2007 Diffley Rd
Use BLUE or BLACK Ink
I
For Office Use
I ,,rrte~ I
Permit
non
City of Ea I ,
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
I Staff: I
Fax: (651) 675-5694 L-----------------I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: 3 - -2 010 Site Address: (:2007 i-4 \y a
Tenant: ` Suite
Name: _0 0 V\ k-1-\"\ a V Phone: 6s f YS Y- I S Y~
RESIDENT / OWNER
Address/ City/ Zip: JO 7
Name: 6W5 1q j"6 T 0 ,sew c: * ~u-EcC License 05-79 73 - PIVI
Address: , a 3 - Y~ A S City: V'10 lS
CONTRACTOR
State: M- Zip: SS ~rdb Phone: X61-~0 7.6 C:6la aq0 -aY60
Contact~~ Email: MSS ESN C A d L Go
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
^s { u 3 ~e r - L ; 4. r ro
DESCRIPTION Description of work:
r 1 t/
co'l -f i f ✓1 ~q~ I~ h ~ T Ct f Y Y S
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 w ich requires a review and approval of plans.
x X
Applicant's Printed Na a Appli nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ,Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083862
Eagan, MN 55122 . Date Issued: 06/26/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2007 Diffley Rd
Lot: 15 Block: 11 Addition: Cedar Grove Ist
PID 10-16700-150-11
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Apex Roofing & Siding Donald SeBrian
944 Oriole Dr 2007 Diffley Rd
Apple Valley MN 55124-0000 Eagan MN 55122
(952) 891-1919
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: t 11
1,t, I it , 1? i0
I llrif 101:11'x',
PERMIT SUBTYPE:
IN
TYPE OF WORK:
let. PA IV
{ii ',I t;1t'I i$IN r''IWINC,1
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
t {+„?.st I lit !! I +? 1 , !:;,,
I
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
till llIII INu
N.'4.'4A
I ,_. I{ 1 1 i t r + APPLICANT:
k e.l ! i tit- +•4)''I
_ J?
Permit No. Permit Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
FngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? i irl?h ref=rrVt 1'. i
PERMIT TYPE:
Permit Number:
Date Issued:
?? ?? r a r APPLICANT:
(01_+) rt•A 11,118
fill I I It I I'll,
W .' r. ? 151i
c??il: €t1t?5
PERMIT SUBTYPE:
TYPE OF WORK:
Ir+ '.?C+? I I' I i r?l+
1r(IN11 ( n
11 ) l fI AT HIN
( 1-1 "li V 11 )
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
r1rl,•I? l fl .. , ! t'! it
114 MAft1'. A .yf-PAf'A i f ti'( I;M l i 1'. 100,11111140 I irk ANY F I F r 1"IZ 1 (:A1 1.JORk
Permit No. Permit Holder Date Telephone M
ELECTRIC S
PLUMBING
HVAC
Inspection Date Insp. Comm is
FOOTINGS
??-- ao? /Z6 Ac-e- c
?Y .S'1L dl{
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ill " f
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
Owner
street 2007 CO. Rd. #30
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ?jC7 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner /o .......?_ .J
.--- ...........
Address (present) .020 v 7 ( .J.b
Builder .......<4. `/ .......................................................................
Address .................................. ........................................ ....................
DESCRIPTION
X? 2477
Eagan Township
Town Hall
Data ...... 6l'//-7?-
Stories To Be Used For Front Depth Heigh! Est. Cost l ermit F Remarks
Street. Road or other Description of Location Lo! Block Addition or Tract
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 N THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that...... 6 ....- t: A.te .....`J ................has permission to erect a.......° ........-...°.°-..................°-....._uPon
the above described premise subject to the provisions of the Building Ordinance for Egan Township adopted April 11.
1955.
. ........................ ..............?.L:..l.`:` '.
airman o f .................. Per .---...........---_!{!?:?.?......C!.........-' ..........................
Ch Tnwn Board Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
Owner -' - -? ------------ ---/'-y------ -. .. ?.. ...... .
Address (Present). ......./....._....5-[,_!- -'...:...-1.
Builder ........................ -
Address
DESCRIPTION
N2 528
Eagan Township
Town Hall
Date - -r P dam
Stories To
Be Used For -
Front
Depth
Height
Est.. Cost
Permit Fee
Remarks
??__
11
?4 ?? Cl f 6WQi6? a'S.'bGq
LOCATION
'weer, =aa or otne41 Description or Location Lot I Block I Addition or Traci
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, safety, convenience and
general welfare to anyone in the community.
p717.?
