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2990 Burnside Ave Use BLUE or BLACK Ink For Office UA j Permit V9157 j lion City of Ea 91_ co Permit Fee: I 3830 Pilot Knob Road j Eagan MN 55122 j Date Rec ed: G Phone: (651) 675-5675 Fax: 651 675-5694 I Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1\V Phone: RESIDENT / OWNER Address / City / Zip: L-52 Applicant is: Owner Contractor TYPE OF WORK Description of work: Cam,-~>.,L> 7 Construction Cost: L7;Multi-Family Building: (Yes / No ) Company: lu-t- [ cagy. ,s., Contact CONTRACTOR Address: City: State: Zip; Phone: License 1''0 Lead Certificate Does this project require Lead Remediation? ❑ Yes o (see Page 3 for additional information) , /64 If no, please explain: e _ :.'C> ° A6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in confo e 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 n t toancstart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv0of, x - - V,". S' x Applicant's Printed Name Appli i nature Page 1 of 3 CITY OF EAGAN Remarks Addition Country Home Heights Lot 3 Blk 2 Parcel 10 18300 030 02 Owner Street 2990 Burnside Ave. State Eagan, MN 55121 Improvement id Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING al) SAN SEW TRUNK 1968 $100.00 3.33 30 WSEWER LATERAL & Stub 1972 $2445.10 $122.26 -2-0- PAID WATERMAIN *WATER LATERAL & Stub 1972 0 WATER AREA 7 STORM SEW TRK 1984 495.00 33.00 15 %n As rnng-r.46 9-30-93 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $280.00 11820 10-3-74 BUILDING PER. SAC - PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. I' Permit No. Permit Holder Date Telephone Sm PLUMBING HVAC ELECTRIC ELECTRIC Inspection Des Insp. Comments Footings 1 Foundation Framing Rooting Rough Plbg. Rough Hig. lain. Fireplace Final Mg. Orsat Test Final Plbg_ Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. f Deck Final Well P Pr. Disp. I' EAGAN TOWNSHIP N° 1214 ~Jy BUILDING PERMIT Owner __--..))..fly.:....... Eagan Township Address (pr~es~ennt)~.:~1. Town Hall Builder J/. / Date /4y1..--G -.`--Z Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks v LOCATION Street, Road or other Description of Location. Lot Block Addition or Tract 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 ON HE PR MISE WHILE THE WORK IS IN PROGRESS. This is to certify, has permission to erect a-------- : ' - . ..--....-upon the above described premise subject to the provisions of the Building Ordinance for E n Towmv ip adopted April 11, 1955. f~ ,!L : Per --`--"'---.....~''L~X/J.c~ . Chairman of Tnwn Board Y ' Building Inspector Q ,g, 2 7 4 - 4 7 4 ® OFFI E US ONLY This request void IB mon hs from validafion dare printed in hj bor~/ Sj~9Cv OIJ. c/P r Oro PLEASE PRINT OR TYPE Request Dare ? Rough-gin inspection required2 Na Inspection other Than Rough In Ready Naw ❑ Will Coll S 7 ou must mil Poe inspenar when❑ re Date Ready I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Sheet, Box, or ute No l City Zip Code I~W / s/°z .2 o urns t4,4-) 5ecgon No. Township Nome or No. Range No. Fire No. Counly~'7~ / a Occupant Phone No. -a3 Power Supplier Address Elwin ontinclor (Com any Namelg Gonxo r licens No. Master tic No. (Plant Eled. Or1r) r L/lad Mailin oA Qzll~ 0-4 g dress(C.rhocbr or wn<r Ped mg~ Irmat LT Aulhonz gnot re IC nha or or Owner edorming Instolla5on) Phone No. 7~ EB-ODODIA-10 6/95 STATEBOARO O -SEEINSTRUCTIONSONSACKOFYE OWCO" IIII I III III I I II II III R EST FOR nnes tat Ave., Board of Stet 28ic 8 Paul, MIN 55104 6`Rr D 7 6 * Phone (612) 642-0600 ~IS ome Duplex Apt. Bldg. Other: New Addn Commercial Industrial farm Remo Re air it Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp . Service "x' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enironce Size Fee # Cinjts/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Trafflc Sig. Above 200 Amps Above 100-Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL.p OC-5-0 Sign/Outline ltg. Ximr. ar[ Alarm/Remote Control Swimming Pool I hereb ®.II Thal I mx eaed fie elecfical miollaron deecnbed heroin on the d.ka scored Irrigation Boom Rongh.ln Date Special Inspection Investigative Fee F1no D THIS INSTALLATION MAY BE ORDERED 1 CONNE ED I T COMPLETED WITHIN 1 MONTHS. VILLAn.E OF EAOAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1590 Eagan, MN 55127 DATE: 10/3/74 Zoning: nI No. of Units: 1 Owner: Address: Site Address: !3490 B side Plumbers-me Meter No.: 23640793 Connection Charge: 280.00 pd Size: 54R RoROckwell Account Deposit: 15 0 pd- Reader No.: 564901 Permit Fee: 10 00 pd I agree to comply with the Village of Eagan Surcharge:- Ordinances. M.z er ~O ppp~~~tt'tr-~5: 65'Pel ~Gi To[aI: B/~~Date Paid: Date of Insp.: Insp.: Ylk..AGE aaF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 2350 Eagan, MN $5122 DATE: Zoning: RI No. of Units: 1 Owner: tm» _ r n r lcAddress: Site Address: 2990 Burnside Plumber: same 1 agree to comply with the Village of Eagan Connection Charge:400.00 pd Ordinances. Account Deposit: IS-00 pd Permit Fee: 10.00 pd. charge: .50 pd .i: =11 B c. Charges: Date of Insp.: Total: Insp.: Date Paid: I 71S RESIDENTIAL BUILDING pp~~ Permit Application l!m Q 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 Oniv 3 registered site surveys showing sq. it of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Cad of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd l set of Energy Calculations Addition - indicate if onsife septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date /0 / Z / 12 J Construction Cost pt/E/(7 Site Address ~j~/ ► ~r ' j. Unit/Ste # Description of Work t~~ _~ULYt /o~csc~ ~U-- Multi-Family Bldg _I 'Y l N Fireplace(s) _ 0 L 1 - 2 Property Owner L-t/1~~t M /1.Q_ C) Z i Telephone # ( blG V% Contractor I e Address 2A On \M` City !°a V 1 State Zip -7 Telephone # ejGG' ~C.') 001 -6758 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Cade Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations-Submitte` r Licensed Plumber I-~ `yU'~ r I: Telephone # -U~ -U LUUJ ~ ,1 i` Mechanical Contractor VI Telephone ) ='1 Sewer/Water Contractor Telephone it ( ) 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 approv d plan in se of work whicrequires a review and approval of plans. C l e 'Applicant's Printe Narne pplicant' Si re 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 4-V I J 3830 PILOT KNOB RD - 55122 651.681.4675 New construction Reaulremenh Remodel/Repair Reaulrements ➢ 3 registered site surveys showing sq. lt. of lot, sq. ti. of house 2 copies of plan and all rooted areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window stres; poured fnd. design; etc.) 1 site survey for exterior additions a decks D 1 set of energy calculations D 3 copies of tree preservation plan ti lot plaited alter 7/1/93 'v- DATE: CONSTRUCTION COST:: DESCRIPTION OF WORK: ~ X ~6 X /lJ~k~ It+E' Cl :y ~J ect. T1 t~c~ ~S STREET ADDRESS: r2 j `7 ( n O L, ~(i S 1 r L T7~/7 _ LOT: BLOCK: ( SUBD./P.I.A. cou,AJ m e. kp-t5;~ c_ I R.+,1J~ i- ~ It X30 o acs a / C~ Name: Jr✓ R O I 7-- LOL O pMA e. Phone 6 S t/-b e-6 L o;2 ROPERTY Lost first OWNER 1 Street Address: °2 l y C.c 6 IS 1 CL P. City k: C- G ca-Y\ State: Zip: Ns--S-) a-- / S 4em S / Company: C Ct- \ e +'40.~hone#: &,T/ 3 (area code) C R Street Address: ` ari . l~ /1 License #"i o up"3/'22- 8(J State: U~ 1 ~J Zip: .S S~ City VA 0~ LM ARCHITECT) ENGINEER Company Sa 1M Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit is Issued. r I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant CA" saol~ OFFICE USE ONLY IVE Certificates of Survey Received Yes No AUG 2 3 1999 Tree Preservation Plan Received Yes No Not Required $lr OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 W!^dOINs!Doora ❑ 33 Aite ation L7 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code '_S •J (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft.. City Water Width Footprint sq. ft. Booster Pump PRV Fire. Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ?Air t nr. i Babas ~v~S~aN~g03 a ~ ~ aS 0 r ~ car ~ ~JL ~ EAGAN TOWNSHIP N° 938 ~Q BUILDING PERMIT Owner /ur Eagan Township Q~ Address (present) ~f.. ..-_7~ ' -."...`'4:°".f' Town Hall Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks d- LOCATION Street. Road or other Description of Location Lot Block Addition or Tract 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 ON THE REMISE WHILE THE WORK IS IN PROGRESS. This is to certif that-:7A h?..,.-. - , upon Y. . --...-...has permission to erect a the above descz' ed p mise sub'eet fo provisions of the Building Ordinance for Ea n Township ado d April p11, 1955. Per -.&'e~ d ....`-.W Chairman of Tnwn Board Building Inspector I OGv~I~ 34-0 ~ r j I 0 I I ~ Yr 5~~ kh PERMIT s`t~ 7 i ciii,*& EAGAN: 3830` Pilot Knob Road PERMIT TYPE:. 6 T I G Eagan; Minnesota 55123 Permit Numiser: 0207 20 (612) 681-4675 Date Issued: ' 04/22/93 SITE ADDRESS: 2990 BURNSIDE AVE LOT: 3 BLOCK 2 COUNTRY HOME HEIGHTS l~.T.N::: 10-183@@-030-@2 DESCRIPTION: RE-ROOFING-INCLUDED Permit Type SF, PORCH rk Type NEW R_3 e V-N 20 6 REMARKS:; FEE SUMMARY • VALUATION @0 , Base Fee $1.08.(40 Surcharge $4.5@ Lic. Search Feb S.00 Total Fee $117.5@ CONTRACTOR: - Applicant - ST. LTC. OWNER: CdNRAD CONST CO INC, RON 18663577 000.4846 BEH'NKE BARBARA 6913` PLEASANT AVE 2990 BURNSIDE.AVE MINNEAPOLIS MN 554.19 EAGAN MN 5.5121 ~,4,12) 866-3577 nw~m-~Wmm i~&, =8leaaa~m EAPPLICAN7IPREE SIGNATURE I SUEDI'37~SI NA INSPECTION RECORD, CITY OF EAGAN PERMIT`TYPE 3u'z L D I N t~ 3830 Pilot Knob Road Permit Number: 020 7? o Eagan; Minnesota 55123 Date Issued:; 04/22/93 (612)'681-4675 SITE ADDRESS: L D T: 3 BLOCK: APPLICANT: 2990 BURNSIDE• AVE CONRAD CO'NST CO INC, 'RDN COUNTRY HOME HEIGHTS (66,2) 8'66-307 PERMIT SUBTYPE: TYPE'.OF WORK: SF ,PORCH NEW DESCRI'OT'ION RE-RDOFTNG XNCIU.DFI] IN SPECI ION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTTNG FRAMING. .FINAL . 4. 'Au i 1 rn i c_ RECEIVED 'j " r yr r-m%aru. PERMIT ii1 1993 BUILDING PERMIT APPLICATION $11g APR 2 0 1993 681-4675 WIff-U C4. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work dw,~ Site Address: ~-95d ! ur^~ U~le~ STREET SUITE / Tenant Name: (commercial only) LOT A Lwor:k K 2 SUBD. ~ { ~ P.I.D. M Description oo C-o„ « The applicant is: ❑ Owner /LrContractor ❑ Other (Describe) Name B ~i n G ? -t Phone Property LAST FIRSTS Owner Address STREET STE I City F, State s Zip Company (-a» Phone J6~-j Contractor Address 3 7i3 w -,i ~dv~ License # a)DK_VG Exp. 3j/ City /5 . State 2~~_7 Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this appplication and state that the information is correct and agree to comply with all licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` 7=~- OFFICE USE ONLY i` BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. rfVgW4 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 'tTM SF Misc. ❑ 10 Multi. Add11. 945-Deek ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant finish ❑ 37 Demolish 2-A ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) y y_ Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy R-3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length 2 O • On-site well Census Code Depth On-site sewage SAC Code APPROVALS Pl anni ng Building Assessments Engineering Variance REQUIRED INSPECTIONS At_Sa TRep Houss IGARAbG ❑ Site iff Footing $ Framing ❑ Insulation ❑ Wallboard III Final ❑ Draintile ❑ Fireplace Permit Fee 108.00 v.tuoci.: $ 9000 ` Surcharge ~r 50 Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units i i f' fo~; a 34-0 PAtib 6jct~- ~ Y 7 1 I r' r Z ~%(IfA06, ob ~v az~o CITY USE ONLY L_ BL Z RECEIPT SUED. DATE: 5 1 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air carditioning Fireplace conversion! (to existing fireplace) Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) 20_00- ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) r_,~ ► State Surcharge .50 TOTAL. S u SITE ADDRESS: 2L),2 may' OWNER NAME: PHONE STANDARD HEATING ANO AIR CONDQIOFIINC CO INSTALLER NAME: MOW EST LAKESTREET IMNNEAP 612.9242658 STREET ADDRESS: CITY: STATE: ZIP: PHONE ( F ,5--3- 9G 3`f I I ,r3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: December 21, 1970 Number: 524 3 a7 A, fit, Billing Name: William L. Behnke Site Address: 2990 Burnside Ave.. St. Paul 5511E Owner: same Billing Address same Plumber: Weierke Trenching Location of Connection Meter Size Connection Chg. Meter No. Permit Fee NOT HOOKING UP AT PRESENT Meter Reading Meter Dep. SIGNED UTILITY AGREEMENT Meter Sealed: Yes Addll Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residenc7e xxx Multiple No. Units Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Weierke Trenching Please notify the above office when ready for inspection and connection. 4 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: December 21. 1970 NUMBER 683 0, 44, OWNER: William L. Behnke Address 2990 Burnside Ave.. St. Paul 55118 PLUMBER Weierke Trenching TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units x:oc Location of Connections: Connection Charge NOT HOOKING UP AT PRESENT - HAS RIGNED Permit Fee UTILITY AGREEMENT. Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota-County, Minnesota By Weierke Trenching Rosemount, Minn. 55068 Please notify when ready for.inspection and connection and before any portion of the work is covered. 13,18A L'al 4il 04/15/93 14:01 MMTFI CMINTY SEW. CTR. 001 ) Ordinance No. 114: WELL AND WATER SUPPLY MANAG MENT MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DAKOTA COUNTY ENVIRONMENTAL MANAGE NT DEPARTMENT I WATER AND LAND MANAGEMENTS CTION 14955 Gelexie Avenue West, Apple Valley MN 55124 Telephone (612) 891-7011 - Facsimile 1612) 891-7031 DATE: Q~ TIME: AM PM SENT: Fa;~ MaiIT Other_ TO: MUNICIPAL OFFICIAL TITLE TELEPHONE MUNICIPALITY ADDRESS i FACSIMILE ! I FROM: ~VI, ENVIRONMENTAL SPECIALIST TELEPHDNE REFERENCE: ~3-QO7 WELL PERMIT NO, i NOTICE: The Water and Land Management Section of tqe Dakota County Environmental Management Department has received the following permit application(s) for the well(s) described. If you require further review of this application(s) or If you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at telephone (612) 891-7011. If there is no response from your office wit In 24 hours (excluding. weekends and holidays), Water and Land Management staff will assu a that you have no objections Issuance of the permit(s). Please note that permit issuance Is (ways conditioned on the permit 1 applicant's observance of and compliance with all applicable laws and codes, A copy of the well permit(s) will be forwarded to your office when completed. • I DESCRIPTION: PROPERTY:OWNER _ WELL{II Different) LOCATION OF WELL(SI: ADDRESS ~'IfO Am I PUBLIC LAND SURVEY COORDINATES:-OF-OF-OF-OFISECTIONa_,7C2'N., RM,, MUNICIPALITY: PROPERTY ID ND... WELL CONTRACTOR:byl1~~ LICENSE NO., /pTr' I APPLICATION RECEIVED SUBCONTRACTED TLS: i i (/PERMIT TYPE: NEW CONSTRUCT ON RECONSTRUCTION REPAIR(No Permit Required) PERMANENT SEALING A ILL MAINTENANCE: TEMPO~A~iY CAPPING RECLAIM -USE I R.EGISTERED•USE PRIMARY USE OF, WELL(S► _ ,/CASING DIAMiTER 4 INCHES; LENGT FO 7; 'LL DEPTH. JJW FEET; VAQUIFER ' t ► y ~WMPLETt~D: OPEN HOLE SCREENED ; l t,KNTICIPATF,D DRILLING/SEALING DATE(If Known]:~►I (COMMENTS:. R-94% 612 891 70311 04-15-93 02: 59FM P001 #410 OpR& 114 r~ yri y' .U[r ~)Fo-'1 0, w')+ }e TT yy~r• y ~ 1 £ ~ t s WELL AND WATER S[JPPLY MAI«)AGE~'P * " t ;yy ;Y x ~ ~ i. - r+•o .Yar x f xk k s wy hs +w' S a i ~ , « , Per~mrt No WELL ;PERMIT - ~ - DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION _ 93-9072. ' 10935 Gdu k Aimee. Appk WIty. MN 55124 - Tdep6. (612) 891--7011 WHERAS, the Gary's Well Drilling, Inc NON-TRANSFERABLE PERMITTEE/DBA: 21220 Mushtown Road ISSUED To# 70417 ADDRESS: Prior Lake, MN 55372 REVIEWED BY DHS has submitted a permit application, has paid the sum of one hundred eight dollars ($108) to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well described herein: One abandoned well with a casing diameter of four (4) inches, depth of three hundred twenty five (325) feet and completed in St. Peter Sandstone will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The well is located in the municipality of Eagan as follows: Well Location: Property owner and Well Owner and Address (if different) Address (if different) Barbra Behnke 2990 Burnside Ave Eagan, MN 55121 NOW, THEREFORE, Gary's Well Drilling, Inc. is hereby permitted and authorized to permanently seal the well described and located above for the period April 1993 to April 1994 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 15th day of April, 1993. G( ATTEST ENVIRONMENTAL'~SUPERVISOR ENVIRONMENTA NAGEMENT DIRECTOR 04/lE✓93 14:01 DAKOTA Cd.NTY-WESTERN SERU. CTR. 001 I~ Ordinance No. 114: WELL AND WATER SUPPLY MANAG WENT MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DAKOTA COUNTY ENVIRONMENTAL MANAGE NT DEPARTMENT WATER AND LAND MANAGEMENTS CTION 14955 Gelax)e Avenue West, Apple Valle MN 55124 Telephone (612) 891-7011 - Facsimile( 2) 891-7031 DATE: i~ TIME: AM PM SENT: Fa Mall^ Other_ TO: 61klfl 7' MUNICIPAL OFFICIAL TITLE TELEPHONE _ _ I !08/~4/0!?~ i MUNICIPALItYY ADDRESS FACSIMILE FROM: f allow ENVIRONMENTAL SPECIALIST i TELEPHONE REFERENCE: 93-QcT~. WELL PERMIT NO. -i- I NOTICE: The Water and Land Management Section of ttie Dakota County Environmental Management Department has received the following permit application(s) for the well(s) described. If you require further review of this applieatlon(s) or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at telephone (612) 891-7011, It there is no response from your office wit in 24 hours (excluding' weekends I and holidays), Water and Land Management staff will assn a that you have no objections Issuance of the permit(s). Please note that permit issuance is (ways conditioned on the permit applicant's observance of and compliance with all applicable.laws and codes. A copy of the well permit(s) will be forwarded to your office when complete. DESCRIPTION: PROPERTY;OWNER WELI.raDifferone) i LOCATION OF WELL(S): ADDRESS tr4Q xuao* PUBLIC LAND SURVEY COORDINATES: OF OF OF OFISECTIONX_,TA1., R +J., MUNICIPALITY: PROPERTY ID N0.., WELL CONTRACTOR; a~/~i Jt ilba L1CE~SE NO.. rpm 7 APPLICATION RECEIVED CSUBCONTRACTED Tj: VPERMIT TYPE; NEW CONSTRUCT ON RECONSTRUCTION IIIEPAIR(No Pormil Roquired) PERMANENT SEALING ANNUAL MAINTENANCE: TEMPORA Y CAPPING RECLAIMED-USE I9EGISTERED•USE PRIMARY USE OF. WL'LL(S) _ CASING DIA47ER 44 INCHES; LENGTt/ - _F T; LL DEPTH. FEET; \jA0UIFER &4;f MPLETI~D: OPEN HOLE SCREENED 1.~NTICIPATF.O DRILLING/SEALING UATE(II Known):~i r~ - (~OMMENTS:. R-94% 612 891 7031 04-15-93 02:59PM P001 #1 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160863 Date Issued:04/20/2020 Permit Category:ePermit Site Address: 2990 Burnside Ave Lot:3 Block: 2 Addition: Country Home Heights PID:10-18300-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Kelly J Leach 2990 Burnside Ave Eagan MN 55121 (612) 889-1827 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature