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4294 Wexford Way
i Wertificate of ccc"anc~ Cfiiv ofi ~an ef--~*- ZepartmcKt of lorn* ~x~ctio« Thes Certificate issued pursuant to tlee requir+enunts of the Uniform Building Code certifying that a1 the time of issuance tAis strLCtLZ was in compliance with the various orrtinnnces of the Ciry irguJating building constnrction or use. For the foflowing: uw ch=rk«oaL- DWG Bwa. e~i No. _ 25721 oa,W-Y Type R3/14 I t Zming Dis~ R 1 Tywc..a. VN o.ow or sudd" (EROD OONST Aai,= 1704 2801H ST, NE3,f PRACM sWI(ft Aee,=;f F1~O~iD WAY t.m,;ty L 16, B I, WFXFM M Doe- Buddmg Official; POST IN A CONSPICI)OUS PU1CE INSPECTION RECORD CIT~X OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' APPLICANT• ~ ~ ? i _ ~ ~ ~ K~'? . , . , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ I ~ ~ i c4 1! I. f 1 1 it ~ f : i+•.i : ! f~l; ; I ~I,,I ~ J cemn No. Pem,n Hoa« Dete rWe,non. # ELECTRIC ' PLUMBIN r '1 9~ p Hvnc 7/7 3 01 Inapoetlon D~b Map. Commenta FoOTINGS ~/OL Q5 L~C" FOUNO ` FRAMING u ~ ROOFING fiOUGH PLUM&NG PLB(3 AIR TEST ~ ROUGH HEATING - ~ VC INSUL Z _ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLD(3 FINAL BSMT R.I. BSMT FINAL DECK FTG OECK FINAL o~ 5~oos #41~ 0 a`'B Req st Date Fire No Tou3h-In I~p Repoved Ins twn OOier Than Roughln ryou must call in eclor wM1en reetly) ~Ready Now rM1aill Notdy Inspecror ~ ~ ( Yes ? No Date Peatl IJ~-licensed conhactor ? owner hereby request inspection of above electncal work at: Job A ress (Slreel, Ba or Route No ) Cily ` J. °i V`c_Q 1,j A ~ vA1 Seclron No. Township Name or No Range No. Counx (`,K~ Occup t(PRINI) n Phane No ~ L~ ~ \ L 1 Y~ty {.tn Vlry`Q6J PaW¢~ Sup ~ pliot \J ~ b~q q ~ e Atltlress ~ P Electncal ConVacbr (COmpan Nem )e Goniractor's L¢e No ~ G C~0 ~~3 MaiLnq A tlrass (Conlraclor or Owner Making Inslallabon) "V . ~ SC N Ui= 5c vJ e.,~ n'o q,t e n, J Aulhoriretl nalur (C raclotl0 n MaN/1{~ Inslalla0on) P~one Number MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOt Gtlggs-Mitlway BIEg. - Room 5428 BE ACCEPTED BV THE STATE BOHRD 1821 Universpy Ave., 51. Paul, MN 55104 II ~I I I I I I I II II UNLESS PROPEF INSPEGTION FEE IS Phone(612) 642-0800 ENCLOSED. ~•~J.J ' DO~ REQUEST FOR ELECTRICAL INSPECTION es-ooooi-as 7 p loo See mslmtlions br completing Ihis tonn on Oack ol yellow copy. "X" Below Work Covered by This Request Ne Add R`ep. iype of 8udding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specif Farm Av CondRioner other (speuly) Comracwls fiemarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool ~ 0 to 200 Amps 0 0 0 to 100 Amps OZ Transformers Above 200_Amps Above 100-Am s Si ns mmectors uw orny. TOTAL Irrigation Booms Q~.000 P'Z _ S° Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, Ihe Elecirical Inspector, hereby Rouqn-in oeie certify that ihe above inspechon has oaie been made. OFFICE USE ONLY iM1is requesl void 18 months tmm Address 4244 wEIGottu WAY Zip 5512 3 I.ot , , 'ih Blk I Sub wm'oRn 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ~ Permanent steps (main entry) 1/ Permanen[ driveway Permanent gas ~ Sod/Seeded grass r/ TraiUcurb damage v Porch ~ Basement finish ~ Deck ~ Please verify with lhe builder the removal of roof test caps from the plumbing system and ihe shut-oH 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 sysrem. ~ Whire - Ciry Copy Yellow • Resident Copy Pink - Contractor Copy Al CITY OF Ee4GAN PERMIT cP06N I~~ 3830-PilQt Knob Road PERMIT TYPE: Bu L NG Eagan, Minnesota 55122-1897 Permit Number: 025721 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 5 SITE ADDRESS: 4299 WEXFORD WAY LOT: 16 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-160-01 DESCRiPTION: Buildirtg Permit Type SF DWG Building W6rk Type NEW UBC Occupancy R-3 M-1 ConsCructian 7ype VN Zoning R-1 Building Length 70 euilding Width 64 Building stories 1 Square Feet 3,100 REMARKS: PRV S&W CONTRACTOR - PARSONS PLUMBING FEE SUMMARY: VALUATION $183,000 Base Fee $1,302.25 MISC FEES $1,892.50 Plan Review $455.79 Total Fee $4,592.04 Surcharge $91.50 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,699.54 CONTRACTOR: - flpplicant - sr. Lrc. QWNER: GEROLD BROS CONST 175$2842 0001115 GEROLD BROS CONST 1704 280TH ST W 1704 280TH ST W NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-2842 (612)758-2842 I hereby acknowledge that Z have read this application and state that the information S.s correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan prdinances. APP ICANT/PER~M~IE~I ~~RRFUftE_ IS ED 8 SIG ~7URE INSPECTI0N RECORD CITYOFEAGAN PERMITTYPE: suzLozNG 3830 Pilot Knob Road Permit Number: 025721 Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 2/ 9 5 (612) 681-4675 SITEADDRESS: P. I• N. : 10-83851-160-e1 pppLICANT: LOT: 16 BLOCK: 1 4294 WEXFORD WAY 6EROLD BROS CONS7 WEXFORD 2ND (612) 758-2842 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . D. FOOTINGS FOUNDATION FRAMING ROOFING TNSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FZNAL PLBG FINAL , REMARKS: PRV S&W CONTRACTOR - PARSONS PLUMBING F r ~ L ' CITY OF EAGAN 0 ~ ' f a/ 3830 PILOT KNOB RD - 55122 ' ~ ( 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Construdion ReauiremeMS RemodeVReoair Reouirements ? 3 registerod ske surveys ? 2 copies of plen ? 2 capqs of plana (inUUde beem & window saes; poured fid. Oesign; atc.) ? 2 sfte suneys (ezlerlor additiona 8 dedcs) ? 1 enerpy calwlations ? 1 enargy calwlatlons !or heated adtlitions ? 3 copies M Uee preservation plan if lot plat[ed after 7/7l93 required: _ Yes _ No DATE: J~la s la S~ CONSTRUCTION COST: DESCRIPTION OF WORK: S~ ~(o~ r~ l`( STREET ADDRESS: ~Ot 7 4Y (A e-ll~,~ LOT Y-2_ BLOCK ~ SUBD./P.I.D. PROPERTY Name: Phone OWNER Street Address* City: State: Zip: CONTRACTOR Company: `1e.rdLc) &os, Co., s'(, Phone Street Address: I ">0 ~ ad'd 3~ S'~ - W. License City:Lla(. > pf-c,State: AU, Zip• 3-66~)( ARCHRECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber. ~Xr-Snv` Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the infortnation is coRect and agree to comply with all applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Signature of Applicant: ; OFFICE USE ONLY ~ . „ =r t; 4l+~;,i Certificates of Survey Received ~ Yes No Tree Preservation Plan Received _ Yes ZNo OFFICE USE ONLY ' • BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish szr- 02 SF Dwelling ? 07 4-plex o 12 Mutti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 S-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE A!F- 31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ~ 275MGWS System ~ (Allowable) Main level sq. ft. z, qIS(c City Water UBC Occupancy t isq. ft. Fire Sprinklered Zoning sq. ft. PRV Yts # of Stories -iB~ sq. ft. Booster Pump Length b-2.6 7 sq. ft. Census Code. oi Depth ~ y/7 Footprint sq. ft. 3,106 SAC Code oi I Sr„ t k Census Bldg i APPROVALS S s: 2s Census Unit i Planning Building Engineering Variance Permit Fee Valuation: $ 3, voo Surcharge ma,ry lt,.f~ Plan Review L, a s. z License , ~t ° zy MC/WS SAC a~~z.sF v,-~1> ,/v~1 /S.z~.&7 = Szf City SAC ~3r~~ " ~z"~ Water Conn. ~u~ Water Meter T" ~if3•G~~ " ~y~ Acct. Deposit i0.&7 ` ` S/W Pei7nit /yF ~z ' i6 a I z,. 2 y.67 = Z 9/o S/W Surcharge z y =7?b ' 33 Treatment PI. Z~ y~6 xrv ~l3y zyy~ Road Unit BO/ X /6 = Park Ded. Trails Ded. ~ Other Copies '/BG n TOt21: <'lfO %EClcp %SAC 4zGlo> - -T~ \ SAC Units 2 , 27~x /r V-3 y, / O ~ ' l^.'!'....'T."'flrs^::'.T.-.^.Y_.:.'::::CT_^T. .':^..'.T:«~CCP.C`_^_ . ~'."~.L"T..""',...L W _.r...._ CONSUITINO ~NOINIEIIS 9~S ~~?ST ~ AOt3E PIpNNEOS ond iRND fUpY6YOR5 pROJECTNO. 653(0. 01 PIENGINCERING BooK Zw COMPANY, INC• PAa6 ~B 1000 EAST 1181h STREET, BURNSVIIIE, MINNESOTA 56337 PN 432-3000 CERTIFICATE OF SURVEY Legal Description: io N T (2KZ:-a_) 'DENOTES EXIST{NG ELEVATION ( 948 2) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DHAINAGE 9 • So = FINISHED GARAGE FLOOR ELEVATION 940, 79 = BASEMENT FLOOR ELEVATION 48,83 = TOP OF FOUNDATION ELEVATION AOucIf 1,f.9,e.e :'7vN Ar wEXAD,rzO WAY ,4vv w15PIIOo20 c~2ccE. SCALE : 1' a 30' ECFs?. = 959.32 ADDAESS : 429¢ WEXFm-D WtlY (9M,~ N 89°¢3' 31"GV a o Vo ~L.jL'.cl.~.'!: ~4'lb~ /o~, 24 !qqb.s. o s , DQA/NA 10 UT/L/ry ED r 940~ p ERBIVG'r flDEP'd: 1 r J ~arY~ 3 ~ Z y00 f~n m \j Sce, 0 g 4o~ 30 Fr FreaN-r pc ` ~23•93 ~K LINE ~ /0 lo r3E1(IE`.MEC ^ m l`~'~ ao ioP~o,~~ INelb 0 4t ~ ' , y~XF~RD \ ~e . N ;73` Y WAY 44- a „~v z7 + ~94G.7~ m ~n= 2 m I hereby certify that this is a trua nd correct representation of a tract of land as shown and deacribed hereon. As prepared by me this 2¢7# day of MAY , 19.3,~• ~ Minn. Reg. No. 085 9 , LOT 87RVEY CHECRLIBT FOR RESZDENTIAL W BIIILDIN PERMIT 71PPLICATIO pROPERTY LEGAL: p ~ a.te cf aurv.y: DOCIIMENT STANDA ns 2110 0 • Registered Land Surveyor aignature and company ~ D p • Building Permit Applicant ~ • Leqal descrlption ~ 0 • Jlddress ~ 0 • North arrow and 3ez scale ~ • House type (rambler, walkout, cplit w/o, split entry, lookout, etc.) I-~~ 0 • Directional drainage anows with slope/gradient t. 0~ ~ D • Proposed/existing cever and vater services M<D 0 • Street name 0 ~ • Drivevay ELE9ATION6 Exiatfnc i~CI 0 • Sewer cervice D-~/ 0 0 • Lot corners ET 0 0 • 2op of eurb at the driveway ~YD 0 • £levations of any existing adjacent homes Proe eed H',D D • Garage Ploor 0',CI 0 • First floor D' ) D • Lowest exposed elevation (walkout/window) 8~ 0 • Property corners D 0 • Front and rear of home at the foundation PONDING 71REA8 (if aDelicable) 0 18"10 • Easement 2ine 0 0'fl • NwL ? ;'1- D • HwL D i~p • Pond ~I desiqnation D C~0 • Emergency Overflow Elevation DZl~NSIOIQB ~D D • Lot lines fl 0 0 • Right-of-way and rtreet width (to back of curb) ID~D 0 • Proposed home dimensions includinq any proposed decks, overhangs qreater than 21, porches, etc. (i.e. all structures requizinq permanent footings) D 0 • Show all easements of record and any City utilities within those easements W-113 p • Setbacks of proposed structure and setback of adjacent / existing homes aM' D • Retaining requ rements, if any Reviewed: ~~C) me / ate October 1992 . i H YD / . l p • 11.. . . • . ' . 9 7'-6" DIP,CL 52 : Rq~N . GND.EL.947.70 18 EMEn;r , . ~ : - - - - 7N H L 950.54 _ , . . _ . _ . . - . . . - ~-----•~w.~..,. . MH.STA. *92 MH ~k STA. 18+65.02 8 13.?1'L . ,3 17 8-11 1/4', 22 1/2' BEND • ~ i 9. , 5=0+45 / ~U iNV=937.57 S=0+57 CS=947.5 iNV=936.55 • % . MH. STA. 5F30 r CS=946.9 s,is•j I9.~- ~3MH i STA. 24+24.26 C ~ 57.5 24 . _ • . 6 7.31 R MH.3TA':~ 1 4 L MH ~ STA?2~ ' I ' . . / z~, , ~ / • ~4 5=0+15 . ~ 7~ 5.19'R.~~ f_ ~ - i INV=936.25 ~ . CS=946.6 ~ ~ ~4 - MH 2. 61 r MH.STA. 4+69 ' I „ • MH ~ STA. 23+67.06 o ~8-22 112' BEND ~ 5 7.20'R ' MH `t S Aa~ 31.55=0+66 10 f 9 25+ 0 26 !NV=J35.70 15 ~ . CS=946.2 ~ . 8"x8" i EE • _ r./ % MH. i . . V --925 *70 STA. 22+69.60 ~ -22 7 /2' • _ ~ % 4 Qf 2t1Gf!NDOca ff5T ~:'.G!; ~I ^?ll ~E o, BEND , j G~tF~~~=, FCG:;R~,CY OF UTIL!'i'f ~.o^;'.710?~3 ' „ + S=C-+ 84 I~ ~'LE1,~ryi IONS. 7HIo 5°, i INV=934.82 14 ` ,ri ION PURPOSES C':L'; C5=945.5 US1fVG 17 SHOULJ 2ENDS2o 2R~~9~~, ~Z7CR~IAYIOiU OIV THE S17E. ~ 1 t V~i 2,•9' • s=G+05 ICS=qaa a9~ . 4. .B~R=. . . 946.25 . . PROPOSED GRP,DE . . . . . . . - MH RE--946.66- ~ 944.19 - - 1: : I S _BLD- MH RE-~ ~~Z.~o- : . 946.75 2 BLD=-#2.91- ~ MH :RE=Q4CA~X ~ 6 BL ~ ' . ; . 11.00. ~ EXiSTING GROUND ~ • CONNECT TO ~ . . ~ • • : . EXISTING WM . . ~ . . . . . . . . 11 . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . : . . . . . . . . ~ ~ : I : : ~ • ! : : M Xiti~ ~ I ~-?.S': MiN. COVER . , 8" DIP, CL.52 ~ °P~C1, WATER: MAIN I L ~ ° I • . .r.. ~ ~ . . . . . . . . 6f : ~ ' ~ . - fs2~-8' PVC, I. C:ONNECT l0 i I I SDR 35 ~ EXISTING . , i 220'_ • SF,N. SWR. . . 15, SFM. DIP: CL............ ~ J.S . . . S WR~. XING 2. . I P@~'~ C'jY p,~ EA(aAiU @ ~ EX . I : c ACCURACY ~FaSf~~~ii . ~ ~8~~ OIP t'U!'~,,A,. i ; ?/O r~ L'LEV~TIO~°JS. UTfLI'fY, 2 20 qoi . P(i:lPOeMl,v D~jlin 10 . . . . : . . .I. . . . . . ~ G I s, C. , . . . . . VERIFY. . . . : . . . .LOCATION. . . : . . . . DEP. . : TH. . w . . . . . . . . . . . ~ . ~•-~,•.:t'"~?p'~i;.~-C~i;~. OF EXiSTING PIPE ~ ~:3 ~ i I ~ • . 00 : I I t I ~ (6 : ~ . . . ~ 02/08 .......~~W ~ M REOORD PLAN io . I ~ BUI LT BY: Z ~ ~ w . :-z, z BROWN Ek: CRIS. X L : i. . _ lU UKAINAGt tAJtMtNI ------I r - c F , . , ~ . • I i ' r:----:_"_ _ - . \ \ ti 17 42' SOU TH CB PROP. CORNER , " 16 r, ~ , r~.. C 7ti OF F,4GAN DOES P.0` MH STA. 24+09.79 ~CCURACY !~.C'U/',`~~i ~ 113 9.01 , R CLEVATIOfi,S. UTILI7y 1_OCATlQ;~:` 2.62 ~ ' ~ r-" f:~`&8i,;A~'ION PUAPpYF,'S DAih. I ; "70R Pt~,USIfV~ O,','L~' AiVD , , . I l' ~ ~ ~ z IF:~c~ AYION Yr St-~jULD t/^;^;~`f T h(c O?N', HE SITE. 30" OAK TREE 15 ' CBMH STA. 23+74.30 114 14 R 1 I I I I I I 1 1 I _ y L -J l _J SEE SHEET 2 } 26" OAK ~ TREE " 14 . w L----------------------- J L > ~ W ; ~ . _ - i r ~ / • 0o N - 1 ~ ~ ~ 46.6 w w v 'g 2 . (n , , ' ' POND BP• HwL-so3. NWL-898. Cities Di i~ ta1 Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. : . . . . . . . : . . . : ' 9.4 ~.57 : . . . . . VP~ : . . . . . . . ' RE-~~ : CASTING . #4341 A . . . . , ..•.'.946:65 : MH . g45 . ~ 950. . . . . . . : • " MFt . RE- t1.3 . .BLD.-.1 .~t~~: .945.93 . . : . . . . . . . : . : : . : . . . . • • . . . ; . . . : ~ gC.D 115. 5 . . : M : . . . . . . . . ~ . : 1fl4' R~ . . . . . . . . . . . B t . . . . ~ . ~ . : PROPOSED.....: • . . 114 .L:~ 1033Q.. : . . 94~:.:: . ; ; . . . . • ~RfiJ?E : . : ' . . . . • . . . • ~ . . . • : : ~ . : . 9.4~ . . . • ' • . : : • ~ : . . . ~ . , ~ , . „ , . . ' : , . ~ : 9:40 935 . ~ » . . . : : ~EXISTIPIG, . . . . . . . . . . _ , „ . • ~D: ~:I'•••:••.••~;.•......\ . GROl1.. . ~ . ~ . 9 3~ . 435 ; CROSSIN~.. . : : . . • p,. . ~ . . . . . . . . . . ` . : . _ . . . ~ ~ . . _ • : SAN. S~~ ~rt2:RC ' ' ' ' . . ~ , • . . . . . ING . : . . CRO . . . t.iy \.i 25 OF: . ~ '3 930 ~ . . . . . . . . SN':~ . . . ;_~;_.y:q;-ifJ~l~= ~ ~~::ld. . : . • . . . . • ' . . . . . . . . . . I~: . ' . . . ' . . . .P:t'!UlCF1 - " . . PFA~'OS:E;:: • • _-,,y z'. . . . . . . _ . . . . : 1 . . . . . . 5', .15~RCP;~,~~~i~,l~~?nPc~~ IT. SHOC1i-~~ . ; . . Cp.. : : • • ' V .~.-8~efr'16~5~ii` U.~I~S ~TMESiTE • • ~~'F~.. g,.:.:•••. . I CL . ~ : ~"0 . . . . . . ~ : M , : : : . . . ! :°?~,~c~~qa~io~ . . . . . . . . ~ ' . • 4. . ~.IM• . • , ~ : . . , Z . ; ~ ~ • :...::N , : ~ • . . • • • • • . . ~ : N. , . „ . ....N: ~ . : " N• ~ . 7~ . . tA : . Z ' . . . . . ~ ' ~ . . • . . • II. . ' . . . ' • . . . . . . : : : . . . . . • • 7.>... . ~ 0~. . . Z Z . Z.?~....... • : : . . . > . . . . . . . . : , , , . . . SHEET TITLE . pROJECT WEXFORD 2N~ ADDI¶0N . „_o~ OWNER ~r~~OPMENT, INC EXI'ERIOR ENVE[.OPE 1 $ 2 FAMII.Y RESIDENTTAL "COOKBOOK" [vfE'I'HOD 5rrE ADoREss: y 9- 4 U) ar ~ p u sun.nm: G nnTE: S a Q o5 c~ 5~.. Minimnm Criteria: Roof: R 38 with eoergy tnuses or R-44 with standard trussas. Rim Joist: R-19 innilation Foundation Windows: Insulated glass. I2" air spaa, waod or vioyl fiame• Entry doors: 1 3/4 inch wlid woad with storm or better STEP 1 Window & Door Area STEP 3 Daign Featura Total Window 8t Daor Area In Sq. Foet WIIdDOWS (inclnding fauadation windows): ASSEIvIDLY OPTION Dimensions Qnty. Area FRAME WALL: X 7t STANDARD FRAMING X 7( ADVANCID FRAMING X X ~ X CAVITY INSULATION X a DOORS: SEEATHIIdG: _7{ LESS'IHANR-5 ~ 7{ R-5 OR MORE X 7{ WINDOWS (except foundatioa windows): Total Area of ~n A ~ Window dt Daars 4~ U-FACTOR 3 Total Wall Aiea in Sq. FL Wall Total Paimeter Fkight Ama From the tabte, detumine the maximum perowt window 8c door ' area for the design opflaas selected and entc the value in box D belmv. Total Area n B 8 D of wall Step 2 Calculate area as a percent oC wall Box A(window 6t door area) divided by Box B(total wall azea) tima 100 aquals the window and daor area u a per«at Box C must be less thaa or equal to Box D af wall area (Box C). Box A x 100 = 4 1` q C < < ~ BoxB 60 F. 'Ibe building must not exceed the maximum window and door area as a perceatage of overall exposed wall area listod below for the combination of framing uchnique, R-value of insulation within the insulated caviry, sheathing R-value, and window U-Pector. Other componenu must mat the requiremeats of this subpart. MAXIMUM R'INDOW AND DOOR AREA AS A PERCENT OF O VERALL EXPOSED WALL CavitY Window U-Factor Framine Insulation Shrathine 0.49 036 031 0 27 Sl'ANDARD R-13 >R-7 13.40/9 17.8% 213% 24.39L STANDARD R-15 >R-S 12.90/o 17.1% ~20°~ 23.4% S7'ANDARD R-18 GR-S 11.1% 16.0% 18.8% 22.00% STANDARD R-18 >R-S 13.3% 18.6% 21.8% 233% ADVANC;ED R-18 <R-S 11.1% 17.1% 20.1% 23.40/a ADVANCED R-18 >R-S 13.5% 19.2% 22.5°h 26.1% STANDARD R-21 <R-S 11.8% 17.0'/0 19.91yo 23.1% STANDARD R-21 >R-S 14.0'/0 193% 22.5% 26.1% ADVANCED R-21 <R-5 11.80/6 18.1% 21.2'/e 24.6% ADVANCED R-21 >R-S 14.00/o 19.90/0 2310/o 26.90/o Subp. 3. Performance criteria The combined themial transmittance (U,) factors for walls, rooflccilings, and floors over unheated spaces must be less than or equal W: A. 0.110 Btu/h ft°F for walls; B. 0.026 Btu/h fl°F for roof/ceilings; and C. 0.04 Btu/h ft°F for floors. STAT AUTH: MS § 216C.19 HIST: 18 SR 2361 7670.0480 Repealad, 18 SR 2361 CITY USE ONLY L J~ BL I RECEIPT SUBD. ZZNrJ DATE: C ~ 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x y = L Hot Tub/Spa 3.00 x = Water Heater 3.00 x 31 Floor Drain 3.00 x Gas Piping Outlet " minimum - 1 3.00 x Rough Openings 1.50 x 7~- Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: l.C/ STREET ADDRESS: CITY: .(i`GID wB ~ STATE:~ ZIP: d a5 ~ PHONE#: (61,2) CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commercial/industrial buildings. ? multi-family buildings when separate permits are p~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN CITY USE ONLY L_~ BL I RECEIPT ~ SUBD. 1f1 F_' X~-Z7e2(Y oCN'G DATE:G% 1995 MECHANICAL PERMIT (RESIDENTIAL) / CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ single family dwellings ? townhomes and condos when permits are required for each unit ~ New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) - - Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 • Gas Outlets (minimum of 1 required @$3.00 each) 3 9• 00 33X ~ State Surcharge .50 TOTAL .e; ' SITE ADDRESS: OWNER NAME; Pe:;~ Ul JL 1,r.161eMl a.v PHONE INSTALLER NAME: ~ <'doVS ZEle c74- ?`e-% STREET ADDRESS: ~ o(Q il STATE:~ ZIP: CITY: if! l G10/er PW PHONE ;T?W74 _MEE CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are p~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee Q 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of pgrmit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL - - SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITfEE CITY INSPECTOR L BL 1I CITY USE ONLY RECEIPT#: M3 0 9 2 3 ~ SUBD. W-P~CYCS~ RECEIPT DATE: 3 J U O PERMIT# "4 2000 PLUMSING PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH /f TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newlrefurbished ' requires MPC lic 75.00 X = $ Septic System ahandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is underconstruction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ O-- Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 X = $ Waterturnaround 30.00 x _ $ State Surcharge 50 $ 50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I M1ave read this application, state that the information is cortect, and agree to comply wkh all applicable City of Eagan ordinances. It is the applican['s responsibiliry to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities to the factlities constructed under this permit within City property/righFOf-way/easement. SITE ADDRESS: /0? 11d&J 7 OWNER NAME: : '0i, fi~~ ~ ~'1d e '07, Q C't TELEPHONE G5-1 01f5 `lrJ 2' (AREA CODE) INSTALLER NAME: iC<a~2 Q -f - /414 . TELEPHONE fsaZ <~3 STREET ADDRESS: '2a'e7 w4`/~~/x /~!J (AREA CODE) CIn: Rq'V~~ i STATE: n. ZIP: ~ SIGNATURE OF PERMITTEE • 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 c~,.s.~A~ s 13 New Construdion Reauirements Remodel/Reoair Reamrements Ofice Use Onl'v 3 registered sAe surveys showing sq. ft. of IoL sq. ft. of house; and all mofed areas 2 copies of plan Certof Survey Reoi Y-N (20%macimumlotwverageallowed) -1 s0 atEaeRyr~Meete4additions TreePresPlanRecd _Y _N, 2 copies ot pWn showing beam & windaw sizes', poure9 (ound design, etc. ks Tree Pres Required . _Y _N 1 set of Energy CalculaUOns On-* Septic SYsiem,____Y_ N 3 copies of Tree Preservafion Plan if lot platted aRer 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -5 l ~ D l 0260 Construction Cost o2di OOU (e-) Site Address ~{a9Y LJex-lir-,JLJO E-qc, vi MN .55~~ a~ Unit/Ste # ~ Description of Work Q c. 3 e/%e -JQ~ni 5' h Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 -0_ 2 Property Owner PO „I d- S tis~ L1ti c1A ?)qa P7 h Telephone #(d~l P3 i~ 83 Contractor ~,-v /-C- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catenorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ven4lation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone Sewer/Water Contractor Telephone Q~~~ a 004 I hereby apply for a Residential Building Permit and acknowledge that the info ation is co ete and ccurate; that the work will be in conformance with the ordinances and codes of the Cit a e 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 appro/va1l of plans. n G4j ApplicanPs Printed Name ApplicanYs Signature OFFICE USE ONLY _ Sub Types ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ail • SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~Q 19 Lower Level ? 24 Storm Damage C O 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous WorkTypes F&rn; !y R~~'v~ - n0 13 cDTzoa/+'1 o,z 19 '1771 e 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buiiding` ? 43 Reroof ? 46 Windows/Doors ? 34 ReplBCement 'Demolition (Entire Bitlg) - Give PCA handout to appliwnt Valuation Occupancy 7= - 3 MCES System Census Code y 7 Zoning IZ - I_ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~Q FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests Final ~ Framing = Siding _ Stucw _ Stone _ Brick Fueplace _6 R.I. ~ AuTest X Final Windows Insulation Retaining Wall Approved By: Building Inspector - - - Base Fee ] Surcharge LL~c.?CIZ.rI'f/L° ~ r^/ ~O Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 651 693 0111 05/13/2004 0703 FAX 651 683 0111 PAUL LINOEMANN FEDERATED 16001/001 4294 Wexiord Way _ d_ d Insurance Ea0an, MN 55122 Paul ' Phone:851-683-0235 Senior . Representative Fax: 651-883-Oi 11 Memo Tw City of Eagan, Building Pemtit dept. Prom: Pau! Lindemartn CC: Date: May 13, 2004 . Rr Pem,itApplicahon Revision Shari & I would like to revise our permit appliqtion in the following ways: 1. Eliminate the "Kitchenette" provisions meaning when oui project is finished there will be no kitchen type cabinetry, no kitchen sink, no parrtry cabinet, etc.... 2. We will sGll "finish" the area meaning when we are done there will be a suspended ceiling in that area, painted walls and a tilefloor. The doset that is indicated in our original plans will continue to be installed. 3. This area will then be used as a general storage area for our chest type freezer, a second refigerator, etc_.. It will also be used as a second entry area frvm our garage steps. Feel free to call with any questions. Thanks. Paul Lindemann 0 Page 1 ~l I~~CD 2005 RESIDENTIAL BUILDING PERMIT APPLICATION lIll? -110 pC ' City Of Eagan CO.S_9_n.~ io 13-14r- 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 New Consimction Reauirements RemodeUReoair Reamrements Office lks Onlv 3 registered stle surveys showing sq ft of IW, sq, fl of house, and all roofed areas 2 copies o( plan Cert oiSurvey Recd _ Y,_N (20% maaimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plen Recd,,;; Y"_N. 2 copies of plan showing beam & window sizes, poured found design, etc i site survey for addihons & decks Tree Pres Required. L~ Y_ N isetofEnergyCalculations Adddion - iridicatedon-sdesephcsysfem Oo-SifeSeplic5'ystem '-YN 3 copies of Tree Preservation Plan rf bt platled afler 711193 Rim Joist Detatl Options selechon sheet (butldings wtlh 3 or less wtls) sp~ Date~/,:;~a CoustructionCost OD / SiteAddress Yo~% y ~7*~~~ ~Qril~h UniUSte H l,oi~ O Description of Work r, Multi-Family Bldg _ Y7,k-N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 41 hk~i Li~/1 CIQwR,ar Telephone #(6S/ ) 683 8-3 Cootractor ~-e 1 ~ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mmnesota Rules 7672 Enefgy COde Category , ReSidential Venhlation Category 1 Worksheet • New Energy Code Worksheet submissiontype) Submitted Submitted • Energy Envelope Calculahons Submitted In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) 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 : out a permit; that the work will be in accordance with the approved plan in the case of work which requir~,\rv ie \\n,d appr~ l of plans. )~a u ( L cle '-005 ApplicanYs Printed Name . Applicant's Signature %W%y ~j,J OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext Alt -Multi ? 03 01 of_plex O 49 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex x 18 Deck ? 23 Porch (screenfgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbq Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding T0 - 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code 1,14 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width V ' REQUIREDINSPECTIONS Footings (new bldg) FinaUC.O. ~c Footings (dcck) FinaUNo C.O. _ Footings (addition) T Plumbing Foundauon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final _ Framing _ Siding _ S[ucco _ Srone _ Brick _ Fircplacc _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ d.S P~ WeXT°rd' W~y 1 o{ tj E,,SA" ~'"l . ? 0 . q ~S f&~,t.-:et!.~ca"~ , -s'.~,.','i^~;'..;'%,'. _~;a : ' ~roy.r~=,°. y`~,.~;T:,,r`,•e`. `z ~a1. ' ~ z8,r.. ' . a ~ , ~ ; ~ -~~'{;;Y.'.F,, y. u.~ , i - a,, y.sN~~M1exij"~Mr X z W%5 '*3~ri~k~ ~ v~".Xa-U w.}. , ~.4aL f~~R'+: a rpz.«5~~:,,` k'•~~k:°`:"`h~t.C„µq~~,,- / ti_ . : •d• ' .V . -iS. ~~.~..r~ ~ • , . . , fv C`,J K 11a-c - l7s ~ l•(~ `o , c-=--°~-_-~ - ~ P:'; ~ ~ \ - - - • ~ i , . ~ r------~ i- i - o 0 ~ - ~ i ~ r - ~ °a". i r • _ ' • v ~ - I- 9\/ I ~ i ~ ~ I ~ r-i i?i i~i ~I ii ii- i B~RSE%NTf~ELECTRICRL PLRN ` . 't~r&~, y ~ ~ Yex,~~{.~,,~~h' •n::..,~'~v':"'•_'.y`,~~ ~',-,'~~5-~n.< xn,:.%i~r, =~.,~n. +M:, '.~eF':.a~'~*,~'?JiiY4wr.iWr.:f~PibW"v4'~~'ra-~~,43~.v£',i~he ~-~4~ a5S'w~•-~iN'Aaw~~.:i,"vi..~B':. 411' City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Used 1 Permit#: [ b430 Permit Fee: _105. RS" Date Received: Staff: V lv 5/l5liZ 2012 RESIDENTIAL BUILDINGfPERMIT APPLICATION Date: 5 Site Address: Z W ' �4 Unit #: Name: P, ell ele Address / City / Zip: 42'1` Applicant is: Owner )( Contractor Description of work: p„, /O)4 Construction Cost: Company: ►3,$00 Phon 0) 6x3''11 3 e,.4tA:s Multi -Family Building: (Yes / No '✓ ) Address: iq 3- 1 idLe4,404' Ctt Contact: waft - City: t rat,- State: 1 Zip: ,-5-3 Phone: L I Z� 2 z 3 221 7 License #: 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 Y 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.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 completed within 180 days of permit issuance. R) '3 Applicant's Printed Name x Applicant's Signature Page 1 of 3 E AGA N For Office Use :::::e : 6v ' 00 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginspections(a�cityofeagan.com Staff: Commercial Plan Submittal: eplansecitvofeacian.com L 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 2O�" Site Address: 1 Z 9� IA r j !tel/ Tenant: Suite#: Name: d �1v� .�-N I Phone: 6 12 , 7A0 — 30_5-z) Resident/Owner 74 ( (� td Address/City/Zip: �q �.�✓-e'�'W r� �/ On Name: 1 ) ,r� ; i .df 7 License#: 6031437 Contractor Address: 17. t.2 , Ec3y 7 7 City: L16-J<gr>i)k , -9 State: {2t 1"/ Zip: --C37)--C37)- y 9-Cz Phone: � 11©! 3 Contact: C �M— JI I °.— Email: ' KU L LG /Ja -T RESIDENTIAL Furnace X Air Conditioner Permit Type Air Exchanger Heat Pump Other New "(-Replacement Additional Tonal Alteration Demolition Type of Work Description of work: -TU f e6 C e ' k • g-Q pl etCem RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email I update on the City's website at www.citvofeagan.com/subscribe. 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. Kv,//A Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final