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4836 Sky View Ct ~sp.::::xaf: fi`$`.,#.?: ;-v ; . _.y.,.~~.u-..',c s _x.: '"_>F~,"yr,~'°ue~'*_ , . :4 ,,;""rN .°.',~~''~i'.._'~,'~',~,'.`.; . .ri•.. ~A. CITY OF EAGAN ' 6Q~9 ~ 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 ~ ~3~ ~ ~ BUILDING PERMIT Receipt ~ ~ To be used for ~~IDING Est. Value Date J~ Z~ , ~9 ~ Site Ad~ress ~ ~ ~ ~ Lot Btock Sec/Sub. OFFICE USE ONLY PB~CBI NO. Occupancy - FEES ~ zoning 63.00 W Name (Actualj Caut - Bidg. Permit _ ~ (Alloweble) ' o Addres5 ~ ~,~9 - Surcharge ~ City Phone t! ol stories - length _ Plan Review , p Name ~ 8IDING Depth - SAC, City Address 1 2 23AD AIB !i S.F.Tocal - ~ U~ City Phone SS7-i~ S.F. Footprints _ SAC, Mcwcc ~ On Site Sewage _ Water Conn ~ ~ W W Name On Site Well - Water Meter , ~ Z Mwcc s st~ ~ Address y - Aca. oePos~~ ~ <W City Phone ~~'Wa~a'' - PRV Required _ S/1N Permit ~ I hereby acknowlege that I have read this appliCation and state that the Booster Pump - SNV Surcharge ~ information is correct and agree to comply with all applicable State of Minnesota StaWtes and City of Eagan Ordinanc~s. Treatment PI Signature of Pertnitee ' ~r" f r APPROVALS Road Unit ~ A Building Permft is issued to: ~T~ S~Di~i Plannar - park Ded. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. g~~, pN. _ Copies -ay~~ ~ 8uilding Official ' Variance - TOTAL . Pe?mit No. Permit Holder Dats Telephone !F WAtER SEYVER PLUMBING H.VA.C. ELECTRIC h~apection Date Insp. Comments Footirgs I Foundatan . Fr~ming Rooting . Rou9h PIb9• Fid+9h N19. Isul. FireplaCe Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber ErgrJPtan e Bldg. Final ~ ~ z ,Z ~ ~ /~B /vi9 . N DeCk Ftg. u C' ~ [ Deck Final WeM Pr. Disp. CITY OF EAGAN Remarks ~ U~~ f~ G Addition~ g8~a~~ ~~~}~~g~ Lot Q Blk ~ Parcel ~~o~~ - Owner Street 4R~h S~~Nie*~ CoL~I't State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, o v ~ STREET RESTOR. ' ' - _ a c. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK , CITY OF EAGAN ~ ~,q S.~,Z , ~ 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 PHONE: 454-8100 BUILDING PERMIT Receipt# Tobeusedfor 5~ ~WV~G~ EstValue ~~4,U00 Date 25 ,19 ~6 Site Address 3 G 5KY V I F.i~~ CT Erect C~ Occupancy k3 Lot y Block 1 Sec/Su6. St1FAR1 ZNb Remodel ? Zonino 1~1 Parcel No. Repair ? Type of Const y Addition ? No. Stories W tiame ~~ic2ITAGE ce~~~zGY HOMES Move O ~ength 75 3 Address - 4 6 5 5 N I COLS RD Demolish ? Depth '2 ~ o Int Impr. ? Sq. Ft. City i=~ y~T~ phone 452-5950 ~nsta~~ ? Z o Name APP?ovals Fees ~ Address Assessment Permit ~ s a~. U ~ ~ Ciry Phone Water & Sew. Surcharge 4 2. UO Police Plan Review 19 2. SU F W Name Fire SAC 575.00 =d Address Eng. WaterConn. 500.OU c,, i W ciry Phone Planner Water Meter 63 . 50 Council RoadUnit 29G.U0 I hereby acknowledge that I have read this application and state that the gldg. Off. 3/ 14 / fi T~. p~. 15 b. U U information is correct and agree to comply with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. APC Parks Signature of Permittee . , ~ Var. Date Copies d• . • Total S2, 20 . Uu A Building Permit is issued to: HERITAGE EN~RGY }inME5 on the express condition that alt work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Official ~ . " P~rmlt No. PwmH Nold~~ D~b T~Nphon~ A P~~~~,~ da 1 3 a~ ~ H.V.A.L'. tp O ? ~ ei.~aic p 7~l~ 'ir7 ~ 5 -~2 -h ; sona+.