Loading...
3532 Widgeon Way CITY OF EAGAN WATER SERVICE PERMIT Pilot Knob Roud PERMII NO.: k_gon, MW 55122 DATE: Zoning: No. of Units: . Owner: - Address: . , : .,r.• • Site Address: - Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to oomPb with t6e City of Eagan Surcharge: Drdinonces. Misc. Chorges: i/ Total: gY Date Paid: Date of Insp.: I ^Sp•: C17'Y OF EAGAN SEWER SERVICE PERMIT a Pilot Knob Rood Ea9an, MN 55122 PERMIT NO.: DATE: Zoning: No. of Units: 1- Owner. Address: Site Address: Plumber. I ogree M tomply with the Crty of Eo 9an Connection Charge: < Ordinunces. Account Deposit: Permii Fee; ' BY Surchorge: Date of Insp.: Misc. Charges: Total: Insp.: Date Poid: t ~ ~ : ~ f. • ' • ~ T! - . . . • , ~~~1~,y4•,.#~rt,][~ ~:"`1~, - . INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: "I" t'', 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 51TE ADDRESS: ~ ' ~ i .~~.4i " ~ APPLICANT: 1nrF ilN t.a#Z'i 12 ) 1.11 . h(~6M ' PERMIT SUBTYPE: TYPE OF WORK: ~ r n r rr INSPECTION TYPE D • DA F ~ J L Permlt No. Permit Haider Uate Telephone A ELECTRIC PLUMBING HVAC Inspectton Data Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBQ FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL - _ _ ...,4~,~„~.... . . . . _ . .,:o~ . . . . „1, . . , . : r . . ' . CITY OF EAGAN ' d0 16842 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipl # To be used for 3-gEASOii PORCH Est. value # s9OW Date JULY 25 1989 Site Address 3332 MIDCEON IdAY OFFICE USE ONLY Lot ZS Block 1 Sec/Sub.DUCIMOW ESTAT'ES Parcel No. ocu,aancy R-3 FEES Zoning W Name ~Y ~~~T (Actuaq Const - Bidg. Permit 72,00 0 Address 3532 WIDGEON iiAY (Allo+'ablB) - Surcharge 2•50 City EAGAN Phone 721-6W r of stories - Length 10, Plan Review Za Name &AME Depth ~1 SAC, City ou¢ Addfess S.F. Total - SAC, MCWCC ~ Clty Phone S.F. Footprints - On Sile Sewage _ Water Conn ~ ~ w Name On Site Well - Water Meter _ ; Address MwcC Sys?em _ ¢ Z Accl. Deposit a W Clty PhOn@ City Wa1er - PRV Requued _ 5AN Permil 1 hereby acknowlege that I have read this application and state that the Booster Pump - S,'W Surcharge intormation is correct and agree to comply with all applicable State ot Mmnesota Statutes and City of Eagan Ordinances. ` Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: QILIRY DA=En Planner - park Ded. on the express condition that all work shall be done in accordance with all Council 2.~ applicable State ot Minnesota Statutes and City of Eagan Ordinances. g~, pH. _ Copies Building Ofticial i ~ L- Variance - TOTAL 76.50 Permit No. Permit Holder Date Telephone # WATEFi SEWER PLUMBING H.V.A.C. ELECTRIC 9ff 9,1I5 Inspeetion Dete Insp Comments footings I FoundaGon Framing Roofing Rough Plbg. Rough Htg. Isul. FirepleCe Final Htg. final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. DeCk Final Well Pr. Disp. . w cirY oF EA"N ~ 3745 Pllot Kwb Road Eagen, MN 55142 N! 5385 PHONEs 454-8100 BUILDING PERMIT Receipt # Te be uMd for Est. Value Date ~ 19 Site AdCress Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoning Parcel # Repair ? Fire Zone ` Enlorfle ? Type of Const. oWc Nome Move ? Storles ; Address Demolish p Front ft. b Phone Grade ? Depth ft. Ci cc Name Approvols Fees o v~ ~re~ Assessment Permit Ci Phone Woter 8 Sew. Surcharge Police Plan check ~W Name Fim SAC Address Eng. Wcter Conn. <W Ci Phone Planner Water Meter Council i hereby acknowledge that I have read this application and stete that gldg. Off. the information is correct ond ogree to comply with oll applicable APC Total Stote of Minnesota Statutes ond City of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: on the express conditton that oll work shall be done in accordance with oll applicoble State of Minnesoto Statutes and City of Ea9an Ordirances. Building Officiol ~ . . , • - ~ f _ . ' " . . . ' ~ Pomk # Deb IonoW hrwMtu Plumbing Mechcnicul i INSPECTIONS DATE INSP. Rouph-In Final Footings Date I D ow~*Date Irup. Foundation Plumbing Frame/ins. • ' Mechanicai Finol Remarks: CITY OF EAGAN 3795 Pilof Knob Road Eagan, Minnesota 55122 Phone: 454-8100 T7T,iTk'"3? PERMIT No. 1552 Date: 7.1/13/79 Receipt No.: 1 CjE 22 Single Site Address: Widgeon H1Zl~7 Residential Lot 2r Block i Sub/Sec. _DuC}CWOOd _ Multi Res., Comm./Ind. I Name C3ry Di3:7cE'tt New /Alter. / Repnir 3 Address 3881 CpnrOV '_Z 1 Cost of Installation O City r C'1H 5 5 0 7 5 Phone: Permit Fee 7~ Name r-' V a I"i _ 4 Surchorge . ~ Address e 0 V - City Phone: Total ' This Permit is issued on the express condition that all work shall be done in accordance with oll applicable State of Minnesota Statutes and City of Eogon Ordinances. Building Officiol • 3795 Wlot Knob Rood Eugan, AAinnesoM 55122 Phona: 454-8100 -ir( _ PERMIT No. ~ Dote: ' Receipt No.: Single I Residential Site Address; Lot Block 5ub/Sec. _ Multi Res., Comm./Ind. I , • -n- - Name New/Alter. /Repair Conrov 1'r, 3 Address Cost of Instcllation ~ •:r~.z~, IGfi 51 City Phone:' Permit Fee • 1 i ~ Name _ Surchorge t Address e s City Phone: Totul This Permit is issued on the express condition that all work siwll be done in occordante witfi all applicoble Stote of Minnesoto Statutes and City of Eagon Qrdinances. Building Officlol CASH RECEIPT ; . CITY OF EAGAN - 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RiCtIVED ~ FROM - AMOUNT $ I & DOLLARS IOo ? CASH ? CHECK FOR 'y~3~ ~ ~C~-d~-~ -Lk!• , - 99 ti ! Y r t FUNG COUB AMOUNT ~ ---i 4 Thank You ~ /BY White-Payers CaPY • Yellow-Posting Copy , : ~ ' . Pink-File Copy CITY OF EAGAN Remarks Addition DU KWOOD Lot 2S Blk 1 Parcel 21900 2§MME.,7- owner%~zif v- Street 3532 East WidQeon Way State Eal;an, MIIV 55123 Impro4ofnent Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. IDP. 4 1739.35 . _82 GRADING SAN SEW TRUNK ~ 1971 109.77 5.49 20 44.01 1 8-6-82 n n *6EWER LATERAL ~ WATERMAIN * WATER LATERAL WATER AREA 1972 jjl. $j 5.59 20 $-b-$Z *sAry-ira !r STORM SEW TRK • STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11 it BUILDING PER. ti 5AC PARK ~ ~r ~ ~ . ~ J ~ . \ ~ ~ ~ ~_y , V \ . e~ ~ - ~ . ~7f1~{ Lly~ g~~ 17c.~G~'W6oc~ o0 Th's /rp request void ~S~ 18 i~onths from `Date of this Request Fire No. T I, as O Licensed Electrical Cbntrac or Owner, do hereby request inspection of the above electri- cal wiring installed at: C r,, Street Address or Route No. J J 3 S`W t G( 4 i:;- CiL~ L&AWCity ` Section Township Radge County C ' Which is occupied by /1, S M~~~ (Name of Occu nt) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Wil] Call ? Power Supplier C_( 1 Address Electrical Contractor Contractor's License No. _ a~ (COmOany Name) Mailing Address Electrlc IiCon r} O ner Making Thls Installatlon) ' Authorized Signature r Phone No.,0- J G j (Elect al Contract"r wner Making Tnis Installation) ~`~~~[r? ~O n~~~ ~~~`1~lJ This inspection request will not be accepted by the j! State Baard unless propel inspection tee is enclosed. mmnesoca aiace eoam or ueccnciry Griggs Midway Bldg. - Room N791 EB-00001-02 1821-University Ave., St. Paul, Minn. 55104 - PFwne 297-2117 , REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST T 1.5147 Type o( Budding New Add. Rep. Check Appliances Wired For Check Equipment Wired Rpi Home ? ? Range ? Temporary Wving ? Duplex ? ? WatexHeate[ ? LightingFix[utes ? Apt. Bldg. Dryex ? Elec[cic Hea[ing ? Commeroial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. 13 ? ? A'u Conditione[ ? Bulk Milk Tank ? Fazm pLis[ Lpist Other ? ? ? Hehers~ HeheTS~ . COINPUTE INSPECTION FEE BELOW ` Seivice Enhance Size: # Fee Feeders& Subfeedets: # Fee Circuits: # Fee 0 to 300 Am s. 0 to 30 Am eres 0 to 30 Am eies r ]01 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eces Above 200_Amps. A6ove 100 Amps. Above 100 Amps. Transformers RemoteControlCirc. Partialorothertee 1 S~ ns Speciailnspection Minimumfee ~Remazks . TOTAL F Q~ I, the Electrical Inspector, hereby certify that [he above inspection has been . (Rough-in) Date (Final) ate This request void • 18 months from so Thisrequestvoid 18months(rom y1o,aD? Date of this Request 4~27-1981 Fire No. 25v71 I, as'%X Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Sueet Address or Route No. 3535 WidavBOn Wag, CityEngan_ Section Township Range County Dakot4 Which is occupied by Tollefe0n (rvame of Occupant) Is a roughin inspection required on this job? No ? Ye7U Ready Now ? Will Call FKk Power Supplier Dakotn Cty. Address Eariain9 pn Electrical Contractor O•B• `1'hompaon ElectTic C0. Contractor's License NOA40602 ' (COmpany Name) Mailing Address 12201 Mtka Blvd., Mtke. 55343 (Eiectrical Contractor or Owner Making This Installatlan) Authorized Signature Phone No. (Electrlcal Contractor or owner Making Tnis Installatlon) ~`~~`~7~~ -This inspection request will no4 he accepted by the: {'j State Baard unless praper inspectionfee is endosed.' ' minnesoia bcate ewara or tiacviaty Griggs Midway Bldg. - Room N191 EB-00001-02 --18W„University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION 25671 CHECK•SELOVWORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Applisnces Wired For Check Equipment Wired For Home a ? D Range . • V 'Iemporary W'ving ? Duplex ? El ? Water Heatec D Lighting Futures 30 Apt.Bldg. ? ? ? Dryer X32•00 ElecuicHeating ? Cqnmeicial Bldg. Fumace 722*00 Silo Unloadei ? Industrial Bldg. ? A6 Conditioner ? Bulk Milk Tank ? List ) List Fazm ? ? ? p } p Other 0 ? ~ Heheis) D:L&;jP0Djuh-*3M4000- Neheis~ COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Fceders& Subfeeders: u Fee Cucuits: # Ece 0 to 100 Am s. 0 l0 30 Am eres 0 to 30 Am eres 12 24, ]01to 200 Amp . Amp . 0*31 to 100 Ampetes 31 to 100 Am res Abov ° s. Above 100 Amps. Above ]00 Am s. Tran ' sRemoreControl Circ. Partial or othe[ fee 050 Signs Speciai Ins ection Minimum fee SS Remarks Jeff D. TOTALFEE .d 46. 50 I, the Electrical Inspector, hereby ce~'Q§~hat } ov~inspection has been ma . (Rough-in) ~?~`~y~ Date , ] • ik- (Final) Date ~ This iequest void . 18 months from This request void F r% ? 18 months from Date of this Request 3-30-.1981 P'ire No. T 25591 1, as EXLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3535 Widaeon ;'Pav City?~ Section Township Range County Dakota Which is occupied by Tollefson (Name of Occupanq Is aroughin inspec[ion required on this job? No ? Yes U Ready Nowtl Will Call ? Power Supplier Dakota Ct,y. Address Farmington Electrical Contractor_Q.B. Thc.mnson Electric Co. Contractor's License NoA40602 12201 Mi`ka v~a., Mtka 55343 Mailing Address omp y me) j Tlectrical Contractor orOwner Maklnp Tnis Installatlon) Authorized Signature t•~' 1 6%''~ /Phone AFo (Electrlczl ConFrdctor or Owner Making This Installatlon) This inspectian request will not 6e accepted by ffie ' State 8oard unless proper inspection fee is enclosed. Minnesota State BoaM of Electricity Griggs Midway Bldg. - Noom N791 EB-00001-02 j~ 7.8?; University Ave., St. Paul, Minn. 55104 - phane 297-2111 REaUEST CHECK BELOIV WORKOCO ERED BY'THIS REQUEST INSPECTION ~T 25591 Type of BuOding New Add. Rep. Ch¢ck Appliances Wired Foi - Check Fquipment W'ved Foc Home )Z 11 D Range ? Tempocary Wiring ? Duplex ? ? ? WaterHexter ? LightingFixmres ? Apt, Bldg. Dryer ? Electric Heating ? Commercial Bldg. ? Fumace 0 S8o Unloader ? Industrial Bldg. Ai[ Conditioner ? Bulk Milk Tank ? List List Farm ? ? ? Other ~ ? Pehersl Rehe:s~ COMPUTE INSPECTION FEE BELOW Temaorary Servic e ServiceEntruiceSize: u, Fce FcedersdSubfeeders: ~ Fee C'ucuits: # Fce '.0 to 100 Am s. Q. D l0 30 Am eres 0 ro 30 Am eres 101 to 200 Amps, 31 to 100 Amperes 31 l0 100 Am eres AboYe 200 Amps. Above 100 Amps. Above 100 Amps. Tcansformei - moteControlCirc. Paztialorotherfee Sigqs 'ECiallnspection Minimumf F Remaiks Jeff TOTAL F E 8• 50 I, the Electrical Inspector, hereby certify t v' 'on been ma e. (Rough-in) te (Final) o -4 %-,A This request void 18 months from cIrr oF en"N + 3795 Pilot Kneb Road Eagan, MN 55122 N2 5385 ~ PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # F-3~ To be uwd for SF Dwlg & G3Yage Est. Volue 60,000. pete 8-31 1979 Sita Address 3532 E. Widqeon Wav E,ect Xpg acupa„cy R3 Lot 25 Block 1 Sec/Sub. Duckvx)od Alter ? Zoning Rl Parcel 10 21900 250 Ol Repoir ? Fire Zone 3 Enlarge ? Type of Const. V Gaxy Daggett Move p # Stories W ndaren 3881 COnrcy Trazl Demolish ? Front 62 ft. ~ Ci IGH 55075 Phone 455-3730 Grade ? Depth 50 ft. p Name waoonia Hanes APMo,raIt Fees o~ Address Assessment Permit 154.50 u~ Cit W3COT].l.d 55387phone 469-2196 Water & Sew. Surcharge 30.00 Palice Plancheck 77.25 PW Name Fire SAC 525.00 Address Eng. Water Conn. 270-00 <W Ci Phone Planner Woter Meter 60.00 Council I hereby ackrwwledge that I hove read this application and state that gldg. Off. the information is correct or~d agree to mmply with oll opplico le 1116.75 State of Minnewta Stotutes Ciof Eo9an inances APC Total , Signoture of Permittee ' ' f A Building Permit is issued *o• G41Y D gget't on tha express corulition thot oll work shall ba done in occorda th oll app'cab"I Stote of Minnewta Statutes and City of Eagan Ordinances. Building Official "e'~~- ~f7 1~1 . Dnt~ i ~m' CITSt CF FAGAN ftYt~~Include 2 sets of plans, • 1 site plan w/elevations & ~ BUILDING PEId4I'P APPLICATION 1 set of energy calculations. Valuation Date 1~3d~7 `f 1b Be Used Eor site Address ( l CFFICE usE oNLY Lot _g~C8lock Sec.isub. ~t Occupancy 4~3T-~- Parcel /D )1400 D I A1teY Zoning N/ ~P~r Fire Zone Owner: Cr{ 1 L Y ~ ~r~T- . ~~~I~rv =rr Enlar3e _ Type of Const. Address: ~g ~i l ((mJ1(Z(}~ N<lCl M°`re # Stnries Deoolish Fzvnt City/Zip Code: J K& 6 fs•,Y'11V 73-rade DePth Sn ft. Pnone 3 -7 3 u o w.K. OL4 `Pw, APPRC7VALS Contractor: V'i/A C. d111 ) A 1`l CW E S Assessnents Pennit iaater/Sewer Surcharqe 3 6 " Address: Pekce Plan Check 7;w- city/ziP coae: L - V.~ ~ r~~ N 553 5~7 Fire spc a7~ Phore # : ~-I 6 ri - al `'f 6 wates Conn. Plarueer Water Meter !00 Council Road Uni.t A/,9 Bldg. Off. Address: APC City/Zip Code: 1 ~ ~~c • 7~ PYmne Tam ~ CITY OF EAGAN N0 16842 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt p y~ &5 To be used for 3-SEASON PORCH Est. Value $5,000 Date .TULY 25 ,19-89-- Stte AddfeSS 3532 WIDGEON WAY OFFICE USE ONLY Lot ZS Block 1 Sec/Sub.DUCKWO0D ESTATES Parcel No. occupancy R-3 FEES Zoning W Name GARY DAGGETT lACtuaq Const - Bldg. Permit 72.00 3 Addfess 3532 WIDGEON WAY (Allowable) _ ~ Clt EAGAN PhOnB 721-6668 NotStories _ Surcharge 2.50 Y Length lQ, Plan Review F Name 5AME Deplh 1~ ~ SAQ City ~a Address S.F.TOIaI - SAC,MCWCC ~ City Phone S.F. Foolprints - On Site Sewage _ Water Conn ~ $ W Name On Sile Well - Water Meter i' AddfBSS MWCCSystem _ a W City Phone ciry water _ ~ci. oeposa PRV Required _ S/VJ Permit I hereby acknowlege ihat I have read Ihis application and state that the 8ooster Pump - SMl Suroharga information is correct and agree to comply with all applicable State of Minnesota Slatules and City ol, xXodinances. Treatment PI Signalure of Permitee 11 'u*~+ ~ APPROVALS Road Unit A 8uilding Parmft is issued to: - Y DAdVTT Planner - park Ded. on the express condilion tha[ all work shall he done in accordance wilh all Courxil applicable State of Mi nesola S~tajtutes and Ciryof agan Ordinances. Bidg. Oft Copies 2.00 Builtling Official -kI A Il t~ I 11I Variance - 70TAL 76.50 ~Y/ff9 c' ~11c~ E '95958,~~5 Haquest Date ne No. flough-in Inspeciion Requlretl7 ? ReaGy Now ? Will Notiry Inspecfor ? Ves ? No When fleeCYT 10 licensed contractor ? owner hereby request inspection ot above alectncal work at: Job Pdtlress (SVeet, Boz or Route Na.) Ciry 35 3.~- G+~are wAY CA cli Seclion No. Township Name w No. Range No. Cuumy OccUpaM (PflINT) Phone No. GAY" bAGGEi T /0_..6 PowerSupplier Atltlress Eleclricel ConM1actor (COmpany Name) COntrecrot5 Litene¢ No. Meilirg AEtlress (Contraclor or Owner Making Instelletion) Authwrzetl Signewra ( cta/Oaner Mekiig I siallaGOn) Phone NumEer c~'- MINNESOTA STATE BOpRD OF CTpIC17V iHLS INSPECTION flEOUEST WILL NOT Grigga-MiGway BIEg. - R 173 BE ACCEPrED BV THE STATE BOARD 1821 Univeniry Ava., St. Peu , MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (812) 842~ ENCLOSED. 7~5 g'O~ REQUEST FOR ELECTRICAL INSPECTION eevoo^o, 07 / ? See in3lrucYions for complaung Ihis torm on back ol yelbw copy. ~'.9,5 9 5 g_ •9C Below Work Covered by This Request ew Add Rep. TypeofBuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatlng Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farrn Air CondRioner Olhar (speCily) ConM1ector9 RemaMS: Compute lnspection Fee Below: ~ SE^JOY\J r ,nvAL;H # Other Fee # Service EnlranceSize Fee # CircuRSJFceders Fee Swimming Pool 0 to 200 Amps 0 to 106A mps Transformers Above 200 _ Amps A6ove too _ Amps Signs irepecrors use oniy: TOTAL Sti Irtigation eooms pC =;Fe Speclal Inspection AIarMCommunication Other Fee I, the Electrical Inspector, hereby ROUghin oe~e ysy -a / certify that the above inspection has oeAe been made. OFFlCE USE ONLY ihis request wid 18 momhs irom This reAuye~ void 18 months from 'R 5316 v Date of this Request / G' - 7!' ' I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: k 2 S I C~~> G Street Address or Route Sec[ion Township Range County Q.~Z__1 1Yhich is occupied by (Name of OtcuO t) Ia a roughin inspection required on this job? No ? Yes O Ready Now ? Will Call Suppliepl~l Addtai J~ v G a =SL Electrical Contractol-G-~~ Contractor's License No. _ (COmpanyName) Mailing Address,-_7 /(Elettrital Co ractor r Ow Making Thls Installatlan) d Authorized Signature ^ Phone Ne~~~~ 6 (Electrical Cont ctor or OwneP Ing Thls lnstallatlon) n (o'~ ~ ~J This inspection request will not he accepted by the ZV~'~1VE LJ~ ~tn! ~ OJ~~(~~ u State Board unless pmpar inspection fee is enclosed. Minnesota State Board of Electricity ~ 1954 W'iversity Ave., St. Paul, Minn. 55104-Phone 645-7703 /lO ~7-3 ~ REQUEST FOR ELECTRICAL INSPECTION R 5316 CHECK BELOW WOItK COVERED BY THIS REQUEST Type of Boilding New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For Home ' ? ? Range ? Temporary Wiring ? Dupkx Water Heater Lighting Firztuies ? ApL Bldg. ? Dr Electric Heating ? Commercial Bldg. 0 ? ? Fu ? Silo Unloader ? Industrial Bldg. A"u ndi Bulk Milk Tank ? Lis Lis[ Farm ? ? ? p p Other ? ? ? HeheIg~ Hehels~ COMPUTE INSPECTION FEE BELOW Seivice EnhanceSize: x Fee Feedels&Su6teeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps.' 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above ]00 Ampa Above 100 Amps. 'transformers RemoteContiolCirc. Partialocotherfee ~ Signs Special lns ection Minimum fee $5.00 Remarkst-, 7~ TOTAL FEE ~ I, the Electrical Insp ctor, here6y certify that the above inspection has been ade. Q I~pO (Rough-in) / r Date (Final) Q<,/f/c.o Date ~e ~V_ - This request void 18 months from t__ 5{eQUest void 18 months from /~y ! I c q Datv.,. chis Request 9 S 26781 1, as O Licensed Electrical Contractor R Owner, do hereby request inspection of the above electri- cal wiring installed at: SUeet Address or Route Ne..~S" City& Section Townshi Range County lVhich is occupied / (Na e Occupant) Is a roughin inspection required on this job? No ? Yes ~ Ready Now ? Will Call ~ Power Supplodg~e,~~ G~Address,7Y Electrical Contracto~t-~~. Contractor's License No. _ / (COmoany Name) Mailing Addres (Electrical C ntract -or Ow~p aking TMs Installation) Authorized Signature ~Phone No. ~"3?S'Cr (EiectrVCai Con ctor or Own M inq ThIs Installatlon) S~ATE ~~ARD COPY This impection request will not be aaepted by the State Boerd unless proper inspection fee is endosad. Minnesota State Board of Electticity 1954,University Ave., St. Paul, Minn. 55104-Phone 645•7703 ~P REQUEST FOR ELECTRICAL INSPECTION - CH'~CK BELOW WORK COVERED BY THIS REQUEST s Type ot Buitding New Add. Rep. Check Appliances Wired Foi Check Equipment WQed For Home ~ ? ? Range iff Temporary W'ving ? Duplex Watec HeAWL ? Lighting Fixtures ? Apt. Bldg. Dryer ? Electric Heating ? Commercial Bidg. 0 Fuma Silo UNoade[ ? Industrial Bldg. A"u Co i4on Bulk Milk Tank ? Facm ' ? ? ? pList }1 pList Other- ? ? ? Heiee~sl Hehte~s~ COMPU E INSPECTION FEE BELOW Service Envance Size: # Fee Feeders@Subicedezs: # Fee C'vwits: u Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am res l 101 to 200 Amps. 4...1 31 to ] 00 Ampeies 31 to 100 Am eres v Above 200 Amps. Above 100 Amps. Above 100 Amps. Tcansfocmers Remote Control C'vc. Pattial or othec fee !l Signs Special Ins ection Minimum fee 55.00 > fe~ Remaiks . TOTAL FEE I, the Electrical Ins ctor, hereb c r pe y tfj; tha A v'~tion has b~+ ~adS ~J .a (Rough•in) Date /j- a~ (Final) /,AaPtM Date This request void 18 months from ' . ~ • _ f'~ . ` s W > ~ r• / l ~'TJ ( i~~~` - T aho ` A . , . . . . . ; (n . ~ ~ N~. i 01PL ` - ~ . ' . ` , . . , r.:r. rv c,F r.-_Ac,AN CASNIE:Rc JS TF.RMI'rlAl.. NOe FJlS Dp((E;; 08l17/99 TIi1E: 0:33:3i' ?r~ . NAr~E,, tRcs 3210 9001 35;i? W:f.DGF:CIN WA 13`3.2.°i 2155 °UDJ. 3532 Wl.l?GEOiJ W(-t 3.50 ~ I~ Y Toka:L ficc,=ipt Flrctntan+,~ l4•r'_.75 CRH'c',:i6c t151;:R .T.Da ,7AN 969d~F~Fikk<YF>k%kYFYF~fX?~?k~k:~t>k7k?F~.YF$oK%YX<>k'MS,kM'x, ?F1X'~r'.&Yi'M7K1X 1999 BUILQING PEttMIT APPLICATION (RESIDEN7lAL) 3830 PIL T KN B RD - 55122 I 657-687-4675 c' New ConshuetiQn Reaulremenh RemodeVReoalr Reaul7Lmenh D 3 registered sNe surveya abowing sq. X. of loi, sq. tt. of house 2 coples of plan and pJl roafed areaa (20% maximum loi covewae allowed) 1 set of energy calculqlions for healed addXlons D 2 copies ot plans (show beam a window s@es; poured fnd. design; afc.) 7 sMe suney tor exteriw oddiHons 3 decks ? 1 set W energy calculaHona ? S copies of hee preservaNon plan H bl plalled aHer 7/1 /93 ~ / CONSTRUCTION COST: DATE: DESCRIPTION OF WORK: ~e /-C) d r 0 ~ r STREET ADDRESS: ~ S 3 a' ~li ic?, ~ o.~ ~-V aY LOT: a4S BLOCK: ~ SUBD./P.I.D.#: 1 11,L A WMd Names - L.al Q-?~~ Phone#: 0~ ~ PROP ERTY " 00st Fasi OWNER -Sfreet Address• ~3 5 ~°z ~•i oti ~/c• CHy State: /te Vl Zip: ~ Company: re Phone (area code) CONTRACTOR a SheetAddreu• ~/a 0 Ph lJcenseltoI av 9Y3 Exp, Ciiy State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheel Address: RegistraNon N: City State: Zip: Sewer i wafer Iicensed plumber (reaulred for new conshuetion onlvl: penoly applies when address change and lot ehange is requested once permlF Is issued. ~ I hereby acknowledge that I have read fhts applfcaHon, stote ihat the InformaHon is correet and agree fo comply wNh all applicabl State ot MinnesWa Statufes and CHy of Eagan Ordinances. ~ • Slgnature of Applican • OFFICE USE O LY Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition t] 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handaut to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of 5tories sq. ft. MGES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies r Total: SAC Units % SAC I RrCEIVED 52C 1 i9E1 . . . 'r ('hVIiNAWi'!: APID I!7!.'Ji9tl("I'Tftt7t: Y.N0:4 ALL MTN IIY T11ESE PRCSGNTS, that the undersigned, Edward E. Parranto and Valentine Parranto, hushan3 and wife, of the County of Ramsey, State of_Afinnesota, Robert H. Karatz and Naomi Raratz, husband and wife, of the County of Maricopa, State of Arizona, and Kenneth nppelhaum and Sally Anpelbaum, husband and wife, of the Connty of liennepin, State of Alinnesota, being all of the fee owners of the followinq described lands situated in the County of Dakota and State of Minnesota, to-wit: 'LOts 1., 3, 4, 5, 7, A, 10,11, 12, 13, 15, 16, -`27,-38, 19, 20, 21, 24 „ 25,7.9, 30, 31, 32, 35., . 39. 40. 91.,437 43. 44, 45: 98. 49, 50, 52, all in Slock l;,and Lots 1, 2, 3, 5, 6, 7, 8,9, 10, - 11,`12,-13,"14, IIlock 2; all inDUCkwood Estates, according to the recorded plat thereof, sometimes : hereinafter referred to as "the land", do hereby set out the following covenants and restrictions, which - shall run with the land and bind the parties hereto, their respective heirs, reoresentatives and assigns, and all subsequent pnrchasers of the land or any part thereof, and their heirs,representatives, suc- . cessors and assigns, to-wit: . , 1. These covenants and restrictions are to run with the . land and shall be binding upon all parties and all persons claiming ' through or under the undersigned £or a period of thirty (30) years from the date hereo£, after which time said aovenants and restrictions , shall automatically extend for successive periods_oE ten (10) years each unless an instrument signed hy the majority o£ the then owners " - of the above described lots has been recor$3ed, agreeing to change such covenants and restrictions, in whole or in part., . ' 2. No lot shall be used except for residential purposes. ' ilo huilding shall be erected, altered, placed orpermitted to remain on any lot other than one detached sinqle-family dwelling not to ex- ceed three stories in height and a private garage £or not more than . three (3) cars. . . r ~ . . . . 3. The size of any dwelling, exclusive of one-story open porches and qarages, shall be: (a) in the case of a single floor structure, not less than 1,200 square feet in area on the main floor; or, (b) in the case of a split-level structure, not less than 1,200 square feet in area on the floor directly under the roof; or (c) in the case of story acd-a-half structure, not less than 900 sgvare feet on the ground floor, and a total on the main floor and second floor of not less than 1,300 snuare £eet; or (d) in the case of a two story ' - structure, not less than 750 square feet on the ground floor and a 'total on the ground floor an3 second floor of not less than 1,400 square feet; or (e) in the case of a solit-entry structure, not less than - 1,200 square feet in area on the.upper ievel~ but a 258 credit vill be qiven for finished area of lower level which is 50% exposed over fin- ishe3 grade. TIO structure shall have a side exposure more than thzee , storios in height from ground to eave line, considering as a story, an . exposed walk-out basement. 4. No dwelling shall he constructed or maintained on the . . above described property without a garage. The garage may be either ' a separate structure from the house or attached. If an attached or a basement garage is utilized, then the overall length of the dwelling . -structure, exclusive of eaves or open porches, shall not 6e less than . , forty (40) feet. All garages shall harmonize with the hovse as to de- . . sign, naterials and finished floor elevations. 5. F.asenents for installation and maintenance o£ utilities and drainaae facilities are reserved as shown on the recorded plat. - S•7ithin these easements, no structure, planting or other material shall he olaced or he permitted to remain which nay damage or interfere with the installation and maintenance oP utilities, or which nay chanae the direction of the flow of the drainaoe channels in the easements, or _1_ "wliich mny obstruct or retnrd thr. Ilow of watcr throuryh !lruinaye chan- ~~r•1:: in Phn Thn nnr:r.m~nt nrrn nf nnnh lm' nrvl .i17 imprnve,- . nents in it shall be maintained continously by the owner of the lot, except for those improvements for which a public authority or utility _ comPany is responsible. Lots which hordrr on wet lands (LOts 24, 25, , 20, 30, el, 92, 43, 45 and 50, all in Block 1) wi11 not 6e cut or Pilled within the easement area bordering the wet land, as shown on th, recorded plat. 6. No noxious or offensive activity shall he carried on upon any lot, nor shall anything he done thereon which may be or may - become an annoyance or nuisance to the neiqhborhood. _ 7. No structure of a temporary character, trailer, base- ,ment, tent, shack, garage, barn or other outbuilding shall be used on any lot at any timc as a residence either temporarily or permanentl} ' 6. Vo sign of any kind shall be displayed to the public . , view on any lot except one pro£essional sign of not nore than four square feet, one sign of not more than eighty square feet advertising the property for sale or rent, or signs used by a builder to advertise " the property during the construction and sales period. - _ - . - -9.-"NO animals,-livestock., or ooultry of any kind shall - be raised, bred or Y.ept on any lot, exceot that dogs, cats and other household pets may be kept, provided that they are not keot, bred or maintained for any commercial purposes. 30. No lot shall be used or maintained as a dumoing ground . for ruhhish, trash, garhage or other waste, and any such materials may be kept on the premises only in sanitary containers. All incinerators or othez equipment for the storage or disposal of such material shall - be kept in a clean and sanitary condition. 3 11. The exterior of all structures shall be finished in wood, stucco, brick, stone or other approved exterior hard materials. - 12. TIO £illing or sterzqe of refuse, discar.?ed materials, ~ junk or other obnoxious matter shall be permitted npon said premises, - except within the house or garage. No storage of commercial, struct- . tural or business equipment or materials shall be permitted upon the premises, except within the house or garage. No parking or storage . of connercial vehicles shall be permitted upon the land, except for the making of usual and customary deliveries to and from the premises, and except that each owner may park one (1) commercial vehicle owned . hy him and not exceeding one (1) ton upon his lot at any time. Pri- - _vate vehicles upon the land shall be kept within a garage accomodating ; normal passenger-size vehicles. 13. No fence in excess of a height of six (6)feet shall be permitted upon the land or any part thereof, and all fences constructec . . , thereon must be of new material in metal mesh, wood oz metal picYet or . ranch type wood construction. All such fences shall at all tines be . properly painted, stained or lacquered, and sha11 be maintained in a . neat appearing condition. • 14. F.nforcenent shall be by proceedinqs at law or in equii~ , against any nerson or persons, violating or attemoting to violate any _ . covenant or restriction contained herein, which proceeding may be eitlia . to restrain violation hereof or to recover damages for such violation. - 15, Invalidation of any one of these covenants and re- strietions by judgment or covrt order shall not affect any of the othet. . . provisions hereof, which other provisions shall remain in Full force and efEect. IN TESTIM0*7Y lJl1EREOF, the undersigned have hereunto set their hands this day of~', 1979. ' / _ z _ . t ~ U ~ ~Q vvlR.l ~~d~ V' E~z.v11 ~5r ~mJ sTANb~nO 36 ' SEi )3zle,K, t-- Uv1L,~ ~DC) tin"~" f3~s 1 1 U CIT`'l qnLL. aI -7 ~ { ~ ~ , 1969 BIIILDIRG PEBMSIT lPPLICliIOH CTTY OF i4 I E q SINGLE F6MILY DiiELLIPGS !lULTIPLE DWELLINGS COMlERCIAL 2 SLT3 OF PLISiS 2 3fiT3 OF PLAN3 2 3ETS OF LRCHIS£CTURAL 3 HEGISTERED 3TTE 30RPEYS HEGISTfiAED 3ITE SDRVES3 - 3 ST90CTORIL PLANS 1 SET OF ENERGi CALCS. (CHEL'R iTITH BLDC DIV.) 1 SET OF $PECIFICATIONS 1 3Ef OF E9SRG2 CALC3. 1 SET OF EBEHGS CAl.C3. MZULTIPLE DWEI.LINGS AENT9L DNITS POH 3LLE DHITS / OF DHIT3 iOTEt LDDRF33E5 F08 COANER LO?3 - COATRiCPOA/HOMEOWNEA MST DLSIGNIiE iiHICH iDDRE45 IS DESIRED. PO C9INOFS AILL BE lLLORED ONCE 80 II.DING PEAHIT I3 ISSDED.. SEWER 8 N?TEA PERMIT FEES l1iD ?CCOUNT DEP03IT FBffi flII.L 88 I1ICLODSD YITH THE BDILDINQ PERHIT FEE. PAOCESSIHG TIl+M FOR SEiiER E1PD YATER PEIaiIlS IS THO DAYS ONCE 1 PERFIIT HA3 BEEN Wl9PLETED INDICITING A LICENSED PL9lIDER. PENALTY APPLIES WfiEHa PERMIT IS NOT PAID FOA IN 5@ME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT I5 ISSUED. To Be Used For:3--S~~N RW-H Valuation: Date: 3o~l~j' 'z3Ll°i~~{ 33te Address .333;?- \nnj)&V"' tAffiy OFFICE OSfi OALT Lot aS Blxk ~ Occupancy FEES 2oning Parcel/Sub D uLK woop E57'A7~~ Aetual Const Hldg. Permit ,[30 Allowable Surcharge , ,~_.57J Owner ~T~~y ~'ACrG~i~' 1 of stories Plan Aeview Length Ic"MI' 5AC. City Address W llp 4LtpV Wo Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EAGii~ MN SS1D.3 Footprint S.F. iiater Meter Aeet. Deposit Phone 72 1-~ 1 d-6VA6 On aite aewage 3/il Permit On siLe well S/H Surcharge Contractor SE L'F !liiCC 3yatem _ Treatment Pl. City vater _ Road IInit Address PR9 required _ Perk Ded. Booster Punp _ Copies . 0 0 City/Zip Code gUBTOTkL kPPROVALS Penalty Phone Planner tOSdL Couneil Arch.lEngr. Bldg. OfP. Variance Address City/Zip Code Yhone f Y w L-V V, L ~ ~ R Ay 4~~~~ 1- . ~ , r . . . . . ` - . tz-) i E4~~o3 a ~ 7~ sE*T A U ~ ~ ~ - . ~ . . , J 0 ~ • ' . O 1 ,t C~ . . " . V~~ ~ . . . SJaJtJ ~ti,' . . : ~ . . . ..r~y,1Y-..:.. ~ i ~ czTV flr- FAcAN CASHIFke S TI=RMLNAI... NQ: :35 1?A7E: 0503/37 T.T.Mt=:: 14:02:33 ID, NAMEa GARY G DAGGET7 i 3210 9001 3532 WIDGFOIQ WA 74.75 205 9001 9532 WIDGFON 14Ft 9..50 ~ ~ J Tokal Receipt Amaun+„ 76.25 Cfi0i36i i tJSFR IUe NAtVCY - PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 9 5 6 (612) 681-4675 Date Issued: 0 5/ 12 / g 7 SITE ADDRESS: 3532 WIOGEON WAY . LOT: 25 BLOCK: 1 DUCKW00? ESTATES P.I.N.: 10-21900-250-01 DESCRIPTION: (ROOFZNG) Build'ing~,Permit 7ype SF (MISCo) "~Ruildinq LJb,~k Type REPAIR ''Census Cbd2` 434 ALT. RESTDENTIAL ~ { i s~.,.. _ -``if~~fa y ~ 5 6 s...i _A REMARKS: - . • ' , . FEE SUMMARY: VALUflTION $3,000 Base (=ee $74.75 Surcharge _ $1.50 Total Fee $76.25 \ CONTRACTOR: OWNER: - Applicant - DAGGETT GARY ~ 3532 WIDGEpN WAY ? EAGAN MN 55123 . (612)721-6668 I heretry acknawledge fhat I have rimd'this apGlicatian arid state that the infiormation is e4rrect and agree to comply-uith a1l appliaable StaEe a€ Mn. Statutes and City af Eaqan Ordinances. Y Aaia APPLIC NTlPER EE SIGNATUR ISSUED B: SI ATU E ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeUReoair Reauiroments ? 3 registered site surveys ? 2 capies M pWn • 2 copies oi plans (indude beam 8 win0ow sizes; poured fid. design; etcJ ? 2 site surveya (exterior eddiGons 8 decka) • 1 energy calwletions ? 1 eneigy calwlaHons for heated additions ? 3 apies of tree preservation plen if lot platted efter 711/93 repulretl: _ Yes _ No ' DATE: S a' CONSTRUCTION COST: DESCRIPTION OF WORK: 1~ STREETADDRESS: J)Qllm~ LOT _;T5- BLOCK SUBD.lP.I.D. PROPERTY Name: Phone owNeR Street Address: 353~l- W 1~'~~ UJ~ City: OACs14°j State: Zip: CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHRECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the infortnation is correct and agree to compty wkh 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 OFFICE USE ONLY g`° • ~ . },~y4i `~L;~ ~.4V Ya.~ M 1.~0.~u BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish n 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous ~05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE n 31 New ,,f ~-33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zonin9 sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code C l, Census Bldg ~ APPROVALS Census Unit ~ Planning Building ~ Engineering Variance ~ Permit Fee Valuation: $ Surcharge ' Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 41,11 City of Eapn 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: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: COh[Y ,0.�,7tTP- Phone: a'— $/ Address / City / Zip: 333 4.)1,17e0,A) 4.4)/- Applicant is: Owner .� Contractor / Unit #: Description of work: A" o e ©,' Construction Cost: 9.0<>, Multi -Family Building: (Yes Company: /4:76-4/0 /I. vi Loh S Contact: C/4 Address: /O? 6car rociur!L jW�.JS v"'!/ -'C /No)< ) State: /w/J Zip: 5-5:3-3 Phone: 6/7-7/9--os/� License #: // G 6 Y5 io r Lead Certificate #: If the project is exempt from lead certification please ex lain why: (see Page 3 for additional information) L4( I 17 7 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 V 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 is ance4t»(G,"z e/ x x Applicant's Printed Name Applicant's Si Page 1 of 3