620 Cliff RdIN
CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
? (612) 681-4675
f SITE ADDRESS:
? ,.•Er i i ? ; k??
I •.? ? i i ??r? ,F,
? PERMIT SUBTYPE:
? :i Em? I i
i I F4) (1 f 1 Id t,
TIO
I ri a 411 r
:CORDw
PERMIT TYPE:
Permit Number:
Date Issued:
(APPLICANT:
td i I?' ?I ? f i
[c..?. ; ?ssn
TYPE OF WORK:
IIF "i Ir t I,I 1 nN
14 Ff'AiR
(RLII'1F`TM[?)
?
: I
- -----------------
kttltEt?IM('i
0:'1 14 :'
d.1e/0"! lyS
il?t,A i tr)N i'ON',i
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTI NGS
FOUND
FRAMING
ROOFING
( 2 2
GuPi
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DFCIC FINAL
CITY OF EAGAN Remarks
Addition Section 36 Lot Bik Parcel 10 03600 010 04
Owner_-_???f? Street 620- C1iff ROark-? State E??,MN 55121
ImproveMent Date Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR,
GRADING
5AN SEW TRUNK / 1984 870.00 58.00 15
SEWER LATERAL
WAT'ERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK -gl4l 1984 698.00 46.53 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
. ?.,
GTY W EAGAN Permit No: ic)039 1.) _ C, ?.
Date:
3830 Pilot Knob Road Meter No: y? 7 410 1 E,, Size: oc
P.O. Box 21199 Reader No: a SR 3 302 7 3 Date:
Eagan, MN 55121 ;,;;ISTINC;
Site Address: 620 Cliff ;to;:li lV U.ibvu utL) Ul-
Plumber._Bakotz P1.t- ^a,IWpinrke Rxc
Conn. Chg: S1(1rd
Acct Dep: 15 nnrd
Permit Fee: 1p OTl
Surcharge: S.QTd
Tr. Plant
Meter. .
Zoning: xU
No. of Units: 1
I agree to comply with the City of Eayan
Ordinances.
By ai-o-"Zn'
WATER SERVICE PERMIT
i 117" Date:
GiTY OF EAGAN Permit No: .
3830 Pilot Knob Road B/P No: Date: P.O. Box 21199 - _ ?
Eagan, MN 551.2t
Owner. "ic;:arf-I '? .
Site Address: y 2 0 Ci if f"
,a_.ota . ir
? MWCC:
? City Chg: ? .
Acct. Dep: , . r !
Permit Fee:
Surcharge:
Zoning?
No. of Units:
1 agree to comply with the Cky of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
\
EAGAN YOWNSHIP
BUILDING PERMIT
- -- -? - --- ,,,,
oWOe= .??,.................
Address (Presenf) _AV._;2 - .._._?.`?:.t?!<----!._'_`J;?.
Builder ".. A: ;.........................
Address ................ ........__.__"--'----
DESCRIPTION
N° 2081
Eagan Township
Town Hall
Y?L
.
Date ........---°-°-°Y?.................
5tories To Se Used For Froni Depih Heigh! Esi. Cosf Permit Fee Remsrks
??t.c-a?y? ce?2s,--1
/I a
/" Y
L ??
?j"''`? ?/J?
?l/ . " / /c-9
LOCATION
,0/0 I b y I /Q
or
1'his permit does not au3horize the use of elzee2s, zoads, alleys or sidewalks nor does it give the owner or his aqenf
1he righito creafe any siiualion which is a nuisance or which presenis a haaard !o the healYh, safeip, convenienee and
general welfare 3o anyone in the aommunify.
THIS PERMIT MU5T BE KEPT ONT/fi/EPREMISE WHILE THE WORK IS IN PROGAESS.
This is !o eerlifp, fhaf---- W....?Q.:.F.........? ........................... hasparmission 2a etect a........ ....-----'....... °.?.:......_upon
the above described premise subjec! !o ld4e p:ovisioas of the Building Ordinanc ..
e for E an wnship adop2ed April 11.
1955.
."""_'........... . .,`j}..?: . .._ ................................... Per ..._...._...._ ? _.._._._.'_.__._...._.._..
Q.Gj- - - ---??--.?-?-?J
Cha?finen of Tnwn Board Buil?n Ins ector
G ??i .
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: sux?DiNG
PermitNumber: 027742
Date Issued: 0 6/ 0 3 J 9 6
620 CLIFF RD
LOT: 1 BLpCK: 4
SECTION 36,
P.I.N.: 16-03600-010-04
DESCRIPTION:
p?paC Iq.y 31, ;? ya?s as , ??rz ? s '?w? 9iSn+ce 2" '?tt
e 81£ ?WT H ? &_8
'k'21?Fl ? •.• `t_* EP YhtzfP" ma ?'«i ., 0.I% ...?
xi2t' . Ie. ?.'a?( F #R
:RF}s
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LzC.OWNEF
MIDWE57 RESTORATION CONST 17842772 0005267 HOLZ
1628 HWY 10 NE 620
MINNEAPOLI5 MN 55432-2171 EAGAN
(612) 784-2772
f
" r%' here
in?ctCm
? ?t 1tut
r
APPLICANT/PERMITEE SIGNATURE
(RQOFING)
ermit Type
,r,k Type REPAIR
9
?';"N 434 A1.7. RESTDENTIAL
RICHARD
CLIFF RD
MN
Am kp ;ftIlu?-
ISSUED BY SIG TURE ?
?
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVReoair Reauirements
? 3 registered ske surveys '
? 2 copies of plans (include beam 8 window sizes; poured fnd. deslgn; etc.)
? 7 energy plculatfona .
? 3 eopies of tree preservation plan 'rf lot platted after 7/1/93
required: _ Ves _ No
DATE:
DESCRIPTION OF WORI
STREET ADDRESS:
? 2 copies of plan
? 2 site surveys (exlerior additions & decks)
? t energy caiculations for healed additions
CONSTRUCTION C05T:
ED.I
LOT BLOCK /P
I
? SUBD
D
#:
.
.
.
.
PROPERTY Name: HO 12- R. C har-d Phone #:
OWNER ""'T
??? ?o"l
Street Add ress:
City: State: Yoti• Zip:
CONTRACTOR
Company: ?
411,1a 5? VQS 4'"r2 Tt c'`^
Phone #: ' - ?
Street Address: A2 7 /„? - License #:
City: State: ? Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City; State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 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. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
Tree Preservation Plan Received Yes
No
No
,
WAIVER OF HEAAING OF SPECIAL 9SSESSMENT
City Projeet No. 520
I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to
assess the following described property owned by me/us:
Plat and Parcel No. 10-03600-070-04
for the benefit received from the following improvements construeted under
City Project No. 520. Said assessments have been preliminarily computed as
follows:
ITEM QUANTITIC RATE AMOUNT PROJECT
Sanitary Sewer
Lateral 1 each $7,723/parcel $7,723.00 520
Lateral Benefit
from Trunk Water
Main 7 each $1,995/parcel $1,995.00 520
Trunk Area Water 1 eaeh $1,375/parcel $7,375.00 520
Water Serv3ce t each $ 726/pareel $ 726.00 520
TOTAL $11,879.00
to be spread over 15 years at an annual interest rate of 9% against any
remaining unpaid balances.
The undersigned, for themselves, their heirs, executors, administrators,
successors and assigns, hereby waive notice of any and all hearings necessary,
and waive objections to any technical defeets in any proceedings related to
these assessments, and further waive the right to objeet to or appeal from
these assessments made pursuant t this agreement.
Dated• &
Riehard 0. Holz
i
Ael? Y?: ?6?
Irene H. Holz
STATE OF
? ;SS
COiTNTY OF 7
On this ,?lr 'T)V day of?r??B--?'?-?C-' , before me a Notary Public?? &Nr ?
within and for said County, personally appeared??.??RO ??, ?Oc ? S?0 to ?-6 4? x-
me personally lmown to be the person S described in and who executed the
foregoing instrument and acknowledged that execute the same as
-1 N r) (1- free aet and deed.
/
-----------------------------------
NAAILYM L WUCHERFFENNIG
NOTAqY PUBLIC - MINNESOTA
i DAKOTA COUNTY
My Commission Exp Fe6 B. 1993
~-r J.
.n 3 I For Office Use
City of Ea Rd lI I Permit I
Permit Fee: a ~ I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:`
Phone: (651) 675-5675 1 C1~ 1
Fax: (651) 675-5694 1 Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 Site Address: ~2-0 6-LT-lCif
Tenant: Suite
RESIDENT/ OWNER Name: Phone: X S~s~ Z
Address / City / Zip:
Applicant is: XOwner Contractor
TYPE OF WORK Description of work: ,_e -57hh5
Construction Cost: 34 coo Multi-Family Building: (Yes / No
CONTRACTOR Name: ef - z Z:! ~ License
Address:
City: State: Zip:
Phone: 3 Contact Person: l1 L G 2IYI 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 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
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
accordan 5th the approved plan in the case of work which requires a review and approval plans.
X fto L_ 1`~FwYT' X IP, Applicant s Printed Name Applic nts Signature
Page 1 of 3
08-29-14 02:2TPM FROM-veit companies + T-863 P.001/003 F-135
use BLUE or BLACK Ink
I por office Uee ^ �
I f /,� �
j Permil#; / �"' ��� I
C�t of E� �n � ������
y � � Pe►mit Fe� ^ I
3830 Pilot Knob Road I �� � �
�agan MN SS122 � Date Recelved: ' �
Phone:(651)67S-S67'S � �
Fax:(661)6�5-5694 I Staff: �
I
�------- -------
2014 RESIDENTIAL BUIL,DING PERMIT APPLICATION ��
� �t
Date: 8/z 9 14 Site Address: 6 2 0 C1 i f f Road Unit#:
Name; C�� of Ea an Phone: 651-�85-0804
Address I City!Zlp:
Applicant is: Owner X Contracter
pesc�iption ofwo�k: Demolish House
Construction Cost: $16, 0 0 0.0 0 Multi-Famlly eullding: (Yes /No x )
Company: Veit & Compan.v, �nc. Contack: Jes s ica Andereon
Address; 1�1000 Veit Place City: _,,.,Roqera _
Stete: MN zlP: 55374 Phone:�63-9�?,�-6?58 Email:�an.derve��gmail .com __
License#' Lead Certlficate#:
If the project is exempt from lead certiflcatlon, please explain why (see Page 3 for additlonal info�matlon)
COMPLETE THIS AREA ON�Y IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Clty of�agan Issued a permit for a simflar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanicel Contractor: Phone:
Sewer�Water Contractor: Phone:
CALL B�FORE YOU DIG. Call GophAr Srato One Call at(B51)A54-0002 for proteccion against unde�ground utility damage. Cafl 48 hours
Defore you intend to tlig�o recelve locatee of u�derground utilitie6, www.a4 herstaceonecall.nr_a
I hereby acknowletlge that this information Is complete and accurala;lhat the work will pe In conformance with the ordlnance9 and codas af the Clry of
Eagan; that I underscend this i6 not a permit, but only an appllcatlon for a permlt, and work is not to etart wlthout a pennit; that the work will be in
accoMance with the approved plan In the case of work whlch requires e review and approval of plans.
Exte►lo�wo�rk authorizod by a building parmlt Issuod in acCOrddnca with the Mlnnasofa Stete 8ullding Code must be Completed Wlthln 180
days ot pa�mlt Issuance.
x Jesaica Andex'�on x
ApplicanYs Printed Name Applica t's SIg ature
Page 1 oF 3