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4830 Sycamore Ct , ~ RESIDENTIAL I BUILDING PERMIT APPLICATION ~ ~O ~ ~ ~ CITY OF EAGAN f1 3830 PILOT KNOB RD - 55122 v-~~ 651-681-4675 ~ -1-`~-C~ - ~ New Canstruction Reauiremanta RemodellReoair Reauirements • 3 regislered sAe surveys showing sq. @. of lot, sq. ft. of house; and all roofed areas • 2 cropies of plan (20% maz'unum lot coverage allowed) . 1 set of Energy Calculations for heated addNons • 2 copies of plan showing 6eam & window saes; poured found design, etc.) • 1 site survey for extenaraddNons & decks • lsetofEnergyCalculalions . Indicate'rfhomeservedbyseplicsystemforadditlons • 3 copies W Tree Preservation Plan if lot plafled afler 7/1/93 • Rim Joist Detail OpHons selection sheet (bldgs wiN 3 or less uni~s) DATE ~ ~ I VALUATION JOB SITE ADDRESS `t 0~Jb SY~dL~ v` . IF MULTI-FAMILY BUILDING, HOrW MANY UNITS? PROPERTYOWNER T~d ~~n« TYPE OF WORK S"'~~~~n`~~ ~+S(h'nc~~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~p~ie- S~fJ PHONE# ~~-3~a-S~~'8 ADDRESS SY~~~2 ZIPCODE Ssla3 PAGER# CELLPHONE# ~`~~'d~~~~a`IS'7 FAX# NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RIJI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing Systcm Includes: ~ Wa[er SoPtcner = Lawn Sprinkler n M, Wacer Heater No. of R.I. Ba LI l'~ D No. of Balhs Mechanical Contractor: Phone Mechanical System Includes: _ Air Conditioning By Fee: '70.00 Heat Recovery System Sewer/Water Conhactor: Phone # All a6ove information must be submitted prior to processing of application. 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 Or nances. ~ ~ Signature of Applicant ~a~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ~ , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ~J 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ~31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code ~y 3~/ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Foorings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundarion ~pC Drain Tile Roof _ Ice & Water _ Final _ Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Appraved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant P~umbing Permit Mechanical Permit License Search Copies _ "a-`~ - Other Total AddTess 4830 Sycamore Ct ZiP 55123 IAt _ '1'• Blk ~ Sub P i n e E d g e 3 r d THES~ I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: _a~ Yes No Inspector: Final gtade (6" from siding) Permanent steps (garage) ~ Permanent steps (main entry) ~ G Permanent driveway Permanent gas X Sod/Seeded grass TraiU~~b damage Porch ~r Basement finish Deck Please vei~}' with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working iu rightof-way or installing underground sprinkler system. ~ Whiu - City Copy Yellow - Resident Copy Pink - Contractor Copy , . . , s ~a Q ~ ~ i a;a o o~o ~ i yo a N¢ w~ ~ w i' ~ z ~ c'7` ~ C7 W a O I 2LL Q N~~ U"~ ~ W~ ~ ~ ~N ~ U ? ~ ~ ¢ ~ ~~NV J.. pl ~l t~2 ~Q~~ o ~m W o¢ Z ~ b'V ~ 000 x ¢ ~ ~S°w$~° w ? ~wo00; z~ V = I V~ QO LL~ V i V CERTIFICATION ~""P; Iviaria Kazels, Deputy Clerk of the City of Eagan, Dakota County, MN, do hereby certify , : :.'that the aCtached document is a true and correct copy of a public record for the City of Eagan. - ~~~r.~ i ~ ~l' . c~ i ~ri ~i . . , ~ated•:~.AuguSt.1,~2000. ~I~1~.~.J ~Ulv.xi-~-~ ' Maria Karels c~~Y~ • , ~8~'0 7 2585 NOTICE CITY OF EAGAN NOTICE IS HEREBY GIVEN that the City of Eagan, Dakota County, Minnesota, has completed the proceedings for vacation of an easement lying over and across the following described property: Vacation of drainage and utility easements over Lot 1, Block 1, Pines Edge 4w Addirion, Dakota County, described as follows: The south 5.00 feet of the north 10.00 feet except the east 10.00 feet and westerly 10.00 feet as measured along the west and northwesterly lot line. That said proceedings were taken and completed by the City of Eagan, Dakota County, Minnesota, on August 1, 2000; and that the descriprion of the real estate and land affected by the vacarion of said easement is contained in the Resolution vacating said easement of which a copy is attached hereto and made a part hereof and marked as Exhibit "A". DATED: August 1 , 2000 ATTEST: CITY COUNCIL - C EAGAN `~LI.U.~. ~ju/~x,~ci ~ ~ By: Maria Karels By: Patricia E. Awada Its: Deputy City Clerk Its: Mayor RE .r,F~VED DATE RECEIVED ~"~~0 v ~~p z 2 2Q00 DAKOTA COU~ITY TREASURER-AUDI70R EXHIBIT A RESOLUTION CITY OF EAGAN WHEREAS, a regular meeting of the City Council of the City of Eagan, Dakota County, Minnesota, was held on the lst day of August, 2000, at 6:45 p.m. at the City Hall located at 3830 Pilot Knob Road, Eagan, Minnesota; all members being present; and WHEREAS, pursuant to M.S.A. §412.851, the Mayor convened the public hearing to consider the proposed vacation of a drainage and utility easement lying over and across the following described property: Vacation of drainage and utility easements over Lot 1, Block 1, Pines Edge 4'" Addition, Dakota County, described as follows: The south 5.00 feet of the north 10.00 feet except the east 10.00 feet and westerly 10.00 feet as measured along the west and northwesterly lot line . WHEREAS, the Counci] at a regular meeting on the 5`h day of July, 2000, accepted a perition to vacate said drainage and utility easement pursuant to a petition and scheduled a public hearing on the vacation for the ls` day of August, 2000, at 6:45 p.m. at the City Hall; and WHEREAS, Affdavits of Publicafion of Norice of Hearing in the Dakota County Tribune, dated July 13 and July 20, 2000, relative to the proposed vacation were submitted; and WHEREAS, there appearing no objections to said vacarion and the Council desiring to vacate said drainage and utility easement; and WHEREAS, it having been determined that other than petitioner, there are no other parties, including public utility companies, having an interest in said drainage and utility easement, and it appearing that it is in the public interest to vacate such easement, and there being no objections; NOW THEREFORE, upon motion by Councilmember Carlson, seconded by Councilmember Bakken, all members voting yes, it was RESOLVED that the drainage and utility easement lying over and across the following described property is hereby vacated: Vacation of drainage and utility easements over Lot 1, Block 1, Pines Edge 4'~ Addition, Dakota County, described as follows: The south 5.00 feet of the north 10.00 feet except the east 10.00 feet and westerly 10.00 feet as measured along the west and northwesterly lot line. Dated: August 1, 2000 ~ ATTEST: . CITY COUNCIL - C TY OF EAGAN ~Q/u.~l, Q/~Q}~J ~ By: Maria Karels y: Patricia E. Aw Its: Deputy City Clerk Its: Mayor ~ THIS INSTRUMENT WAS DRAFTED SY: PUI3LIC WORKS DEPARTMHNT CITY OF EAGAN 3830 PILOT KNOB ROAD fAGANMN 55122 (65l ) 661-0646 G Jl/AM1YMISC/PH I.qd NaARa-~rcKKnaic Resolutian ~ 6514549371 FRCM :~1NLEY-HROS FRX N0. : 6514549371 Jan. 22 2001 10:15RM P2 ~ ~71%:;:2~F71 2E:5E: Ef•7;aGIN E~iGrIGM I:~E!1 _=51:i5.19T': tJL'.~+1~ F4r1N:~'L^~d= 3~ S,~ca M.~~ ~ e`/~ dd~+ S118@~'Jf688: ~5,.,~,,_ lot, ! , ~eiao~.~ Suba,.._._-~S k- ~ --_1`~ On Aprii 15, 7L~0 the Minneeote Energy Code, Gategory I Buiid~ng Requirernertts fOr v~suiaiian praiection, air Iig~tfRC99, and vertilation, was adopixd, As a re,suft, the CJIy o~ Eagan is requiring Ehai the following ihPormatiun be submitted ~rior to is6uertce o! ~ CErti(eate oi Qccupsnoy. ~ This shucture: ~gmneQUCrad m mee: ml.~imum reeWremen~ ef Ihe Mn Enetgy Code, Cnrpar 7670 OR ~TI11E BUIJ'YUf9: ~~o e.COr~SitCiBd W tnBBt tl161b IBBAIGtiV0I27v!f01Pan~Of Ch1pl016 75720r T674 APV C 6A8 F7.EC MJtNliFACi1fRER L Y&IIfIN6TYP6 aler ater Fumace ~(',o~,,.~.,4A 54' Y~ l~ G8 - o oryer __r ' VEN7ED EXHAU9T9YSTEM LOCATISNI ~ TYiE MCCEL CFM~e rE9 NO I ~GR~hen kitcfien Bathtoom t I Q ,r/ 8a~troom 2 - ~ raum3 ~,r ,r'y~ BsNrccm 4 t VENTfNCtl N S ~ tOCA7 N 4A8 WOCIC NANl~FAGNRER N4DEL RTU'8 O~NECT ~Tta6A , ; , ~,,,,a~ - ~ i MANE• R MOifE4 YA! CPM'a ~a,.;,,, ~ ~a ~ 7 t~weby edcnowladQs Na~ Ne above Inkrmetlon Is svrrect nnd agree to eon~ly whh the Minneonta Ene~~y Code and Clry d Ea~an requirements. i ^ ~'r' E ~,~-T O si rw 1 ~CLC' Pr? ` uate CompanyName • Thls Iarm Is Ur0 c98pWKbtGry et fAe GE~tarel ConpaCtoc ~ , ~ ~ ' ~ CITY USE ONLY ~ ~ RECEIPT#: SUBD. ~ ~ RECEIPT DATE: PERMIT# ~T~~ 8000 ~LUM$iN~ ~~iMTt' (fi~SIDERTI~kL) ~ ~ crrY oF r~?sax ~ s8so ~aoT xxos sn ~ c~ easax, eu~ ssi zz ssz-~g~-~s~s Piease complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x o'~-' _ $ Floordrain 3.00 x / _ $ 3• Gas i in outlet ' minimum -1 3.00 x a.. _ $ L~ ~ i Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ 3. no ~ Laund tra 3.00 x 1 = $ 3•~ Lavato 3.00 x 3 = $ . ob Se tic S stem newfrefur6ished • re uires MPC Ile. 75.00 x = $ Se tic S stem abandonment 30.00 x = $ ~ Rp2 new instaliationlre air/rebuild 30.00 x = $ ~ Rou h o enin 1.50 x I = $ • 5b Shower 3.00 x 1 = $ 3• 00 Under rounds rinkler ifdweliin isunderconstructlon 3.00 x = $ Under round s rinkler ifexisting dwellin 30.00 x = $ W ater cioset 3.00 x 3 = $ ~ W ater heater 3.00 x I = $ 3.~ Water softener If dwelling underconstruction 5.00 x = $ ~ W ater softener n exisnng dwemn 30.00 x = $ Waterturnaround 30.00 x _ $ State Surchar e .50 $ .50 Total E `t Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adcnowletlge that I have read this appliwtion, state Nat the infortnatlon is correct and agree tn comply with all applicable City of Eagan ordinances. It is the applipnt'S responsibiliry to noUty the proparty owner Nat Me Ciry of Eagan assumes no IiaDiliry for any damages caused by the City during its rwrtnal operational and maintenance acGvitles to lhe facilities wnsWCted under this permit within Ciry propertyfri9h[-of•way/easement. SITE ADDRESS: `T~~~ SN/' O ~ ~Ob`''-~ I ~ ~ n~`~ `i ' I OWNER NAME: : ~Y~ ~ ~7a2-~~/ TELEPHONE 1 ~ ~ (AREA CODE) C,, Q~t+~cz~PTELEPHONE#: ~?Y-` l ~ INSTALLER NAME: C ~'JLL~ Y ~ / (AREA CODE) STREET ADDRESS: d7 ~D S G-Q-~~~~ STATE: Zlp; SS3S~Z~ CITY: Tvr~a-~-- SIGNATURE OF PERMITTEE ciTV use oN~v ~ 'L; I= BL I RECEIPT SUBD. Y ~I 3 I~ RECEIPT DATE: PERMIT# 43~.1N 8000 ~LUNI$iNfi ~PEgMiT (~S1D~NTi~L) crrYoF ~nsku s8so ~aor Kxoe gu gA8lt1Y, b!P 551 E8 681-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 0.00 Bath tub $ 3.00 x = $ Floordrain 3.00 x = $ ,OU G85 i in outlet ` minimum - 7 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ C~O Laund tra 3.00 x = $ Lavato ` 3.00 x ~ _ $ t'~p $8 tIC S Sf@fl'1 newlref ished 'requires MPC Ilc. 75.00 X = $ Se tic S stem aba onment 30.00 x = $ RPZ installatioNre airlrebuild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ ~ ~ Under rounds rinkle ifawenin isunderwnswcuon 3.00 x = $ Under round s rinkl r ~rexisen dwelling 30.00 x = $ W ater closet 3.00 x = $ Water heater 3.00 x = $ c~U W ater softener if dwelling under construetlon 5.00 x = $ Water softener ~f ezisen dwellln 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 $ .50 Total $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. • • - • • • I hereby acknowieCge that I have read this appliplion, state ihat the informaGon is cortect, and agree to comply with ail applicable City of Eagan ordinances. It is the applicanPs responsibiliry to noGfy Ihe property owner Ihat the Ciry of Eagan assumes no Iiabiliry for any damages pused by the Ciry during its nortnal operatlonal and maintenance activitles to fhe faciilties consWCted under this permit within Ciry properry/rightof-way/easement. SITE ADDRESS: ~ S~I CQ'~O~C~ . OWNER NAME: : ~nn\~ S TELEPHONE M _ rS~~, (AREACODE) ~ l' INSTALLER NAME: SC~J(Y~~i QY P~L1M \ TELEPHONE ~Sa' `~U 3~ ltv(~~~ ~ (AREA CODE) STREET ADDRESS: ~l DOO r1:~y"\ CU'~ Cl ~ S~- CITY: Pf ~ CX~ 11'f,.Q STATE: ZIP: SS ~_I~- C ~1ft~M ~F- A ~ SIGNA URE O PERMITTEE _ - CITY USE ONLY LOT ~ BL 1 PERMIT 1~U~ SUBD. ~I(~n~ ~G~i ~ 1~_ RECEIPT k: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN - . 3830 PIIAT I4QOB RD EAGAN Mt7 55122 651-681-6675 Date: / U Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL SO M BTU 6.00 • Gas outlets (m~nimum of one requ'ued @$3.OD ea.) ~f~ State Surcharge .50 " To~ $ ~i?-. Complete this section onlv if you aze remodeline, addinQ ta, or reoairin2 an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Repair _ Other Fumace _ Air conditioning , Air exchanger _ Other Fee $ 34.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspectioru SITE ADDRESS: V OWNERNAME: PHONE - (AREA CODE) INSTALLER NAME: ~r o..~nl~ PHONE (AREA CODE) STREETADDRESS: ~n ~z. f:~ ~"=~?~~difioning 2~iQi? '.~"'~MN 55024 CITY: Farmington, STATE: Z~P~ ~sr S A OF~ ~ i c~O~ CITY USE ONLY ' L _ BL _ " PERMIT#: SUBD. RECEIPT#: ° ' APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (CODIIdLRCIAL) CITY OF EAGAN 3830 PILOT RNOS RD EAGAN, 1~AT 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings mulG-family buildings when separate permits are not required tor each dwelling unit DATE: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvemen[ _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by ftre marsha! and plumbing inspector. Description of work: Fees: 1°/a of conCact price OR $30.00 minimum fee, whichever is greater. ~ Underground tank remavaUinstallation = minimum fee Contract price: $ x 1% (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDFcESS: OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP:. SIGNATURE OF PERMITTEE ~ y ~-s~ l 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) . ` 3830 PIL'OT KNOB RD - 55122 ~ ~ ~-2-U 2- ~~O ~ C~ .3 3 651-681-4675 New ConM~ucllm Raauiremenri Remodei/Reoair Teauiremenn~ U•U ~ D 3 reybfered We wneyi showiny p. fL ot lot. tq. N. W house 2 caples W plan antl rooted areas (~07L mmdmum bt eovemae allowedl 1 set o1 energy cdcWaHau for heatad adcllflons > 2 ooples of dam (d+ow ceam a vN,aow azes; poured md. aeslyn; erc.) t sire wrvey ror exF~lor adana,a a decw D 1 ~Bt Ot anefpy cdeulatlona D J CoWei 01 hee PrewrvollOn PICn H loi plaMed afler 7/1/93 11Ly'i"'(,L'`~ rtjpC'Jl~t~ DATE: ( 'i - ~ CONSTRUCTION C05f: ~ I ~ V , U~O DESCRIPTION OF WORK: I~ E~ ~~J ST~-~LL'il UN STREEi ADDRESS: `f Sy~C1~1YlG~Q CAU Ie;T ~or: I BIOCK: I SUBD./P.I.D.M: '~INES e~EiE 4~ t~p~i71o~1 - Name: ~d ~ h~ 8bN N I C, Phone i: ( ~ 5)- ~ S~I-- ~ ~ ~ao~rm ~r fl~r OWNER sr~~i nad~e~: 3~-I a Q1 U~~-i~t~N ftv E~. c~y C-~tE~ ~tn! state: i~1 N zm: 5 Sla-~ . Company: 1~ 1~_~~' ~ l~~1~ Wl~~~ ~,o~a c~ i 4sy- y9 33 (area code) co?vrr~,croa ( b'~ ~ ~ ~'I i SDn (~tJa,i/ meet ndd~ess: ucer~ ~ ~w. c~ty E~r E-, ~~I _ stare: rn nl zia: 551 aa. ARCHRECT/ ENGINEER Company: ~'anL%~ ' Name: Telephone t: ( ~vCJ I ) ~1 ~a ~ 1 7 Sheet Address: Reglshatlon Y: C',Ny Stale: ZIP: _ , PI~~ ~~-,.~-,3~ Sewer/water licensed plumber (if ir~stallina sewar/water): Phone L~ I hereby acknowledpe Ihat I have read this applicaHon, sfafe that ihe infortnatbn ic cortect. and agree to comPN wHh atl appAcable Stafe of Minnesofa Stalufes and Cily of Eayon Ordinances. Signafure ot Applicont n n i v" Y OFFICE USE ONLY CeRiflcates of Survey Received ~ Yes _ No ~ JUL I I Tree Preservation Plan Received _ Yes _ No ~Not Required ~ I OFFICE USE ONLY BUILDING PERMIT SUBTYPES , , O Q1 Foundation O 07 05-plex O 13 16-plex O 21 Porch (3-sea.) ? 37 Ext Att - Multi 'a~02 SF Dweliing ? 08 O6-plex O 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. AR - SF lO~03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) O 36 MuRi O 04 02-plex ? 10 OS-piex ? 19 Lower Level ? 24 Storm Damage O 05 03plex O 11 10-piex Plbg _Y or_ N? 25 Misceilaneous ? O6 04-plex ? 12 12-plex O 20 Pool O 30 Accessory Bldg. WORK TYPE ~31 New p 36 Move Bldg. O 43 Reroof O 32 Addition O 37 Demolish (Bidg)• ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair ~ 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMAl10N SAC Code D~ # of Stories z sq. ft. No. of Units 1 Length 6s sq. ft. No. of Buildings ~ Width 40 Footprint sq. ft. Const. (Actual) ~EgL Basement sq. ft. !!G y Census Code o 1 (Allowable) Main level sq. ft. i i ~o MC/ES System UBC Occupancy ~ a I~.wl sq. ft. i~z~ City Water L~i Zoning ~ G~~ sq. ft. SfSD Booster Pump PRV ~R~s Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance pa Permit Fee Vaiuation: $ ~6 l, p~ Surcharge Plan Review License t~Lc„~,~ 116y ~/5 `~17,N6U MC/ES SAC ,v~ h: ~ I 1 ~ U y~~s y'~b 3 I Sr~ City SAC ~ ' WaterConn. a'~~~I ~~~.,1 122~ hS~/ ~6l2SF1 Water Meter Acct. Deposit GH.nS ~ srs d k i G 15, 6 00 S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: `~_CJ (o~.'~ SAC Units °,6 SAC , v.~ MNcheck COMPLIANCE REPORT Minnesota Energy Code " Permit # MNcheck Software Version 3.0 Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 6-30-2000 DATE OF PLANS: 6-29-00 TITLE: #00-375 PROJECT INFORMATION: TOD~ & BONNIE SOGGE COMPANY INFORMATION: MANLEY BROS. CONST. COMPLIANCE: PASSES Required UA = 602 Your Home = 427 29.0% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1227 44.0 0.0 33 WALLS: Wood Frame, 16" O.C. 2760 19.0 2.0 155 WALLS: Stress-Skin Panels 374 38.0 10 BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 60 11.0 0.0 4 BSMT: Conc. 8.8' ht/8.3' bg/8.8' insul 1157 11.0 0.0 66 GLAZING: Windows or poors, Above 6rade 350 0.310 108 DOORS 18 0.230 4 DOORS 40 0.330 13 DOORS 48 0.330 16 DOORS 40 0.350 14 FLOORS: Over Unconditioned Space 144 38.0 0.0 4 HVAC EQUIPMENT: Furnace, 90.0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet h requirements of the Minnesota Energy Code. Builder/Designer ~ Date ~ 0 i . ~ . ~ ~ ` ~l~~~j7~ Take-(1ff ~Norkshset ~~«~70~-~ ~`Po~r~~E SoGG~ ~ ~,~„~~n~ ~c7s, ~n1s-r ~aro,~« s~~~, _ cdar~, skr~. ~r,a a~ o,~ o~a~,Ur s~ oe,.,,,,qio„ ~ve~ a-vd,e llwdw Cellnp ZZ - Foor aer 0.auee w ~ ~ - s~m r _ j'~ T Y~feIm,ll~Otdews. ~nd Doara tuMUion Glanq~Wor /vea R-Valua LL~hAie . yM - WY~ _ i ~ Doa ?L S~,~ p - ~ fi416a Door . 5.1~s~ ~ - ~ ~ R~A ~ ~~8 !~/B8 Of ~~hI~7 ~ ~ ?V/~ {~-VikN ~ Fbor Owr tHww~6hwd oe ~~r~ ~ - Btlenlxt NOH _..St!~ ~ ~ ` tkPwxO SYD - R - FkYadSbh t G1M V41 `--~R' L[, 8, Eq~pment Etfidency cne+.ux~, m.y ee ren ew+~ K no aeai ~a~ s~ ~n tix nro~*enc~x ~~l r~,~r~ ~ ~ 6~iak1A0001NuroDer MiraaLGLPOUY~1MLLLlOpKIqM~ W IMnOw~pr~M~fSEeoM~OSaM~.~4~t/VAD,i~o1 G~r1RLPtl1vIp~.+~lYfmYLyo'rori ~ ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUIIDING PERMIT APPLICATION L PROPERTYLEGAL: ~aT ~ ~LO~'/! ~ ~r~uFS .C,GYE ~i TH.Q~//DrTLON h DATE OF SURVEY: ~ -27'Od N ~ LATEST REVISION: ~ - 7 W ~ ~ DOCUMEN7STANDARDS a ogy a a~~- ? • Registered Land Surveyor signature and company ? • BuildingPermitApplicant m~ o • Legaldescription ra~~ ? • Address m~ o? • North arrow and scaie m~g : House type (rambler, walkout, split w/o, spGt enVy, lookou~ etc.) ~ ? OirecGonal drainage arrows wdh slopelgradient % • Proposedle~dsting, sewer and water sernces 8 invert elevaUOn ~'p ? ~ Street name m~~a ? Driveway ~ ? ? • Lot Square Footage ~o ? • Lot Coverage ELEVATIONS Ewshna ? • Sewer service (or Proposed) ? ? • Property corners m~? • Top of curb at the driveway • Elevations of any ebsting adjacent homes a~ Adequate footlng depth of structures due to adjacent uhlirytrenches / Prooosed ~ ? ? • Garage floor ~ ? • First floor ~o ? • Lowest exposed elevation (walkouUwindow) p~~ ? • PropeM1y comers p/? ? • Front and rear of home at the foundation / PONDING AREA (if andicablel ? ~5' o • Easement line ? • N4VL a ? • FIV1lL ? a~~a • Pond # designalion ? aa' ? • Emergency Ovefiow ElevaGon ~ DIMENSIONS H' ? ? • Lot IineslBearings & dimensions ? • Right-oRway and street width (to back of curb) ~o ? • Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footinga) o~ • Show all easements of record and any Cily uti6lies within those easemen5 o~o p • Setbacks of proposed structure and sideyard setback ot adjacent e~assUng structures o~? • Retaining wall requirements, if any Reviewed~ C~ ~O ame ~ March 1989 CRAIOI&.OGPRMf.PM ' . I l~ 1~.L~b! 2422 Enterprise Drive ~ ~c Mendota Heights, MN 55120 ~ * I (651) 681-1914 FAX: 681-9488 '*'PIONEER tAN~ SUHYEttWS • CINL ENGINEERS E-mail; PIONEER~PRESSENTER.COM ang naer ng uwo w.nn~res. ~exosuae aacnirtcn 625 Highwoy 10 N.E. * * Blaine, MN 55434 * ~c ~ (812) 783-1880 FAX:783-1883 E-mail: PIONEER2~PRESSENTER.COM Certificate of survey for: MANLEY BROTHERS CONST. ~0 SYCAMORE COURT, EAGAN CUENT-SOGGE ~ BENCH MARK TOP OF PIPE ~ ELEV.=953.OD . ~ I ~ R ~ory h ' N89'49'18"E 132.88 ~ ~`ry~O•~ 95 .9 3 27.53 40.33 952.7 952.9 954.8 `I5~. ~ ~ 1 Q` a ~o ;3 959.4 O ~ oQ w o. ~ 7 cnw/'1 j.00 ~ N ~ ~ p I o ` ~ / a y1 0 9 7.8 mo 959.6 o> . o • 957.6 a? n~ O I a~v~// r 7.0 9~ z`m ImZ Q N o M ~ mD ~ ~ 2 x 11.OOn J /o ~ ~..Ih ?m ~ ~ 960.8 . v 1.00 v"'i~/`~ ~ I mR' c~o ~ N~~ jaa 2.00 1 ~ poo ~R ~ _ ~ ~ '1 ` r~ m ~ ~ '~:i „~2.00 /a °o ~ / I -D+{ W -V C~` ~ r~]/ l ~ I F Q ~ ~ ~ I~~~ 9~1.0 ~ 28.33 , 961.1 ~ ~ ~ ~ ~ ~ o`~ r 960.6 r' C sL o~ I ~o I ~ ~ o ~ 959.2 96 . ~ °o~ o ~0 10 (O M O - ~M_ _ J ~_L~ 0 ,3 sso.~ ~ ssa.~ ~ Q~90. R? ~959. 5~2.17 ~ i . 4~ 961.9 ,°D O~, c.e. , ~ N89'41'52~~E 127.52 ~64'~.z~ ~ 30 ~ O~ ~ 959.2 ~ ~ ~ LT I ~ ~ ~ f~ ° _ - ` $y ITE PINE WAY a~a~ -vc~ ~ ~ EAGANENGIN~ERI1VGiDEP"P. LOT AREA = t4,508 sq.ft. eENCH MARK ~ HOUSE AREA = 2181.67 sq.ft. - TOP Of PIPE COVERAGE=15% E~EV.=96i.ta HOUSE TYPE=2 STORY W.O. SERV. ELEV.=948.9 SERNCE NOi FOUND IN flELD PROPOSED HOUSE ELEVATION NOiE: PROPOSE~ GRA~ES SHOWN PER GRA~ING PLAN BY: PIONEER LOWEST FLOOR ELEVAiION: ~ NOTE: BUILDWG DIMENSIONS SHOWN ARE FOR HORIZONTAL ANO VER?CAL LOCATION TOP OF BLOCK ELEVATION: q~~~ g OF STRUCTURES ONLY. SEE ARCHITEC1llAl. PLANS FOR BUILDINC ANO FOUNDATION oiMeNSions. GARAGE SLAB ELEVATION: 2"r NOTE: NO SPECIFlC SOILS INVESTIGAl10N HAS BEEN COMPLEIED ON MIS LOT BY THE SVRVEYOR. TNE SU~TABILITY OF SOILS TO SUPPORT THE SPEQFIC HWSE TOB ~ LOOKOUT ELEVATION: ~J`~•~ PROPOSED 15 N~T THE RESPONSIeWTY OF i}5E SURVEYOR. Np7E: THIS CERTiFICAiE OOES NOT PURPORT TO SHOw EASEMENiS OTHER THAN x 000.00 DENOTES EXISTING ELEVAl70N THOSE SHOWN ON TtiE RECORDEO PLAT. ( W0.04 ) OENOTES PftOPOSE~ ELEVAPON _ _ DENO?ES ORAINACE AND VTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DR~~EWAY OESIGN. DENOTES ~RAINAGE FLOW DIRECiION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMEO OATUM ~ / DENOTES MONUMENT ~ DENOTES OFFSET HLIB WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUN~ARIES OF: LOT 1, BLOCK 1, PINES EDGE 4TH ADDITION ~AKOTA COUNTY, MINNESOTA IT DOES N07 PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF JUNE, 2000. REVISED 7-7-00 MOVE HSE GNED: PIONEER E IN ING, P.A. SCA~E : 1 INCH = 30 FEET REVISED 7-ty,0o p STAKED ~ 7 an/~c~3ur J-26-Oa G.~C~'tir±c.,.~i John C. Lorson, LS. Reg. No. 19828 2820 tOD263.00 BAT ~RECEIVED AUG 0 8 200p ~ : ~ 1 ' ~ 2422 Enterprise Drive ~ . Mendoto Heights, MN 55120 1 * (651) 681-1914 FAX:681-9488 . ION6EF1 uro wrtusxws . o~ cxaxECrts E-mail: PIONEER~PRESSENTER.COM NqN ERS * ang near ng ~u+o riwmFns. ~u~osceae .aeeuhcrz 625 Highwoy 10 N.E. Bloine, MN 554J4 * * ~ * (e~2) ~a3-tsao Fnx:~ea-~ea3 E-mail: PIONEER2~PRESSENTER.COM Certificate of Survey for: MANLEY BROTHERS CONST. ¢830 SYCAMORE COURT, EACAN CLIENT-SOGGE ~ BENCH MARK ~ TOP OF PIPE ~ . ~ ELEV.=953.00 . ~•Ii~~~i ~oo~~~~~~ ~ ~ t I 4io°•'~ h ` ' N89'49'18"E 132.88 ~iO N ~ lc _ 959.3 27.53 40.33 952.7 952.9 954.8 qs~~ ~ ~ 0., ~ ~o ~;3 'R\\\~ _,~~in 959.4 E_ W} ~ ~ w p. ~ ~ ~ I 10 ~ 3 2.00 ¢ c~ O 959.6 / o~ 1.~, °o/~~ 7.09 7 57.6 \~v m ND O . N I ao N// / M~ ^=i I~y ~ ~ 2 x 11.DOM J/ P- ~ rn ~m D W ~ 960.8 1.00 Nv41i `V ! ~ I r~i~ I o / ~ ~ ~ Na - N~~ ja= 2.oa 1 o- ~ _ ~ / ~ ~ ~ m ~ M2.00 a o -Di~ 00 I~~`~"+ ~ r'~ //a0 t,~ I p 9~1.0 ~ 28.33 ~ ~ (7 a c . 961, t ~ C ' 1 ~ S~}`~ ol I 960.6'o I O ~ o 959.2 96 . L. °ol o ~M 10 N ~ ~-"L~-J-- --1 0 0 sso.~ ~ Q~9O•~1R? /959.~2.1 4~ ~ n 961.9 ~ 964.7 O~, ~c.a. , ~ N89 41 52 E 127.52 ~64y.z~ O~4 959.2 ~ 30 ^ , ~ Sz`r I ~y R I-E ; - - nY ~"~-iNHll'E PINE WAY ` " T3ate ~~S ~ ~ ' ~ EAGANENGINEERING~DEPT. LOT AREA = 14,508 sq~ft. ~ . BENCH MARK HOUSE AREA = 2181.67 sq.ft. E~EV~ 961~.Pt4 COVERAGE=15% HOUSE TYPE=2 STORY W.O. SERV. ELEV.=948.9 " SERVICE NOT FOUNO IN FlELD PROPOSED HOUSE ELEVAl10N NOTE: PROPOSFD GRAOES SMONN PER CRAOING PLAN BY: PIONEER LOWEST FLOOR ELEVATION: 93la NOTE: BUILDINC OIMENSIONS SHOWN ARE FOR HORIZONTAL ANO VERPCAL LOCATION TOP OF BLOCK ELEVATION: q~~. 9 OF STRUCil1RE5 ONLY. SEE ARCHITECNAL PLANS FOR BUILOWG MI~ ro~no~non oiMa+sons ~ ~ GARACE SLAB ELEVATION: 2•S NOIE: NO SPECIFlC SOILS INVESTIGATION MAS BEEN COMPLEIEU ON 7liIS LOT BY IHE q jG~•3 SURVEYOR. lliE SUITRBIl1TY OF. SOILS TO SUPPORT THE SPECIFlC HWSE TOB ~ LOOKOU7 ELEVATION: F PROPOSE~ IS NOT THE RESPONSIBILITY OF TI1E SUR~£YOR. ~ NOIE: TH~S CERTIFlCAIE OOES NOT PURPORT 10 SNOW EASEMENTS O7TiFF 1MNJ % 000.00 OENOIES E%ISTINC ELEVATON ~ THOSE SHOWN ~N iME RECORUEO PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVAlION DENOIES ORNNACE AND UTIUTY EASEAIENT NOIE: CONTRACTOR AIUST 4ERIFY OR~VEWAY OESIGN. DENOlES DRAINAGE ROW DIRECTON NOTE: BEARINCS SHOWN ARE 8ASE0 ON AN ASSUMEO OANM -r-- DENOTES MONUMENT ~ ' B DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THA7 THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 1, PINES EDGE 4TH ADDITION DAKOTA COUNTY, MINNESOTA IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF JUNE, 2000. REVISED 7-7-00 MOVE HSE GNED: PIONEER E IN ING, P.A. RE SED 7-11-00 RESTAK D ~ SCALE : 1 INCH = 30 FEET j3 iy •ba Reey. ~ J-26• Po e+.l Ca.+tnrc,,,j~ John C. Lorson, L.S. Reg. No. 19828 2620 100263.00 BAT ~?F~~FIVFf~ ~'1!!~: ~ %il~~ b'-7-~b 'a/ce« ~.~s~ G.+~.~a.,.J ~ i ~r~ci~~euse ~ Clt Of E~ 8Il j Pertnit# ~ ~ ~ ~ I Pennd Fee: ~D• j 3830 Pilot Knob Road I / / ~ Eagan MN 55122 ~ Date Received: (O - 3 j Phone: (651) 675-5675 i _~1~' i Fax: (651) 675-fi694 i staff: Z i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I3 b SiteAddress: Y9-3~ Syca/v1°tc ~r- Tenant: Suite RESIDENT/OWNER Name: Sa-n'~ ~~~~"a^ Phone:~~si~3~o-6ra8~ Address/CitylZip: ~ 936 ,S`~an.-orc ~Or.Jc~cu~/SSo~~ F`--~ c t Applicant is: _ Owner ~ Contrador TYPE OF WORK Description ofwork: ~ectir ~~e -/b'tYf~ Construdion Cost: ~P.S~'u Multi-Family Building: (Yes _ I No ~ CONTRACTOR Name: E~c ~~~"~Gn .~~5'fT'' e f/a ~ License ~S~ 7z ~PB AddfeSS: ~i'70 ~ay„iO ^ ~ City: S-~ ~ State: Zip: SS'~~'+ Phone: ~toSi~ .2yG - 3i 3~ Contact Person: m` G~~'° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submissiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone: NOTE: Plans and `supporting,documents that you submit are considered to be puklic info~mation. Portions of the informaGon may be class~ed as non-public H you proyide specific reasons thaf would permit fhe City to conclude that Lhe are trade secrets. . 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 onty an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ( D''{e ~0..~ ra, X Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 0 C C e Permit Fee: 12 " - Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 4/ 11 -2-4=.12— Site Address: —CP3O S1Cr.vvvzNA_ cL J Tenant: Suite #: Name: N.i ' S'5- Phone t) 2-9-4= G159. Address / City / Zip: 14S3C3 S C W4Cf '-- C4A't ZNerOdki 140' 124 ELII)� .PLu1,0 LLQ Address: —'5-3 City: 05k-- Stater Zip: 0 ' Phone: (<4'5: 5 32 Z 939 Contact 4c' d Vas Email ettaS?Lvw. `c- • Cdd& PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.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.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 l° &'.& &ttgS' Applicants Printed Name Applicants Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107335 Date Issued:10/08/2012 Permit Category:ePermit Site Address: 4830 Sycamore Ct Lot:1 Block: 1 Addition: Pines Edge 4th PID:10-57693-01-010 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,866.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd R Sooge 4830 Sycamore Ct Eagan MN 55123 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink r----------------� I For Office Use � I � 1 Clt of �� ; Permit#: � Y � � � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��l J Site Address: �� Q� �"( Unit#: �� ' Name: �O��E ��'�L Phone:�o S��- ��i �Cci� Address/City/Zip: �1��l� �f/C�h'!fl 1'L� �.� E}�C�i4-N .��/`2 Applicant is: Owner �Contractor Description of work: ��- v��'��E �� Construction Cost: � 7 �� d Wlulti-Family Building: (Yes /No� Company: Wt m �/ /�/1,��C� l��C tact: S7�C�l.� ,�Z`rt��7�`�`' on T, � � Address: `�rlo D� b�OH�� 1Ql/E �Q , City: !�Q �S . ,� Q r - — �,� �- , � �� :_` State:�/f Zip: �� Phone:��-��`��E:mail: � � s License#: �.;3� �l' ��Ct�Lead Certificat��#: �ll�i-?z 3 7 3–) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �� - d 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 Ibased 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 protectiom against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qoaherstateonecall.or�g I hereby acknowledge that this information is complete and accurate;that the work will be in c:onformance 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 worM; 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 01`plans. Exterior work authorized by a building permit issued in accordance with the Minnesota:>tate Building Code must be completed within 780 days of permit issuance. � x 5 ✓� /b�11.�4 � ✓" X J��- �� Applicant's Printed Name Applicant's Signature Page 1 of 3