1315 Carriage Hill Dr
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date / /,-Y
Site Address zi4 lye- ~ /'/z Unit #
Property Owner dzr4rz Telephone # (scS
Contractor /lam 4 1 ~G
Address~9 ~SAS CityJ.CE!/`
State -741 Zip Telephone # 6~ --f (r7 ~Q 7
The Applicant is Owner Contractor _ Other
Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
Adding fixtures to lower levels or room additions, excluding water softener and water heater
& Abandonment of septic system
Water turnaround 5/8" meter if needed - $121.00)
Other.
RPZ _ new installation _ repair _ rebuild $ 30.00
Lawn irrigation system
Water softener _ Water heater $ 15.00
replacement additional
YA1 $ State Surcharge
Total BY--. $ 7-i 0 I her
eby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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.
4 W1
Applicant's Pnnted Name Appli is Si e
PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Number: EA058131
EAGAN, MN 55122 Date Issued: 02/25/2003
(651) 675-5675
Site Address: 1315 Carriage Hill Dr
Lot: I Block: 53 Addition: Section 34
PID: 10-03400-010-53
Use:
Description:
Sub Type: Single Fam UBC Occupancy:
Work Type: Move Building Construction Type:
Description: Zoning:
Census Code: 9999 Square Feet:
Remarks: Separate permit required for septic abandonment.
Call for final inspection. (ld)
BL-Base Fee 75.00 9001.4085
Fee Summary: Financial Guarantee 1000.00 9001.2257
Surcharee - Fixed 0.50 . 9001.2195
$2.075.50
Contractor: Applicant - Owner:
Otting House Movers St L1c : DAKOTA COUNTY
11640 275th Street 1590 HWY 55
Lakeville, MN 550440000
9524613265 HASTINGS, MN 55033 651423-2811
1 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
3 f
t:
Pip OUTIO EiT Ili t7i
AL S C H U LTZ
1315 CARRIAGE HILL DR
EAGAN MN 55123
454-1594
BEISSEL'S EXCAVATING
From: Frank Beissel
469-4054/5353/fax4018
MP-CA CERT #770
MPGA; LIC.1 9
it ya
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Individual Sewage Treatment S stem Worksheet
Home owner Al Schultz
SITE Evaluator, Frank Beissei, Beissel's Excavating 454-1594
23750 Pillsbury Av
469-5363
Installer, Beissel's Excavating
A. Estimated 600gpd for a 4 bedroom house
B. A 1500 gallon septic tank( and a 1000 gallon septic tank if a garbage disposal will be added) will be
installed . All tanks will be manufactured from concrete with steel reinforcement. All distribution pipe must
be sch 40. Freezing protection is not required over all distribution lines ( 2" of Styrofoam). The old septic
system has two(or more) tanks located south of the house and they must be delt with in accordance to
MPCA codes 7080 Any existing wells must be disclosed and sealed according to Minnesota dept of Health
C The soil in the primary site ( B 1-B5) 0-18 inches is black loam( peres 10 mpi), 18-36 inches is a redish
brown 7 5YR 7/8 ( Peres 10-20 mpi), 36-60 inches is redish brown sand 10 YR7/8 with percolation rates in
6 mpi. Borings (66-1310 east side) 0-10 inches black sandy loam, 10-20 inches is red sandy loam 7 5 YR
7/8, 20-70 inches sand 10 YR 7/8. Depth to ( mottles) restricting soil layer 6.5 ft in primary site, depth to
restricting soil layer in alternate site #1 is 6.511 and in site # 2 is 6.2 ft The maximum of trench excavation
depth is 30 inches in the primary site The alternate site can be trenches, diversion of all drainage will be
required
D. The average percolation rate for the drainfield site is 6 mpi with the highest percolation rate 7mpi.
Percolation test results are(Pi) 6 mpi,(P2) 6.2mpi, (P3) 6.3 mpi, (P4) 7mpi, all tests are at 30 inches deep.
E. The soil sizing factor of 1.27 sq. ft/gpd or.79 gallons per day per square foot.
F. Trench bottom area is 600gpd x 1 27sq ft/gpd = 762sq ft bottom area. This system can have 12 inches
of rock under the distribution pipe 610sq ft /gpd in trenches with 18 inches of rock depth total. 48cubic
yards or 60 tons of rock will be needed. The design calls for treches 30011 x 2.5 ft. X 1 5 ft or 260' x 3' x
1 5' will allow for 5 bedroom house
G Drop box distribution will be .utilized
H. Trench width will be2.5 ft wide and will require 300 lineal feet of drainfield Trench spacing should be
10 feet apart and 8000sq ft of area will be necessary. ADDITIONAL COVER TOPSOIL WILL BE
REQUIRED OVER THE ENTIRE SEPTIC SYSTEM. This topsoil will be provided by homeowner on this
site
J. NO GARBAGE DISPOSAL ALLOWED. A REGULAR MAINTENANCE SCHEDULE MUST BE
FOLLOWED AS DETERMINED BY DAKOTA COUNTY, INSTALLATION CONTRACTOR AND A
CERTIFIED PUMPING CONTRACTOR. A additional 1000 gallon septic has been added to allow for a
garbage disposal but is not recommended by this contractor that a garbage disposal be installed. At this time
no garbage disposal is listed.
K. SITE REQUIREMENTS No compaction of the soil in the drainfield area is allowed (keep all traffic
off site ) Fencing or protecting of the drainfield area is required PRIOR TO THE ISSUING OF THE
PERMIT Seeding/sodding of the drainfield site and all disturbed soils is required as soon as possible and
permanently maintained ALL UTILITIES MUST BE ROUTED AROUND SEPTIC AREA. .
1. ALL FEDERAL, STATE, AND LOCAL BUILDING CODES APPLY TO THIS PROJECT.
Minnesota sewage treatment system standards chapter 7080 apply to design specifications and
standards. ALL SPECIFICATIONS MUST BE VERIFIED BY INSTALLATION CONTRACTOR
PRIOR TO CONSTRUCTION. I HEREBY CERTIFY WITH MY SIGNATURE AS THE
OWNER/BUILDER THAT ALL DATA(SURVEY,LEGAL,WELL,PROPOSED BUILDING SITE
,ECT) FOR THIS SITE EVALUATION ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. IAGREE TO INDEMNIFY AND SAVE ALL PARTIES(DAKOTA COUNTY)
HARMLESS FROM ALL LOSSES, DAMAGES, COSTS AND CHARGES THAT MAY BE
INCURED.
SIGNATURE TO BE VALID) (REQUIRES
M Well will be upgraded to meet setback standards of 50ft by a certified well contractor. Actual minimum
distance from well to the closest point of the drainfield is 85FT.
N. This septic site must not be disturbed. No construction material( dirt ,lumber, ect.) can be stored within
25 feet of the proposed site During demolition of the existing farm house careful attention must be paid to 0
the septic site. Failure to comply with septic setback requirements will cause this site to be condemned Any
alternate septic sites will add a significant cost increase to this project d
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Designated Registerred Professionals (DRP's)uti „f 4
- Ustaller Registr"anon Cpiration:l2/3)1/99
' Frank J. Betssel Jr.
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Designer II License expires 3/13/99
ry Installer License expires 3/13/99
Fodor Larson, Coll) ntissivacr
~j - Date of Issuance: 2/14/97 _
Company License Number: 197.
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C FLOW q j Fsamarcd Sewage Rows in Gallons per day
Estimated ~l oZtcnpd
measured x 1.5= gpd L1)L~ ~Nobc Types TypculTyam I.:fd
_ SEPTIC TANK VOLUME Bed rooms
1
n. 1`J~O :fie. n, yk;cl meat gallons 2 300 I 2-75 lea sm ;
s Yll; ti'1l'- 3 450 307 218 :f Ue
bc~a,
4 -60' 375 256
SOILS (Site evaluation aata) 5 750 450 294
c
C. Death to restricting laver 6 900 525 332 Ttpe L
= ,7 teet 1 7 1050 600 370 0 or
" .
D. Maxunum depth of system C - 3 ft = `eet 's 1200 675 408 Fa
Texture iC ,n1 Percolation race -7- I(-> MPI ~ columns
SSF /.L7sq?t/opd Septic Tank Capacities (in gaaoml
C. S1oee ) o
Number of Minimum uquadl Liquid cacacily
Bedrooms Canaclty,
oaroa¢e cauosai
TRENCH BOTTOM AREA
2 or less 750
For -encases with 6 inches of rock below the pipe: 3 or 4 1000 500
A x F = T=)0 x iG t[ e. bottom area 5 or 6 t5oo. 2110
7.8 or 9 2000 3.300 t '
1. For trenches with 12 inches of rock below the pipe-
x F x 0.8 =ESL x ~J"? x 0 8 = 1__-j it -I borrom area Soil Charammfics and Requnred Areas
J. or trenches with 18 inches of rock belo-o, the viper for se .a Tmmear
v~daaen wte in Sq
x F x 0.66 = X. x 0.66 _q rt of bottom area N,ititei rlnch SwT,.. roetper r.ltoo
(Vil'p pa m.
A. For trenches with 24 inches OI LOCK bElo•.v :nE' pipe: '
A x F x 0.6 = _ x x 0 6 it or COttOm area Fuser N. 01 • Coarse Sane
Olws Sa,d 083 .
BED BOTTOM AREA 01to5 F.Siuid•- i6;
6 to 15 Sandy L. I t'
L. For seeua,e beds with 6 or 12 inches of roc: beiow the pipe; 16.30 L. 1 67
31 eo45 Silt tnam 2D]
1.3 x A x F = 1.5 x _ x sa it of bottom area 46 tn60 claywm
Slower Nan 60•° etay -
ROCK VOLUME IN Cl: FT Sodmocmnc(cf~axen '
Use sys. tp rapdiy PcrmoElc sacs,
TM. Rock depth below distribution pipe plus 0.5 foot tunes bottom area: p°.~r} fi50 ;i ° D ed
M =Rock depth+6 inches x Area (H,I,J,L,K) salty Lmo dgh,p xDOF dmyro
insullaoon a>D apand sbndad a
=0.5fHx'Ill =curt
ROCK VOLUME IN CU YDS
N. Volume in cu ft divided by 27
VI=27=cu yds V27=2~ cuyas '
ROCK WEIGHT ihches "00
0. Cubic Wards times 1.4 = tons 12d11ryr =c~~°° n
N x 1.4 = tons x -1.4 = tons (10 1$. 21^}*°Q-
24111&e5-~~ a 2t~IIicdbiL. "
SYSTEM LENGTH E`si fo a fx2ncli
P. Select trench width = 3 ft
Q. Divide bottom area by trench width: (H, I, J, or K) - P =
Imeai feet Ceobnctile Fabric
l1Cx)- on'a DO°.Oi.ga.oA,rgo¢Dp 0. Rack Cover
lmeaifeet %
0..
6 ° a;ab
Q1. raceiless Design Ii•3x5Ci >woo°°9 °:q~ a~ a "
16,'96
x t - 3 for 10" pine, 2 for 8" pipe , \ tdth of the Chamber) o 0
_ o aDa gab;°oa "Dist- Pipe "
X `eet
~D ~ooeD, P'qs yDn
qao°,oos, dip°da• t
°°oo as°;_ aD~ao c_A
LAWN AREA
R. Select trench spacing, center to center = .l f 9° oicaao 0 oa pdti
eet q°v°.°. ~..re .Dc.•° o0
Multiply trench spacing by lineal feet R x q° Op°dDSOp°°a°g''Q'
Q = sq ft of lawn area
Z u 3cr x l_ ° .°o-a<Aaaao, 6-24rr Rock
;oopD :s a e>
o,ao-_ aoa _ a_~ da
1/2"
3/4
LAYOUT (Use other side) qa q9 e6 aD oa eoab?°D'aD
qa dlaoo ooeD ;`y6 0 4ao `D
r appropriate scale; one square = feet.
Select a _ q a
'h y' f 1 1 iDn BDa 9A °°D°°D6 r. .O?°
p
'how tr:rent prouer.} boundaries, rlpnt"of-wav, Q150,M,
3. Show location of house, garage, driveway, and all other
improvements, existing or proposed 1&36" width
Show location and layout of sewage treatment system.
chow location of water supply well.
6. Dimension all set backs and separation distances.
PERCOLATION TEST DATA SHEET
-Test hole location Hole number
Date test hole was prepared-//1 C7 Depth of hole bottom, 2y. inches.
Diameter of hole, P ithes.
Soil data from test hole:
Depth, inches Soil texture
o -06 Q\Cacn~ srncl,j loam
7 eri ~n~CS ~nnm ~,SyP~
SanC~ YOY~ 7~g
Method of scratching sidewall
Dept;; of pea-sized gravel in bottom of hole, d inches.
Date and hour of initial water filling 1 YY1U~ C1~ 1C)1'2) rftv
Depth of initial water filling, inches above hole bottom. ,
Method used to maintain at least 12 inches of water depth in hole for at least
4 hours _m Q0
Percolation test readings made by 4ren~<'lP ISC~,I /VI(1') l [~mi) ron on
C7 starting at ON l7C~ Qa.m~ Maximum water depth above hole bottom
(da e) M.
during test, inches. '
Time Percolation
Time Interval, Measurement, Drop in water rate, Remarks
Minutes inches level, inches minutes per
inch
C6 Co d,
X12 2c 'Z
20 at ^ a
J V
Percolation, rate = minutes per inch.
PERCOLATION TEST DATA SHEET
--Test hole location "SChul}-> _ 1101e number
u
Date test hole was prepared/ !IJ,,1'1J , Depth of. hole bottom, 24' inches.
Diameter of hole, itches. "
Soil data from test hole:
Depth, inches Soil te_ctur.e
Methcc of scratching sidewall _ c,c1,: (Apn -`-n^ \
Depth of pea-sized gravel in bottom-oaf- hole, c~ inches.
Date and hour of initial, water filling i On C! ~ C1) AC01150 /jw
Depth of initial water filling, P
inches above hale bottom.
Method used to maintain at least 12 inches of water depth in hole for at least
4 hours Cat o ~
?erecla tier test readings made UY 4!`0: ~~<~r' ICti~ / ~M ~r^rm) ors on
YKAT starting at n al l Is"' . Maximum water depth above hole bottom ,
(dam C) G -p.m.
curirc zest, U inches. -
I
I Time Percolation
Tice I Interval, Measurement, Drop in.water rate, Remarks '
.._nutes inches level., inches minutes per
i
I inch
\CG (p _ O
ci2 ^ 1c 1
~r 2G I - vt c ,
°l Y0 e C r
I
I
! I I
I
I I
7
a
Fercc'_at'_on raw _ minutes per inch.
PERCOLATION TEST DATA SIItiE'E'
Test ^e1e lecation~~}~ui}? Bole number
Date tcs- ?,cle was prepared// . Depth of hole bottom, LJ. inches.
Diar.eter of hole, inches.
Soil da~a -ron test hole:
Death, inches Soil texture
C,cA SCnAA 1Q2„n
-lS 2~ ~et~ ~nnm 7.~YC7~Y
cc,
Method of scratching sidewall c{c7,rLloc~ ~r"c^~
Depth of pea-sized gravel in bottom of hole, inches.
Date and hour of initial water filling I YY1G"-\
Depth of .nitial crater filling, 1'-~1, inches above hole bottom.
`:ethod used to maintain at least 12 inches of water depth in hole for at least
4 ho=s (al l~ d ~C'YI~C '(Yl (1/~~~
Percolation test readings made by }f„(~~<~Z.t IS' Z''T' on
~~M "'V C~ starting at ~OLMaximum water depth above hole bottom
curi-g _test, O inches. -
Time Percolation
Time Interval, Measurement, Drop in water rate, Remarks
Minutes inches level, inches minutes per
-
inch
~eG Ca TIt
q
~1 yc Z y
I
I ~
I
'e'cc:at'_cr. !:ate O minute, per inch.
PERCOLATION TEST DATA SHEET o
Test hole location ~~1~,,,If7 _&Gr` Hole number 1 ~r f
Date test hole was prepared yC7 Depth of hole bottom, OAj. inches.
Diameter of hole, allies.
Soil data from test hole:
Depth, inches Sol-1- texture
/ Cv C~~ ~arlr. -a ~C1 rrl
~n(_1 rY\ 7,SY~Z7/S
Method of scratching sidewall
Depth of pea-sized gravel in bottom of hole, inches.
Date and hour of initial water filling cnG~6 C1~ 1c)'•'~C~ ~w
Depth of initial crater filling, 4,,S inches above hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least
4 hours (a kA0 sc'a_\_\~ `(Y) Cr\vc,~ 4
Percolation test readings made by R e. Ion
ern nmll inn
Olto"'•w 91 starting at C~oO~ ~~''_'~3 Maximum water depth above hole bottom
p.m.
during test, U inches. -
Time Percolation
Time Interval, Measurement, Drop in water rate, Remarks
Minutes inches level, inches minutes per
inch
1 CG (p
4
o, Y G
C
l
1
1
I
?e cc s:ie ;are - minu m per inch.
- PERCOLATION TEST DATA SneEri• ,y n
Pest hole location .1iu1}~ _ ~qG_ Hole number
Date test role was prepared C`J Depth of hole bottom, ').[J. inches.
Dia-zter of hole, i{aches. -
Soil data From test hole: -
Depth, inches Soil texture
\Ca VV I Crncw )OQn'1
Lj
grf uvQ 7~c
Method e- sc_atchine sidewall c~CT ^C\oc~ ~t'~e^~ _
De?th o; pea-sized gravel in bottom of hole, inches.
Date and :hour of initial water filling I 1Y Gi ] 1~'•^'JC~ /~v~
Depth of initial water filling, inches above hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least
4 Sours 0LAO SMv-, -On cdn
Percolation test readings made by Fr~.,o~<IZc'1SCf~ ~i rn ion en
q ~1~t•,,~C}~ starting at Maximum water depth above hole bottom
(da`ge)
during test, O inches. - -
I Time Percolation
Tine interval, Measurement, Drop in water rate, Remarks
j ".mutes inches level, inches minutes per
inch
cG I (o ,q
C%~'0 O
Yc'
I ~
I, E
I~ l I
1
I ~
?e-CClr_t'_ea rte = minutes per inch.
TRENCH ROCK COVERED WITH PERMEABLE
SYNTHETIC FABRIC OR 4 LAYER OF MARSH HAY OR
-PIPE TO NEXT STRAW COVERED WITH UNTREATED BUILDING
4" DIAMETER INSPECTION
INLET DROP BOX PAPER (RED ROSIN) WELL WITH CAP
EARTH BACKFILL AT LEAST
I JI 6° ABOVE TOP OF ROCK
< C <
DISTRIBUTION PIPE
4't
AT LEAST 6" DEPTH OF CLEAN o ` E4
' ROCK 3/4° TO 21/2' DIA. SEE NOTE 5. 0 4`
< Ito
DROP BOX
MAXIMUM LENGTH 100 FEET
OVERFILL NOTES: 1. BOTTOM OF TRENCH MUST BE LEVEL. TOP OF TRENCH
4 TO 6 INCHES ROCK MUST BE LEVEL.
_ INSPECTION
i WELL 2. SLOPE ON DISTRIBUTION PIPE IS BETWEEN
LEVEL AND 4 INCHES PER 100 FEET.
BACKFILL RECOMMENDED SLOPE IS LEVEL.
6" TO 12° OF
SOIL BACKFILL 3. DISTRIBUTION PIPE CAN BE PERFORATED
PLASTIC INSTALLED WITH ONE ROW OF
HOLES ALONG THE PIPE BOTTOM. PIPE
2 "DEPTH OF MUST HAVE A BEARING STRENGTH OF
< o ROCK ABOVE AT LEAST 1000 LB /FT.
PIPE
ROCK
° AT LEAST 6" OF 4. SCARIFY TRENCH BOTTOM AND SIDEWALLS
c
ROCK BELOW AS HIGH AS ROCK WILL BE PLACED IN THE
PIPE. SEE TRENCH IN ORDER TO EXPOSE NATURAL SOIL.
NOTE 5. REMOVE LOOSE SOIL BEFORE PLACING ROCK.
18" TO 36"
5. WHERE TREES ARE PRESENT OR LIKELY TO BE
PRESENT DURING THE LIFE OF THE SYSTEM,
12 INCHES OF ROCK MUST BE PLACED UNDER d
THE DISTRIBUTION PIPE.
w
TRENCH CONSTRUCTION: DETAILS.
,t d - k~ V/rY-~ f
;----MOUND FILL 4'- 6-
0 TO ALLOW FOR
of e~°~o~~~, y., 1. .;,f~./. i SETTLING
,i, ---GRASS COVER
6" TO 34" OF SOIL
COVER ABOVE ROCK
{
3/4" TO 2 I12„
,.~,pl... • I CIA.
CLEAN ROCK
4"- 6" LAYER OF UNCCOMPACTED
HAY OR STRAW COVERED WITH
RED ROSIN PAPER
IS T
fARE~ ---TRENCH BOTTOM MUST BE LEVEL
' S~EIR,.a -ice / THROUGHOUT LENGTH
~ - - 2" MINIMUM ROCK COVER ABOVE PIPE
6 MINIMUM ROCK DEPTH BELOW PIPE
1 ~E EEf j~ 4" DIA, RIGID PERFORATED PLASTIC PIPE WITH ONE
p 3 F / / ROW OF HOLES ALONG BOTTOM
/ WATER TABLE OR IMPERVIOUS LAYER SUCH AS CLAYP.AN, o
j// ROCK, ETC. r
TRENCH CROSS-SECTION
FINISHED GRADE
1
RIGINAL GR:_D T`iCci 5 CF Br.CZFILL
OVER ROCK ORIGIN= _L G3=.D=
FILL SOIL TC
MINIMUM OF ; INCH=~
OVER RCCK
GEOTEXT_ILE CLOTH &v
=YIMti=: TRENCH 4" COMPACTEn lv pE S-R~SI AND
R=D"ROS! N P Ft 2_~ 1 on l
DEPTH 0= 2" ROCK OV=R P__
n,/y 2 INCHES ROCK OVER PIPE
4' DIST_.IBU C.. P_. =
_ INC_:ES
0
3/4 IN6H TO 2 1/2 INCH
WASFED SEWER ROCK IVCHcS O? ROC:;
BELOW DIS^R_~LT_0`
PIP=
i I`'^~ ?vcxFs
TRENCH WIDTH /
ON-SITE SEWAGE TREATMENT SYSTEM - INSPECTIONREPORT
Applicant and Permit Date of Inspection:'"- -21Z
Inspected by:. Parcel ID:
Municipality/Township: ~T ~ j Site Address: i-r- i ~Gt /J~/1
~r
g0!C75E S~EC"SA~ SUTIS
# Soil Borings Depth to Restriction House Type:` 1 II III
# Perc Test Garbage Disposal: Ye No
T MotTliug Bedrock Watertable
(M'~ Average Perc Rate /,?,.7 # of Bedrooms
(9 Acceptance Rate
(sq. r'tJod) r'_, # Potential Bedrooms
Reserve Ar Yes o
SEPTIC TAWSPFCTIt7[CAUON5
Number of Septic Tanks Outlet a min. 3" below inlet
Inspection Pipes (4'•mia)
Capacity (1.000 s mi.) ~i Horizontal Dimension (24° min.)
Manhole (za" ruin.)
Pre-fab Tanis Model: Yes / o Tank is level
Pumping tank Ye No`
Outlet Baffle (35% of total liquid ~ Inlet Baffle (6° below liquid-l"
depth- 6" above liquid surface) above inlet crown) Capacity
V Liquid Depth (3o"vdn,) -----t Watertight Construction
SEPTIC TANT SETBACKS
Property Lines (1o') Buildings (1o•) Buried Water Pressure Pipes
(10')
SWell (75') Recreation & Tributary (75°)
All others except Rec. & Tnb.
(1so')
\ DRAINFIELD: SE!tXCI -
J Buildings (2o') Recreation & Tributary (75•) All others except Rec. & Trib.
(1so•)
Large Trees (1o•) Well (so' or 100')
Buried Water Pressure Lines
Property Lines (1o•) (10')
PROP,-UOX
Watertight Construction a Pipe to Drop Box (u q~forateo V Box is Level
Inlet Inverts (1" above outlet Outlet Inverts (a" above floor) Distrib oG Pressure
invert)
~SL Pipe Connection
DRATIEU
71
6, P.
Number of Laterals Trench Widths (ls^ am - 36^ Slope of Pipe
Rock Under Pipe (6^-2a') Soil over Laterals (6° m a - 36'
ado/ Rock is Covered (wan VA" m~ )
P!j Lateral Lengths (loo' m=) s
~r? Size of Washed Rock (sra^ to
Rock Over Pipe (2'~ Lateral Spacing (T m curler - 2 5
prek-,d)
Total Trench Depth
yam„
mcnes Bottom of Trench to Water
~`2a Total Sq. Ft. Trench Area awh Table or Bedrock
SCALE:
❑ _ 7feet
Site Drawing:
- -7! "
a
V
n
Designer:,, Approved: Yes /No
Installer: - Signature:.
HOUSE HEATING TEST RECORD ll ° 3/ y✓ ~'f
ADDRESS APT._FLOOR-CITY SUGUR6 ~klvd2
OCCUPANT OWNER
NEAT LOU DATE MTQ INST. L-T - f %
SOLD By 171~,•=• INSTALLED ET~~ <<a ✓e.-:cc
Ele•wieel Work %fri~~•:n._ C/i~ /irie G• Lima fi`iy
TYPE OF MEAT GA_FA_7CN~_STEAr-SPACE MTR.-UNIT MTR._OTMER
GAS DESIGN / CONVERSION
MAKE e~~r4 "`c~O Z' AW*"OF 5 RNER
Mwol zo z- /Z- Z-4 us" P I/
Sriel/ et.6 Raf
INPUT /Gt"G-c d wKpF tf~ N
CONTROLS
THERMOSTAT Meer PtA Wow Size
Vei.e /ti KIND OP LINER SIZ NONE
/LG • Ow* MwA R"wI•w
znr
Lim*
Liwi, Sewatf 1,Ar FiNws Ss» L
Fp S•gMy 'r Chmmy Lmwti" I"Z,777 Owtsti. l/
Piles Type 6irry C•e•w.ate ~"L-aL
Piles M•tot n Spillage d an~
Pilot N"w SJCN?-% Sahs {emA ;rows
Pitt Timq oe c ofth l i Too Ty L
L.W. Cn ON now Pte•w. Imt. I
P.e•wa 3' Petwew COf ` Oats Te•sei f - LS- 91
Iww CF" vG Preso OS f C.~ty T.•+iq -
fad T.W. 79O Pw~ CO 0 d Te•sr i`1r e
Certificate of C=penten y_ M
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
~~5 ro PHONE: (612) 454-8100 RECEIPT #;o?ra
WWCwl"t T DATE :
"S.xfiETIAf PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM 15.00
ADD ON --7~-,t 7o v ~ C HVAC 0-100 M BTU 24.00
REPAIR A,/ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT p0
OWNER NAME : A.c ui ~,v ~ eyd j
SUBTOTAL: $ g-7"
SITE ADDRESS: lfl5 C:fE2iA~r~`1. d/e/dE- STATE SURCHARGE: .50
LOT:_~_ BLOCK 5, SUBD. 7 _ TOTAL: $ ~
INSTALLER:
ADDRESS:
-//S~SOr1/ SIGNATURE PERMITTEE
CITY: /1 Y_5eooZ:/ 1"All zip: .SST_
PHONE ~7G'i991>
COMMERCIALfIN41JSTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS,
APARTMENT 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
CTTR AnnRE94: _ EACH 51000 OF PERMTT PRE.
PROCESSED PIPING - $25.00
LOT: BLOCK SUBD. _ $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: _ STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR: _
CITY OF EAGAN n
August 9, 1990
To: City of Eagan
From: Al and Lyle Schultz
Subj: Justification for mobile home permit
Background
Application for a permit was first made in 1971. My wife and
I wished to have my parents, Al and Elizabeth Schultz, living close
to us (preferably on our property) for the following reasons:
1) Frequent contact
2) To ease their financial situation
3) To give our children the advantages of growing up in the
company of their grandparents
4) To make it easier to care for them, should care become
necessary.
111 parents purchased the mobile home themselves, we moved it
onto our property, and they resided there until health problems
`.arced a change (hospitalization and surgery for my mother and
subsequent move from the hospital to a care facility, where she
now resides; hospitalization of my father for cancer, which took
his life just a few umeks after it was discovered). Although my
mother would prefer to return to her home, her present physical
condition makes such a change unlikely.
It was my parents' desire that the mobile home become the
residence of their youngest son, when they were no longer able
to occupy it. In accordance with their wish, my brother took
up residence there about a year ago. My mother, as surviving
spouse, still owns the home; however, financial considerations
relative to the cost of her care may soon force a change to that.
Present application
We desire renewal of the permit so that my brother may con-
tinue to live next door, thus enabling us to monitor and assist
him. He has been for some time, and is presently, under a doctor's
care for depression and is taking substantial amounts of medication.
Frequent contact helps us to assess how he is doing, hopefully to
recognize and resolve any problems early, and to assist him with
some of the day-to-day things which for most people are fairly
routine, but which for him are sometimes troublesome.
-2.
Our desire has been to use our resources to help and care
for family. We wish to continue to do so, and maintaining my
brother's present living arrangement will help us to do that.
Sincerely,
Z~ 6-' ~
Al and Lyle Schultz
1315 Carriage Hills Drive
Eagan, MN 55123
/ C> 3 SOU C) GjG S
7m)-citV of eagan
3830 Pit Ol KNOB ROAD THOMAS ELAN
EAGAN, MINNESOTA 551221897 NYynr
PHONE (612) 454-8100 DAVID K GUSTAFSON
FAX (6I2) 454 8363 PAMEIA WCREA
TIM PAWLENTY
TI IEODORE WACHTER
Cmncd Muntwis
THOMAS Hr.DGES
Cny Admini5hator
EUCFNeVy N II, ERBEKE
July 13, 1990 0
MR & MRS LYLE SCHULTZ
1315 CARRIAGE HILL DR
EAGAN MN 55123
Dear Mr. & Mrs. Schultz:
Pursuant to our conversation on the phone on the 11th of July, I
am sending an application for trailer license renewal.
I will send you a notice of the date this item will be addressed
by the Council.
Respe/c~tJ/fully,
~6hn Olinger
Administrative Intern
JJO/vmd
THE LONE OAK TREE. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunity/Affirmative Action Employer
Iu << CITY OF EAGAN 17697
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for CAP4# a Est. Value $11,000 Date APR 11 19 90
Site Address 1315 CARRIAGE HILLS DP.
Lot ' 1 Block 53 Sec/Sub. SECTION 34 OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name AINI N SCHULTZ (Actual) Const Bldg. Permit 126.00 .
Address 1315 CARRIAGE HILLS DR (Allowable) Surcharge
5.50
o City IrAGAM Phone 454-1594 # of Stories 82 ~
Plan Review
Length
=p Name SAME Depth SAC, City
o` Address S.F. Total
SAC, MCWCC
City Phone S.F. Footprints
On Site Sewage Water Conn
w Name On Site Well Water Meter
Address MWCC System _
= Acct. Deposit
a W City Phone City Water
PRV Required SAV Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee ( APPROVALS Road Unit
A Building Permit is issued to: ALNIN SCHULTZ Planner Park pea
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 213'
Permit No. Permit Holder Date Telephone #r
WATER
STWER
PLUMBING
H.VA.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I /
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg,
Const. Meter Plbg. Inspector - Notity Plumber
Engr./Plan
Bldg. Final - 4,kl G.p/LLJ
Deck Ftg. % C 7 Ir -1
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks Sc~c =
Addition Section 34 Lot Blk Parcel 10 03400 010 53
Owner Street 1315 Carriagae Hill State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
• CITY OF EAGAN N2 17697
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100, iO Ji r -
BUILDING PERMIT r
Receipt # i UU VV
To be used for GARAGE Est. Value $11,000 Date APR 11 1 g 90
Site Address 1315 CARRIAGE HILLS DR
Lot 1 Block 53 Sec/Sub. SECTION 34 OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
X Name ALWIN SCHULTZ (Actual) Const Bldg. Permit 126.00
3 Address 1315 CARRIAGE HILLS DR (Allowable)
F.AGA_N Surcharge 5.50
City Phone 454-1594 Not stones _
Length Plan Review 82.00
Name SANE Depth SAC. City
z1:2
O~ Address S.F Total SAC, MCWCC
City Phone S F Footpnms
.101 On See Sewage Water Conn
Name On Site Well w Water Meter
~ Address MWCC System
v+ City Phone City Water Acct Deposit
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci (/,e agan OrdinaAco Treatment PI
Signature of Permiteer APPROVALS Road Unit
A Building Permit is issued to: ALVIN SCHULTZ Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and,,~City 1 of Eagan Ordinances. Bldg. Off. Copies
Building Official 111NfLI ki j Variance TOTAL 213.50
1 ~
"/as qi
0 2 8 5 9 ~s<3 $15 60
Reque, D e Fre No Rough-in Inspection
Required'? ~ eady Now ❑ WIII Notify Inspector
Yes ie<o When Ready'?
IIC `,censed contractor ~ owner hereby request inspection of above electrical work at
Job Atldreas (StSet. Box or o to No I City
[I l~64
Section No Township Name or No I Range III Cc
Occup' IIPRINTI Phon No
Lei.L lUL Z - J
P e! supplier Atldress
Electrical Contractor tCOmpany Namel Contractor's License No
Harrison Electric Inc. 421867
Mating ACdreas rCon0actor or Owner Making slallWinn i
25 ev da Ave. No. Golden Valley Mn 55427
Au ont 5 dor. w er M Inslallatmm Phone Number
544-3300
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave, St. Paul. AN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121642-0800 ENCLOSED-
REQUEST FOR ELECTRICAL INSPECTION EB-W001-oe
li~ See mstructuns Inr cnmp'ailing this form cn back of yellow copy
Q "X•' Below Work Covered by This Request a"'I• q
28959 T
ew Ark1 Rep r Typeof Budding AppliancesWiretl Equipment Wired
Home Range Temporary Service
Duplex l Water Heater Electric Heating
Apt Budding ryer Other (Specify)
Comm /Industrial F nace
Farm Alr Contlrtioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below
# Other Fee a, Service Entrance Size Fee # Circmis/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs inspectors use Only _ TOTAL
Irrigation Booms dQ
Special lnsp"h'n '
Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical inspector, hereby Rough-,n Date
certify that the above inspection has Finai
been made ! L
OFFICE USE ONLY
This request voo 18 months Iran
v%!/So e759
0-45502 Qx ev
Request Data ue No Rough-in Inspection
Regdi ed' ❑ Reatly Naw Yf Will Notify Inspector
7 - 1467 ❑ Yes No "When Ready'
I ICensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Sox or Route No City
ra 1171s r1-av
Secai Township Name or No, Range No County
Occupant (PRINT) Phone No
Power Supplier Address
Electrical Oonha 0r (Company Name) Contractors License No
~ife..S(~c; 3 9S`1
~
Mailing Address (Contractor o1 Owner Making Insaallanorl
WYY
Auh ieJo gnature (C to 'Owner Making Installation) Phones Nuumbbeer
V I JJ/-tom
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg - Boom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SI Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Plane (612) 642-0800 ENCLOSED
,~/REQUEST FOi ELECTRICAL INSPECTION=tea, EB-00001-0]
b'ee inslruclions for completing this form on back of yellow copy
3.4.5 Sm-p- O 2 X" Below Work Covered by This Request
ew Add Rep Type of Building AppllancesWlred EquipmentWlred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommAndustnal Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below
# Other Fee # Seance Entrance Sze Fee # Circuits/Feeders Fee
Swimming Pool ` 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Ab_ovea00'= Amps
Signs Inspectors Use Only / o'T
Irrigation Booms
Special Inspection V
Alarm/Communication THIS INSTALLATION MAY BE ORD RED NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical inspector, hereby Rough-in Date,
certify that the above inspection has Finai Date
been made.
OFFICE USE ONLY
This request void 18 months from
1990 BUILDING P 4T 1ALICA10N
CITY OF KAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DA~
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
000 MAR 10 REGO
To Be Used For: ~~Valua[tion: 7 Date: C ti V
Site Address OFFICE USE ONLY
Lot Block FEES
Occupancy
Zoning
Parcel/Sub Actual Const Bldg. Permit 1 Z~
s / Allowable Surcharge 5--SO
Owner &V ik c q L # of stories Plan Review ~ Z
Length SAC, City
Address ~~Ji (✓!r' ~S /Y ~/s Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~~S an ~~a3 Footprint S.F. Water Meter
JJ Acct. Deposit
Phone ,/s- / q /S` 9 { On site sewage- S/W Permit
on site well S/W Surcharge
Contractor MWCC System Treatment P1.
City water Road Unit
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off. 4 ~~0
Variance
Address
City/Zip Code
Phone #
,"S .C
i
1 ~
i
H
I j
I
5U-o
~3, I E%1ST w4
I
72-V
23G ~ 9E
` I RESIDENTIAL BUILDING
Permit Application _
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cad of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pries Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd
l set of Energy calculations Addition - indicate if on-site septic system _On-site Septic System
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
-7 CCcrtiYv:~~- •~l r~V-~
Date 2z / 2q / Construction Cost
Site Address Unit/Ste #
Description of Work rot
Property Owner Y~ Telephone # (6~O ~z J - Z I
r
Contractor
Address City
State Zip J Telephone # ( 95 _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
ffapproval of plans.
Applicant's Printed Name Applicant's Signature D r2 n , 1
u~ FED 2 41 2003
LI
By
OFFICE USE ONLY t
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory 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 (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous
e40~~ Ou7~ O~ C~~
Work Types b1w
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition _ja, 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation p Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
- Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing - Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
- Insulation - Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RE: HOUSE/GARAGE MOVE
I guarantee I will repair any and all damage to local roadways,
utilities, and public right-of-way that may be damaged by this
moving operation.
Date By.
.t
MOVER'S PERMIT APPLICATION (FOR BUILDING MOVE)
0 Date of Application:
0 Address A legal description of building being moved:
0 Address & legal description of proposed destination:
0 Check situation that applies:
Building presently located in Eagan - to be moved out of Eagan
Building presently located in Eagan - to be relocated in Eagan
(Requires Council approval)
Building located outside of Eagan - to be relocated in Eagan
(Requires Council approval)
Building located outside of Eagan - to be moved through Eagan to
another City.
0 Mover's Name: r~YG ~~7
~7
Address: q/ 6 ~V 73 Phone # /L(7 EL
Mn. Mover's License # 3L 66
submit a copy of license)
0 Highlight origin, route, & destination on current City map. If County
or State roads are used, provide copy of those permits.
0 Proposed date & time of move (notify Eagan Police Department). NOTE:
Fagan Police will not accompany move until time ooordination has been made
with nei&boring municipality.
31 k q& r7
0 Size & weight of structure: '301, ~ 0 0y
OFFICE USE ONLY
Mover's permit fee
permit #
Guarantee to repair
3
A ■ G D _ E F ■ M J ,I ■ t
^ ..e i . . . i
r i= P'~YEND TA EISNT5
T i A x
P I 10
ILI
It I
- ~ f 1~ ~ s~ / .rte
1/ sew ~r~~ ' 00 _ + , ■
Y 4 r
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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 (952) 891-7011 Fax (952) 891-7031
DATE: January 10, 2003
TO: Tom Colbert/Wayne Schwanz - EM Fax (651) 675-5694
FROM: Water and Land Management
RE: Well Permit 03-H172984 Well Type: Sealed
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: Maher Well Drilling
Date application received: January 8, 2003
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time: _ _ _
Property Owner: Dakota County Parks Dept
Well Owner: Dakota County Parks Dept
WELL LOCATION:
PLS Coordinates: sw 1/4, nw 1/4, ne 1/4, sw 1/4, Sec 34, Town 027, Range 23
Street address: 1315 Carriage Hill Dr
PIN Number: 10-03400-010-53
WELL INFORMATION:
Diameter: 4
Casing depth: 250
Total depth: 250
Static Water Level:
Aquifer:
COMMENTS:
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MEMO
city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
FROM: JON HOHENSTEIN, COMMUNITY DEVELOPMENT DIRECTOR
DATE: FEBRUARY 23, 2004
SUBJECT: BATTERY CASINGS AND ISTS
In response to your memo dated February 17, 2004, I agree with the approach you have defined
relative to flagging the properties that have been identified as having used battery casings in their
ISTS system that could be addressed in the future if the matter comes up.
Thank you for your continued attention on this matter.
C imium Developmen Director
JH/ld
cc: Tom Hedges, City Administrator
Tom Colbert, Director of Public Works
Mike Lence, Senior Building Inspector
I
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MEMO
city of eagan
TO: JON HOBENSTEIN, COMMUNITY DEVELOPMENT DIRECTOR
FROM: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DATE: FEBRUARY 17, 2004
SUBJECT: BATTERY CASINGS IN I.S.T.S.
Jon, attached you will find a letter from Barry Schade, Dakota County Director of Environmental
Management. Barry has had a number of contacts with Gail McMahon regarding excavation of
battery casings on her property at 1429 Lone Oak Road.
As you can see by Barry's letter, the County has identified ten sites in Eagan that used battery
casings in the construction of individual sewage treatment systems (I.S.T.S.). It appears that four
of ten sites are still pending, or casings remain on-site. Based on this information, I believe we
should place a warning flag on lots containing battery casings that haven't been mitigated, as well
as place a copy of Barry's letter in the relevant parcel files. A warning flag on the PIMS system
would allow us to inform individuals requesting permits of this issue.
Barry has indicated that sites containing battery casings usually don't need to be mitigated until
they are disturbed. Once they are discovered, it is Dakota County's policy to require the property
owner to record this information with the property data base at Dakota County.
If you need additional information or if you feel our plan of action needs to be modified, please
advise.
Chief Building Official
DS/j s
cc: Tom Hedges, City Administrator
Tom Colbert, Director of Public Works
Mike Lence, Senior Building Inspector
c
C O U N T Y
F-B :i 6 2iJJ4
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Environmental Management February 4, 2004
Barry C. Schade
Dire=r
Gail McMahon
Dakota County
Western Semce Center 1429 Vince Trail
14955 Galuie Avenue Eagan MN 55121-1113
Apple Valley. MN 55124
952 891 7557
Fax 952 891 7588 Re: Analytical Results -1429 Vince Trail, Eagan
wvw co dakota mn us
Dear Ms. McMahon:
Enclosed are the analytical reports for the samples of water, house dust, and
soils collected from your residence on January 9, 2004. The results indicate that
the interior dusts and the well water supply are free of lead contamination. The
soils collected from the soil/battery casing stockpile in your backyard contained
significant levels of lead.
This suggests that lead from the soil/battery casing stockpile has not been
transported into your house and has not impacted the well water supply.
However, the lead in the soil/battery casing stockpile represents risk to human
health and measures should be taken to reduce the potential for exposure to this
lead source. While the plastic cover placed over the stockpile has served to
reduce the potential for direct contact with the lead, bare soils contaminated with
lead are accessible to direct contact or through wind dispersal. We recommend
placing additional plastic sheeting on the stockpile to further reduce the exposure
to the lead contaminated waste and soils. We also recommend that you limit the
use of the backdoor and install additional fencing around the stockpile to prevent
inadvertent contact with the stockpile.
Also enclosed is the list you requested of other situations the County has
encountered where battery casings have been used in the construction of ISTS's
(individual sewage treatment systems).
If you have any questions, please call me at 952-891-7004.
Si
Barry Sc ace, Director
Environmental Management Department
C: Dale Schoeppner, Chief Building Official, City of Eagan
Michael J. Tibbetts, Major Facilities Section Manager, MPCA
29-Jan-04
Residential ISTS
NAME Site Address City Site T Waste Description Status Site Nurnber=lle Locatloi Complaint
Saad & Coury Battery Disposal 7175 Angus Ave E Inver Grove ISTS Battery Chips/Casings Removed 1143 T8 06101/91
Day & Cole Lead Battery Disposal 2961 Lexington Ave S Eagan ISTS Chips Remain on-site 2076 U3 09105/95
Gerhardt Lake (Parks) Disposal 4970 Johnny Cake Ridge Rd. Eagan ISTS Battery Chips/Casings Pending 2696 U33 03/17/03
Schultz (Parks) ISTS Disposal 1315 Carriage Hill Dr. Eagan ISTS Battery Chips/Casings Pending 2632 U34 summer, 03
McMahon Battery ISTS Disposal 1429 Lone Oak Rd Eagan ISTS Battery Casings Pending 2202 U4 11/17/03
Business ISTS
NAME Site Address City Site T Waste Description Status Site Number=ile Locatloi Complaint
Fine (Union 76) 3159 Dodd Road Eagan ISTS Battery Chips/Casings VIC # PT2710, J. Slahnke 2183 U12 08/07/91
Paridis Inc Battery Disposal 900 Lone Oak Rd Eagan ISTS Battery Chips/Casings Developed 2615 U11 summer-83
George's Golf Battery Disposal 2333 Water Dr. Mendota Hh ISTS Casings on-site mgmt&landfilled 2663 X34 00104/97
Dart Warehouse 2767 Hwy 55 Eagan ISTS Casings Developed 2400 U2 01112/98
Manley Brothers/Oak Bluff 4150 Elhan Drive Eagan ISTS Battery Casings Chem Fixed & Removed 2142 U24 05/26/99
Richard's Place Battery Disposal 4185 Robert Trail S Eagan ISTS Battery Chips/Casings Removed 2167 U24 June,2000
Grand Oak/ Seepage Trench Formerly 2799 Linda Lane Eagan ISTS Battery Casings Removed 2213 U2 10120/98
~~T
CITY USE ONLY ~y p c r~
L _L? 8-L RECEIPT#:
SUBD.-ts~~" ~h RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681.4675
Please complete for: . single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler "fordwelling under const. 3.00
U.G. Sprinkler 'forexisting dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Oak Cry lic. 75.00
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE
TOTAL
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during Its normal operational and maintenance activities to the facilities constructed under this permit within
City propertylrightof-way/easement. /f
SITE ADDRESS: ~ 3 1 S r ~ X.R 14 (,,6 1~ 1 G-L5t Ji21 V£ cn G A)
OWNER NAME: At- m I , ~ kyGE J• Se-i41, L:r z
INSTALLER NAME: TELEPHONE*
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STREET ADDRESS:
CITY: STATE: ZIP:
:S2HfiG /G r
-e SIGNATURE OF PERMITT E
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