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2804 Beam Lane S-1 3 4 RESIDENTIAL aS BUILDING PERMIT APPLICATION r $6 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 Now construction Reauirennents RemodogRaeair Reauirements • 3 registered site surveys showing sq. it of lot, sq. ft of house; and ah roofed areas • 2 copies of plan (20% maximwn lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing bean & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (btdgs with 3 or less units) DATE Z Z - -D 2- YALUATiONt ?(09. SITE ADDRESS ZMULTI-FAMILY BLDG _Y kog TYPE OF WORK - 12r,>06 "A FIREPLACE(S) - 0 -L--f- 2 APPLICANT A • ~ . e , J' ~ STREET ADDRESS 1 Z Z 1> 7 AAA-f" CITY L. b/ "STATE:&I'1AIP~,~S337 TELEPHONE #"dU-70I.62CELL PHONE #f,: Z?l 'G Z Z FAX #Z' Zk? 2 PROPERTY OWNER ICS ~f7 Jl/~it0.~©,C, TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: M Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths w Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # I hereby, e,Ih t 1 ave read this application, state that the information is correct, and agree to comply with ppiiccibl Ste nnesota Statutes and City of Eagan Ordinances ~ v UU 1i Signature of Applicant _r....~._.______._.......__ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Request Date ~ Fire No. u ad Inspection s~ e red? ❑ Ready Now 11 Notify Inspector / es G No hen Ready? I licensed contractor 091ner hereby request inspection of above electrical work at: JobAddress Strept. ox or ute No.} /I City Section No. Township Name or No. Range No. County Occup nt PRINT) Phone No. r1 mom 5 1 S O/7 Power Supplier Address Electr c qCractor (Company Name) Contractor's License No. - 0 owe;-, Mailing AdLLdres~(CQntractor or Owner Making Installation) ff/7` tj(/~ O t/ Authorized ignatnre.( ntr orner Making installation) Phone Number izl- MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FFORELECTRIoCAL INSPECTION Es-00001-08 10- See i o g this 4.3_ 8 12 a X' Below Work Covered by This Request y ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other--(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: a~ e Compute Inspection Fee Below: J # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: o TOTAL ~ Irrigation Booms ' 7 20NNEC Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER TE D IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final y to OFFICE USE ONLY This request voitl 18 months from CITY OF EAGAN Remarks Addition Country Home Heights Lot 1 Blk 7 Parcel Owner-) r r t . fi Street 2804 Beam Lane State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (33 1972 $969.00 $96.90 10 PAID STREET RESTOR. GRADING SAN SEW TRUNK 1968 $100.04 3.33 30 PAID SEWER LATERAL y 1970 $1812,21 $120.82 PAID WATERMAIN 4e WATER LATERAL 1974 WATER AREA STORM SEW TRK , 1984 495.00 33.00 15 495.00 0008498 7-13-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $230,00 2184 2-23-70 BUILDING PER. SAC 204.00 1554 7-9-69 PARK I A 4 EAGAN TOWNSHIP NO 261 BUILDING PERMIT Owner~4. 1 _ C Eagan Township f Address (pre sen Town Hall , n Builder A PL ..L' 1 Dat Address - 40 DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks L"o _ v LOCA ON Street, Road o other Description of Location , Lot Block ddition or Tract This permit does not authorize the use of streets, roads. alleys or sidewalks nor does it i e the owner or is agent the right to create any situation which is a nuisance or which presents a hazard to the he It safety, conve ience and general welfare to anyone in the community. THIS PERMIT MUST B PTO T E WHILE THE WORK IS IN PRO~' , S/ f This is to certify, that_L_,` ' . ------.-_---has permission to erect a. . __ff' = upon the abo a describe remises he ovisions of the Building Ordinance for Eagan Tow a adopted April 11, 1955. = Per / 'aim n of Town~I3' r Building Inspector i CITY OF EAGAN u 12/17/97 TIMEN 00045 il(:u KATHY'S CONST INC 300 9001 2804 BEAM LN 162-25 34.301 900-J. 2804• BEAM 5. Of) 320 9001 2844 BEAM LN 287.27) 3422 9001 2944 BEAM LN is&W, 205 9001 P844 BEAM LN to.00 Total Receipt AmounPi 656.2-1. CROB4536 USER W NANCY < t ~ f•i:l; ry;":v,r str. e• - .trv>•. .•vi:. 1 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031264 (612) 681-4675 Date Issued: 12/17/97 SITE ADDRESS: 2804 BEAM LANE LOT: 1 BLOCK: 7 COUNTRY HOME HEIGHTS P.I.N.: 10-18300-010-07 DESCRIPTION: MAC SOUND INSULATION Building Permit Type SF (MISC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $10,000 Base Fee $162.25 Surcharge $5.00 Lic. Search Fee 5.00 Total Fee $172.25 CONTRACTOR: - A p pli c a n t - ST. L I C OWNER: KATHY'S CONSTRUCTION INC 18545884 2004502 SIMONSON KEITH 1621 E 79TH ST 2804 BEAM LN MINNEAPOLIS MN 55425 EAGAN MN 55121 (612) 854-5884 (612)452-3751 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 Mn. Statutes and City of Eagan ordinances. J fivia M2 PPLIICA /PERMITEE GNATURE Is ED W. S A U E CITY OF EAGAN ~i 3830 PILOT KNOB RD - 55122 °C 4 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: Dec. 8, 1997 CONSTRUCTION COST: $10,000.00 DESCRIPTION OF WORK: MAC Sound Insulation Program STREET ADDRESS: 2804 Beam Lane LOT BLOCK_ SUED./P.I.D. PROPERTY Name: Keith & Jenny Simonson Phone OWNER UST FIRST Street Address: 2804 Ream Lane City: Eagan State: N>r1 Zip: 55121 CONTRACTOR Company: Kathy's construction Inc. Phone s.54 58s4 Street Address: 1208 East 79th Street License 20045023 City: Minneapolis State: M-N Zip: 55425 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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 Ordinanc Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 1 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool o 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex o 14 Fireplace o 21 Miscellaneous ja' 05 SF Misc. ❑ 10 - plex ❑ 15 Deck WORK TYPE jOA4C, gpvND ` P-4>'1v0,A"A ❑ 31 New ~d 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 42>4 Depth Footprint sq. ft. SAC Code t Census Bldg Census Unit d APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ K?, t?~Ga« Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: 4 . % SAC - SAC Units ~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 7 0 7 Date Issued: 10/11/94 (612) 681-4675 SITE ADDRESS: 2804 BEAM LANE LOT: 1 BLOCK: 7 COUNTRY HOME HEIGHTS P.I.N.: 10-18300-010-07 DESCRIPTION: (NOISE MITIGATION) Building Permit Type SF (MISC.) Building Work Type ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $10,000 Base Fee $117.00 Surcharge 5.00 Total Fee $122.00 CONTRACTOR: - Applicant ST. LIC. OWNER: 3 R HOMEWORKS 18817214 0009315 SIMONSON KEITH 2200 W 94TH ST 2804 BEAM LN BLOOMINGTON MN 55431 EAGAN MN 55122 (612) 881-7214 (612)452-3751 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 Mn. Statutes and City of Eagan Ordinances. ~ APPLICANT/PERMITEE SIGNATURE ~ ISSUED B1 SI ATURE' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 4 7 0 7 Eagan, Minnesota 55123 Date Issued: 10/11/94 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 7 APPLICANT: 2804 BEAM LANE J R HOMEWORKS COUNTRY HOME HEIGHTS (612) 881-7214 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION (NOISE MITIGATION) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1. copy of energy calcs COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Av, Date ' Valuation of wont Site Address:. -2-ko L ~G;,aa STREET SUITE # 'tenant Name: (commercial only) LOT BLOCK SUBD. P . I .,D . 0 Mz;WJP Description of work: -x 0yn h e~f}ow The applicant is: ❑ owner Contractor ❑ Other (Describe) Name Phone, 3 Property LAST FIRST ChA►ti41' Address c C. STREET STE # City a 5 a_ State Zip. Company > ~m e- w v Y, Phone Contractor Address License #xp. City L-R-- State Zip s Company S oV~r Phone Architect/ Engineer Name Registration # Address •~c-c,,~,h k1 City i State sZip' .Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apppplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 01FICE USE` ONLY BUI~. 1~ PERNt~" TYPE C1 X01 Foundation ©.06 Duplex ~ 11 Apt./Lodging CI 16 Basement-flinish V ' 2 SF DW9.,, D 07 4-Plex CI 12 I4 tf Misc. a 17 Swim Pool 13 03 SF Addition, Q 08 8-Plex 0 13 Parage/Accessory Q 18 Co m./Ind. 0,0 SF Porch E 09 12-piex E3 14 Fireplace Ci 14 Comm./Ind Risc 6,T05 5F Misc 0 10 Multi. Add'l. E3 15 Dock 0 20 Public Facility IG&A4 Xvrge E3 21 Miscellaneous WORK, " 31 New 33 Alterations 10 IS Tanatt Finish 37 tnol i eft 32'Addition L3 34 Repair, E3 36, No GENE FOR ATION Canst. {Actual Basement.sq. ft. MWCC system IiBC (Allowable) Ist F! Occupancy 2nd F7. sq f ~ City Water q PRV Required Zoningg Sq. Ft:-total -Booster Pamp of Stories Fostprint..S . ft. fire Sprinkler Len th Qn-site vel'f Census Code Den h an-site sewage SAC Code Census Bldg i APPROVALS Census unit Planning Building Assiessment$ Engineering Variance --REQUIREDNSPECTIONS 3 .Site . E3 footing Fro it Q Insulation 13 Wallboard ~ Final Ej Draihtiile,, 0Fireplace Permit Fee 9 d+~ d.Ea Surcharge Plan Review License MCC SAC :City SAC Water Conn. mater Peter - Acct. Deposit 5/W Permit S/M :Surcharge Treatment Pl1. Read Unit Paris Ded. Trails Ded.. Coppies Other Total . SAC % SAC Units PERMIT. 04f ~s 9 coo CITY Of EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021032 (612) 681-4675 Date Issued: 05/28/93 SITE ADDRESS: 2804 BEAM LANE LOT: 1 BLOCK: 7 COUNTRY HOME HEIGHTS P.I.N.: 10-18300-010-07 DESCRIPTION: Building Permit Type GARAGE/ACCESSORY Building Work Type NEW Building Length 36 Building Width 28 REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $17,000 Base Fee $180.00 COPIES 1.00 Plan Review $117.00 Total. Fee $306.50 Surcharge 8.50 Subtotal $305.50 CONTRACTOR: OWNER: - Applicant - SIMONSON KEITH 2804 BEAM LANE EAGAN MN (612)452-3751 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 Mn. Statutes and City of Eagan Ordinances. iL t i APPLICANT/PERMITEE SIGNATURE IS ED Y: (GNAT R INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021032 Eagan, Minnesota 55123 Date Issued: 05/28/93 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 7 APPLICANT: 2804 BEAM LANE SIMONSON KEITH COUNTRY HOME HEIGHTS (612) 452-3751 PERMIT SUBTYPE: TYPE OF WORK: GARAGE/ACCESSORY NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING FINAL REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED F L _ r; =,a . REACTIVATE _ pg FE C ~VED UITY VF hAUAN PERMIT; # 1993 BUILDING PERMIT APPLICATION I~ MAY 18 1993 681-4675 241 /2- -----------tea SINGLE & MULTI-FAMILY 2 sets of plans, 3 rergistarAW site surveys, lx~ COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / ) 3 Valuation of work Site Address: t? M Z"~Z_e ~ STREET SUITE S T nt Name: (commmercial only) LOT L _ BLOCK _7 SUBD. o P.I.D. 0 . Description of work: e- The applicant is: Owner 91 Contractor ❑ Other (Describe) X Name iS , - Phone _!;7f 11K o Property LAST FIRST Owner Address ( et L ~a'o STREET STE City Z - State Zip Company Phone Contractor Address License # Exp. City State Zip ,ompany "Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. o Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07-4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Flex 913 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Conan./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy M 2nd Fl. sq. ft. PRY Required Zoning - Sq. Ft. total _ Booster Pump of Stories - Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED. INSPECTIONS ❑ Site RL Footing Q Framing ❑ Insulation ❑ Wallboard .Final ❑ Draintile ❑ Fireplace Permit Fee (c 0, co v.Luati«,: $ I r7 C Surcharge ?c Plan Review '7, Cc, 2, - /o FF, X lam- 1Z. 161 License ' MWCC SAC -~i City SAC Water Conn. _ Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded: Trails Ded. Copies I.v o Other Total: SAC % SAC Units -1004 5EAM 4-AAJL 200 r L~_- i r N ~t c f • Y EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: July 9, 1969 NUMBER 402-A OWNER: Thomas A. Simek Address 280+ Beam Lane , • f~T°" PLUMBER Wenzel Plumbing (SC Heating TYPE OF PIPE Heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Xx Location of Connections: Connection Charge 200.00 paid :7~9~Ca Account Dep. TS.uu pain t 99 bb Permit Fee ~5n p; A 71/9/69 Street Repairs Total Inspected bar: 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 Thomas A. Simek 280+ Beam Lane Please notify when ready for inspection and connection and before any portion of the work is covered. J EAGAN TOT?NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:_ May 22. 1969 NUMBER 402 C{ OWNER: Thomas A. Simek Address 2804 Beam Lane PLUMBER 'aenzel Plbg. &H tg_ TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Char 200.00 / D Account Dep. ',__15.00° Has not paid connection or account deposit. Permit Fee 4''7.5Q in May Will not be hooking up for a time. .j PAID 7' 9 4 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 Thomas A. Simek 2804 Beam Lane 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: May 22, 1969 Number: 276 / - 7 C Billing Name: Thomas A. Simek Site Address: 280+ Beam Lane Owner: Thomas A. Simek Billing Address 280+ Beam Lane Plumber: ? Location of Connection Meter Size- Connection Chg. c ) "'S', i d Meter No.G :5' Perini 'Fee 7.50 Pd.• Jet eti ' a- pr"ellt Ida Meter Reading= Meter Dep. Meter Sealed: Yes Add' 1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence X Multiple No. Units Commercial Industrial By: Other 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: ~IoMas. A. Simek- 280+ Beam Lane Please notify the above office when ready for inspection and connection. I i r . EAGAN TOWNSHIP DAKOTA COUNTY, MINNESOTA I/.We hereby request of the Township of Eagan permission as I follows:_ 1. To connect the sanitary sewer service line from my residence/ eemmereia l building at .2 8'0 to the sanitary sewe lateral located A y,+-t n 3. It is understood that I/we will not hook up and use the service until I/we have paid to Eagan the necessary connection fee for such hookup. It is further understood that in the event that I/we do hook up and use said sanitary sewer service before paying the required connection fees, that I/we will be required to pay the Township a sum in addition to the connection fee of $ /4,"; I/we also understand that I/we will also be required to pay I to the Township in addition to the fees required above the normal inspection fee for each inspection by the Eagan utilities department. Dated: ` Signed J ..._.r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1€111 I li t ~ f 3830 Pilot Knob Road Permit Number: ' N 0 r - Eagan, Minnesota 55123 Date Issued: '10 /-1 J. 9 4 (612) 681-4675 . rrE ADDRESS: APPLICANT: ;?0#4 HU AN I AIdC 1 64 11{?FI€: i f€~l; fi k. PERMIT SUBTYPE: TYPE OF WORK: 7RA dINi } t}tl~',~11 IP - I'1.1 . N tr Il Iis f ICIA1. 4 mr f P1~10 Vr134 ,,CV'A AI'L PufRMII Ai~1: 1?Io 1.IIk1',0 fop tiWe V1.P~.~IVIs:.AC 00 Pt f)4HIOf:$ WORIK vomit (i. ht~1t IRobd.~ ago o sow HV 3 ELF.iG ELECtF#C I Foundshon Fop Roc9kV t i Plbg. ploko m1g' Fnpkwe Final Htg. / Oraat Teet FrAl P114 Pfbg. Inspector - Notify Pkmiber Cons.Melr EnWJPtan BWg. Fail Deck Fig. Dec* FuW wen Pr. Disp. INSPECTION RECORD # T'Y10F PEAGAN PERMIT TYPE: 31 Pilot Knob Road 5 12 6 4 Permit Number: E an, k4irn>eGota 55122-1897 Date Issued: s 0) 681--4675 'E ADORESS: ri ° t o APPLICANT: .l(4* Aft t ANA t~ 17; TWWJTO INC € f PERMIT SUBTYPE: TYPE OF WORK: ALTEPATION P04 IMS'llt.At-T 14 7 FR Ii~06H IN c r ntAt.. t Rt'# Aot9,r.:A O-EPAAATP PrRMTT S t t)ji~r ft r Oft ANY Pt 0#41A rl OR ft "CT0TCAt WO P*rn* NO. ftm-At 4 owff D Tole0one # ELECTMC I Pi.l ! HVA£'r hwPopow ` . Ina Cor~xaeni . Ft3DT5 1 FQUND 1 FRA M P Rf3Y1£GH P.u AIR TEST 'r P<XfaH HEATI P- GYP BOARD FEE £ F TM F#d& PLW3 FWAI M 01%SAT TEST i mm MM& spy SSW R.t. 4 BWT FINAL DECK FTG MCK MAI. r ~NTN RECORU~ Q # t f i X fl Not K" $load Permit idurt~t3er: fh 2 t 0 `4 7 Win, nesota 55123 _ date f su is o to { 2 fi { 9,3 (612) 681-4575 SMAODRESS: t OT . i 'ti t. o c t. APPUCAW: €rs A BEAM t.AtNk xF f"t'1# 'OW SUMPE: TYPE OF WORK: } pT;MARf`sx SEPARATE t i.i C tRtCAf Pt:RWt kt ot,31 C' M ` ad" { FounddlDn PAO" E , ftuolpft FkW Pbp. Pbg. kwp*cW - NOW mar . f:ww Doh PO D" POW ~ f vow Pt {lisp. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174664 Date Issued:02/10/2022 Permit Category:ePermit Site Address: 2804 Beam Lane Lot:1 Block: 7 Addition: Country Home Heights PID:10-18300-07-010 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Keith R Simonson 2804 Beam Ln Saint Paul MN 55121--130 (651) 604-7416 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature