Loading...
4554 Slater Rd• 06/11/2010 FRI 11:56 FAX Date: C!ty of Egli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1l Rini 2010 COMMERCIAL�BUILDING PERMIT (% ~ iO Site Address: % 661 1O4 £ ,c Tenant Name: 12002/005 Use BLUE or BLACK Ink EWER 630/ Permit Fee: Permit #: Date Received: Staff: APPLICATION GA ft 4 -act (Tenant is: New / — Existing) Suite #: Former Tenant: PROPERTY OWNER Name: 11101\0...MON. (2:;3_Q LLP Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK D Description of work: .c,rt-) tai CO *A6t1/4- Construction Cost: `` ,''f 5 4 G' CONTRACTOR Name: ►&CS 'I i�rcense #: ) -7 `I h t J Address: 0=3.� lo� ' � City: A- 1 ' 332s. f '/,t State: W v \ i 1i11' Zip: . lie Phone: (76.3) Yi(7(Cr- a�S `Q Contact: �TVAA- Email: 61 �t �V+1SP�C(1. [; ARCHITECT / ENGINEER Name: g J ' f _ - t ,- rc..,- Re stration #: �� ` L ,�,r 4 Address: WU+Sc1\ h ! 1 V e_, City: / r 1,! S State: , ' L61! Zip: J^ I i 5t Phone; MO /�� ( Contact Person: ej Q /^+ U -k(\Ze,1, Email: lan - S I LAZ.e.e % 9 Gt k Le Licensed plumber installing new sewer/water service: Phone #: N, CA l „f},13arisar7up111.g.lo60ertsAte.00,14/, a; el!c0s1ded'fo'be,pb7l ,q.d'tafoc� (ans or}o H!,e1100rr1/94s,17-4,WCsl ii /,„)rrtilc.ifyodp#6sp r,i so iltattbi)t)4a iiip4,:pptyto,. , ;', , ,ht4: .,hrit!tri=ui:..,...' . ,vconctrsde.fJiattlie,,'rtl`d6.s0 '..*;.. •r„', ";iyl:?;asVii s h.. CALL BEFORE YOU DIG. Call Gopher State One Can at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwwfnopherstateonecall,orq 1 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 M SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) _ Storm Damage _ Porch (4 -Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool Miscellaneous _ Interior Improvement _ Move Building Fire Repair Repair (25%_ 100% X ) Census Code # of Units # of Buildings Type of Construction V REQUIRED INSPECTIONS Footings (New Building) Y Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant 6'1N1 -9v7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r140Ai/ 00'7 f Page 2 of 2 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: S.-- ` I% - Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: q:2)9 -b7 (L/1' c6- 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: Site Address: 443:5-2-1-er 41,66 Suite #: RESIDENT / OWNER Name: C, InflUVAL)rs, t a j E.. Er° P AP., k gPhone: ,e Address / City / Zip: `TS_t ? S hit, J (J Applicant is: Owner X Contractor TYPE OF WORK Description of work: \1\/4,ji o)G�t(,�'ty\t;(id" 01- C;d A fee h Construction Cost: `/ bf OOD Multi -Family Building: (Yes x / No ) CONTRACTOR Name: CD \ ikce, C(ily License #: ff / % Address: ,.3Y5- J D J1 vt W- - City: (-Do `cl eA Kiley State: IN 1T- Zip: SS -1 �7 Phone: (16?) ,C /-3 OD Contact: S J l.l.' -J j'i-1✓3!'C Email: 744D G i '('.i Efe/1 epi.. G©M. COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. x S± ! L (IiVIL Applicant's Printed Name Applicant's Signature Page 1 of 2 CITY OF EAGAN WATER SERVICE PERMR 3830 Pit. t Knab Rosd ~ P. O. Ro„ :~1199 PERMIT NO.: Ea9- ~ a5121 DATE: ! Znnfrq: ~ No. of UMts: 3 t s i pM,Mr: '_rana & Sons '1 S~ rsslYflSlil . ~ , ~ r n ~ ' ' [ ~ . T . . I Tl?12Ti il i i ~ . ~,I ~11RIbQr: ~ ,..L L _ ~ ~ i ; ! ~ ~ No.: 3~a ~ ~ ~ ~ .t ' si~: ~ ~o~~C ~ Reodar No.. 4 ~cI ~ak~~~~i~~ . . ' I 'O~h~i !e e~~ wN61iM ~ ~ . ~ ~~~ipa~in.L a . _ REQU~RE~~~ ~ ! Date Raid: ~ Dote of Insp.: ~ ~ fl~ ~ b'G Cc....~i l~-c~rT L S~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Bo ?11!!9 PERMIT NO.: Ea~qn, Mta 55121 DATE: Zoninp: _ No, of Untrs: Owner: ~ ;r. Address: SiM /~ddress: ~ ' S S ~H. t _ . , . ~ n N ~ .7 7 Plurr~ber: ~::~aP~ ?~~ct.ar~-:c.:~.i Mste~ No.: - ~ Conneetion Chorps: _ . t)p~i Si~: /lomunt , Deposit: , Reader Plo.: Permit Fee: '•~c~ ' . 1 pM to ao~ol~r wilb 1w E+a~~ $urcho ~ ~O~' ~ ~ MTsc. Ciwrpes: ~ o ? r~~' t?~ Totol: By Dote Poid: a~ ~ i~,.: r~.: CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Kn~b Road P. O. Boi.'1199 PERMIT NO.: Es~an, MN 55121 W1TE; ZoninO: No. of Units: 7 TMr. i t v 41NM~: ~t1~8118 JC~1:i~-, ~d IQ55: S~te Address: '+5`~14558 SI.~c~c `;c:u.; T4 C'i:~i~nor, er_ysr 7 Plumber. _ ' ~:nZ+r~ 2~€e~~1Rt~ iC~ i . . 3.'_ _g~ , _ ' " ' _ ~l„ f - J .'~'i\; ~~I~N *O 001M~J N~~ ~ Q~ ~ M/0~ COfIMC'~~dl (~1C1~l: i i t~ !~:i nr~ Or~iiMne~a. Aooourt Deposif: ~fl11~~ ~OR: ~';'r,Yrl Surcha~; 5 fl BY Misc. CFa?9es: Dote of Irap.: Totai: ~~P.~ bat~ Paid: CITY OF EAGAN ~t c • -~~~y 3830 PUot Knob Road, P.O. Box 21-199, Eagan, MN 53121 , i~ U PHONE: 454-8100 BUILDING PERMIT 5~E: BP Receipt ~t '1 j~ To be used ror 12 UNIT M. D. Est vaiue 11325 Date NOVEMBER 21 19 ~35 SiteAddress 4558 SLATER RD Erect C~ Occupancy SEE BP 11325 Lot 4 Block 2 secisub. CINNAMON RIDGE Remodel ? Zoning Parcel No. 7TH ADDITION Repair ? Type of Const Addition ? No. Stories Name CI[~NAMON RIDGE LTD PARTNERSHIFove ? l.ength = MARQUE'P'1'E AVS 3TE Demolish ? Depth o Address ~ Int Impr. ? Sq. Ft City '~PLS Phone Insrau ? o Name ~ANA fr SONS INC Approvals Fees Address 90 MARKET PL DR Assessment Permit SER BP ~ ~~Ty EDEN P~~tIE 94 -0282 Water 8~ Sew. Surcharge 11315 ~Q WINDSOR FARICY ARCHITECTS Police Plan Review F W Name Fire SAC ~n Address~S W 5Tft ST. - STE 375 Eng. WaterConn. ~ W ~;~y ST PAU~sho~e 227-0655 Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe ~d9 Qff. STr. PI. information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. APC Perks Signature ot Permittee ~ ~ Var. Date Copies FRANA ~ SONS INC Total A Building Permit is issued to: 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 - - ~ PNmR Na P~rmit Hdd~? Oab TN~phan. N PIum6~y ~ 1..~~~ - b~. ti ~ ~ - C}~ ~ H.K#.C. ~ ~~C~' Ci(.i11~}' ~ ~7 >~~7 ~ c~~~~a i<~N+ f~_~_ `ilN k~ ~ ~o - - ~°.av-r~~ _ . ` n_,c c~~ _ son.nK ` l S sy + ~ . -.-Lt_ , ~ ; ~ • ~ ~V ~ / , Insp~ctbn Dab Insp. CommN+b Footlny~ I ~ Foodo~s It FoundaNon Frsminy o ~ RooNnq Rouyh Plbq. ~~I- F_f 1J 2 - C ` Rouqh Hty ~ 6 ~j Inwi. ~~~.5~/~~ ir.K r Flroplsce / ~ r r p Fi~al Hty. ~ . Flnal Plby. ; j ~7 ~ ~ ~wdy. Find Cerf. Occ. ~ ~ - J i~ , ` D~ek Fly. D~ek Frmp. DMe~ib~ Loeatlan: w.M P.. oi.r,. _ . . _ . . _ ' PERMIT # . L ~ C~ ' ~ • y PLl)MBING PERMIT 7 ~ pTY OF EAGAN RECEIPT # p o 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 8~~~~~ CONTRACT PRIC~ ~0O ~ pHONE: 454-8100 Site Address ~ ~-~e~' ~ B~DG. TYPE WORK DESCRIPTION Lot___~__ Block Sec1S ~ ~ > > Res. New ~ m Name 1 e- ~ L ~ Mult Add-on Addrpss ~ ~ f~ i~I ~ E• c ~ i E Comm. ~ Repair ~ . c Ciiy~-'~"~'' ~ N phone ~ ' S ~ Other ~E L` ~ ~ FIXTURES TOTAL Name ~ ' ' Water Closet - $3.00 c Addr a.'` c~ a c C f v e ~gath Tubs -~3.00 p3 Cit~P" rc` ~.~,L.Q_ Phone U ~~Lavatory -$3.00 Shower - $3.00 FEES ~Kitchen Sink - $3.OU COMMIIND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RE5IDENTIAL FEE _ g~p,pp ~~undry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20,0p Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ .50 ~water Heater -$1.50 Whiripool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outiets -$1.50 BEYOND $1,000.00) Softener = $5.00 Well - $10.U0 Private Disp. - $10.00 ~ , . -fl~Fi~' Rough Openings - $1.50 SIGNAT E OF PERMITTEE ~J FEE • d~ STATE S/C: ' s~ GRAND TOTAL SJJ FOR CITY OF EAGAN C'~ -~..o~.o} , CITY OF EAGAN . ~ ,~c 3830 P~ot Knob Road, P.O. Box 21-199, Eaa,~an, MN 55121 ~ i.. PHONE: 454-8100 BUILDING PERMIT ~~,F BP Receipt# ~ ` Tot~ewsdtor 12 UNIT M.D.Est.value 11325 Date• NOVEMBF~R 2I ,~g85 Site Address . 4 5 '~'LATER sZD Erect L~ Occupancy ~~E AP 1132 `.i Lot 4 elock Sec/Sub. CIAINAMON RTDGE Remodel ? Zoning Parcel No. 7TH ADDITIOiV Repair ? Type ot Const. Addition ? No. Stories ¢ Name CIi~I`~p'1`''nN RIDGE LTD PARTN~'RSH~Ve ? ~ength _ ~ ~ ~ Demolish ? Depth ; Address Int Impr. ? Sq. Ft ° City ~''Y'1 ~ Phone 332-5544 ~natau ? o Name ~`'?j~T~A d~ SONS INC Approvals Fess ~ i Address ~ 4~ Q ~°~KET PL DR Assessment Permit ~ ~i~ ~;D~?~ P~IE 941-0282 Water & Sew. Suroharge Police Plan Re~iew ~i a Z iti~)SUR FARICY ARCHITECTS ~ W yWj Name - STE 375 Fire SAC Address 21 " STIi ST. ~ ~ o Eng. Water Conn. t W ~m, ST PA[~~e 227-0655 pianner Water Meter Council~ Road Unit I hereby acknowledge that I ha~e read this application and state that the gldg. Off. i~~ ~ i~ ~ Tr. PI. information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. APC Parks , ~ - • - Var. Date CopieQ Signature oi Permittee ~ Total A Building Permit is issued to: FRANA 8 SON$ INC on the express condition thet all work shall be done in accordance with all app~icable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ J~ P~emlt No. P~rmit NoIdK Daf~ TN~pha» N Plumb~y ~ ' ,ti . ~ - H.V.A.L~" ~ 6 ~ S7 Elsctrlc C , a. !U ~ ~ ~.L. / 0 b CC ~i ' °C_e-~.tic~ C~-~:E~- - " ~ SORMN ' L~ ~ 5 L S Q. - J C ' l -r 11 ~L _ !C /8 ~ ' Irap~ctbn Date In~p. Comm~nb Footlnya I ~ ~j~ FooBnqall Foundaffon Fnminp ~f Rooflny Rough P16p. C--/-~~ . Rouyh Htg. / s ^ ~ Insul. . ~ ~ ~ Fksplaca ~ ~ . FInM Ht9. ~ ~ FMaI Plby. ~ Bldy. Final ce.t. o~~. ~ kJ.~ a, uJB ~y ~ ~ . D~dc Fty. D~ck Frmp. Da~eribe Locetbn: w.u Pr. Diap. - --.r T_. . , _ . , _ . . _ „ . ~ _ . PERMIT # ~ ~ ~ 7 ~ ~ i ` PLUMBING PERMIT ~ S ~ CITY OF EAGAN RECEIPT # p0 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: - v~ CONTRACT PRICE: ~ UO ~ P ONE: 451-8100 Site Address ~ ~ R BIDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/ m ~ ~ Res. New x m Name ~r ~ ~ ~ Mult Add-on ~ Addr ^f-~ Gnn e ri ? Comm. ~ Repair c Ci ~ Phone -5~ L~S Other _ ~ FIXTURES T~TAL Name ~ c', ~ ~ , - , Water Closet - $3.00 c Addre,say 4'~ i~ arhr-T f i~~ t , Bath Tubs -$3.00 p Ci~_::!~ - ' ~ i i, ~ E Phone~/ ' C ~Lavatory - $3.00 • ~Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMJM - RESIDENTIAL FEE _ ~~p,pp '~~undry Tray - $3.00 MINIMUM - COMM/IND FEE _ 20,pp ~Floor Drains -$1.50 ~ Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,OOQ.00) Softener - $5,00 Well - $10.00 ~ ? Private Disp. - $10.00 r Rough Openings - $1.50 SIG RE OF PERMITTEE - FEE STATE S/C: ~ GRAND TOTAL• 3'O-5~ FOR CITY OF EAGAN ' w , < < . . " . ,rv : * . .Q . ~ : .y~~~i-~ ~.sl_; , . .i -sr+-. ~r ~ !~n~! ~4~:~... I..: ~ r'~ fT~^~7' ~ . PERMIT # ~~~6 MECHANICAL PERMIT FiECEIPT # ~ l 3830 PILOT KNOB OAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: ~ 5 2, U44 . 55 PHONE: 454-8100 Site Address ~ `Ce i'~`~ • BLOG. TYPE WORK DESCRIPTION Lot Block Sec/Sub , ~ ~ , , ' . ~ - Res. New - Name ~ti =~2E;L :~EC:iA^: r.C",i. Mult Add-on l Addfess 'r'OC~ ~:ecilebe~ :t:r` c City _ . Phone ~ _ -1. ~ ? ~em. Repair Name . . & Son L~c. FEES ~ c Address ~'~~rket r lac~ .~r. RES. HVAC 0-100 M BTU -$24.00 0 C~ E~l~n Prairic~ pho~e t-0282 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 ~iU ~ Ul)U ~ 20 .~`IU aAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOMD $1,DQ0.00} Gas Piping Outlets # Other • ' FEE >ZU.UO , , ~ ~ ~ S/C: . 5l? SIGNATURE ~F PERMITTEE TOTAL• - ' ~ . ~ ' FOR: CITY OF EAGAN CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 113 4 5 PHONE: 454-8100 r~~~s~ BUILDING PERMIT SEE BP Receipt # To be used ior 12 UNIT M. D. Est Value 11325 Date NOVEMBER 21 , ~g85 Site Address 4 5 54 SLATER RD Erect ~1 Occupancy SEE BP 113 2 5 Lof 4 elock 2 Sec/Sub. CINNAMON RIDGE Remodel O Zoning Parcel No. 7TH ADDITION Repair ? Type of Const. Addition ? No. Stories ¢ Name CINNAMON RIDGE LTD PARTNERSHIIlbVe ? ~ength = MARQUETTE AVE STE Demolish ? Depth o Address Int Impr. ? Sq. Ft C~ty MPLS pnone 332-5544 ~nsta~~ ? o Name FRANA & SONS INC AR~°Ya~~ ~ Address ~490 MARKET PL DR Assessment Permit SEE BP ~ EDEN PR~~IE 941-0282 Water & Sew. Surcharge 11325 WINDSOR FARICY ARCHITECTS Police Plan Review W W Name Fire SAC Address 2 8 5TH ST STE 3 7 5 Eng. Water Conn. ~ W ST PAU~,o~e 2 2 7- 0 6 5 5 Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. Off. 11~21/8 Tr. PI. information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and C~]y Ea aqOrdinances. APC Parks ~ U Var. Date Copies Signature of Permittee ~l G Total A Building Permit is issued to: FRANA & SONS INC on ihe ezpress condition that all work shall be done in accordance with all applicabl tate of Minn ota tat tes and City oi Eagan Ordinances. Building Otticial ~1~ CITY OF EAGAN ~ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N~ 11346 BUILDING PERMIT PHONE: 454-8100 SEE BP Receiptp 7obeusedlor 12~ UNIT M.D. Es~value 11325 Date NOVEMBER 21 19_85 SiteAddress 4558 SLATER RD Erect L~ Occupancy SEE BP 11325 ~oc 4 siock 2 SeGSub. CINNAMON RIDGE Remodel ? zoniny Parcel No. 7TH ADDITION Repair ? Type of Const. Addition ~ No. Stories ~ CINNAMON RIDGE LTD PARTNERSHIPi'~a~e ? Length w Name ~117 MARQUETTE AVE. ~ STE 200 Demo~ish ? Depth o Addres Int Impr. ? Sq. Ft , city MPLS phone 332-5544 ~nsta~~ ? a FRANA & SONS INC Approvals Fees o Name ~a Address749O MARKET PL DR Assessment Permit •GF~ BP ~ ~~~y EDEN PPp~~IE 941-0282 Water&Sew. Surcharge 11325 G=. WINDSOR FARICY ARCHITECTS Police PlanReview w w Name Fire SAC AddressZB W STH ST. - STE 375 Eng. WaterConn. gW ~iry ST PAUIphone Zz7-0655 Planner WaterMeter Council Road Unit Iherebyacknowledqethatlhavereadthisapplicationandstatethatthe BIdg.Off. 11~2~'~a TGPI. information is correct and egree to comply with all applicable State of ' Minnesota Slatutes and ' f Ea an Ordinances. APC Perks _ Var. Date Copiea Signature of Permittee FRANA & SONS INC Total A 8uilding Permit is issued to: on the express condition that all work shall be done in accordance with all a 'cab tete of Minnes a S tes and City of Eagan Ordinances. Building Official ` _ ~ ~..a XfL REQUEST FOR ELECTNICAL INSPECTION Ee-oucwi-oa ~L/,'~ ~ See inslmctions br tompleti~q this Imm on back of Yellow caDY. a ""X"' Below Work Covered by 7his Request 1316~ ~~5`~ HAd Neq. Type ol BuildinB ~+OO~~ancee Wired Equiumen~ Wired Home Range 7emporary Service DUplex Water Heater Lightiny Fixtures , Apt. Buildine~ Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader. IndusIcial-Bidg. Air Conditioner Bulk Milk Tank Farm O~n.:, pec~ v Clher ISnec,ryl t v.r Sueci v t er otn~e. ompute Inspection Fee Below II Fee ServiceEnhanceSixe tt Fee FenEers/Subieeders N Fee Gircuies U to 200 qm s 0 to 30 Am s 0 to 30 Am s dD Above 200 qm~s~~ 31 to 100 Ainps 31 to 100 qm s Swinmiing Pool S~~eo Above 100-Am s Above 100_Amn Transiormers Irngation Booms , D Pdrtial-~Other Fee SignS SUecial Inspection S y~y!• Remvrks //sy~ ~ TOTAL FE€ ~ _f~" ' nouen-in . oate ,I~ I, the Elec~ricel /(Y~~ Inspecloq hereby certify that the abova Final / ~^~e^~~ inspection has bean o~ ~ae. tMa reQuest voltl 78 montM Irom lqis requast void /O/~~~~'(C ~ 7)! 78 mpnths (rom b C -~:316 8 _ ~ ~ . ~ ~ r~ c~ ~v. ~ , ~ . rJ f) / S , R iuest Date ' Fire No. ~ioaph-in Insuer.tion He~q *eA? Ready Now ~Will Nolify InsPec- ~Q" `~~es ?Na lor When HeadV ~censed ElecVical ConVactor I hereby ma~est inspection oi e0ove ? Owners electrical wark instelled at Stree[ Address, Boa or Route No. n Girv ~/S~l/- $8 er /td~. ~ on ecuon o. Townshi0 Name or No. Nanee o. Counly Occupan~ IPNINT) Phune No. Qn4 SO Power Supplier Adtlress ~ ~~cG r~'~ ~ !n'`- Elecvical Co/nvactor ICom/pany Name/) Coniractor's License No. 7~~ G`-/ecTrl L MailinB Atldress (Contraclor or Owner MakinB ~~~smflationl AuthorizeA S~g^am 1 n[racmr/Owner Making Installationl Phune Num/be~ / ~ ~ MINNESOTA STATE ANO OF ELE flICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway 91de. - Aoom N~1 BE ACCEPTED BY THE STATE BOAHD 1821 Univarsity Ave.. St. Peul, MN 55704 UNLESS PNOPEP INSPECTION FEE IS Fhone 1812) 29]-2N1 ENCLOSED. ;a a ~ , 1692 ~3 ~ C'<-~-, ~ 7~~ _ Request Date Fire No. RouPh-in Insvection flepwred? ~Peady Nuw~`Nill Nnlity, Inspec- ~Yes ?NO or When Reatly lfcensed ElecVical Contractor I hereby request ins0ection ot abova . ? Owner elaMrical work installatl eL Sveef Atldress, Box or Houte No. Ci~y A-1 ' S ~ `-iSS S ecvo~~ o. Townshio Name or No. ange o. Counry Occupant IPRINTI Phone No. Power $uppliet Atltlress Elecfrical Convactor ICompany Namel C~~har,tor's License No. ti' W' E\cs~s~oc~.~s S55 y MailinB AdJress ICoMractor or Owner Making Insta lationl Q~ ss~y Aul~ori eE Sign ture IGOntract / wner king nsiallationl Phone Number ~ ~ /Y. 553 - O MINNESOTA STATE BOAflD OF ELECTAICITY THIS INSPECiION PE~l1E5T WIIL NOT Griggs-Midway 91dg. - Boom N.191 BE ACCEPTE~ 0Y THE STATE BOAND 1827 UnivarsitY Ave., St Paui, MN 66104 UNtESS PflOPEB INSPECTION FEE IS Phone (812~ 297-2111 ENCLOSED. ,l~L' REQUEST FOR ELECTRICAL INSPECTION ~ , , See instraclio~s for evmpleti~W this form on beck of Vellow coPY~ ~(o~y~ 16 C~ 2 -!!k BeMw Work Covered by This Hequest AAd ReD. Tvpe a1 Builtl~ne Aoo~ion<ee Wiratl EquiVmanl Wiretl Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildinc~ Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unloader. Industrial Bldg. Air CorWitioner Buik Milk Tenk Farm ~ner oevi v ~ner tsner.ifvl~.'y t,r Suecify t er Orh~ y omput lnspection Fee Below p Fee $ervicaEn[~OnWSi¢e H Fae Fexdars~5ubieeders N Fee Ci~cuits U to 200 qm s 0 to 30 Am s ~ tn 30 Am s Above 200 qm~» 37 to 100 qmp5 31 to 700 A s Swimming Poo~ Above 700-Am s Above 100_Am~s Transrormers Irrigation Booms Partial-'Other Fee Signs Special inspection ~C^ TOT ~ FEE emarks J~.! Nouph-in Dnte , ~ , t~~ « ~e~,.; ~~snee~o~. e.env Finel 'r. certify thet tpe above ~e inspection hes Eeen / ~ metle. mla rapueet volC 1B montM irom ^ r~ ~ CASH RECEIPT ~ ' ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ` DATE_I/~~ - I~ I9~ RCCHIVCD L/ / /~,//1 ~1 n V FRpq l~ .a Y 1 ~ I~ Y/\ AMOUNT $ g~al c~-~ e_DOLLARf ~ee ? CASM ~ CHECK J ~ ~ ~ .o. c C P y~ j y r 5 ~ ~ 7~~73) ~~l~L~ ~1_( 7~~~ vuxo ~ooe wr~ouwr ~ C3 V l~C./ Thank You aY ~ - N° 68280 " ~~~a-~.n Vellow-Postin8 Copy Pink-Flle Copy ~ ~t~t*~***~***t***t*******#*****#**#: C I T Y O F E A G A fV PAYMF:t~P OF FEE AT TIME pE * APPLICATION DOFS NO'P ~b`1T1L~E ~ APPROVAL OF PE~~IIT. APPLICATION FOR PERMIT * ~ INSPECTION OF SES~ff~R AND/CH2 S@i'~2 . . nacmnr.ramrONS WIId. NOT SE..~- SEWER AND/OR WATER CONNECTION rt ULID UN~II, PII2MLT AAS BEEN . ~ . • • * APPROVF~. ' ~ r ~ ~x******:***a***x*******.x~-r*,r~r***w*~ P ease Print) ~ 1) PROPERTY ADDRESS: 455y~ys~ Slater Rd LEGAL DESCRIPTION: 2 Cinnomon Rid e 7th Addition ~ Lot Block Sub ivision or Tax Parce ID ) 7~' EXISTING STRLY.Z[IRE, DATE OF ORIGINAL BI.~ILL7IN:~ PERNIIT ISSC'FtNCE: . PRESENP ZONING/PROPOSID L~SE: ~~n Year} ~ COiM~7ERCIAL/REPp,IL/OFFZCE ^ R-1 SII~GLE FAMILY ~ Q IISJL'STRIAL ~ R-2 DC~PLEX L~nits) L.. _ Lf INSiIZS;T:iGNAL/GpVF.RIS•IEN~ C R-3 ~W[gI005E (Three + Units) ( ~y}~) ~ R-4 APAR7T'~7T/COI~IDOMIIVILT] ( 2)( " 12 L7ni.ts ) 2) ~ . NAME: FR~NA & SONS P,DDRESS: 7490 Market P1ace.Drive CITY, STATE, ZIP: Eden Prairie, Mn 55344 PHO~: . 3) • u r. NAME: For City Use ~~iGnvFt MFCHANICAL Plisnbers License: ADDR~SS: 35001t°_NNEuEC DatVE, EAGAY, M1SINN.55122 ~i~ CITY, STATE. ZIP: . ~Pu'~ Not recarded PHONE: MASTER I,I~g75E~r 001445M2 ~Tni.tial 4) ~~~u~ ~ • i i~• . . i,~p~,~: FRANA' & SONS _ . ADDRFSS:_~4qn rra,-~~~ p~ace II°ive : CITY; STATE, ZIP: Eden Prairie, Mn 55344 ~ PHONE: . '5) + v i•~ . . . CON[~C.TION 7n' CITY SEWER ~ CONPIDCI'ION ~ CITY WATF~2 ~ p~~ ~ • . . . 6) ~~r ~ i: ~ P~p,qE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF AH(7VE PLF.ASE APPROVFD PERMIT ZCJ 1, 2,n 4, A~7~7E (CircY one) ' 7) r u• ` 7/2/.86 ' ••r ~ ;c u- • r a~. a. • t0. :•r 6 Ip• I~ u71• • JI•~ I '~I• • '.t4}~ 1 ' D~ . ~ 1 / I : :A~ ~ ~A' • 1 1 Y' • " Y ~'~R CITY USE ONLY • PERMIT ~ ISSC~ED 7 7 7 Z- Pd w/Bldg. Permit FEES: $ 9__ /D-~Z~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ~D- S~ WATER PERMIT (INCLUDE SL~RCHARGE) . $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT' DEPGSIT - SEWER $ $ ACCOC~NT DEPOSIT - WATER $ ~ ~'Zi: ~j S wAc $ /2_1(.eciz~,U-d s sAC . $ $ TRUNK WATER ASSESSMENT $ $ TRC~NK SEWER ASSESSMENT $ $ ~ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN~FIT/TRL~NK WATER ~ ~d $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S ~Y'7YY'!l~ $ ~i~i C!'~ TOTAL .~77....._S`.~ ( C~~, 3 f RECEIPT Y RECEIPT ~ ' DOES OTILITY CONNECTION RE~UZRF, EXCAVATION IN PU.T3LIC RIGHT Oc WAY'? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ZSSUED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: _ ~/jp I Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: Use BLUE or BLACK Ink Permit #:mm / -g qQ Permit Fee: ! ©//��V • 6-0 Date Received: :.7 ±' Staff: e 2010 MECHANICAL PERMIT APPLICATION )d Site Address: � k2±C ?d • aile-tcLciet&-ts � i IA 11- a.o id 4 -f s Suite #: J RESIDENT / OWNER Name: l' i C�ot`la Phone: a �/ Address/City/Zip: 900 /1�� le S. rYrlpf 5` '7(i01— CONTRACTOR Name: % ei ( Vle License #: / /Qgc) 790 & Address: ./ 60 / 14 (...7.1%--W/4 • E City: ),Sozziti / 7/e--- kState: State:%O/ v Zip: (65337 Phone: 95 -" 3 c,/3,93 Contact: Email: TYPE OF WORK New replacement Additional Alteration Demolition Description of work: I (,t r V (LC. e- 9- (tet ' NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by Code Please contact the^Mec ianical inspector for n ormation "ot permitted screening methods " PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction t.---Iiiterior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas ✓Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other _ ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) �g $.50 State Surcharge) $ /0, 000 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge).`l Contract Value $ 7i ic# 00 x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ t 0-D Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ '2e O. 3 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.eopherstateonecaliorq 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 X k4 e - j„ yep X Applicant's Printed Name Applicann rgna FOR OFFICE US equired Inspec eviewed as Service Tes erior HVAC Screening Inspection City of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office i, se Permit #: 1 1 b b Permit Fee: �(E Date Received: Staff: 2010 COMMERCIAL PLUMBING PERI MIT APPLICATION Date: 3123/ 10 Site Address: l /' LI S lcu"i- Tenant: Suite #: PROPERTY OWNER t rr G ''JJ 1 Name: Sfle 14 r Co r-po ro,+; y -N Phone: �n.S) g /o oz70 CONTRACTOR Name: heiOar►Cerl /1 r&G—OtA.Co- i , I.. Lc_ License#: Address: it, /1. 6I" tT !cc ILCity: 13c d\5V' i ie State: 7Y\n Zip: 5-5-,537 Phone: ?SZ - YS35"- 700 Email: do—rte". acj)o ce» M.e ckt.J c4 I , cowl TYPE OF WORK New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ — Description of work: fep /ace_ p® (ii (A)) +(") ie,x pipe_ PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes /1( no) ( RPZ / PVB) _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ e5'73° 6 x 1% Required - If Permit Fee is Tess than _ $ 55 5, 7 3 Permit Fee on ALL new buildings and boulevard irrigation systems -* = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ ' 50 State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $_ _ g6,_ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to digto receive locates of underground utilities. www.gopherstateonecail.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 With permit; that theyaork yyiIl be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1. �oe. rfl fr1 2 A r Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Rough -In - Air Test _Gas Test Final PRV Required:? x Applicant's Signatur Page 1 of 3 City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 J Use BLUE or BLACK Ink Permit#: 933 714 Permit Fee: Date Received: Staff: JJc i. 76' 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: 9- 4-10 0 Site Address: X554 1a_.--f-tir- J Tenant Name: L715 -5Z (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: Siit l WiprJ Rik 9 Phone: Address / City / Zip: %9 ' / QOc.,,4 Fcay u A, 7)1 111 C.5% .2 Applicant is: Owner x Contractor TYPE OF WORK Description of work: ie' 0 4o4 , ALA.; -1d 6v s .)- Girety. CinAjteer Construction Cost: 30, 40O CONTRACTOR Name: G leAseA Colock /1'J 0+ t of X 4C License #: / .7 / b M/Y1 Address: /O AVE City: G9 /elm Valk y State: 1(1N Zip: S-Cyo)..? Phone: C7b) .<-17/6 — /30C) Contact: C SPPi/14Email: Sf lits (r Gie_ to CO - co M ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: 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 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 requi-es a review and approval of plans. x St /- SrO nk- Applicant's Printed Name x 5Witidkr Applicant's Signature Page 1 of 3 Clly of aaau 3830 Pilot Knob. Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink I Permit # J Permit Fee: r2 / F 4 I Date Received: Staff: r J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C /I d 12-1 Date: /2 — F'- ! d Site Address: Lig S/ — cc -8 Cj l (y 72. j Tenant: Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: "tie- - (-9; Address / City / Zip: 1(1 B O � �, Applicant is: Owner Contractor Description of work: 72a .1, f/ /1 g ,i d / Construction Cost: 6 0 0 0Building: Multi -Family (Yes _ / No CJ�i Name: / tF-t bac r0 Co t G 1i Phone: / 3 z 3 Cr`#s r0 ad License #: Z-0 ? 41 %' Address:/y Z' r ,� � City: e , State: Y l Zip: 3 ! Phone: --lam -/ —4/9 01 �76 Email: I d C. PN. r0, Crt l'/ae.. • Go Contact: 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: P wQ iO.'k/A,,-1 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in co ance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and wor is <ot to start without a permit;,that the work will be in pp Pcase of , which- requires a review accordance ria roved' laf inAt-he L /V A A A'/[ J 114 Applicant's Printed Name x Appli '146-12- DO I DO NOT WRITE BELOW THIS LINE q-74103 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Fireplace _ Garage Deck Lower Level APT6IX _ Interior Improvement _ Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Move Building Fire Repair Repair 0 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: __Rough In Air Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock _ Final / C.O. Required X Final / No C.O. Required ( HVAC Other: _ Pool: Footings Air/Gas Tests _ _ Siding: Stucco Lath Stone Lath Windows Retaining Wall: _ Footings _ Backfill _ Radon Control Erosion Control Building Inspector rt6i/z n.Kz-gt-A Final Brick Final Page 2 of 2 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 #: Permit Fee: 3(04.50 Date Received: Staff: n 2013 COMMERCIAL �BUILDING PERMIT APPLICATION 003 Site Address: 7 SSil'7$�/ Sy GI ler (k Tenant Name: C.4/I.1 af"1 Un a "iI 5c_ (Tenant is: New / Existing) Suite #: Property Owner Former Tenant: Name: 5h -t? l Pr- (t'PO .*'Pi I A \ Phone: ! 502 --5?'-5.701) /OO t vp/ ii s trossroc? d Applicant is: Owner X Contractor Address / City / Zip: Type of Work Description of work: A l �� t 0/1a 67,111 f Construction Cost:I c /2i 3 5O. q� t� Contractor Name: (- / '1 �o License #: Address: 3-335 ! di"- 4^' '! o City: oj` de-, 14 L/t',7 State: pi) Zip: 53109- Phone: "7/ 3 - 5/ - /3oe Contact: Architect/Engineer vl4 4/01--7 Email: I&d,ti tiltile/ism L0. co`\ Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: 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.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; 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 Nathe x 1�� Applicant's Signature Page 1 of 3