1517 Violet Lane
Site address: 1/, 2/8 ~ Lot _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insuiation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This sWcture: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sWcture: wilt be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
WaterHeater
nlp-zFumace 5a(/ /7 ag1 0k,09 p
Dryer'
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen p~Z !
Bathroom ~ 1
~
Bathroom 2 ~
Bathroom 3 /
Bathroom 4
Other C / ~ '
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOs
' :30 omc /
r-s' v o 2~ 004d ~
MAKE-UP AIR MODEL •TYPE CFM's
Nn9 /
I hereby acknowledge that the above informafion is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature/ Date
wi[~ l
Company Name
" This fonn is the responsibility of the General Contractor.
Np 83
~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 -
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWdionReauirements RemodellReoairReauirements OfficeUseOniv ~
J 3.-~--• ch~iv+ cn. p..of IoL sa, ft..of house; and all roofed areas 2 copies of plan Cert of Survey Recd ? Y_ N
~ 5 7 set of Energy CalcuWlions for heated additbns Tree Pres Plan Recd _ YV-N.
3/O6--PLAN REVIEW OVERCHARGE . I sitesurveyforadd~tions&decks TreePresRequired _Y ZN
REFUNDED - $478.15 Addffion-indicatE7fqn-siteseptlcsysfem OnaiteSeptlcSyslem _Y _N ~
-CL 3
DateJiL_/ Construction Cost A240, d00 •
~ UnidS[e # ~
Site Address Vw/r io _T~_,
~17
3 3 Pear 1- O- C)
Description of Work ?4rLw Go0Jg'[RJLj10J (T)wllIJ .NoM#g$) lN
Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 12
PropertyOwcer '~t _"MDh1T_H1W4HT5_I,_" Telephone#qSZ X1[Lj, 3OOD
Contractor ~ I ~.~f G~h(~-"G.~L?L'(~o~l -
Address '~rjbo Lc(~LST jgl~TM 5T City rLId WA
State Mwl ziP55LL3q Telephone#(O"2)1dr'1_3a9c70
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(4 submissiontype) Su6mitted Submitted
• Energy Envelope Calculations Submitted .
In the I t 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: 1504 V~oLR'T L/e?~~
*4"p22 Vloat 60"%~
Licensed Plumber %LA4f7ef- MgL41 Telephone #OrSZ J G[45 .4&n'1.
Mechanical Contractor fQFAt.. Mg" Telephone #(452)446, 4Q42
Sewer/WaterContractor L.h.1407- GcAM9 . Telephone#(qs2)l.k12.2$i(a,
catz . Z,qd. 220
I hereby apply for a Residential Building Permit and acknowledge that the information is comptete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
`
"A,blf2 171.411L ~9
ApplicanYs Printed Name App icant' Signature
OFFICE USE ONLY
Sub Types A •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi
pg 03 0 7 of Z plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
PY 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 Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation /34,000•' Occupancy R-3 MCES System
Plan Review 100% or ~ 25°k
Census Code / Zoning r~ City Water
SAC Units U I Stories ~ Booster Pump
# of Units 0 Z Sq. Ft. F~, 3 PRV
# of Bldgs 1 Length Fire Sprinklered
Type of Const V/3 Width 3 9' 6
REQUIRED INSPECTIONS
V Footings (new bldg) ~ Final/C.O.
g Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
& Foundation HVAC
>a Drain Tile Other
Roof t~ Ice & Water ~O Final _ Pool _ Ftgs Air/Gas Tests Final
P Framing Siding _ Stucco 4 Stone _ Brick
f, Fireplace )d R.I. W Air Test n Final _ Windows
~o Insulation _ Retaining Wall
Approved By: Building Inspector
-
- ----~-7-
BaseFee ~lpr;ni3/feD ~-ac~eY~ tS-.o~
Surcharge
PlanReview as~ S!m 1!SHCD ~D~'t~2 936 XZoS °p
0 192 /b03 Ksv•
MClES SAC
City SAC "ri 6-G 68y /Yl(,• o0
Utility Connection Charge
~oUeReD $%t)ap /2 o x 3
S&W Permit & Surcharge Dec~ ~1~t't F~e a, o00
Treatment Plant
License Search
Copies °
Other
Total
/ .
i i
MNCheck COMPLIANCE REPORT I I
Minnesota Energy Code I Permit # I
MNCheck Software Version 3.0 I I
I ~
~ Checked by/Date I
I I
COUNTY: Dakota STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-15-2005
DATE OF PLANS: 2-20-05
- TITLE: WESCOTT MODEL W/0 PORCH (L0VI*jGrCP0 1
/
PROJECT INFORMATION:
LOT 28, BLK 1
PEARLMONT '
COMPANY INEORMATION:
PEARLMONT HEUGHTS, INC.
7500 WEST 78TH ST.
EDINA, MN 55939
COMPLIANCE: PASSES
Required UA = 359
Your xome = 307
14.4% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value O-Value UA
CEILINGS: Raised Truss 1594 38.0 0.0 90
WALLS: Wood Frame, 16" O.C. 1725 19.0 6.0 81
BSMT: Conc. 9.0' ht/8.3' bg/8.3' insul 702 5.0 0.0 59 ,
BSMT: Conc. 4.5' ht/4.0' bg/9.0' insul 14 5.0 0.0 Z
GLAZiNG: windows or poors, Above Grade 347 0.320 111
DOORS 39 0.350 19
HVAC EQUIPMENT: Fuxnace, 92.0 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meeA.0.1 equi 7remen s of the Minnesota Energy Code.
Builder/Designe/~%'~--~ Date
• LOT SURVEY CHECKLIST FOR RESIDEN7IAL
BUILDING PERMIT APPLICATION PROPERTY LEGAL: .4 bGIL 3 ""`'Ih~ tv~7 Nf5-
DATE OF SURVEY:
L?,TEST REVISION:
d
a>
m
z
U
Q ~
O z ¢ DOCUMENT STANDARDS
,K ? p . Registered Land Surveyor signature and company
_'0' p ? . Building Permit Appiicant
,0- p ? . Legal description
? ? . Address
~ ? ? . North arrow and scale
,g p? . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
g p? • Directional drainage arrows with slopelgradient %
p? . Proposedlezisting sewer and water services & invert elevation
~ p ? . Street name
~ p? . Driveway (grade & width - in RPN and back of curb, 22' max.)
'z ? ? . Lot Square FooTage
J2-- p p . Lot Coverage
ELEVATIONS
Existin
0 D • Property comers
~g p p . Top of curb at the driveway and property line extensions
p0 ? . Elevations of any existing adjacent homes
'ff • Adequate footing depth of strvctures due to adjacenf utility trenches
. Waterv?ays (pond, stream, etc.)
o ~ ?
Prooosed
~ p ? . Garage floor
,Z p p . Basement Floor
~ ? p . Lowest exposed elevation (walkouUwindow)
~ p 0 • Property corners
p . Front and rear of home at the foundation
PONDING AREA (if appiicable)
D gr D • Easement iine ? 12r ? . NWl
p 0 p . HWL
p zf ? . Pond # designation
p ~j ? • Emergency Overflow Elevation
p ~ ? . PondNJetland buffer delineation
y ~ . Shoreland Zoning Overlay District
y • Conservation Easements
DIMENSIONS
~Z p p . Lot lineslBearings & dimensions
,0 p? . Right-of-way and street width (to back of curb)
,2 p p . Proposed home dimensions including any proposeii decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
g?? • Shova all easements of record and any Ciry utilities within those easements
• Setbacks of proposed structure and s' d setback of adjaceni existing structures
~ p p . Retaining wall requirements:
Reviewed By: i Dafe /Z~7~
G:IFORMSBuilding Permit Application Rev. 11-26-04
,
Certiticate of survey tor: RON CLARK CONSTRUCTIDN & DESIGN
y 932.90 Denotes Ealsting ElevaUon ~ 2005 John Oliver & Associates, lnc.
(93290) Denotes ProPosed Elevation WEST OF BENCHMARK: THE T.N.H.-APPROXINTERSECTION . OF 590 FEET FEDERAL p Denotea iron pipe set.
r Denotes Surface Drainege DRIVE & VIOLET LANE, ELEV.= 875.75. • Denotee iron pipe found.
LOT 3, BLOCK 3 O Denotea Sanitary Manhole
LOT SIZE 6572 S.F. HOUSE TYPE: FULL BASEMENT WALKOUT Addresa of Lot 3 is 1517 Violet Lane
HOUSE SIZE 2294 S.F. pROPOSED HOUSE ELEVATIONS: Addreas of Lot 4 is 3588 Lemieux Circle
LOT COVERAGE 34.99
GAR. FLOOR TOB BASEMENT FLOOR
LOT 4, sLOCx s DESCRIPAON.•
LOT SIZE 8572 S.F. LOT 3 881.8 882.2 873.5
HOUSE SIZE 2432 S.F. LOT 4 881.8 882.2 873.5 Lote 3& 4, Block 3, PEARLMONT HE[GHTS,
LOT COVERAGE 37.07 Dakota County, Minnesota.
_ x
876.54 VA CAN r I x 876.37 x 876.76
I M ~ W 1 I VACANT I
n
VY9 I ti3 //N N~N ? N NI .i N N.
I ~ ~ /
h % K 871.19 x
1 EAG ENG I 875.7)Q 874.47 N89°5333E 106.00 ,(872_0)
lw r 1 . 870. 78 x
I 873.24 x
~ 3s~g Si ~T~E E l Sr~
D ~k
~l - t (873.0)
873.90 873.68 0 15.83
m ~ /11.42r'. a DECK a (873.0~ n~ Q~ o ~
9.98 V' 873.83 874_09_ I 874.12 873.96 'O _N
12 25 ~ a74.os ~5.83 b -]5.00 ' D
0 73.50 - 15.83 ~ 874.05
I I I m m 15 / - 72.2,5 ui, . 874.56
. ,
x ~ ~ ~ , FLOOR ~873 5 ' j FLOOI~ i873 5 9 $2
_ Q n / ' j ~ 1/ : n ~ p
.z."o- w N ~ ti
I 1.. _ I N PROPOSED N,~ PROPOSED , Z
TOWNHOME " i rOWNNOME
:FULL BASEMENT j ~ c ~ U Q
FULL BASEMENT W
WALKOUT ; N WALKOU7 j
' ~ / t
J ~ ~ /~N. ~ 2 q \ ~ 73.37
cz, i '
I I ~OON ~ N: / , .~p ~ O
h p H l„
m
Iz ~ dOm 1496i o"1496 `mCO O~
a79.31
PORCH h ; PORCH x878.94
50 GARAGE GARAGE~,'~
PROPOSED I - FLOOR= • /,-FLOOR=-' ~
I 29- - - - I DRII/EWAY g' 881.8 ' 881.8 ,'o I
1.8% I I ~ ~
_ 1700 ~ _ _ ~O ' .21.04,'~;, - ~ ;•21.04,; 17.00 x878.22
° 1
d 5. ao 51. 00 (881.5) 5. oo (88J.5) 53. 00 5. oo (877.9) - - - -
m k~ ~q \(880.2) ~ S89°53'33uw 106.00 ~ vWj 3~ ALL OF LOT 13 /S
1 ~ SERU/CE T A ORAlNAGE & , ~ .
SEROCE o ro~ UT/LITY EASEMENT.
s».o INVERr = 871.0
~
NCE ao - - - - -
~
A SE~. T - -
~
X~/ ~ 878.08.._. , .02 r8~sz<- 87s48
i . -~g78.32, ,
- e ~ e..~ i ST~.LL r--- ~
~ ~ ~ r, D I/IOLELANE ? ? -
\ ~ ~ L ? '
J--~- ,
~
878.56
I
/ I
SCALE.• 1 /NCH = 20 FjEET - ~
/ ~ .
DATE: 1 1/30/05 I hereby certify that this Survey was John Dliver & Assoeiates, l/)C.
BK/PG: NONE prepared by me or under my direct cew: a1g*n.9.41w. iana s~waa• Land Pkm*U+W
DRAWN BY: LCK supervision and that I am a duly ~~od,re Av,,,,,c„
CNECKED BY: RMM Licensed Land Surveyor under the 1:+.ver, nts.n,ncsoca 56:3.70
laws of the State of Minnesota. ;';8311441-2072 REVISIONS: 201 W. Ty.a„erer, Trau, su,te zoo
autrav<sie, Xattyaeeota. 55337
Signed: (962)894-3046 (FAX)894-3049
Ran . Morton DRAWING FILE: FILE N0.
Date: 11/30/05 License No. 21401 L3-4B3.DWG 1601.10-105
Address: 1517 Violet Lane Zip: 55122
Permit: 71780
Lot: 3 Block: 3 Subdivision: Pearlmont Heights
7'IIE FOLLOWIhG ITEMS WERE/WERE NOT COMPLF,TE A7' FINAL 1NSPECTION ON E'/.J^ D{„
Yes No Comments
Final rade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder tha[ roof test caps from the plumbing sys[em liave been removed.
. Tum off water supply to Ihe outside lawn faucets before freeze potential exists.
• Call the Ciry's Engineering Department at 651-675-5646 prior to working in riglrt-of-way or installing
irrigation system.
~ BUILDING INSPECTOR:
CONTRACTOR:
Ron Clark Canstruction
7500 West 78" Sk
Edina, MN 55439
I _
Use BLUE or BLACK Ink
F-----------------
I For OtHce Use 1
411b~ Ciq Permit 1 3 9 B
of Eap I Permit Fee: ~5 • Q,5-
3830 Pilot Knob Road i l
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 Staff 1
Fax: (651) 675-5694 1 I
a_.----------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ` J Site Address /J /7 Unit*.
Namelt c> :cVn w. ow.-res A3! Phone: 9, '17 -30
Resident/
Owner Address ! City ! Zip:
Applicant is: Owner Contractor
Type of Work ' Description of work / r c
a o0
Construction Cost 's-s-0 Multi-Family Building: (Yes / No _J
Company: Contact c•~` rn, rv(+
~4 C t Y"1
Address: City:
Contractor
State: Zip: > 5'ZN`` 2 Phone: (S-) " 7 -13 TLA
License 7 Lead Certificate r
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 formation. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 haws
before you intend to dig to receive locates of underground utilities. www.gonherstateonecall.ora
1 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 riot 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 rued in accordance with the Minnesola State Building Code must be completed within 180
days of permit issuance.
rr o Y
x NQh JA_ t'Z3 k ki !-cL~ x
Applicant's Printed Name Applicanrs Signature
Page 1 of 3
C!ty of Eapft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR fl 7 LOU
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 -"al 14 Site Addres :Etcrl,frit/
Tenant: // :5
Suite #:
Name:
1
Phone: 6.5-1--0)--11-14.
)-
Address +City / Zip:
Milbert Company the dba Cullign Water
Name: ucense #. WC643176
Address:
1801 50th Street East City: Inver Grove Hgts.
state: MN zip: 55077
Phone: 651-451-2241
Contact: William R Milbert
Email:
eplacement _ Repair _ Rebuild Modify Space Work in R.O.W.
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Add Plumbing Fixtures ( Main / _ Lower Level)
_AL,c iiocin iyent
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a5/Er meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) lan
TOTAL FEES $
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.gooherstateonecall.orq
I hereby acknowledge that this informa:ion 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.
Applicant's Printed Name
p icant's Signatu
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156863
Date Issued:07/23/2019
Permit Category:ePermit
Site Address: 1517 Violet Lane
Lot:3 Block: 03 Addition: Pearlmont Heights
PID:10-56950-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Gregory Tstes S Strong
1517 Violet Lane
Eagan MN 55122
Elander Mechanical
645 Shenandoah Dr
Shakopee MN 55379
(952) 445-4692
Applicant/Permitee: Signature Issued By: Signature
r For Office Use -1
`,` � i ;#, Permit#: l� ��_
EAGAN Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections@citvofeagen.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: P741' i Al bili 1 is J5 Phone:
Resident/ •
""
Owner Address/City/Zip: .--1/. l.. IC _ v N Cle C; r
Applicant is: Owner Contractor µ
Type of Work Description of work: ft_ -
Construction Cost: E>c:0 Multi-Family Building:(Yes es,(/No,)
Company: , lcb'r5 L',.c' Contact: € V`i -' )
Contractor Address: ?Lt7V /;ifi,Zech /et�`,,Oee., City: e—,01-71,/,09,2)`
State: Zip: 470/ L Phone:4 ( nat43'!2Ei�na11: -1-r 5 (.fi.�I CS etdG-C .e.4
License#:a�6 7 09 4//
J ,N �W
Lead Certificate#:
—
If the project Is exempt from lead certification,please explain why:
___X45 i-- 9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:- Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.co Jsubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4640002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities, www.nonherstateonecall.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
ac ce with the approved plan in the case of work which requires a review and approval of plans.
A lice tfci's Punted Name-------.. Applicant's Signature
PP 9
C6/ f( Cs—/ -'D‘ YL'33 ,.r p, .,,,e,,,e---...
T /T "aDYa 8L8T9SLT99 sxmzinEsxs uta 90:L0 OZOZ'LZ'AeN