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611 Chapel Lane
City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 611 Chapel Lane Lot: 9 Block: 3 Addition: Selmark PID:10- 67100 - 090 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Flannery Construction 1375 St. Anthony Avenue St. Paul MN 55104 (651) 225-1105 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Sheila A Jacobsen 611 Chapel Lane Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA089008 05/04/2009 ePermit CITY OF EAGAN Remarks This is corner lot Addition SELMARK ADDITION Lot 9 Blk 3 Parcel 10 67100 090 03 Owner f ? f' ii It Street 611 Chapel Lane State Eagan, NM 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1g 1,214.12 121.1+1 10 Paid STREET RESTOR. 197 75-00 47.50 10 .,M A008248 9/5/79 GRADING SAN SEW TRUNK 1970 aF SEWER LATERAL 1972 1,813-55 9().C)7 P0 Pai d WATERMAIN IF WATER LATERAL 1972 WATER AREA STORM SEW TRK 1984 409.00 27.27 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 220.00 BUILDING PER. SAC 24o.00 5093 12-8-71 PARK EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: December 8, 197.1 OWNER: Sa33y Co. PLUMBER Thompson Plumbing Co. NUMBER 924 Address 611 Chapel Lane 9-3 5 /inG ? TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industriall Commercial Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 240.00 pd 12/8/71 Permit Fee 10.00 pd 12/14/71 .50 pd 71 s c 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 Thompson Plumbing Co. 12201 Minnetonka Blvd. Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: December 8, 1971 Billing Name: Sally Co. Owner: c?mA Plumber: Thompson Plumbing Co. NO I Total Chg. Building Residence xx Multiple Commercial Industrial Other 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. Number: 763 9-,3 U19 'nnoeA Site Address: 611 Chap-al Lane, Eagan 55121 Billing Address Meter Size Connection Chg12/8/71 Meter Permit Fee 10.00 pd 12/14/71 ,sdrl 714/71 Meter Reading Meter Dep. Meter Sealed: Yes_ I Add'l Chg. 60.00 od.12/14/71 Mtr. Inspected by Date Remarks: No. Units Ii?4Pr,J_, ? By: Please notify the above office when ready for inspection and connection. CITY of EAGAN N9 _361d BUILDING Owner .... ..E.f]!(....... /a!........... //le?...?_?.S .....,.. Address (present) ...... .E.?L/....... 1..? .''............. .......... Builder ....Z.(J.4.Aer...... Xr.' .........----- ............. PERMIT 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 Address ..... lQ .......O/.?/.:p/ . ............................. DESCRIPTION Date Stories To Be Used For Front Depth Height Est. Cost Perm ee Remarks F LOCATION ?A Street. Road or other Description of Location I Lot I Block I Addition or Tract I Ife/near // 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 PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ................................................................has permission to erect a............................................................ .upon the above describ /premise subject to the provisions of all applic ces for The y f Eagan. £..7C. ................................. Per ..... ...:.... ......................................... ..... ......... ...... Mayor Building Inspector 926-2656W LUMBER KING CO. 5145 Oliver Avenue South MINNEAPOLIS, MINNESOTA 55419 926.2656 ' Customer Name N lrvl A - J ff G O R S IE Al Home Phone ?/61f (41J70 Address (o I I Ct+ t Pie- 1-A'kL / 3 1 m Business Phone 9- City , 'IQ6'9" ZIP S5%Z/ Building Code Area ,_i 19 ? INDICATE THE ITEMS BELOW ON LAYOUT )(Permit By _ ? Legal Description 17 Lot ? Blk. ? Add'n ? Value XSquore With all U 1 C. ? Rods .Mesh ? Sod Rem. - By ? ? 5-Bag Mix `t46-Bag Mix KTomping ? No Tamping 2-Starting Points Only S.P.L. S.S.P.L. R.P.L. _?. ?f?0al House F. Street Other A'i!IE.V w,fl fe2ou% wail oP M,ase- CONDUIT O.H. Dr. Offset rR'-'. D. Location ? Blocks N q - 3 MASTER CARD LOCA OWNER STRUCTURE AND /? LAND USED AS y a J[ wJ t y's 6/Y4P .a Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING Aj- CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING ?.. SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: EAGAN TOWNSHIP BUILDING PERMIT Owner ....r.? ... r5:/. .. &-1 ...................................................... G.` C t ?Ce ?'?' Address (present) ..... Builder ........................................ ........................................................ Address .............................................................................................. DESCRIPTION N? 2623 Eagan Township Town Hall Dale .. ...................... Stories To Be Used For Front Depth Height Est. Cost Permit Feel Remarks ? r `?Sa 5'/ Se ` ,c z*? a ?t rizreez, tons or Diner Lescripnon or Location I LOt block Addition or Tract G/n? 9 3 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 PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.... c ..has permission to erect a... .. • y upon .......... .......... ..--.... ....' .....".P" ..: .............. _ the above described premise subject to the provisions of the Building Ordinance for Eaga' Township adopted April 11, 1933. ........................... .. . ........'.........°.... Per ! .. .. ......................... ............ .................................................... Chair an of Tnwn Board Building Ins..ectZ 05 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 1 11 The Board of Supervisors hereby grants to Thoiapson Plumbing Go. of 12201 Ninnotonka Blvd., iinnetonka 55343 a PLUMBING Permit for: (Owner) Sally Company 603 ? 611 61 K' 425 at &;an5,5121 pursuant to application dated 12/6/71 & 12/13/71 Fee Paid: •20.00 ea. Dated this 14th day of December 1971 total Yi1uO.00 2.50 s/o ctor TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 171 The Board of Supervisors hereby grants to Ray N. Welter Heating Co. of 4637 Chicago Ave. So., Mpls. 55407 a HEATING Permit for: (Owner) Sally Co. at 601 Chapel Lanes Eagan , pursuant to application dated 1/19/72 Fee Paid: $20.00 Dated this 21st day of January , 1972 . .30 8/0 Building Inspector 0 MINNESOTA VALLEY SURVEYORS & ENGINEERS CORP. 12000 E-12TH AVENUE SOUTH BURNSVILLE, MINNESOTA 5537& Ph...: 8962750 aF,50TA VgI ??Y?ks ti??,r Certificate of Survey for: fT/NFTN ,4RPFLBr i/m /26:37 OR/J/N4 eg A/?O' Ur/L/TY LASE/'?IE? cool I O 5.0 R? 3d.s _ .voo?- YD 0 C11APZ °DENOTES /EQ&N ,WOiYUMENT LOT 9 BLOCK 3 $E-LMARK, DAKOTA COUNTY /WI/Viii 1 hereby certify that this is a true and correct representation Minnesota Valley Surveyors i, of o survey of the. boundaries the above described lands Eng neers ? C o R L S and of tho location of all buildit ngs, thereon, and all visible by encroachments, if ony, from or on s id land. 9 93 As surveyed by me this 7?j day of Decemher A, o. tvii. Minn. Reg. No. MASTER CARD 0 STRUCTURE AND LAND USED AS Permit No, Issued Issued To Contractor Owner BUILDING PLUMBING NG 00, CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING /1 r GAS INSTALLING SANITARY SEWER OTHER ?G 3 OTHER • Items FOOTING FOUNDATION FRAMING FINAL ELECTRICAL HEATING GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ; Approved (Initial) Date Remarks Distance From Well SEPTIC -?. (-- , y CESSPOOL TILE FIELD FT. DEPTH OF WELL ]V- 7-fi• r - /9/7 Violations Noted on Back House heating test record Owner g'y Controls Address c (V fN1 \ jy Apt. Thermostat I WV Heat plug City e-L Heat loss Date htg. instt5' \ 3 0") Sold by CenterPoint Energy Installed by CenterPoint Energy Electrical work by CenterPoint Energy Valve Limit Limit setting Fan setting\ LL1 } ^l , ,? Pilot tvpe\\ J Heat type: FA) Space heater Gas line by Unit heater Other Pilot make Pilot model Pilot timing Gas design Pressure: Hi fire/ Lo fire 3 > LPL ?` ?a l Ib Make ''C Model `?? Percent C02 Input CFH Percent 02*? I? Serial no. ?? Y3 Stack temp Percent C04 Input ?? 1L`i`• P T CenterPoint® Energy Conversion Vent size Kind of liner/size Draft hood Regulator Filters: Size ?? Xl Number ` Chimney location: nsid Outside Chimney construction Wiring 1- Test tag `,- am Lighting Inst \ j " e--- Date tested , j X Company testing te rPoint Energy Cen Tester's name ? [[ l \(`, ( A l1 ©2006 CenterPoint Energy Form 235 Rev. 4/06 ID-61463 City of Eaflifin 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 //?/ Z- ? - - - - - - - - - - - - - - - - For Office Use l f?1 07 Permit#: j P i erm t Fee: Date Received: I Staff: ---------------- 2008 MECHANICAL PERMIT APPLICATION Date: M S a00 Site Address: Lot k %a 121 I 1i I e Tenant: Suite #: RESIDENT / OWNER Name: Phone: tc5 ?` u ? • ' ' O Address / City /Zip: t0l l C \ 1=O C cam. YY1 N SS i a CONTRACTOR Name: CENTERPOINT ENERGY License #: Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS State: MN Zip: 55433 Phone: 763-757-6202 Contact Person: JOANN ZINKEN TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: '??n6<a??' ? e ?t?rhCU e Qn (J??r t NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL 'Furnace New Construction Interior Improvement ? Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit * HVAC units must be screened Heat Pump Under / Above ground Tank (- Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ _ 5O' S TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE -- .-.^ -. - - •"•-• •",? Liar uia wuin Will ue III curuurrnance wrln Ure uruinances ane cones or the Miry or Cagan; mat I understand this is not a permit, but only an application for a permit, and work is not to start wit t a permit; that the work will be in accorda ce with the approved plan in the case of work which requires a review and approval of plans. ////// x JOANN ZINKEN Applicant's Printed Name FOR OFFICE USE Required Inspections: .--Under Ground - Rough In Air Test Signature By: Date: Gas Service Test -in-floor Heat -Final 1QAer