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1669 Oakbrooke WayAddress 1669 Oakbrooke WAy Zip 5512 2 Lot " Blk z Sub Oakbrooke 4th Addition THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECI'fON. Date: I_ -od Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) ? Pertnanent steps (main entry) ? Permanent driveway X Permanent gas ? Sod/Seeded grass k TraiUcurb damage X Porch Basement finish x Deck x Please verifv with the builder the rerooval of roof test caps from the plumbing system and the shutoff of wacer supply a the outside Iawn faucet before freeze potential exisu. Contad engineering division at 6814645 before working in rightof-way or installing undergraund sprinkler system. ? White - City Copy Yellow - Resident Copy Pink • Contractor Copy Site address: 14 0 LJAkoE?C?0*-YLot Y Block a Subd. C??? On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. This sWcture is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be consUucted to meet more resVicdve requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE „ Water Heater ? ? ? QSa s ?r Fumace aKf' gL 3S? V 03(00C20 5 030 Q,t'C Dryer VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's Yes No Kitchen kitchen Bathroom t Bathroom 2 ?i If t OS ?O Bathroom 3 Sk/ p g O Bathroom4 Other fiREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECi ATrnos ? ??o T k - a7coa I hereby adcnowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requiremenLS. sigM rk, , a CompanyName /// /z/? Date ' This form is the responsibility of the General Contraclor. *************************?????******?** CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 08/18/00 TIME: 10:26:16 ID: NAME: VALLEY PLUMBING COMPANY, INC 3212 9001 1669 OKBROOKE W 40.50 2155 9001 1669 OKBROOKE W ? 0.50 Total Receipt Amount: 41.00 CR136070 USER ID: JAN ? CITY USE ONLY L" /? B,L?? I- SUBD. ?Yl Y11?C)CA ? RECEIPT #. RECEIPT DATE: PERMR# i/) ---, fnn 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGax, Ma7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G3S piping outlet * minimum- t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem new/refurbished `requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new Installationlrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Undefground sprinkler rf dwetling is under construction 3.00 x = $ Unde round sprinkler If existing dwelling 30.00 x = $ • Water closet 3.00 x = $ Water heater 3.00 x = $ - Water softener if dwelling under eonstructlon 5.00 x = $ Water softener ff existing dxrelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total -> Reminder. Cafl for inspections of atterations, i.e. water heaters, water softeners, etc. -------------------- that 1 ----------read --------•-----------•--•--------------? ------------------ity o----fEaga----nord----in---•---. ances- 1 hereby adcnowledge have this application, state that the iniortnation is cortec[, and agree W eompty wifh all applicable C It is the applicanYs responsibility to notiFy the property owner that ihe City of Eagan assumes no liability for any damages caused by the City during its normal operk4onal and maintenanca adivRies to the faalities constructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREETADDRESS: oIZTEL cirr: , . ?ppli I: , x': (AREA GODE) TELEPHONE #: , (AREA CODE) ZIP: ??? OF PERMITTEE ?/11 l ov ****************************t*********? CITY OF EAGAN CASHIER: JS TERMINAL NO: 010 DATE: 08/25/00 TIME: 14:19:00 ID: NAME: BURNSVILLE HTG & AIR 3213 9001 1669 OKBROKE WY 39.0( 2155 9001 1669 OKBROKE WY 0.5( Total Receipt Amount: 39.5( CR136509 LTRRR TT) • JAN CI'I'Y USE ONLY LOT ? BL ? PERMIT #: SUBD. 04r/4Ok 4fh RECEIPT #: RECEIPT DATE: 2000 MECiiMICAL PEitMTT (RESILIENTIAL) C1TY OF EAfiRN S$SO PILOT KNOB RD gASAN MN 551E8 Date: Complete this section oi:Iv if you are installmg HVAC in a single-family dwelltng, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDTTIONAL 50 M BTU 6.00 • Gas outlets (minimum of one requued @$3.00 ea.) 3'do State Surcharge .50 Total $ 3? ,6-b Complete this section ontv if you are re?nodelinn, adding to, or replacinp an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. r1 _ New _ Replacement _ Other Furnace _ Air conditioning _ Air exchanger _ Other Fee $ 30.00 5tate Surcharge .50 Total $ 30.50 Reminder.• Call forfenal inspection. SITEADDRESS: (CDCILC( f?C?"` ?ILD ( Q[?,L" OWNER NAME: PMy,y, Akn s rxorrE n: 60S1 - y5? ? aad (AREA CODE) INSTALLER NAME: PHONE #: ? 'P_ - r/ ?`?_ (AREA CODE) STREET ADDRESS: ?'1{] ej? 'i ?I(?A.(<:9-- 1?.) S" CITY: SOC.L2C STATE: ZIP: IVED , AUG ) 5 ?000 IGNATURE OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHih1V1CiRL PE{tMIT (COMM£RCL4L) C1TY OF £A&iR1V 3$30 PILOT KNQB RD EAfiAN, MN 551E2 651-681-4675 e Please complete for: all commercial/industrial buildings muiti-family bUildings when separate permits are not required for each dwelling unit DATE WORK TYPE: New construction Install U.G. Tank ? Intenor Improvement , Remove U.G. Tank _ Processed Piping When it:stalltng/removing underground tank, call 651-681-4675 for inspection by ftre marshal mid plumbieig iuspector. Description of work: Fees. I% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minunum fee Conuact price: $ x 1°/a =$ (Base Fee) SCate surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: OWNER NAME: PHONE #: (AREA CODS) TENANT NAME (IMPRO V EMENTS ONL1) ADDRESS: CITY: PHONE#: - (ARBA CODG) STATE: 21P: CITY USE ONLY ? •? ? SIGNATURE OF PERMITTEE ?--? ? 41- `4 (9 a- ?-- 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ctrr or eacwr I 9 ?I I C I? 3830 PILOT KNOB RD - 54122 t l O 857•881-4875 pC) ca?.e? ---i. av •c1 C? D J ra0sfarod sile sunayt shovArp tq. R W bt 94 R. of houw s caoas a rlan and go roo}ed arem (4016 mmdrtwm bt coveraae allowedf 1 fet ol energy CNaAoBOns for hanlaA addllbro a 4 copie: a Wans (eiow bean 3 wintbw tlxea: Pa+retl hW. tledOn, etc.) D 1 tet of anarfly caICWaMqq D S copiet of Iree Prewnalbn plan N lof plotlad afWr 7/1/93 DATE: DESCRIPTION OF WORK: SiREET ADDRESS: LGT: -A 1 Yb wrveY fOr exteilor addlMOm & dacb CON5IRUCTION COST: BLOCK: ;?),, SUBD./P.I.D. t: C?G&?fU0V,2. Name: Phone i: PROPERTY I.CsI Flre OWNER 5heet Address: CitY State: Lp: Compa&r?\? Phone M: 1?_\_1y (area eode) coHreacroR Sfreef Addresx Lleense M CHy v?c \C??i State: np: ARCHRECT/ ENGINEER Company: Name: Telephone #: ( Sheef Address: Regbhatlon #: aN State: Zip: Sewerlwater licereed plumber (N Ir?llina sewerhvalarL' PFane #:( 1 hereby acknowledpe Mwt I have read ihh applieaHon, dafe of Minneaofa Stahitaa and CHy of Eayan OMinancea Sipnalure of ApPficant Certificates of Survey Received -SDYes Tree Preservation Plan Received - Yes OFFICE USE ONLY _ No ? _ No -??ot Requ(red apree b comply wiM al appiccble Sfote JUL I 8 ?? OFFICE USE ONLY BUILDING PERMIT 3UBTYPES O 01 Foundation O 07 OSplex ?02 SF Dwelling p 08 06-plex O 03 01 of _ plax O 09 07-plex 0 04 02-plex O 10 08-plex O 05 03-plex p 11 10-plex O 06 04-Plex 13 12 12-plex ORK TYPE ? 31 New O 32 Addition O 33 Alteration D 34 Repair O 13 16-plex p 21 Porch (3-sea.) 0 31 Ext. AIt - Multl O 17 Garage O 22 PordUAddn. (4sea.) O 33 Ext. Alt - SF 0 18 Deck O 23 Porch (screened) p 36 Muttl 0 19 Lower Level p 24 Stortn Damage Pinp V w_ N O 25 Misc:ellaneous O 20 Pool O 30 Accessory Bldg. ' O 36 Move Bidg. O 43 Reroof O 37 Demolish (Bldg)' p 44 Siding O 38 Demolish (Interior) O 45 Fire Repair ? 42 Demolish (Foundation) O 46 Windows/Doors ` Give PCA handout to applicant for demolltion permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) ? (Allowable) UBC Occupancy VW ,?. Zoning ? # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Pfanning _ Pertnit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies Total: ? S C, ? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Weter Booster Pump PRV Fire Sprinklered 7zz Building ? ?vnYL? Engineering Variance valuation: s 10, Z { ?,&? 3 v 7 5-0 /p k lay 'qzz? I L4- 'O SAC Units % SAC JUN-07-2000 13:53 M1Vc?^eck C4MPLI,ANCE REPpRT Minnysnta Energy Code MSTcheck software Versian 3.0 CoL'N??Y: Dakotd 3T'A2'E: Minr.escta ZONE; 2 CAIVSTI2UGTION TYPE: Single Family DAxL; 6-7-200o DATE i;F PLA2J8; 3/28/00 TITLfi! p,1tS135R WALKOUT ELEVF,TION 41 CrJMPLIP,nTCS: PASSFS Required UA m 393 Y'our Home = 294 25.1% BetteY Than Code P.E2i?,' Permit C: ecka y DatE Araa or Cavity Cont. GlazingfDooz Perimater R-Value R-Value U-value -°° - ----------------------°-- ------ ----------------------- cEr?,rrres izza 94.e 0.0 VIALLS: Waod ?'rame, 16" O.C. 2038 19.0 2.0 i Wf+Z+LS: wOOCl rrame, 16° O.C. 199 10.C 2.0 $SNT: Cvnc;. 9.0' ht/8.3' bg/9.01 insui 47 12.0 0.0 B5MT: Conc. 3.5? htJ3.1' bg/3.51 islsui 20 14.0 0.0 GLAZING; Yairdows or boors, Above GYade 334 r?.350 1 D?'JOkS 38 0.350 ItVAC EQGYPMENT: Furr.aae, 92.0 AEZ7E --`--------------°----------`----- -----___- - ----------------.,,.-----'- CflMnLIANCE STATEMENT_ ''he propoead building dasigsy describeci her,« is _'rM can,is=ent with Che building plans, spacifications, and otnar calculations aubmitted with the permit application. TY:e proposed building has been desigaed tn meet tht re 'rerg?ts of the Minnesota Er.ergy Code. BU31c?lerlDeSigner`?'?\?`? Oakbrooke Infinity Eagan Date: 6/16/00 Address: 1669 Oakbrooke Way LotBlock: Lot 4 Block 2/ 4th Addition Phase 2 Plan: Amber Walkout Options: Description: 18023 za=$i 11012 Basement Walkout 23005 2 Ton A/C 36019 Waterline Future Icemaker 31011 Laundry Tub Single Compartment 18023 Delete Elevation #2 18015 ?:Elevatio4 #1- = 11029 Finish BasementJ 6 Panel Hemlock Doors, 25016 Hemlock Doors/ P.F. Birch/Maple 28044 Upgrade Cabinets-Maple 28056 42" Uppers-Maple 14007 Carpet Pad Upgrade 14160 3r" Carpet Upgrade 17000 Add'1 Electric Outlet (lower level den) 17024 3 Ceiling Elec. Openings- MBR, L.L. Den, BR #2 23012 Humidifier 32012 Add'1 Cablc-L.L. BR#2 32021 Phone Jack Separate Line-L.L. Den 10055 Spacemaker Microwave ? 10087 Upgr. Range Smooth Top 21021 Gas Fireplace/_Wood Mantel ! 22005 Insulate Garage 13077 Whirlpool Tub 35027 S.R. Opening L.L. Den i LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION h PROPERTY LEGAL LoT 4 b6oC?' Z?yKn,?'?,?? DATE OF SURVEY: 7- f l- O6 u > W LATEST REVISION: ? C 0 DOCUMENTSTANDARDS g 0 O / ¢ 0 • Registered Land Surveyor signature and company a o • Building PermR Applicant Yy- ? • Legaldescnption 0?p- ? • Address ? ? • North arrow and scale ? ? House type (rambter, walkout, splitwlo, split enVy, lookout, etc.) d? ? Directional drainage arrows with slope/gradient % Yp? ? • Proposed/epsting sewer and water services & invert elevation m? ? a • Street name ? ? ?a ? ? ? Driveway Lot Square Footage m' ? ? • Lot Coverage ELEVATIONS Ewsdna ? ? ? • Sewer service (or Proposed) q? o ? • Property corners ?? ? • Top of curb atthe driveway ? p?? • Elevations of any exdsling adjacent homes ?¢? ? Adequate fooGng depth of sWctures due W adjacent utiliry Venches Prooosed lip/ ? ? • Garage tloor q? ? ? • Firstfloor da ? ? • Lowest exposed elevation (waikout/window) ? ? ? • Property corners u2? ?? • Front and rear of home at the foundation PONDING AREA fif aooiicablel ? ? ? ? • Easement Ilne NWL ? o • ? d/ ? • HWL o ? • Pond # designaGon ? ? Emergency Overflow Elevation ? ' DIMENSIONS & di ions lB ri m ? ? mena ngs - Lat Iines ea 12/0 ? • Right-of-way and street width (to back of curb) CP/ c ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. ? o ? (i.e. ali structures requinng permanent footings) • Show all easements of record and any City utilNes within those easements g?o /o • Setbacks of proposed struMUre and sideyard setback ot adjacent e»assUng structures ?? o • Retaining wall requiremenis, if any Reviewed: ????.???? March 1899 CRAKrIBIDOPRNr.FM Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 4, Bfock 2, OAKBROOKE 4TH ADOITION, City oi Eagon, Dukoto County, Minnsota ond reserving eosements ot record. ? :,.. .? RE', p V ? Ddt2_Z?? .. ? E-AGAP7 FNGINEEFING DEF`i'. 4.?k:?. VroDosed a,mei.r 9?pcw r/p Corapa ? 45.7?, ! ' I? ? ; 6,-- Nc? T g ..... .t?-- •--....?._..._. OAKBR00E ceaaQ_aaz.co?rRU.c WA ?. _ -__.. s..._.._ . _..._?? ?. >669 L 0 T SQ. F00 TA GE = 3, 6 08 HSE. SQ. F00 TAGE = 1, 727 LOT COVERAGE = 487o Plan # 77921 , PROPOSED ELEVATIONS ?.? Sst?Z Top of Foundotion =9as.o BENCHMARK, TwNtr Goroqe FIOOr =943.6 Peu,qqle,13 Basement Floor -93Up Aprox. Sewer Service =931.41 Proposed Elev. = 0 MIN. SETBACK REQUIREMENTS Existing Elev. - Oroinoge Directions = Front -25 House Side - Denotes OfTset Stake =. SCRLE: 1 incn - 30 teei Rear - Goroge Side- RECEIVED au1t I Joe Ha HEDLU/VD IHEREBY CERTIFY TNAT 7H15 I5 A TRUE ANO CORRECT REPRESENTATION OOR-335 OF TME BOUNDARIES Of THE A80VE DESCRIBED PROPERTY AS SURvEYEO BY IAE OR UNOEH MY CIRECT SUPERVISION AND OOES N0T PUttPORT TO BOOK: PAGE: PLANN/NC 6NC/NSdR/NC SVRVBYINC SHOW IMPROVEMENTS Op ENCROACNIAENTS, EXCEPT AS 5110WN. 2005 Pin OOk D/IV¢ -y Eaqon, MN 55122 DnTE _`_/I-L/?M QI Za, CAO FILE: Phone: (651) 405-6600 J RE . UNDG N, lAN SUFVFYOR Fax: (651) 405-6606 NiNNE 7A UCENSE NUM R 14378 OAKBROOKE PERMIT Permit Type: Building City of Eagan Permit Number: EA105959 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 1669 Oakbrooke Way Lot: 4 Block: 2 Addition: Oakbrooke 4th PID: 10-53763-02-040 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc %Donald B Fuller Tst Trust Number 111 5866 Blackshire Path 8400 Normandale Lake Blvd Ste 920 Inver Grove Heights MN 55076 Bloomington MN 55437 (651) 688-6368 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125372 Date Issued:07/22/2014 Permit Category:ePermit Site Address: 1669 Oakbrooke Way Lot:4 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - %donald B Fuller Tst Trust Number 111 8400 Normandale Lake Blvd Ste 920 Bloomington MN 55437 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128016 Date Issued:10/22/2014 Permit Category:ePermit Site Address: 1669 Oakbrooke Way Lot:4 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - %donald B Fuller Tst Trust Number 111 8400 Normandale Lake Blvd Ste 920 Bloomington MN 55437 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections aC�,cityofeagan.com RECEIVED SEP 23 2019 For Office Use Permit it: /5rb O 3 Permit Fee: (PO Date Received: Staff: 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ✓`� Site Address: Tenant: Ty.p:e=;of V.V�:olik Name: A)QAA___ !4L, gilt ' rail - _ Address / City / Zip: Suite #: Name: MILBERT COMPANY dba CULLIGAN WATER License i/: Address: 1801 50TH STREET EAST WC641376 City: INVER GROVE HEIGHTS Slate: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com New ^_ Replacement Repair Rebuild _ Modify Space Work in12.0.W. Description of work: Water Healer x Water Softener Septic System New Abandonment RESIDENTIAL FEES • Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures (^ Main / _Lower Level) Description: Connection to City Water from Well $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60,00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540 *Sewer & Water Permit also required for connection charges TOTAL FEES $ 60.00 CALL BEFORE YOU DIG. Call Gophor Stato Ono Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours befoto you nlend to dig to receive locates of underground utilities. vwwv,gopherslateonecall.orq You may subscribe to rocotve an electronic notification from tho City of proposed ordinances by signing up for an omall update on the City's wobsito at www.cilyofoagan.com/subscribe. 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 tJe work will be in accordance with t le approved plan In the,case of work vhich requires a review and approval of plans. • Applicant's Printed Name Page 1 of -2•