982 Ticonderoga Tr CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 r~~~~
PHONE: 454•8100 ~ -
BUILDING PERMIT Receipt~ ~ ~ 1`.
To be used for 5~r ~'?ku/GAR Est. Value Date 1 19
Site Address 981 ZICONI)EUfX;~ :AAIL OFFICE USE ONLY
On Sfte Sewege Oxupancy h~l
Lot '1 elock Z Sec/Sub. ~=~1NGTLN 9QUAkE
~t~ ~ MWCC System ~ Zoning ~ ~
Parcel Na, On Site well `n
(Actual) Const
a Name ~~GE C ITY CONST c+ri wace~ x (Allowable) Vn
W PRV Required # of Stories
; Address 697v 1SIST ST 4~
43 t_ 1211 Booster Pump Length
~ City ,•V• PhOne Depth
, o Wame S.F. Total
~ ~ Addfess Footprint S.F.
~ City Phone APPROYALS FEES
~ a Engr./Assess. . Permit ~ 6~2 • ~
WW Name ~3.g~
Planner Surcharge
Address Z`2~~
i W City Phone Council Plan Re~iew 1~ ~
Bldg. Off. SAC, City '
I hereby acknowledge that I have read this app~ication and state that the Variance _ SAC, MWCC 5~~•~
information is correct and agree to comply with all applicable State of Water Conn. S~~• ~
Minnesota Statut~s and City of Eagan Ordinances.
Water Meter 6T•[~0
Signalure of Permittee ~ _ _ ~'r ' - -
Road Unil ~~5.~
('OL1.Es;B CI'''7 COKaT
A Building Permit is issued to:-' _ Treatment P1 S[1!._tYf
on the express condition that all work shall be done fn acCOrdance with all
• applicable Slate of Minnesota 5tatutes and City of Eagan Ordinances. Parks
Building Official J_ TOTAL ~ 49~. ~
.
r BLDG. PERMIT NO. IJ'gI'~~~~°
~ 'u~°-i,-~.'~ L~~~f ~ ; ~a.c-~~
' ' ~ L ~ i ~
01-3210 Idg. Permit ~
01-3422 Plan Check /
~1-3445 Surch./Adm. ~
01-3446 SAC/Adm. ~
_ 01-2155 Surcharge ~ ~
a~
' ~ 75-3860 Road Unit
` ` 20-2275 SAC T ~
20-3865 Water Conn. ~ ~
20-3868 Water Trmt. ~ G`~y a
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit '
79-3866 Sewer Conn. C' f1 G
28-3855 Parlc Ded.
TOTAL '7` / ~
~vA~ rro~t nm.c 8/24/89 CITY OF EAGAN ~ l~
384~D Pi~ot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
~ PHONE:454-8100 ~ ~ •
BUILDING PERMIT Receipt~ r~J..~
To be used far ~E Est. Value ~87~~ Date ~~E~~~Y'k 1 ,19 a~
Site Address Y~2 TiCD1~inER.t~C=A T~SA~L ~ OFFICE USE ONLY
' LF7~T M~'Y'l}ti SQUARL On Stte Sewage Occupancy I;3 ''1
lot_~Block Sec/Sub. x pp
,J~.~ ~~a~ MWCC System Zoning
Parcel N'o. On Site Well ~n
(Actuaq Const
C:L'_,{„r'.r;~: ~I~ ~ll~F:iT City Water x (Allowable) yn
~ Name
Z Address Z~~ sT PRV Required # of Stories
x ~ Boost~"r Pump Length
~ City '~•v• Phone 4.,~~ti1}
Depth
, p Name 5.F. Total
Footprint S.F.
~ i Address
~ City Phone APPROVALS FEES
~ W Engr./Assess. Permit ~
F W Name Plan~er Surcharge ~3' ~
Address Z 11. GO
¢ W City Phone Council Plan Review 3~ ~
a Bldg. Off. SAC, City •
I hereby acknowledge that I have read this applicatian and state that the Variance - SAC, MWCC ~
information is correct and agree to comply with all applicable State of Water Conn. 5~`~~•~
Minnesota Statutes and City of Eaga~ Ordinances.
Water Meter _
Signature of Permittee ~ Road Unit
A Building Permit is issued to:_ C{`1Lt,lu~ 1:1'~Y l.l~i~$T Treatment P1 riD~i_~D
on the express cond ition that all work shail be done in accordance with all
appficabfe State of Minnesota Statutes and Crty oi Eagan O~dinances. Parks
TOTA~ ~ ~ ~ ~ ~ ` ~
Building Oflicial_
, Permit No. Permit Holder Date TNephone #
Plur~bing C' C~ ~ i/Y/"~. ~ O
H.~l.A.C. t-'/ - j '
D , ~ ~ t t.,~ . r ~/d`
Electric >>y(~~~% 1 7~L~1-~<':~1~~~~ (;t~~.~~ I C/ I,~ c~
Softener
Inspection oate Insp. Comments
Footings I ~j ~ J ; ~
Footings II
Foundation
Framing ~ ` s'
~
Roofing
Rough Plbg. Z_~ ~ • - G
Rough Htg. }3 ~Gf~ '
tsut. r/ Z`~ -
Fireplace
Final Htg. l~ ~9~
Final Plbg. ~ Q ~
Bldg. Final
Cert Occ. ~3 ' ~
Temp. LP
Deck Ftg. l
Deck Final ~
Well
Pr. Disp.
' ' . • . r n._ ~n
, • PERMIT t~ , " k~
, • p PLUMBING PERMIT RECEIPT # p ,
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~D
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYP~ WORK DESCRIPTION t
Lot Block - Sec/Sub Res. ~ New '
M ult. Add-on
~ Nam2 Comm. Repair
~ Address Other
c Ciry Phone '~-f RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
Water Ctoset - $3.00 5
Name ' Bath Tubs - $3.Oo
3 Address =,~avatory - $3.00
p Ciry Phone ~ ~Shower ~ $3.00 ;
~ KitChen ~ink - $3.00
FEES UrinallBidet - ~3.0~
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -~t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - 510.00 >
~ Private Disp. - $10.00 ~
~ Rough Openings - $1.50
SIGNATURE OF PERMITTEE ; ~y . ; ' ~ ` ' ~ - ~ FEE: ~
4~,~^G~ i~~~%8o k
STATE S/C:
FOR: CITY OF EAGAN R1~''~'~ f~~ I '
GRAND TOTAL•
- .
.w~.. ~ . . . . ' . . . . , • . .,,1, ~ ?I
' . ~ PERMIT # ' ~
'3
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN DATE: f~%,~ g~ i
3830 PILOT KNOB R~AD, EAGAN, MN 55122 ~
CONTRACT PRICE: PHQNE: ~54-8100 For Office Use Only:
Site Address . ` ' ' ; ` • BLDG. TYPE: WORK DESCRIPTION ~
Lot BIbCk ~ SeCl~ub, R~ " New ~
, .
~ " - Mult Add-on
m Name' - Comm. Repair
~ Address , Other
c City Phone ~
FEES
~ Name RES. HVAC 0-100 M BTU - 524.00
c Address ADDITIONAL 50 M BTU - 6.00
~ (RES. HVAC INCLUDES A/C ON NEW
p City ~ ` Phone - CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF WORK COMMlINO FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES '
BEYOND $1,000)
Gas Piping OuUets #
Other ~
FEE ` ~ `
SIGNATURE OF PERMITTEE
S/C:
,
TOTAL: ~ FOR: CITY OF EAGAN
, ~ . .
~ ~ ~
~ ~
.
~ , ~
f~~~#ifir~t~ uf (~rrix~~tnr~
>
~ ~Citp of ~a~an
v
i~
~r~rtnt~ttf nf ~iuil~ing ,~tt~~rrt~mC~
This Certificate issued pursuan[ to tJ~e requiremenls ojSection 306 of the Urrifarm Building
Code certifying lhat at 1he trme of issuance this struclure was in complrance with the various
ordinances of 1he City regulating buiJding constructron or use. For the following.•
~~;~,;o„ SF DWGTGAR ~,m;, xa. 1581 G
~ ~w~r ~Yv~ R~ ~M ~ ~;,a ~ PD Tm~ VN
o~,~T~re~00[,iE(E CIIY CWSI'!a]L'TIQ~11~~, 6970 151ST ST, A.V.
B~ A 982 TIr.7,~ID~CA IItAIL ~ty I.2 I, B2, I~T 9¢J~,I~ 6Il1
' f.~"' ~+j D„~: _TANITARY 13~ 1989
Bu'W'u~ J
POST IN A CONSPICUOUS PLACE
~ `
11-~'- 3`.
CITY OF_EAGAN Permit No: u/~ ~O~ ~1 y g S z~ s C~
383n P~ot Knob Road Me~er No: ~ 7_ ~
P.A. Bax 21199 Reader No: D~D f~f y g? Datec
Eagan, MN 55121 ~w
Owner. ~'~~11z e Cit Const .
~32 Ticondero~a 7'r T 21 B2 Iex ~tQn Sa 6 i,
Site Address:
Plumber Star Plutnbin
550. OOpd Zoning =~1
Conn. Chg: ~
Acct. Dep: 15 . OOpd No. of Units:
Permit Fee: Zd • ~~~'d
Surcharg~ SOpd 1 agree to comply wNh the City ot Ea9an
Tr. Plant ~4 OOvd Ordinances.
Meter.
Misc : B
WATER SERVICE PERMIT
. „ ~ . . o...,._~,-,
1flOQ G Date: 1 j--8-86
CITYbF EAGAN NO~ Size:
3830 PUo~ Knob Road Meter No: Dat~
9 p.0. Box 21199 Reader No:
Eagan, MN 55121
Owner. Col::.ec~e `°it Co~1st.
Ticondero e Tr L~ I B2 Leainzto~ Sc~ F,ti~
Site Address:
Plumber Star Pluc,bin~
Conn. Chg: 550.40pd Zoning: ~'1
Acct Dep: IS. O[~c! No. of Units:
Permit Fee: I!~.OO~sd
Surcharge: ~ S~~ 1 a~ree to comply wNh the Citp ol Eagan
Tr. Plant ~04 OOpd Ordlnances.
. Meter. 67 nn...;
' Misc.: BY
WATER SERVICE PERMIT
- - - ~ . - -
!l~g_$8 "
Date:
~~Ty p~~AGAN Permit No: i Date: ~ 1-1-~ ~
38~0 Pilot Knob Road B/P No:
P.O. Box 21199
Eagan, MN 55121
~
. C~t CA:1&`. .r nY~T: ~:r ,r}.
Owner. . _ - ,..T _ - ~ n ~ i ev ~n
'^i~onc?c-c:zs .
Site Address: -
~ r ttr`~ .
Plumber. ;
;~1. Gn=,•' Zoning. -
M~CC' ~i~;u'._ No. of Units:
City Chg: g with the Ci1y o1 Eagan
Acc~ Dep: ~ agree to comply
Permit Fee: ~ , Ordinances•
Surcharge: By
Misc :
k SEWER SERVICE PERMIT ;
L
~~a50213 , _ ' ~~~8~
~
Requazt Date Fire No. Rwgh= nspeclion
/ y/(i R i ? Reatly Now ~%ill Notify lnspectw
~i es ? No 7 W~n Reetly7
I' licensed contractor ? owner hereby request inspection of above electrical work at:
Joo Addrefsj'~ (Sryiree^ ox a~r
R--aute No.) ~ City
7 'J v( / ~ ~•~..n,cCe,rr n r~ . -
Section No. Township Name or No. Range No. COUnty
(s r~v~
Occupanf (PRINn~ Piwne No.
Ce~ ~
Power Su ' r 1 y.~ Atltlress
~E ('R G /G C ~ h' R IYt I - ~
Electrical C Iractor (COmperry Narne) Con a or§ License o..~~
~ .H ~.1 ~l ~ ~O
Mailing AEdress (COMractor or Ow Making Installation) ~ .
CJ~! ~ ~ a~'r~ ~
~
AuUwrized Si9naWre ( Mekin Installafio ~ Phone Numbar ~
/1'' ?
~ MINNESOTA STATE BOA OF ELECTPICRY THIS INSPECTION RE~UEST WILL NOT
Grig9s-Midway Bltlg. - Room 5-1]3 BE ACCEPTED BV THE STA7E 60ARD
1821 11nlvereNy 4ve., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
P~one~812)692-0800 ENCLOSEO.
p/ y~/ RE~UEST FOR ELECTRIC#1L IM~"PECTION
~~/l ~0 ? Sce insvuctions for completing this forw on back'7f yellow copy.
~ ~(~Y/n ,
~ 5 ~ 13 X" Below Work Covered by This Request
e Add ep. ` TypeofBuilding AppliancesWired EquipmeirtWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dry Other ~Specify)
Comm./Industrial urnace
Farm ' Air Conditioner
O[lier (specty) ConhacmrS Rematks:
Compute Inspection Fee Below:
# O[her Fee # ServiceErmanceSize Fee # Circui5s/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to i00 Amps
Transformers Above200-Amps Above100_Amps
Signs Inspector§ Use Only: TOT
Irrigation Booms 6 ~ O ~
Special Inspection
Alarm/Communication
Other Fee J t
Fou h-in Oate'^~
I, the Electrical Inspector, hereby 9 ~
certify thaf the above inspection has F,na o e
been made. ~
OFFICE USE ONLY ~
T~is request wid 1B months /rom
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N~ 15814
PHONE:454-8100 ~pry~j~
BUILDING PERMIT Receiptx d / (
Tobeusedfor SF DWG/GAR Est.Value $67,000 Date NOVEMBER i 19 88
Site Address_~ 9S2 TICONDEROGA TRAIL OFFICE USE ONLY
21 2 LEXINGTON S UARE On Site Sewege _ Occupancy R3 Ml
Lot Block Sec/Sub. Q
6TH ADD. MwCCSystem X Zoning PD
Parcel No> On Site Well _ (ACtual) Const Vn
COLLE6E CITY CONST Grywater X (Allowable) Vn
a Name
W PRV Raquired n of Stories
Address 6970 151ST ST
° City A.V. Phone 431-121~1 BoosterPUmp _ Length 40
oeotn 46
, p NamO SAME S.F.Total
~ a Atld~esS Footprint S.F. _
~ City Phone_ pppROVALS FEES
~ x Engr./ASSess. Permit ~ 442.00
w Name 33.50
r W Planner Surcharge
Address 221.00
~w City PhOne Council PlanReview
a Bldg. Off. SAC, Ciry 100.00
I hereby acknowledge that I have read this application and state that the Variance _ SAC, M WCC 550. 00
informetion is correct nd a a to co with all applicable State of ~ Water Conn. SSO_OO
Minnesota Statutes nd ~ry Eaga rdinances.
Water Meter _ 67.00
Signature of Permitt Road Unit _~.~2~.00
A euilding Permit ssuetl to: COLLEGE CITY CONST Treatmanc Pt _~pf~,,.gp
on the ezD~ess condition that all work shall be done in accordance with all
aOP~i~able State of Minnes~t~ Slatutes and Cit of Eagan Ordinances. Parks
~ TOTAL ~?,492.50
8uilding OHicial__-ti~~~ ~
~ ~ RESIDENTIAL ~
BUILDING PERMIT APPLICATION o~C~~ ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConstruMlon Beauiremann RemotlellReoah Beautramente
• 3 registered s8e suneys showing sq. fl. oi bt, sq.8. 01 ~ouse; and ~ rooted are2s • 2 copies ol plfln
(20% meximum lot coverage allowed) • 1 se1 of Energy Cakulallons for Oeatetl additfons
. 2 copies of plan showing beam 8 window slzes; poure0 fourM design, e[c.) • 1 sile suneytor eMerar atltlitions 8 decks
• 1&et of Energy Calculetbna • Indicate M home servetl by seD~~ sY~~ for addttions
• 3 copks of Tree Preservatbn Plen it bt plattetl atter 7/tR3
• R'vn Joisl Dehail Optbns saiectbn sheet (bklgs wilh 3 or less un~s)
DATE ~1~~ C~ VALUATION I~ o_ .~~10 ~
J
SITE ADDRESS q g~ ~
T~(,l~(~p Ca Cn _T Fl ~ I MULTI-FAMILY BLDG _ Y ?
NPE OF WORKTO( I Yl. l~~ I~ Q-(2()C)t~ ~D~,~fi(~ . ~ CJi ~7 FIREPLACE(S) +!0 _ 1_ 2
APPUCANT ~ "
STREETADDRESS PJ CITYI~'nn~r~STATE~ZiPCI~-IND
TELEPHONE i I61,~-~aS~-(~.3~LI CELL PHONE # FAX # DI -``I~ -Q` ~
PROPEfMYOWNERI~_UIP Qn ~ ~(L 1/ IA TELEPHONE#.~~~-IoSS~S-c~Sln~
COMPLETE THIS SECTION POR ~NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(~1 submisaion type) • Residential Ventilation Category 1 Worksheet Submitted • Naw Energy Code Worksheet Submitted
• Energy Envelope Celcuiations Submitted
Plumbing Conhactor: Phone #
Plumbing system inciudes: _ Water Softener _ L.awn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge That I have read this application, state thaT the Information is correct and agree to comply
wim all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant
- OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE 1J~E ONLY
? 01 Foundation ? 07 05-plex ? 13 1Crplex O 2D Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 6ct. Aft - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EM. Alt - SF
~ 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 0&plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? O6 04plex ~ 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addkbn 0 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation ~ypC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ F~~B _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
LiCense Search
Copies
Other
Total
, . 19$$ BUZLDING PERMIT APPLICATION - CITY OF EAGAN ~
SINGLE FAMILY DWELLZNG3 I 5 ~
~
INCLUD~TS OF PLANS~ 3 CERTIFICATES OF SQRVEY~ 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COt~4~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~C7 2 7 ~g88
R rh , Valuation: b/ a0 d. o u Date: /~1 ".~`j '88
To Be Used For• ~ ~ /n I
Site Address ~8 ~ T; c o h~<r o 5 a OFFICE USE ONLY
Lot a 1 Block -2 On site sewage Occupancy M'-/
~ / MWCC system Zoning
Parcel/Sub~ rX S~a n G ~ On site well Actual Const ViY
_1 City water ~ Allowable Vif/
Owner ~ V h Y~ c7 c~ D 2 1~ 2 9 PRV required _ lF of stories
) Booster Pump _ Length y0
Address ~"J ~I ~ I B C~0 ve r LQ ~ Depth 5~~
S.F. Total
City/Zip Code ~4~5,v n f~'t .SJ'~~~~ Footprint S.F.
Phone g 1~/-~ ~ 7 APPROV9LS FEES
Contraetor~o / ~ ~o ~,f~ Engr/Assess Permit %5~~.
Planner Sureharge 3 ~ SC
Address 6 y 7~ .f Council Plan Review ~ z 1
1~ M Bldg. Off. I 1 2g SAC, City /0 G
City/Zip Code~ V, /'n. .ss~`~ i~ Variance SAC, MWCC ~SO -
1 Water Conn SSo
Phone / ~ J " ~ ~ Water Meter G )
Road Unit '3 a 5`
Areh./Engr. ~-r7 e Q,f ~o v~ Treatment Pl ~~y
Parks
Address Copies
I TOTAL ~ O
City/Zip Code
Phone ~k
LGwPr
~Z~~/rv~ ~Go x~3- ~z~~iro ~
,
, :
- r `
l/P:~ er ~ ~
~/Oa- ~ ~i = i~0
lok/,5 - ~
9~5~- ~i9 ~ 9 ~s
Gp~r
"1/,33,~ zz=
%GS, 2~,~-i5'. ~ S~~ G S'
i
~oGc'Z~/.~y
, ~
~ * * 2422 Emerprise Drive
* PIONEE LANDSUR~EYOHS•QVILENGWE[RS Mendota Neights, MN 55120
~ BnL~. ~CIBeI~ ng>• ~~NOPLANNERS~LIINDSCIIVE 11RCHItECTS (612f 681-1914
1! Y
T
ce~t~f~~ate or s~rvey ror: COLLfGE CI TY CONST~
~
T~CoNoEaaGA TRAtL "°Rr"
•rc: 9~ ~89° 43'o3..E,
75. oo a,.6
~
5 e
C ~ m ~ - - - - o ti
i ; ~ i M 90~..9
i o i ; ~Jg "
~b ii.y ~~.;b 17.5
I' `I°`~~ I ~ ~6Aa 9 ~
I~~~. W ~ C o~ du= ~ ~ ~
I
~ N o iM4,bt ~ lR ~i
o M Q SE~ / o ~ c~j
~ ~ / {{o4S~ ~ I M o
Z ~ r7.5 ~ o.o / _~7-5 ~ ~ titi
~g:Aq°I r~ i ~9by i ~u6 ~9~~
D 1
~ Q~ j~ I
y i / / i ti ii-^ ~ ~ ~ r_ ~ _
I ~ .._i ~ ~ i '..~'r,~^.i ~
1_- - - -h - 93'y .w.; ~~o`u/~---
~.e..-
2,'0 75.00 P~s~e ~p z
b9 N.89°43'Dj•'W ~1~C~~$~ ~~~s b~
