727 Summer Pl . _ ; . . .
SEWER &Wo;TER PERMI7 ~ OFFICE USE ONLY
CtTY (fF EAGAN M~ ~'~j'~,3.y 147~- PERMIT DATE z2 ~ 90
3830 Pilot Knob Rd. cHiP # PERMIT # 11239
Eagan, MN 55122-1897
METER SIZE AA? C B.P. RECEIPT # 16456 ,
~ ~ ISSUE DATE B.P. RECEIPT DATE 2/21 /90 I
DATE
Xx PRy _ gOOSTER PUMP
SITE ADDRESS 727 311IMR PL PERMIT REQUESTEO
LOT 8 BLOCK 2 SEC/SUB SU[MR PLACE
XSEWER XWATER _ TAPS
APPUCANT: JOg MILLBR HOIiES
ADDRESS: 18193 ICEDAx AVE 34 - COMMlIND ~ RESIDENTIAL
CITY, STATE FABMINGTON ZIP 55024 ~ NEW _ EXISTING
PHONEc
, Lawn Sprinkler Meters are to be Installed
Tor
PLUMBER:
~L/7 Ahead of Domestic Meters on Water Line.
ADDRESS: Creejt WILL NOT be given for Deduct Meters.
CITY, STATE ZIP f`
PHONE:
, I AGREE O COMPLY WITH CITY OF
OWNER: ' G EAGA RDINANCES
ADDRESS: Y
CITY, STATE % ZIP mc
PHONE: t- SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESStNG. CALL 454-5220 FOR INSPECTIONS. FOR STORIII
SEWER PERMITS, CONTA(,T ENGINEERING DEPT. .
. . . .
,
SEWER &'"~TER PERMIT OFFICE USE ONLY
tITY C~A(~iAN METER # PERMIT DATE 2/22/90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 1193.5
METER SIZE B.P. RECEIPT # ^v6456
DATE r~ r~`? ' ISSUE DATE B.P. RECEIPT DATE 2/21 /9O
Xx PRV _ BOOSTER PUMP
SITE ADDRESS 727 SUM4ER PL PERMIT REOUESTED
LOT g BLOCK 2 SEC/SUB SUMMR PUCE
~ SEWER 4 WATER _ TAPS
APPUCANT: JO8 1MILLER 80HL3
ADDRESS: 18139 CEDM AVL? SO ~ COMM/IND ~ RESIDENTIAL
CITY, STATE F~l~Qp ZIP 55024 ~ NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed •
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given}for Deduct Meters. % CITY, STATE ZIP PHONE:
1 AGREE O COMPLY WITH CITY OF
OWNER: EAGAN,6RDINANCES
ADDRESS:
CITY, STATE I i Zip
PHONE: ~ SIGNATURE WHEN IYIETER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: FBBRUARY 22, 1990
RE: 727 SUMME[t PLACE, L8, B2, StJ!!lIBR PI.ACS
XX Your Sewer & Water Permit for the above property has been completed_ It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO '
CALI PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~
Your Sewer $ Water Permit for the above property cannot be completed for the following I
` reasons:
r
Your Sewer & Water Permit for the above property has been completed, but the meter cannot ~
be Issued or occupancy allowed until further notice. II
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILlTIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 2/22/90
RE: 727 SUMMER PLACE. L8, B2, SUMER PLACE
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALI. PUBLIC WORKS (454-5220) FOR YOUR PERMANEIVT WATER TURN ON.
Your Sewer & Water Permit tor the above property cannot be completed for the following li
reasons:
~
Your Sewer & Water Permit for the above property has been completed, but the meter cannot I
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectars - 454-8100) before issuance.
WARNING: gEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. I,
- REGlUIRED BY LAW.
GONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH A€CEIPT
.