THIS PERMIT MUST BE PT HE PR ISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that-.-.. jZsZ-6L-----has permission to erect a.?.. .......-_ -.__ ....... ------ .------------------- upon
the above described premise subject to the provisions of the Building Ordinan or Eag adopted April 11,
1955.
------------------- '------ --------------------------- ---------- ---- Per ---- --- -- ---- ---------------------
--- -- --'--
Chairman of Town Board Building I or
EAGAN TOWNSHIP
BUILDING PERMIT
Owner(Qj2,2c__.. ._1`F: _.. f?` ,
Address (preaenf} .....
Builder ................. -..... .----...`------..:-------.-....
Address ---------- -......... -................
..---'---'
DE9rRTPTTnV
N9 390
Eagan Township
Town Hall
Date .._._y
Stories To Be Used For Fxon;- Depth Heigh! Est. Cosy Permit Fe Remarks
"
' -
/
LOCAT16N -
arreez, road or Other Description of Location I Lot Block Addition or Traci
Y2 1
This permit does not au! orize a use of streets, roads, alleys or sidewalks nor does if 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 foromanity. - -
THIS PERMIT MUS=£PT O'tF, THE PgFMI$E WHILE THE WORK IS IN PROGRESS. ;
This is to rlifp, .?..,A?./ /? -
Osi jZ4_..has permission to erect e._. ...s.S.ryl?......._ _...upon
the above scribed pre a s, t to the provisions of the Building Ordinance for Eagan Townshj denied April 11,
1955.
C?L.._......... Per
--- --- --------- ---------
. Chairman of 40iard oBuilding Inspector
07Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
a"3 '
BUILDINV
024243
07/28/94
SITE ADDRESS:
P.I.N.: 10-16700-150-11
DESCRIPTION:
2007 CO RD 30
LOT: 15 BLOCK: 11
CEDAR GROVE
(SIDING)
Building Permit Type
Building Work Type
SF (MISC.)
REPAIR
REMARKS:
FEE SUMMARY,
VALUATION $8,000
Base Fee $99.00
Surcharge $4.00
Lic. Search Fee $5.00
Total Fee $108.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
FIVE STAR REMOOELERS INC 17386059 0005762 SEKTNAN DONALD
1784 E 7TH 2007 CO RD 30
ST PAUL MN 55119 EAGAN MN
(612) 738-6059
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 Mn.
Statutes and City of Eagan Ordinances. J
(91`' &(A_j
APPLICANT/PERMITEE SIGNATURE ISSUED IGNNAU?R_EI k
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ? ?0q. CIS'
lq243 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 Valuation of work a?
Site Address: aoo7 Gr> lz.,r"
STREET SUITE #
Tenant Name: (commercial only) 9'K7-,V,0 C/
LOT BLOCK SUBD. P.I.D. #
Description of work: ?S/ dt d??il? "t ?i¢iQlrC
The applicant is: ? Owner Contractor ? Other (Describe)
Name LI',.ALrm i ica2d, Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company rlk/f 5r4,k1_ dP iytyDFlrs( S .1"NC_ Phone 735=Z-osf7
Contractor Address _I2e4l 6: 7 r' License # S?&-, Exp.
City .57- V??_ State ( Zip Ss )!
Company Phone
Architect!
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
PERMIT 04W/ss5%o
F CITY OF EAGAN 9/a "S
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 6 6
(612) 681.4675 Date Issued: 0 9/ 2 8/ 9 5
SITE ADDRESS:
2007 DIFFLEY RD
LOT: 15 BLOCK: 11
CEDAR GROVE 1ST
DESCRIPTION:
' >- (PORCH)
Bu , ildini`Rermit Type SF (MISC.)
building Wank Type ALTERATION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25
Surcharge $5.00
Total Fee $167.25
CONTRACTOR: OWNER: _ Applicant -
SEKTNAN DONALD
2007 DIFFLEY RD
EAGAN MN 55122
(612)454-1548
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 Mn.
Statutes and City of Eagan Ordinances.
T
AP LICANT/PERMITEE SIGNATURE 'ISSUED RY.JIGNATURE
----------------
CITY OF EAGAN 3830 PILOT KNOB RD - 55122 410'z
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681.4675 c Q 6cdk-
New Construction Requirements RemodeVReoair Requirements
? 3 registered eke surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured find. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for treated additions
? 3 copies of tree preservation plan If lot plaited after 7!1!93
required: _ Yes _ No
DATE: Q 5 S E-V T 9 S CONSTRUCTION COST: ?j?• //? - ??• pOG
DESCRIPTION OF WORK: COA/Iit`! "1410 OAit!? 1FM,,YA1 PdAQY -r// 7-42PLE EF-I kl
STREET ADDRESS: a s U7 C U, A V, :?-10
LOT BLOCK SUBD./P.I.D. #: C E P,#A9 G ?Peblr tiD
PROPERTY
OWNER
CONTRACTOR
Name: S 6-?krT AIAAI DoAlh-L D Phone #: 'L 5 N 5 µ/?-
Mf lq:,
Street Address- -d 00 7 CO, /Q T7 , 30
City: E?-A- G A A, State: /'f Al Zip: I'L a a
Company: 5 F-L F Phone #:
Street Address:
City: State:
License #*
Zip-
ARCHITECT/ Company:
ENGINEER
Name:
Phone #•
Registration #0
Street Address,
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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: A?
IL , r t
G3tE r', IVr.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No SEP 2 5 1995
---------------
Tree Preservation Plan Received Yes No
OFFICE USE ONLY F•, 'k
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
?05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New X33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. f?
Depth Footprint sq. ft. SAC Code _¢1
Census Bldg /
Census Unit 0
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ log °°°
% SAC
SAC Units
T 6 1 C axp" V.. q?., ,1 A y y „'.r .; *?" # 'dx'.
F4A
d x t: t? - b- n ? fi
v v1? ?p ° ? fi »a 6F 87ArM
a '? ,+ Qy?:T b1d i ?i>fr !1lIICH e1Ti ? wF,. 4-YSB$t?r ??
r #
?l ..r, Vb?it ectu tl }
- yf' A 1. T? ? y r a
j
fi
?r Z
r k
it A? r
p G
ti Fd
4 1T1 jj k? 5 rA ? 4 yy yy11 is Y?p?yl ?y ??.?.
A 4 !f •m Z?
'?tq kpr ?r k. m ro °f .?,y
.. ? ? .... y F 1 4YF^, n. t T t R ( ?
H R.
4?ah t +V T}' C? ?i *? No. 7
I H[A[[Y CIEATI" THAT TN2 ANOV[. HI A TRU[ AMP 00"%C* PLAT OF A Suavity CI
r1 t?
n.'
+t.
Lot 15,nock it ,.
Cedar Grove' ko. Z
t
' &&au x'o?enship,Dakotla County,Mizu .
As fuRVA1'[D [Y M[ THiB-2'.?,. .CAS O?_:.:...,.?a? M1....•A, p, ?_„?,??
r
SIONr
. F. C. CKSON. MYNH T `R[G167RATION. No, 3SW r.
1'
LOCATION
?w
MASTER CARD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING -o2q 717 j .. ..1
?[
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
i
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:
CiftolEa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
13100S/
PermFee:
(.4dD
Date Received: - I S l 50
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
L
Tenant
Croix Crystal Water T ent License #: 64997W
3440 Yoerg Dr city. Hudson
Stats: WI zip: 54016 Phone: 715-386-8667
Contact Jim Email: croixcrystal a@att.net
RESIDENTIAL FEES:
960.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (incudes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Suecharge)
"Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
Water Heater
Lawn hriga5on (_ RPZ /
Septic
New
Iiff Water Softener
Abandonment -
Add Plumbing Fixtures (.__ Main / _ Lower Level)
Water Turnaround
0 t
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Can at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecaliorg
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
Fagan; that t understand this is not a pem but only an appkcation for a permit and work is not to start without a permit that the work wtI be in
accordance with the approved plan in the case of work which requwes a review and approval of plans.
x Jim Schober
Applicant's Printed Name
nt's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155348
Date Issued:05/13/2019
Permit Category:ePermit
Site Address: 2007 Diffley Rd
Lot:15 Block: 11 Addition: Cedar Grove 1st
PID:10-16700-11-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donald Sektnan Tste
2007 Diffley Rd
Eagan MN 55122
(651) 454-1548
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature