4431 Lakeshore Ter ? ?
Receipt -?
-PLUMBING PERMIT Permit No. -
CITY OF EAGAN
Fse
Fill in numbered spaces S/C
Type or Print legibly Tot '
1, Date 2. Installation Cost
3. Job Ad dresr-?---±----? Lot Bik. Tract
4. Owner
5. Contra ctor - Phone
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New C]
10. Describe
1 11•
State Zip _
Commercial ? Institutional ?
Add 11 Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower ' Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
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 : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ? , ;, I
iA k tk i?
,l ?. I 1 ittd ."PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number: "•'' 1 ' t
Date Issued:
.... ,, ? ? - ;...
? ? ? t? ?. ?; . r, , APPLICANT:
f h I .' 1 Aa / ,i • m 4
TYPE OF WORK:
Muut
t) f .;t:irtt•rrErk4 ( tsn+;N )
PermR No. Pe?mR Holder Dpq Teiephone N
ELECTRIC
PLUMBING
NVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIFi 7EST
FINAL PLBG
FINAI HTG
QRSAT
TES7
BLDG FINAL
BSMT R.I.
BSM7 FINAL
DECK FTG
DECK FINAL
I CITY OF EAGAN PERMIT TYPE: I ! 0) N r;
3830 Pilot Knob Road Permit Number: t,+o F, r,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I +i [- ? r; r ,,,.. r.
..,.,., ? i y f t I..AkF I?i? ????: . ,-?r??r I??,rii ?. i:?;
? ?? l t ?1td :'?? i r. f. i il•Jr? +?:t1:
PERMIT SUB7YPE:
+-? i , 4. k : ; . r! ; r .
TYPE OF WORK:
w Mcri I ';1t
(iitli Itllilil?fl{i'?)
Permft No. Pertnit Holder Dete Telephone Y
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FtREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks /'" `f
Addition ?_•%`?-
Section 29 Lot Blk Parcel ; 10 02900 OlU 52
?
owner C- Street State EAGAN AL'V 55122
Improvement I Date I Amount ' I Annual I Years I Payment I Receipt I Date
GRADING
SAN SEW TRUNK - -
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
I PARK
4? 36 a /o ?5 a
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ..... --------'------
Address (P=eseni) ...._
`J
Builder
Address
DESCRIPTION
N° 1441
Eagan Township
Town Hall
Date .... 0..-.y__-(ob
.........------?-?
5tories To Be Used Fos Fronf Depth Heigh! Es1. Cosf 'Permii Fee Remarks
9 ell ?t.3 -"a IC/ ?S/e 1/LG /3-
Sireei. Road or oiher Descripiion of Location ? Lo! I Bloek ? Addifion or Traei
This pexmii does not auShorise the use of sireeis, roads, alleps or sidewalks nos does ii give the ownez or his agenf
the righifo ereaie anp situafion which is a nuisance or which presenls a hazard !o the healih, safeip, convenience and
genexal welfare !o anyone in the communiSy.
THIS PEAMIT MUST BEKEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. -
This is !o ceriify. lhaf..AI1`.A_:1.A.`:- .......... .. ........haspermission !o esecS a.- ---- ?........._.._upon
the above dese:ibed premise subjec! !o the provs of the Building Ordinance for £agan Townahip adopfed Apsil 11,
1955
......_......- ...-?- .._-?:-'......?°"'?'!??...... pe: ..... ?_-?.. ?ac.?.9......_`? .......................
Chairman of Tnwn Board Suildin Ins ecfor
Ci -e,
'
?? ?° ? i??F/
, ???? ?, . ?9t.? ? ? _?, c?a?-,,.A ?, ??'c 6
1?`-y-
????.
? ?
_??- - ? ,dc,,.'e"'_ /? ? a ?. `?-
??,' ,e? C`.-'?' S?i???6
??-l ? ?' ?`""?.?? °? _
REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-ops-
? See insiructions for comDle4n0 ihls /arm on beck ot vollow copy. 417 '39
C -qn3qn ' 1!" Be/ow Work Covered by This Request ,
lYwAAdd ReD. Tvoe ol Builtlino Aoolioncea Wired EquiVment Wirad
Water
I I I I Industrial 6IAa. 1 I Av Contlrtioner 1 I tlulk Milk Tenk I
p Fee ServiceEnVenceSize k Pee Feeders/SubieeAers p Fea Circwts'
. DD 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Amps
Swimmin Pool Above 100-Am s Above 100_Am "
Transformers rn ation Booms .,p Partial.'Other Fee
L j I Signs ? I iSpeaal Inspection?s TOTAX '?rq?--
emarks - ?a " ?
/ 17 O?
final
i, ine Ersc.v.k.rr
Inapector, he,eCy
eerti/y that the above
yispacfion has bean
tlNa repueel wiE 16 monthn irom
Th15 fCqll88l VOId
?s ?9r0 r,3 2 0
flequest Date Fire No. Rough-?n Insoect.on
4-16-87 Reqwretl7 .Peady Nuw ?wiii Nolirv insuec-
?Yes [n N. tor When Reatly
Licensed Electncal Conuactor
? Owner I hereby request inspection ot ebove
eleetricel work instellatl at:
Sireet AddresS. Boz or Route No. C rty
4475 Blackhawk Road Ea an
ecbon o. Township ame or No. Hanee No. Caunly
Dakota
OccupantlPRINT) Phone No.
Fred Boesel 454-1243
Power Suppher Atltlress
Elec«ical Contractor ICompany Name) Contractor's License No.
Corrigan Electric Company 039549 8
Mai1mB Address (COntractor or Owner Makine Instailavonl
P.Q. Box 475, Rosemount, MN 55068
Auf z tl Si9naWre IC Mreclo Owner Making InstallaLoN Phone Number
1
, 423-1131
MINNESOTA STpTE BOA71D OF ELECTRICITY a ? THIS INSPECTION NEQUEST WILL NOT
Gripps-MitlweY BIdO• - Room N-791 gE ACCEPTEO BY THE STqTE BOARD
7821 Univaralty Ave.. Sf. Peul, MN 55706 UNLESS PROPEfl INSPECTION fEE IS
P6enn(81216620800 ENCLOSED.
4b'IcitV oF ectgctn
iHOMAS EGAN
Moyor
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Councll Mempers
THOMAS HEDGES
Clry Atlminisfrator
OLDADDRESS: IP?a4 CGiFF LR.?? Rq,
ERAA,l , /YInJ
NE1N ADDRESS: WW L.4ec`S./fo4C T'?i r'AC e-
1!5-4 4-A 44 1,
LOT BLOCK ,,95?' " , - - •
PLAT NAME 48c•Q+i0fi! aq
I
E. J. VAN OVERBEKE
City Cletk
REASON FOR GHANCE: iv
. ?
.(SIGNATURE) .
?-? •/- 9.s-
(DATE)
MuNMuu eMM
3030 PIIOi IOiO! ROAp
EAAQAN.MINNEQOiA 66122-I9"
PHONII 12) 6014E0D
FA70(61 491-1614
i0a (612) I644U6
THE LONE OAKTREE
TFIE SYMBOL OF STREN6iH ANO GRONRH IN OUR COMMUNITY
S4ual aPPodw*/AIINrtia" Aatlorl Empbya
wuuNrM?+cIrAcartr
3801 COACHMJW POMf .
. iA6AN, MINNilOiA 66122
PNON& 1?6o1?NOD .
- PA7C (61?6l14/!0 "
., ." iDO:(012) 464I1616
4
.I
07d
3830 PILOT KNOB ROAD P O BOX 27199
EAGAN. MINNESOTA 55121
PFIONE. (612) 454-8100
REQIIEST FOR CHANGE OF ADDRESS
NOTE: NOTIFY DAKOTA COONTY UTILITY SERVICES OF 6DDRESS CHANGE
NAME: FiZL:,c? 6t=e5e-L-
ADDRESS: 44-7,E5 '?j?/aGKNA?,Jk' '17_
PHONE 4: 'IF 5L} - I 2 4-5
V1C ELL50N
M?
