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1728 Talon Tr04/21/2014 12:18 Les Jones Roofing, Inc. 4,1111 City of Badu 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 875.5675 Fax: (661)675.5694 T'AX)9528817009 P.004/011 Use BLUE or BLACK Ink ham For Office Use Permit*: °D Permit Fee: � 1 I Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATIONzszPi9 Date: W/vt/ f Site Address: /724-17.8-1734- /736 774-1.1001 7', -Atc— Unit #: 1 Name: Yo 1/200 T+/ 4A-QE� /Na-. Phone: ( 53 -LE_ 99 419 ti .ry Address / City f Zip: /�O BDAC 2125' /' 6-Apves h‘erirrs /lA/ c507 w''.r. Applicant is: Owner Contractor Description of work: &UWE A7r/O 'c.Ih r Construction Cost: i 15/• 57 Multi -Family Building: (Yes / No `) Company: • (--E$ ..lo N ES - cr:"i J( Ne- Contact: 04121 S A,,WIEs1P--21or•-..l Address: 941 W. s-nzeer City: �Jt.c okti Ait"7i7111 State: M,fJ Zip: 5'5-11-2.0 License #: (e)C. cD Phone: 9s-s-13gt^2.2`f1 Lead Certificate #: NAS 10372—/ If the protect Is exempt from lead certification, please eicplaln 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 elmilar 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: 4.4.44 cALL BEFORE YOU DIG.. Cell Gopher State Ona Cait at (661) 484.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utJIIUes. www.gooherstateoppcalLorg 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 le not to start without e permit; that the work will be In accordance with the approved plan In the case of work which requires a review and epproval of plans. Exterior work authorized by a building permit Issued In accordance with the Mtnneeota State Building Code must be completed within 180 days of permit issuance. x em/as /4e,“ za1 Applicant's Printed Name X� Ap ae; Ae-e06e..- llcant's Signature Page 1 of 3 Site address: l7 2 8 '1'R-I e.J T(z Lot Block Subd. On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy, This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR ? This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater ? RI+ qo Gwl Tull f^'ILve,& Furnace ? TR #ILY? 36 6uo.c /' .s W t?S.T' Dryer ken.+,? to 7yBSZVta zz.? y'' v?f EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen PA~c 11 ;L Ik 72. r- 624 zxa o0 'zz0 ? Bathroom 1 A* '^ &L' j 14 8 8 F So ? Bathroom 2 V bti !6 B E F So Bathroom3 M*Ih1z gRo»? (Gfdr s? Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS l puv I hereby acknowledge that the information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ? !i 6 N Sign re Date .fit. ;ompp y Name ' /This form is the responsibility of the General Contractor. Address: 1728 Talon Tr Lot: 15 Block: 4 Subdivision: Greyhawk 2nd Zip: 55122 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps -main entry Permanent driveway Permanent gas Sod/Seeded lawn Trail/curb damage 3:1 Max. Slope/Retaining Wall Porch Lower level finish ?> n? h l p i Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUILDING INSPECTOR: CONTRACTOR: MW Johnson Construction 17645 Juniper Path #100 Lakeville MN 55044 l of S o cap y ?,?-w X31 5- g U13t Zit - ?1y9(? le Z RESIDENTIAL BUILDING Permit Application Y?LN U3 1 Z`? ]p•Sb City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 P (p 13 D °l D- S? Telephone # 651-675-5675 FAX # 651-675-569 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units RemodellReoair Requirements aaw'd ZI of 64 Ofgce Ilse only 2 copies of plan Carl of Survey Recd _ N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd =Y i site survey for additions & decks Tree Prey Reqd Y Addition - indicate if on-site septic system On-site Septic System _Y _N Date I l j J l 04 Construction Cost /aOAQ 0 0 Site Address 1 -7 -`I dy 10V-1 1/ A1 i Unit/Ste # r _ ` T Description of Work Multi-Family Bldg `?X Y _ N Fire place(s) _ 0 _ 1 _ 2 P O ,Vt w Soh r) -5 o hone #f15'? Ll'l ?? `ad Tele wner roperty p MILO J d h P1 s o n Contractor G r-5 U ?l l ?e V? Address 1 7 City (_ a LL M1-P ? State Zip SrJ04 ¢ Telephone#(Q150. 912 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? >L Y _ N If so, 25% plan review fee applies. /? ^y Licensed Plumber P Telephone # [ "l?y Q aZ? Mechanical Contractor 0) r J r d l l ed ! T Telephone #k5j 4 (c0 (pOaa Sewer/Water Contractor t limit iZQ'I )"A-C"QntCa j TelepF ome;#o?? 1 i s a?/ 56 S I hereby apply for a Residential Building Permit and acknowledge that tl that the work will be in conformance with the ordinances and codes of and accurate; State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is nolV 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. --TQ,mtry1 >re Applicant's Printed Name Applicant's Signat e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 03 01 of q plex ? 09 07-plex ? 17 Garage ? 22 PorCh/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types a ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldgr ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ? -C-- C11 Occupancy RI-3 MC/ES System Census Code ID Z Zoning p City Water SAC Units / Stories 'Z Booster Pump Nbr. of Units f Sq. Ft. 1 *?- 110 PRv Nbr, of Bldgs i D? t{ Length 5-0 Fire Sprinklered Type of Const V h Width Z w Footings (new bldg) elt) - Footings (deck) _ Footings (addition) Foundation Drain Tile Roof ?L Ice & Water ,ny Final `C4 Framing Fireplace A' R.I. )CAir Test X Final Insulation REQUIRED INSPECTIONS ,k Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Building Inspector case ree Surcharge Plan Review MC/ES SAC.. City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total VY) A i /1 / 00 R _7 Z S9 Ae -YS-q, 00 a?J('1002 `?ld7,5'r'?5"y v" ?>9n?GL q.0 a> 59 Ftr q7 S2 z?? byoo 6j 141" MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Multifamily DATE: 5-21-2004 DATE OF PLANS: 01/02/03 PROJECT INFORMATION: Greyhawk mid units slab On Grade Eagan, MN COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 485 Your Home = 348 28.2% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 980 44.0 0.0 26 WALLS: Wood Frame, 16" O.C. 2322 19.0 2.0 130 BSMT: Conc. 4.0' ht/4.0' bg/4.01 insul 464 10.0 0.0 32 GLAZING: Windows or Doors, Above Grade 119 0.480 57 DOORS 38 0.350 13 FLOORS: Over Unconditioned Space 290 30.0 0.0 10 SLAB FLOORS: Unheated, 42.0" insul. 116 10.0 80 HVAC EQUIPMENT: Furnace, 80.0 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 the ire nts of the Minnesota Energy Code. Builder/Designer Date 657 ZQ (' LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION // LPROPERTYLEGAL: ?9r5 ??octc ?4 Grt ?G?4eu/c ?? DATE OF SURVEY: oY LATEST REVISION: Z 3 O y m e A L U a O z V Q DOCUMENT STANDARDS ? ? • Registered Land Surveyor signature and company 9 ? ? • Building Permit Applicant ya ? ? • Legal description $ lw • Address Crvtr sSrn?? o • North arrow and scale ? 00 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) D ? • Directional drainage arrows with slope/gradlent% (5Ee ? i, • Proposed/existing sewer and water services & invert elevation Ca'j'E ? ? • Street name p ? ? • Driveway 0 D • Lot Square Footage ? %Z ? • Lot Coverage ELEVATIONS Existing 0 ? • Sewer service (or Proposed) 0 0 • Property comers )q ? ? • Top of curb at the driveway and property line extensions ? X ? • Elevations of any existing adjacent homes X 0 ? • Adequate footing depth of structures due to adjacent utility trenches ? X ? • Waterways (pond, stream, etc.) Proposed ? X ? ? • • Garage floor Basement floor ? ? • Lowest exposed elevation (walkouttwindow) ? *li& • Property comers ?so c e w vs t- pMp, t'o. •??c? ? 0 ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? • Easement line ? ? • NWL ? ? • HWL ? ? • Pond # designation ? ? • Emergency Overflow Elevation ? Eg( ? • Pond/Wetland buffer delineation DIMENSIONS )2(? ? Lot lines/Bearings & dimensions >fs 0 do@% • Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ties within those easements ? ? Show all easements of record and an City uti I.. ? ? Setbacks of proposed structure nd side ar se a o a jacent existing structures N ? O • Retaining wall requirements, if any / Reviewed: Name Date G:/FORMS/Building Permit Application CERTIFICA TE OF SUR VEY p 12 9 31/ 5. Oo ?/? ADS .yh OO \ O ?s+ + tr day O tg \ \ 9 .`a?9 ha'17 +? h o o °` Ear P+ ?d `ye $ z` `pr 6 o ° Er ? 1390 , %} a ° ?`? 4s Irp qA d`{ d' y 3:1 mxim(.1m 810oas i< X% ?1\ f. '1e 0 Be j'i??quirad "00 to 0- % I Bohlen Surveying & Engineering 3n• (6'6.6i 16 31462 Folioge Avenue 4735 123rd Street W. Northfield, MN 55057 suite 200 B J E Savage. MN 55378 Phone (507) 645-7768 Phone: (952) 895-9212 Fax: (507) 645-7799 Fax: (952) 895-9259 14 1 r6 9 14 X41' sa ,? M? f?2?'€?. ? ? ? S1?y X04 M. W. c, jee. lie Itf i es, s Lt? e a p r 9J?9 +f P ?? ,(? X00 1 0 C(i ?6 ° p0 Jj s ?Lrf JJ d 9 16 ?o `• J=? s +h QEe ?°vJ e?y 6+? 5e9h6 r`r0 ',1y y? ++%? 97 ? 977 %0 Off. N I ?•'••SS \OJ V % 9 % i6 ?+6 oh 10 1935x7 5 z[7 v .a 81004'29 E 3387 OUTLOT C ?h JOHNSON CONSTRUCT[ON'. LOTS 14 TO 16 SEWER SVC INV=924.0 LOT 13 SEWER SVC INV =923.0 EACH BUILDING AREA: 1218 SQ.FT. LOT 13 AREA = 3719 SQ. FT. LOT 14 AREA = 2719 SQ. FT. LOT 15 AREA = 2741 SQ. FT. LOT 16 AREA = 5232 SQ. FT. LOTS 13 & 14 r` PROPOSED GARAGE FLOOR ELEV.=936.9 PROPOSED TOP OF BLOCK ELEV.=937.2 Uj PROPOSED BASEMENT FLOOR ELEV.=929.2 LOTS 15 & 16 : PROPOSED GARAGE FLOOR ELEV.=936.9 PROPOSED TOP OF BLOCK ELEV =937.2 C Lp (- PROPERTY DESCRIPTION: LOTS 13 THRU 16, BLOCK 4, GREYHAWK 2ND ADDITION, CITY OF EAGAN, DAKOTA CO., MINNESOTA \ NOTE: ALL HOUSE DIMENSIONS ARE TO OUTSIDE FOUNDATION se000xO DENOTES SPIKE/NAIL ELEV OOOx DENOTES PROPOSED ELEVATION DENOTES PROPOSED DRAINAGE DIRECTION OOOxO DENOTES EXISTING ELEVATION 0 DENOTES SPIKE/NAIL SET • DENOTES FOUND IRON PIPE MONUMENT 4 DENOTES SERVICE LOCATION I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE 1-08-04 REVISED 1-23-04 LEROY H. MAUI EN, LAND SURVEYOR MINNESOTA LICENSE NO. 10795 Fn FNAMF IntG 13-16blk4cert.S90 M13-1 Ib'+-UJ Q 1 ° = 30' Address: 1728 Talon Trail Zip: 55122 Lot: 15 Block: 4 Subdivision: Greyhawk 2nd THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECT ION ON `? 2? ? c? Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry X Permanent driveway Permanent as Retaining Wall or 3:1 Max Sloe 'X Sod/Seeded lawn Trail/curb damage X Porch X Lower level finish 7// ' rr c , Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651.675-5646 prior to working in right-of-way or installing irrigation system. r-. BUILDING INSPECTOR: CONTRACTOR: MW Johnson Construction Inc. 17645 Juniper Path, Suite 100 Lakeville, MN 55044 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1728 Talon Tr Lot: 15 Block: 04 Addition: Greyhawk 2nd PID:10- 30976 - 150 -04 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Expired Perm Fee Summary: Contractor: Suburban Air 1290 -B Osborne Rd NE Fridley MN 55432 (763) 784 -6100 Total: Applicant/Permitee: Signature PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed - Applicant - Owner: Thomas Tschida 1728 Talon Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081018 11/13/2007 ePermit cal Inspector, 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 Issued By: Signature 08/26/2014 06:51 Les Jones Roofing,Inc. �AX�528817009 P.0031006 Use BLUE or Bt,ACK Ink � Fo►OHlca Use ` ^ � � j POrtnll#: � � C�ty of Ea�a� �, , � �; , � Pertnit Fee: t 3830 Pllot Knob Road Eagan MN 6G122 j Date Received: � Phone:(651)675-5676 � � �ax:(661)676-6694 � Siatl: i ��____�.-.��.��J 20�� RESIDENTIAL BUILDING P�aMIY ApP�ICATioN Date: 8/Z��L� siteAddress; I'72y-/7a8-I'1�?�173� TA�GON T.�2�i � unit#: ".;, :.,,°,; ;,;`;,;;,:. ;`'.�,�'...�.'.;':�.•.:.'. •:'�.: .. '`';'.'.�:.;::,',.,,=.";:,':";;;-:::: Name:� P,�vPEkT� CR�2E ,Phone_ G>SI- SSLI- q��f� '� .�,.✓.. j:J.:-•�.` .,..,,�'� • • + ;:� �:.R��i:t��nt/��;,;;:' ';�` ';�:Q ne�!"� addrese i city�z�p: Po [3Ux �r.�s' /.,�� '�o_ r�il�� /J�i✓ .s'�b7la . :'I':.'.�'1:, h�.. .,!�;�',��, — � ��`�:I�:;��;:�;�:: ;:;;��;I;'�: Appllcantis'. Owner � Contractor ,� .,,y,.., :;�,�e�.,,�aa.•,,j�.:•:; ,i' `.,r��:..!)'�..�.�.:'•��,is.� D� �+ . ��T �.6:�of,�l�Vor 'r Descrlptlon of work:/�iLt/JI �4N0 �GfM� J'l�iNb L��'T S/D� �a� Frr/�Gr�i�u— �yj�� ,��,' � °;,::;,,�. �. ,�,:, .�:,;:,;,., � =.;-�':•,; ,;:,.,;f;:.;;,:;;� Construction Coet: � . MuIU-Femlly Bullding:(Yes /No`� r�':: , ::�, :.r:° I�.,'� ;;.,;<j`+.`'� LE.S �UNES I� C�F'11uLT �N .i:` r��"` `;;.., ..,.. : Company- � r� L ContecE: M or�) �.�..\'�: .�..li.'�. � 1' ��,;%'�.��;��•.:.'�� s'�:1°.:�,I:Sti..,I;( p �!I `�;'.-��::';�.};'�'. ':::;.j?;,.. Address:_ 1 y� �� 51��"'r Clty: ��1UM.lN�rTbIJ ';`;� ','�.o�ii;tira��r�-; = ,; ,.,.;.r��:: ,'�", °'�``� `;,`�.'•"�;%;�:d�:�: State:�Zip: -� 2.0 Phone: Jr -��0 -Z�17 Emaii: Gl��-iSGt (A_�e�S�nnCS M'U�nq� GoM :'� ^;i;:� ,';;' �,`'` u,— '.' :.i,�,.p.j;�r,i,�'>'�°� 'v� �`y�.'`i..,,.�'!` , ;;�;';;;� Llcense#:��GO �ead Certlticate#: N.4T �03'12—J If the project is exempt from lead certificatlon, please explain why: (see Page 3 for additionel information) COMPLE1'E 7HIS AREA ONLY I�CONSTRUCTING A NEW BU�IdG In the last 12 months,has the Cify oi Eagan Issued a permlt for a slmllar plan baeed on a ma9ter plan? _Yes _No If yee,daEs and add►ess of master plen: Licensed Plumber: Phone: Mechenical Gontractor; Phone: � Sewar&Water Contractor. Phone: ��'1/,\,"r1'C r•J�,�sS.!��d'SUr p�y<;��f}.�1•1�: � �yy _r{�j�4:� :.1'�. .�:.: �w�� _ �,/w .!'. 'r N �,.a...,;� r- �r'�\�...,��♦�k�!J�.,, ..� .�,.��,�`,:�,,. .�� +��s'.r.� �� o.u�..s.''/"/�ib ��r�'•�''1��Id�.,.r"od�. -:e: �Jl :.1`fl�� `��oii:::''R`�`'�� .s�> Lr;�„ i. <;��r. _�1,�.;�,��..<,.l.rr�i T�"f:.,.�Tio�7,.�Q�!:�y F'd<.- .�r.I,r,�;';c�, �S.]., ,�.•y. �4�,...:; .�,., .i�.� �.�,...,.. ,0„, �� 1,,�r.�� =t��,��'fo►mlatiQnrhl :S'c ► ' `Ar::,.r,<--�� .,, ,n.: .., r;� ,�� Y , �:,,.� �.� r >�� _,,,,�.;�,. '`�" ,Yti �� ,�fl,$�1"&�s- n� u�,��,� �„ >�� b ��`►ti�� s ,,.,,..z� ��,.� � � ,.a..��-,; ., � :��:��,,;,.��,. �<, +� ..�.:. .. �f%i1�4�;. �,P., ..��L•,�;= �gF!^I�iG� 1`��;,a�a ,�fl��'S �,. ..,K!gtili��tm/t.;�,F�k.�C.y1�1�'.�,'Q",,;;. ;'}; .:,�..,:,.,..t. ,+'� .(.<�;•�i!•`lv� ,��, �,s;. ;�•�"' ;':��!!c,(%�alE�fl1��5��6' .C'tl!'t/�A��,�,a 1 �,, �L,i:,..":f�.`��. 'd \ � � � �, ° A.`� ,:'r-�r ��"�; ..i,x._ ,v:��:o f. .A„ e. �'��.G .�;1 �i��. CALL BEFORE YOU DIG. Call Gopher State One Call at(BG1}45d.0002 ipr prolectlon egalnet underqround uUlity demege. Cell 48 houre before you Intend to tllg to receive locetes of undarground utIllNee. wovw.aooha�atateonecall.ora I hereby aeknoWledpe Ihet thlB Informatlon Is comp101e flnd eCCUrate;lhaf Ihe wodc wlll be In conPortnance wilh the ordine�nee6 end codes oi the Clty of Eagen;thet I underetend this Is not a permil,but only an applicetlon far e parmit,and work Is nof to sla�t without e perm�l;lhal lhe work wlll be In accordenCe with the epproved plan in tha eaee of work which requirea s roview and approval o(plans. Exterlor work authorized by a building pormit 16sued in eccordanco with tho Mlnnasota Ststs Buliding Code mu6t be completed wlthtn 180 days of permlt 19suenca. x G'�f.�lS �/t/DE�SD/� Applicant's P�Inted Name A plicant'�Slgnature Pape 1 of s