORSBERG, B E 3T -tt A ? w sT" ? . • I . / . l4ntE-r?t•??ti.ar_ml ?te?:? ? ??? ! EXTEHEOft ENVELOPE AVERAGE 'U" COD9PUTATIOP] Ou1NER SITE ADDItESS CONTRACTdR DRTE PHODIE Determine vrorking square footage of each. 1. Tota1 exposed wall area ... sq. fb. x .1f _ 2. Total roof/ceiling area ... sq. ft. x .0* _ Tot a1 exposed ava11 2rea above floor = a. Total wall vaindoi•r area ................ b. Total door area ....................... c. Total sliding glass area .............. d. Total fireplace wa11 area ....... . e. Total wall framing area (average 10%)... f. Total net orall area above floor ......,. g. Total rim joist area .................. Tatai exposed foundation area = ? h. i Total foundation window area ......... Total net f d ti d b kP Or? . oun a on area a ove gra e ? V ?a Determine °U" value of each wall segment. r, f; t IV U a. x b. }C sIUr = \ v j C. x rvu:: m ? ? l ? v ,V D . X "U„ e. X f:UPi _ f. x ,iUiP ?? / ?o b g x ,ttr`, - h. X "U" i. x nUFf 3 ..................<.........................Total = If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. , r..? Total expased roof/ceiling area = J. Total skylight area . .. .. ... k. Total roof/ceiling framing3rea (average 10 1. Total net insulated roof/ceiling area ....... Determine "V value for each roof/ceiling segment. ,j X '`U" _ k. X '`U" _ 1. X "U'' _ 4 .........................................Tota1 = If total of #4 is the same as, or less than k2, you Yiaee meb the intent of SBC 6006(c)1. Alternate Building Envelope Design To utili2e the total envelope system method, the values estab115hed by the sum of itema #f3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ ity oF 3830 PILOT KNOB ROAD, P.O. BOX 21799 - BFA &OMRUiSt EAGAN, MINNESOTA 55121 M? PHONE: (612) 454•8700 TFppNAS EG,qN June 2, 1987 J4MESASMIiH VIC ELLISON iHEODORE WACHfER MR BRIAN TURNQUIST 4545 OAK POND CIRCI.E . v 1FK1MP5 HEDGES cnV A? EAGAN MN 55123 EUGENF VMIOVERBEKE arr ae? Re: LP-34, Controlled Aater Elevation OLty Pro3ect 444H, Contraet 86-23 Dear Mr. Turnquist: +>aio Recently, you have expressed concerns regarding the controlled water elevation established by the installation of the storm sewer outlet under the above- reFerenced pro3ect for the pond located to the west of your property in Oak Pond Hills 2nd Addition. You indicated that our storm sewer project lowered the pond elevation by approximately 5'. In reviewing available information regarding pond elevations, your contention is correct. However, this new elevation is consistent with historical previous water elevations. The following information is a historical record and documentation of all available information pertaining to this pond's elevation: Date Eeference Elevation Apr31, 1970 _ Aerial Contour Photography June 14, 7978 Oak Pond Hills 2nd Addition Final Plat September 8, 1986 Project 444 Field Survey September 30, 1986 Project 444 Construction Survey March 7978 & Mareh 1984 Comprehensive Storm Sewer Plan May 15, 1987 Verification Survey • Planned elevation for future outlet. 878.3 879.01 884.2 886.1 879.0* 878.15 6s you can see, historically this pond has been stable at approximately the $79.0 elevation. In fact, this was the elevation when you and Mr. Forsberg subdivided the property in 1978. The artificial high elevation of 884-886 was a result of a historical wet five-year cycle with no storm sewer outlet being provided to handle the upstream runoff. The above-reFerenced pro3ect provided an outlet to return the normal water elevation to its previous level'. Although the completed construction controls the water at 878.15, it will be corrected in the next 2- 3 weeks to conform to the planned elevation of 879.0. As I lndicated, we have done a research of our Comprehensive Storm Water Management Plan to determine i£ this controlled water elevation could be artificially raised up to its previous high water elevation of 886.1,. After this analysis, if this controlled water elevation were raised by 4.0' to 883.0, it would result in an increase of 1.0' of the high water flood elevation through this and two other subdrainage districts upstream. All of this would have an impact on the ad3acent wetlands and woodlands. iHE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIlY MR BRIAN TIIRNQUIST JUNE 1t 1987 PAGE 2 As you are aware, this pond and the wetland to the north (LP-61) are loeated within City park land. As such, any change in the controlled water elevation and resultant high water flood elevation would require concurrence from the Park Department. Also, the City is in the process of preparing a Comprehensive Water Quality Management Plan. As a part of the first phase of this Plan, we have inventoried all 340 wetlands and lakes within the community and will now proceed with the elassification of these wetlands into various categories. Depending upon the elassification of Pond LP-34, any adjustment of the controlled water elevation will have to be evaluated in regards to its impaet on its proposed classifieation and intended use. For example, if it is classified as a nutrient and sediment trap, it is hest to leave it at a lower elevation to promote the growth of vegetation in lieu of artificially raising the water elevation. >>• Therefore, any adjustment to the existing controlled elevation (which complies with the historical previous elevation) will have to wait until the completion of the Water Qua2lty Management Plan and wi12 aZso require concurrenee from the Park Department. Also, it would require coneurrence from all riparian property owners adjacent to this wetland by way of written petition. While recognizing your concern, I hope you can appreciate the reservations that have to be exercised by the City before we artificially ad3ust the controlled water elevation Por recreational purposes. Sineerely, Vom?slbert P.E} ,G Ii?Pti}' ? Direetor o£ Publie Works TAC/jj ec: Ken Vraa, Director of Parks & Recreation ; :? city oF eagan PAiRICIA E. AWADA MaYOr March 18, 1999 PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members MR BRIAN F TURNQUIST 4545 OAK POND CIR THOMAS HEDGES Ciry Atlminishator EAGAN MN 55123 E. J. VAN OVERBEKE RE:. Ll, Bl, OAK POND HII.LS 2ND CiNCierk Dear Mr. Tumquist: Your letter of March 12, 1999 to Ciry Administrator Hedges has been fonvarded to my attention for response. In our telephone conversarion, I provided information to you that the Eagan City Code dces not include an administrative or minor subdivision procedure for subdividing property, allowing creation of an additional lot for residenrial development. Before contacting you by phone, I contacted the City Attomey's Office to determine if there was any possible way to accomplish your request without requiring the preliminary/final subdivision process. At this time, the City Code does not offer a shorter version for subdividing property. Your only option would be to submit a request to the City Council to waive the required fees and escrow. In order for the City to amend its City Code to provide for an administrative type subdivision, staff would need direction from the City Council to amend the City Code. Then that particular code amendment would need to be prioritized in relarion to other amendments already directed by the City Council, as well as other planning-related work tasks currently being undertaken by Communiry Development staff. I would like to again reiterate that neither City staff nor the Council can waive the requuements of the subdivision procedure in the City Code; but you can certainly request a waiver or deviatron from the fee schedule established by the City Council at the beginning of each calendar yeaz. If you have any questions or would like to discuss this further, please do not hesitate to contact me at 681- 4689. Sincerely, OW"? ? V44 Michael J. Ridley Senior Planner MTR/js I cc; Tom Hedges, City Administrator i Mayor Pat Awada ? City Council Members MUNICIPAL CENiER THE LONE OAK TREE 3830 PILOT KNOB ROAD THE SVMBOL OF STRENGTH AND GROVJTH IN OUR COMMUNIN EAGAN. MINNESOTA 55I22-1897 PHONE: (651) 681d500 Fnx. (65 i) ae t-a612 Equal Opportunity Employer TDD. (651) 454-8535 MAIN7ENANCE FACILITY 3501 COACHMAN POINi EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FAX:(651) 621-4360 TDD: (651) 454-8535 ? 41?dtV oF eagan April 26, 1999 Mr. Brian Turnquist 4545 Oak Pond Circle PATRICIA E. AWADA Moyor PAULBAKKEN BEA BLOMQUIST PEGGV A. CARLSON SANDRA A. MASIN Council Members Eagan, MN 55123 THOMAS HED6ES Ciiy Administrator RE: Lot 1, Block 1, Oak Pond Hills znd E.J. VAN OVERBEKE Ciry Cleflc Deaz Mr. Turnquist: In response to your letter dated Apri18, 1999, I would like to clarify two points that you raised. First of all, I believe that the 4-6 month timeframe that was mentioned in our meeting pertained to the amount of time necessary to process a preliminary and final subdivision application rather than the timeframe for changing the current policy and amending the City Code. The time involved to amend the Code to provide for a minor subdivision procedure would likely take much longer. As we discussed, the first step in the process to amend the Code would be to schedule the item for a future Council work session. Assuming the majority of the Council was in support of providing direction to staff to determine the feasibility of a minor subdivision procedure, it would be necessary for the Council to prioritize this task, given the number of other projects requiring staff s attention. At our meeting, we also discussed the nutnerous ordinance amendments that the Council has already directed staff to prepaze to be brought forward through the public hearing process. In addition, staff in the Community Developrnent Department still have to attend to the every day, routine planning functions. Secondly, regarding the potential for the City to waive a portion of the application and escrow costs for a preliminary and final subdivision, you can make this request of the entire Council and, again, the approval of such a request would require the majority of the Council. I hope this clarifies the discussion that took place during our meeting on Apri16. According to City Administrator Hedges, Senior Planner Ridley will be contacting you in the neaz future to see if you are interested in proceeding with the application process. 5incerely, I Patricia E. Awada Mayor cc: Thomas L. Hedges, City Administrator, Mike Ridley, Senior Planner MUNIqPAL CENTER THE LONE OAK 7REE MAINTENANCE FACILIN 383o PiLOT KNOB ROAD THE SVMBOI OF STRENGTH AND GROWTH IN OUR COMMUNITY ??? COnCHMAN aOiM EAGAN. MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (651) 681-4500 PHONE: (651) 681-4300 FN(: (651) 681-4612 Equal OppoduniTy Employer FAX: (651) 681-4360 TDO.(651)454-8535 IDD.(651)454-8535 ?**t**?***t?r*w**?*x*****?t*******t*t** CITY OF EAGAN CASHIER: JS TERMINAL NO: 060 DATE: 08/10/00 TIME: 10:31:21 ID: NAME: CJ SERVICES 3212 9001 4545 OAK POND C 30.00 2155 9001 4545 OAK POND C . 0.50 1# Total Receipt Amount: 30.50 CR135621 USER ID: JAN *******x*****x**********?*?**?**?*?**:? L I BL CITY USE ONLV RECEIPT #: SUBD. ("lX. RECEIPT DATE: PERMIT# 201D0 PLUI+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIRES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 9 3.04 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System new/refurbished • requires MPC Ilc. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.04 x = $ Underground s rinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ - Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if ezisting dwelling 30.00 X = $ Waterturnaround 30.00 x $ .? State Surcharge .50 -> --> ---> $ .50 Total -> --> ---' --' ? $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----•---------- -------------•---------•--••-- ------------------------- ------------------------------ -- - ordin - - ances. t hereby acknowledga that 1 have reatl this application, state that the infortnation is cortec[, and agree to comply witfi alf applicable Ciry of - Eagan - It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any tlamages caused by the Cky during its normal operational and maintenance activities to the facilfties constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: oc, JF" p.? r ? OWNER NAME:: iPi aw -/ vtn;4'v rS f TELEPHONE#: ?S,12'- 7 (nRen eooe) INSTALLER NAME: c es TELEPHONE #: qSa -3? ?'/ STREET ADDRESS: rt, 1?aPy? ?d-e (AReo, CODE) ciTV: L? 0?-z ?- GZce STATE: /?4' Ad ziP: 5"Sb s?? SIGNATURE F PERMITTEE 1 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ? City Of Eagan 3D ? 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 Please complete for. single family dwellings & townhomeslcondos when permits are required for each unit Date Site Address A J Uoit # PropertyOwner ? Telephone#(bv ) !?Zy'yF'Qf 1 Contractor 1(' -?kkv Street Address City State p yl Vl/ Zip `? n Telephone #( ys/ -? 7?Z Bond #: Expires: The Applicant is _ Owner ?ontractor _ Other Add-on or altera[ion to existing dwelling unit $ 30.00 ., furnace _Additional _zKe'pplacement air exchanger airconditioner _New _ Replacement other State Surcharge $ .50 T tal o I hereby apply for a Residential Mechanica] 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; 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 pe? n accordance with the approv?ply(n in the case of w?rk which requires a review and approval of plan ? A n. A V ?n c - Applic Ys Pnnte Name Applicant's Si a ure 2005 COMMERCIAL MECHANICAL PERMIT APPLICATIQN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industnal buildings multi•family buildings when separate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (iF applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Fnteriorlmprovement _ InstallPiping _ Processed _Gas Nature ofWork: *"When installing/removing underground tank, call for inspecfion by Fire Marshal and Plumbing Inspecfor Permit Fees: S70S0 Underground tank installation/removal $5050 Minimum (includes S[a[e Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surchazge If pe rmit fee is over $1,000, add $50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial 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 Mechanica] Codes; 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. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 20 1-10 nG-- Permit Fee: ! ac • 23" - Date Received: p, Staff: / 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:, - 42 "V Site Address: 7T Y> 0j9A- /o l7 Ce P A- Unit #: Resident/ Owner Type of Work J Name: �Ca 77 1e/G-6 S' Phone: - /9 g Address / City / Zip: VrVS"Q4* t7 GL Applicant is: Owner Contractor Description of work: ZE - ZmuF Construction Cost: /1.72Oµ Multi -Family Building: (Yes - / No Company: < 4€4 � avrJt,eS Contact:/,/(CC4 e S c{/j% Address: AD',? 3 s -sr i 't 4C4-- e_ city: /0;i.see' State: /OW Zip: STS' 7/ 3 Phone: 6/D2- .Se Sr - as 9 9 License #: � V.j /62 Lead Certificate #: / v nt%" /05-%9,_ / 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 CaII 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.orq 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x,/ -l.? s$G2/" '�,L Applicant's Printed Name Page 1 of 3