1407 Rebecca LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128020
Date Issued:10/23/2014
Permit Category:ePermit
Site Address: 1407 Rebecca Lane
Lot:1 Block: 3 Addition: Hillcrest
PID:10-32975-03-010
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 .
Shawn Butterfield
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 -
David I Wenzel
1407 Rebecca Lane
Eagan MN 55122
Millersberg Construction
208 County Rd 1
Dundas MN 55019
(612) 839-6783
Applicant/Permitee: Signature Issued By: Signature
, CAaH RECEIPT FCITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, M I N N ESOTA 55122
, pATE ( 19 . .
RECEIVED 4 . ,. FROM '
AMOUNT $ '
& DOLLARS
ioo
[-]CASIT Y[? -b}ECK
FOR
.. ' ? , l .'? ?
BY
?
White-Payers Copy
Yellow-Posting Copy
Pink-File CopV
Thank You -? ?
BLDG. FERMI'T NO.
-?
. . ;;
01-3210. 1?ld"g. K?`m -t- - -, "
01-3422 Plan Check ? -
01-3445 Surch./Adm.
01-3446 SAC/Adm. ?
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC -
20-3865 Water Conn.
20-3868 Water Trmt, i '
,
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
?
I
TOTAL
. CASH RECEIPT
. ._. _,:..?
CITY OF EAGAN
, • • 3830 PILOT KNOB ROAD
.EACaAN, MINNESOTA 55122
,
DATE 19 ?- l
RECEIVED
FROM
?.
AMOUNT $ , I
?
.
.?`
DOLLARS
? oo
? CASH ? ?kl-ECK
,
FOR
FUND CODE AMOUNT
J'
?
?
Thank You
BY
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
T.., . .
• ?' CITY OF EAGAN ? n
3830 Pilot Knob Road, P.O.'Box 21-199, Eagan, MN 55121 ?y •- ,, . 13150
PHONE: 454-8100 '
BUILDING PERMIT
Receipt #
To be used tor SF D47G/GAR Est. Value ? 7 j, i) 0 J ? Date
Site Address 1407 REBLTCCA LU
Lot Z Block 3 Sec/Sub. HILLCRES'P ADU
Parcel No.
W Name WM NUTTNER CONST
3 Address 960 WATFRFORD a7R W
° city EAGAN Phone 452-30$8
o Name `c"?"?
Z
o
Q Address
~ City Phone
? W Name
? ? Address
i W City Phone
Erect 11 Occupancy R3
Remodel ? Zoning -R 1
Repair ? Type of Const
Addition ? No. Stories
Move ? Length 45
Demolish ? Depth dd
Int. Impr. ? Sq. Ft
Install ?
Assessment.
Water & Sew
Police
Fire
Eng.
Planner
Council
Permit $ 402.00
Surcharge 35.50
Plan Review 201.04
sac 625.00
Water Conn. -525 ?- 00
Water Meter 67• v 0
Road Unit 305 . 04
I hereby acknowledge that I have read this application and state thatthe Bldg. Off. Tr. PI. 180.00
information is correct and agree to comply with all applicable State qf
Minnesota Statutes and City of Eagan Ordinances. ? APC Parks
? ---+°-?-
Signature of Permittee Var. Date Copies , ' • U -340 Total
A Building Permit is issued to: 4Jt? HUT'IVE}t CU.NST on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Psrmlt No. PermH Holder Date TNsphone N
Plynbiny U?,_%? ? ? ? ' - . ? •,L . ?t l ?, . J
H.V.A.C. 3 0/
ElecMc 0?? c/
sanene.
Inspection Date Insp. Comments
Footfngs I ? 7
Footfngs II
Foundatlon
Framing
Rooling
Rouyh Plby. 3 ? ?}
Rouyh Hty.
Inaul.
Fireplace
Final Htg.
Final Plbg. -?Zr
Bldq. Final
Cert.Occ.
Deck Fty.
Dsck Frmy.
Well
Pr. Disp.
r !?,
fUr#i#tratt uf Orxupttnry
titp of eagan
EP}1o1"t1tPttf Af llttlbtitg IItspPtfiDri
This Certificate rssued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the fo[lowing.•
use ci.ulrlcauon SF AWlCd",.; Blag. Pemiit rro. 3*1i 5A
s
ooooPancY TyPe znning ni.urict i? ? Tyye Co,?st, J
owner ot euilding {/'}1 4?; ?-i ;"•,.;-;;c : ; :??'•_`:"? p??? =1{?i? WA7'F?R1Y? ? ; Cii' _ *id , ?til1K-
r::'_.;:r?,'. + . X' t 3?`.'??i S?; ?;?•-u.7?
Bw7ding Address 1ta9;i I.ocality
- DBte: Building Official
POST IN A CONSPICUOUS PLACE
CONTRACT PF
Site Address _
Lot
? Name -
9 Address
c City
? Name L
c Address
O CitY _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
:r
h:
PERMIT #
. MECHANICAL PERMIT RECEIPT # c'2
CITY OF EAGAN - , !?- 7
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
Phone
-?.
? Phone
1 2 M BTU L a
- M BTU - $
M BTU $
M BTU $
CFM $
_ ?-
FEE
'
S/C: -
TOTAL•
BLDG.TYPE
Res. - ?
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
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 - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
. , PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE: PHONE: 454-8100
Site Address
Lot J 1_ Block
? Name jjiF
? Address '
N c City ?!saFr?-e?s?f Phone 7
Name ??fc, jli?E?"? I c :r. jt
3 Address uLwL{?.frc ci?
p Ciry ? F;?„? ,•- t Phone qeAa-
FEES
COMM/IND FEE - 1ai6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: ?/"/j- 7
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?_Water Closet - $3.00 $
_4--Bath Tubs - $3.00 3
_-P-Lavatory - $3.00 ?
__j___Shower - $3.00 ?
__?-Kitchen Sink'- $3.00 3
Urinal/$idei - $3.00
--t_LaUndry Tray - $3.00 ?
_..f__Floor Drains - $1.50 ?- `--"
--J_Water Heater - $1.50
Whirlpool - $3.00
__.?_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
'a Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: l ? ls?
W i-?-.?. . .. . . . . . ..v. r. . vy? ?v n . ... ..- ?v-«<... _ ., ? .- . ... . " _ _. .? . _ . .. . ?.. . .... . .
PERMIT#
??..; ? ? ..
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
_?ri• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: i 7•; .; •?-?-- PHONE: 454-8100
??_ Block -? Sec/Sub _
(D Name
m Address ' ?-?` ? .?io'? ?c%?!?"`?!' .,?-°_,
c City Phone 4'
? Name Gc Address 9r.''-3 y.
p City Phone
TYPE OF WORK
Forced Air M BTU $?_
Boiler M BTU $-
Unit Heater M BTU $_
Air Cond. M BTU ?$ l`
Vent. CFM $
Gas Piping Outlets # $?
Other $_
? FEE:
S/C: '
TOTAL•
?'. , . .,_ ._ .. _....., . , ,_...,_ _..._. ? . . .__ ._.,..__._. . ? _...,..._ .,.
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on ?Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkilAlT) -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
COMMERCIAL FEE
11 BEYOND $1,000)
1.50 EA.
'---1200
- 20.00
- .50 •
4 ?. _ .
, SIGNAr URE OF PERMITTEE
CITY OF EAGAN Remarks
Addition HILLCREST ADDITION Lot 1 Blk 3 Parcel 10-32975-010-03
owner street 1407 REBBCCA I.ANE state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 35 1985 2450.15 490.03 5
STREET RESTOR.
GRADING
:BAN SEW TRUNK
96EWERLATERAL 4- 1985 ' 4361.74 872.35
WATERMAIN
*MIATER LATERAL 1985
WATER AREA 1282
*Services 1985
STORM SEW TRK 1984 H 4 1
*STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
•r-??...?..4 .
....,..?
cmr oF IEAGAN SEWER SERVICE PERMIT ?
3830 Pilot Knob Road ?
P.O. Box 21199 PERMIT NO.: 9?' `? 7
Z?aga?n, MN 55121? DATE:
g: : i. Owner
' ??'iuttner Construc ion Units:
Address:
Site Address: 0 Rebecca I,37tP_ I.1 B3 ?Iillcrest "
Plumber. Tt$r g um}sii?t> ?
-?-zr c r- .
1 agree to comply wkh the City of Eagan
Ordinances.
By
Date of Insp.:
Insp.:
Connection Charge: _ 525.00pd
Account Deposit: - IS 00pd_
Permit Fee: _ 10 _0 pd
Surcharge:
Misc. Charges:
Total:
Date Paid:
' OF EAGAN Pernjt No: Date:
Pilot Knob Road Meter No: Size:
Box 21199 Reader No: Date:
in, MN 5512.1
Canst.
. GAS Ev,-
Plumber. --z riumning - -
.•,
Conn. Chg: 525. ()ppd
Zoning: 'Acct. Dep: ' P No. of Units: 1
Permit Fee: `?' ?? °'
Surcharge: '-5S 7,`' I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter. F 7.00nd
Misc : gy
WATER SERVICE PERMIT
?
?IT?' :. EAG,?N Perr-it No:
Date:
3830 PUct iCnob Roa'd Meter No: _376 ?S4. 7/ g1Ze;
P.O. Box 21199 Reader No: 0 3 P 93.5 03 Date:
Eagan, MN 55121
Owner. 1-illttner ::onst.
SiteAddress 140 7 PPhocr:; T-,T,a T 1 L•? r,?„---- -
Plumber. S tar Plumb ing
Conn. Chg: 525. OOpd
Acct Dep: ?70P?
Permit Fee: •???P e d1gg'n,_
Surcharge:
Tr. Plant •
Meter `7 i
Misc.:
R1
with the City of Eagan
By
WATER SERVICE PERMIT
CITY OF EAGAN
' A,p
i v
??? 5 0
3830 Pilot Knob Rcead, P.O.
Box 21-199, Eagan, M
? N 55121 ,?/
PHONE:454-8100 ,/??-7?
BUILDING P ERMIT Receipt#
To be used tor SF DWG/GAR Est. Value $ 71, 0 0 0 Date JANUARY 28 19 87
Site Address 1407 RE$ECCA LN Erect [a Occupancy R3
Lot 1 Block 3 Sec/Sub. HILLCRE$T ADD Remodel ? Zoning -R -3
Repair ? Type of Const
Parcel No .
. Addition ? No. Stories
W Name WM HUTTNER CONST Move ? Length 45
o
Address 9 6 0 WATERFORD DR ji?7 Demolish O
? Depth
F
S d d
Int. fmpr.
City EAGAN Phone 45 2- 3 0 8 8 Install ? t
q.
o Name SAME
z
o¢ Address
~ City Phone
?Q
F W
Name
_z
? a Address
a W Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
information is cor ect d agree to mply with all applica State
Minnesota Statutea?City of Eag?ances.,,,-,.? 0
Signature of
A Building Permit is i ued to: WM HUTTNER COISTST
all work shall be don in accordance with all applicable S e of Minnesota
Building Official
Fees
Assessment.
Water & Sew
Police
Fire
Eng.
Planner_
Council _
Bldg. Off.-
APC
Var Da et -
"'fa
Permit $ 402.00
Surcharge 35.50
Plan Review 2 O l. 0 0
SAC 625.00
Water Conn. 525 . 00
Water Meter 67. 0 0
Road Unit 305. 00
Tr. PI. 180.00
Parks
Copies
Total , ' ?
on the express condition that
City of Eagan Ordinances.
This request void ?ja fj? 7 71 y?
18 months irom
( 79340z 41 ?? ,?? ??7 ??,fF-c?
Req6est Date- Fi e No. ?touph n Inspection
r? equ ed? OReady Nuw ill Notify, Inspec-
?_ /14- ! „? nN„ , tor When Readv
ifensed Electrical Contr»ctor
? Owner
I hereWV`?equest insDect}6`n of abav
electrical work installe?et:
Street Address, Box or Route No.
? ,e 40 City
ect? n o. Towns ip Nama or o. I ange o. County
;&?
r?uean (PRI T Phone No.
o er Supplier Addres
EI ri al ontractor ICompany Name)
G ntractor's Liconse No.
i?Address Contracto or wner Making (lation)
l 6--
Authori d ignature (Con actor Ow r aking Install tion) Phone N mber
....? T
MINNESOTA STATE BOARD OF EIECTRICITY
Griges-Midway Bldp. - Aoom N•187
7827 Universitv Ave.. St. Paul, MN 66104
Phone (672) 642-0800
THIS INSPECTION REnUEST WILI NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
--
REQUEST FOR ELECTRICAL INSPECTION ee-e0?00-0?1--0-?5
? X?? 1 See instructions for completing thia form on back of Yellow copy.
715,11
-??? 4 0 "X" Below Work Covered by This Request 7.2 7 S?
dd Rep. Type o1 Buildiog Applioncee Wired Equipment.sWired
Home Range Temporary Service
. DuplOx Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm • ter peL1 y tner tSnocifyl
t er peci y t er Other
mmnido /ncnactinn
M Fee ServiceEntranceSize M Fee Feeders /S ubfeeders # Fee Circuite
/.O o U to 00 Am s 0 to 30 Am s 0 to 30 Am
Above 20 _Amps 31 to 100 Amps oo 31 to 100 A s
Swimmin Pool Above 100_Am s Above 100_Am s
Transiormers rri ation Booms Partial,'Other Fee
aigns apeciai mspection ?
