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773 Hackmore Dr I ~ Use BLUE or BLACK Ink For i11(i r, 11- City of EanoVn I Permit I Permit Fee: 3830 Pilot Knob Road, Eagan MN 55122tj~0 j Date Received: Phone: (651) 675-5675 , I Fax: (651) 675-5694 `,~4 I,` Staff: j ----------------J 2011 MECHANICAL PERMIT APPLICATION Date: 11 It 2011 Site Address: Tn 2CXA rQ`_ 1J1i VV Tenant: Suite RESIDENT/ OWNER Name:_ N t Phone: -V~1 `1O / Address / City / Zip: ` nfivie" CONTRACTOR Name: e r htatin(ql M r~s i License Address: '1 JV~-~° Ilb_&t I city: H-ins, n _ State: Zip: 05~ Phone: (oS I 431 41 ContactAmi 1 Email:~111 . TYPE OF WORK New 4Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL umace New Construction Interior Improvement X 'Air Conditioner Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.ciopherstateonecall.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 W~ ' of work which requires a review and approval of plans with Ithhe approved plan in/t~hee~case 514, x ;f1M 9 H +t i x • qmlo~~~ Applicant's Printed Name Ap ' ant's Signature FOR OFFICE USE Reviewed By: - Date: Required Inspections: Under Ground P.ou~oln in Air Test _Gas Service Test In-floor Heat Final Exteiic,r HVAC Screening Inspection .? .. s . ,a '.,?r .. , . HEtGHBoR`S AYdoT' ?. . ST1 R121 j I •? 1 11 mEE r .? L ? OuR ? ??; ? ? «--? ?. ? ? ? a a CITY OF EAGAN Remarks Addition Saddlehorn Lot 6 Bik 3 Parcel 10 658060 43 owner?'ii i! 1 , ?'' ),'' : i: : i:? sveet 773 flactmore Dt %:E, state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, j?.s $1 1944.00 97.20 20 STREET RESTOR. () 1981 1210.00 60.50 20 1028.50 ?f „ GRRDIIVG . SAN SEW TRUNK 3'(rg 1981 280.00 14.00 20 238.00 A01'214 14-28-8 *SEWERLATERAL 19$1 3359.$1 167.98 20 S it „ WATERMAIN *1NATER LATERAL 1981 WATER AREA 1981 14.00 2 4-28-83 SEW TRK STORM SEW LAT CURB & GUTTEFi SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. ??Z86S SAC PARK Cities Digital Qualitv Contrc The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. • CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REC61 V Eo FROM 19 AMOUNT I$ I I a DOLLARS +oo 0 CASH ? CHEGK FVND I CODE I AMOUNT I I I I ? _ Tira nk V o u BY White-Payers CopY Yellow-Posting Copy Pink-File Copy I*???+ PERMIT # ?l5 a.7r? ' MECHANICAL PERMIT " r-- r ?? CITY OF EAGAN RECEIPT # I 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE r4804. 00 PHONE: 454-8100 ? Site Address "' i ! iaC mo e lJr 1 v e BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. XXX New ? Name Hon I s tYechanical Inc Mult Add-on AA-? m Address 181 1 EaSt ha e Ve Comm. Repair ? Cit ShakoRee Ph 44 n 5-8585 Other y e o EES ? 4 c Name 1 i 77 rooth ljcha O 3 Hackm r D l RES. HVAC 0-100 M BTU .$2400 ADDIT AL M BTU Address e r e ION 50 - 6.00 ? ? Ci? ? II i•LI? Phone 2 + - (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS MINIMUM - 1 PER PERMI'T - 1 50 EA ( ) . . TYPE OF WORK COMM/IND FEE - 194, OF CONTRACT FEE Forced Air I<JU 10 U4? gTU I .C APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boi1? M BT? . MINlMUM RESIDENTIAL FEE - ALL ADD-ON S ? Unit Heater M BTU U& REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Air Cond. -Ui BTU STATE SURCHARGE PER PERMIT - .50 Vent. CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Dutlets # BEYOND $1,000) Other g FEE 1 GG e 5 ; k S/C: ?G F MI E ? TOTAL• ' S FOR: CITY OF EAGAN CITY Of EAGAN 3795 Pilot Knob Road Eogan, MN 55122 N2 4742 • ' PHONE: 454-8100 BUILDING PER MIT Receipt # To be wad fw Est. Volue Date -, 19 Site Address Ered ? Occuponty Lot Blotk SeclSub. Aiter ? Zoning Parcel # Repair ? Fire Zone Enlorge Q Type of Const. C Name o r3nc' t Move ? .# Stories W 3 qddress '"?`??'tt ? ` • ` Demolish ? Front ft. b Ci Pfione 454- 7 1 2 ? 6rode ? Depth ft. ? N ? n Y' Approvals Fees o UQ ame ?dr? Assessment Permit ~ IG Water & Sew. Surcharge Ci ph Police Plan check F FW Nome Fire SAC ?? Address Eng. Water Conn. ?uzi - Cl I OW phone Pionner Water Meter Council I hereby ncknowledge that I have reod this opplication and stcte that gldg Off. the information is correct ond agree to comply wiYh all applicable . State af Minnesota Statutes and City of Eogon Ordinonces. APC Toial - Signature of Permittee A Building Permit is iuued to: all work sFwll be done in occordance with all Building Official N., ` on the express rnndition that of Minnesotc Statutes and City of Eagan Ordinonces. lerwFt # Doh IuYod P?ewittN Plumbing Mechanical INSPECTIONS I DAIE IIVSP. Rouph-In Find Footings , 51-a Dota Insp. Dote 1rup. Foundation Plumbing Frame / ins. Mechanical Final ? I Remarks: (P Z?/ -7w ? ?6-?,-? ?' ? w E?.+a??? ?''L???`•? t?- 93 40 ??'+??P. .?e?t?s ? .d? • `Df.??/Pz' 7P EAGAN . >a Pilot Knob Road Eagon, ivlN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agree to eomply with the City of Eagan Ordinonces, By Date of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcherge: Misc. Charges: _ Total: Dote Paid: ' Insp.. -?• OF EAGAN SEWER SERVICE PERMIT '195 Pilot Knob Rood PERMIT NO.: gan, MN 55122 DATE: oning: No. of Units: ner. ddress: ite Address: lumber: -sgree to eomply wit6 fhe City of Eogan Connection Charge: inonces. Actount Deposit: Permit Fee: $urcharge: BY Misc. Chorges: Dote of Insp.: Totol: Insp.: Date Paid: WATER SERVICE PERMIT PERMIT NO.: OiATE: - No, of Units: EAGAN TOWNSHIP BUILDING PERMIT Ownex .....????.^.? Address (Presenf) ..11!..'.`.l y?..../........".?:.?'.`.`.:.`.`:-:,....?::!......C' Builder .......--......-- .................... '......_...._.._.......---......._....-`---....... Address ............................................. ............... ......................... ....... DESCRIPTION N° Eagan Township Town Hall 2865 ne:a .... .......-? -?--- ...7 ..................••. 5fories To Be Usad Fos Front Dep2h Heigh! Es2. CosS esmi! Fee Remarkf I ?,-,.?-<• x, LOCATION ' G6 • "a Siraet, Aoad or oiher escrip on of Location I Lo! Slock Addition or Txaa! 7 7 3 14???--^-?-- la 3/a-? 1'his permit does nof aulhoxise !he use of stxeets, xoads, alleya or sidewalks nor doea it give tha owner or his agenf the righ! !o create anp sifualion whick is a auisance or whieh pseseats a hesaxd !o fhe heallh, safeip, eonvenience aad ganeral melfaxe fo anpone in the rnmmunify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK I3 IN PAOGRESS. This is to eerlify, that.. .?,?t?.t .r...?.?.<r?'-_.?__......_..has permission !o erecl a..... ---•_ .- ---_• ........... ................. upoo _ the above descri6ed premise subjee! !o the psovisions of the Suilding Ordinanee !or Eagan ownship doplad April 11. 1955. "..._..._-°_'-_"""",kS,Z ..........:...."__............. - .......... Per ............. .....'..........? "'• '....._ ..'_'.._..."""...""'...........-"'_' Chaixman of Tnwn Board Suildiny Inspeefor Ie eCi cIrr oF eacaN 8794 Piloe Kneb Read Eagan, MN 55122 N2 4742 • ' PHONE:4S4-8100 BUILDING PERMIT APPLICATION $141000. Receipt # 9614 TU Garg. 6 Addn. Est. Value Dote April 12 19 78 Te ba uaed for -- Stte Addreu 773 Hackamore erecr ? occuPoncy j I.ot 6 Blxk 3 Sec/Sub. Saddlehorn Alter ? Z oning R1 Portel # Repair ? Fire Zorre 3 Enlorge ? Type of Const. V rc Name Phillip Biandt Move ? # Stories z A?fe 773 Hackamore Dr, pemol;sh [] Front 15 N. 454- 723 ? ?ag$n Grade ? Devth 26 - fr. ahor,a Ci ApPro"H Fees ? Name o Assessment Permit 45,00 ? Address ? Water & Sew. 00 Surcharge Ci PFrorie Police Plon check ?w Name Fire SAC ?? Address Eng. Woter Gonn. <w C? ph? Plonner Water MeMr CAUncil I hereby ackrrowledge that I have reod this applicotion and state that gldg. Oft. the information is correct and agree ro wmply with oll appiicable APC 52.00 Totai Stute of Minnesoto Statutes and City of Eagan Ordinances. $ignature of Permittee A Building Permit is issued w: phillip Br dt on the express condition that all xrork sholl be done in accordan ith all pppli e S te of Minnesota_Statutes ond City of Eogan Ordirwnces. Building Official CITY of EAGAN BUILDING PERMIT Owne: .....f .I. ..?: ?'