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4271 Svensk Lane CITY OF EAGAN . 3795 Pilot Knob Road Eogae, MN 55122 N2 4896 PHdNE: 454-8100 BUILDING PERMIT Receipt # v To be uted for T`= • ~'1 ~dTEst. Value e Oete 19 ~5ite Address 4271 E•; SVeriSk Erect Occupancy Lot Block 2 Sec/Sub. WM cl - i<! 3, Alter ~ Zoning Porcel # 11 '3 43 5'; 72 Repair ? Fire Zone Enlcrge 0 Type of Const. ~ oc Name poA Move ? # Stories W 3 Address 1,1800 Avr, Demolisfi ? Front ft. Ci Depth ft. b ~>loOI:tYrigtphone P3~:`7?15 Grade ? Approvals Fees ~ Name r Assessment Permit Address ~ p~~e Water & Sew. Surcharge Ci ~ Police Plan check W W Name Fire SAC v~ Address Eng. Water Conn. <W Ci Phone Plonner Water Meter Council t n I hereby acknowledge that I hove reod this applicotion and state that gldg. Off; the information is correct ond agree to comply with all opplicable APC Total ~ Q~~, ~ c' r State of Minnesvta Stotutes ond Ciry of Ecgan Ordinances. 5ignature of Permittee A Building Permit is issued to: on the express condition thct all work shcll be done in accordcnce with all opplicable State of Minnesota Statutes nnd City of Eogan Ordinances. Building Official Paadf # pah laued perm"fee Plumbin9 /i 57/ 7 ilk / Mechanical -k -t-/ - 7ep ,~,JLQ ~ C L e~t-~ (p -1.-4- + 9 -18 - 8 cv ' • INSPECTIONS DATE INSP. Rotqh-In Pinol Footings Dcte Insp. Dafe Insp. Foundation _ Plumbing - a- zen Frume/ins. Mechonical Final Remarks: . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 11" 1?'lo 383il-Pilot Knob Road Permit Number: 0.'H I f. l Eagan, Minnesota 55122-1897 Date Issued: o ' io' ~ (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ! I INSPECTION D. . ~ •~~+i , r ~r~.:i I ~ ~ ~ Permit No. Permit Holder Dato Talephone M ELECTRIC • PLUMBING HVAC InspecNon Date Insp. Commenta , FOQTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH , HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ~ FIREPLACE . AIR TEST FINAL PLBC3 FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL # DECK FTG ~ /v v . DECK FINAL , - ~ - ~ : ?~y7 ~'1~•3 s~ /I N~ L'li.v i , . ~ ~CITY QF EAGAN : f ~ 681-4675 !L • • q~ ~ DEPT. OF BUILDING INSPECTIONS' ~ ~ ~ - ~ Correction Notice ~ I have inspected this structure and these ~ premises and have found the following ~ violations of city codes: ~ . 3~- 4301. 449SI -~-N _ ~IA 126W When corrections have been made, please ~ ~ ~ call 681-4675 for inspection. ~ Date F;Inspector City of Eaga DO NOT REMOVE THIS TAG = CITY PF EAGAAJ µ A 1 681-4675 ~ DEPT. OF BUILDING INSPECTIONS ~ Correction Notice A r-I have inspected this structure and these ~ -:r premises and have found the following M ' violations of city codes: .Y .y i A ~ C' „ s~ . ~ ~ ~ When corrections have been made, please # call 681-4675 for inspection. ~ t Date " Inspector City of Eagan : A DO NOT REMOVE THIS TAG ~ . . . _ . _ . . ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: r:' 31 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 4 t?f : fti tii il+ ~ ~ i !['N`;/ I/lNf= ~~f. ~~id•.? ~ ~ ; i•, !~rll , i~:~ ~ ~ ;1 , i ~ ,.;~;c ; i, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • DA I ~ ~ ~ Permit No. Permit Holder Oate Telephone it ELECTRIC PLUMBING HVAC Inopectlon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FiNAI PLBG FINAL HTG ORSAT 7EST BLDG FINAL BSMT R.I. 85MT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Additio Wilder ess Run 5th Addition Lot 8 Rik 2 Parcel 10 84354 080 02 Owner 1 'sveet 4271 No. Svensk t-aAlr- state- Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK plol ~ 1973 $132.60 $6.63 20 8 ~ 2 11-7-78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA _78 STORM SEW TRK 1981 245.00 16.33 15 179.68 A013570 2-22-84 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 250.00 10944 7-21-78 BUILDING PER. SAC PARK .1 PY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.; Eagon, MN 55122 DATE: Zoning: No. of Units: Owner. Address: Site Address: ° _ . ~ - PI uinber. I agree to comply with the City of Eogon Connection Char n• Q C pd Ordinonees. Account Deposit: Permit Fee; . Surcharge: . r' By Misc. Chorges: Dote of lnsp.: Totol: Insp.; Date Paid: --1"1' OF EpaqN 3795 Pi)oF 1(eob Road WArER SERVICE PERMIT E090n, MN S5122 PERMIT NO.: Zoning; DATE: - ~ Owner: ~ • No. of Unlts: 1 Address; Site Address: ~ Plumber: Meter No.: + Size: _ Connection Chorge: Reoder No.: Acoount Deposit: I agree fo eanPlY wilh fhe C' Permit Fee: ~ ~Y of Eaya~ : Ordinoneea. Surthorge: Misc. Charges: i~, . Bv Toroi: - ~ ~ Dote of Ins - ~ate Paid; p.: InsP.: cinr oF EncaN 3793 Pilot Knob Rmd Eagan, MN 55123 N? 4896 PHONE: 4548100 L/ # _l BUILDING PERMIT APPLICATION Receipt ~7 Te ba used for SF Dwlg. & GarEx, Value 35, 000 Date 7/21 , 19 78 Site Address 4271 Svanek Erect Occupancy L Lot $ Blxk2_Sec/Sub.WilA_ Riin Sth Alter ? Zoning R1 parcel # 10 84354 080 02 Repoir ? Fire Zone 3. Enlarge C] Type of Const. 17 w Nume •Tdf]Rf173 Move ? # Stories ; Address 10800 Tyndfllp Ava_ Demolish ? Front ft. b Ci Bloomington pho„e 884-7225 Grode ? Depih tc. a AOprorab fees Name Address Assesunent 211 8 Permit ~7. $O ~ Woter 8 Sew. Surchorge Ci Phone Police Plan check ~w Name . Fire SAC 500.00 1,~ Addrew Erg. Water Conn.250. 00 aW CI Phone Planner WaterMeter Cou„cii Roacl UniE 75.OC I hereby acknowiedge that I hwe read this applicotion and state thot gld9, pff, the information is correct ond ogree to comply with all applitable AP~ Taa~ 945. 5~ $tate of Minnesoto Statutes and City o{ Eogan Ordinonces. Signature of Pertnittee A Building Permit iAIIJ~a7l~tl_ Mon the express condition that oll work shall be dall aDP~icob e 5 e of Minnewta Statutes and City of Eogan Ordinonces. eFtoc(v Building Official &FA nnTE HUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 7b be used far ~i~ /Y ~q-m. ~Y tr~uara~~ Vaiuation Q.Z> ~o&W- Site Addresc; 7/ /~tl Lot ~ Block Sec. Sub. Parcel Number /0 8~/.~Sy D$O 02, w,/ e /N esr n V,,, Oamer Telephone Address /O ~f~ 0 D[ ~ a J Contractor ~ Telephone 72-2 Address Arch./Eng. Telephone Address OFFICE USE Erect Occupancy Alter Zoning Fepaix Fire Zone Enlarge Type of Cbnst. Nbve fl of Stories Demvlish Front Grade Depth OFFICE USE - Date of Approval & Initial FF.ES n d'~ _ Assessment Jj•~, PeTSit 99 Ftater/Sewer Surcharge ~17 Police Plan Check Fire SAC ~DD Eng. [^later Conn. ?~D Planner L•later eter Council /-d4 Bldq. Off. A.P.C. TOTA7, ~ o 6- AFA1100 m 70800 LYNDAL@ AVENUE SOUTH o Sll1YE 110 o MIkNEAPOLIS, MINNESOYA 55420 MEMBER "MLS" . . . REAL ESTATE . . . MQRTGAGE INSURAPICE /oC, o y V I ~ L. ~ ~ 3 5 16 ~ Df~`~L~ ~V C) , )'V c. PERMIT `CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028167 (612) 681-4675 Date Issued: 07 J09/96 SITE ADDRESS: 4271 SVENSK LANE LOT: 8 BLOCK: 2 WILDERNESS RUN 5TH P.I.N.: 10-84354-080-02 DESCRIPTION: Buildin~gc,Permit Type DECK fBuiiding W'Q-r k Type NEW Census Code '434 AI.T. RESIDENTIAL ; i ~a ( . ? 3 / !f „ j -~U ?--.,,t',_~._ . REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Appliaant - ERNST KEI7H 4271 SVENSK LN EAGAN MN 55123 (612)454-2589 I hereby ae`knowledge th-at T have read Ch3s app2ication and stat'a that the information is correct and agree to comply with all applicable State ofi Mn. ~ Statutes and City oP Eagan Ordinances. _ - APPLICANT/PERMITEE SIGNATURE IS ED BY: SIG TURE k CITY OF EAGAN J, 3830 PILOT KNOB RD - 55122 ~%jtq1996 BUILDING PERMIS$ ~ ~15 ATION (RESiDENTIAL) New Construdlon Reauirement. RemodeUReoair Reauiremenls i 3 registered site surveys ? 2 copies of plan ~ 7S ? 2 copies of plans (include beam 8 window sizes; poured fid. design: ete.) ? 2 site surveys (exterlor additions & decks) ? t energy calculatlons ? t energy calculations for heated addkions ? 3 copies of tree preservation plan H lot platted after 711193 required: _Yes _ No ~h oU DATE: cO - o~I - ~I ~ CONSTRUCTION COST: /d0' DESCRIPTION OF WORK: -c> e- ~ STREET ADDRESS: OdW e'~ C- p~` G``~ N k LOT BLOCK Z SUBD./P.I.D. Ld ~ . U ~ PROPERTY Name: ~rrl S~ A~e%f~ I c`ne Phone.#: la _ysy -a5~9 OWNER MDT ~ StreetAddress. i°" S+; P^skmA) 3 City: Grq c.,-. State: M Zip: S~ /e2 3 coNTrtnc'roR_ Company: Phone Street Address: License City: State: ZiP: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address, City: 5tate: ZiP: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. ' I hereby acknowledge that I have read this applicaHon and state that the information is correct and agree to compiy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY R~~~a V ED Certificates of Survey Received _ Yes _ No 5 l~~s 01 Tree Preservation Pian Received _ Yes _ No OFFICE USE ONLY ,w BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = piex ~,e15 Deck WORK TYPE ,d'31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. &13 S~ Depth Footprint sq. ft. SAC Code a/ Census Bldg i Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM/ Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: . % SAC SAC Units t0o/ r . ~ . 1~1 IU " i ry ~i; i ~ ~ ,4S ~ a ~Z S~ = 1 . , „ n.~~~ `L-~~v3 ~ ~uy ~sL'anS r~ I L Ch ~-~1~ 'I-~S • . ' PERMIT 0.eos~490.3_ f~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road eulLOiNG Eagan, Minnesota 55122-1897 Permit Number: 027231 (612) 681-4675 Date Issued: 0 q J 0 3 j 9 6 SITE ADDRESS: 4271 SVENSK LANE LOT: 8 BLOCK: 2 WILDERNESS RUN 5TW P.Z.N.: 10-84354-080-02 DESCRIPTION: SIDING/7RTM/ROOFING ~ SF (MISC.) U3,1d1n~ge4,Permit 7yps ~~4s1,iutTg"°4~^,k Type REPAIR Yy6'Ug ~qde0.34 HLT. RESIDENTIAL ? , ~ v ~ V12" Q`;` va S REMARKS: FEE SUMMARY: VALUfl7I0N $11,000 8ase Fee . $174.75 Surcharge $5.50 Total Fee $180.25 CONTRACTOR: - Applicant - ST. I.IC.OWNER: RONCOR CONSI' Cp 18885578 0002337 ERNST KESTH 10740 LYNDALE HVE S 4271 SVENSK LN BLOOMTNG70N MN 55420. EAGAN MN 55122 (612) 888-5578 (612)454-2589 . . _ o . . . 6 . . . . . . . . I h ere;6p -aelt0ow1e#qg Zha.tC i hsve read th3s a-p,ptjcat3.an ffnd'sta-te 'tHattho _ intar~i~tzon','~sectr,~ect ;~rs;tl :aqr~~ to" 0~0atpkY, with 01,1 i#0pvlic0141.0 'StAtQ~ "ssf - Statwtes ~artd~ City of ~c~ah" tYrdifl~nce~. ° - _ m,~-PPL NT/ EfiMITEE SIGNATURE ISSUED BY: SIG T~'i ~A URE r~- CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 681-4675 Neve ConsWdion Reouirements RemodeVReoalr Reauirements ? 3 registered aile surveys ? 2 eopies oi plan ? 2 copies of plans (indude beam R window sizes; poured fnd. design; etc.) ? 2 sNe surveye (exteAOr addkions d decks) ? 1 etiergy cekulations ? 1 errergy caiculations for heated additiona ? 3 copies oi tree preservatlon plan R lot platled efter 7/7l93 . required: _ Yee No DATE: ~4 ~Xp CONSTRUCTION COST: O O DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK ~ SUBD./P.I.D.#: PROPERTY Name: Phone OWNER Street Address• 4271 A/ City; State: ~ Zip• CONTRACTOR Company: Lzi°:2t Phone Street Address: JD7~0 License a?13 Z City: State: ~ Zip:-SS~az O ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water ticensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I here6y acknowledge that I have read this applicatian and state that the information is coRect and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY na ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 5F Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. R. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review License MC/WS SAC City SAC Water Conn. Waler Meter Acct. Deposit 5NV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Unita �City afEapu Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ^^� Permit* ! 1 pl 9 50 S>35 2/)11 Permit Fee: Date Received: Staff: Y - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: L,& S/(tz. e f.,0S & Phone: 6' 6/%55F-6177 Address / City / Zip: y a7 7 / S1/ 1 S k /am. f v r/ 4 Applicant is: Owner X Contractor Description of work: 1 t 1 DO' Construction Cost: 709g, 9i • 73 Multi -Family Building: (Yes Company: 1\ 1l t M M 5; (1; J `I' U e 4O i. Contact: .1/Y): )+ L( Address: t A1A> L1 'f City: i l I'C tj n v1 ( State: VV t Zip: 540 License #:6C, 3 13 Phone: `j is-- alt--4,aqo Lead Certificate #: IVA-T -'/06 C S/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ►n Applicants Printed Nam x Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA142317 Date Issued:04/25/2017 Permit Category:ePermit Site Address: 4271 Svensk Lane Lot:008 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David C Stencil 4271 Svensk Lane Eagan MN 55123 (605) 351-7034 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147095 Date Issued:12/11/2017 Permit Category:ePermit Site Address: 4271 Svensk Lane Lot:008 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David C Stencil 4271 Svensk Lane Eagan MN 55123 (605) 351-7034 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature r For Office Use „ � • , Permit#: E AG N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com • 2019 RESIDENTIAL BUILDING PERMITS / APPLICATION Date: 5 I- / l Site Address: 42 7/ Ci1J S 1. JY, /�! Unit It: Name: ale.%)::& S\evvcL i \ Phone: Resident/ l �l Owner Address/City/Zip: '/ J .,2 7 l Vt" 5 k I a Applicant is: Owner X. Contractor '"14)_/„-14116-1 - Description Description of work: ((4 i i (.dtJClt-J5 J4 t dPR--A--vA5 I q Type of Work AcA Construction Cost: > 2/ du A • Multi-Family Building:(Yes /No < ) Company: ?-iteit t"l. d/S .L(( Contact: 2D b b Contractor Address: 11,43 6 9/'' sf, City:, JdPt (4141,e- /645. State:MA- Zip: �5fD 7'7 Phone:$' 333'82 I Email: License#: S C(,' /Od a Lead Certificate#: N i ^ 'i O '44 - D7 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude,that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.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 1plans. r x 2,A4r c' NI- e;INNE-IN— x 5 r�-� '1�h 4t/14-4\1-1‘.‘-- Applicant's Printed Name Applicant's Signature