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4822 Dodd Rdoawzjle?j o1Q -a C)- CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.:- 508 The City of Eagan hereby grants to Harold Wilkinson of 3710 - 145th St. W.. Rosemount 55065 a RTxTMRTMr. Permit for: (Owner) at 4a22 noad Re a , pursuant to application dated 9/9/74 Fee Paid: $20.00 dated thisl3th day of Seot. , 1974 . .50 s/c Mechanical Permits: Building Inspector Bid Total: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERNIIT NO.: 570 The City of Eagan hereby grants to Harold Wilkinson of 2710 - 1aStb Rt_W• ?. a HFATiNG Permit for: (Owner at 4822 Bedd plead , pursuant to application dated 9/g/ 4 Fee Paid: -x$29.90 dated this _I ji-hy day of Sept. ,.'19 74 .50 s/c Building inspector Mecha::ical Permits: Bid Total: -, CITY OF EAGAN N? 9557 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt 7 # To be used for GARAGE Est. Value $5,000 Dole OCTOBER 2 Site Address 4822 DODD RD Erect Occupancy Ml Lot 1 Black 2 Sec/Sub. DODD VIEW ADD Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories 5 Name TOM GUSTAFSON Move ? Length 22 Z Address SAME Demolish ? ? Depth 26 City Phone 423-4083 (H) Grade Sq. Ft. c 981-2341 Apwovab Fees o Name SAMP. u? Address t- City Phone Ua f W Name urg Address (W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with qq1I applicable State of Minnesota Statutes" and City of jodan Ofdirn?ces. Signature of Permittee A Building Permit is issued to: TOM all work shall be done in accordance with all Assessment Water & Sew. Police Fire Eng. Planner Council 4 Bldg. Off. 10/1/8 APC Var. Date Permit +-?7U. 7U Surcharge 2.50 Plan check SAC Water Conn. Water Meter Rood Unit Parks Total $53.00 on the express condition that Statutes and City of Eagan Ordinances. Building Official ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, CERTIFICATES OF SURVEY © SET OF ENERGY CA CULATIONS To Be Used For: -?aw6e _ Valuation: Coo Date: lD?al? Site Address: 4122Va" Rl' Lot: Block:'Sect/Sub: p.ii I& W Parcel #: 7qd11 - Owner: 'feek GuTTAFSOIN Address: 492.t. o d 14 R1 _ City/Zip Code: EgdAN 5Sl7,!5 Phone #: 423-01083 (fl61-Z3g1 Contractor: wnr.a.. A ?s6.wi Address: City/Zip Code: ??Tt?aols?T Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Erect: Occupancy: Remodel: Repair: Enlarge: Move: Demolish: Grade: Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Councii: Bldg. Off.: ?p- - APC: Variance: Zoning: Type Of Const: # Stories: Length: Depth: Sq. Ft.: U.9 Permit: 50 Surcharge: L, Plan Rev.: SAC: Water Conn: Water Meter Road Unit: Parks: 53, P CITY OF EAGAN M 9746 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 ?/ -L V L 7Y BUILDING PERMIT Receipt 'e - # 7 To be used for GARAGE (FRAMF{ Value $2,000 Date NOVEMBER 27 Iq 84 Site Address 4822 DODD ROAD Erect ? M1 Occupancy Lot 1 Block 2 cec/Sub. DODD VIEW ADD Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories W Name THOMA S & NANCY GUSTAFSON Move ? Length 26 Z Address E Demolish ? Depth 22 City Phone 423-4083 Grade ? Sy. Ft. SAME Approvals fees o Name Address Assessment 2.50 Permit _ City Phone Water & Sew. Surcharge .1.00- E Police Plan check-_ Fw Name Fire SAC 0 Address Eng. Water Conn. V <W City Phone Planner Water Meter ' Council 10 3 Road Unit 1 84 on and state that I hereby acknowledge that I have read this opplica Bldg. Off. Parks the information is and agree to comp th II a plicable cogec PC _ _ l $33 50 T t State of Minnesota tat tea and City of Eag rdi c . o a ar. Date Signature of Permittee A Building Permit Is issued to: HOMAS GUS AFSON on the express condition that all work shall be done in accords all oppliwbla S too 'nnesota Statutes and City of Eagan Ordinances. Building Official rx-re ME ?• ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For:' a F^rUY L Val ation: ?`-?- Date: Site Address: y'3? Z ?p ?1( f? CA ?70 ¢'TIV? ?- 0 V • • Lot: +_ Block: a-Sect/Sub:?Dp UjECO Erect: Occupancy: Parcel #: AC S c+(a ? Remodel: Zoning: Repair: Owner: homMgs ?. NW( Gw?gF3U?JEnlarge: ? Move: Address: ygZZ I)Ocj,?' Rd - Demolish: City/Zip Code: 'i {c kr ?5S G-)3 Grade: Phone #: 3 j ?Itunev• Contractor: Address: Assessments: City/Zip Code: Water/Sewer: Police: Phone #: Fire: Arch./Eng: Address: City/Zip Code: "I"" o4 - Type Of Const: # Stories: Length: Depth: Sq. Ft.: M -I 2 Lv 22 Engr.: Planner: Council: Bldg. Off.: 107? APC: Variance: Permit: 3 zsf Surcharge: Plan Rev.: N / SAC: Water Conn: Water Meter Road Unit: Parks: a-=.?. ?acc°c?r,?GcaJ CIT'f OF EAC':N 3795 Pilot Knob Road Eagan, Minnesota 55122 PEWETT NO.. 212 The City of Eagan hereby grants to Bisson's Well Co. nf 3600 Kennebec Drive a WELL Permit for: (Owner) H. Kirchner & Wildcnson 745 Lasso at 2 DocTd , pursuant to application dated 10/18/74 Fee Paid: $20.00 dated this 10th day of October , 9_24 1.00 s/c Building Inspector Mechanical Permits: Bid Total: .t?ad?/dC2cJCcl?-?i CITY OF EACSN 3795 Pilot Knob Road EagraL1, Minnesota 55122 PERMST NO., 203 _ HAROLD WILKENSON The City of Eagan hereby grants to Wtllt0tlWM1UMb1 gt)ZKMStdr4 (Mr. Wilkenson took out permit himself - Void Wenzel's) of X3800fXQ§HfNfiJW a SE Trr TANK Permit for: (owner) Hardild Wilkenson at 4822 Dodd Road , pursuant to application dated 9/9/74 Fee Paid: 510.00 dated this 13thday of Sept. , 19L4 .50 s/c Building Inspector Mechanical Permits: 13id Total: 17W CITY of EAGAN BUILDING PERMIT Owner ...... ..` ...... .... .................... ........................ ::?` ................. Address (Present) ...l7 / 0..... 2.v....... /........ Builder ......--°"'....""°-C.r. ."'-!k!!.....`.."` °.._......."" ................ Address DESCRIPTION N2 3359 3795 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Date ..... K- -7.`1............_....... Btories To Be Used For Front Depth Heigh! Est. Cos! Permit Fs? Remarks r?i+„'C' I (4 -Zr O j ?O e;o - •, .2 Srf ? A66- . /o ly or v 4Q4 I-- kte--? mot. I / I a I? v-u- 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 HE PREMISE WHILE THE WORK IS IN PROG SS. This is to certify, that.. :.... .................has permission to erect a.. .....:.................upon the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan. Y. a"6^. ..................... Per ............. ..... `.°°°-.....-'°""............................"'............... °--.........:.--'-' .----f..... Building Inspector Mayor 46 /5 INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021660 Eagan, Minnesota 55123 Date Issued: 08/05/93 (612) 681-4675 SITE ADDRESS: LOT: 1' BLOCK: 2 APPLICANT: 4822 DODD RD FIREPLACE SPECIALIST DODD VIEW (612) 451-1970 7 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS/FREESTANDING) RECOMMENDED CHANGES IN'GAS EQUIPMENT25"442 NSP HAS DETERMINED THAT CHANGES IN YOUR GAS EQUIPMENT ARE RECOMMENDED AND A WARNING TAG HAS BEEN PLACED ON YOUR. ? RANOE 0 WATER HEATER ? FURNACE /OTHER THE PROBLEM TO BE CORRECTED IS: u uertuI IVE VENT PIPE` ? NOT VENTED PROPERLY ? GAS PIPING RESTRICTED ? IMPROPER VENT SIZE . ? FAULTY ELECTRIC WIRING ? INADEQUATE CLEARANCE ? WATER LEAK AT APPLIANCE ? APPLIANCE NOT INSTALLED FROM COMBUSTIBLES TO CODE - ? IMPROPER PIPING CONNECTIONS BOTHER CONDITION WHICH MAY ? IMPROPER SIZED GAS PIPING BECOME HAZARDOUS NSP HAS: ? MADE TEMPORARY REPAIR ? TURNED APPLIANCE OFF ? OTHER S E E REMARKS / ' REMARKS X 'J't" l'u0u.,,I I NAME _LIQ! 1 ?u S T¢?SerT PHONE III Z 3 - Q?f ? ADDRESS ?Saa t?,..iri APT. R CITY -0.Cgc? REYEMBFA, YOU, NOT NSP, ARE ACCOUNTABLE FOR ANY ADVERSE CONSEQUENCES RESULTING FROM THIS UNSAFE CONDITION NOT BEING CORRECTED I HAVE BEEN ADVISED BY AN EMPLOYEE OF NSP THAT THESE CHANGES SH WITH MANUFACTURERS OULD BE MADE BY A QUALIFIED, LICENSED PERSON IN ACCORDANCE N CO ES AND REGULATIO,',yI?4ALTHOUGH THIS EQUIPMENTIPIP NG I DOES NOT PRESENT AN IMMEDIATE HAZARD, CONTINUED USE WITHOUT THE ABOVE CHANGES IS NOT RECOMAAAYYYBNDEn Y CUSTOMER T- OWNER ? I&NANT AGEN N RTHERN STATES POWER COMPANY Foam 17-2565 SERVICE PERSON A ? S 'CITY OF EAGAN iri 9746 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # -?7l 7y, ! To be Used ier GARAGE (FRIV4E?t. Value $2,000 Date NOVEMBER 27 19 t34 '! OLL L)UUU KCI"IJ Site Address 4 DODD VIEW ADD Erect Lot 1 Block Sec/Sub. Remodel Parcel No. Repair 11 Name lI1U11H.D & "ii J%; Y C=UJ'1'HC SUN Move Address • Demolish Grade City Phone 423-408 zz,? Name u Addre City _ Name Phone 'City Phone 1 hereby acknowledge that I have read this or the iniormotion is T?lz d agree to co" State of Minnesota Stat to nd City of Ear Signature of Pennittee" ? A B uilding Permit Is issued to: T all work sholl be done in aceordpnce with all Building Official 6 Occupancy M1 ? Zoning JR! ? Type of Const. ? ? No. Stories Length ? Depth -7?- ? Sq. Ft. Assessment Water 3 Sew. Police Fire Erg. Planner Council 10131184 Bldg. Off APC Var. Date Permit - Surcharge 1.00 Plan check SAC Water Conn. Water Meter Rood Unit Parks _ 33.50 Total on the express condition thol Statutes and City of Eagan Ordinances. d i Permit No. Permit Holder Date Plumbing H. V.A.C. Electric Softener Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 957 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt To be used for GARAGE Est. Value $ 5'r 000 Dat e OCTOBER 2 Site Address 4822 DODD RD Erect 47 Occupancy M1 Lot 1 Block 2 Sec/Sub. DODD VIEW ADD Remodel ? Zoning Parcel No. Repair ? Type of Const. Enlarge ? No. Stories : TOM GUSTAFSON Move ? Length 2 0 Z Name SAME Demolish ? Depth 25 Address 423-4083 (Iiy-- Grade ? S4. Ft. City Phone Name SAME --` `-_' ,o uU Address 3 ? City Phone Assessment Water & Sew. Police Fire Erg. Planner Council Bldg. Off. 10/1/84 APC Var. Date Fees Name City Phone 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 pity of zin!n? Signature of Permittee J-? - A Building Permit Is issued to: TOM GUSTAFSON all work shall be done in accordance with all applicable State of-Mir Permit -e Surcharge _ Plan check _ SAC Water Conn. Water Meter Rood Unit _ Parks Total on the express condition that Statutes and City of Eagan Ordinonces. Building Official Permit No. Permit Holder Date Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Other Footings Q_ I Foundation Framing( Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Cart/Occ. Water Describe Location: Well Sewer Pr. Disp. PERMIT # of Block - Name m m Address C City Name _ 3 Address p City MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Only: BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS $24.00 6.00 TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other 1 1.50 EA. - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $_50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN FEE: S/C: TOTAL a N b ANN C. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: i?I,i,ti PERMIT SUBTYPE: 1 1 I W, SPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: t(rr(I n?wt? H11 ?,r.e OH/NA/q3 APPLICANT: TYPE OF WORK: rI i ( I ul I ii 1 1'irl f I,AI,/FRET";IANIIIN(,) INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ----------------- Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Mg. Isul, Fireplace -914?4 3D ? ! ` Final Mg. Orsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Addition Dodd Lot Blk Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN BUILDING PER. SAC 00.00 11339 - -7 PARK I RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C) Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot sq. IL of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tres Pres Plan Recd 2 copies of plan slowing beam 8 window sizes; poured found design, etc. 1 site survey for additions d decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Oefeil Options selection sheet (bldgs with 3 or less units Date OP.? Construction Cost C? 2 - Site Address DOD b V-r74D Unit/Ste # a fi2 . Description of Work F E PAe-t5 CA15T/ hJ4 5) D) N6 W;-r4,! n 91t'? ? >'IOUvE 6?,04AA40' Multi-Family Bldg _ Y N Fireplace(s) _ 0 - 1 - 2 Property Owner ?0 IM If ?JA"< G U5 jr F5 bN Telephone #(65-) ) ({a 3 - 140!53 Contractor _P-. COP CO.VyrIZ0C'r lnN 1IU' Address /P174W ` LShJDAtx Aut. Svf-rE I I C City pLg7M lIV C?TO/l1 State MN, Zip •$-54020 Telephone#(95a) 60S-5"5-7A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone if1, I hereby apply for a Residential Building Permit and acknowledge that the info nation is complete andlaccurate; that the work will be in conformance with the ordinances and codes of the Citv of-8agan 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 w* h requires a review and approval of plans. i ?NC7d9TS+`FS I/L/ ?C7/?G? Applicant's Printed Name Applicant's Signature Oct-14-03 02:59P . il P-01 +VW "7a?vt roc/ ?y.4 urn ? F f- James,.Flardie CUSTOMER REQUEST James Hardie ED INSTALLATION AUDIT Date of visit: To: (Person Requesting the Visit) i ?a3_yQ ( ) HOMEPHONE WORK PHONE RE: M Single Family ? Multi Family ? Manufactured Housing ? Other (specify) ? eo?s Admlc ADDRESS Product(s): 7 ?T C/kj /yam' Jobsite Contact(s):/-5 ItAW/r Y r, U57J9? Sd f/ I visited the above address to see / demonstrate (circle one) the installation of James Hardie building materials. On this day, my visit included: IfLeaving / Reviewing Installation Instructions / Warranty `i ? Installation Demonstration ? Photographs Taken During my visit to the above address, I noted the following deviations from our installation instructions. (A non-responsa does not indicate that all guidelines were followed, only that no obvious deviations were found or recorded on my visit.). 2. 3. 4. 5. As a reminder to you, James Hardie Building Products, Inc. (JHBP) does not Warrant the installation of its products and In no way is this report meant to supersede the installation instructions printed and furnished by JHBP. If you have any questions, please contact me at the phone number shown below, or call 1-800-9-HARDIE. Sincerely, L.- Phone #:- 9s6 ? - Whlta: Customer Yellow: Sales Representatlve Pink: Clalms Department - PERMIT # ) L ? ?7 V RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD E AGAN, MN 55122 657-687-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: `C Ada -?? OWNER NAME:: (,S?A?:So ' TELEPHONE #: (AREA CODE) INSTALLER NAME: _7f? Grp ?c h? n°t TELEPHONE #: 4C"' 66 zl? (AREA CODE) STREET ADDRESS: drc 'cl? t??-- CITY: J? ti STATE: / ZIP: S ?I LZ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100 00 includes $40.00 County fee . Note: Additional consultant fees may apply MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. >,--Water turnaround - existing dwelling unit (+ 518" meter if needed - $118) _ Other: 1 ( . Q - RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within C' propertylright-of-wayleasement. SIGNATURE OF PERMITTEE 1102 P t! _ DLO ?? '? Receipt Date: t0 r?r CITY OF EAGAN 2002 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address s Zz Dad a Pd OFFICE USE ONLY Property Owner 1 ho4a S { ?y(?V1( ) S^T0v/ PRV required Telephone # (CQ?( y 0 F Plumber Date of Inquiry Sewer Lateral charge @ $23.35/ff Trunk @ $945/connection City SAC MC/ES SAC Receipt # , Date Septic abandonment Permit Fee State Surcharge Total N City 149 County R-O-W Permit W t (? l of / 2 a er $ Lateral charge @ $23.60/ff $ Trunk @ $985/connection 100.00 Water supply & storage 880.00 1,200.00 Receipt # e Treatment plant 540.00 50.00 Permit Fee 50.00 50.00 State Surc ge .50 .50 Plumbi permit required-water met o be acquired with plbg perm t $ Total $ Sewer and Water Sewer lateral charge @ $23.35/ff Water lateral charge @ $23.60/ff Sewer trunk @ $945/connection Water trunk @ $985/connection City SAC MC/ES SAC Receipt # , Date Water supply & storage Receipt # , Date Treatment plant Septic abandonment Permit Fee State Surcharge Total Plumbing permit required water meter to be acquired with plbg permit r^ oNt J 5?kc a ter Jt,b u1o°d ? P`J ?r1?1F- ay- 100.00 jr q 1,200.00? `ql?t J?r^ 880.00 540.00-/ 50.00 100.00 N. .50 $ 4--d-10 z?;-o Aa L ' 4 r" J` k `` cc: Carolyn Krech, Finance Department WAIVER OF RIGHTS TO OBJECT TO SPECIAL ASSESSMENT PROJECT 751R I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Property Identification Number: 10-20900-010-02 Legal Description: Lot 1, Block 2, Dodd View Addition up to a maximum estimated total amount for the following connection and availability charges constructed under City Project 751R. These connection charges will be assessed at the same rates and terms as similarly situated parcels in Project 751R and will be certified to the County, thirty (30) days after the adoption of the assessment roll for the noted project. Said assessments are preliminarily estimated at: Sanitary Sewer Service Sanitary Sewer Trunk Sanitary Sewer Lateral Water Service Water Trunk Water Lateral TOTAL $16,025.78 to be spread for a term of 15 years at an estimated annual interest rate of 5.50% against any remaining unpaid balances. You may pay any portion of these special assessments without interest for a period of thirty (30) days after the adoption of the assessment roll by the City Council. Payment can be made at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the date of adoption to the date of payment. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these improvements 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 to, or appeal from these assessments made pursuant to this eem t. Dated: D- GO:)- Fee Own6r: Thomas R. (tafson Notary -4 & STATE OF MINNESOTA) )ss. Fee Own f: Nancy tafson COUNTY OF DAKOTA) The foregoing instrument was acknowledged before me this jt day of 2002, by LLE ESOTA U? "J[ Y y t aA ? K]2f)- Notary Pllbho. 31, 2005 QUANTITY RATE AMOUNT QUANTITY IbftY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-20900-010-02 PERMIT TYPE Permit Number: Date Issued: 4822 DODD RD LOT: 1 BLOCK: 2 DODD VIEW /fly BUILDING 021660 08/05/93 DESCRIPTION: (GAS/FREESTANDING) Build! g• Permit Type FIREPLACE BuildingNWgrk Type NEW Q ]du Ca n??iCS C? _ C REMARKS: FEE SUMMARY Base Fee Surcharge Total Fee $25.00 $.50 $25.50 CONTRACTOR: - App 1 i FIREPLACE SPECIALIST 1200 9TH AVE S ST PAUL MN 55075 (612) 451-1970 cant - 6T. tic. OWNER: 14511970 0003924 GUSTAFSON TOM 4822 DODD RD EAGAN MN (612)423-4083 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 Mn. Statutes and City of Eagan Ordinances. L_ _ lu?? APPLICANT/PERMITEE SI TURE PERMIT - ?t? ' ISSUED II5Y. SIGNATURE J REACTIVATE PERMIT-4 21LU) CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy catcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. 0 Date ?3 luation of work /ZOO ?- Site Address: DoA STREET SUITE / Tenant Name: (commercial only) LOT BLOCK _ SUBD. 1J P.I.D. M evs"v 1961 61 as 57-0 a Description of work: -w Ze_ Qe e The applicant is: ? Owner ? Contractor ? Other (Describe) Name 61057`?c FSo W 7-0 m Phone Property LAST FIRST Owner Address ?'v R Q STREET STE K City ?a Gi4 State m )? Zip Company Fi' e tQL tc e_ Sprzei4 L,'s-7s Phone `/S/- / S7c7 Contractor Address /d oo T Zr_4 vQ License #4et-A39a V Exp. City -5 •?Y. ? Q State M rLU Zip 0 7 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a licable State of Minnesota Statutes and City of Eagan Ordinances. `"-- Signature of Applicant: Tc ;n t _N+ vcc? C{?'rw Lot I 510ckz ` v u g 2 ? Ooi af Rat, Adel 14-1 on Ccwro I ST. Cevrt vI iv- P'-,q)), s 'It Ai a x i i 1 {1 F{){} i fn I V) kl 35.5 -- I I I? 3Q i Z?,s i 9? - IZ&.S G ' ?•r?'DC- -22 'sE- 30 ?? F -- (aC7 -) I-A ? r I I I 1 I I t ? fat 63 7S w Is I ? r ?U 1 , J i SZ ! ?i. ey '<. i?Ft i?ar P 1 v? ;1 r f ?;E?vNf y CJa Nf V ? l . I '1 lJ T 4 11 00 city of aagan August 12, 1999 THOMAS & NANCY GUSTAFSON 4822 DODD RD EAGAN MN 55123 RE: ILLEGAL PUMPING OF SEPTIC TANK/CESSPOOL 4822 DODD ROAD _LOT 1, B2, DODD VIER' Dear Mr. & Mrs. Gustafson: PATRICIA E. AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A, CARLSON SANDRA A. MASIN Council Meni THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk This letter is a follow-up to the written warning issued by the Eagan Police Department regarding pumping of the septic tank/cesspool at 4822 Dodd Road from the front yard to the back yard via a hose. If your septic system is in frequent need of pumping, you should have a licensed installer inspect it to determine if it is failing and a new system is needed. Septic tanks/cesspools in need of pumping must be pumped by an ISTS pumping contractor. It is illegal to pump a septic tank/cesspool onto the ground - see Eagan City Code, See. 10.03. Maintenance of individual sewer systems (attached). Please advise us no later than September 30, 1999 what steps you have taken to correct this situation. If you have any questions, feel free to call me at 681-4677. Thank you for your cooperation. Sincerely, L< I t G-T rln ?_ William Adams Plumbing Inspector WA/js attach. cc: Doug Reid, Chief Building Official MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE. (651) 681-4600 FAX'. (651) 681-4612 TDD: (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE- (651) 681 4300 FAX. (651) 681-4360 TDD'. (651) 454-8535 § 10.01 EAGAN CODE execute or maintain a contract for residential garbage or other refuse collection unless it includes as a part of that contract or as part of a separate contract weekly collection of recyclables occurring on the same day as their refuse collection. A. Occupants of multiple/residential dwelling properties managed by associations or other management entities shall have the same opportunity to recycle afforded to occupants of other residential dwelling units. It is unlawful for any multiple/ residential dwelling association or other multiple/residential dwelling joint manage- ment entity to negotiate, execute or maintain a contract for multiple/residential garbage or other refuse collection unless it includes as a part of that contract or as part of a separate contract a minimum of weekly collection of recyclables. (Code 1983, § 10.01, eff. 1-1-83; Ord. No. 94, 2nd series, eff. 12-15-89; Ord. No. 137, 2nd series, eff. 5-15-92; Ord. No. 223, 2nd series, eff. 9-12-96) Cross reference-Municipal and public utilities, ch. 3. State law reference-Waste management, Minn. Stat. ch. 115A. Sec. 10.02. Toilet installation required. It is the duty of every owner or occupant of any property within the city, having a dwelling house or business building situated thereon, which property is abutting a street in which there are city water and sewer mains, to install a toilet in such dwelling or business building and make connection thereof with such water and sewer mains. The city shall serve written notice upon said owner or occupant requiring the installation of toilet facilities upon premises !t described in said notice and connection thereof with the sewer and water mains, all of which shall be done within 30 days after service of such written notice. Whenever any owner or occupant shall default in compliance with such written notice, the council may by resolution direct that a toilet be installed and connection made with the water and sewer mains and that the actual cost of such installation be paid in the first instance out of the general revenue fund and assessed against the property so benefited. After such installation and connection is completed by order of the council, the city shall serve a written notice of intention to make an assessment therefor. If such assessment is not paid within ten days, the city shall certify the amount thereof to the county auditor in the same manner as with other special assessments, provided that the council may by resolution provide that the assessment be spread over a term of five years upon written request by the owner of the property. (Code 1983,§ 10.02, eff. 1-1-83) Cross reference-Municipal and public utilities, ch. 3. Sec. 10.03. Maintenance of individual sewer systems. It is unlawful for the owner or tenant of any premises to permit an individual sewage disposal system to overflow or expose the contents thereof above ground. (Code 1983, § 10.03, eff. 1-1-83) Cross reference-Municipal and public utilities, ch. 3. Secs. 10.04-10.09. Reserved. CD10:6 DAKOTA COUNTY AREA 1999 ISTS CONTRACTORS BUSINESS NAME CITY BUSINESS COMPLIANCE SITE EVAL INSTALLER PUMPEF TELEPHONE INSPECTOR (Perc Tester) Designer 1 Designer 2 AAA Pollution Control, Inc Oakdale 651 -738- 9341 Perc Tester Installer All State Septic Services Stillwater 651 -439- 7323 Private Perc Tester Inspector Arkay's Services Hastings 6514-3-7-- 8345 Perc Tester Installer A-1 Rootmaster Oakdale 651 -714- 0904 Pumper B-Otto Excavating Hastings 651 -437- 7310 Perc Tester Installer Bakken Construction Randolph 507 -645- 6905 Perc Tester Installer B & B Construction, Bohn Hastings 651 -437- 5675 Perc Tester Installer Bolton & Menk, Inc. Mankato 507 -625- 4171 Perc Tester Boss Pumping Woodbury 651 -730-4531 Pumper Benson Septic Service Hastings 651 -438- 9910 Private Perc Tester Installer Inspector Bohn Well Drilling Co. Shakopee 612 -445- 4809 Private Perc Tester Installer Inspector B's Pumping Service Lakeville 612 -469- 2573 Pumper Conboy's Excavating Farmington 651 -463- 3907 Perc Tester Installer Dasen Contracting New Market 612 -461- 2100 Installer Dave Hetchler Lakeville 612 -469- 4409 Private Perc Tester Installer Inspector Dick Thompson Excavating Lakeville 612 -461- 2261 Installer Ellingson Drainage W Concord 507::927- 2296 Private Perc Tester Installer Inspector Express Sewer Service Prior Lake 612 -447- 5134 Pumper Ed Samuelson Hastings 651 -437- 6310 Private Perc Tester Inspector Environmental Design Red Wing 651 -388- 8758 Private Perc Tester Inspector Frandrup Excavating Hastings 651 737- 8771 Perc Tester Installer Freiermuth Sanitation Hastings 651 -437- 5343 Private Perc Tester Installer Pumper Inspector Gary's Excavating Lakeville 612 X69- 3055 Installer Gary Staber New Prague 612 -461- 2356 Private Perc Tester Inspector Gilmer Excavating Castle Rock 651 - 463-7273 Private Perc Tester Installer 507 -645 -8641 Inspector Ingleside Engineering Loretto 612 479- 1869 Private Perc Tester Installer Inspector Page 1 of 2 DAKOTA COUNTY AREA 1999 ISTS CONTRACTORS BUSINESS NAME CITY BUSINESS COMPLIANCE SITE INSTALLER PUMPER TELEPHONE INSPECTOR EVALUATOR (Perc Tester) Designer 1 Designer 2 J & J Excavating Hastings 651 -437- 2205 Private Perc Tester Installer Inspector Jack Gill Minneapolis 612 -789- 3354 Private Perc Tester Inspector Jim Spieker Prior Lake 612 -445- 8569 Private Perc Tester Inspector Joe Robinson Hastings 651- 437- 2965 Pero Tester Klingberg Excavating Prior Lake 612 -447- 2557 Perc Tester Installer Pumper Krien's Engineering White Bear 612 -701- 9204 Private Perc Tester Lake-- Inspector LaRoche's Inc. Faribault 507 -334- 7745 Private Perc Tester Installer Pumper Inspector LaVeme's Pumping Lakeville 612 -469- 2489 Pumper Lorland Sewer & Water Hampton 651 -437- 6235 Perc Tester Installer Malm's Septic Service Hastings 651 437_2038 Pumper Meyer Sewer Service Afton 651 459- 0162 Pumper Monarch Septic Systems Edina 612 -844- 0257 Private Perc Tester Inspector Mulvihill Excavating Hampton 507 -263- 5920 Perc Tester Installer Pinky's Sewer Service on 651 -439- 4847 Pumper R.E. Palmen St. Paul 651 644- 4469 Perc Tester Installer Pumper Robert Hegner Northfield 507 -645- 8486 Private Perc Tester Inspector Rumpca Sewer & Water St. Paul 651 -459- 1556 Installer Sauber Plumbing & Htg. Park Farmington 651 -463- 7434 Perc Tester Installer Schlomka Services, Inc. Woodbury 651 -459- 3718 Pumper Stillwater Testing Lakeland 651 439- 3595 Private Inspector Weierke Excavating Eagan 651 454- 3626 Installer Post-ir Fax Note 7671 Date - 99 1 pages -Z To 3AIL From /KK L?Ye Co /Dept. '/ ca. C i 7,-\/ C? 5464N Phonek Phone M?s.?_ Fc '?"C / Fax a 17 - I b Ct Fax # n. vnyt varryrunveuu vi uwoer. r vaa .au wuu auu. a. uw Page 2of2 • ? h FRI, AUG 6, 1999, 8:46 AM 108 01/DSB POLIC E I N C I D E N T BP: 1 (000) SUCCESSFUL COMPLETION COMMAND:PS I AD:4822 DODD RD C:EA R: CLIFF RD INFO: TY:9991 9991 BT:10 PD:104 FD: D CN:3310 MG :K-11 UD: H:P RP:32 RA: PH: RT:080599 1445 PRI:3 DC:W U: 1445 /X-ST = CLIFF RD COMMON-NAME _ 1445 /SECT 10.03 1445 / INCIDENT NUMBER: 9EA0026192 DT: ET: AT:1932 CT:1942 CRO:127 DISP:110 REC:1 FC: P:01+ PREVIOUS CLOSED CALLS AT ADDRESS [ 1/ 11 Recieve Time Type NOI Dispo District Close OnSiteTime 1 080599 1445 9991 9991 W P/104 0542 2 031798 1530 P CRMNL DMG /TR P P/104 1741 3 082796 0911 P 96-5643 P P/101 2704 w ?b?J FRI, AUG 6, 1999, 8:47 AM 108 01/DSB POLICE I N C I D E N T BP: 1 (000) SUCCESSFUL COMPLETION COMMAND:PS AD:4822 DODD RD C:EA R:C LIFF RD INFO: TY:9991 9991 BT:10 PD:104 FD:D CN:3310 MG :K-11 UD: H:P RP:32 RA: PH: RT:080599 1445 PRI:3 DC:W U: 1445 /PARTY PUMPING SEPTIC SYST FROM FRONT YAR D TO BACK YARD VIA FIRE-HOSE 1445 /RUNNING ONTO CITY PROP FOR CAROLL STREET AND OTHER 1445 /NEIGHBOR'S PROPERTY DT: ET: AT:1932 CT:1942 CRO:127 DISP:110 REC:1 FC: P:02+ PREVIOUS CLOSED CALLS AT ADDRESS [ 1/ 11 Recieve Time Type NOI Dispo District Close OnSiteTime 1 080599 1445 9991 9991 W P/104 0542 2 031798 1530 P CRMNL DMG/TR P P/104 1741 3 082796 0911 P 96-5643 2 2/101 2704 FRI,'AUG 6, 1999, 8:47 AM 108 01/DSB POLICE I N C I D E N T BP: 1 (000) SUCCESSFUL COMPLETION COMMAND:PS I AD:4822 DODD RD C:EA R:CLIFF RD INFO: TY:9991 9991 BT:10 PD:104 FD:D CN:3310 MG :K-11 UD: H:P RP:32 RA: PH: RT:080599 1445 PRI:3 DC:W U: 1515 /NO ONE HOME 1942 /WARNED FOR CITY CODE VIOL 1942 /CLOSED DISPO : WARNED DT: ET: AT:1932 CT:1942 CRO:127 DISP:110 REC:1 FC: P:03 PREVIOUS CLOSED CALLS AT ADDRESS ( 1/ 11 Recieve Time Type NOI Dispo District Close OnSiteTime 1 080599 1445 9991 9991 W P/104 0542 2 031798 1530 P CRMNL DMG/TR P P/104 1741 3 082796 0911 P 96-5643 P P/101 2704 ' I _? fs?- ?? 9 Qx,pnU IQW -° 1974 ;2 2- WELL Well Owne;^ and Add -ess i VILLA ¢?ja F E)k - I ?l Location Section Lot Block Z #/91 b'q m/2- »A17&/ 195 Shawnee Rd. St hb=eso1cti 1551 :Z Z 1,112y Drilling Company Address Telephono Siza of Well- A51 Inches ? Water Level Feet Well Depth L Feet ' Draw Down Feet at ? d GPM Casin6' Deptt!_ /.3 ;z Feet Capacity Gallons / y Per/1T[i. Kind of Started i Ended I of Exterior Space Around Casing Sealed With: ?Cement Grout ,06uddled Clay ? Other Disinfectant Used ?- Hours Left in Well v2 Driller's S c7na,' :rza RETURN THIS RECORD AFTER COMPLETION M M i i i ? ` II 1 i 1 741 N m f l I m ? I 1 1 I 1 I1 1 N ?I s Survey N;or i . Harold ?ilkAson DELMAR H. SCHWANZ LAND SURVEYOR Registered Under Laws of The State of Minnesota 100Ya MAIN STREET P.O. BOX M • ROSEMOUNT. MINNESOTA 55068 i Q a 40 0 t I 1 Q O 0 W z Ir w V- I zl w J .j c 1s Q 0 a n CD G m c . SURVEYOR'S CERTIFICATE C E N TE R. LINE CAROL O N9o°? 126.no i 0 pl (lt GPlj1?E a? O 7a 30, o>< go z1t ba L0 1 'MAI C# 1 ? 126. Sa I I il?p°F I I 1 T hereby certify that this is a true and correct representation of a survey of the boundaries of the following described tract of land:. Lot 11 Block 2, DODD VIF1° ADDTTTON, City of Fagan, Dakota County, VinnesotP. r f- 'File/Dodd View Addition • PHONE 612 423.1769 STREET - --R1W IV Q I o c; •^ SCALE 1"e 30' O•jROH PIPE E_3_74 MINNESOTA REGISTRATION NO. 8625 MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS I4 Y " 2,9 diA%' y ;Fi//f ?Ira/ Issued To Permit , No. Issued - Contractor Owner t BUILDING 3 3 9 9 7 1 A 000 PLUMBING . - 0 CESSPOOL -SEPTIC TANK b ec) P WELL ELECTRICAL HEATING s'D GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING ?9 -79 ,? .? rhCllr(?r SEPTIC FOUNDATION ? ? FRAMING is FINAL ,r?-I1 ELECTRICAL ?' HEATING I r GAS INSTALLATION SEPTIC TANK - t` CESSPOOL ' ? - DRAINFIELD ? - PLUMBING ao WELL SANITARY SEWER COMMENTS: / " ?&v v?"??F,yvyl 5573/ 4 1?' PERMIT City of Eagan Permit Type:Building Permit Number:EA124836 Date Issued:07/11/2014 Permit Category:ePermit Site Address: 4822 Dodd Rd Lot:1 Block: 2 Addition: Dodd View PID:10-20900-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Bill Edgeworth 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 - Thomas R Gustafson 4822 Dodd Rd Eagan MN 55123 Djd Exteriors 3170 Ranchview Lane N Plymouth MN 55447 (763) 559-5036 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156761 Date Issued:07/17/2019 Permit Category:ePermit Site Address: 4822 Dodd Rd Lot:1 Block: 2 Addition: Dodd View PID:10-20900-02-010 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Erik M Gustafson 4822 Dodd Rd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature