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990 Blue Gentian Cir?k 006H 114 t'i fit? I ( t c c?AI. ? 5 ? SUPAirAll" f't???4141''11r A141 irf???1li#<t?ts f'°()V, Atyli` P!#,PMt3#N6 Ilk F°il:V'"IR-I CAI_ WORK 4_ \ ? ? ? ? ? ? ? ? ? ? ? ? + ? ? ? ? ? ?' ? ? ? ? ,? ? ? ?r ? • ? • ? ? _ ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? « CITY OF EAGAM Remarks Addition Section 2 Lot 4 Bik 26 Parcel 10 00200 040 26 Owner c'ia ??4? Qcr4(A...- Street 990 BlA"L Oent1.an Rd. State Eagan.,MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 'f`Ci 1 $ OFj 2 10.21 O SEWER LATERAL ? WATERMAIN WATER LATERAL WATER AREA A)A 1 STORM SEW TRK 1984 617.00 41.13 15 ? STORM SEW LAT CURB & GUTTER SIDEWRLK STREET UGHT WATER CONN. BUILDING PER. ' SAC PARK ( , EAGAN TOWI\I S H i P 1 LD i ioi G PE RMI l' ---------- Owne: --- ---------------- --- -- ------?--? ---- ? i Address (prese t) --?---?--?- -?r--t------=-?L'<!;.'-'"?A??-•-????? Builder --- •-- -•?-•-• --•--•--•-•------------•-•----------•-•---------------•--•--------•--•--..___.. Address ----- -------------------•--------•--.......--•--•--•----------- -------------•-------•----- DESCRIPTION Stories To Be Used For Fron! Depth Hei ht Esf. Cost-IPerxr -- . I i /'7 /r?/? I I.ffz i "7 ?/ ( 1, _ _ /J? , LOCA Road r other Descrip3ion of Location_ I Lo3 Dy? so. 268 Eagan Township Town Hall ? ?•--- Da I ••----1-11"19 or .2k 1 /6 60zvD DXD a 6 This pexmii does not Jauihorize the use of streels, ioads, alleys or sidewalks nor does it give the owner or his agent the right fo create any situation which is a nuisance or which presenfs a hazard fo fhe heal3h, safety, convenience and general weifare to anyone in t e communi THIS PERMIT MUST B ON P M HILE THE WORK IS IN PROG . / This is to certify, t -- - ? -•-------- •----•--•--••- - •--- - --------has permission to erect a....... -• • --•--•---•--• •- - • -•------------•-----upon !he above dESCr' d e se sub , o •pvi 'ons o# the Building Ordinance for Eagan Tow i adopted April 11, 1955. ? p a ? •-------- -- ----- Per .-- - --------- ------------------•-------•-----•--•-----•--•-••-----•----------------- °---•-- -?-- --- - - - Chairman of Town o d Building Inspecfor 07/15/2l A 15:01 FAIL City of Eaian 3$30 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 16002 r ---------------- I Fof Oilta4:'.?!8 ? j Pertnit #: ?CO ? Parmit Fee: 0 + I , ? Date Received: I ? I ? Staff: ? L ___-------------- 2008 RES[DENTIAL PLCIMBING PERMIT APPLICATI4N Date? ??17-69 siceAaare$s• e'9 c) 13 i ,y? 66A7`i"9-A ei-- Tenant: Su1te #: RESIDENT / OWNER Name: 6"Ju G1? Phone: Address / City / Zip_ CONTRACTOR Name: e57019 License #? w q Address: 6 City: C 1'?I'??'"? t Cl t 6''?- Stale: ?? Zlp: Phone: Contact Person: TYPE OF WORK -New _, Replacement _ Repair -Rebuild , Modtfy Space _ Work in R.O.W. Desorl tlon of work: PERMIT TYPE RES!DEAITtAL Water Heatar Water SQftener Lawn lrrigation Add Plumbing Fixtures (_ t2PZ 1_ PV6) ? Main _ Lower Level) J Septic Sysiem Water Tumaround w Abandonment REStDFNT/AL FEk'S: $60.50 Mintmum Watec Heater, Water Softener, or Water HeaFet and SafEener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $60.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround` (includes $.50 state Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is requfred) $100.60 5eptiC System New ($10.00 per as buiit) (includes County fee and $.50 State Surcharge) $90.50 Fir'e Repair (replace bumed out appliances, ductwork, etc.) (Includes $.50 State Surcharge) TOTAL FEES S I hereby ecknowledqe that this Information is complete and accurata; that the yvork wili 4@ In Contortnance witn tne oroinances ena coaas or me viry vl Eaqan; that I understand this I5 not a permit, but only an applicstlon tor a pe?mit, and work ts not to start without e tt; that the woitc will be in accordance with the epproved•plan in the ca9e of work whfch requtras a raview and approv?t of plans. X I/V ?1-? LL ? A Appticnt't Prlnted Na e . FOR OFFIGE USE Applicant's Reviewed By: Date: Requlred fnspectians; ._Under Ground __Rough-In ?Air Tesk _Gas Test Fina1 ? .*? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10--00200-040-26 ' DESCRIPTION: I I IUA I Iu Na sF (MIscd) ALrERAraroN tV oe . cigan C,U00C BllZLpING 024886 11/25/94 REMARKS: I 5EPARATE pERMIT5 ARE REQUIRED Ff3R ANY PLUMBZNC QR ELECTRICAL WORK I FEE SUMMARY: Base Fee 5urcharge Tota1 Fee PERMIT PERMIT TYPE: Permit Number: Date Issued: 990 BLUE GENTIAN RC1 LQTa 4 BLOCK: 26 SECTIaN 2 V f1 LUY'1 1.,1, l! IV $144.00 5.50 $150.50 .$ 1J g 00C7 '?. ?. ?. %0v11 I nm%. I vn: pIVERSIFIED CONST ' 7010 HWY 7 5T LOUIS PARK i (612) 929-7233 - Z)i. L14. VYYIVCR: 19297233 0003641 PAVLIK F"RaNK 990 BLUE GENTIAPI F2D 55426 EAGAN MN 55121 (612)454-2813 ?? ??, d f APPLICANT/PERMITEE SIGNA7URE *ISSUED Bf: ST?A ,. , cITr OF EaGaN 1994 BUILDING PERNIifi APPLICATION 681-4675 - ? SINGLE & ML'LTI-FAMILY 2 sets of plans, 3 registered site surveys calcs.?ED n COMMERCIAL 2 sets of architectural & structural plan , lgl? specifications, 1 copy of energy calcs. 3994 Penalty applies: 1) wh.en permit is typed, but not picked up by last working ay h in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Qate ? 2' 700 Val uati on of work 1 i ,., Site Address: STRGFF SJrTF A' Tenant Name: (commercial only) LOT ? BLOCK ? SUBD. ? P.I.D. # Descri tion of work: ? The appl i cant i s: ? Owner 123- Contractor ? Other (Describe) Name Phone Property LAST fIRST OW[1@C Address STREEI STE # City State Zip Company ? -/?S/f/? D ,v,r7`i2uc-?i??? Phone Contractor Address v D ? License #Exp.ZK 1? Cit? $tatc Z?p Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days onee area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is correct and agree to coith ali applica State of Minnesota Statutes and Gity of Eagan Ordinances. ? . IL Signature of Appl ica OFFICE USE ONLY BUILDtNG PERMIT TYPE 0 01 Foundation ? 02 SF Dwg. 17 03 SF Addition O 04 SF Porch JV 05 SF Misc. ? 06 Duplex ? 07 4-Plex O 08 8-Plex I:1 09 12-Plex O IO Muiti. Add'1. O 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck '- ? 0 16 Basement Finish ? 17 Swim Pool O 18 Comm./Ind. ? 19 Comm./Ind. Misc. 0 20 Public Facility O 21 Misce]7aneous WORK TYPE ? 31 New ? 32 Addition JZ 33 Alterations ? 34 Repair O 35 Tenant Finish E3 36 Move ? 37 Demoiish CENERaI- INFORMATlON Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd Fi. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Staries Footprint Sq. ft. Fire Sprinkler Length On-site we71 Census Cade Depth On-site sewage SAC Code ? C APPROVALS ensus Unit o Planning Building Assessments Engineering Variance REQUIRED iNSP ECTIONS D .Site O Footing A?Yraming ? Insuiation O Wallbaard ji?jinal D Draintile O Fireplace Permit Fee rrat„t;on: Surcharge r"] at1 Re"V i eia License MWCC SAC C i ty SAC Water Conn. Water Meter Acct. Oeposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: SAC % SAC Units CITY USE ONLY LOT BL ? PERMIT #: ?J ?q04 ?p ? SUBD. _-' `? ? o?" `,n ? RECEIl'T #: a 5 RECEIPT DATE: 00 2000 MECHANICAL PERMIT (RESIDENTIAL) ?O 8? ?V? 4 Date: ?? ? () [) Complete this section onlv 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 ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 50 $.'30., 5 0 Complete this section onlv if you are rernodelins, addin¢ to, or renairin? an existing single-family dwelling, townhome, or condo. Please indicate if it is a new itern, alteration, or repair. X New _ Alteration Furnace Air exchanger Reminder: Call for inspections SITE ADDRESS: _ Repair _ Other Air conditioning ? Other Fee State Surcharge Tota1 C, ?- ??C?t tU , ?0.t71 A $ 30.00 .50 $ 30.50 I OWNER NAME: Da 4r i c i a ? rar, K PHONE #: 6"? I_- ( INSTALLER NAME: E PHONE #: ?A CODE) - yl3 - 36 RV STREET ADDRESS: e f _ ? , CIT'Y: STA'TE: 1144 ZIP: Jrc5 C) 0-5 CITX OF EAGAN 3830 PILOT IQiOB RD EAGAN MN 55122 651-681-4675 ? ????L-') 4i?m& SIGNATURE OF PE TTEE ?- cinr usE oNLY L BL PERMIT #: SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (COIMRCIAL) CITY OF EAGAN 3830 PILOT KN08 RD EAGAN, MN 55122 651-681-4675 Please complete for: ail commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge calculate at $30 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: ' PHONE #: - \ (AREA CODE) TENANT NAME (IIvIPR VEMENTS ONLY): WAS TI?RE A PREVIOUS ANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: - (AREA CODE) STATE: 21P: SIGNATURE OF PERMITTEE 9528917000 MRR-25-2008(TUE) 09:57 Dakota County PDD (FRX)9528917000 P.001/002 -- ; . C O U N T T v / WQTER RESdURCES OFFICE ?' L-??? ?? ? GROtJNDWATER PROTECTION SECTiON , 14855 GalaxIe Avenae • Apple Vallcy, MN 55124 . 952.891.7557 • Fax 952.899.7588 • www.ao.dakota.mn.us ' . MUNiCIPAL NQ'flCE OF iNELL SEALtNG PERMIT:APPLlCATiON DATE: March 25, 2008 TO: Tom ColbertlWaync Schwanz {EM) Fax (651) 675-5694 'RE: Well Permit #: 08-H263240- 1-I263247 WeII Type: Domestic ? 1vlunicipality: Eagan Water Resonrces Spcciseliit: T,uchrs '.. Thc Dakota County Water Resources 4fficc has received. the fo]lowing perm.it application for the well cieseribed. If you require further rCVicw of the appiication or if you Iiave any qutstions or concerns about it, contact tlie 11Vatcr Rcsource Specialist listed above or our officc at (952) 891-7557. If there is no resgonst &om your of.fice within 24 I3pLTR5 (excludinb weekends and hoiidays), we will assume that you have no Qbjeetions to the issuance of thc pcrinit. Please note thaL permit. isSttaliCC iS 3IWayS oOnditiOned on the pennii appliearct's obscrvance- af and campliance with all applicable state, county, and municipal laws and eodes. Wetl Gontractor: Hartmann Wel] Company • Date Appiication Received: 3!6/2008 Anticipated Drilling Aate: Time: Attticipated Grouting Dutc: Time: Properfiy Owner: TotaI Repair '.. Well Owncr: Totai Repair WELL LOCATIUN- • ' . ' PLS Coardinatcs: 1/4, SE 1%4, NE 1/4, NW 1/4, Sec 02 Town 027 :Ranbe 23 ? Strect Address: PIN Number: I00020404026 ? WELL INFORMATT4N: ? , . .,,j... . ,• ? ? <„ .. . Diameter: Cnsing Depth: . Tutal Deptli_ Stutic Wstter Level: • Aquifer: COMMENTS: . . ? ?:,+""`'` • ?1 9A P9 ?O of EAGAN A966 IITW PID: 300020004026 990 BLUE GENTIAN CIR EAGAN, MN 551210000 ? zra_ s =!a?•m-ab'?7.?7 y#1 _ --? . -a?_x Legend ,7- Highlighted Feature Municipal Baundary , Condo Pairrts , SVeets Street Names . Lakes Parks ? Parcels Properly Owner . Assessing Sales PIN: 100020004026 PID: 100020004026 Year Buift: 1959 Sale Year: 0 Haise#: 990 Full Name: FRANK & PATRIQA PAVLIK Land Value: 120100 Sale Month: 0 Street: BLUE GENTIAN QR Address 1: 990 BLUE GENTIAN QR Building Value: 146200 Sale Value: 0 Apt: Address 2: Total Value: 266300 Sale Tax: 0 Zip 551210000 OtY ST: EAGAN MN 55121-1541 NetTax: 1853.12 C0de. Total Tax: 1853.12 Lot: 22723 Zoning Plat: SECTION 2 TWN 27 RANGE 23 PT OF NW 1/4 COM 1358.6 FT N& N Z°ne Code [SqFt]: A 74D 55 1/2M E 687 FT OF SW COR L 8 R Zone Desc: Agricultu2l Le9al: 0'NQLL HSTO N 74D 55 1/2M E 128 FT LyndUse Code: SA N SSD 04 1/2M W 328.87 FT TO CEN RD W ON RD 128 Ff 5 15D 04M 305 E ?ndUse Desc: S ial Area ? 328.87 FT TO PT OF BEG City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? ?or Oise - - ^ - - - - - ff ? I ? I ? Permit #: ? Permit Fee: ? I ? ? Date Received: ' ? I ? I I Staff: ? I ? ?----------------a 2008 RESIDENTIAL BUILDING PERMIT APPL.ICATION Date: Og Site Address: ?.?.?- C?? /? Tenant: v ACc, r\-? Suite #: RESIDENT / OWNER ' 6 3?- 7??'! Name: /?!* Gov9 4 pn1 ,C?'i,niF',S Phone: ?n 157 Address / City / Zip: d ? 3? F? i r fI i Ga</ 4J A SW'rf 0-? ?/w 55-11.? Appiicant is: X Owner • ? Contractor TYPE OF WORIC Description of work: &/rl8l Construction Cost: Mult+-Family Suilding: (Yes No x) CONTRACTOR Name: License Address: State: ?!??a Zip: City: Phone: 6' S/ y?l 23 S-a Contact Person: War/( 60) CQMPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqory 1 _ Minnesota RU(es 7672 Energy Code • Residential Ventilation Caiegory 1 Worksheet • New Energy Code Worksheet CategOfy Submitted Submitted (4 SubmiSSiOn type) • Energy Envelope Caiculations Submitted , In the last 12 months, has the City of Eagan issued a permit for a similar pian 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 docuents:fhat'you submif are c.onsrdered to `Iie public"informafion. `Portions of.,`' ` ?the ?nforma[fon may be class?fied as non=publ{o if you,prov?de..`specific reasons.that wauld permit the Gify,ro ? ; , ; .. the y:are tr.ade secrets. . I hereby acknowledge that this intormation 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 lhe work will be in accordance with the approved plan in the case oi work which requires a review and approval of pians, x /GA04-- A . r- T-- x . Ap a nYs Printed Name ? Applican 's Signature Page 1 of 3