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1519 Wellington WayCity of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Q ✓ / T I Permit Fee: qo •00 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ✓ ry2/ 20(0 Site Address: /9 we Mk 7), tyro Tenant: Suite #: RESIDENT / OWNER Name: Ci4det';,� 5, t47/ Phone: Address / City / Zip: /" / 2 4r /1 il5 //✓2ye Applicant is: Owner Contractor / TYPE OF WORK Description of work: Rn 1'511 0.14'I ler ern,' Q4 54 /0 ek wet(( cibod t ff AiU s ou / Construction Cost /del 900 Multi -Family Building: (Yes / No ) CONTRACTOR Name: ....e--0-1-1 /- /Th - lee -I1 a 4 le- g fill, License #: /2S' % Address1? yr rc, k,) ( City: kf" y State: ii' Zip: SS -'/.3 Phone: 6/ 2 - F6 '7 " 6 G 0/p 14 Contact:c.,:, FA t46( 1,1,1 Email: CL -FI `p_/ - 6e/-// COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes 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.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 approve an in the case of work which requires a review and approval of plans. Applicant's Printed Name x Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES �F undation ✓ Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair ft,, goo "v REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final ✓Framing Fireplace: Rough In Insulation Meter Size: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant — Occupancy ,2 C – / MCES System Code Edition oz7`7 S SAC Units Zoning . C_ R - / City Water Stories Booster Pump Square Feet —7. PRV Length Fire Sprinklers Width Air Test Final Reviewed By:/17/e._ Sheetrock Final / C.O. Required ✓Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL O Page 2 of 2 4111* CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit#: /1 Ra Permit Fee: 56-, 0 Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -7 '//v Tenant: Site Address: 1s- 1 'l l lJ e L/ (,1'\ t "k"Enn Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR NamerRods,- WiLnAL (/n License #: Address: 515-s GST lei' (_) to , it 1 jy: ? cui.A7) State:'l '�S ' c)$ Z 1 Zip: ( Phone: 7/Q —© / Contact: Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater 8 Add Plumbing Fixtures (_ Main / Lower Level) Lawn irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) $5.00 State Surcharge) $5.00 State Surcharge) TOTAL FEES $ (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and burned out appliances, ductwork, etc.) (includes CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 Jq 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 s x Applicant's Printed Name ' CITY OF EAGAN WATER SERVICE PERMR i 3630 Pilot Krwb Road ~ P. O. Box;-21199 PERMIT NO.: • ! Estn, AARd 55121 DI+'TE: ZonFnp: r'1' No. of UNts: k Owrxr. TolliAson Bldrs. G Md?su: : Siti 1919 4,ellinrton ~~;a;r ? 'nl ,.rittany 9t1: i PltJfl'1blr. Ci:i1Z-RV8i'l Moor No.: .'370 / Y3 (,!V Size: u ) r!?~ RaWw No.: Q xN q 6 ~tu ?nd i .r.. r....~,~ ati.~ ~..•~IELE~ti ; a REW~, .r ~ tyY Doft Rold: Dati of Irup.: Irsp.: CITY OF EAGAN SEWER SERNdCE pERMR 3830 Pilot Knob Road P. O. Box 21799 PERMIT NO.: . . Easn, MN 55121 OI?TE: Zonirq: ')I No. of Unin: ' Owner. ;I~ t r f+'c+.~~ ° 7 Address: Sire Mdron: 1.519 F~eT3, j,:.: ~.a•- i: r~jf. L~r .!~r~jr.v 9th Plurnbew. F'4Zi1 - 1 MM N«wqly wMr IM CIly oi 4Me ConnWet{on ChaMS: 7'~ rit2pi' OrJiMmam /looount Depodt: 1 ~i fl£1„r' Penrit FN: 1 c? Mfkd Sur+chorge: By Miac. Chorgs: Date of le?sp.: Totof: Insp.: DoN Poid: cmr oF Ea~aN .t ~ I 3830 Pilot Knob Road, P.O. Box 21-189, Eaqan, MN 55121 i_ 11, g J 2 ~ ' ~ ~ PHONE: 454-8100 BUILDING PERMIT Receipt i~ To b~ w~d for SF DWG/GAt2 Es~ value $10 5, 0 0 0 pate MAY 6 , ~ g 8 6 SiteAddress 1514 WELI,INGTON ti+1Y Erect ~ Occupency ~3 Lot~_ Block I seciSub. BRITTe~NY 9TH Remodel ? Zoning R~ Parcel No. Repair ? Type oi Const Addition ? No. Stories a Name ~LLFFSON BLQRS INC Move ? Length S6 = 12 6 2 7 FA I RGREEN AVE Demolish ? Depth o Address Int Impr. ? Sq. Ft City A•~• Phone 431-1100 ~nsta~~ O g Name 5~~~ Approvab Fea ~ i Address Assessment Permit S 4 4 5. 5 0 ~ City Phone Water 8 Sew. Surcharge 52 . 50 Police Plan Review 222 • ~ 5 Name Fire SAC 575.00 ~ a Address E~9. 5 0 Q. 0 ~ Water Conn. < W Ciry Phone Planner Water Meter b3 . S0 ~ Council Road Unit 290 • I I hereby acknowledge that I have read this application and stste that the Bldg. Off. 5 6~3 6 Tr. PI. 1 S 6. 0 0 iniormation is correct and agree lo comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee ~<< 1~ Var. Date Copies c , Total ~2, 305.2 A euilding Permit is issued to: TQLLEFSON BLDRS I~1C on the express condiGon that - all work shall be done in accordance with all applicable $tate of Mlnnesota_ St~Wtes and City of Eagan Ordlnances. ~ Bullding Otficisl ~ t ~ t t.^< . I „J PWMM No. Pwmlf Holdw DMe TM"lam A plumbMp IM.vA.c. ~ a ~7 son.