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575 Chapel Lane7/18/2011 3 :35:12 PM 6028 7975 @ 01/01 ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING APPLICATION DATE: July 18, 2011 TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675 -5694 RE: Well Permit #: 11- H294685 Well Type: Domestic Municipality: Eagan Environmental Specialist: Lucius 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 -7557. 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: Carlson Well Drilling Date Application Received: 07/18/2011 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Donald Chapdelaine Well Owner: Donald Chapdelaine WELL LOCATION: PLS Coordinates: 1/4, SW 1/4, SW 1/4, NE 1/4, Sec 12 Town 027 Range 23 Street Address: 575 CHAPEL LN PIN Number: 101560008000 WELL INFORMATION: Diameter: 4 Casing Depth: 55 Total Depth: 59 Static Water Level: Aquifer: COMMENTS: CITY OF EAGAN Remarks 10 15600 030 00 Owner I R . t I??`iY l( Street 575 Chapel Lane State Eagan, MN 55121 r nP, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 130.00 10 ?.(,0 0n A010558 - STREET RESTOR. - GRADING SAN SEW TRUNK 1970 5.00 25 1 65.00 A010558 9-10-81 SEWER LATERAL 1972 110-77 20 1107.80 A010558 9-10-81 WATERMAIN WATER LATERAL 1972 20 WATER AREA STORM SEW TRK 1984 561.00 37.4 0 15 , p O/ C 5 /--?,- STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3490 5-4-71 BUILDING PER. SAC 260.00 3420 - -71 PARK EAGAN TOWNSHIP BUILDING Owner ' -------------------- ----- (.l.1 : .. ........... -------- Address (presen)... .. ..... . ------- -.-_-x Builder ---- ........................--------------.--------------- Address ....... PERMIT .............. DESCRIPTION Nn 5 Eagan Township Town Hall DateoIr ... - A;1 - Sforiesl or To Be Front Depth Height l Est. Cost ermii Fee Remarks ? OW I y'/DaD°° //° 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 com unity. THIS PERMIT MUST FrREPT O EMISE WHILE THE WORK IS IN PAOGpJ?. l- This is to certify, that....YYY, .. ..... - .. -----------------------has permission to erect a..--.L..... 4.-...-............ ................--.-.-.--upon the above describ p miss ,S rovisions of the Building Ordinance for Eagan Towns adopted April 11, 1955. Per ------- ----- -----°-....----------- Chairman of Town B Building Inspector Q? /? VJ ??a / a V7o y?Z7 V t? J 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 0? e 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 7 /+ 0 ?J Site Address ,J 7$ C Alm-,n>1 dla 1 Unit # r Property Owner Dnyv C ia„ Q Telephone # ( (n 5-/ a6,2? Contractor 4 5100 Street Address 5//2/' City State h3?t) Zip SS/ 1. ? Telephone # (t,?7 ) ,Q9 y- J`t? 9I Bond #: Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional /Replacement New air exchanger air conditioner _ heat pump n ? other 2aV State Surcharge $ .50 Total $ -5-0 ,- I hereby apply for a Residential Mechanical 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 Mechanical Codes; that I unders ' permit, but only an application for a permit, and work is not to start wi ermit; that the work D it>'?cddlihcv? approved plan in the case of work which requires a review and approval of s, lllr?7 ``?F UU cC?? ,1 2 2007 , I_____. TAUEk? DEC Applicant's Printed Name Applicant's ignature 1UU ?? shy 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. i) Date #6i*, r d Z i D 3 Site Street Address S 75 ado?/ Lam, o Unit # T v Property Owner .2 Telephone # (Gs O 4'5-4j ,5X 3 Contractor i Zo'2 .a-t., Telephone # (G?%) vsv c' 33 Address .3-75- ,"1na7 L ?".o City ? .n u State _&4/1L Zip,5"'5'/,z/ The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 - new _ replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 34.5 O I hereby 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will a in accordance with the approved plan in the event a plan is required to be reviewed and approy? Id (%apIp/a,'br? Applicant's Printed Name S 1\ EAGAN TOWNSHIP BUILDING PERMIT N° 1760 Owner .......mss-- ._..._U---------- Eagan Township Address (present) .......7. ...._. ----- Town Hall Builder ..._.N .?ti: .°... ts._. ----------------------------- ..... _. Address -------- Date ....I' ................................... ....._...: c1.? ------ =_Q...............--- ------------- Stories To Be Used For Front Depth Height Est. Cost Permit Feel Remarks /a. 0-7 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 ....dx ......L?..?..? 2±. ..has permission to erect a.....- .. !t._. -- t t? upon the above described premise subje to the provisions of the Building Ordinance fo X aw ship adopted April 11, 1955. ?---+`.... --'`°'-- ......... ......... --... Per -----------°---- E__,qe11 -°e•-Cam ; !/ Cheman of Tnwn Board Building Inspector dos _-j EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: May 5, 1971 NUMBER 756 OWNER:Dunald Chandelaine Address 575 Chapel Lane, Eagan 55121 PLUMBER Schaaf & McQuillan TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial! Commercials Residential I Multiple Dwelling I No. of units Location of Connections: Street Repairs Total 225.00 Inspected by: Date Remarks: Connection Charge $200.00 d 5/4/71 Deposit 15.00 pd 5/4/71 Permit Fee 10.00 pd 5/4/71 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 Schaaf & McQuillan 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 4, 1971 Billing Name: Donald Chapdelaine Number: 596 D- ?UQfL1r Site Address: 575 Chapel Lane, Eaganl 55121 Owner: same Billing Address same Plumber: Schaaf & McQuillan Location of Connection Meter Size 5/8 Connection Chg. 260.00 pd 5/4/71 R.O. No. 192186 Meter No. 21294451 Permit Fee 10.00 pd 5/4/71 Meter Readingpp nnp Meter Dep. 15.00 pd 5/4/71 , Meter Sealed: Yes Add'l Chg. 7.50 pd 5/4/71 NO [Total Chg. 292.50 Inspected by Building is a: Residence xx Multiple No. Commercial Industrial Other By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tlr proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Date Remarks: $25.00 RE-I lSPEC7iu'r FEE FO units li,iPROPEf LY INSTAA .! rD I"ET::, , Please notify the above office when ready for inspection and connection. City of Eaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2909: MECHANICAL PERMIT Date: LTV Site Address: / Tenant: ----------------, Fir ri)tuse I 15 I © Permit #: Permit Fee: .? Date Received: j Staff: APPLICATION el e Suite #: Name: e Phone: ( Q7 !54- - RESIDENT / OWNER _ > Add / Ci / Zi ress ty p: CONTRACTOR Name: Kline Corp. tnse #: DBA: Practical Systems Address: 4342B Shady Oak Road City: Hopkins, MN 55343 Zip: 952-933-1868 v M_. V vV Phone: TYPE OF WORK New Replacement Additional Alteration Demolition cur h&VA-tr -a- r jj NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in ase of work which requires a review and approval of plans. x thebO v` x Applicant's Printed Name Applica ture FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In _Air Test -Gas Service Test -In-floor Heat ----Final Exterior HVAC Screening Inspection ð ý ï þ ý ü ÿþþ ý üúúüúûû ùýýþþôïôí ø âú ò ÿ êâ ÿ ÿþ÷ ûúùø÷öí ïÿ úø÷ö õ ø÷öíö ÿ öôúÿç ý ÿúÿëúö ÷ Þý ûÜú é ï ÿö ÿöö ï ü îúÿî ÿö òæ ï ù ã þ ú ÿ ö ùúïÿöÿã ùîá ÿ Üú ù÷ òÿýï î÷ îÿã ÿéäìäââãêâãâê öù ûú ý ÿÛ ú äìäãêàãàê Û ú üã õó ÷òñ öö ß íïý í ö à êê ö ûû úñóêêêû úñóêê èêåêà ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û úÿ ÷ïþ ý ë ÿã öö æ îûý ú ÿÿú÷ûý ú PERMIT City of Eagan Permit Type:Building Permit Number:EA144114 Date Issued:07/13/2017 Permit Category:ePermit Site Address: 575 Chapel Lane Lot:8 Block: 0 Addition: Burrview Acres PID:10-15600-00-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Donald R Chapdelaine 575 Chapel Lane St Paul MN 55121 J And B Roofing Llc 941 - 16th Ave N So St Paul MN 55075 (651) 457-0391 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154142 Date Issued:02/22/2019 Permit Category:ePermit Site Address: 575 Chapel Lane Lot:8 Block: 0 Addition: Burrview Acres PID:10-15600-00-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Donald R Chapdelaine 575 Chapel Lane St Paul MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167014 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 575 Chapel Lane Lot:8 Block: 0 Addition: Burrview Acres PID:10-15600-00-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Donald R & Mary Chapdelaine 575 Chapel Ln Saint Paul MN 55121--232 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170746 Date Issued:07/15/2021 Permit Category:ePermit Site Address: 575 Chapel Lane Lot:8 Block: 0 Addition: Burrview Acres PID:10-15600-00-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Donald R & Mary Chapdelaine 575 Chapel Ln Saint Paul MN 55121--232 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174973 Date Issued:03/03/2022 Permit Category:ePermit Site Address: 575 Chapel Lane Lot:8 Block: 0 Addition: Burrview Acres PID:10-15600-00-080 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 - Donald R & Mary Chapdelaine 575 Chapel Ln Saint Paul MN 55121--232 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature