3340 Dodd RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3340 Dodd Rd
Lot: 5 Block: 52 Addition: Section 12
PID:10- 01200 - 050 -52
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
William Hayes Constmction
14677 Morgan Ave N
Marine St Croix MN 55047
(651) 433 -3342
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
James T Gilliland
3340 Dodd Rd
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA083333
06/03/2008
ePermit
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Remarks?i•?/-?S,) 16 /.7?.
? 12 Lot Rik Parcel iQ Q1 PQD- (?,qf] K2
+Street 3110 Tlrxlc3 Rri-RZPRi--#A- State E2g8i1yM11T 5?5
?21
'r
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK c? 1 O 1 . . O 2 `
SEWERLATERAL
San Sew Tr. 1 1970 189.00 7.56 2 Paid
WATERMAIN
WATER LATERAL
WATER AREA 1 25.33 1 (YaY, ? O, xy? j"i
STORM SEW TRK 980.00 C008333 8-4-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDWG PER.
SAC
PARK
'%35")/?Q.,L_?a?v.t-.?
1171
^ii:49?7 .('i^ E.^_G:1id 5-5d"
379.`'J P9.Zc? K'?::nb
St. 55E11
P3P.?'?L7' 1,70.
62
-rhe Board o?' Superv3;:3?a iza?_cLy graalo i:o
• t711freB Fleuer - Trailer
a
3340 Dodd Road Captic Tank S Drain
Field fur: (0:-ae;-) _,? at
same
parsennt Co application dsted
same 6/L1/il
?`$10.00 llth Juae 71
D3tCL tQ7-9'_ _ - Cn}Y 6f
? ? Duileiing Inspector `
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex .....['_ ...-' ---...-'--
Address (presenl) .-__-? ---- -?`
Buildet ...... r?A..... .`7`.J--------- ----._....------- ..--------- ?-------------- --._.
Address ...----------------------------- --...._..
-------------
DESCRIPTION
N° 855
Eagan Township
Town Hall
Date ... ?1?414 . L..............
Siozies To Be Used Fo
r Front Depih Heighf Esi. CosY Permii Fee Remarks
- 00 1"-V :5., =
(/ v LOCATION
Sireel, Road or aihes Description of Localion I Lot Block Addition or TracY
I
'sQ, / 'n'
This permit does noi auihorize the use of slreeis, roads, alleys or sidewalks nor does it give the awner or his agenk
the righ!!o creaie any situafion whiah is a nuisance or which presenfs a.hazard !o the healih, safetp, eonvenience and
general welfare fo anyone in the communitq.
THIS PERMIT MUST BE KEPT/ ,ON TH•E/ PREMISE WHILE TIiE WORK IS IN PROGRESS.
This is !o cerlify. Shak._?.`_{.?5: ----------------------------------- has permission io erect a--'--------- -'....__ _. ..... upon
. _ ............. '-----
ihe above deseribed premise subjeel fo the provisions of the Building Ordinance for En To_-ship adopied April 11,
1455. ?,?? /I
..___..._ . . .._ "_.._ .....`"?-?.' ._................... Per ?? .....5.`.?......_.
..__ ..._ _._...._. ._"
.___.'...?.-.?.-_-. • '?''Z?
Chairman of Tnwn Board Building Inspector
'47 q e
4
?
?'?- a 5a z
i 5
Req st Date Fire o. ' ougn-in Insp ion
Required?
Featly Now
? Will Notily Inspecl0r
?+ 02 ? Yes No Winen Peatly?
I? licensed contrector ? owner hereby request inspection of above electrical work at
Job Atltlress iSlreel. Box
ute No. n I QI
ty
4
ri,u -
Setlion No. Township Name or No. Range No. b
?
cup nklqRl TI .? I
? Phone No.
Power $up0lier Adtlress
EI nc I ntractor I mpany Ne Co aCO 8 License No
1 1 1?
Maibnq AtlGr COmraclor Owner Making Ins1611 )
?
