Loading...
2139 Wuthering Heights RdCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 5512 (612) 681-4675 SITE ADDRESS: l)L1klJIi'iF11, Ili 11,1{1'-., PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: i is I: I Flt Ill I, i tut, III I I'll I all t APPLICANT: 1t)I F At 4 40to:1 TYPE OF WORK: Ml Ii I+I Pill N .t "1'J 1 INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Ih. K[ MANK`;: 1r bl PI NI: - tit N:' V Y A N P1 1.4 (3 Permit No. Permit Holder Date Telephone i S/W PLUMBING aJ?- HVAC ELECTRI ELECTRIC Inspection Date Insp. Comments Footings I Foundation yG - u/I C G!r Framing y Roofing Rough Plbg. Rough Mg. Isul. Fireplace Final Mg. Orsat Test Final Plbg. J(? -46 Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr . Disp. 0141-e -44 t? Wertificate of Cccuvano %U4 of Fagan Tevarhaeat of Sai[biag 3x6pectioa This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: SF IXf1G Bldg. Permit No. 22993 oocupaocy Type R3/M J Zoning District R I Type Const. VN owwrofBuilding XF MTTIFR FY WS Adttress 3459 WIAQaTlr:iM DR. EAM Building Address 2139 MTTRERTItr.?HT?7(' M R[1ADl omlityi. ] t $lr jtl[)Z rj: HF'Tt T7:S Date: Bnilding official. `+f' POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t i l l 111,146 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 101 APPLICANT: t ++tt t l#f It # N1i Flf # ??il i :. RU I #. # N1:` t.it+ I llt l• I rlt, III ! ?,hl l ?, , , I . I ::?,? . I4 ?? PERMIT SUBTYPE: TYPE OF WORK: Nf W t. f I I -!'4 1 6A' Permit No. Permit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING /. ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE / FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL r DECK FTG DECK FINAL V/ Address 2139 MI I% MGHIS ROM Zip 5512 3 I.ot 1 Blk l Sub WERMIM t>EZam THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 6/// Yes No Inspector: 1611 Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Y Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? d 21089 / Z : , Repues Date Fire No. r © Ro 'n Inspe ion e d? ?Reatly Now Will Nofity Inspector Kh R d ? Ves C' No an ea y I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.I c2 13 9 Lc1?- 440 M5 M5 Ciry, ? Section No. Township Name or No. Range No. County Occupan I PINT) Phone No. Power Su plrzr Address Electrreal omractor (Company Name) ` ' 15 l ei-A ?N? Correctors License No. ?{zs'Cs' r1 l a1. . Me hn o ess IGontractor or Owner MaN Installation) (PdA4 Teel I' ?? ?, 5Sl Z Z Authorized Si re lCon Vac Inst onl .11 ?Ir? - P ne Number s - 87 ;7 1 MINNESOTA STATE BOARD OF CECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslty Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION pp ? See instructions for completing this form on back of yellow copy. LL. , 21 _n R 9 _ . "XiSelow Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspectors Use Only. TOTAL Irrigation Booms / Ci 6 Q. So Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTHS I, the Electrical Inspector, hereby Rough-m Dates. y, Y certify that the above inspection has been made. FInaI date OFFICE USE ONLY 4.1 This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 2139 WUTHERING HEIGHTS RD LOT: 1 BLOCK: 1 WUTHERING HEIGHTS application and state that the with all applicable State of Mn. DESCRIPTION: Building'Permit Type SF DWG Building Work Type NEW !-UBC Occupancy\ R-3 M-1 f' Construction Type V-N Zoning - R-1 Building Length 52 Building Width 26 Building stories 2 oil" L REMARKS: S & W PLBR - GENZ-RYAN PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $674.50 $438.43 $55.00 $800.00 100 $1,967.93 $110,000 MISCELLANEOUS $1,,828.50 Total Fee $3,796.43 CONTRACTOR: - JOE MILLER HOMES 3459 WASHINGTON EAGAN MN (612) 454-4663 Applicant - ST. LIC 14544663 0002431 DR 55122 OWNER: OE MILLER HOMES 459 WASHINGTON DR AGAN MN 55122 612)454-4663 204 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. I QI APPLICAN /PERMI E SIGNATURE BUILDING 022993 02/25/94 ISSUED 6 SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 1 APPLICANT: 2139 WUTHERING HEIGHTS RD JOE MILLER HOMES WUTHERING HEIGHTS (612) 454-4663 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 022993 02/25/94 INSPECTION TYPE FOOTINGS .DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - GENZ-RYAN PILES REACTIVATE _ CITY OF EAGAN -- - - -? PERMIT # 1983- BUILDING PERMIT APPLICATION' ' ?A4 681-4675 FEB 16 1994 SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uati on of work `? C7 Site Address: STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. ; P.I.D. k Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE M City State Zip Company JOE MILER HOMES Phone 15 -zxl,!a 3 Contractor Address SUITE 204 License # Exp.3-3?- 9 2 EAWN, M 15155 12 City #0002431 State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber - Processing time for sewer & water permits is two days one rea his been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable tate of Minnesota Statutes and City of Eagan Ordinances. ` Signature of Applicant: 4L4? OFFICE USE ONLY BUILDING PERMIT TYPE ?. , 8 'r t ; . l B ? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging 1 ? il m!,o Fipi,sh a ' ® 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. [3 Ir Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WOR K TYPE Q 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ?11V . Basement sq. ft. 2.77 _ MWCC System (Allowable) VA/ 1st F1. sq. ft. TY? City Water UBC Occupancy 3 2nd Fl. sq. ft. PRV Required Zoning -- Sq. Ft. total Booster Pump # of Stories z Footprint Sq. ft. Fire Sprinkler Length 52 On-site well Census Code Depth z 6 On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard 10 Footing ® Final ? Framing ? Draintile _7p= o/ i El Insulation ? Fireplace Permit Fee v.iusc;on: $ 1?0 4?0 - Surcharge ISL.? Plan Review 32? ?? g3z r6g License MWCC SAC City SAC 5 yp? Water Conn. _?. Water Meter Acct. Deposit S/W Permit 2 S/W Surcharge Treatment Pl. 3 Zk u ks /ygz$ Road Unit _Y Park Ded. Trails Ded. Copies Other Total: Z z? Z D SAC % SAC Units CERTIFICATE OF SURVEY for JOE MILLER HOMES 1-788_x3 ? Hazel Road N-7 99.a r', FF- i M32-1074-94 5 1040 3S I I N 1.84 0 _ c(f 95 16?1 95.7 )? 1 } 10 No ? . RIT ?(8 L e " f ' ? I 1 rn?i ' g ?? 46. c??se.oa "V m ?- ? ro , ` T ?7y6.o7 ? 11 Ln `? h N O p S ° ° q zoo o m ao.ze -_ a o M zoo ? f ? 1187 ei'??oYa D „,. 0 -- 4-7 X991 I 1 e &. I c?ent 0<a?? ug?\?tiyease II 5L- ---- J10 - O W z 798. 0 c (D Q CD C_Q Cf) u I - o f 94.30 E.A G!6aJ WEST 1 REVIEED?^ ^ R? 1 dA6? D pgpg z -18 s v EAGAN EI\TGIIVEERING EFT. G&Rvl(-E NOT TOVND Scale: 1" = 30' 2139 Wuthering Heights Road cSCnvitw fN??,J del /•+c [rSS?{ot /?Y-dar..rr DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct Lot 1, Block 1, supervision and that I am a duly Registered WUTHERING HEIGHTS ADDITION Land Surveyor under the Laws of the State Dakota County, Minnesota of Mi nesota. Plat bearings shown o Denotes iron monument Date EE-13 19-ft Reg. No. 8140 ` Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, (612) 435 MN 55306 -1966 AAZr)____1rl'1A 0 A c LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING ERMIT APPLICATION W PROPERTY LEGAL: Date of Survey: t DOCUMENT STANDARDS E"?0 0 Registered Land surveyor signature and company Ir D 0 Building Permit Applicant e 13 0 Legal description 6Id D Address 8'? 0 North arrow and bar scale g' ? 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) D 0 Directional drainage arrows with slope/gradient t. 0 0? 0 Proposed/existing sewer and water services [? 0 Street name H 0 0 Driveway ELEVATIONS Existing D 0' ? Sewer service [f D 0 Lot corners {f ? ? Top of curb at the driveway 0 D Elevations of any existing adjacent homes Proposed D?0 ? Garage floor 0' ? 0 First floor D 0 Lowest exposed elevation (walkout/window) ? 0 Property corners E?0 0 Front and rear of home at the foundation PONDING AREAS (if avzlicable) D 0 Easement line D 0 NwL 0 0 HWL 0 0 Pond N designation 0 0 0 Emergency Overflow Elevation e D 0 Lot lines Ir 0 0 Right-of-way and street width (to back of curb) r D 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Af D ? Show all easements of record and any City utilities within those easements V? 0 D Setbacks of proposed structure and setback of adjacent existing D ?? Rata in W irements; if any `/ Revieof/9Y October 1992 EXTERIOR ENVELOPE AVERAGE "ll" COMI'IITATiON OWNER: HATE: SITE ADDRESS: PHONE: CONTRACTOR: 300 MllLEf'k t4Ot"1C,S PLAN # Determine working square footage of each 1. Total exposed wall area ..... _-LSO sq. ft. x 11 = t)(?? 2. Total roof/ceiling area..... (n30 sq. ft. x .026 = Total exposed wall area above floord-1(0O a. Total wall window area ............................. .............. IF)11 1 b. Total door area .................................... .............. 37 1 c. Total sliding glass door area ............ ...:...... .............. p d. Total fireplace wall area .......................... .............. e. Total wall framing area (average 10%) .............. .............. f. Total rim joist area ............................... .............. g. net wall area above floor ....................... .............. OR+U? h. wall area above floor ....................... .............. i. wall area above floor ....................... .............. j. frame wall area at foundation ..................... .............. Total exposed foundation area= '10 k. Total foundation window area... 1. Total net foundation area above grade ............ .. -I O Determine "u " value of each wall se gment (e.g. window , door, each separate wall section) a. ??1 11 X 'lull b. -n X „u„ q?? = I(o ?`l d. X "O" _ f. X 'lull g. X „u„ 10? = SC?.37_. h. X °u" _ X „u„ _ j. X lui k. X „u„ _ 3 . ......... ................. ... .... Total = ?.?,11 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 4. TOTAL EXPOSED ROOF/CEILING, CALCULATIONS: Total exposed roof/ceiling area........ IU Q sq ft j) Total skylight area....... sq ft x "U" ° Q Total roof/celllnq framing CJ? " " '??? Z 1 area (Average IWO ...... 1 sq ft U x f1 1) Total net insulated qZ? " " yZ c? 1? roof/ceiling area....... sq ft U x ? 1 4. TOTAL j) thru 1 ) Z?'Ll1 If total of #4 Is the same as, or less than N2, you have met the intent of 2 MCAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items P3 and 94 shall not be greater than the sum of items NI and N2. 1. + 2. - 3. + 4. _ * LINEAL FEET EXPOSED WALL BLOCK JA % KNEE: IZa WALKOUT: FULL 1:140 FULL 2: FIREPLACE: RIM: M BLOCK: 19? KNEE: 1Z8 WALKOUT: FULL l: lio FULL 2: FIREPLACE: RIM: IiO SQUARE FEET EXPOSED WALL AREA x .5 s : Cr?ku x 8 = x 8 =,1Z0 x 8 = x SQUARE FEET EXPOSED CEILING WINDOWS: W7,-7711 z4,.J, Attt III 4a z448 1111 73z Z'}(c?J ICI 30 -19" `all Et ??yit l '7,71 -7 430' I' DOORS: tr PATIO DOORS: 400 BASEMENT UNITS: SKYLIGHTS: BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55337 (612) 435-1966 Address: 139_u±2_: N'q City. /?djydfs AOg d ?!------------- Poured concrete walls, replacing concrete block walls as shown on the attached plan, are as strong or stronger than the concrete block walls. I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Registered Professional Engineer under the Laws of the State of Minnesota. - Ir - 93 Reg. No. 8140 ?, CITY ;OF EAGAN PERMIT ` 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 8 8 7 (612) 681-4675 Date Issued: 09/23/96 SITE ADDRESS: 2139 WUTHERING HEIGHTS RD LOT: 1 BLOCK: 1 WUTHERING HEIGHTS P.I.N.: 10-85200-010-01 DESCRIPTION: (GAS) R-Uild n'4 Permit Type FIREPLACE Building W'eark Type NEW r?Census Code ` 434 ALT. RESIDENTIAL lu r S d.' 1 t r REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - OWNER: TOTAL AIR INC 18947472 MITZEL MYLO 1923 W BURNSVILLE PKWY 2139 WUTHERING HEIGHTS RD BURNSVILLE MN 55337 EAGAN MN (612) 894-7472 (612)452-6827 I hereby acknowledge that "I have read' this application andl state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. il'?-Ivv P CAN RMITEE SIGNATURE ISSUED BY. IGN TUR- CITY OF EAGAN RD - 3830 PILOT KNOB B RD 55122 16061 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: 1°;)-36 11 Z's 01 DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE: - WOOD BURNING INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: GAS Pri; STREET ADDRESS: 2 3ol + n r '??? } ?7? LOT BLOCK SUBD./P.I.D. #: ?16dd1? I APPLICANT: (circle one only) OWNER CONTRACTi 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. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: Phone#: ISe)`- CS Signature: Street Address: City: -7?o ' /J State: Zip: Company: / /c-- ! / /f ?''- T c-- Phone #: `9! ` - 74172 Signature: v ,'- Street Address: /423 &j.6 A/` J_z License #: City. AKr^-SAI'l State: IL Zip: JQ3 -2 Company: Phone #: Name: Signature: Street Address: City: State: Zip: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ' HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ?j ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE ADDRESS: d 1 OWNER NAME Tt M'k INSTALLER: CITY: 4?" ST FEES $ 24.00 6.00 $ 20.00 .50 #: °?S9 '463 ZIP CODE: S S TELEPHONE #: 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL ?J SHOWER 3.00 .'? WATER CLOSET 3.00 BATH TUB 3.00 !_ LAVATORY 3.00 KITCHEN SINK 3.00 25, w LAUNDRY TRAY 3.00 3. n HOT TUB/SPA 3.00 J_ WATER HEATER 3.00 3.C'.D FLOOR DRAIN 3.00 1510D GAS PIPING OUTLET • minimum - t 3.00 3• ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. lic. 20.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to cdstins 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: q4, 00 PHONE #: ( ) L-J: 3_OqLl _.4pU n._jgnaaak-? SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: _K3 ?Uf 7? STATE: 1' rj ZIP CODE: SC 44,0P. City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 162.1-73 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT/ OWNER Name: �//� J ��l /r%���' L� Phone: GO,l` r.--, -4 / 1-- /�5 G ��1� 373 —3� 3/ Address / City / Zip: 2/3 / q 'Ate4,`.7,/. T�/ el;�`I �� Applicant is: Owner Contractor TYQE OFWORK� Description of work: ne,e9/� (.`'� S 74Q'y' y Se.errrj $ SEE / ) �� Construction Cost: % 5T®t2 Multi -Family Building: (Yes / No CONTRACTOR r Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supportingadocu rents that you submit are considered to b public inform fon Po ons of the information maybe classified es Min -public rf you provide specific reasons that would permit the City to conclude thatihey are 'traale secrets' � CALL BEFORE YOU DIG. Call Gopher State One CaII 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comms' ed within 180 days of permit issuance. Yj� j y7e (1,-i' (/ tze L-- Applicant's Printed Name Applican Signat Page 1 of 3