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1011 Blue Gentian Cir???VECTION k CORD_ I ' CITY ??4.i'? !..l? "t ?? ' 0F?AGAN P'?RWT TYPE: 3630 Pikxt Krtob Road .° Pennit Number: Eapo, Wnnesota 55122-1897 E3ate Issued: 7 f 96 {612}. 681-4675 t 2.3 PPLI7f?f''{?: ?i '?'.9': , E ??Q?E t () i ? il -. A Eit. Ot. K ; 1011 . ti L, tit V 6 #` 4d TI A W---Wr D I''tl t R-w I ? ?f- ?l R MURsl, CAAt COMST ? ECTIC:1 lV Z ???,v ? fi ! ?' ? c°? ,4 c;? ..,. ? a ? !?S ?`. ' L"'i"irMff}] L? ?yTi Vi7TYTE. TYPE OF WOf1R. p( y?,?y ?`'t yy #q ?" . . . . . . - . , . x:? RAM.I71G T 1+t "ff-i P400614 l,li 6'TE,.FICF i i PdAl. , ? I 11 11 . CITY OF EAGAN ? r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N13235 PHONE: 454-8100 • BUILDING PERMIT Receipt # f To be used for R?ROOF Est. Value ?6' 8,0 0 Date FEBRUARY 19 , 19 87 SiteAddress 1011 BLUE GENTIAN Lot 4 Block 25 Sec/Sub. SECT Parcel No. ¢ Name- z 3 Address 0 City - N(7FL 3PARGUR Phone Erect ? Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install ? Zo Name atlas x'oofing ?? Address 22'4QQ Ni??2TH1'IE3`.I) BLV?3 , I city HAM?T_Wne 43 i-6621 ? ? tu W Name z ? Address z < W City Phone I hereby acknowledge that 1 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. Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit r a -r v Surcharge 3` 50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Copies Signature of Permittee -Ar I TOtal $76 1 ou A Building Permit is issued to: Ami'? ROOFING on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official PermN No. Permit Holder Date Telephone # Piumbin9 H.Y.A.C. Electric Softener Inspection Date Insp. Comments Footingsl Footfngs 0 Foundatlon Framing ROOMg pr ? ? OI6d?. CO^ IC?? G -1,+LL-. Rough Plbg. Rouyh Htg. Insul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Deck Ftg. Deck Frmg. Well Pr. Disp. . BUILDING PERMIT To be used for REROOF Est. Value Site Address 1011 BLUE GENTIAN-dtV Lot 4 Block 25 Sec/Sub. SECT 2 Parcel No. m z 3 0 Name- Address City _ Phone Z o Name atlBS roof in v¢ Address 22400 NORTHFIELD BLVD ? City HAMPTOAone 437-6621 F W Name z ? Z Address a W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comp?l with all agp licable State of Minnesota Statutes and Citv af?aoan O(?narfas.// Signature of A Building Permit is issued all work shait be done in ai Building Official $6,800 Receipt # /?/ CI-) Date FEBRUARY 19 19 87 NOEL SPARGUR CITY OF EAGAN 1?' p 3830 Pitot Knob Road, P.O. Box 21-1_99, Eagan, MN 55121 , v- 13235 PHONE:45$-8100 < Erect ? Occupancy Remodel ? Zoning Repair 0 Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft Install ? Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Pianner Council Bldg. Off._ APC Var. Date- Permit $ 7Z- 5 0 Surcharge 3 . 5 0 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies r„+oi $76. 0 0 on the express condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN Remarks qze4.t..?..- Additiort Section 2 Lot 4 Bik 25 parcel 10 00200 040 25 )1?ti_.1 i4 street 1011 State E agatl,MN 55121 owner a f - ?` t l ° & Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RES70R. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL ? WATER AREA 1977 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN. BUILDING PER, saC PAR K ,I EAGAN ,'OWN 5 H 1 P NO 170 Ownex Address Builder Address ----- f7._Y? -------------- DESCRIPTION Eagan Township Town Hall D at e 5tories / To Be Used For ?.?! f/ .L L/ ? l4 / Fron2 ?s i Depth Heigh# ? Est. Cost ??I i PermiY Fee ' `_"? % ?r Remarks ' • `"" -ifn LOCATION ? Street, Road or o Description of Location _I Lot Block AddiYion or TracY ? This permit does not authorize the use of sfreets, roads, alleys or sidewalks nor does it give !he 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 EPT ON THE +M S HIL THE WORK IS IN PROGR S. : This is to certify, Yhat___LL_'_____ .?--- .----- __ : as permission fo erecf a---- _ ________________ ------------------- .___upon !he abovg describ ? premise s t t isions of the Building Ordinance for Eagan Towns adopted April 11, ?. 1955. ? °-•°--.........-.<• - - -•-- •-•--•-•-•--°---•-• - --- ---•-- - - ----.. Per .--•.-- -----------•-----------•---------------•••--• -•-----•--•----•---------•-- ` hairman o# Town B Building Inspec2or DiNG PERMiT 0 ?- --- -- ^?----- --•-- -C---- ---_ 07t15/2t-+ 15:01 FAX City of Eaian 3830 Pilat Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 875-5694 9002 r?.????..??-_-?._....?.??? I For O06.e:!4?s? ? ? Pertnit ? Permlt Fae: ? ? Date Received: ? ? I i ? statf: _? ?__?.------------- 2008 RESiDENT1AL PLUMBING PERMIT APPLICATION Date: 7zI Site Address: I ,(,) ---r- Tenant: Suite #: RE8inENT t OWNER Name: Me-i K ?s a6d Phone: Address / Ciy ! Zip: CONTRACTOR Name: P E i n 0 License V Q !Y q,P"A- Address? ff r City: 11- wt ! ?( 5tate: YK ? Zip: .? I \: 6 Phone: Cantact Person: rvPF oF woRK -New ,.,_ Replacement i Repair ,,,,,, Rebuild ¢ Modity Space _ Wotk in R.O.W. Descrl tlon of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener LaHtn Irrigation Add Plumbing Fixtures (_ RPZ /_ PVB) Main _,, Lower Level) ? Septic SysSem Water Tumaround w Abandonment RESIDENTIAL FEES: $60.50 Mlnimum Water Heater, Water Softener, or Water Heater and Softener (includes 3.50 State Surcharge) s30-50 Lawn irrigation (includes $.50 5tate Surcharge) $60.54 Add Piumbing Fixtures, Septic System AbandonmeWater Turnaround' (includes $.50 State Surcharge) "'Water Turnaround (add $136,00 if a 5/6" meter is requlred) $100.60 SeptiC System New ($10.00 per as built) (includes County tee and $.54 State Surcharpe) $90.50 Fire Repaif (replace bumed out appliances, dudwork, etc.) (Includes $.50 State Surcharge) ?. ? TOTAL FEES $ I hereby scknowledpe that thia information is compiata and accurate; that the work will be ln CoMortnanca with the ordlndnGes end codes of the Gty ef Eaqan; that I understand th19 Ib not a permit, but only an applicatlon for a permit, and work {s nOt to start without (k thal the work will be in accorclance with the approved•plan in the ca9e of wOrk whlch requlres a review and apprpv?pl of plans. 14 12?- 11'' e,= it ? x Applicant' t Prfnted Na e , ApplfcanYs FOR OFFICE U3E Reviewed By: DaEe: Requlred Inspections: .,_,Under Grvund __Rough-1n ?Air Test _„_,Gas Test Fina! Dakota County Real Estate Inquiry r - Dakota County Real Estate Inquiry Data Updated 1/20/2005. Select option and click map: Zoom In ? Whole County Refresh Map Big Map ¦ ' Legend Re al, Estate P arcels ¦ Parcels ¦ Co mmon. Q a nerstr ip IRW ater 0 RMi. Easemerrt O Dedicated RNU Standard Choose a search method, enter criteria, and click Go or hit enter key. House #: Go Address: ?a PIN: Go 2004 Est. Value {Payable 2005): 59,000 PIN: 10-00200-040-25 2003 Taxable Value (Payable 2004): $58,100 ? Owner: JCFH LLC Payable 2004 Tax: $1,863.38 Address: 1011 BLUE GENTIAN CIR Total Acreaqe: 0.55 Citv: EAGAN, MN 55121 Year Built: 1956 This aoolication was develooed bv the Dakota Countv Office of GIS in cooperation with Assessing Services, Treasurer - Auditor and Propertv Records Departments ? c o u n t r Click on the Dakota County Logo above to return to the home page ?c>\C.G. '--? _ E I ?j -S Page 1 of 1 http:l/207.171.98.2001scripts/esrimap.dll?Name=webql &Left=545730.621477415&Bottom=241552.831 &... 01/24J2005 Dak-pta (??'nunty Real Estate Inquiry Page 1 of 2 Property Record Details Many commonly asked questions about assessment information may be answered at the Dakota Countv Assessing_Seryices Frequent(y Asked Questions web page. Note: Click data field headings for further information on each value. Data Updated 1/20/2005. PROPERTY ID NUMBER: 10-00200-040-25 FEE OWNER: JCFH LLC 2737 FAIRVIEW AVE N SAINT PAUL MN 551 1 3-1 307 PROPERTY ADDRESS: 1011 BLUE GENTIAN CIR EAGAN MN 55121 2004 ESTIMATED MARKET VALUE.._.(PAYABLE 20051 4AND: $48,600 BUILDING_ $10,400 TOTAL: $59,000 2004 TAXABLE/LIMITED MARKET VALUE (PAYABLE 2005) LAND: $48,600 BUILDING: $10,400 TOTAL: $59,000 2003 ESTIMATED MARKET VALUE(PAYABLE 2004) TOTAL: $58,100 2003 TAXABLE/LIMITED MARKET VALUE PAYABLE 2004 TOTAL: $58,100 PAYABLE 2004 TAXES NET TAX: $1,863.38 SPECIAL ASSESSMENTS: $0.00 TOTAL 7AX & SA: $1,863.38 LAST QUALIFIED SALE: DATE: 8/97 AMOUNT: $110,900 LOT SIZE RIW ACREAGE: 0.10 70TAL ACREAGE: 0.55 YEAR BUILT: 1956 SCHOOL DISTRICT: 197 WATERSHED DISTRICT: GUN CLUB PAYABLE 2005 HOMESTEAD STATUS_; NON HOMESTEAD PAYABLE 2005 ASMT l1SAGE: COMMERCIAL 2004 BUILDING CHARACTERISTICS (PAYABLE.2005 : TYPE S.FAM.RES YEAR BUILT 111956 ARCH/STYLE ONE STORY FOUNDATION SQ FT 1474 FINISHED SQ FT 2424 http://207.171.98.200/scripts/esrimap.dll?name=webql &Cmd=Details&PIN=100020004025 01/24/2005 Dak ?ta County Real Estate Inquiry + _. IBEDROOMS ? 3 BATHS 2.25 FRAME WOOD GARAGE SQ FT 462 OTHER GARAGE MISC BLDG PLAT NAME: SECTION 2 TWN 27 RANGE 23 TAX DESCRIPTION: E 109 FT OF W 1727.37 FT N OF RD OF NW 1/4 EX 0.02 ACS HGWY LESS 0.89 ACS POND AREA 000550 2 2723 Page 2 of 2 http://207.171.98.200/scripts/esrimap.dll?name=webql &Cmd=Details&PIN=100020004025 O 1l24/2005 CITY USE ONLY L BL REGEIPT #: SUBD. ?? " 006200 - QL? , p?S RECEIPT DATE: 1998 PLUNBSNG PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PZLOT IQTOB RD EAGAN, Md 55122 (612) 681-4675 P{ease compfete for: ? single family dweilings ? townhomes and condos when permits are requ'rred for each unit ? backflow preventer for underground sprinkier system - - -------------------------- - - - -- - ------ - ----- - FIXTURES ----- - ----- - ---- - - EAGH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x - Rough Openings 1.50 x = Water Softener " for dwel4ings under constsuction 5.00 X = Water Softener " for existing dwelling 20.00 X - U.G. Sprlnkief " fvr dweiimg under const. 3.00 - U.G. Sprinkler * for existing dwelfing • 20.00 - Alterations * to existing residence 20.00 - Water Turn Around 20.00 - Private Disposal System " MPC iic. 75.00 (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 - RPZ (new installation on{y) 20.00 = STATE SURCHARGE .50 TOTAL ------------------------------------------------------------------------------------- - ------------------------------------ 1 hereby acknowtedge that I have read this application, state that the information is carrect, and agree to comply w+th all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement. ` SITE ADDRESS: ID 1/- CV?u-? ??z OWNER NAME: 93, ? ?e ?r?-s?• ?? INSTALLER NAME: TELEPHONE #: STREET ADDRESS: CIIY: ???10 CD/PERMIT FORMS/RPLBG PERMIT (RES - 1998' STATE:??/' ? ZIP: 35-Uz- ? TURE OR3>ERMITTEE ? ON-SITE SEWAGE TREAT111ENT SYSTErs - INSPECTION RLPOKI' /Q- ooe2ov -a e7v - o? S -rZ? APPlican( and PCrntit #: Date of Inspcction: Inspected by: Parcel ID: Municipality/TownshiP: ' ?? « sr Site Address: J/_ i} Soil Borings ? # Perc Test rl- S-Average Perc Rate (illpn Depth to Resoriction (Ir,cha) 6.7 ?0) Type: Mom;ng Ecdrocc Watatalbte xouse Type: ? R M Garbage Disposal: Yes / 00 # of Bedrooms Reserve Area: Yes a ? Acceptance Rate (548Pd? -- # Potenrial Bedrooms ? Number of Septic Tanks pacity (1.000 KM) Frc-fab Tank MoGel: Ye?.s No ? Outlei a min. 3" beIow inlet ,z Horizontal Dimension (24^ min.) ? Inspection Pipes (4^ ?) ? Manhole (24° ?) Pumping tank Yes? OLiClet B3$le (35%of total IIquid depth- 6" abovc liquid surfa«) Liquid Depth (30~ mia) ? Propery Lines (10') 1 Well (7s') . . . : . . : : : .: : : : :. : .. . ., : . .: : :;: .: : : : : : : : . : : : . . .. . . . . . . . . .: . :. ..: . . .. . . . ::.......: ....... :.: ..: .: .:.: . : ......................:..:.:..:..::.:...... .. .........:....:: . : ..:... .:. ?:::; :.;.::::: ..:..:..:.,..,....,•.:.:..::::. .:.:.?.,.::.:::.. , .: :;:;?::..:.,:.:::,:.:::<:.....,. :............... ? .. . .. .... ...... .....:::::: :.:.:,:.::.,.:;::.:»:. ..... .... ..... . ;: ::.. ... . . ...... . ? ...: ... .......... .. . ....... .... . .. ............... ...t•...,............. ?.: , :. ,. .. ..:.. .....:::.:.:.::::::.:...................................:.:.:?:.:::::.:::::..... 'D.:S`E?BA.. . . ....:..::......::..::.: :.:.? ...:....:..;.: :.::...:......... ........... :..:....:.........:::....:??t??TJ??. ? Tur?k is :evel ? Inl.et Ba81e (e- txlow Lqu,a-i^ above inld crowa) - C3P3C11}' Watertight Construction >/O? Buildings (io? Recreation & Tnbutary (75') /o / Buried Water Pressure Pipes (Ia') 1 All others except Rec. & Trib. (iso.) ? Buildings (20') ? /a t Large Trees (io•) /o ?Property Lines (10') ? ?.r Recrearion & Tnbutary (75•) ? > 5-0 Well (50, or l00') >/J-v ?All others except Rec. & Trib. ?iso•? Buried Water Pressure Lines (lo•) ? Watertight Construction Inlet Inverts (1" above ouUct ? invcrt) ? Pipe to Drop Box (unp«i'«af.4 ? Oudet Inverts (a^ above floor) ? Box is Level ? Distribution: ravity Pressure _..._,? PiPC COAI1CCf10Ii CD 1- d In r . . z a• ? ? g ? ? ? ? ' C0 n ? +? ? C7 . ? ? 'd L'+ ` N J ? p O ? • ? ?: • V7 !n G•+ ? N O' t - ? H bi ? :z . . , H rc ai ?• ? ? n ? x p ?. N COF) C) M ? ? O ? ?? .. (? o . Ca ? ??. / /v N Q () ? i D 5' rn W C <D J Professionai Building Inspections, Inc. NAiIONAI AS30CIATfON OF NOME IMSPfC10RS. IMG. h - 8 ++'$s? a o a '? ? ? • , CERTIFIED Jack E. Gill, CBO, President • s State of Minnesota, Certified Building Inspector, #0246 • Council of American Building Officials, Certified Building Official #761 • International Conference of Building Officials, Certified Building Inspector #30795 • State of California, Registered Construction and Civil Engineering Inspector #2887 • Minnesota Pollution Control Agency, Registered Sewage Treatment System Designer [& lnspector # 1745 • United States Environmental Protection Agency, Certified Asbestos, Lead and Radon Inspector 8/23/97 James & Kathy Holmen 1011 Blue Jentian Rd. Eagan, Mn 55121 Dear James & Kathy: Please find attached invoice and septic system report for subject property. Please , contact me should you have any questions. Thank you very much for allowing me to do this work. Sincerely, , . Jack,E. Giii blh, cc: City of Eagan - Doug Reid Residential and commercial properfy inspec Septic system compliance iuspecticins;'s` Environmental testirig lead pamt, _Well° ? Underground fueLtank prehminar-y assessments/inspecriqns 3565 Polk StreetN.E. 9 Minneapolis, Minnesota, 55418 ?(612) 789-3354 • Fax: (612) 781-2471 PROFESSIONAL BUILDING INSPECTIONS, INC. Tel. (612) 789-3354 0 Pager 899-4Q44 • Fax 781-2471 • Pre-Purchase Home Inspections (New constiuction or existing homes) • Septic System Inspections and Designs • FHA/VA Well Water Testing • Asbestos, Lead Paint and Radon Testing Jack E. Gill, President State Certified Building Inspector, No. 0246 MPCA Certifed Septic Inspector and Designer, No. 1745 EPA Certified Asbestos, Lead and Radon Inspector N_ and existing properties): rions and? designs;?estos anfliadon.<<.. PROFESSIONAL BUILDING INSPECTIONS, INC. MINNESOTA POLLUTION CONTROL AGENCY LICtNSE NUMBER 604 Minneapolis, Mn. Jack E. Gill - MPCA Certified Designer I (612) 789-3354 and Inspector #1745 ON-SITE SEPTIC SYSTEM CCJNDITION REPORT Date : August 23, 1997 Time : 10:04 AM Weather :Wa rm Address/Location : 1011 Blue Jentian Rd., Eagan, MN Invoice To : James & Kathy Holmen Terms : Pay at Closing 8/29/97 REPORT SUMMARY I have iri'spected this septic system and reviewed tlie history of this system with the owner, Kathy Holmen. I have also performed a"MPCA compliance inspection", which is attached. This is an very, very old system which consists of a septic tank and a drywell tank. My inspection indicates that this is a presently a"failing" system in accordance with MPCA rules 7080 Subp. 16a. because of the existing drywell tank. This system is not an imminent threat to public health or safety per MPCA rule 7080 Subp. 19a. In accordance with MPCA rules I am sending a copy of this complete areport to The City of Eagan. I am not sure of the City's requirements on the upgrading of these failing systems and can not officially speak on behalf of the City. Please contact IVIr. Doug Reid (Building Official) at 681-4600 to verify their position. , Please advise buyer, agents, lender, etc. to contact me at any time should they have any questions regarding this system. . ? a I JL- ?LL J ck E. Gill NOTE: This report is not complete without the inclusion(attachment of the respective "MPCA Septic System Compliance Inspection" form which consists of two separate pages. This report is intended to be a report on the present condition of the septic system and is not a warranty ar guarantee relative ta the future performance of the septic system. Professional Building Inspections, Inc. Minnesota Potlution Control Agency, (MPCA) Septic System CQmpliance Inspection Date of inspectio r27 '? ?? Time A-h , . n Qroperty Address ? u ? ? "Aly-0,2._kA d-AATL„ ,4 -d i Property Owner Tel. Are as-built records of the system available? Yes No!A- Year house built Year septic installed?ks ?Check appropriate sewer system component and indicate {ocation on site sketch on back of form}. T nk s Tank(s) Material Soil Treatrnent SYStem Other '1-k-Septic tank _Fiberglass fetrench altemative system (identify rype) Aerobic t2nk Plastic ravelless trench experimental system (identity rype) Pump tank Metal chamber trench )40ther (identify type) _HOiding tank ,oncrete ,seepage bed _Other _mound ,at-grade Tank(s) Size Loo6 ]._. Qais. Soil treatmentarea size(s) sq. ft. Separace system for laundry or kitchen water? /11"? How long has seller lived in home? ^ ' .. How many persons currently live in house? How many persons moving into house? ? vumber of bedrooms? Garbage disposal?_ l? Clothes washer??Dishwasher?_ Whjrlpool bath? Water conditioning unit? Are ali floors-of the rained by graviry?? Location of septic system on lot? _ Location of , . ,vacer weil,,on lot? Is the septic system and well located within boundry lines? Is the well a deep '.vell? 0 1"l- Shallow well or sand point? Distance between the septic ystem and well? r6 r • V. C is tn,s system shared with anyone? Is the septic system near any body of water which may influence the c?yscem? Have you ever expenenced any problems with the system such as back-ups, surfaeing onto the ;round, septic tank overflowing, etc. /7--*- :.'; explain "hen was the system last pumped? Name of pumper ?-,--- How often pumped in previous years. ? Any repairs done by presenUprevious owner?_ '?'?f' if so, explain Have you received any notices Nom the govemment conceming this system?_ ,-,o you have any additional knowledge which should be given to the new owner, r;ereby certify that the above information is correct to the best of my knowledge. I also understand that if the system is nsidered °failing" per MCPA rules, that the inspector must by law submit a copy of this report to the local unit of .rvemme r?.., -, I ? ?? O?.vner Date Z EOiV!?LIANCE INSPECTION" Is fhere, or_has there eyer been any evidence of: Response Explain Discharge of sewage to the ground surface? YES Discharge of sewage to a surface water? YES •R seepage pit, dryweil, cesspool or leaching pit? NO Less than three feet of vertical separation between the soil treatment system bottom and saturated soil or bedrock? YES 0. Sewage backup into dwelling or other establishmenl presentfy occurring? YES N Situations with the potentiai to immediately and adversefy impad or threaten public health or safety? YES ? ? •if YES was answered for any of the above questions, the system is failing according to Minn. R. ch. 7080.0060. (If well setbacks are viotated, a potential imminent threat to public health or safety may exist.) STATUS OF THE SYSTEM Based on the compiiance inspection conducted above, the system status is 1F/k1%-10 (-t , therefore, : 9-oi-tc-c- a? N?y N- C Q??LL C? ?e`.cP_assing f3R failing) ( this document is a (Choose: Certificate of Compliance OR Notice of Noncompliance) . .? CERTIFICATION , I hereby certify as a State of Minnesota licensed Inspector, Designer I or Qualified Employee that my observations recorded on this form are accurate as of the date at the top of this form for the site stated above. No determination of future hydraulic performance can be made due to unknown conditions during the construction, future water usage over the life of the system, abuse of the system, and/or inadequate maintena ce ail of which wil{ a versely affect the life of the system. InsPector's Name ? ?- ? Phone Nol 9 q"` ?? License and/or r gistration No. : ( ase print) /?? Inspector's , signature Date SiteSketch: MtIYNESOTA POLLUTtON CONCROL rIGF.PICY INDIVIDUAL SEWAGE TREATMENT SYSTEMS L1NIT Febrt&ry 5,1996 , Wbat Ls a Compllaace IaspcctloaT in Nc townshi cI and coun ?? pu? p, ry ry(LUO) ordirunccs provlEcd.compltanu Irupcctlon rcqutrcmcrits ?ppropriate for thcir individt;s! prog-a.T.s Arcu wichout ordinu3cu had no crituia W follow. Now, Mlna. Rulu ch. 7080 providu & mtnlmum dcfin{don und criv-ri, for Lhc r.4.:.; (r'; c cxccrpu follow), LUO's can still maYc thc tcqulrcmcncs for a cqinpllancc lnspcrtloa moro rzsvictlvc,t}?n Cha.pta 7080 in thcir orc.?.:.°ccs -u2 suDmiucd to thc Minnuou Pollutloa Concrol Agcnry (MPCA). CAak wlth your LUQs for worc resvicuvc rcquirtmcna. SuuxiCs Mlalmum SUodard !or Compitaau iaipcdloo ' `Compliuuc inspazion" Ls dcllnod uridcr Mlnn. Ru1a ch. 7080 u foUows: 70s0.0020 DeFrNmoNs Subp. ! 14 Compllaau lrupoctloa. 'Compllanco lnspcalon' mcans Vy av&luAtton, Invcnly-?cion. Inspcalor, or ochcr such pro.;css ar-.a: conclusions, rocommcndatlons, or scatcmcnts rcYudlng tn (ndlvldual:jtw&gc trcauncn( rystcm to rcasoaably asswro ui inC;viCu:J vcazncnc rysum is tn complluue u spcc{ilcd unda put 7080,0064' Compitana tnspccciocu must bc conducscC by & qt:+!Z;c4 cnp!oy c: unda & liccnse indspcndcni of t!u ownar tnd thc instilJrr, ]OSO.OOdO COMPLUNCE CRlTERL4, Subp, ), Compllaau. lndlvldual scwaya vcatrncnt ryricros shalt bt coruldcred In compliance lt ,h. Ln cxlstlnY 44vidual scwa&e trcatrncni ryrtun ls not t falllnY ry:tun u dcCinc,d tn part 7080.0020, subpan 16:., or 8. ncw coruuucsloa or rcplacancnt mocts tha tcciuilal sundird.s and a-itcria dcfincd tn part 7080.0020, subpan k-s 7080.0020 DEFMITIONS ' ' Svbp. 16a Fs1Uds ayotsm. 'Falltny rysum' muru Lny rystun that dtsctwgcs scwi.gc W a tucpagc pit, ccsspool, drywell, or.Ica.:^ ng p„ ?._ any systcm with las ttun tlvcc foct of solt or sand buwan the boctom of tha dlsaibution mcdlurn ?nd thc sutiu-e:.cd soil tcvcl or b??. '. - addiuon, any ryucm poslng an ltrtimLunt tivat co publlc haaith or s+fcty u dcMcC tn suDpart 19a slu1t bc coruidc.rvG failL,; rcquirancnu for Ncu ryu,uu uc found unOcr pans 7080,0060, subparu ) and 1, utid 708Q.0)15 w 7080.03 50, Subp. 19a Imminoat thrut to public Gaitb or Wccy. 'lmmtncnt t}vrcat to public hcxJch or safcry' mcuu sin:suons w?..?.^,: p: -^,..= .= immcdiauly tnd advcruty tmpact or thrcatcn yublic hcalth w safuy. /.t a mintmun), Ytow?d swt+cc or auriau wn;,u Ci,,? :; 3cs ? .c :.-.> rysum causing scwaye bac7cup lnto a dwclllnY or othu utibils}uncnt shiJl corutlau an trnrnincnt Uvtat Subp. 46i 7ocAnlul sC+ad?rCi and critcrla. 'TcchnJcaJ uAndards ?nC criLcr{a' mc.ans P+ru 7080.0020, 7080.0060 w 7080 0176, L-.c 7080.0910, Afiu Dcccmbcr J!, 1995, • compltanu (nspcctJon must be conductcd for g11 ncw conswctlon of an Individual scwagc vcuncnt r? r,cm (;STS; e<(orc a vuianu ts emtcd for thc rcplaccmcnt of an 1S7'S, anC bcforc a bulldlnY pcrmlt or variancc U luucG for thc aQdician of a t,ccrocm, ?- baU)coom. Somc LUO ordinanccs rcqulrc a campUancc lnspccUon u propcrry transfcr. This ls not t suu rcqulrcmcn? howcvcr, + c.o mpI cu compliancc inspcccion must bc conducud tor thc !SI`S disclasure If i.nyoae othu than tha propary ownu avaJuaus thc ryskm for ?.? i s p:r7>os: Fiiiingsystc?tmust bc trp&tadcd, rcPl+ccd, rcP+ircd ot discontinucd usc acco(dlnj to thc timc pcriods wfchin local ordinanccs, or, in ?- i,n acdinpncc, within thc timc puiod uttbl4hc4 by tho MPCA. Systcrsu pos(ng an lmmincrat thru.t co pubt(c hcalth or satcry mu.sc :c o.: c'c?sc- within th'c tirnc pcriod uublLsAcd by thc LUQ, wlth a stauwldc maxlmum cimc pcriod o! 10 monuu. nftu i compliuuc uupcctton is complctcd, a Ccrtlncate of Complianu or Noclu of Noncompliancc must bc subminca ta Lhc rys,--,^? o wncr .. :•..- )o dzysOcr Lhc due of lnspeeclcn. Nodcu ofNoneomplianu must also be submined to the 1YiPGA eommissionu in ucu Lhac arc = goYeT:= -; ui ISTS ordinancc ot a bcdroom/batluoom ord(nance and suu to lhc LUO ln ut+s YavcrncC bY +a Icas% onc of thcsc orGinanccs. T'hc MFC,-, r.? Ccvctopcd .n inspeetion lorm thu lneludu the CutiReate of Compltance and Notlee of Noneompllanee. Call (612) 29E.-7309 fo- mesw- cc,; Tnc rcquircmcnts (or thuc documcnu an undu rulc parts 7080.03 13, subpart J, &nd 7080.0303, subput 2, lccm A(2)• , Compiianu inspeetions eondueted beforo April l, 1996, musi be eompleted by lndlvldw]s appropriatcly Ilccnscd by e counry, c,-, /,f1u April I, 1996, inspcccions must bt complctcd by crrtployccs o!a buslncss with a suu Duipu 1 or Inspcctor liccrsc or co;_n:?, c?^?. or township cmployces with iuu Duignu ! or tnspectot tcYistraslon. 'Ihe lnspectoc must,bc lndcpenCcnt o( ihc ISTS ownu w.e ?wc _^s.s.!cr '?, -; - conswction Lnd rcplaccmcnL ? Businesses with sute Duignu 11, lnstallu or Pumpu Ilcenses cannot condua eomplianc,c Inspections. However, mvntena.'1ce e.1= r-rL' can b< rcponcd to system owners undu Ln Insta.ller Ilccrue and probiems Klated to sewage unks. CosinY ehamben, be.'llcs,, mL^;c.-u (prcviously manholc) covcrs anC czccnslons uid pumps and cvtiuailons of witu lly,hlncss c.an bc MponCd Wdcr i PumPcr l+ur.sc. L I uS?d .? ? ....-..?..--n ,.. Minnesota Pollutio» Control Agency Water Quality Division Individual Sewage,-Trea6nent; Systerns Non-Transfcrnblc ' ' '` ;{`?' • i ? 1, ? ?To ProfesSional Building Inspections?''- _? .. -_ _ ._ . , _--- ,, ------_.-.------- -,;??- _. License(s) Held: Designerf ?? . ? ? ??`;j: , ?. ?i .?:,{ ?? :. • Dcsi?nal?d.ered Professionals (DKF"t ?;r•!6 • ?E Jack E. C1ill "? r ? besi?{er ( 1 Registre r t . .? • ? ?. .,e?d ` '! 7r ? - . ..1'' ", .. (.4 .:1••. . th Uesigner { L,icense expires 3/15198 I)alc nflssuance: I/11/97 L1Ce11Se 12/31 /00 Pcdcr L.arson. Commissioncr ('ompaity I.iccnse Numhcr. 604 1 ? ISI ti/11'atcr OualilyMl', 5201afaycuc Itoad, St.I'aul, A1N 55I55.4194, I•800-657.7864, or'II)I) (fon ccaring anJ spccch impaircJ only) (612) 282-5312 ri i,,Ica un ieovdcd nanm c-Wnine e1 lea<i 101: 116en fmm na- rccvcled Ef• eonsumats MINNESOTA POLLUTION CONTROL AGENCY INDIVIDUAL SEWAGE TREATMENT SYSTEMS CERTIFICATE "fhis cerfifies Ihnt Jack EJward Gill has successfuliy conipleted lhe qualif}'ing examination tiiercUy Jemonstriiing competence in sile evaluAtion, design, installilion, inspection nnd mnin- fenance of individual sewage treatment sysfems, and has acquired tlie necessary experience in Ilie area(s) ot certified designer, evaluafor and inspector. This certifcate is issued by the MPCA and the ISTS Advisory Committee and is subject to the polici of the Agency. e cC/ tC!•Q? Commissioncr, MPCA Chnir, 15'CS Adv:sory Committee CER'rIriCATE.NO. 1745 DATE ISSCJED 3-Jin-1996 DATE EXI'IItI;S 31-Ucc-1997 Ct?"Y ?F EAGAN 38 Pilot nob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PeI.N.z 10-00200-040-25 DESCRIPTfON: B I REMARKS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1011 BL.UE GENTIAN LOT: 4 BLQCK: 25 5EG1"TON 2 erma.t T"ype SF (MISG. ) 6,rk.TYPe ALTERA7ION euILnxNG 026071 07/27/95 ? FEE SUMMARY: VALUATInN sase Fee Plan Review Surchargs Total Fee $249.75 $87.41 8.50 $345.66 $17,000 CONTRACTOR: - Appliaant -- sT< LTC. OWNER: C?IVERSIFZEp AMERICAN C(7NST 19297982 20017349 HOLMAN JAMES 5115 EXGEL.SIQR BLVCI 107 1011 BL.UE GENTIAN RCl ST LOUIS PARK MiN 55416 EAGAN MN (612) 929-7982 (612)541-6702 APPLICANT/PERMITEE SIGNATURE ISSUED BY SIG TURE crty of • M 38M PLOl` ?? itO -65122 , a??P???.?"?'; M'-4676 'Y 'ti6: ? ? ?x . _ ? W . ? . . ? f pir - . ? . . . , . . - 7 ?? 01 ..,FotnXhl*.1 }wR ? 06 Oupim - ? ? , ? , •? s ? .. ?R??:, , 0 , i!, ; SF DWS" . a 07 . . - A 93 12 _, Muld Mww ? . `..^. ' ? Il .. < . E3- ? ?SP .? ? ifion- ti 08_ ? S. - n - 13 o 'to a- 04- 7fX?F Pomh C+-, 09 1?'?rl - i1 14 ` Tr{' : ? ?:+wJNPI? ? '. ??; #?? - . . ' ? ? 1 '?? ?." . " o ??5 . - , ... `.. ? ? -.. - ? _ .. ..: " ? ???TYpg " . ? . _ . . ?. . . . " .. . 4 0:-? ?? ? litm,.. Allervititaim . ? 13 38.. ? Um :. `f..?. '• 32 . dMon !m 34. f%pir a' 3i--.. "Dwrialbm-? COWL " (p4w* $4." ft - . WCY fL ? ? . . ? . . ?? . r ?. fL . ? y3? ?`1 ft ' ' ? ??.- - ' ,y? - • ? ° ' ' + L. . . . f . ? . - - sc? J( ' ?±M. .? - . . , , ? ? r . ' . . , , ." =. ? -??MALS?.: . . . . . . . , . . . . . . . . F%tnt Fw . i ?1 . A? ?r!y ?.. ? ? ? i ??\? f . . . p Pkm PAwiew . . . .. ' ? f * } ? . ?W Com. . , .. . ? . ,., ? . .. - - ' P ' All:a DOPMA ' . . .. . . . .. . " . . ? ' ? ' ? .. ?-SWIP _. . . . .. . a; ,_ ? . I " {? -PL. T* ? - . . . . , ? L t ' ? ' ` ?. . '. . .. . . • . . , : .. ' `. ? ?, . . :Po* -,& ? . • .. . ? ! . ? . - . " I . c"Os . . I .. . . .. . _ . .. s - . ' .? ..t Iv.., . _ T[r"a. . . ; ? ? . . . . ? . . . :. _ r ? ?. . % - uc ? . . . . . . ? ? , - - ? . .-?"11?.? , ? .. , . .. - f ? ,4 I ' ? ? " - _... ?... . . - - ? ' _.? . . ?. . . . . - . , .. . .?.? ? . . . . - . , . . . : . ., . .. ... :..... : ....... - - . . - . ._ , _ . .. . . . - . . ' .. . - „ . ? - . . ? ' . . . .. . . . ? 13 C-,-) s ?_s f 1987 BUILDING PERMIT APPLICATION - CITY OF BtGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRYEY, 1 SST OF EAiERGY CILCDLATItNS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEx MIIST DESIGNA2E WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIISD. MQLTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR S9GE 0N'tTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COAMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ! $2,000 LANDSCAPE BOND To Be Used For: ?8d Valuation: 0elp;0, Date: I Site Address P-P Cy ,V ?y Lot ?-1- Block o? S? Parcel/Sub v?- Owner 1v0 tl Sa #t b vg Address _lo Gity/Zip Code Phone / Contractor .{ ?- • Address v1d yD8 V? r'/l0/A.. " Cfty/Zip Code 550 3 ? Phone y-?G<a l Arch./Engr. Address CitylZip Code On Site Sewage MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Oceupancy Zoning Type of Const (Aetual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 72 ? --Sureharge ? Plan Review SACp City SAC, MWCC Water Conn Water Meter ' Road iTnit ' Treatment F1 ? Parks I Copies TOTlL Phone # city oF eagan THOMAS EGAN Mayor PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Council Members September 3, 1997 THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk MR & MRS JAMES HOLMEN 1011 BLUE GENTIAr_RJQA$t;,?_ EAGAN MN 55121 RE: ON-SITE SEPTIC SYSTEM Dear Mr. & Mrs. Holmen: Please be advised that on August 23, 1997, the septic system at 1011 Blue Gentian Road was determined to be a non-compliant system by Inspector Jack E. Gill. It is, therefore, necessary for you to replace this system within the next ten months, or no later than June 1998, so it is in compliance with M.P.C.A. Chapter 7080. If you have any questions or concerns regarding this, please feel free to contact me at 681-4677. I am in the office far phone calls Monday through Friday between 7:30 - 8:30 a.m. and 3:30 - 4:00 p.m. Sincerely, William Adams Plumbing Inspector WA/j s CC: Doug Reid, Chief Building Official MUNICIPAL CENTER 3830 PILOT KNOB RQAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 687-4600 FAX; (612) 681-4612 TDD: (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE (612) 681-4300 FAX'. (612) 681-4360 TDD: (612) 454-8535 :ity oF eagan MUNICIPAI CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681-4612 MAINTENANCE FACILITY 3501 COACHMAN POINT _ EAGAN, MINNESOTA 55122 PHONE; (612) 681-4300 FAX: (612) 681-4360 THOMAS EGAN Mcsyor April 30, 1992 TO WHOM IT MAY CONCERN: PATRICIA AWADA PAMELA McCREA TfM PAWLENTY THEODORE WACHTER CounCii Members THOMAS HEDGES City Admininstrator EUGENE VAN OVERBEKE Cfty Clerk In response to your question regarding the septic system and well on the property located at: 1011 BLUE GENTIAN ROAD 10-00200-040-25 I would like to state the following: l. Eagan has no local codes which govern these systems except for the initial inspection at the time of installation. 2. Eagan has no health inspector to verify the condition of septic systems or wells. If you have any further questions concerning this matter, I can be reached at 681-4675. Sincerely, Steven T. Hanson Assistant Building Official STH/js THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GR0INTH fN OUR COMMUNITY Equai Opportunity/Affirmative Action Employer City of E3830 Pilot Knob Road Eagan MN 55122 Phone: {651} 675-5675 Fax: (651) 675-5694 - ------------ ? ?Qr,?Qt#?ce Use ? I I ? ? Permit #: ? Permit Fee: ?` O I ? i ? Qate Received: ? I StaSf: ? I ?------..r--_-_-_-J 2oos RESiDENTiAL BUILDiNG PERnni'r APPLicArIoN Date: Oo Site Address: Tenant: ?ct Ca etfi Suite #: RESIDENT / OWNER Name: ZC 60 v9_? ( D"'?K0'2rfic°S ' Phone: Y ?? ???? Address f City ( Zip: o? ?3? EOr(li ec?J JYJ ? S?•r?f K?-? ? Applicant is: wner ?Contractor ?Ia!/ ?i6/l O TYPE OF WOR1( P Description of work: Gonstruction Cost: Multi-Family Building: (Yes ! No CONTRACTOR Name: License #: S h4wY S ` Address: ` ?S R: 4?State: Zi City: -??.?---rrva v Contact Person: Phone: 23 5-d- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 ? Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CategOYy Submitted Submitted (4 submission type) • Energy Enve3ope Gaicuiations Submitted 1 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 pian: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: d supporting documents fhat you:submii,are cons?dered to tie public mfor.`mat?on:?'Portions af ;; 'NOTE: P,lans an . the mformat?on may be class?fred as.non pu?lrc 411 you provide specif,fc r'easons "that would permi# the City to : .- : .. ,. .., w , : . ; ._ . . ;. onclud.e`ttiat the _are tra e secr?fs. , . - I hereby acknowledge that this information is complete and accurate; that the work will be in coniormance 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 oi work which requires a review and approval of plans. x _ Applicant's Printed Name AppiicanYs Signa Page 1 of 3