825 Cliff Rd
For Office Use
City of Ea p j Permit 70 6 ~
I
I Permit Fee: 6,5. 3830 Pilot Knob Road I I
Eagan MN 55122 RECEIVED Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694. NOV 17 2010 I Staff: I
L -----------------I
(f2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I I l D Site Address:
Tenant: DaleSiedschlag Suite
825 Cliff Road
RESIDENT /OWNER Name: Eagan, MN 55123 6514525711 one:
Address / City / Zip: _
CONTRACTOR Name: NORBI 0hA PLI IMBING Gr). License 0(P P5 2j F -M
Address: _ (1612) 827-4033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK _ New - Replacement _ Repair _ Rebuild - Modify Space - Work in R.O.W.
Description of work: rulaix v y e r hea
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) l- Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 ~ NQr1910M . x .
Applicant's Printe Name A icant's Signa ure
FOR OFFICE USE Reviewed By: Date:
Required inspections: Under Ground Rough-in Air Test Gas Test Final-
Use BLUE or BLACK Ink
r
For Office Use
City OT L'(1 p n EQ Permit#: (vY 7,
11 Qll I O-V
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Id l4 - o
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION P~ 53J '625- C Date: 110-1q } Site Address: t
Tenant: PA-(e 5c let Q S log Suite M
RESIDENT / OWNER Name: Se-k (,e lem i Phone: 6Q ' a ;2 I
Address / City / Zip: ? ;z s C ~ Ps .
Applicant is: Owner kContractor
TYPE OF WORK Description of work: '-~--eA{x a \r ~r00+ 4 ~rg91 e
Construction Cost: ?Q(20, w Multi-Family Building: (Yes / No )
CONTRACTOR Name: I-7 Imam License d 5 6 y
Address: U t5 7 ~J 3 City:
State: _ Zip: 5- ^ Phone:
Contact: N~)tzvr Email
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:
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.
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.org
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.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
? -yv
BUILDING PERMIT
CITY OF EAGAN
3793 Pilot Knob Roed Eogae, MN 55122
PHONE: 454-8100
DFdG. ALDITICN
000
Site Address
Lot Block Sec/Sub. '
Parcel #
oc Nome
W
; Address
,o Nome
?
Bu Addre;
Nome
Address
-NT? 6962
Receipt #
Erect ? Occuponcy
Alter Zoning
Repoir ? Fire Zone
Enlarge Q Type of Const.
Move Q # Stories
,?...
Demolish p Length
Grode f-I Depth Sa. Ft.
Assessment -
Woter & Sew.
Police
Flro
Enp.
Pionner
Council
Permit
Surchorge `
Plan check '
SAC
Woter Conn.
Water Meter
Rood Unit
I hereby acknowledge that I have reod this applicntion nnd state thet gldg. Off.
the informotion is correct end ogree to comply with all applicable „
State of Minnesotn Stotutes ond City of Eogon'Ordinences. APC Totel
Signoture of Permittee '
/1 Building Permit is issued to: on the express tondiNon thnt
olt work sholl be done in occordorxe with ell npplicable State of Minnesota Statutes and City ot Ea9en Ordinances.
Bufldin9 Officiol
Parmit No. Permit Holder Misc. Permit No. Holder
Plumbi?p
H.V.A.C.
Well
Water
Disp.
Sewer
r
Electric 'r7((oS;L
Inspection Deta Insp. Other
Footingt q 10-?
Foundation
Fnminp
Rough Plbg.
Rouph HVA
Insulation
Finel Plba `
Finai HVAC
Final `
Weter Describe Location:
YVell
?
Sewer
Pr. Disp.
Reoeipt PWMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in »umbered spaces S/C
Type or Print /egibly , - _
T
ot
1. Date 2. Installation Cost
3. Job Address Blk. ?? Tract
?
4. Owner
5. Contractor i, Phone
6. Address
7. City State Zip
8. Building Type: Residential.8 Commercial ? Institutional ?
9. Work Description: New ? Add-$- Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cess
field
ool/Qrai
Bath tubs p
n
Se
tic Ta
k
,
Lavatory p
n
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
454,8100
Inspections: Date
for
Rough Final
_ Insp. Date _
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
LvMesINu rer[MN I For Office U Only
CITY OF EAGAN PERMIT # ?
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEfPT#
PRICE PHONE 4548100 DATE: S o
Site Address F 6LDG. TYPF WORK DESCRIPTiI
Lot Block P? Se ub Res. 7'? New
Mult. Add-on 2<.,-
_ Name 1n-V -)Lr7 I[ vc-r/
? Address
c City Phone
EI Address
8 City if-,o G A / Phone
FEES
COMMJIND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING: ?
NO. FIXTURES TdTAL ?
Water Closet - $3.00 $ ?
Bath Tubs - $3.00 ?
l.avatory - $3.00 ;
Shower - $3•00 ?
Kitchen Sink - $3.00
UrinaUBidet - $3.00 Laundry Tray - $3.00 ?
Floor Drains - $1.50 p
Water Heater - $1.50 ,.?
