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790 Diffley Rde1 5-16.2 4J ? ? a?_ HOUSE HEATING TEST RECORD ADDRESS 72/© P_o t /-OY - L -APT. FLOOR CITY 4 ??A_ UBURB OCCUPANT WNER HEAT LOSS DAT H IN T.' L SOLD BY -??f?flz. ?-( INSTALLED BY Electrical Work By Gas Line By .,QNI?1? TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. -UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model ?i? Model Serial ?- Z- Max. BTU Rating INPUT O MAKE OF FURNACE Model Valve 74 Limit Limit Setting Fan Setting _ Pilot Type _ Pilot Make _ Pilot Model _ Pilot Timing L.W. Cut Off Pressure vtPercent C02 Y Input CFH ? n Percent 02 ,rQ Stock Temp. d? Percent CO 9 Form 235 i. Vent Size iCCIND OF LINER G1 SIZE NONE Draft Hood ?1?G'? Regulator Filters Size LC G -Number Chimney Location Insiyd?'-/ ?" Outside Chimney Construction %? "pENf Smoke Bomb Wiring- v Draft -- 6 ? Test Tog 3 > e Door Pressure 9 Lighting Inst. Date Tested 3 - ZI - 9Z y? Company Testing W E/VZE???h'Ci?-? Name of Test.. ,•,'nGA'1^?'?AN1 INC CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: MITI IiIN( 8.'4116 1* 124 /4i APPLICANT: (il fll I Ir?l.'1 4' TYPE OF WORK: NV11) ':I(IRAW '.IIF 0 III "I VIPT101 1 Permit No. Permit Holder Date Telephone R ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 3 CITY OF EAGAN Remarks /. 9 Addition SACti on ?? Lot Blk Parcel 10 02500 050 26 Owner L' Street 790 Co. Rd. 30 State EAGAN MN 55123 J ??- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING I SAN SEW TRUNK S757 1981 1067.90 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA '1 5-4 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY ?° EAGAN WATER SERVICE PERMIT 3830 Pit9tKnob Road P. q-fox 21199 PERMIT NO.: Eagan„MN 55121 DATE: Zoning; _ No. of Units: r Owner: Address: r Site Address: Plumber. r - Meter No.: orge; Size 15 'X c . cou t,ry ti, kke ;, , we"w to aos?Apl?llll tiretGty _. A091A ?" • • lsJ ?f'u - ,ter Dote Paid: Date of Irtsp.: ?( Insp•: CITY r'! EAGAN t-Knob Road 3830 Pil SEWER SERVICE PERMIT o PERMIT NO.: P. 0--1;6x21199 MN 55121 EagBri _ , ,_.; DATE: , Zoning: No. of Units: ?t. c_ ?i Owner, / n , t +_ Address: 790 Di f7 c. 1Q $0!1 [ `"? 20 .>_ " Site Address: i' _ ?tn_er - Plumber. H <? _ 5 r% f " k,_..-' 100.00pd I some ?9i?ih i / ,3 i Et?EPRONE - ELECW*w@M Wt: F ' `? / % EQUIRED - } e ? Y? Misc. Charges': a i- Dote Total: , "Paid: Insp.: c ' .. ?? : . ., WAIVER OF HEARING No. 00140 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: Parcel 10-02500-050_26 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT NO. Lateral Benefit From Trunk Water Main 225 Lin. Ft. $11.88 F.F. $2,673.00 365 TOTAL $2,67.3.00 to be spread over 10 years at an annual interest rate of 8.5 % against any remaining.:unpaid balances. _ The undersigned, for themselves, their heirs, executors,. administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments and further waive the right to object pursuant to this agreement. Dated:' STATE OF Li r n nx •i , COUNTY OF?L SS j? to or appeal from these asse mmeynts -made • r G(!f. VJ Richard W. Joos Joan M. Joos on this i y r1 da of ; Y S< ? ,n /zv,e- , before me a Notary Public within and for said County, personally ap cap redN'17hA 2c{ :r_Foa i 010S to me personally known, to, beat-'--- thetipezsonS described_in and who exe uted the foregoing instrurgent and Gacknowl_edg.Gd t,klat±J,,, executed the same as nL free act and deed, !0TA%Y FU6UC - MINNE50TA 3 " .2 DAKOTA COUNTY My Commission Expires shpt. 8, 7620 = .?h? ?- C v otary Public This Document Drafted By: Hauge, Smith, Eidc F, Feller, P.A. APPROVED: 3908 Sibley Memorial Highway Eagan, Minnesota 55122 f? (612) 454-4224 gan Pu I Works Director Revised: 8-30-82 11 city of eagan THOMAS EGAN Mayor March 24, 1995 Mr. Jim Sheldon Severson, Wilcox & Sheldon, P.A. 600 Midway National Bank Building 7300 West 147th Street Apple Valley, MN 55124 RE: PROJECT 607, DIFFLEY ROAD RECONSTRUCTION-REASSESSMENT PARCEL 10-02700-012-01 (REMO CAPONI) PARCEL 10-02500-050-26 (CHRIS LEACH) Dear Jim: PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk As you are aware, the City Council, at its formal Public Hearing on March 21, 1995, elected to delete in its entirety the previously approved final assessments for Parcel 10-02700-012-01 (Remo Capon!) with the understanding that the lateral benefit from trunk water main obligation would be collected at the time of connection at the rates in effect at that time. They also formally reduced the original assessment for Parcel 10-02500-050-26 (Chris Leach) to $2,500.00 for the benefit receipt from the residential equivalent of the street improvement. I would appreciate it If your office would follow through with whatever action is necessary due to the current active court appeals for both parcels to reflect the Council's action. By copy of this letter, I am informing our Special Assessment Clerk, Deanna Kivi, that City records should be revised accordingly and Dakota County so informed. If there is any additional action required on behalf of the City of Eagan, please feel free to work directly with Deanna Kivi or me as appropriate. Thanks for your assistance in these matters. Sincerely, Thomas A. Colbert, P.E. Director of Public Works TAC/cb cc: Gene VanOverbeke, Director of Finance Jerry Wobschali, Financial Consultant Deanna Kivi, Special Assessment Clerk Mike Foertsch, Assistant City Engineer MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD EAG EAGAN, MINNESOTA 55122.1897 THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681-4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360 TDD: (612) 454-8535 TDD: (612) 454-8535 (c ?3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION lC? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 </_ 7() New Construction Requirements Remodel/Rewir Requirements f3Kiteit,SeClbW 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cell d. SwveQiRecd 4 y N (20% maximum lot coverage alowed) 1 set of Energy Calculations for heated additions Tree Estes Alel :#iecd 1' -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addirrons & decks tree Ares R9tjuaed ,,, Y 1 set of Energy Calculations Addition- indicate N on?site septic system C74lie sepha;Sysiem .Y,._N. 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 a less units Date 2 / (3 Site Address P-1 e ,l V?IAI Construction Cost ?n,. (9 oo UnitiSte # oa[? Description of Work r2 rp6 I Qu1 lD V-QA(- I {1 C ??/? b_ Multi-Family Bldg - Y d N Fireplace(s) - 0 - 1- 2 -7 jqgj Property Owner i A— V?n Telephone #((,:5-/ e=4a,' 1 f 91 Contractor ?C -_r. 10 - , Address e,?4S/ Q LA N qQ; 4f T State %) ?eze4 Zip LOI)C1-7 City F J? O ape,o Telephone # (&,a) R96 - f?-7;9o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor 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 NIN 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. :::3 D> Applicant's Printed Name Applic is Si n ture RESIDENTIAL Remodel(Reeair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions 11 BUILDING PERMIT APPLICATION Cj lSt lq CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Requirements • 3 registered site surveys showing sq. R. of iot. sq. 1. of house; and all roofed areas l20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS TELEPHONE # CELL PHONE # MULTI-FAMILY BLDG _ Y FIREPLACE(S) _ 0 _ 1 _ 2 FAX # ZIP 4-5:a PROPERTY OWNER oTELEPHONE#lDSI !S1 ?? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RILES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted I D 2 ?S If T Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mcchmtical slstent includes: Sewer/Water Contractor: Water Softener _ Lawn ? Water Heater _ No. of No. of Baths Air Conditioning Heat Recovery System 'IT 1 12002 Phone # Phone # 590.00 Pee: 570.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin c Signature of Applicant -------'_'_-----------'°---------"'------------",------------------'---- ------_ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 -t S VALUATION ?I r- 971427 CITY OF EAGAN DAKOTA COUNTY, MIN2 RELEASE OF CERTIFIED LISTING OF POSTPONED SPECIAL PROJECT NO. 365 THIS RELEASE is dated, made and entered into this 8th day of January 19 91, by and between the City of Eagan (hereinafter "City"), and Richard W and Joan M Joos , (hereinafter "Owner"); WHEREAS, the City and the Owner entered into an agreement to postpone special assessments under City Project No. 365 ; and with Minnesota Statute §429.061, subd. 2, against the following of November , 19 82, was recorded by the City as Document No. 617790 with the Dakota County Recorder in accordance WHEREAS, on the 23rd day of February , 1983, a Certified Listing of Postponed Special Assessments, dated the 2nd day property: Legal Description: North 350 feet of the west 225 feet of the N 1/2 of the N 1/2 of the NW 1/4 of Section 25, Township 27, Range 23, Dakota County, Minnesota Dakota County Identification No.: 10 02500 050 26 NOW THEREFORE, the City hereby releases the Agreement to Postpone Special Assessments against the owner's above-described property. DATED: - 15 - q % CITY Thomas A. C Its: Mayor By: E.-4. VanOverbeke Its: City Clerk STATE OF MINNESOTA COUNTY OF DAKOTA SS. On this / day of , 19`%/, before me P bl'c within and for said unty per nally appeared THOMAS a Notary A. EGAN u 1 and E. J. VanOverbeke me perso lly known, who being each by me duly sworn, each did y that th y are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. F6aa+++eesaseasxeasc-, v ,._....,X y MRILYN L WC: ._.NO?AFlY PUBLIC a 8 DAKOTA Hy Gommisslon Ea _ _:c?^?uaxnasie?ec THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 RSD gr7142'7 OFFICE OF THE COUNTY RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT Jai 22 4 It x %%I 971427 DOC. NO JAMES N. LAN, COUNTY RECOkipER DEPUTY FEE ?O CASH ? CHECK ? CHARGE, CHARGE WHOM 6A6RN REFUND DO NOT REMOVE E. S. UANOJtQ3EKE C=+Y OF CAGnAJ 3 ?3o Pico; ?+v03 ?b. EHG.anN, CnQ. 55/,2.2-1847 -z 4 WAIVER OF NEARING NO. 352 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: 10 02500 050 26 SECTION 25 TWP 27 RANGE 23 N 350 FT OF W 225 FT OF N 1/2 OF N 1/2 OF NW 1/4 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT NO. Storm Sewer Trunk 33,000 sq.ft. $0.056 $1,848.00 597 (Large lot credit) TOTAL S 1,848.00 to be spread over 15 years at an annual interest rate of 8% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October 15th, the first year's installments cannot be prepaid and it includes interest from the date of signature to December 31st of the next year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right assessments made pursuant to this agreemen Dated: `/ do - % heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these to object to or appeal from these t. 2.'A ?,, L/J Richard Joos T??? ("A.; Jo ,loos EY:- Its-:--? STATE OF (y cso A ) )SS COUNTY OF D4?cTlt ) On this .20 r"- day of N,Ooerw pe, , 199o, before me a Notary Public within and for said County, personally appeared wich.'e to me personally known to be the personf described in and who executed the foregoing instrument and acknowledged that executed the same as fhPt? free act and deed. ?6&2' a ELIZABETH A. WITT Not y Public 4 p NOTARY PUBLIC-MINNESOTA 15AKOTA CLTUNTIf -- ------------------------------------------------- MyOommissionExpireeFeb.16,1001 FOR CITY USE ONLY Reviewed: Eagan Public Works Department CITY OF EAGAN CONSENT TO POSTPONED ASSESSMENTS IN CONSIDERATION of the postponement by the City of Eagan of the levy of assessments for lateral benefit from trunk water main (Project 365) serving the following property: North 350 feet of the west 225 feet of the N-? of the N'5 of the NA, of Section 25, Township 27, Range 23, Dakota County, Minnesota. Parcel 10-02500-050-26 )RICHARD W. JOGS and JOAN M. JOOS, husband and wife, The undersigned,/for themselves, their heirs, executors, administrators, suc- cessors and assigns, hereby consent to the levy of assessments or the making of a connection charge in lieu of assessment at the time said property is - connected to the trunk water main installed under Project 365 or at any earlier time at the option of the undersigned, so long as said assess- ment or connection charge is made at the prevailing rate at the time of connec- tion or such earlier time. The undersigned, for themselves, their heirs, executors, administrators, suc- cessors, and assigns, further hereby waive notice of any and all hearings neces- sary and waive objection to any technical defects in any proceedings related to any assessment or connection charges for City of Eagan Project 365 or Contract No. to object to or future pursuant 82-14 for said improvernents, and further waive the right appeal from any assessments or connection chargesmade in the to this agreement. n ?1 Dated: November 2, 1982 EXEMPT FROM STATE DEED TAX STATE OF MINNESOTA) COUNTY OF DAKOTA ) ss. On this day of 19S?-', before me a n wry public within and for said county, personally appeared .p and husband and wife aria to me personally known eb be the persons described in and who executed the fore- going instrument and acknowledged that they executed the same as their free act and deed. /?- LORENE A. LEE _ ,p?_t?? ? O {??•NCL.W u'atlC-MINNESOTA c?? O?.eA ?? , pAnOTA COUNTY Notary Public /.4v commission exYires Now. 23, 1987 APPROVED: This Document Drafted Bv: Hauge, Smith, Eide & Keller, P.A 3908 Sibley Memorial Highway Eagan, Mn 55122 (612) 454-4224 Exemp from State Dee TTaa? oakota Gounty Treasurer public Works Director 617790 STATE OF MINNESOTA SS County of Dakota Office of County Recorder This is to certify that the within instrurr was filed for record in Ffsisoifi t as,ti?n,?.s,y?nthe? day99t_?? D 19 at}`cloc c Frt., and that the sanse was c'uly recorded in Dakota County Records- JAMES N. DOLAN County Recorder By Deputy -2 - .{ A SAC Previo ly Pd. Receipt ACCOUNT DEPOS SEWER PERMIT & SUBTOTAL + SEWER TAP CITY OF EAGAN SEWER & WATER CONNECTION CHARGES - 1990 EXISTING PROPERTIES WATER CONNECTION CHARGES 00.00 WATER CONNECTION $ 625.00 Pd. Previously Pd. 09/16/86 Receipt # 66534 15.00 ACCOUNT DEPOSIT 15.00 15.50 1$qG WATER PERMIT & SURCHARGE 15.50 Pd. $ 730.50 WATER METER 90.00 Pd. TREATMENT PLANT FEE 252.00 Pd. PLBG. PERMIT & SURCHARGE 12.50 SUBTOTAL $1,010.00 + WATER TOTAL & WATER CONNECTION CHARGES SAC Previou Pd _ WATER CONNEC ON Previously Pd ACCOUNT DEPOSIT SEWER & WATER PERMIT WATER METER TREATMENT PLANT FEE PLUMBING PERMIT SUBTOTAL Receipt # Receipt #,Z + SEWER--& WATER TAPS X00.00 $ 625.00 $ 30.00 $ 30.50 $ 90.00 $ 252.00 $ 12.50 $1,740.00 $ 27.50 Qd, 10-i?-QD ?c?o44o l ------------------------------------------------------------------------------------ OFFICE USE ONLY ASSESSMENTS PROPERTY OWNER RICHARD JOGS PRV SLS TELEPHONE # 688-0262 (ROSEMARY STERNS - EDINA REALTY) # TAPS ADDRESS 790 DIFFLEY RD WAIVER L 5 B 26 SECT. SECTION 25 P.I.D. # 10-02500-050-26 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: BUILDING Permit Number: 029116 Date Issued: 10 / 2 4 / 9 6 790 DIFFLEY RD LOT: 5 BLOCK: 26 SECTION 25 P.I.N.: 10-02500-050-26 DESCRIPTION: PERMIT STORAGE SHED rmit Type SF (MISC.) rk Type NEW °- 4$4 ALT. RESIDENTIAL ?m , Y C° £ ?r j 3SF ess W a -11111 REMARKS: FEE SUMMARY: VALUATION $2,000 Base Fee $62.25 Surcharge $1.00 Total Fee $63.25 CONTRACTOR: OWNER: - Applicant - BEAM KAYE 790 DIFFLEY RD EAGAN MN (612)496-7785 ' 11 n€ state_ ttt t the I "T hereb r? y cknow?edge Nrat=.. ha?ej`read k? s ya'pP1Po 41 a n vcSttS a1`aPPle gate o ME7` a rye ? informat on,"le eo,r' ct ly g0 du and -Ca ty #f Eagan "Dr 1a?Fertr"O tatut es, - APPLICANTlPERMITEE SIGNATURE ISSUED BY GNATURE .,. CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construclion Requirements Ra del/Repair Requirements License ? 3 registered site surveys ? 2 copies of plan ? 2 copies or plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan tf lot platted after 7/1193 required: - Yes _ No DATE: 0 gy-?6 CONSTRUCTION COST: f lo?io DESCRIPTION OF WORK: W I 526d STREET ADDRESS: 20 LOT S BLOCK -? SUBD./P.I.D. #: sLfJ4 Dl- 161ce a13/- G'/5 ma,l y9G-?? PROPERTY Name: MAW ,BCAM MYi' L>4V10 Phone #: &Q1 -L15-Y-11111 OWNER IV Street Address: 'NQ IXF?cEY,??JA? City: r-A6AAZ Stater Zip: $51-1-3 CONTRACTOR Company: Sam I Phone #: Street Address: City: State: ARCHITECT( Company: Se* ENGINEER Name: Street Address: City; State: Sewer & water licensed plumber: change are requested once permit is issued. Zip: Penalty applies when address change and lot 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. Signature of Applicant: ?\ Cy?//?1 -- OFFICE USE ONLY Certificates of Survey Received Yes No Phone Zip: Registration #: Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? SF Porch o 09 12-plex ? 14 Fireplace ? SF Misc. ? 10 = plex ? 15 Deck WORK TYPE s.4pvau 1 a- SI?p )ff--?31 New ? 33 Alterations ? 36 Move ?• 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: rte. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MCNVS System Main level sq. ft. City Water sq, ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump _ sq. ft. Census Code. 4134 _ Footprint sq. ft. SAC Code _ ) Census Bldg _L Census Unit v ' Building ma Engineering Variance Valuation: $ Z, o©p . % SAC SAC Units \ 26 2 5 ,A\ I 2 ?• \ 193.58- 329. 1,9 i 660.02 _ ' ROAD -? (DIFFLEY ROAD) 12J-7°+ 185.50 67.® S.- 65.9 65A 67-A 185-50 r ` -11 \?,Q 1 3 M 1 2 ry Qy .1 0 ry. 9 N 8 7 ryp1.. _ +20.74'1 t' 121 1.4 4, as 65. 0 65.0 35 o1 ' 050-26 n.? &,% _ ?? YOR N DR. 5 S[ °.7 loo.- ' 14W 10` 140.07 „ 34 ' 6 150. 00 0 .9a 12p. 7'r ?T.12-0. t?' o ?. ''3 S S?? c n 5 6 . o ;. 33 c? 1 f? 5 150.00 AK i_. i:.;. 7"+"n :. 120.6 .. lam. l/'Jfl 9 ° 4 4 °°. ? oI E•.. 4 v ' .°.,'..J 150.00 151.00 150- oh, o o r` ° .°4 r +'p.7 Ga < 3? A j of 3 .0 3 L o ? !, 3 1 120.5 # 1 CIF 3 1 II so.oa?l, h Iso.oo so.oo -°°?-- 120.Tr<1 120.E N p.i-2 olY , ° of LL f.?c! 2 0( Ip 01l''?j'' I` 2 2 o /? o? i? S .° 1 1:' 3 1? 'S0.03c"'I. 150.00 150-00 .00 120.1 , ?' ., 1 1 cC a > I ?, 1 a l ? m l r.? 120 74 1 120.08 6 0--1 ISO. G2 iso-00 150-00 150.00 YORKTC.WN PL CE oo. oo- ?o. o 1 oz T.. 0011 0p s. es.o es. as.c: a2.q,1s 11071i T` ;10 L ..v.4 a I?? ti76 1 °'? I' 1a l6 ° IS vI 14 °.j 13. 0,112 I 21 I-- 60.. 061 124.7'• -+z - ..,.54 , 1 ",6 0 60. 060. .15 `01 1 1 3 G e . , j `_ J _ _ 0r u v i5a. nu .? •?.Ov dS. ?r1 FS. 82.0 87. C^+ 92-p0? 89. pu0 87.0 c ,? < ha .`?7 1 14JO1^'? - 200 6N?24. 95°? I P' Nu?' g - 7 No V ' 0 '? /ro an. m 19J. U0 I_1 Im N o •ni ?'o?'?r. 311 1 p °a6. 7A 86-0 Pp^A I<4.9- 4 sl n•°?85? SU SF.T DR.-_ ??^0.36 -0 4 331 .59 a\ S8. V 02.6 154.7`\ \ -^N`Y-,.??60 120. 0_+I_1-23. Oy'_- ^' - ` 420.11 ?I o 12o.s a c20 z 9 O ee ? ? H V. `r 1O 5 023-27 `?S oZ 6 0? 2520`' IG1.5 4 138.22 120. I 0.01°3 FI_ 167021 w25 .6. 07 o 2 1n 2 ° 1 o 1? _ 8. 6,a W. 10 120.2 1n? v ro OUTLOT PM - . E uO ILUi E _I J? ?j hJ yl ;°?- 'a 85 001 ?5.00/ 85.?'! 187 63 -331.80 1'.:f,K??ut:? _,__ _ _ flACKMORE ORIYE -' - -DR -- - - - -? o :21 5 '499.34 ., L) ADD Ordiaadee No. 114, . WELL AND WATER SUPPLY MANAGEMENT Permit No. WELL PERMU 91=2011 92-_2011 AKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Glade Aveuue? Apple VaBry, NN 55124 Telephm. (612) 891-7011 WHEREAS, the PERMITTEE/DBA: Chris Leach REVIEWED BY: PF ADDRESS: 790 Diffley Road Eagan, MN 55123 has paid the sum of one hundred (100) dollars to the County of Dakota as required by Ordinance 114 and has complied with all the requirements of said Ordinance necessary for obtaining a reclaimed-use well permit for the well described herein: A private non-potable water supply well is on a propery served by municipal water supply. The well is permitted for non-potable use only, such as lawn and garden watering. This well is subject to inspection by the Department of Environmental Management. The well is located in the municipality of Eagan as follows: Well Location Property Owner Well owner and address and Address(if different) if different Chris Leach 790 Diffley Road Eagan, MN 55123 NOW, THEREFORE, the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described from Novemeber 1991 to November 1993. This permit must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said Ordinance. If the property is sold or otherwise transferred in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with Ordinance requirements. Given under my hand this 12th day of March, 1993. ?4&7!ef ATTEST ENVIRONMENTAL SUPEff7IS-6R DIRECTOR .. ;y.?Onlioauer Na. 114: x .r.. v: r- a, "- . • •k WELT AND WATER`SUPPLY TLINAzEMENT 14SS Calatie-Avmue. Apple VaDey,MN 55124 93-2011, Yelep6ooe (612) 891Atl11 WHEREAS, THE PERMITTEE/DBA: ADDRESS: Chris Leach 790 Diffley Rd Eagan, MN 55123 NON-TRANSFERABLE REVIEWED BY: PF has submitted a permit application;..-has. paid-the sum of fifty, dollars -. ($50.00) to the County of Dakota as required by ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining 'a reclaimed-use well. permit for the wells described herein: .A private non-potable water supply well is on a property served by municipal water supply. ; The well is permitted for non-potable use only, such as lawn and -garden watering. This well is subject to inspection by the Department. This well'is subject to inspection by the Department. This well is located in the municipality of Eagan as follows: Well Location 790 Diffley Rd Eagan, MN 55123 Property Owner Chris Leach 790 Diffley Rd Eagan, MN 55123 Well owner (if different) NOW, THEREFORE, the property owner is hereby permitted and authorized to keep and use the well described and located above for the period of December 12, 1993 through December 12, 1994. This permit must be renewed at the end of this time period. Upon failure to renew the permit, the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said Ordinance. If the property is sold or otherwise transferred in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requirements. Given under my hand this 3rd day of January, ?. ATTEST ENTAL SUPERVISOR Kf?,9__ 441. City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / £ —// Site Address: 790 d0 0 / 11-2 >/ Resident) Owner Type of Work Contractor Name: AL -W y 71 Address / City / Zip: 790 /, , /e0 �rT _ Applicant is: X Owner Contractor Description of work: ZC -off Unit #: J Phone: fp S7 - 96-y- /9// Construction Cost: 1 49<Po Multi -Family Building: (Yes / Company: 1- -ock" n-AuSU-t:! S' Contact: /1)/14 6Cf.re-/./ Address: AP y al3s"S — f i j//els'' State: W/Y Zip:537/. 7/. 3 License #:,,U — y?//4' 9 City: .Zreli/ //c. Phone: 0%e2- 598"-�.2 J9 Lead Certificate #: / / 4-7Z ' /'S 79/S — / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.gopherstateonecall.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 plans. Exterior work authorized by a building perm issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Applica ame X,f/, ? 6:e5"<�%cam /2 Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127977 Date Issued:10/21/2014 Permit Category:ePermit Site Address: 790 Diffley Rd Lot:005 Block: 026 Addition: Section 25 PID:10-02500-26-050 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - David D Beam 790 Diffley Rd Eagan MN 55123 Clasen Home Services, Inc 5440 209th Lane NE Wyoming MN 55092 (651) 462-4907 Applicant/Permitee: Signature Issued By: Signature