~.. kMp~CYen Dab Inep. Cowmwnls FooYnqsl FoolYqs 11 Fouwidolfoo Frm*w - Z 3~ G GNvf . Inoo! rtouoh wbg. Rough ~ Fkepioco ~ Hw. °wo• -ve, elp, c«i. oo~. v ~.a~ D~ek Frnq. w.r o~.n. i ; PERMIT # , PLUMBING PERMR RECEIPT # CITY OF EAGAN 3830 PILDT KN48 ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address /51- 6-1/1-MA&AL/ BLDG. TYPE WORIG DESCRIPTION Lot 4.04 _ Block / Sec/SubBklvrA r L Name 15;;&n y r7sv Mult Add-on m Addr~ss r~Comm. Repair c City hone L4 Z F "q y Other T; f ~ J~ S lBath FIXTURES 7OTA L Name Water Closet - $3_00 Addr Z6o/%i;/~ ~ ~~C Tubs - $3.00 0 Ciry/~ !k- ~l~j/ .yPhone f Lavatory - $3.00- ` U U tShower - $3.00 = c, U Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10•00 Floor Drains -$1.50 ~ MINIMUM - COMM/IND FEE - 20•00 Water Heater -$1.50 ~ STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 " (ADQ $.50 S!C IF PERMIT PRICE GOES EGas Piping Outlets -$1.50 ' BEYOND $1,000.00) Sottener - $5.00 ' Well - $10.00 Private Disp. - $10.00 _ Ciivt Z;~_Rough Openings - $1.50 SIGNATURE OF PERMI EE FEE STATE S/C: ~ FpR GITY OF EAGAN GRAND TOTAL• ~~J PERMIT # QQ I • ' , • MECHANICAL PERMIT RECEIPT # CI7Y OF EAGAN 3890 PILOT KNOB ROAD, EAGAN, MN 55121 DATE QQ3• CONTRACT PRICE PHONE 4544100 ` Site Address gLp~`,, TypE WORK DESCRIPTION Lot 7 Block ~ Sec/Sub . , . - Res. ~ New m'Name c"i_ Muit Add-on a Address Comm. Repair c CNy Phone pther . ~ Name FEES ~ t c Address ~ RES. HVAC 0-100 M BTU -$24.00 ~ p City. . Phone ' • ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ' ADDITIONAL 6 M BTU - 6.00 ~ TYPE OF WORK GAS OUTLETS ' - 1.50 EA. ~ Forced Afr M BTU COMM/IND FEE - 196 OF CONTRACT FEE . Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater i M BTU f MINIMUM- COM,M/INDf EE ! - 20.00 t Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Ve~t CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ~ Gas Piping Outlets # ' Other FEE s~C. SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN . • CITY OF EAGAN m 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i~"" PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for t= Est. Value $1,000 Date JUN 19 , 1991 Site Address 1519 iIELLIAI(iT0li WAY Lot 4 Block i Sec/Sub. SxITTA~tY 9ili OFFiCE USE ONLY PafGBI NO. OCCUpancy - FEES Zoning = Name tii~ d~Y NM~ (~tual) Const - Bldg. Permit xs•00 # Address 1319 WELLIi1GM i[/1Y (AUOwabie) _ g .50 ° Ciry Phone 29-34 79 i1) # or sto~es W P~ReY ew Length t F Name ~M oeQCn ~ snC, ciry Address S.F, Total - SAC. MCwCC Clty Phone S.F. Footprints _ F On Site Sewage - Water Conn ~ i Name On Site Well - Wafer Me1er Address MWCC System _ i W City Phone city wacer _ PRV Required - S/W Permil I hereby acknowiege that I have read this application and state that the Baoster Pump - g/yy Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Cfty ol Eagan OrdinanCes. : Treatmenl PI Signature of Permitee r: ~ i ~•`.'r-... APPROVALS Road Unit A 8uilding Permit is issued to: PIKE OR MAY UM~N Plan^er - park Ded. on the express condition that all work shall be done in accordance with all Cauncil ~ applicable State oi Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies Building Official ~ Variance - TOTAI 23.50 Permit Na Parmit Holdtr Wte TdtoI?oee # WATER SEWER PLl1MBINCa H.VA.C. ELECTFi1C Yapsction bete Insp. Canrtwnts Footings I ~ ~D- ~ Foundalion . Framing Aooling Rou9h PIb9- Rough Htg. Isul. Fireplace Final Htg. , Orstat Test Final Plbg• Plbg. lnspector - Notiy Plumber Const. Meter EngrlPlan Bldg. Final Dedc Ft9. I Deck FmW ~ weu ' Pr. Disp. - - - - - - ~ CITY OF EAGAN No 11902 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / BUILDING PERMIT PHONE: 454-8100 aeceipt n 6 To be used lo'r SF 'DWG/GAR Est. vawe $105 , 000 pyte MAY 6 19 86 SiteAddress 1519 WELLINGTON WY erect C~} Occupancy R3 Loc 4 eiock 1 SeGSub BRITTANY 9TH aemodei ? zoniny R Parcel No Repair ? Type of Const. Vn Addition ? No. Stoiies ~ Name TOLLEFSON BLDRS INC nnove ? Length 56 z 12617 FAIRGREEN AVE Demolish ? Depth 38 o Adtlress Int. Impc ? Sq. Ft. Ciry A.V. Phone 431-1 00 Instan ? o Name S~E Approvals Fees a Address Assessmen[ Permit - 50 m Ciry Phone Water & Sew. Surcharge 52.50 Police Plan Review~ 7 5 Fw Name Fire SAC 575.00 Add ress 500.00 u i Eng. Water Conn a W Ciry Phone Planner Water Meter 63 . 50 Council Road Unit Z90.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.OH. 5/6/86 Tr. PI. 156.00 information is correct and a ree to comply with all applicable State of Minnesota Statutes and Ci of Eagan Ordinance APC Parks Var. Date Copies SignalureofPermittee ~ lr~ Total $2,305.25 A Bwlding Permit is issuetl to: TOLLEFSON BLDRS INC on ihe express condition ihat all work shall be done in accordance with all a lie bl ate of inne nd Ciry of Eagan Ordinances Building Official CITY OF EAGAN NO 19287 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # C, 1 f, O/ ~o LJ To be used for DIDCK EsL Value $1, 000 Date JUN 19 , igal_ Site Address 1519 WELLINGTON WAY Lot 4 Block 1 Sec/Sub. BRITTANY 9TH OFFICE USE ONLv PflfCQI NO. Occupancy - FEFS Zoning s Name MIKE & MARY BROGDON w (Aauap Const _ Bldg Permit z 5. 