Whirlpod - $3.00
Gas Piping Outlets - $1.50 j
(MINIMUM • 1 PER PERMIT) ?
Softener - $5.00 ?
Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00 ?
PERMIT FEE: ?
STATES SJC:
GRAND TOTAL: ? +?
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address 1S nG J
Lot V'2 / Block
? ?.an?v ? .-. .... . . .. - - ? ?
? Address
S City Phone _
Ic Address o ? t FF ?!
8 City ?? G A Phone
FEES
COMM.lIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM_ RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S!C PER EACH;1,000 OF PERMIT FEE)
For Office US-9 Only
PERMIT # ?
DATE:
Res. Q;P? New
Muh. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.40
Floor Drains - $1.50
Water Heater - $1.50
Whirlpod - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMII)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00 ?
PERMIT FEE:
STATES S/C: s ?
`??" GRAND TOTAL: ?
CITY OF EAGAN Remarks?L<<-!
Addition SECTION 2l Lot 021 Rlk _
Owner ? > / Street 825 Cliff Road
1- o
stace Eagan MIlN ?57 23
I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
SAN SEW TRUNK
WATERMAIN
WATER LATE
STORM SEW TRK
STORM SEW LAT
51DEWALK
WATER CaNN.
PARK
OF EAGAN
Lot Blk
Street 825 Cliff Rd.
? Improvement \ I Date I Amount I Annual I Years I Pavment I Receipt' I Date
STREET R
GRADING
SAN SE
SEWER
WATEFMAIN
WATER LATERAL
STORM SEW TRK
STORM SEW LAT
SIDEWALK
WATER
OF EAGAN
Lot 61 k
Street 825 Cliff Rd.
o3c
? improvement 'I-, I Date I Amount I Annual I Years I Payment I Receyaf I Date
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAI
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
,
. ??
? IJr ? v C= pF EAGAN Include 2 sets of plans,
V1 ? 1 site plan w/elevations &
? gUII,pING FERMI p,pPLICATION 1 set of energy calculations.
Zb Be Used For/?d valuation ? Date
site Aaaress : 174 ' OFFICE USE ONLY
Lot siock sec./sub.
Parce1 #: n ,,?2^ - 7 7.
OHmer:
AddrESS :
city/zip C,ode: L? r,,
Prone # : '? S??I
Contractor:
Address : -?
City/Zip C.ode:
Phcne # :
Arch. /Eng. .
City/zip Code:
Phone #:
Erect
Alter
Repair Fire Zorve
Enia.rge _,k/_ lype of Const. !/
Nbve # Stories
Denlish Front 9 '7 ft.
Grade Depth ?y ft.
APPROVAIS FEES
Assessuents Permit
Water/Sewer SurcharSe
Polioe Plan Qzer.k
Fire SAC
glq. Water Conn.
Plaruier Water Meter
CoLU1ci1 Raad Unit
siaq. off.
APc
a0'
'Ib'TAL drq
^
?
?
?
?,?„- I y I.'
VRe• a +f
To b s
l
5t-,I rt.
iar2 C?
Hv c.SC-.
s
/eDio
9p,
.Drc.)-?7
?
C vc404'?" ?a( le.P2-
0i ? 0-6 ?
_ ?
CITY OF EA'.GAN No ? 6 9 6 2
-
1795 Ppot Knob Rood Eagan, MN 55122
„^HONE: 434•6100
BUILDING PERMIT r Receipt
DWG. ADDITION
5it8 Addffu VL/ V1y11 1W6LL
Lo1 ? Block Sec/5ue. Seetion 26
Pareel # 10 02600 020 77
; ddresa 825 Cliff Road
W F,.Eagan ame
b 55123 ,,,,,__ 454-3441
p Name
U Addre
? r;•.,
Nome _
Addren
I here6y atknowledge that I have read this opplicotion ond stote ihat
the information is corrett and oWe to comply with all aDPlica6le
Stote of Minnewta Storotes aprrCitv of EagprDOrdinances. •
Signoture of Pertnittee#? 1'
A Building Permit is iuued to: _
oll work shall be dorre in ocmrdonce
Buildirg Officiol
Erect ? Occuponcy - ?-
Alter ? Zoning
Repalr ? Flre Zone
Enlorge
?
Type of Con:t. V
Move p # Staries
Demolish ? Length 27
6rade ? Depth?Sq. Ft. -
Aon.ovala Fees
Assessmenf Permit 1.Hv. Iv
Water 8 Sew. Surcharge 10•00
Polite Plon theck 70•25
Fire SAC
Eng. Water Conn.
planner Water Meter
Council Rood Unit
Off
Bldg
.
.
APC
Totol
z20.75
on the express condition thm
Minnesota Stqtutes ond Ciry oi Eagon Ordirances.
EA?GAIN TOWNSHIP
BUILDING PERMIT
Ownex "pS . ....... .. . ..........--.......- ----...--?-J-.-?........_-°------
,p>? ? ?
Addreas (Presen!) "'F?.?---?S-"_'sr?-r¢F.. __ •'/
/d'
Suilder ........................... ...--'--.........----......_.............-----......_.....__-'
Addreas ..............................................................................................
11T? 2367
Eagan Township
Towa Hall
Dase ..f?x. .......
Sioxiea To Se Used Foz Fron1 Deplh Heighf Esl. Cos! Permi! Fee Aemarks
??- a y ?. y ? ~-° l
i?• w
TION
sxrees, naaa or o:ner uescnpxnon ax Locaxion I Lo= I niocs I AOdiIion OT TieCt
v it, l 7
CYG
This permi2 does aot authorise the usa of sireele, roads, elleys or sidewelke nor does St giva the owner or hte agen!
the righ! !o oreate anp silualion which is a nuisanee or which presen2s a hasard to the heallh, safefy, conveafenae aad
general welfare !o anpone in the communilp.
THIS PERMIT MUST BE 7PT ON THE PRE SE WFIILE TIiE WORK IS IN PROGRESS.
This is !o ............. ------ ............... ....haspermission !o ? --° _?'-...^?......_uPon
the above described premise eubjeet io !h provisiona of the Building Ozdinanee fos Eagaa Townsh p
i ado d Aprtl 11.
1855.
. '
.............'_'--"--"" •_ • " ......."'-'....
? _... Per -'--'°'-----....---???----.............. 9 -'-°-P------.:..?'----°--------'-
Chairman ?Tnwn Board Buildin Ins eclor
/
This re9uest vold ?(' ? L,? ( ? ?? ? c ?,? yI? ? / / ?
L L7
-77 G. C p, XJ
7:.1.VYL -3 -7/_(j 1
Faquest ?ate Fire No. ppuyh-i InsoecIIon ?? ?? ?
i
?._ Requi etl1 EROOtly Now`?WIII Nollty Inspec-
Kyes ? No ??????r Whe,n R¢adv
f1 i 11-1.,.?
1 hereby request inspection of above
Owner elec[rical iyork installed it
Sveet AdJress, eok or R?ut?? Cit?
ecv? ? ?-hlp Name or No. ? Ranyc No. Goum ? ?
?- CL- S'JI ?3 d/CC k p f?
C)cupan[IPRINT)
Phune No.
hh t 4 / A07 ?01^ ?c?'7 - -)' ?/
y
Powor Suooliar
Elecvlcal Gonvactor ICOmpany Name)
'
Contractor
s Llcense No,
?
Mal l ing Adtlress (COn Vactor or Owner Ma king I ns?a i la[ipN
Au ' etl Si9namre Contractor/Owner Meking Installxiionl Phone Numbar
C ? ?? 7
MINNESOTq qTE BOAFD OF ELEC HlCIiY TFIIS INSPECTION REQUEST WILL NOi
Griggs-Mid
y Bld
- F
491
.
g.
oom N
. 8E ACCEPTED BV THE STATE 90AFD
1821 University Av¢„ St. Paul. MN 55104 UNLESS PpOPEF INSPECTION FEE IS
Phone (612) 297.2117 ENCLOSED.
/
REQUEST FOR ELECTRICAL INSPECTION ee-000,01 -03
7165a See instructmns fur completiny this form on back o( vellow capy.
-
/ -q I
ffelow Woric Cnvered by This Request
7l?'
-\
N¢w Add Fep. Typ¢ oi BuilAing Appliances Wiretl Equinmant Wiretl
Home Range Temporary Servlce
Duplex Water Heater Liyhtiny Fixtiues
Api. Building Dryer Flectric He2tln
Commcrcial Bldg. Pumace Silo Unloader
Industrlal eldg. Air Condiiioner Bulk Milk Tank
p??To Oiher (Spacify) ISUecily)
tner(Specify. Other Othcr
Cnmpute lnspection Fee Below
u Fee ServiceEnNancaSize R Fee Feeders/5uhfseAers k Fee Cir uits
a to 100 qm s O to 30 Am s ??0 30 Am ps
101 to 20D Amps 31 to 100 qmps iLt1 31 to 100 Am s
Above 200_qi????y t06 qhoye 100_Amps ? 6ovr 100_A2ps
Traastormers RemoteControl Circ. a id. fartial -' er Fe
, Signs Speclal InsPectlon 5?/ ? TOTA
Renv?rks lp
Rou911-1n Dalo
I, the EI¢cvical
Insvector, hereAy
certit
5hat ih
nb
Final y
uve
e
'nspection has been
. e.
1M1is repuest voitl
18 nionths fiom
L 3 a l BL `l`l
SUBD. Sf. ('1 V-\ ?- ?
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
PERMIT #
2000 PLUMffiING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGP,N, M 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum • 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requlres MPC Iic. 75.00 X = $
Se tiC System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Und2fground Spfinkler ifdwelling is underconstruction 3.00 X = $
Under round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener If exlsUng dwelling 30.00 x = $
Water tumaround 30.00 x $ 'a U.U
State Surcharge . 50 -> -> --> $ .50
Total _> $ v .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------ •--------- ------------------------------
--------------
I hereby acknowledge that I have read this appliwtion, state that the infortnetion is correct, and agree to comply wfth all appllcable City of Eagan ordinances.
It is the appliwnYs responsi6iliry to notify the property owner that the City of Eagan assumes no liabiliry for any dameges caused by the Ciry during its
normal operational and maintenance activities to the facildies constructed under this permit within City property/right-0f-way/easement.
SITE ADDRESS: g -.)
OWNER NAME: : ?-0.Y TELEPHONE #: 4TS-k'A ' ?y `I I
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
cirv:
TELEPHONE #:
(AREA CODE)
STAT : ZIP:
_
SIGNATUR OF PERMITTEE
t Lot o)I slack'lYl
Plat
PID # ?f C?-\ U Y? ?- ? Sewer /water permit #
Date Receipt#
CITY OF EAGAN cl,? a (° ?
2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer
Lateral charge @ $22.30/ff
Trunk @ $900/connection
City SAC
Base SAC
Date paid
Receipt #
Account deposit
Septic abandonm
Sewer permit surchazge
Subtotal
Water
Lateral charge @ $22.55/ff $
Tntnk @ $940/connection
100.00 Water supply & storage 840.00
1,100.00 Date paid
Receipt #
Treatment plant 492.00
15.00 Water meter *"Ins ions req'd prior 114.00
30.00 to issuing
50.50 Account de sit 15.00
g Water it & surcharge 50.50
Sub al g
g P bing permit & surcharge 30.50
Total g
Sewer an d Water
Sewer lateral charge @ $2230/ff
Water lateral charge @ $22.55/ff
Sewer tntnk @ $900/connection
Water trunk @ $940/connection
City SAC
Base SAC
Date paid Receipt #
Water supply & storage
Date paid Receipt #
Treatment plant
Water meter *' InspeMions req'd prior to issuing
Account deposit
Septic abandonment
Sewer and water permit & surcharge
Sa6total
Phtm6ing permit & surcharge
Total
Pd ? `KJs1'e,
•?w-?
PAs?ar.i.-„?--,s?`
00
?
9Yv°
100.00
1,100.00
840.00
492.00
114.00
30.00
30.00
100.50
$14 ?, q (o
30.50
OFFICE USE ONLY
Property owner 1?(L Y( ? g? ?? yVt -2 L, `t i'
Address U C??DJ
Phone number USA -q '-;Z{ --?) 4 4 L
Plumber
PRV required:
R-O-W Permit:
Unpaid
Permit Fees:
Ciry financed:
YZS
C;ty'??CounTy /?/F}
cc: Cazolyn Krech, Finance Department
/o ea`od oao ?
I . a .
MASTER CARD
0 LOCATION
STRUCTURE AND
LAND USED AS
/rWM
Permit
No.
Issued Issued To
Contractor ? Owner
BUILDING
PIUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER ?
I
.
Items I
-- - Approved
(Initial) Date Remarks Disfance From Well
'OOTING J'
Vy t4
y
e6o"C
FOUNDATION ;ZI?i /JI CESSPOOL
FRAMING ??'j _ f W FIELD FT.
FINAL
ELECTRICAL
HEATWG DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL I
bRAWFIEID ?
i
PLUMBING I
WEIL
5ANITARY SEWER
0' T/161 / AM'
. Violations Noted
on Back
COMMENTS:
0
Or
3830 PILOT KNOB ROAD. F.O. BOX 21199 BEq BlOM9UiST
EAGAN, MINNESOTA 55121 Mwor
PNQNE: (612) 454-8100 7HOAA0.5 EGAN
wrnes A. sMin+
VIC ELUSON
S ecial Assessment Search
P 1MEODOREWACHTER
Co?il Members
niorsas HEOGEs
Date: July 11, 1986 cirynaminisvator
EUGENE VAN OvERBEKE
• Ciry Clerk Requested by:
Re: Section 26
10-02600-021-77
UNIVERSAL TITLE INS CO
14500 BURNHAVEN DR #159
SURNSVILLE MN 55337
On the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
on the parcel, in addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council if there are any on this parcel.
The City's policy is to levy assessments based upon the current or
existing use of the parcel, as reflected in the above assessments.
If, and when, the parcel is rezoned or developed to a higher use,
that parcel shall assume an additional assessment obligation as a
condition of development approval. The City Engineering Division
can provide further clarification of this policy if you desire.
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy
of the information which was requested by the person or persons
indicated. Nor does the City or its employees assume any liability
for the correctness thereof. In consideration for the supplying
of the indicated information on the attached form and for all
other consideration of any nature whatsoever, any claim against
the City or its employees rising therefrom is hereby expressly
waived. Levied assessments can be paid to the CZTY OF EAGAN.
Very truly yours,
SPECIAL ASSESSME?
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND 6ROWTH IN OUR COMMUNIIY
TrFNSACTION ID: !i768 SF'EC7F1. /}SSESS"MEhITS
SF'EC IHL HSSESSMEIV7S SEARGH SUMMARY
FPOF'ERTY I.D. l-QDAYS L)ATE: 07/10/86 ---9PECIAL FLAGS----
1-2-3-4-5- 6•-7-8-9-I0
?_??? -i? -
1l .?6U-i?z1-7i
____= ,
- +?