?C?_ 70T FE?E/ /
errv?rks ? ?/ /r _ A_ .8UG1 .S v
final
n
? ??f? I. `?``??
? Inspector, heraby
certity thet the above
^-% D.te ,?? inspectio_p_hea_been
fhls request vold
.
2 2 2 2 9 3a ??-
4
?
1
:.
Request Date
? Fire No. Rough-in Inspection
Required?
? Ready Now ?] Will Notify Inspector
7 1$ $ 9 ? Yes X No When Ready?
i L? licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Address (Street, Box or Route No.) City
1407 Rebecca Lane Ea an
Section No. Township Name or No. Range No. County
Dakota
Occupant(PRINT) Phone No. .
Dave Wenzel 688-6911
Power Supplier Address
Electrical Contractor (Company Name) - Contrador5 License No.
Hilite Electrie Inc 040445
Mailing Address (Contractor or Owner Making Installation)
1953 Shawnee Rd Eagan, M
Authorized ' ture`Contracto e?kmg ?t) Phone Number
452-8886
MIOEMA STAYE ?36A*1d'4§ YLECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE ST.4TE BOARD
7821 Universtty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
ncUUEST FOR ELECTRICAL INSPECTION
Po, See ins_tructions for completing Ihis form on back of yellow copy.
??4L_22 `X" Below Work Covered by This Request
l % EB-00001-07
U ?3a,4,13
e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm X Air Conditioner
Other (specify) Contractor's Remarks:
Compute /nspection Fee Below: Job 20865
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 100 Amps 4.00
Transformers Above 200 Amps Abo e 100 Amps
SigfiS Inspectors Use Only: TOTAL
Irrigation Booms ? ?(J(J
Special Inspection
Alarm/Communication
Other Fee . 5 Q
I, the Electrical Inspector, hereby
tif
th
t th
b
i Rough-in Date
y
cer
a
e a
ove
nspection has
been made. Final Maid!
?
OFFICE USE ONLY
This request void 18 months from
co L RESIDENTIAL q019
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% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 6 R
P S53 3 -7
SITE ADDRESS _/ TO 7 /e?13 EGC? L.A-AJC_., MULTI-FAMILY BLDG _Y
TYPE OF WORK 9-/2 6 0F' 79-11 R_ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT (9
_ `
STREET ADDRESS S^? S ?' - Hw , ? 3 CITY 9te"5??LE-STATE
TELEPHONE # `76?? IYE'eVA ELL PHONE # FAX #
PROPERTY OWNER bJ9"U l/, W L hJZ -''Z- TELEPHONE #?S7- 6ef - 6 9 / I
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: -
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
---------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the informatioi
with all applicable State of Minnesota Statutes and City of Eagan 0,x9nances.
Signature of Applic
%?G?C?
OFFICE USE ONLY
VALUATION 9Co4 D/ J? U v
RemodellReaair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
. Indicate if home served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
? 10L I 5
I'ee: $90.00
Fee: $70.00
?_I? I---------
coIvl ta Cr„?y, 2rgi OdUe to ;6omply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required `
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
O 03 01 of _ plex ? 09 07-plex
0 04 02-plex ? 10 08-plex
O 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr, of Units
Nbr. of Bldgs
Type of Const
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
Pibg_Y or _ N ? 25 Miscellaneous
? 30, Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System Zoning City Water
Stories Booster Pump
Sq. Ft. PRV '
Length Fire Sprinklered
W idth
_ Footings (new bldg)
` Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Fin
? Insulation
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
REQUIRED INSPECTIONS
_ FinaUC.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding Stucco Stone
11 _ Windows (new/replacement)
_ Retaining Wall
Approved By , Building Inspector
1*
? • /5D
1986 BIIILDING PERMIT gPPLICATION - CITY OF EAG9N
NOTE: ILI. COATRACTOaS MITST BE LICENSED WITH THE-CITY OF EAGAN
SINGLE FAlIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
! ? ??
M[JLTIPLE DWELLIATGS - RESIDENTIAL RENTAL UNITS F08 SILE IIDTITS
INCLUDE 2 SETS OF PLANS, CExTIFICATE OF SORVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMIlKERCIAL
INCLIIDE 2 5ETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: S/k- /e Valuation: :z._ Date:
Site Address z?{07 ?eka?n'a ?-? Lot I Block 3
Pareel/Sub /?? //(f tC-'S?
Owner
Address
City/Zip Code
Phone
Contraetor GC/ P-A WC4- ?k'e'r a
Address
City/Zip Code ?ea q 2? S1L i
r
Phone 4'5-1 '3 o 91
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE IISE ONLY
Erect ?
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Occupaney ?• 3
Zoning fZ•I
Type of Const
4d of Stories
Length ?-
Depth ?
Sq Ft
APPROVALS FEES
Assessments Permit 4?07-
Water/Sewer Sureharge as-90-
Police Plan Review 2o 1,
Fire SAC (o Z 5,
Engr Water Conn 5 Z T
Planner Water Meter ?
Couneil Road Unit
Bldg Off Treatment Pl (160,
APC Parks
Varianee 5, 7-1. 8(?, Copies
ToTU.
NOTE: ADDBESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES NILL BE 9LLOWED ONCE BUILDING PERMIT IS ISSIIED.
? 2 X 12 ?= (? 4? ??? ?.
2 Z.,>c 2 ?.. ` 4 25 (q- Y, (z Ic-
?? 0e)
7o.?3cD4-
i
` Certificate for:
Huttner Constrt3ction 960 Waterford Drive
Eagan, MN 55122
DELMAR H. SCH1MANZ
LAND Sl1RVEY04" . INC
RPQ?SIwM7 Un04, lawe of Tne RIpM o1 M1an~ta
14750 SOUTH ROBERT TRAIL ROSEMQUNT, MIMNE$t?TA 55A68
SURVE FI'S CSATWiCATE
? ? ,,... 64. aoo t?4'?fr -
?r . __... __.
T ,
Drainage & utility T
? easement t
?
? hP? ? 1? %-? ? ss? o V
? ? ? ,r ?'•ct?Pa3?%? 4 ?R
?
b
'?o P , ? ?° z? __._ .- --? - f°+. : /og3:3 ?
,
0 I
. \
os
h ,?, ?Z4i. f? a
XAO,eCc.4
?--
110/17
. ,
wME 61= 423-1799
Q
?
?
?
V
`
?
? SCALE
1 inch = 30 feet
? p= Found iron pipe at
`
` property eorner
Q? unless otherwise
1ri noted
? • = Spike set at building
offset.
Proposed garage
floor elevation
from grading plan.
Existing elevation
I hereby certify that this is a true and correct representation of Lot 1,
Block 3, HILLCREST ADDITION, according to the recorded plat thereof, Dakota
County, Minnesota.
Also showing the location of a proposed house thereon.
House staked January 19, 1987.
Dated: May 5, 1986
, • kt::m Ucvclopcd by thc S[: Lc of tiinncsota uuil<:Ang C.oc?c iiivls,on?
TD EE SIIB`tITTtD WITId nUILDING PEiUtIT APPLICATION
a ? MTERIOR FNVF.LOPE AVERAGP. "U" CC1:iPUTATION '
D1;vER:
SITE ADDRESS: I ?O7 ??A@ G+?,
A( &w S? _ DATE• P}IONE:
CONTRACTOR• t(i' ?'- Wcc#n
Deterznine working equare footage of each
1. Total exposed Wall area.........
/5z-c.-.) sq.ft. x , // . /67.z
2. Tota1 roof /ceiling area......... &0 sq. f t. x r 0?? 4 L,
3.• Total exposed Wall area calculations: . Total exposed wall area above floor
a. Total wall window-area .............................. 90 .
bTotal door area .....................................
c. Total sliding glass door area .......................
d. Total fireplace Wall area ........................... --•
....?
e. Total Wall framing area (average 107.) ...........
f: Total net wall area above floor ..................... !0`f3
S. Total ria joist area................................
Total exposed foundation area - SO
h. Total foundation window area........................ --
i. Total net foundation area above grade ...............
Determine "U" value of each wall segment
8. ? V $ nQn ?-I' ' ? - 3to r ?
b. 3 ? X „uf, ?o , ,ae
. ? . ?
C. 3?c X op„ll- 15-5-
.?
d ?.--. x fluff --- -
. ?..._.._,-
xflu,i , 07
e.
' • f . ?b ??' X efUlr
$. X flUff
. h . x $lU?e --'-
.
' i. 50 X nUn ? ? ? • ?, (?
3. • TOTAL . ? -3Fl 2 •
If item t3 is the same as, ar less than item O1, you huve met the intent of
sBC 6005(c)2. •
?'.
' .. . .
4. Total extosed roof/eeiling calcula[ions:
Total exposed roof/ceiling area II 1???
- J. Total skyligh[ area ............. .................... ^
k. Total roof/ceiling framing area (averap,e 107.).........
1. Total net insulated zoof/ceiling area .................
Determine "II" value for each roof/ceiling seg:nent
?.
j ?...- , X f,uff
. •
Rflute
?.,
?. 19 ? - x „U„ 4, ' :TOTAL
If total of G4 is the same as, or•less than C2, you have net the intcnt
of SBC 6006(c)1.
Alternate Building Envelope Design
'?•:? -, .. • . . : . .
To utilize the total envelope system method, the values establislied by -
the sum of items 03 and #4 shall not be greater than the sum of items #l
and #2.
1. + 2. ?
. 3. + 4. - '
C E R T I F I C A T I O N
------ ------
I hereby certify that I have calculated the "U" factors and R values
herein and that the building her a described meeta or exceeds the State of
• Minnesota Energy Conservatioa Act.
? , -
?.?. ;
. . (Signature).
• ? `? 3 - ?.?
. (Aa[e) '
.?
.. .:?Yl11.Li . 1:1 ..J-?-._l: •J. t:. .
' 2:n7'Gr t?;c? -10':, of oi,:.jyu^, wall 'arca for
' 'fr.;,me con::tructivn • Construction , R-Value
eI.L0t( I L.., 1\ L;L -? ?,; ?
],. t- ior air film 0.6fl
? z 2. i.nches sofr. wond 4.1
, . ? ,D
?.
6. Extcrior c-iir film = 0.17
4TALL Total . j!,
FIG. 41 TOPVIEtI QF - \f?." 1??-??' i--.,, l ?.. : ; . ? ? FRT.t:E I•.T.I.L l. Intcrior air filta 0.60
. 2.
• j ` . 3 ;• ? , ?., ? ,,, . (?
. , 4 . ?
5.
,???.
, . ^? 6. L' x Cer i o r s i r f i l n 0. ]. 7
FIG. 2 ???t••? `? ?btal. I?:- ? ?.?? •
. • j . f • , I? ? ?`''! • , ,
7nteriar ai r film 0.68 ?
,?_ ?•' .??i ? .r.--""""?.?• , 2. , ;? ?` f;???''f ' ? ?f , ut)
4
?rLl `Sc? L '-• " ?.,"`?' '
03 5.
e-N '
6. Er.terior air tilm 0.17
TOtw9. -?'..? ?..
. .k ? . . ? . ? ,..
- ????.•:??' • _ „ ' "
? c?-. Interior air film 0.68
2 . t }' ! , ?" ?" ;•`1' i' jC
r '
?t72iJyTI C`2 ?C; . I? ° •" ? ? ?,` '
; ' t• • ? • ; ?`` 3. (> ?` f' , ,a, ;.t , • I 7 .;,
?'p.I.'? ? . ?? . , •?. ? ; ? ' , , ?
. • •
. • ??'? . ? ?? ? •• :y- j,. , ' ' 6. _ Exterior air film 0.17
Total
,._,..l? . .. . ?: >
,1p
?
SI,AB 0N G?'.AU:: .,
.?
? • X a ,? r : ' ? •? ? ' ?
? ? • • a ,
. . . . . . ?'???;rr ? ?? ?'? ? . ?• ,? ?. - . ?, r \ ?
w < •? ?6 i
'"' ? „i- •
01 /( ? _ iV ` .• ' ? • ? / ? ? ? :r
• ???` , ^ . , ? a , , >
. , ?.
--- ,
FIG. 44 r ? ' ' ? ?', ? . . ?• /I/: %;
?
/f( ??. '• o ?
_ f > .._ • / ' i? ? j
, ?=IG. #3 ___,
NOTG: 7ndicatr. CypQ, "I:" vhlun, dr.pth ani7
, . • ? . ? . placement oF insul:?ttAIl. .
?.
`I t ::? ' ?? (? ??41 ? • ?? I Y ]?? ? ?? ?? 6?1. ? E.
FOOP/Cf:ILIi7G
? . • ? i.
.. .. ? • i ? '
Conrtr.uction ' R-Valiie
Interior ai r! flltr. 0.61
2. .(,")11'1 (-.J.`?Z .-
T?? 1? ??1 q. rxtcrior zir filln (s:t:ill) 0.61
't•otal
, I ??','
VIITT '/ ,_;__ ? i I ?^ ?1 ` ? ( , c'
:.???? " ----?---------,--,
Lcac L•lo%: • •
? uP .. . . .
FTG. 115
" • , ' ' I(.??!?u ?CLJi+IN l??S,J4,.• .-?? C,)
r =' ?
