1965 Timber Wolf Tr NCllyofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RFC r ir,r"ED
APR 1 1 2011
Use BLUE or BLACK Ink
Permit #: g3 5 3
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3-3/- // Site Address: /g� 5 A/07-7-4_ ✓raj` /
Tenant: DO)—
Suite #:
RESIDENT / OWNER
Name: 2---i tom' _ Phone: 6,51- /- Li .7 ge530
Address / City / Zip:
CONTRACTOR
Name: "114'./- c_5 '111"64/G'' Pi/k L/C License #: C�.5�7(o•ZD
Address: `71705 V1 2 /7 Ge-) City: OL�f22.44t/*.Py"
State: /#04/ Zip: ,5 - '-7
_p/ �o Phone: s®%`��vS
Contact: e%c r /5)--04&Yl Email: ��,,,yr ieQ/��5 irlJ .COjver
TYPE OF WORK
New x Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
AWater Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $-00
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.
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By:
_Under Ground Rough -In Air Test
Date:
Gas Test _Final
411'
City of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
tor) 4" 211
Use BLUE or BLACK Ink
ristom
Permit #:
N3co i1
i
Permit Fee: 51_00
Date Received:
Staff:
2011 MECHANICAL PERMIT APPLICATIONp
Date: 3 -/d1 l i/ Site Address: ` 9( / `��' Le c' f T gig
Tenant: Po-s't–
Suite #:
J
RESIDENT / OWNER
(.J
Name: 5aii–r____-- Phone: 6.5 /""a5-02-86-36)
Address / City / Zip:
CONTRACTOR
Name: X / #/c -'/Fib LLC License#: a&3
Address: ; 1tdY / W City: /eCLPfir./$1�--
State: r7NZiip: ,, 922/ Phone: g- 7 W-/'3,Z'
Contact: Ire kit OY®O,'j Email: , - , i� �_ - _, / ' • —�`
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
X Furnace
COMMERCIAL
_ New Construction Interior Improvement
X. Air Conditioner
_
_ Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_
Under / Above ground Tank ( Install / Remove)
Other
_
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ J✓`_ ' D 0 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 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.
X i;ck.
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground Rough In Air Test Gas Service Test In -floor Heat Final
_ Exterior HVAC Screening Inspection
cinr oF EAGAN
3795 Pllot Knob Rood Eason, MN 53124 N2 5653
' PHONEs 454.$100
BUILDING PERMIT Receipt #
Te 6a uad foi Est. Volue Dote , 19
Site /uidross' . .Y ~ - Ered [j Occupanq
Lot Biock Sec/Sub. Alter ? Zoning
Porcel # Repair p Fire Zone
Enlarge p Type of Const.
oWc Nome Move ? # Stories
3 Address - Demolish ? Front ft.
b Grode p Depth ft.
Ci Phone
°C Nome Approvols Fees
a
~l Address Assessment Permit
Cit Phone Water & Sew. Surchorge
~ Police Plon check
~W Nome Fire SAC
Address Enfl. Woter Conn.
a W Ci Phone Planner Woter Meter
Council
I hereby ocknowledge that I have read this applicotion ond stote that gldg. pFp, .
the informotion is correct and agree to comply with all applicable APC Total
Stnte of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Permittee
A Building Permit Is issued to: on the expreu condition thct
oll work sholl be done in accordance with all applicable Stute of Minnesota Stotutes ond City of Eagon Ordinances.
Building Official
.
P It # Dsh l~wd • ~~MN~ .
Plumbing ~
Mechanical /7 4 / d L, .
~ s o vj~~e'a
INSPECTIONS DATE IN5p.
Rouph-In Finot
Footings - DaRe Irup. Date Imp.
Foundotion ' Plumbing s-31
Frame/ins. - - Mechonical
Final
Remorks:
+
cr
. CITI' OF EAGAN
• 3795 Pilof Knob Road
' Ea9an, Minnesota 55122 I NSPECTO R NOTI F I CATION
No.' Phona: 454-e100 R EQU I R ED BY LAW
PERMIT FOR ALL INSPECTIONS
r - -
Dote: Receipt No.:
$ingle I
Site Address: Residential
Lat - Biock Sub/Sec. Multi Res., Comm./Ind. I
~ _ . 1e_ ;ori:,~t,..
Nome New //\Iter. / Repoir
~ Address 1^('15 Cedar .Ave.
Cost of InstallaYion
City Va1'le;i . . Phone: Permit Fee
Nome ~tF1y .'T. ~ 1_- _ . Surthorge
~
~ Addreu
City Phone: Totol
This Permit is issued on the express condition that all work sholl be done in accordance with all oppliaobte State of
Minnesoto Stotutes and City of Eogon Ordinances.
8uilding Offitial
, CITY OF EAGAN
, • 3795 Pilot Knob Rood
No. Eayen, Mleuesote 55122 INSPECTOR NOTIFICATION
- whom: 454-8100 REQUIRED BY LAW
- i' PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Single I
7''v5 IN, i imber'tac ;:7'r.l . Residentiol
Site A,ddress:
Lof Block a Sub/Sec. ~~eAd_OWlSnds Multi Res., Comm./Ind. I
' 12OI1StI'.
Na^'e New /Atter. / Repoir
~ Address
Cost ot Installation
City Phone: y Permit Fee Nome ~ veSte,.,
` SurCharge
L
~ /lddress
City Phone: Total
This Permit is issued on the express condifion that oll work sholl be done in occordarxa with all opplicable Stote of
Minnesoto Stotutes ond City of Eogan Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition Lot 22 Blk 1 Parcel 10 48050 022 01
Owner l`f 1>ii i~1f J~'' h2t„1Lr j 5treet 1965 N. T3mbe1' lolf '1'='ail State Zagant MN 55122
i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUF F.
STREETRESTOR. 111P. 1589.99 158.99 0 1589,99 C005601 10 15 80
GRADING
SaNSEwTRUNK 1970 77.95 3.12 25 -
* SEWERLATERAL 3156.58 C 05496 7 17 80
WATERMAIN
* WATER LATERAL ~
WATER AREA ; 1973 95.27 6.35 15 STORM SEW TRK - 1971 282.92 14.15 20 g
* STORM SEW LAT 1981
* ser i
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK 5.00
CITY OF EAGAN SEWER SERVICE PERMIT
3795 i'ilot Knob Rood PERMIT NO.:
Ftgan, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plumber:
1 agroa to eompfy with the Citp oF Eogcn Connection Chorge:
O?dinerees• AcwunT Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 ?ilot Knob Rood PERMIT NO.:
.gan, MN 55122 DATE:
Zoning; No. of Units:
Qwner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to tompFy wilh the Ciry of Eagan Surcharge:
Ordinanoes. Misc. Charges:
Totol:
gy Dote Paid:
Date of Insp.: I?sP•:
CZTY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERhIIT APPLICATION 1 set of enezgy calcu].ations.
/
To Be Used For / euJ7/orr~L Valuation Date
site Paaress; oFFzcE usE.ONLY
Lot~aslocx sec./svb. ~`'iew,1•w'?~-~ srect Occupancy ,c~2 3
Paxcel 1D yr~Da/Q D~2 D/ Alter zonin9
Ranair Fire Zone
Oamer: SOS~~i ~~e -TYLe of Const. l/ .
, Mbve # Stories
Piidress: Deimlish Fmnt ft.
City/Zip Code: Grade Depth y ro ft.
Phone # : d 00 APPROUATS FEFS
Contractor: Assessments 3119 Pesmit
Water/Sewer Surcharge ,2 G
Address: Police Plan Check V' 7/~
City/Zip Code:/ Fire SAC
Phone 7/~ ~OO3 En9• Water Conn.
Planner Water Meter / o
Arch./Eng.: Bld Cl Off. U Rc~ad Unit
g
Pddress: ApC
Ciiy/Zip Code:
Phone TOTAL
Tlus request void *4
18,months from
Date of this Request 4-15-1980 Fire No. s 58560
I, asM Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ,g / ~'np~etl-~GJ,
Street Address or Route No. 1965lyTimber Wolf Trail City Fagan
Section Township Range County Dak ota
Which is occupied by Miller Conatruction
(Name ot Otcupant)
Is a roughin inspection required on this job? No ? Yes$}c Ready Now ? Will Call ~
Power Supplier 7)altata Cty. Address I''smin8'ton
Electrical Contractor O.B. Thomnaon Electric Co. Contractor's I,icense NnA37962
(COmpany Name)
Mailing Address 19901 Mtkn A1 vd M~ka 553d3
(Electqwl Coniractor or Ownar~a Ing This Installatlon)
' 1•. ~ . . . q'z"3.9h: j
Authorized Signature i~ - ° - Phone No. ~..~T
(ElectrlcalCont !'o~y~> nerMaWrip~'Fhll~Mstallatlon) ~
(~`jj~~(;' o>~ i'~~Ei~ ~Thisinspectionrequestwillnot6eaccepted6ythe
cJ :3 LS uU ~5 Stete Board uniess proper inspection fee is enciased.
mmnesota swte noara ot Liectricfty
Griggs Midway Bldg. - Room N791 ~B~00~1-02
1821 University Ave., St. Paul, Minn. 55104 - Phone 297•2771 ~
t REQUEST FOR ELECTRICAL INSPECTION $ 58560
CHECK BELOW WORK CO ERED BY THIS REQUEST
Type of Building New Add. Rep. Cheek Appliances Wired Foi Check Fquipment W'ved Fm
Home 12 ? ? Range ? Temporary Wiiing ?
Duplex Watex Heater ? Lighting Fixtures Ek
Apt. Bldg. Dtye Electric Heating ?
Commercial Bldg. Fum ~ Silo Unloadei ?
Industrial Bldg. Air d~L Bulk Milk Tank ?
? ? ? L~st pList
P'axm Othe~ ? ? ? ~eiefs Heiers~
COMPUTE INSPECT[ON FEE BELOW
Service Entxance Size: # Fce Feedeis&Subfeedeis: # Fee C¢wits: # Fce
0 to 100 AffWXi G 7.50 0 to 30 Am res U to 30 Am eies 2.
] Ol to 200 Amps. 31 ta 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Transforme:s RemoteConVolCuc. Partialorothertee •
Signs Special Ins ction Minimum f
Remarks $pA Cap]e a TOTAL EEJ 0 34-00
I, the Electrical Inspector, hereby certif~the ~ectio has been m .
(Rough•in) ~ in ate • ^ ~ ~
(Final) 'l,~
This request void
18 months from
cirir oF E?cti?N
8795 Pi1M Kno6 Raed Eogaa, MN 55122 5653
PHONEs 434-8100
BUILDING PERMIT APPLICATION Receipt # , Z~3 -
To 6e wed idt ec ...,j Ir_,, Est. Volue 52,000.00 Date 3/7n/ , 19-ag-
Site Address- 1 ,9F5 N_ Timhan.nl f Trl _ Erect Occupancy-~--
Lot 22, Blak 1 Sec/Sub. MWdowlaI1l5 Alrer ? Zonln9 Ki
Porcel # 10 48050 022 Ol Repair ? Fire Zone TTT
Enlarge ? Type of Const. 17
W Nume Thsanh Mi 11 ar Chnatt_ Move ? # Stories
~ Address 13015 CEdd2' AVe. SO. Demolish ? Front C;7 N.
A~leValley,A4dPh~e 432-8003 Grode ? Devth 4S ft.
~ ADVrovols Fees
Nome
0
0~ Address Asseumentj~Q~,L$~ Permit 14_50
Ci Phone Water & Sew. Surchnrge 96 00
~ Poltce Plan check 71~? -S
~w Name Sawe Fire $AC S_S nn
Address Eng. Water Con@05_00
<w Ci Phone Planner WnterMeterf0 - 00
Council Shi_TTnif-1RS nn
I hereby acknowledge thot I have reod this opplication ond stcte that gldg. Off. 3/7 9/$n
the infortnmion is corred and agree to comply with aIl applicoble APC TMaI ~ 315 25
State of Minnesqta Smtu$(gs~on~d~~~City of Eagan Ordinances. r
SlgnMure of Permittee v~"'~"~ AA
A Buildfng Permit is issued to: on the express mndition that
all work shall be done in accorda 'th ap cob State o4 Minnewta Statutes and Ciry of Eagon Ordimnces.
Buildinp Official
,
- ~
~ 'Okertifirtt#.e vf (Orrupttnrij
r
Citp of Cagan
]9Ppttrfmrnt n# igixilbing Jns#?Pd'cmc
Tbit Certificate irruul purtrant to the rrquiremenu of Sudors 306 o j tlx Uniform Baildieg
C«lr roti f ying rhat at the time o f ifrxanre tbic rtrwctwr waJ in rom plianrr witb the vatiour
' ordimrutr o f the City +tgulatrng 6uildisg ronn+uttion w ure. For the fo!louvttg:
~
UrCYd&+umJ Jl' ~[wuit /Ga rs gP 5653
Wd6.hmdtNa. I
r .
m*wwr1YVm R3 'hvcm.wmnmV_Fi..r TTI zoft wtmt RI ri
Josevh Miller ConsU,,, 13015 Cedar Ave So . App y;
~1965 No. Timber WolW;l L22 B1 Meadowlands
~ Dale S. Peterson
ft - ~
June 29, 1980
r' ~on ~x c cornncuan wnue
N •Z L • ~
a _
y
Q ~
.:v ;r.: .r . . : '
s...
OcMa~M
~~'1 • Certiff,oat~ ios~t : ,r r
Dunn & Quxx'l, ' • • `f~9~~ , .
~Joe Miller Conat. Co.
, 1965 N 1Ymberwolf Traii... •
DEIMAR H. SC##WAt+~Z ,
wN wsuNveYaM
. , . " M~NMVM V~ Lql(/ N 7MS4N Of MMMWN
. . L7~ - NffN ~'fll~l1' 1Y. -~07C M 110iEMOlAw. MIMNOOTA MM NMM! 012 4st7q . .
~Z S1,IRVEYORBCENTlFiCATE .
. c o3 .
-1 #
~
1 . N
/ /1 ;
c_ (.J
4 n.,
f/ { . . , ~ i~ .
~ i ~..4R ~ . ! ? ~ , ~3 ~ 'r A'~
~
"~b• ' h / fi~ + , ~ . vY . ~ ~Y^+~.i, . ' , . ' F-a~ ~'`..±I
A
O m Spike 6a Iath
41
~ '~r~' ' ~ % • Elevatidns shown are . existi'
Propoe 6argge Ploor Elsv.
a H 64Q
BCAL$s ] 1rtob s 30 f"L
p1 . : . 'i
~-4
Drainags an4 utillty oatettMrr~t,
,
~ .4 Q T hersby osrtify tlsat Lolg !i,
PP/-¢ ' X true and oorrsoL vsyresiaafAgot K," if4t:
g$2ot Lot 22t Hloo! 1, lfLADW,tAAil ;
6,00 FIABT lWDiTI01! O aaooPdkt?g t0+ -f.blt
I reaoraod altt 'Ldorooi'~ Wt4W ; s; ,
~ Gouaty, Ilin"sotao
~
- n.t.d, Jun. 27. 1979
?pproveQ for Durin & Curry Rsal. rrstate lSaqagemont. Ina. ~ $J + MUZ2 &hfa~T~v ~ 4WA 1980
.
Revised Febw,try 7, 1980 ta show proposad houee.
Revised February 21, 1980 to ahow elevationa.
x:
. .
. ~ ' r~;~~a:ioi; i^rde~,r,ri: ; :i~tcn~;r: ^n^ c•~r•~ru•rn~~ian
r~~l
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CONTR,CT:,,;:
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T"CL1 (>:pxor;cd w:tll x--..'.~:.1-„--
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Total
~~~1~'~~~~~~~.:-•~t~1111~~.1~~1~~;~~~~
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CASH RECEIPT
tITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DAT6 19
RfiC 6t V 6D
FROM
AMOUNT $ +
~
a uoLLwws
oo
[]GASH r] CHECK
woe
FUND CODE AMOUNT
Thank You
BY
wnire-Pevers coar
Yellow-Postinp CopY
Pink-File Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1965 Timber Wolf Tr N
Lot: 022 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 022 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Elite Services Inc
2414 - 117th St E
Burnsville MN 55337
(612) 282 -8108
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Donald W Ingle
1965 Timber Wolf Tr N
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Permit closed without required inspection(s). Letter sent to applicant on 4/17/09. (pf)
Issued By: Signature
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
Building
EA086897
10/15/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Use BLUE or BLACK Ink
F-----------------
1 For Office Use ~ n 1
j Permit 3 j
City of Ea
Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received: ;
1 I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t I U 113 Site Address: 1 7 toy I t'~n~ E'er W ~,(F~ -Tr ( /j Unit M
Name: Imorzc ( C-) ~-)-r-N g e Phone: Lola- 9 U-0" a
Resident/
Owner Address / City / Zip:, 9 (o S I [ M19e,- two I-F -tr
Applicant is: Owner Contractor
Description of work: Re _ 0,00 P °-5,r a 0,0 S a2 r
Type of Work
i
Construction Cost: Multi-Family Building: (Yes / No
Company: _ePG . r Contact: hGC~ 113e M[~e~e t~
Contractor Address: `?-520 E_ n AUC_ City: ry lp 15 .
State: M AJ Zip: 5 5 Ltc 3 Phone: C( a- `v 301
5
License Lead Certificate &J A.T - F I `o S - 1
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
a 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. w„-
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.aopherstateonecall.org
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 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 s1^Ke-C-3 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3