1--/l-_`----_;--_.
....-
S. A_ # ASSESSMEPJT DESCr. YF, Y(iS RATE TOTAL AIVN. FPcIN. F'AYOFF COMMEN7"
1OF'444 5TORM SEN ','Rk: 00 0 .00"/. 1650.04 1650.00 1650.00 PEND
+}+*??r SUMMA(i'Y OF ACTIVE .00 .00 .00
t?r ?:±r<:? 7-HIS YEAli ' S Tl77- p&T . 00
+t+ri++ SUMMARY OF PE1VllTNG 1650.00 1650.0u0
F'res:_ Fi or F2 (Header- Form) or F7 iRestart (i768?
oF
3830 PILOT KNOB ROAD. V.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
Special Assessment Search
Date: FebruarY 4. 1987
Requested by:
) DAKOTA COUNTY ABSTRACT CO
1250 HWY 55, P 0 BOX 456
H}1STYNGS MN 55033
ge; Section 26
10-02600-021-77
8EA BLOM9UIST
M?
iHOMAS EGAN
.lAMES A. SMRH
ViC ELLISON
1NEODORE WACHiER
Ca,wl Members
nHonv+s HEOGes
City Administrobr
EUGENE VPN OVERBEKE
Ciry Clerk
On the attached form is the City's response to your search request
on the identified propecty. The information includes the original
amouttt of the assessments and the payoff amounts of the assessments
on the parcel. In addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council as they may affect this parcel.
The City's policy is to levy assessments, based upon the current
zoning or existing use of the parcel (whichever is higher) as
_ reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMSR-
Neither the City of Ea9an nor its employees guarantees the accuracy
or completeness of the information provided which was requesCed by
the person or persons indicated. Nor does the City or its employees
assume any liability for the correctness thereof. In consideration
of receiving and using information on the attached form and for all
other consideration of any nature whatsoever, any claim against the
City or its employees rising therefrom is hereby expressly denied.
Pending assessments cannot be paid until levied. Levied assessments
Can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSY,SSMENT
Attachment
iHE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
T!?Ah}iit3C1 7Ltf•.i ZD.' f'<758 r-?".P[;C1'lit. ASaL_SSI'1ENTEa
;iPE:!°If':L. F3SSESSME'hJ'i`S SE'-h=+l?i^C4{ SiIMMr'yi'eV
F'(i0F'1_R7'Y I.D. TL'+UA`:S T}tiTEe 02101127 __._SPt_C1'AL i=LdaUS----
p ? j Y -2--'-4-5-6-1-8-9-1 0
10-02600-021-77
5.(a.3? raSSESSMEPI'T DESL:t;. Yt; YtiS /iaiE T'OTAt. Ah.IhJ.F'i:'IN, PAYOfF CtJMMERIT
1i:F'444 STUf•;Pl SE4i T2b; Oil iJ
suMrjr-3Rv aa- Ac; rv:_
TN rS ve.;;r '5 Tn; F',s..r
SI.iMM{;RY OF PE.td17.Ih!U'
1650.00 1650.00
.00 .00
.00
ib`.;:i. UO
I650.00 F'E'I',IL)
. 0V
1650.00
F'rr=cs Fi nr f-:.? (t-!er;%.ier- Furm) ur Fr tldestar-t li768?
City of Eagan
3795 Pilot Knob Road
Eagan, MV S5122
Datc:
January 9, 1931
Title SerYices, Inc SPTCIAI. ASSESS?fEV'P S[:\RCH
30 Metro Square Bldg RC:
St Paul MN 55101 Section 25
Parcel 910 02500 010 77
Attn: Judi 0
Enclosed herein is the search which you rcquested made on the above descriUed
proyerty:
Kind of Improvement Runs Beginning Original amount Balance Due
None
I further certify that aceording to the records of said office, the folloking
improvements are contemplated or pending after having been approGed, and are now
in the process of planning or completion.
Kind of Improvement Approximate date Completion approximate Cost
/??u?y?a?. ??? i?s o fT - 7 s? cw ?-?...Q<aL
S Z S ?? • iO?S".?. ? ?
Waiver: 5??
tieither the City of Eagan nor its employees guarantees the accurak'y of the above
information which was requested by the person or persons indicated. Nor does
the City of its employees assume any liability for the correctness thereof.
In consideration fqr the supptying of the indicated informaLion in the above
form, and for all other consideration of any nature whatsoever, any claim
against the City of its employees rising there from is hereby.expressly waived.
Levied assessments to be paid to the County Auditor at Hastings, MN 55033
Very truly yours,
SPECIAL ASSESSMENT DEPARTP1EiVT
Title Services, Inc,
Yroperty Address:
gtate ) )u )t -r-
Le al Deacri tion•
???--y- _ A>Cl?c sC-
??
'f'z?G ? ,?ti
TSI File
Date of Application
cicy ??
Zip
County ?,%Cl_.?C ?
8 P •
d ST )-Q1-1- 1"' --
}i.?!" (,;Z a e 0 0/0- 7 7 ca&eo Cio - o?
„ 3,. ?u C3vo? p/C' - s s-
Diatrict ? Plat Parce2 64?--
Tax I.D. No.
This is a request for a(?) LF.VIED ( y) PENDING asaessment report. If the
form provided below is not utilized, please put on the top of the report issued.
LEVIEn ASSESSMENTS (are those certified as payable and assessed to tax rolls)
If none, enter NONE.
Type of Improvement
Balance to pay assesament in
full, including any interest
Figure.good
until
PENDING ASSESSMENTS (are those not yet cerfified as payable).
Zf none, enter NONE,_
?,, _;I4u
?/ cAQoL
?wAynZ
Municipal Notice of Well Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (952) 891-7011 Faac (952) 891-7031
DATE: July 6, 2001
TO: Tom Colbert/Wayne Schwanz - EM
FROM; Water and Land Management
RE: WellPermit #: 01-H181025
Municipality: Eagan
Fa7c #: (651) 681-4694
Well Type: Sealed
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management
Department has received the following permit application for the well described. If you require further
review of the application or if you have any questions or concerns about it, contact the Environmental
Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24
HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of
the pernut. Please note that pemut issuance is always conditioned on the permit applicant's observance of
and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Sampson Brothers Well Co.
Date application received: 7uly 5, 2001
Anticipated Drilling Date: Time:
Anticipated Grouting Data: Time:
Property Owner: LARRY BILLMEYER
Well Owner: Larry Billmeyer
WELL LOCATION:
PLS Coordinates: se 1/4, se I/4, se 1/4, se 1/4, Sec 26, Town 027, Range 23
Street address: 825 Cliff Rd
PIN Number: 10-02600-021-77
WELL INFOMMATION:
Diameter: 4
Casing depth: 198
Total depth: 206
Static Water Level: .00
Aquifer: unconsolidated sediments
COMMENTS:
ORDNANCE NO. 114:
WELL CONSTRUCTION AND ABANDONMENT
WELL PERMIT
?'°?`vy DAKOTA COUNIY PUBLIC IiEALTH DEPART?fENT
ENVIRONMENTAL HEAI.TH SERVICES SECTION
_ WATER QUALITY MANAGEMENT UNIT
?' _
33 E Wentworth Ave., West St. Paul, MN 55118
Telephoae:(612)450-2607
WHEREABt the
PERMITTE$:
DBA: Schroepfer WE11 Drilling
ADDRE33: 857 E. County Road F
Vadnais Heights, 2+aI 55110
Permit No.
90-0014
has submitted a permit application, has paid the sum of two
hundred ($200) dollars to the County of Dakota as required by
Ordinance Number 114 and has complied with all of the
requirements of said Ordinance necessary for obtaining this
permit to construct the well or wells described herein:
A private water supply well is to be constructed with a finished
casinq diameter of 4 inches, drilled to a depth of approximately
170 feet, and terminating in an unconsolidated formation
aquifer. The well shall be properly cased, pressure grouted with
heavy drilling mud (at least 5$ bentonite) or bentonite slurry
(at least 10% bentonite) to seal off overlying unconsolidated
formations, and completed with at least a 5-foot screen in the
aquifer provided the water quality is acceptable.
The well is located in the municipality of Eagan on the property
of
Owner: Larry Billmeyer
Address: 825 Cliff Road
Eagan, MN 55122
Telephone: 454-3441
NOW, THEREFORE, Schroepfer Well Drilling is hereby permitted and
authorized to construct the well or wells described and located
above for the period March 1990 to March 1991 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 20th day o March, 1990.
NON-TRANSFERASLE
ENVIRONMENTAL AB TH SPECIALIST
ATTEST
ENVIRONMENTAL HEALTH SUPERVISOR PUBLIC HEALTH DIRECTOR
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- - - - - - - - - - - - - - - - -
I For Office Use
Permit ~O 7 /-/S
City Oi Ea
E Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: A.16- 4 I i A, i 9:Z7 SC/j le) 9Z Phone: too St - (4O $ 7" f- 7.5
C Cem~A iAti M" £ ' 23
Address / City / Zip: 29 -~Z
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I/I P 14€Cdrt5.i-- u- )''Z °
Construction Cost: U SbG Multi-Family Building: (Yes / No
CONTRACTOR Name: ~(1 ESTG~fr/~ ~L` NIV' dLr~L~RS License Z06 3
Address: ZSZ~9 G(~ G-
City: S?- 9 lad L- State: IA^A- Zip: £sIII
Phone: loS~t'~S! "~~ff Contact Person:
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
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 ma be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby ackribv le ge that t s information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that rstan t s is not ermit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance ith e ap ro e n i t case of work which requires a review and approval of plans.
X ST 'H E.t- A L Vrtis
Applicant's Prin ed Name Applicant's Signature
Page 1 of 3
City of Eap
Mike Maguire
Mayor
Paul Bakken
Cyndee Fields
Gary Hansen
Meg Tilley
Council Members
Thomas Hedges
City Administrator
Municipal Center
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 fax
651.454.8535 TDD
Maintenance Facility
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
The Lone Oak Tree
The symbol of
strength and growth
in our community.
July 31, 2009
Mr. Dale Siedschlag
825 Cliff Road
Eagan, MN 55123
Re: 2009 City -Wide Storm Sewer Improvements —Pond LP -33.1
Dear Dale:
Thank you for contacting me about the Open -House Meeting held on July 27, 2009. I've
enclosed the report details and a drawing that shows the proposed drainage improvements
that were discussed at the meeting and proposed to be constructed near your property.
As we discussed in our telephone conversation, the proposed improvement simply consists
of an earthen berm that would be constructed in an existing drainage swale (yellow
highlight) on the City property just west of your property. The intention of the berm is to
stop the overland flow of water from the pond on your property towards the house at 4570
Oak Pond Road, reducing the potential for flooding of this residence. The berm would
allow the pond to hold more water and drain through the storm sewer pipe (orange
highlight) located at the northeast corner of the pond.
The pond elevation, "normally" at 899.0 feet above sea level (blue highlight), could get as
high as 901.75 feet (pink highlight) as the result of a significant storm event or snow melt.
This would be about two feet higher in elevation than what you would currently
experience due to such an event, known as a High Water Level of 899.6 feet (green
highlight), but doesn't appear to impact much more surface area.
As I mentioned in our telephone conversation, this improvement will only be constructed
with your consensus. As the report indicates, the City would need to get a new easement
from you that gives the city permission to store drainage water on a greater area of your
property than what currently occurs.
Please review the enclosed information and give me a telephone call with any questions.
Thank you for your willingness to consider the proposed improvements.
Sincerely,
c:
Russ Matthys, P.E.
City Engineer
G:RM/09/letters/08-RAS-01, City-wide Stm Swrlmp, 825 Cliff Rd
Tom Colbert, Public Works Director
Chad Davison, Consultant (BRAA)
DISTRICT L POND 33.1 (LP33.1)
Issue(s): Pond LP33.1 has an existing 12" diameter pipe outlet located in the northeast corner of the
bond that discharges to Pond LP33. The EOF for Pond LP33.1 drains to the west onto the
property at 4570 Oak Pond Road, owned by Brian and Cindy Eaton. The EOF drainage route
comes within feet of the southwest corner of the house.
Category: Low entry elevation does not provide freeboard of at least 2 feet for a 1% rainfall event.
Existing Conditions:
• Normal Water Level (NWL) = 899.0
• 1% Rainfall High Water Level (HWL) = 900.3
• 1% Snow Melt HWL = 899.2
• July 2000 Storm Peak Elevation= 901.7
• Low Entry Elevation = 899.0
• Applicable Freeboard Criteria = 2 feet above HWL
Required Freeboard = 2.0 feet
Actual Freeboard = -1.3
Meets City Freeboard Criteria? NO
• Emergency Overflow Elevation = 899.0
Special Considerations: The improvements proposed will require Pond LP33.1 to bounce up to 902.0. The
existing drainage and utility easements are not large enough to allow for the pond to bounce
to this elevation based on the 2' contour information from Dakota County. Additional
drainage and utility easements would need to be acquired from four properties on Oak Pond
Road. A drainage and utility easement likely does not exist on the property at 825 Cliff Road.
A title search should be performed on the property to confirm any existing easement.
Description of Basic Improvements: The improvements include constructing a berm on the City' property
east of 4570 Oak Pond Road. The berm will have a top elevation of 902.75 with an
emergency overflow elevation of 901.75. This improvement will force all discharge from the
pond into the existing 12" outlet pipe for thel % precipitation event. Larger storms would still
overtop the berm and send some discharge to the EOF drainage route on 4570 Oak Pond
Road.
Effect and Cost of Basic Improvements:
• 1% Rainfall High Water Level — 901.7
• July 2000 Storm Peak — 903.6
• Improvement Cost— $7,700
Meets City's 1% Rainfall Freeboard Criteria? No, but the home is protected by the berm for 1cYci
rainfall event.
City of Eagan
Implementation Plan for Phase II of the 2007 SWMP
Project No: 49-08145-0
Page 18
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Scale in feet
DRAINAGE IMPROVEMENTS
EAGAN, MINNESOTA
Pond LP33.1
Figure No. 8
DAT
aremb„ 20013
00099-08145
Feb 24 10 03:33a WESTERN REMODELERS 6516453796 p.2
WE S TERN REMODELERS
2520 Larpenteur Avenue West
St. Paul, Minnesota 55113
Phone 651-645-1411
Fax 651-645-3796
* Roofing
* Siding
* Windows 7%Lti�'7 # 9.74$'
Minnesota License # 3847
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Cfp PR,ag `Iv oe,lz. c App^ d
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* Soffit & Fascia
* Trim
* Gutters
2- 24-/2
"Serving the Public Since 1962"
TP
i.r C!ty
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /03-'411
Permit Fee: / ::o II
Date Received: 5'')
Z"
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: //'/a/7 �f 5 [ ea'�j G`Z ` a�j Phone: 6/2 7q/ -
Address / City / Zip:g i b t f i Ip ✓
Applicant is:
Owner /Contractor
Description of work: g e node ba -h 1 /3J.6 e' ieet
Construction Cost:` 900, 00
Company: /1n 4d g)eotOen /der LLL -
Address: /-5-1//5- IJ%exe 1 '-r! 4°x-1
Multi -Family Building: (Yes / No /)
Contact:
City: ,4,q/e / a // 7
State: )'7'l Zip: SS / Z h Phone: £ / 2 7 1( - /
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 /2
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
4/ Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 1 00% t4
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
Moo 4g-
1 -/.3q x/.341
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In _Air Test
4,4 Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Ga
3i.
Siding
Reroof
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: Footings _ Backfill _
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
Page 2 of 3
411,I/
City otEapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: G v /�
I t 3
a°
Permit Fee: 9 'f
Date Received:
Staff:
i
L
2012 RESIDENTIALPPLUMBING PERMIT APPLICATION
"'
Date:, 3-g-701, -7� Site Address: 8 (...J'f r R�-/.
C//7dTenaC//7d\.J \5->4C-1/2/61.
Suite #:
Name:
Address:
State:
•
Phone:
Air
'9p72 / /iffylS fl i't , c , License #: C? <- 3j )19/g
R City: o6. 1S' )7
env
Zip: �j �Q6g. Phone: ( 5 45
Contact: j7, c f , Email:
_ New )(Replacement Repair _ Rebuild
Description of work: L-1-)weK
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Modify Space Work in R.O.W.
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
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. www.gopherstateonecall.org
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 // i C,AetV (
Applicant's Printed Name
x
Applicant's i • ature
r C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use `l
Permit*: I(/ 3 Zg
(40
� ze
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 815" Ch ft-- id
Unit #:
J
RESIDENT /
OWNER
Name: C //?d Sleds L h la Phone: 4S/ NS Z - s 71%
/
Address / City / Zip: B ZS C li it -i rd E aa, a n P111
Applicant is: Owner 7 Contractor
TYPE OF WORK
Description of work: .S / d i l y v- um cia 4)-5
Construction Cost: i.)."Off® Multi -Family Building: (Yes / No i/ )
CONTRACTOR
al*
Company: t • 42. 4)e- 5-1- 40 i» /de( 6 Contact: gal*
Address: /5" `% / S / re )t e f 4.) City: 4/p/ e // a //e cf
7
State: /1// /'1 Zip: SS f L `{ Phone: 6/Z 7411 - W 7D S
License #: /3 COO L1lS 3 Lead Certificate #: R-.- 3O33 "1l l6`1 S
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as nonpublic if you provide specific reasons that would permit the City to
conclude that they 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.aooherstateonecall.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 P 4Je Y&
Applicants Printed Name
A(ipAicant's Signature
Page 1 of 3
111%6„
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
� //may
/�G' 3Cl
Permit #:
Permit Fee:
/77-
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 14 r(` i z Site Address: tJ 2. 3 /, 1
2.
Unit #:
-J
RESIDENT.!
OWNER
Name: (1../4k7 S led
Address / City / Zip: 6 2 5- C 1,,1 rd 7,24
Applicant is: Owner VF7asntractor
Phone: 6,7 15-2. - 3'7 l
TYPE OF WORK
CONTRACTOR:
Description of work:
4)k/et" e
Construction Cost: aj Qt9
Multi -Family Buil inb: (Yes / No 47)
Company: /41.41). 41%e-:7 !// /de/3 L -L Contact: f/
Address: /Pi ' L2'e >e e
State: /9 Zip: 6-57 Z 4C Phone: t' / 2, 7'T1 ` GI76 .
City: % 7/2% Vi f%e
License #: 6 G 6'O'/ % S 3
Lead Certificate #: 3� l I l/ !v q6
•1,i
If the project is exempt from lead certification, please ei.plain why: (see Page 3 for additional information)
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:
Mecharal Contractor: Phone:
•
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are c
the information aybe classified an
s on; public if you provide
conclude that fhey are
Y *.. Phone:
obe"
mansidered tpublic informa%an Portions o1
s ecEftc.r"easons that would permit he`C>tv.to
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
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/a77 4Je
Applicant's Printed Name
x A&A(7174.11"9
pSi9nre
Page 1 of 3
-)S Lt f
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Fireplace
It Single Family Garage
Multi Deck
01 of _ Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation Haver!
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
A. Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
k
Porch (3 -Season) _
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
/03660
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
IWater Damage
*Demolition of entire building — give PCA handout to applicant
Ai
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
(0 3 U.
67 It
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159963
Date Issued:01/31/2020
Permit Category:ePermit
Site Address: 825 Cliff Rd
Lot:000 Block: 077 Addition: Section 26
PID:10-02600-77-021
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Nathan P Corpman
825 Cliff Rd
Eagan MN 55123
(763) 251-6381
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature