573 Atlantic Hill DrYILL(OE OF EAGAN SEWER SERVICE PERMIT
3195 Pilot Knob Road PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: R-1 No. of Units: 1
Owner: i3nice I,ande
Address:
Site Address: LiSBl LetkeB:Lde, 573 AtlantiC Hills ?
?
Plumber: '
" 5r27/75 0264 ?
r I a9rw +o comply wifh the Village cf Eayan Connection Charge: 425.00 pd •?
? Ordieanees. Account Deposit: -
? Permft Fee:
h Surcharge:
f By: Misc. Charges: -
? Date of Insp.: Total:
' Insp.:
I
? Date Paid:
CITY bF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
tagan, MN 55122 DATE:
Zoning: - No. of Units:
Owner:
Address:
Site Address: T'..IkG='".?
-- - -?ttc, 3
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
I ogree to eomply with the City of Eagan Surtharge:
Crdinaneea. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp
:
.
CITY OF EAGAN SEVNER SERVICE PERMIT
I 3795 Pilat Kneb Road PERMIT NO.:
Eagon, MN 35122 DATE:
Zon1n9: No. of Units:
? Owner.
' llddress:
I Site Address:
j Plumber: - 9":
I proe to tompiY wll6 !IN Citr of Eogon
Oedinaeeet.
By
Date of Insp.:
Connection Chorpe:
Acoourrt Deposit:
Permit Fae:
SurcF?arge:
Misc. Charges:
Totol:
Date Pcid:
PERMIT #
MECHANICAL PERMIT RECEIPT #
CtTY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
LotBlock ? Sec/Sub
Name "• Res. New
d
4)
Addr -on
Mult Ad
.'? ess
Comm. Repair
c Ciiy ' Phone ` Other
? Name - - FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE? - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU ? STATE SURCHARGE PER PERMIT - .50
Ver?t. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outleb #
Other
; ... ? FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL• r ?
FOR: CITY OF EAGAN
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUIYT $ I
t
& DOLLARS
too
FICASH E)CHECK
FUND CODE pMOUNT
Thank You ?
BY
White-Payers Copy
Yelloov-Posting Copy
Pink-File Copy
- ? !.
INSPECTION IiECORD
CITY OF EAGAN PERMIT TYPE: ??"' ??' ??
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
; ,,, 1!: ,, ?; : . ,; ,, t
SITE ADDRESS: ? i i ? APPLICANT:
;. i I AMt r1• i-tr? i nr
PERMIT SUBTYPE: TYPE OF WORK:
I i-, s MHfrK `. ; 1?EFt0 0 ! 11 Ul' 10 '; COf?M i?A 14 A 1;N ,
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
RpUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FiREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE5T
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Lakeside Estates I ot- 15 Bik 1 parcel 10 44300 150 01
Owne' a . ,, , - %, ,,-• ':? t- - street _573 At1ant1C Hills DY', state Eagan,MN 55123
ell
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. S6 6?
STREET RESTOR. 1981 1409. 71 70.49 20
GRADING
SAN SEW TRUNK S42. 1981 2$0.00 14.00 ZO Gb
*SEWERLATERAL 5-63 1981 4281.24 214.06 20
WATERMAIN
*WATER LATERAL 1981
WATEFi AREA 9$ 280.00 14.00 ZO
STORM SEW TRK 1985 711.00 47.40 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGNT
Road Unit 185.00 25076 6-10-81
WATERCONN, 335.00 25076 6-10-81
13UILDING PER. 3 9 264 -7
SAC 425.00 264 -27-7
PARK
!SG °0(
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: r?r
The Gity of Eagan hereby grants to gA;G- I-Rde
of '73 nti «a aa i t rni .gaqpr 55173
a Permit for: (Owner)
at eame ? pursuant to application dated 7/29/75.
Fee Paid: $20.00 dated this
.50 a c Mechanical Permits:
1 day of Auguat t 19 75 ,
Building Inspector
Bid Total:
CITY OF EAGaN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PEMMIIT NO.: 712
The City of Eagan hereby grants to Bruce Lan&e
of 573 Atlantic Aills Drive, La4an 55123
a HEATING Permit for: (Owner) sane -
at same , pursuant to application dated 7/29/75
Fee Paid: $20.00 dated this 1
.5o s/c
day of Auqust , 79 75
Building Inspectbr
Mechanical Permits:
Bid Total:
.;. ?
CITY o? EAGAN N? _ 3591
/J B ILDING PERMIT
! K ob Road
. .
.. ............. .
Ownss .,(„l..?e-?!/<.....??.J.? ---...... .. . Eagan',M nnesola 55122
4! /? . ?
Address IPl089T2? ...?f• 4(?L....... /. . ?....... .. . .n...?................ GS4-EIOO
r
Builder ................?..F...?.........----...,4 .?..,,J...C....?G*....?'.?I?4.? ?. . ..1 ?
Addreu Dals ? . f ..? ..
.............................................................................................. ? ?
Stories Ta Be Used For
'
?
I Fron! Depth
z Haigh!
? Eei. Co?! ?
? Permi! Fee
J? Aemaela
?
Z ?tIC?'?l?+C?
?Y
? J6 3 ?? , ler Y?/0?
n
1'his permi2 does no! auihorise !he use o! slraele. roads, alleya os sidewalke nor does i! give !he owner os 6is agen!
!he xigh2 2o ereele anp siluation whieh is a auisenee os which presenfs a hazard !o !ha heallh, safetp, eonveAien?e aad
geaesal we3tare !o anpone ia !he eommunity.
THIS PEAMIT MUST B?E?jj_CE?P?T? ?ON TH? R?E?,{I???iSE WHILE THE WORK IS IN P G S. ?
Thie is !o eerrify. 3ha!-R3"."..°"'-1,?...?iZ""-""'E ...............has permiseioa !o eree! a.._. .......- .---.... _......................._upon
She above described pr ' e u6jeci !o the provisions of all applieab ?n ees for fhe C' o Eag
.._-"' -' '......"_" '
? ......?.....?.. . ?'.? ................'--......._.. Per ..... . . .... .Yf....../faG?? ........---.................._.....
ayor' Suildiny Inapeelor
G1TY•OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILDING
032851
08J10/98
SITE ADDRESS:
573 ATLflNTIC MILL DR LOT: 15 BLOCKa 1
LAKESIDE ESl'ATES
P.I.N.: 18-44300-150-01
DESCRIPTION:
REROOF
BF,gildiCYt?.?Permit Type STORM DAMAGE
$u.?3.t?1ng tf9rk Type REPAIR
e`? en5WS 434 ALT. RESSDENTIAL
? ?.
3vt'?bW v .?. ? .v.v C
&0 4@ ? s3 ?F
iR ? Y? f
C
-ew,
3139
84 1(g(
F i N 0
?F
NrvgdIv.S I?.& 3 e?xl?9tu.ti R2 Rt 6+?k
d m,?j ytti ?£ry.Y SJ IA ? 4 iyF
S.S
REMARKS:
REROpF pUE TO STOF2M OAMRGE.
FEE SUMMARY:
CONTRACTOR:
? ? h0re;by; aeicYttsWlt;dge thaC '
snfarmaCictn 3e oQrrect'.and
p , .?9 tatutes a,nd _'Caty iaf Esgarb
OWNER: - Applicant -
DAHL DOUGLAS
573 ATIANTIC HILL DR
EAGAN MN 55123
(651)454-8127
taC?;; thaG,.th? i
?. ,
APPLICANT/PERMITEE SIGNATl1PE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(}AN
3830 PII.OT KNOB RD - 55122
681-4695
New Construction Reauirements
? 3 registerod sde surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; eK.)
? 1 energy calculations
? 3 copies of Vee preservation plan'rf IM pWtted aRer 717f93
reQUired: _ Yes _ No DATE:
?
OF WORK: N,2-u-;7 roo f, -
ADDRESS:
RemodeVReoair Reauirements
? 2 copies af plan
? 2 site surveys (ex[erior additions & deGcs)
? 1 energy calculatians for heated addkions
CONSTRUCTION COST; _ a _?-Dv
a /- r+l a avv? Q. q' `c
LOT: ? BLOCK: / SUBD./P.I.D. #: 1ake S ille ?5?4 f e S
PROPERTY
OWNER
Nazne: L!_ ) c? ? ? ? o C,c 9 I 4> S Phone #:
Lest First
Street
Y-
CitY State: Al?Zip: S-!7 1s7 3
Company:_ _ \l X.- 11 -} Phone #:
CONTRACTOR
Street Address: License #
City
State:
ARCHIT'ECT/
ENGINEER Company: Phone
Registration #:
Zip:
Street Address:
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
1 hereby acknowledge that I have read this application and state that the ' ation is correct and ta comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: O'? 70j-,?
OFFICE USE ONLY
Certificates ot Survey Received _ Yes _ No
1 Tree Preservation Plan Received _ Yes _ No _ Not Required
?
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- c.?- ?a o3
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4-15
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`fJ
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qA ?--c.?
L /L BL I CITY USE ONLY
J ??gsueo. ?.- e? t?' A r1 ?,5`1-rnJ?,t23
RECEIPT #:
RECEIPTDATE: 99
PERMIT #
1999 PLUM$IHC PEftMIT (RESIDENTIAL)
C[1'Y OF £AfiAN
3830 PnoT KNos Rn
EAHAN. IdN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
S backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
? Minimum fee alteretions to existin dwellin 30_00 x = $
Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction $.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $ od
State Surchar e .50 --> ----> ----> $ 50
TOtel --> --? --°> ---->
O.S
$
14e rneO?
Reminder. Call for inspections of alteretions, i.e, water heaters, water softeners, etc. P
---------------------•-----•------------------------ ------•--•-------------- --------- -------------•--
I hereby acknowledge that I have read this application, state that the informetion is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is tbe applicanPs responsi6ility to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facili6es conshucted under this permit within City propertylright-of-way/easement.
SITE ADDRESS: 15T-3 PM I LU l A I,C'? (,I? I l Sr ';?)k-
OWNER NAME: :
INSTALIER NAME:
STREETADDRESS: ``-F (?-1'?
CITY: ?SR-?(?
TELEPHONE
-g)
TELEPHONE #: (fis)? `t?Sjqq
% REA CODE)
STATE: M1) ZIP:
??--?
SIGNATURE OF PERMITTEE
.v,i?K ?;>?y/,;i:U"4*"<M:Y•','.iX;x * i!t*4? X:>r$;>, l:k:A4.
r.,.r rv or t'At;Ar?
r.:?W3E;:i:n,. s; ir::.RIM :tNAI_ ti!7e 76-1.
DATE:1 0`)fi4yre.??i`'i TIME: 005006
1il :
01il'f4VC.9 LNjll[;I_.r':i F'I Cir14ll,_
",?c-,.?
?.,•..:??:_ q.l'r,,:+ _::.:.?._?a r.-?._ ?,?._s rr? .? ^.in.irz(• .? Hi ?..
...?-
r.r .,....f1..
.i..
320 9001 ..i73 ATi._ANT7.0 1,C.. 3'3.,(:;0
2155 9001 573 A1'I..AN'iIC HI... O.Sf]
r^_2"i;o Ganf;,. ' =i%'i? Al'l.Ai4T:CC i-1_ 50.50
TiY1;2Ll Iti@^.'ejp1; (i0YliuPr'}f: `'?tn,?4aJ
WOfi3`i6
La,i-it TDu nnNcv
?Cw;h??;;X?rvh ytiPF?F:k>X?k?n>:?F??M?>}:?iaYBo;?>}:S:?;gY,:n>lAl;%,k?kri?k:%k
-Lot 15 alock
PID #
Plat
Sewer /water permit # 3 S
Date Receipt #/0Sl 95CG
CITY OF EAGAN
1999 SEWER AND WATER CONNECTION ANd AVAILABILITY CHARGES
EXISTING RESIDENTIAI PROPERTY
Sewer
chazge @ $21.85/ff
Z $880/connection
SAC
Date paid
Receipt # _
Account deposit
Sewer permit &
Subtotal
Plumbing pernyt'& surcharge
Total
$ Pd
Pd? 825.00 `/&/
468.00
Pd 114.00 t-/8i
15.00'
50.50 r''k-
`y'J
Plumbing permit & surcharge
Total
uj .Sw 3d31 to
Water p?,""tfi?Pt ;fr
Z- Lateral chazge @ $22.10/ff
7 Trunk @ $920/connection
50.00 . Water supply & storage
Date paid
Receipt #
15.00' Treahnentplant
50.50 Water meter "Inspections req'd prior
to issuing
g Account deposit
Water permit & surcharge
30.50
? Subtotal
Sewer and Water
Lace charge @ $21.85 and/or $22.10/ff
Trunk 880 and/or $920/connection ,
SAC
Date paid _
Water supply & :
Date paid _
Treatment plant
Water meter •*In:
Account deposit
Sewer and water
Subtotal
Receipt #
7dreq' #
pr to issuing
t & surcharge
& surcharge
Property owner 130 u r? J c?-? 1
Address T?'l `(+, v?-4l C.
Phone numbet ? S ?- H S -D D 9 L
Plumber (?)-e Vk Z-01
$
1,150.00
825.00
468.00
114.00
30.00
100.50
$
30.50
$
30.50
S?
OFFICE USE ONLY
PRV required: e5
R-O-W Permit: City q/4 Cty N/p
Unpaid $
Permit Fees:
City financed:
,iy,v_?v,J,,•.c??t? _
??
O Y
.?
?`c•?? }
?
0. f 5
???? • ??
MASTER CAftD
L-?, )
Permii
No.
Issued Issued To
Con}ractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK ,-2
2
WELL _
,
ELECTRICAL
HEATING ?
r-...
GAS WSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initiap
Dete
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION ? _ CESSPOOL
FRAMING 6.? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLqTION
SEP71C TANK
CESSPOOL .•? l6-?
? ?7
? j dp CL'PSS D
? t'?T r ??
DRAINFIELD
PLUMBING 7,21 ' Jj- ? . 4d P-f ;E!
WELL
SANITARY SEWER I
JC °p' 7r
a ?
0.?a Y.M«iKtw`
Violations Noted
on Back
COMMENTS:
STRUCTURE AND rf v
LAND USED AS ??
oy (a ?6
. 1"
Licence No.
Sa_za oF b1e11,_ Inches i Water Level F''eAt
k'e.---1 I;epth Feet ' Draw Down__240? Feet at__ (?2 ?__ GPtd
Caaing Deptb. ?GS P'eet ? Capacity Gallons PsrAT[:,
Thiclmesa '
i Started Ehded ? of ?
? ?
?1 :9 ?'7 'I 74
Exterior Space Around Casing Sealed With: {]Cement Grout L7Puddled Clay
? Other
Disinfer,tant Used A/ "
Hours Left in Well
?
Driller's
RH,'TUfiD1 TKiS RECORD AF`i`ER CONIPLETION
l9a,6 -3
Cities Dijzital Qualitv Control
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PHONE 454-8100
C1TY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA
55122
February 28, 1979
MEhfO T0: Pat Erikstrup
FROif: Ann Goers, City of Eagan
RE: Lot 15, Block 1, Lakeside Estates
Dear Pat:
This is to confirm that the street assessments for the City
of Eagan are levied at a 10 year spread and the sewer and water
lateral assessments are spread for 15 years.
These are all at the 8% interest rate per year.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114861
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 573 Atlantic Hill Dr
Lot:15 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kim Moore
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Douglas H Dahl
573 Atlantic Hill Dr
Eagan MN 55123
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature