4832 Dodd RdCITY OF EAGAN
V 3795 Pilot Knob Road Eagan, MN 551n
PHONES 4544100
BUILDIKG PERMIT Receipt #
r
To be wed floe STORAGE BLDG. Value $6,000 Date August 17 19 ? 3 Est. aoc c o
Site t PrcIff o View Erect ?} Occupancy
Lot t L Blafb-zam $pG/?Sub. Alter ? Zoning
Parcel # u33 0 Repair ? Fire Zone
m Name 4132 O 08 -
AddrAss
pagan _ 4233275
A Nome _
u' Address
f- ri..,
Enlarge ? Type of Const.
Move ? # StorieL
Demolish ? Length 48
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Permit
Surcharge
Plan check
SAC
Water Conn.
<W City phone Planner Water Meter
Council Rood Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to. on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutei and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sswer
Electric
Inspection Date Insp. Other
Footings - 77,77z, Foundation 3
Framing
Rough Pibg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final 13
Describe Location:
Sevier
LlDisp-
Pr.
I
CITY OF EAGAN N? 8398
3195 Pilot Knob Road Eagan, MN $5132
PHONE: 454-8100
7BUILDING PERMIT Receipt # y G
To be need fat STORAGE BLDG. Est. Value $6,000 Date August 17 _19__B_3_
Site Address 4832 Dodd Road Erect ?[g Occupancy M
Lot Pt. B Block Sec/Sub. Dodd View Alter ? Zoning A
Parcel # 10 20900 033 04 Repair ? Fire Zone NA
V
Enlarge ? Type of Const.
W Name Gerald Meszaros Move ? # Stories
Address 4832 Dodd Road Demolish ? Length 30
D Ci Ea gan 55123 Phone 423-3275 Grade ? Depth 48 Sq. Ft.-
Name Owner Approvals Fees
0
ir, u Address
Assessment
Permit 56.00
City Phone Water & Sew. Surcharge 3.00
?a Police Plan check
w Name Fire SAC
Address Eng. Water Conn.
<w City Phone Planner Water Meter
Council Road Unit
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total $59.00
State of Minnesota Statutes and City of Eagan Ordinances.
i?
Signature of Perrnittee
Gerald Meszaros?
A Building Permit is issued to: on the express condition that
all work sholl be done in accordance with all applicable a f in $atLtee-ahd Cit"f Eagan Ordinances.
Building Official -?/
CITY of EAGAN
BUILDING PERMIT
Owner ....MESZAROS.,.... GERALD ...........................................
Address (Present) ..............................................................................
Builder ...,MARICH CONST...... CO.
Address ..1.2.Q-i....MAX.11R..-AV.e......SO....... St:.... Pa_u l...........
A I?
N2 4093
3795 Pilo! Knob Road
Eagan, Minnesota 55122
454-8100
Dale ........2/.W-D6 ....................
Btcries To Be Used For _Front Depth Heigh! Est. Cost Permit Fee Remarks
S/F Dwlg & Det. Ga 36'
24' 24' I
32'
30,000 90.50
15.00
s/c
Street, ROed or other De9crtp1101% 02 LOCe210n Lot I 510Ck I Addition or Tract
4832 Q4?& Dodd Road
Dodd View
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
o,F?...s S/F.
This 15 to certify. that .--. .M.dX:.1..C.k1...C....t ...,. .... Q.o ...:...........has permission to erect a ...............Dw.......l...g ..... & ..... D. e ... t ...... G ... a ...
r ....... _upon
the above described p ise subject to the provisions of all applicabl ces for the -City ty of Eagan.
.............. /Y.-........?x.._.................... ............. f/may/.
Per ..... . .... ... ._1......
................. ...................
ayor 0 !/yJ j ii ln0 Impactor
CITY OF EAGAN Remarks
Addition) Dodd View. Addn. 1'p Lot 2 Blk 2 Parcel 70 20900 020.02
Owner X11 /rfrf T?E.rr, rr, 0 Street 1,&32 Dodd Rd State. Fagan.,MN 55192
?Jv, n re ]
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
4?-rn
a,
PARK
CITY OF EAGAN Remarks 91
Addition DODD VIEW ADDITION Lostt (hrtlntR gIk Parcel IO 20900 033 04 .
r
Owner Gerald J. & Diane Mes- Street r(A 3 2 ? djI R C? State
zaros ,,,, _ .) , , ? . y - . , ?V/ 11
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
PARK
l- _ Iota mr x ) Dad Gu) Add h
CITY OF EAGAN
3795 Pilot Knob Road ?.
Eagan, Minnesota 55122
PERivIIT NO.: 832
The City of Eagan hereby grants to Fredrickson Heating A A/C Co.
of 4030 Beau d'Rue Drive
Tolle son Builder
a HEATING Permit for: (Owner) Marich Construction
e &
at d=eda Road i pursuant to application dated 11/29/76
Fee Paid: S4e.00 dated this _j _day of December , 19 76
1. 00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
CITY.OF EAGAN
3795 Pilot Kr:ob Road
Eagan, Minnesota 55122
/O AOyDtJ aae oa.
PM MIT NO.: 745
The City of Eagan hereby grants to Wm. Murr Plumbing Co.
of 112 So. Concord, So. St. Paul
a PLUMBING Permit for: (Owner) David Marinh
at 4832 Dodd Road , pursuant to application dated 11/1/76
Fee Paid: $20.00 dated this 8 day of November , 19 76 ,
.50 a/c
Building Inspector
Mechanical Permits:
Bid Total:
St w ? ` ? CITY OF EAGAN
??` BUILDING PERMTT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
To Be Used For a? re, l baluation ?Ol)Or)4 °` Date
dzess:
Site ?0 / c ?D a C? OFFICE USE ONLY
6
It 5 Block Sec./Sub. t?,Ak V i @ 4rect
X
Occupancy M
Parcel #: to n
. d g c d 03 3 p Alter _
Zoning (J
Repair Fire Zone ¢
Owner: ?e?ai d /V1eSZ19?D5 Enlarge _ Type of Const.
Move # Stories
Address: qg3 Dnd gc?
Demolish
Front -Yd ft.
City/Zip Code: 2E?A,i 40 MN 4iQ; 3 _
Grade Depth yli ft.
Phone #: L? j a 7S APPROVALS FEES
Contractor: (,• m" 5Zq"6S
Address: Sj? G
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit(
Surcharge y
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
TOTAL Sq "o 0
REQUEST FOR ELECTRICAL INSPECTION nEs1-00001-00
? See instructions for completing this form on back of yellow copy.
j_
[ 9 5 9 5 6 X" Below Work Covered by This Request
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Wci A-r?V
Compute Inspection Fee Below., Contractors Remarks:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps . 0 to 100 Amps CLV
Transformers Above 200 Amps Above 100 -AMPS
Signs mspectors Use Only: TOTAL
S
Irrigation Booms ?7,
ec
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tif
th
t
h
b Roegh-ur
! to
?'
y
cer
a
t
e a
ove inspection has
bbeen made. Final ! Date
- L? `'(
r
ICE USE ONLY
request void 18 months ham
95956 61.se rrv
ltq?e-0
Request Data
o
-?-Q
'I Fire No. I Rough-in Inspection
Rp{e aired?
Yes ?NO ? Ready Now will Notify Inspector
ft, Ready?
I ? licensed contractor Kowner hereby request inspection of above electrical work at:
Job Add Street, Box or RoLle No) city
Section No.
1
Township Name or No.
Acn+? 2
Range No.
12 7
County
0 go TA
Occupant (PRINT)
d es
s Phone No.
x-ra .
Power Supplier
u T? r c?7` Addre
:13 a bo d d C as
Electrical Contractor (Company Name) Conlractork license No.
M;w Addrew (aaffhok for Owner Making Installation)
??a d
A-A) 64 ( Ss 1'y3
Aulho' Signature Ps air/Owrer Making Instalution) Phone Number
aY3-3 a 7s
1 1L J1
Grlgg.10dway Bldg. - RW. &173 y BE ACCEPTED BY THE STATE BOARD
1821 Univerahy Ave., SL Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
Date
BUILDING PERMIT APPLICATION/
LOT BLOCK .? ADDITION
PARCEL & SECTION NUMBER IF UNPLATTED
ADDRESS OF PARCEL
ZONINGOCCUPANCY I < USE 2 g 1?3Y
ESTIMATED COST ?J? ?G G •V
OlvnIER TELEPHONE NO.
ADDRESS
l?Y` TELEPHONE NO
Notes Include site plan, building plans, and energy calcula 'ons with this
application
Signed -
OFFICE USE
VALUATION
SAC
WATER CONNECTION
WATER METER
BUILDING PERMIT FEE
SURCHARGE FEE
PLAN CHECK FEE
PARK DEDICATION FEE
S
OTHER
TOTAL*
APPROVALS:
ASSESSMENT CLERK ?BUILDING DEPT. POLICE DEPT.
WATER & SEWER DEPT. FIRE DEPT. PARK DEPT._
o4
N 16
i
4&
0
r
of Ds?\ p{ t
/emu ?
?c? lQa _
00
eta l,n? pvd?b
MASTER CARD
LOCATION 4832 OLD DODD ROAD L2 B2 Dodd View
OWNER
ARCS
GR RAT. T)
STRUCTURE AND
LAND USED AS S/F nwl.a. F, npY_. Gar_
Permit
No.
Issued slued To
Contractor Owner
BUILDING 40
93 9/28/76 o
Marich Co
nsst. C
PLUMBING `L''
745- //- 'T ->C& y
?
' , lwr(/ ???d
CESSPOOL - SEPTIC TANK 9(0/ /f
.???
WELL t
ELECTRICAL
HEATING 939
yc?Q/G
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING 1_3..76 x TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
41 Violations Noted
on Back
COMMENTS:
CITY USE ONLY
LOT 4? BL v 77 RECEIPT #: 1 l J Y ?j
SUBD. I " ? y// RECEIPT DATE:
MECHANICAL PERMIT # oe?
1999 MECHANICAL PERMIT (RESIDENTIAL)
crrY OF EAGAN
3$30 PILOT KNOB RD
EA6AN MN 55122
lall`I I (?C1 (651) 681-4675
Date:
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 MB T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
Air conditioning
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration +/Repair _ Other
Reminder. Call 681-4675 for inspections.
Furnace
- Air exchanger
Other
$ 30.00
6.00
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
L1132,
Q d? g(2
OWNER NAME: /r? bey U{ r111 c a' ?U PHONE#: (0j r!
rI J (AREA CO
INSTALLER NAME: GAS ?Q i ?T (G PHONE #: (a 1
4e (ARE
STREET ADDRESS: J (P5-b 412r'Ae ??;Q'G b I
CITY:
STATE: Y ZIP: 12
j
1
L?1s/? j
SIGNATURE OF PE ITTEE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3 (? l 4 3
New Construction Reaulrements
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
n 3 registered site surveys showing sq. ti. of lot, sq. h. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam a window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of free preservation plan R lot platted after 7/1/93
DATE: -7- 22
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:
DESCRIPTION OF WORK: Rr- W&)F TTOUGP 4 rod-V -ac Dce? Td ??7?ur D'4*11f9-e-
STREET ADDRESS: 78?5 z IDo d d KG1
LOT: BLOCK: SUED./P.I.D. #: O C V W
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: lVIe7S2,4YLUS G "AM Phone #: :7- 7
Last First
Street Address: `7 a bd a/ °/ 2d
City G4 nAb-nJ Stale: lid Z Zip: S5/ ? 3
Company Phone #:
(area code)
Street Address: -52 G F- License # ExP•
City
State:
Company, Name:
Telephone #: area code (
Street Address: Registration #:
City
Sewer & water licensed plumber (required for new construction only):
State:
Zip:
ZIP'.
Penalty applies when address change and lot change Is requested once permit is Issued.
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE OI
Certificates of Survey Received _
Tree Preservation Plan Received
Yes No
Yes No
(`_--I -'r?
Remodel/Renair Reaufremen}s
1P'? OY
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t
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16
A & M BUILDING & SUPPLY
13965 S. ROBERT TRAIL
ROSEMOUNT, MN 55068
(612) 423-4881 • (612) 423-3528
CUSTOM POLE BUILDINGS
Erected on your site for as little as $4.10 per sq. ft.
- 50 mile radius of Twin Cities -
FARM SPECIAL
30 x 60 x 10 ALL STEEL BUILDING
Color Walls
20/20 Loading
Galvalum Roof
All 26 Ga. Steel
Delivered & erected on your foundation or slab
for as little as $5.00 per sq. ft.
ALL TYPES OF DOORS, WINDOWS & ACCESSORIES AVAILABLE
. V-9
36, T 27
R,23 BERNARD N. CARSON
,=u fia•.a;',{?> f '?' ?i r +? "; - COUNTY . SURVEYOR
F ?.
-DAKOTA COUNTY, WNNESOTA
MAY , f975
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Well?Oaner• and Address
Well Location 6,- LL--. Gi/f ?l
coon Lot Block
ck
5 ate Licence No, Permit No. Date
D•
WELL FLECO1L
VILLAGE OF E?
-/I5'!
,ng C^_mpar_y . Address Telephosie
S,. e of Well- Inches
TAat+.er Levees /Z ,
Fee t
Well Depth
4
Feet _
Draw Down Z27& Feet at
2
C-PM
Casin Depth
g r
Feet
Capacity ?
_
Gallons /p Per _ .
j Thickness
Started Ended of
Kindo? r ormation Color I Dapth Danth Form..' ion R::marks
Exterior Space Around Casing Sealed With:
fi?Cemient Grout Aa- Fuddled Clay
Other
Disinfectant Used
hours Left in Well
r j
Driller' s Signature
F.F,IL a\I THIS RECORD AFTER CO!,TLETION
iZ
Ah?
city of eagen
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
City Administrator
Municipal Center:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.cityofeagan.com
September 10, 2003
Mr. Jerry Meszaros
4832 Dodd Road
Eagan, MN 55123
Dear Jerry:
Per our conversation this morning please find enclosed a copy of the City's
assessment policy for your use. As Gene mentioned, due to on-going litigation,
we are not enclosing any material from the appraiser's report that provided for
the specific application of this policy to the Dodd Road assessments.
As we discussed this morning, based on the City Attorney's advice, it would not
be appropriate for the City Council to take any additional action regarding the
assessments to your property. We have therefore removed this item from the
City Council agenda for September 16 and are considering the matter closed.
We appreciate your understanding of that conclusion and apologize for any
confusion that was created during this long and difficult process.
I wish you the best as you continue enjoying your retirement years.
Sincerely,
???
Thomas L. Hedges
City Administrator
cc: Gene VanOverbeke, Director of Administrative Services
Enclosure
THE LONE OAK TREE
The symbol of strength
and growth in our
community
CHIEF SALES ORDER We?
Pre-•nplnaand e OP A & M Building & Supply a steel Buildingstenu
MeW Bildldhw
13B66Sulk Robert Trail, RsaataratON SSOiiD
q 612 423.4881 EndimAvallriM Date
-r
Customer _' Phone
Address City, State, Zip . " '
End Use of Bldg. County-
Directions: Freight included ?'
Customer Pickup ?
t
Approx. Shipping Date Prices F.O.B. Factory
Total All Items /
Special Instructions Tax
Total
'
Deposit
Balance i r ,
Balance Pald On Dellve B certified Check or M oney Order.
BASIC BUILDING DESCRIPTION
BAY SIZE No. Roof
Pitch
Width
Length
Eave
Series
Walls
Roof
Loading
COMMERCIAL -STEEL
AGRICULTURAL -STEEL
COMM - POLE BARN _?! ?,? (,? fr •?? ,7
AGR - POLE BARN
ACCESSORIES
QUANTITY -DESCRIPTION SIZE EACH
INSULATED ? Single
WALK-IN DOOR Double ? Solid ?
? /o Glass ? ., X I_ "?-
c'
SLIDING DOOR Endwall [nl ;.? J I Sidewall ? /tr
X
OVERHEAD DOOR & cr
FRAMED OPENING Endwall . ? Sidewall ? X "
-
OVERHEAD DOOR Insulated
Standard .- ?
?
X
-
WINDOWS X
ROOF INSULATION Sq. Ft. - Thickness X
WALL INSULATION Sq. Ft. Thickness X
?> - - ?P F T O?S
C, X,
T
'J(/
0 r
1.
'J.
FIELD REP. -
HOME OFFICE CONTACT-
Contact Service Representative
_Acceptance of this contract subject to company
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pproval.
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TOTAL
I have read and understand the terms of
this agreement as stated on reverse side
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CUSTOMER SIGNATURE
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White Copy Original, Yellow Copy Order Copy, Pink Copy-Customer Copy
From:Sarah Peterson Fax:(888)506-2767 To: Fax: (651)675-5694 Page 5 of 7 07/11/2017 11:58 AM
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3830 Pilot Knob Road 3111 1 li 2017 1
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Eagan MN 55122. i Date Received: I
Phone:(661)675-5675 1 I
Far:(651)675-5694 1 Staff:
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION •
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Date:j, - :,... _Site Address4aL DoickA Ezori...lat3arimm..55.12 . _Unit 4:...... . _ _.......
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Name PAI lilL'e,i MieS,!itiS . Phone:,(61*3Z-2' 58':::7(42
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Applicant is: , Owner :..Contractor
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Type:Pit!Work
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Construction Cost 51 00.0 -.00 ivkilti.,-Farnily:sulding:(Yes ..... 1 No .)
Company:pcycovvoi GortiTarlin5.0i.--.•,:,,-, Contact:
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state:Tri VI,zip2..'Xii Phone:1.05.,iTk.:11-0041Ennaidycirtfirtki(".(Mita di leici rvl n t3t)4.-.)yr Ali.”-cowl
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if the project is exempt from lead certification,please explain why::
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1 CO PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BIAL.DING
1 in the last 12 months,has the City of Eagan issued a permit fore similar plan based on a master plan?
..,:Yes No If yes date and address of master plan:
•
Licensed Plumber: Phone:
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.,- Mechanical Contractor: Phone:: •
Sewer&Water.Contractor: Phon : • _ .
Fire StippreasiohCOntractor: „ Phone:, ..
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thOiliOt.i$**tt.'o)it-*itite:..ibieij..:.atO*:sitlOtt 461'.'140450.4iittkIfiti*i*O.00il:00.:.„001010001,10.3$0000100,01)4I0Ictlk.400:1',!C
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CALL BEFORE YOU DIG. Calf Gopher Stale aa Call at f651)484.!0002.for proteoperi against underground utility damage. Call 45 hews
before you intend to dig to receive tocates.of anderground.unlities: ,4,:iie.:-O,therstat-cT,olitox.
I hereby acknowledge that ti:as information is complate.and'accurate;that me work witi be in conformance With the ordinances and codes.of the City of
Eagan. that 1 understand this is not a permit. hut only an application for a.perrnit..and work is.not to start withoiit a perm t; that the work Will be in
accordance With the approved plan in the case of war which requires A review and approval of plane,.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stets Building Code must be completed within 180
days'ol.permit issuance.
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Applicanthi Printed Name Applicants Signature
Page 1 of 3
Use BLUr BLACK Ink
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irt4tioin'-'4Y-- City of EaRanPutt /(fs � CC—
it
Permit Fee:
e
3830 Pilot Knob Road
Eagan MN 56122 Date Received'
Phone: (6 51)675-5675
Fax: (651) 675-569 1 Staff:
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ,,_
Tenant: Suite :
esl ner Name: t Phone
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i Address f City/Zip: ` > ,, -- t ' E.x,r ` •
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Name: `. 'IA._.._. F/2/-i"F . i' . License :
. Contractor : Address: _ ,_ _ city:
State(
Contact r Email: �b " t k ..
3 e Work New Replacement Repair _Rebuild Modify Space _. ._ Work in R.O.W,
_ Description of work:
RESIDENTIAL ' ;�r. . ._.
Water Heater
( RP I PVB) Water Softener
Lawn Irrigation
Permit Tyke
_. .Septic System _...._._Add Plumbing Fixtures( Main/ ower Level;,
New i Water Turnaround
,.
Abandonment i
RESIDENTIAL FEES: _..,. m.. ., , � . �.r.
$60.00 Water Heater, Water Softener,or Water Heater and Softener(includes State Surcharge)
$60,00 Lawn Irrigation(includes State Surcharge)
! $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
J *Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
7
TOTAL FEES $__
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. L' .gopherstateonecall.orr
3 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with t /ordinances and codes of the City o'
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start m ' Jut a permit: that time myna; a61 c:: In
accordance with the approved plan in the case of work which requires a review and approval ofplans. 7'
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Applicant's Fifintad Name
Apish-a P Ssr'a,ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff.
Use BLUE or BLACK Ink
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For Office Use /
City
f n Permit#: :Use C�`
City of Eagan Permit Fee: / • on
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax: (651)675-5694
Staff:
t
2017 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address: i FOR OFFICE USE ONLY
—PRV required
Property Owner: fYlçt U'1 l 1,s ( u. C i 1
/d- . 71:;',e- g�S�,C I City R-O-W Permit i
Phone: l /- ` a.�`/0'7 o 1ontact Name: a�Y2fe�l 1
/,, i /� �r _County R-O-W Permit
Plumber: �14ti/LL f 1 nbi �- TTt�f�+(,„(,
7 Plumbing Permit
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SEWER .�w .w .�, .. WATER
Sewer Service i
Sewer lateral char•- i Water Servi
Sewer trunk Water lateral arge
City SAC @$110/unit Water trunk
MCES SAC @$2,485/uni Water supply stor-•e
I Receipt#: , Date:
Receipt#: , Da -:
Treatment r ant @$891..r/unit
Permit Fee, includ- State Surcha !e $65.00 Permit e, includes State ' rcharge $65.00
TOTAL: 4 *Plumbing Permit Required-water t eter to be
£ I acquired with building permit TOTAL:
SEWER &WATER
Sewer Service
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water trunk
City SAC _
MCES SAC
Receipt# , Date
Water supply&storage
Receipt# , Date
Treatment plant
Permit Fee, includes State Surcharge $129.00
( *Plumbing Permit Required-water meter to be
acquired with building permit TOTAL:
z ,
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
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
Cc: City of Eagan Finance Department
PERMIT
City of Eagan Permit Type: Sewer & Water
3830 Pilot Knob Rd Permit Number: EA145673
Eagan, MN 55122101111° ity fE
Date Issued: 09/24/2017
(651)675-5675
S 8 Lf
www.ci.eagan.mn.us 1
Site Address: 4832 Dodd Rd
Lot: 2 Block: 2 Addition: Dodd View
PID: 10-20900-02-020
Use:
Description:
Sub Type: Residential
Work Type: Sewer& Water
Description: Waiver- Special Assessment Fees Only
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: 9/19/17 Michael Neisius, homeowner, is paying these fees for this permit via Waiver Special Assessment. We are dating
this permit with the Sunday Date 9/24/17. This permit is for our records only. A separate permit has been issued to collect,
for the S&W permit fees#145670. Plumbing Permit#145669 has been issued to pay for the septic abandonment fee and
the 3/4"water meter.
Fee Summary: 4" Sanitary Sewer Service $928.30 9376.4533
1" Water Service $1,037.10 9378.4611
Sewer Lateral Charge $5,244.00 9376.4611
Water Lateral Charge $5,292.30 9376.4611
Sewer Trunk $1,546.60 9376.4611
Water Trunk $1,613.30 9376.4611
City SAC(01 Unit) $110.00 9376.4681
SAC(1 unit)-Single Family House $2,485.00 9220.2275
Treatment Plant-Residential $891.80 6101.4685
Total: $19,148.40
Contractor: - Applicant - Owner:
Sauber Plumbing&Heating Michael M Neisius
100 Third St 4832 Dodd Rd
Farmington MN 55024 Fagan MN 55123
(651)463-7434
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.
Applicant/Permitee: Signature Issued By: Signature
WAIVER OF HEARING NO 756
SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES
I / We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the
following described property owned by me/ us:
Lot 2, Block 2, Dodd View Addition
PID 10-20900-020-20
4832 Dodd Road
For the unpaid permit fees to connect to City Water& Sewer:
ITEM QUANTITY RATE AMOUNT
Sewer Service (751R) 1 ea $ 928.30/ea $ 928.30
Water Service (751R) 1 ea $1,037.10 /ea $ 1,037.10
Sewer Lateral Charge (751R) 138 I.f. $ 38.00/ 1.f. $ 5,244.00
Water Lateral Charge (751R) 138 I.f. $ 38.35/ 1.f. $ 5,292.30
Sewer Trunk (751R) 1 lot $1,546.60 / lot $ 1,546.60
Water Trunk (751R) 1 lot $1,613.30 / lot $ 1,613.30
City SAC 1 SAC Unit $ 110.00 /SAC Unit $ 110.00
MCES SAC 1 SAC Unit $2,485.00/SAC Unit $ 2,485.00
Treatment Plant 1 SAC Unit $ 891.80 / SAC Unit $ 891.80
TOTAL ASSESSMENT NOT TO EXCEED: $19,148.40
to be spread for a term of 10 years at an annual interest rate of 4.0% 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, interest
will be charged from the assessment hearing date to December 31st of the current year.
The undersigned, for themselves, their heirs, executors, administrators, successors and assigns,
hereby consent to the assessment of these unpaid permit fees, 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 agreement.
Dated: ?- 0 "!�"'C 7 7 /1/.6e:2, /7
Fee Owner: MICHAEL NEISIUS
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA
On this 9.n day of a-t bv" , 2017, before me personally appeared
Mickae,k 1,?.p; Sl,A S to me known to be the persons described in and who
executed the foregoing document, and acknowledged that they executed the same as their free act
and deed.
(Notarial Seal) qVUl it4 LtII-etbktA-
Notary Public
MICKI LARAE WELCHER
� ' NOTARY PUBUC•MINNESOTA
t"
r:ai ' My Commission Expires Jan.31,2020
Use BLUE or BLACK Ink
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For Officese
-73
Permit#: 17-- --eCity of aall
Permit Fee: II q, /L1b• 0
L7
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694
Staff:
i
2017 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address: LAV 3Z 1 FOR OFFICE USE ONLY i
, I )C PRV required
Property Owner: t v ` & .3 N e..i S , S I
fs i---3'�- 'IC Ccs��f City R-O-W Permit
Phone: ( - Lt? -1.4::11-)0 tbnt`' actame: Tb'/(
--",9-( County 6E ta/414 )� ` ` _County R-O-W Permit
ot r ij p ,_ t
---:? iC Plumbing Permit
SEWER
i mm WATER
Sewer - 'Ce
Sewer lateral c •e Water ce
Sewer trunk Water lateral c - •e
City SAC @$110/unit Water trunk
Water supply storage
MCES SAC @$2,485/u•' i
Receipt#: , Date:
Receipt#: Date: Treatment ' -nt @$891.80/unit
Permit Fe- • cludes State Surcharge $. .00
Per ee, includes State Surcharge $• ,r
TOTAL: -• umbing Permit Required-water meter to be
acquired with building permit TOTAL:
A ,,o„. _ ,.,... a_�,...�.._ a..... .e..A m,.„� ,r v.A� ra SEINER_&WATER A . ��___,,__,.__ ,_w ,,.__, .__,._-.
1i `o_sA_ ,te'”-� `"'$`4` Sewer Service
'eSFe..\ ' C;;51Water Service 11037. 10
4ir�-3- r 1510; bah- G.M.- Sewer lateral charge S,2-.yu1, klir A 4__(
r ,4--,., c 0:i-lu Water lateral charge r S, 2 L. O ‘33Cs. 4., (1(0-1t)
k-.1-`N} \ A-1_4— r-e-Pi Sewer trunk r 1,suv.
........4- ,e_,;,,� Water trunk
City SAC
,_.0c.4......6-1S�wa.c
MCES SAC '' \1,c-3..��
Receipt# , Date 7°
Water supply&storage )._)/A .U) 1c
Receipt# , Date /� oil
Treatment plant ; ,%.,1? P�`��
Permit Fee, includes State Surcharge $129.00 - C_,..\s �-'. ..
, 1
CL *Plumbing Permit Required-water meter to be @
c acquired with building permit TOTAL: Vc1 i'2-n.%-No
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..................raw .......... ...,...
Number of SAC units is determined by the Metropolitan Council Environmental Services(651) 602-1000.
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.qopherstateonecall.orq
Cc: City of Eagan Finance Department