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4276 Blackhawk Rd FROM Lee PLUMBING PHONE NO. 7634945356 Oct. 12 2010 02:36AM P1 Use BLUE or BLACK Ink - - - - - I ForOtfiae Use Ok T~ I Ilermit Use I s~ City of Ea a~ I Hermit Fee-_.. I 3830 Pilot Knob Road W, I I Eagan MN 55122 Date Received: E 1 Phone- (651) 675-5675 1 Staff: Fax: (651) 675-5694 201o RESIDENTIAL PLUMBIN'G/ PERMIT APPLICATION / Date: /y/ cad/~ Site Address: 70 ' M " Tenant; Suite RESIDENT I OWNER Name: Phone; fa P A J6 Sc3 at Address /City 1 Zip: CONTRACTOR Name:(_7 L 44C'~klcense Address: ! '//V _ city; _ Z z/?-Az- C- Phone: State: rx-T 0_k. zy Email: e Contact Work in R.O.W. TYPE OF WORK New _ Replacement _t Repair _ Rebu Id// Mod"rfy L-'IL-~ox . of work: F OG i 1~ Description 0 PERMIT TYPE RESIDENTIAL Water Heater Water Softener - Lawn Irrigation ( RPZ / PVB) - Add Plumbing Fixtures C__ Main I Lower Level) Septic system - Water Turnaround New Abandonment RESIDENTIAL FEES:? ~C?.4 9 C' J' A C A W1 r $65.00 minimum Water Heater, Water Softener, or Water heater an Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 51$" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ %5. CALL BEFORE YOU DIG. Call Gopher State One Call at (861) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,go-pherstateonecali.orS► I hereby aeknowiedge that this lnfonnaWn 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 trio approved plan in the case of work which requires a review and approval of plans. x C s L :t-- ~e x - Applicant's Printed Name Applicant's Signature . r 'gyn.,..,. r, rr^ar A ~:.1_~ ..Ir ..rl~(~'1. ~CIViGi.l~~~r . Jf r, ~i ~..~'..:'i:'.i.N !..n . ,p M.•; ,II ~.,r r•. , .f.a'.,:4!. G ~~'i`..'.r::,n.:.... _ J.".' ..r ..rv: , r ^,,..n :.V ^r n.. lk. ,-,:.r . ~.':.r9•r.'VrY 'n•.,. ::,r.... L. .r ..,<...n r.. ..G ,r,r.+L:; .,.9wr. ,i.,„ 1. r. . Tr" rrrr k rvw. /~rC.Y'r~~I~~.~~~.:'•.:'^T.,•._*o:r~~f.,}%:~t~~t~,.~'{~"' l.y.i'!r"'.k"' 'M~SF.~S,'~f~~v'Fr---~- PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076776 Eagan, MN 55122 . Date Issued: 02/22/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4276 Blackhawk Rd Lot: 1 Block: 6 Addition: Section 29 PID 10-02900-010-06 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When w all studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. s heetrock) has to be removed to install a smoke detector. Mel Hazelwood 5558 Smetana Drive Minnetonka, MN 55343 952-935-9669 kari@minnesotarusco.com Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195 BL - Base Fee $3K $88.50 0801.4085 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Minnesota Rusco Sonja J Dauphin 5558 Smetana Dr 4276 Blackhawk Rd Minnetonka MN 55343 Eagan MN 55122 (952) 935-9669 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5737 P. O. Bi nx 21 V9 PIERMIT NO.: _ Eagan, MN 55121 DATE: Zoning: R1 No, of Units: Owner: Rickard Rahn Address: Site Address: 4 BlackhaW Roa Plumber: Wenzel xech 470. pd 'R Meter No.: Connection Charge: P Size: Account Deposit: 15-00 r Reader No.: Permit Fee: 10.00 P I o2me to comply with the City of Began Surcharge: ordingnaa. Misc. Charges: IDe ft' Total: BY Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pitot Knob Road 6927 P. O. Bft 21139 9,IRMIT NO.: -26-84 Eagan, MN 55121 DATE: Zoning: xi No. of Units: 1 Owner: Richard Rahn F Address: Site Address: 4276 Blackhawk Road 10-02900-010-06 Wenzel Mach Plumber: -26--84 46615 100.00 pd I agree to comply with the City of Eagan Connection Charge: 425.00 Pd Ordinances. Account Deposit: 15.00 Rd Permit Fee: 10.00 pd Surcharge: .50 Psi By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Remarks 6~~o 4(25 Addition. Section 2 Lot Blk Parcel Owner ' treet 4276 pa.ckhawk Rd. State Eagan,MN 5512X Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 ; 15 MIA 4 STREET RESTOR. GRADING # SAN SEW TRUNK 1970 90,00 2 SEWER LATERAL 2985... 34 9J 8 233.32 15 ' 14". 7ft X2'7 ' 1a--1t3-84 WATERMAIN 7( 1985 1192.40 79.49 15 1192.40 C009627 1Q-10-S4' WATER LATERAL WATER AREA ~r+fii STORM SEW TRK 1985 564.52 37.63 15 564.52 004627 10-10-84- STORM SEW LAT X 1985 1155.9 77.06 1 55_.95 000962:7 10-10-84 0 Services 10 5.21 88.35 15 1325.21 C b27 10- CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN MATER SERVICE PERMIT 3830 Pilot Knob Road 5733 P. O. Box 21199 PERMIT NO.: Eagan, MN 5'5121 ` ~ I ATE: 9-26-84 No. of Units: 1 Richard Rah( ~1~1~ Address. - 'te Address: 4276 B w t eflt0-010-0 Wenzel r Meter No.. 31,13 / ~ Corm etlion Glmfge: 470.00 pd Size• 15.00 d Account. be sit* pd Reader No.. spa f 7~ 3/ Permit Fee: 10.00 pd 1 *01100 10 comphr witfi the City of Eagan Surcharge: 0 Pd Ord~oa Mist. Charges: 63.00 pd meter Total: BY Dote Paid: Date of Insp.. q /-ilr 104Insp.: ,9 t EAGAN TOWNSHIP N.o 1624 BUILDING PERMIT Owner ~ --•e."A.).............. Eagan Township Address (present) s'}........ 64 A-re Town Hall Builder Date .--Alt-)-4-7 Address DESCRIPTION _ Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location 1 Lot Block Addition or Tract l0 0a90o n/a ob This permit does 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 KEPT O 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 EagA Towns ip a ted April 11, 1955. I r Per airman of Tnwn Boar Building Inspector I I r i c -Y 0 va 90. I Office Usq I I Permit gg City of Ea Ea~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: L_ - - - - - - - - - - - - - - - - J 20008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 QO Site A=42 Tenant: alIn j R Suite RESIDENT / OWNER Name: Phone(~6 0 (D -14 S~- Address / City / Zip: Applicant is: Owner _Xcontractor TYPE OF WORK Description of work: Construction Cost: ex Multi-Family Building: (Yes o CONTRACTOR Name: License 7 `7' a Address: 7,4/ City: State: M J9 Zip: Phone j~&794 z~Llo 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 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 witho . a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro of plans. x v ~I x Applicant's Print Name Applica S Signa e Page 1 of 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 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 - Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 07 / 5 / OS Construction Cost X Site Address Unit/Ste # Description of Work l/ / u-l' Multi-Family Bldg _ Y X N Fireplace(s) _ 0 2 Property Owner A,(-A flh -4,1 1/1) Telephone # Contractor Q11C Address ,/ySJ~JrB City State I 1 F Zip 3 Telephone # (qsD ~~J • ~~Q~f!_~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet - • New Energy Code Worksheet (~1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. -V6~s k Applic 's Printed Name Applicant's S gnature I 4 I - - --i OFFICE USE ONLY y 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 - Multi ❑ 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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 ` Brick - Fireplace - R.I. -Air Test Final Windows - Insulation - Retaining Wall I Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 r© v Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Offce Use O I 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan C,ert of Survey Rem _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Trae Pres Required - Y _ N 1 set of Energy Calculations Addffion - indicate ff on-site septic system On-site Septic System _ Y - N 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 Construction Cost Site Address :76_0 za fakA A,' a - Unit/Ste # Description of Work _ If- Multi-Family Bldg _ Y _ N Fireplace(s) Property Owner 1,L f) j0a12)`j 1-4 Telephone # (65-1) 612-6 7d 4o Contractor p~~ X 19 /i't~~ Address City AICY 14- 4 M State U~ Zip Telephone # (942 -14 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licen ed Plumber Telephone Mech ical Contractor SEp Telephone # ( ) Sewe / ater Contractor _ Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and Koval of plans. , l t~.N Applicants 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 - Multi ❑ 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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY USE ONLY LOT BL RECEIPT SUBD. S e. G6y-~- ! RECEIPT DATE: MECHANICAL PERMIT # 3 1999 MECHANICAL PERMIT (RESIDENTIAL) Cn Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55128 (651) 681-4875 Date: Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 A:Dp ?()NAI. j' _Tfj 6.0(, • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New )C Alteration _ Repair Other Reminder: Call 681-4675forinspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge SITEADDRESS: Minimum Total Due $ 30.50 y _ OWNER NAME: Cn L a ~sOh PHONE - q (AREA CODE) INSTALLER NAME:IA) 00 UVS SDIi(msd j PHONE (00L - -7U°1iOl (AREA CODE) STREET ADDRESS: / I `7 7-ja CITY: ~i~ 1( Lv ~ STATE: n ~ ) l ~ l I ~ ZIP: 10a4VV P. W4".1:2 SIGNATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT M SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGaAN 3$80 PILOT KNOB RD EA6M, MN 55188 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When installing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (uaROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE I 2/84 l CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 42X, RD LEGAL DESCRIPTION: La7- l e ~~-~cric lu T? f( ~e~~ T*?r(Lot/Block/Subdivision or Tax Parcel. I.D. Number) T~TT 1.i ST°,UT'1 `1 t ~~T^ •?T.T rim,-,iT/' .l 10 n'uv '21 e PRESENT ^`dINr/PROPOSED tTSE: IS R-1 SINGLE FAMILY ❑ R-2 DUPLEX (TWO UNITS) ❑ R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ❑ R-4 APARZl'=/CONDOMINI[. m ( UNITS) ❑ COMMERCIAL/Rh7AII,/OFFICE ❑ INDUSTRIAL ❑ INSTITUTIONAL/GOVERNNEM 2) APPLICANT (PLEASE PRINT) NAME: R,L1:1,41?n f-~A t4 A-) ADDRESS: If MA 4 L/ 14.J CITY, STATE, ZIP: Vl PHONE : 3) PLUMBER NAME PLEASE PRINT) FOR CITY USE ONLY : -%J PLUMBERS LICENSE: ADDRESS: _ 600 KENNESEC DRIVE, EAGAN, MINN. 55122 771 Active CITY, STATE, ZIP: 452.1565 Expired MASIER Not of ..Record PHONE: PLUMBER LICENSE # 001445M2 =24 a initial 4)Jp/a2 (PLEASE PRINT) NAME: ADDRESS. CITY, STATE, ZIP: PHONE: i 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) 6) LNDICN17E ONE : PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,(3,,' 4 ABOVE l (Circle one) 7) S IGNATURE i DATE : 1 / FOR CITY USE ONLY " PERMIT ISSUED FEES: $ 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 $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER _j TOTAL r, AMOUNT PAID/RECEIPT~',,# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C~ YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING.DIVISION. LIST AS A CONDI-- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: - TITLE: DATE : no w.w wJO so WIN mum •k' cwt w" w:w Amapa wkw t r i i ~ i 4 l i i Jac KhP~ k ~D o zq o p ~/D Q 16 - c5tV of cza ton 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER March 13, 1984 Counoi "Members THOMAS HEDGES City Aaministrator EUGENE VAN OVERBEKE City Clerk MNC National Mortgage Suite 910 5775 Wayzata Blvd. St. Louis Park, Minnesota 55416 RE: Parcel #10-02900-010-06 4276 Blackhawk Road The above-referenced parcel will not be able to connect to City sewer and water at this time. Although services for sanitary sewer and water have been extended to the property line, the downstream sanitary sewer main line has not been connected and the watermain has not been completely tested. This is because work on the watermain has not been completed. The suspension of construction during the winter months prohibited finishing the work to allow this parcel and adjoining parcels to connect to City water and sewer. I would anticipate that construction could be completed to allow connection to City sewer and water by late spring or early summer. Along with the completion of the sanitary sewer and watermain, the street will be paved and curb and guttered and the boulevards will be restored with seed or sod. It will then be the property owners responsibility to contract with a plumber to connect to the City services which were extended to the property line to connect the house with City sewer and water service. The estimated cost to complete this work up to the property line is listed below as a pending assessment. The item for services indicates the estimated amount for installation of the sewer and water service from the City main to the property line. The restoration amount is incorporated in the street assessment. PENDING DESCRIPTION ASSESSMENT Lateral Sanitary Sewer $ 3,280.00 Lateral Benefit From Trunk Watermain 1,771.00 Services Amount 920.00 Lateral Storm Sewer 998.00 Trunk Storm Sewer 711.00 THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY MNC National Mortgage Page 2 March 13, 1984 PENDING DESCRIPTION ASSESSMENT Street $ 3,462.00 TOTAL ASSESSMENT $11,142.00 The above costs are estimated costs. Only the Lateral Benefit Trunk Watermain and Trunk Storm Sewer costs will not change. The other costs will be determined based on final quantities and costs as determined by the contract unit prices and actual overhead. These will be made public at the final assessment hearing which is anticipated to be held in the fall. If you have any questions regarding this matter, please do not hesitate to contact me. Sincerely, / / F Richard M. HLi Assistant City Engineer RMH/jmj it Ole C O U N T Y ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.nm.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: November 29, 2004 TO: Tom Colbert/Wayne Schwanz (EM) Fax (651) 675-5694 RE: Well Permit 04-1-1223236 Well Type: Domestic Municipality: Eagan Environmental Specialist: Luehrs The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Kimmes-Bauer Well Drilling Date Application Received: 11/24/2004 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Kathleen J Dambroten Well Owner: Kathleen J Dambroten WELL LOCATION: PLS Coordinates: 1/4, SW 1/4, NW 1/4, NE 1/4, Sec 29 Town 27 Range 23 Street Address: 4276 Blackhawk RD PIN Number: 100290001006 WELL INFORMATION: ' Diameter: 4 Casing Depth: 140 Total Depth: 145 Static Water Level: Aquifer: COMMENTS: t a~, Yea a~~fr....F ; ~~~xlY.Si-7~' _ j 'r Tay yy~ . t ~_~,Y_ ~Y'.► d,. r - } ' I ~ F!I Edit ~.r i. -I:- ik F 3tii i~_ Help r a r +r Y7p - Connection Comments Eagan Building Eagan Development Permits Owner Eagan Assess~Sales Eagan Property Eagan! Z'on nt r ! parcel I ' 1 U0_9 0 0 01011E; r ~r - ar'me--f - F, V 9ky rj 'A Cjc-arch SIC? r, rC Hr~ 4276 BLA K HVvI F'r" ...i.~ .ate.- . - w --"s•~~r+ r'xtt .W City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / / D'3C Permit Fee: je)5.• Date Received: S 7- ( 3 Staff: 2013 RESIDENTIAL BUILDING//PERMIT APPLICATION Date: 7 /! 3 Site Address: it Z 7 X� t te_-- 0' Unit #: Name: Address / City / Zip: LiaLe.._.. G --/A-14 (L.. Applicant is: Owner Contractor Description of work: Construction Cost: Phone: (,/,) e �3 F3_ cll. 7kit 1,--fak.0 .c. Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: License #: 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: , aris ana mormatto supporting ec u sub e . as cion P . lic $f you p oVI nc uare tra, Phone: Phone: Phone: 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. x Applicant's Printed Name x Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r I For Office Use I I ( I I Permit City a~ of Ea ~ I Permit Fee: ~ I 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: 1 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 l I -T 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: d G1 >1,~+C ; Phone: 1c (J Resident/ I Owner Address / City / Zip: " 2Q (Llk_JC L-1 Q W &-i4 t~ ilv', J 1 /A Applicant is: Owner Contractor f' Type of Work Description of l2v -b Construction Cost: BLS Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License 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? I _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer & Water Contractor: Phone: i 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 j 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. Applicant's Printed fame Applicant's Signatfe Page 1 of 3 III I PUBLIC WORKS COMMITTEE June 17, 2014 II. TRAIL ON BLACKHAWK ROAD (DIFFLEY ROAD TO HIGHLINE TRAIL) DIRECTION TO BE CONSIDERED: Provide a recommendation to the City Council for the bid award for Contract 14-13 regarding the Blackhawk Road trail segment in response to the concerns expressed by the resident at 4300 Blackhawk Road. BACKGROUND: • On May 20, 2014, the City Council considered the plans and specifications for Contract 14- 13 (2014 Trail & Parking Lot Improvements) for the purpose of advertising for a bid opening to be held on Thursday, June 26, 2014 (the bid date has since been postponed to July 10). Contract 14-13 provides for the construction and maintenance overlay of bituminous trails and parking lots in a number of locations. • The construction of a new bituminous trail on the east side of Blackhawk Road, south of Diffley Road from Eagan Pointe Senior Living (currently under construction) to the Highline Trail, was included as part of the contract. • At the May 20 Council meeting, a concern about the construction of the trail segment was expressed by the resident at 4300 Blackhawk Road. The concern stated was regarding the impact of a trail on the slopes of the existing residential driveways. The resident stated the grading required for a new trail would make the driveways steeper than desired. • In response to the resident's concern, the Council authorized the advertising of the contract for bids with the Blackhawk Road trail segment separated as an alternate bid and directed staff to schedule a discussion of the Blackhawk Road trail for a future Public Works Committee meeting. • As a follow up to the Council direction, a staff review of all of the driveways along the proposed trail segment was performed. The review indicated that revisions to the slope of the driveway at 4300 Blackhawk Road would be only slight, well within an acceptable range, and limited to within the public right-of-way. However, two other residential driveways, which are already steeper than desirable, would become slightly more steep or require the acquisition of significant temporary construction easements to maintain the current grades. • The single family residential properties adjacent to the proposed trail are guided for high- density residential in the City's Comprehensive Guide Plan. • The proposed design of the trail does not provide widths for a standard boulevard due to the topography. As proposed, snow removal and storage could be challenging and may conflict with winter street maintenance efforts. • The Eagan Pointe Senior Living development includes the construction of a new trail with standard boulevard widths along its frontage with Blackhawk Road. Similar trail construction could be included with future redevelopment of the current single family residential properties as high-density residential. OPTIONS: • Include the Alternate Bid for the Blackhawk Road trail segment as part of the Contract 14- 13 bid award consideration on July 15, 2014. PUBLIC WORKS COMMITTEE June 17, 2014 • Remove the Alternate Bid for the Blackhawk Road trail segment as part of the Contract 14- 13 bid award consideration on July 15, 2014. ATTACHMENTS: • May 20, 2014 City Council Meeting Minutes, pages thru • Resident Letter, pages thru • Existing Driveway Cross-Sections, To Be Distributed at Meeting. ��.�,�,,e {'�2 C�o'�"`m,v-r�S �� �°� ����j o� �l�.i�►'�. fz� ��'f��� �,�'�� °� �6n�'-nf• �o r�✓��� � � �l�. ,� �OLt�n�1 � �5 � � C�?f��a�l tri� �( �i�S � �� � - � � " r`� � �