? ?, • ' 1. Intcrior air film' O.GI
Z• +,[ 7 r f? ? (,l/lI Q-,r,
3 . ?,L 7 L, t?) KI
. 4. Er.terior air tilm still ? •
. Z'otal U"l!
/ {} • j ',? ' .. ? . , , ' " :' 1 ?. P • t../
3 0 . • .
.
, l:eat floc) vp vented : •
, . ,
. .FIG. #G . ' _ • ?
. . . . .. ......._._. _ . . .. _._ 1... .
3• ? ? :? 1. Ir,-:idc air fia.m 0. Gl
•.t -?r,??? 2 .
n? T.`?.?-!:??{:?..t;'?1 `-• ;S
• • :.1 . r!? / Q ??? w? ' • _'?? -?+?""r:? ?2 . ? • " .
. Outside air L•ilm •0.17
?r' ' ?-?."'--! 9'"??.. • i ?!-r"''"? ? 5 - Ta t al -
. . • • . ` ? , . .
. t;p,l_q?.,'TZO N^otes U::c addiCional ::liccts if morc:. --pace i
"' .. • nacded for detail-, a»d c<slculatians.
••, . ' Heat ' ? ?
floy up
FTf;. #?
;
?
? ? ; •
REQUEST FOR ELECTRICAL 1NSPECTION - ee-ooo-o??--o-s---
III, Sae Inseructions for completinp this fwm on back oi yellow eopy.
7
? C? '? ? "X" Be/ow Work Covered by This Request ?.2 ? 5
4am Ad Rep. Type ot Building Apptionces Wired EquipmentiWifed
Home Range Temporary Service
DupiHx Water Heater Lightin Fixtures
? Apt. Bui Iding Dryer Electric Heatin "
Commercial Bldg. Furnace - Silo Unloader - -
Industrial Bidg. Air Conditioner Bulk Milk TenK
Farm • cner peci V ther (Spor,ify)
t er poci y t or Other -
omoute lnsoection FPe Ra/nw
Jf •
- Fee -- -- - -
ServiceEntrenceSize
q
Fee
Feeders/Subfeedera
tl
Fee =
-Circuita
, /.O G U to ? Am s 0 to 30 Am s '?? G• 0 to 30 Am
Above 200 ps 31 to 100 Amps f, oA 31 to 100 A s
Swimming Pool Above 100- Am s Above 100_Am s
Transformers rrigation Booms , Partial•`Other Fee
?p
g
emarks v3?t 50 -70T
FEE
_ '
7- ?
; Rough-in i ? ?
i, I, th c
c
Inspector, hereby
Final
Date certi}y that the ebove
inspaction hea been
made:
This requeat vold 78 monthe fromx
. .. . ' - ,-
. . _ ._ f!:t r .. .
. . ;if' - . . ..... .. . A . ?i:.
? This rnquest void
{ 18 rtwnths trom ?/
°
??/`? 7
7
?
?
B!
/
( J 34 O 7l2 S?1
?A
/'/? 1? / y y?
?
°J?7J
Requesf Date _ Fire No. Aouph n Inspection
? Mequ ed? ?Ready Nuw ill NotifY. Inspec-
es ? No , tor When HeodY
icensed Electrical Contractor
? 1 h
'
erelSy ?equast inspect)
n of abqy -?
? Owner el
ectrical work inata?IeFf at:
Street Address, Box or Route No. City
le
ecti n o. Towns ip Name or o. ange o. County
r?upan (PRI T
oll X; Phone No.
o er.Supplier
7ti Addres
EI
actor (Company Name) ntr ctor's License No.
R
l
5
1
d
ilContract o or wner Mak?ne Ilation)
l ?
Authori d ignature (Con actor Ow r akine Install tionl Phone N mber
MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPECTION REQUfS7 WILL NOT
Grigga•Midwey Bidp. - Room N•187 BE ACCEPTED BY THE STATE 80ARD
1821 Univeroitv Ave., St. Peul, MN 66104 UNLESS PROPEH INSPECTION FEE IS
s i 2 • ititA o • i 5 ffQq) Wo , 51MEN"N ib ai. . ?.
.?. s •?• ? • •ir 6 • 0 •2 • ?? ? ? IMI • • :
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
1) PROPII2TY ADDRFSS :
LDGAL DESCRIPTION:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
• i: a?•
3)
'.J 1
ADDRESS:
CITY, STATE, ZIP:
PHONE: ?
MASTIIR LICENSE # ,?3 :2 'y
For City Use
Plumbers LicensE
C:tt Active
Q Expired
C] Not Recorc
I Staff Initial
4 ) • ' ?' ?+'
NAME: ?j' •? ,?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
ia • ?• • a• ?+?
