667 Atlantic Hill Dr
CITY OF EA"N WATER SERVICE PERMIT
3nS Rilot, Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: r
Address: } %t.~ficcliiC ~LZo
- Gf
Site Address: / - /
Plumber:
Meter No.: Connection Charge: _aG • C'~ Od
Size: Account Deposit: 1 r'
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
BY Date Paid: i i
Date of Insp.: I nsp.:
low
CITY OF EAGAN SEWER SERVICE PERMIT
•
3795 pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
PLUMBING PERMIT DATE: 4/17/91
RECEIPT: 12960
SITE ADDRESS 667 ATLANTIC HILLS DRIVE Unit # Permit # 14317
L 1 B 1 Sect./Sub. LAKESIDE ESTATES
WAYNE KITTLESON-HOMEOWNER-452-3697 WATER TUR-N-AROUND
INSPECTION INSPECTOR DATE COMMENTS
a3 0,
v ~
INSPECTION INSPECTOR DATE COMMENTS
CITY OF EAGAN Remarks Iii vi s i nn # 16238 10-65
Addition Lakeside Estates Lot Part of 3 Rik 1 Parcel 10-44300-033-01
Owner -69r-Atlantic Hills Drive State Eagan PIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 561 1981 845.08 42.25 20
STREET RESTOR. 565 1981 704.52 35.23 20
GRADING
SAN SEW TRUNK 562 1981 140.00 7.00 20
SEWER LATERAL 563 1981 2025.35 101.27 20
WATERMAIN
WATER LATERAL
WATER AREA 564 1981 7.00 20
STORM SEW TRK 903 1985 15.80 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Lakeside Estates Lot 1 Rlk 1 Parcel 10 44300 010 01
Owner4&22, { ,J Street 667 Atlantic Hills Dr, state Eagan,MN 55123
Improvement jDate Amount Annual Years Payment Receipt Date
STREET SURF. 561 Imp. 1690.16 84.51 20
STREET RESTOR. 1409.71 70.49 20
GRADING
STREET IMP $.'L 10Q1 1422 49 1 71 1
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA $li
STORM SEW TRK 26 3 1985- _ 700. Y..... 46- 67-
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 95000 1,7993 194749
BUILDING PER.
SAC 525.00 17293 9
PARK
p r
RESIDENTIAL ~t 0
BUILDING PERMIT APPLICATION sr Dj
CITY OF EAGAN
OT KNOB RD - 55122 1 ~~l' 1 ``fg' V /t
W1 G ~ 3830 PIL
651-681-4675
New construction Reauiremants RemodelfReoair Requirements n~
. 3 registered site surveys showing sq. ft. of lot sq. IL of house; and all roofed areas . 2 copies of plan ~I ~JL
(20%meximum lot coverage allowed) . 1 set of Energy calculations for heated addiction
. 2 copies of pan showing beam & window sizes; poured found design, etc.) . 1 she survey for exterior additions & decks
1 set of Energy calculations . Indicate h lame served by septic system for additions
. 3 copies of Tree Preservation Plan If lot platted after 711193
. Rim Joist Detail options selection sheet (bldgs with 3 or less units) .
DATE / O - /D - D / VALUATION
JOB SITE ADDRESS 46-7 141✓ i'L dd/.i n_Y'
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? I
PROPERTY OWNER 'Pkty' Je ~ t OCkl"l ~
TYPE OF WORK FIREPLACE(S) _ 0~1 2
APPLICANT 22A. &I &In)Y" ~ PHONE# I- C
L~i/I~ / ZIP
ADDRESS- kl/orIf lC
PAGER # CELL PHONE # 65-1- 50 7 -_7900 FAX #
VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
- Heat Recovery System
Sewer/Water Contractor: Phon e.
All above information must be submitted prior to processing of application. 0 I I
1 hereby acknowledge that I have read this application, state that the informatio correct, an omply
with all applicable State of Minnesota Statutes and City of Eagan Ordi once y
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessor y Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacements *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_ Footings (deck) ~j Final/No C.O.
Y Footings (addition) _ Plumbing
T_l Foundation _ HVAC
_ Drain Tile
Roof _ Ice & Water _ Final = Other - -
Framing Pool Ftgs - Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco _ Stone
Insulation _ Windows (new/replacement)
Approved By C.. Building Inspector
Base Fee P
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
This reque3st void L
18 months from
CJ' 4°0587 /0'C
Request 'Date Fire No. Rou h-in Inspection
Regmretl? W I []Ready Now Will Notify Ins Pec-
o[,- ❑Yes o r When Ready
❑ Licensed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Street
U'll Address, x r oute No. Ci1t
ectin o. Township Name or No. Range No.- Coo
O cu Pant (PRINT) Phone No.
Cam;
Pa Su ~
ier Addres t1'T/
Elecirib Con to (Company Nam I Cont cl is License No.
Mailing Address (COntr for or owner making Instailation)
2c)
Authorized Si r (Contractor/ow er king Ins Ilation Phone Number
MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mid.ay Bldg. Room N-191 BE ACCEPTED THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER R INSPECTION FEE IS
.-I - ENCLOSED.
~Q~ REQUEST FOR ELECTRICAL INSPECTION ES-00001-03
~fU 4 0 58 7 11, See instructions for completing this form on back of yellow copy. /
X" B,glow.R',ork Covered by This Request 337a t0
Add p. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank -
Farm the. poci v the aryl
t er ISpenl v Other Oth
Compute Inspection Fee Below D K-;)
# Fee Service Entrance Size # Fee -Feeders/Subfeader8 # en rt
0 to 100 Amps to 30 Amos 0to 30 Amps
101 to 200 Amps 31 to 100 Amps 31 to 100 Am
Above 200 Am )s Above 100_Am s Above 100_Am s
Transformers Remote Control Cite. Partial/Other Fee
Signs Special Inspection $/D TO L FEE
Remarks
to-
Rough-in d
Date
1, c ere
- - Ins Veetor, hereby
certify that the above
final Pale 'ns pection has been
This request void V
18 months from
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
i
U
J' f
~t
t
a 1 A ~b ~ 1 7g Y ~
.y
- - 1~~L~ ~ ~r L z
of t ri < p; n '4 ` ~ a~ aY ~ t {a .tax" w „des r
Jj
t ry f ~ ~ t :r 's fl'3t'+a A ~n ef? via h. z`'~ 31e _/s~Fa `'L"@~+R fi ~1yt<~ fiky+
S t E.pb y tit
x /y ~~a ! ,"r s t. ti'F: r h A 't ~y s$~~~aiP
k
' _ yG P , ~ 4 8Mt}Mtis t 4 .
EAGAN TOWNSHIP
n BUILDING PERMIT N° 1905
Owner ..........ffy~~ Eagan Township
Address (present) ..I ..i..1........._C.1'.....,..-._:_.........__..-.... Town Hall
wk
Builder -
Dale .._...f.
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cos! ermit Fee Remarks
l~ G I-23 /ar~;zg.`=' / uQ..~-tom
LOCATION
Street, ' oad or other ascription of Location Lot 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 KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.... -fir.. I` t...... f ....................has permission to erect a...z -,-~r^.:.............---- _upon
the above described premise:iubject to the provisions of the Building Ordinance for £agdn Township adopfei April 11,
1955. 1 ~.lf------ Per
i hairmaq of an Board J Building Inapecior
ct f3.
0
iJ. x
i
yot a In
i
C
' CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # T
GJ
PHONE (612) 454-8100 RECEIPT # I~ l
BT,;;E DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
-C
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST NOTE: ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR PRV REQUIRED WATER CLOSET 3.00
_ BATH TUB 3.00
_ LAVATORY 3.00
OWNER NAME: WAYNE KITTELSON KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
SITE ADDRESS: 667 ATLANTIC HILLS DR HOT TUB/SPA 3.00
_ WATER HEATER 3.00
LOT: 1 BLOCK 1 SUBD. LAKESIDE ESTATES FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: SAME (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: 1E OTHER Water turn-armd 15.00
_ WATER SOFTENER 5.00
CITY: EAGAN ZIP: 55123 PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE 452-3697
SUBTOTAL $ 15.00
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ 15.50
COMMERCIAL NDUSTKIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLACK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
n>I) . : sM .x....Meh .r.3t..:.c i;$~~:~^.diII''.<~. ~:.r' a~..,e~.x e`,'
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - -
NEW CONSTRUCTION
ADD-ON A/C
_X ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM I C 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL 5.5
SITE ADDRESS: /~~1Ai*? ii~/s sv~
OWNER NAME: TELEPHONE -s
INSTALLER: c'//C~l
ADDRESS: ;7,0 eO
CITY: tiv Zee r--o e~~ 9/, STATE: ,oW of ZIP CODE: 515_Q7e~
TELEPHONE 773 Z
A ~ oz
SIGNATURE OF PE ITTEE
* USE ON'T.'1C yam{!
