613 Atlantic Hill DrCITY OF EAGAN WATER SERVICE PERMIT ?
3795' Pilot Knob Road PERMIT NO.:
Ergan, MN 55122 - - ? DATE:
Zoning: _ --?--- - No. of Units: - -
Owner: •^? t'? - -
Address:
Site Address: • t ,--, ? ? 6 ; - •-
Plumber:
Meter No.:
Connection Chorge:
Size: Account Deposit: I
Reader No.: Permir Fee: - ?". i'.. nd
1 agree !o ewnply wit6 the Cify of Eagon $urcharge: . Jf) ',d
Ordinances. Misc. Chorges: .r)r) isa I
Total: '? nd
BY Date Paid:
Dote of f nsp.; I nsp.:
CITY OF EAGAN
r
3795 Pllot Knob Roud
4 Ggan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
1 ? DATE:
No. of Units:
I agres to eomplq with the Citq of Eogan
Ordinonees.
By
Dote of I nsp.:
I nso.:
Connection Chorge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• ? ??
DATE ? 19
wEcerveo
FROM
AMOUNT $ . I
DOLLARf
$oo
? CASH Q CHECK
ROR ' f
/
FUND COnE AMOUNT
Thank You f? J% f
BY ?.
' White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY J OF ? EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
& DOLLARS
700
? CASH ? CHEGK
/ "0,:.
FUND GODE AMDUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
'y?= ? .; J`..._ . . . - . . ' .. . . ; , . : .. , . .
PERMIT #
PLUM8ING PERMR RECEIPT #
pTY OF EAGAN ?,.
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION '
Lot Block Sec/Su b ?
` ? - Res. New
m
Name ?
Mult Add-on
?
Address ?
Comm. Repair
c City Phone Other ;
OTAL ?
Name NO. FIXTURES T
t
r Closet -$3
W
00 $
"
L
c Address .
a
e
Bath Tubs - $3.00
p City Phone Lavatorp.- $3.00
Shower - $0
00 j
.
"
Kitchen Sink
:?-$3.00 %
FEES Urinal/Bidet -$3:aQ
COMM/IND FEE - 196 OF CONTRACT FEE
Laundry
$3
.
Tray
-
MINIMUM - RESIDENTIAL FEE -$10•? D?ains
-
$1.
50 •t
Floor
MINIMUM - COMM/IND FEE - 24•? Water Heater -$1.50 ?
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
_ STATE S/C:
,_
FOR CITY OF EAGAN /
GRAND TOTAL•
INSPECTION RECORD ?
CITY OF EAGAN PERMIT TYPE: i
3830 Pilot Knob Road Permit Number: 34aa-O i
Eagan, Minnesota 55122-1897 Date Issued: i
(651) 681-4675
?; . ..., ,? SITE ADDRESS: ? i? E. r: ?? i??
613 . I ANI1C II[1 1 IOR
?A rFs
PERMIT SUBTYPE:
APPLICANT:
. ,.
TYPE OF WORK:
?
L?
?
J I
? -,
Permit Holder Date Telephone N
SEWER/
WATER
PLUMBING
HVAC
fnspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
- - -
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TE5T
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks Collect Conn. charges when lot is assessed
Addition Lakeside Estates Lot 9 Rik 1 Parcel 10 44300 090 01
Owner?' `? Street 613 Atlantic Hills Dr. 5tate Ea,gan,MN 55123
?>n?l
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. SQ Imp. 198 1690.16 84.51 20
STREET RESTOR, 1991 1409 . 71 ,. 70.49 20
GRADING
SAN SEW TRUNK S6.2_ 1981 280.00 , 14.00
* SEWER LATERAL J 1 H.
WATERMAIN
* WATER LATERAL 1 1
WATER AREA 1981 280.00 ?14. 0
STORM SEW TRK o3 .1985 659.00 43-93
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
4
WATERCONN. 250.00 17140 12 17/79
BUILOING PER. AdCltl. T O 10-75
12 17 79
PARK 1
1
.?
' CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE r ' IX ? A 19 ??
RRCp1110M
AMOUNT?
d C1
s _ooLLAne
?<o
? CAgH E'CGECK
row "? P!L- C?ZJ
_ 613
cuno eooe .
AMOYNT
z?
Q SS
Thank You !
ar e?/?..?'7-{-h"?
N° 66893
xm?ce-v.ven copy
Yellow-Postin8 coPY
Pink-File Coov
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ..... 7..'."'°.......-------------..
Address (Presenf) ........-'_-'--f/-'??.Q,we:._?°....?°
Builder ........ ........?.
Address ............. ---4uL.......?.._...?...:?'Zt-?.........................................
DESCRIPTION
N° 2846
Eagan Towaship
Town Ffall
Dale ..._"f...J °'?v ^ 7 2.-
'---"-------•
Siories To Be Used For Fron! Deplh Heigh! Esl. Cos! Permif Fae Remarks
/ ? ?G / I 3 ? ?
LOCA
siree:, naaa or omer ueseripnon ox i.ocanon I Loi nlocx Atlaition or Tract
This permit does aot authoriae the use of sireels, roads, alleys or sidewalks nor does it give the owner os h[a agen!
the righ!!o areate anp si2ua2ion whieh is a nuisanea or which presenie a hsaard So the healfh, safeip, convenieaae and
general welfare !o anyone in the communifp.
THIS PERMIT MUST SEy KEPT O THE PREMISE WHILE THE WORK IS IN PROGR SS.
This is !o cerfify, -----_--_.--------has permission !o esecY a_-?...------•.--_- - - - ................... _upon
the above described premise subjee! !o the provisions of the Suilding Ordinanee for Eaga Township adopled April 11,
1855. /n
..- /?
-`--°----`---------------------..`J..... .................................. Per -----------............................................... .......... '-•-__"_"""'_'---
Chairman of Tnwn Boerd Buildin Sns ecfos
Cities Diaital
itv Control
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from the original page.
Z.
VILLAGE OE' r:ACA1V
3795 Pilot Itnob itoad
Eagan, Niinneaota 55122
PER14IT N0. q7j?_
The Village of Eagan hereby grants to ?%it,
O£ _ fi7 3Atl nn}an AAl l a T1*4oA
a
Permit for: (Owner) 2,3mE,
at same , pursuant to application dated 90/27/72
Fee Paid: W.0.00 dated this 27th day of OCi:obar , 1 9 72
050 s/o ?
Building Inspector
l'lechanical Permits:
aia Total:
vzr.LaGE or Eacarr
3795 Pilot Knob Road
Eagan, D3iruiesota 55122
Lli ?iGS/?L.°
PERMIT N0. : 1Sp
The 4illage of Eagan hereby grants to g.„ 1[4awiing
of _jnyers Grove Bej,ghta
a Santin Tank F. r.Paagp&rmit for: (Owner)? - /
ai 1i s n vA , pursuant to application dated 6/11/73
Fee Paid: B46es00 . dated this _11.h. day.oP 19_-73..
.50 e/c
Mechanical Permits:
Bu9lding Inspector
rS?Gfy
t3id Total:
VILLAGE Or EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
La
PERIUT NO.: 138
The Uillage of Eagan hereby grants to Ryan Well Canpaabr
of aosemount. mx 55068
a Permit for: (Owner) Thamas SSnith
at ??g At?auttia Hills Dr1ve , pursuant to application dated 3/19/73
Fee Paid: 43A_0D dated this 20th day.o£ Marah , 19 73
.50 s/e
Mechanical Permits;
Bui7-ding Inspector
8id Total:
"TTLLAGE OF N;FIGAIV
3795 Pilot Knob ftoad
Eagan, A1inneaota 55122
PERiv1IT N0. 302
The Village of Eagan hereby grants to Thmae E. 9nith
of
a PLIMIN(} Permit for: (Owner) Thcmas E. 9ni.th
at 613 Atlantic Hille DTive I pursuant to application dated 1/4/73
Fee Paids $20.00 dated this 4th day of J°nuary , t9 73
. e c --
' Bui.lding Inspector
Nla.chanical Permits:
Bid Total;
Eagan Township
Dakota County. Minnesoia
Application Eor Building Permit
Type of building or work conlemplafed. Circle aorreeY descriplions.
- -- -
%
esidenlia Commercial Indusirial Olher--"_-..._-"---.__'_..-----"---..._..:....-___"-----_..
8ui1 Enlarge Aller Repaix Insfall Move Wreck Other ..................
Dimensions......'1!??._X_?..7................... Cos3....
Defails oz remasks .... ......................................... .----------------------------- ------------- ----------- _..............................
Locafion
PERMIT NO. .a:?.y`----
Daie ---?--?._?2?.-.----
Number Sfree! Seiween what cross slreefs Size Esi. Valuatioa
613 Rr? 4e e.i .(92 .
Lo! Bloclc Addif?on Rearrangement or Traei
Ownes -(..-'-" ?_""_?...-'-..._-"-----.....
Coniracfor '.................................
Address 39 ?i ? -
.:--.
- ? . ..3 ............. . .?-? -- -??---...- -- ?``?'?'
Addr¢ss ?-i-rr------C_c-,-'..__....--." ......................-'_"'......
The undexsigned heseby makes application foz a pexmi2 !o
$ do work as herein spaeif?ed, agreeiag !o do all wosk in siric!
Tofal fee colleeied. accordance wiYh !he Luilding ordinance adapfed April 11, 1955
by fhe Eagan Township Board of Supervisoxs.
Permit fees are no2
refundable.
....................°'---.........-°-"----'--------'-'- ---.......---"------'--•-------°-...
Signed
?
CITY of EAGAN
BUILDING PERMIT
Ownex ....... ... `.?-'"..........."°`? ..... ?
.................^TF1M...._............._..............
Addrecs (presea!)
" ................................... ......... ..... . ............
Builder ............ .....
.................. ...'.....'.......................... ... ................
Addzau ?U'?
...........-' .................................................................................
. i.
N4 3777
3795 Pi1oi Kaob Aoad
Eagan, Minnesota 55122
954-6100
Dale .... ................................... _.......
6lories To Be
Ueed Fos Fron! DepSh Heigh! Eel. Coa! Permi! Fse Ram
ar
k
s
v ?
?
??„n? ?2V
ot?f
3SSO
[`-C
?3.3?
,.i-.;z? /
Y
-
... . .... ... ???-
.................... .. Per .............................:.`...?.?.:.""...'?.??.--?:?_-:...."'..............
................................
..'•'-' .. MaYor T lj'2?, Sulldiap Impeclor ?
This parmit does no2 aulhosise the use of s!=eefs, soads, alleys or sldewalks aos does it give the owner or hts agen!
the righ2lo creaie any sifuafion which is a nuisanee,or whiah presenls a haserd !0 the heallh, safetp, coavsnlanes aad
generel welfaze !o anpone in the eommunitp.
THIS PERMIT MU$T BE KEPT ON HE PAEMISE WHILE THE WORK IS IN PAOGAESS.
...... ............................................ -
This is !o aarlifp. !hal..._??_ ?-" hes permisaion !o erect a..2?' ......_''`'?"-" Z" . _ .......... ------ _upen
!he above descxibed premise subjecY 2o the provisions of all applieable Ordinanees fos the Cilp of Eagan
PERMIT
CITY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
613 flTl_AN'iT(. HILL DF
LOT: 9 CLOCK: i
!_AKCS:IDG FSTA7t=S
P.l..N.: 10-4u300-090-01
DESCRIPTION:
T.Q. & ftERCJCJF
Su,0.d1zi6``"rml.C Type STpRM DAMR6E
BjiiLdYnq W6`rk 7ype ftEPArR
0'errsus Ctttia..?'?... 434 H17. RF5Il3f"NTT.f1l
a ,
?`'t a `?i -.''
BUTLL7ING
03422d
Z21'1!I/9ti
t?
'v.. t i ° 7 .? . ? °L
REMARKS:
FEE SUMMARY:
CONTRACTOR: - ApRlicanr, s'r, L zc? OWNER:
TUTTLE ROOFING 16470133 201A5599 5MI1"ti 'P"4QMAS
2238 MIChiIGAiV AvE / 5'TE C 613 ATLANI`:LC Nl:l.l_ DF2
ARLTNGTqN TX 75013 EAGAN i"IN 55123
(612) 687-0133 (661)464 -8405
i
I herebv aoknovlo4ga that I hava reaet this apnlicat5.on and state thaG tYte
intoNmation is correct and a9rae tss aflmplY wi,tte all appLiCais.te State ot Mn,
5tatu-tes and CiCY @f Eaq.an Ord3.n-anc„es. L
APPLICANT/PERMITEE SIGNATURE
I
ISSUED 8Y: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PII.OT KNOB RD - 58122
681-4675 New Construdion Reauirements
? 3 regiatercd site surveya
? 2 oopies of plans (iridude beam 8 window s¢ea; poured fid. tlesign; Mc.)
? 1 energy calwlations ? 3 copies ot tree DBServation plan if bt platted after 7H/93
required: _ Yes _ No
DATE: I oZ - ! 3 ` ctz?
RemodeUReoair Reauiremants
? 2 copies ot plan
? 2 site suneys (exterior additions & decks)
• 1 enargy calwlations for heated addkions
CONSTRUCTION COST; .7 -
„
DESCRIPTION OF WORK: T- (f) . S`?o f V"
STREETADDRESS: (-SCS Li;(1
LOT: l BLOCK: I SUBDJP.I.D. #: `---Ca_"Q ? CC ST?
Name: ;?,-j d acn/Ic' ?.E Phone #: O! e?-'
PROPERTY 1.a« Fim
OWNER r.. /
Street Address:
City State: '],n/ Zip: < <I?--:z
Company: I?OPr!- i??C Phone #: 60- C?.e C2- 6)/ 33?
corrrxa,crox f?
Street Address: 17 7l 5--,, 4 License #
c
City s
c1? a v
ARCHITECT/
ENGINEER Comnanv: °
State: -M,,? Zip: -S-/2.2
-e ; -s-wJ:?? L
? (?01'?) -dU()
Phone #:
Name: Registration #:
Street
City State: Zip:
Sewer & water 6censed plumber (new oonstrudion only): . Penalty appties when address Chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is cortect and agree to comply with all appiicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature af Appficant: '
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
MASTER CARD
LOCATION A&Ait
adpu
OWNER
STRUCTURE AND ?
LAND USED AS
Permit
No.
Issued Issued To
Contrac}or Owner
BUILDING z e ?s ?
PLUM8ING
CESSPOOL - SEPTIC TANK L?j'7
%J
WELL -
/3$
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER I
OTHER
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING Q?•? c? 9, SEPTIC
FOUNDATION ? CESSPOOL
FRAMING
FINAL
ELECTRICAL TILE PIELD FT.
HEATING
? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUM8ING . 7
WELL
SANITARY SEWER ?
Violations Noted
on Back
COMMENTS:
MASTER CARD
LOCATION
9-/•
?
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING _ 3z'7
L.07
CESSPOOL - SEPTIC TANK -- '"
WELL
EIECTRICAL -
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Ifems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION .?j-' '?, • r' SEPTIC
CESSPOOL
FRAMING _? S G ILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Nofed
on Back
COMMENTS:
CITV OF EAGAN Femarks Collect conn char2es when lot is assessed
Addition Lakeside Estates Loe 9 Blk 1 Parcel 10 4+300 D90 01
Owner, Street 613 Atlantic Hills Dr. stete Eagan MN 55123
?...,
Improvement
Date
Amount
Annual
Vears
Payment
Feceipt
Date
STREETSURF. S(p Imp. 198 1690.16 84.51 20
STREETRESTOR. S 1951 1409.71 .,70.49
GRADING
SAN SEW TRUNK 1981 ZHO. O
* SEWER LATERAL 1951 1.
WATERMAIN
* WATER LATERAL
WATER AfiEA
%WL I981 280.00 .O
STORM SEW TRK 03 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 17140 1ZI17/79
BUILDING PER. AC?Qt'1. 1 O O-75
snc 2 17/79
PARK
. ?
?
? ? ? .
p IN6
?
?
?
??1-t- F::?
y/6 °
y 17
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130459
Date Issued:04/27/2015
Permit Category:ePermit
Site Address: 613 Atlantic Hill Dr
Lot:9 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Thomas Smith
613 Atlantic Hill Dr
Eagan MN 55123
(651) 454-8405
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
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