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1470 Bridgeview Ave Aug 03 11 09:40a CARMA CONSTRUCTION ©RVIC „ 651-464-6554 p.1 q &-; e U Environmental Training Institute 2501 2nd Avenue North Stop 8273 Grand Forks, NQ 58202-8273 701-777-0384 www.eti.und.edu Mark Carey Carm a Construction Services 6643 Pine Street Columbus, MN 55014 r - y Certificate of Attendance and Successful Completion LEAD RENOVATOR INITIAL-ENGLISH Per 40 C.FR Part 745.225 on February 12,2010 Course Location: Roseville, MN Exam Date: February 12, 2010 Certificate No: R-1-886410-00562(0212) Expiration Date: February 12, 2015 r Envirs"nmental Training fnstitute Use BLUE or BLACK Ink r For Office Use 1~ I City of ~a aPermit#: I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 J U L 1 8 2011 I Staff: I Fax: (651) 675-5694 _ _ _ _ _ I 2011 RESIDENTIAL BUILDING PERMAPPLICATION Date: t~+ l l Site At ddress: 1 r10 V•e,a Unit M Name: i n 14.C Phone: 4 12- RESIDENT ~{S / OWNER Address / City / Zip: 11M O ftkya _ M13 C-Sk'-1 Applicant is: Owner Contractor TYPE OF WORK Description of work: ~~•o~ol.~.:r. Construction Cost 2-ti Da Multi-Family Building: (Yes / No %1(-) Company: C arm _ Cc,., Contact: CONTRACTOR Address: city: State: 1W Zip: Phone: (vC 0 `t 4 ° ~`(S License '.01'g924 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of permit; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe , accordance with the approved plan in the case of work which requires a review and approval of plans. x r~u l _ Get-Y x Applicant's Printed Na a Ap c nt's Signature Page 1 of 3 v DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES ? o _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteratio _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%` 100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Jr- HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: !0j , Building Inspector RESIDENTIAL FEES Base Fee Surcharge V1 Alf) Plan Review i~ MCES SACS,. City SAC Utility Connection Charge J S&W Permit & Surcharge ~/11d r'1 ~ Treatment Plant `i V 7/ XV~v Copies TOTAL Page 2 of 3 CITY OF EAGAN Remarks Addition Malley Viee/w/Flat Lot 4 Blk 5 Parcel 10 81400 040 05 tStreet 147(1 RriAgeiri Pta Ave- State Eagan, MN 55121 r Improvement EDA Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.Paving $73.50 10 GRADING LAOSAN SEW TRUNK 3.33 30 * SEWER LATERAL WATERMAIN *'~pWATER LATERAL 1 5WATER A REA 20 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP N° 383 BUILDING PERMIT Owner - - - Eagan Township Address (present) . Town Hall Builder ,(~H•J/ ^ Da! - Address _ DESCRIPTION Siories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION ySttreet. R or other D scrfption of Location I Lo! Block I Addition or Tsac This permit does no authorize the use of streets, roads, alleys or sidewalks nor does it gi the owner or his agent the right to create an situation which is a nuisance or which presents a hazard !o the heals safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE I~P~T~pTy6--------- E WHILE THE WORK IS IN PROG SS. ' This is to certify, that- ...."AQ.f'°' - . -.`-..-.has Permission to erect a.