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1199 Spoonbill CirCITY C° EAGAN 3 1 95 Pilot Knob Road Sagan, MN 5S122 Zoning: - owner: r' Address: Address' PERMIT No.: DATE- No. of Units: Site I I.,() Plumber: , . f,. with the City of Eagan to comply w Connection Charge: sit: 1 agree Account Depo Ordinance& Permit Fee: Surcharge: Misc. Charges: By Total: Date of Insp.: --- Date Paid: insp.:- -WATER SERVICE PERMIT N f PERMIT No•' CITY o K?b R004 3795 Pilot MN 55122 DA f E-. No. of Units: Eagan" Zoning: owner: Address' Site Address: Charge: f Connection Plumber' _ Account Deposit: Meter No Fee: Permit f, Size: -? Surcharge: Reader No•: - cOmpl'1 with the CKY of Eagan Charges. ?d?isc. 1 agree to Total: prdinances. Date Paid: By InsP• Dote of Insp•: CITY OF EAGAN 5795 Pilet Knob Road Eagan, MN 5515 N? 5360 PHONE: 454-8100 BUILDING PERMIT Receipt # To h u. A for Get Vn6 "e 17n?e 19 Site Address Lot Block Sec/Sub. Parcel # of Name _ 3Z Address b City Name _ 0 d Address ~ Ci Name _ Lull r z Address Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit Surcharge - Plan check SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee 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 Ave. 1;mith pwMIt ?j pate Issaed Penni tsw Plumbing Mechanical 7 Q ! ^ (o - 7 (()? ("sr ? INSPECTIONS DATE INSP. Rough-In Final Footings -? t Date Insp. Date Insp. Foundation Plumbing -?,,t Frame/ins. -29 f0-?? = 7 cj' Mechanical Final Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HFATIW-i PERMIT Date: 11-6-79 Site Address: Lot _-_ _ 1199 SpocabiIl Circle 1 Block _ ^ackw ood Estates Sub/Sec. _ Qui t AM TMOUIIM No. 1570 Receipt No.: 615:7 Single Residential X Name - New/Alter. / Repair 0800 L•yrrxlale Ave. Smt:l- c Address Cost of Installation G IV, 8R4-7?. ?? 7ft,1[1 City Phone: Permit Fee Name Surcharge . 4637 C" zicaao !-?outh g Add City Phone: Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PU MBING PERMIT No. 1491 Date: SeiptewberU, 1979 Site Address: 1199 Spoonbill Circle Lot '+4 Block 1 Sub/Sec. Ductiwood gatates Name Jadron °e Address 10800 Lpndale Ave. So. City uloomizwton 55420 Phone NameR'Qille Plumbing Inc. g Address 1200 Leisure Lane c 0 v City 'urnsville 55337, Phone: Receipt No.: 16747 Single Residential Multi Res., Comm./Ind. New/Alter./Repair nA1? Cost of Installation Permit Fee 20.00 .50 Total 20 . This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Rand Eagan, Minnesota 55122 Phone: 454-8100 Water Softener _ PERMIT 11/29/79 Date: Site Address: 1199 Spoonbill Circle Lot .. #1116 _ Block 4 L_ Sub/Sec."Xl(/z zl'i' 4-ye 305 16857 Receipt No.: Single Residential Multi Res., Comm./Ind. I ''>rian Bystedt Name /Re air New/Alter . p 11.99 Spoonbill Circle Address Cost of Installation Eagan, M City Phone: Permit Fee Comers Soft Water Name Surcharge 3301 Calmforl iv g Address e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. No. Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED - AMOUNT $ $ DOLLARS too CASH ? CHECK FOR _.c1? ? 4 , 7 i FUND CODE AtA OU NT Thank You BY i White-Payers Copy Yellow-Posting Copy 15 5 4 2 Pink-File Copy CITY OF EAGAN Remarks Addition DUCKWOOD ESTATES Lot 44 Rlk 1 Parcel Owner W 10 t , C J J Street 1.199 Spoonhi 1 1 Circle State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. f, 1981 1739 3S 347 97 1739.35 0005623 10/15/80 GRADING . SAN SEW TRUNK .J 1971 109.77 5.49 20 54-97 AODR696 1 917 /79 * SEWER LATERAL 1990 2984.16 192.29 1 7ral SZQ A008696 - 1 11/7/79 - WATERMAIN t WATER LATERAL WATER AREA 1972 111.81 5.59 20 12/7/79 • service w STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT road unit 75.00 15542 8/15/79 WATER CONN. 270.00 tr rr BUILDING PER. 5160 it SAC 12-9-00 15-542 911S/79 PARK CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT APPLICATION To be used for SF Dwlg & Garage Est. value 75,00 Site Address 1199 Spoonbill Circle Lot 44 Block 1 Sec/Sub. Duckwood Estates parcel * 10 21900 440 01 a: Name JADRON Adders 10800 Lyndale Ave. South City on Phone 884-7225 rc Name cI[le S0 Su Address CI Phone r? ,y,w Name 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. Signature of Permittee A Building Permit is issued to: JADRON all work shall be done in accordoA90witlxa N9 5360 Receipt # Z5;?5 Erect XM Occupancy R3 Alter ? Zoning RI Repair ? Fire Zone 3 Enlarge ? Type of Const. y Move ? .