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4850 Dodd Rdr ' CITY OF EAGAN 3795 Pilot Knob Reed Eegen, MN 55122 N2 5173 • PHONE: 454-8100 BUILDING PERMIT Receipt # To be need for ' Est. Value Date 19 - I Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning _ Parcel # Repair ? Fire Zone Enlarge ?. Type of Const. 99 Name Move ? # Stories Z Address Demolish ? Front ft. City Phone Grade ? Depth ft. e: N APProvek Fees ame f° U Assessment Permit _ Address u Water & Sew. Surcharge ~ City Phone Police Plan check W Name Fire SAC ?? Address Eng. Water Conn. aW Ci Phone Planner Water Meter I hereby acknowledge that I have read this application and state that Council 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 Statutes and City of Eagan Ordinances. Building Official permit # Date Inwd Ierm""o Plumbing Mechanical V-N,) Lr8?5 o e INSPECTIONS DATE INSP. RoWh-In Find Footings _ Date Insp. Dote Insp. Foundation _ Plumbing Frame/ins. Mechanical Final I Remarks: a No. "I t40 Dote: June 11, 1980 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Site Address: 4850 Dodd Road .. viF?? . Lot Block Sub/Sec. Name Address City Phone: Nome Address City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter. /Repair Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official INSPECTION ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: . N 10 110900 0-16 H I >j is , [110(4. )W VHW PERMIT SUBTYPE: CORD PERMIT TYPE Permit Number: Date Issued: APPLICANT: t6 1.') 9 N-0/1' TYPE OF WORK: IM IIIII INq A; nb9N 04/15%/97 14VPAIR INSPECTION DATE INSPTR INSPECTION TYPE DATE INSPTR . . go NIA Permit No. Permit Holder Date Telephone N ELECTRIC JIV550 G .?3 97 °° PLUMBING D 56 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING /49 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 11!7 (•?y' FINAL HTG ORSAT TEST BLDG FINAL ? -7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL MECHANICAL PERMIT DATE: 1/28/91 RECEIPT: 11878 SITE ADDRESS 4850 DODD ROAD Unit # Permit # 12767 L 3 B 2 Sect./Sub., DODD VIEW GUARANTY HF.ATTNr 691-MAl unTT T:D DVDT ArT7Ml6'7RT INSPECTION INSPECTOR DATE COMMENTS •• ? ,t?p589 Il3d/9/ ?,?? ? ? CITY OF EAGAN Remarks Lot 3 Blk 22 Parcel I O 030 02,-? Street 4850 Dodd Rd. State Eagan,MN 55121 Improvement Date Amount I Annual Years Payment Receipt I Date GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION To be used for 235 car att. garagVt. V.I., 3,500. Site Address Lot 3 Block 2 Sec/Sub. DOMVi6w Al . Parcel # z Name txc??e n. »uute i 4850 Dodd Road Add o _ Eagan 423-3591 o Name F i? Address Name Address I hereby acknowledge that I have read this the information is correct and agre to c State of Minnesota Statutes,or of state that N° 5173 Receipt # 4-24 ,o 79 Erect ® Occupancy Alter ? Zoning 3 Repair ? Fire Zone Enlarge 0 Type of Const. V Move ? # Stories Demolish [] Front 24 fr. Grade ? Depth 22 ft. Approvals Fees Assessment Water 6 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 15 flfl _ Surcharge 00 Plan check SAC Water Conn. Water Meter Total Signature of Permittee I A Building Permit is issued to, a K. a on the express condition that all work shall be done in accord wi oll ppli ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official e EAGAN TOWNSHIP BUILDING PERMIT 1v° 2423 Eagan Township Town Hall Date _.1!l1. `.'.Zh4....... ----••---....... Stories To Be Used For Front Depth Height Est. Cos! Permit Feel Remarks 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 BEEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to eerlify, that .......:............... ................... has permission to erect a...'i.a............................. ..............upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. . ....... .. -^'.'...°-...'-'....._...... Per ....--.-._.....Np'....6 ? ............. ......._................................... C airman of Town Board Building Inspector LOCATION I EAGAN TOWNSHIP BUILDING PERMIT Owner ' ieia"4-2D MOSSMff? ._................................................. ....... . ..... ........................ Address (Present) ...q1 ....... Pa.2.p.._... gj ...................... Builder ........... ................................ ...................................... Address ...... DESCRIPTION N? 2690 Eagan Township Town Hall Date ....?..??- 7 L .......................... Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fee Remarks 13 1 a I `T)?m U}?O This permit does not authorise the use of streets, roads, allays 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. This is to certify, that...... ....._ f..::.? .......' .......has permission to '.::`.:'`. ........... _.._upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. Chairman of Tnwn Board Per ...................1.!K.I.Vii......'!..:-."'`....:z:?:-............................. Building Inspectors EAGAN TOWNSHIP BUILDING PERMIT Owner ..........,/ ............ .rll ------------------ - Address (present) ...-K?.-.:..°..t...-.'?k.-.a..-.1..?.r-.iy- t:-.?..'.......... Builder Address DESCRIPTION N° 1229 Eagan Township Town Hall Date ...1°f?-° ?y------------ Stories To Be Used For Front Depth He ighi Est. Cost ermit Fee P Remarks _ _ _ U LOCATION Road or other Description of Location Lot Block Addition or Tract ( yam- ?? $3 ??dd U r OJJf c permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and eral welfare to anyone in the community. S PERMIT MUST BE KEPT ON THE, PREMISE WHILE THE WORK IS IN PROGRESS. ?J "Pt . ii-v to certify, that ....... ?-t - ................... _..has permission to erect a --------- . ?f.... `- -.upon a de scribed premise subject to the provisions of the Building Ordinance for Eag Tow 1P P pril 11, .._ ................... . . ...... o. f . ... T..n." B .°-....... ...- ----. Per ............ ... ?. SF ..... ........ airman.. .. u..-. ll. . .. .'.'. Bu,.ildinj.....9 Inspector Ch a `/.j. . cue Auiw 6. 200 7 1 1:35PM EAGRN ENG+GpM DEU 4 96514234710 No. 1474 2o07 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN MN 55122 6514754675 NP'..25 902 Please complete for modifications to existing residential dwellings- Do not combine inside and outside olumbino on the same anolication: separate applications and hermits are reouired. Gate71 ! of i Unit 0 Site 3 t Addrsss L jE0 Dod I GI ? Propel - ( ) e, } ? Telephone # ((cc (} ?o Vl 1 ty Owner EJ e_v Centre t &Y' 1 (y f tU fvf Telephone N (r'i6l q.4 1 ? 3i ` Y 311 V? r 0 Addre Ity State MN Zip s fi I The Applicant Is: ? Owner & Occupant _ Licensed Plumbing Contractor septic system - New _ Refurbished Submit 2 sets of plans end MPC license includes County fee $ 100.00 Per as-built 10.00 Fire Repair (replace burned out fixtures, etc.) $ 20.00 This fee applies when extensive Plumbing repairs are made to a building. Alterations to existing dwelling $ 60.00 Add plumbing fixtures to main level _ lower level. This fee Includes installation of a water softener andlor water heater at the same time. H you are Installing ga& a water softener andfor water hector, do not complete this section: move to the next section and place a Cheokmartc next to the appliance(s) you are installing. ptic System Abandonment Water Turnaround (add $136.00 if a 5/6" meter is r"ulred) Other: _ Water Softener Water Heater $ 15.00 _ now _ replacement `Lawn Irrigation .TRPZ ,_PV8 _new -repair -rebuild $ 30.00 State Surcharge $ so Total ff1 gip, j('7. I hereby apply roc a R9atdsndal Plumbing Permit and acknowledge that the Irlforrnation IS afmplbto and accurate: that the work will be in conformance with the ordinances and codas of the City of Eagan and the plumbIng codes; that I understand this is not a permit, bt4 only an applicalten for a permit, wort is.not to start witiloul a permit and wort will be in accordance with the approved plan in the avant a plan Is roquired to ba reviewed and approved. yy , ^. el / Applica is Printed Name Applicant' Signatur 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings: Do not combine inside and outside plumbing on the same application; separate applications and permits are re wired. Date _7 / 1 / ©? (? ('^^ (? 1 ? Site Street Address tt jj `[?50 (? 1/jj VLpC2Ckl Unit # Property Owner Eo e-ne? :1-ose- Telephone # t Contractor:1amt JC her- IPluwbbi-wTelephone # (Ut ) 1.(e? ?Y3 .} - Address _ I?(W < ity l "ITV) State mN Zip X07. ! / The Applicant is: , ?+ Owner & Occupant _ Licensed Plumbing Contractor Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive plumbing repairs are made to a buildin . Alterations to existing dwelling $ 50.00 L _ Add plumbing fixtures to _ main level _ lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing oniv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. eptic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total g 4" °(,;. I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is.not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. C Applicant's Printed Name Applicant's Signature F WAIVER OF HEARING NO 721 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 3, Block 2 Dodd View Addition For the unpaid permit fees: ITEM QUANTITY RATE AMOUNT Permit Charges 1 $15,149.50 $15,149.50 TOTAL: $15,149.50 to be spread for a term of 5 years at an annual interest rate of 6.0% 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 signing date to December 31s` 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. _ ?e U Dated: 1) Notary Fee Owner Eugene J. m JUDY M. JENKINS NOTARY PUBLIC • MINNESOrA My Commission Expires Jan. 31, 2010 x CAS / C& O 1(L'?i - 4-4 -11 o Peimit #: / h / ?a Receipt Date: E - j - C) CITY OF EAGAN 2007 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES Q j? EXISTING RESIDENTIAL PROPERTY Address H t1 J o V 0 G',l ? o OFFICE USE ONLY Property Owner F (1rynL : MS-e-oV1 Telephone # LQ-) Plumber ? Uoher PlV Date of Inquiry - I - D / 11 Contact Name tJ CK V) e- V - _ Sewer 4" Sewer Service, Sewer lateral char Sewer trunk @ $1 City SAC MCESSAC Receipt # Septic abandonme Permit Fee State Surchar re $28.30/ff Total ?? rLh ?7- 4I PRV required k City /4D County R-O-W Permit Water $ 691.00 1" Water Service $ 7.72:00 Water lateral charge @ $28.60/ff Water trunk @ $1,200/connection 100.00 Water supply & storages 1,070.00 1.675.00 Receipt # D e Treatment plant 660.00 50.00 Permit Fee / 50.00 50.00 State Surcharge \ .50 .50 Plumbing perm}t'equired-water meter to be acquired with plbg permit Total $ Sewer and Water 4" Sewer Service V Water Service Sewer lateral charge @ $28.30/ff 134 Water lateral charge @ $28.60/ff J* Sewer trunk @ $1,150/connection Water trunk @ $1,200/connection City SAC MCES 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 S 691.00 100.00 1,675.00 1,070.00 660.00 50.00 100.00 .50 50 cc: Carolyn Krech, Finance Department Report Name: City of Eagan Assessment Search Special Assessments Search Property ID Lot Block Addition Addition NamelLeeal 10-20900-030-02 3 2 10 20900 Dodd View DODD VIEW ADDITION LOT 3 BLOCK 2 Prooerty Address Property Status - - - - - Special Flags - - - - - 4850 Dodd Rd Active 1 2 3 4 5 6 7 8 9 10 Eagan, MN 55123 N N N N N N N N N N SA Nbr Description Year Term Rate Total Curr Prin 101835 STREET 515 1989 3 9.0000 $719.46 $0.00 103370 ST751R 2004 15 5.5000 $8,000.00 $0.00 1OP905 SSTK 905R-LEB HILLS 0 0 0.0000 $1,893.12 $0.00 Summary of Levied: $0.00 $0.00 Summary of Deferred: $0.00 Summary of Closed: $8,719.46 Pending Estimate: $1,893.12 Future Estimate: $0.00 Hookup Fee Estimate: $0.00 Printed: 8/1/2007 Page: 1 2007 P&I Cert: $0.00 Pavoff Status $0.00 Prepaid $0.00 Prepaid $0.00 Pending $0.00 $0.00 D50-25 UV V • O 010-51 I # X • , N • 0 ?1 1 .I # X \ N Nauvoo Ln. • p /O 2 # X 2 N • Q .? f D2D-51 # X • ? f N • i . • p :f ' • 030-51 # X •• N * j CO. WO-50 D 0 1 1 010 DAK. CO. / ?0 2 LEGEND ¦?¦? Sanitary Sewer Lateral 7 3 Water Laterah? -- - - - - ---- D13-55 • 6 - -- 0 4" Sanitary Sewer service x 1" Water Service_ 3 * 8" Sanitary Sewer Service " Water Stub F%qr53 Dzo-s3 --- - - - # SanitarySewer_Trunk Q-Russ/G GROVE REDEVELO MENT N ?r `Water Trun- k - Dodd Road Connection Charges Fig.2 Project 751 R Dec. 5, 2002 City of Eagan i@lVjgµ. `?` I 0 R O? q J E (®+l o h 9 \ h Im") 2 Oi ?,% n 174 1 ? Fled Pine Lane 2 032-04 N # 033-04 J 2 u X o O01LOT B .:-NC ` 0u1LOT C X# 1 _ I /: 4 Q ? 1 1 rON ^?-° 4 03 .X# IF: o = •? 4R ON • O X# . f:0 2 3 .• 3 032-03 ?1? • 5 I a }( , 4 N # 4 * . f L gL oZ CITY USE ONLY RECEIPT#: SUED. I?VPPL000 % RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)`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 Nj(1 TO AL Shower 3.00 x _ VV=L= VIVJCL 3.DO Bath Tub 3.00 Lavatory 3.00 KitchenSink 3.00 -3 Laundry Tray 300 ) Hot Tub/Spa 3.00 Water Heater 3,00 Floor Drain 3,00 Gas Piping Outlet ' minimum -1 3.00 Rough Openings 1.50 - Water Softener ` for dwellings under construction 5.00 x Water Softener `for existing dwelling 20.00 x U.G. Sprinkler ' for dwelling under const. 3:00 U.G. Sp[['n ?kler ` for existing dwelling 20.00 = nk\ a fat?f1S? `to existing residence 0.00 Water Turn Around _ 20.00` _ Private Disposal System ` Dak£ty lie. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE S P .50 TOTAL o?D '` ` I hereby acknowledge than 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 thef cildies:constNGed under this permit within City property/rightof-way/easement. SITE ADDRESS: R So won 1904d OWNER NAME: INSTALLER NAME: Ql 2 160* K ne 4 TELEPHONE #: SS1 asses STREET ADDRESS: Vc?oo - sw? •?s Ap ?-e W 41b CITY: P'Lyne o?f? STATE: 147A ZIP: SJ? G SIGNATURE RERMITTEE Ord! ...w Na 114: WELL AND WATER SUPPLY MANAGEMENT WELL PERAHT AKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Gahuie Avmaq APPU VaOey. MN 55124 Telephow (612) 891.7011 Gary's Well Drilling 21220 Mushtown Road Prior Lake, MN 55372 NON-TRANSFERABLE ISSUED TO #70417 REVIEWED BY JML has submitted a permit application, has paid the sum of 225 dollars 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 this permit to construct the well(s) described herein: A private water supply well(s) will be constructed with a finished casing diameter of 4 inches, drilled to a depth of approximately 144 feet, and terminating in an unconsolidated formation aquifer. The well(s) shall be properly cased, grouted with bentonite slurry (at least 10% bentonite) to seal off overlying unconsolidated formations, and completed with at least a 4-foot screen in the aquifer provided the water quality is acceptable. The well is located in the municipality of Eagan as follows: Well Location: Property Owner and Well Owner and Address (if different) Address (if different) 4850 Dodd Road Eugene Im NOW, THEREFORE, Gary's Well Drilling is hereby permitted and authorized to construct the well(s) described and located above for the period April 2, 1992 to April 2, 1993 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Codes and any conditions attached on the reverse side of this permit. Given under my hand this 8th day of March, 1992. iC!'I'ti.?'uYl9 ATTEST ENVIRONMENTAL SUPERVTSM DIRECTOR WHERBAS, the PERMITTEE/DBA: ADDRESS: Ordia..ce No. 114: WELL AND WATER SUPPLY MANAGEMENT WELL PERMIT AKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 G.I&Ae A,..., Apple V.Rq, NIN 55124 Tdephan< (612) 891-7011 Permit No. 92-9056 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Gary's Well Drilling ISSUED TO #70417 ADDRESS: 21220 Mushtown Road REVIEWED BY JML Prior Lake, MN 55372 has submitted a permit application, has paid the sum of 105 (one hundred five) dollars 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 this permit to permanently seal the well(s) described herein: An abandoned well(s) with a casing diameter of 4 inches, depth(s) of 144 feet and completed in unconsolidated sediments will be permanently sealed. The well(s) shall be cleaned of equipment and debris, disinfected; neat cement pressure grouted and terminated at least two- feet below grade. The well is located in the municipality of Eagan as follows: Well Location: Property Owner and Well Owner and Address (if different) Address (if different) 4850 Dodd Road Eugene Im NOW, THEREFORE, Gary's Well Drilling is hereby permitted and authorized to permanently seal the well(s) described and located above for the period April 2, 1992 to April 2, 1993 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 2nd day of March, 1993. ATTEST ENVIRONMENTAL SUPERVTS-OR EMENT DIRECTOR CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 1,lRC?GA? FOR CITY USE ONLY PERMIT # /.,:? 76 7 RECEIPT #L 118 29 DATE: 1 -a?( -9U Np?Tf?fiTTI,42? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD ON X REPAIR OWNER NAME: SITE ADDRESS: LOT: ?'? BLO M SUBD. INSTALLER: ADDRESS: CITY: PHONE #: L l- ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT ° SUBTOTAL: $/S e STATE SURCHARGE: .50 TOTAL: $Z-1f ? SIGNAT F PERMITTEE COMM) ACIAL/IDUSTILTA. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING Date: G Site Address: l ?J? ?/ ?L Tenan . / RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: --1 L? Construction Cos . O Multi-Family Building: (Yes No CONTRACTOR Name: Y` License ZP Address: p: City:_ Zi S t ate: ? / / ? Phone: Contact Person: OnJ Gl - c? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Cateaorv 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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 ;e conclude that the are trade secrets. ` 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. x,???l/1 P y/ x '4we_6?? Applica "rinted Name Applican j gnature Page 1 of 3 For-- F- ---------- I Permit#. I Permit Fee: I I Date Received: I I Staff: I I PERMIT APPLICATION Suite M i CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 029698 04/15/97 SITE ADDRESS: P.I.N-: 10-20900-030-02 DESCRIPTION: 4850 DODD RD LOT: 3 BLOCK: 2 0000 VIEW FIRE REPAIR Bu lding'?P,ermit Type SF (MISC.) Building Work Type REPAIR ' Census -;Code. 434 ALT. RESIDENTIAL z u ?REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $574.75 X25.00 $599.75 $50,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: BENSON CONST CORP, J 19200717 0004740 IM EUGENE 7020 WALKER ST 4850 DODD RD ST LOUIS PARK MN 55426 EAGAN MN 55123 (612) 920-0717 (612)423-1118 I hereby acknowledge that I have read this application and state that the information is correct and agree to c=omply with all.applicablO State of Mn.: L_ Statutes and City of Eagan Ordinances: J APPLICANT/PERMITEE SIGNATURE ISSS D B : SIGNATURE =' GTFV L3r , ?sbr??,fi? t Ai'i>':EFY:"a ?: 1'1=F:YTNAI. `NLlE ?'3 NAt i`4CC,.CCN,PANTE+ > fi a y.. l?dT`+a?'1Pi"P i;n?.-A?ud?n#tF+ 7Lb?u'f'.5 ?'. G: N"r, ? ?1x?k?M>XY,CXt?Y?`n`??Ksk?kYRX'?">?kCACY4Xc?k?F71t?k?X?'???'RRtkX:k«7#,W>k '' ? t?..X?;.?:%,s, Y' "-;'$%? dwkMx,?'`;x c?4skP3."S",yt.?v vt??'F.'dt?;•".:. , r I (5t tN CASS+TE'F TC'fiNIN SIw A'S?" t9, VVYE, OIA5197 TIM[:._ FYI ' NAMtt .,, ' BENSON. 1'048 ( I {??(.K.??.GCS6GL P4 t ?Alwtvn4 ?.FttT$'d3?E,, ' 3 USER Ip C r? • fi?"i;<? ?%%F??:W&:? ?52,'F}n#?kY?;k;;t:kMxcY¢: ..?f•#SNgY:;*XC 'Ji*lk`k:v".:KM'Mll{?k(??S'•9??',' %("Mlkk?'wPn;Rk,CkaY:'(?.t[, ?!::'iYL%?iX GI Y OF PAGAN C1c1SNSEti 5., t. 'M.P.MINAL NOv E5 It17E" ; • ,0l15!$7I?4F- 1,5 bs'Yi t??irsc.yr" t?s?NS?ra cnNeY•1tit?rrTe1n cg?h' ..? _ 3C7«4I 9C?CIfi',fi95C? pfl?l?t `RTi'. , . .,.."?El?i(?U . $x5 9QD:1. ;o5Q DCIIiLm "f4t ?StdC 1 Y? y ? 1. y °.R;YY,,C?79it?.C1Y7'?'YY?lkf' YPjX?(;:1"$7X`.:(Sl'FSXXC)a'1,'?Si'.h+1'$1`}K;X 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Q,51J`- d0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 5 9 q. 75) 681-{675 9y.75 New Construction Recuirements Remodel/Repair Reouirements ¢ 5 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) - ? 2 site surveys (exterior additions & decks) ? 1 energy calculations 4 1 energy calculations for heated additions ? 3 copies of tree preservation plan N lot platted after 7/1/93 required: _ Yes _ No DATE: ZI /9/97 CONSTRUCTION COST. Ol7 DESCRIPTION OF WORK r' ,(z e fCC ?i? / /2 STREET ADDRESS: 7 CST S D JI ro 0 I&Y-6 LOT a BLOCK Z SUED./P.I.D. #: !L4X_v PROPERTY Name: .IM ??6 r?Oc Phone #: l''?) '1112 OWNER Street Address: 120,9,0 City: State: /0N Zip: CONTRACTOR Company: (. All Phone #: 9?o-p7/J Street Address: 749-10 IIP44(6?R? 5?/ License #: `'/75467 City: -57: 49e 15 416 State: Iq Zip: 5 s ?? 6 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information Is correct and agree too comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes - No Tree Preservation Plan Received - Yes - No - Not Required a BUILDING PERMIT APPLICATIO r? / y l r79 DATE Include 2 sets of plans, 1 site plan/w/elevations and 1 set of energy calcuations. To be used for o2 L Caf 4ae/ea 1944tye Valuation ?3SD? Site Address: Lot Block Sec. !Sub. Parcel Surber 3 . ed//lvI[/v /fddi75bn Owner 67e 0,-g ?6ekn kC Telephone ya3-3S9/ Address y?? Doc/? ?oAd - 15a,19 au {VAI Contractor 5e-lr Address Arch/Eng. Address / OFFICE US Erect Alter Repair Enlarge Move Demolish Grade Date of Approval and Initial Assessment Water/Sewer Police Fire Telephone Telephone E ONLY Occupancy Zoning ?( ! Fire Zone / Type of Const. f1 0 of Stories Engineer Planner Council I;. .3. Off, 2 Front Depth 2 7? Fees /r f1 U/ Permit Surcharge Plan Check SAC Water Connection Water Meter OTAL oil c/wrny z as xlHr r 13 f--! r ay ? Rd?, fia? J L/33 ,02' r a8 /fa. s e ?? X12 Y aY JI/ , ys z fE- /as, 11i1 ?;II , ?b 15 o a E ?' F m S o?V? o0_-t '-I p o ?? n N U ? l ?a ,? e '9? -,ifs MASTER CARD • LOCATION - C--) -/ // STRUCTURE AND ok S /9? LAND USED AS EST-?= - Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • • Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: Use BLUE or BLACK Ink r — For Office Use I 6 Permit#: /L/ - 9 5-1 City of Ea�all Permit Fee: 7 62-5: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �U�evt .. I h1� � _ � Phone: 6S-1 - ii Z. 3 -08'7 Resident! ay$SO 106 dot Q04d I Owner i Address/City/Zip: I i Applicant is: Owner Contractor I Description of work: Te-t-"- �� `�" f�y Type of Work Construction Cost: ( Zf0°O" v`> Multi-Family Building: (Yes /No X ) ? i i Company: A-( QQ)1-v✓ f e.. Contact: ...... Pet^ N`fyf k bift,y0, I 1 i Address: 11-?ZU /1- c (.cfi City: //y.A.,4,14... Contractor State: /SIJ Zip: 4 t' Phone: Z`704 � - ‘Y(o Email: &mac•e -1 v.,/ave - 6 0` , a License#: )C��U 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I Fire Suppression 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 t heir 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.qopherstateonecall.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 permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Applicant's Printed Name ,pp scan s igna ure - `.ge 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA154087 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 4850 Dodd Rd Lot:3 Block: 2 Addition: Dodd View PID:10-20900-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Eugene J Im 4850 Dodd Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170065 Date Issued:06/18/2021 Permit Category:ePermit Site Address: 4850 Dodd Rd Lot:3 Block: 2 Addition: Dodd View PID:10-20900-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Eugene J Im 4850 Dodd Rd Saint Paul MN 55123--214 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178308 Date Issued:08/10/2022 Permit Category:ePermit Site Address: 4850 Dodd Rd Lot:3 Block: 2 Addition: Dodd View PID:10-20900-02-030 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Eugene J Im 4850 Dodd Rd Saint Paul MN 55123--214 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature