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1365 Deerwood DrCITY OF EAGAN 3795 Pilot Knob Rood No. Eagan, Minnesota 33122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Receipt No.: Single I ddress: T 3CTV'OUr, Residential Block Sub/Sec. w 'f - I Multi Res., Comm./Ind. New/Alter./Repair. City Phone: I Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Cost of Installation Phone: I Permit Fee I Surcharge Building Official CITY OF EAGAN Remarks Addition _SKOVDALE ADDITION Lot 5 Rik 1 Parcel 10 68700 050 00 wner , r -?J -?1 ` 2 I ' J _?&- Street 1365 Deerwood Drive State Eagan, MN 55122 Owner," P. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Qq6 1982 3470.94 347.09 10 2- STS o/(0 2 7 /o ?s' STREET RESTOR. GRADING 14919 /'7? ? • 0 G - /f? v .? ?'S SAN SEW TRUNK allt 1 175-00 8.75 20 Paid iF SEWER LATERAL 1 4 22854.70 142.73 20 WATERMAIN * WATER LATERAL & 8tllb3 1 4 20 WATER AREA STORM SEW TRK 1018 1986 1485.00 99.00 15 J Qf vo I/y ?J 3 ?'i STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 280.00 8784 8-15-73 BUILDING PER. SAC 244 PARK EAGAN TOWNSHIP N° 2808 BUILDING PERMIT Owner R-------- /v.:..... .? t .__..._-- Eagan Township Address (present) -L-:-3-- ------ ti.- ------- Town Hall Builder ............ 1-a-l ---- - --' ....----- .---------------- ----- --.--------------- ------------ __ Dale ........................... .... Address .............................................................................................. DESCRIPTION Stories To Be Used For Front Depth Height - Est. Cost 'Permit Fee Remarks ?-'' ' LOCATION or This permit does not authorise the use of streets, roads. alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ONl T E PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.. .:..-N-----------------..............................has permission to exec! ...........upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. .......... -._ ............. .1....................... .`.'u....`.'Y..-:.......... Per -------- .......... .e.?..d...`.:.:.......!(:...`._d..t¢........................................ Chairman of Town Board Building Inspector V3 CITY of EAGAN N° 4132 BUILDING PERMIT Owner Theodore H .................................... Solke 3795 Pilo! Knob Road Eagan, Minnesota 55122 454-8100 Address (present) .....1365 Deerwood Drive ............................................................ .. Builder .........,9.4JP2 ............................................................................ Address .............................................................................................. Dale ....[tJ:.??71°._... Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fea Remarks Storage Shed l0' 14' 400 3.00 .50 s? or 1365 Deerwood Drive 5 1 1 1 Skovdale This permit does not authorize 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, safely, 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 !o terrify, fhal......._T.._ Solke .................................haspermissioa !o erect a--.......storage shed ._._.....__,., npoa thee aaboovve described premise subject to the provisions of all applicable Ordinances for the Ciit\y oofEaEa?gan_ r----, x?2.h<.-L? lT j? ..........._ ................ Per ....._----.........---- °... :Y Lam... .Tsl?:SA?..... .................- •...C ............. 47a OL `i?? g Petto9 L/ Buildin Ins ??K? - - ?-- -? ?,,e_- -?- - - - --- - - - -- - - -?z _r$_ - =?"-- - - - n ??,_ i ? 'ZfJ eL.-,-e-o? .- - _ ?-? Coo--ur.F-T-r-L -?Y??v--_^^-/..-L^?L._ _ _ -__ _ - -.mil`'`"- ?P?'`= ?- - - - - - - - - -- - - - - - - - -- - - ..4?------ - - - -.'fit=°_"`-?--.iw`-?- =!"=-??-?.c/_. - ct%LC_ ?!?-? .??.v?.-ter _ _?-- ._P?'-?-.- - --,? - - ,? - ! ?' J / VILYGE OF EAGAN WATER SERVI PERMIT 3795 Pilot Knob Road PERMIT ?/55/73--(12/29/72)---- Eogan,MN 55122 R-1 DATE: _-._._._.__.._. 1.._-___--.____._ _ Zoning: Th -eo dore Bolke No. of Units: Owner: Address: - - _._ 1365 Deerwo_od Drive Site Address Wenzel Plumbin g & Heatin g _ Plumber 22802909 - ____,. e:280,00-pd_8/15/j C tion Char MeterNo.: g onnec 55 . . Sine: & 001'- sit --_--..-..----- AccountlleP° 4 & Re;ider No. - _ Pennit Fee: _.10.00 pd- 1 agree to comply with the Village of Eagan Surcharge: __.___._i70_ Pd.______.__-- pd 8.50 h Ordinunces. -- arges: Misc. C Total: -_---_.---___._-_- ----- Date Paid: ----- -- Ry - -- Date of Insp.: Insp.: EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:12/29/72 (8/15/73) OWNER: Ted Bolke NUMBER 1397 Address 1365 Deerwood Drive ?• sSC61/D,gLF'- PLUMBER Wenzel Plumbing & Heating TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrials Commerciall Residential I Multiple Dwelling I No. of units Location of Connections: Connection Charge240.00 pd 8/15/73 Acct, Dep. p 3 Permit Fee10.00 nd 12/29/72 .50 pd 12/29/72 Street Repairs Total Inspected by: Date Remarks: sy. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Wenzel P'IUmbing & Heating Inc. 3600 Kennebec Drive, Eagan, MN 55122 Please notify when ready for inspection and connection and before any portion of the work is covered. r i g s.. J c. v e) e2 l t, I 9 ' 1U Sf/ov? MASTER CARD 1365 Deerwood Drive L5 B1 Skovdale OWNER Theodore H. Bolke STRUCTURE AND LAND USED AS Storage Shed Permit No. Issued Issued To Contractor Owner BUILDING 4132 11/7/76 Theodore H. Bolk 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: RESIDENTIAL BUILDING PERMIT APPLICATION 5 S CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I . 651-681-4675 --? New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan If lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ?r 910 SITE ADDRESS a ?Prwvj TYPE OF WORK HUr 61T Ur,(,& re roeJ ? APPLICANT 'nI V''1? 0000 GAIVIDA 1Xf- STREET ADDRESS ll2?lis r d.112 P TELEPHONE # 1S a'?'gal CELL PHONE # PROPERTYOWNER A1 1(e W4. TELEPHONE# 0-40-K6 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • o hit u • Energy Envelope Calculations Submitted 7M?JN 0 7 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: - Air Conditioning Heat Recovery System Phone # Phone # Fee: Fee: $70.00 ----------------------------------------------------------------------------------------------- ------------------------- n is co ect, and agree to comply atio I hereby acknowledge that I have read this application, state that thy with all applicable State of Minnesota Statutes and City of Eagan Oes Signature of Applicant -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Water Softener Water Heater No. of Baths Phone # Iawn Sprinkler No. of R.I. Baths Remodel/Regalr Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION po MULTI-FAMILY BLDG _Y FIREPLACE(S) _ 0 ` 1 ?I N -2 _CITYSTATEZIP SS?- (`Iaa '''' FA(X#QQ-VV_'3 qt) y e? city of eagan /6)1 t , THOMAS EGAN Mayor ? p\,N -, t at b 20 , o?? DI hA lA July 25, 1995 PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk ALYCE BOLKE 1365 DEERWOOD DR EAGAN, MN 55123 Re: County Riaht-of-Way Dear Alyce: It was great visiting with you on Sunday morning. I spoke with Bruce Allen, an Engineering Technician in our Public Works Department, about an issue relating to Dakota County's request for additional half right-of-way on Pilot Knob Road. According to Bruce, Dakota County, in its long-range planning, has identified Pilot Knob Road to be upgraded to a six lane status requiring 100 foot half right-of-way with all current and future plans. Unfortunately, this matter is an issue with Dakota County. I would advise the gentleman who acquired your property to contact our County Commissioners, members of the Physical Development Committee and staff, including Pete Sorenson, on this matter. Let me know if I can be of any help. Sincerely, Thomas L. Hedges City Administrator TLH/vmd MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (612) 681.4600 FAX: (612) 681-4612 TDD: (612) 454.8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (612) 651.4300 FAX: (612) 651-4360 TDD:(612) 454-5535 MASTER CARD STRUCTURE AND r LAND USED AS ^ 0? Permit No. Issued Issued To Contractor Owner BUILDING _ ZB 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: 2 ?k v' o SKOVD an ry - - - ? .'? •r 1 V w ? i It , X INN v ? E ?MfJOrM lrlt 4 Iy ila y?cecu? V ? E ? 4 10 aP ?t 8 4 „Y 0 V Da A E. , N ' '?3 ? I ti a Ck 'k '- r?OEERW000`?-?.Ve?-- DRIVE DEERWOO 1- .r- --- °? ?7YO ?oT fG ?1?7 2 ? 7s /-4 - c?& e . J, o'l J n /S/? I /33 ) dl?e jej& 7. q7 S86 ?? v'7'/ = 35/.3 flut FiJa Wt. Lod 2 f6ic(-A l i Adof WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring I 163715 County Name WELL AND BORING SEALING RECORD i n esota Unique Well No. M n DAKOTA Minnesota Statutes. Chapter 1031 or W-series No. n....ewkliiaivi`i.,o Township Name Township No. Range No Section No. Fraction (sm. ? ly.) Dale Sealed Dale Well or Baring Constructed - EAGAN 27 23 22 SN SW _ DEC 23, 1999 1950's Numerical Street Address or Fire Number and City of W SSpring Locatmn ll orr e e 1365 DExG11RWOOD DRIVE Depth Before Sealing 1 CIS; n Original Depth 9 Show exact location of well or poring Sketch map of well or poring AQUIFER(S) STATIC WATER LEVEL in section grid with-X'. location. showing property road ldin lin and bu s Ib' Single Aquifer ? Mulbaguiler rI i g . es, s. ry WELL/BORING Measured ? Estimated lR Water Supply Well ? Moral Well ? Env. Bore Hole L7 Other 1 9TTa lid below ? above land surface W - - - -- -- E CASING TYPE(S) - - -f- -f- -- -- Steel ? Plastic Tile ? Other ib k m CASINGS) Diameter Depth Sat in oversize hole? Annular space Initially grouted? S r ms No [] Yes No ? Unknown in. from - 0 to ?6.2t. ? Yes 19 I? _€ _ UPERTY _ NE n.lrpm to fl. ? Yes ? No E] Yes ? No ? Unknown ? Ii? Prepay owners mating address if different man wet location address indicated above in. from to h. ? Yes ? No ? Yes ? No ? Unknown 1365 DEERWOOD DRIVE SCREEN/OPEN HOLE EAGAN 14N 55123 Screen from 164p 165 ft Open Hole from to n. , OBSTRUCTIONS WELL OWNER'S NAME SAM ? Rods/Drop Pipe ? Check Valye(s) ? Debris ? Fill No Obstruction WNl ovmens melbg adiareu it different from propel owner's address indicated above. Type of Obstructions(Describe) Obstructions removed? O Yes ? No Describe PUMP RECIPROCATING Type HARDNESS OF FROM TO GEOLOGICAL MATERIAL COLOR Removed O Not Present ? Other FORMATION OR CASING AND BORE HOLE: EEN 2 CASINGS A If not known, iMicata iodmatrq formation tog hum ne9my well or boring. R SPACE BETW , METHOD USED TO SEAL ANNUL DtNo Annular Space BASIS CLAY BLDB BFdM l 1 ? Annular space grouted wlthtremle pipe SANDIBLUR BROW 1' 0 11 Casing Pemoratlon/Removel CLAYMWX GRAY 4 ) 41 in. from to fl. ? Perorated ? Removed 5- O_ in. from to b. ? Perorated ? Removed e a laminator T yp 2 ? Other GROUTING MATERIAL(S) (One bag of cement. 94 His., one bag of bentionite ED IM.) PORTLAND 165 0 7 Grouting Material from to n. yards pegs fl d b . yar s ap from to from ro a. yards bap from ho yards begs REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Q0o PILOT KNO$ GEOLOGY FROM unsealed and unused well or wring on prapedy7 ? Yes 19 No How many? : CENSED OR REGISTERED CONTRACTOR CERTIFICATION WATER LEVEL IN ABOVE WELL: 11 ), ER LEVEL TAKEN: 11/6/8 DAIS WA This well or boring wen Sealed in accordance with MinMeofa Rules, Chapter 6725. The information confalned in this report is T Irue to Ina best m my knowledge. MAP CODE CC-17 E.H_ RE.NNER 6e SONS, INC.. 71015 [[ t j; Confreetor Business Name .. Licens, by Registration No. pp 1/4/00 hlrl.?l U?:Ib o \ La L. VUt '(yl?l.:u Oath AIrtAOrized Rapresnt S5naNre . KEVIN SCHEITEMLEINMEVIN HOPPE H 63715 Name 0 Person S"i Well or Boring DEC.-20'i9IMON) 13:45 DAKOTA CO ENV MGT .- 10", TEL 612-891-1588 v P. 002 Municipal Notice of Well Permit Application Dakota County Environmental Managemcnt Dcpartment Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel(612)891-7011 Fax(612)891-7031 DATE: December 20, 1999 TO: Tom Colbert/Wayne Schwartz Fax#: (651)681-4612 FROM: Water and Land Management RE: Well Permit #: 99-H163715 Municipality: Eagan Well Type: Sealed Environmental Specialist: Swenson The Water and Land Management Section of the Dakota County Environmem;al 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 Etnjlronmental Specialist listed above or our office at (612) 891-7011. If there is no response from your office w ithin 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observ:pce of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: EM, Renner & Sons Date application received: December 20, 1999 Anticipated Drilling Date: Time: J - _ Anticipated Grouting Date: Time: Property Owner: Alyce T Bolke Well Owner: Alyce T Bolke WELL LOCATION: PLS Coordinates: 1/4, sw 1/4, sw 114, nw 1/4, Sec 22, Town 027, Ranle 23 Street address: 1365 Deerwood Dr PIN Number: 10-26100-020-01 WELL INFORMATION: Diameter. 3 Casing depth: 165 Total depth: Static Water Level: Aquifer: COMMENTS: 6128917588 => CITY OF EAGAN ,TEL=6516814612 12/20'99 14:43 VILL6GE OF EAGAN WATER SERVI PERMIT I 3795 Pilot Knob PERMIT 162-45/0 �� (r (( Eagan, MN 55122 R -1 DATE: l ��•�y�(�� Zoning: TXleodore Bolke No. of Units: 1 ' Owner: ? Address: Site Address: 1365 Deerwood Drive Plumber: Wenzel Plumbing & Heating li 22802909 g 2$0. 8 Meter No.: Connection Char e: 00 Pd Size: S/8 4Ne11 Account Deposit: 1 ' Reader No.: Permit Fee: 10.00 pd 1 agree to comply with the Village of Eagan Surcharge: .50 rd Ordinances. Misc. Charges: 8.50 pci Total: BY Date Paid: Date of Insp.: f /1 h Insp.: Use BLUE or BLACK Ink � � r________________.� I For Office Use � ' � Permit#: �� Clty of �� s�.� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ✓ �� l � Site Address: S �f L�-�c�ocl 1�- cc.++�- Unit#: �� Name: W�e ce-�- �JE'-P,1��. �. " ,(1 Phone: ��Z'��,—�Z�� I�@5�t�+��'� � _ �y�� Address/City/Zip:_�3�� e��c�v�� '6-f� �12.3 � � _ � ��,_ ' � � , �, �,'�� '� Applicant is: �Owner Contractor �� .0 �� `' Description of work: �� .� ' v�c� e..9�n.��,.�s' ��,�� ,„� � .,, �� Construction Cost: �� Multi-Family Building: (Yes /No� � � � � � \\\ �� Company: Contact: � � ,�' ��,��5 z ��,��,�C,��,� Address: City: �� : ti i�� v� �� State: Zip: Phone: EmaiL �� $; �`�,�� ; License#: Lead Certificate#: If the projecf is exempt from lead certification, please explain why: �� %.�C�C�.- t7 � `�Q�- �G�t`� �-�V1^-C --�,{'�-, �- ��,�G. �..�{,.g 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: ,�� '� �t�n��r� �C�Ir�C�rr�r� r�� #�" � '� � �il��t � �� ' � _ ° v�°� . ca - �a�� R�a R ��.�, . �.,. e'� �F � �it�� tl+�:��",�A'�@ ��#+�c�S� tt��x�� F � ��* z � � � � ��'a�r�� `�` �,�� .s � h �� c�� `� ,,,,Yg'�n :.:.. �� s _. .�;`�, ° <. � s s �- .. `�.:�, , .. . .:�a......x.,,�:�';... �� 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.qoqherstateonecall.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 Gode must be completed within 180 days of permit issuance. X ee�� - X ��..----�'�,�---' Applicant's Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA168818 Date Issued:05/05/2021 Permit Category:ePermit Site Address: 1365 Deerwood Dr Lot:2 Block: 1 Addition: Laugen Legacy PID:10-44530-01-020 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Lighthouse Homes Llc 15776 Diamond Way Apple Valley MN 55124 (612) 382-8291 Bison Builders Inc 10200 73rd Ave N, Suite 126 Maple Grove MN 55369 (612) 440-6000 Applicant/Permitee: Signature Issued By: Signature