. 90p.0 (72nofFS exisfin~ Elevptt'on PRiC~OSED f~0U5E ELEVATIONS
. 900-o Danoles proposed Elevaiion Lowesl Floor flevafion 461~
pcnofes Drorna~e { Uiili y fasemen 1
Denofes Draina~6e F/ow Arrow Top o~ Block flevafion
o Denofes nwnument ~ara~e S~afi Elevafron ~ 4Q3_~_
Bear%n s shown vr'e assumed
~ OT 11, LOCI~ 2,~EXI NGTON SQUAf7E ~v TN ADOI TIdN
~qKpy'q (1~</NTY) MINNESOTp SUBJfCT TO EASEMENTS OF R£COQQ I
I herehy certily thsl thii h ~ Irua ~nd correc[ represen~a~ion ot a swvey~ o~ Ihe M~ndaries o) ~h~ ~bov[ de ribed Wn ad Ihe lootio~ o~ f~~
buildin9s, thcreun, ead all riub~a ~ncrwchmmt~, ii any, /wm a~ oa said IaaA. Ai tu.veYed 6Y me thu~OaY D~ A.O, 18~~. `
~
I
Scale~l ~~=30~~ ~ '
I R BERT B. S ICH L. . EG. D. 4/q~ I
21
EXT~'OR ENVELDPE AVIIiAGE ~~V~ CO[4PUT• -•ON COLUMBIA
~ t OWNIIt L- y r~ ~ e~ e ~ 4 2 a~ 2 9
,I -~7~ /
SITE ADIH2ESS q$02 L o h c7e r o q A /r"9
CONi'KAGTOK COLLEGE CITY CANSTRUCTION DATE ~0 :~(~"y g PHONE 612-431-1211
Determine woxking square footage of each.
1. Total exposed wall area 1,728 sq. ft. x.11 = 190.08
2. Total roof/ceiling area 960 sq, ft. x•026 = 24.96
Total exposed wall area above floor = 1,728
a. Total wall window area 141.669
b. Total door area 36.667
c. Total sliding glass door area 0
d. Total fireplace wall area 0
e. Total wall framing area (average 10%)............ 172.80
f. Total net wall area above floor 1,291.488
g. Total rim joist area 85.376
Total exposed fotuidation area = 85.376 s.f.
h. Total foundation window area 0
i. Total net foundation area above grade............ ~
Determine "U" value of each wall segment.
a• 141.669 X .346 = 49.017
b. 36.667 X "U" .128 = 4.693
c. 0 X "U" _
d. 0 X "U" _
e. 172.80 X "U" .092 = 15.897
f. 1,291.488 X "U" .043 = 55.532
g, 85.376 X "U" .041 = 3.5
h. 0 X "U" _
i. 85.376 X "U" .079 = 6.744
3 ......................................Tota1 135.383
If item (j3 is the same as, or less than item pl, yw have met the
intent of 5BC 6006(c) 2.
~
, < . _,J
: • Total exposed roof/ceiling area = 960
,j. Total skylight area p
k. Total rovf/ceiling framing area (average 10~)....... 96.0
1. Total net insulated xoof/ceiling area 864.00
Determine "U" value for each roof/ceiling segment.
~ • 0 r~U~~ _ ~
k• 96.0 X "U" .174 = 16.704
1. 864.00 X "U" .022 = 19.008
4 ........................................Tota1 - 35.712
If total of 1l4 is the sa~ne as, or less than /12, you have met the
intent of SBC 6UU6(c)1.
Alternate Buildit~ Envelope Design
To utilize the total envelope syatem method, the values esta6lished by
the stan of items (13 and Ij4 shall not be greater than the stmi of items
l11 and Q2,
1. + 2. _
3. + 4. _
i
`
. . ~R°AN D VA~'.! ~ . ./q N ,4.L. yS.' J . ~F _]6L~.l~ 5[~Ti n. r/S
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. "R'- V~~uE
.61 ._i Ni~21o2 /~IK. p1L M
,
. 19,0 _6" ~NSULAT~ON CR.19 )
i 2.06 25/32 5H Eq T~uc1 Built-Rite
r
. .67 Lan $ID~i14 1/2"
~ • 1.88 ~ ~h~~ 50~ twoot~
•17 ~KTFI~IaR H12. F/~w~
~ .
24.39 TorA ~'c]..~• I~A!-u.L
4"j . ~/a`b . r 24. 39 0 ~
' t~rn~ r~?~q~
1 Ou?.~OqT IoN I1./AL~- AR~/~ CABovc C~R~o~_~
„R„ v~ ~ u. E.
' .61 IWrEK~oIZ AIK Ht-r~
.85 g~~
~oNeR r rr c~c.o~~c
~II~L 11.0 R-11 zx4 I.S. Furing
~I~~I ee~r.=~a=w?~aa~aa~#=~=__~
.17 ExTRKioR, n~2 F~~?.~
12.63 ~--orq~ F~„q ~A~u~
u~ i/a-x, • ~ ~ 12 . 63 Q7~
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2of5
- . . .
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F~ NJD , VA~ ~1E ANA!-1'S15 OF jJ~R S ANO L LQ,~„U IIF.,f;~'.
, . ~ ,
Wl NDoW AR~A : TyPk oF ~1~/~NbaW :
5/8" Insulated Glass
7NE ~.V~.~DOw yu~fs /./Art g[!n! j~yre'P Ro4. "12~=VA~k~L~ tN~y tiec A~ L~31ir
ABoJi 44D ./N4y/ df .t~s~yy~v ~ O~~~yi? (~~RCI VwL.k.L oF ~/7, a 2.89
111C~ND///4' Allt f/LM$~
~i = ~/ay, • . ' .346
foot~s~~. -1-Fo.rwa~
- - _ .
~ouNIaA7 1 oN ~I1Nt7vW A~A : TYpg op 1/~.~iNpp~? ;
111~ VV/NOON~ U?irs NN~~. ~ca..I resrca Fpa'K= V~u..e tHe.Y aRR ~a ~~•+r-a naev~ wuo
meY er AsfiyN~uA pia~y,~/C1wR!~ V.e~ut a~ •1~". ~uc~~o.iNcr
RI.R RILMS .
L{~is I~~jt ~ s~ Foor.?qt i FooTnqC _
~LIri~N~y ~.71ASS ~aR 1~R~p: TrP~ op Doort:
S/8" Insulated Glass
SL~d~NG Q~-~199 DOP(LS Nr.J[ OLR~{ 71.4ltR0 FoR~~R''bAL.K~y TNGY AR[ ~ 1-~w~R•-
~DO?L AfJO MAy 8* I~33~yNw.G A[i1$I~iF/rr~AP[J ~IAtHG oF~1Q'~r Z.•89 i_YG~fU~~•.~
QfQ i1LN1.S
uys ¦ ~/'rvs 1/ _ .346 . . . Fwr~4~ ~
DooR i}fZ~ A~ ~TYn~ o~ Doar~ :
Therma-Tru
pAOfZ UNI'75 HAYG 6LLN tL3T[O AND Rouyp to }~/~YC .VN
~fZ"_VA~~.tA. O~ ~.HI ~NGa.H~~NQ A~a o~~Mi,
i~f ' i/ad~ = r/ 7.81 = .128 " 1'mrA4t,~ .
.
SP~~,,~~s : rYp~ ;
FLKn~ C_r !sAUidlfj, f~11(F' SYNf.1+
_ _ -
. . _ - 3 of 5
' I _
~~rAND,'l~~ V~' UE ANALy/SJS OF L SEGT~O~JS
. •
Sr~..,.n / ~RAM AR~.q ~
vti~ue
~ . .61 TNfEKiU~ ,~IK ~LN~
~ .45 1/2 ~?n.s~LM wA~~eo~ea
~ 6.875 5-1/2 5orr~oeo
2.06 25/32 SHl~TN~N4 ~ilt-Rite
_.67 La~_S~o~uc~ 1/2~~
~
VAibC b~laRita.
~ri'e.RioR n~2 f~~~-1
10.835roTA~' R.~; J.,?,Nc
~ : ~/R-~, • ~ ~10.835 s
.092
~or~~ ro~r~ac
~NSU.LAT~J I~R~A B~TW[.aN STyUS _ T ,
"?Z" - v~ ~ w L
- ~(yLjUTEQ10R ^~K /~1.M
.45 1/2" 4YpsuM
y,~~~~.ae~~eo
19.0 6'___ ~uSU~wT ~ord (R,19 )
2.06 25/35 S N 4~ T N/N4 Built-Rite _T
.67 1/2 g~ol?14 ~P
~ NA PO 1~. 1~.~ R.rt.~ [~e.
.17 QR/tR.lq7(, ~11R I~~L.M
2~OTAL Ww,. VALNC.
~'11,•us..ti,. ~ L22.96 . .043
TOj~~ roof~4e.
H~i ~w4.~x,rt u~rc: >~c.,~o
4 of 5
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. . . '
~oisT/ ~R~M~~~4 /~Ra^
•R'• VALtLE
.61 IN7ERIOR AIR F?LM
4.375 3-1/2 Soprwoop
.58 5/S" GYPS~aM w~~~eonao
, ~ VApoR Dav_~ic~.,
~ •17 I NrER IOR, /~~R F~~M
5.735 TOT~ L "R~;,~ ?~~-u.!
w~ n ~/a..+~ r. 1/ 5.735
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1 ~
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5of5
a ~ ~
1989 BOILDIPG PEAtiIT IPPLIClTION
CITY OF EAGAN
I~~ t
SINGLE FAMII:Y DSiELLINGS IPLE DWELLINGS C01l~RCIAL
.'~.TS OF P3.AHS 2 SSfS OF FLANS 2 S£TS OF ISCSR'ECfURAL
:a:ISTERED SITE SORYEYS 8EGI3T$AED STlE 3DA9EIS - i 3THOCTi1RlL PLiNS
a SET OF ENEAGI CiLC3. (C~Cb idIYH HLDG DI4.) 1 8Et OF SPECIYICATIONS
1 3ET OF E8E8GT CALC3. 1 SET OF ENER6! CALC3.
MULTIPLfi DWELLINGS AENTAL UNITS FOA SALS II11TTS t OF DNITS
iOTEt iDDAFSSE9 P08 CORRER LOi3 -'CONTAACfOR/80t~~WNEB !l03i DESIf31~ASE iiHIC6 iDDRESS
IS DFSIAED. PO C8INGFS iiII.L BE ILLOflED QiCE BItILDIIiG PERHIT I3 I330ED..
SSHER 8 WATER YEAMIT FEFS lND lCCDOIPI' DfiP03IT FEFS i~.L Bfi INCLIIDED IPITH T8E SOILDIN(3
PEFt!!IT FEE. PAOCFSSING TIHE FOR SEWER AAD MATER PEffiiI15 I3 TWO DIYS DNCE A PEAMTT HA3
BEER t~LETED INDICATI9G A LICEN3ED PLUlIDfiR.
PENALTY APPLIFS NHENt PEEIMIT IS NOT PAID FOR IN S9ME MONTR IT ZS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: ~~"LK Valuation: Date: A~~ 3F 1~~`~
Site Address ~~r~~1(a`A'1d0~~~`T~a;~ OFFICE 0.58 01i1.2
Lot 2~ Bloek ~ Occupancy ~S
2oning
Parcel/Sud ~.IhG~N ~Ou~~ rsSH~~D Aetual Const Bldg. Permit N c
~ AlloWable Sureharge
O~mer Q'~'~Z.C, ~ of atories Plan Review .
Length ~y SAC, City
Address Depth i,~' SAC, MWCC
C S.F. Total Siater Conn
City/Zip Code [~`t~h Ry Footprint S.F. iiater Meter
Acet. Deposit
Phone ~~C'~i On aite aexage S/iJ Permit
On aite xell 5/i1 Suretiarge
Contractor lWiCC Syat~ Treatment Y1.
Citp wmter _ Hoad liait
Address PFrT reqvtred _ Park Ded.
Booster Pump _ Copies
City/Zip Code ~f v~~ DU ~n~ s~T~T~
iPPROVlL3 Penalty
Phone Planner _ ~ TOTBl.
Couneil
Arch./Engr_.. Bldg. Off. ~~23
4ariance
lddress
Citq/2ip Code
Phone A
, . _
,
* * ~ 2422 Eolerprise Drive
* PIONEE Mendote 1leights, hiN 55120
* uHUSUnvcrons.avai~+urv«es 3
* BI1C,InBBI' hg•. unorurm[r+s.unosc~r[~nc~ur[Crs 16~2168~~~9~4
* ~ *T
ce<<~r~~e~a or suryeY ~o~: COLLEGE CI TY ?_CONST•
Q
T~CONDE,40~'A TRAIL NoRrH
rc: 9~ ~ ~fr~5. oo
?,.E, ot ~
~p ~
90~.~ 5 r"- y' ~ O
' ~ ~ ~ ~ M qti
~ i~ o / ~ 1 F11~i`q°I•.
~7.5- ii,~ f 11.q
flsa' ~ R o 4R \ 4A! ~ ~ 3
" O
N
C~o~ j ~°~aaqoSEO~~~b~ i t~ ~ _
oro ~ ~ IIod4~~~ ~ ~o . `.,s
Z r7.5 o,o i _r7.5 N titi • ,
~ 1-- - F 5 I u 6° Q9~'
~g:~q°~ I . ~ ~9` ~y' ~ ~ ~ - , ~
/ Q .o ~ ~ ° ~,~T
~ ~ *C'=::] L;:,j'-~
yi ~ ,y L.rn,::~..~riv~ D~PT
i ~ ~ r ~~u t~l
~ i ; .
1------h 93y REV?c~:`1EU
~
° 75.0~ s
( r.s9•43'o;~w. AY~ z ~ ~t P~ :t
- '
0'A
~ 900.o J~gno}es exis(in~, fleval 4~on PR~POSED l~ousE ELEVATIONS
. yoo.o Denolrs P~oposed Eltvafion (owesf Floor Elevafion 9U~,1_
-------pcnolesDraina~e(UEili yE~ase~nenf
Deno~es Draina~e Flow Arrow Top o, Block Elevaf~on
~ Denofes .nonument ~ara~e S~afi Eleva~ion ~ ._9_Q3.:~ _
8ear~n s shown vr'e assumed ~
L or 21, Lac~ 2, LEXtNCroN SQuAaE 6rN AoolrfaN
DAKOrA CUUN7Y) M!lJNESOrA SUBJECj Ta EASEMENTS OF RFCOQp
1 hneAy [ertily ih~t ~hit i~ ~ irve ~nd Conect represennlion ol ~ fwve~ ol iha Caundanes ol ~he ~bove de ribed lan snd ~ht lon~ion qol av
builJ~nps, the~eon, ~nd dl vi~i61~ ~nerwd+m<nis, il iny, fmm oe o~ said ia~+d At fu.veyed by ~*~e 1~~~ day ol p.D, 186+~
/i
V
inch _ ~ ~ ~ - '
Scale :1- -~-c~-~ ~
P BEAi 6. S ~CM L. . REC. O. !91 '
Z~ ~
. APFLI~ATION FOR PERMIT pn~'~Tr OF FEE AT TIME OF ;
; Aer~.xc~or~ ooES rx~r nxr ;
' * sri~ nreRC~rw oF rraruT_ :
L ~
r f ?
~ .x SEW ER AND/OR W ATER CONNECTION : Ic~e~au oF s~ nr~io~ w~a
; iresrn~,v+x~oeis w~, rior se scmor,2n ;
~ . . x[!NPSL PIIt[~IIT HAS HFITI APPROVID.
~ ~=..1 itr+~e~tiyr~w+ft~wwf~s~+aier~iff~eatfrr
l
It9,~ OF G~C1t~C~~9 ,
PLEASE PRINT
i) PROPIItTYADDRESS: ~X°~ 7/Col~clero~a.
T,FY;AT• DFSCRIPTION' J U 1" -~I` I i ~ 1~JI-~e-~ L~c Y i r~ a--i y~.s,
~Lot B o
kJSu~c~ivision or Tax Parc 1 ID )
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISS[IANCE:
Nbnt Year
PRESENT 7ANING/PROPOSID OSE:
Q COPM'JERCIAL/RE.TAIL/OFFICE I-I~i~'R-1 SINGLE FAMILY
Q INDL~STRIAL ~ R-2 DLPLEX (1tr~o Cnits)
Q INSTITUTIONAL/GOVII2[~Il~NT ~ R-3 TOWNHOOSE (Three + Cnits) ( Lnits)
Q R-4 APARTMENf/COI~IDOMIDIICM ( L~nits)
z> Lo~~.~~.~ cr-+~ ~'aw~t-
ADDRESS: ~970 /Sl sh ST.
CITY, STATE, ZIP: ~ .ti, w
PHONE: - I~ 1 1
For City Use
3) u:~+' t~r~: ~~G~r 1~~r-.r~ Pl risn
e~'s
I.icense:
Active
ADDRESS: /b /rf jt~ o v w q~ c ~~i~r
~
v. ~ T Expired
CITY, STATE, ZIP: '~1 ~~-L_ ~ln,v ST y a- o I Not recordec
~,r7~_~_~
PHONE: d~~{ ~j MASTER LICENSE # ~f I.~ 330~- ~I St Ia
n~
itial
4) ~ a
NF1ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s a • o- ~ ae
Q CONI~CTION TO CITY SE4dEE2 ~ CONNECTION 'In CITY WATER ~ di'F~R
6 ) ~~ET~ ~
]k*ir]YY[tk'kA'~F*'kYk'~('k*1r+*9f * 'k'A"k*'1rtF1F~kA'y~A'f~•'k'Jf'k9[**vF*1r*Yk**'k'k'If:FA"k{"A'k'k'k*ll'k*'k*#'k]k'k'k'1[**'k'~tA'*'F'**:FA'A"/~'•A•'y'•k'A'*'k'k'k•k*'k'k'k~A`~i,
~
* THE GOID COPY'OF THE PERNIIT WILL BE SETfP DIREICPLY TO PLBLIC WORKS TO FACILITATE METIIt PICK-PP. :
* PL~EASE ALL~OW 1WD WORKING OAYS FOR PROCESSING. SOMEO[~ FROM Tf~ CITY WIIS, CONfAL'f YOi] IF Tf~tE K
f
* ARE l1NY PROSI.FMS. ~
~*+*~**~******~*,t**~****x***~******************r*++s~**~,r~,r**t*,e*r+*****~~***+***~*,e*+*+r****~~****r;
~OR CITY USE ONLY ~ ~ ~ ~
PERMIT # ISSUED . •
~U~ ~
Pd w/Bldg. Permit FEES:
$ $ /t7- Sl2J SEWER PERMIT (INCLL'DE SORCHARGE)
$ $ ' S~ WATER PERMIT ( INCLL'DE SL'RCHARGE )
$ 7~~ C~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ 1 ACCOUNT DEPOSIT - SEWER
$ ~ ~S ACCOL~NT DEPOSIT - WATER
S_D •!~-C~ $ WAC
$ ~~v~~~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL~NK SEWER ASSESSMENT
$ $ LATERAL BE[VEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRti'NK WATER
$ °7b ~ $ WATER TREATME[VT PLANT SL~RCHARGE
$ $ OTHER:
$ $ ~ ~~i1-7J' TOTAL
7 7 3 ~''e'S 7
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PC'BLIC
~ ROADWAY" ML~ST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED BY'; j'~c1z_,~~ -z.~7.S
TITLE:
DATE : ~ ~
r
, CASH RECEIP i~
' ,~---ti_
CITY aF FAGAN
3830 PILOT KNOB ROAD
~ , EAGAN, MINNESOTA 55122
,
DATE r : ' 19
~
NE ~ , ~ / ` % f l~ ~ ~ . 1~~ ii/~~"'
l~.rC,
r
'f 1 i /
AMOUNT S J
1. '~f' I ~,r
& DOLLARS
ioo
? CASH L~ tCHECK
/
y4.,. . _ ~ ~ ~~i ~ ~f__<' i
,,is t-~-t ~.c, t_-L-{ . ~ IJL~,,. ~L_ ci~{.~
t
, . ~ Y,
,
L• C_, 7, d'.~... ~ , ; tc~C'L
FUND OB.IECT AMOUNT
Thank You
sY = ~L.~L.C~--__
, . Whil~-P9Y~ ~APY
Yello~PoatinG ~oPY
Pirdc~le Copy
Use BLUE or BLACK Ink
I For Office Use
I
Eap Permit~~ Permit Fee: as
3830 Eagan Pilot Knob Road
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
(-rt~
Fax: (651) 675-5694 I Staff: i I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: A'\C ~A Unit
Name: y u` Phone:
Resident!
Address /city /zip:
Owner
Applicant is: Owner Contractor
Type of Work Description of work: Aeav- - , V o L
`j
Construction Cost: L) Multi-Family Building: (Yes / No )
Company: °L Contact: _ I
Contractor Address: c ^,p City:
State: Zip: Phone:
License b (,Q~~ W " J Lead Certificate
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:
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'tradesecrets.'
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.4ooherstateonecall.ora
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 ode must be completed within 180
days of permit Issuance.
x -f ffL veo IN -
x
Applicant's Printe Na a an s Signatu
Page 1 of 3