~ Inspacfbn Def~ In~p. Comme~b Foolinys 1 a Footlnps 11 Foundatloe ~r _ - ~ Frominy - RooNny ~~t •~t Rouyh Plby. 7~J' ~ ~`3~ . ~ `ij _ Rouqh Htq. ~ nf~(/ 3` 07 y3~~ l Imul. Flr~plac~ FMaI Nly. Final Plby. ~6,~ 81dy. Finel ~ G ~ Q~~ li~ Grl.Oce. r Oeek Ftp. G- ~ ` Deck Frmq. ! WNI Pr. Disp. . ` ~ PERMIT # CITY OF EAGAN FEE ~ i ~ c' MECHANICAL PERMIT S~~ f~-~ RECEIPT # ~ ~ ~ d ~ 454-8100 ~ _ MINIMUM RESIDENTIAL FEE - 510.00 + =.50 TOTAL ~''7 ~ DATE ~ MINIMUM COMMERCIAL FEE - 520.00 + 5.50 1. Bidg. Type: Res ~ Comm Inst 2. New ~ Add Alter Repair c-~ 'I z ~ k 3. Total Bid Price ~-A 4a Job Address 7, l.~~ L~' ~ l ~'t~`f 1 ~ ~ Lot ~ Block Sec 5. Owner _ ~~K1t~L~ f~7l:~ f~1K yl~ ) i~~:~''~~' ~l i~G~1! '~/1'~v..,~~,,~ y.,,~.~;~ r 6. Contra~ctor ~ ~ ~ , s ~ ; ' (Name) ~ ~(j ,r~ (Str~ m+) ~Z~P) 7. Contractor Phone # l~~ S r RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.U0 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ~ HEATING VENTiLATING HOT WATER STEAM AIR COND. ~IR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTIETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS 5.50 STATE SURCHARGE FOR EACH 51,000 ~F FEE. Signed: fo~ Approved Inspections: Date Rough Insp. Date Final Insp. ~ , ~ , . ' _ . . PERMIT # ~"i ~ . • PLUMBING PERMIT RECEIPT # ~ J ~SS CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?'j~ G'~' (o CONTRACT PRICE PHONE: 454-8100 Site Address f~W u~- BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. x New ~ ~ Name ~CNC Lcr?. ~n Mult Add-on ~ Address ~t Comm. Repair c City -Sy r~~-t.o I.~ Phone 7- 3 ~ Other u / l ~e /le-,.,,t~ • ~O. FIXTURES 6 T~AL Name Water Closet - $3.00 S c Addr@SS ~ b SS , iJ /c'~~r /r' . ~~m Tubs - $3.00 p City Phone ` %y- yS5"I ~ Lavatory - $3.00 -~Shower - $3.00 3 . FEES ~Kitchen Sink - $3.00 •~v COMM/IND FEE - 146 OF CONTRACT FEE ~ Urinal/Bidet -$3.00 .ev Laundry Tray - $3.00 MINIMJM - RESIDENTIAL FEE - $10.00 ~Floor Drains - $1.50 • So MINIMUM - COMM/IND FEE Water Heater -$1.50 SO STATE SURCHARGE PER PERMIT - .50 Vlfhirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ~Gas Piping Outlets -$1.50 BEYOND $1,000.00) co ~Softener - $5.00 Well - $10.00 ~ Private Disp. - $10.00 ' ~ ~Rough Openings - $1.50 ~ S NATURE` PERMITTEE FEE O STATE S/C: ~ ' ~ FOR: C(TY OF EAGAN GRAND TOTAL: ~~3, GU CITY OF EAGAN s~~ P~R 3830 Pilo~c Knob Rosd P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pA~: No. of Units: Owr~r: Add?ess: Stte Address: . Plumber. ' ~ Me•. w.~y, wil~ Ii. dlp.i ~.~e¦ Cor+n~ction O,orp.; ~~Mllp/. AtO01f1! ~~h - Pr~mif FN: ey Surciwr~: Misc. Chorye~ Dab of Irop.: Totol: DoN Pold: CITY OF EAGAN 3830 Pilot Knob Road w~4TER SERV~CE pE~ P. 0. Box 21199 E~. MN 55121 PE~IT NO.: Zonirg; _ DATE: ~ ~ c=: ~M'M~: _ i:? ~ i, • NO. Of UnitS: ~ ~~1b35: - stt. Add.e~ 3 f s k~-v 1ew r.o,; r- p, , Plumb~r. •ct~ct ~i;~^_~:;:, Met~r No.: 5ize: ~nnection pM,Qe; R~r No.: ^co°u^t DePCS(t: : Pennit Fee; ~ Mn~ to ao~n~lf wilh Iy Surzho ' ~+~w~. . ~Ij-:i Miic. Ctwrpes: _ 1 _ ~ . nt ~d ; ^ BY Total: o ~ . ~ - , DoM Poid: ~ate of Insp.: ~rnP.: EAGAN Wq~R ~aVICE pERMR „ •dot Knob Road P. ~ 3ox 21199 PERMIT NO.: E~N~.1GiN 55121 DATE: ' ~ ~ Zonirg; . , t No. of Units: i OwrNr: r~ :;i s'.. c~~, r~ r,-. /lddress: ro '~r 5~ /lddress: • i e~ ~ ~ ~ ~<^~r:ltl P}IM~F, ~ ` .'iil~i~ ~ Mfl~~ ~Vo.;I f ~l ll1 , !Z,~ . K ~?~p~: t. 1 5 • ^c M~M !o eM~pl~r Mrp1~ • • ~ J.: t~gd ~ ~D Sr~~;, UlR EQ _ ~ 55 . ~ BY Totci: ~3.5~'~p:i trtc+ Dot~ Poid: Dote of Ir~sp.: -zi~-8!7 ~~~~~~~m~~~~~~~~~~~~~~m~~~~~~~~~~~~~~~~ CI7Y UF EA.r..,A~ r.,qs;FC[GR~ S TE::fiMI~JAL. N0: 874 L1A7.F..;; 03/?S/39 7IMC:: 1U:39~i.2 IT.~ ~ NAME~ WES7l.1FPa C;EL~AR ,UF~FLY ?155 9001 4836 5Y,YVIl:.W CT L.JD 3~?10 9C1!Ji. 4H36 SKYVTFW C;C' f.f.1.E?5 ,w t Tot;a7, fier..e:i.pt Artio~~r;t; ~.i.3.i5 CF.1Q43 i 4 LI61::fi l:Li: NANC`,' ~k %c m X~ ~%XC m ~ X~ Xc X~ ~X ~X X~ X~ ~k ~X X~ ~%~X ~%Y~ # X~ i k X~ k~ # Thi , re.quest void S~~_~ 3 G 5 3 18 mon[hs irom ~~7263 ~-~1 ~ - ~ 7,,_.~ ~~r _ Rcquest ate Fire No. RnuUh-in In4poctinn ~ '7/~~ ~jJ Re~~uiredl ~ReadY Nuw ~Will Notify, Insuec- `d QV ~es ?NO ~or When Ready ? Lice~s ElecVicnl ConVactor I hereb re y ques~ inspection uf abovB ? Owner elecdical work installed aY. Stree[ Ad e js eaz or Route No. ' City ,J ~p `3' !~/Etf/ rP ur,von o. 7awnship me or Na. nnge No. Coun /7(.'4Y/ ry Occupan~IP TI Phonu No. f ~9P~' CS ~~l`Z-STj~(ZS Power Su lier p/ J Atldress~_ ` ~ I~ G /~i C /C /~!~'~1'3" //L~ V "'I ~ Elecvir.al [r tor ICOmpanY Nam onVar.tor"s Licen>e No. ~i-~-~~-/ f~. r~~ c yd z i Z Mnilin Addr ss (C ntractor or wner Ma Installa N ° ~o -7j'~ A~ ~rize ignature (CO cto O er Makiny Installationl Phone n r u.~. ~.3~s_ MINNESOTA STATE BOAND OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. - Naam N-197 gE ACCEPTED BV THE STqTE eOAND 1821 Univeraity Ave.. St. Paul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS Phone (8121297-21t1 ~ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ E6-00001.04 u; ' See inst~ru tiions for comoleting this form on beck of yellow copy. 'o; , ~ S'~'~~'""X"" Below Work Cove~ed by This Request (G 3 ~ S 3 '.4Atl Rep. Type oi Building Appliancas Wired EquinmentWiretl ~ e Range Tem{x~rary Service Duplez Wa[er Heater Llghtiny Fixtures Apt. Buildinc~ Dryer ~ Electric Heatin Commercial Bidg. Furnar,e Silu Unluader industrial BIAg. Air Conditioner Bulk Milk Tank Ferm Other peci v Other ISner.~fyl t er pocify Othe~ Oihor ompute lnspection Fee Belaw p Fee ServiceEnVanceSiie R ~Fee Faxdars~SWteetlers # fen Circuils 0 to 200 Am s- 0 to 30 Am ~s .S ~ to 30 M~ ~ Above 200 Amps 31 to 100 Amps 31 to 700 qm s Swimming Pool Above 100_Amps Above 100-F+mPy Transiormers Irrigation Boon-~s ,SC> Pdrtial,'Other Fee Signs Speciallnspection 5 ~ Remarks r TOT VU 7 Roueh-in Date ~ G ihB BC IICAI ~ ~i~ nspectoq hnreby cerUfy that the above Final - insVection has been matla. l~le requesl volO 1B mont~a irom CITY OF EAGAN p ~$O69 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8100 N G~' BUILDING PERMIT Receipt # 0 7o be used for ~-SIDING Est. Va~ue ~4, 000 Date JUNE 28 , 1g2~_ Sile Address 4836 SKY VIEW CT Lol 9 Block 1 Sec/Sub. SAFARI 2ND OFFICE USE oNLY PefCBI NO. Oaupancy - FEES Zoning _ w Name DUANE HAUSER (Actual) Const - 81tlg. Permit 63.00 ~ Address 4836 SKY VIEW CT (aiiowabie) - Surcharge 2.00 ~ City EAGAN Phone 456-0279 xo~s~odes - Lenglh _ Plan Review , o Name METRO SIDING Deplh - SAQ City ~a Address 14240 23RD AVE N S.F.TOtal - SAC,MCWCC ~ City PLYMOOTH Phone 557-1 R08 S.F, Footprints - On Site Sewage _ ~Nater Conn r W W Name On Sila Well - Water Meter z MWCCS s[em Address Y - Accl. Deposil aw City Phone arywacer - PRV Required _ ~ Permil I hereby acknowlege ihat I have read this applicalion and state ihat the eoostar Pump - SM! Surcharga inlormation is wrrect and agree to comply with all applicable St of Minnesola Statutes and City of Eagan Ordinance~, Treatmenl PI C/ Signature ol Permilee ~T APPHOVALS Road Unit A Building Permit is issued to: METRO SIDING Planner - park DBd. on the express condilion that all work shall be done in accordance with all Cauncil applicable State oi Minnesota StaWtes and Cit~yI of Eagan Ordinances. gitlA, pry, _ Copies p-+yh (1 Variance - TOTAL 65.00 Buildin9011icial ~~~~~TQ~LI I-1tJ~ CITY OF EAGAN . ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-° 116 7 2 PHONE:454-8100 ~G~~/G BUILDING PERMIT Receiptp 7 iobeusedtor SF DWG/GAR Est.va~ue $84~OOD Date ~'RCH 25 1986 SiteAddress 4836 SKY VIEW CT Erect ~ Occupancy R3 Lot 9 Block 1 Sec/Sub. SAFARI ZND Remodel ? Zoning R Parcel No. Repair ? Type of Const V Atlditlon ? No. Stories ~ Name HERITAGE ENERGY HOMES Move ? Length 75 3 Address 4655 NICOLS RD ~emolish ? Depth ° EAGAN phone 452-5950 Intlmpr. ? Sq.Ft ~~h Insfell ? o Name SAME APProvala Fees $ 385.00 $ i Address Assessment Permit 'p' Ciry Phone Water & Sew. Surcharge 42 . 00 ~Q Police PlanReview 192.50 ~ W Name Fire SAC 575.00 ~ Address 500.00 c~i ~ Eng. Water Conn. a W Ciry Phone Planner Water Meter 63. 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe g~dg.Off. 3/14/86 Tf.PI. 156.~~ information is correct and agree to comply with all ap licable State of Minnesofa StaWtes and City of gan Ordinanc . APC Pafks Var. Date Copies Signature of Permittee Total ~2 ~ Z04 . 0~ A Building Permit is issued to: HERITAGE EN RGY HOMES on the express condition that all work shall be done in accordance wifh a~ll a li/cab~ State of nneso Statutes and Ciry ot Eagan Ordinances. Building Official 1 ~c ~q.~i ~ ~ SEDGWICK HEATING & AIR CONDITIONING CO. HEAriNG J08N0 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9D00 TEST RECORD ADDRESS L' " ' ~ ~~L ~ " CITV " ~ ~ ~ OCCUPANT ~ ^u ~ OWNER ~ ~ ~f SOL~ BY INSTALLED BV MAKE ~ MODEL ~"v U~~ J ~/v O~ SERIAL NO. INPUT ~r J~ THEFMOSTA7 VENTSIZE / ~r y. - VALVE ` ' TYPE OF LINER LIMIT ~~`r~~ LWERSIZE (~~l~ LIMIT SETTING~__~ ~S FILTERS: SIZE i~^`~`"" NUMBER FANSE7TING ~ WIRING v~~ PILOT TYPE TEST TAG IGNITION MODEL ~~C'~ U~ ~ LIGHTING INST. ~ PILOTTIMWG ~ K'-S~ ~-~/~Olp DATETESTED PRESSURE ~•S ` pERCENT COz ~ ~ COMPANV TESTING ~ ~ INPUT CFH G" PERCENT Oz a STACK TEMP. PERCENT CO NAPAE OF TES FORM235(REV.11/89) FORMDISTRI . WHR COPV- OBFIL VEILOWGOPV-CITY ~ PERMIT City of Eagan Permit Type: Building 3830 PILOT KNOB RD Permit Number: EA034799 EAGAN, MN 55122 Date Issued: 03/24/1999 (651)681-4675 Site Address: 4836 Sky View Ct Lot: 9 Block: 1 Addition: THE SAFARI 2ND ~~~~ti ~T_ Description ~ Sub Type: Single Family UBC Occupancy: '"~y~ Work Type: Reroof ; Construction Type: F%~' Description: ~ Zomng. ~ t ~ Census Code: pddition/Bsmt fin/Decks/Porch Squ~are Feet:.~~ ~ }-''s"' ~ .~~s~= ~ -•'-"''~'~l~'~ d%~ t' -s' !~`4 ~ . ~.~,,mm~.~~ ~'.:~am_ ~ ~ ~ ~ ~ ~7 t,< ~ "~..R' ~ ~~`h~. Remarks: _ Fee Summary: State Surcharge 2.50 Valuation: $5,000.00 Base Fee 11125 $113.75 Contractor: - Applicant - OWner: WEST'[JRN CEDAR SUPPLY St. Lic.: Peggy Hauser 705 N I~WY 169 4836 Sky View Ct PLYMOUTH, MN 554410000 + 6125414207 Eagan, MN 55123 651-456-0279 t 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. c~-~.A ApplicanUPermitee: Signature ssued By: Signazure CITY U E ONLY -yp L ~ B I I RECEIPT#: I~ N~/~F2 n~ SUBD. ' ~ RECEIPTDATE: ~-7J"~~D PERMIT# J 7Y5 2000 PLUI~ING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAx, rSt 55122 651-681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventerforunderground sprinklersystem • FIXTURES EACH p TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain T i 3.00 x = $ Gas piping outlet ` minimum - 7 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry Vay 3.00 x = $ Lavato 3.00 x = $ SBptIC S stem newlrefurbished • requires MPC Iie. 75.00 X = $ SeptiC System abandonment 30.00 x = $ RPZ new installation/repaldrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round sprinkler if dwelling is under wnstrudion 3.00 x = $ Under roundsprinkler rfexistingdwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x - _ $ State Surcharge 50 $ .50 TOtal _a ~ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - I hereby acknowledge that I have read this appliption, state that the iMortnation is coned, and agree to camply with all appliceble City of Eagan ordinances. It Is the applicanPs responsibility to notify the property owner that the Ciry of Eegan assumes no liability for any damages caused by the City during its normal operetional and maintenance activities to the NaalRies constructed under this pertnit wRhin Ciry property/rightof-way/easement. SITE ADDRESS: ~~.i~ S/CY ttiu? ~/~/U ~.f-?? ~S,Zy OWNER NAME : J/l{Ay1/'E ~h`'q[tt'~I~ TELEPHONE#: ~B-~~, S~-~~'DZ7~1" (AREA CODE) INSTALLER NAME: ~ I~`/%- IGOt~~2 TELEPHONE#: ~/Z ~~'~J~ ~y ~ (AREA CODE) STREETADDRESS: 7-SOC7 (i~7s7~°l^-S ~/1~`G~/"~ CITY: P °/rf'10~ STATE: ZIP: ~Y~ . ~ SIGNATURE OF MITTEE p• . 385 • ,70 + 42~~0+ i4~=:e+ :7s~oo+ 5_., .'0+ G3•~~~+ 29C^":0+ ~56=_C+ .~~-ti>~-J~: ~7~ ~ ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONYHACTORS MUST BE LICENSED NITH THE CITY OF EACAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY t SET OF ENERGY CALCULATIONS To Be Used For;~7~f,~LC^ ~AYN ILf~Valuation: g~,~0 Date: 3'~. Site Address: ~g~7~ J~~'a OFFICE USE ONLY Lot: ~ Block ~ Sect/Sub ~A'~L a~ect x Occupancy ~ 3 f l~ -~7 S}~J C~ ~ 0_ p ~ Remodel Zoning R I Parcel # Repair Type of Const ~ Enlarge of Stories Owner Move _ Length ~ 5 Demalish Depth 30 Address Grade Sq Ft City/Zip Code Phone APPROYALS Contractor ~ ~7~~~i~ V ~ ~~~`^C~ ,~Assessments Permit 3g~, 1~/~~ r Water/Sewer Surcharge Address 6S~ ~~~US f(.~A~ Police Plan Review ~ 12.9' ; 'a~ Fire SAC S"15 City/Zip Code ~ Engr Water Conn 5 00- ~ Planner Water Meter (o3.5D Phone Council Road Unit q p. Bldg Off3~q8v`aaParks Arch./Engr. APC Treatment P1 (5(0. Variance Address TOTAL ~ i City/Zip Code Phone If 95~~~ ~ ZJ ~ ~~L 2~'~~Z ~~~b - ~z~~~ ~ ~ x - z~ ~ ~ I _ ~a,~ ~ g~ ~ ~ ~a 2 x ~ : - ~ ~b b L b - f x yp ~ ~ ' ~ Q~~. o~ ~S' x ~ b bZ x ~bZ • ~ , , TRI-LAND C0. SITE PLAN FOR~ ~ SURVEYING HERITAGE ENERGY SERVICES HOMES 4655 NICOLS ROAD EAGAN, MINNESOTA 55~22 -~~KY VIEW COURT - ~s N T6•57' 43" E ~ ~ • 100.00 nr w. a ~ a s _ - - --~s ( - ~ ~ ~ ~ r~ ' ~o ~ " I ~ N I ~ o"'~ , ~ I , v, ~'o N I n., - ~ ~ ` 'n-0 ~ I O 0 o I .J N ~1 ~ `..a I O ~I ~ Iwa~ 1~1 . ~ ~'`5 ~ ~ I LOT 9 ~ sca~: i°=ao' I ~ `L---------~~ R ~ O[7 _ Nosl , N T6°S7'43"E , y8 3 C s~v, PROPERTY DESCRIPTION ~ar e~.xKJ_, Sl1FpRl SEC[fNe enn~TION eee na to th~ heordsd piot tMnof T CaaMfr, Minnsaoto O OENOr~ES IRON MaIUMENT PROPOSED CsARAGE FLOOR ELEVATION = l0~1_O~ e pppTES INOOp FN~ SET PROPOSED FIRST FLOOR ELEVATION = inurrDENOTE3 EXISTINB SPOT PR~POSE09ASEMENT fLOOR = • ELEVATION ELEVATION ~b~ pENOTE8 PROPOSED SPOT EIEYATION ~ pENOTES DRAIN~KiE D1R~CTION NOTE ~ VER~IFYH~EF~NSHEtGHTS WITH ~ hr~jr wAItI? tAot this arwy.P~~ o? f~.,,J~_ A~,,,,,~,,. r~pat wa pre~and br aie or und~r m~r ~i~ dir~cf wp~rvl~fon mid 1ho1 1 am a duly Bradley w Swenson, Mn. R~q. No. I:f233 ~ La~~rs o~t nie sia of~ u~ rM oma : 3~/~ac w ~ ~1 l~+0~l1! ~ ~t~~=. ~ .~i~ect~al cor~uh°~ inc. . e~..e.~.o» ~?.,..r.,,. ;XTERIOd4 ENV A " ' _ Plon"v.~4-t~co Octe z. . OwMr ContractoR 'F'~ ~ a`~,r 1-~+--t'cs ~'"l ` 31h Addr~ss: PNONE - ~)TOTAL EXPOSEO WALL AREA Z~~~ s4ft s"u". = Z''I • I I 2) TOTAL EXP09ED ROOF/EElLIN6 AREA ~~'~O s4 tt• j"U~~' • WALL AREA CALCULATfONB~ TOTAL WINDOW AREA sQ.h.~i~U~~~~ GLAZED TOTAL OOOR AREA ~ sq.ft.x U°~-_ Z•7 70TAL GLASS DOOR AREA sa/Ri~U"~'L= I~FSI~ GLAZED . . T07A~ fiREPLACE WALL AREA ~ s4•~~x~~~ T4TAL WALI FRAMtNG AREA I~~' sC,ft,x tJ~' • I o= ?(o .8 NET INSULATED WALL AREA ~ S~ ~ a4•ft•x~V~~'~- G~~z TQTAL RIM JOIST AREA '4•TM•x S~ TOTAL FOUNDATION AREA (EXPOSED) N~` sq•H.i U" / TOTAI. FOUNDATION WINDOW AREA ~qAt.x~U~~ y~.= 3) TOTAL ~~3•y , If ilem 3 1t Ms some as,a Isss then item l,rou hove m~f fAe inf~nt o~ 2 MCAR l.16009 A ond O. ~ ROOF/CEILINO CALCULATIONS~ ' TOTAL SKYLIGHT AREA { NA aq.it~i~U"~=~ T07AL ROOF~CEILING FRAMING AREA IZ~ ~a.R,a'u"•`~°= 3.3 NET INSULATED ROOF CEILING AREA s4•h-x~U° ~ ~ TOTAL 1/ ihm 4 Js the tome oa,a lsss fhon ifsm 2, you Aore m~? the irtfenf of 2 MCAR 7.16008 A an0 0. ALTERNATE 9UILGIN9 ENVELOPE DESIAN ~ To utiliz~ fM lolal ~nv~bpe.syarem m~Mwd,fh~ wm of irems I ond 2 drolf not b~ qr~otK tAan rM sum of ir~ma 3 and 4. . 42? = _ 31 +j1 ~ ~.r,ey o~rnry na+ rn. a?nm~o n.r. d.,atb.a .w.n a.xc..a, +n. s~an or ~wx?ao?o . eiM?; cons.rvaMon ae+. ~ ~ . • ~ ~r---s~-- ~'7- , ~ uuw~ i rcin. ~ r~ . . . rEUM a~ctaM c~.~TEO) 4 . (s ~ ~4 ia rf m aHU „ . TOTAL R Y• 1/R•~.L ~ CEILINO FRAMINB :ECTION ' 0.61 ( 1 elr /Ilm ~ 2 12~3~ e t~.ow ~3.Q ' VENTED cs a-~ ri T~ . {4 a d.3C ' 15' TOTAL R .1 ' ~ y • 1/R ,d7t~ CEIUNO ~CTI~a r ttUnSULATEDl Otl ~ _ t! ' ~ 0.61 (4 alr fflm (sMlf) • - . • TOTAL R _ ' V s 1 /R CEILINO fRANIN6 SECTION . A.sl ' I 1.~le~ ak fiUn ~ 3 4 5 Is ' 2 Is ~2y.ra ei. H~~n o 6t VENTED ~6 er .eH .eed ~ . ' ' .TOTAL R~- y s I h ~ . . 4 ExPOED ~EAM CEILINA tECT10M . ~ ~ -a~.~ O . u ~ ~ ts • ts o,r~ . ~s~e:~ .a ~:~a . ~K . ^ . , • y, ~ 1/R__.~ ' ~ , . • . , _ _ ~`e . . . • ' , . . , . • , . • ,~I/ !~t Gac ~~+a • . [o ~ ~rl'~iv5 . CONSTRUCTION ~ wK~ ~~Na secrioN • -~1 ~hrfa afr NMn 3' en~s of solt rooe la87 . ~ . 1/L'cKev_ •(c~o s 1~v~.w ~ 8 ut~ria oir li~m 0.17 . TOTAL R "q•~ U ~ 1/R ' 1MALl SECTION (iNBU~ATEO) , ~ infvlo~ oir tihn 0.68 2 1~°z'~~''~ _ ~9~ ; ti~b 1?M~ 19.0 - 4 u=+c.~ dp . •!o/o . a ,s,r,~~„r .fSl . - 6 ~afniu nlr film O.ly ~ TOTAL R Z~ • 7 . U • VR RIM JCIST 9ECTION ~ ' t ri ir I Im 0.68 ' 2 ' Ca+~ i.+S I`'l .o I. ~l ~ . ~'tt ~.l~r~v ` ~ . rorro ~ ~v~.~c. •8~1 6 i~Kfa otr film O.t7 TOTAL R Z'~'y~ • - - u = ~/R ' °`~'3 fOUNDATION lECTION . jp~iAor sir /ilm O.~ ' • . 1 '.yt~tRt~ • • ; !Z c. 6~x~ ~ . ' ~ , . 4 ut~rio? tir tilm - • ' ~ • 1'3 G.17 . TOTAI R~i~ ' ~ • ' OMOE ' y • 1/11 • V , • ~ . • ' . ' • ~ ~ ~ i a• ~ • u r a. • •a • • ~ ~ ~ a+ • • . ~ CITY OF EAGAN APPLICATION FL~R PERMiT SEWERR P.DID/OR WATEEt CONNECTION (Please Print) 1) PROPERTY ADDRFSS: L~.~.s' H r/~v~ ia ww~ T•FY:AT• D~SQ2IPTION: ~ 4~ N~/r~c. / .~cLFGhi Z~ ticQcK (Lot Block Subdivision or Tax Parcel I.D. Nimiber) IF EXISTING STRC'C'IURE, DATE OF ORIGINAL &!ILDING PERNffT ISSC'ANCE: (Nbn ear) PRESENP ZONING/PROPOSED LSE: -1 SINGLE FAMILY R-2 DL'PLEX (7tt,oo L'nits) R-3 TOWNEIaC'SE (Three + C'nits) ( L'nits) R-4 APARTMENT/CODIDOMINIL'M ( Onits) CONA'IERCIAL/RETAIL/OFFICE INDL'STRIAL INSTITt ~TIONAL/GOVEE2I~NT 2) ~ Nar~: Ta ~i a,r ~ x ~~.,-~-Ti n 5 ADDRESS: /J~c~~ ~:~~i ~t .a ~Iv<4~ CITY~ STATE. ZIP: Tn ve r ~r-c~~¢ j/'~,f 41'T~ ,i S O 7S` PHONE: /,!S / - 4' 9 S~a 3) • r. a~• (/r/ ~ For City L'se N~% u~"'-l~4,L.! ~ ~ Pltmtbers Licens~ AD'DRESS: ~ _,~7 Y /Ul o n rc ~ f~l Active CITY, STATE, ZIP: ,f T ~,7n b S'/ 02 ~T Expired ' Q Not Recor PHONE: ~~2 - Z z l- 36 7S M~T~ LICENSE # 33 ~lo... M- 5~ Staff Initial 4) s • NAME: /YL~~,J- ~ ti~., 6~°m.4~ ~~'7~'~-~ '--a ADDRESS: ~C.T~ N i~ ~ f~'~O (S ~ b~- CITY. STATE. ZIP: r c~c~a '7)%~xn SS/„2 / a PHONE: ~S~ ~ S .$~v 5) o . . a~ ~;ONI~CTION TO CITY SEWER ~CONNECTION TO CITY WATER dt'~III2 (Please Describe) 6) i~ ~ • ~ PLEASE HOLD APPROVID PERMIT F'~R PICK-L'P BY ONE OF AHpVE ~ PLEASE MAIL APPROVID PERMIT ~ 1, 2. 3~ 4, ABOVE (Circle one) 7) ~ ~~L~-~-+~-~I~f..+~,ms----- ~ ~ :i . . F 0 R C I T Y U S E O N L Y • PER^1IT ° ISSUED 7.~3 8 ~~2 C: G: F~~S: S ~~-J~ S~ivc.°, nD~~SIT II`ICLi;D~ SURC:i?RGE) S S U W~TE~ PERN1ST (ZNCL'uDE Sli~CHARGE) $ ~i",~ SJd ~ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP {INCLUDE CORPORATIOV STOP} 5 S~:vEF T~P $ ~j~ !Yd =C^Oi;:i'= ....?GSI= - __..?3 $ f~' L-7/ ACrOUNT DFPOSIT - p1AT°4 $ ~~`G'-7 ` C/' ~ WAC $ 7 S Z) SP_C $ TRlNK [VATER ASSESS;4E:IT $ TRli:~K Sc:~lER ASSESS;lE.iT $ LATERIL BE~IEFZT/TRU:1K S::~iFR $ LATcRAL BENEFIT/TRU:IK I4AT°R $ ~ v WATER TREATMENT PLANT SURCHARGE S OTHER: $ TOTAL $ zi Ah10UD;T PAID jRECEI2T i_ 1; C~ ~ ~ ~~j ( f~ G, 5' o S,. DO£S UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ~ YES IF YES, THEN n"PERMZT FOR 4+)ORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEEF2ING DIVISION. LIST AS A CONDI- TION. SL'BSECT TO THE FOI•LOWING CONDITIONS: ' ~ - APPROVE~ BY: ,~f~ - 6 TITLE: DAT° : ~/2 ~ . ~ 1~~~9' 1490 BUILDING PERMIT APPLICATION CITY OF EAGAN • SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET DF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ ~~~~,p ° ~-~~-9a To Be Used For~~. Valuation: ~~~JV Date: Site Address ~~.3~Sc~~/rui~- Ccc- OFFICE USE ONLY Lot Block J_ FEES Occupancy ) Zoning Parcel/Sub ~ z1U~, Actual Const Bldg. Permit :no Allowable Surcharge 2,cc Owner ~ Uc.~..,e I.'~Qt.~.S r. P # of stories P1an Review ~p~ Length SAC, City Address ~/$<3~ ~~i'[~Ucc~a.~r (~l Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~~CC~Qp/ SS/o2~t- Footprint S.F. Water Meter Acct. Deposit Phone 'l',s 6-Oa2-~/~ On site sewage_ 5/W Permit On site well 5/W Surcharge Contractor ~~fi^O Si~ s~ d MWCC System _ Treatment P1. / City water Road Unit" Address ~yv2y0 ,~3i^UCjuc /U PRV _ Park Ded. Booster Pump Copies City/Zip Code ~~!/yrtB~ .S`S%y~ SUBTOTAL APPROVALS Penalty Phone S.S lFd S- Planner _ TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 7~-4-~ ~~J 3830 PILOT KNOB RD 55122 J ~ 651-681-4675 ~ ~ ~ ~ New Construction Reouirements RemodeVRe~air Reouirements 7_~. y_~~ ' ~ ? 3 registered site surveys showing sq. R. of fof, sq. h. ofhouse ? 2 copies ot plan and a71 roofed areas 120% maximum lot covarege altowed) ? 1 sef of energy calculations for heated additions ? 2 copies ot plens (show beam & wintlow sizes; poured fnd. design; etc.) ? 1 site survey Por exterior additions 8 decks i t set of energy celculaGons ? 3 copies of tree preservation plan 'rf lot platted after 7/1l93 DATE: J-Z-`t l/ CONSTRUCTION COST: ~`rt,Z g~, DESCRIPTION OF WORK: - DB~- 1<~~~ ~ STREET AQDRESS: '-f ~ ~ k U v e<,J'. e. ~ LOT: ` BLOCK: SUBD./P.I.D. ~ ~-ckllC' ~ ~ IVame: ~ I"Yf~C~~~ ~ ~ C11~j~_ Phone C9~ ~-~I SC - G~~Z1~ PROPERTY sl ? O~'I~'ER ' r ~g StreeL Address U~J~_5 ~~~F U'~i i.~-1 L- ~ _`^~Y Ci[> - - - - State: w~~ Z'P' - Compan}':_~~~ l L.J F~-D v Phone N: Z - S 4( ~ C'~ ..S Q Ll CONTRACTOR 2A~S55"' Ex StreetAddress:__~~__~CJ-~~ l(n.~i___N~ License# ro p. City~ ~_~Ay1/tWTJ~ State: w~aJ Zip: --S~-y~-~-- l ARCHITECT/ ENGINEER Compaziy: Phane _ Name: Regisuation k: Street Address: Cip• S~ate: Zip: 5ewer 8 water licensed plumber (required for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~-6 / OFFICE USE ONLY Certificates of Survey Received _ Yes ~ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. {4-sea) ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? Q9 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood 5tove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. 5AC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water ~dth Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Pfanning Bui(ding Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatmenf PI. Park Ded. Trails Ded. Other Copies Total: SAC Units • CASH RECEIPT ~ ~ ~ ~ CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 ~~cs~veo RROM aMOUNT $ I A DOLLARS ~oo ? CASH ? CHECK /OR r ?f/.V • ' ~~T~- FUND CODE A~~OUNT Thank You BY White-Payera CovY Yellow-Posting Copy Pink-File Copy City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4836 Sky View Ct Lot: 09 Block: 01 Addition: The Safari 2nd PID:10- 75851- 090 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @ServiceExperts.com Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Surcharge -Fixed ME - Permit Fee (Replacements) Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Duane A Hauser 4836 Sky View Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA074529 07/28/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4836 Sky View Ct Lot: 9 Block: 1 Addition: The Safari 2nd PID:10- 75851- 090 -01 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 Kris Oien 3670 Dodd Rd Eagan, mn 55123 Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: 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 h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Duane A Hauser 4836 Sky View Ct Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA092167 11/27/2009 ePermit Line Size Oct 12 2011 1:17PM HP LASERJET FAXBRUCKMUELL 6516882160 44111' fty Of Ba 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 675-5675 Fax: (651) 6754694 page 2 Use BLUE or BLACK Ink 1 Permit #: Permit Fee: Date Re Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: l0-12- i 1 Site Address: -/g?Ski i 'eaj CCX Gr - Tenant: Suite #: RESIDENT /OWNER Name: dt ca.n 2 d✓ Pegg, HatkceAt^ Phone: 651– 1-151.1- 6,Q 77 Address / City/ Zip: 1- CO i : i CONTRACTOR Name: L3r,uC.krhu el/Cr" P/a f0h/;19i.W9C. License #: 0 6, 1 S /-Pm Address: 39a 9/JenaYid Lanic%t ii,e . City: b—ageiri State: ilii Zip: 557c93 Phone: 661- (P >(, - £i G. 9 Co Contact: t'l`/6 or -ffiL/r e. Email: bruckinaed`C.t`,1(.a/riling g g, corn TYPE OF WORK PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope) ✓ Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: B('fis9 01,rtn diSek r e line. p ,PL2nlp AI Code _____c.p FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 55.0 a *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeactan.com/Inflow, or City Hall at 3830 Pilot Knob Rd. 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.000herstateonecall.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 ire&-aciernt4e, /e/' Applicants Printed Name