4254 Wexford Way
~ . A INSPECTION RECORD
C(TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I'.! t1! Il/V'' I;~~fJrli',t IIitMI it ! 1
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PERMIT SUBTYPE: TYPE OF WORK: ~
I
.A . .A
i
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114 111 jili i'iflll.lit 1111 litIl
1 I(~;41 I i I IJ/11
!ri MFl{~1'., i'I•'. tJ ('I.IsI+'
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Permn No. Psrmn Hokle? wte rebpnone N
r
, S/W
PLUMBING
.t
HVAC .
' a3-
ELECTRI ~ G ZO 9 ~
ELECTRIC
Inspectbn Dets Inap. Commsnts
Foodnpe i
/
FOuridetion
Freming
Rooriny
Rough Plbg. ZV
Raigh Ht9_
Ftreplace
Final Fltg.
a Y
Orsat Test
Fnal PIOg. Plbg. Inspector - NotiTy Plumber
Y
Cortst. Meler
ErgrJPlan
Bldg. Final
~
Deck Ftg.
Deck Ffnal
Well
~
Pr. Diap. I
1 7 7 ~ ~ II
6~"~
•
~~i ~..ay , •
werfificate of cccupanc~
Witv of Cfagan
I #k.}wirtmcur of 13rilihg 3aoection
This Cerlificale issacd pursuant to the rcquirements of the Uniforrn BurldiRg Code ~
certifying that at tlrc tinu of issuance this stnrclmre was in ca?nplrance with the various i
ondenences of the City regulating building construction or use. For the followiRg: I
ur cass..r.sfio,,: SF DWG ewg. vtffnit No. 0 23800
o=w..cy TYw R3/1M I zannE asaia R 1 -rya Con-4 . VN
a.,m or eo~~uwAM IF.Q~1lrD FOMES 12084 G1NiHY IN, APPIE VALIEY
ewwift Aaa= 4254 MOP M WAY Lc,,61YL359 H1, WF.XM 2NID
D.: OIIX i~~
8WI&W
POST IN A CXNSPWAK)US PLACE
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0 34 P e r, I a C t--! m n t *lD . . : . . applicant
aluation
- Q • D INSPECTIONS
Plan
P PerTlill
w
i-Auchanical Total
Address 4254 wEMRn WAY Zip 55122
I.o't 35 Blk I Sub wmnr_tD zrro
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage V
Porch ~
Basement finish ~
Deck
Please verify with the builder the removal of roof rest caps from the plumbing system and !he shut-off of water supply ro
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. ~
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
b
~~ao S~ J a rro a~
~1z o4~35 ~ ~ a= ~ ~ch-.7
Repuesi Date Fire No, Roi Inpsectan ReqwreO InSpPqiOn OIhBr Than Raugh-ln
6 14 9 4 (YOU m~usi c~ll~9 spector when reany) ~ ReaEy Now f[] WAI Nollty lnspactor
? Na Daie Reatly
I R~', licensed contractor rJ owner hereby request inspection of above elecirical work at:
JoE AtlEress ISheBI Box or Route No I City
4254 Wexford Way Eagan
Seclion No Townsbip Name or No. Rarge No. County
Dakota
Occuoam (PRINT) Plwne No
Scott Leonard Homes 452-7992
Power Soppeer Aeeress
Dakota Electric Co. 4300 220th St. W. Farmington
Elecmcai Comracror lCOmparry Namel Conlractor5 LWense No
Joos Electric Co. CA 00961
Mailing Atloress (Coniractor or Owner Makiny Installation)
3980 Beau D' Rue DR. Eagan, MN 55122
4ulnOni¢0 SSindIDrP ICDntrecloVOwner Making In :4 PnonB NumOe~
6:~~° ~28$- 6180
MINNESOT4 STATE BOAPD OF EIECTRICITY THIS INSPEGTION REOUEST WILL NOT
Gtlgps-Mlaway Blag - Room 5473 BE ACCEPTED BY THE STATE 80AR0
IBYI Unlversity Avo. SL Paul. MN 551D4 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENGLOSED
PV~/ ~p~,/ , REQUEST FOR ELECTRICAL INSPECTION ee-ooooi oe
` q ~ ? Sea inslm<uons lor cpmpleting tlns form on Gack ol yeliow copy iMa'i~
1O
C~ O ^ "X" Belaw Work Covered by This Request ~~~m.~
ew Atltl Rep ^ Typeol6wldinq AppliancesWiretl EquipmenlWVed
X Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer LoaA Management
Comm /Intlustnal Furnace Other (SpeCity)
Farm Air Condilioner
Oinerlsyec,Nl ConhacrorS Remarks.
Compute lnspecfion Fee Below:
# Ofier Fee # ServiceEntranceSize Fee k Qrcutls/Feeders Fea
Swimming Pool 0 to 200 AmpS 0 to-700 Amps
Translormers A6ove 200 _ Amps Aove 00 _ Amps
SignS Inspecror5 Use Only: TOTAL
Irrigauon BoomS ~y
Special Inspeceon ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS. ~
I, the Electncal Inspector, hereby RO1g"""
certity that the above inspectwn has F,,,ai oaie a_~
been made.
OiFlCE USE ONLY r
Tnis request wia 10 monins Irom
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLoiNc
3830 Pilot Knob Road Permit Number: 0 2 3 B 0 0
Eagan, Minnesota 55123 Date Issued: 0 6 J 0 8/ 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 35 BLOCK: 1
4254 WEXFORD WAY LEONARD HOMES. SCOTT
WEXFORD 2ND (612) 454-7992
PERMIT SUBYYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNOATION
FRRMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HT6
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - R C PLBG
F-
~
L
OF PERMIT ~Q ~.i t -7 q
--~C1TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 8 0 0
(612) 681-4675 Date Issued: 0 6/ 0 8/ 9 4
SITE ADDRESS:
4254 WEXFORD WAY
LOT: 35 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-350-01
DESCRIPTION:
Building Permit Type SF DW6
Building Work Type NEW
UBC Occupancy' R-3 M-1
Construction Type V-N
~ Zoning f2-1
' Building Length ' 70
~ Building Width ~ 36
Building stories 2
~
REMARKS:
PRV S& W PLBR - R C PLBG
FEE SUMMARY:
VALUATION $171,000
Base Fee $888.00 MISCELLANEOUS $1,828.50
Plan Review $577.20 Total Fee $4,179.20
Surcharge $85.50
SAC $800.00
SAC 8 100
SAC Units 1
Subtotal $2,350.70
CONTRACTOR: - Applicant - sT. LzC. OWNER:
LEONARD HOMES, SCOTT 14547992 2000436 SCOTT LEONARD HOMES
12084 GANTRY LN 12089 1 GANTRY LN
APPLE VALLEY MN 55124 APPI.E VALLEY MN 55124
(612) 454-7992 (612)454-7992
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. J
' APPLICANT/PERMITEE SIGNATURE IS UED BV: IGN TURE
?00 Ct'TY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION
681-4675
,
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surv7,1, ~calcs.
COMMERCIAL 2 sets of architectural & structural plspecifications, 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 7 /-31 _ Valuation of work
Site Address: )7~ GUF_S~FbPcZ GUd"`l
SiREET SUfTE #
Tenant Name: (commercial only)
LOT _3j_ SLOCK ~ sosD. ~~,~~~,p aND P.I.D.
~
Descri tion of work:
The applicant is: ? Owner ~ontractor ? Other (Describe)
Name 5CL'2LL-FQ40l~j[2~jPte~'-t~S Phone -115,Y-729.2
Property LAST FIRST
Owner Address /c~~ 62f.c.PL L,~V
STREET STE il
City ~YQ V2l~& State Zip .SS/
Company Phone
Contractor Address License Exp.3/3i/2.s
City (p ~/~vlltie,. State Wc(-) Zip
Arch itect/ Company t ~~InS _l /auurq itit/C Phone ~3a-ac~F
Engineer Name TL~^~l Registration #
Address l){2i0 /I-/
City ~~A_ State fMGC/ Zip t'
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has 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 State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE OiVLY • ~p sIt ,
BUILDING PERMIT TYPE
.,C'~
? 01 Foundation ? 06 Duplex ? 11 Apt./Ladging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
El 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
'El 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 13 O y MWCC System -4-
(Allowable) ~i-lst Fl. sq. ft. i 304 City Water L
UBC Occupancy 2nd Fl. sq. ft. PRV Required X
Zoning Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code /<v i
Depth On-site sewage SAC Code O i
Census Bldg i
APPROVALS Census Unit /
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site O Footing C Framing 0 Insulation
? Wallboard [a Final ? Draintile ? Fireplace
Permi t Fee veiuacsoo: S 1 7/.
Surcharge G<-
Plan Review zzk
License se z
MWCC SAC "
City SAC
Water Conn. S. S-r 70 Water Meter 39,~Acct. Deposit
5/W Permit
" S/W Surcharge Z
Treatment Pl.
Road Unit ~
Park Ded. Trails Ued.
Copies
Other
Total: "
SAC % 3.~ ~ -rce - D
gS~~`LI
~ ~
- ~ ' 2422 Enterprise Drive
Mendota Heights, MN 55720
* PIONe¦A ww wnvaroas • ave eNarrews (812) 881-1914 FAX:881-9488
~
* eng neer ne uID PLANIN°n• LM°SCAPE u'°°h°TS 625 Highway 10 N.E.
Blaine, MN 55434
~ * 'f * (812) 783-1880 FAX: 783-1883
Certificate of Survey for: SCOTT LEONARD HOMES
4254 WEXFORD WAY
Ef1GAltl
REVIEWED
a - -
BY -1
-3
~ D
Dia
EAGAN EIvG1NEER !•1G DEPT•
ODoLr~o~%o 0 L'I -
PROPOSED GRADES SHOWN PER GRADINC PLAN BY: P I O N E E R E NG. NOlE: BUILDING DIMENSIONS SHONT! ARE FOR HOPoZONTAL AND VERTCAL
LOCAlION OF S7RUCNRES ONLY. SEE ARp/11ECTUAL PLANS FOR BUIIDING
AND FOl1NDATON DIAIENSIOMS.
NOTE: CqJTRACTOR MUST VERIFY ORIVEWAY DESIGN. 7H15 CERTFlCAiE DOES NOT PURPORT TO SHOW EASEMENTS
NOTE: NO SPECIFlC SqLS INVESTIGATION HAS BEEN COMPLElED ON 7MI5 O1HER 1XM! MOSE 910MN ON THE RECORDED PUT.
L0T BY THE SURVEYOR. THE SUITABNTY OF SqLS TO SUPPORT THE BEARINCS SHONM ARE ASSUMED
SPECIFlC MOUSE PROPOSED IS NOT THE RESPONSIBILIN OF THE SURVEYOR.
PROPOSED HpUSE ELEVATION
x ooo.oo Denotes Existing Elevation ~¢g ~
( ooo.oo ) Denotes Proposed Elevation Lowest Floor Elevation:
- - - Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: G1$~°•7
-0- Denotes Monument
-o- Denotes Offset Hub Garaga Slab Elevatfon: %
LOT 35 , BLOCK I WEXFORD 2ND ADDlTION
DAKdTA ' COUNTY, MINNESOTA
v!e hereby certity thot ;hia aurvey, plan or report roe prepond Ey me or under Ty EInCt wperdei ond t~at I a ly raqietard Lo Surveyor \
.nd« tna ie.s ot tne sime ol Minneeota. Daled mis 24TH. doy af MAY A.D. 19 .
NED: ER ENGINE RING, P.A.
Scafe: 1 inch = feet ~
n C. larson, L.S. eg. No. 19828
907 94 147.00 SHEET 1 OF 2 SHEETS
• 2422 Enterprlse Drive
* Mendota Heiqhta, MN 55120
* PIO~FI ,,,,o,,,W4,,,,, • CM p,,.WN (612) W-1914 FAX:681-9488
* eA neer np L1MD PLA11Oro• 1A10"'~ "FtO'ytC° 825 Hlghwoy 10 N.E.
* * Blaine, MN 55434
~ 4t (812) 783-1880 FAX: 783-1883
Certificate of Survey for: SCOTT LEONARD HOMES
1Al•EX FORD WAY
~
m 9525 952.2
LIGHT- 9512
HYD.~NSZ~~d 85.00 S43058"24"E 951.7
95~7 ~ o SERVICE o 1~qS/,5)
IM!-941.8 p ~-TELE. Pm.
$5 15 6
BENCH MARK ro PRROPOSED
ELEV 95485 0` ~ '4(ysli~) -63.8 C4~.~) 5a~ ~~TOP OFMHUB
0 20.67 -[0I3b7VQLL 3.3 ELEV.= 953.95
9.~~i / ~i 0 6i 33 `r g~ ~
3 ~ ~GARAGE pRppOSEO t^ d ~
~M 1 I c~ • ~ r~~ HOUSE ~ p
M M M 29.6 7 N M O ~
34 0-~ 954.4 ~.~Q 36
x M955.06
954.97~ - - - - - 956.4
N 954.3 (GS(o.o) 954.3I O
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Scale: 1 inch = 3o feet M~j
907 94147.00 SHEET 2 OF 2 SHEETS
U LOT SORVEY CHECRLIST FOR RESIDENTIAL
. ~ '
•-J w BOILDING PERMIT APP ICATION
y
m ?
o jcc PROPERTY LEGAL: vS
W< N Date of 8urvey: ~-2
U >
DOCUMENT STANDARDS
8'0 0 • Registered Land Surveyor signature and company
fd--? ? • Building Permit Applicant
p-? ? • Legal description
B~0 ? • Address
D--6 0 • North arrow and aaas scale
B~0 ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0'_0 ? • Directional drainage arrows with slope/gradient
3'~? 0 • Proposed/existing sewer and water services
0'? 0 • Street name
Q~ 0 ? • Driveway
ELEVATIONB
Existina
0` 0 ? • Sewer service
B- 0 ? • Lot corners
Q-~? ? • Top of curb at the driveway
~0 ? • Elevations of any existing adjacent homes
PrODOSed
~ ? ? • Garage floor
6' ? ? • First floor
0K ? ? • Lowest exposed elevation (walkout/window)
C9~ ? 0 • Property corners
['J~ ? 0 • Front and rear of home at the foundation
PONDING AREAS (if apDlicable)
0 e ? • Easement line
? 21,? • NWL
? 9f' ? • xwL
? ? ? • Pond # designation
? ~0 • Emergency Overflow Elevation
DIMENSIONS
~0 ? • Lot lines
? • Right-of-way and street width (to back of curb)
0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements
C'~ • Setbacks of proposed structure and setback of adjacent
existing homes
0D'-'0 • Retaining wa re irements, if any
Reviewed: C/
Name / te
October 1992
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Jv 1, C.
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432-2044
EXTE.'RIOR ED]VELO?E AVERAGE "U" CO)'1PU:'A`!'ION
I
PL.1AT NUN',BER
Determine worMng souare footag,e o£ each
1. Total exoosed wall area...... ~Zqz4 sq.ft. 'F. .11
2. Total roof/ceiling area...... 2 49(~ sq.ft. X. .026 Total exposed wall area above floor = z- (c -i Cl
a. Total wall orindow area ;'1
b. Total door a-ea •i(~
c. motal sliding glass door area........... -
d. Total fireolace wall area
e. Total wa]rl framing area (average 10%) ' 7_.10 -"1,
f. motal net wall area above floor.........
g. Total rim joist area....... 1............. Total exoosed foundation area
h. Total foundation vrindow area.............
-
i. Total net foundation.area above grade...
Detexmine "U" value of'each ;•rall segnent d. x nUIl .52 = ~ Cl /n, ~
b. g fiUti
.139 = T'
c. x ifUll 52
d. X itUff .68
e. X IlUll .096 = Z"'-~7
g uUn .043 =
X nUu ogl = /U 7
h. g uUn .52 =
i. X ,lU[[ .082 3. `1lOTP.L . . . . . . . . . . . . . . . . . .
If iten #3 is the sar.ie as, or less than itan /fl, you have
met the intent of S3C 6006 (c) 2.
-1-
Total exposed roof/ceiling area = Z LIQ6
. Tot21 gxross roof/ceiling area
J. Totaljsl~ylight area ~
k, Total roof/ceiling fr2mirg area....... , L C(
1. Total net insulateci roof/ceiling area. 2- Z 2~1
' Detexmine "U" value !'or each roof/ceiling sepnent
J. X uUn -
k. R viJ° .024 = 5i•~
i. XffUll .022 = y`1 , 3
a. Tom.4i.,. z.
If total of #4 is the same as, or less than f12, you rave
met the intent of SBC C096 (c) l..
To utilize the total envelope systan method, the values
established by the swn 6f items If3 and #4 sha11 not be •
greater than the. siun of items #1 and #2.
~
1. 32'~,`?3+ z. Z, L/,-7 K)
s. + 4,.. 55. z= 3SsK . nc6 L1~ ENUEUOPF rnE,-i+c
P4aterials Thermal ^esistance "R"
Exterior air.........
Sidi:tg material......
~
Sheathing ~
'Insulation...........
Sheetrock............
, Interior air.........
' Studs
Rim.......
Concrete blocks......
-2-
.
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.
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1994 MECHANICAL PERMIT (RESIDENI7AI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
CTI ON_
NEW CONSTRU---------------
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE (p ~ Z ~ / gq
FEES
HVAC: 0-100 M BTU $
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MtrriMUM i@ ss.oo FacH)
ADD-ON/REMODEL (ExiSTiNG CONSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL 36. <6
SITE ADDRESS: og-
OWNER NAME:S CO~ TELEPHONE : L( SQ°2°I 92.
INSTAL.LER: (100 i-L A12r4 Cr fi/ C _ar'-
aDDxEss:~ _
CITY: STATE: ZIP CODE:
TELEPHONE ~J L
A,~~
SI ATURE OF PERMITTEE -
CT'C'Y';Y75V :t)IVT;'Y
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1994 MECHANICAL PERMTT (COMMERCIAL)
CI11' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CON1'1'AFEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~ERMTf FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL7)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
CrrYUSE'ONLY
.
. .
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SLT$D
1994 PLUMBING PERMTf (RESIDENTTAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
~ SNOWER 3.00 3.
3 WATER CLOSET 3.00 ~
a BATH T'UB 3.00
~ LAVATORY 3.00 ra_ -
/ KITCHEN SINK 3.00 _a- -
Z LAUNDRY TRAY 3.00 3. -
HOT TUB/SPA 3.00
WATER HEATER 3.00 3- -
~ FLOOR DRAIN 3.00 -7. -
GAS PIPING OUTLET • minimum • 1 3.00 -3_. (
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. Lc. 20.00
U.G. SPRINKI.ER • home under oonsi. 3.00
ALTERATIONS • to oascing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: 4254 Wexford Way
OWNER NAME: Soctt I,eonard Homes
INSTALLER:_ R C Plumbing
ADDRESS: 5910 Chester Ave
CITY: Nnrtbfi al rl STATE: rAn ZIP CODE: 55057
PHONE ( 612) _ 461-2096
SIGNA RE OF PERv II TTEE c
. . . : .
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. .
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1994 PLUMBING PERNIIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUGTION
ADD ON
P.EPAIR '
WORK DESCRIPTION:
CONTRACT PRICE: $
FTC: 1% OF CONTRACT FEE.
STATC SURCHARGE: $•50 FOR EACH S1,000 OFFEE.
TTININtUNt FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR•
CITY OF EAGAN APPLICANT
LOT fS BLOCK ~ SUBD. Lt/ Wt
RECEIPT !1 3I S & DATE
,
1994 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL IlVSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
Residential (boulevards) GPM
_4K- 'Existing residential
Area/address to be irrigated: Weicrck Ljal--~
Installer: Owner Plumber ?
Street address:
City, state & zip code: Phone J!:
Owner Name: J r',e-Q Soci le
Street address:
City, state & zip code: Phone H:
Irrigation contractor, if different than installer:
Telephone N:
I hereby acknowledge that I have read this application, state that 'the information is conect, and agree to
comply with all applicable City of Eagan ordinances.
aM n ~70iw.w~1 '
Signature v Title
If construction activity occurs in public easement or City right-of-way, signature of prnperty owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner Date
Approved by: Date:
PRV ? Yes ? No
New service ? Yes ? No Meter Size & Cost
- - - -
Fees due: Ca(cuiated by:
Z- Z' 7s 6Jr LICIK<
7Zo'f3 f ysd ~C3~
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOIVES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
~ FLOOR DRAIN 3.00
GAS PIPING OL7TLET • minimum -1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Daray. u~ 20.00
/ U.G. SPRINKLER • havr..r.r.r. 3.00
ALTERATIONS • to ~tine 20.00 ao,oo
WATER TURN AROUND 20.00
STAT'E SURCHARGE .50
TOTAL: a20, 50
STTE ADDRESS:_ ~025~ GUEXFD.~ /,fJ/3"Y
OWNER NAME-~I~EFF~Y ~SO.DE121-~cLM
~
INSTALLER:
ADDRESS:
CI'n': STATE: ZIP CODE:
PHONE -0-303
S OF PERMITTEE
kol, A ",YV~
D4
1994 PLUMMING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLUZNDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMM ARE NOT REQUIRED FOR EACH
DWELLING UNFr.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIMON:
CONTRACr PRICE: $
FEE. 1% OF CONTRACT FEE.
STATE SURCHARGE. $.50 FOR EACH $1,00 OF #QRMff
o FEE.
MINIMUM FEE. $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
crff: STATE: ZEP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
• . • ~ * IAandota tHelqhl~ DMN 55120
PIo~¦a ,,1/e"KYM„ . a,,,, DIOPOM (612) 6e1-1914 FAX:681-9488
* eA nesr np LAW ^"MIM' LANOSC"K 00AnCn 825 Hlghwoy 10 N.E.
* * Blaine, MN 55434
* * (812) 783-1880 FAX:783-1583
Certificate of Survey for: SCOTT LEONARD HOMES
UsTOlw IE 10- Do i Av(7 O&.,'A/
(I 's Q~s
6 zaN~S
WEXFORD WAY
r
m 9525 952.2
LIGHT - ~b 951.2
HYD.~NS~$; Cd 85.00 S43°58`24"E 951.7
555,7 sEevic o ' <qs~,sJ
IW'941.8 0 ~TELE. PED.
S 5 6
BENCH MARK r~n PROPOSED rn
TOP OF HUB ~ a4IVEWAY ~ 53 ~ ~~gENCH MARK
ELEV.= 954.85 TOP OF HUB
~ 20.67 ~ .0 NI367p p33 1 ELEV.=95395
33
~M 'I~~RAGE ~ /pROPOSED M M
en ~ ~ HOUSE ~ td
M~ 967 ~ / /M M 3
34 0 ; 954.4 ~q , , 36
0 M95506
~ x' vi •
954.971t - - - -
~ ~5 956.4
5 1 (n J G
k J R 2 ~l\
' -/9546
45
\
• M ~ ~
I /
0 955.8
(O
955.8 I ~ 3 x 9582
5I
9621
( 9bz,•I ) \ a) ~
~ r~ I 4 N I
/
/ b7 - N I
~~F \~~2~ S4 ~ ~ I I
30
--ZA J .
F y
29 ~
Scale: 1 inch = 30 feet
umo cHFFT 7 rc 2 cltcF'fc
?
~ ~ I ^ RESIDENTIAL y~y 8"
~E~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConMructlon HeaulremeMe RamodeVReoelr Heaulrementa
• 3 registered sAe surveys showing sq. M. of ht, sq. tl. 01 trouse; and an rootetl areas • 2 copies of plan
(20% mazimum bt coverage albweC) . 1 set of Energy Calculations lor heated atldRbns
• 2 copies of ptan showmg beam & window sizes; poured tound tlesgn, etc J • 7 sAe survey br exterior aUd'Abns 8 decks
• 1 set of Energy Cakulatbns • InUicete tt home served by seDtic system for addttbns
• 3 coples of Tree Preservatbn Plan il bt planed aher 1/1193
• R'm,bisi Detail Options selection sheet (bItlgs wiN 3 or less unils)
DATE 7 a 5-oa VALUATION ~ 5 aa5. s~_
~
SITE ADDRESS yVS5' 6 /a,c4,a?clVau ~ "'H~-5drloe'~2 MULTI-FAMILY BLDG Y t/N
NPE OF WORK &er.-O FIREPLACE(S) :s,/O _ 1_ 2
APPLICANT
STREETADDRESS 72l6 CIN%lp $TATEQ7JYZIP 44 < <
TELEPHONE # 24~ CELL PHONE # FAX # -KR'/-LS//
PROPERN OWNER c~,a-I-~- ,~-)N E2 hn liy'1 TELEPHONE #~.~i/ -~O
COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(V submission type) • Residential Ventilation Category 1 WoAcsheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechpnlcal Conhacfor. Phone # -
Mechanical system includes: _ Air Conditioning Fee:~ $71~.0~ ~
_ Heat Recovery System
~ .III~ 2 5 2002
Sewer/Water Confracfor: Phone #
iRv_
I hereby acknowledge that I have read this applicaTlon, state that the Information is correct, and agree to comply
wlTh all applicable State of MinnesoTa StaTUtes and Ci1y of Eagan Ordina ces.
Signalure of Appticant~Ld_Pi1
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE OP1LY ,
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS 06plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ AvTest _ Final _ Windows(new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee • ;ZS
Surcharge 3- 00
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
25
Total 3. ~
RESIDENTIAL BUILDING J~O'O0
' • ~OR,S~ PermitApplication ~dP ~
~ City OfEagan
3830 Pilot Knob Road, Eagan MN 55122 C,,Zet-a.( F12(p/&
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Reouirements Off~ce Use Onlv
3 registe2d site surveys showing sq. k. of bt, sq. fl. of house; and all mofed areas 2 copies of plan Cert of Survey Recd Y_ N
(20°h maximum lot wverage albwed) 1 set of Energy Calculations for heated addiGons Tree Pres Plan Recd Y N
2 copies ol plan showing beam 8 window sizes; poured found design, etc. 1 site survey (or addihons 8 decks Tree Pres Not Reqd Y N
1 5et of Eneqy Calculations Addifion - mdicafe iI on-SRe sepfic sysfem On-sne SepUc Sys[em _ Y_ N
3 copies of Tree Preservatlon PWn if bt platted aNer 711193
Rim Joist Detail Optlons selection sheet (bidgs with 3 or less units
Date l / `f / 03 Construction Cost
Si[eAddress !f25 "1 Z{JE)(Fp/Z~ /,()A'f UniUSte #
Description of Work ExTZ~ND EX/677N6 A&~<
11lulti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ I _ 2
Property Owner J EFF 50DER-4o+Jl Telephone 651 ) q 52 -n3a 3
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculalions Submitted -
p I ,
Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 5% plam review
fee applies. fl AUG 2 12293 L JI
X
Licensed Plumber Telephonil # ( ) _
- - _I
BY--- -1
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
JEFF SoDE9(-I01_M D
Applicant's Printed Name ~ A li t's ature
OFFICE USE ONLY
Sub Types
, ~
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM. Alt- SF
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy MGES System
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
Footings(new blde) FinaUC.O.
Foo[ings (deck) FinaUNo C.O.
Footings (addi[ion) _ Plumbing
Founda[ion H VAC
Drain Tile Other
Roof _ Ice R Wacer _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ \Vindows (new/replacement)
_ Insulation _ Retaining Wall
Approved By f Z- , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
2422 endoto tHeiqhte OMN 55120
M
' OI¦iA (612) 681-1914 FAX:681-9488
* IAND AAiKldlf • G~l OIOOImIt
en neer nQ ~~+M• ~'J'?~ uRwrten 825 Hlghway 10 N.E.
r
* * Blaine, MN 55434
* * ~ (612) 7e3-1ee0 FAx:7ea-1eea
Certificate of Survey for: SCOTT LEONARD HOMES
1AI.EXFORD WAY
~
0 9525 952.2
L IGHT - 951.2
HYD85.00 S43058'24"E 9~5I.7
9537 o SERVICE o
IM/.=941.8 p ~TELE. PED.
5 15 0
BENCN MARK M PROPOSED
TOP OF HUB g RdIVEWAY I gENCH MARK
ELEV.=954.85 ` ~ '"(~51~,u) ~3.8 53. ' ~~TOP OF HUB
~.O N ~'3 ~ ELEV.= 953.95
~ V 67 pj 20.67
I
1 i 33 `O~) 1
3 '°IwGARAGE /pROPOSED
m M~ T M
c~ ~ HOUSE ~ II ~
M1O ~ 29.s7 /8. 3
3 4 0r; M, 954.4 CQ, 36
~p ~955.06
954.97a' M
- - - 956.4
~ 954.3 954.3 O
0~
45 (~ISSS)~ ~ yp~ o't?
~EXIvTiNG PK1C ;
95 ~ 954.6 ~
M I ~ I
0 I 955.B /v
~ ~~n?S IDI~ ~ I I
. oF EXm-0e D~. 955.8 I 35
I x 9582
_ 962.1 5I I
(QbL~~, O)
N
/e
30
~ s
hJ
~ , 19
29 ~
Scale: 1 inch = 3o feet
4,kby
City of Eaaall
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 #:
Permit Fee:
0-71912—
/ DC -d`
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: iA cfc)Z0lv1/\ Phone:
Address / City / Zip:
Applicant is:
Description of work:
Owner \i,. Contractor
Construction Cost: Multi -Family Building: (Yes / No )
Company:I \ vv��c,2 Ce.� ..X tp&
Address: l-/ &162(L- P -O 4De-- City:
StateV. ) Zip: Fs' —2-- Phone:
Contact: \b\-4--K-
License #: \�� �``Lk 55. 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 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 y t completed within 180
days of permit issuance.
x ! = I SN A -s n4t/''`Ac' x
Applicant's S' • ature
Appli , nt's Printed Name
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109429
Date Issued:03/08/2013
Permit Category:ePermit
Site Address: 4254 Wexford Way
Lot:035 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-350
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jeffrey S Soderholm
4254 Wexford Way
Eagan MN 55122
(612) 801-6826
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Olflce Use I
j Permit* 41b~ City of Ean}oIl I S ~f
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 6755694 1 Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 10 Site Address: _4,254 In-xf')MA [.r+" Unit
1
i Name:
~'4;.J'z£f 1)"'ZtiOkr+'1 Phone: 16 S7 '1f5-2 - lb ~~3
Resident/
Owner Address/City1Zip: H.154 la urozd r.is.t f A6,9~.1 V~ 55-122-
E
Applicant is: _ Owner Contractor
t I L
I Description of work:
Type of Work I
Construction Cost: JiI,CUQ Multi-Family Building: {Yes / NoS~
i
' I ~ f' ~
Company: 7J-'e
(r4-M Luflau 5_Contact:
Contractor ~ Address: 20 1q,015-of tzflL city: S'[4/<<I c.~- 461 psE
State:0'1-J Zip: S~FrZ Phone:I7k0 Email: -T,,,,3r-zcA.+o £x4tRtoPS . C,:n
I License 43c_ W-4 17> 4k Lead Certificate
If tl he project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i F
e
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?
1
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone.
P
Mechanical Contractor: Phone:
k
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
I the information maybe classed as non-public if you provide specific reasons that would permit the City to
E conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for pmtection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance unth 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.
Exte=151% k uthorized by a building pe it issued In accordance with the Minnesota State Building Code must be completed within 180
day Itaissuance.
x z ;
A licant's Print ame Ap licant's Signature
Pagel of 3
1,'d 6889-6Cb-1, 99 out 'saoiaa;x3 pueljegwil