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859 Lakewood Hills RdINSPECTIO CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: -N RECORD T^^? PERMIT TYPE: Permit Number: 4 20 Date lssued: ? l::' 1'a 7 APPLICANT: , ,.. ;? . TYPE OF WORK: r. . , I: n . 1 UVk 4% is A`5 L! PdI INSPECTION D. • D• ELECTRIC PLUMBING HVAC Inapscdon FOOTINGS FOUND FRAMINCa ROOFING ROUGH PLUM6ING PLBG AIR TEST ROUGH HEATING OAS SVC TES7 INSUL GYPBOARD FIREPLACE I2?'/97 FIFEPLACE AIR TEST j 7 FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN 3830 Pilot Knob floatl, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be usec for Est. Value Date Site AMress _ Lot Block Parcel No. m Name , •:,C. City' Z Address r PRV ; ° City phone Boo: °C o Name . ? ` Address m City U¢ ?y W ?W Name i ? U Address Q W City 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 Minneso[a Statutes and City of Eagan Ordinances. Signature of Permit[ee A Building Permit is issued ta `(. on t he express condition that al I work shal I be done in accordance with all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. Building Off icial Sec/Sub APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance T Occupancy Zoning (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, Ciry SAC, MWCC water Conn. Water Meter Road Unit Treatment P1 TOTAL 14750 ;. d ,19 V rs V ri ?` /3 "17 06 ` Permit No. Permit Holder Date Tslsphone A, Plumbing il,7y ,?7 H.V.A.C. Al EI@CTfIC Softener Inrpectlon Dete Insp. COmment6 Footings I Footings II Foundation Framing 7 Roofing Rough Plbg. Rough Htg. Isul. z s Fireplace = Final Htg. Final Plbg. Bldg. Final Cert Oca S Temp. LP Deck Ftg. Deck Final Well Pr. Disp. _8', ti DNTRACT PRICE: te Address "= u ?, rvame .r, 76 Address /?y, 5 c Ciry Phone ? Name s? n r r:?K r-,? : ? Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RA7E APPLIES - TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - FIESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN PERMIT # RECEIPT k DATE: BLDG. TYPE 4 WORK DESCRIPTION Res. X New X ' M u It. Add-on Comm. Repair Other • RES. PLBG.'ONLY - COMPLETE THE FOLLOWING: , NO. FIXTURES TOTAI _3 Water Closet - $3.00 S ? ?Bath Tubs - $3.00 ?Lavatory - $3.00 L ' ? Shower - $3.00 ? Kitchen Sink - $3.00 _Urinal/Bidet - 33.00 ! Laundry Tray - $3.00 FFo6r- Diairts - $1.50. = A`A` -Water Heater - $1.50 _Whirlpool - $3.00 I ! Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn i -SoRener - $5.00 -Well - $10.00 - X Private Disp. - $10.00 j ?2 Rough Openings - $1.50 FEE: 11.3, _3? 0? ?lllgl&' STATES/C: GRANDTOTAI: ?' . , PERMIT # MECHANICAL PERMIT • ' RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' BLDG. TYPE WORK DESCRIPTION LotBlock ? Sec/Sub Res. X? New Name l?i -+ ? ' Mult Add-on °-' m t Address Comm. RePair c City Phone Other ' ' FEES Name $2 d dress 6.00 O - ? O ? C (_?o Phone `-_-? 2 ? (R 5 HV C INCLUDkS A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE i ` Forced Air M BTU APPLIES ?TE I Boiler M BTU TOWNH USE & CONDOS RE S. RATE APPLIES ? MINIMUM AESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU g ? MINIMUM COMMERCIAL FEE - 20.00 Vent STATE SURCHARGE PER PERMIT - .50 . CFM $ PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1 00) Other FEE ? S/C: ' - ? SIGNATURE OR PERMITTEE TOTAL: FOR: CITY OF EAGAN ql BUILpING DERMIT To be used lor UECK Site Address g Lot ; Block .,? CITY OF EAGAN _???? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 z«w PHONE: 454-8100 Receipt # Est. Value g1?000 Date PAY 1 1g91 _ Sec/Sub. W Name zlk?T IcV[.'1CfqOD 3 Address 839 LAIMWOM EiILi.B AA 0 City LWAN Phone 452-6162 F Name DjCKS UNLIMITBD Address 7320 GA1LA(M DR StE 330 ? City EDYNA Phone 832-9441 Name _ Address I hereby acknowlege that I have read this application and state Ihat Ihe information is correcl and a ree to comply with all applicable Stale ol Minnesota Statutes and Ci4y`?f EagaRSXrdin a?ces. / Signature of Permitee ri A euilding Permit is issued to: DECIfS UNLIMITBD on the express condition that all work shall be done in accordance with all applicable Stale of Minnesota Statutes and Ciry of Eagan Ordinances. Building Olficial OFFICE USE ONLY Occupancy -HM2 FEES Zoning - (ACtuaq Const _ 4t nn Bldg. Permit -?.3.,0L (Albwable) - Surcharge •50 # ot stories Length 12M Plan Review Devtn ??? snc. Ciry S.F. Tolal - SAC, MCWCC S.F. Footprints - 0n Site Sewage _ Water Conn On Site Well - Water Meter MWCC Syslem _ City Water _ Accl. Deposil PRV Required - S/W Permil Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner Co n il - Park Ded. u c BIdg.Olf. _ Copies Variance - TOTAL 25•50 1 Permit No. Permit Holder Date Tebphone # WATER SEWER PLUMBING H.V A.C. ELECTRIC Inapection Date Insp. Comments Footings I Foundatian Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notily Plumher Const. Meter Ergr./Plan Bidg. Final Deck Ftg. DeckFinal ??sE Cal/t?e aV i,?+/ k?2f'.t?f WBII (ON !e G S-I I? (?S Pr. Disp. f a l`'l IY)l -. ? ? p} :? y-7, o 0 y ?? Loo-`?--= q- CITY OF EAGAN ?° 14250 ??,3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE:454-8100 •? ?T-.- BUILDING PERMIT Receipt# To be usedfor SF DWG/GAR Est. Value $69, 000 Date OCTOBER 5 1g 87 Site Address 859 LAKEWOOD HILLS RD Lot 1 Block 1 Sec/Sub. ROCKWOOD' S WOODS Parcel No c Name BtiRR OAK BUILDERS IIdC z Address 11473 GOLDENROD ST ? City COON RAPIDSphone 452-2906 UQIName SAME I o? Address ? City Phone r? "w Name_ FW _g Address Q W City- I hereby acknowledge that I have read this application and state that the information is Correct and agre to camdly with all applicable State of Minnesota Statutes and io ag r inances. Signature of Permittee A Building Permit is issued to: on the express condition fh w rk shall be done in accordance with all applicable State ot Minnes tafutes and Cjtq?of Eagan Ordinances. Building Official 4 On Site Sewage MWCC System On Site Well Ciry Water PRV Required Booster Pump APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance QFFICE USE ONLY ? Occupancy ? Zoning (Ac[ual) Const (Allowa6le) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC R3 R1 Vn Vn 40 48 $ 395.0( 34.5( 197.5( i6e. `y„2^cr. @? Water Conn. 52 J. b( Water Meter 6'1' :rt1( Road Unit 305.0( Treatment P1 3-`g'o"Q Parks TOTAL $2,329.0( `7 1 CITY OF EAGAN N0 1$987 3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8700 Receipt # Tobeu'sedfor DECK Est. Value $1,000 Date MAY i , 19 91. Site Address $59 LAKEWOOD HILLS DR Lot 1 Block 1' Sec/Sub. ROCKWOOD '5 WOODS Parcel No. w Name MARY & SCOTT ROCKWOOD 0 Address $59 LAKEWOOD HILLS RD City EAGAN Phone 452-6162 a Name DECKS UNLIMITED I g¢ Address 7320 GALLAGHER DR STE 330 `- City EDINA Phone 832-9441 Nz Name Address City Phone I hereby acknowlege that I have re d this application and state Ihat Ihe informaiion is correct and e t ply WWith all pplicable Stale ot Minnesota Statutes and Ci fg ies, ? Q Sianalwe nf Pwrmitww bi.?(1J A euilding Permit is issued to: DECKS UNLIMITED on the express condition that all work shall 6e done in 2ccordance wilh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officiai ' jfi(}iq 4 6'-A Occupancy Zoning (Adual) Const (Allowable) # of stories Lenglh oePm S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC Syslem City Water PRV Required 8ooster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY M-2 FEES 12]C32 1t+1+ Bldg. Permit Surcharge Plan Review sac, ciiy SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/VJ Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 25.00 .50 25.50 /?? /? REQUEST FOR ELECTRICAL INSPECTION ?yafty / ( , See instructions for comDletin0 this form on back of yel low copy. ?.1579 jgel (p ?J M4186 0 "X" Below Woxk Covered by Thls Request New AAd Reo• Type of Buiiding Appliancen Wired__- EquiVment Wired Home Range Temporary Service Duplex Water Heater Lfyhtinp Fixtures Apt. Building Dryer Electrii; Heahn Cominerciai 81dg. Furnace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Farm otne, aeci v .ine, tsm),,IW) I 9r pCCify thCr Othp;r Compute Inspection Fee Below M Fae Service Entrence Size q Fae Fexders/Subfaeders N Fee Clrcuits 0 10200 Am s 0 to 30 Am s 3noc 0 to 30 Am s Above 200 qm )s 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Am-,s Transformers Irngation Boonts t? Partial.'Other Fee Signs Special Inspection ? Rem-frks . ,? n We?_.57 OTAEEs / Li l u Vrr Rough-in ? 1 qnte ? ?M 1, the Elec ncnl ? ? Q?? Inspector, heraby tit th t th b Final %"? g y cer a e a ove sVection has 6een fhfs reQUest void 18 montha Irom This request vofd ? j 18 months trom ?Q/(p/8? ?/ 1 - , ?Pl D 41860 i ?3i N?s ate. _ire NoRouph-in InsVecUOn Req ired? ?Ready NuwuwWill Nolify, Inspec- _ Yes ?No or When Ready Owner I Contractor I hareby request inspaction of above Stree[ Address, Boz or Rnu[e No. f7 S - ? 4?" L _ ' _ _'.. _... ..,,... .. ??.a y? ? ?e.. .... Cify . • / cJO 0 a s " p e ion o. Townshfp Name or No. - Range No. ? ounlv OccuGanlIPRINTI -tlo Qd Phone No. i Power Supplier Address y3vd_ ?an? $? ?,, a ` Electrical Contractor ICompany Name) ,,- s ? ' ?/yJ Contrac or t Li S Cense No. •??C Nd '/ c Mailinp AdJress IContrac[or or Owner akf?ing I nstailation) ?? ? ?/i/' C!?'? A /0+ $? ? u orized Sfgna[ure (Contractor?Owner Making Installation) hone Numbe..r NFCl1Tn ----- o....nv ur eLeeini?I ir ims irvSPECTiON pEQUEST yyILl NOT riggs-Midwey Bldg. - Hoom N.191 BE ACCEPTED 9Y THE STqTE BOARD 1621 Universitv Ave.. Si. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSEO. ?v.,'-..?,?: '..i'C• ._?,+.;°:{i?J ;,.,?r;??.?.,...?..? :., ..,-?...;..?;.{??v?." ?,. ..y n ,... .... ... ;J ?. IC."\.'?..hY . .... Ch- T?..;.r.. .... ? r...?„? .....,. :"..I'l .....?., ?.y'...,: .. . _. ?_... ? .. i . • ._ . ,..,.: ..._?._. . , i .... ? _._?.1 .. ; . . t?:.x;r• .?i r ??r.....' F,..:.,..??_.;....?.Y.?r. ?...? .. _ ._.._..:.....,. . ?..._. ....:?... . ?-.. i p, . ?... •:Y.'S' +'i r:.??..?'.., ;..a::y i I. ???i?,'?r?l,i ? 6:... r.:?i',u '..l r't ? .........: ....'.:. {.iv_ _..?"??...._.... .,.. v....l r':'.J _ _ 1 a.. e..? ?. rr_• ?r.,f 1' :'1 ?. ,.J ? .:.?.'. :i.J:; ?..?.. ?..<:.`i..1 ?• ,: to ..., _ ... ,Na? : ?. ..: i _i. r cr;.". ' ... ......... .?.:. n..?..??. . .? . ..,? ? . ?. . .. .I. .; _?_ I ? .. ?. ' " ?ir_-t1 . . . ... , ?. ?.??..,7_i..?.. ?:,?... ... _. .. W._ .._ ...D_ :.II. 4....V . .. .. ,. ?f " . . . ....,. . . .. ..,._ ..,. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PE1ZMIT PERMIT TYPE: e uILnING Permit Number: 0 2 9 4 2 6 Date Issued: 01 / 2 2/ 9 7 859 LAKEWOOD MTLLS RD LOT: 1 BLOCK: 1 ROCKWOODS WOODS P.Z.N.: 10-64500-010-01 DESCRIPTION: (STQVE & GHS LINE) A'ildinc'Permit Type FIREPLACE Bu4°Id3.#?g,° ln?'@a,,rk Type NEW ensus.Cnde. ??. 434 ALT. RESIDENTIAL ?. . ? M ?N? e ? . . Zfi'y? k M^; . ? ?y«.a .b?'?+' i??* ?'k»k? ga ?' w y1 , ?¢E?,? ?u "?:i ?' ?t,-?.m? ?.?m°°as ?? REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.60 CONTRACTOR: - Rpplicant - ST. LIC OWNER: FIRESIDE CORNER INC 16331042 0001068 ROCKWOOD SC07T 2700 N FAIRVSEW AVE 859 LflKEW00D MILLS RD cznGFVri i F mN C;C;i iq FA(;AN MN 55123 APPLICANT/PERMITEE SIGNATURE ?N?I ISSUED B : SI ATURE?C- . CTTY OF EAGAN 3830 P1LOT KNOB RD - 55122 jLq41t 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: /- 2 v l77 PERMIT FEE: 0. 0 DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY O'THER: s i0 14 n.bD Jb.) <4 4-:5 L...?.,/ti.IL'? STREET ADDRESS: 9'Sj'° LA 4C wb?op 9E LOT BLOCK ? SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER i e 33 z?b? Company: Phone #:6 ?o 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. PROPERTY Name: e9CtC-L4JQ-tP d=5-o •7'7- Phone #:&10,'7a8 i 76 3 16 OWNER Signature: Street Address: 9 Y9 ZC64,1 ?0 ? ? City: &'A (-h64 DJ State: Zip: FIItEPLACE INSTALLER Stre'?t Address:,3?? :-S License #: Cityov2 ?tlSlr7(.?V? State: ? GAS LINE Company: INSTALLER Name: Signature: zip: ?-.-3 32 77Z Phone #: Street Address: ' City: State: Zip: 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS ?I[TLTIPLE DWELLINGS COZQdERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BI,DG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LAT CHANGE IS REQUESTED ONCE PERMIT I5 ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE flUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: '?tECe= Valuation: foww"ft Date: _ y, Z(,, ,`l ( Site Address VSI LAkEklouS Ft?4Lti Lot ? Block ' ?W00%,45o Parcel/Sub Ojoom A Owner 4k A a( t?TT InbOb Address City/Zip Code EN?ArO Phone q,?Z. ' (p I <Q L Contractor ?kv,s l,jvL IMIi C? Address m(} G'8S,tAwiE0-. City/Zip Code C-6jv-J4 MN GrCy$( Phone __? t2. At ?I N { Arch./Engr. Address J Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY . FEES t Bldg. Permit Zr7rvo Surcharge 0 Ro Plan Reviem SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit 5/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies Lzx3z On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. '1-109/ S Variance SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. City/Zip Code i w ? n • w r N I Z ? Q o 3 ? W" X _ _ ; _ N o? = 3 . ?= o a s ? ? J .j t ? 0 c r ? O e s ' ? 0 0 $ .' w ? ? . ? I J N • I y ' J a :.. ? ? -! N ? = O N LJ _: ,e? N ? 2 I"'? y Y 0 O J m \ ? \ \ . •;? N?,JS, N 89°\0 • _ 410.68 ??_- - .? - ?- < ) `? • y t, ? d N O I O' I ` ( e?- N I L.: 3 w I ,.i LL F' R ?J 10 O aA ic ? ? e W S$9 / Q ? m . . : ' 2 l? = ' N? M O O `_ ! W ' N io ? , O I r Z ? ` f . \ESM??yZ ?{p1Nt,GE , • . . ?o • 8 . .. ?-?? ?? • : ? , ,. 0 o? ? o o F- I,1 ?'' ? 403.60 ` .? `ppINT 600.00 FT. NORTH OF SW. CORNER ( 401,44? s 80 ? ' 3q « - ` ? 102 00 • pp L,pT 1. WILDERNE55 RETREAT '?R CERT. Np O ? . . I 5866j ` _? ? ??• . ???I A BENCH MARK?4?4,, .• Description: Scalet 1 inch = 50 feet Lot 1, Block 1, ROCRW00D'S WOUDS ADDITION, accordinq to the recorded plat thereof, Dakota County, Minnesota. , I hereby certify that this survey, plan, orreport was pzepared by me or under my direct supervision and that I am a duly Registered land Surveyor under the laws of the State of Minnesota. September 17, 1987 a i C z s 0 ? 0 W s ~ 0 • ? _ a 6 ? C) D 1987 BOILDING PEAMIT APPLICATION - CITY OF EAGAAI SINGLE FAMILY DWELLINGS - INCLIIDE 2 SETS OF PI.ANS9 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOVNER MUST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIISD. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL. UNITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQROEY - CHECK HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 5ET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND rvc? '- r. P. To Be Used For: Single Family Valuation: 5 r699-9? Date: 9/29/$7 v Site Address ?XR Lakewood. Hills Road Lot 1 Block 1 Pareel/Sub Rockwoods Woods Addition Owner Burr Oak Bldrs, Inc. Address 11473 Goldenrod St City/Zip Code Coon Rapids, Mn. 55433 Phone 452-2906 Contraetor sdme Address City/Zip Code Phone Arch./Engr. Russell Plan Design Address 4940 Viking Drive City/Zip Code Edina, Mn. 6q oOV OFFICE USE ONLY On Site Sewage ,-?-&ccupaney MWCC System ?? oning R-? On Site Well ,% Type of Const City 6later „&6r, (Actual) V-N (Allowable) Y-N # of Stories Length NO Depth S.F. Total Footprint S.F. APPR09ALS FEES Assessments Water/Sewer Police Fire Permit Surcharge Plan Review SAC City 9 S 00 3 y,SO 1 !6 0 1 0D Engr , SAC, MWCC 5 2S. CO Planner Water Conn S 2 ,00 4 Councii Water Meter 6 .op ? Bldg Off la Z Road Unit 30 ,oo APC Treatment Pl Igp , oo -? Uarianee Parks Copies TOT9L C;Z-31 Phone # 835-5970 ? w ? p ? ? : M Z F Q O 3 ? W = z z U =? ' ~ N T. i ?+= i? O W cc a o m 3 ? ? J J F Q ? c W O O c x 5 O w ? w ! ? ?\ N ? C) •?• N - ' ? QO??' J ` • I ' ' \ -? I x o a . •: % ? \ / LJ ? o a N ??°es. . - J 3 Z `?,?• '?O !y 410.68 N 89 ° 58' 4101" E •_1 ? _ _ _ - _ - 235.0 _ _ -- ? . 66± • 60 ?.. ? J ?"' t- ? c? ` r a C? w N I'? ?± J ? •?.' ?_ 3? ? S?M?N? -? z ey 0 N 11 ?y (l d 91 I 2 9' Q? ? p z x• • ?? V ' ?a ? ¢ ?J a o S$9 a a ? .. .d s+ o 0 0 w x 41 O W }i . .C:a".,,....5,?.;. . 43 1 }I?? ;• 3$ ?W? r y? i<+ i. M i W m „ ? N ? ttO ?'? o rI Z ? ? t I _?t N . . . ? . . . ? . ? ? ? ° 1 • • ? !FSI - __ t1'Q1f? ao 403.60 , tr ,' I _j \ ppINT 600.00 FT. NORTH OF SW. CORNER ( q01 S$0 p . N? 34 I r pF LAT t? WILDERNE55 RETREAT 44 ? PER CERT. NO.q 586' E 102 00 1 1 ? ' e'• :: "• ` ~9 BENCH MARK-" Description: Scalei 1 inch = 50 feet Lot 1, Hlock 1, ROCKWOOD'S WOODS ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. , I hereby certify that this survey, plan, orreport was preoared by me or under my direct supervision and that I am a duly Registered land Surveyor under the laws of the State of Minnesota. September 17, 1987 .. O O O O IQ ? 2, a i d z Z O ? 0 W a ? 0 w W x z ! Me[hod of scratchinq sidewall /1/e?vP NC Cd?.? Depth of pea-sized gravel in bottom of hole, inches. Date and hour of initial water filling /p -oiQ .. $7 Depth of initial water filling, fnL _ inches above hole bottom. Method used to maintain at least 12 inches of water depth in hole for at least 4 hours c : _ L . ... Percolation test readings made by Ge r V a on 7 starting at ?4 . Maximum water depth above hole bottom (date) during test, inches. Time , _. . , .: - ., ,- . -, . Percolation - ? Time ' Interval,' . . Measurement, Drop in water rate, . Remarks ? Minutes ches --,. -IeVe1.;'=:3nches minutes - inch _t-, - ' 7 - . . ' .: .. ? ... • - ::. -" '._.r.'. ?. .. ':? ? -. . . ??.? iT:.'a j,. . . • ? , ; '....?.? .:: . .-,?:: - ?C 1 ?i"?.au+ t?? ?t 9 a . . ?i ?? ? . '. - . ?." •..- .? ...: ., : ' .. C-.i- ' ' ... , . _ . ..., . ... . _ ? ... ? .. . _ _ ._ . ' '. . 5 ??Fs?. ? :?? '.:J rL, Z;y 3T?9Y • .? .. ,_. .. .: f ' : .?'` . {... _ :C.T :-3. . . • . • ? a . ? ;,. : .. _ _ f 3 ; ? _. . . .. _.__. __??.._ . _ .. . 7 •. ?Iw._ 1 -- _. .? ,.?...?._,.?. ..?r.. .y..w..??w._.. _ ? .? _ , . v .. ? , . Method of scratchinq sidewall _ Atoa[e ?/r ,p_Ja,d Depth of pea-sized gravel in bottom of hole, 4L_ inches. Date and hour of initial water filling /Q-a9 ? Q7 Depth, of initial water filling, inches above hole bottom. Method used to maintain at leaet 12 inches of water depth in hole for at least 4 hours C r., L., wi Percolation test readings made by _ (- " 0 V,4 ti c. k,'uG on jD - 3 D-g7 starting at a'm' ? Maximum water depth above hole bottom (date) •m• during test, inches. ... . .. :. . ? . Time ..- . . : ^: ' .. . Percolation . Time Interval, _ Measurement, - Drop in water`. : ,iate, - Remarks .? ' Minutes •i a , ,inches 7:3eve1;-°;inches =- ;minu'tes per ' .- - - : -- . _ .. ..._ ., . ... . ._ _ .. _. ' -... ? - -L .....?:1 ___ . ... 'i . . .. . _. _ ,,, in :... ch . .. _ - :. . r ....._.:1. .. . . ` .,:.. ...; ? . .:?,. .:. a : . ..,.. ? . ?. ,', ,_ ' ' .._.. - .. ?? . . .. : - - . . , ? . . ." . ' . . ? , ` . i .. - . .: . . . . _. ...-. . .. . ,- ? ... . ? •:.. .. . . . - _ ,..:' ' ' ..,.? : _ ??.F.. e_G:::e? . ..... . . . `r? .. _ .. . ? , ? .. 1. . - ..'. . .._: .??n? . . . .. .. - . ' . ?:.:., . .. ? . .. ? .-: .. . n: :....• ::._ .. ..:'. .??....? ... . .:..Z' ?? '`? ? ..:... .. . . .!' ' . .. ....«': . .. 3 ?:' ?'.. ... - ...:? • i-. .. ?. + r . ... . . i . . . . : . :. ? ? v . . . , ? . . , . . - i?.?.? ' ? . ... . . ? ...: ?.. ._ :" . . . r? ... . .. :.?. .? ... -.??? ' . .?. . ' •??? ? • .. ..,? ? .'? ..-. • +...1:, .... ? ?..: ..:. ., .. _ -..Y.? ..1\.'? . . _ ...: . / , ? J . . :.'.?' . ? ' . .0? .... . - . - .. . . ? . •. ? . , . . ? . . . . • • ? . . .. _. ?. ? ..._._ . . ..,_ ' ...... _, •. . :-_..-_:.... 77 .,.....,?...?__....-. _ ? ..... .. . • . -int ' ? . , . . .. . ? ? ' . . .. . . ? ' .. . • \ -Percolation rate , •, ? "minutes per irich: - . / VV , . i Scot? Reck 4'orel' , 859 .LR ke- woa4 ' '"•. ' I 7s' ? . ? .,I ? < < a ?. ?r i .; : ?^r prid?u?A`? . ? ..1 ' . " " ... 1? . ? i 1?F , j,o{ 1-0 i I' . ?. IV -?. . . I .. ? ` ' f . . .? ? ' i . , .. I 4 e ' it ? , . D ,•f+ '? • ; ? . , ; {; , „ . .i io ? ? ? , , , i, n ?ts O ( , k `<< , yS` , ? Q ` i • ? ???' {O , ??' ; ' , ?. ?l ?e?. ??+.•?'^.` ?`'`'°'`' ` ? , , , , < `' p^.°"P a.t, OAA,e.vrieQ 7 L ? (.. , ' ? 615•UU-r 5L?•UU+ n7•UU+ 1 8 0•Uu? 1 >jg`]•t)Ur .,..,... ..? .. . ................. . ............. ? CLAIM VOUCHER - REFLTIVD REQUEST CITY OF EAGAN CIAIMANT BGRR OAK BliILDERS ADDRESS 11475 GOLDENROD ST COON RAPIDS, MN 55433 Location 859 LAKEWOOD HILLS RD Receipt No./Date 78053 - OCTOBER 5, 1987 Reason for Refund $ILLED FOR SEWER & WATER - NOT AVAILABLE. Type of Refund Electrical Permit 01-3211 Plumbing Permit 01-3212 Mechanical Permit 01-3213 Surcharge 01-2155 Water Connection Permit 20-3713 Sewer Connection Permit 20-3743 Account Deposit 20-2252 Utility Account Over-Payment 20-2250 Other: REFl;ND SAC, CITY & MWCC, WATER CONN & METER, TREATMENT PLANT TOTAL $ $ $ $ $ $ $ $ $ $ $1,397.00 $ I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. Signature bate Use BLUE or BLACK Ink r For Office Use C,J Permit ✓ 0 j City of EaEd I Permit Fee: 3830 Pilot Knob Road I )l J~3 Eagan MN 55122 I Date Received: 6 ! Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /.3 Site Address: X-i S' Unit Name: ~O w m a .L Phone: I - Z-7 `t 7 $Cp Resident/ Owner Address / City / Zip: L-wyo/~~ S S Applicant is: Owner _X Contractor Type of Work Description of work: R1 - Igo d* /10?1710 O&C-111 c1 - ew a S~ a ~ y~ Construction Cost: S9 d a. Multi-Family Building: (Yes / No ! Company: I h 1"+r' be-,Q IC vt Cty r t? Contact: M,,"- -e I J.1c s y~✓~ Contractor Address: 1055-0 C City: t~aS ~t ~,53~ weir 3 '3I S-O 7Y5 21k-q> ~-&S State: M~J Zip: Phone: '76 License S C G 2-el f q1 Lead Certificate A44--` S 7Z?-/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 1 01 x -fA I- J 4 __ks vin x r Applicant's Printed Name Applicant's Signature Page 1 of 3 . _ io 1.___Er,„ ct.au -Pox, c,,,,,,14- (CQi 3 Dti,/ RECEIVED ? (.__ ,: 1 FEB 17 2017 Use BLUE or BLACK Ink ), t For Office Use City f :1J8,011 . Permit*: (!ll 3830 Pilot Knob Road Permit Fee: CSC -CO Eagan MN 55122 Data Received; Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION • Date: ✓I`an—i 7 Si e Addr=ss: 55_59 )i\) 9 1\--td Q V41. Zevorvin,olim ssiD- Tenant: / �c A / e' t `4r ,rirq u ` ', V / Suite*: 1 c ',`�414,411,ftt r .i ''l >t % Name: 1 J �1..�.. �, I, • 4 V la ©�� _'i� L Phone: s$ t 1 6 ii 1,4c,.per ' d 11t I V,t ,h ti .. s c Address/City/Zip; �� ,1 f 4 ill i 0 iII ; r;� " )�; Name; Milbert Company Inc dba Culligan Water 1;IllLicense#: WC641376 } , ,� {?`4{t° to.A '� '`. ' ev, Address: 1,801 50th St East Inver Grove Hgts.,tri e Q�� ..g.', City: City: v :�` 0 . �� 1 state:: Mn Zip: 55077 651-451-224:'1' r ;;§144' I ,, 1 P Phone; i. f.,� rIti } � P ,ii William R Milbert 1;. y�,�,,., ripe.Contact: Email: H! 14 `y 1 01,94k.-4/4 . __-_New _Replacement _Repair Rebuild _Modify Space Work in R.O.W. , gf%ffill-,;',11>6l-411,0<i t!.t'.,.;tol3 q' seti i. Description of work: r���x�pg � ��`��;���' �, � RESIDENTIAL "" '` :1 4,0:?$310.1,' , f`•` Water Heater ivi?' 'tfi i'' '401 x Water Softener zz F x, r ' ` Lawn Irrigation(_RPZ/ PVB)}.:i.a. :(=.;y•.rp ?e5?•r ;