CITY OF EAGAN
3&30 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
DATE 19
IPcr LY1S~v
AMOUNT S ~ C~ ~ ~ ,
/ ~
8 DOLURS
im
O CASH -Q-CFE6K'
F` I 753s - L 6l v~~e :2 ~
c, rri rYu r 1'o tQ C.Q 7,2 73.u r-? 7 ntiF~
FUND OBJECT AMOUNT
Thank You
~
BY ~
C YMhile--PsY8 coPY
6 4 .5 P., Yelow-POS&V COPY
Pink-Fie Copy
CITY OF EAGAN .4$ 17535
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100 '
BUILDING PERMIT Receipt #
To be used for sF DWCICAR Est. Vaiue :140+000 Date YEa 21 , 19 90
Site Address 727 stn'l!'EH Pl+'
OFFICE USE ONLY
Lot 8 BloCk 2 Sec/Sub. S~R p~S
P2fC81 NO. Occupancy A-3 .~1 FEES
zoning
JOE HILI,LR E10!!E$ ~ 7~~.~
~ Name
W (ACtual) Const - Bldg. Permit
o Address 18133 CBDA[t AVS S t,vbWebie> V-~ Surcharge ?u•W
City rARMiNGTW Phone 431-2001 r ot stories 507. Ct~
Length ~u' Plan Review
Name sm oeptn sAC, ary 100.00
Address S.F. Total - 6~.~
~ City Phone S.F. Footprints _ SAC, MCwCC
On 5ite Sewage - water Conn 6ZS.00
~
W W Name on 5ite well Water Meter
, ~X-- = Address Mwcc system ~ ~ . oo
~ Depogit
i~ City PhOne City Wa~~
PRV Required xx S/W Permit 30*00
I hereby acknowlege that I have read this applicafion and state that Ihe Booster Pump - S/W Surcharge •50
inlormation is correct and agree to comply with all applica6le State of
Minnesota Statutes and City of Eagan Ordmarices. 7reatment PI 252•00
Signature ot Permilee APPflOVALS Road unit 355000
A Budding Permit is issued to: iJOE !!I I.1.QR HOleS Pla^^ef - park Ded
on the express condilion that all work shall bo done in accordance with all Council _
applicable State of Minnesota Statutes and City ot Eagan Ordmances. gldj. pH _ CoPies
Building OffiCial a Variance - TOTAI 3.439. 50
ParmN No. Psrmft Holder Date Telephone X
WATER
~
SEWER
PLLPABING
KvA.c.
ELEcraiC / ~ 3/l~ SC
IntpwHon Dale Insp. Comrtwnts
FooMp i
~tion
Frarnag 3- z 3- t U S 06-4.. C,'d~t o ~
~~9 /ir ct <<Kt
P-* pbs.
R«* fn9_ 3 2~ o -i~~o u c~'LS T~i.r 1 e a
Isul.
Fireplace 3~zsyt ~?s
Fwal Htg. a V
Fuial Plbg /D fd~ ~
Const. Meter Plbg. Inspector - Notily Plumber
Engr•1Ptan
81dg. Final
Deck Ftg.
Dedc Final
WeU
Pr. Disp.
Ter#i#irate uf Mrrupanry
titp of (Eagari
BrpabneW a# Udibmm AUWMM
Thir Certificale issuMpursuaat to the requinemenu of Section 306 of rhe Uniform Building
Code certifying that at tGe tfine of rssuance tJus structure ww rn compliance wirh the mrious
oriAnances ojthe Ci1y reguladng building construcdon os use. For the jollowing:
unae.&.6w sp ML',OR M4 Fty,;, rb. 17535
O-w-r iYX It3/M1 Z.M D.,,,, RI Tya ca„„ VN
o„wae„ae;N JR M1771R CONST. Ad&=1$133 [MAAR AVE S. FARM=
a~m~ naa,~ 2 ww4 I.B. ffi. SWFR Pi/I[E
' z a,ir. MAY 15. 1990
~a
POST IN A CONSPICUOU3 PIACE
For Offlce Usa Only:
MECMANICAL PERMtT PERMIT #
CIT1f OF EAGAN RECEIPT #
3030 PILOT KNOB ROAD, EAGAN, MN 55122 y•' G~~
CONTRACT PRICE PHONE: 4S4-at00 DATE:
3ite Address BLDG. TYPE WORK DESCRIPTION
Lot Y Block Sec/Sub ` , . Res. ~..~_New
~ .
~ Name • C c: Mult Add-on
j Comm. Repair
Address
, OMer
c' City ' Phone -
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Addr ADDITIONAL 50 M BTU , 6.00
p Ciy rs Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERYIn - 1.50 EA.
TYPE OF WORK COMMAND FEE -1'd. OF CONTRACT FEE
Forced Air M BTU - APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Unit Heater M BTU MNMMUM RESIDENTIAL FEE - ALL ADaON 8
Alr Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets N - ~ (ADD t.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other -
2
PERYff FEE:
SI(3NATURE OF PERMITTEE
S/C:
TOTAL: i v FOR: CITY OF EAGAN
. .
PLUMBING PERMI'Y`
For Office Only
• C1TY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE p Q E 4548100 DATE• J
Site Add Ns ~L-1~ - BLDG. TYPE WORK DESCRIPTION
Lot Bbck Sec/Sub Res. New
, MuR. Add-0n
Name _ Comm. Repair ~
` Other
~ Addre
u, RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
c City ~ Phone ,~G FIXTURES TOTAk
WaEer Closet - $3.00 $ ~o
Name ~ Bath Tubs - $3.00
~ Addr Lavatory - $3•00
~ Ci4y P h o n e 131 V - Shower - $3.00 -
IGtchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMM./IND. FEE -1% OF CONTRACT FEE -T Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDQ - RES. RATE APLLIES Whidpool -$3.00 ~
MINIMUM - RESIDENTIA4 FEE $12.00 ~ Gas Piping Outtets - $1.50 / SQ
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM • 1 PEH PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S(C PER EACH 1,000 OF PERMI7 FEE) Well -$10.00
' Private Disp. - $10.00
/ ~Rough Openings - $1.50 , SU
SIGNATURE OF PE MITTEE U. G. Sprinkler System -$12.00 ~
PERMIT FEE:
STATES S/C: SU
FOR: CITY OF EAGAN
GRAND T07AL:
, RESIDENTIAL
y' BUILDING PERMIT APPLICATION
CITY OF EAGAN
Il 3830 PILOT KNOB RD - 55122
# l6y0.3 657-681-4675 470,00
Nwr cantruetbn Rwuiro~nMS RINmoM4RswkReaukNmenh 'l l
. 3 rogistered site surveYa sIowrq e4. R d bt aQ. ri M house: an4lgy mofed areas . 2 aipies of plan
(20%marinwm bl covenpe aDwed) . 7 xt d Enagy Calala6ions brheabd additlais
. 2 capins of plan ehowing 6emn d wBitlow shes; poured tound deoign, efc.J . t sila survey for exferior addltioris 8 decks ~
• 1 xl of Eriergy Calcu~tbns • YMivte H hame sarved GY sepbc ryatem bradditlau
. 3 copies of Trea Pmwvatlon Plen'rf Id phtled Mler 71193
• Rim Joist Oetai Oplbns xleclbn Aeet (Wdgs wqh 3 a ku unps)
DATE /~(-~f b / VAIU/fION
JOB SITE A DRESS 7.)-f? Sa1,mW u PI
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE ,TD 4 r-G--
TYPE OF WORK re ec* FIREPLACE(5) _ 0_ 1_ 2
APPLICANT C0n15 t.r.t Avr,/ PHONE#
ADDRESS /o Cr .3 9 9Q4a s b?,Z k (f,` r ZIP CODE
PAGER # CELL PHONE * FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residenfial VenGlation Category 1 Worksheet SubmiKed
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbinp Conhactor: Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mochonical Conhactor: Phone #
Mechanical System Includes: _ Air Conditioning ' Fee: $70.00
_ Heat Recovery System
Sewsr/Water Conhactor. Phone IF in) P ~
All above information must be submitied prior to processing of application. Im,
I hereby acknowledge that I have read this application, state that the information is corre i~
with all applicable State of Minnesota Statutes and City of Eagan Q~dinances.
Slynature of Applicanf ~EY~, p
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated trot
OFFICE USE ONLY
~
. ,
O 01 Foundation O 07 05-plex O 13 16-plex O 20 Pool E3 30 Accessory Bldg
O 02 SF Dwelling O OS 06-plex O 16 Fireplace 0 21 Porch (3-sea.) 0 37 Exl. Alt - Muiti
O 03 01 of _ plex O 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
O 04 02-plex O 10 08-plez W18 Dedc 0 23 Porch (screened) O 36 MuiG
O 05 03-piex 13 11 10-plex O 19 Lower Level O 24 Stortn Damage
O 06 04-plex O 12 12-plex Plhg_Y or _ N O 25 Miscellaneous
O 31 New O 35 Int Improvement O 38 Dertal'ish (Interior) 0 44 Sidinp
O 32 Addition O 36 Move BWp. O 42 Demolish (Foundation) O 45 Fire Repeir
O 33 Alteration O 37 DemWish (Bidg)• O 43 Reroof O 46 WindowslDoore
pp 34 Replacement •Demolition (Entiro Bldq onl» - GN* PCA handout to applleant
F! n
Valuation a1)0t-5) 0' Occupancy MC/ES System
Census Code ~ 2onin8 R, City Water
SAC Units _Q_[_ Slories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const -47 W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) ~ Final/No C.O.
_ Footings (addieon) _ Pliunbing
FoundsUOn HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fveplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/repLcement)
Approved By Building Inspector
Base Fee --~p
~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Perrnit 8 Surcharge
Treatment Plant
Plumbing PermR
Mechanical Permit
License Search
Copies
Other
Total
~
3/r6,/so "W"
06499
Request Oa~e Fire No. Roug~-in Inspecl~on
3/ 14 / 9 0 aa ~mao ? aeaav now w,n Houry msaaomr
.Ves G No When Reatly9
I' licensed coniractor p owner hereby request inspection of above electrical work at:
JaD Atltlress (StreeC Bor or Fowe No ) ppy
727 Sumirze2 /1 Q¢ce £¢g¢n
$eclion No Township Name or No. Range No Counly
L7CLkO.f CL
Occupanl(PRINT, Phone No.
aoe 17-i2QelL Coaaf~uctjon Co. 439-2009
Power SupOliar AOtlress
Dakot¢ Uect2ic f¢2iniagion, I7N 55024
EIecV¢al CoNrapor (COmpany Name) ConVaclor's L¢ense No
l7'idQaad uect2ic Iac. 049670
Mailing Atltlress (Conhaclor or Owner Making Installalion)
14055 y,z¢nd Rue So, Suite E, duaaeyi.QQe, /?N 55337
Au~horiz ure (COmratloqOwner Makmg I ~~Ilation~ Phone Numbe,
892-6688
MINNESOTA STATE BOAHD OF ELECTqICITY • THIS INSPECTION qEOUEST W ILL NOT
GrigBs-MlEway BIEq - Room Sl]] BE ACCEPTED BY THE STATE BOARD
1821 Unlvarsih Ave., SL Peul, MN 55106 UNLE55 PROPEft INSPECTION FEE IS
Plwna(fil2)692-0BDO ENGLOSED
REQULECTRICAL INSPECTION ee-oaooi_o/
See ms ompleting ihis lorm on back ol yellow copy
0- ~/o (~~c glo_ cCs
l~I ~;J U'4 J J 'X" Be/ow Work Covered by This Request ~iM..~"` . "
ew Add Fep TypeofBwltling AppliancesWued EqwpmentWiretl
Home Range Temporary Service
Dupiex Water Heater Elecinc Heating
Apt. Bwlding Dryer Other (Speaty)
Comm /lndustrial Furnace
Farm Air Conditioner
Otner (speclly) Contmcmr's Remerks,
Compute Inspechon Fee Below.
N ONer Fee # ServiceEntrance Size Fee # CvCwis/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclor5 Use Onty. TOTAL
Irriganon Booms ~ AO
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON. HS. o
I, the Elecincal Inspector, hereby Rou9n-m
certify that the above inspection has Finai
been made. /
OFFICE USE ONLY G •
This repuest voitl 18 momhs fmm
~S
Sq RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremanh RemadellReaair Reauirementa
. 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies ol plan
(20°h maximum lot wve2ge allowed) • 1 set of Energy Calculalions (or heated addiGans
. 2 co0ies of plan showing 6eam 8 window sizes, Doured found design, etc ) • 7 site survey for exterior additions 8 decks
. 1 set o( Energy Calcula6ons • Indicate if home served by seplic system for additions
. 3 copies of Tree Preservation Plan if lot platted after 717l93
. Rim Joist Detail Options selection sheet (hldgs wdh 3 or less units)
DATE __~/v~/d~Z VALUATION /idz__6
~
SITE ADDRESS ~L 1~ / LP` MULTI-fAMILY BLDG _ Y _ N
TYPE OF WORK .4 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY STATE /FV~ZIP S~3 s,.3
TELEPHONE#-&-/ CELLPHONE# 6S1-775 •--2'>3~ FAX#
PROPERTYOWNER M6.r/ TELEPHONE#
~
ell
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOT:1 RULCS 7670 CATF.GORY I MINNESOT;\ RliLES 7672
(4 submission type) . Residen[ial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Controctor: ________Phonc #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater No. oF R.I. Batlis
No. of liaths
Mechanical Contractor. Phone #
Mecli-unical systein includes: tlir Condiuoning I'ee: $70.00
Hcat Recovcry System
Sewer/Water Contractor: Phone #
-
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to com ly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of AppUcant
I u I I
OFFICE USE ONLY
By
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-ptex ? 18 Deck Q 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 667
DATE: 09/18/00 TIME: 13:16:33
ID:
NAME: THOMAS D Oi2 CAROL J HOCH
3212 9001 727 SLTMMER PL 30.01
2155 9001 727 SLTMMER PL 0.51
Total Receipt Amount: 30.51
CR137358
USER ID: JAN
CITY USE ONLY
L ~ BL 1~1`- RECEIPT#:
SUBD. ~ LL VV\ vy~-k~ 'V..~ A. RECEIPT DATE:
PERMIT# ya~X~
2000 PLLJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum- 1 3.00 x = $
Hot tublspa 3.00 x = $
sink Y 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x r = $
Septic System newlrefurbished • requires MPC Ife. 75.00 x = $
S2ptic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x $
Undergfound sprinkler if dwelling is under consUUCtion 3.00 X = $
Undergrounds rinkler ifexistingdwelling 30.00 x = $ Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under tonstrucUon 5.00 x = $
Water softener if exisdng dwelling 30.00 x = $
Waterturnaround 30.00 x _ $
State Surcharge 50 $ .50
TOt81 S `
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
I hereby acknowledge that 1 have read this appiicatlon, state that the informatian is correct, and agree to compty with all applicable Ciry of Eagan ordi- nances.
It is the applicanl's responsibility to notity the property owner lhat the City of Eagan assumes no liability for any damages causetl by tha City during its
normal operational and maintenanye activities to the facilities wnst1ucted under this permit within City property/right-af-way/easement.
SITE ADDRESS: Z m m,z, r ` I G C~
OWNER NAME:: k TV m h TELEPHONE#:66) ~4 " ri
-----L (AREA CODE)
INSTALLER NAME: Ur>"1INTI )HONE AZIN40 Z 1~~ v V~
(AREA CODE)
STREET ADDRESS: Z2 -7 1`i Q
CITY: STATE: K~'l N
.rn ~nnn
V1-1 LVVV
SIGNATURE OF PERMITT E
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~~c7,o~ 3830 PILOT KNOB RD • 55122 l~ 60.~o
651•681-4675
NewConshucMmReaulremenh Remodel/ReoalrReaulremenh called q'Iq-lr
? S ropisterod sIfe wrveya ihowlny sq. B. ol bt, aq. ff. ollwuse 2 copfes of plan
antl QH rooletl areas (20% maxlmum lot coveraae allowetl) 1 gel of enerpy calculaHons for heated atldltlons
D 4 coples of plam (ahow beam 8 wintlow sizea; pouretl fnd. desipn; etc.) 1 We wrvey for extedor addlHona & tlecks
? 1 fei of anerpy cclculatlons
D J coples ol hee preservallon plan H Io1 pWMed aRer 7/1/93
DATE: _ / - / ~ -e~c CONSTRUCTION COST:
DESCRIPTION OF WORK: ~ `-OL~2 r Z Q( S
STREET ADDRESS: l~/
LOT: U BLOCK: SUBD.{P.I.D. t: SUmrv1LY Mme1
Name: Phane Y:
PROPERiY wat Flm
OWNER
Sfreef Address:
City State: Lp:
Company: ( , lPS ')N Pnonea: C~ ~ 30- .Sej! ,5
(area Code)
COMRACTOR
Sheet Address: ~6 ZLlCense M~Oe2a22~~xP3
Ciry Stafe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone M: ( )
Sheet Address: Regishaflon k:
Cly Stafe: Lp:
Sewer/water licensed plumber (If InsW Ilina sewerlwaterl: Phone
1 hereby acknowledye llwt I have read this applicafbn, atafe thaf fhe WomwHo conecf, and apr71omply wNh a0 applicable Sfate
of Minnesota Sfafutea and Cfly of Eapan Ordinances. Siynafure of AppticanQ ~1-- C:-.a-_ v
~`~U~'~,--
OFFICE USE ONLY ~
SEP 1 3 2000
Certificates of Survsy Received _ Yes _ No Rni
BY:
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaGon ? 07 05-plex [3 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
O 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-plex (0' 19 Lower Level ? 24 Stortn Damage
0 05 03-plex ? 17 10-plex Plbp _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pooi ? 30 ' Accessory Bldg.
WORK TYPE
~ 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code ~ # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ~
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter '
Acct. Deposit
S/W Permit
>
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CITY OF EAGAN ND 17535
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ~I
Tobeusedtor SF DWG/GAR Est.value $140,000 pyty FEB 21 19 90
SiteAddress 727 SUPAfER PL
OFFICE USE ONLY
Lot 8 Block z SeGSub. Sl1MMER PLACE
Parcel No. oocuPancy R-3 tL-1 FEFS
Zoning R-1
w Name JOE MILLER HOMES (qctuapCOnsl V-N BIdg.POrmrt _780.00
~ Address 18133 CEDAR AVE S (Ailowable) V=N
o Sumharge 70.00
City FARMINGTON Phone 431-2001 +v o1 Stories 58„ plan Review 507.00
Lenqih
.o Name SAME Deplh 55i snc, ciiy 100.00
AddreSS S.F. Tolal
SAC,MCWCC 600•00
City Phone 5 F Foolprims _
On Sne Sowage _ water Conn 625.00
~
ww Name OnSeeWell _ 90.00
tZ XX Waler Meter
x- AddfBSS MWCCSystem
aw City Phone Qty Waler XX Acct. Deposit 30.00
PRV Required XX S/VJ Permit 30.00
I hereby acknowlege Ihat I have read this application and state ihat the Boosier Pump - SMl Surcharge .50
inlormation is correct and agree b compl wilh all apphcable State of
Minnesota Statutes and City Y~Sagan Ortli ces. Treatmeni PI 252.00
SignaNre of Permilee ~ APPHOVALS Road Untl 355.00
A Bwlding Permit is issued ro: JOE MILLER HOME Pianner - park Ded.
on the express condihon ihat all work shall be tlono in accordance wrth all CouncA
applicable State ol Minnnesola Statutes antl City ol Eaqan Ordinances. gld9 pff. _ Copies
Variance - TOTAL 's,439.50
Bwlding ONicial
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMHERCIAL
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 ENERG7' CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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 HnS BEEN GOMPLETED.
PERMIT MUST SHOF' A LICENSED PLUMBER.
~`~B 16 Reco
To Be Used For: Valuation:-7Lt{-f-yf,Q~ Date: -96
Site Address Yo / 000. OFFICE OSE ONLY
!
Lot 93 Block ~ FEES
Occupancy k"3 m- I
~ Zoning D R- I Parcel/Sub a/u, Actual Const V-N Bldg. Permit
Allowable V_~ Surcharge
Oorner # of stories Plan Review
Length ~ SAC, City ID~~170
Address Depth ~ SAC, MWCC aa,pt7
S.F. Total Water Conn 'i'DC)
City/Zip Code Footprint S.F. Water Meter qo, p
Acct. Deposit 30,00
Phone On site sewage_ S/W Permit 30,0
p
On site well S/W Surcharge I
Gontractor MWCC System ? Treatment P1. 252,ap
City water Road Unit ,DO
Address PRV ~ Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
)~.~I APPROVALS Penalty
Phone `"i~ Planner _ TOTAL L3rI r)!1
Council
Arch./Engr. Bldg. Off. /s (,J
Variance
Address
Gity/Zip Code
Phone #
V A L,;~k~,P~ I O'~•1~'~? ' `
/ ~af ~.L° v.. ~ ~t +c
1U ~c 3 ; LiZ
35Z
`d 12 _ ~6 °_Z
I Z~f Z k~y= 1~0~8
135'"'7- = 1 z ~ 2
~3o-2.. 7c.5a ~ ~Sla o
zN p ~t,oori
z ` ~KO x~: ~-lUo~a
13~1q ~i ~
.
CITY OF $UILDINa DEPARTIiCNT ,
l:XTERIOR EHVE[.OPD AVERAUE 110 OOIQPUTATION
(Ta be eubmitted with bUilding permit applioation)
one or Two F'amily Dwelling Ovmer
N.1 OEher,-oT 8 BUcr~lc2, Six.tiw~~ ~~-~C 'SftN Addreee
Conlractor 6 1M~~~..r~ ~N4rDate Phone
. ~
LIl1EAL FEET OF ftl above grade dW
EXP08Eb YJALL 0~~
7~DTAL EXPOSED WALL AREA 8Q' FT.
oPAQUE WALL CoNSTAUCTIONt l'U" Value x Area ; . .
SQ+-FT. I i Lv: l0 (/U)~A)
DOtdi~. ~l~~Y~r IIUtI X gL2• r`r.a \U~M
A~
reterence P1~^ upn , x 3Ri FT. ~W~)(from uUil x 8Q: FT. = IU) (A) ,
sttached - upn x SQ4.FT. a (U)(A)
eheete uun x BQt FT. _ (U)(A)
WItiDOW3t "Ult Value x Areai Malca & Type INw-i Q°t-w"1' "Uil , &D x SQ+ FT.~_~ F7~I4U(U)(A)
u n npn x 9Q# FT. = (U)(A)
Jnpn x 8Q+ FT. _ (U) (A)
u u uuu x 8Q+ FT. _ M(A)
DOOA81 i'Uil Value x Jlrea ~a
Halce & TYPe 00 ~ npn x 9Qi FT. 'i I'p = L0, (UMA)
p upu 141 x SQ6 FT._fzt°,°.= L(U)(A)
u n V-nUu x BQ: FT. _ (U)(A) '
n n npu x 3Q+ FT. - (U) (A)
TOTAL9 3Z iOID SQ+ FT. (u)(A)
AVERADE "Ull '
, TOTAL (U) (A) VALUE9 3 5, , 3_ _ -7
i1L/ ~
DIYIDED BY TOTAL WALL AREA
AVERADE "U I'erIr less for 1&2 family dwellinge
ROOF/OEILIHas
TOTAL AREAf _
Datail reference iiUit IdZ ~ x 8Qi FT. 12 - 33~8 (U)(A)
irom "un x SQa FT. ~ kU)tA)
ettachad sheete. °UII x 3Qi FT, (U)(A)
Ueecribe openings 'Ou" x SQ+ FT. _ (U)(A)
~11p11 x sqi E?r. - (u)(A)
in roofa r7'~41.~7 tD17i 54~ 3~v~j~~>
TOTAL (U)(A) VALUES DIVIDED BY
TOTAL ROOF/CEILIN(i AREA I 6I2' f ~~I ,
AVERA4E l'U .0 or ventilated roofe.
! ~ , .
. ~ , . . S .l ' •
5~o x~u~-t-zzt r) = Z(P~,o;~
ll ~ ~
Y, g 3x f~I +~i-+ ~194~~/z~°~ t... ~ I(eIZ~
? cP7 X l~~ = I I I ~ 8~ ~ ~ •
~,im , S3X lco-7 = I 38, co I~
Ls ~
II I 2- -u4X, q9 ~ ZZ~SX 37~ S~
I I = -?,4 x* = ~I~tf-;~ I = II~V5
0~309~I = 35t 7E;.
I ZnKq~S = 21 ~ o X I= 2~~ o
I Z- zoX~n - zz~ I- ZZ1~ ,
I 3- zpX~n = 33,~x I= 33,v I z- Zox3LO = 7loX
~ I 3-04X41,zsX1 ~ 4??~
IIII~ z-~X~ = 1~15 X~( = 70, o •
I 4 44 >C 1 - ?a ~4W1L ~~1'~ ~~hai.
~ ~4vNk:> T'aP = 25X1 = 28~Z~ c~f~o55 wPa.v ~s~a 3z99,~
~S ~ I ~tvJ~ 13g~lvl
3 g S'f~ Gi~i W I SU =~~o u WFi1~) 3gs
= zl~~ d u t~s I~s. -elo.z
Cv~ P~qjo 47,1 v 12O,0
~ ~
~1. ~i4 11kAll lU , , .
velUea hb rioot~ pallj riim$ Hhd donal Hloolc .
. . ~ . .
_ • , .
. ~
•
P00F/tlEILlllq " Il Y I,U
Inberior Air k'ilm ~ 0661
5/81, U7F6 ad: 456
3.) Iheulation
5s) Exterior A1x Film ; ~6)
I 23 ( (6TILL)... . , -
• I.
_/il ' IIVI) tl ~~I~a I~z-l . 'I'bTAL (h)a
lel
~ ~O ' . ^ • . .
~ 1 .
~ wnLL : n vAi.u '
6.) Inkerior Air.Tilrq 0168
lJ e, ) orr. ea& .4s .
Iheulnkion ~9•pd ,
94gvIt:7'-Pit Z.oQ.
lo:~ flaeoniba 9ding ?67
to 114) Exterior A i r film 417
V/ . .
~ .
. 11u11 q I/ny T9`rAL (n)e ~~t0 f
•
Li JI YRIoU
O Is ~ " 120 Intarior Air Yilm 0668
13s) Ineutation 19 .o0
1h•) 211 Fir Rim Joinb 1480
- 15.) Kuu:r-?2i7~
16.) flaeotiite eiding
17:I Cxterior Air film'' +17
+
• ue' ' D , • up~~ d 1/Ab .OrI-D ToTAL (!1)d
.
; oO
' • IoU11bATI01{ 11 VALU
IB 19;; Ihlerior Air riim 0+68
11 ~ . ' •
b~ . 20, ) ~-,1/ 51RlPf~b Il.ct7
21. ) 1211 (lonOre Ee B100k h28
' A ; n 90 ~ 226)
» , , • ~ . 'C~ • 231) nxberior Air iilm , • ~ ~7
. e. • ~
• , LSb 1 ~e ~ : UpIl y 1/Ild .07(v TOTIIL (Il)d
. ' ~ ' •
~ . . . ~ . . •
. , _ •
. !
; . .
, i;. , ~ • ; "
. - i •
, . ' . , 1 I l i I~; 1:: i' . • ' '~;714}~ ~
I. ~.:~5•°Ill. ~,V}'~e4 ~
90-022
TRI-LAND C0. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOT-AL,BLOCK2., SUMMER PLACE
ACCORDING TO THE RECORDED PLAT
, r THEREOF DAKOTA COUNTY,MINNESOTA
SCALE:I"=30'
* LA S89° ' . ~
~ Z ° s
I VJ ~ DRA~ GE 8 UTILITY EASEMEN~ ~Q
I n) ,o ~g lw-~
I (;j I 'ux ?89V.Zo r15P EAZEH6h1T
tL 1 equ.ll ~
-L ~
y o~ as ~ LOT 8
q C
L V T O~d~
Y`
10:'~ y ~ P~. ~3 ?901.42
I b ~ ~'1 ~ I.ol FiZen {t
r'~ l 01.44
8. S a~. W \ F lO O
bAR FkX `w
9os.72 ~ S 1p~ pR°''~ R
N N ,
0 )-1ouz 1=iRE d23ST ,e wa~
No-.cnENirv~,s r~Eyzw~rr~]j`
aDa w.v o 5 `1T a
J
~Z / 403.11
aOQ aIOZ
R
•r, .
A=47°46'15" qp2~"
R=60.00
50,03
SUMMER PLACE By - - - -
Date z2Uj
EAGAN ERTGIIVEERING DEPT
U'oWoVo WL~QU~RED
LEGEND PROPOSF.D FULL BA3EINENT - WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = yoa ~
0 DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 90s Q-
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 09m s
ELE VAT I O N E LE VAT I ON
DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that ihis survey,plon or
report was prepared by me or under my
direct supervision and that I am a duly Bradley J. w son, Mn. Rep. No. 15235
~ Repistered Land Surveyor undsr ihs
Laws oi the Stote of Minnesota. Date ~ 2
~ -
` TRI-LAND CO. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT--B-,BLOCK9, SUMMER PLACE
ACCORDING TO THE RECOROED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
SCALE: I"=30'
a~ `yS
S89° . 3"
Z o / 9
I Uj ~ DRAINAGE 8 UTILITY EASEMENT 71 `O
i N ,o g I I _ ~
o'~ ` ^ •
I ~ ~k "~~899~ }NSP EAZEN6NT \~O
v ~
By~ 11
0 T 8
No . r ,o S
f~{5~~~2 0 .~c
i
a.._ C'T 7 Qo~y
aM Q~ o ~ N
io.'~ y ~ ?401.42
1.01
F.~m ft-
'c~ ~o1.4R
/~AR fkar IN '
9oS.lz N N I .
0
. I ~ 0 I-NOUZ 1=/~E d2c~\P~l
~
N
qoa ' `l T ..1
w.v o
- zaa _
Q~~ ~ 903.11
A~ No2 9oL5 ~'~9m
0=47046115"
~.-+AA
R=60 00 .
50.03
SUMMER PLACE L,hGAI•d DrP
PAV. RCOUIRED
DDl1PnSFII Fill 1 ae-CtFMFNT - WoLKOUT
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 681
DATE: 09/15/00 TIME: 09:38:26
ID:
NAME: MILES CONSTRUCTION.
3210 9001 727 SLTMMER PL 60.00
2155 9001 727 SUMMER PL 0.50
Total Receipt Amount: 60.50
CR137315
USER ID: JAN
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� I
' � Permit#: � �/ � j
Clty of ����� I Permit Fee: � ��� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I �
,
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f� � � Site Address: �� � �(,z rY1��P r P�� �� :���j� Unit#:
� Name: � ���r�s.w,�..�w��(i-i� .,�....u„��...,�,,,� Phone:0 'S��(� ��- �.S'(� j �
.��.� �.� , .
�L 'l �tl�/ �
sd � 7 iJ � � �
� �}�y��;r, Address/City/Zip: �� �U/t�r`✓! P/
Applicant is: Owner �Contractor
' Description of work: ��
°� ��9� 4f 1��1"k �
Construction Cost� �� �2� � Multi-Family Building: (Yes /No�
� Company:/��/ �/"G/(�" f�rri� ��/iL�l Contacfi �"'� �S�y
Address: �-��� I� ��lCt �.t/G� City: � ?`�.f 7��� -f'
COtI"�r�C'�Qt' � � / / -�-/ /f
� Statet�+VZip: � �3� Phone: (p -�/7��Email: /�G� 7�@ �'"n�i � _ �d"�
'� License#: �G��.�(��� I Lead Certificate#:
If the project is exempt fr� certification, please explain why:
,�/'ew�e,--
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:
' NtJT�':P�ans ar�tl�t�p�ar�ing+akr�curr�en�s tha#you subrr�i#are�cor�sitl�red�o be publrc�n�rir�tiu�a. Porffu��Q#' :
; t�e�nfc�rr�ra�fc�n��y be cfassi�etl��non:pwbfic if y+au�rv��le�peci�%c rea,�orrs tha��ou��t per��t�e C3#y�`a° '
c�ar�c�c�ct�tha��e �r�t�ade.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 confoRnance 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.
Ezterior 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 /CJC/1�`��d1C✓! /�/ X J
ApplicanYs Printed Name ApplicanYs ignature
Page 1 of 3