990 Blue Gentian Cir?k 006H 114 t'i fit? I (
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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