1081 Beatrice St 09:27 SEP 17, 2004 FR: THERESA SCHOSTAG #5973 PAGE: 1/1
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C O U N T Y
ENVIRONMENTAL MANAGEMENT DEPARTMENT JI
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 932.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: September 17, 2004
TO: Tom Colbert/Wayne Schwartz (EM) Fax (651) 675-5694
RE: Well Permit 04-H227561 Well Type: Domestic
Municipality: Eagan Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management Department has received the
following permit application for the well described. If you require further review of the application or if you have any
questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's
observance of and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Thein Well Company
Date Application Received: 9/9/2004
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: John D Webb
Well Owner: John D Webb
WELL LOCATION:
PLS Coordinates: 1/4, NW 1/4, NW 1/4, SW 1/4, Sec 02 Town 027 Range 23
Street Address: 1081 Beatrice ST
PIN Number: 104775018002
WELL INFORMATION:
Diameter: 4
Casing Depth: 138
Total Depth: 138
Static Water Level:
Aquifer:
COMMENTS:
L
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Connection Comments
Eagan Building I Eagan geve:lapment Permits
Owner Eagan Asses /Sales Eagan Prop" ~ Eagan Zonin
KENNETH
f Parcel la 1D"71 118002
Address puff F i"RtE 8T
Owner 1 BB JOHN Q
1881 BEATRICE
EAGAN MIN 55121
tlwruar 2 EBB PHYLLIS
1081 BEATRICE
EAGAN MIN 55121
SEATIMI Owner 3
Owner
Parcel data updated August 27, 2004
Search PM Search Main 1081 BEATPICE ST ~
LL
This request void
1 B months from
44314
Request Date Fire No. ough-in Inspection
uired? Ready Now Will Notify. Inspec'
y Yes ❑No for When Ready
Licensed Electrica Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, Box or Route No. City
e,,L `Y t %C' f
-Section o. Township Name or No. Range o. County
Occupant (PRINTy~ Phone No. /
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Instailation)
Authorized Sign ture (C ntracto ~O ner aki/Ig In I tion) Phone Number
4
MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mid y Idg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Univer y Ave., St. Paul. MN 55104
Phone Ifi121 97-2111 ENCLOSED.
j; REQUEST FOR ELECTRICAL INSPECTION - IW7
See instructions for completing this form on back of yellow copy.
4 4 31,4 „X,. Below Work Covered by This Request
Appliances Wired Equipment Wired
Add Rep. Type of Building
Home Range Temporary Service
Water Heater Lighting Fixtures
Duplex
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner BUlk Milk Tank
Other Deci v they ISuerifyl
Farm
t .r Specify Other Other
ompute lnspection Fee Below
a Fee Service Entrance Size # Fee Feeders /Subleeders # Fee Circuits
U to 200 Am s 0 to 30 Amps 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100-Amps
Transtormers Irrigation Booms Partial."Other Fee
Signs Special inspection TOTAL EE
-r,PJ
Remarks
Rough-in Date 1, the Elec rice
i ,
Inspector, hereby
certify that the above
inspection has been
Final made.
~.i.
This request void 18 months from
CITY OF EAGAN N_ 13 4 8 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt q-3
To be used for GARAGE Est. Value $900 Date APRIL 21 ,19 87
Site Address 1081 BEATRICE ST OFFICE USE ONLY
Lot 18 Block 2 Sec/Sub. MCKEE 1ST On Site Sewage Occupancy
MWCC System _ Zoning
Parcel No. On Site Well Type of Const
City Water (Actual)
ac Name JOHN D WEBB (Allowable)
w # of Stories
z Address SAME Length
c City Phone 454-5703 Depth
S.F. Total
c Name SAME Footprint S.F.
ot
91 - Address APPROVALS FEES $
n P City Phone Assessments Permit 1_
Water/Sewer Surcharge
W w Name Police Plan Review
W Address Fire SAC, City
vz Engr. SAC, MWCC
<m City Phone Planner Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
that the information is correct and agree to comply with all applicable APC Treatment Pt
State of Minnesota Statutes and C'ty of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee 6-P111 e ~ TOTAL $1().30
A Building Permit is iss&ed' to: JOHN D B on the express condition that
all work shall be done in accordance with all applicable S to of Minnesot tatutes and City of Eagan Ordinances.
Building Official i
CITY OF UGAN
4 441
3830 P1W Knob Road, P.O. Ift 21-199, Eagan, UN 95121* MOO E: 454-8100
BUILDING PERMIT ReceiOt
To be used for GARAGE Est, Value $900 late APRIL Zl 11
Site Address 1041 BEATRICE ST i1P~ ~-~~~11.1P
Lot 16 Block 2 Sec/Sub. tMCKEF IST On Site Sewage O aney
MWCC System Zoning
Parcel No. - On Site Well Two ehDopst
City Water IAA
4a Name D WEBB (~tRowable) - '
*ofSlories
= Address SAME
Lengdt
City Pitons 454-5703 tooth
ap. Total
Name TAME FoOprintR5:
o Address JA APP'i91C VALE
FJXL
City Phone Assessments permit 1 t; •
tic Water/Sewer Sunk
W Name Police Plan Review
m W
~ = Address Ener. S AC.
W City Phone Planner waterco
Council ftor tleter
I hereby acknowledge that 1 have reed this application and state Sidg. Off. lie f - j
that the information Is correctandagreetocomptywithallapplioable APC TWONStill
State of Minnesota Statutes and City of (Eagan Ordinance& Variance Signature of P+ermittee .
coo"
JOHN D WEBB
A Building (Permit is issued tot on
all work shell he doge in accordance with an applicable State of Minnesota Statutes and Ned l f:
Building Official i'
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: fill 1,1 01 NO
3830 Pilot Knob Road Permit Number: W., e 4 4
Eagan, Minnesota 55123 Date Issued: 0.~ / 0
(612) 681-4675
SITE ADDRESS: I I : 7 r: i r. r APPLICANT:
10"I riI A I i< i ( U ',I I~►R1Fi`rt~h# 10N% # , I. YNNf NAPTE:
M0,Vf I I I
PEJ IMIT~ VBTYPE: TYPE OF WORK: Al i r: Ra t t r1N
k I I' I ,1 ON (MAC $OUNI) PROGRAM)
7 'RAM1Nit ImijIM IN I•I H(I
011titi 1 N It I it I I HA I
Fit MAht A 'rf I'nnA1f P1 I~MI I I'. fcl f.,01110 0 I O ANY I I I:t 11?11.Ai OR VI 11101H)N6 W0141,,
1
ti
PM Ift t+~wp E1b9dK gift 'w111E1heee
a7/~7
PL1 UBM
EMO 1 FIC
ELECTRC
won Date mew commwft
Footings 1
Foundation
PAUM P"'
{
Flm*
bill.
Fhpkm
FJW f.
Orm Test
Final Pmg. plpg. hwecw - No* Plumper
EngrdPyan
Bidg. Final
Dock Fbg.
Deck Final
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Pr. Disp.
CITY OF EAGAN Remarks
Addition McKee Addition # Lot 18 Blk 2 Parcel 10 47750 180 02
081 State _Ea any MN 55121
Owner,dlr,►J Street 1081 Beatrice St-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
t4 l STREET RESTOR. Paviri 1969 $311.50 $31.15 10
GRADING
4-0 SAN SEW TRUNK 1968 $100.00 $3.33 30
* SEWER LATERAL 1968 20
WATERMAIN
..3 WATERLATERAL& SEW 1968 $850.00 $42.50 20
WATER AREA
STORM SEW TRK = 1984 403.00 26.87 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $200.00 689 -
BUILDING PER.
SAC $200.00 689 3-18-68
PARK
i
EAGAN TOWNSHIP N? o 1386
BUILDING PERMIT
Owner .A...... 7Ne~A4_4'`.~ Eagan Township
Address (present) .--,!~.u ;
Town Hall
Builder •Z Date _ -2-
Address
DESCRIPTION
Stories To Be Used For Front -Depth -Height _ Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lo! 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 1CEPTN THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that - has permission to erect a upon
the above described pre se subject to the provisions of the Building Ordinance for E° n Township adopted April 11,
1955. ,~I
Per Ly .t.c /
~Ce.c.cJ
Chairman of Tnwn Board Building Inspector
PERMIT c,03013
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 0 2 5 0 4 4
(612) 681-4675 Date Issued: 0 2 / @ 6 / 9 5
SITE ADDRESS:
1081 BEATRICE ST
LOT: 18 BLACK: 2
MCKEE 1ST
P.I.N.: 10-47750-180-02
DESCRIPTION:
(MAC SOUND PROGRAM)
Building Permit Type SF (MISC.)
Building ;Work Type ALTERATION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY
VALUATION $8,000
Base Fee $99.00
Surcharge $4.00
Total Fee $103.00
9ONTRACTOR: - Applicant - ST- LTC. OWNER:
OHNSON CONST, LYNNE MARIE 15531983 20012133 WEBB JOHN
6272 YUCCA LN N 1081 BEATRICE ST
MAPLE GROVE MN 55311 EAGAN MN 55121
(612) 553-1983 (612)454-6904
I hereby; acknowledge that I have? read this application and state that the
information is 'correct: and agree to compiy with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
1
APPLICANT/PERM EE SIGN E ISSUE Y: SI ATUFIE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 5 0 4 4
Eagan, Minnesota 55123 Date Issued: 02/06/95
(612) 681-4675
SITE ADDRESS: LOT: 18 BLOCK: 2 APPLICANT:
1081 BEATRICE ST JOHNSON CONST, LYNNE MARIE
MCKEE 1ST (612) 553-1983
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION (MAC SOUND PROGRAM)
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
F
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CITY OF EAGAN E0025
16D44 1995 BUILDING PERMI8814675 APPLICATION (RESIDENTIAL) 4I U~.4J0
U RJ
1 struetign Mu„jM nts Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam dI window sizes; poured Ind. design; *to.) ♦ 2 site surveys (exterior additions & decks) .
* 1 energy calculations * 1 energy calculations for heated addition
♦ 1 tree preservation plan if lot platted after 7/1193
required: _Yes _ No
DATE: January 15, 1995 CONSTRUCTION COST. 7.060.00
DESCRIPTION OF WORK: Misc. Alterations - MAC Sound Program
STREET ADDRESS: 1081 Beatrice" '
LOT BLOCK SURD. t P.I.D. #
PROPERTY Name: Phone
OWNER LAST FIRST
Street Address-
City: State: Zip:
CONTRACTOR Company: LYNNE MARIE JOHNSON CONSTRUCTION, "One 553-1983
Street Address: 6272 Yucca Lane North License 12133 _
City Maple Grove, MN 55311
ARCHITECT/ Company: Phone #
ENGINEER
Name: Registration
Street Address
City: State: Zip:
Sewer $ water licensed plumber: Penalty applies if address change or lot change
are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infcrmatio tract and agf ~iqo comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Ly a Lerberg
OFFICE USE ONLY
Cei iicates of Survey Received Yes No
Tree Preservation Plan Received Yes No
CITY OF EAGAN
3830 PILOT KNOB ROAD n,
EAGAN, MN 55122
44
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex >3 12 Multi (Misc.) ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plea ❑ 14 Fireplace o 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 Mufti (additional) ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 De►nolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCtWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAW Permit
S1W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
s
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS.,
$2,000 LANDSCAPE BON
To Be Used For: Valuation' .4 G. Date: J d o
Site Address _xt 1 OFFICE USE ONLY
Lot If Block On Site Sewage Occupancy
MWCC System Zoning
Parcel/Sub On Site Well Type of Const
p City Water (Actual)
Owner, P~(l~ (Allowable)
of Stories
1 Length
Address L
Depth
City/Zip Coded S.F. Total
Footprint S.F.
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge n
Address Police Plan Review
Fire SAC, City
City/Zip Code Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment Pl
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone #
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EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: March 12. 1968 NUMBER 125
OWNER: ,john p, Webb Address 1081 Beatrice
PLUMBER All State Plbg TYPE OF PIPE cast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
x
Location of Connections: Connection Charge 200.00 Pd. 3/11/68
Permit Fee 7.50 "
Street Repairs
Total 207.50 Pd•
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
G
Please ratify when ready for inspection and cormect-i.on and before any portion
of the wcrk is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PEMUT FOR WATER SERVICE CONNECTION
Date: March 12. 96$ Number: 72
Billing Name; John D. Webb Site Address: 10$t Beatrice
Owner: above Billing Address
Plumber: All Sta+,e Plbg.
Location of Connection Meter Size Connection Chg. 200.00 Pd. 3111
Meter No. Permit Fee 7.50_ a
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NOTotal Chg. 222.50 Pd.
Inspected by
Date
Building is a: Remarks:
Residence x
Multiple No. Units
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to tae of the above permit, I
hereby agree to do tke proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota. By :
Please notify the above office when, ready for inspection and connection.
' EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE. March 12, 1068 NUMBER 125
OWNER: John D. Webb Address 1081 Beatrice
PLUMBER All State Plbg TYPE OF PIPE oast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No, of units
x
Location of Connections: Connection Charge 200.00 Pd. 3/1/68
~t f Permit Fee 7-50
a
/ Street Repairs
Total 207050 Pd-
R
Inspected by: RJ)p ,,-,4
Date 3 11,3
Remarks:
C~
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
sy
Pleape notify when ready for inspection and connection and before any portion
of tha wcrk is covered.