-I~L M 33k x- 3s J'Yl"rf x S r.v s
a - Mss # 3 33'+'s F.+ k,3F z k F k fit, t ~`aF ~a a k ¢ v
T ~ k k
k c>. Rp tck c3S S k R s; ~ & a '
~D wna.. 3i.w,€£,~~sr~s>2~Mi.:T s~o~ §a~~F x¢5~53 ~~k S 5
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLE FOR ALL COMMERCIAL5NDUSTRIAL B INGS. ALSO COMPLETE
FOR APARTMENT UILDINGS OR OTHER MULTI-FAMILY ILDINGS WHEN SEPARATE
PERMITS ARE NOT EQUIRED FOR EACH DWELLING UrT. DATE: /997-5 CONTRACT P ICE: NEW BUILDING
INTERIOR IMPRO MENT
WORK DESCRIPTION:
FEES
OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.0
STATE SURCHARGE FOR EACFEE.
TOTAL
SITE ADDRESS: 4Z~~~
OWNER NAME: D~iS o d LEPHONE
TENANT NAM . (IMPROVEMENTS ONLY) X-a^ 4-
INSTALLER
ADDRESS Q D - a
CITY: STATE: ZIP CODE: ssU~l.~
TEL HONE
~Sf
4 ce e~k
SIGNATURE ` PERMITTE CITY INSPECTOR
07/12 '93 08:04 ID:DAKOTA CO-WSC FAX:6128917031 PAGE 1 btgs
tJaywt
MUNICIPAL NOTICE OF WELL PERMIT APPLICATION
DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAGEMENT SECTION
14955 Galaxie Avenue West, Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 891-7031
DATE: July 12, 1993
TO: Tom Colbert/Wayne Sahwanz Fax (612) 681-4612
FROM: Water and Land Management
RE: Well Permit 1: 93-9159 Well Type: Sealing 1
Municipality : Eagan Reviewer : Swenson
NOTICE:
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 futher review of the application or
if you have any questions or concerns about it, contact the Environmental
Specialist listed above or our office at (612) 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
laws and codes. A copy of the well permit will be forwarded to your
office when completed.
WELL CONTRACTOR INFORMATION:
Kimmes-Bauer Well Drilling
Application Received: 07/07/1993
Anticipated Drilling/Sealing Date if known: Time:
LOCATION OF WELL:
PLS Coordinates , BE h NW % NW h, Sec 25, Town 27 Range 23
Well Location 657-Atlantic Hilis Dr
Property Owner Lois Kittelson
Well Owner Lois Kittelson
PID Number 10-44300-01-001
WELL INFORMATION:
Diameter 4
Casing depth 165
Total depth 170
sWL 118
Aquifer Unconsolidated Sediments
COMMENTS:
R-95% 6126917031 07-12-93 08:04AM P001 #26
I Y
To
❑ AM
Date Time ❑ PM
WHILE YOU W RE OUT
M o-
VJ4
of /0 a
Phone-) 7
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Message
11nr 9_'GI - 6T rmil will
II ir/ik m) bn j rrmr~
Operitor
AMPAD REORDER
® 9 EFFICIENCYO x23.006
CITY OF EAGAN
1991 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTIES
Sewer Connection Charges Water Connection Charges
SAC $750.00 Water connection $ 660.00
Date previously paid Date previously paid
Receipt # Receipt #
Account deposit 15.00 Account deposit 15.00
Sewer permit and surcharge 15.50 Water permit and surcharge 15.50
Water meter 90.00
Subtotal $780.50 Treatment plant fee 276.00
Plumbing permit and surcharge 15.50
+ Sewer tap
Subtotal $1,072.00
Total
+ Water tap
Total
Sewer & Water Connection Charges
SAC $ 750.00
Date previously paid Receipt #
Water connection 660.00
Date previously paid Receipt #
Account deposit 30.00
Sewer & water permit and surcharge 30.50
Water meter 90.00
Treatment plant fee 276.00
Plumbing permit and surcharge 15.50
Subtotal $1,852.00
+ Sewer & water taps
Total
OFFICE USE ONLY
PRVS Property owner
No. of taps fj o Telephone no.
Assessments rj Address
Waiver a Lot Blk Sect
PID#
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA076425
Eagan, MN 55122 . Date Issued: 01/16/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 667 Atlantic Hill Dr
Lot: 1 Block: 1 Addition: Lakeside Estates
PID 10-44300-010-01
Use
Description:
Sub Type: e - Water Heater
Work Type: Replacement
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 952-435-2442 tony sappmike@frontiemet.net
Fee Summary: PL - Permit Fee (WS &/or WH) $15.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $15.50
Contractor: - Applicant - Owner:
Tony's Appliance Dante V Alcantua
2090 County Road 42 West 667 Atlantic Hill Dr
Burnsville MN 55337 Eagan MN 55123
(952) 435-2442
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115730
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 667 Atlantic Hill Dr
Lot:1 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-010
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 .
Luanne Yang
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 -
Iluminada D Alcantara
667 Atlantic Hill Dr
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature