1813 Turquoise TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA112319
Date Issued:08/07/2013
Permit Category:ePermit
Site Address: 1813 Turquoise Tr
Lot:4 Block: 1 Addition: Cedar Grove 5th
PID:10-16704-01-040
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 -
David G Ashfeld
1813 Turquoise Tr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
. • -~Ir.:. v+~~ !n.Y_ ~ . . . . . . - . . . . . . . , _ . . . . . . . .-r .
CITY OF EAGAN 73
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # - 1 14 3-I 1
To be use r RERMF Est. Value ;i' 700 Date JULY 10 19 41
Site ~ddress 1813 'itlM1SS '1'RJI1L
LOt _4 BIoCk _I SeGSUb. G~e STg OFFICE USE ONLY
Parcel No. occupancy - FeEs
Zoning
~ Name DAVZ bM ASRMW (Actual) Const _ Bldg. Permit f 39.00
o Address s~ (Albwable) - Surcharge i'~
City Phone ~~38 8 +r of stories -
Length _ Plan Review
=o Name G6Ii8'8 N0~lS CAlE & BSlA1R8 pepth _ SAC,City
a -
U Address _2017 lL1N'[ L11 S.F. rotai snc, Mcwcc
~ City EAGAN Phone 454-3402 S.F. Footprints -
F On Site Sewage _ Water Conn
W W Name On Sile Well - Water Meter
u ; Address MWCC System _
a W City Phone Ciry Water _ Acct. Deposit
PAV Required - SIW Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
infoRnation is correct and agree to com with all applicable State of
Minnesota Statutes and Ciry of Eagan in ces. Treatment PI
Signature of Permitee 11 APPROVALS Road Unit
A 8uilding Permit is issued to: ~Nit Pianner - Park Ded.
on the express condition that all work shall be done in axordance with all Council
applicable State of Minnesota Ze s and City of Eagan Ordinances. gldg. Off. _ Copies
Bu'tlding Offici2l Variance - TOTRL
S
Permlt No. Permfl Holder Date Telephone #
WATER
i
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
FooGngs I
Foundation .
Framing
Rooling G 09110
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
81dg. Final
Dedc Ftg,
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN Remarks * CC[klx' Gx'OV@ ACQUi9itiori
Addition CED" GROVE #g Lot 4 Blk 1 Parwl 1n 16704 040 Ol
owner rt-11"' h Street 1813 Tux'quoise Trafl State Eagatti, MN 55122
fe,U
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1967 100.00 20 Paid
SEWERLATERAL 1967 483.75 20 Pdl
WATERMAIN
* WATERLATERAL 1972 607.00 24.28 25 Pai
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 452 4-25-67
PARK
EAGAN TOWNSHIP
N° 1470
BUILDING PERMIT
Ownex :"r1.....~........42.:.........."_.... - Ea9an Township .
/
Address (presenl) .,,N:a..:__..lf'!._'....(I./.4t' Town~Hall
Buildei
. ..Addrass . , . ~ ~ . ~ Da1e ~W~~G._----......._........
.
DESCAIPTION ~
~ Siories To' Be Used Foz - -I Fron! Depfh Heigh! Esf. Cosf Pe~rm~i! Fee Remarks
. . . ~ _ ~ . .
~v
. . ~ . ~ LOCATION . ~
Sfreef, Road or oiher Desc:iption of LocaSion Lot Elock ' Addifion or Tracf
~ I------------------
. ~ Fhis permii does noi auihocize the use of sfreets, roads, elleys or sidewalks aor does it give the owner or his agenY
. the righ! !o ereate aap siiuafion which is a auisance or whieh presents a hazard fo the ~health, safetp, convenienee and
general welfare !o anpone in !he cammunify. ~ .
THIS PERI+IIT MUST BE KEPT ON_ TH£ PAE,M/ISE WHILE TH£ WORK IS IN PAOGAE55.
This.is fo eerlifp, lhat_. ..n_...~•.>.._Cc!_:_has permission fo erecl. ~L... ~:S uPan
~ the ebove dcacribed premise subject io the provisions of the Building Ordinance for Eegan . wnship adopll~d April 11,
. . 1955,
'
J ~Ce> <
~ ....~W.. Per
i,........---°--..
_ Chairman of Tnwn Board Building -Inspeefor
c ~ ,C3.
CITY OF EAGAN N~ 19383
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
BUILDING PERMIT PHONE: 454-8100 Receipt # L-' I 4 .3 -1
1
7o be used tor REROOF Est. Vaiue $1, 700 Dale JULY 10 19 91
Site Address 1813 TUROUOISE TRAIL
Lot 4- Block 1 SeGSub. CGEDAR GROVE STH OFFICE USE ONLV
P8fC81 r10. Occupancy _ FEES
Zoning
w Name DAVE & EVE ASHFELD (ACtuapConst _ eldg.Permil $39.00
0 Address SAME (alowable) - Surcharge 1.00
City Phone 454-3898 x ar smries _
Length _ Plan Review
;i:o Name GENE`S HOME CARE & REPAIRS DeDN - SAQCity
Address 2017 FLINT LN s.F.iotai
v~ 454-3402 S.F. Footprinls SnC, n~CwCC
City EAGAN Phone -
On Site Sewage _ Water Conn
r~
W w Name On Site Well - Water Meter
x, 03 Address MWCCSystem _
aW Ciry Phone City Water - Acct. Deposit
PRV ReQUiretl _ SiW Pertnit
I hereby acknowlege that I have read ihis applicalion and slate that the Boosrer Pump - SM/ Surcharge
information is corcect and agree to com with all applicable State of
Minnesota Statutes and Ciry ot Eagan rdi ces. Treatment PI
Signature oi Permitee I APPpOVALs Road Unit
A euildin9 Permit is issued to: GENE' S HO CARE & REPA S Planner - Park Dad.
on ihe ezpress condition that all work shall 6e tlone in awordance with all Council
applicable State of Minnesota St~al and City of E an Ordi ances. BIdg.ON. _ Copies
BuildingOlficial / Variance - TOTAL ~40.00
S
~ EAGAN TOWNSHIP
BUILDING PERMIT N? 2665
~ Eagan Township
.
Ownex
Address (PrecenS) ....1V.3 . . . S_- Town Hall
Builder . i3
' aa:e .:.....~.......j'~`
Addreos
DESCRIPTION
Sloriee To 8a Uaed For FsonS Daplh Height Eel. Cos! Pesmi! Fsa Ramesks
a a a~ a ~f
LOCATION 3•S° Slreet, Roed or olhes Deseripiion of Locafion I Lo! Slack Addition or Trec!
s-
This permit does aot suihoriae !he use of clreeffi, roads, alleys or sidewalks nor does il give the owaer or his agen!
!he right fo creaie anp si2uation whieh is a auisance or which presenls a hazazd to the health, safely, aonvenienca and
ganeral' weliare !o anpone in the eommunify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
This is !o cerlifp. ihet...,. - ...'...`R-.-..........hes permission !o arec! a......... .........•----_.........._upon
!he above deacribed psemisa subjee! !o the provisions of the Building Ordinanae for E att T nship adopled Apsil 11.
1855.
Per - P
T r:
.
Chai=man nwn Board ~ Hufldiag lm ect
. o~
. . o? GGS`' .
~
~
~
. . . I r 4 ~ . . . .
I G,
z~
,
, ` . . . . ' . . . ; ~ . ~ ~ FT . . . .
~
~ y1r .
~
~
,.J
, °C'
~ ~ .
~ .
~ .
ti
. o
`o
~
0
. , ~
MASTER CARD
LOCATION Jf~
• OWNER Z&
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
• Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION 9' j'j • r1 CESSPOOL
FRAMING TILE FIELD fT.
FINAL
ELECTRICAL DEPTH
HEAiING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
~ Violations Noted
on Back
COMMENTS:
I' _ _
/934f3
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS MULTIPLE DWELLINGS COhAfERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED, NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ~1~n
,D
To Be Used For: ~FiE'QD T Valuation: 1_rv~ Date: v/y 9/
Site Address OFFICE USE ONLY
Lot -41 Block I FEES
Occupancy Bldg. Permit ~
r Zoning Surcharge
Parcel/Sub Actual Const Plan Review
~."Allowable SAC, City
Owner # of stories SAC, MWCC
l Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code ~~,94/ Footprint S.F. S/w Permit
qp S/W Surcharge
Phone yJr~~ 3~/ a On site sewage_ Treatment Y1.
On site well Road Unit
Contractor (°~i?6S ~j~JE ~/~f 47 MWCC System _ Park Ded.
City water Trail Ded.
Address a~17 ~/Ii?fi PRV _ Copies
Booster Pump
City/Zip Code ~_,giA7 41 SIIBTOTAL
APPROVAIS Penalty
Phone `fJr'iI' 37G3~' Planner Lot Change
Council TOTAL ~
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signatur of Cont tor)
I all applicable State of Minnesota Statutes and City of Eagan Ordinances. -
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
. ~ City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Constmclion Reauiremenfs RemodeVReoair Reauiremenls Office lJSe OnN
3 registered sRe surveys showing sq. ft. of lot, sq, h. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum bt coverage allowed) 1 set of Eneyy Calculatbns for heated addifions Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sfte survey foraddilions & dacks Tree Pres Required Y _N
lsetotEnergyCalculations AddNon-indieatei(on-sResepticsystem On-si[eSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted aRer 711193
Rim Joist Detail Options selection sheet (buldirys with 3 orless units)
Date 05 l 3! l 05 Construction Cost ` 7~
Site Address ~?1[u~~~aW /W Lft5~a'~nit/Ste #
Description of Work 0
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0_ 1 _ 2
Property Owner GvcNO~ Telephone #
Contractor ~
Address 5 J~ 'J~ V Cih'
State Zip 53Telephone#(R5~ 9~' ~IO~O~`~
/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categon 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category t Worksheet • New Energy Code WorCSheet
I(J submission type) Submitted Submitted
I . Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
feelapplies.
Licensed Plumber Telephone )
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. \ - 177
- - -
Applic t's Printed Name Applicant's S gnature '
Ctiw9i~.~~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan sEP i 4 ZooS
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 B ,
Y
New Cons[ruction Reauirements RemodeVReoair Reaui2ments Olfice Use Onir
3 registered site surveys showing sq. ft. af lol, sq. R. of Iwuse; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20% maximum lot coverage allaxed) 7 sel of Eneryy Calala0ans for heated addltbns Tree Pres Plan Recd Y_ N,
2 copies af plan showing beam 8 window sizes; poured found design, etc. i site survey for addilions 8 decks Tree Pres Required _ Y_ N
1 se[ of Eneqy Calculalions Addition - indicate Aon-sde sepfic system On-site Septic System _ Y_ N
, 3 copies of Tree Preservafion Plan If lol platted atter7l1N3
- Rim Joist Detail Optbns selecUon sheel (buildings wHh 3 or less unils)
Date q 112 12005 Constructioo Cost 2~ qy3
Site Address ~T3 rp uo I~~ Unit/Ste #
Description of Work OuV1' 1IJ `~~~1 'L"")Q4J lX 1~L 11 I~~~160V I
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner DaVid a"4 `GvCIAn &hff la Telephone#(~pSI
Contractor LikM WMdM a' 8lOkM
Address ~Y„M ~S6'124' Cih'
State Ph• ~ • Li[! ~ Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a simitar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
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 oidinances 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 case of work which requires a review and
approval of plans. ~
Snellv P''?K-e
Applicant's Printed Name Applicant's S ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex X, 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneaus
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
A 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demclition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code ~.T Zoning City Water
SAC Units Stories Boaster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length t'°~•`~= . •,>.!i ;.;;Fjre.$pnnklered
Type of Const Width •r:t; „+u. .
i•+4~'nr,a: tf~.~
' .
REQUIRED INSP E`CTIO45"
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ~ FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation ~ HVAC
_ DrainTile Other
~ Roof _ Ice & Water _ Final = Pool = Ftgs =AidGas Tests Final
Framing Siding Stucco Stone Brick
Fireplace _ R.I. _ Air Test _ Final Windows
~ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee ~
Surcharge
Plan Review ` ~~p 2l d v v
MC/ES SAC ~
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
r-------------------
I For Office Use I
MOIL_
I
Win I i~/~ I
Permit#:
470" City of Ea
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: ✓ 'J 'z~ Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
I
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact: -
Contractor Address:- City:
r--~
State: i` Zip: j 1 2':f Phone:/ > 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 _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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.
x
X_ 4
Applicant's Printed Name Ap licant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� � Permit#: / ��� �� j
�I�J O� ��6�� I P rmi F : �r �
I e t ee /�� ` I
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�; �1 �
r
���� Name: �" ����:.� Phone:
R�siden�l �
•OV1/t7�1" '�� �� Address/City/Zip: ,����-� ���,.,��.�.��� �_-.�
' °��° Applicant is: Owner �Contractor
r � I
� � � ��,:".-� Description of work: �,� �.�� �..�
;Type:af Work .
Construction Cost: ��C:���1.� Multi-Family Building: (Yes /Nq�.�)
i Company: %�,-�, ' � �.��-�- Contact: ' ��-� ' '�
' COr1�t'�C�01' ` Address: ��� i�c�:: %������ City: /`�; �%
�- State: ip: �� Phone: Email:
�' 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 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NL1TE Plans and;support�ng doct�men#s""that y��1 su�imlt are,�vnsid'ered tcr b,e`,public information. Por�i4rrs of
�the�nforrrtaf�an may b�.�c/ass�fi�c��as r�or��p�blr��,,f��ro�"��r���al�s�ecifi�r"��sons;,#hat wv'iild p.ermif th�°City t�
{N ; ti��:;. �P��; .�.:���io� �Oi�i ClCtd�#�Ia�;'��8 .�C�m'�/'C����:5�'4.`PGf.S :, ih,14��,�,� :.,.
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 1 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 B ' ing Code must be completed within 180
days of permit issuance.
x �'✓� ,�"'/�f"°"�' x
Applic nYs Printed Name A licant's Signature
Page 7 of 3