- - .......................upoa the abov described pre lect t e provisions of the Building Ordinance for Eagan T ship adopted April 11, 1955. { . - Per Chwrman of sv Board Building Inspector r EFr ~p oa b (p5®S 2004 RESIDENTIAL BUILDING PERMIT APPLICATION/ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-615-5675 FAX # 651-675-5694 [y New Construction Requirements Remodel/Repair Requirements alkii W06 3 registered site surveys showing sq. it. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cer[ N 9uroey Reed _ y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Ttee Ptas PIRA: Recd Y ^M- 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree tares #tequped Y::' N _1 set of Energy Calculations Addition - indicate if on-site septic system Dial tesppFeSystem 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgCCswith 3 or less units Date O V Construction Cost Site Address ✓0~~[ ✓ ~L~~. Unit/Ste # Description of Work /mss// L ~ij wSC/ Multi-Family Bldg - Y - N Fireplace(s) _ 0 k- 2 Property Owner 71 7N Telephone # (~p7) Contractor Address 3~ 55 - /'Yk/7 43 City State Zip ~7J 7 Telephone # (9S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. nn Licensed Plumber_ Q 1 Telephone ] Mechanical Contractor SEP 3 0 2004 Telephone ] Sewer/Water Contractor Telephone Sy 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 16A ase of w rk ch requires a review and approval of plans. Applicant's Printed Name Applica s Signature ~(I Lb o14 Block L-) PID # Sewer /water permit # f Pl J 1 ~J a at V Q. l `e L,, y 1 --e p, & ll Date 1 0 Receipt # U..'L~ V t' 0' ~0~1 CITY OF EAGAN 2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY 1--0 & Sewer N ![oJ Water Lateral charge @ $2230/ff $ p ,Sg Later charge @ $22.55/ff $ Trunk @ $900/connection W rJil tTrunk 940/connection City SAC 106.00 Water supp & storage 840.00 Base SAC 1,100.00 Date paid Date paid Receipt # Receipt # Treatment plant 492.00 Account deposit 15.00 Water meter "Inspect req d prior 114.00 Septic abandonment 30.00 to issu' g Sewer permit & surcharge 50.50 Account depo ' 15.00 Subtotal $ l Water pe t & surcharge 50.50 Subto $ Total SCE Plum ing permit & surcharge 30.50 Total $ Sewer and Water Se lateral charge @ $22.30/ff Water ral charge @ $22.55/ff Sewer @ $900/connection Water trunk 940/connection City SAC 100.00 Base SAC 1,100.00 Date paid ce' Water supply & storage 840.00 Date paid eceip Treatment plant 492.00 Water meter " nspections req'd prior to suing 114.00 Account osit 30.00 Septic andonment 30.00 Se and water permit & surcharge 100.50 Su otal Plumbing permit & surcharge 30.50 Total $ e), C v r v~Yta - OFFICE USE ONLY Property owner yy~~ PRV required: N/A Address -e 11 i e v S R y-f R-O-W Permit: Ci `A ounty t✓o Phone number L ~ Unpaid $ Permit Fees: Plumber City financed: cc: Carolyn Krech, Finance Department WAIVER OF HEARING NO. 626 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Lot 4, Block 5, Valley View Plateau for the following unpaid fees(s): Item Use Quantity Rate Amount City SAC S. F. I ea. $100.00 ea. $100.00 MCES SAC S. F. I ea. 1,000.00 ea. 1,000.00 Account Deposit S. F. I ea. 15.00 ea. 15.00 Septic abandonment S. F. 1 ea. 30.00 ea 30.00 Sewer permit and surcharge S. F. 1 ea. 50.50 ea. 50.50 Total $1,295.50 to be spread for a term of 5 years at an annual interest rate of 7.0% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31s` of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. 77 L I I Dated: 10I 1 ~)J bD Bryan Barnh C1 anya B art Notary \ Fee Owners MARYSWENSON NOTARY KWC4AWNESOTA a MyO%=d mEVIn&L31.X05 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 v (651) 681-4675 ( q New Construction Requirements Remodel/Repair Requirements 0 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 1 site surveys (exterior additions & decks) • 1 energy calculations ♦ 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ NNo~~ A,~ DATE: , M a"I CONSTRUCTION COST: o`~rQ39. (JCS DESCRIPTION OF WORK: I')yA U'lWY,Vr,C l? B?~) AL VDC STREET ADDRESS: Iy'?D ~I7II~W,f.U7 P [ r~n,( r LOT: _ A BLOCK: SUBD./P.I.D. I Ate! Q VJk. L`r t 1 OLL l,'-- Name: ~,1 Cy e. R UV~ C~ VA n C ~ 1 Phone PROPERTY Las First OWNER Street Address: City State: Zip: S~ a Company: 'PVatLo Phone I 19q ~X7 J CONTRACTOR r~~-7n I_ 'J,, Street tAddress: r9 )l11 cUJT t 1 c.O . License # 42Z 61 Exp. -3199i City State: ra'N Zip: 40(o ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: r City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required Lot Block PID # Sewer /water permit # Plat Date Receipt # CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Sewer Connection & Availability Charges Water Connection & Availability Charges Lateral benefit @ 21.30/ff $ Lateral benefit @ $27.15/ff $ Trunk @ $1,790/acre Trunk @ $1,875/acre SAC @ $1,100/unit Supply & storage (WAC) @ $2,955/acre Date paid Treatment plant @ $444/SAC unit Receipt # Water permit & surcharge 50.50 Sewer permit & surcharge 50.50 Subtotal $ Subtotal $ Plumbing permit & surcharge 25.50 Plumbing permit & surcharge 25.50 Total $ Total $ Sewer and Water Connection & Availability Charges Lateral Benefit @ $21.30 and/or $27.15/ff $ Trunk @ $1,790 and/or $1,875/acre SAC @ $1,100/unit Date paid Receipt # Supply & storage (WAC) @ $2,955/acre Treatment plant @ $444/SAC unit Sewer and water permit & surcharge 100.50 Subtotal $ Plumbing permit & surcharge 25.50 Total S The number of SAC units is determined by the Metropolitan Council Wastewater Services (602-1000). - OFFICE USE ONLY Property owner PRV required Address Number of taps Phone number Availability $ Plumber City financed Lot `1' Block 5 r PID # A-91406 -0 40 0,C Sewer /water permit # Plat Date Receipt # CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Connection & Availability Charges Watel Connection &Availability Charges Lateral benefit @ 21.30/ff $ ~ Lateral bene $21.50/ff $ Trunk @ $860/connection l R! l Trunk @ $895/ ection SAC 1,100.00 Supply & storage C) 807.00 Date paid Date paid Receipt # Receipt # Account deposit 15.00 Treatment plant 444.00 Sewer permit & surcharge 50.50 Water meter 111.00 Account deposit 15.00 Subtotal $ Water permit & sure a 50.50 Plumbing permit & surcharge 20.50 Subtotal Total $ Plumbi permit & surcharge 0.50 Total $ -Sewer and Water Connection & Availabilit Char es Lateral efit @ $21.30 and/or $21.50/ff $ Trunk @ $ and/or $895/connection SAC 1,100.00 Date paid Receipt # Supply & storage (WA 807.00 Date paid Re ' Of Treatment plant 444.00 Water meter 111.00 Account deposit 30.00 Sewer and water it & surcharge 100.50 Subtotal $ Peeettt@@@ooope~rty~owtter Ld U"~~ PRV required PI ing permit & surcharge 20.50 Total $ - - - - - - OFFICE USE ONLY Z~u t Address 14 7 CN . L.~ Number of taps Phone number l 50 s r q Availability $ Plumber City financed Lot Block PID # Sewer /water permit # Plat Date Receipt # CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Sewer Connection & Availability Charges Water Connection & Availability Charges Lateral benefit @ 21.30/ff $ Lateral benefit @ $27.15/ff $ Tnudc @ $1,790/acre Trunk @ $1,8751acre SAC @ $1,1001unit Supply & storage (WAC) @ $2,955/acre Date paid Treatment plant @ $444/SAC unit Receipt # Water permit & surcharge 50.50 Sewer permit & surcharge 50.50 Subtotal $ Subtotal $ Plumbing permit & surcharge 25.50 Plumbing permit & surcharge 25.50 Total $ Total $ Sewer and Water Connection & Availability Charges Lateral Benefit @ $21.30 and/or $27.15/ff $ Trunk @ $1,790 and/or $1,875/acre SAC @ $1,100/unit Date paid Receipt # Supply & storage (WAC) @ $2,955/acre Treatment plant @ $444/SAC unit Sewer and water permit & surcharge 100.50 Subtotal $ Plumbing permit & surcharge 25.50 Total $ The number of SAC units is determined by the Metropolitan Council Wastewater Services (602-1000). - - - OFFICE USE ONLY Propertyowner 6I 2J PRV required Address Number of taps Phone number Availability $ Plumber City financed Lot ~~Bpplock} PnID#JO ffL0O-Oh--uJ Sewer /water permit# i V djY p 1(fftolA, Date Receipt # Plat 1~O U11 1 -T CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Connection & Availability Charges \Water Connection & Availability Char e Lateral benefit @ 21.30/ff $ ~ Lateral nefit @ $21.501ff $ Trunk @ $860/connection Trunk 95/connection SAC 1,100.00 S/,,Ap Supply & storage (WAC) 807.00 Date paid Date paid Receipt # Receipt # \ Account deposit 15.00 Treatment plant 444.00 Sewer permit & surcharge 50.50 Water meter 111.00 Account deposit 15.00 Subtotal $Q Water permit & surcharge 50.50 Plumbing permit & surcharge 20.50 Subtot rx $ Total $ umbing permit & surcharge 20.50 col, i ~ Total $ ~J Sewer and Water Connection & Availability Char e Lateral,Benefit @ $21.30 and/or $21.50/ff $ Trunk 860 and/or $895/connection SAC 1,100.00 Date paid Receipt # Supply & storage (,AC) 807.00 Date paid ceipt # Treatment plant 444.00 Water meter 111.00 Account deposit 30.00 Sewer and water pe & surcharge 100.50 Subtotal $ Plumbi permit & surcharge 20.50 tal $ /,1 OFFICE USE ONLY Property owner G21 (tE•C)'~k)l PRV required /X/A Address M-70 90 M E y/4 J Number of taps Phone number X507- 73Z-SJ~3 Availability $ ),t Plumber City financed Y o o /n v+-~ ~rPJ/rr i P, 671 ZK(i00..e ✓ 7pll---f prim < 7Z- w / 0 f ci t cZ, Q1 6 / ✓ y/L/ 02 Cam/ Gs~- ~,~i- 'Gay Oq 42v - WAIVER OF HEARING NO. 626 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Lot 4, Block 5, Valley View Plateau for the following unpaid fees(s): Item Use Quantity Rate Amount City SAC S. F. 1 ea. $100.00 ca. $100.00 MCES SAC S. F. 1 ea. 1,000.00 ea. 1,000.00 Account Deposit S. F. I ea. 15.00 ea. 15.00 Septic abandonment S. F. 1 ca. 30.00 ea 30.00 Sewer permit and surcharge S. F. I ea. 50.50 ea. 50.50 Total $1,295.50 to be spread for a term of 5 years at an annual interest rate of 7.0% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 3 of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these connection charges, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: Bryan Barnhart Tanya Barnhart Notary Fee Owners AW A. l4o:i 44, 6s- CITY OF EAGAN CITIZEN COMPLAINT NO, v . . tt 1.~ , COUNCILMEMBER_. n 13f`41 'tai vV^'k Jsi to uv'rf;~ ~6~ r / f n sib"`~yr~' r CITIZEN NAME y~ e k i ni~v ADDRESS ~J T S~F?~ I."~O.d3 ~~M1 3re~m~~x PHONE SbI - d !f - x~~s+N7bai•"`'i ~ ~A err COMPLAINT 1Y '+v f'+~t, 1{~~S ~ tia r aF ltln ~ ;'n~ ~r ~r4s ar4 ~-Fr-~ x~Me Qd-!'~4✓Q-ex w-...ti0~ _ GL °I v "'v *;~K + x' t t1t M1s-1~~9y=~/Iw w D Y.C~Jfv.^:-C~.r[iFc~.vb~ ~L(A.~LM+I-~.ad.rK hY~*-~r~-i ~tol~n fdt ~aiSTAFF REPLY 4.,t "max xN x DATE` BY w - yy i a + r, I &1 4' Lfd~pr'rte n`S yl Y A ~ ~ * Ay ~ y ; drt ~ ~ a '+5 f~1 f I 1 , r ~w ra e vI SJ e a //J]A / F j ~ r5 05 r ` i M i it 4 ~ L V'f S e b Y r• ~ iKO ,~~c r ~ r~ s ~ r) irul it~~Y nr,+ta of ~Lr,~t '.I ~ _ pct+wY i r r v I+ v<~ ~r a ,t r 'lfr~i L ri ~I V. i 4 n e * r i + z ~ e .~ry a'{p }~Yk t? f x z . v d Y}§ d~'~'R~ MK n e r ~ v at pL r Y ~ ~ F y ii•Y F t~ t I ' 4 1 ~y ! 1 7.{4~ ~ G. r q ~ s r q v i `9 'r ~ ;f F~f '34~e^~~yAr = v .-h 3 i~v I. t r! + ~ ~ ` { 3b Aa ~"I ~ vc~ Ey ~ v r n~ ` ! a ~ C 5Y fµ v .~p . ~ 11r.,o "EV ~ r v n 5 ~ Y. ~ Sf: Y ~4 'R' 'S i A Y N~} rS T ~!1 'ba ~ ~ F ier I t s WS d ! ~ T&! lFtu ! +~'~Y Ut i~ lFwk i~~' S 'Fk C-.l rt~lt .G Y 5 r. WAIVER OF HEARING NO. 626 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: B ~f` iJ Lot 4, Block 5, Valley View Plateau for the following unpaid fees(s): Item Use Quantity Rate Amount City SAC S. F. 1 ea. $100.00 ea. $100.00 MCES SAC S. F. 1 ea. 1,100.00 ea. 1,100.00 Account Deposit S. F. 1 ea. 15.00 ea. 15.00 Septic abandonment S. F. 1 ea. 30.00 ea 30.00 Sewer permit and surcharge S. F. 1 ea. 50.50 ea. 50.50 Total $1,295.50 to be spread for a term of 5 years at an annual interest rate of 7.0% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31" of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made _pursuant to this agreement. Dated: (D O Bryn } mh rt l~ G Tanya Barnhart Notary tn Fee Owners N MARY a A 2005 Imempas PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096119 Date Issued: 09/27/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1470 Bridgeview Ave Lot: 4 Block: 5 Addition: Vallee View Plateau PID:10-81400-040-05 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Cliff J Winkel 1920 County Road C West 1470 Bridgeview Ave Roseville NIN 55113 Eagan NIN 55121--110 (61)264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142175 Date Issued:04/18/2017 Permit Category:ePermit Site Address: 1470 Bridgeview Ave Lot:4 Block: 5 Addition: Valley View Plateau PID:10-81400-05-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cliff J Winkel 1470 Bridgeview Ave Eagan MN 55121--110 (763) 367-4139 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163625 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 1470 Bridgeview Ave Lot:4 Block: 5 Addition: Valley View Plateau PID:10-81400-05-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cliff J Winkel 1470 Bridgeview Ave Eagan MN 55121--110 (612) 220-4849 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167222 Date Issued:03/02/2021 Permit Category:ePermit Site Address: 1470 Bridgeview Ave Lot:4 Block: 5 Addition: Valley View Plateau PID:10-81400-05-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cliff J & Amie H Le Winkel 1470 Bridgeview Ave Eagan MN 55121--110 Farr Plumbing & Heating Llc 2525 Nevada Ave N #104 Golden Valley MN 55427 (763) 732-9497 Applicant/Permitee: Signature Issued By: Signature