00 3 Address 1519 WELLINGTON WAY (qnowabie) _ 0 City EAGAN Phone 296-5479 W xof stones surcharge .50 Lengih 36 ' Plan Review ~F Name SAME Dapth 1-6' snc, city 0,¢ AddfESS S.F.7otal - SAC, MCWCC ~ C.IfY PhOf1E S F. Foatprints _ F On Sne Sewage _ Waier Conn ww Name On SM1e Weil _ Water Maler ~v AddfBSS MWCC Sysiem _ <w Clty PhOn2 Cny Waler _ AccL Deposn PRV Required _ S/W Permit I hereby acknowlege ihat I have reatl this applicahon and state that Ihe BoosterPump - SM1Surcharge inlormation is correct antl agree to comply with all applicable State of Minnesota Statutes a Ct ol Eagan Ortlinances. ireaimam PI Signature of Permitee APPROVALS qoad Unn A euildmg Permit is issued toKiKE MARY BROGDON Planner - park Ded. on the ezpress contlition [hal all work shall be done in accortlance with all Councd appl¢abie State ol Minnesota Statutes and City 1Iof Eagan Ordmances. gldy, pil CoOias BuildingONicial~ ~.OIfl I~A Vanance _ 70TAL Z5.50 ~ ~ 'I 3 9o --F--------- - 010 o otfce Use I City of Eap Pe"i,#: I Permit Fee: ~f ( / 3830 Pilot Knob Road Date Received: Eagan MN 55122 j 7~ i Phone: (651) 675-5675 i Staff: ~ i Fax: (651) 675-5694 I ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 L o8 Site Address: JSl q I,~ell~ n4 ~-aw 00.a Tenant: /n "C.k 0..eO I ro doyl Suite RESIDENT / OWNER Name: Mi LkA..Q- ~ ~j(bGQ6l4 Phone: (a51 -47 I- 7W a- Address/Ciry/Zip: lslq )eltinq-~61v~4.y [ctACLn- f`Ar4 55122- Appiicant is: _ Owner Y- Contractor TYPE OF WORK Description of work: ..7A e'(J1d Construction Cost: LiRo, DOO. OS Multi-Family Building: (Yes No CONTRACTOR Name: t'fz-+ee- Rzt:An4 License#:_,20 1~4 Address:410S 254" 'a"YE ~ City: -R1'pOLI N n QaJk- State: lr~ Zip: 55443 Phone763 -3IS-0~30 Contact Person: _~Q. ~ C~-~ r+aS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categon 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Woiksheet • New Energy Code Worksheet C8t¢JOry Submitted Submiried (d submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit }or a similar plan based on a master plan? _Yes _No If yes, date and address ot master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents that you submit are consldered to be public lnformation. Portlons ol the information may be classiffed as non-public i/ you provide specillc reasons that would perm7t the Clty to conclude that the are trade secrets. I hereby acknowledge that this intormation is complete and axurate; that the work will be in conformance with ihe ordinances and codes of the City of Eagarr, that I undeistand this is not a permit, but only an appiication for a permit, and work is not to start without a permi[; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x~S C" h.as x '4~z 64k~ Applican s Printed Name Applican s Signature Page 1 of 3 , ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 7 City Of Eagan 0~, 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConshuGbn Reauiremenls RemodeUReoair Reauirements Office Use Onlv 3 re9istered site surveys showing sq fl of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cedd Sun+ey Rerd Y,.~_ N (20% maximum lot coverage allowe~ 1 set of Energy Calculahons for heated additions T(ee Pres Pian Recd.: Y;'.::N, 2 copies of plan showing beam & windwi s¢es; poured fomd design, etc 1 site survey for addihons 8 decks Tiee Pres Requiied"'s' _1 N isetofEnergyCalculations Adddion - indicafeifonsdesepticsysfem Oo-5ite5epticSystem;:[~_Y'`"_N 3 copies of Tree Preservallon Plan dlot piatled afler 711/93 Rim Joist Detail Options selection sheet (bmldings with 3 or less unils) eG Date -7 l~ l b S Construction Cost Site Address A)0!dc: Unit/Ste # Description of Work I/)'~ ~ P11,n /Vn-11J,444 Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 2 PropeRy Owner Telephone N( A~ D y4 Contractor p S8 7~ r$~1@ / Address • City L.~ Kr f,4il0 State Zip . Telephone # (l6( ) YZL-daw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan2 _ 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 without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and r~'~ ~ approval of plans. (g ~ T ~ P i: n ~2 J.~r'~~Awm n~ n~n~t~ III ; Applicant's Printed Name pplicant's Sig at re Y- - - OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg-Yor_N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding d 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion 0 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors [3 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation 79 344 Occupancy MCES System ~ Plan Review _ 100% or _ 25% Census Code Zoning City Water L.L CS SAC Units ~ Stories f Booster Pump ~ # of UnRs ~ Sq. Ft. l3~r PRV # of Bldgs ~ Length 1-7A Fire Spdnklered Type of Const ~ Width ? REQUIItED INSPECTIONS Footings(new bldg) FinaUC.O. Footings(deck) ? Final/No C.O. ? Foolings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final ?Framing _ Siding _ Smcco _ Stone _ Brick Fireplace _ RI. _ AirTest _ Final _ Windows ~ Insuladon _ Retaining Wall Approved By: lce- LOA1c,'' ' Building Inspector - Base Fee /5-3. aS Surcharge °C Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search . ~ Copies Other Total /S7 aS 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Comtrodion Reamremenis RemodeVReoair Reauirements OKCe Use Onlv 3 registered srte surveys showing sq. tt of IoL sq. ft. of house, and all roofed areas 2 copies of plan Cert of Survey Recd Y N (20%maximum lot coverage allowed) 1 set ot Energy Calculations for heated addnions Tree Pres Pian Recd Y_ N. 2 copies o( plan showing beam 8 window s¢es, poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required Y N 1 set of Energy Calculations AddPo'on -indicafe ff on-srte septic sysfem On-sAe Septic System _ Y_ N 3 copies af Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bwidings with 3 or less unrts) Date l_,~,_ / ,-2 q I Construction Cost v0~ Site Address zs~ 9 Cu'el/?Ic/7~p~ / 'llizr/y ~ UniUSte # v 4/ Description of Work ,-~['.cvli~Q~iLd4,.~ 6 I~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner / ~i/~ Telephone # 7~ ~ 70a.9 Contractor l~ly_q4 `~~/(/t.G~6/~ L~/LLr~11~ ~C~/I7~+f~`a cJ/ Address 1/cf~ 3~) City L,G7KL zp~j9i,ZS State h? f]l Zip!-,~o ~Z Telephone # [l) 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 Worksheet (dsubmissiontype) SubmRted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone Sewer/WaterContractor Telephone IlI FF ~ uu ~ ° I hereby apply for a Residential Building Permit and acknowledge that the informa ion is comple e and ac urate; that the work will be in conformance with the ordinances and codes of the City oi - - - - f 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 7,4 . S~vo- App il ~ Ys Printed Name Applicant's Signature - OFFICE USE ONLY Sub Types ? q1 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg Ig 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex O 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 ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31. New O 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ?32 Addilion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ES/33'Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?>0 OT_ Occupancy 3_ MCES System ~ Census Code 434 Zoning R-1 City Water ~ SAC Units ~ Stories _L_ Booster Pump of Units Sq. Ft. PRV - # of Bldgs ~ Length Fire Sprinklered - Type of Const ~S Width ~ REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. _ Footings (deck) y/ Final/No C.O. Poo[ings (addi[ion) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Smcco _ Stone _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows ? Insulation _ Retaining Wall Approved By: 014z Building Inspector ease Fee 442 •ZS Surcharge / 5. 00 PlanReview o~g7• MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Rug 02 Oh 05:45a Mike HacMea 7153910415 p.3 ~ St . G'z'O17f ENGINEER[NG, Inc. 132IHazalcrestDc. ?ludson.'Vdi 94015 YhSne (715)351-0414 i FaK (715)381-0415 Juiy 30, 2004 /(7 / Mr• Dean Oiteion Spfinters f_inu?ed lleac \4r. Otteson: Tne purposc: of this letter is to advise }rov of the resuhs of my analpsis of the existing ridge bea.*n on lhe house addition in Eagan, hZinnesota. b1y calculations ssaw thut wmg - 2x12, results in a fleacural shess ufanproximatel}• 3087 psi. The zilciwable stress for Hem-F'ir;'Vo. 2, as you specifed, is 850 psi resulting in an ovezstress of app;oximately 360 My ca!culntions ferther show that to safely carry the 542 pff rc3oi live and dead ]oad over the 15'-6" span, wi1l require 2- 13 7r8" x: 3/," LVLs. Siste_ing in a single LVL would nut be adequaYe, 2wo are .equLed. If you have any questions or cancems p)ease feel &ee to call me. Sincerzly, ~ Mictuael Hachey F'.5. . Ei~ `F~..••••••.~Y~.~e~~. CLICEHSEU C ik J 7R6FESSIGNAL EN~IIVEER 7552 Z J~'•, . ? r ' ~a i - 02 04 Q5r 46a hfike Nachey 7153910415 ' PAQIECT ~ &UBJECT ~s i_'•. 1 1321 Nu~icreu Dr. ~G~~G~ ]ea Hudson,Wt53fii6 CIIENT I Z : P6ooe{i1A38l-0414lFaa(715)381•?a13 BY /'r~ DATE 3o'0 ¢ CHK'DBY QATE ~ ~ I • ~'V(+..5.:. . . . " '/r' ~j1Lo(t/., MlJ~f 2 ?7 ' i!I ~ Y' d 33~ ~ • ' ! ~ ~ ,r- , . . . . . < G ? ~ ~ ~T L o.... v s.ar r 1~ ./~-VL . . . . . , . ~ . ~ - ~ . . k: ~ . . . . ~ i... 1 ~ ~ S-dl-V~ . FO,It /~'p~1)+"• /~L ~G:~:~s~~SLC' ?.j~~ ~~s ; _ . '"2_~-; '2 •6 / 2 f ; ~ ' .~~~.ps~' _....~i..:l. . . . ' . . zf d Z'I7~ i; A • a,,.1- ~ x ~ ~ j . . . . I ' ' ~ ~ ~ y ' • ~ ; . . ~ q ,'A- //~~IA~. ~J _~,.~t. r , . . . . ~ ~ i _ _ ^~r ~ . , .,y. . pl~ rYPP~/ . d\J. i ~ ~ ! i..-~ ; ~ ./..r . _ ' . , r,~' y • ; ~ _ . . . . . ~ . , _ . - , • ~ ~ ~ riGW i- ~_CGLVb! l...us f~~ir7 ~ . . !'~.Q..ls i . . . ~`p(ISTiliJV.:A~I ~P1F~cr£ . , ; . ~ 1~;1,~1A. h~c~, , ~ I , Rug 02 04 05:46a Mike Hachey 7153810415 ii . . It P~~ PROJECT KC. SU&JEC7 P~t- J! FFrlii-L i ENGWEEHptG.lrte U1CA710N 9HEE7 N0: 1321 Hejel~tes, D:.. ~ Hudaon. W[ 54016 CtIEN7 Phone (715) 381-0414 i Fax (715) 381-0415 BY DATE 7 3o1v.j- CHK'D BY DATE , . . _ _ . , . ~ ~ . , . , ; . : ,.nc, j..ri~: ~ r . . . . . . _ , ji Ss . . . . . ~ . ~ : . . ..1, . , . 'tRY y, ~ . . . F. ~ ,I;• _ ~ ; ~ i . . , .e~~,, 2 .P1'7C/? ' I . . . , , .~'d~v.~;.- ~ ~ ?08r~ ~ ~ .i ~ i , . ! , . . G~ir~p ~s • - P - , , . ~ . t-, . _ . . ~ ~ , ' . _ . . _ ~Asc~ t . L. , . . : . ~ ~s~ , _ . . . _ . . . ~ . ~ - ~ !Ii~- M ;c~ ~ . , _ . ; . . ' ' . . . : i ' j • - p. . , a.i ~t . . . . , . . , . . . . . . . . ~ i ~ - . , . ~ . PS c . _ f r ~ sN I?; G I . U r , f ~((SU ps17') . . . . . , ~ _ _ : _ . , , . . _ . f , . ~ . . . ; ~ , : ; . . ~ , i . ~ . . . ~ ~ . ; „ _ , , .s , ~ r. L ¢ : ~ 56 , . . P5F . . y , ~'.:.r~~ - , ~ . . ~ • . . . 3 9 ~'r. 1'Da L , ~cy . - • _ , _ . ~ 5 ~~i ~SytlSr/ ~~~J I ~`r _ . . . ~ _ ~ y tr. ~ ~ ~ . _ . . . . j ~ ' , I ~ t` . ; i . . i ~ ~i,,.~ r. , . . . ~ . y~.. . , _ ~ "i~ _ . . , . K f~, . . . ~ ~ _ . - ~ . ~ • . . ~ s~ ';:Ir /6 .277 . ~ , e ni'~~'~'~ • ~ - . . : G . ; - , . . , . . . ~ _ ! ,.,.s _ . _ _ _ _ . _ ~ _ . . . ' s0 ~ i ~ ,3.2 - ~ - - _ - - - - - _ _ _ ~ = ~ - - - - ~ _ - - - - - - _ _ ¢t i O,C f~oTu s,cA" • ~ ~ 2 , s• , I Cl 1 6 ~ ,~i',lc u~•-G~-~u:~-~t'a.-~ -fr~.K ,Jo;s~ I~ ~r ~ ~ 1 , ~~-wk ~ ~ ~ _ . - ~ . ~ ~m._._._ ~ . . _ - ~ ~ . "w _ - - ~ ~ WW- st-`.=.= _ r-~'--*~-.:.;...,,: . _ r•~ - --_----r_'a-_ ~ . , " 4m'A tj 14-t-, - ^ - - S~.~s y f u, ~i~ r ~ ~JN/ '~"~•p OA - l~10 C~'-T • w"f%OdL O['i [ i~c'I .c--Cu-f.,A. ~--s -r- ~ - - v-W - ~ -T_- i 1- I . / I rv~'~-- _ ~ r . . . _ . . ~~.-U lb ~u . , ~ . . _ .a. . ~ n 7-7 Ra r ~ 7` la• r '~~a.u4- - - - - Oll . - - - - - - ~ - ~ - ~T ~ - ~.-~a n Y~ ~ ~ S~ RESIDENTIAL j~q~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conslructian Reauiremenla RemodellReoair Reouirements • 3 registered site surveys showing sq. ft. o( lot, sq fl ol house; and all roofed areas • 2 copies of plan (20°h maeimum bt coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan slwwing beam 8 window sizes; poured found design, etc.) . 7 site survey for exterioraddNons 6 decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lol platted aRer 711/93 . Rim Joist DeWil Optrons selec6on sheet (bldgs vnth 3 or less uniLS) l-`p--O-~ DATE ? z ~a3/ack VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y ~41 TYPE OF WORK ~Q~YIl LYP 7//5r FIREPLACE(S) X 0_ 1_ 2 APPLICANT~ r0_n'(:~Dy' STREETADDRESS 1 5 (r-! I/0 PCI(h~Yl bl~ Rsj CITY~STATE_ZIP,2 TELEPHONE # 00 Q CELL PHONE #,~2:2I- 70Q a FAx # 10S/- PROPERTYOWNER a v- (/I ~()?1 TELEPHONE# -6 D C a97 . 7S-~~ w~ ~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SOTA 12UI,t:S 7670 CA"PBGORY 1 MINNI:SOTA RULLS 7672 (q submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phonc # Plumbing systcm includcs: Water Soltcncr = I.awn Spriiilcler ~Lcc:_,$24.9 Water Hcater No. of R.L Ballis n r-' 1 , _ \'o. of BaUis L , ~ . Mechanical Contractor: Phone # n^, 2 Mcchanic.tl system includcs: Air Condiuoning 13 Pcc: $70.00 Hcal Recovcry Syslctn ~-y - - Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state th the information is correcf ind agree omply with all applicable State of Minnesota Statutes and City of Eag n Slgnat ureofApplican--------------------------°------°°°-----------------------------•°----° - - OFFICE USE ONCertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ' ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex M 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous + j3-„~' s Zoow. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding lp 32 Addition ? 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to appltcant Valuation ~qj 00 O Occupancy MC/ES System Census Code 3 8 Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const VV\ W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~C FinaUNo C.O. ~ Footings (addition) _ Plumbing ~ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Wmdows (new/replacement) _ Insula[ion _ Retaining Wall Approved By , Building Inspector Base Fee surcnarge C) 1 y ~ ~ Plan Review 2 MCIES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 06. ~e rIENGINCEIIING CpHSULTIH6 E}1Ci1NEfAS. PIANNEAS ond IAHD 311RVEYORS COMPANY, INt. ~ ~ 1000 G57 I46A 57RE:T, 8llftH=Y1LLE, YlNHE=OTa 5:337 PH 1=2C00O Ng9°Z2'z4"E %OT g BLOC.f' Bl?/TTA.YY C%%Z.-`.' ?.00 _ ~ C973.4) : Ti/ ADG/T/ON, O4KOTA COUNTy /1'%/NNE'SOT.9. I f ' LOT 4 ~ ! f LI.i D~A/NfIGc' ~ ! UT/C /T'y~ E~9SEME~YT ~ i. . /'?ORTH CQ'" ; ~ F.B.W.p. ~b '~.oj ~ ~ S.?. DO 1 m PRO'00SEG g ~ I ~ ff0U5~ ti ~ GENOTES 22.oc EL cYfIT/Di1/ 2' 00 I GARA.~aE h~ 7 I (°,-7.0 ) GEiYOTES PROPGSEG :~P`f.z' ~ 2~t.aa T 1`., O ~ ELEii,9T/ON , , (sa~.=ah F a 0 /NG1CA72c-S O/.PECT/UN OF OR.4/NAGE ;9eae: /07. DO e3 (983.7) z_9; ~ 9E4.33 = F/h//SNEO ('AP,AGc' FLOaR ELEV,9rio~? -`95,.~,~, _ _ L` {'?ELL/NG'TQ y B3:3zhereby ear*,i:y that this ia a;:ne nnd cor:YC* rsps'raentation of a tracL Of and as shcvm'and deacribed hereon.- Aa praparad by mn an thia Zsn? d.ay of APe.~ , 19 ~ . Hinn. lles. Hc• 16'815- 1986 HQILDING PERIQT APPLICATION - CITY OF E9G9N NOYS: ALL CONTRACfORS HIIST HE LICENSSD BITH THE CITY OF EAGAN SffiGLE F9lQLY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - NFSIDENTIAL RENT9L DSiITS F08 SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB HIT4 BLCG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & S'LRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ' - $2,000 LANDSCAPE HOND I To Re Used For: ~ Valuation: Date: S Site Address OFFICE QSE ONLY Lot ~ Block 1_ I Erect ~ Oecupancy Remodel Zoning Parcel/Sub I, Repai.r , Type of Const Addition !i of Stories Owner Move Length ~ Demolish Depth Address L2(p17 ~iraaiyt 1'57- L• Int.impr. _ Sq Ft Install City/Zip Code ' /7z/5.5ia Phone APPROVAIS E'EFS I - Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review ~ 2. I Fire SAC City/21p Code ' Engr Water Conn Planner Water Meter .'3U Phone I Council Road Unit ~ I Hldg OffTl Treatment P1 Arch./Engr. APC Parks Variance Copies Address iOTAL 5,;~ S-- I City/21p Code ~ Phone 0 ~ I NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOi1NER MQST DESIGN9TE AHZCH ADDRESS IS DESIRED. NO CH9NGES AILL HE ALLOiiED ONCE BIIILDING PERMIS IS ISSIIED. I 7c~ ~ J2 = ~ ~~t> 4 - ~ . . ~ e A, -%Z 2~~ 7 Sl= /~-~~v = ~ 0 4~ Z G X C ~ BK 36, PG. 7B ROBE, ~NGINE~AING [OHSUlTIHO EN6IHEEAS PIAHHEAS and LAHD 9llflYEYO!!S COMPANY, INC. 1000 En57 14621 SiREET, BuqHSVILLE, YIHHESOTa 55337 PH 432-300U Cer-Zi~`z cca~`e Surye c~ N89°Z2'24 "E :9E7_s_4; LO T g BL O CK BR/TTi9NY (M4 )A 2. oo (973.4) 9TH ADO/T/ON, COUrVTY, M/NNESOTi9. ~ ~ LOT 4 L i ~ \I/~ ~i /~1 l~ I DR,9/Nf16E ~ ~ I UT/C/Ty Ei9SEMENT I ' w tl` ~ N N NOR TH SCALE: /"=30' ^ ~ I M N A'~ (976.0) tl' 2z.oo ~s>s, ~Ag, W.O. ~ S4 d0 ~.p ~'S"}'24.9g vl M P'E'~PoSED $ ~ m NOUSE N r--Z~t9%r~~ Q ~J 00 DENOTES EX/ST/NG L 1 - - 22.00 32_00 ~ GARqGE ~I ~ \ EG E!/fIT/pN ; 9BS_>; v (9B40 ) ~ ~;~.o ) DENOTES PROpOSED ~9g4.9~ ~ z4.oo r9gq_q~ ELEli,9r/oN ' o Q: (98433) /ND/CATES O/~PECT/ON 5~ OF SURF/~CE (97q 7) Q ~5 M DRA/NAGE :9a_o.g; ~ _ ~ a /4' 23>a~ ° (983,7) R /446. 00 - - ~982_9; F/N/SHED G'.9RA6E FLOaR ELElG9T/ON ~9~_ 32~ _ 3. 74 ojo z heraby cartify that thia ia a t:ue and correct repraeentation Of a tract of land ds aho+.n'and deacribed herson.• Ae preparnd by me on this 25rW day of Hinn. 1les. Ho. /6'0-5- . CITY OF BUILDINa DEPARTMENT ~ EXTERIOR ENVII,OPE AYERA6E IIUIt COMPUTATION (To be submitted with building permit application) Orie or Two Family Dwelling Owner n11 Other &ite Addreea c;oiitractor _ FoW~FjrDA1 ~vtLD ~e.S ~NC, Date Phone JJP?E;AL FF,ET OF Et ;'OSED V7ALL ~reE Lt~o~ Yto above grade TOTAL E7G°OSED 4YpLL ARc,A Sq. FT. o;`ApUL lVl:LL COA:STF.U:TIOtt: "U" Value x Area 11,:Cail I"~~~v45;-;-_ liIIit 10¢3 x S2. FT. 1 S.Z, . 6'•3 (U)(A) t-ference 6e"17'1 "U" .095 K Sq. FT,_ 93.80= 9•!q (U) (A) rr om °U'r . 046 x Sq. FT. Zo . Ito = 9.3la(U) (A) l.ta.ched uUll x Sq. F'T. _ (p)(A) ;:tiects "U" x Sq. FT. _ (U) (A) npn x Sq. FT. _ (U)(A) '%1.IIWSYS: Ull Value x Area lin!ce & Type IuWL. Ci/ryr uUn •~'PJ „ 11 x Sq. FT. l05.10 = 79•z4 (U)(A) itull nU~~ X Sq. FT. = 1 (U)(A) ~ „ x e@. FT. nUn a Sq. FT. _ (U)(A) llJOftS: "U" Value x aree :ic'ce & Tyue _gtE~JGliUrl % Sq. FT. Jr'~0-00 = ~•~4 (U)(A) ,t ~s?~n tfu IV .4 x s@. FT. ,o 2c.1to (a)(n) NIU ll _ it ~~U~~ x s@. Fr. _ (o)(a) _ x Sq. FT. _ (U)(A) TOTALS 25- 19•9(0 Sq. Y'T._ Z670.10, (U)(p) . AVERACiE "Ull Tu'PAL ( U ) ( A) VqLUES z00. /g _ 111 VlUlill BY TOTAL 1'/pLL ARF;A Z31$.96 • OS~ A'dt;li4(7L "U" ~r lesa for 1&2 family dwellinga P00 F/CEILIN6: y '1'ti'l'!tL AREA: / ~ llc6ail reference RIUlt .02./ x 3Q. FT._ 1176? (U)(A) from flUIT x Sq. FT. . (U) (A) c11,Lached stieets. °UVI x 3Q. FT, ~ (U)(A) I),:;cribe oneninga °U" R 3Q. p•T. _ ~~~~A~ iu roof. npn x SQ. FV. _ (U)(A) 'IU'PAL (U)(A) VALUES DIVIDED BY 24 699 ToTAI.ej ~~~~NfT , Z_ 4•(v9 C~YA> , _ L'0'1'f.L R0o^/CEILI1G ARBA ~~7(p • dLr AUL;RAGE r ventileted roofe. ".Y __WALL SECTIOB-- De,termining l#UII valuea at Roof, Wall, Rim, And Conc. Block ROOF/CEILIN6 (R) VALUE S 1.) Interior Air t'ilm 0.61 z.) 5/811 ayP. Ba. .56 3.) Insulation 4S.00 4.) 5.) Exterior Air Film .61 (STILL) ~ 2 3 I (o nU" = 1/R= , OZ f iOTAL M= Ilo•70 ~ - O WALL (R) VALUE q 6.) Interior Air Film 0,68 7.) i" GYP. Bd. .45 8.) Insulation J`j,oD 9.) Vz'' Swv7-Rr7;5 Z,og 10.) Masonite Siding .67 l0 11.) Exterior Air Film .17 I l ' IVUn = 1/R- .047~ TOTAL (R)= Z3.o~ RIM (R) VALUE ~ 12.) Interior Air P'ilm 0.68 13.) Insulation 19,00 1 14 140 2" Fir Rim Joiat 1.88 Rwr~7-RiT& Z.o4- 16.) ~lasonite S i d i n g .67 170 Exterior Air Film .17 _ o , o • . . IIUn = t/R, .Oq-D TOTAL W= 4?4.44 ~ FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 21 • ~s 19.) pe 20.) n g°9 21.) 12" Concrete Block 1.28 a n ~n 22.) r~vlD /~vyt,L, g.oo z3 "p 23,) xterior Air Film .17 e 0° npn = 1/R= .09,5 TOTAL (R)= ~0•~~ • , n} r.~LJ F'~.' 1+~+~~~~I'~~^ i , ' . ~ •i S'r f~U ~ S~ v7t: w ; . ' ~ ~ ~ ~ r 11 /1 yl~Et-- Co_~~ 9.5v x(9t+q-t~-?StZg}- ~3~FO.oo1 8.83 X CZSt1$ t zS+~LB) = ~ ~ ' .T ~98a:9CP . . ; , . . 8:9(v Z+42+zS+zg) = 93.So~t , _ .83X (84+5(o+5(vt54:) - "ZoY•l(o l,~r?~DowS_ ; . . „ y , ZoX3(o= 5.o X 3= lS.oo ~ 14Xz4= 4.o x~ 1 -4.00 1o z 00 = 8• 3 X; 7 = 58. Jo 2408 = 8. o xt ~I ~ 80, J1~5. lO ~ , , i 3Q sn.• WO sti 35.oa ydP- - Zf (o° PA'fl O ( NE7 E-xpo$~~ :Y14Xzs= 39z ~1~y5 wAr.L Z31g.9lv. - . . . z8 xz-a = 7e9- l.~S~ . : 93•So ~ - Ir ~iH'J '•Zo9,/~v - , _ wAw'S ! bs,i d "5'fv~. o!o . ' 1991 BUI i1N tPTICATION CITY OF EAGAN I 8 SINGLE FAMILY DWELLINGS 14ULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - S STRUCTURAL PIANS 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED 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. To Be Used For: Valuation: Date: 0 Site Address 4/-h OFFICE USE ONLY Lot 7 Block ~ FEES r~ Occupancy Bldg. Permit v~S00 c-~ q Zoning Surcharge • 5i~ Parcel/Sub~Q i TTANY 17N ,4'hi~) 71p/J Actual Const Plan Review n~/~ Allowable SAC, City Owner /~/kE~////gieq ~CJIeQ~i~a/V # of stories SAC, MWCC / Length Water Conn. Address /s/G A);/10 L 4/a,17 AJO-t/ Depth /6' Water Meter T S.F. Total Acct. Deposit City/Zip Code GrE. !Z 0 / 7i v Footprint S. F. S/w Permit p~ ( / S/W Surcharge Phone i o1 ~ ~QT~ On site sewage_ Treatment Pl. ~ry On site well Road Unit Contractor MWCC System _ Park Ded. City water _ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ I,ot Change Council TOTAL Arch./Engr. Bldg. Off. flS C-/&•9/ Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. eX 3a, ae. ~e ~`eROBE end LAHD NGINEE1i1NG ~DHSllLT1H6 ENG1HEf4S, PIANHEAS SUR11EY0!!5 pE COMPtiNY, INC. ' ' L 1000 C?57 1469% 57AE:7, BUAN.NILLE, YINNE:GTA 5_:!37 PH 432'30O03 C4erZ ?~A: criZe _ ~SZ.Lrzr'e y Z,8!;:,= Z .CA-,.TCT'kPLzCr: ,'97_25; f/69°ZZ'24"E SJ3._o,' e~ or g acoc.r i, aRirr,4,'lY z.ao /973.4) COUNTY M/NNESOTA. I I ; Z-or 4 ~ LFCA/NAG'c r ~ ~ i UT~L /TY EASEMENT I ' j, , ; r AVoR TH I o ~ ~ I M w SCALE: 36 ' ~ h M ~ • _ ~ . '`•O) 1 ~ 4.00 S 7`j. 2d 98I j m PPOPoSEG g ' ~ 7~ HoUS~ : ~ - - - - cLcl/fIT/ON ~ (9B~t.,) ~p NI - I hl (>%ze ~ Gc~YOTcS P~20PGSEG ~ _ :o~<-~ yo _ J \ G ^r.~J S>; C t E~E?:q 7-1 oIv OF SURFACE (5~y.)~ p f _~S DR~4/NAGE" ;9so.e; d_ lo ~07.ap ~ ~ 23,. ~ (983.7) 924.33 = F/N/Sh'EO G'AG,AGc' FLCGR ECEl~r7T/ON -~9ii~Z~~ _ 3. 74 % r L/NGTp y~ y98 I rere5y eaM:.`y that this ie and co:-rec* rcpr_ean•.ition of a traet ef l+nd a: whcwn'and desc^?bed he^aon.. Aa prapared by me on thii 25rW day ef r1 n11 • ?mS • /0 • 16 00-5- 61 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ I~bZ 5 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 New Conshuctlon Reaulremenh RemotleVReoalr Reaulremenh ~ 3 reylsterotl fife wneys ahowlnp sq fl. ol bt, sq. R. ol house 2 coples of ptan and gp roofed areas (20% maxlmum lot coveraae albwedl 1 sef ol eneryy calculaHons for heated addiflons > 2 coples of plans (show beam 8 window slzes; poureC fnd. deslpn; efc.) 1 site wrvey fw exferlor addlNOns A decW % 1 set ol erwrpy calculations : J coples of hee prefervaHon plan B IW platted affer 7/1/93 ~ oArE: ) ~ avoo . coNSreucnoN cosr: 9, 27a ~ DESCRIPTION OF WORK: Rz`Pc,-,''~r STREET ADDRESS: 1.519 'LA)4r LOT: ~ BLOCK: SUBD./P.I.D. n~ ~qj~ Name: - I~ 2oa~ /p,ja64Phones: Gb l- 681- oo'f? PROPERTY wst rinf OWNER Sheet Address: /S 11 CNy State: r7A) Zlp: .SS~Z2 ~ Company: !*t-fE'c, Phone#: Giz. ~9sra~V~ E (area code) CONTRACTOR ~(SB3 20'39/'~ Sheef Address: LJCense li ~ Exp. Cify State: 177'J Lp: Ss 337 ARCHITECT/ ENGINEER Company: Name: Telephone N: ( ) Sfreef Address: Regishaflon CMy Sfate: Lp: Sewerlwater licensed plumber (If InsWllina sewer/watar): Phone Itereby acknowledye ihaf I have read this appllcaHon, state thaf ihe infortnation b cortect, and agree to comply with aA appflcable StatE of Minnesota Slatutes and CMy o( Eayan Ordinances. Siynature of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' r pi 17 Tree Preservation Plan Received _ Yes _ No _ Not Required Yi Y 1 I' ~.~a ~<us~;+~~r~;~ ~...~.;~..:.~......r..,..w;~,._.:~,.,,....,..~_.._.~ .,.,....,~r..~,~~,u.. . <.:..s . . .....:<..:..:.........;:.,,;~<;~•z,:;:;.°.;:":,ia~:c.,.:>;.,y;~.:..;:_:.;..: ...~...n;,~,,::~>„s~:r<M„ .a:... k . .~.~.'r..r.~ . ,.e:..<"S:Lyo•k.A...:?>.r.a':~„;". , ,$L: . > : a..~.....,.,....:..,.. . . ;..;•,x.;:.':...~:~:<.~.,"'~I~'':~-• ;tr.:. . ~~,~1 .;z ~,,3..>. , . , . . . ...x~~:i~;~...:,:...,~:.<:..:.:,::.. y>.,..:~.:~!.,p;.,.<.....:^: sic:.,.s>3::;~r~.~,3.4~;;«.:..:_:;:.>.a:~-r:,~.a.a .y......~..> : % ~i'.. ~....~...r.-~ : ...........::.....s.:....... '.:a:::.....,.,>.>r..... ~.k.,.: .:.........<.c':':i:~ <"'4~•;"?~i<i d.~f.'.'c:. ..a .n.:o., . . . . . . . a . ~ ~ ..3.: A , . ..~......~r.m.;,..>.,:..:.2 ~ . . ...rs......... ~ ~ @.:...-:._~• „e~:t:":~?a~5... 2`.[1A:4~:d~~5. ~7~y..:... . ~ ..~..o:..~n~:Yr: ~xi`.;:.~::~:'Y::i.<sx?.2<.',..r.:;>~ L..... . . . : .ax ~'A: .a..s.:L.'..t~ .'M%` - . . ~ : ` ec..... t{.p~.::d.~ l ' . :n: :v...n.. . ...on:... _ n q..a..:..::::...^.:... ~yl ![$i' ......n: 9alD~.:: . ' @..~..t ..,:~~i.:.~:...:.::&.:'~....~ i tc.o.:'.....' . ,..3'?~.°Fi,:';~< o5in: x::;;;';^ , . . . ......_Y:r.,..,:.....r%:'t.,`.~` . ~ ...:.a ,:.;:......~s?:'::c..... . 3' ~:~J7C.1r~~::l.:~.....~P.:..:2:•.i$A.. 3..w.ues.wmG....ai.a~..un~:~:~..r.::..:::.:.:3:...<an~ia~.uawt~...:.......:h<a:5~is~hi<~.~E'.`.~.w~:°b..'U'~d~wia~'~i~Ri'~~.'<:••:.:~' 1994 MECHANICAL PERMIT (RESIDENTfAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 ~ 7~~ (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT. NEW CONSTRUCTION ~~ADD-Ori' A/C ADD-ON FURNACE FII2EPLACE INSERT DATE ~ / 7/9Y ~%"j-?o~/ ~L v~/'~~~p- ~s /Jv'r HVAC: 0-100 M BTU $ 24,pp ADDTTIONAL 50 M BTU (,pp GAS OUTI,ETS (MINIMUM 1 @ $3.00 EACI-n ADD-ON/REMODEL (ExISTIIVG CONSTRUCI'ION) $ 20.00 STATE SURCHARGE .50 TOTAL Z b~~ SIT'E ADDRESS: /s'~9 G?/,i//.;/~r?d„/ ,~?.iJ-r~ OWNER NAME: /~N/~ ~~i~.fi<<'f•tio~,Gb,-~/ TELEPHONE ~8/-doy9 . ~ INSTALLER: L*~/,-?z.~G /o`6d ~~i L a,DDxESS: Lr,~~J~,.~~~~,~~. CTTY: .~'~8i?~n.,/ STATE: .~i~ ZIP CODE: ..1 J~/zz- TELEPHONE ~ yx6G~~ GN OF PERM 2-~9-~y .~~V AVPLicWr Lo:i 1.j. a t'..,~~ (~A, . APYIAWAZ, oc rF.Rwrr. • `'i:: J APPLICATION FOR PERMIT INSPDCPION OF Sc.47E72 idD/OR h:ti£, IIISTALT1iTZOi1S WILL, NOI' BE SCFIII}- , SEWER AND/OR WATER CONNECTION *ULEDUNTIL PERMIT HAS $m`1 ; . * r.pPxavFn. , . , . . ****:**~,.***~**~x*~*t*~****~.~,-k..., P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: LOT / f y Q~ . Lot Block Sub vision or Tax Parcel -ZD ) IF EXISTING SIRL'CMRE, DATE OF ORIGZNAL BUILDING pERMIT ISSC'ANCE: I - PRESERP ZONING/pROPOSID C'SE: (bbn Year ~ CO!"f"ff:RCIAL/RETAIL/OFFICE ~R-1 SINGLE FAMILY ' FT IDIDC'STRZAL Q R-2 DC'PLEX ('lwo Onits) ~ INSTIZSJTIONAL/GOVERNMEN'p ~ R-3 'IOiVIRIHOiiSE (Three + Units) ( Units) r . ~ R-9 t,P?,RT1-0,?I'/CONIDQMINIUM ( ' Units) 2, ~ NA[•9E= TOLI.EFSON B1JII.DGRS, INC. ADDRESS: 12617 Fairgreen Avenue v CITY, STATE, ZIP: Apple Vallay, MN 55124 ~ PHONE: 431-1100 3) • ~ NA"i• For City C~se = GENZ-RYAN PLUMBING & HEHTING COMPANY Pliunbers License: ,ADDRESS: 14745 South Robert Trail ' Active CZTY, STATE, ZIP: Rosemount, MN 55068 EScpired Not recorc,_~a PHONE: 423-1144 MASTER LI(ENSE# 1849M Staff Initial 4) NA"]E;; ' . ' . _ ADDRFSS: • CIT'Y, STATE, ZZP: ' PHONE: - -5) ~ d• 3 ~ a• . ~ • -tt • y- y~a~ ~ corrrEcrioy M ci~y sEwER ~ coNrrEcrroy z0 ciTY waTER d ojjrERl. . 6) M~: ,o c~ El Pr,EASE HOLD APPROVED Pr-2MIT FbR PICK-I1P F3Y O[9i GF ABOVE ~ PI.ErLSE MAIL APPROVED PF.ftMIT TO 1, 2 4, lti9GVE (Circ e one) 7) '~q~~ ~•y;^ F -Tr 'ir~,~~U.S~I~~\IYCIT~~JCY1COII 0: '1J~: 711O~t.n, "j. . ` "I~. 10~ l._ ~r~ 'G':'-.,'• i.._ ~':]".i.~"~gF ._~i~ it: t..^.`: 'i Ti 1 tty~;i:~'t i:..:i_~:=ci~ ~OP, ~ U!5c ONLY . "•:T'i' ii ISSL'ED 1' w/Blldg. Permit FEES: SEWER PERb1IT (INCLC'DE SCRCHARGE) - $ WATER PERMIT ( INCLCDE S['RCHARGE) 3. 5-D $ WATER METER/COPPEP.HOP:;/OCi'.:IDE REAL[.? $ $ WATER TAP (INCLC'f)F. CORPc1RAi LON STUL') $ $ SEW£,R TAP $ o Q _ ACCOI'NT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ S DD - 00 $ WAC $ S 7s • 0 0 $ SAC $ $ TRC'NK WATER ASSESSMENT $ S TRC'NK SEWER ASSESSMENT $ $ LATERAL B°NEFIT/TRC'NK SEh'ER $ $ LATERAL BENEFIT/TRL`NK WATER _ _1S~o ' U U $ _ WATER TREATMENT PLADiT SCRCHARGF. $ $ OTHER: 1 ~ cS~ _ $ TOT:aI. . _ LZLZ 2- Z RFCBIP'1' 1 RECEIPT DOF,S UTILITY CONNECTION REQUIRE EXCAVATION IN Pl'BLIC RIGHT OF WAY? O YES 'IF YES, THEN A"PERMZT FOR WORK LVITHIN PUBLIC ROADWAY" MUST BE ISSUE4,BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: T77 i.E: PA' ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address /J 72 (j(.2, Unit # Praperty Owner ~Q,~')~ ~OqQCOY'1 Telephone #(oW C) O 44 g " Contractor /402 0 (JkV AZ/f Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is ~ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace XAdditional _Replacement air exchanger x air conditioner XNew _Replacement other State Surcharge $ .50 Total $ • J ~ I hereby apply for a Residential Mechanical Permi[ and acknowledge tha[ Ihe informa[ion is complete and accurate; tha[ the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I unders[and this is not a permi[, bu[ only an application for a permit, and work is not to start without a permir, that th rk will be in accordance with the approved plan in the case of work which requires a review and approval o plans. ~~~Am~ ApplicanPs~ r n ed Name Applic nPs S n ure ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~/J Site Street Address Unit # Property Owner 'r0 IX!~ Telephone # Contractor k6Telephone# ( ) Address City State Zip The Applicant is: X Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 ~ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installina onlv a water softener and/or wafer heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5l8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 X new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ SS~ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not ~ it, but only an application for a permit, work is not to start without a permit and work will be in acc dance with the approved plan in the event a plan is required to be reviewed and appr ved. P11irt, a(m 6-7'0) ApplicanY Printed ame Appl c nY Signatu -7s -7 ~o~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION ~ p,_., ` City Of Eagau ~~'~U ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consfruction Requirements RemodeUReoair Reauirements ORce Use Onlv 3 registered ste surveys showing sq. (t of lot, sq. ft of house; and all roofed areas 2 copies of plan showing foohngs, beams, pisls Cert of Survey Recd _ Y_ N (20% maximum lot wverage allaxed) 1 set of Ener9y Calculations tor heated additions Soils Repod _ Y_ N 1 Soils Repod if proposed builtling is to be ptaced on disWrbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd _Y _ N. 2 copies of plan sMwing beam 8 window sizes; poured found design, etc. Addition - indicate ilon-sile septic system Tree Pres Required _ Y_ N 1 set of Energy Calculations On-sile Septic System _ Y_ N 3 wpies of Tree Preservation Plan if bt platted after 711193 Rim Joist Detail Options seledion sheet (buildings with 3 or less uniLs) Minnegasco mechanical venlilahon tortn . Date J1_ / Z / ~ b 1 Clonstruction Cost SiteAddress J! 0 wA UniUSte # Description of Work llic.Yl G. G~CY i~ Oiv\~ Vlulti-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner M i C~~~.a t I 'Pj.('O ~`ne h Telephone ) Contractor en. K" ~C.. ~o ~ h n Address (p f{ City S+ • ` 41 \,kk State Y`(\ AJ Z p s S ~ U~ Telephone #((oS) ) 4a~ - o a 9 8 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 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 oddress of masier plan: 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 MNT 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. S-Fe ve n l~resle r Applicant's Printed Name ApplicanYs Signature