?... ......u??."? :.'.'.`.-:.Q..'L..~..- ....................... Addrew (Prasani) ..... 2.2 :3 .............. . ............. Huilder Addxeas s ;, N4 3335 3795 Pilo! Knob Aoad Eagan, Minnesota 55122 454-8100 Dsls ....... ..-.:5.-. .Z`..................... 6losies To Se Ueed Fos FronS Dapih Aeigh! Eei. Cwt armi! Fae Ramulu /J1 4?%? or ro tis a This permit does not aufhorise the uce oi slreels, roads, elleys or sidewelks noz does it give !6e ownes or hL agea! the xighf !o creafe anp situafion which is a nuisanee or whieh precanfs a hasard to the heellh, safetp, eonveaieaq aad general meltare !o anpone in the eommunily. THIS PERMIT MIIST BE PT 1 THE PAEMISE WHILE THE WORR IS IN PROGAESS. This is !o eertify. !hal----?...._ .?.a?........ ....... ? .................has permission !o ereet a.... ....--•..._.... ?.•--.................. ...._npoa the above described premise subjea! !o the provisions of all applioable Osdinances for !he C?iip of?Eagan. !" ° ? ...................... Per ........................ /..:'?..---?..i??:-?_._........................ . ....................................._MaY?v?`:.--? Building Iaap?or VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, pYinnesota 55122 PERPSIT N0. : ' 136 The Village of Eagan hereby grants to Bisaon'e Well & Pump Co. of 3600 Renesbec Driveo Legatt, MN $5122 a WBU Permit for: (Owner) H. KirChner Const, at _773 Haokmore , pursuant to application dated 1/17/73 Fee Paid: Vp,pp dated this 17th day of Jauuary 1973 .SO s/c ' Building Inspector Yiechanical Permits: t3id Total (o-- 3 -/ Sadc???ho?r? VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, rlinnesota 55122 PERMIT 1Q0.: 933 The Village of Eagan hereby grants to grn, giilina T;xcavatien of 9735 So Robe,^t Traii- 'rc3H KKmS iank tank a Casanool & aeptiaermit for: (Owner) at _773 HactiEmore , pursuant to application dated 11/2j4/72 Fee Paid: G?? 00 dated this 2BiF.11 day of 9-V. .5a s/c 3uilding Inspector Ylechanical Permits: Bid Total: s'ctdc?l??rh YILLAGE OF EAGAN 379$ Pilot Knob Road Eagan, Minne'sota 55122 • , . PERAIIT N0. s 370 ? w,?+?aF??? ? ?; r. . . The 9111age of Eagam hereby granta to Coapt?t?lH?al?' iw Qee?la?I? :? of 3611 -, 4hfoi (IOI:$SOM y HEATING permi-.t for: (Owner) xarveq Airchner - Ruilding Contractor 073) Hackamore at 4251 6 4270 Stirrup S ? pursuant to application dated Fee Paid: $6ic dated this 9th day of July 6/28/73 79 73 Building Inspector iviechanical Permits; did Total; ? VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 5$122 ?ERMIT NO.: 295 The Village of Eagan hereby grants to Weazel Plumbing & Heating IAO. of 3600 KernsebeC Drive, Eagaz3 55122 a PLUNIDIN(i Permit for: (Owner) H. KirCLner at 779 Hackmn ?e , pursuant to application dated 12/11/72 Fee Paid: $pp,pp dated this j thday of D80ember ? 1 g ? .50 a/o ?'2_'_' Building Inspector - Iiechanical Permits: Bid Total: This request void Sc ddPc Ail" n11?4d.. P C UkCa 2 18 months from - Date of this Request_r ?-,? ' Fire No. S 6(+ " "r4?] " 1, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 7-73 Section Township Range County Which is occupied by T[3M1V,07" , (Name of Octupant) - ls a roughin inspection required on this job? No ? Yes d Ready Now ? Will Call ? Power Supplier ,04,C%T.4 Address ?"?iY/ 1?GTi*J /V Electrical Contractorr9WN,gR Contractor's License No. _ (COmpany Name) Mailing Address 77 3 f{??/?hp?Q? ?i? E.?iGil? 1'4//yAl• AuUtorized Phone No. ???`?ao?3 (clot[rical contractor or owner makfng Tnls Installatlon) 51M ? D?Op? This impectian request will not be accepted by the State Board unless proper inspection fee is endased. mmnesoia s[a[e noara or tiectricity Griygs Midway Bidg. - Room N191 /?C.? G? EB-00001-02 1821 Universi[y Ave.. 5t. Paul, Minn. 55104 - PFwne 297•2111 /J "0"R£QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS CLEQUEST 6 6 5 4 2 Type of Building New Add. Rep. Check Appliances Wited Foi Check Equipment Wired Fo[ Home ? ? Range ? Temporaiy Wifing ? Duplex ? ? Water Heatec ? Lighting Fixmces .gir Apt. Bldg. ? ? ? Dryex ? Elec[tic Heating Pe Commercial Bldg. ? ? ? Fumace ? SIlo Unloadef ? Industrial Bldg. ? o o Av Conditioner ? Bulk Milk Tank ? Fa[m ? ? ? List L is[ Other ? ? ? p Hehers? p Hehe?s? COMPUTE INSPECTION FEE BELOW Secvice En[tance Size: # Fee Feedecs& Subfeedecs: # Fee C¢cuits: # Fee 0 to 100 Am s. 1 1 0 m 30 Am eres 0 to 30 Am aies 00 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am exes Above 200_Amps. A6ove 100 Amps. A6ove 100 Amps. Transformers Remole Control Circ. Partu+l ur othei fee Sgns Special Inspection Minimum fee $5 Remaxks TOTAL FE 'C90 I, the Electrical Inspector, hereby certify that the abovellinspection has been M. e. (Final) This request void 18 months from 181months from 1d`?14??j/'+ " E 14195L?.A3 ??L_1L,YI" !J-/7lU2 Pe,qvest Date Rre No, naPh-,n Insuer.[fon Reqwred? NeaAY Nuw ? Will Notify InsOec.- 5-27-$8 ?ves aONo [or When Readv Licensed Elenncal Canvnctor 1 hareby request inspection o1 abova ? Owner electrical work ?nstalled at: Sveet Address, 9ox or Route No. Crty 773 Hackmore Dr. Ea an Pcuon o. Township Name or No. Range No. Coumy Dakota OccuDant IPNINTI Phone No. Timothy McNaughton 452-9335 Power Svoulier AAdress NSP South Division 5309 W. 70th Str., Edina, Mn. Eieccncal Comractor ICOmvany Namel Cnnrcacmr?s License No. Total Electric, Inc. 039842 4 Mailmp AAJress IConhactor or Owner Making Insiallatmnl 1537 92nd La. NE, M ls., Mn. 55434 Authonzed Swa[um ICo tracmr /Ow/ner Mxkine InsWllationl Phone Number 786-8484 ? THIS INSPECTION flEQUEST WILL NOT MINNESOTA SiATE BOAPU OF ELECTqICITY Grigqs-Midway eldg. - Room N-191 eE ACGEPTED BY THE STqTE BOARO 1821 Univarsttv Ava.. St. Paul. MN 55104 UNLESS PNOPEP INSPECTION FEE IS Phnnn151JIB62-0900 ENCLOSED. ?r/3?/??+' REQUEST FOH ELECTRICAL INSPECTION ea-ooooi-oQs ? See instrociions 16+ co9n01etug Lhis lorm on back ol yellow copv. E 14195 *'x* eeloW Work Covered by lhis Reques! iha4 Addj Rep. Typa of Builtline ApDluancea Wrted Enuipment Wired g Home Range Teinporary Service Duplex Water Heater Liyhtiny Fiatures Apt. BuilAmg Dryei Electric HeaLn Cortnnercial Bldg. X Fumace Silo Unloader Industnal Bldg. g AIr Conditioner re-?,,•r Bulk Milk Tank Farm iher Pec?rv D,herlSne,.:fvl 1 .? SpCC?/y OthG niheu Compute Inspection Fee Below p Fee ServweEnbance5¢e H Fee ieede,s/SUMneders H Fe? Circwts U ro 200 qmps 0 to 30 Am s 0 tn 30 t1n+ns Above 200 Am is 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Ain)s Transtormers Irngatwn Booms Partial.Other Fee Signs Special Inspecuon 5 10 50 TO L FE flemxrks . E ?i? M flouph-in Date I, th lach Iqspector, eraby ? V Finel //1 ^ t t??.5? inapactiunhasbeen f0is reauest vaitl 18 monitv trom pp? CITY OF EAGAN L C1 B? ?f MECHANICAL PERMIT RECEIPT # L o? I S SUBA ?Gee ? (612) 681-4675 DATE L ?--- RESIDENTIAL PI.FASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DWELIING3. AISO, COMPLElE FOR TOR'NHOMFS/CONDOS R'HEN SEPARATE PERMiTS ARE REQUIRED FOR FACH DR'ELLING UNTT. oWNER.Tm iS7E ? G ?'U ADD-ON FURNACE ? ADD-ON A/C 11 STl'E ADDRFSS: a? ADD ON/REMODEL (FJIISTING CONSTRUCi'ION ONM $ 15.00 INSTALLER: SVAC: 0-100 M B1'U 24.00 PHONE #: ADDTfIONAL 50 M BTU 6.00 ADDRFSS: `J GAS OUTI.E1'S - MIIiIMUM 1@ $3 EA. CITY: SURCHARGE $ .50 SIGNATURE TOTAL: / COMMERCIAL / P/' ? / y ? PI,EASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MUI.TI•FAMILY BUILDINGS R'HEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH DWELLING UNTI'. WORK DESCRIPTION: CONTRACP PRICE 196 OF CONTItACf FEE. FEFS / STATE SURCHARGE IS $.50 FOR EACA $1,000 OF PERMTT FEE. $ PROCFSSED PIPING - $25.00 MINIMUM FEE - $25.00 $ ORNER: TOTAL: $ SI1'E ADDRESS: 1'ENANf: SUITE #: • _... . , . ; INSTALLER: ADDRESS: CTI'Y: ZIP: PHONE #: CTPY SIGNATURE SIGNATURE: -qq ? ? . ? nr+TE 14?214?IZ BUILDZT4G PF.RMIT APPLICATION Include 2 sets of planSef 1 site plan w/elevations and 1 set of energy calculations. ,o?K 0 Jt To be used for?9p? Valuation / '?- site Hdctress: Lot ?j B].ock 3 Sec, Sub, ? arcel Nwnber Ou%,ner Address ??7?An? ?11/ S s i z 3 rontzactor Address Arch./Fng. Address Erect Alter P.epair LYilarge ? Nbve Demolish Grade _ OFFSCE USE i)ate o£ Approval & Initial Assessment VFater/Sewer Police Fire Eng. Planner _ Council Bldg. Off. A.P.C. Telephone Telephone Telephone OFFICE USE Occupancy 2onin9 C - I Fire Zone Type of Const. # of Stories Front Depth FEss J B Pexmit Surcharge 7 ? Plan Check S11C / P?ater Conn. SJater Meter TOTAI, i i I ? ? ?? ? . ?? ? • ? ? ? ? ? ? ? ? ? ' ? ? I . _ •_ ?.."'_ "_ ,i_- __ -._ ' h i" ' _ _- ' V2 00 -FC „ - _----c-'- , ? _ . ? - ?, - - -?? Gare u?e ? ?. , ? . , . ? -. ? . ? - ? ? . ? , L Q-?/? ? CITY USE ONLY RECEIPT #: 9020? / SUBD ? RECEIPT DATE: S°?? f? 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGALI 3830 PILOT IINOB RD SAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? tpwnhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem ---------------- -------- FIXTURES --- - - -- EACH ------------- -------- -------- # - ------------- TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = G8S Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = WatEf Softener ' for dweliings under construction 5.00 x = Water Softener ' for axistin9 dwelling 20.00 X = U.G. Spfinkl0i ' for dwelling undar ccnst. 3.00 = Bf " for existing dwelling 20.00 ? AIY0r8tiDn5 * to existing residence i? 20.00 = urn Around 20.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished systems) OIA Private Disposal Systems * Abandonment ? 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL Z? ? ----°------------------------?--------- ----- ---------------------------------------------------------------------- I hereby acknowledge that 1 have read this appl?cation, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabdiry for any damages caused by the Ciry during i[s normal operational and maintenance activities to the facilities constructed under this permd within City property/right-of-wayleasement. SITE ADDRESS OWNER NAME: / iNSTALLER NAME: ONS TELEPHONE #: LrJr? '/3,?? STREET ADDRESS: CITY: (?Af?l?1r7 STAT . ZIP: ? CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 JATU?F PERMITTEE --? ?-? c?u_? -3------ ? ---- -- - ?--3 ? 3-.? - ?14F,'1o,Pn? A-01017W,v -713 qAc.KA?bQiC ---- y,r-- - - s--? - 3? - ; a? ? ? ---- - fa ? -- --- ---Mfofc*9 ov/Tl 6 r(o w/tE P¢?475? ,' _ _-- - -- -- - - - - ----- - - - - ? - -- ?? ?fvm - - - - - - SIkB -- -- --- --- ------ - .-____--_"---__--_-------__.-----_ -__- --1_- --__-___ --- __----_ i 1 \\ - \ - - ' ----- -- \ ? MASTER CARD OWNER STRUCTURE AND LAND USED AS Permii No. Issued Issued To Coniracior Owner BUILDING PLUMBING 33'V5 ?4 I I °Y1? yy? P CESSPOOL - $EPTIC TANK WELL ELECTRICAL HEATI NG GAS INSTALLING SANITARY SEWER I 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 DRAWFlELD ? PLUMBING i WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION Ai THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILI COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION Of CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I heve reported heraln all significant conditions ohserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, end any specific require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED 6111LDING INSPEGTOR OATE s. a?-6, ??- ? ? ? 1 ? ia6 ' L \ ? "V\ J 0 a # ? -- ---- I 3 ? i \. ? v .9A , J il-? ??..?..- ? MASTER CAKD LOCATION OWNER ? s- STRUCTURE AND .l LAND USED AS X ?C o 0MJ Issued To Permit No. Issued Coniractor Owner BUILDING /?/?.',} «0 ? ? / 1 -f- ` PIUMBING a91? I ? CESSPOOL - SEPTIC TANK ( WELL .r ELECTRICAL HEATING J791 GAS WSTALLING SANITARY SEWER I OTHER I OTHER I Items Approved (Initial) Date Remarks ..... . Distance from Well FOOTING SEPTIC ? FOUNDATION ? CESSPOOL 7S? FRAMING TILE FIELD FT. FINAL ELECTRICAL 0 ' HEATING P OFWELL GAS INSTALLATION SEPTIC TANK ? 0o G,?, CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - , Violations Noted on Back COMMENTS: ? G.?i COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPEC710N REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest preunt or prospective, and that I hava reported herein all significant conditions otserved to be at variance with ordinances of the Town of Eagan, approved, plans and specifications, and any specific require- ments for off-site improvements relating to the property inspectad. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: vo!& .. itv oF 3795 PILOT KNOB ROAD, P.O BOX 21199 eEn sLonnauisr EAGAN, MINNESOTA 55127 . ^^? PHONE: (672) 454-8100 TFIOMAS EGAN JAMES A. SMITH Febntaty 4 1983 JERRV THORqAS , TNEODORE WACH7ER CwncA MembBrs THOMAS HEDGES CM Adrrvrvslmlor Mr. & Mrs. Phillip Brandt VAN EU6ENEC y Clerk ER6EKE 773 Haclarore Drive Eagan, MN 55123 Re: Building Pexmit Review on Five Acre Parcel #10 02500 02 _7 ----- - ? _27 J Dear r1r. & Mrs. Brandt: In order to answer your questions on what v.ould be necessaxy to build on the subject parcel, my investiqation shcws that it wi11 be necessary to connect to the sewer and water as the service is available to the lot. According to past policy there will be a charqe for Lateral Henefits of $33.35 per front foot, with 100 front feet being assessed. This assessment can be placed on the tax roles or pai.d in full at the time you pick up your perniit. You are also respon- sible for installing the services fran the neinG to your dc,elling and the cost of bringing the street back to an "as was" state. All work will have to be done by a contractor or contractors lioensed and bonded in the City of Eagan. If you wish to do your awn building, you must provide a bond of $5,000.00 arxl a Cert.ificate of Insurance of $100,000.00/$200,000.00. This is the same insur- ance and bond a contractor would have to carry. Haneovmers are exerrpt fran the provisions if the value of caork done is less than $5,000.00. The following fees will be assessed at the time you receive your Buildi.ng Permit: Sewer Availability Charge - $525.00 Water Availability Charge - $450.00 Road Availability Charqe - $250.00 Water Meter - $60.00 Building PeYmit - $200.00 - $400.00 Plan Review - $100.00 - $200.00 State oE Mt3 Sur-Charge - $30.00 - $40.00 Hopefully, this will save you any surprises when you start your consti-uction. Sincerely, az ?01.- Dale S. Peterson Chief Building Official CC: Tan Colbert, Director Ann Goers, Assessment rPa`rcel F31e7 of Public ?,brks Clerk DSP/baY THE LONE OAK TF2EE. .. THE SYMBOL AND GROWIH W OUR COMMUNIN -«-- .. . . : .. .. . . ... . .. .. .... .. .:*?.. CITY OF EAGAN SUBTECP: ['AIVER OF PLAT APPLI(:'?: PHILLIP T. BRA?,IIyl' LOCATION: N'_ OF m[M rn,Af pg SECTION 25, T27, g,23 L"ISTING ZONID7G: R-1 (?2E5IDM?ryAL SINr-12 DISTRICl+) DATE OF PUBLIC 'MM-TNG: JIULY 27, 1982 DATE OF REppgT; JMy 16, 1982 P .EPOP'?? BY: ELIZABEPfi NTI.T.P, PIX7N1'JG ASSISMqT APPISGt1TI0N SUU?!IT'IED An application has been suixnitted to add 1/3 acres frcxn a 5 acre R-1 zoned parcel tn Iot 6, Block 3, Sacldle Horn Addi.tion, i Lot 6, Block 3 oontains appmxima}ely 181000 sqaare peet. T-1-e adclitional piece co°tains alMst 17,000 sc?uare feet which would qive a tntal lot size s?uare feet. of 35,000 ?rn feet or .8 acres. Standarcl lot size in Block 3 is approdlnately 14,500 The aPPlicant selected the 135 foot add;tion a, t,aLt is the line where the road "'ill 03M in. He plans to keen the addition forevenrore as Part of his a•m lot. 2he abstractor's certifica.te of namS and addreSseS of property owners withir? 350 £eet has been submitted. The aicetch of Eloclc 3 hariea,r?rs is in agreerient with the abstractor's list. If appmveg, the Wazver of plat should be subject tp the folla•rinq cond1tionS: 1. The City will retain all easi.sting clrainage and utility easements. z• Rightrof-taay dedication shall be provided, 3. The newly enlarged lot shall meet all Cityo urdinanct renuirn?nts. 4. Arnr necessary easer?nts shall he pmvided. b`.'1/bar . czT'i oi Encnrr. , . . The follorring signatures, of homeormers bordering the property nictured beloei, indicate they would not object to it heing sold as a 42/3 acre parcel for one single family home (erith the pos- sibly of a horse, orovided it is adequately fenced.). . ?? 7y-ivRSTOrv \\\ \\ \ • ....\ \ .. ? ?? \ PIETCI-I 1HS50 t?ANt \? `\\\ • \` . . '.. : .?` \?Ap' (t• DARTEL 9 . HAUSCHILDT ??\ sIeoscriLAC ? \?? N ? scHwnNZ i ? lp /1? 3oJG gRANDT A?RE. . •" NACKAI?)Oi2E p2ivE. 2. ?. s 6. , ?" NaiP?-N ? a , h 11) , , . 3,• /?PPRaI : y 3 ??z?s W ;\,\ 0 ?'? ???QO?Y ?,.?; • ? . , ?i ; I = BR.4Mor ? ? /.2 S • I ' scilwgdz .S)" 4H14 [? BA?PtE? l.or ? ?_?:r ( • ??, ? /rio. oes ps*, so /c90, c p?gr?y 1 e,r .! cvv, ow THuAM1iI/ ?vo. dv . I r , ??, 00218 Council Minutes August 17, 1982 VILLA - ?F.hIPURARY SIGN PERMIT M application of Portfolio Properties, Inc. for temporary sign permit for Countryside Villa Townhouse Project on Gold Trail was next considered. The application cras for a sign on the McDonald property on Silver Bell Road, according to information received by the City. Egan moved, Wachter seconded the motion to approve the application contingent upon there being no other sign for Countryside Villa off the Countryside Villa property and further contingent upon acquiring consent of the owner of the property tahere the sign will be located; Purther contingent upon there being no wording on the sign regarding rentals if the homeowners association prohibits rentals. All voted yes. JSFF lIICHAELIS - YAIVER OF PLAT The application of JePf Michaelis for waiver of plat to add additional land to two single family lots consisting oP approximately 1.2 acres in Letendre 2nd Addition was submitted. Mr. Michaelis was present and the Ad- . visory Planning Commission recommended approval subject to conditions. There were no objections. Smith moved, Wachter seconded the motion to approve the application subject to the understanding that there would be no further buildings placed on the lot and subject to the following conditions: 1. Al1 necessary utility easements shall be provided. 2. The City shall retain all existictg easements. 3• The newly enlarged lots shall meet all City ordinanee requirements. All voted in Pavor. R 82-39 PAILLIP T. BRAHDT - HAI9ER pp pi,gi - SADIILEHOREI_ 6DDITION . The application of Phillip Brandt for waSver of plat and variance to add additional land to<L?t,_6,,Hlock 3,_Saddlehorn Addition xas then considered by the Council. Mr. Srandt was present and the Advisory Planning Commission recommended approval subject to certain conditions. It was noted that the portion to be split included a portion of a 5 acre parcel srhich would reduce it to approximately 4 2/3 acres and increase Lot 6, Block 3, to approximately 8/10 of an acre, or 35,000 square feet. There were no objections to the application and Couneilmembers stated, however, that there could be future problems regarding the sale and use of the 4 2/3 acre residue parcel because of the acreage restrictions in the City. Mr. Brandt stated that he understood those Sssues. Wachter moved, Egan seconded the motion to approve the applica- tion, subject to the following conditions: 5 00219 Council Minutes August 17, 1982 1. The City will retain all existing drainage and utility easements. 2. Right-of-xay easement dedication shall be provided as degignated by the City. 3• The neWly enlarged lot shall meet all City ordinance requirements. 4. Necessary easemeats determined by the City shall be provided. All voted yea. R 82-40 KATHY R. FEN9AUS - CONDITIONAL II3S PERTffT - BEAIITY PARLOR The application of Rathy Fenhaus for cosmetology business in Townhouse located at 1640 Cityviex Drive xas then brought before the Council. Ms. Fenhaus was present and there were no objections to her application. The Planning Commission recommended approval, sub,ject to conditions that were laid out in its Minutes. Smith moved, Egan seconded the motion to approve the application, subject to the Pollowing conditions: 1. Hours of operation uill 6e From 8:00 a.m. to 8:30 p.m. only. 2. The only employee shall be an occupant of the household. 3• Customer parking must be on site and limited to two (2) customer automobiles. 4. There shall be no commercial signs advertising the business. 5. There shall be no over the counter sales oP merchandise. 6. All other applicable ordinanees must be followed. All voted in favor. DIICtC{fQOD TRAILS PLANNF.D DEVELOPlENT AMENDIiEt7T The application of the owner and the developer of Duekuood Trails Planned Development for amendment of Sts Planned Development from R-3 to R-4 was then considered. A letter, however, Prom Gerald Singer, the attorney for the Duckwood Trails development owners, was reviewed which requested that the Petition be xithdrawn and no further consideration be taken by the Council at the present time. No action was taken. 6 NOV-20-2007(TUE) 17:03 Dakota County PDD (FRX)9528917000 P 002/002 .• G o u N•r r ?'?P µm WAT$R RESOURCES OFFICE GROUNDWATER PROTECTION SECTiON 14955 Galaxfe Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: November 20, 2007 TO: Tom ColbecUWayne Schwana, (EN) RE: Wcll Pcrmit #: 07-1I265805 Municipulity: Eagw Fna #: (651) 675-5694 Well Typc: Aomesbc Water ltesourccs Spcciatist: Oisen 'Kaa. The Dakota Counly Water Resources Office Iuu received the fol]owing permit apglication for the wtll descrihed if you require fiuther review of the application or if you have any.questions or conctrns about it, contact the Water Resource Speciaiisl lssted above or our office at (952) 891-7557. If ihere is no response from yow oflice within 24 HOU125 (excluding weekends flnd holidays), we will assume that you have no objtctions to the issutince of th2 permit. Pleasc notc that pcimit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable State, county, and mtmicipal laws nnd codes. Well Contractor: Dutc Application Received: Anticipatcd Dritling Datc: Antic+pated Grouting Date: Property Owner: Wcll Owner: WELL LOCATTQN• SAROTT DRILLfNG SIItVICES, INC. 11/20/2007 Timc: Time: Mark Tonia Ivlark Tania PLS Coordinstes: 1/4, SW 114, NE 1/4, NW 114, Sec 25 Town 027 Range 23 Strcct Address: 773 Flaeicmore DR PIN Numbcr: 106580006003 WELL INFORMATTON• ' Diameter. Casing Dcptle: Totai Depth: Stutic Watcr Lcvcl: Aquiter: COs?'[MENTS: City of EAGAN I I ? LepeM I i HigNi~ Fea? --YDRk?°?°'?'?T? ? ? MunlciWl9ountlary GoMOPdnu ? SMeK ? m i 5bBlt NlT?6 ? ? lakes i ? ParMa a ? ? Paael? r m a i i --V139Q?M --- ? ! i I i I i 1 r - I nae?inis-e I x ? i ? I ? ? I r Ay C ., I I -CAtVP!'CT- c4?5 Cm.- C.:W64LAE - '!:) ' . ? PID:106580006003 , ` 773 HACKMORE DR ? EAGAN, MN 551230000 ; .,.,, . . _