650 Atlantic Hill Drt • _
CITY OF ?4GAN
?
WATER SERVICE
PERMIT
3830 Paro
Knob Rosd
P. O: Box 21199 PERMIT NO.:
• Eegan, MN 55121 DATE:
r.
Zoning:
- No. ot Units:
. ov a 5au or
Owner.
Addrosr.
SiM Address: 650 t ant c tTi lls rr. :.ZI.
p'umber: '%rucktrwelier ?'lunh inn
Meter No.: Connection CharQe: r?,`?.l?t) pd
SiZe: Accounr oeposrt: 15.00v a
Reoder No.: Permit Fee: 10. ?OT)d
I NrM te ooinPlp wieh e1N Ciey ef Ee"¦ Surchnrye: . 5'Jp d
O.diw.wa.. Mf ac. Cho rges: 1'^. 00 pd S/ C
Total: (?,`v T'e metN1
By Dote Paid:
Date of Insp.: Irnp.:
' CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
-Eagan, MN 55121
Zonirg: . 0\r_. Fl au oT
Ownar:
SEVVER SERVICE PERMIT
PERMIT NO.: 7356
D11TE:
No. of Units:
/lddrcss:
Sits /lddross: 550 $n c: s . a es e Est.
p?umben, Bruckmueller Pluhbino
_ _ _ . I _. . . P
1 qr.e to empy wMb 1r. Cihr d Eegee Connection Chorp: 4? 5. OOpc?
ddiwewwm /laoourn*t Qeposit: T _
Pem+it Fes: p
Surdarqo: p4
By Misc. Chwrpea:
Dote of Inap.: Total:
I rup.: Dote Pald: _
SiteAddress ( ='u
Lot -/_ Block
L ?lame
d
?o Address U \)"4 ` C CIty
Name
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE: 454-8100 PERMIT # ? °J
RECEIPT # ::3
? ?? ` ? ? ,? ?
DATE:
BLDG QESCRIPTION
O
ec/Sub. ' c r X.[ .; f . TYPE
r•c_ - W
RK
rs ?ra? .
R
?
N
?
A. es.
t
M ew
'"'z ul
C Add-on
R
ne
- omm.
Other epalr
?
?
g (iiL.-s (J?? I
r? -, ...J _ I .._ r .
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
? ? `'? • `?tlU M BTU
M BTU
M BTU
M BTU
CFM
1
S ? FEE `- v 3 \
r
? S/C:
??I / ? ?? G _' ?? • ac <- TOTAL• 7 Z.
FEES
-100 M BTU - $24.00
50 M BTU, - 6.40
'OND. 0-24 6TU - 12.00
fi M BTU - 6.00
i - 1.50 EA. e
GOMM/IND FEE - 1% OF CONTRAC7 FEE ?
MINIMUM - RESIDENTIAL FEE - ^10.091
%?- - ?
MINIMUM - COMM/IND FEE - 20.00 4
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE '
6-rif 2 ?.?
FOR: CITY OF EAGAN
I ?-?
Receipt 3 - ? PLUMBING PERMI7 Permit No.
;.! CITY OF EAGAN Fee SU U
? frll in numbered spaces S/C ' SC
Type or Princ /egib/y
Tot. s S U
1. Date - 2. Installation Cost
, ?- -?
3. Job Address - ' ?Lot?Blk. Tract
4. Owner ? .
5. Contractor Phone
6. Address
7. City State Zip '
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Description: New ? Add D Alter O Repair El
1 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatnry Softner
Shower J Well
Kitchen Sink _ P ?
, i?
Urinal/Bidet Other
Laundry Tray
Floor Orains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
Rouyh
for
Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved,") t4 ,, CITY OF EAGAN 464-8100
?s
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan. MN 55121
, PHONE: 454-8100
BUILDING PERMIT RKeia #
TO M nwd fw •? • -?'?`', Fst. Value ?! Date
5ite Ad*ea
Lot Block Sec/Sub. '
ParcN No.
? Name ? . .. .. _ .. . .., . . --
Address
City Phone 2 .
Erect LJ Oxu pancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Install O
APMevah FNs
Name
? Addre
Citv .
Nama _
Addross
Phone
Assessment
Water a Sew.
PoHce
Fin
E?W
Plannet
Councfl
,
Surchorge
Plan Review.
SAC
Woter Conn.
Water Meter
Road Unit
1 heroby acknowledge thef I haw rood this opplication ond state thaf gldg. Off. 4 Parks
the intormotion Is correct ond ogree to comply with oll opplicable
APC Total Y -? •'??%
Stoh of Minnewta Statutas and City of Eayon Ordinonus.
Ver. Oate
Sipnotun of Permittw ,
A Buildinq Permit Is issutd to: . on the sxpross Condition thot
dl work sholl be done in accordance with all opplicoble State of Minnesoto Sfotutes ond Gty of Eoycn Ordirwnus.
Buildlnq Official
• Pamk No. Pumk Haldw DsM T912 hone ?
Plumbinp
r
H.VA.C.
Ekictric A j qq3, A p 0,;
Suttemr
Irqpsetion Date Insp. OthK
Footinpt ?
Fo,ndatio? G - o . 8'G
Framin9
Roofinq
Rouyh Plbq.
Rouph HVAC
Inwlation
Final Plbp.
Finsl HVAC
Final
CMt/Ooe.
W#ftf Oowibe Loeation:
YINII
Sf Wff
Pr. Ditp.
CITY OF EAGAN Remarks
Addition LakeRide FstatPG Lot 4 eik 2 Parcel 10 LL300 Q40 02
Owner -- ;? ? J()V 1-1rL Street 65o State Eagan,MN 55123
? i • 4/." r1.
Improvement
Date
Amount ?
Annual
Years
Payment
Receipt
Date
STREETSURF. 5/ Im . 1981 1690.16 84.51 20
STREET RESTOR. 3 1981 1409.7 1 0.49 20
GRADING
SAN SEW TRUNK S6
*SEWER LATERAL
WATERMAIN
*WATER LATERAL laRl
WATER AREA
STORM SEW TRK ` 198
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
EAGAN TOWNSHIP
BUILDING PERMIT
owne: ---- ............................. ?
........
Address (Present) ..1.?':::...`.! , I?I.:, ?:c..,-.-. /?«?.,:. .
..................... /........................ '.---- ?/._..
•` I -
BuildBi ._...-------- 1_...._ -
..'....:.....:................._................._.........
.
Address .. ; l
...._.-
. ...................... ................... .... .........
DESCRIPTION
N° 1959
Eagan Towxahip
Town Hall
Dale .... 3? %./G.?.......'-"'_'_'-'
5tories To Be Used For Froni Depih Height Eai. Cos! ermi! Fee Remazks
(
LOCATION
Siree2, Road or oihex Descripnon o! Locai[on I Lo! 131ocK nqCliloa os 1'iact
This pezmit does aot avShorise the use of slreels, raads, alleps or sidewelks nor does iS give the owner or his agen!
the =i4b= !o ereale anp situation which is e nuisance or which presenls a haaard !o the healih, safefp, aonvenienee and
general weltaze 2o anpone in the communiip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORR IS IN PROGRESS.
- . p - ...... ; ..has • 'J .-.. - p
Thu ?s !o eerlif =fs.=?=-J-'- ??` :.............---_...__....... Permusion !o erect a---.?:?:_.:.-r'°°-- _.?-.......?..`:..---......-°-°--u oa
the above described premise subje..c!-
_!o the p:ovisioas of the Building Osdinance for EagaxY Township r4dopled April 11.
1955. _
? ? .
? ?.-
' . .
...------------- ?..._.' ., ......... .........._"'._. B'__'....__.'.... Per ._...."..._.."._' _ ......................................................... ..............
Chairman of Tnwn oard " Suilding InapeeSar
?-= d= .
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex _....:.
... ' :'-'•" -' ' .. .......................... Address(Pseseai) ...... ...................° -............_....... ...........-- -°°°.- - 5 S-/ i 7
Suilder ...... 5...?:cw-.---......................................
??
Address ...................... ................. ............ ........................... ................
DESCRIPTION
N° 2525
Eagan Townahip
Town Hall
Date .... ?l...J' I7/ .....................
Slaries To Be Usad Fox Fron! Deplh Heigh! I Esi. Cos! Permi! Fee Remarka
.?^'? cy ?.
Z/ /
9
i
0 Vr ayr 'a
eaeex, noaa or omer L@SCI1pI10T oi Locavon I Los niocs aaamon os 'rsaci
?-?-? ? ?l ?
,i?. ,
This parmil does not au oriza ?lhe use of sireets, roads, alleys or sidewalks nor daes it give the owaer or his egant
the right fo ereafe anp sifuation whiah is a nuisanee ox whieh presenls a haaard !o the health, safelq, convenieaca and
genesal meliare !o anyone in the community. .
TFIIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
- /
This is fo eartify. lhai..? -: ::-_.. ?-'--'? :._......_.-.-.._.---..has permissioa !o ereci a.....?5?:...: ..'G .°"z`.. . . . . . ........_upoa
...................... . ....
!he above deseribed premise subjeci So the provisions of the Building Ordinanee for Eagan Township adopled April 11,
1855.
_ .............'--.............. ?... ............ ...""'!-.:".:`.:..'?.-:......
'. .__....""'...""......', •' ...............
_ .. Per .---'-".-- .............. .
.
halrman ot nwn Board ? Buliding Iupeelor ?
t CITY OF EAGAN
WATER SERVICE ?
PERINIT
3830 Pilot Knob Fioad
P. O. Bdx 21199 PERMIT NO.:
?agan, MN 55121 DATE
y
J
/Zoning:
J
Owner:
' '
,- ?'?III?IA
S
? T_
q
.
_ ress: -T ?
-il S r?-: =fc.^ ...
???dflf5: . , . i'? ? gP47[, f C t1
..:4T-.._. . : .
PlURIblf:
Meter No.. 3? 9?'S' ? ?????
Connection Cx?drfle:
Size: " KA? Account Deposit:
? Reader No.: C!Z L oVD 34{i? Permit Fee:
IGyrw fe oMplp wilh tM Giry of Eayon Surcharge: t„1
Ondisa Miac. Chorpes: ?' f t
Totot: ,?
By Dote Poid:
?
Date Insp.:
Insp.:
T',eequest
?
p-r
fV ?Pd4 3133 7 8? 910
i
P1
FaquGGe?Date
?..j•a??? Fire No. '
I
? RouNh--n Inspec[ion
Require
dyNOwQWiIlNmify,lnspec -
Wh
I
.L ? ^ ?
es No
ur
en qeady
icensad Elecvical Contrnctor 1 hereby request inspec[ian of abave
? Own
r
i
k i
t
ll
t
l
t
l
tl
e
e
ec
ca
wor
e
r
ns
e
e
Stre t Ad rBox ?or /po/yte No.
C/ Ci[v
iJ! i"z4'? /c G.?.
ecbon o. Townshi'p Name or No. Range No. Cou1nly?
OccupantlPRINTI Phone No.
(
Pow SupDl.er? Address
ns
Elecvical Contractor IC uan , ame) Cnn2 e
r.mr's li
ce
N
o.
e
/
B
?
-
?
/
/ /r . ??' , ? /?/?T?
Mailing Ad es/ (Corynhaclor or Owne/r ?Me ? g Ins1tailation)
Authorized Sig ture (COn ctor Ownar 1'}i ' Install t on) hone Number
MINNES Ty f? THIS INSPECTION NEQUEST WILL NOT
gs • 87 ?•- T BE ACCEPTED BY THE STqTE BOARO
C 1821 1 55104 ?1NLE55 PROPEN INSPECTION FEE IS
Ph --jB1 (?' C^f ENCLOSED.
REQUEST FOR ELECTRICAL INSPE6iION "Xl`??`?-i; EB-o°°°i-o°
See insiructions for complatiag t.bis torm on back of yellow copy.
"X" Below Work Covered by This Request S
NftolAddl Reo.l Tvoe oi Builtlina 1 Aooliuncea Wiretl I Eouiumenl WireA I
ex
U_ ? I(.ommercial Bldg. fumace Silo Unloader ?
Industrial Blda. Air Conditioner Buik Milk Tank •
Farm
p Fee Servica EntranceSize q Fee FenOers/SUbfaeders # Fne Circuits
U to 200 qm s 0 to 30 Am s () tn 30 Am s
Abo e 200 qmpy 31 to 100 qmps 31 to 100 A
7.'^+ Swimmin qbpye 100_Am : Above 1Q0_Am -
Transiormers Irrigation Booms Partial%Other Fee
Signs Speciallnspection
Rem?rks • ^' , S??J?D TOT/IL FEE r?
InsOectoq hereby
rtifY thBt the aGOVe
Final Date ^c {?peetion has begn
r I.eFG made.
Tin repuest voitl
Lu Q 2. l._cees+oCa F-Izf
HOUSE HEATING TEST RECORD
ADDRESS
HTG. INST
_FLOOR CITY Qt/ SUBURB
R
INSTALLED BY Sw ?LL? iV\ ECIi
Gos Lim By C? N[CL yN Lc! N
FA HW _STEAM _SPACE HTR. -UNIT HTR. _OTHER
/?G[ U DESIGN CONVERSION
MAKE h Ic2 Su?C a SAuc,?_ Mp,KEOFBURNER ?
MoS*,! ?-g S' S B?= `! s_- 6 o__ ?
Model
Sarial GJ3 `'If7 Max.BTURafing ?
INPUT r? y(L-1V ` 3T'?I MAKE OF FURNACE ?
CONTROLS
THERMOSTAT ? ?7 P Haat Plug
v,l,,, PneQ ,?ri Sx3ySt?lsx-i?-
Limit !?,'cf mCJ ?/rOi(
LimitSstting jr0 J,=
Fan SaTring i Yo °f`
PilotTypa C???? ?-Nr=
Pi lot Make -/ 'lo L7
PilmMedel
Pilot Timing
L.W. Cut Off -
Modal
?r
Venf Sizs -7
KIND OF LINER SIZE NONE x
DmkHood IVt3NC Reyulamr
Films Sizs e L re T Number
Chimnay Locotion Inaids X Oufside
Chimnay Cons}rucfion
Draft
Dow
Prossuro s? S WC- psrcentCp ?'i' 2" DaM Tastad f 0 Z-7 0 Z k6
InOut CFH %(Y 2
Psresnf O
Z ?- Company Testing ."UCGt- l?ti?:?t+
Smck Temp. Pxcent CO r Z 7`' Neme of Tsster 1-EC- 1{ Ail3? ?- 1-i e- a 460 1 I I`i
Form 235
CITY OF EAGAN nJ2 101 2 8
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Recelpt #
Te M uwd Ie. SWIM POOL Est,yalue $10,000 pefe APRIL 22 1985
650 ATLANTIC HILLS DR Ereet 11 Occupency
siteAddren
2
4
LAKESIDE
EST Remodal
?
2oning
Lot Block S+c/Su6. Repeir ? Type of Const.
Pareal No.
Enlarge ? No.Staies
DUANE SOUTOR Move ? ?.enqth
N?e S?E Demolish ? Depth
? Addrecs Grede ? Sq. Ft.
citv Phone 454-7342 i,,,tai, ?
A 1 c...
VALLEY POOLS INC vwovo?
g Name
ou q?? 651 CLIFF RD A??^t-
C;ri BURNSVILLEpho„B 894-1480 Warer85ew.
Nema _
Atldresa
Phone
Police -
Fira
Erq.
Plamer _
Council _
Permit ? o v . Ij? v
Surckwrye '?cy.0
Plan Review
SAC
Woter Conn.
Wmer Meror
Rood Unit
I hercby ockrrowladge that I hcve read this opplication and steta that BIdB• Off. 4 22?85 perks
fhs inlormation is eorrect ord ogree to mmply with all npplicobla APC Total S` 85.5
O
StaM of Minnesota Stotutes nd Giry of Eag dinoncea.
Q Var. Date
Sipnoturo of Permittaa
A Buildinq Permit Is issued ro: VAL POOLS INC on M„ axpress cadinon thos
NI work shall be done in acmrdanee wifh oll?p/?) lim?ble? State n.?r?uq.o_f?a Stafutes ond City of Eoqon Ordironcea
Buildirq OffiNol
?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
? .10 City Of Eagan
I/'?1 3830 Pilot Knob Road, Eagan MN 55122
? ? Telephone # 651-675-5675
Please complete for single family dwellings & townhomes/condos when permits are required for cach unit
Date q / I / 0<?
Sit
Add
(Uz 1"I'IQ Y1+k
?MS Dr• U
i
#
c
ress
_ n
t
Property Owner Telephone # ((p? ? ) ?O ? ? / 7 1 ?
Contractor p'1\,r l * v?,?v$ ? C.-
Street Address?j p gs ??L'( ;? Ji • w ?? ??
?
_ City ZQU Li n
_
Statc 1' 1 n Zip 5_S'?a 3 Telephane #?a??
Bond #: Ezpires:
The AppGcant is _ Owner ?Contractor _ Other
Add-on or alteration to existiug dwelling unit ?
? $ 30.00
fumace _Additional _R placement
air exchanger ?
?
i
diti
N
?
F
a
rcon
oner _
ew
!
2eplacement
other
State Surcharge $ 50
Total $ 30, ?
?
I hereby apply for a Residential Mechanical Pemu[ and aclmowledge that the informafion is complete and accurate; that the work will
be in conformance with the ordinances and codes of [he City of Eagan and with [he Mechanical Codes; that I understand lltis is not a
permit, but only an applicalion for a pecmit and work is not to start without a pe 'Y, that the work will be in acwrdance with the
approved plan in the case of work which rcquires a review and approval of plan
s
4 rn O1Soy-?,
Applicant's Printed Name Appli t's Signature ? n nn
I' I rUi, J L/ ?
JUL 1 12005
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: coaunerciallindustaal buildings
multi-family buildings when sepazate pernuts are no[ required for each dwelling unit
D eO'7 / Ok/
SiteStr ddress Unit#
Tenant Name (if a'cable) Previous Tenant Name
Property Owner ephone # ( (ps I ) ILOtO ' "I 1go
Contractor r
Strect Address SO l? ?? i-t" # [C) City 0-9P Ic Va I 1 e-Vl
State Zip s- ` ?jq_ Telephane #
..?
Bond #• Expires:
The AppGcant is _ Owner _ Contrac[or _ Oth
Work Type
New Construction _ Underground Tank _ see below
InsX
I
nterior Improvement _ Install Piping _Processe
_7Gas
Nature of Work:
"When insta!ling/removing underground tank, cad ior inspection by Fire Marshal and Plumbin nspecfor
P¢I'NIY FCC9: 870.50 Undergromd tank inslnllatiocJremoval
$50.50 Muiimum (vtcludes State Surrharge.)
OY
Contract Value $ x 1% _$ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pernu[ fee is over $1,000, add $.50 for
every $ 1,000 Qernvt fee $ Total Fee
I hereby apply for a Commercial Mechanical Pennit and acknowledge that the infomialion is complete and accurate; ltiat the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand flris is
not a permi[, but only an application for a pemii[, and work is no[ to start without a perntih, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Nazne
ApplicanYs Signature
Approved By: Inspector
PERMIT # 5-1 6 5 ?
RECEIPT DATE:
2002 itESIDENTIAL PLUMSIN6 PERMIT APl'I1CATION
CITY OP EAfiA1Y
S$SO PILOT KNOB RD
fA6AN, A11V 551 E8
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SO /?`j'L/•InrnL HILC
INSTALLER NAME: i2 L'1A "d 9&a6-•4 MTN&
Vn.
TELEPHONE#: 6sI l086 - ?(7/(0
(AREA CODE)
TELEPHONE #:
STREET ADDRESS: 9111 UN l VCTZS I (AREA CODE)
T?'] A Vr -
CITY: S'T• rA?L YO N- STATE: IMZIP: S'Doi(
_ SEPTIC SYSTEM, new/refurbished (requires hvo sets of plans and MPC license)
$ ?
100.00
includes $40.00 County fee !
i
Note: Additional consultant fees may apply !
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ?
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
A donment of septic system.
Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repaidrebuild
$ i
30.00
i
_ lawn irrigation system !
;
Replacementladditional: _ water softener _ water heater $ 15.00 i
I
State Surcharge $ .50 I
i
i
$
Total I
I hereby acknowledge lhat I have read this application, state that the information is correct, and agree t complywith all applicahle Ciryof Eagan ordinances. It
is the applicanYs responsibility to notity the propeAy owner that the Ciry of Eagan assumes nq lial, ili for any dam ge?cau ed the City during its normal
operational and maintenanca activities ta the 4eilities construUed under this permit vithin Sty, erFq/ g tcf ay/ sei en
? r--?
SIG / R OF PERMITT E 1102
Permit #: ? I U '-? ?o
5.2 a
.?•? Y t.V, S?QtJC?
0.? ?vvC7-''n1-'2inLLY`fs
J
Address
Property Owner
Telephone #
Plumber
Date of Inquiry
? Sewer
tateral chazge @ $23.35A
"trunk @ $945/connection
City SAC
MC/ES SAC
Receipt # ,
Septic abandonment
Permit Fee
State Surchazge
Total
g Total
Sewer and Water
Sewer lateral charge @ $23`3,5/f
Water lateral chazge @ $23.607f,
Sewer uunk @ $945/connecHon
Water trunk @ $985/connection
Ciry SAC
MC/ES SAC
Receipt # , Date
Water supply & storage
Receipt # , 44
Treatment plant
Septic abandonment
Permit Fee
State Surcharge /
Total
:rmit rcquircd
to be acquirod with plbg permit
CITY OF EAGAN
2002 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
exisTVNG RESIDENTfAL PROPeRnr
K} City 1J.4 County R-O-V? Permit
Water
$
100.00
1,200.00
Receipt Date:
Lateral charge @ $23.60/ff
Trunk @ $985/connection
,j
I pg Py
Pd b? QLfNIM,"nT
Water supply & storage -889:96"?'
Receipt # y! 4 Date fs
Treahnentplant 540.00
Pertnit Fee 50.00
State Surcharge _50
Plumbing permit requved - water
metcr to be acquired with plbg permit
50.00
50.00
_50
OFFICE USE ONLY
1'11A PRV required
100.00
1,200.00
880.00
S
cc: Carolyn Krech, Finance Departmern
1
I lr?? •
p
Z /U 4
j CITY OF EAGAN
APPLICATIODI FOR PERMIT
-' - SEWER AND/OR WATER CONNECTIO:d
(PLE,ISE P9INT)
1) PFOP= ADDRFSS:
r.FrkI, nEscRTtir:cv: ?// yt3 ?
(Is?t/31ock/Subdivisicn or Ta:{ Parcei I.D. :imber)
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PHO:IE_
5) INDIC;TG W[-IICI{ PEPMIT IS BEP:G REQUESTID:
? CCn-VECPION 'Iq CZTY SETrIER
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(Circle one)
7) SICNA;(?E: DATE:
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F 0 R C I T Y U S E O N L Y
PERMIT = ISSUED
FEES: $ _ 10-r2O
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TOTAL
AM0UNT PAID/RECEIr^T : ?ll?3K
DOES UTILST'L CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK 6QITHIy
PUBLIC ROADL9AY" M[IST BE ISSUED BY THE
? NO ENGINEERING DIVISZOIV_ LIST AS A CONDI-
TION.
SUIIJECT TO TFIE FOLiOWIDIG CONDITIONS:
APPROVED BY:
TITLE: ?
DAT° :
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PJayen Red Saa& eoo?m"
INSURANCE • MORTGAGES • APPRAISALS e
7337 SAINT CLAIR AVENUE SAINT PAUL, MINNESOTA 55105 7
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1985 BUIGDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CER TIFICATES OF SURVEY
1 SE
T OF ENERGY CALCULATIDNS
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To Be Used For: sw/A(M /? Valuation:
_ Date:
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Road Unit
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Arch./Engr. APC / Treatment P1
Variance
Address C
TOTAL
City/Zip Code
Phone 11
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POOL DATA:
Size
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Surfacs Area Sq. Ft. Filter Rate . G . GP+t/Sq.Ft.
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FEATURES OF THE S-200 SERIES
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MANUAL AIR HELIEF for easy, safe manual re-
leeae oi air from syatem.
FULL VIEIN LEXAN" DOW1E. Clear B" threaded
inapectfon dome leta you see operatlon of filter
and provides comenient access to top oi filter.
70P C3IFFUSEq. Assures even distribution of weter
over the top of the sand media bed. All internal pip-
ing is 2" to give smooth, free-flowing pertormance.
aUTOfiHa71C AIR RELIEF. Automatically purges
filter of any entrapped air during operation of the
filter system.
CORROSIOW-PFlOOF, HEAVY-DUTY FILTEH7ANK. Injection molded of tough; durable ABS
for dependable all-weather performance with only
minimum care.
BOL7ED CENTEq FLANGE. Provides extra
strength and securely and safely fastens tank top
and bottom together. Allows for future service ac-
cess to all filter componenta without disturbing
piping and connections.
6-POSITIOW HAYWARD VARI-FLO CONTROL
VALVE with easy-to-use lever action hflndle to let
you "dial" any of the 6 valve/filter functions. FIL-
TER, WASTE, BACKWASH, RINSE, CLOSED or.
RECIRCULATE.
UNION LOCKNU7S make assembly or disassem- .
bly of the control valve easy.
EFFICIEN7 IVIULTI-Lq7ERA4 UNDERDRAIN AS-
sEM6LY. These precision engineered, corrosion- _
free, self-cleaning laterals give totally balanced
flow, even when backwashing. Laterals Individu- `-J
ally thread into center collector hub to assure
positive sealing, and allow for fast, easy servicing.
SUPPORT SiCIRT. Rugged and attractively Styled
to provide strong, stable support for the filter as-
sembly. Totally corrosion-proof, too.
DRAIN PIPE ASSENAf3LY allows for totel draining
of filter for winter or service. 3/4" garden hose con-
nection thread for easy hose attachment. Drain
assembly is replaceable from outside of fiNer.
ALL FILTER COIYIpONEN7S are aerviceable using
only a acrewdriver and wrench.
The S-200 and 5-240 High Rate Sand
Filters are available with three base opGOne:
1. Stendard pump mounting Deae.
2. Pump/Iilter platform base.
3. Deluxe pump/tilter pletform base.
The System II Series is furnlshed complate with
Hayward UL Super Pump and clear Lexan unlon.
All componants tectary assembled on Celuze
platform bese.
System II Sariea availeble with 3'i, 7, 1% and 2 HP
pumps. Your dealar will recammend iha model with
Ihe pump horsepower Ihal will provide optimum
peAormance, at tha lowest operatingcoat.
* System II separate wmDOnents system also available with
choice of Super or Max-Flo pumps,'h thru 2 HP.
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INSURANCE ? MCRTGAGES • APPRAISALS
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PIIOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstmction Reauiremente
. J.vgistered site surveys showing sq. A. of ;o[, sq, ft. of house: and all roofed areas
(20% mmimum lot coverage allowed)
• 2 copies of plan showing 6eam 3 window sizes; poured found design, ztc.)
. 1 set of Eneyy CaIcWaOOns
• 3 copies of Tree Preservation Plan i( lof platted aker 711193
• Rim Jaisl Delail Op[ions selec6on sheet (bldgs wiN 3 ar less units)
DATE ^i - aq - o a,
RemodaUReoair Reouiramenta
. 2 co0ies of plan
• i set of Eneryy Calculatioas for heated additions
. t site survey for ezrerior atlditions & decks
. lndicate it hcme served by septic system Por additions
? ?
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VALUATION ?
SITE ADDRESS MULTI-FAMILY BLDG Y?- N
TYPE Of WORK .jUJ1 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT CL"-IJ?V STREET ADDRESc ?SG .T?f'M 1?.w.? ??'1 ?aO ( CITY a c+?? STAIf W ZIP. -?? I?
TELEPHOtJ?A95045:?' ICELL PHONE # FAX #105I 45a 40a3
PROPERTYOWNER TELEPHONE#1951 ?94fJ??I(_v
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yIIV;VESO"fA RUI.ES 7670 C\"f EGORY t N[I1:tiLS0'f:\ RU'LF.S 7672
(J submission type) . Residential Ventilatlon Category 1 Worksheet Submittetl . New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
vlcch;uiic:il sc,tcin includcs:
Sewer/Water Contractor:
.? Water Softener
Water Heater
No. of Balhs
Air Condilioning
I-Ieat Reco%en 5vstetn
Fee: $90.00
iui 2 9 2002
e#
570.00
----------------------------------------------------------------•---------------------°-----•---------------•----•-----°
I hereby acknowledge that i have read ihis appiication, state that the information is c ect, and agree to comply
with all applicable State of Minnesota Statutes and Cify of Eagariladinances. ? t
Signature of
OFFICE USE OttLY
_ Phone #
L,awn Spnnkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 650 Atlantic Hill Dr
Lot: 4 Block: 2 Addition: Lakeside Estates
PID:10- 44300 - 040 -02
Use:
Description:
Sub Type: e - Fumace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
4/30/08 Notification letter sent regarding expired permit pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Michael K Dill
2768 Royal Point Dr NW
Grand Rapids MI 49544
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA080420
10/12/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107975
Date Issued:11/07/2012
Permit Category:ePermit
Site Address: 650 Atlantic Hill Dr
Lot:4 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-040
Use:
Description:
Sub Type:e-Fireplace
Work Type:Free-standing Stove (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Michael K Dill
650 Atlantic Hills Dr
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
I I
Permit
EaEdfl
City of I Per
mit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Eagan
Phone: (651) 675-5675
1
I Staff:
Fax: (661)675-5694
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ( Unit
Name: c, (A akA (L Phone: ~J J ~~~(J l Yj
Resident/ # j „ 1"n L ` ~ r
Owner Address / City / Zip: t!J `?I
Applicant is: Owner Xontractor
Description of work:
Type of Work G~ ~~`~P
Construction Cost:-1 ` OC) Multi-Family Building: (Yes / No )
-a.ml Company: Contact:,'-2-eb V~e/r+&
Address: H W2 LI ac T~_' 1 V City: 1,
Contractor
State: M N Zip: r Phone: 2(2T
License C V1 I lG Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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.oopherstateonecall.org
I hereby acknowledge that this information 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 the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ l lY ~ (M'Y1W x
Applicant's Printed Name Applicant's Sign ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129365
Date Issued:02/04/2015
Permit Category:ePermit
Site Address: 650 Atlantic Hill Dr
Lot:4 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Michael K Dill
650 Atlantic Hills Dr
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature