4856 Dodd Rdtl
CITY' 04f EAGAN
BUILDING PERMIT
Owner //?`J.
............................................................ z........................
Address (Presen!)?....?'.`.- D H..- °S7......! ........ S?
.. .. . . . . . r rn '- +- u . . . . . . . . . . . . . . . .
Builder .. ........................................................................... /...
Address .... ...............................................................'.................
N2 3296
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
Date .._?..LsT
Stories To
Be Used For Front Depth Height Est. Cos! er it Feel Remarks
? _ p
LOCATION c?
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 K PT ON THE PREM E WHILE THE WORK IS IN PROG SS.
This is to certify. thal?, ? a. a.,has permission to erect a.......-..f.-::s.-.5..?..; ----- aPon
the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan.
..... Per ........... ...._--°-•---••-'°-.... .......
Mayor ~°?. Building Inspector,
Eagan Township
` Dakod County, Minnesota
Application for Building Permit
Type of building or work contemplated. Circle correct descriptions.
Residential Commercial Industrial Other ........... .------------------------ .--------- ------------ ._.....
i
X uildEnlarge/ /Alter Repair Install Move Wreck Other ................
Dime
r.' ------ Cost
Details or remarks ................................................ ...-......---------...-.._-.......---...------------...-----.---_-----...
Location
PERMIITT? NNO` .............9........ .
Date l..! !fit j.... 4y_/ `...ly
Number Street Between what cross streets Size Est. Valuation
xg-69S'=
Lot Block Addition Rearrangement or Tract
?I J7 ' 112 /i
o -'
. /7-S?_
Owner ./` .= .. -1. ?..?{._ ..............._E Address -.....----'-........-....-S----- -... ----"--'°-CTS/--.--'-°-'•!?
Contractor ....._ ( .. ........ ................................. -.-............. Address •----........---..
?8.oy
Tota fee c
Permit fees are not
refundable.
The undersigned hereby makes application for a permit to
do work as herein specified, agreeing to do all work in strict
accordance with the building ordinance adopted April 11, 1955
by the Eagan Township Board of Supervisors.
.-.......--? -------------------
Signed
CITY OF EAGAN Remarks
Addition Dodd View Addn. Lot Slk 2 Parcel ?Q -
Owner ?'-I r?• `rILS Street 4856 Dodd Rd. State Eagan,, MN 55121
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 10661
-21-7
PARK
CITY OF EAGAN
DODD VIEW ADDITION
51,
Remarks
nH
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
Lot - -.`___ . _ Blk
CITY USE ONLY ??
L ?BLRECEIPT #: -(9
SUBD. N/?uE %/. cP kl? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 65122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 ;c
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 ;c
Water Heater 3.00 x
Floor Drain 3.00 ;<
Gas Piping Outlet " minimum - t 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x
Private Disposal * Dakota Cty. license 65.00
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE
TOTAL
NJQ. TOTAL
50
SITE ADDRI
OWNER NA
INSTALLER
STREET AE
CITY: STATE: ZIP:
PHONE
5IGNAIURE dFFERMITT
-Zlf6g &?
Lot 4 Blk 2 PID # 10-90900-040-02 Seweriwater permit # 28280
Plat DDDD VTFU Date 11/25/96 Receipt # 67048
CITY OF EAGAN
1996 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer connection charges
charge (SAC) $1,
paid
Water connection charges
Account depos 15.00 Account deposit
Sewer permit & su arge 50.50 Water permit &
Water meter
Subtotal $ 1,065.50 Treatment plant
* Plumbing rmit & surcharge 20.50 Subtotal
Tap
* Plnmhi narmd
Total
charge (WAC) $
paid
15.00
50.50
107.00
396.00
$1
& surcharge 20.50
Sewer & water connection charges
Sewer availability charge (SAC)
Date previously paid Receipt #
Water availability charge (WAC)
Date previously paid Receipt #
Account deposit
Sewer & water permit and surcharge
Water meter
Treatment plant
Su?tota A
Jan./-Y ?/' Zvi r%t,u ??.. Ls.
* Plumbing permit & surcharge
Tap(s)
Total
1,909.90 Pd.
760.00
30.00
100.50
107.00
396.00
i Oo
&,00- 0,0
-220..50
$3,048.50
* A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to
the homeowner if he is actually doing the work.
Property owner MICHAEL & SHARLEEN NEISTUS
Address 4856 DODD RD
Phone no. 423-5053 -
Plumber DAKOTA PLBG
OFFICE USE ONLY
PRV ly0'
No. of taps D
Gonnackt?,l ujater Tr"/nli r BYS
.can 4'eu a Trww41, ?10
y S A•? Jan4
Waiver u..c ?a ?t oL?«r
? esrrw A P.?i700.
{
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 11/15/1996
PROPERTY ID: 10-20900-040-02
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN. PRIN.
101835 STREET 515 1989 03 9.0000 940.80 0.00
1OP700 TH3/HALL ST/UTIL 0000 15 0.0000 11957.00 0.00
------ SUMMARY OF LEVIED 0.00 0.00
****** 1996 P&I CERTIFIED
------ SUMMARY OF DEFERRED 0.00
------ SUMMARY OF CLOSED 940.80
------ PENDING ESTIMATE 11957.00
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16:50 CAPS
WAIVER OF HEARING No. 545
SPECIAL
I/We hereby request and authorize the City of Eagan, MN
(Dakota Co.) to assess the following described property owned by
me/us: Lot 4, Block 2 Dodd View Addition for the benefit received
from the following improvement.
ITEM QUANTITY RATE AMOUNT
Water Trunk
Sanitary Sewer Trunk
1 Lot $845/Lot $845.00
1 Lot $810/Lot $810.00
TOTAL 1.655.00 4
to be spread over fifteen (15) years at an annual interest rate of`S
7% against any remaining unpaid balances.
The undersigned, for themselves, their heirs, executors,
administrators, successors and assigns, hereby consent to the levy
of these assessments, and further, hereby waive notice of any and
all hearings necessary, and waive objections to any technical
defects in any proceedings related to these assessments, and further
waive the right to object to or appeal from these assessments made
pursuant to this agreement.
Dated: /t/61 i/. ';aSY?K / ?f G
OWNER:
By: /Z
G
Michael Neisius
Sharleen Neisius
//At5AG
r CAMELIA A. SAIOW
MOINI'NIUC MYlN00TA
y MY COMAAISSIOm IN, ES
JANUARY 31, 2000
a. /&-6
klaFNPh /tic L&l a
Well Owner and A&L•ess
Well Location
Stata Licence
WELL RECORD
VILLAGE OF EAGAN
C?ohCOYC?w ?dw' C°v ?fys?.yrnch? ?//?hh ??3-v???7</
Drilling Compal_y Address Telep'?ons
Size of ti-Tell Inches i Water Level /L? 7 F=.et
Well Depth Feet Draw-Baum Peet-at- ---- Pi+f
Casing Depth 13 Feet Capacity Gallons ;Z;?o Per/TlI:.
Thickness
Started Ended of
E/4-?/ 01.5'
C'/< ./ 4 / a i/ 5 yS ca e2
,4a
___--
7e2
1Q0 AR9-
r/aT wiiou? iIQ i3 _--
,Sand
, ?5- /D %0 /- sfe N /o es Pew/ S? LN?s, _-_
Exterior Space Around Casing Sealed With: UCement Grout VPuddled City
13 Other
Disinfectant Used Z&5
Hours Left in Well c26
r
Dril' er's Siema4t:r
RETURN THIS RECORD AFTER COMPLETION
?Ar, K
Z F--
.3y'
Do a,D View A o v 7-1-o / (Pln T s ?., fE
Lo -r 4 13 IOC ?K
Owwert : W4,41fe'n) 8. R, IW/A
i
i
4
Hou sc G?tRttGz o
?o
26'
FlIZCNT
Ll
a
2
N-
/7 eoe
MASTER CARD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 30Z ' ? Z?` 4 S?F
PLUMBING 453, ?•
CESSPOOL - SEPTIC TANK
WELL C ILIpYt?GrCn
ELECTRICAL
HEATING
GAS INSTALLING
A )
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING 714 TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
2 _ DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD ?
Y
PLUMBING 3Y
1
WELL _
SANITARY SEWER
Violations Noted
on Back
COMMENTS: .
STRUCTURE AND ?D X 4A
LAND USED AS
&7D.oo
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
' I 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constriction Reoulremerds Remodel/Repair ReQuiremen off WORM,
3 registered site surveys showing sq. fl. of lot, sq. R of house; and all roofed areas 2 copies of plan ?rvt' tai S'urvay: 9a1"? '"`'X`"?
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions tree `and'`.; $(
e
2 copies of plan showing beam & window sizes; poured found design, at. 1 site survey for additions & decks P
l set of Energy calculations Addition- indicate donstie septic system ---?
3 copies of Tree Preservation Plan ti lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date 6 / c2
P /_?V- Construction Cost -
)Oc.1_
r
Site Address yd S e. 02 nl j Unit/Ste #
ss/ a 3
Description of Work
Multi-Fancily Bldg _ Y ?N Fireplace(s) ;6 0 - 1 - 2
Property Owner Telephone # (4,c!) VV
-SOS3
La
Contractor r
?Qr
Address / City
State /'J Zip Telephone # (G /a) XO.a?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
• Residential ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contr
Sewer/Water Corti
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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 which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
r
For Office Use
Permit#: /6./ .66 cC
City of Eaalls s
Permit Fee.. /, .
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections(a.citvofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:?a'AD-1'7 Site Address: (-/4. 6 \Doc cX Qcc\à\ Unit#:
1 A
Name: aC.-e-2 V\ nL 15114.0 Phone:
Raesident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work \�
Description of work:
Construction Cost: Mi 000 Multi-Family Building:(Yes /No )c)
Company: , Ci✓AL c �.11iTC1C+jlA - om
Y ( �s Contact: t
Contractor Address: I7?-7q ovi,S `}` City: .?'i► }-rA1
State: jMV\Zip: / Phone: /, - ' ' ? Email: A(t�wc\)/(- o.0-11v\�vt y\(Si 5� A'al'
License#:6930(p 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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
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 they,
are trace:sec ets. .
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
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.
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.
x ��1,-Ny_____ x ,
Appli, t',,' n e
r d Name I wj.t ..,/,,,�_ Applicant' re
I ""' Page 1 of 3