.5)
OXOiVNECTI0N TO CITY SEWER Q,CONiVECTION TO CITY WATER
Q OTHER (Please Describe)
6) ?iv Z , _ • ?i ? -
? PLEA.SE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE
CP/PLFASE APPROVID PERMZT TO 1,(2j/ 3, 4, ABOVE
Q? .
(Cafcle one)
7)
Pr
sion or
IF EXISTING STRL'CTT-IRE, DATE OF ORIGINAL BIJILDING PERMIT ISSUANCE:
(Month Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DL'PLEX ('Itao Units )
R-3 TOWNHOL'SE (Three + L'nits) ( Units)
R-4 APARTNIENT/CONIDOMINIL'M ( Lnits )
COMMERCIAL/RETAILfOFFICE
INDL'STRIAL
INST I T['TIONAL/GOVEEtNN1ENT
I
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
3 7
FyEs : $ ( e-\' ??1 1
SE:??c.?? T_'E?2'?.IT (I`IC:I.:;,.^.rr SURCH?fGE)
WATER PERP4Ifi ( IIJCL'u'DE SliRCHAIGE )
WATER METER/COPPERHORN/OUTSIPE READER
$ WATER TAP (INCLUDE CORDORATI0N.STOP)
$ SE:JEB TAP
$ L?0SI= - S_. ER
$ ACCOUNT DEPC?SIT - WATER
$ WAC
$ SAC
$ TRtiVK WATER ASSr:,SS:iE:1T
$ TRliNK SEtJER aSS,TMSSME:+T ;
$ LATE?;AL BENEFIT/TRU`1K SL:?IER ;
" $ LATE:tAL BENEFIT/TRUNK WATER
,
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL ?
$ 26 2- % ? A111OUNT PAID/RECEIPT
71331
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN FUBLIC RIGHT OF!WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
F-7 NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWTNG CONDiTIONS: APPROVED BY: ^
r .
TITLE:
DATE :
?o° '7 --D
_2oes RESIDENTIAL PLUMBING PERnrtiT APPLfCATION ? -?
CITY OF EAGAN ?j
3830 PILOT KMOB ROAD, EAGAN MN 55122
651-875-5675
Please complete for madifications to existing residential dweilings.
Date 5- I I 1 _ 01
Site Street Address _A_ CF-I Unit #
Property t)wner U '41 aa uip,.VI tXA Telephone # ( Wl ) ?99lgqI.?,.,,...
,
Contractor -,...1 Lk ?_Iz. f" 1 I?t .,t9l?,I?1 ? vt 41
Address,??,.5__? Sk ??l.P Ci#y
Telephone # (& (9) & g 44 l ba
State__&ILL Zip g?,?5?
_Septic System Abandonment
_ Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener _ Water Heater ? $ 15.00
new _ replacement ?
Lawn irrigation ?RPZ _)LPVB _new _repair _rebuiid J $ 30.00
State Surcharge 1 $ .50
Totai I $ 3c) ?0
apply for a Residential Ptumbing Pennit and acknowiedge tfiat the infoRnation is complete and accurate; that #he
work wiil be in confarmance with the ordinanees and codes nf the City of Eagan and the plumbing codes; that I
understand this is not a permif, but only an application for ap+ermit, work is not to start witfiaut a permit and work witi be in
accorriance with the approve.ci pian in the event a plan is required to reviewed and approved.
Te, (,-)- e. / se-t _,z
ApplicanYs PriMed Mame icant's Signature
?
?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1407 Rebecca Lane
Lot: 1 Block: 3 Addition: Hillcrest
PID:10- 32975- 010 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
David I Wenzel
1407 Rebecca Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA077645
05/07/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1407 Rebecca Lane
Lot: 1 Block: 3 Addition: Hillcrest
PID:10- 32975- 010 -03
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391 -5514
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
David I Wenzel
1407 Rebecca Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA089508
06/03/2009
ePermit
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.
Use BLUE or BLACK Ink
For Office Use I
/023S
City of Ea,~,n I Permit
I I
Permit Fee: I
3830 Pilot.Kn6b Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 1q0:1 RQ, xcw [61M
Tenant: Suite
Resident/Owner Name: LJWQ W 112LI Phone: U51- 2&1 L7a11
Address /City/Zip:
Name: Wenzel-Plymouth Plumbing, LLC License 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Lawn Irrigation C_ RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures C_ Main Lower Level)
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; th"e work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
x Carl Michels x
Applicant's Printed Name Ap cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final