DIDANS EGAN
dAVD K GUSfAF50N
PMIFN McG'REA
1lEODORF WACHIER
C? A1smOSu
11K1A445 MiEDGE$
cer.e.ywna«
H1GEr& VAN 04ERBEKE
CM C?
A?DRESS CHANGE REQIIESTED FOR: 4-4-75 ?LAL(??Pd.ll? P p.
ADDRES
REASON FOR CHANGE: WiTi-1 7-11E C.CJIFF IAKE GiC- I--llS
9R-We(,lA'f 110L-1 Got-nCS UFF oF LuFr C-AIfl- ?D.
Apr-i L- 2c, 198g 64140--,
(DATE) (SIGNATURE)
OFFICE IISE ODTLY
NEW 9DDRESS ?L LLIFF LAKE IZD.
LOT ` BLOCK !
NAME OF PLAT 10 CZ900 010 S Z
THE LONE OAK TREE ..THE SVMBOL OF STRENGTM AND GRONRN IN OlIR COMMUNIIY
Lot I Block 'J a Pm #
r . -
Flat S-C C-" C) V-\
Sewer /water permit # W 0.? V 2(-A:L S?
Date
CITY OF EAGAN
1998 SEWER AND WATER CONNECTION 8 AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
8
Late nefit (a?, 21.30/ff LaYe efit ?$21.50/ff
Tnuilc @ 0%onnection Trunk @ 95/connection
SAC 1,100.00 Supply & sto e(WAC)
e paid Date paid
t #
L Receipt #
Account deposit
E 15.00 Treatrnent plant
Seermit urcharge 50.50 Water meter
Account deposit
Subtotal $ Water permit & s charge
Plu ing permit & surcharge 20.50 Subtotal
otal $ Plum ' g permit & surcharge
otsl
Sewer and Water Connection 8 Availability Charges
L,ateral Benefit @ $21.30 and/or $21. 50/ff $ $ ? oi
Trunk @ $860 and/or $895/connection
SAC 1,100.00
Date paid Receipt #
Supply & storage (WAC) 807.00
Date paid Receipt #
Treatrnem plant 444.00
Water meter 111.00
Account deposit 30.00
Sewer and water permit & surcharge 100.50
$ 9 a
?
Subtotal •
Plumbing pecmit & surcharge 20.50
O ?
Total $ 2.6?° l 3
/ 807.00
444.00
111.00
15.00
50.50
$
\0.50
$
OFFICE USE ONLY
Property owner Y-?" \r\ 0. ? 0`L S f ?
Address ?q -3 1LCkC'e !:? Y 1 C? f 'L 0. C`t,_
p ? ? gsFs 1
,MA?, -T--?-Vyk a ? ? n < < I ? .
Phone number C C3-CL,
Plumber
'j 5q -& L-- ?(S
Receipt k
PRV required 4o
R/U !ti'
Number of taps a
Availability $
City financed N/?w
,o/si5?
r
:?a
WAIVER OF HEARING NO. 584
SPECIAL ASSESSMENT AUTHORTZATION FOR CONNECTION CHARGES
UWe hereby request and authorize the City of Eagan, MN (Dakota County) to assess the
following described property owned by me/us:
10-02900-010-52 (jegal Description Attached)
for the following connection and availability charge(s):
ITEN OUANTITY RATE AMOUNT
Permit Charges 1 $2,613.00 $2,613.00
TOTAL: $$2,613.00
to be spread for a term of 5 yeazs at an annual interest rate oF 6.5% against any remaining unpaid
balances.
You may pay any portion of these special assessments within thirty (30) days of signing the
Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day
period, interest will be chazged from the signing date to December 31" of the current year.
The undersigned, for themselves, their heirs, executors, administrators, successors and assigns,
hereby consent to the assessments of these connection charges, and fiu-ther, hereby waive notice
of any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal from
these assessments made pursuant to this agreement.
Dated: /0- i4^ <T,4
Aft? CHAFILEEN M. BMJER
NOTARY PUBLIC • YINNESOTA
NENNEPIMCWNIY
91Ay CommloofOn Exptro! 0141-00
C? lli?
Fee Owner - Anna Boesel
Okdh&L,vJ l ! I . 4-k/cfJ-
Notary
?a;,??x?AgAAAS33AgA?????ag??A PROPERTY DATA SYSTEM SAAgaggA4AAAAA3SS46aggAgAAAAG
LEGAL DESCRIPTIONS INQUIRY °CURR 304 °
° PROPERTY ID °NEXT °
° 10-02900-010-52 aaaaaaaaaa?
° SECTION 29 °
° SEQN D E S C R I P T I 0 N °
° 1 PT OF E 1/2 OF SW 1/4 COM °
° 2 SE COR N 1346.2 FT L 88D °
° 3 15M 765.35 Ff TO PT OF BEG °
° 4 L 57D 03M 30S 213.8 FT R °
° 5 90D 210 Ff R 90D 300 FT R °
° 6 90D 210 FT R 90D 86.2 Ff TO °
° 7 BEG °
° S 001440 29 2723 °
e y ,
? 10 ?
? 11 ,
? 12 ,
? 13 ?
? 14 >
aaaaaaaaga?aaaaaaa?aaaaaaaaaaa?aaaaaaaaaaaaag?aaaaaaaaaaaaaaaaaaa aaagaaaaaaaaaai
Press F1, F2, F5, F8
WAIVER OF HEARING NO. 584
SPECIAL ASSESSMENT AUTHORIZATION FOR CONNECTION CHARGES
UWe hereby request and authorize the City of Eagan, MN (Dakota County) to assess the
following described property owned by me/us:
10-02900-010-52 (I egai Descrintion Attachgd)
for the following connection and availability charge(s):
ITEL11 OUANTITY RATE AMOUNT
Permit Charges 1 $2,613.00 $2,613.00
TOTAL: $$2,613.00
to be spread for a term of 5 years at an annual interest rate of 6.5% against any remaining unpaid
balances.
You may pay any portion of these special assessments within thirty (30) days of signing the
Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day
period, interest will be chazged from the signing date to December 31 " of the current year.
The undersigned, for themselves, their heirs, executors, administrators, successors and assigns,
hereby consent to the assessments of these connection chazges, and further, hereby waive notice
of any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal from
these assessments made pursuant to this agreement.
Dated:
Fee Owner - Anna Boesel
Notary
L? pBL CITYUSEONLY RECEIPT#:W C,?\?`i +
SUBD. RECEIPT DATE: I C? ? I?- cl?
1998 PLL7I+BING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT IINOH RD
EAGAN, tMI 55122
(612) 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
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 =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellings under construc[ion 5.00 x =
water Sa!ten?r ' fv arieting dwelling 20.00 x =
U.G.Sprinkler "fordwellingunderwnst. 3.00 =
U.G. Sprinkler * for existing dweliing 20.00 =
Alterations ' to existing residence 20.00 = ?7
Vclater Turn Around 20.00 = o?U '-
Private Disposal System ' MPC iic. 75.00 =
(new and returbished systems)
Private Disposal Systems * Abandonmenl 20.00 =
STATE SURCHARGE 50
S e9
ao
TOTAL
I hereby aEpircwle-d-ge that! `ave read ihis application, state that .?e ir?fcimaiian la ccrect, and agree to ramply w@h aIl spplicabte City of Esgen ordinences.
It is the applieanPs responsibility to notify the property owner that the Ciry of Eagan essumes no liability for any dameges ceused by the City during its
normal operational and maintenance actlvities to the facilities construded under this pertnit within City property/right-o6way/easement.
SITE ADDRESS:
4431 Lakeshore Terrace
OWNER NAME: Ann
INSTALLER NAME: Dakota Plumbing & Heating TELEPHONE #' 454-6645
STREET ADDRESS: 3650 Kennebec Drive
CITY: Ea an STATE: MN ZIP:
SIGNATURE OF PERMITTEE
55122
JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
Lot Blk PID # 10-02900-010-52 Sewerhhrater permd #
Plat Date Receipt
CITY OF EAGAN
1995 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer connection
Sewer a ilability
Date prev sly
Receipt #
Account deposit
Sewer permit and
Subtotal
Tap
charge (SAC)
paid
Water connection
00 Water'ayailabiliry charge (WAC)
Date pre?ously paid
15.QQ Account deposif
50.50 Water permit &
Water meter
$ 1,015.5U Treatment plant
Subtotal
Tap
Sewer 8 water connection charges
Sewer availability charge (SAC)
Date previously paid Receipt #.
Water availa6ility charge (WAC)
Date previously paid Receipt #.
Account deposit
Sewer & water permit and surcharge
Water meter
Treatment plant
Subtotal
Tap(s)
Total
$ 950.00
750.00
30.00
100.50
115.00
372.00
$2,317.50
$2,317.50
15.00
50.50
115.00
372.00
$1,302.50
A plumbing permit is a/so required. !t will be issued only to a plumber licensed with the City or to the
homeowner if he is actually doing the work.
OFFICE USE ONLY
Property owner eNNa soESEL
Address 1860 CLIFF LAKE RD
PhOI1B I10. (CALL DAUGHTER, rxrin sJOxLiN) 737-8381 (w)
Plumber
PRV
No. of taps N a
Assessments 1110ne- o"
Waiver N? ?
10 P /5J
PERMIT
CrTY OF EAGAN CR W09
3830 Pilot Knob Road PERMIT TYPE: g u zLo z N r
Eagan, Minnesota 55122-1897 Permit Number: 026056
(612) 681-4675 Date Issued: 07t19/95
SITE ADDRESS:
1560 CLTFF LAKE RD
LOT: 1 BLOCK: 52
SECTIpN 29
P.I.N.: 10-02900-010-52
DESCRIPTION:
(OUT-6UTLqINGS)
B#'ildlrt-gSrP,ermit Type MI5CELLANEOUS
B.ktilding; -4&rk Type OEMOLISH
4;
. - - . . .,. ??.,
.se
-Pi,my'.
? Lqa.f z
"P ? iro qr4`°
s ' Rt?2r?`?"&
V. S-? r
3 "?flQ a f.p¢uk# ??? ?
I A:S?
REMARKS:
FEE SUMMARY:
Base Fee $24.50
5urcharge $,50
Total Fee $25.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HOFFMAN HOMES INC 18949807 0009284 CLIFF ROAD PROPERTIES
2214 E 1177M ST 2214 E 1177H 5T
BURNSVILI.E MN 55337 BURN5VILLE MN 55337
(512) 894-9807 (612)894-9807
Z hereby acknowledge.t.h'at F hav;sread this'a:pPIicaCion° anci°statg thdt the,
' ?n?ttrmatiaii; `is carreEt ar?d,?g.r?e?; ta crampl?+`.?wi'fFi, al,l appli;cabl-e St?a? -t±'? Mrt, `-
?. , Statutes'-arid City, a'FEagen b,rdi-nances.° _ . ._w. . . r?.?
APPLICANT/PERMITEE SIGNATURE
_pw kv?lnj?- -
ISSl1ED 8 I AT flE
INSYECrI'lUN 1ZECUKD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P.=.N.` 1e-0290e-010-52 APPLICANT:
LQT: 1 BLOCK: 52
1860 CLIFF LAKE RD HOFFMAN MOMES INC
SECTION 29 (612) 894-9507
suxLpxraG
026@56
07/19/95
? -
PERMIT SUBTYPE: TYPE OF WORK:
MSSCELLANEOUS DEMOLISH
DESCRIPTIpN {OUT-BUILD'iNGS}
t
CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Mew Gonstvudion Reauirements
? 3 registerod aRe aurveys ? 2 copias W plan
? 2 copias of plans (inGude beam & window s¢es; pouretl fnd. design; etc.) ? 2 site surveys (exterior additiona & decks)
? 1 energy telwlationd ? 7 energy calwletions Por heated eCditions
? 3 copies of bea pmservation pian iT lot planed after 711/93
vequi[eA: Yes _ No
DATE: ? jI } IqS CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
J? I il i"10' if
LaT ? BLOCK .?? SUBD./P.I.D. #: 1o - 111BO - OSo - o O41W 20
PROPERTY Name: C"'FF Ror„p ?znp?-ci? PhOn@ #:
OWNER ""'
CONTRACTOR
ARCHITECTI
ENGINEER
Street Address 22(y Z- ki -Alw
City: LN-t. State: v,? Zip: 9533I
Company: +4r>f FwkAr' Ebv?s. =s.a? Phone #:
Street Address: zzky C
State:
City: State: TA),' Zip.5s33?}
Company:
Name:
License #- q Z??
Phone #•
Registration #•
Street Address-
City:
Sewer 8 water iioensed plumber:
change are requested once permit is issued.
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that ther?rm, tio ' corcect and a ' ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Otdinances.
Signature of Applicant:
OFFICE USE ONLY
lT}7v` Sc,
CertifiCates of Survey Received _ Yes ? No
Tree Preservation Plan Received ? Yes _ No
OFFlCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 _ ptex
WORK TYPE
n 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?a
? 15 Deck
09I fjf?; ?ClCi :?S
? 36 Move
n 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
_ sq. ft.
sq, ft.
sq. ft.
Footprint sq.ft.
Building
Engineering
Variance
?
/
-_Z
Permit Fee
Surcharge
Plan Review
License
MCNUS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
?" .x ? ' R?
Ap 'q f , n
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
5AC Units
?N?
F'IOFFMAN HOMES, INC.
2214 East 117th Street
Telepbone Burnsville, MN 55337
(612) 894-9807 CONTRACTOR # 9284
Fax
(612) 894-9878
July 17, 1995
Mr. Dale Schoeppner
City of Eagan
3830 Pilot Knob Road
Eagan, ibfN 55122
RE: REMOVAL OF OUT BUILDINGS QN OUTLOT E, CLIFF LAKE CENTER
Dear Mr.Schoeppner:
As we discussed on the telephone I am enclosing a site plan indicating t6e buildings that will be
torn down on our property. The three buildings marked in blue may also be removed at the same
time, ancl if they are would also be covered under this permit I bave comaleted the Building
Permit form and enclosed the $25 00 permit fee.
Thank you for your assistance.
Sincerely,
Patrick C. Hoffrnan
President
? CITY OF EAGAN
388D Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
'(;ZU11)(4915-049
BUILDING
026173
0S/03/95
SITE ADDRESS:
P.T.N.: 10-02900-010-52
1860 CLIFF LflKE RD
LOT: 1 BLOCK: 52
SECTION 29
DESCRIPTION:
(BARN)
Bw1ldingt,,Permit Type
I diiig, a&,rk Type
Ka?
MISCELLANEOUS
MOVE
i?v? y'sx!s
Fr_
?T ?.FU` ? i.d-"I
?'.Z:°H+lbnllE?X&s 4?
REMARKS:
FEE SUMMARY:
Base Fee $75.00
Surcherge i $.50
Total Fee $75.50
CONTRACTOR: - Applicant - OWNER:
5TUBBS BUILDING MOVERS 14739427 CLIFF ROAD PROPERTIES
185 OLD CRYSTAL BAY RD 2214 E 107TM 57
LONG LAKE MN 55356 BURNSVILLE MN 55337
(612) 473-8427 (612)894-9897
,I hrereby. acknawlsefga th'at;,X hiave readethis,a.pp?lS.caCion and;sta:ea'.tEroat the.
;?ngqr_maCian'ig°-oorree?t. and agr 0 e, to: camplq :ait,h, all apPSiQab1e-Sotete, pf Mn1_ -
Statutas:.°artd.Cit-
,
y oY, Eagarr' .Qfrd9.n'anees.
;&;t ? . _ ..._.?
APPLICAN ERMITEE SIGNATURE ISSUED B SIGN
1NSYEC;'1'ION KECURll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I.N.: 1e'02900-010-52 APPLICANT:
Lor: 1 6LOCK: 52
1850 CLIFF LAKE RD STUBBS BUILDING MQVERS
SECTION 29 (612) 473-8427
?.. ... . . .- . . . _ - . - . . : _ - ,
?? r. ? ? ... . .?,. . ? ,_,°.`....,?..?.__.._.
BUILDING
026173
08/03/95
. . .r
l •
PERMIT SUBTYPE: TYPE OF WORK:
MTSCELLANEOUS MOVE
DESCRIPTION (6flRN)
CITY OF EAGAN $ ?1*?Q
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Co Y?
681-46T5
New Construdion Reautrements RemedeUReoeir Reouire
ments
? 3 repisteied aile surveys ? 2 eopies oi plan
? 2 copies of plens (indude beam 8 window a¢as; poured fid. design; etcJ ? 2 site wrveys (eMerlor edd'Rians & decks)
? 1 enmpy akulations ? 1 energy cakulations for treated addttions
? 3 copios oi hee preaervatlon plan B lot pla@ed afler 7/7193
iequired: _ Yas _ Nc
DATE: 'e--l ^ 9S CONSTRUCTION COST:
DESCRIPTION OF WORK: 'O7,c-- ld'2,? a-r,/ r} 4
STREET ADDRESS: Z,/.--? Lag"&,
LOT BLOCK ,,,? SUBD./P.I.D. #: ?o??
PROPERTY Name: 64`i/_ ,E"/ Phone #:
OWNER `, . `""
Street Address• a a/`? /0 2,--c L'A
City: State: ?-? Zip:
?er 9 .?
CoN7RAC7oR Company: Phone #:
Street Address: License #:
-? ,
City: State: Zip-
ARCHITEC71 CDmpany: Phone #ENGINEER
Name: Registration M
Street Address-
City: State: Zip:
Sawer & water licensed piumber.
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this applicatian and state that the information is correct and agree to oomply with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applicant f`? JUr; !
C-j
OFFICE USE ONLY
Certificates of Survey Received
No
Yes
Tree Preservation Plan Received - Yes - No
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 70 = piex
WORK TYPE
? 31 New o 33 Alterations
a 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Pianning
Perrnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SfW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
OFFICE U3E ONLY
.
.
,
F'
N w? +
? 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace 21 Miscellaneous
0 15 Deck
? 36 Move
0 37 Demolition
_ Basement sq, ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire 5prinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. ?
_ Footprint sq. ft. SAC Code
Census Bldg /
Census Unit "
Building Engineering Variance
Valuation: $
°k SAC
SAC Units
BUDGET
'.
PRINTING
w smice am:
ana Cwv SMo
eaw u x;el/
/
2069 W. Wayzata Blvtl ? Long Lake, Minnesota 55356
I6121 476-2635 ? FAX I6121 476-8527
71`2
cQ.?f b.as 1,20 4/S?' ha?X hD /Sfv?1' arGQ i f
LF'.Q'
- _ - p-s
. MOOER'S PERMIT APPLICATION (FOA BIIILDING MOVE)
0 Date of Application: ?-
0 Address & legal deseription of building being moved:
0 Address & legal description of proposed destination:
LL-_,,4-? ??-?,
--a
0 (heek aituation that applies:
__Z Building presently located in Eagan - to be moved out of Eagan
Building presently located in Eagan - to be relocated in Eagan
(Requires Council approval)
Building loeated outside of Eagan - to be relocated in Eagan
(Aequires Council approval)
Building loeated outside of Eagan - to be moved through Eagan to
enother City.
0 Mover'a Name:
Address:
Phone # 41,/a
Mn. Mover's License # /ya /
submit a copy of license)
0 Highlight origin, route, & destination on current City map. If County
or State roads are used, provide copy of those permits.
0 Proposed date & time of move (notify Eagan Police Department). SOTE=
Eagan Police xi12 not aeoompany move until time ooordination hea been sade
vith neighboring municipality.
?Fl2 J ?j?
•.?...? C, ti. 7 ?
. ---
0 Size & veight of atructure: 3,x
. OFFICE IISE OHLY
Mover's permit fee
Permit #
(iuaraatee to repair
3
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1 gustANlte 1 W111 Fbpttlr gHy tind gll 6mage lo loca) roEidways, UtiHdes, gnd public righl-bt-
wny lhai tnay be damgged by lhis moving operauon.
bate
;•• OWNER'S PERMIT APPLICATION (FOR BUILDING MOVE)
0 Date of Application: 96-
0 Address & legal description of building being moved:
0 Address & legal description of proposed destination:
/'i u 1ka C° ?G? -
0 Building owner's name:
address•
phone It: 612 - 41S/ --. 901
0 Landowner's name: 4°?4
address: a ? ?y Z' /D7
phone ai: ?-rd 7)
If landowner is different from building owner, provide approval from
landowper to operate on the property.
0 Indicate if structure is connected to:
?`? = City sewer City water _ Septic Well
Electrie service Gas service Otrier (list)
0 Indicate party responsible for utilities diseonnect:
Owner Mover Other
OFFICE DSE ONLY
Aeal estate taxes/assessments fln building
Real estate taxes/assessments on land
Utility disconnect:
Electric
Gas
Sewer/water
Landowner approval
2
o `""ES°T4? Building Mover License
a
?
LICENSE NO: 142159
(4(,
TOF TR
O F F I ISSUED TO: LARRY STUBBS
M O T O R
By the: Minnesota Department of Transpor[ation
C A R R I E R Office of Motor Carrier Services
$ E R Y 1 C E S 151 Livesrock Exc6ange Building
100 Stockyards Road
South St. PaW, MN 55075
The above named license holder has complied with ihe license requirements and is hereby issued this Minnesota Building Mover License which will
expire on the date shown below.
EXPIRATION DATE: JUNE 30, 1996
The license holder agrees to comply with all applicable 5[ate and Federal Regulations. Failure [o comply may result in revocation of this license.
The License Holder may no[ perform building moving operations in Minnesota unless the vehicles have been registeted and display a valid
identification cab card issued by the Minnesota Departmen[ of Transportation.
FOR LICENSE VERIFICATION CALL (612) 296-7109
ELIZABETH PARKER, DIRECTOR
OFFICE OF MOTOR CARRIER SERVICES
ISSUE DATE: 07119/95
h7 -M9 -e9iG- ??
PHONE 484.81 O
CM OP 9aGAN
9708 PILO4 KNOQ ROAb
ERGAN. MIP1NE607A
T,?t/?-7 ? EOlsa
, ? _..
September 4, 1980
Mr. Fred Boesel
4475 Bla.ckhawk Road---__
-E-ag`an,-Mri --55 22 2 -? .
?ear Mr. Boesel:
We have asked you to iaake arrangements to have the roles
of hay taken from area of Blackhawk near CLiff and also across
the road from oid scYeool site.
As you know v?e have experienced bad snow driftinR all
along Blackhawk and would sure Iike to see this hay removed.
Please call us and let us know when it wi11 be moved.
Thank you for your help.
Sincerely,
Bill Branch
Public Works Superintendent
,
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