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3884 Westbury Dr CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12744 BUILDING PERMIT PHONE:454-8100 Receipt # ~ ` , .i To be used tor SF Dla(IGAR Est Value $67,000 Date OCTOBER 8, 19 86 SiteAddress 3884 WESTBURY DR Erect E)X Occupancy R3 Lot1? Block 4 Secisub. WESTBURY 1 Remodel ? Zonina Rl Parcel No. Repair ? Type oi Const V Addition ? No. Stories 64 Z Name JOSEPH ~lILLER CONST Move ? Length 18133 CEDAR AVE SO Demolish ? Deptn 30 o Address Int. Impr. ? Sq. Fl c;ty FARM T NG~ $ 9 2-1010 Install O Z F Name S~E Approvala Fees i Address Assessment Permit 33 4. 0CL c City Phone Water 8 Sew. Surcharge 35750 ~ Palice ' Plan Review61700 F a= Name Fire SAC ~00 ~a Address Eng. WaterConn. 500.00 i W Ciry Phone Planner water Meter 63 . 50 Council Road Unit ~90' Q~ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 10 885 Tr.PI. 1$6.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdinartcQa~ APC Parks ^A Signature of Permittee Var. Date Copie ~ $ 2 19 . U 0 Total ' 'A Building Permit is issued to: JOS. PH MILLER CONST on the express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ~~'~.~c ,C_. l • " Building Official - ~ - a r • PermN No. PormN Holdw Dab TNephone N PlumWn : 5'<~ C' f /1 9 ~ H.V.A.C. y- C ei.ctdo $O ~ /oI3 nIb' . ~ ~ C~ 8oftener Inspecdon Dab Imp. Comments Foot lnys II Footlnysl 7v~', Foundatbn Framiny Rooriny Rouyh Plby. RouqA Mtp. 0.~ Insul. i Firoplaca FMd Nt9• Flnal Plbq. - ~ Bldp. FNaI Cert. Occ. Dock Ftq. Dodc Frmp. WNI Pr. Dhp. j` . PERMIT # J PWM8ING PEAMR RECEiP'f # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address `'7L-'"; ' r' BLDG. TYPE WORK DESCRIPTION Lot T Block SbE/Sub~~"('- Res. New ~ Name Z11 Mult Add-on a2 ~o Address ~ 1( Comm. Repair c C'rry ._:,:w j! 64, 4',.~- Phone LL)- Other . NO. FIXTURES TO.TAL Name Water Closet - $3.00 $ ~ Addc@,S &3ih TUbs - $3•00 p City 1 ~ Phone 7 Lavatory - $3.00 _ 9hower - $3.00 Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE L.aundry Tray -$3.00 MINIMUM - RESIaENTIAL FEE -$10.00 ~ Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 -__~yyater Heater -$1.50 - STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.Q0 (ADD $.50 S/C IF PERMIT PRICE GOES % Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 ' Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ~ - SIGNATURE OF PERMITTEE FEE STATE SfC: FQR ClTl OF EAGAN GRAND 70TA1.: ~ . : f,. y .J.~...'' 'J 41~y~ . . . . , , . c . °•t'A. ~ '..Y' r` ~ . . • ia. . . . . • • . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' CONTRACT PRiCE: PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block ' Sec/Sub ~ Res. ` New ' ~ Name Mult Add-on ~ Address Comm. Repair c City Phone Other ~ Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 ' ADDITIONAL 50 M BTU - 6.00 p City Phona~` 1 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 7.50 EA. Forced Air 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 - BEYOND $1,000.00) Gas Piping Oudets # Other FEE S/C: SIGNATURE OF PERMITTEE 'TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN Remarks ?/J~~~~rr.~T Addition WESTBURY FIRST ADDITION Lot 12 BIk 4 Parcel 10 83~ 9.0 12 04 Owner Street 3884 Westbury Drive state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~p 1986 2850.00 570.00 STREET RESTOR. GRADING SAN SEW TRUNK 1985 436.23 29.08 1 * SEWERLATERAL P1986 5008.73 1001.75 S Qqn-rmain ~4 65-99 4-19 15 WATERMAIN 1984 (7$.]1 4.5$ 15 • WATER LATERAL 1986 WATER AREA 1984 184.92 12.33 15 *Services 1986 STORMSEW TRK ff5 1986 710.24 142.05 S * STORM 5EW LAT 1986 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUIIDING PER. SAC PARK CITY OF EAGAN " 12744 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 Np PHONE: 454-8100 ~ BUILDING PERMIT Receiptu To 6e used for SF DWG/GAR Est. Value $ 67 ,000 Date OCTOBER 8, '19 86 SiteAddress 3884 WESTBURY DR Erect C~ Occupancy R3 Lot12 Block 4 Sec/Sub. WESTBLTRY 1 Remodel ? Zoning Rl Parcel No. Repair 0 Type of Const V Addition ? No. Stories 64 Q JOSEPH MILLER CONST Move ? Len9th 30 i Name Demolish ? DepM o Address 18133 CEDAR AVE SO Int. Impr. ? Sq. Fr City EARMINGWM 892-1010 Install ? o a Name SAME Approvals Fees $a naaress Assessment Permit $ 334.00 ~ Ciry Phone Water & Sew. Surcharge 33 • 50 ~ Police Plan Review 167 . 00 c ~ W Name Fire SAC $75.00 Address 500.00 ~ ~ Eng. Water Conn. aw city Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlh vereadthisapplicationandstatethatthe gldg.Off.10/8/86 rr.ai. 156.00 ' information is correct and a ree to comply with a applicable State of Minnesota Statutes a Cif oyE'~gan Qrdina ~ APC Parks ~ ~ ,,p~p,+„_,~~ Var. Date Copies Signature of Permittee Totel $ 2. 119 . ~ 0 A Building Permit is issued t: PH MILLER CONST on the express condition that all work shall be done in accordance with all a ic e State of Mi neso Statutes and City of Eagan Ordinances. Building Official ? ZI 1986 BIIII.DIAG PEBlIIT A~ PPLIC9TIOA - EAGAN~ HG1'E: ALL CONTRACTORS HQST BE LICENSED fiITH THE CITY OF EAGAN SI9GLE FApffLY DiIEL.LINGS INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 3ET OF ENERGY CALCULATIONS I7fJLTIPLS DWELLINGS - RSSIDENTIAL RENTAL DNITS FOR SALS QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVfiY - C9ECQ SiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMII4ERCIIet: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2p000 LANDSCAPE HOND To Be Used For: Valuation: Date: p+-~ G~ Site Address OFFICE IISB ONLY Lot ~ Block ~ Ereet ? Occupancy Remodel Zoning (~I Pareel/Sub Repair ~ Type of Const Sr Addition # of Stories Owner Move _ Length Co4 Demolish Depth 30 Address Int.Impr. _ Sq Ft Install City/Zip Code Phone APPROVALS FEES Contraetorl=&"m. pA .bYl<j Assessments Permit iT- Water/Sewer Sureharge 33. ~ Address 1$3-3 Police Plan Review ~(0 7.^ 1 ~ ~ Fire SAC ~j7S. City/Zip Code ~-Qn~mqTQr ~Engr Water Conn 500. , Planner Water Meter 6n3. 5O Phone 9Qa Council Road Unit 290. Bldg Off Treatment Pl 15Co. Areh./Engr. APC Parks _ Variance Copies Address TOT9I. 21 ( ~ • City/Zip Code Phone IF AOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOIlEOBNER MIIST DSSIGAATE AHICH ADDRESS IS DfiSIRED, HO CHANGFS AII.L BE 9LLOAED ONCE BOILDING PERMIT I3 ISSUED. . ~r,~,~ c~~ ~ZS . . ' ' CI17 OR ~UIiDI1C DiPA iI?6iI0tl_ Ct "U" COIRUTATIOM (?o M au4ltcod mdch Ouildieg permit application) One or two faaily dvallieg X Ourror 411 athar 3ite Contractor ,-142 Dat~ ~dt~7 LIMSAL FT. OF EYPOSED YALL_ (,l7004 $f/r tt, above srad• - 70TAL EIfPOSED WA . . OPAQUE YIALL CONSTAUCTIOM: "U" value x akx - 4TUD Utt~ "V~ X 5~~. ft. ~(U)(A .710 x s~~.. fL. ~ D (U)(A Awm, "U" x sr~, tt. ~ . (U) (A Detail rcterence "U" eq. tt. m (U)1A t-oai go. tr.. - (U)(A attaehed sheets x aq. Ct. ~ (U~(A ^U" x 9 ~ (U (A "U" x sq. it, - (UI(A "U" x eq. fC. - _ (U) (A "U" x sq. tt. - -(U)(A WINDOWS: "U" valua x area Maka k typt l,UI1JMltK,, "U• .$L x sQ. fi.0,57~ (U) (A "U" x sq. ft. ~ (U)(A w w •U" x sq. fL. ~ (U)(A, "U" x sq. ft. ~ (U)(A. w w "UW~-x sq. ft. ~ (U)(A; " w "U"'z sq. ft. = (U)(A: m0R$: "U~ Va1LLe Y • a Make t tIp• S "U" i sq. ft. ~ (U)(AJ w •Up i X 9q. rL.(U)(A] w w Rll" u eq. tt. ~ (U)(AJ : sq. ft. • (U)(AJ TOTAIS 4Sq. ft. .52(U)IA TOTA L( U)( A) VA LUES Zb5 SZ ~ A ilC DIVIDED BP 1'OTA~.ylALL AAEA 114q 5 ~ 11 AVERAGE "U" or lesa for 1 k2 taaily dwllin;s ,23.ft or lesa for all other buildinga ROOF/CEILING: f0?AL AREA: ~Oqsq, fc. Oecail refe nnce "U" x sq. tc. ~ (U)(A) Iros V-' "U"OZI x sq. fC.~~~UI(A) attached sheeta. "U" : sq. It. ~ (U)(A) )ascribe openirtga "ll" : •q. ft. " (U)(A) lss roof. "U" : sq. ft. n (U)(A) 1'OTA L9 04 S q. f t. Z7, 1 ( U)( A i'OTAL (U!(A) VALUES , Z1. 14 • AVG. )IVIDEO BT TOTAL ROOF/ ,O ZI CEILINC AREA0 Z(0 ~ iVERACE "ll" ~ for ventilated roofs ,p~ .$i tor all other eonatcvction : 0 J " CA (-G ~ - - - - - ' - ~ - - - - - - - - - - - : ~ - - G - - - ' i ' s s ~ - ' ~ t N u u GU~ u u ~ u 14 k4 K 1 ~ - - - 14 is - ! ~ ,s I ~ ,f iv n u u 11 10 21 31 aa25- 22 ° f- t+l l. - - - - - - - - - :3 _ " L. t :3 u ° p - - - - - - 24 :s x r~ :0 n n 18 a » :9 30 31 tOW5 31 3: ZS 3: » L » 34 34 3s - u 36 u » >T 7s 31 11 1~ 10 ' •~~Y UGV11VlP~ Detormining "Ull 'valuea at Rooft lAallt Rimp and Cona. Blook ; ' - - . ROOF/CEILINa R VIlLUE , 1.) Interior Air P•ilm o.61 . z.) 5/811 ayp. Ba. .56 3.) Inaulation ¢d,0 p 4.1 . 5.).Exterior Air Film .61 ~ 2 3 (6TILL) 6 l'Uu a IIR= IOZJ IL'OTAL (R)= fS7g . 8 WALL R VALUE 9 6.) Interior Air Film 0.68 7.) 1" arP. sa. .45 8.) Insulation /q,OD . ' 9. ) x~tL~PI T6 l•p~ 10.) Masonite Siding .6 - Io 11.) Exterior Air Film .17 4 iipn = 1/R= '081 TOTAL (R)_~.Ol 12 RIM R VALUE Q-- 13 12.) Interior Air Film 0.68 , 13. ) Insulation ~7,00 14.) 211 Fir Rim doiat 1,88 .P~lL'~ ~iTE Z o4 15 15.) 16.) Masonite Siding .67 17.) Exterior Air Film .17 . o • 0o ' OD upn _ 1/R= , 6>4~ TOTAL (R)= Z¢T'1' _.L O FOUIIDATION R VALUE 18.) Interior Air Film 0.68 21 D 1g 20. ) ~-II ~JTRI~P~I~ II•~O tt e g° ' n ~ 21.) 12" Concrete Block 1.28 e ?0 22. ) •17 23.) Exterior Air Film .17 e • do . ` uUu = 1/R= ?O7( TOTIIL (R)=/3 . 1 TF21-LAND CO ' - ~ ~ SITE PLAN FOR* SURVEYING SERVICES JOSEPH MILLER CONSTRUCTION,, I NC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 36 0'~,3 . ` ~ I , f \ ~ 5 N I LOT1 ~ 12 * ~ SCA1E: I"- 30' 0 \ -a T Wi \s"6,0s 3 ~ EAGAN oto RE IE ED BY ~ \ DATE I ~ f, o , ' MT VJ~ PROPERTY DESCRIPTION LOT.I?~, BLOCK4 , WESTBURY FIRST ADDITION xcordinq to ths rseaded plaT ihsroof DAKOTA county, Minnesota LEGEND o DENOTES IRON MONUPAENT PROPOSEO GARAGE FLOOR ELEVATION• o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EEXILEVIATIONPoT ~ELEVATIqi~E~ FLOOR ~ DENOTES PROPOSED SPOT ELEVATION NOTE~ VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE OIRECTION FINAL HOUSE PLANS I hreby ceKify fhat thls surwy,plan or roport was prepored by me or under my dfroct supervisfa? and that I am a duly Bradl*yo"wsnsai, Mn. Rop. No.1023s Reqistersd Land Survtyor undsr the . Laws of the State of Minnesota Date ~ 9~P+?r~ ~ TRI LAND C0. ~ SITE PLAN FOR= SURVEYING ~ER~I~ES JOSEPH MILLER CONSTRUCTION, i NC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 so~o,3 . N~ f ~ I 4~s N ~ LOT • I 12 SCA1E: I"¦ 30 ~ OT ~ ' o1 31 13 08 M~'I 0 FD N ~ ~ - ~ I s \~,~'g8' a E5~8vR~ / T ~---~i PROPERTY DESCRIPTION LOT]2~, BLOCK-1, WESTBURY FIRST ADDITION xcordnq to the ncaAed plat iMrsof DAKOTA Camty, Minnesoto LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION¦~ e DENOTES YY000 Fll~ SET PROPOSED FIRST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BABEMENT FLOOR ° ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE ~ VERIFY ALL FLOOR HEIGHTS VYITH ~ DENOTES DRAINAGE DII~CTION FINAL HOtISE PLANS ~ - 1 Mrft esrtity ihat this turvsy,plan or ~ . report Maa propared by me or under my ,dtr*ct wparvision and that 1 am a duly Brodlsy xenson, Mn. Req. No. I5236 ~ j Reqistsrsd Land Survoror utKW tM . Lows of the Sfate of Mtm~esota Date * C i TY O F E A A i~ PAYM~?TP OF FF~ AT TIME OF : . * APPI.ICA'['ION WES NOT ODNS].Z= ~ APPROVAL OF PF~iNIIT. * : APPLICATION FOR PERMiT ~ . ~ : . * INSPELLTION OF SES-M ADID/OR FZ4'IIR * ,*f TT1S`i'AiSATTONS WIIS, AIOT BE SCHED- SEWER AND/OR WATER CONNECTION *uLm uN= PEPJ~11T HAS Mm * ~ APPxovID. * . * . * » ~ ~*****~******.********:*x*********~. , P ease Print) 1) PROPERTY ADDRESS: ~j C.~~~ • LEGAL DESCRIPTION: Lot B oc Subdivision or Tax Parcel ID#) If' EXISTING STRC'CZS.'RE, DATE OF ORIGINAL B[,'ILDIIVG PERMIT ISSLTAAICE: ' PRESEISP ZONIm/PROP0.SID USE: (Nbn Year) ? COP~RCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY . Q INDL'STRIAL ~ R-2 DL'PLEX (Ztm Cnits) f-I INSTITS.'TZONAL/GOVERNMENT ~ R-3 7DW[MOL~SE (Three + Units) ( LTnits) . R-4 APARTMENT/CObIDOMINIL'M ( Units ) 2) ~ ~ . . NAME c ; • ADDRESS: . CITY. S"lATE, ZIP: PFiONE:_ ~j `7 9, !O 4 O • 3) • u c~• MR. For City Use . Plumbers License: A?DRFSS: Active R ~ Exp1L2d i CITY, STATE, ZIP:-74 Not recorded PFIONE: 5329' 6,ZO!'~MASTER LICa1SE# 2~i G c~ ri c gt~a f-Initlal • • i~- . N11ME: % ADDRESS: • . CITY, STATE, 2IP: PHONE: . .5) n v ~ a• • • ~ • y• yua~ ~ NNNECTION TD CZTY SEWER ~ CONAIEC.TION 1U CITY WATER ~ OTHER 6) " mi PLF.ASE HOLD APPROVfD PERMIT FC)R PICK-UP BY ONE OF P.BOVE 7^ ~ PLEASE MAIL APPROVFD PERMIT TO 1. 2. 3, 4, ABOVE . G--~ - (Circle one) ' ' 7) r U• • ' . "•'1: ~ Y' Y:I: ~ 1~ • I' ? iJ' \ F Y~1' •JP i `DI' • ']0 L`. •~Y 1 3 S M•!• ',tlP~ 1 1 I ' ]I' ~ :A• 1 11 y• . ~ . .FOR CITY USE ONLY PERMIT # ISSL'ED ~ Pd w/Bldg. Permit FEES: $ SEWER PERMIT ( INCLCDE SL'RCHARGE ) $ WATER PERMIT (INCLODE SORCHARGE) $ ~i • S WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ ~ C D crrJ $ WAC $ CTZ% $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~-SZ -0-7) $ WATER TREATMENT PLANT SL'RCHARGE $ $ ' OTHER: $ I~ 5 $ (l D TOTAL .~.77 /r7 ze RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN P[IBLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[JBLIC Q ROADWAY" MIIST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: n APPROVED BY: TITLE: DATE: ~OII7 /a C~j i ; - - - !;4.-;, '44 Us er ' -` . - . . • , . 777 CfJ_•, kl,F*' ; i- : -;-4, 00 011 1 011 kfti.14 1 kr.,104 ,1 kliiik - -;Sf"Sif_ki IOW -;•-• ' . • - _ De : ) f"' t* ) 139 )) 6 + r � * h Ione R " Irmo F� A a S n � t r For Office Use 4� I , Permit#: I' .(e1')')-- E AGA N 5-41 Permit Fee: 1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspections@citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: \CP\ 1(x S �i'1 Phone: ReSldenti \ ‘)NNC1/414r. - 01A1l1iE3r'° Address/City/Zip: \X) Applicant is: Owner Contractor Description of work:1 ^"\ Type of Work • Construction Cost: �� — Multi-Family Building: (Yes /No Y ) Company: 'NI~ 11 _th O1N ontact: �d ' CCftft Coritractor Address. 5\ J City: \T\i State:V v VkAr-I Zip: ')S-1?I'Phone: 1\C43 License#: c s ����� Lead Certificate#: ' " �� 4�'ca 1 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.aopherstateonecaliorq 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 not to start hout a permit; that the work will be in accordanc 'th the approved plan in the case of work which requires a review and approval o ns. \r ic1 \CC\V\TN/ Applicant's Printed Name Applicant's Signature e