# Stories Demolish ? Front 50 ft. Grade ? Depth 52 ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. _ APC Permit i r r • uU Surcharge 37.50 Plan check 88.50 SAC 525.00 Water Conn. 270.00 Water meter, 60.00 Total 11158.00 on the express condition that Statutes and City of Eagan Ordinances. Building Official RECEIVEOrIEC 1 081 r. It li!:'1'It7CT N)N!: COVENANT!: AND KNOW ALL MEV BY THESE PRESENTS, that the undersigned, Edward E. Parranto and Valentine Parranto, husband and wife, of the County of Ramsey, State of,.Minnesota, Robert H. Karatz and Naomi Karatz, husband and wife, of the County of Maricopa, State of Arizona, and Kenneth Appelbaum and Sally Appelbaum, husband and wife, of the County of Hennepin, State of Minnesota, being all of the fee owners of the following described lands situated in the County of Dakota and State of Minnesota, to-wit: - Lots 1, 3, 4, 5, 7, 8, 10, 11, 12, 13, 15, 16, I 17, 18, 19, 20, 21, 24-, 25, 29, 30, 31, 32, 35, 39 „40-,- 4-1,,,43, 43, +14,-45, 48, 49, 50, 52, all in Block 1; -and Lots 1, 2, 3, 5, 6., 89, 10, 11, 12, 13, 14, Block 2; all in, Duckweed Estates, according to the recorded plat thereof, sometimes hereinafter referred to as "the land", do hereby set out the following covenants and restrictions, which - shall run with the land and.bind the parties hereto, their respective heirs, representatives and assigns, and all subsequent purchasers of the land or any part thereof, and their heirs,representatives, suc- cessors and assigns, to-wit: - 1. These covenants and restrictions are to run with the land and shall be binding upon all parties and all persons claiming - through or under the undersigned for a period of thirty (30) years - from the date hereof, after which time said covenants and restrictions shall automatically extend for successive, periods of ten (10) years rN each unless an instrument signed by the majority of the then owners of the above described lots has been recorded, agreeing to change such - covenants and restrictions, in whole or in part. 2. No lot shall be used except for residential purposes. No building shall be erected, altered, placed or permitted to remain - - - on any lot other than one detached single-family dwelling not to ex- teed three stories in height and a private garage for not more than three (3) cars. 3. The size of any dwelling, exclusive of one-story open - porches and garages, shall be: (a) in the case of a single floor structure, not less than 1,200 square feet in area on the main floor; _ or, (b) in the case of a split-level structure, not less than 1,200 square feet in area on the floor directly under the roof; or (c) in the case of story and-a-half structure, not less than 900 square feet on the ground floor, and a total on the main floor and second floor of not less than 1,300 square feet; or (d) in the case of a two story structure, not less than 750 square feet on the ground floor and a - -total on the ground floor and second floor of not less than 1,400 square feet; or (e) in the case of a split-entry structure, not less than 1,200 square feet in area on the upper level, but a 258 credit will be given for finished area of lower level which is 50% exposed over fin- ished grade. No structure shall have a side exposure more than three stories in height from ground to eave line, considering as a story, an exposed walk-out basement. . -4. No dwelling shall he constructed or maintained on the ' above-described property without a garage. The garage may be either a separate structure from the house or attached. If an attached or a basement garage is utilized, then the overall length of the dwelling structure, exclusive of eaves or open porches, shall not be less than forty (40) feet. All garages shall harmonize with the house as to de- sign, materials and finished floor elevations. 5. Easements for installation and maintenance of utilities and drainage facilities are reserved as shown on the recorded plat. Within these easements, no structure, planting or other material shall .r be placed or he permitted to remain which may damage or interfere with the installation and maintenance of utilities, or which nay change the direction of the flow of the drainage channels in the easements, or _1_ 1 . which may obstruct or retard the flow of water through drainage chan- m•lr: in 1'hn n,??r•m rntr.. Thr na-;rmrnt nrrn of rnch lot- an,l all imprnvr- ments in it shall be maintained continously by the owner of the lot, except for those improvements for which a public authority or utility company is responsible. Lots which border on wet lands (Lots 24, 25, 20, 30, 41, 42, 43, 45 and 50, all in Block 1) will not be cut or filled within the easement area bordering the wet land, as shown on th, recorded plat. - 5. No noxious or offensive activity shall be carried on upon any lot, nor shall anything he done thereon which may be or may become an annoyance or nuisance to the neighborhood. 7. No structure of a temporary character, trailer, base- ment, tent, shack, garage, barn or other outbuilding shall he used on any lot at any time as a residence either temporarily or permanentll 8. No sign of any kind shall be displayed to the public view on any lot except one professional sign ofnot more than four square feet, one sign of not more than eighty square feet advertising the property for sale or rent, or signs used by a builder to advertise the property during the construction and sales period. -9.- No animals,- livestock, or poultry of any kind shall be raised, bred or kept on any lot, except that dogs, cats and other household pets may he kept, provided that they are not kept, bred or maintained for any commercial purposes. 10. No lot shall be used or maintained as a dumping ground for rubbish, trash, garbage or other waste, and any such materials may be kept on the premises only in sanitary containers. All incinerators or other equipment for the storage or disposal of such material shall be kept in a clean and sanitary condition. 11. The exterior of all structures shall be finished in wood, stucco, brick, stone or other approved exterior hard materials 12. No filling or storage of refuse, discarded materials, junk or other obnoxious matter shall be permitted upon said premises, except within the house or garage. No storage of commercial, struct- tural or business equipment or materials shall be permitted upon the premises, except within the house or garage. No parking or storage of commercial vehicles shall be permitted upon the land, except for the making of usual and customary deliveries to and from the premises, and except that each owner may park one (1) commercial vehicle owned by him and not exceeding one (1) ton upon his lot at any time. Pri- vate vehicles upon the land shall be kept within a garage accomodating normal passenger-size vehicles. 13. No fence in excess of a height of six M feet shall be permitted upon the land or any part thereof, and all fences constructer thereon must be of new material in metal mesh, wood or metal picket or ranch type wood construction. All such fences shall at all times he properly painted, stained or lacquered, and shall be maintained in a neat appearing condition. 14. Enforcement shall be by proceedings at law or in equit} against any person or persons- violating or attempting to violate any covenant or restriction contained herein, which proceeding may he eithe to restrain violation hereof or to recover damages for such violation. 15. Invalidation of any one of these covenants and re- strictions by judgment or court order shall not affect any of the other provisions hereof, which other provisions shall remain in full force and effect. IN TESTIMONY MIEREO£, the undersigned have hereunto set their hands this day of ? 1979. -2- i i BUILDING PERMIT APPLICATION DATE / Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for tCes 1jz'C ? Site Addresc: 11,79 s peg ° N 0-1 M, Valuation /'?&zd Lot Block f Sec. Sub. ! Parcel Number ?Q a/%CXJ ???/GI D? Dockw?.[ ?5{7r{rS Owner aTPrb 7013 Telephone Cy72 ?s Address o Contractor Telephone c d y"zz 2 4 4 42 Address 0 Arch./Eng. K N S E L _ Address Telephone 5`y C O 970 OFFICE USE Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Occupancy 3 Zoning A°f Fire Zone _ Type of Const. I N of Stories Front d O Depth FEES 7 7 Permit J 7 Surcharge Plan Check $ a -a SAC 3a - Water Cron. 270 Water Meter oO TOTAL EXTERIOR ENVELOPE.AVERAGE_* "U" COMPUTATION OWNER I I W 'J VPf6 N b i SITE ADDRESS. CONTRACTOR T4 O RM ..1 - DATE PHONE Determine working square footage of each. 1. Total exposed wall area ..... IS sq. ft. x .17 = 6 9,a 2. Total roof/ceiling area ..... l3B'ff sq. ft. X .05 = Total exposed wall area above floor = I JS a. Total wall window area ........................... ai 0 b. Total door area ................................. 7-0 c. Total sliding glass door area ................... a d. Total fireplace wall area ........................ e. Total wall framing area (average 10%)............ y f. Total net wall area above floor ................. ars,(p g. Total rim joist area Total exposed foundation area = S(h. Total foundation window area ..................... /o. i. Toal net foundation area above grade ............ Determine "U" value of each wall segment. •6P a. ;Z a X ..U. = 7S? .?> 45 1?,cP b. a a X .,U,. ? 3 l1.GG l.P?, c. N X .,U.. .'f3 = A = Z 94 1.22 ?? 1.22 9y d. y X ? ..U.. 37 re ,17 +7 17 e 1 V f X "U" . f. ? 569 X .,U.. 070 = 1. 9 s. 133 x h. /D X "U" i . 7,;-- x --u-, L/ 7 3.. ..........................Total =3 f?,3 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = j. Total skylight area ............................. 0 k. Total roof/ceiling framing area (average 10%)... j3 ,V 1. Total net insulated roof/ceiling area........... la xZ Determine 11U" value for each roof/ceiling segment. J• i V 111'11x- 1. A 11,111 a.3( _ y3. 7S 4 ............................... .Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #,4 shall not be greater than the sum of items #1 and #2. 3. _ ?rl+ 4. tel. 6? Iaf 01 / , O RV EIAKKE IINSULATION? %48 QIFF BpM' BIIWJSY MN5 w'Xf! ORV BAKKE RES! 920-3552 890-0188 CONTP ACTORS-<PR?iC2TpR9 ? OLG UKET 6 PLOW V YFPyC<TiOrvS' FOnM B[YPO .??=o?ae ?ngineeri?z.g? Com?cxsry QO/. Tresyel?r-'s Trat? .Bur?sarilZe, Minn ?h os?e 890-47? Ces'-?i?'i ccs?e v? Surz-e y egaZ ,DescrlaUon: Lot 44, 81ock 1, DDCKWOOD ESTATES, - Dakota County, Minnesota. NORTH 4 ` SGgLE f"=30' ? p/oT£: ,441'SEAR+NG$ SHAWN ARE ASSLM ED. ? i71by n?,?/ N ?. J V' 9' 12 O F3LOGK i C 3° N l t,?' ± -41 IS 6 `:? r o, ( 0 N 0 LOT 44 10 N i ? ?1 ltd ? X 30 -- C X40.3 ! -J W ?,o . ? s g$oJ 3 iii cps /N'VGE ,q NO w / 4 LT/c/TY 7 j ?SEhEr1T1" I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me on this 8 day of March , 19 79. Minn. Reg. No. 5156 ;y 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _?_d. 690 New Construction Requirements Ronodel/Reoair Requirements Office Use Only 3 registered site surveys showing sq. R of lK sq. R of house, and all roofed areas 2 copies of plan showing footings, beams, joists ' Cert of Survey Recd _Y _ N (20%maaimum lot coverage allmw ) I set of Energy Calculations for heated Wdions Tree Pros Plan Recd -Y _ N 2 dies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks Tree Pres Requbed -Y _ N I set of Energy Calculations Addition - indicate N onsse septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If la platted after 7IM3 Rim Joist Detect Options selttdon street (buildings with 3 or less units) Minnegasco mechanical ventilation form Date/ l U7 Construction Cost Sit Add ? ] ?Qconloil ita S el# e ress 1 9 tt/ t Description of Work r Multi-Family Bldg _ Y G N Fireplace(s) _ 0 _ 1 12 Property Owner .( a Ve- l '(,L-rIt r Telephone ft (W) Contractor 11.1 Ra n S 1 (_1 !/I Address '951P VA?(Jahh?2? Wx City 171 .I State MA) _ Zip _ ?,e Telephone # (?;) ' v/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 • Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plants - Y - N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicants P ' ted Name Applicant's Sigma RESIDENT OWNER Name: A. ,:10.1 \C\ -fi k Phone: L2 `1 5 0 i Address City Zip: \X''�`\ i t✓ ',I.,' I.,' v CONTRACTOR Name: Residential Heating License t.- q zl 3°-t "D 1- Address: Air Conditioning, Inc. City: 1815 East 41st Street State: Zip: Minneapolis, MN 55407 Phone: (612) 724- 1899ntact Person: L ._C: X\ -CA rPY TYPE OF WORK New X., Replacement Additional Alteration Demolition Description of work: l'I it Vli °1 L.D, C v ??.t-' )1, A� cxyct') 5 NOTE Roof n nd ground t u tted t Irlri l ul ipment is req ui red t cre erred y ,City, l I t r r` r on itt d i ods. a I ,Ii n PERMIT TYPE RESIDENTIAL f Fumace Y, COMMERCIAL New Construction Interior 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 or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) f $.50 State Surcharge) b� 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 $2,000 Permit Fee requires a $1.00 surcharge). Contract Value I x 1% 1 f Permit Fee If Permit Fee is Tess than $1,000, Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 TOTAL FEE Date: City otEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2009 MECHANICAL PERMIT APPLICATION Site Address: c %Y,Ot C 0 1 hereby acknowledge that this information is complete and accurate; that the work will b Eagan; that I understand this is not a permit, but only an application for a permit, and work with the approved plan in the case of work which requires a review and approval of plans. x Ap conformanc of to start with Use BLUE or BLACK Ink Permit Fee: 67 J Date Received: "D 2 l Staff: Permit „Trent" Suite 1 CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454 -0002 for protecti n against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateon ca or antes and codes of the City of at the work will be in accordance Use BLUE or BLACK Ink r----------------� I For O�ce Use � I L. �� I � I Clty of �a��� , Permit#: � � a�'�� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: i I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: „��u�M,�...,�.,��,�,.� .� ,��.4��..�_,�,�.,�,��„� ...�,.��..�- -�..�.�� � �. Name: � C I�t,�l S �►� �f'' Sf V'`'L _Phone:��Z—?��-I �f lld' R�siden� f O�y��� Address/City/Zip: l � �� �r � L1 Qr � � �i�r��`e , Applicant is: �Owner �Contractor �� ��� ' � Description of work: " ��t � ���r� �t,�c"��``��"" C — S�� ° Ty�pe t�f W4rk ; ' Construction Cost: (�.�� �� � Multi-Family Building: (Yes /No� Company:�C� i h (.UHsi�ru ��r`o-�. 1�.., �` Contact: �i�lfk La �-- � Address:( 6 Z l �' �G'i r�'�� � City: �x�C v�'��`e �orttra�ctor . Stat�/�/Zip: S'5��� Phone:�'CZ�?SG 3�tLo EmaiLF-�f1,r2ccMs'fihk a��°c� ��-w��`c� w �.v.n7� License#:.Q� 5� Z� ��{ Lead Certificate#: If the project is exempt from lead certification, please explain why: /V,�..�-� �L�...../?�� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? � Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ND7'�':i�l�ns a�aal�r��Ovrtin�alocu�nen�s tha�,�a�r s�r�bar��t are can�ic�t��d#o'be p�rbl�c i�:fvrF»�ti�. Fai�on�:of t�te int'orma#ic�n rr�ay 6e c;�assi�ed a�n�n:publr'c if you�r�v�d��eci�ic reasor��tl�at�au�d perr��t�he Cf#y t� cor�c�t�d��h�'��e are�de secre�w ' 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of per it issuance. X X� ��-k L-a� x � ,�-- Applicant's Printed Name Applicant's Signature Page 1 of 3