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4347 Yorktown Dr CITY OF EAGAN WATER SFRVICE _pERMR 3830 P(lot ~Cnob Road ' 'j t. P. O: B2fx 21199 , PERMIT NO.: lapn, MN 55121 DATE: Zonlnp: W. of Units: ~ Owrw: Joe *?iller t'onst- Addma' 4347 Yorlcta:.Ta T'-rive L.- ' ~ SLL 2lS£t t i Sitr /lddns: , Plumber. ' i.ltner :'lu:abing Mehr No.: d~c . p Reoder No.: N P~i Pde. ~ te eeop!r wNh u~. Cler ' t~l :yCFa Orll~w.. ~ G~V ~otol: 63 . 50 d -r:eter BY Dot* Pold: Dah of Insp.: Imp.: /Q' CITY OF EAGAN SEWER SERVeCE PE0IT 3830 PiloY Knob Road pERMIT NO.: P. O. Box 21189 pATE: Eagsn,llAM 55721 - -:1, No. of Units: ~'g: ,Joe ~r: /~ddross: n 1 3J~.ne(:t i,~t 41 t? ` a /~ddress: 47 Yort_towi. ?'~T iv Si e . rail.tner Plunbsr: pd 475.00 1 N~~ bMOM* wkb lM CIPf of 3008 I,Coo4xnt ~N'om Pemit FM: ,i~nrt Surdaroo: Nhc. GwrpM By Yotw; Dote of leap.: Dote Paid: Insp.: CITY oF EAGAN WATER SERVICE pERM 3830 Pllot Knob Rwd pERMts Np.: I P. O. Box 21189 DATE: Esssn? MN 55121 No. of Units: Zonirg: - Ownwt: ' /1ddress: 5ite Ndd*ets: I Plurnbe*: Connection ChoroO: No.: A,toour+t Deposit: 51u: paRnit Fae: Raader No.: , I MrM b Mmply wftb dM CItY 6* ft"" SurcF+"t Mlsc. Cho?9°~ omitMTotnl: Dote Paid: BY 1nap paft of In$P.: t~3830 Pilot Knob R di P.O. BoExA2G-A199, `Ea9an+ MN 551:1 N2 . 12330 ~ . PHONE: 454-8100 , BUILDING PERMIT ReceiptM To be used tor SF DWG/GAR Est value $66,000 Date JULY 23 , 19 $6 StteAddress 4347 YORKTOWi'+i DR Erect C§ Occupancy R3 Lot 2 siock 1 secisub. SUNSET 11TH Remodel ? Zoning PD Repair ? Type of Const Vx1 Parcel No. Addition ? No. Stories 54 01 W Na~ JOSEPH MILLER CONST Move ? Length CEDAR VE Demolish ? Depth 40 o Address Int Impr. ? Sq. Ft ciry FAa'Z~'41Id~~.3 Install ? o Name ~~E ~ yd - Approvals Feea 8< Address Assessment Permit • ~ ~ City Phone Water & Sew. Surcharge •0 ~ Police Plan Review165.50 Name Fire SAC ---.-o 0 ~ n Address Eng. Water Conn. • fl - 6S.50 Ciry Phone Planner Water Meter Council Road Unit 0.00 I hereby acknowledge that I have read this application and state thatthe Bldg. 011~ Tr. PI. ~ ~"p 0 Information is correct and agree to comply with all applicable State oi Minnesota Statutes and~E{ty ot Eagan Ordt'manc APC Parks Signature of Permittee '~Var. Date Copies I .00 OSEPH MILLER CONST Total A Building Permit is issued to: on the express condition that all work shall be done in accord nce with afi applicable State o( Minnesota Statutes and Clty of Eagan Ordinances. Building Official - - - - _ - - ~ prr~lt No. PwmH Molder Daft TMphom M Pkff~Wn vZ Y~ ~ ~ H.V.A.C. 7 S 7 D -eY,I 4/ j Solloner ImpocHon QaM Map. CamaNnh FootMp I Footlnqs N Foundallon F?aminq RooAny Rouyh Plby F-4yz Rouqh Hfp. ~ Insu~. ` • 'i ,S4L ailA-t /?PQ 0 N /4 ) C Fk~plac~ FMuI Hlq. ~ Fxu~ Plbp. Bldp. Final 0 C~A. Occ. Docit Ftp. Doek Fmq. DOWriM LoeaUon: w.n n.. urw. ,j ?~~~~f r-,.,' •..rr-~~r. . . ~.~~--;-'.Y±']T~E"'~'TS. . "'s --77: ~-.:-;r, i~'^_`t', 3p~C.'°'~) Ta+'s~--.".~?r a Cx' ~ • . . PERMIT # /:J MECHANICAL PERMIT RECEIPT # 7 S CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-d100 ozoZ Slte Addresi BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub- ~ Res. ~ New m Name ' Mult Add-on ~ Address ' Comm. Repair c CKy Phonpther Name FEES , ~ Addr RES. HVAC 0-100 M BTU - y24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. _ Forced Air t M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater' M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent ~ CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000.00) ' Other j ~ ~ FEE ` s/C: SICiNATURE OF PERMITTEE G TOTAL• j ~ FOR: CITY OF EAGAN --,1'x;-, ' • . . . . ' PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3e30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE COHTRACT PRIC <_5 PHONE 454-8100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub ~ Res. New vJ m Name ' n~' Mufk Add-on Address W? ' Ple Comm. Repair ~ f c City Phone 3 01her , G NO FIXTURES IPL ~ Name , _7Water Closet - $3.00 c Add S`~ Bath Tubs -$3.00 p3 Cfy~7-~«•, •u-- Phone -~Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES T- Urinal/Bidet - $3.00 ~ COMM/IND FEE - 1% OF CONTRACT FEE i Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE - a10.0U Ioor Drains - $1.50 ~ MINIMUM - COMMlIND FEE -20•00 Water Heater - $1•50 .SCI t STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00 (ADD $.50 S/C IF PEFiMIT PRICE GOES -7_Gas Piping Outlets -$1.50 ~ a f BEYOND $1.000.00) Soitener - $5.00 _ weli - a10.00 ' Private Disp. - $10.00 =Rough Openings - $1.50 U 31GNATURE OF PERMIITEE FEE; P _ 3TATE S/C: FOFfi CITY OF EAGAN GRAND TOTAL: ~ yS'~ -_-.--.1~ • PERMIT N y~~l~rt~I~~~Iri 4ax'~ •'~~~V MECHANICAL PERMIT RECEIPT # 4gov CITY OF EAGAN DATE 3a30 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address ,i ''i BLDG, TYpE WORK DESCAIPTION Lot Block Sec/Sub Res. New Mult Add-on X m Name '-''ii :1=vi 2 le 'iedt~ AddreBg " . v ^ Comm. Repair ~ ciry • ~ ~ ~ Phone ~ ~ . Other EES Name A~ 1 . a r s,~ n RES. HVAC 0-100 M BTU _$24 00 c Address ? ADDITIONAL 50 M BTU - 6.00 31 p Ciry Phone 68, E 5 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MiNIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON b Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SUACHARGE PER PERMIT - .50 Vent CFM (ADD a50 S/C IF PERMIT PRtCE GOES Gas Piping Oudets # BEYOND $1,000) Other FEE . , . ~ , , t It ~ ' , S/C: 1 SIGN~4/!/~M EE~/ T O T A L• ~~F O R C I T Y O F E A G A N INSPECTI4N ^RECURD CITY OF EAGAN PERMIT TYPE: i~ r r~EA 3830 Pilot Knob Road Permit Number: ' a ' Eagan, Minnesota 55122-1897 Date Issued: :4 ~ ; ; • , ' ~a • (612) 681-4675 SITE ADDRESS• ' ~ ' ~ ~ ~ ° APPLICANT• ~ t t~ i : ~r ttl ! . ' , 1 . . . Tt1kIN nR ON l ! . , , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . • IF ~ 'I ~L=--------- - - - PermR No. Permft Holder Date Telephone # ELECTRIC PLUMBING HVAC IrupecUon Date Insp. Commenb FOOTINGS FOUND FRAMING ROOFING FOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOAAD FIREPLAGE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL . q~ f BSMT R.1. BSMT FINAL DECK FTG DEC1C FINAL I I ~ INSPECTIUN REC4RD ` CITY OF EAGAN PERMIT TYPE: . 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I # 1~ i 4? r.+' ~ ti1 '~a--_i1 1 SITE ADDRESS: APPLICANT: t ~ Y~~~:F ?,~I1N fll~ ~ ~~YS ~~i~l~-I ~ ; ! ~IIII .I 1 1 1 t il ( f..) . ~ 1 1+ ~ PEFiMiT,SUBTYPE: TYPE OF WORK: INSPECTION D. . r-I i F - - - - - - - ' Perrnit No. Pwmit Hoidsr Date Telephone # ELECTRIC PLUMBIN(3 HVAC Inapection Dsta Insp. Comnmft FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE I AIR TEST I FINAL PLBG I FINALHTG ORSAT TEST BLDG FINAL BSMT R.I. I I BSMT FINAL OECK FTG ~q l DECK FlNAL ~ ~ . - ! ~ I ~ CITY OF EAGAN ~ - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_ 12330 ~ PHONE: 454-8100 BUILDING PERMIT Receiptq 7obeusedtor SF DWG/GAR est.value $66,000 oate JULY 23 19 86 SiteAddress 4347 YORKTOWN DR Erect L~ Occupancy R3 Lot Z Block 1 Sec/Sub. SUNSET 11TH Remodel ? Zoning pT) Parcel No Repair ? Type of Const Vn. Addition ? No. Slories w Name JOSEPH MILLER CONST 4nove ? Length 54 18133 CEDAR AVE SO Demolish ? oepth dn o Address Int. Impr ? Sq. Ft. City FARMINW&W 431-2001 Install ? ¢ SAME Approvals Fees i o Name Address Assessment Permit $ 331.00 Ciry ahone Water 8 Sew. Surcharge 33 . 00 ~Q Police Plan Review 165.50 Fw Name Fire SAC 575.00 nddress Eng waterConn. 500.00 aw Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 7/23/86 Tr.PI. 156.00 mformation is correct and agree to comply with all applicable State of Minnesota Statutes antl " y of Eagan APC Parks O Signature of Permittee 0i 3pces Va~. Date COpiCS Total A Bwldmg Permit is issued to OSEPH MILLER CONST on the ezpress condition that all work shall be done in accord ce with all applicab S of Minnesot Sta te and Ciry of Eagan Ordinances / Building Otficial ` U This request wiE Y~~S 18 mpnihs Irom C- 16919 Nequest Data Fne No. rRouph-in Inspection ~ Res iretl~ ~Ready Now [~Vhll Nouiy, Insoec- ';-3 - [~JVes ?NO lor W~en Readv XLicensetl Elecvical ConVaMm 1 hereby repuest ins0ection oi ebove ? Owner electricel wark inslalled et: Sveet Atldress, Boa or Roate No. ' CitV 4 YaRk7iouZO O2 5AGAQ ecuon o. Township Namo or No. Range No. Coun^ry~/~''/'/~ bYfl `I/ ~'f'f' Occupam IPpINT1 Phane Ne. ;Fjcp rn ~ L 431- a~o > Power $uppliei Adtlress i /T Elecbical Contractor ICompany Namel Convar,mr'S License No. MI~LFF~VQ ~L~C.i ~ " Mailina ~+tlJress (COnhactor or~0 ncr Makine 1 pstallatmn) ) 3Co7 FJ2R - Authorizetl SiBnat., COnimctoJOwner Making Inslall, tionl I Phone Number ZU MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION flEQUEST WILL NOT Griggs-MiAway BIdB. - Room N-191 BE ACCEPTED BY TME STqTE BOAND 1821 University Ave., St. Paul. MN 551^'•~ UNlE55 PHOPEH INSPECTION FEE IS Phnnw 16121 297.2111 ' ENCIOSED (n'(//' REQUEST FOR ELECTRICAL INSPECTION ee-ouom.oa ~ -C/ 4r y. ~ , See inatructions 1or campleting tM1is lorm on bBCk ol Yellow copy. ~C . 1 9~ 9 "X" Belaw Work Covered by lhis Request G~ 3 71 Add fleo. Tyoe ol Builtlmq Apoliances Wirstl Equipmam Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtu~es Apt. Bwldinc~ Dryer Electric HeaUn Commeraal Bldy. Fumace Silo Unlonder Industnal Bldy. Air Conditioner Bulk Milk Tank Farm Oiner peci v iherlSnec.fyl t ee uecity Other Othee ompute lnspectron Fee Below p Fae ServicaEntmnceS¢e h Fae Fenders/SUbleaders b Fox Grcwts O'D U to 200 Am 5 0 to 30 Am s D'CU 0 tn 30 Am>s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Am 5 Transrormers Irrigation Boorc.s Parual.'Other Fee Signs Special Inspection Rerryrks . SL1Lf 50 T AL F E NV Nouph- i n Dale I, thB E I ~^s0ecloq theCAreby cerbfy tM1a lhe abovB Fmel /J ( D^uN mspee4on has been meae. Thle redueat vold 18 manrtu Irom ///,s~/S(2 9ee 8/0 (0 40179 " 4 /g~' ReQVe ate Fre No Rough-ininspeclion Reqmretl9 ? Reatly Now ? WJI Notity Inspector ? Ves ? N. When Reatly? ? Il(censed contractor 0 owner her by request inspection of above electrical work at: Job AO ss Ireel, x o te ) Ciry JLOIQ Sec on No wnshi Name r o. Rarge No Count OccuOa 1 INT) pp Na O V - 0 Power uppliar ress E al Conlracbr~Comoan Name) ~ Conlroclor$ <ense No. O ~ M inp qtltlre;5 (n~ to~ or ner Making InstallaLOn) L~~ tp A ¢eE $ignat e ICO tlo40 Makmg Instal Lonl ~ / P~ro e N Oer- ! / V MI E TA STATE BO/HD OF ELECT ITY THi51NSPECTION REOUEST WILL NOT Grlggs-MlEwey BIEg - Hoom 5-173 BE ACGEPTED BY THE STATE BOARD 1821 Unlverelty Ave. St. Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS Phone(612) 6a24800 ENCLOSED ~9 v REQUEST FOR ELECTRICAL INSPECTION ee-ooomu7 ~~q $ae insimhons lor completing iM1is lorm on Oack al yollow copy 96 g/D r C~ 40179 "X" Below Work Covered by This Request ew Adtl Rep. Typeol6mltling AppliancesWVetl EquipmentWired s Home Range Temporary Service Duplex Water Heater Electric Heahng Apt. Bwlding Dryer Other(Specify) Comm/Indusirial Furnace Farm ir Conditioner Olner(specity) on actor§ RemarksCompute InspecUOn Fee Below: 0 Other Fee # ServiceEnlranceS¢e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensfarmers Above 200 _ Amps Ab Amps Signs lnsoectors use Onry TOTAL <77!) ~ V Irrigation Booms J Speciallnspection Alarm/COmmunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED If NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe Electrical Inspector, hereby flougRin oaie cern( Ihat the above ins ection has ~ Y P Final been made. OFFICE USE ONLY Tnis repuest voi0 18 monlhs Imm RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ L1ew Conetructbn Heaulremente RemotleVNeoeh Reauiremente • 3 registered sRe surveys showing sq. N. ot lot, sq. fl. of house; and II roofed areas • 2 coDies oi plan (20%maximumbtcnveragealbwe0) • 15etotEnergyCawationsforheatedaddAbns • 2 copies of plan showing beam 8 wintlow saes; poured tound tlesign, etc.) • 7 sAe survey brexterior atlUitbns 8 decks • lsetofEnergyCakulatbns . IndicateRhomeservedbysepticsystemloradditions • 3 coples of Tree Preservation Plan tl lot platted aNer 711193 • Rim,bI5lDetailOptionsseledbnsheat(btlgswAh3orlessunHS) DATE F-z) ~ O? VALUATION StTE ADDRESS ~9~~ ~~2~~ w v~ MULTI-FAMILY BLDG _ Y ~N TYPE OF WORK` :_s=-A ~-UP~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ::D :~L tnn CJ2.o~ LnA,r-~5 . STREET ADDRESS '~QO~3 zo CITY {NZhASTATE V/(,A ZIP S~ TELEPHONE # 95Z~ -a/9~ CELL PHONE #FAX # Rsz - 930-0/4 PROPERTYOWNER ~i~U TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESO"1:A RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Ener9y Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhocfor: Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanical Conhacfor: Phone # Vlechanical sys[em includes: _ Air Conditioning Fee: $70.00 Heat Recoveiy System Sewer/Water Conhactor: ~Ih hne # l l~ M AY 1 3 I hereby acknowledge ihaT I have read thls application, state that the i formation is correct, an agree to comply with all appiicable State of Minnesota Statutes and CI f Eagan Ordi Signature of Applicant U~ OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ - Updated 4102 , ~ • 1986 BIIILDING PERMIT APPLIC9TIOP - CITY OF EAG9N HOTE: ALL CANTRACfORS MOST BE LICENSED fiITH THE CITY OE EAG9N SINGLE F9FIILY DWELLINGS ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLfi DiiEI.LINGS -&ESIDENTIAL RENTAL DBITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECH i1ITH BLDG. D6PT., 1 SET OF ENERGY CALCULATIONS CONAERCIAL ~ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SE2 OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: '21 F L(/ 6'i Valuation: Date: Site Address -+3"I OFFICE QSE ONLY Lot ~ Block ~ Erect ~ Oecupaney g3 / I Remodel Zoning ~ Parcel/Sub S G( /t S F'~ ~1 ~ Repair _ Type of Const Addition 0 of Stories Owner Move Length ~ Demolish _ Depth Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone 9PPROVAIS FEES Contractor I r (di(~Sj Assessments Permit ~ 91 Water/Sewer Sureharge ~ lz~ Address Police Plan Review Fire SAC S77 City/Zip Code i-y-1 ; it qI~Alj, 5 rj Q) ~ Engr Water Conn ~ Planner Water Meter Phone Council Road Unit Bldg Off 7- 74- Q/ Treatment Pl /S(o Arch./Engr. APC ' Parks Variance Copies Address TOT9L City/Zip Code Phone I! NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DESIGNAYE WHICH ADDRESS IS DESIRED. NO CHANGES HILL BE ALLOHED ONCE BQILDING PERMIT IS ISSDED. i~~ = X s~ s~~~~ ?~~-~'S S c~o ~ ~Z~ G=~~~ ~ , ~~~~.~/Ox5~6~~~ ~ z/ ~ ~ 2 ~5j~~~ ~ ~ . TRI-LAND C0. SITE PL AN FOR: SURVEYING SERVICES JOSEPH MILLER 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 - - 4 ve " YORKTOWN DRIVE ,59f d r wwKCunurl 5I C~~,`i Is N II 21 Slil1LE' 1M=3V I ~1 I it L ~ ~ ~ Z I` ~ LOli' i ( L 3 i . Si ~ I 2 I ~ puyrAaE ! uTiurl EAgMF,Nr M O•00 O q5brcl N 0 q' HS'M/ PROPERTY DESCRIPTION LOTZ., BLOCKJ. SOSET /ITN ADDIT/DN xeordinq to ihe neordad plat iMnoi [SAKo?A cwiry.Minnssao LEfiEND o DENOTES IRON MONUIrENT PROPOSED GARAfiE FLOOR ELEVATION• o.ei o DENOTES WOOD HUB SET PROPOSED- FIRST FLOOR ELEVATION = 940}7 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ~T?-o ELEVATION ELEVATION OENOTES PROPOSED SPOT ELEVATION j DENOTES DRAINAGE DIRECTION NOTE * VERIFY ALL FlOOR MEIfi71TS WITH FINAL HOUSE PLANS I Mnbp e~rtitr fAat ihls arwY,Plan or ~ riport wm prOpand py nw or unAor my dlncf supwlsian mnd Mat I om a dulY Bradley J ~nson. Mn. Rep. No.19Q35 ~ Reqisfered Land Survero? undw fhis ' Larrs of tM Stote of Mimosota. Dat~ E' MINtiESOTA StAT& E)lERGY CopE r.ALCULrTION5 BqSED OV ~IIAPTcR ) GF TNE ~ - • MOULL E:lERGY ~:0DE - 1983 EDI7LON J Adup[iun Effr.ctiv. l/I184 Avner Phone g ra*P ;ite Address :ontractor DS 9f) Z ~i• ~G7~ Phone Suilding Classification: Type A1 (Single Famil/ 3 Ouplex)-4-Type A2 (Residential (3 staries or ess (Other) (Over ] stories) i'cNERAI INFORMATION 1. Building Perimeter /45 ft. Wall height (ground to eave) ,D ft. 2 3. 1. x 2. (above) gross wall 0rQ4, 1,00;a7 . ft: 6uiiding dimensions (L)l~rr . (W) a Oz ft.2 roof S floor area S. Square fcot area af rim joist - Floor jois: size (2 x/.~) J~2? x Perimeter,= Rim joist area ¦~_{tZ ; ,T 1 4-3 Joors - Area S ~ • ' ' Thic ness n. Uractor., Type of Construct on . Perimeter {t, Hanufacturer 7. 7ota1 door's perimeter ft • 8. WirtdoHS: Manufacturer GSIU ~-r State approve3 U factor , 5Z TYPE SI2E AR:A (F,.Z) "lUM2ER OF TOiAL FEET Z EACH UNITS g, ?cta? YL.z Glass 104 Fireplace area: Nidth x heiaht ~ ;c Ft.2 11..Exposed foundatian: Neight x Perimeter71 x4-2Z_ ~ b Z Ft.2 ')PiPLETION OF THIS fORM IS R:QUIRED FOR ALL ItEl1 COPIS7RUCTI03, MAJOR RE1400:LING AhD BUIlD1NGS BEIN6 1JV:D 41HERE ERERGY, OTHER THAY THE MINIMAL CODE ALLOt•lanCE, IS USED. 12. Fr;:mtng area o 10% of gross wall area. 13. Gross wa]1 nrea ZOO,~, ft,2 . ~ W1ndoN area A ft.2 U windows U x A¦ Rim Joist area A ~f 9 tt.2 U rim jotst ¦ ~b U x A~ ; Door ~rea A ft. 2 U door area ~ •~c.r U x A¦ ' D Iw ~ Fi-rep}ece area A 4 Z ft.2 U fireplace U x A¦~ ~ Exposed foundation A /b Z ft.2 U foundatian ¦ d U x A¦ 7,15 Framing area A 70~ r,,t tt.2 U framing area ¦.b9s U x A~ 9 O Net wall area A /3°2(p ft. U xa11 ,DA~j U x A= c7 ' (138) TOTAL . . . . . . . . . . U x A = 9k 9~ 14. 6ross wall area x 0.11 (A-1 single family 3 dupiex • allo++able U x A/Code (13, above) x 0.23 A-2 other residential) x .23 ~Other buSldings) ~ x .28'(Over 3 stortes) BTUH Must be larger th A x U Codg_ A ¦ . D,~ 07. 138 above (5. Ceiltng framin9 area (Af) equals lOS of ceiling area or tha same asj tSA. Gross celling area -(L) 5Mwn,e?C st/T (y) • /0 Z7 ft.2 1 158 JoisL area (Af) a 10: ce111ng area 'a ft.2 / ISL. Net celling area (Ac) (15A - 156) • LTL ft.Z U ce111ng x A c' ' 67,7 x • 70,3Z U framing x A f¦ .OZ-Z? X. l 0~7 ¦ Z. 37 I50. TOTAL U x A ZZ.lo R 16. Ceiling area (15A) x 0.026 (A-1 sin9le family 3 duplex - code allowable U x A . x 0.033 (A-2 other residential) x 0.06 (other) BaUN Must be larger than 15D (above) A A ~OZ' xU (code)= ,(o.7 D F (or the same as) , OZ (p NOTE: Use U and A values a6tained from nps 1, 3 and 4. A~CJ r • ~ s- a 4 e e° i a a ~ 0 u i I . 7-7 2,1 ~ -5 4 4 ITI ~ - s ~ ~ i u u tt . ~ i i . r o - t: is n u » t: : 23 2 ° t: _4 D 41171 x:, Z :6 :1 n :9 71 H • 31 7l 71 ' 71 3= 77 1] - 34 ]1 75 - 7! 1{ ]1 ~ » ]1 71 71 30 ]f 41 4o :"LkCq WHLL - tSUI~-( i{l7~ u+ALuc U+LIULHI IUN~) , ~ . SH~4T~~I~U ALUE U VALUE Insida air film .68 ~ WALL Idtecioc va11 (S7a11) U• a . SECTSON ~ [naulacion 1q,40 Sheathing 2.~(o Q9-3p . Slding 1 Outslde air Eilm .17 R TOTAL 23.63 ~ Inatde air film .68 S'RID I. Interior va11 SECTION /a scud ((o") a' 4m*W/p, S0(Framing) U. R . ~ Shea[hing Stdtng .l07 •49S Outalde air filw .17 ' B TOTAL (b,s 3 2nstde air f11m Rm ,68 2DID WALL Intartar vall ' SLC'i'ION Insulacion (SJaIl ~ U ~ R Shsat . . ' Facterior rsll ring ' Ez[arloe air Eilm R 8 TO?AL • Interior air fLlm Rm .63 &IH Lnsulation . ~ JOLST Lh ineh eoft woud R=1.88 ~Rim . U aT . • Joist} - Sheathing 21&0 Exterlor wall eovertng .67 Exterior air Eltm R+ ,17 ~ . R 1'OTAL 111, 4~0 Interior air film R° •68 ~ Inaulattor. 't4'r't'D 0-40 Founda[!on ,,2$ 1 , (Fdn.) U = 'ff ¦ Extertor air Eilm R' .17 070 R TOTAL \ ~£:cposed 3Luck 15d3 l t.'~~ _ CEILI'tt; :117H 'IEt17'c] ATi IC SPACf ABOVE , A E lUE fAAM ING CEILING • 0.61 Air Film 0.61 3~~b0 Insulation 3 a Joist . Ceiling iC-212, jj3. . . 0.61 Air Film . 0.61 42.c~o Taul a 47~,76 ~ .0-2:5, u - A ,b27- . ~ , F!.4T RGOF OR CATHEDRAI CEILING , Va ue R YAIUE FR:,I4ING CEIIING , I . 0.61 0.61 Inside air film Cei i i ng - Jaist (stud , Insulation ~ Air space Roaf declcinq , Insulation Bu11t-up roaf 0.17 Outside air film 0.17 . Tatal R • , ~ ~ u R aindoH infiltration .5 cfm/lineal foat af crack • tesidential door infiltratien 0.5 cfm/squsre faot ar daor and minimum code requirement :cn-residential docr inftltration 11.0 cfm/lineal faot of crack - 1b 12" concrete block na insulation -:47-R 2.1 - , 1b 12" concrete black insulated cores ¦.26 R 3.8 1S 12" 1151irweiaht black ¦.32 R 3.1 Jb 12" lign riieight block insuiated cores - .12 R 8.3 J sfngle glass ¦ 1.13; with starm srindaw .54 J double glass ¦ .55 1 tripie glass ¦ .41 311 exterior Wails and ce9lings must have a vapor 5arrfer (0.10 perm msx.). ' :aoor barrier must be on the inside (heatz4 siQe) of wa;l. - iapor barriers of the polyethelene thin film have no R value. . F, t PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028159 (612) 681-4675 Date Issued: 0 7/ 12 / 9 6 SITE ADDRESS: 4347 YORKTOWN DR ' LOT: 2 BLOCK: 1 SUNSET 11TN P.I.N.: 10-72997-020-01 DESCRIPTION: Building Permit Type DECK ;Building Work Type NEW - Census Code `434 ALT. RESIDENTIAL ~ t ' ~ . • , , . . . . REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Rpplicant - LARSON DANIEL 4347 YORKTOWN DR EA6AN MN 55123 (612)681-1660 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 Mn. Statutes and City of Eagan Ordinances. L ~ J ~ CU APPLICANT/PERMITEE SIGNATURE ISSU D : SI ATUR CITY OF EAGAN 3830 PILOT KNOB RD - 55122 I 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ttuq 681-4675 New Construction Reauirements RemodeVReoaii Reavirements ro a ? 3 registered site surveys ? 2 copies of plan Q ? 2 cropiee of plans (Indude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior add@ions & decks) ? 1 energy calculations ? t energy calculations for heated addilions ? 3 wpies of lree presarvatlon plan if lol plaNed aRer 711/93 ~ required: _ Yes No DATE: c " ZLI ~ CONSTRUCTION COST: DESCRIPTION OF WORK:~° Ic- o'' L~oyv,-,- STREETADDRESS: y3`1 -7 Yo nt:-r-'ow^' Ot','1 LOT BLOCK ~ SUBD.lP.I.D. 1 PROPERTY Name: Phone G~ 664 OWNER StreetAddress- y3~ 7 Yo2t-`To\~~ State: Mi"' Zip: coN7w?crog Company: Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. . ~ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~D . ~ti OFFICE USE ONLY r~n Eg~JS96 Certificates of Survey Received _ Yes _ No ~ ~ l2 Ci Tree Preservation Plan Received Yes No n1 N YORKTOWN; ~ ,DRIVE o 'r°•° ~ a ~ -Ln~.rrl ~r? ~ . . I Z q~ I I a S~ A 0 ~a~o•~ -u,-o~ 23,a' ~ ,1`7ecK ~ J ~ I S I ~ ~ f I ~ t ~ pRAtNAGE ~ uTiur'f ~ M 0.00 - ~ N 000 Ot' WS" N/ . ~ . *****##***ff****+****f#**#*ff**~***# ~ C I T Y O F E A A f~ *NO~' PAYMFNf OF FFE AT TIME OF * * APPr.zcATIoN ooFS Nor corsrizvE * APPROVAL OF PII2Nffi'. * ~ APPLICATION FOR PERMIT * ~ . * INSPDCIZON OF SESdM ADID/OR WATIIt ,*f ,*f 7xS`raT.raTTONS WIIS. NC7f BE SC]m>- * SEWER AND/OR WATER CONNECTION *~m Uwm PMzzMIT HAS BEEN * ~ * APPROVID. * * * w • r •,t:*++: x:*x*+t+rr:,r+~r+ri*~t*:****t,t,t• . P ease Print) 1) PROPERTY ADDRESS: 7 LEGAL DESCRIPTION: _(Lot/Block Subdivision or Tax Parcel ZD ) IF E7QSTING S7RCCR.Tf2E, DATE OF ORIGZNAL B[7ILDING pERMIT ISSL'ANC.E: ' ~ PRFSEENf 7ANING/PROPOSID L'SE: (MOn Year) ~ CAMAgT2CIAL/F2EfAIL/OFFICE ~ R-1 SINGLE FAMILY . Q IDIDC'STRZAL Q R-2 DCTLEX (Tt.,o Onits) ~ INSTZZT.'TIONAL/GOVERNA7ENp ~ R-3 TDWDIIHOUSE (Three + Units) ( Onits) R-4 APARTMEN'p/CO.IDOMINIC.N ( Units) 2) NAME'_ ADDRF.SS:_ CITY. STATE, ZIP: •L ~ - J'~ /?J,~ PHOtg: ~ / v i o 3) • u w• For City Use . Plumbers License: ADDRFSS: Active FScpired ~ CITY. STATE. ZIP: zo Not recorded PxorE:'ga° -,n s o~ MAsTER rscENsE# StaTf Ini'tial 4) • ~,:,ia~: NAME: ~ _ ADDF2FSS: . CITY, SPAZ'E, ZIP: PHONE: . .S) t~ ~ r: : o • o~ o-i CONNF'.CTION 10 CITY SEWIIt C?, CpN[VFX.TION 2O CITY WATER ~ pTfER 6) ~ v-• r PLE'11SE HOLD APPROVID PERE'IIT FC)R PICK-UP BY ONE OF F1BC7VE ~ PLF115E MAIL APPROVFD PERMIT TO 1, 2, 3, pgpVE (Circle one) 9, , ~ . ?y: • •r. ~ ~ - • r ~ ia• i• • p• i • q• ~ ~ . •~r i:. u ~ w•r. •.na. ~ ~ ~ : - a- ~ a• . ~ ~ . • o~ r • ~ ~ , ? l . FOR CITY USE ONLY f- PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ /D- S--D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ S !7 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSZT - WATER $ s60 - o a $ WAC $ s-7s;Dd $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRUNK SEWER $ $LATERAL BENEFIT/TRUNK WATER S $ WATER TREATMENT PLANT S[)RCHARGE $ $ ' OTHER: $ 4 $ S /o- zf TOTAL - ~:S GG ~ L-, ~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK {VITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LZST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 9~/ ~/p ~ • PERMIT • Ci9TY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuzLorNs Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 0 7 (612) 681-4675 Date Issued: 0 6/ 2 9/ 9 7 SITE ADDRESS: 4347 YORKTOWN DR LOT: 2 BLOCK: 1 SUNSET 11TH P.I.N.: 10-72997-020-01 DESCRIPTION: (sroirvc) Building P.ermit Type SF (MISC.) Building Work~Type REPAIR r Census Code 434 ALT. RESIDENTIAL r- , ~ i : t`'-.; • , , . - ; ; i ~ - ~ r REMARKS: FEE SUMMARY: VALUATION $1,200 Base Fee $40.25 Surcharge $.60 Total Fee $40.85 CONTRACTOR: OWNER: _ ppplicant - LARSON DANIEL 4347 YORKTOWN OR EAGAN MN 55123 (612)688-9002 I hereby acknowledge that I have read this application and stete that the information is correct and agree to comply with all applicable State of Mn. Statut2s and City of Eagan Ordinances. J i~ ~nr~n Ro f r11,~ APPLICANTlPERMITEESIGNATURE ISSUED l:SI A E 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 440..$ff CITY OF EAGAN 3830 PILOT KNOB RD - 55122 GL; 3046f 6814676 Naw Construaion Reauirements RemodeVReoair Reauirements ? 3 registered sde surveys ? 2 copies of plan ? 2 coDies of plans (InUude beam 8 window sizes; poure0 fi0. design; etc.) ? 2 site surveys (eMerior additions 8 Cadcs) ? t energy ealculations ? 1 anergy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 reQuired: _Yes _ No ~-ZOtD ' 44l DATE: 2-7 " sZ CONSTRUCTION COST: " DESCRIPTION OF WORK: ` S(O(I\~G STREET ADDRESS: L4-Y17 ~(02~°'~^ ~ ~ V ~ cb4,8*' S'~S/Z7:s LOT BLOCK ~ SUBD./P.I.D. ~1 IIn,Lvn~ ~~ri PROPERTY Name: L,(~Q-SC~N Phone#: ~002" OWNER vm nnei Street Address: ~ 3 k~ ~Co2KSTC~,., N~~ vt City: EoSoN State: M)~J Zip: S~~(23 CONTRACTOR Company: SCkr Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer.ned plumber (new construction only): . Penalty applies when address change and lot change are , equested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: cj) Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: C .34'7 Dr "V. -I , ru O t _ Unit #: RESIDENT / OWNER Name: e St c,c7'S— Aif) Phone: (Pf[ Z.. - % it (.-/ &i( Address/City/Zip: f3'? tj'ork—i ji•k'�u-e Applicant is: Owner y Contractor TYPE OF WORK ' Description of work: \ ((A-)QCr1„-, R � e n rz I ` ) Construction Cost: Multi -Family Building: (Yes / Noy ) CONTRACTOR Company: er--(' s - pVyQ._ Contact: DD,.) G Address: q 2 t,v,rY.( —RAIL City: { &fet /v State: ill /V Zip: 5S i 7-3 Phone: (0t Z- 2-11)-( A 6 License #: 6326. --Cf, 7 SCJ Lead Certificate #: On— 'S ) c/?`? - t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 4 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 supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 wgrk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xa`�D.JGcs e+ Applicant's Printed Name Applicant' Signa u Page 1 of 3 City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: cj) Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: C .34'7 Dr "V. -I , ru O t _ Unit #: RESIDENT / OWNER Name: e St c,c7'S— Aif) Phone: (Pf[ Z.. - % it (.-/ &i( Address/City/Zip: f3'? tj'ork—i ji•k'�u-e Applicant is: Owner y Contractor TYPE OF WORK ' Description of work: \ ((A-)QCr1„-, R � e n rz I ` ) Construction Cost: Multi -Family Building: (Yes / Noy ) CONTRACTOR Company: er--(' s - pVyQ._ Contact: DD,.) G Address: q 2 t,v,rY.( —RAIL City: { &fet /v State: ill /V Zip: 5S i 7-3 Phone: (0t Z- 2-11)-( A 6 License #: 6326. --Cf, 7 SCJ Lead Certificate #: On— 'S ) c/?`? - t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 4 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 supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 wgrk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xa`�D.JGcs e+ Applicant's Printed Name Applicant' Signa u Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114757 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 4347 Yorktown Dr Lot:2 Block: 1 Addition: Sunset 11th PID:10-72997-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Ed Becker Valuation: 4,000.00 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 - Betty L Substad 4347 Yorktown Dr Eagan MN 55123 (612) 308-6549 Interior Care Corporation P.O. Box 25161 Woodbury MN 55125-0000 (651) 739-4289 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan , Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA151874 Eagan, MN 55122 � � "_-� g � Date Issued: 09/17/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 4347 Yorktown Dr Lot: 2 Block: l Addition: Sunset l lth PID: 10-72997-01-020 Use: New Challenges Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Shannon 651-454-0161 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: - Applicant - Leeann Metzmaker 6879 Shadow Lake Dr Circle Pines MN 55014 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. Applicant/Permitee: Signature Issued By: Signature