Nul oetl
U ignalu e 1 nlraCtor%Owner Making Insl Ialion)
? Ph
=-
MINNESOTA STq BOA OF ECTNILITY THIS INSPEGTION REOUEST WILL NOT
Griggs.Mltlway BI .- m S 3 BE ACCEPTEO BY THE STATE BOARD
1821 Uniwniry A.. . Ps 5101 UNLESS PROPER INSPECTION FEE IS
Ppone(612) 6<2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eaoaom-oa
y
a 5 4117 $ee msbuctions br completing this form on back o( yellow copy,
"X° Below Wo4k Govered by This Request
ew Atld" Rep: 7ypeofBUilding AppiiancesWired EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Buildinq Dryer Othev-(Specify)
Commllnduslrial Furnace
Farm Air Conditioner
OMe? (specify? Cqn\rector'sRe`marks: I . ' ,,?
Compufe Inspectron Fee Below:
# Other Fee 8 ServiceEntrenceSize Fee S Circuits/feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Use Only TOT L
' Irrigation Booms 0/. ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-in ? oale
certify that the above inspection has
been made. oaie -
O ' 3
OFFICE USE DNLY
I Thi3 reQUest voitl 18 months 1rom
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
3340 DOUD ROAD
SITE ADDRESS
; •LOT -?LOCK SEC/SUB
SECT 12
MTILFREA & ti!?tGINIa
APPLICANT:
ADDRESS: ''AME •.
CITY, STATE ZIP
PHONE: ''` 54- F(' 1
PERMIT DATE WATER PERMIT # ' ') ` ?
METER # "''?
o fewm" D 3 ?
METER SIZE L
ISSUE DATE
SEWER PERMIT #
9.P:,REGEIPT # B.O. ---
RECEIPT DATE
_ PRV - BOOSTER PUMP
PERMIT REDUESTED
_ SEWER WATER - Ti
? COMM/IND ? RESIDENI
_ NEyy '- EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN OSDINANCES;
,
.
r--
SIG ? N ETER ISSUED
?Fi1NG DEPT. c,AME
ALLOW TWO WORKING DAYS FOR RROCESSING. FOR STORM SEWER PERMITS, CONTACT
PLUMBER:
CC: RUSS MATTHYS, CITY OF EAGAN
FROM: TIM PLATH, TRAN5PORTATION ENGINEER
DATE: SEPTEMBER 21, 2007
SUBJECT: TH 149 RECONSTRUCTION (CONTRACT 06-01)
PAYMENT FOR DAMAGES
Please find enclosed Citv of Ea¢an check number 119286 in the amount of $1,500 which
represents payment in full for the removal of the maple tree located on your property at
3340 Dodd Road.
Feel free to contact me (651.675.5643) if you have any quesrions or need additional
information.
L%v/q p
1\Eacity\engineer$Troject end Contru[ Information106-01 - TH 1491Correspondence\gilliland092107.doc
L ':?S BL S a CITY USE ONLY
SUBD. ??. ?l o VN I ?---
RECEIPT #:
la?q10
RECEIPTDATE: ?<d"Oc)
PERMIT # LI O Sb ?f)
2000 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOS RD
EAGAN, hIN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow praventer for underground sprinkler system
FIXTIIRiS
EACR #
ToraL
Alterations to existing dwelling - minimum fee
Describe: A.A.? 3
, d N.-:,? ren.x?e? k?4cG,?n $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum - 1 3.00 = $
Hot tub/spa 3.00 x = $
Kitchen sink 3. x = $
Laundry tray 00 x = $
Lavatory 3.00 x = $
Septic System newlreturbished ` requlres MPC lic. 75.00 x = $
Septic S stem abandonment 30.00 x = $
RPZ new InstallatioNrepaidre6uild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is underconstr ion 3.00 x = $
Unde round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater .00 x = $
Water softener if dwelling der eonstr tion 5.00 x = $
Water softener If existin weuiny 30. x = $
Water tumaround 30. 0 x -- = $
State Surcharge 0 -> -> -> $ .50 ?
Total • $ o S a
Reminder: Catl for
I hereby acknowledge that
It is the applicant's respo
normal operational and m;
SITE ADDRESS:
OWNER NAME: :
TELEPHONES I 4/ S,/ - </6 V s-
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ?"51 `t S?"
- (AREA CODE)
STREETADDRESS: 33 `f0 700C? :l Rr-? -
` `
CITY: EGI? c..+n STATE: {`1 IPt `S S /d, (
SIGNATURi F PERMITTEE
of alterations, '. water heaters, water softeners, etc.
resd this application, state that the infortnation is correct, end agree to comply with all appliceble City of Eagen ordinances
f to notity tbe property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
mce activities to the facilRies constructed under this permR within City propertylright-of-way/easement.
.? iiO4Iq 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN C7
3830 PILOT KNOB RD - 55122
851-881-4875
New Canahucflon ReaulremeMs
? 9 regislered tite wrveys shawinp aq. fl, of lot. aq. (I. of house
antl gU rooted areas (V9', nwxlmum bt covemae a0owed)
> 2 caplas of plons (show beam & wlntlow alzes; poured Ind. deslgn: etc.)
D 1 net of energy calculaNOrn
> 3 coples ot tree pretervalion plan II lot plaHetl after 7/1 /93
DATE:
cUllec( 41111uL
i
Remodel/Reoair Reaulremenh `?„ n
? l 1J ?
2 coptes ol plan
1 set ot energy calaAaHOns br heated addfttons
1 sife survey br exteda odAltlona It decka
CONSiRUCTION COST:
DESCRIPTION OF WORK: 3rrl rj-ur
S
STREET ADDRESS: EL{ ii D,,c4d 4v o rt d
LOT: 5 BLOCK: 13 a SUBD./P.I.D. #: a4)-P t-
PROPERTY
OWNER
CONTRACTOR
Name: ? ?i,/i cj J,-,.me.? Pnoneu: i-44S 4 - ?(o Y.5"
lasl I fint
SheetAddress: S:?`fO Rd
Clty State: 7Y) n) Lp:
Company. S e- I C- Phone q:
(area code)
f
Sheet Address:_
Clly
ARCHYfECT/
ENG?EER-?c? ? --- -
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 690
DATE: 04/21/00 TIME: 15:15:58
ID:
NAME: KELLY GILLILAND
3210 9001 3340 DODD RD
2155 9001 3340 DODD RD
?
Phone
2ip:
181 . 2 5
5.00 lntomnaNon is cortecf, and agree to compty wHh aq applicable SMte
:?n I: „ &a Sl
SE ONLY
, .,', ? I I '
I Total Receipt Amount : 186 . 25 Not Required
CR127088
? USER ID: JAN
license # _
State: 21p:
Name:
Registratbn C _
State:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? Ot Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
O 31 New
? 32 Addition
*'33 Alteration
? 34 Repair
? 13 16-plex ? 21
? 17 Garage ? 22
p 18 DeCk ? 23
? 19 Lower Level ? 24
PI6g _YOr_N ,IEI?"2$
? 20 Pool ? 30
Porch (3-sea.)
Porch/Addn. (4-sea.)
Poroh (screened)
Storm Damage
Miscellaneous
Accessory Bidg.
0 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)` ? 44 Siding
13 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code C) ?
No. of Units C)
No. of Buildings I
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? 5tucco/Stone
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
? 31 Ext. Ait - Multi
? 33 Ext. Alt - SF
? 36 Mutti
y3
APPROVALS
Planning Building E G Engineering Variance
J o ? CT-b
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl. ?
Park Ded.
Trails Ded. ?
Other
Copies
Total:
SAC Units
% SAC
CLAIM VOUCHER- REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: James Gilliland
ADDRESS: 3340 Dodd Road
Eagan, MN 55121
LOCATION: 3340 Dodd Road P.I.DJLEGAL: ' Lt'S Bl 52 Section 12
RECEIPT #/DATE: 129910/5-12-00 VALUATION: ?- "
REASON FOR REFUND: Duplicate permit PERMIT #: 40863
TYPE OF REFUND:
Electrical Pemrit 3211-9001 $
Plumbing Pemiit 3212-9001 $ 15.00
Mechanical Pemiit 3213-9001 $
Building PermitFee 3210-9001 $
Pian Keview Fee 3422-9001 $
SAC (MGWS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
WaterConnecrion 3865A220 $
Sewer Pemiit 3743-9220 $
WaterPemut 3713-9220 $
Account Deposit 2252-9220 $
WaterMeter 3716-9220 $
WaterTreatment 3868-9220 $
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curh Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
Other
TOTAL $ 15.00
I dedare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
SIGNATURE 7 1 n ?J
?bd
July 14, 2000
DATE
CITY USE ONLY
L _ BL ? RECEIPT#; / ;I ?J -1
SUBD. !Se_(' L i nY1 ` d RECEIPT DATE:
PERMIT# yl a??
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, tMI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
FIXTURES
EACH
TOTAL
Alterations to existing tlwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x $
Septic System rrewlrefurbished ' requires MPC lie. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dweiling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water c(oset 3.00 x = $
Water heater 3.00 x = $
Water softener if dweiling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x --- = $
State Surcharge .50 -> ----> --> $ .50
TOtal $ , U
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ? G' .5-0
---------- ---------------------------------------------- -------------------------------------- -------- -------...------------------------
I hereby acknowledge that I have read this applica6on, state that the infortnation is cortect, and agrea to compty with ali applicable City of Eagan ordinances.
It is the applicanPs responsibility W notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its
normal operationai and maintenance activities to the facilities eonstructad under this permft within City property/right-of-way/easement.
SITEADDRESS: _ M_ L D (c/ B ? J 1? 0 a" `,
OWNER NAME: : lT 1 6?? y`"" °J
INSTALLERNAME: A C-l
STREET ADDRESS: 7 J d PO n ? 4C-
TELEPHONE #:
(AREA CODE)
TELEPHONE #: (L ° ?
(AREA CODE)
CITY: -c n c U J Gti 1?? STATE: V V 1M ZIP: 5? I?U
SIGNATURE OF P ITTEE ?
Lot Blk PID #?? -? /d Oa ? DSO - 6a Sewer/water permit #, iy oGo
` Plat Date 0 Receipt # 0 ?q 0
CITY OF EAGAN
1996 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer connection charges
Sewer availability charge (SAC)
Date previously paid
Receipt #
Account deposit
Sewer permit & surcharge
Subtotal
* Piumbing permit & surcharge
Tap
Total
7c =PBG
I - 4.73
FFr cp8q
,ao-?d'
$1,000.00
15.00
50.50
$ 1,065.50
Date
Account depoNt
Water permit &
Water meter
Treatment plant
Subtotal
* Plumbi'permit & surcharge
Tap
Sewer & water connection
Sewer?availability charge (SAC) ?1,000.00
Date preVi usly paid Receipt #
Water availabi charge (WAC) ? 760.00
Date previously Receipt #.
Account deposit 30.00
Sewer & water permit and charc,}e?1-1 100.50
Water meter 107.00
Treatment plant 396.00
Subtotai 1.111" \ $2,393.50
* Plumbing peemit & surcharge \ 20.50
20.50
* A plumbing permit is also required. !t will be issued only to a plumber licensed with the City or fo
the homeowner if he is actually doing the work.
Property owner La2
Address
Phone no. ?1.377 (AmN u)MI ?
Plumber
Water connection
OFFICE USE ONLY
PRV / V14
No. of taps I
Assessments Alo l+-e O""
/t) ?? 4/a
Waiver ?
charge (WAC) $
paid Z
15.00
50.50
107.00
396.00
$1,328.50
SPECIAL ASSESSMENT SEARCH SUMMARY
'
AS OF
: 09/23/1996
PROPERTY ID: 10-01200-050-52
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100006 SAN SEW STUB 0000 01 0.0000 189.00 0.00 0.00 CL
100099 SAN SW TRK 1969 25 8.0000 135.00 0.00 0.00 PP
100339 WATER AREA 1976 15 8.0000 570.00 0.00 0.00 CL
100811 SS-1RK 1983 15 12.5000 980.00 0.00 0.00 CL
101226 WATER LAT BEN P447 1986 15 9.0000 2673.00 0.00 0.00 PP
101228 SERVICES P447 1986 15 9.0000 346.82 0.00 0.00 PP
------ SUIMtARY OF LEVIED 0.00 0.00 0.00
****** 1996 P&I CERTIFIED
------ SUMMARY OF DEFERRED 0.00
------ SUM4ARY OF CIASED 4893.82
------ PENDING ESTIMATE 0.00
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G a{q-7?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3830 PIL10T IDY B RDN 55722
65'i-681-4675
New ConslrueNon ReaWremeMs Remodel/Renah Reaukemenh?y ?
D 9 registered sMe surveys showing sq. k. of lot, sq. fl. ol house 2 coples of plan
and Q roofed areas (2074 maximum bt covernae albwed) 1 sN of energy ealculaNons for heated addiHOns
D 4 eopies of plans (show beam a window sher, poured fnd. design; efc.) 1 slle survey for axleAOr addiHOna i decks
D 1 set of energy colculafbns G
D 9 coples ol hee preservailon plan 91ot plalFed atFar 7/7)93 p
/
DATE: -? Y'7q / CONSTRUCTION COST:
G
DESCRIPTION OF WORK: ?,e4 -4
STREET ADDRESS: ? 3 y?) Qo 40 QV
LOT: S- BLOCK: S --)- SUBD./P.I.D. #: V1 ( ?
Name: R(?ya W) LF40 Phone#:
PROPERTY Last Fhd
OWNER /t
Street Address: YO V dgp 2-0
City
CONTRACTOR
ARCHITECT/
ENGINEER
l 0
Zip:
State:
Company P, J, Phone #•
Sfreet Address: ? ? ? /9 T I (7Vb ? j
City ?? State:
Telephone #: area code (
. b""S) (area eode)
°r `/ ?od
License # 0(?' D Exp, 0)
y
Name:
Zip:
Sfreet Address: Registration N:
CNy
Sewer 3 water Iieensed plumber (reaulred }or new conshucHon onlv):
State:
Penally applies when addreas ehange and lot change is requested once permH Is Issued.
Zip:
A
1 hareby acknowledge }ha} I have read ihis application, state fhat the InformaNon Is co ecf, and agree to comply wNh all appiicabl
Stnte of Minnesota StatuFes and CHy of Eagcn Ordinances.
Signafure of AppllcaM: ?
OFFICE USE ONL
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
07i07 '95 15:37
ID:Mll]TA COlA1N PHYSICAL D FAX:612-891-7031 PAGE
/5, a -t62, 'J? i02--
1
Municipal Notice of Well Permit Application
Dakota County Snvlronmental Management Department
Water end Land Menagemcnt SeWon
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel(612)891-7011 Fax(612) 891-7031
DA7'R: July 9, 1995
To: Tom Colbc?UWayna Schwmz
Fran: Watcr and I.and Maoaganent
RB: Well Pcrmit q: 95-9168
Municipality: Eagsn
Fax #: (612) 681-4612
WeU Type; Sesl
Frtvironmental SpecialisC Farr
1Le Water and l and Managomcnt Section of the llakom Coumrty 8avironmental Maoagcmart Dapaztmcnt
hae received the Eollownlg pcrmit appliostion for thc well desori6od. If you n+quiro furthar caview of du
appliration or tf you ltave any quaetions or conxrne about it, caitact thc Envlrwurwntal Speclailat listod abaw
ot our otyice at (612) 691-7011. Jf Uiero ic no rosponse from your offico within 24 HOURS (wccluding
weelcends and hoGdays), wc will asaume that you havc no objoctions to the iasuana of tlxi pocmit. Please aota
tfiat permit issuancc ia alwaya condiGoned on t1w pormit aPplicam'e observance of end oomplianoo with all
applicahle state, county, and mauiicipal kwa and wdw.
WCII Contractor: Kcys Well Drill'mg
Dato applicapon mxived: ]uly 7, 1995
MdcippW Drilliug Dstc: Woek pf 7/10 Timo:
Mticipatal Groudag Dste: J/_ Time: 000*0ss•
Proporty Qwnar. WILFR$D E 8c VI1tGINIA HEUER
We11 Uwnor: W14FRfiD E 8c VIRGINIA }IBUER
WELL LOCATION:
PLS Coardinazcs: 1!4 1/4 114 1/4, Sea 12, Town 27, Itange 23
Stroet addras: 3340 DODD RD
PIIY Number: 10-01200-030-32
WEL4INFORMATIQN:
Diammmr 4
Csaing depth; 115
rotsl depth: 11 s
Statio Water Level: r?v?w?r
Aquifer:
COMMENTS:
--- ?o116-
R=959; 612 891 7031 07-07-95 03:36PM P001 #27
City of EagIl
3830 Pilot Knoti Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
2008 RESIDENTIAL BUILDING
Date: SiteAddress:
?
Tenant:
RESIDENT / OWNER Name: Phone: '
Address / City! Zip: 53 yQ L-,)4d
Applicant is: _K Owner _ Contractor
TYPE OF WORK
Description of work:
6
?
Construction Cost: /' Multi-Family Building: (Yes No?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cdt@gOry Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
in the last 52 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
? P
Licensed Plumber: ?
, Phone:
Mechanical Contractor: ?Jlr ??$ I Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documents that you'su6mit are considered to be, public information:r' PoRions;of
the information may be classified as non-public'if you provide spec?c reasons that would perniit the City to
,
conclude that the are trade secrets.= .
I hereby acknowledge [hat 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 Mis is not a permit, but only an application for a permit, and work is not to start without a permik that the work will be in
accordance with the approved plan in the case of work which requires a review and approv4kafplans. - , i _
x jIL4,+'lr5 l.`Yle `CLL4GY x
ApplicanYs Printed Name App anYs Signature
?----------------,
? Eoi,Qff_ice',_Use ?
I I
? Pertnit#: ?} 'D?J I SD j
? Pertnit Fee:
? Date Received:
j StaR:
I ' I
------------------
e(.LCJ&3 O/F
?-F-f- r, 6? . 6,'1cti:1e
Suite #:
Page 1 of 3
t
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? 6ct. Alt - SF
? 02-Plex ? 08-plex ? Deck x Porch (screenlgazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level O Storm Damage
? 04-Plex ? 12-plex . ? Miscellaneous
WORKTYPE ar?. 1DP?''
// ???
? New ? Interior Improvement ? Siding ? ? Demolish Building"
)<- Addition ? Move Building ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:/
Valuation Occupancy MCES System
t Tr--
Plan Review Code Edition SAC Units
(25°/a_ 100%? Zoning City Water
Census Code r Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings(deck) Final/C.O.
? Footings (addition) ? Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice 8 Water _Final Pool: _Footings _Air/Gas Tests _Final
? Freming _ Siding: _Stucco Lath _Stone Lath _Brick
_ Fireplace:_R.I. _AirTest Final ? Windows +-y'W7L)q4
_ Insulation Retaining Wall
Reviewed By: T Building Inspector
----- - ----------- - - - -- - -- - ---- ------- - - - -------- - --- - --------- - - --------- - ------- - - - - ------ - - - ---
RESIDENTIAL FEES:
Base Fee
Surcharge
? ?v!
Plan Review J qo MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies ?
Total 9170 ?
Page 2 of 3
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Peggy Fleck
From: JAMES and KELLY GILLILAND (jkg007@q.com]
Sent: Thursday, May 07, 2009 9:04 AM
To: Peggy Fleck
Subject: extension of permit #85150
Peggy,
as per our phone conversation this morning could you please extend my building permit (#85150, 3340
Dodd Road, Eagan) for another six months. If you could send me a reply letting me know this has beeen
done, I would appreciate that.
Thank-you,
James Gilliland
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