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620 Chapel LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 620 Chapel Lane Lot: 1 Block: 1 Addition: Harvey 2nd PID:10- 32001 - 010 -01 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: New Life Contracting Inc. 2478 Hillwood Dr E Maplewood MN 55119 (651) 274 -6943 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: Hallet R White 620 Chapel Lane Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091805 10/28/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State ü ÿ þýý û ûü úýýîë è ó ìú ñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù õø óõë äòýúõò àòëù õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý CITY OF EAGAN 3830 Pilot Krab Road P. O; Box 21199 Eagan, MN 55121 Zonirq; Owrn • . .. r. Addrcss: Site Address: Plumber. SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: I yme !a aosspyr whb Nw Glp oi IMP¦ Connwction aarqe: OrdlneRaa. Ae.oourM Depwit: ? P*e?nlt Fee: Surcharps: 8Y MiK. Charpes: Date of Inap.; Totol: Inap.: Dah Pald: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: . (651) 681-4675 SITE ADDRESS: ' r. .'N 1.31fl1' I !!il'RW i' A1?117 1 i i?r1 PERMIT SUBTYPE: 1 i;«? ! ) q?+i TYPE OF WORK: INSPECTION ? .. . DA I 4=r.;• Pintv HFvit1at ri' i 0 t' APPLICANT: I ? PermR Holder Date Telephone B I SEWER/ WATER PLUMBING ' HVAC ' Inapectfon Daba Insp. Comments ' FOOTINGS ' FOUND ? FRAMING ROOFING ROUQH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST , HYDROSTATIC TEST BSMT R.I. BSMT FINAL i DECK FTG /1 - ,?' el ? DECK FINAL ? / ? ? A. CITY OF EAGAN Remarks Addition HARVE,Y ADDITION #2 Lot 1 Blk 1 Parcel 10 32001 010 Ol . Owne? ??idbao) 5. street 620 Chapel Lane State Ea$any M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 1973 I O .4O ZO .4 I.O STREET RESTOR. GRADING SAN SEW TRUNK 1970 5.00 25 * SEWER LATERAL & dbff 1972 107.19 ZO ?. 2 7 7 . WATERMAIN * WATERLATERAL 1972 20 WATER AREA STORM SEW TRK 1984 561.00 37.40 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK t ? 2/84 EL CITY OF EAGAN APPLICATION FOR PE?'?1IT SEWER AND/OR WATER CONNECTIODS (PLEASE PRINT) 1) PROPER'L"? ADDRESS: o rFrAi, DEG2I°TICV: L (Ipt/Block/Su?Dciivisicn or Tax Parcel I.D. Ni.urzer) / S-1-ra[:c^ :v°. , Deli? OF Ca:Gl^.TlL `uiIT_P.L:G :.j:-11: ZSs*L:?tiG: ' ` _- ;::_•- " ?_; PP.:Ssm' -I^`1i,T'/-".OPOS-r) CS: R-1 SL:GL: FP^rtSLY . ? R-2 DUPT= (ZStiO [IIN ITS) ? R-3 :CI.,.-.c\FCUSE ('I'ia= + C.':IITS) ( L1iII'?'S) ?b ) ? a-4 t,PA::UIENr/cc.ma-.rrrUM ( tnz_s, L p CO?=,CI-AL/F2ET`?IL?OFFICE , ?2? ' ? .Ti'DliST---SAL ? 2NSTIiL'iIO:]AL/GGVE.4D1',F.,?Pj` 2) A?PLSC ??"P (PLEASc FR1N() NAi•?: ? ADDRESS: CIT^l, STAT--, ZIP: PF:vNE: r j) pumEa IPlEdSE PAINO FOR CITY SE ONLY NP.ti1E: PDD:tE55: - mUFM u -tc, nw LUH6E IICE E: _ 6970 755qtST W Acti CITY, STATE, ZIP: ApPLE VALLEY, MN 55124 Ex red PHCVE: A?ILn PLUMBER LICE45E q (fO TSl70RT TN af R card tr n a 4/ ULL-Ci2F4N'P/Gr.v?1IE2 D1AME: ADDRESS: CI'i"l, STATE, ZIP: PFiOM: tYICAbt YHINIJ v 5) INDIG'1TE :+ll-IZCFf PERi•LIT ZS SEItiG REQLJESTID: fa CO:v ION Tb CITY SEWER COhT=ZGN 'IO CITY WATEft ? diI?ER (PLG^,SE D..SCRIBE) O/ 1tvUll<ia:: 1.i:1C: ' - ? PMaSE f?OID r1PPP.9VED PER.+tiT FOR PICi:-U'P BY ONE OF 11BCVE °ZE=+SE IMAIL APP?2MIp PER.tiLIT TJ 1, 24 _F1BCVE (Circle one) 7) 5IC??,-?: ??.. . DATE: ID ??la?l?fs.,aiia?t?:aacaaM?r?oa?sra+?as?s?r:?a.c??car.?--'-a? • .'' .•.'• F O R C I T Y U S E O N L Y P?fMIT " ISSUED $ s S S $ - $ _. S S $ $ $ . S S $ v ' SE:'.LR DE7\1TT (T??(-:.l:i? ?T.)t?.??'r^.'.C.r.?[.) waTEa PEZr1?T (zr:cLUnE suRc::aRcE) WATER METER/COPPE!?HORN/OUTSIDZ REF:CER WATER TAP (INCLUDE CORPORATZOV STOP) S: ?'ir.4 TA? AC^OtiNT DEPOSIT - PIAT°R F7,`-,C SPC TRG'VK NATER ASSESS:?E27T T.°.u:1?C SE,dER ASSESS:•IEDiT Lr,TE3.'yL BENEFIT/TRUDIK SETi_P; LA.^cTZAL BENEr^IT/TP,U::K S•7AT°_R WATER TREATMENT PI,ANT SURCHARGE OT'HER: TOTAL AMOUNT PAID/4E=?T R S 7/ ?? DOES UTZLI:Y CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF WAY? F-7 YES IF YES, THEiI n"PERMIT FOR Tr70RK WITHIiI PUBLIC ROADWAY" MUST BE ISSUED BY THE r' NO ENGINEERIDIG DIV.SION. LIST AS A CO:IDI- TION. StiBSEC: TO THE FOLLO:•IING CONDITZONS: APPROVED BY: TI.Lc: ' DATE: l ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 o ?Z] 651-681•4675 New Conslruction Reauirements Remodel/Recair Reauiremenh D 3 registered sBe suneys showing sq. N. of lot, aq. M. of house and all roofed oreas 120% maxlmum loT coveraae allowed) ? 2 copiea of plans (ahow beam R w(ndow stzes; poured fnd. design; etc.) D 1 set of energy calculalions ? 3 copiei M free presenalion plan ft Iof platted a1Mr 7/1/93 DATE: ?'(0 Mcw } "1 "V `1 DESCRIPTION OF WORK: STREEi ADDRESS: CD Cji U- LA(',1 ,O.Q?, ?~? LOT: + BLOCK: I SUBD./P.I.O. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER 2 copies ot plan 1 zet of energy calcutatlons for heafed addRlons 1 aRe survey (a exteria addMlons 3 decks CONSTRUCTION COST: ?I ar? D o W Co P?{ LmD r-fZa FbOfrA Name: V V? I 1 e, ; ? R? IR ? Phone #: lD S I- 02 95(07 Last Firsf Street City ?Q-DA a Vl State: N?f?J Zip: Company: e)Q'4 ? Street City Telephone #: area eode ( Street City Sewer & water licensed plumber (reaulred for new conslruction onlv): State: r Penaly applies when address ehange and lof ehange is requesfed once permN is issued. Zip: ? I hereby acknawiedge that 1 have read this appllcatlon, sfate 4hat the Infumation is cortect, and agree to tomply wMh all appllcabl Sfate of Minnesota Statutes and City of Eagan Ordinances. n n Signature of Applicant Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes OFFICE USE ONLY _ No _ No _ Not Required Phone #: (area code) License # Exp. State: Zip: Name: ? Regizfrafion #• OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE V700-r1 F.? ? 31 New ? 35 Tenant impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors ? 33 Aiteration ? 37 Demoiish Bidg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning 4 Basement sq. ft. Census Code q ?5 ? Main level sq. ft. SAC Code - ? sq. ft. No. of Units T ? sq. ft. No. of Bldgs G sq. ft. MC/E5 System - sq. ft. City Water Footprint sq. ft. Booster Pump PRV Fire Sprinklered Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC .. Lo'? 1 Blk 1 PID # 10-32007-010-01 Plat HARVEY 2ND Sewer/water permit # 26273 Date o8/23/95 Receipt# 47153 CITY OF EAGAN 1995 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Sewer connection Water connection charges Sewer availability charge (SAC) 950.00 Water availability charge (WAC) Date previeusly paid Date previously paid Receipt # \ Receipt # Account deposit 15.00 Account deposit Sewer permit and sur rge 50.50 Water permit & surcharge Water meter Subtotal $ 1,015.50 . Treatment plant Tap Subtotal Tap Total Sewer & water connection Sewer availability charge (SAC) Date previbusly paid Receipt #. Water availabilfiy,charge (WAC) Date previously paide Receipt #. Account deposit Sewer & water permit and surchaFge Water meter Treatment plant Subtotal 950.00 750.00 30.00 100.50 115.00 372.00 $2,317.50 $ 750.00 15.00 50.50 115.00 372.00 $1,302.50 $1,302.50 A p/umbing permit is also required. !t will be issued on/y to a plumberlicensed wifh fhe City or to the homeowner if he is actually doing the work. OFFICE USE ONLY Property owner Address HALLET & EVELYN WHITE 620 CHAPEL LN Phone no. 688-9303 . Plumber WENZEL PLBG PRV ji't No. of taps ?I ° h r, AssessmeMs llaag Waiver Ailg . ? SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 08/01/1995 PROPERTY ID: 10-32001-010-01 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100099 5AN SW TRK 1969 25 8.0000 125.00 0.00 0.00 CL 100136 SW/WAT LAT 1971 20 8.0000 2143.75 0.00 0.00 CL 100173 STREET 1972 10 8.0000 1099.40 0.00 0.00 CL 100339 WATER AREA 1976 15 8.0000 160.00 0.00 0.00 PP 100811 SS-TRK 1983 15 12.5000 561.00 0.00 0.00 PP ------ STJMMARY OF LEVIED 0.00 0.00 0.00 ****** 1995 P&I CERTIFIED ------ SUNIMARY OF DEFERRED 0.00 ------ SUNIMARY OF CIASED 4089.15 ------ FUTURE ESTIMATE 0.00 ------ PENDING ESTIMATE 0.00 Press ENTER; or F1, F4, F5, F7, F8 Main Prev 2 72 Next Go To Exit Menu Page N Page Legend 14:39 CITY USE ONLY L _L BL ? RECEIPT GS- SUBD. uCIQlWU? o? ? DATE: .? ? ? 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas 'riping i:uutiet ` minimum - 1 Rough Openings Water Softener Private Disposal ` Dakota Cty. license U.G. Sprinkler * home under const. Alterations * to existing Water Turn Around 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3S.UU 1.50 5.00 20.00 3.00 20.00 20.00 x x x x x x x x x X x x TOTAL 010• Do STATE SURCHARGE TOTAL .50 0?0•50 SITE ao OWNER NAME: I ? &Y?a+?? INSTALLER NAM STREET CITY: e? STATE: I1"/N ZIP: PHONE #: (? /,?) ?bfo7 -l5(v S ff B, K, CITY OF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ^i01'': PAYMRNT OF PEE AT TIME OF APPiscMn«N noEs Nom aMsTTTM APPROVAL CF PERpffT. , INSPFX.TION OF SESiM ATID/O2 FIKTER I10?ONS 4iIIS, P1CYP HE SCHED-- [II.ID UNFIL PII2MIT HAS BEM APPROVID. .,..,________________ P ease Print ?1) PRI I,Ef IF .. PRFSENP 7ANING/PROPOSID L?SE: (Month/Year} COI44ERCIAL/REPAIL/OFFICE ? R-1 SINGLE FAMILY . Q IAIDC'STRIAL Q R-2 D[)PLEX (ZWo Units) ? INSTI7[)TIONAL/GOVIItNMENp ? R-3 TDWDIIIOUSE (Three + Units) ( t?nits) R-4 APARTMEDPr/COPIDDMINiUNl ( Cfiits ) 2) ? NANE:?/? x?? 1/!/l • ADDREss: CITY, STATE, ZIP:?.=? PHONE: o 6) ) ?33 , 3) • i: ?• F r City Use . NAME' Plimiber5 License: ADDRESS: ? Active Expi-red i CITY, STATE, ZIP: Not xecorded PHONE: MASTFT2 LICENSE# Sta 7nit1al . 4) •• ? ?- NAME: ADDRESS: • CITY, STATE, ZIP: PHONE: 'S) ?? ?• • a?• : o • a - ?? ' nCOND7FX,TION 70 CITY SEWFI2 ? CONNELTION 7O CITY WATER OTF]ER , 6) '? ' • Q PLEASE HOLD APPROVID PIIZNIIT FCH2 PICK-UP BY ONE OF ABC7VE ? PLEASE MAIL APPROVED PFRMIT SO 1, 2, 3, 4, ABOVE ^ , ? (Circle one) .-FOR :CITY USE ONLY ' --° PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFZT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL . RECEIPT RECEIPT DOES UTILITY COIVNECTION REQUIRE EXCA VATION IN PDBLIC RIGHT OF WAY? F__j YES `IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MLST BE DIVISION LIST ISSLED BY THE ENGINEERING AS CO D . A N ITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE: w SEWER CONNECTION CHARGES: SAC $ 625.00 ACCOUNT DEPOSIT 15.00 SEWER PERMIT 10.50 TOTAL FOR SEWER HOOK-UP 650.50 WATER CONNECTION CHARGES: WATER CONNF;CTION 525.00 METER 67.00 TREATMENT SURCHARGE 180.00 ACCOUNT DEPOSIT 15.00 _ WATER PERMLT 10.50 PLUMBING PERMIT 12.50 TOTAL FOR WATER HOOK-UP ^ 810.00 ? d-??i? "" "e- TOTAL FOR SEWER & WATER HOOK-UP $ 1,460.50 y?j??f"?tkur. ...; ,' . ... , : . ..:..' .. . ' . . .. . . . . . ... . , .. , . ,. . ..,. , . . . .. ,.,.. . . "fF.Ah.ISACi"]:UR! ICY9 R768 SF'FCTAL_ r=1SEiL_SSMEidT4= SF'EI.;IraL AS51=SSMEhaTS SE"ARCH SUNIMARY PNOP'F_'F.TY T,U., Tr:li?UYS T:iajl'E° 07/13/67 --- SFEC:[AL F'i_AGL:3._._..__... 1-:'-- 3--4--5-6-7-8-9-1 0 j. 0-:_'20U 1-i i 10-01 .._..------..._.._._...__..___......----------__---------°--------------------------..__._--- ------- -- - na.Pr zN, F'AYi7FF r,arlMEri S.A.# ASSE:SSMEh:T DESCFt, YR Y'hS F:AI"E l"Q"I"AL _ nr` 100339 4JATER AREF; 76 15 B.Caii; 160.00 10.68 42.72 7.O(78:1.1 ?5 _ ?-l'F:: 83 15 12.50% ,-iinl.Ort 37„40 411.40 suMriARv Or- nc; rIvE 721, c,c> 48.08 454, i2 x??t•*?!x- THSL'-i `i1=E`iR''=i TOT F''y<I 10E1,46 F''i^es=_s I'--1 or 1="2 (I-ieaader. For-m) oi• I=l (iest.airt. 1=t76£3) PLUMBING PERMIT CI7V OF EAGAN 3830 PILaT KNOB ROAU, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 450-8100 PERMIT # RECEIPT M DATE: Site Address Lot Block Name 0 m Address c City Name 3 Address p City Sec/Sub Phone Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CtTY OF EAGAN BLOG. TVPE WORK DESCRIPTION Res New Mult. Add-on Comm Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _W2ter Closet - $300 $ _Bath jubs - $3.00 -Lavatok - $3.00 -Sho ink wer- .00 _Kitchen S $3.00 -Urinal/Bidet - >00 _Laundry Tray _Floor Dr2ins - -Water Heater _Whirlpool - 5_Gas Piping O(MINIMUM -SoRener-$ . -well - $t . 0 ,PSisp. - $10.00 Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: ' .?D • • 't ? A . ? EA???V TOWNSHtP BUILDING PERMIT , i . OWOBx "____"_??: __""_!?:.4"u:.B.. .......................... % Address (Present) ._.:_i' ?/.3.. `?........--------------- - - Builder ............... ....?- ? - .................... ................................. - Address D£SCRtPTION N° 2142 Eaqan Township Town Hell ae:a --- /°??'-/` 3 -...--?-- ............. . ................. Sioxies To Be Used For Froni Depih Heighl Esi. Cos! Permii Fee Remarks ' 2f'?_ ?y /6b`„._.?? ?.aZ/•e-? /-1._._. _+y?j. . !/ " /•! `?. c/ -3G•' - ' ,9 LOCATION Sfreel, Road or olher Desesipiion of Localion I Lo! I Slack I Aaaition or '1-racf :?-- This permit does no2 aulhoriae the use of si:eals, zoads. alleys or sidawalks nos does it give fhe owner o= his agen! the righ! !o creaYe anp situation whieh is a nuisanae ox which presenls a hazard to the healih, safely, eonvenienee and general welfare fo anpone in the eommunily. THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. --••_" ` - °°-°--°-{ . - - - upon This is !o eeriify. !hal---- ,?1:-...46r -------------------- has permission !o erect a..---1f:s.r.c.,:/ ..:...-° C?? the above described premise subjec! So the provisions of the Building Ordinance for Ea9atl Township a?opfed Apri1 11. 1955 • 1 _l z,____ ...'??t - ' -"_"'........-"-- -- .......... ."'_"-'-"---.....- --°- - ?-C .................... Per ---------------------- ...- ?E'c::?. '-,.---5f.r4ZV??=J------- Cheirfnan of Tnwn Board ? Building Inspecior CL ! 1 - /? /o C& /y Y, R?,? cl /6'j 610 (1 ? ,?r_' C h 41w o / L f4 ? eITr"OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE; ?u???r?? Permit Number: 034014 Date Issued: 11/13j g8 620 CW,APtL LANG LCiT: 1 Q4.OfK- 1 tiARVEY AUDITION fp2 P.T.N.: 10-32001-010-01 DESCRIPTION: Puildin-qPermit TyF7e @ualdinq Wa'.rtik 'I'ype Censiis Gotle ? -i ?e... C7ECK IVFw 434 AI,.T. RESIDENTIAL ?i REMARKS: PLAIV tl"r::i/7:f_l•JE[J SY RILL lIDAMS, FEE SUMMARY: Base 1=ee Surcharye 60 _ -_______. Toca1 Fee $5?7.5p CONTRACTOR: - aGp.i.ica„t _ sr. Lcr. OWNER: R(:SEN WAYNE: ]:NSTALLflTIQNS 1q507284 :.i292 WHITE HAL 668 18TH AVENUE NORT{i 620 CFdAPEL LANE 50t. ST. PAUL ihN 55076 t:Ri;AN MN 55122 (551) 450--7284 ? . .. . . _ . . .. . .. . _ . . . .. _. . . . . . I hereby acknowledqe thaL` I have reacl th:is applicatitin and state that thp infarmation is correct and aqree tci comply with all appl3cable State ot Mra, L StatuLes and City af Eaqars OrrJinances. J APPLICANT/PERMITEE SIGNATURE ISS D BV: SIGNATURE ??? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ? crrsr oF EaQax 3830 PII.OT KNOB RD - 55122 ?} 681-4676 .1? ,v •?? New Canstruction Reouiremenls RemodetlReoair ReauiremeMS ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (extenor additions 8 decks) ? 7 energy ralwlationa ' ? t energy cakulatiane for heated atld'Rions ? 3 copies of Gee preservation plan if lot platted after 711/93 required: _ Yes _ No . ? V-13 DATE: CONSTRUCTIONCOST; DESCRIPTION OF WORK: a /c ?eK STREET ADDRESS: LOT: ? BLOCK: I SUBDJP.I.D. #:7/?U? PROPERTY OWNER Name: W?,L K ?U6?! Phone Last Fust '?- Street Address: / /L v ?7 City State: /'/ tAA Zip: Company: ??? ?i ? i'L ?7CcL(Q?jD?J ?1 Phone #• GG 7 CON'IRACTOR ? )?G2'?o S?eet Address:?/J? (if ?/!le /`?G . License # 7 Z City State: 144? Zip: 'J ?? 7(?? ARCHITECT/ ENGINEER Company:_ Phone #; _ Narne: Registration #: crees City Sewer & water licensed plumber (new Construction only): and lot change is requested once permit is issued. Zip: PenaNy appties when address chang I hereby acknowledge that I have read this application and state that the infbrmatio is coRect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received ?Yes _ No Tree Preservation Plan Received - Yes - No - Not Required State: OFFICE USE ONLY . ? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 0 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ?` 15 ,? Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Permit Fee Surcharge Plan Review License 'AJ^^14 J'1V City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. ? SAC Code S'? Census Bldg ? Census Unit Building _ai Engineering Variance Valuation: $ 1-2 01,--) % SAC SAC Units ,0)1 xz1 -??;-Z?c 7" ?? ?- , 4-q. ) ?Al ? / Pt?)?9/ ,? L- 4 6 lJ ?ECET MAY 2 6 1995 f 5/24/99 BY: i Ta wham it concerns: T am writing this letter to inform you about a problem. I am a licensed remodeling contractor, license # 3242. A buildiny permit was taken out on 11/13/98, To build a deck far custcrmer Hai WRite, At address 620 Chapel I.,ane. Zat #1, Biock #1, Harvey a8dition #Z,P.I:N. 10-32001-010-01 We cailed Gopher, Uug the footings, Had them inspected, Poured the cvncrete. Al1 dane last fall before the f.reeze. Now there is anather person buiiding this deck fur him, And is working under my permit and is prabably nrt licensed Ur insured. I would like this permit pulled and this Iaoked at c2oscaly. I tiave been a state licensed program started. I dont know for Mr. White, Is licensed or So, I'm hapinq that this wili I'm not doing this because of for the scabs aut there that busittess practices:' cnntractor since the license if the person doing the work insured. be investigated by you. money last from this, tt's get away with unsaPe & unfair incerZ R U. Rosen W.R. InstaZlation's . ? ?.. $TAT£ dR.MINN$$OTA ?? . . . . _.. 40 tlEpARTMENT OF COMMERCE? - i:l? 'Ea4' Se5+etlLh 3[- St P?ai, MtI 5?14: . J€?:S i i 245-G31 "d . iP.,712?eh , . ',rJL)tVll'?xJAT P'Ic. ? :fiK&"R tlN c?, sue ?y':??• tiiJ3E.?T ;?J4Y27F:ILt,"31'Ai.T,ATS;iNB ;d78?3t?I'H 1?.?!F'.N i. Y? it/ /dl / P-ey, ( ra 7'12zcA?.' yv ?INSTALLATIONS , , . . Window & Door Replacement , , . Specializing in8ay's 8 9ow's ." WAYNE ROSEN .. . Bonded 8, Insured - 450.7284 Free Estimates 64.8-4557 . Licensfl#3242' . qi,? S 10 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4F:?-a , rt) ,- New Conslrudion Reauirements , 3 registered site surveys showing sq, fl. ot lot, sq. fl. of house; and all roo(ed areas RemodeVReoair Reauirements 2 copies of plan Office lsz bnW Ce?4oTSWVeyRg?d _.Y N. (20% maximum lot coverage allaxed) i d d t 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Tree Pies PIe4 Recd Trpe PresReqUVed ,...,N gn, e c. es 2 copies of plan showing beam & window sizes; pDured foun Addition - mdicateiton-sifesepticsysfem OrYsi105eplic5y5tstn _Y 1 sel of Energy Calculations 3 wpies of Tree Preservation Plan if lot platted after 7l1193 Rim Joisl Deiail Options selection sheet (6uildings wilh 3 or less units) Date SiteAddress L./"iCCr-vi? V` Construction Cost Unit/St j#---_ DescriptionofWork Multi-Faznily Bldg _ YN NYreplace(s) _ a- 1 - 2 ? ck ? ( W ? ` t 4 `i O Telephone # (W) 3bS'J wner Property Contractor (-C) Add ? n a , ?? KGl ? ? City L? OnLV 1 Q-? ress , , 551z)-b Telephone #(6S t) Zi State p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ n'linnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsu6missiontype) Suhmitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Conhactor Sewer/Water Contractor Telephone #( Telephone #( 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 approval of plans. Applicant's Printed Name Applicant's Signatu For Office Use l (1 • 11 , ; � i� EAG Permit#: 45'a.N •..• �•• Permit Fee: o� ' Date Received: 17-/-/ 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122 E C E I V E (651)675-5675 I TDD:(651)454-8535 I FAX: ( 675-56 Staff: build inoinspectionsancitvofeagan.com • APR u 1 2019 2019 RESIDENTIAL. B HERMIT APPLICATION Date: 4/1/2019 site Address: 620 Chapel Lane unit#: Name: Laura C. Rinker Phone: 651-336-0988 Resident/ 620 Chapel Lane Owner Address/City/Zip: p Applicant is: ✓ Owner Contractor `l t�Ut y/4 i -K (),n ()EP Type of Work Description of work: Enlarge Bath and Combine 2 Existing Bedrooms Construction Cost $3000 Multi-Family Building:(Yes /No ✓ ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: -f w% fr rl/V /►/p co/VI/1AG/Cln. B v/4.i !, '70 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE-Plans and supporting documents that you submit are considered to be pubic information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagtan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq 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 the case of work which requires a review and approval of Or. x Laura C. Rinker X Applicant's Printed Name AppJiy�ant's It . DO NOT WRITE BELOW THIS LINE 20 CIAA-pei L �s4/000 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 1 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" _ Addition — Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 4., Valuation ‘CGU— Occupancy 7 A c -/ MCES System — Plan Review Code Edition Avg y� SAC Units (25%_100%✓) Zoning -1 City Water ...-- Census Code 4/ 34 Stories — Booster Pump — #of Units I Square Feet — PRV — #of Buildings / Length Fire Suppression Required _ Type of Construction Width "- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice B Water _Final Pool: Footings Air/Gas Tests _Final A. Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick—EFIS 1 - Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other. Reviewed By: ,Building Inspector RESIDENTIAL FEES A Ste-14 @ ol,"/ j 2o, Base Fee I al. _3 Surcharge cy Plan Review b 6 43- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 AP`' : , V( ' (Top 3 inches reserved for recording data) PERSONAL REPRESENTATIVE'S DEED Individual Personal Representative to Individual(s) DEED TAX DUE S676.50 c-CRV No. Date: March el 2019 FOR VAI AJABLE CONSIDERATION, Joseph M.Cook,as Personal Representative of the Estate of Ilallet R. White, Decedent, single at the time of death,Grantor,conveys to Laura Rinner,Grantee, real property in Dakota County,Minnesota described as follows: Lot 1, Block 1, Harvey Addition No. 2,according to the recorded plat thereof,in Dakota County,Minnesota. together with all hereditaments and appurtenances belonging thereto,subject to the following exceptions: easements, restrictions and reservations of record,if any. Check applicable box: 0 The Seller certifies that the Seller does not know of any wells on the described real • property. El well isclosure certificate accompanies this >� � document or has been electronically filed. (If -✓,:1A _ r electronically filed, insert WDC number: [...J.) :cph .Cook, P onal O I am familiar with the property described in this i p resentative instrument and I certify that the status and number of wells on the described real property have not changed since the last previously filed well disclosure certificate. Check here if part or all of the land is registered (Torrens) [ 136062 I.docx Personal Representative's feed of Distribution Page 1 of? STATE OF MINNESOTA ) )SS. COUNTY OF Ct-%� t� ) 7 The foregoing instrument was acknowledged before me this 1,61 day of fYlu C,t- v t 2019,by Joseph M. Cook, as Personal Representative of the Estate of Ilallet R. White, Decedent. ..yam � Rl l HA:NES Notary ublic sial8 CI ti InRCO1C 'i'`.4 My c a:nmt;sIon ExOitss 'ior.u•xY 31. 2020 THIS INSTRUMENT[)RAFTED BY: Tax Statement for the real property described in QUINLIVAN &HUGI1ES, P.A. this instrument should be sent to: Bradley W. Hanson #15894X 1740 W.St.Germain St. Laura Rinker PO Box 1008 620 Chapel Lane Eagan,MN 55121 St Cloud, MN 53602-1008 (320)251-1414 (320)251-1415 (Fax) 1360621 docx Personal Repr seutativr s I)ccd of Distribution Page.2 of 2 • • For Office Use E AGA N`• `• •� •� Permit#: ^� Permit Fee: v 3830 PILOT KNOB ROAD-1 EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(6511454-8535 I FAX:(651)675-5694 Email: buildinginspections(a)cityofeagan.com Staff: Commercial Plan Submittal:eplansacityofeagan.com 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: S- ^ (311 Site Address: (Q 0-O eA € -J Loaf_ Tenant: Suite#: Resident/Owner Name: (Ad At ` 2^ Phone: OS - 336"t?9U a Address I City/Zip: l Name:()i4Pr c � License#: Contractor Address: /SD Vf etii ctt. City: Z7 State: /921J Zip: 5533 I Phone: toll) "d-t.)11-5-T7c-i Contact:IN.4.- ram 1GW �'r Email d(��'^C�l" `�4�'�►- RESIDENTIAL t1 Furnace Air Conditioner Permit Type Air Exchanger Heat Pump Other New XReplacement Additional Alteration Demolition Type of Work Description of work: /p \QLAfA 1))01 if\c>8._0A �Q RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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 applicationfor 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 a••royal of plans. x x0 Ap nt's Printed Name Appl igna • - FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In floor Heat Final