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4165 Blackhawk RdCITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: __• Site Address: Plumber: _____i I agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: SEWER SERVICE PERMIT 3 77 PERMIT NO.: DATE: X ' ' No. of Units: X;.r•.1t r:''":# ?t. Y'^ +,d /D- AJ6,6b -03U- Connection Charge: - ' S • "' ?d Account Deposit: 15.00 yd Permit Fee: 199_ ,a Surcharge: Misc Charges: . Total: Date Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' DATE/ RECEIVED FROM AMOUNT $ & _DOLLARS 100 ? CASH E1 CHECK lfz a -1?3?=-`9 FOR / j J ..s .....g ... ,+''. FUND CODE AMOUNT 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: }_ ft & 3830 Pilot Knob Road Permit Number: 0 i 4 :3 Sagan, Minnesota 55123 Date Issued: (612) 631=4675 TE ADDRESS: h APPLICANT: 4 f to i, H i A 14 A C4 fz I'I m f', l i t t t i }rl A p t`. it L -t ION 20 1. 3 t, :? 1 4 9 PERMIT SUBTYPE: TYPE OF WORK: 1 I It iNAI ? Li . INSPECTION RECO" a 0 2 1 9 WY OF AN • En*r TYPE: $1M P#O Knob Road Pam* Nt#TAW. *4 t 4 ?t*2 kMWv-wwKAa 55123 DOW wmoxk {# 681-4675 Stft ADDRESS: LOT 3 *L*ct i 79 APPUCA . #0fi *N x* (Ott) 4.4*41 TYPE OF V4 ` r FINAL ,.y - -C^7L .U 7 G- -c -4V lze' MM. C-16-02 Final Mbp. Fin& Plttg. ?I Ptbg. tnapector - N Pit ariter rte. Metes' EWJPian Prow Doak Ftg De Final Weg Pr. Diap. VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: / O 043eu12 L ? 77 Site Address: 4165 Blackhawk Road Plumber: Same ( Weierke Meter No.: A4 0.4 A' 1 Connection Charge: 1__ Size: Account Deposit: Reader No.: t+' Permit Fee: 10.0 I agree to com y with t Village of Eagan Surcharge: Ordinances. t?L Misc. Charges: By Total: - Date Paid: Insp.: - Date of Insp. WATER SERVICE PERMIT PERMIT NO.: 1782 DATE: 7/23/75 Mired) Ree. No. of Units: 3 L5 eat ?o07 9 / (21 7 Request Date _ S ire No. Rough-in Inspection fired? Q Ready Now Will Notify Inspector R d ? Yes ? No hen ea y I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street, to 14" / /Q khawk ? . City Section No. Township Name or No. Range No. County Occu t(PRINT ? Phone No. h Power Supplier Address Electrica Co ract or (Company Name) Contract)r's License No. , t ^ ? OYW oW,1f- Mailing Address (Contractor or Owner Making Installation) ov Authorized Signature (Contractor/Owner Mak ng Installation) Phone Number i MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ,1,:,1 7/y,-I_REQUEST FOR ELECTRICAL INSPECTION 10. See instructions f1 r completing this form on back of yellow copy. J 4,W (7. ! s? r X" Below Work Covered by This Request F?_es ) EB-00001 -08 ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Rem s: Compute Inspection Fee Below: Room n " ' J Jo . # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: 21 TTAL Irrigation Booms C O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final 4 od Date - OFFICE USE ONLY This request void 18 months from CITY OF EAGAN Addition Section 20 Owner I Remarks- Lot B Parcel Street 9, ' L.'., {, i! X/"`' State 10 02000 030 79 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. A STREET PAVING01 101 1244.60 124.46 10 PAID GRADING SAN SEW TRUNK 19Ej 280.00 $9.33 30 PAID EWER LATERAL ;` ,: -. , 2,362.47 A 014227 WATERMAIN * WATER LATERALA tv?c ?a i 197 - 1747.00 174.70 10 7b 7 0 8 * WATER AREA 1976 10 WATER STUB b 5 1971 200.003 $10.00 20 PA1D T STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $160.00 768 7-75 BUILDING PER. SAC 525.00 16633 11/13/79 PARK EAGAN TOWNSHIP T9 294 B I4® NG PERMIT Owner ---- . ----- Address (prese t) /2 -------- / -`` ___=" ?_...:_ Builder- Address ----------------------- --------------- DESCRIPTION Eagan Township Town Hall Date"" --- Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION '7' ,P or Tract This mit does not authorize the use of 64 ets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST T ON P ISE WHILE THE WORK IS IN PROS. This is to certify, th? .. ... .......................has permission to erect a_- ....----•---------- -' ----------------------------upon the above describes] a the provisions of the Building Ordinance for Eagan ship adopted April 11, 1955. fir} ---- -- --- -- -- ---- --- -- -- -- ------------------- Per ------ .--------------------------------------------------------------------------------- Chairman o and Building Inspector y EAGAN TOWNSHIP BUILDING PERMIT Own' 4. Address (present) ._?e.__..? ... j -- . Builder Address ---------------------------------- ----------------------------------------------------------- DESCRIPTION N° 587 Eagan Township Town Hall Date,-------t-llll --- ---- ------------- Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Ro other Description of Location Lot Block Addition or Tract This permit does not authorize the use of struts; roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. P= I0E WHILE THE WORK IS IN PRO RESS THIS PERMIT MUST _ ' TON T/V This is to certify, __ . ________has permission to erect a___ __? p - -----------------upon the above described mise bject to the qx9visions of the Building O inance for nsladopted April 11, 1955. ------------ ----------------------- Per+° ---- -I-- Chairman of Town Board B g Inspector City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------------- For Office' Use Permit #: Permit Fee: _ =- Date Received: - Staff: ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3"21 •a? Site Address: ?1t?5 Q)1c K ?1 wt RA Tenant: Suite #: RESIDENT / OWNER L 1 _ Address / City / Zip: CONTRACTOR Name: License #: 06 1 tog - Pf? s Address: )olgUcl ck City: ? Jcc t State: Mn Zip: X 37 Phone: 1S _ 3oly - 1000 Contact Person: C, 04 TYPE OF WORK New d Replacement Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation __X_ Add Plumbing Fixtures D 1 EE RPZ / PVB) ( Main _ Lower Level) .?. Septic System Water Turnaround El, ±P New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is re uired $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 appr al of plans. x flc?)t A,rSS2tI x \ 10 t I I ? I AdAAk Applicant's Printed Name Applica 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: __Under Ground -Rough-In Air Test -Gas Test -Final DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool Single Family " ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 4_110 Occupancy Plan Review Code Edition (25% 100% Zoning Census Code 77 Stories # of Units Square Feet # of Buildings Length Type of Const. -- Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: -Ice & Water -Final Framing Fireplace: __R.I. ,Air Test -Final Insulation MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final/C.O. Final/No C.O. HVAC Other: Pool: -Footings -Air/Gas Tests -Final Siding:__Stucco Lath -Stone Lath -Brick Windows Retaining Wall r° Reviewed By: , Building Inspector ------------------------------------------------------------------------------------------------------- RESIDENTIAL FEES: Base Fee Surcharge Plan Review 67MC/ES SAC City SAC f ) ° Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total YO 0' Page 2 of 3 SEPTIC SYSTEM. new/ furbished (requires two sfftof plants and MPC License) t#K3`t ( Includes $40.00 County fee Note' AddftkmW consu#tant fees may apply • MOOIFI T'IO$ ALTE~RATIO$ TO DWEL[Rd UNIT, WNCLUOIN : - to lam lei4els or room ac titions, exdt dk water eners and water heatr's. -i # AbandonmwA of sep$c sy rrr. Water tumamurid . eAMV itlr (+ motor If meded - $118) Other: _ RPZ: new in f t tt1 W $ _ 3t?t i taws Irrigate system RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reau' nts • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE Z:'I SITE ADC TYPE OF iULTI-FAMILY BLDG -Y YN '(FIREPLACE(S) A 0 _ 1 -2 APPLICANT' NyL 344 CIDyI&Y- STREET ADDRESS (LP-71( -r E?167u1 G`l ' CITY CE STATE ZIP __ LL M 14 TELEPHONE #t- 80 4cS31 CELL PHONE # S( 5110 -FAX # Y5- b ?'79 PROPERTY OWNER 4itST7i(.) 3 M e74 (Y',.AME7r TELEPHONE #_6571- K2-7$ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d submission type) Plumbing Contractor: Plumbing system includes • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Water Softener Water Heater No. of Baths c® RemodeUReaair Reaulrements • 2 copies of On • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 2-0 000 Phone # Lawn Sprinkler No. of R.I. Baths Mechanical Contractor. Mechanical system includes: - Air Conditioning Heat Recovery System Sewer/Water Contractor: I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan O? Signature of Phone Phone Fee: $90.00 and agree to comply OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required - Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex x 19 Lower Level ? 12 12-plex Plbg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy Census Code Zoning SAC Units Stories Nbr. of Units Sq. Ft. Nbr. of Bldgs Length Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water _ Final Framing _ Fireplace _ R.I. - Air Test Insulation MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. LC Final/No C.O. Plumbing HVAC Other Pool - Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Final Windows (new/replacement) Retaining Wall Approved By f , Building Inspector Base Fee Surcharge Plan Review ? MC/ES SAC J. City SAC Water Supply & Storage it & S S&W P h y erm urc arge - oil Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total t S CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Control No. 0219 BUILDING 000239 04/14/92 SITE ADDRESS: 4165 BLACKHAWK RD LOT: 3 BLOCK: 79 SECTION 20 DESCRIPTION: Building Permit Type RES. ADD/PORCH Building Work Type NEW UBC Occupancy R-3 Construction Type V-N Zoning A Building Length 34 Building Width 14 REMARKS: C O I S' 19I FEE SUMMARY: VALUATION $33,080 Base Fee Plan Review Surcharge Subtotal $304.00 LICENSE SEARCH 5.00 $197.60 Total Fee $523.10 $16.50 $518.10 CONN TM??/?cT R - Applicant - ST. L'qWN R: NOR7FI $ MR BLURS 15661549 0004 9 MCDIVITT AUSTIN 7709 CHOWEN AVE N 4165 BLACKHAWK RD BROOKLYN PARK MN 55443 EAGAN MN 55122 (612) 566-1549 (612)452-7849 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 Mn. Statutes and City of Eagan Ordinances. ?r .ta APPLIC T/PERMITEE SIGNATURE I SUED Y: SIGNATURE I INSPECTION RECORD Control No. 0219 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000239 Eagan, Minnesota 55123 Date Issued: 04/14/92 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 79 APPLICANT: 4165 BLACKHAWK RD NORTH STAR BLORS SECTION 20 (612) 566-1549 PEfflT SAUigT TYPE OF WORK: IM& NEW INSPECTION TYPE FOOTING DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FINAL PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 OAR 2 3 Rj6o SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of I specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once permit is issued. Date Valuation of work Site Location: STREET STE # Tenant Name: CCU ?' ?? / Cs?' LOT BLOCK 2 SUBD. P.I.D. # Description of work: The applicant is: ? Owner I' Contractor ? Other (Describe) Name Aus `a Phone Z 2 Property LAST FIRST Owner Address 1 /b_ 5- %'a'Cdhrc?o 4 STREET STE # City L!?2 ur' State d Zip / ?.2 Company Phone 5 6 /5 l9 Contractor Address License # ?- exp. City la)C?4? State Zip 3T W3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is ct and agree to comply with all applicable State of Minnesota Statutes and City of 0 LE agan Ordinances. ture of Appli cant: BUILDING PERMIT TYPE ? 01 Foundation -? 02 SF Dwg. ? 03 Two family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE 't. 31 New JR 32 Addition ? 33 Alterations OFFICE USE ONLY ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 34 Remodel ? 35 Repair ? 36 Tenant Finish GENERAL INFORMATION Occupancy R-3 Zoning A Const. (Actual) ' N (Allowable) v -N # of Stories Length ? 34" Depth 1 y, APPROVALS 11 es. A ./Porch ? 12 omm./Ind. New ? 13 Corm/Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 37 Move ? 38 Demolish ? 99 Undefined ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ® Footing ? Wallboard 10 Final ® Framing ? Draintile IR Insulation ? Fireplace Permit Fee 30y.o-I Surcharge 16.50 • Plan Reviewj9-7'`o License _.pF MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: 1p Varuation: : 33, O 0 0 312 X his Av (,xty !e; 9x6g 5, 7 2 X30 , 36$ °2 33. oDcc MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ___ SAC Code Assessments SAC % SAC Units APR{- 6+-3 MON 1 1 :!5!5 unrers t ritlE X-fsLM cvmparmi OAbE R Nd.: ' 57REET.AODRESS; LEGAL DESCRIPTION: BUYER: u? O i# I. E? '- (+ r P_ 0 4 A I t E. r rr r0. t I 454-azo r r-104 PLAT DRAWING MIS IS NUT A SUPVEY! INSP. DATE; I T -1 I I p I ? ?' _ Imo ' { ? ? I ?- 41, I I I I i' I i I .1 1 . 1 I - H } TM- e nr7 3r.u are„ rre . F.. r ..... ... r.. . ._ .. ...._ ... _ _-- _ _ • w - -?.;. w. _ _• - __ rr ?siv?s u, uir rarryr ..q Gnc rpc?ncn? v7 mr rriGfr•n fn0 rmprgV[rr1Pn15 O9 1n! A PIA---- 6'-9 2 M 0 N 1 1 c !!5 3 A l t L?r n a 0 f f,4 c a Sir u P~ "02 EXTERIOR ENVELOPE AVERAGE "U" COMP TION OWNER SITE ADDRESS CONTRACTOR 47.4 DATE PHONE Determine Working Square Footage of Each. 1. Total Exposed Wall Area . . 7,2429 Sq. Ft. X .11 _ _ . + 2. Total Roof/Coiling Area . . Sq. Ft. X .026 o.i 3. Total Floor/Cant. Area . . Sq. Ft. X.__05 Total Exposed Wall Area Above Floor a. Total Wall Window Area. . . . . . . . , . b. Total Door Area . . . . . , . . . . . . V 1 c. Total Sliding Glass Door Area d. Total Fireplace Wall Area . . . . . . . . -^ e. Total Wall Framing Area (average 108) . . . '?? f. Total Net Wall Area Above Floor . . . . . g. Total Rim Joist Area. . . . . Exposed Foundations Area = '3'60 h. Total Foundation Window Area . . . , . . .____ i. Total Net Foundation Area Above,Grade . . 3, Determine "U'" Value of Each Wall Segment. a, 01, D. X #u" 130'" _ / b. 4'"P I X 'lull 41 7 - a 61 C. .... X fluff - C rr . - e. x fuff ?. f X 11011 Z r 7 , ! h. x "U" = ?.. X "V" _ 1 r 14 4. SUBTOTAL a 71,1 TOTAL = + / If item #4 is the same as, or' less than item #1, you have met the intent of SEC 6006 (c) 2. APR.-: Is-92 MON 1 1 :!!54 A I t r no t i u. O f f i s S?.r P_ 0'S Total Exposed Roof/cei.ltng Ak'ea ? Total skylight area . . . . a k. Total flat roof/ceiling .?framin Brea '".jQ ., 1. Total net Inslted flat roof/ra?iling area m. Total vault root/ceiling framing atom-10% -?- n. Total net malted vault roof/ceiling area ?... Determine "U" value for each roof/ceiling segment. 36 x "0" - ,._ k. X "Uy no X nun TOTAL It item IS La the some as, oi leas than item 12, you have Jnet, thA intent of sac 6006 (c}'1. Total exposed Floor/Cant. Areas o. Total floor/cant. framing area (avrg. 10%) ?._.... p. Total net insulated loor/cant. area . . . Petermine "U" value for each floor/Cat. segment. C!. x "u" PA X Own 6• TOTAL - If total of 16 in the same as, or leas than 13, you have met the intent of Sac 6006 (c) 3. ALTERNATE BUILDING ENVErJ0 S DESIGN To util xa the total envelope system method, the vAluea established by the cum of items 14, 15 and 16 shall be-greater than the sum of items 11, 12 and 13. 4. ? . ,_ ,.?.i?--_,._. ? '?".. y i? j Prep4red By Da to ?.- OITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 4165 BLACKHAWK RD LOT: 3 BLOCK: 79 SECTION 20 P.I.N.: 10-02000-030-79 PERMIT TYPE: Permit Number: Date Issued: BUZLDTN'G 023543 05/09/94 ? DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - MCDEVITT CHARLES 4165 BLACKHAWK RD EAGAN MN 55122 (612)452-7849 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 Mn. Statutes and City of Eagan Ordinances. APPLIC ANT_ ITEE SIGNATURE ISnD B : S N? 7? I Et l l 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 3 5 4 3 Eagan, Minnesota 55123 Date Issued: 05/09/94 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 79 APPLICANT: 4165 BLACKHAWK RD MCDEVITT CHARLES SECTION 20 (612) 452-7849 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL L_ _J CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION DVE 6c81- tAY 0 3 1994 2 sets of plans, 3 registered site surveys, I copy o talcs-. 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once p it is issEMd.. A4 cri tt . o work: The applicant is: Owner Q Contractor. Q Other (+r ) Names ?.. C` Phone Property LA si Owner Address STREET S' City State Zip f 12 Company Phone Contractor Address License Exp. City state Zip Company Phone hitact/ ngineer Name Registration Address City State Zip Sewer & water licensed plumber . Processing time for s er & water permits is two days once area has been approved; I hereby acknowledge that I have read this a lication ;and 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: .52 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. 03 SF Addition O 04 SF Porch 05 SF Misc. WORK TYPE P 31 New C? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1. ? 33 Alterations ? 34 Repair- GENERAL INFORMATION Const. (Actual) (Allowable) UBC ccupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? .Site- 13 Wallboard C Footing t, Final ? Framing ? Draintile [3 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units VatUaticn: $_ ©16 Basement Finish O 17 Swim Pool D 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System .City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC :Code Census 81 dg -""-`-" Census Unit Assessments h' ON i 1 -'s w r? uruversinl title elsuranc4 companU ,r/ OADE R Nd.: STREET ADD11ESS: LEGAL' RESCRIPTION, BUYER: A I . e r n o. r 1 t Al P; I r o S a r v I - 0 1. 54-1 o PLAT DRAWING THIS Is NOT A sul9 vE r? INSP, PATE: INSP. BY: P f ? _ -• - ? I I I ? 1 L- i 4 I Jk- I SL I I ?f? } f ? . _ 7 I C 0 ? li Tr. ?'nrpa"V TIwlL th. ?M Vr ll'? 1 hr.1 Ihr a hn..M a.? ....... !_? _?.. _. _ .•._ - •- - - - - - -' - - - - --- •- - . 1 r WIP HIM pR .o.a"Onf of Inp p fmp,.l !ry0 ampfOO-moml$ 0 1 {hf L __., BL CITY USE ONLY RECEIPT #,..,.. SUED. 0 Q. - i°I DATE:-.a 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 777 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814575 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit - New construction furnace Aoki-uri air wnuliiurtiny Add-on air exchanger; i.e. Vane system, etc. Date: 6,1 ? eI ?snE o HVAC: 0-100 M BTU X Additional 50 M BTU 6.00 ?I. Gas Outlets (minimum of I required @ $3.00 each) zt 114", ? State Surcharge .50 TOTAL c 0 SITE ADDRESS: 40414& / OWNER NAME: 4z,'J,02%1 c addg & PHONE #: Y-"x ?-V/v?-r INSTALLER NAME• STREET ADDRESS- CITY: -{,?? STATE: ZIP: PHONE #: (&/I--) /f z -. dam" SIG CITY USE ONLY L _____ BL RECEIPT #: SUED. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commerciaUndustrial buildings. ? multi-family buildings when separate permits are ,pQt required for each dwelling unit. i:)A It: CONTRACT PRICE: WORK TYPE: _,_,_ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee QC 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR L 3 BL CITY OF EAGAN PLUMBING PERMIT SUBD._ (612) 681-4675 RESIDENTIAL CONTRACT PRICE: 1% OF CONTRACT FEE. .STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. ? NEW CONST REPAIR/ADD ON 15.00 , ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 _ V/l D LAVATORY 3.00 Cr OWNER NAME: Gl / KITCHEN SINK 3.00 L s L LAUNDRY TRAY 3.00 c d I L? ' SITE ADDRESS : / - HOT TUB/SPA 3.00 WATER HEATER - 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 OPENINGS ROUGH 1.50 ADDRESS: v THER O WATER SOFTENER 5.00 CITY: ZIP. PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE - W. TURNAROUND 15.00 $25.00 MINIMUM FEE. COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER:- ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: CITY USE ONLY RECEIPT 1, C DATE STATE SURCHARGE .50 TOTAL: 5 0 (SIGNATURE) MR. t i1? €`•' "i. ?.:'; F•i bL.`_) 7 « 3 i(3A !`d - J , Y iA Bear Mr. Mer chat , L03, /3?R, t dO C... ODUE M C I LiE, ITT RD. ?O M f Sit 1 9 L7' .,.. tr1 Cr!:? n +t JLtt'` m p r'Ct''1iLZn`'j y !=7u ._ t, t) i.h i r'Z7'rn r ecD"C! o f ci:c°x ?'7 e i eC`•i?tic_::stec for' an a> '_ 1.: 1o.`. to i n=.:7!r,e. Re. F c' rii #2,7' C_ l- unda' yu^,. ?I1L a II C),- wi_ Or s o ied to h a`_=st f3C..ln founCation biu= k. Ihia o to a11cDw for a co d ctcr`aCle - rea. 2)F=ra„feo interior' =+Ja11 of . old otol rao' area will ce insulated to E;T . Z)Ce' 1 1inQ of th1e c oj.d stcraCfGam. arFa ?3i'E I b€e ir!S..11.::i'ted to Pi0. Thane. y'Ou. for your assistance :.n=. -'vn:e. hatter. C. ..1 F 1 f,''t 111 C' DE E V I( f CUPY: NOD H ST01H bIl1't...UEk, June 12, 1989 Re: Projec Parcel Parcel Parcel Parcel Parcel t 488, Blackhawk 10-02000-030-77 10-02000-010-78 10-02000-030-78 10-02000-030-79 10-02000-011-75 Road - Final Assessment Adjustment Dear Property Owner: When the improvement for Blackhawk Road was authorized as a result of the public hearing held on February 3, 1987, the feasibility report used to estimate the proposed costs and related special assessments incorrectly referenced your property as qualifying for a postponement of a portion of your proposed special assessment subject to the execution of an agreement in accordance with Special Assessment Policy 86-3. In preparing the final assessment roll, it has been discovered that your property does not meet the qualifying criteria as required by this Special Assessment Policy, a copy of which is enclosed for your information. Therefore, the proposed final assessment amount may be higher than what was anticipated by the feasibility report presented at the public hearing and subsequently carried as a pending assessment until the final assessment hearing scheduled for July 5, 1989. I apologize for any problems that may have resulted from this error in the original feasibility report pending assessment roll. However, staff is not authorized to waive the criteria necessary to quality for a partial reduction of the special assessment. Sincere , Thomas A. Colbert, P.E. Director of Public Works TAC/jj Enclosure 1 i EXHIBIT 1 SPECIAL ASSESSMENT POLICY 86-3 CITY OF EAGAN ASSESSMENT AGREEMENT UNDEVELOPED/AGRICULTURAL ZONING PROJECT NO(S). THIS AGREEMENT dated this day of , 1988, between the CITY OF EAGAN, (called City), and (called owner) of , (address); WHEREAS, the City proposes to assess the following described premises in Dakota County, Minnesota, owned by Owner: (legal description) for the following improvements pursuant to City Project (s) - : WHEREAS,'assessments would normally be based upon the total frontage area of. said premises; and/or WHEREAS, the present use of said property is homestead for a single use; and WHEREAS, the highest and best use of the property may be at a different zoning, higher density or more intense use than presently exists; NOW, THEREFORE, upon consideration of the mutual covenants herein, the parties agree as follows: 1. The City agrees to assess said property for the Project and purposes described above at its present singular use, in accordance with Special Assessment Policy No. 86-3. 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is changed in the future to a use or zoning category which is greater than its present use, the City may reassess or levy a supplemental assessment at such time based on the assessable units (frontage and/or area) postponed under this referenced pro}e?Qt at the appropriate zoning classification assessment rates, according to City policy, in effect at such future time. 3. a. The Owner for himself, his heirs, executors, administrators, successors, and assigns waives any and all objections to the City's right to reassess the property in conjunction with the Project if the actual use and/or the zoning for the property is changed. Further, the owner waives any and all objections to the present assessments agreed to herein and to the proceedings related thereto. b. By executing this Agreement, the owner does not waive the burden of the City to establish the benefit received by the property under the Project at the time of the change in use or zoning. 4. The undersigned hereby agree that this agreement may be recorded with the Dakota County Recorder and that the Owner shall execute any and all documents necessary to implement the recording of this agreement including the delivery of the owner's Duplicate Certificate of Title to the affected lands if necessary. 5. The undersigned agrees that this agreement shall run with the affected land and binds the heirs, successors and assigns of such land. 6. The undersigned heirs, successors and assigns of such land, includes all of the person, firms or corporation that hold an interest in the assessed land described above, including the fee title owners, contract for deed vendees or vendors or holders of any other interest under contract for deed, option or otherwise. 7. Other conditions: The undersigned have read and understand the above agreement and hereby bind themselves to it in all respects. OWNER: CITY OF EAGAN : By: _ By : - By: Its: By: Its: Mayor Attest; Its: Clerk APPROVED: Public Works De'4artment -2- H e '{ 5&z-:r ZC 9 0 1 ' - STREET EASEMENT DEED 99 S THIS INDENTURE, made and entered into this day of 1987, by and between C.AUSTIN G. MCDEVITT, JR. and MEG J. GLATTLY, husband and wife, as Grantors and the CITY OF EAGAN, Dakota County, State of Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantors in consideration of one ($1.00) Dollar and other good and valuable consideration to them paid by Grantee, receipt whereof is hereby acknowledged, hereby convey, warrant and dedicate to said Grantee, its successors and assigns, for street purposes, together with the unrestricted right to improve the same, a 45.00 foot permanent easement and a 60.00 foot temporary construction easement over that part of the Southwest Quarter of the Southeast Quarter of Section 20, Township 27, Range 23, Dakota County, Minnesota, the southeasterly line of said easements is described as follows: Commencing at the southwest corner of said Southwest Quarter of the Southeast Quarter; thence South 89 degrees 40 minutes 22 seconds East (assumed bearing) along the south line thereof a distance of 244.00 feet to the point of beginning of the line to be described; thence North 7 degrees 19 minutes 38 seconds East a distance of 103.63 feet; thence northeasterly 256.89 feet along a tangential curve concave to the southeast, radius of 678.80 feet and a central angle of 21 degrees 41 minutes 00 seconds; thence North 29 degrees 00'minutes 38 seconds East, tangent to said curve a distance of 245.01 feet; thence northeasterly 389.28 feet along a tangential curve concave to the southeast, radius of 714.87 feet and a central angle of 31 degrees 12 minutes 00 seconds and ,said line there terminating. Which lies within the following described parcel: All that part of the Southeast Quarter of Section 20, Township 27, Range 23, described as follows: The North 215.47 feet of the South 563.47 feet lying West of the centerline of Town Road as now laid out and traveled. Together with the right to lay, maintain, operate and repair utility lines over and through said above tract, free and clear of all encumbrances, except for restrictions, reservations and easements of record, if any. Said temporary construction easement to expire June 1, 1989. And said Grantors, for themselves, their heirs, executors, administrators and assigns do covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement and do hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. And the said Grantors, for themselves, their heirs, executors, administrators and assigns do hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the premises hereby conveyed by reason of the location, grading, construction, maintenance, and use of a public street over and upon, the removal of materials from the premises hereby conveyed and from the uses incident thereto; it being understood said release shall not apply to any damage to any property abutting the premises conveyed hereunder arising because of the use of the premises conveyed hereunder by the Grantee; and said City of Eagan shall have the right to use and remove all earth ahd other materials lying within the parcel of land hereby conveyed. And the said Grantors, for themselves, their heirs, executors, administrators and assigns do hereby waive the right to any and all notice for the removal of trees or hedges within the limits of the above described highway under the provisions of Section 160.22 Minnesota Statutes Annotated or otherwise and hereby expressly waives any claim for damages on account thereof. IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and year first above written. C. Austin McDevitt, Jr. Meg J.' Glattly STATE OF MINNESOTA) ss. ti COUNTY OF DAKOTA On this day of 198'j, before me, a Notary Public within and for said County, personally appeare 'yAUSTIN MCDEVITT, JR. and MEG J. GLATTLY, husband and wife to me known to be the persons described in, and who executed the foregoing instrument, and acknowledged that they executed the s e as their free act and deed. Notary Public THIS DOCUMENT DRAFTED BY: HAUGE, EIDE & KELLER, P.A. 1260 Yankee Doodle Road, #200 Town Centre Professional Bldg. Eagan, MN 55123 (612) 456-9000 Kph DAVID G. KELLER _ EXEMPT FROM STATE DEED TAX STAMPS ji 6 R 125 09 , 1:+^1 ? jq ?8. J `\y lyp?. ?_AI a`? 8889 I 8889 I 8889 10]71 •9; Y?9.a1 7>aO [ ?pN BY4N 76 1_`9 POSSIBLE rt j 481„6 A idG ? o ? •' P..aSi a:'a. _ aa.u _ " 22 d - h'°y? II wa 909ro,. __ _ µy-af 38 a? Ja; a1?7j7q' ,a.. I s.B - „e.l._ LANE R eo,_, =p s_ d ! ]i W 429 62- E. m - - Yk I. 1.0 69 4, 1 62 g 4,.69°]8 N MP7 55511 o ' ..;,/ 1 9 16 ° X.87472 W. 3T 23 ° ? g 10 as •P g° n 3 ° IE.I 1400 I Z 4,877 1 .3 .37 Q • 3z ]6 m ? R a 2 ° 4,97497'2118. •I J m 36 24 0 8o o ,,-,,?' ---- - _12675_ - 66 I ° " • ? =P ??E ? 1 7 A N87°4 21 w 35 25 - m o ao-7T m 9 F. 1z5 0 10 8.89 7]1 E. _- 1200 12490 0 34 V G =- 5 N.89°SB SO' w t pgry W 26 0 ,? O1 140 4 a 44°39, N.8 N. 7Tr17T o v 120 68 3'S-_ JD p a0 i 10 ` „ 1 O y 4,799553 E'9?°, \fi p j? 33 1687 191.13 17 LLSd50 W. 206 04 °°? - ?,?•. 27 .,' bid ?3WM277r. 1.0.0 1? Ik a „?. 4,441 HALITE P0;Y9:: fit 1 rb "' +'rj 32 26W of pjR $ 9 ° - '0 O 4,13992 -?.. V 29 30 0 - 31 'ee 'y b0°gp"22' 1700 09 \99.63 113 950 11580 76.0 -T 9626 3.89°58'50 90 90 _ ' EAST I --389 W0' ? 681.44-- 8 _ - Y 030-78 0 6 030.77 Y •>P??, 4 ?, 6 4 7 --EAST -- 37.+"5 = buRY2 N 86o630"W90 y 6 0 ...190... ¢.• .+ e f 73z 2rw °. 1_'--N_B9°40'2I'W. 4 8 tl°q. "-,\Y•? 42 • 4° Y?IKATWRYN \'CIRCLEs?""?1D'? vf?E* 3 6 ° CO ?Iw 60 I \um 81OW 109 -I?Y•1 .w. ?° 010-78 W • p, , `? O 48? ?o Wf o o a Nnm4i o5 m so so 12 n 13 arm 14 12073 4 _N69V02218- i = P 4.?. 9 sNeBVpo'od' 3 b. g" 7 V'sd J7B° E z ° to 3B' o rp?' y 1T6 \/ 880.28 8.8 4027 l12,g3 • 8 7 + N =J ; •1 10 p? h 020.78 I!0 60 182.21 "?` A' %': N 89°40'22"W. 473.60 - - . 't +b4 WEST i??a•n 900 -- __ 3 1 `'. _ -_ 31729 M.40 -? 030-79 ---'L2"E-- 752.29-- 191 38 0 8 I ?4 m N•SB be 1 ? °j iA3tl,55l9'18.. z 1 4y h0 1 ?/; ? 8 N37°I'J'3I'W I EAST 337.5-- >? _ 2 r ? a0? 040-79 , BLACKHA K PLAZ ea WEST '-a.aor•a- $ 050-79 " • a: aauaa0 N m? - = j10 O• 4,89°40 DUTLOT A 444.59 N89°40'22"W 235.00 - 179.86 152 66 .04 4 ) j W ??p 1 1 /t r?r I ?>F 7 6 W o° 4 060-79 fig" 070.79 ja 2 EAGAN TOWN CENETE89 - '? ?P I riJ 01°-80 -OUTLOT 0 tit J z z 6 ?ti. r I?;7 .ro. ¢4 --Nw•40. ..w- 63522-- _ 5 Zo 52 50 C.S. !1...0030 I = •4. J ! 54 277.99 ::?•( Sy A2, 89°5543 635.22 26".26 (RES.) s ` / ? ,?. GJ of C/L. ck 4o es .? ?o C°< pU er 1 4 q5- WAIVER OF HEARING No. 00190 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: Parcel 10-02000-030-79 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT Sewer & Water Service 1 Ea. Lump Sum $1,560.00 488 TOTAL $1,560.00 ' to be spread over 10 years at an annual interest rate of 9 o against any remaining. .unpaid balances. The undersigned, for themselves, their heirs, executors, administrators successors and assigns, hereby consent to the levy of these assessments, 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:' STATE OF COUNTY OF-_ SS ) Meg GlattEly on this day of , , before me a Notary Public within and for said County, personally appeared to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that = executed the same as..-.- free act and deed. This Document Drafted By: Hauge, Smith, Eidc & Keller, P.A. 3908 Sibley Memorial Highway Eagan, Minnesota 55122 (612) 454-4224 Charles A. McDevitt. Notary Public - APPROVED: agars Pudic Works Director Revised: 3-30-82 PLEASE SIGN AND RETURN THE ORIGINAL COPY . WAIVER (IF NEARING REQUEST FOR UTILITY IMPROVEMENTS I/We hereby request of the City Council, City of Egan, Miznnesota, utility improvements on and over property owned by me/us as v?r }, o{ns se ' : on tyre of improvement, e.g. water, sanitary se.'*e ', etc-) LATERAL BENEFIT FRnM A TERMA.IN MJNK ^!ae location of said utility improvements shall be general lY as 3'.c . f_o",Y Section 20, Parcel 10 02000 020 79 120 feet at $6.90 Front Foot = $828.00 Paid 8-26-76 /We hereby waive notice of any and all hearings necessary'ror the installation of said improvements and further consent to any asse=ssJlefl s necessarily levied by the City of Eagan for such improvements. I/We further agree to grant to the City of Eagan any easements r,e=>:' ,- sary for the installation of such improvements. It is further understood that this request shall be reviewed by the city Council of The City of Eagan or its agent and I/We will be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc. f1 Dated: August 26, 1976 Signature Address Request accepted by JJ. City of Eagan Request referred to City Administrator: Date Date ..?..._ Copies: 1. City Administrator 2. Applicant WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMENTS I/we hereby request of the City Council, City of Eagan, Minnesota, utility improvements on and over property owned by me/us as follows: (Mention type of improvement, e.g. water, sanitary sewer, etc.) WATER LATERAL AND WATER AREA ASSESSMENT The location of said utility improvements shall be generally as follows: Parcel 10 02000 010'79 I/We hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any assessments necessarily levied by the City of Eagan for such improvements. I/We further agree to grant to the City of Eagan any easements neces- sary for the installtion of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/we will'be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc. Dated: July 16, 1976 request accepted by 4!16 Date 2-14 -_ 7 City of Eagan Request referred to City Engineer: D to Copies: 1. City 2. City Engineer 3. Applicant V WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMENTS I/we hereby request of the City Council, City of Eagan, Minnesota, utility improvements on and over property owned by me/us as follows: (Mention type of improvement, e.g. water, sanitary sewer, etc.) WATERMAIN LATERAL & WATER AREA The location of said utility improvements shall be generally as follows: Robert Drier Section 20 Parcel 10 02000 030 79 feet at 6.90 per foot - 1752,60 water area 160.00 total 1912.0 I/We hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any assessments necessarily levied by the City of Eagan for such improvements. I/le further agree to grant to the City of Eagan any easements neces- sary for the installtion of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/we will be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc. Dated: August 13. 1275 x % :quest accepted by Date City of Eagan Request referred to City Engineer: Date Copies: 1. City 2. City Engineer 3. Applicant /) ??2l2 L X /f T / September 15, 1975 Robert H. Drier 4165 B1 ac kh awk Road Eagan, NN. 5,5122 Dear Mr. Driers We have reviewed the water assessment on your parcel with the City Engineer and have taken the back frontage of 215 feet plus the front frontage of 21$ feet and divided by two to give you a frontage of 230 feet at $6.90 per foot and arrived at an assessment of $1587.00. mat has been the proceedure in the past with parcels with cur- ved frontages. If you need additional information please feel to call me at the City Hall. SPECIAL ASSESSMF t'T DEPARTHM Sincerely, Arm Goers Assessment Clark City of Eagan Pal r-L?t-- try L L' ;2 .. L -3. 7 2 r -- -°' 99. xq 90' yo =s aW 1? 4 P Jd? e N 9 ^ 1^?^ r to r vo m i x ` b o ? Q•?T rw 108 • ,k-*L 1 ° 0 ° J I10z1 7 (?ha J D IQ aN /Q i 'N 1,?y ^?/. ?.'Oyl 0.24 S09 8S. 6S" c'? •'• , ? `? `? Alk> C,8 ?2 r-' ?'i •' 117. Y1 413 a .3\ T Z O N d 1 1. 0 5 A ?• + / 7; 4 ab J* ICU) 1 g c v ??,lo 2,303 ?_ S ® Gy a+ o- i! _C 1 s' r• ` r 9r• i; ? ?>'O bs'o3` Go. \ bra a ??. o /13? 1 330 40 it /off ss.:6 qo : ,p1P j' e20"i??` o s ? a .^ lgi. c`8 ?jt r?F 261 ^ 23 9 j/ N zp s 8d. 119 a9 I9 aId t ! 24 .6 ll? 27 n ar-3r - ^ as.,, •r1 ! po '? 7® 7g I z 2 S n 6 S3 / °,9 1 1 2 !„, I j fh 1 )60. ?! 3 22 v w. v _:A 17 •Sd 6? .gt ® ZI P 830 92. 9 @A. 09 n9N 004. ° zt° 1l 92 J, 39 80 99od G. So rl\. b.ry a 3! 42.3/ 9Z.3r In0 m / - g?se S 20 .rp,?l 1 ° o ^` s. 17A•I N ! °' 2 3 ° so 1qo `? 1y 8 M /7 /G /S Sry' m ?? ¢ 'Oq 4S2e o 4z d 23 c a r y;'. So f! 92 xII ..:. 5 ?o `G9.> In / z 3 l?o.? %r' ?yg loo >oQ Z > ?? B 5' 7 0 . N ca d, J)3 . 0 N a ®?+ 6 Goa: ej)) ?9. NB I s 24 23 s >oq }o P, P ij'z jl ®D By o 9 98. ?9 a n ?/ Irt " 27 b . s l29z P 22, 24 2 S c 2G o, :' pt4 ??- o P 2 tn^` to a 7 1^{ 6 1^ 9 ?? 1 14 to' rt7o + b1.pr ?4 r02. x.94 0 9/ N 20 w^ o?, SB' 07 V 6 194 3 !9 {flN 80.1?9 g Pao, ^,q? C !3X' 2 t 1 s &4.P CO•rf4: ..I57 9H , o > 9G /8 0 { 3 28.08 + 0! 0 0? 1 0 /! /(. _ /„j M l ?\ 13 L rz ^ •b ?5,3?^ I /32.2 j ( !42.!30 1q?.9o ?0 ?^, /48. as. nJ 99 8889 68.!19^ /03. .Sh :. p?° °'24.ir s •A.ro r S 4s o 71 4z ^ 22 r? S? o ?8 N ?A 1 tiA 61' ?s? r" /9 ins IAI.bi/to a N /qo.e r /o .1S' ? 0 1ay:92 /3,5-A9 e c ? 9 ._ ?' h 2 o 0 37 A Itj 7 f?`F" is I$ m dil ! 7? JLo 0?` C 90 q.y 9 y23 ,8 IF, I3x. 3? o 10 0 34 P\ 0 4) za °? r -It a ! o 0130.34 27 y, /28 7 ' ^p o !sue tl? z7 VV z 0 8 0 d s 40 E 01 I h /Za 121. 34 ^ M N -/ c os, a n 33 ,•a>? $oG p w .R ®0q 6=9 H A L 1 ?°' y ? '9, ; ,err t! A o>>, 91 3 6ss p Alm MARViN E $ ts°/, oa"?5s ?>y9 32 ?-IGE 11f?Nz • ?3'eT.!'1 28 ?/ 29 3o a+ o ? ?Pg tpt>K a?oOO,i;.. xo %$ \ A P'• t, I 0c)% It. m N030 s? r? ? p C s'? c a ?` 4 Li ra ao?"ro 'YJ ' y ytipoo 0q• M ? X85 r rJ `? Nv w a.d B E//?.•/ /so 'da V d ,/ 8 ,? iz r1 2?9t"?I S;6t 236.64: W ?-o 'Llwi-?isci v "r' N v p QZ 33 ^P 8 $ ? Cato wen a A,// X+' i Ce , ®s d z 91 tA0 --''"'® A M LYp N 3aFr9 e a ,m 395 ti J.T f3. H?.L.EIV HOFFRRArq HUGH 11, STEWAR-T- 75$,2 RF 4}9°40'L:'°?d 0 A rNr%l T C OUTLOT B 754.s6 N - -- - •--_ I o 30.5 A ' RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ``,? Telephone # 651-675-5675 FAX # 651-675-5694 70 V New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan - Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet •(bldgs with 3 or less units 4 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 ('l submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # Telephone # ( Telephone. # ( ) I Date (Pl 3 d Site Address 41 if J LTt 1.?-?T tW ?? Construction Cost I f g"tJ . Q y K-f o Unit/Ste # Description of Work 0 rr A iy b f- V: Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 - 2 Property Owner S1 I ?V 1 V 1 D EV 1 T Telephone # ((05 ) 1 Se - 7Y49 Contractor IpP bNE ! V V 71 D A-Nb g01f(2 Address W, G 7• State M /SV Zip J City PY.XM /NG7y Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is ' omplete and accurate; that the work will be in conformance with the ordinances and cod,'-of .tom-qty 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 in the case of work which requires a review and proval of plans. s4y &_ Applicant's Printed Name Applicant' s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mule ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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) - Give PCA handout to 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) Final./C.O. Footings (deck) _ Final/No 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 Test - - Final - _ _ Windows (new/replacement) - Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector :7 o f Eaafl City ill 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Far Offirr - ?_ Use Permit #: I Permit Fee: fir' ` / f 4 01 Date Received: 0 2 O Staff: ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION - -? Site Address: 141105 Ib10_Ckhawk. P-10 Q Tenant: EQ z -H' l y Suite #: RESIDENT/OWNER 0_41 V Phone: Name: Kea x 7 , 1 Address/ City /Zip: L AI (a5 ? ? QCk t ?) ?C t?Q Applicant is: Owner X Contractor TYPE OF WORK Description of work: 1rsTir 760&'. -(?,a oya-il a Construction Cost: 4O 000 - Multi-Family Building: (Yes / No SC CONTRACTOR Name: no Ifcch Cp+( ud-i Di' . ErtcLicense #: e)C- S 5"7 8 Address: \ OSIo (( - 1(05 "' -E-ree? W 1 City: ?.Sle \ it t 1G State: MU Zip: %044 Phone: '15?-498-853`7 Contact Person: R ift tfizh COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (1I submission type) • 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? _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 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. 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 lans. x AI &,?ri f- I Tz bh?f+S ?M1 x Applicant's Printed Name Applicant's Signature Page 1 of 3 ïý ÷î ÿ ÿþþý ü÷ü ûýýþþú÷øï ë ñëý áìþ ìá ÿþ þýüûúù ø ù ö ýûúù õ ûúù ßø ù í óë ù ö ýö áäýùú Ú þðý ø ñù æ ñ ï ïñ ñú ðý ñ ü ñèöïñ úàåý ñýü ù ù þ è ö üñç ðý üúó åñúïñ è ø éêêèêèê õû þý ï éèìèì Ùýáÿè ô ó òñ ùù ã ïãñ û ï î Üßú ôèø æ óæ ïó æ îô íëááØ ï üúó ï ïæ ïùù ïï å ñ ñùúóïùùü þ åî þý öúå ä è ùùà ñ þý ý úþý ü ÿ ÿþþýûøûüü ùýýþþ õøí ì òìý àïþ ïà ÿþ þýüûúù ÷ûúùöõ ùþ ôý ùóòýóñýüðÿþ ùÿëïîé þ ííîìí ýóý àïï ú ý ð èîîçìçíìì ÷ù þýñ øæèîçïçïî öõô óò ùù ýóý ð Þ ú àïï íîñõê ðöîîà ðöîî ëîéìï ñüúõ ñ ñ ñùùññåó óùúõñùùüþ åðþýúå äç ùùß ýúþ ý PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112831 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 4165 Blackhawk Rd Lot:003 Block: 079 Addition: Section 20 PID:10-02000-79-030 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. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Margaret J Glattly 4165 Blackhawk Rd Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use I I j~( I Permit City of Eagan I C I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: y7 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff:d I I A 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q _/T/3 Site Address: / fs l ~ Gam- Unit Name: M~ecA r~_ l q Phone: Resident/ o Owner Address / City / Zip: Applicant is: Owner 'Contractor Type of Work Description of work: ~ c e-01) F "I Construction Cost: Multi-Family Building: (Yes / No Company:e ( 1~ ~~~`(J r Contact: 6(5 L 5! Y 1 q P Dr city b~L G' o~~ Contractor State: M ` Zip: 5!r_379 Phone: License Z 0 C 1 Lead Certificate "`-ter If the project is exempt fr 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? s _Yes _No If yes, date and address of master plan: I Licensed Plumber: Phone: _ i Mechanical Contractor: Phone: I Sewer & Water Contractor: _ Phone: NOTE: Plans and supporting documents that you submit e 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.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 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 7-"- ~1 t~ Ct x Applicant's Printed Name Ap ica ' Signa Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118858 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 4165 Blackhawk Rd Lot:003 Block: 079 Addition: Section 20 PID:10-02000-79-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Margaret J Glattly 4165 Blackhawk Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature ��11 ro�� . L � Burnsville Heights Business Center 11975 Portland Ave.So., Suite 138 Burnsville, Minnesota 55337 (952}890-5400 � ,„�,_ , � �""" ��X.«��3��:. � � . . . . . � � d � �� OCT 2 4 1014 � � :�:_�!��:�,__.___� October 17, 2014 Ms. Margaret J. Glattly via: Certified Mail 4165 Blackhawk Road Eagan, MN 55121 Dear Ms. Glattly, Please find enclosed a copy of the fully executed Temporary Construction License and Landscaping Agreement between Diffley Square Partners, LLP, and you. We appreciate your cooperation throughout this process. � Please let us know if you have any further questions. Sincerely, DIFFLEY SQUARE PARTNERS,LLP � �'�� ;.- � � y��,,,��1��-u.�U,..c?�._._.� Lisa A. Turbes Property Manager Enclosure cc: Mike Ridley, City Planner - City of Eagan Tony Gleekel, Esq. Bruce Carlson � Use BLUE or BLACK ink � " r----------------- I For Office Use � �� ' � Permit#: � `� v -I`7 � ' "'"�� "�� I Pertnit Fee:_ / /�•� . �` �� I 3830 Pilot Knob Road { Eagan MN 55122 � Date Received: ✓ r��r�' � � Phone:(651)675-5675 � �--� � Fax:(651)675-5694 � Staff: �________________J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r I Site Address: `t� �Q� ��(�1�j� �C� � Unit#: � � Name: l�'�1 Phane: �LDJ�`"��J��'"�� R�`Sft{E3i1� � � Q�y�� ;� Address!City/Zip: � {� Applicant is: Owner /� Contractor �,,x��., � �, � 'i` ti�Yl�ilTk $ Description ofwork: ' i Z.��X `� Cl.�c� ;� ��+ Y S� �`� � YP� � � � � ; '_: Construction Cost: Multi-Family Building.(Yes /No� ��.�, w $ � � � � ; Company- � �► �. i Contad: ; � Address: � � '�/ City: �l�1�;� V�!'p��:V ��ri#rdC'�tf1` � � (� P ��- 1�12-"�5°�-1�2R� ,� ` � : State: Zi : Phone: mail: �� :� � � ' y . a .� License#:�j��`-Y(p�� Lead Certificate#: - — � If tMe project is exerrtpt from lead certification, please explain why: � ��' � R COMPLETE THIS AREA ONLY IF CONSTRUCTtNG A NEW BUILDING � a 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 8�Water Contractcsr: Phone: � Fire Suppression Contractor: Phone: � �18T�:P/s?I]�c`tt�tf Su��DE�C�lI1i�t3►GrC11)»El)�5 th�t j�E#i1 St'I�`t►t�`�GOfI�#d�r�E11�E3�i@�}tft?tt'�i[tf�ti'#�tC�1#. P`�;C��#�O# � th�it�rrn��m�y I��l�ss'�fienl'�s r►€rn-�n�l�ii�if y�u p�v�tfe sp�c r�s�s��E�r�rtd�t��ity�t� � ' co�clud�t��t t�te �r��he�+ecre�s. ��.�.� a� � 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 utitfties. www.qopherstateonecall.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 uvhich 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 �� , J x + ApplicanY rinted Name ApplicanYs Signa re Page 1 of 3 �;(�j� �' ,�}cky�(� J�,�,DO NOT WRITE BELOW THIS LINE �� ' . SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration 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 Suppression Required 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 HVAC Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool: _Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final I Braced Walls Erosion Control Other: Reviewed By: �1 , Building Inspector RESIDENTIAL FEES Base Fee � '�� Surcharge 7 �; � jr u Plan Review �'�`� �l MCES SAC �.�� City SAC � g� � Utility Connection Charge �� S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Agenda Information Memo July 19, 2016 Eagan City Council Meeting p. CONSENT AGENDA Water Meter Surcharge Refund Action To Be Considered: Approve the recommendation of the Public Works Committee regarding an appeal to a water meter surcharge. Facts: ➢ On May 15, 2012, the City Council adopted an amendment to City Ordinance 3.05 regarding the Rules and Regulations relating to Municipal Utilities that requires aII properties connected to the municipal water utility to permit the city's designated utility employee onto the property and within the structure for purposes of the inspection, repair or replacement of the water meter. ➢ Part of the amendment incorporated fee schedules that provided surcharges be placed against utility billing accounts for those properties that didn't permit or schedule an inspection or water meter replacement within the prescribed time frame upon written notice by the City . ➢ The Surcharge Fee is $150 per month for Single Family properties and $500 per month for all others. ➢ As with the Inflow & Infiltration Inspection Program, staff has received surcharge appeals with the water meter repair/replacement program. In anticipation of such appeals, the Council directed the Public Works Committee to review any appeals and provide their recommendation back to the Council under the Consent Agenda. Staff has recently heard from 1 of these properties who want to appeal their remaining surcharge. ➢ At the July 5, 2016, Public Works Committee meeting, the Committee addressed the following surcharge appeal with the corresponding recommendation for the Council's action. As a result of their review, the appeal is recommended to be granted with the related surcharge waived. o Nicole Gode, 4165 Blackhawk Road — Remove $150 surcharge (utility account) Attachments (0) City Council Meeting Minutes July 19, 2016 2 page H. It was recommended to adopt a resolution approving an Excluded Bingo Permit for the Church of St. Thomas Becket to conduct bingo on September 11, 2016 at 4455 South Robert Trail. I. It was recommended to adopt a resolution approving a Premise Permit for the Eagan High School Football Booster Club to conduct lawful gambling at New Bohemia Eagan, 1278 Town Centre Drive Suite 195. J. It was recommended to approve an Off -Sale Liquor License for Minnesota Fine Wines & Spirits, LLC doing business as Total Wine & More, located at 1440 Central Park Commons. K. It was recommended to approve an On -Sale and Sunday Liquor License for Loco U&ME, LLC doing business as Valley Lounge, located at 3385 Sibley Memorial Highway. L. It was recommended to approve Professional Services Agreements with Thomas Ferber and Nancy Gibbs for temporary election consultation services. M. It was recommended to receive bids for City Contract 16-23 (Country Hollow Lift Station — Sanitary Sewer Improvements), award a contract to G.F. Jedlicki, Inc., for the bid amount of $326,995.00, and authorize the Mayor and City Clerk to execute all related documents. N. It was recommended to approve Change Order No. 2 to Contract 15-23 (Well No. 3 Resotration — Water System Improvements) and authorize the Mayor and City Clerk to execute all related documents. O. It was recommended to approve a Joint Powers Agreement with the Dakota County Transportation Department and the City of Mendota Heights for Project 1220, Pilot Knob Road (CSAH 31) & 1-494 — Traffic Signal Revisions, and authorize the Mayor and City Clerk to execute all related documents. P. It was recommended to approve the recommendations of the Public Works Committee regarding an appeal to a water meter surcharge. Q. It was recommended to approve the final payment for Contract 16-16 (Denmark Avenue Rain Garden Rehabilitation) in the amount of $497.35 to Outdoor Lab Landscape Design, LLC and accept the improvements for perpetual City maintenance subject to warranty provisions. R. It was recommended to approve a Cost Share, Operation and Maintenance Agreement with Mary and Curtis Kenkel (3669 Pinecrest Court) to help implement a Shoreland and Upland Buffer Project at Fish Lake through the Water Quality Cost -Share Partnership Program and authorize the Mayor and City Clerk to execute all related documents. S. It was recommended to schedule a Public Hearing on August 1, 2016 to consider a business subsidy pursuant to Minnesota Statutes Sections 1161.993 to 116J.995 to J & & Solutions, Inc. d/b/a Corvida Medical, Inc., for development of business at 3660 Dodd Road. T. It was recommended to approve a Final Subdivision, Willow Ridge at Wescott, to create 15 Tots upon approximately 10 acres located at 1055 and 1085 Wescott Road, north of Wescott Road and east of Lexington Avenue. U. It was recommended to approve a Final Plat (West End Trap Club) to create one lot upon approximately 19 acres located at 4899 Brooklyn Lane. PUBLIC HEARINGS Variances — City of Eagan City Administrator Osberg introduced the item noting the Council is being asked to consider approval of parking setback variances for two properties along 3386 and 3390 Pilot Knob Road associated with the Pilot Knob Road Corridor Improvements. T(612)337-6100 F(612)339-6591 S I E G E L YOUR 100 Washington Ave S I Suite 1300 Minneapolis, MN 55401 siegelbrill.com BRILL PA BUSINESS siegelbrill.com ATTORNEYS AT LAW MATTERS December 23, 2014 Via U.S. Mail & E-Mail Michael G. Dougherty Michael J. Ridley Dougherty Molenda City Planner - City of Eagan 7300 W. 147th Street City Hall Suite 600 3830 Pilot Knob Road Apple Valley, MN 55124 Eagan, MN 55122 RE: Diffley Square—Landscaping Condition Satisfaction Gentlemen: The purpose of this letter is to advise you that all of the landscaping has been completed pursuant to the terms and conditions of the Temporary Construction License and Landscaping Agreements for 4165 Blackhawk Road, 4185 Blackhawk Road and 4195 Blackhawk Road (collectively referred to as the "Agreements"). Now that Diffley Square Partners has completed the landscaping pursuant to the Agreements, Diffley Square Partners, pursuant to Mike Dougherty's letter dated September 19, 2014, have fully and unequivocally satisfied the landscaping condition associated with the plat approval of January 4, 1985 for the Diffley Square Partners' property commonly known as Diffley Square. Therefore, there are no further obligations to be satisfied or performed regarding the condition. 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