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4185 Blackhawk Rd INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ` 0 V O E Eagan; Minnesota 55122-1897 Date Issued: 7 3 19 6 (612) 681-4675 ;SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: J'4. E 'I 10N TYPE D AT I- IN'-,'PTR, INSPECTION TYPE Irv INAt h ,4 k . a Pern* NO. Pam* Mulder Date Tetephone ~ ELECTFUC PLUmem HVAC ftmw"tw Date Insp. Comments FOOTINGS 3' 9k- FOUNfl d • i FRAMING r ROOFING ROUGH PLUMBING w • f Pt G AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPSOARD FIREPLACE FIREPLACE ( AIR TEST FINAL PLBG i FINAL HTG i ORSAT TEST BLDG FINAL `f BSMT R.I. BSMT FINAL DECK FTG DECK FINAL s s CITY OF EAGAN Remarks Addition Section 20 _ Lot Blk Parcel 10 02000 040 79 Owner _ Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ET V$T0f1PAV1M 1971 44501.80 $45.08 10 GRADING LAC: SAN SEW TRUNK 1968 -$100.00 $3.33 30 SEWER LATERAL 1981 1760,75 117-32 1,; WATERMAIN WATER LATERAL WATER AREA 977 $235.60 r$15.70 15 C,~c,WATER STUB 1971 $200.00 20 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP N 295 BUIII DING PERMIT Owner--- Eagan Township - - - "I ~ . -~4 Town Hall Address (present) Builder . _ - Address DESCRIPTION Stories To Be Used For Front Depth Height -Est. Cost Permit Fe Remarks f - / LOCATION 4/ reet. Road her Description of Location ,I Lot Block difl n or Tract This pe t does not authorise the use of streets, ads, alleys or sidewalks nor does it gi the owner or his agent the rig o create any situation which is nuisance or which presents a hazard to the health, safety, convenience and genera welfare to anyone in the community. THIS ERMIT MUST T ON E EMI WHILE THE WORD IS IN PROG' This is to certify, tha __..._._._has permission to erect a_._.-_t__ the the abov describe remis o e p is ns of the Building Ordinance for Eagan Tow adopted April 11, 1955. - Per - Chairman of ow a Building Inspector i GOLD COPY PERMIT RELEASE.FORM PERMIT # ADDRESS PICKED UP BY ZDa~ i CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 10169 P.O. Box 21199 s PERMIT NO.: Eagan, MN 5121 DATE- - I 1 Zoning: Howard "Chel rro€f . of Units: Owner: Address: Site Address: 1 ~ 5 Blackhawk Poad 10 021000 040 79 Plumber: Howard Croff r xistn 1~O , s~t?p~ I agree to comply with the City of Eagan Connection Charge: % S)f1Ti Ordinances. Account Deposit: 1 + t2t?Pd f Permit Fee: l Q0Pd Surcharge: 5LIpd i By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CASH RECEIPT y CITY OF EAGA i~ 3830 PILOT KNOB ROAD, EAGAN, MINNESOTA 55122 DATE w 19 + l r ae, RISCICI i AMOUNT $ & DOLLARS too CASH CHECK r , 10 n 2D ©d oc(d 7q POND CODE AMOUNT ! c? t lvq Thank fou BY, White-Payers Copy Yellow-Posting. Com Pink-File Copy CITY OF EAGAN WAM ~SOWCE_ PERtMIT 3795 Pilot Knob Road PERMIT NO.: 22:11-12 Eagan, MN 55122, DATE: 'V6 (7-1 Zoning:. 34 No. of Units: Owner: t'n ar -0 1$ _ Address: Site Address: 19,,1000 0-40 7!t , Plumber: Meter No.: r~ Connection Charge: Size: Account Deposit: , Reader No.: Permit Fee: agree to comPly with the City of Eagan Surcharge: L Ordinances. Misc. Charges: r Total: BY y' Date Paid: - Date of Insp.: Insp.: EAGAN` TOWNSHIP N? 315'7 BUILDING PERMIT Owner 1 Eagan Township Address (present) .....__.-`y` Town Hall Builder `--0 , Address Date DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks 0 e, LOCATION Street, d or other Description of Location I Lot Block Addition or Tract OqC DL This- permit dog not authorize the use of streets, 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 BE j{EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify. that- ........has permission to erect a___....._ ' upon the above described premise subject to the provisions of the Building Ordinance for E an To ship adopted April 11, 1955. g o 6.~.-,e{ Per Chairmaif of Tnwn Board Building Inspector C O U N T Y Environmental Management February 6, 2003 Barry C.Schade COPY Director Jon Blaha Dakota County LIESCH Western Service Center 14955 Galaxie Avenue 13400 15th Ave. N. Apple Valley, MN 55124 Minneapolis, MN 55441 952.891.7557 `ax 952.891.7588 www.co.dakota.ma.us Dear Mr. Blaha: Enclosed is the information you requested for the commercial property located at 4180 - 4190 Blackhawk Road in Eagan, I have the following reply. 1. Enclosed are maps indicating the locations of known dump sites within the specified area. 2. Enclosed are lists for CERCLIS, NPL and PLP sites within Dakota County. 3. Enclosed are maps indicating the locations of the LUST sites within the specified area. 4. Enclosed are maps of the hazardous waste generators and facilities within the specified area. 5. Enclosed are maps indicating the location of the pipelines within the specified area. 6. Enclosed are maps indicating the above and underground storage tanks within the specified area. 7. Enclosed is a map showing the spills that have occurred within the specified area. 8. There are no SARA Title III reporters on or adjacent to the property. 9. There have been no SARA Title III releases on or adjacent to the property. This information was arrived at with the most current data available. In issuing the information Dakota County assumes no responsibility as to the activities undertaken. The 2003 Dakota County fee schedule adopted by the County Board of Commissioners on November 5, 2002 requires that you be billed for services provided by this Department. Staff time for this review was 0.75 hours at $87.00 per hour for a total cost of $65.25 Please make a check or money order for the total amount made payable to "Dakota County Environmental Audit" and send to my attention. All future requests for audits should be sent to my attention. If you have any questions, I can be reached at (952) 891-7547. Sincerely, William Freischel Environmental Specialist Hazardous Waste Regulation c~ Pnmed an -yded Paper -h 3M post<onuuner wane. ♦N EWE 0~JATl.TY1Y EnPI.OYEP t PERMIT CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road 028351 Eagan, Minnesota 55122-1897 Permit Number: 07/23/96 (612) 681-4675 Date Issued: SITE ADDRESS: 4185 BLACKHAWK RD LOT: 4 BLOCK: 79 SECTION 20 P.I.N.: 10-02000-040-79 DESCRIPTION: (ROOFING/SHED) Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY. CONTRACTOR: - Applicant - ST. LIC. OWNPP: DOSCO 14231814 0004144 GRO HOWARD 14710 DELFT AVE W 4185 BLACKHAWK RD ROSEMOUNT MN 55068 EAGAN MN (612) 423-1814 - - - - 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. L I &1 - APPLICANT/PERMITEE SIGNATURE I SUED BY:- IGN TURE CITY OF EAGAN IS341 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1 681-4675 V New Construction Reauirements gemodeVRgpair Renuirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sites: poured fnd. design; etc.) ♦ 2 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 _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 41.9~rr~ STREET ADDRESS: f4ei 171"L LOT 4- BLOCK SUED./P.I.D. PROPERTY Name: Phone OWNER Street Address: 1'r /401 City: State: /N ti Zip- CONTRACTOR Company: D~~COh Phone License Street Address: lex 71d je~~ee City: State: h Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish a 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ❑ 17 Swim Pool o 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace r)zL- 21 Miscellaneous 0 05 SF Misc. 0 10 plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move o 32 Addition )"4 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMIS System. (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SJW Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY OF. E A G A ill NoTF': PAYMENT OF FEE AT TIME OF * APPLICATION DONCT OOKSTITUTE x* APPROVAL OF PERMIT. APPLICATION FOR PERMIT * * INSPECTION OF SEWER AND/OR VMXER. INSTALLATIONS WILL NOT BE scHED- SEWER AND/OR WATER CONNECTION tLED UNTIL PST HAS BEEN * APPROVED. * * * * t * * * (Please Print ' 1) PROPERTY ADDRESS : 1~1 P114 C Z• f A ti/ r?n Q-D LEGAL DESCRIPTION: P147' tz p6} p Ze d 410 8/- 79' Lot Block Subdivision or ax Parce ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) Q C02,ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL, R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIL'IM ( Units) 2) l_ NAME: .-t 0 W ADDRESS: 1 Ss f ,~-c l c :trod . D, CITY, STATE, ZIP:_ r'fry f1TJ.)LL ) 'LklIV, f~/.)• 1.. $'L~ j PHONE: 3) 1:71• For City Use NAME: Plumbers License: ADDRESS: Active i CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# • Staff Initial 4) • 171- NAME: ADDRESS : jam. /L_SS' B 1 A G ,Q Gl/ D CITY, STATE, ZIP: A ~r /a N Y ! •J 5~j~ PHONE:_ Z_1 _-:$7- CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) • 1' ( PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - CZ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r, r• 'ti' • Y' 1: i ~ • 1'. t•• ~ 171• I• 71• • •L • A• ~ MO • l1T/ 1 1 1 71 • t• 71• / • FOR -CITY USE ONLY , PERMIT # ISSUED Pd W/Bldg. Permit FEES. ' $ $ JQS C+ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ D C~ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ ICY. S-~~y TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES --,IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ~I 1 l i-. _ t : F...Y r t ; t ~ i) _ .I. t y~i S::? i::j i:':• C:r It . ,...s" i'i L.. [ F!....i r w.: '::.ts~ .I ( ,..a .i'!t •i i"'. 'i 3 ..:•i i_1i.;! r i..:: :.?j... r:::.. : tt_ r. tist- ii i r.. f,' v.. i::,, r.-: ••-'j~:. _Y._ f.:: i,.•I-.. h.i 1.0 .n ~'i :..!,..?f.... ~ ~.:'tr.:.,..!;.;. • r: F : ; ::-F : id k.) _ i.. , a ' i...' . . v..! r•i F F....:, !x.k i~.} i,} .t;. ji.j„ j.j j•_F a~. ~..},r ~..ji_j '~..jr i.7F~.j i:.iF .....:"5::,,' i:.:Y t"~!..:.! F..S L _it«t 1..:., v:71a .i. t...:, fT:.,'~ rr C;}": 72 sl, F., } i„! • y { (,x,; ,r t i i", ! `i I i .I ...t , 5 r i ~`s :y u 3 , F i t. J 1. 6 i..: t.{ t"i. (..s •.e";:-i.rv! i". ,1 i.•,F F..t v'•..j ••.l i,, a n!•..j .•.j !w .F;...r. 3~ ~'r :..!i..:F {F ~e°•!S F t..?i' 1°. ! '..}•''i••..':: t_! .,_~.I. .t. '•_Fi..3..,}n . Iv! f'_.j;._ L...I Ij..t.~ _ I ...r Ir . `i ('"~a::. x.:.:. i } a {,j f«j is 3. ±`r * ' t 1•..}{. i :"t "::'t:.. i"j (Ti !...-'7 .I.:. t... • .j 77 --7 THE SUSSEL CO. WORK ORDER 1850 COMO AVE. ST. PAUL NAME " ullQAD O' 6770 Ir PHONE ~ . CALL: 645-0331 JOB ADDRESS - / 9S AL& r,..-K Q T) Permit by Legal Description BLDG CODE AREA fi'G19 /1/ ❑ Lot y ❑ Blk SALESMAN µ U ' CONTRACT DATE SIZE r 74 ')W ( Add'n" ❑ Value FOR OFFICE USE ONLY ❑ Type Const, f © CONTRACTOR JOB # 5~- 117 Slab: ❑ In ❑By Sussel SUSSEL JOB # CONTRACT # © 'o ❑ By Owner Approx. 2 STARTINGS POINTS ONLY S-& Rte. Alley "~I House r. Street other Square With / 'LJ Rods • L t L` -;Z-Mesh 0 Sod Rem. - By ~5-Bag Mix ` O 6-Bag Mix 1 ❑ Tamping - No Tampin Grade Point *ONDUIT j O.H. Dr. Offset S.D. Location ti ocks By Owner ❑By Sussei Windows Existing garage: No i Detached ❑ Attached Yes ❑ R Size of existing:-_ Existing garage will be: .a1 ❑ Left as is • 'D / ,:x, . ~ ❑ Converted to L.S. - By owner ❑ Removed By: Owner 1-j l„I KJ6 \ Sussel LI~+ Junk Must Be Removed By Owner cif ~1 "Specify other removals by Su%- 1 sel or ne* sce , bu"hes, etc. cry fl0 C_ ❑ Show approx, d st. garage to t-~~ L1_ ~ house and all prop, lilies Stakes visible - 'Yes No t,` \ Survey available Yes No \ ❑ Special instructions from owner: } \ t 3 4L, - PAPT OF CONTRACT 1; -S 77j prwEC r REV r! - I f MASTER CARD LOCATION c I~ 0►( OWNER STRUCTURE AND LAND USED AS log 4 2 Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: 1 ~ i COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ NO EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND ❑ NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION -1 certify that I have carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ❑ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 2 3 5ceT. i CeJC- -74) STREET EASEMENT DEED 11-- THIS INDENTURE, made and entered into this 1-3 day of ~-u us~e, 1987, by and between HOWARD 0. GROFF and ETHEL GROFF, hushb n9d 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 easterly 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 and said line there terminating. Which lies within the following described parcel: M1 Beginning on the west line of the Southeast Quarter of Section 20, Township 27, Range 23, 263 feet north of the southwest corner of said Southeast Quarter; thence continuing north along g the west line of said Southeast Quarter of Section 20, 85 feet; thence east and parallel to the south line of said Southeast Quarter a distance of 337.5 feet to the centerline of town road as now laid out and traveled; thence southwesterly a distance of 92.3 feet along said town road to a point that is 263 feet north and 295.5 feet east of the southwest corner of said Southeast Quarter of Section 20; thence West and parallel to the south line of said Southeast Quarter a distance of 295.5 feet to the point of beginning. 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. i i 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 and 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. ?&to~yl kme~- Howard 0. Groff 'g-z4e thel Groff -t STATE OF MINNESOTA) ss. COUNTY OF DAKOTA ) ~k 4 On this -f`'day of 1987, before me, a Notary r' Public within and for said County, personally appeared HOWARD 0. GROFF and ETHEL GROFF, husband and wife to me known to be the gersons described in, and who executed the foregoing instrument, and 4ck,nowledged that they executed the s e as their free act and deed. Notary Public THIS DOCUMENT DRAFTED BY: OAVd G HAUGE, EIDE & KELLER, P.A. $WNW 1260 Yankee Doodle Road, #200 ~''~'"lvi*- MY 13. '190 Town Centre Professional Bldg. Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS \ BL 030-79 040-79 NEW R.O.W. Lit, Q 050-79 Q 060-79 R.O.W. 0070-79 .a' S E~ lam' ri' ~COE SURVE N R.O.W. LINE \ / ~EF~ y 'jam - 47' \ T' ~~Z1~ /r? (f ..rte-' ~ _ - .h'_ ~r1'R 10 TFNI EASE SURVEY 'Q - CURVE DATA 21 ° 41' 001 SURVEY STREET R. O. W.) CURVE DATA R =6130.00' NEW R.O.W. LINE A A = 27°29'28" L = 256.89 / \ \ R = 531.44' D = 8.44075 i - \ 50'R Ex. R. 0.1h'. P C. = 1 + 03.63 T = 130.00 PT. = 3+60.52 \ L = 254.99' 010-8 D = 10.7812° \ PC. = 0 + 50.50 \ P.T. = 3+10.50 GI SOUTH LONE SEC. 20, T 27, R 23 RIGHT 1 x,R„sY mlm n,AT nay ewe •as w. ' Dirt APRM )M MD THAT I AM A DA ROSENE, ANDERLIK a •_*otVM/A"jC'S LFM X urs o ~SSOCIA7ES, INC. 1987 DA t 7 - 7- 1~; -7 DAKOTA COUNTY NAME / DESCRIPTION AND DELINQUENT TAX RECORD PARCEL IDENTIFICATION SCHOOL W PROPERTY DESCRIPTION JUDGMENT OCK T SLK SUBDIVISION: DISTRICT S $aC LOT Iowa[ YEAR "PpAw"44017`9 It EAGAN TOWNSHIP 196U SECTION 20 TIAN T R NGE 23 PT OF SE 114 COM 263 FT TRANSFER DATE TRANSFER * LAST GRANTEE OF SW COP N 85 F E 37 • F HOWARD A ETHEL GROFF 9TTOFTETOTN R29 W5O T CE OF PEG N 295.5 FT T BE fly.: 20 27 23 q_~q % WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMENTS I/Ve 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.) LATERAL BENEFIT FORM WATERMAIN The location of said utility improvements shall be generally as follows: Parcel #10 02-000 040 79 92.30 feet at $8.10 F.F. _ $747,63 Assessed for 10 years at 8% interest 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 nec-~s- 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: Sotemhex 14. 1977 equest accepted by Date r,ember 14R 1977 ..te City of Eagan Request referred to =-L3' Engineer: D to Copies: 1. City 2. City Engineer 3. Applicant I For Office Ilse I I I I I j Permit ..l 2~ City of Eajan I Permit Fee: 3830 Pilot Knob Road I I I Date Received: I Eagan MN 55122 Phone: (651) 675-5675 1 Staff: ~(7 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATI Sip ~ ~ ~~08 Bate: 20 /6 S Site Address: Tenant: F1-le ( P-(--) f~ Suite - RESIDENT / OWNER Name: f,41) -e Phone: 65 Gael Address / City / Zip: Applicant is: X Owner Contractor TYPE OF WORK Description of work: y M"g 6 't re ~aurl Zt U Construction Cost:: Multi-Family Building: (Yes I No CONTRACTOR Name: License lt: ;-26160 Address: 80 LYI~DAIA AVE. S City: Bi OONDMi I 'MN 55420 state: zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J 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 the 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 plans. t x Jullt, I-edd-'elc4l X Applicant's Printed Name Appli nt's Signatur Page 1 of 3 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ItpV Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / / L/� Zvi 3 Site Address: e�/i'J ,7/c P-6,•{ Unit #: Resident/' Owner Type of Work Name: AA I Address / City / Zip: L//f 2a�-Jh`J 72-I/ Applicant is: Owner Contractor Phone: gS-2 - 0-3 7 -1,? 7s- Applicant s Description of work: f /Z_ P Cd�.,q Construction Cost: 4"U • 0 o Company: 5;u4,./-- Multi-Family te- Multi-Family Building: (Yes / No ) Contact: j Address: " City: 4--7 State: Mev Zip: S s'7 3 7 Phone: 95 2-'/s/—L/Z 6o License #: 776 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: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plaits and supporting do""cu the info mation may °tie classifie at side Phone: Phone: Phone: ; nonpublic conclude thei nformation. could permit Ions 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 4'4/1- Applicant's Applicant's Printed Name Applicant's Si Page 1 of 3 �I�1�"ll�i ��OIJ e��i�S �.�I�C. Burnsville Heights Business Center 11975 Portland Ave.So., Suite 138 Burnsville, Minnesota 55337 (952) 890-5400 ` ��������� a�� OCT 2 4 2014 , � �, � E3`f: �..___�__;�__.---- October l7, 2014 Mr. &Mrs. Anthony Quick via: Certified Mail 4185 Blackhawk Road Eagan,MN 55121 Dear Mr. and Mrs. Quick, 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 furktier questions. Sincerely, DIFFLEY SQUARE PARTNERS,LLP .. . �;r_`�� F �i L��v� f'{`�_�c.c.<,��:.2,.2..✓ Lisa A. Turbes Property�Manager Enclosure cc: Mike Ridley, City Planner- City of Eagan Tony Gleekel, Esq. Bruce Carlson C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 \\'5) 01110 r Use BLUE or BLACK InkV' p /3 c lgto-div For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6121,66 Site Address: 4/ ifr kio wk le° 1, ac.,� ow 5/2i Unit #: eslderi Owner Name: Address / City / Zip: r/10n� Q�Ick Applicant is: ?< Owner Contractor Phone: 9s2-237-3?7>" 061 6 1706) /rHA/ 5.:;f 2, z e of Work Description of work: r1/441% Construction Cost: 0`4j Oad Multi -Family Building: (Yes / No .k.-) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: /j/ l ezet tk f, c 44. L-44, / Lo'f brayi~ 2-0 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: Phone: Phone: Fire Suppression Contractor: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE, Plans ndsuploorti ng documents ;tt at ,?uif are considered #t Abe gni the information ;may ie clasartied as non; public irf you provrde spec fic reasons conclude: thatthe;y°°are tradevsecrets is information Portiions' of at would permit itis Cr#y•.to'; CALL BEFORE YOU DIG. Call Gopher State One Cali 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.gocherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 141/� Gh y &Gr r f l( )( Applicant's Printed Name Applicant's Signature Page 1 of 3 -1( J I A -d i� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition 4. Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review (25%_ 100% f-) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant tilW)AnS_ MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector TOTAL Page 2 of 3 u.,ck 6752 -7 32—3,P7S 4fK €/€ Amok ,: .' RECEIVED FUEL GASr�rIP7 on u SS7 t z JAN 3 0 2017 APPENDIX E(IFGC) WORKSHEET E-1 Residential Combustion Air Calculation Method (for Furnace..Boger,and/or Water Heater in the Same Space) Step 1:Complete vented combustion appliance information. pp Furnace/Boiler. .°1 ItaftHood Fan Assisted Direct Vent input 60)000 )3tuthr / (Not fan assisted) &Power Vnat water Heater X Draft Hood Fan Assisted Direct Vent Input., 3$)O00 Bulk (Not fan assisted) &Power Vent Step2:Calculate the volume of the CombustignAppliance Space(CAS)containingcombustion appliances. t: 1-. .. ,,C :1.11. , ., ,S,110 %1 t.-nin• . CAS volume; 2. Step 3:Determine Air Changes per Hour(ACHY 9.0 Default ACH values have been incorporated into Table E-1 for use with) hod 4b(KAIR Method).If the year of conation or ACH is not known.use Method 4a(Standard Method). Sten 4:Determine Required Volume for Combustion Ab 4a,Standard Method. ' Q p D vw "lir4v A^ki U' Total Btu/hr input of all com) on appliances en (DO NOT COUNT DIRECT VENT APPLJANCESI Jnp'ut — --- lht Use Standard Method column in Table E-1 to find Total Required Volume(TRV) TRV: 44;e0 f13- If-CAS Volumelfrom Step 2)is zn RY then go to STEP 5, 4k Known Air Infiltration Rate(KAIR)Method. 41_ _4 I /, /af W- 1:;1 ;111 i 1 ... (DO NOT COUNT DIRECT VENT APPLIANCESI Input Blau Required Volume Fan Assisted(RVFAI RVFA: ft3 Total Btulhr of all Non-Fan-Assisted Applinuco Input Btuthr til- :n 1 .. .1 „1 1 '1 .. • Required Volume Non-Fan-Assisted(RVNFA) RVNFA: fl Total Required olume(TRV)=RVFA 4-RVNFA RV= + = (La If CAS Volume(from Step 2)is greater that IRV then no outdoor openings are needed. IFAS Volume from Step2)is Less than TRV then tg�STEP 5. (continued} 6 JUNE 2015 ERRATA-2015 MINNESOTA FUEL GAS CODE FUEL GAS WORKSHEET E-1—(continued) Ei idgntial Combustion Air Calgulation Method (for Fnrnpce,Boiler,and/or Water eater in the Same Space) Step S:Calculate the ratio of available interior volume to the total required volume. � 0 -3. 0 (1,6c _ Z'"oAy Ratio=CAS Volume(from Steil divided by TRV l _ _ r. (from Step 4a or Step 4b) $itis?= - 4 10 Step 6:Calculate Reduction Factor(R}). BF=1 minus Ratio RE=1- = j / Step 7;Calculate single outdoor opening as if all combustion air is from outside. ��( - 0, 2.4 S =0 87 31 047 Total Btulhr input of all Combustion appliances in the same CM �0 00 (,EXCEPT DIRECT VENT) ®VO Binfix Combustion Air Opening Area(CAQA): 3 t D+'Up4 Total B tuthr divided by 3000 Btu/h r per be CAQA= r1 Q tJ 0 /3000 Btu/hr,per int_ Step 8:Calculate Minimum CAOA. 12,3 n- OA?3" . jvlinitDum CAOA=CAOA multiplied by RF Minimum CAOA= 32.4'1 x 0.110Y = $; Step 9:Calculate Combustion Air Opening Diameter(CAOD1, 1,1 3 x triir - y CAOD=1.13 multiplied by the square root q f Minimum CAOA CA.OD=L13 Minimum CAQA=_'� in " 1 t..•(:• : 1J• r t_ t:.r=•u- •I' •It4 y : ltd• • •'. �tori r. t • tat.;s t.' i ._..ids 1: L./hIC4,) y�I ) Ce","-Geri ? 201$MINNESOTA FUEL GAS CODE-JUNE 2815 ERRATA 7 - Use BLUE or BLACK Ink r -, For Office Use fi :::::e: ': ° 'Clty of Ea �il i-t ° 3830 Pilot Knob Road / Eagan MN 55122 F` .CEIVED Date Received: __ 40'! Phone: (651)675-5675 ,' Fax: (651)675-5694 JAN X2017 Staff: k-t 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 0-i \1 Date: /7 0/,7 Site Address: -T(c aznaeiiiiivie Re4191 }Gj4iV MN X3'/22 Unit#: \/ t 1"1 I /� 1 I Name: /9/1--/X•747 (CCN,C,� Phone: q '2-.37-3i 7 Resident/ 1 Owner Address/City/Zip: 4/tc l5/ac�FAAak fond, EA.74,,� /�iN _5372_Z Applicant is: X Owner Contractor "42—( Description of work: il'drPht4 / Ais1 Type of Work Construction Cost: -(� 2 too Multi-Family Building: (Yes /No k ) 1 1 Company: Contact: t Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: /"'arrem/ /ea" 14,7 we �aH.5, A® . )110L v 7 A /tilt' 4,16 CGiTd)(-Tail 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: I I Fire Suppression 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 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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. 71 1 x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE / ` bo r L/ SUB TYPES 11.1 c 1.,c( ,,,:. _1c. 14 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 4 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 t2 OV Occupancy ii—e7—I MCES System — Plan Review / Code Edition ,16,i5- SAC Units -- (25%_100% f.1) Zoning 7Z---/ City Water — Census Code f/31/ Stories —_ Booster Pump #of Units 1 Square Feet PRV #of Buildings / Length — Fire Suppression Required Type of Construction A— Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) ;L Final I No C.O. Required Foundation it HVAC Gas Service Test Gas Line Air Test Roof: Ice Water _Final Pool: Footings _Air/Gas Tests _Final if Framing /30 Minutes 1 Hour 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 Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES L is �G „o ti /�a A.c Base Fee ;,.9,9--' 7 Surcharge _ Plan Review 23 1.i/i)Gr/S rx�✓ MCES SAC –_-___-- City SAC / ZCO Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 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. Happy Holidays. Very truly yours, Anthon J. Gleekel (612) 337-6127 I Direct tonygleekel@siegelbrill.com cc: Margaret Linvill Smith (via email) Lisa Turbes (via email) Ae 31V0 SNOsIA38 roN � HdJ. V10S3NNIN NVOV3 x - AB°3N33H3 n O m . . . Hw w '"w • ugwu w[ Q Z "�• AB Hm'HU NVld 9NIlNVld 7��JJ�/(� [� 7 w N " z . �MIII _� 1�d1 AB°3X0153° 3 V 1 I�J�7l��IQ O N ce W NMOHS SV .- a ,T, • ' 31'05 S G o • ' (I I x 1 x x le ' i r- - cn - _a x ISI x ( a,x x_x / 1 -C7LLx i'bil-T 1 EE ? _ (7u a I \ ci 2 I m I I1 M LL r000 2134 '1.-''''' I o� t I • I 'A:-'1'..-4' AVM3AR!O ' j'z x LL 0.-- -1 /! I,e: w 1 i ;�is soy \ �oea j i! O U M O O K z W 301,i3d lee z I , I! 1! `/,Nn WHO.., tees i- 1 • agar. v--\, aer a II yy '• ~w Ixi •'X O N ro :L. ❑ i! I s�: I �i i OZ .- 1 {� '1mNz zpmw wz 0, ❑ I I I I I;•. •j;•,•;I _ + 1 YxZ �u + ' Ii a7J .x: • N ¢x O5 II { I;.',•• ,:�4.4I I 1„ J 4.x ¢ 11/:10 I Oa aX _❑ awm ! I' '.I l: ...a _L I -- -E-- -- c� J x.a-I i ! 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X J m m = m m 63 r E:� .e co '021'..lol30ary Duo 0,03-0.10101 04 021110011 2031*.0 R.'021'..30100•01 p0.02-0.12.01 00 u 01210.po 1129 100110210021220 013102 20090*100.34.90 qql un.ou00u.•tlwau.l pun la••n04.-90..4.4.•o..it 3314*+•1 220119 Puo mama 0eP2200•w.W Alun owu012,1.1,*3la.00 0>wwml•w.o m•01002.21 Mum,..216101212 oun.34.300.V>4210.•ul•eel 12,020.00 013E ueunlogppol :(q wd60:L cLo L)noN Z ldeoua3 bnp•l(deauo3\seauezeiaa\303\u6isa0 q\Nri'uobo3 ozold groq>10o18 XXXX69091\V3R131.1V 0Irl\A301 OMI\:X :0w0u 6u1Mo+0 4 lr'r�� I- For Office Use % ; % • : , lir T �C Permit#: EAGAN •.•• ••moi / Permit Fee: ?C (Q �` fjzCEIVE Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810m � (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 01 2020 Staff: buildinginspectionsecityofeagan.com BY: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 b7/2-O Site Address: 4(85-- RIArtl 4ctwic edaio( Unit#: Name: r7 ,, , K. Q2,�,t'cfC Phone: ( 52—Z?73J''' ,Reslld+ 171 Owner Address/City/Zip: 4(Pc 13 6at kitatdk s i4', &'cp /nA/ 5SI Z 2- Applicant Applicant is: KOwner Contractor (161-101,q4-1-6_01 Description of work: eGtseprieAt. 110944-00^% /"e#77 ode Type Of-WOrk; Construction Cost: Multi-Family Building: (Yes /No Company: 5-etc Contact: Address: /44 e��rlck ey�4oa,to,�, City: Contractor Y State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 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 ere trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.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 which requires a review and approval of plans. x fihfh So (<, Q(01/Cx X#14€,W Applicant's Print d Name Applicants Signature TE BELOW THIS LINE �� 1Ak11L ►'-�` .DO NOT WRI L//s SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) gSingle 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 4. 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 POccupancy .Z/?6–/ MCES System Plan ReviewCode Edition p fj/fir• SAC Units _ (25%_100%� Zoning g. --r City Water _ —Census Code ti 311 Stories Booster Pump _ --- #of Units / Square Feet '4-- PRV _ #of Buildings / Length y.. Fire Suppression Required _ Type of Construction 7/3 Width ,_-- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required — Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: Ice3,Nater _Final Pool:_Footings _Air/Gas Tests _Final *.- Framing v 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS > Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control fShower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 3 i Base Fee Surcharge Plan Review H-7 9� MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 1 / For Office Use , 11 0�a • :::: 5c e: (6 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: bu ildingi nsoectionsCcacitvofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7i1A7b-0 • Address: . 11 eotak k 441a.., Tenant: Suite#: Name: Ar 0ay 2 r Ck Phone: qS -Z37--?4 ResideSt C wne r Address/City/Zip: 4 Its r�7 t? (a►ck1 a►i,✓k dao( a a A N 5172 Z Name: set, License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Work _New X Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. TypeofWDescription of work: 10 eriOM+ /^e h,e'Ie Tankless Water Heater Lawn Irrigation L_RPZ/_PVB) Standard Water Heater X /`/ � Cfipxion Water Softener Add Plumbing Fixtures( Main/ c Lower Level) Description: cfih1C 40010( Soaker.f'& chswfi Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 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.000herstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 withthe approved plan in the case of work which requires a review and approval of plans. / 14 laAie x y .240-4 Applicant's Printed Name Applicant's Signature Page 1 of 2 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspectionsCa)citvofeagan.com Page 2 of 2