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3158 Quarry CtCITY OF EAGAN Remarks addition Donnywood Addn. Loc 9 etik 3 Parcel Ab 20960 M 031 Owner??`r --.'r?' i'. •:?i. U/?? Street 315$ QU.az'T,y Ct,. State Eagan,rN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. * STREET RESTOR. 1975 GRADING SAN SEW TRUNK z 1970 62.80 2.51 2 Paid * SEWERLATERAL Z 1975 2278.78 455.75 5 Paid - - WATERMAIN 3? WATER LATERAL 1975 3? WATER AREA 1975 5 * STORM SEW TRK 1975 * STORM SEW LAT 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 130.00 lQ 6 7-1-74 BUILDING PER. sac 00.00 1 G969 7-1-74 Receipt ' 1. Date 3. Job 4. PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Print /egibly j 2. Installation Cost C Y Pe?mit No. Fee S/C Tot _Blk. ? Tractz?"flV! 1"rf?dV 5. Contractor ? Phone 'r" 6. Address 7. City State Zip 8. Building Type: Residential fif Commercial ? Institutional O 9. Work Description: New ? Add M/ Alter .? Repair ? ? 10. Describe ?- 11. No, ?, • Fixtures Water Ctoset No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank l.evatory Softner Shower Wel I Kitchen Sink ? Urinal/Bidet Laundry Tray Other ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances ancLcodes governing this type of work. Signed : ? i-' ? ? j -±? • for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 W, i? 1---- CITY of EAGAN N° 3332 BUILDING PERMIT . Owner ... . ................... ... .... ....V--- ........... •-• - Address (Areseni) ..?. . ....... ...........4.?...?-- • .. .?"'-( e Buildes .................... ................................................. Address ......--•-••-• ............................................•-•-...••,.........._............... DESCRIPTION 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 na:. ...... .. .... . ?....?:?' 5iories To Be Used For Fron! - Depth Heigh! Est. Cos! Pqrmi! Fee Remarks W?w 74 16 .???0? ?I ?=a LOCATION Slreet, Road or other Description of Location _ 1 Lot I Block I Aaaisioa or -rrac: C3 /?? 11 1-3 This permit does not suiho#i4e the usq( of sireets, roads, alleys or sidewalks nor does it give the owaer os his agea! the right fo create anp siYuatibn whieh is(a nuisance or which presents a hasard !o the health, safely, convenieacs and general welfare !o anyone in the community. ILE THE WORK IS IN OG E. THIS PERMIT MUST B K ?,,?ON T PFjEMISEF has permission to erect .......... .... ........ ... .........................._upoa This is !o certify: thai__?.... ??`?- ?..??.. .. the above describe emise subject to the pisions l applicable ces f e Cit E a -•-•--••••-• ..... -•--•-• • .- ....................•••-•-•-. Per .....• •-• -.....-•--•-....... _......?.. ...... ........ .. ................................ ay0 r Building Iaspector ??? ?isg a-? /D '5?09(,"o -?29?ny") cro ('I7'i O^ ??GAN 379? I'ilot I:r;ob i u.zd EaF;s.?., T?iinnesota 55122 FER1vJT NO e e f-7^ The City of Ea.-an hereby g.rants to K1a:-v, T?eat:inr, ro. of 55337 a Permit for: ?O?aner) CYE:3C.1tir? :r 1329 & . aL 3 ; ., ., pursuant to application dated Fee Pai.do ? " dated this 3.7 day of =1?v , 19 7=1 , 1. Jv .J/C Building Inspector Mechanical Permits: Bid Total: CIT`z' ?r FACAN 3795 i ilot Rr;ob P.c>a.d I?aga_., .'Iinnesota 55122 PEIR.M1IT NO e : 557 The City of Eaoan hereby grants to F,-„d Vog,t re _ of 12fin Vn hmn Ava An_' 3t_ IQni a Pk _ 55d96 a Permit for: (Owner) rrE•ar_iv?, gmwing,_„__ ??` ?-. 1341 5,1329 Jurdy a8d ?` , - . - ?u?, pursuant to application dated -?7/7a . Fee Paicie 0U DU datec? this 31st day of Tutv 9 19 7d s^?! 2.50 s/c Building Inspector :^echanical Permits: i'3_?.1 ? a T0t-a1: /- CITY of EAGAN BUILDING PERMIT own.: ......9r.:../..A-,??..........a.!.r.?..c_.?.?.l.C?..... Address (pr.sens) .?l.,?f?....?.uPjt, .r ... ............ ".?.v.?.?. Builder .......... a...?.d11..LJa.f .......... .../2.cO....?....?f..••-•--.._......... Address .•••• ...............................•-••••-•........._..._.....--•••....................._.... DESCRIPTION eir N2 3695 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 ? Date Z ? ?••..-?r..?:?......1...... -•? •• 5_.ries To^Be Used For Fron! Depth Heigh! Est. Cos! Perm' ea - Aemasks r ?'udllvt 1 (2y oo/ f ,feWC / / .?YC7 o ? ?t s,?rp or ? a? ?- -S? ?QPa?'' ?' ,• / ? J LOCATION Slreet, Fl.+id or other Description of Location I Lo! I Block I Additioa or Trac! ' 0 I , //b This permii does lp63 sulhor'iae the use of streets, :oads, alleys or sidewalks nor does it give !he owner os his ageat !he right to create any siluation which is a nuisance or which presents a ha:ard io !he health, safely, aonveniestce and generai welfare to anyone in !he communiiy. THIS PERMIT MUST B-ErK PT ON T E PI ? ISE E THE WORK IS IN PROGRESS. , This is io certify, ihat..?./.?_._?? .. ...iG, ... ._..has permission to ezect a.?>?/1..?.. .. ... "?!?6p the above described p is subject to th?e /rovisions all applicab ces for the C' o gan. ' ........... . .--•-..?-•--••-- -- •-•-----"' . .f.t ?.Y...------• ........................ Per ...... . ._ ....... ---•---• .......... .. .... _... . .-- -••--- yor BuildinQ Iaspectos YILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pitol Knob Rood PERMIT NO.: 1529 Eagan, MN 55122 DATE: 7/15/74 Zoning: PUD No. of Units: Owner: Address Site Add Plumber: Klamm Plumbing & Heating Meter No.: Connection Charge: 190.00 pd Size: Account Deposit: Reader No.: -s?-5--7 ?--?? J?4 permit Fee: 10.00 pd I agree to comply with the Yilloge of Eogan Surchazge:. • 50 pd Ordinonces. Misc. Charges MwteZ' 60. 00 pd Total: BY Date Paid: Date of Insp.: Insp.: vtLLadE roF EacaN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2287 Eagan, MN 55122 DATE: 7/15/74 Zoning: PiiD No. of Units: Owner: Crpat iVe HOusinq Address: Site Address: 3158 QuaYYy Court Plumber: Klamm Plumbing & Heating 1 ogrea to comply witb the Village of Eogan Connection Chazge: 400.00 pd 7/1/7, Ordinonces. Account Deposit: Permit Fee: 10.00 pd Surcharge: • 50 pd BY: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: RSS{DINT{AL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas (20% mauimum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calcula6ons • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 . Rim Joist Detail Options selection sheet (hidgs with 3 or less units) DATE 0 - C) C. " O Q RemodetlReaair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • t site survey for exterior additions & decks • Indicate 'rf home served by septic system for additions VALUATION A0alp StTE ADDRESS ?)IS4? QU,Q,'( (U COU6,_ MULTI-FAMiIY BLDG TYPE OF WORK 11' "r\&Q_X?b tA11? FIREPLACE(S) - APPLICANT i ! STREET ADDRESS TELEPHONE # (z(.'oZCQ4,•4444- CE _Y _N 0 _ 1 _ 2 RE\TEVWAL BY ANID'ERSEN, I?iiC. ; 1920 COUNTY RaAD "C" WEST I STATE ZIP ROSm VILLE, MN 55113 ?a??s9s3 i# PROPERTY OWNER ?O?\%-.) W?Y`-. TEtEPHONE # (?SI • ??I 2(SCoy ? Energy Code Category (4 submission type) COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 Plumbing Contractor: ___ Plumbing system includes: • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submi#ted Phone # ? __ Water Softener ? Lawn Sprinkler Fee: $90.00 ? Water Heater _ No. of R.I. Baths ? No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # ?^ ?, Fee: $70.00 , Phone11,# i hereby acknowledge that I have read this application, state that the in ormation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. Signature of Applicant rIAPA OFFICE USE ONLY Certificates of Survey Received , Tree Presenration F'lan Received _ Not Required _ . Updated 4/02 OFMCF-JUSE ONLY ? 01 Foundation ? 02 SF Dwelling 0 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 20 Pool O 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex p 18 Deck ? 23 Porch (screened) 0 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bfdgs Type of Const ? 30 Accessory Bldg 0 31 Ext. Alt - Muiti ? 33 Ext. Alt - SF 0 36 Multi ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 0 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 O' 37 Demolish (Bldg)* ? 43 Reroof D 46 *Demolition (Entire Bidg only) - Give PCA handout to applicant Occupancy 'MC/ES System Zoning ' 'City Water Stories Booster Pump Sq_ Ft. PRV Length Fire Sprinklered W idth Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS , - Foorings (new"bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Fool ` Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By , Building inspector 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 ..,...,.,..?... ?u? ??.?? r?. ?o? a?? •ggoo.,x?u??w nrmrunec?mr reoa1 .. s?r.+xo?• . Juna '7, ZOOI c- ity of Ea.gan 3836 Pilot Rnob Road Eagan, MN 55-122 ? To Whom It May Concgrn: _ Elder Jones is authorized to p'all bnilding permits for Rgnewal fiiy Andazsen_ plcase allow Elder Joncs to proti•ide this Servicc for us in date beyond 616I01; watil a?`anewal b And?xsen ' 'ITua auth cx?zahtm ?s valid foT ??y ? ' ??8 Ly y manam expressly revokes it in wiiting tY- I rcquESt this authorizatian be a'ccepted- - ? aur baildin ?P?dously, as to not delay in the proccssing of S P--mit3 i+ay faxthcr. Plcasc call mc If thcm acc aay qucsttona.. I can Ua cvntacted. at 763-502,4706. _ , . , - 9. ? . YOU[ it111riolft SftIILiOII LO thiS IbSttCi' I3 appBCiflYed. - ; Sinceiely, , vnd'R. Rau tistallation Ma?n,ager . Remowal by A,udascn Corporatiton . ('.c:: Ks?ra-Fdc?p:r T?nee • ? ou2 : C?H p MWY?a? Received Tia+e Jun. 7. 1:01PM wuuxsu CERr?FiCATE OF SURVEY r r OR CR EA T/ VE HOUS/luG /NC. - ? s (JTILITY ESl'7'7- 8y"Y8"W • - ti 7 00 137.30 - , 620 30 i 46•0 pROPOSEa D o ?? z o o1 I , T ? DW'FLLINGQ / ? ? i y O I ?O PLRN #7Re0 ersed ? ? ?Z [/ • ? v1 V? y -1 ? ?? 0 0 ?g •p ? ? z6,o . ?? . , o sca?E ')Q1 ? -?y H? 3°E ? 1 - 30, ? ? 30 \ -' lJ , -, O DEN0TES `nCiN 1 ?'??• MONUMENT Lot 9, Block 3, Donnywood Dakata County, Minn6sota mmm? ' TRANSPOFiTAT10N ENGpJEERING ARCHI7ECTURE dATNER. RINGROSE. WOLSFELD. INC 612!831-2300 7101 1IppK AVENUE SOUTM EDINA. MINNESOTA 55435 I hBreUy ceri fty tho' th?; survey wcJS pr8pOr8d by rm,(,r urider my (Jirect sjpervision and that I am a duly Registered l.and 5urv2yor undet e )aws of tt& 'iN te of Minnesota C)'. I td e'l - / 3 -7/--'ZReg. No. _7?95 - ?`aot ;z 8?? j 9 7 ? I agree that the City of Eagan is granting me a building permit in Donnywood Addition with the understanding that Eagan shall not be responsible for any assessments or improvements levied against my property and further that I assume further responsibility for any assessments or costs of Improvements. ? ? ? ? ?. ?? . ilk ir CONSTRUCTION EASEMENT This agreement made this 22nd day oF September, 1975 by and between John and Mary J. TancheFF, (hereinafter identiFied as TancheFf) and Creative Housing, Inc. , a Minnesota Corporation, (hereinafter identified as Creative). Whereas TancheFF is the owner of property identified as Lot 9 Block 3, Donnywood Addition, Dakota County, Minnesota, (hereinafter identiPied as the property), and Whereas TanchePP proposes to construct a swimming pool on the property, and cannot complete construction of the pool without accessing the rear oF the property From outside the property, and Whereas Creative holds Fee Title to Outlot A of Donnywood Addition From which the property can be accessed, Now thereFore it is agreed as Follows: Creative hereby grants to TancheFF an easement until November 15, 1975 to utilize Outlot A, Donnywood Addition as an access to the property For the purpose oF constructing a swimming pool on the property. This easement is contingent upon the Potlowing: 1. TanchefP shall remove, at his own expense, the sod from Outlot A and shall stockpile the sod for as long as equip- ment is accessing the pool construction area, or until October 30, 1975 whichever First occurs. 2. TanchefF shall restore the grade levels of Outlot A to the grade levels which existed on September 22, 1975, supplying any necessary Fill at his own expense, prior to re-planting the sod previously removed. 3. • TancheFF shall replace the sod on Outlot A in a wormanlike manner, rolling and watering the sod to promote growth. In the event that any or all of the stockpiled sod is determined (in the sole opinion of Creative) to be damaged or dead and to be un-plantable, then Tancheff shall purchase suFFicient new sod oF a quality acceptable to Creative to replace the damaged or dead sod and shall install the new sod on Outlot A at his own expense. 4. TancheFf shall deposit with Creative the sum of $250.00 upon execution of this agreement to be held in escrow pending satisFactory completion of conditions 1, 2 and 3. In the event that TanchePf has not completed con- ditions 1, 2 and 3 on or beFore November 15, 1975, then Creative shall have the right to complete `any uncomplete or unsatisFactory work, utilizing any or all of the $250.00(escrow Pund. 5. Prior to commencement of any work on Outlot A, ? Tancheff shall deliver to Creative, prooF of builders risk insurance in an amount not less than $10,000, and prooF mof public liability in an amount oF - not less than $1,000,000.00. This Agreement contains the entire agreement between the parties relating to the property. This Agreement may not be amended nor may defaults hereunder be waived except by an instrument in writing executed by the parties sought to be charged with such amendment or waiver. This Agreement shall bind and inure to the beneFit of the parties and their respective successors and assigns. This Agreement may be executed in any number of counterparts, each of which shall for all purposes be regarded as an original. This Agreement shall be governed by the laws of the State of Minnesota, and its terms and provisions shall survive the closing of the sale contemplated herein. 'IN WITNESS WHEREOF, the P i s have ? hands and seal this 22nd day of September, 7. AMENDMENT TO CONSTRUCTION EASEMENT TanchefF hereby agrees to hold Creative harmless From any costs oP medical care, lost compensation due to loss oP work or any other costs in the event that Tancheff or any person employed by Tancheff is injured or becomes ill as a result oF doing the work on Outlot A as required under the Construction Easement dated September 22, 1975. � Use BLUE or BLACK ink r---�---�-----_----� I For Office Use � � �� � Permit#: �� � ��� j �', �b� �1 ����� 1 P rmi F : ' .� � �� e t ee 3830 Pilot Knob Road � � � � ' Eagan MN 55122 � Date Received: � � Phone: (651)675-5675 I I ' Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ' Date: Site Address: Unit#: Name: �J �t''�I" � 1���- Phone: (D��" �o�`_�� ' Residentl ' `Owner Address/City/Zip:� �' �i.:)u�'�'�-�� (..�" = Applicant is: Owner �Contractor Type of�W01'k Description of work: K.--�v�-���'�:: L r'`j`�-11Zj�'G`1� ��'L— Construction Cost: Multi-Family Building: (Yes /No_� Company: 'f��. � � �_ ���-�-+'�i G(:. � .J-�" 'LContact 1`"`��'� Contractor i Address: �Zv� t,,�.3' `�,C��`}'`'` �� city: ��c�-1' //���� State:�Zip:���''7 Phone:r�fz "l9�! '"7���'anaiL• ' : License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) , I I I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �I 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: I Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents fhat you submif a"re'considered to be public information. Portions of fhe information may be classified as non-public if you provide specific reasons that would permit the City to conclude tha't 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.aopherstateonecall.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����� ��C�/�-��1���� � Applicant s Printed Name Ap ' . s ignature Page 1 of 3 , C!ty of aaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUG 032016 Use BLUE or BLACK Ink For Office Use Permit #: 30 0Og Permit Fee: (Q d Cl Date Received: 8'3 ") Staff: L. 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 1 U.') Site Address: 31 S3 aIALLYY► CI . Tenant: Suite #: Address / City / Zip:3 S J Name: Snelling Company License #: Address: 1400 Concordia Ave. City: Saint Paul State: MN Zip: 55104 Phone: 651-646-7381 Contact: Jody Pflipsen Email: jody@snellingcompany.com New Replacement Description of work: Additional Alteration Demolition RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge 100. 0 0 TOTAL FEE Contract Value $ x .01 =$ _$ =$ Permit Fee Surcharge TOTAL FEE 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. XPhilip Krinkie Applicant's Printed Name x Appli Use BLUE or BLACK Ink r For Office Use City of Eaall Permit#: I I V , Permit Fee: G(D , 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '2) ` q I 1 i Site Address: 3 S (2t ca.✓vJ CT €49 ctio,/►11✓..557z./ Unit#: Name: I'\�.i I > V) t (4— Phone: 0 5/— C842—01/45— Resident/ (rLfSResident/ JJJ ( Owner Address/City/Zip: 31 E O. (O vVj C1 GGt3Ct,�i Applicant is: Owner ✓Contractor r f G i' T e of Work Description of work: -7-9 >I-bV�s( (a � S l� I 0 x Ypfir Construction Cost: thiitif • 17 Multi-Family Building: (Yes /No ) Company: --� D''e9 y'l-(.- Contact: V I l<v1 Contractor Address: ' i ID -1-11-0--1 13 City:tcA.,✓h 50/ ik StateIO Zip: 5533`) Phone:952131-30°°Email: `._Arl I nel-e 4pei IS License#: -- 1%, 15" Lead Certificate#: f\)41-4-— 2Z 5'1(0,- OZ 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 maybe 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.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 ompleted within 180 days of permit issuance. x 1 WI La I `� /3' � Applicant's Printed Name Applicant's Signature Page 1 of 3