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894 Lakewood Hills Rd NCITY OF EAGAN Remarks Addition Lakewood Hills Lot 10 Bik 1 Parcel 10 44350 100 00 owner_rL,-1'--lpll - t;, I _ r-;; r n. . ;1 street 894 No. Lakewood Hills Rd. state EaQan, MN 55123 ? I Improvement ? Date I Amount Annual Years I Payment I Receipt ? Date STREET SURF. GRADING SAN SEW TRUNK WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREETLIGHT WATER CONN. BUILDING PER. SAC PARK CI'iY' OP EAGAN " 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT ReceiPt # Site Address _ Lot Block Sec/Sub. Porcel # W Nome ; Address 0 p Name _ ? ?? Address h r:... Name _ Address N4 6352 _in Ered ? Occupancy Alter ? Zoning Repair ?, Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth R. Appr mak Fees Assessment - Water 8 Sew. Police Fire Eng. Planner - Council _ Permit Surcharge Plon check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge tFwt I have reod this applicotion and stote thot gldy. Q{f. the information is correct ond agree to comply with all opplicable APC Total State of Minnesoto Statutes and Ciry of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that ull work sholl be done in accordance with oll oppliwble Stote of Minnesota Statutes and City of Eagan Ordinances. Building Official PannM # Wda Isusd ftrmitNe Plumbing Methaniwl INSPECTIONS DATE INSP. Rough-In Finol Footings Date Inso. Date insp. Foundation Plumbing Frame/ins. MecFwnical Final Remarks: r zi-d'Z // ,1? EAL;AN T01A/N 5 a-11 P BIJILDI1dC PERMIT owaer ..... .----' -?--??' --? -- ? Address (preseni) ---•?------ -.-?----- - -- -----°• Builder ......... ?! ryt?. °---------------°-°°--..........----°------- -- -- Address ....................................... °------------ ----------_......---------------------- DESCRIPTION N° 32'7 Eagan Township Town Hall Dafe Btories To Be Used Fos Front Dep3h Hei Es3. Caai PermiY Fee Remarks ? • I I ? ? i l 1? LOCATION or This permii dces no3 authorize fhe use of stseefs, roads, alleys or sidewalks nor does it give fhe owner or his agent !he righf 3o create any siluation which is a nuisance or which presents a hassrd to 2he health, safety, convenience and gene:al welfare !o anyone in the community. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. This is io ceriify, that........ -------- ._------ ---------- •............................ has permission fo erect a............................. -------------------------------- -upon the above described p_ ise subjecf fo the provi ' s of the Building O ie f?or Eagan Townshfip adopted April 11. 1955. ........................... - - - - •-- ---- - - ----- ---. Per . ...P-.°. .......... -... ----- ... -- - -------- ----°-------------------------- - airman of Tow ard lding ector 6f l? ? / ?, CITY OF EAGF+,N gAII,pIW, PERNLIT APPLICATION Include Z seT-s v1 Y-`u-, 1 site plan w/elevations & 1 set of energy calculations. d Zb Be Used For Valuation Date - ? site Address g 9 ?? !?'d G ? - OFFICE vSE ONLY M Lot Blorat sec./sub L,?- ect ? occupancY 1 Alter zoning parcel #: gepair Fire Zone EnlarcJe TYQe of Const. Owner: ?llG S,R-?r 1,,ove # Stories Ac7dress: Demolish _ Front ? u ft. Grade DePth City/Zip Code: Phone #: APPROVALs nts F'EES PeYmit ? Contractor: Assessme T4ater/Sewer i- Surcharge ? Address: Police Check ---- Plan Fire ? City/Zip Code: Eng. Water Conn. - 4 IA Water Metex Phone planner _ Council Road Unit ? 4L Arch,/Enq,; Bldg. O£f. APC Address: CitylZip Cocle: Phone #: 'IO?AL anr oF EacaN ' 3795 Pilot Knob Road Eagan, MN 55122 N2 6352 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # o?l 95-5?- To be uced for G.ARAGE Est. Value 12 ? 000 Date 11-10 15?0 Site Address $94 Lakewood Hills Rd. Erect g7 Occuponcy M Lot 10 Block 1 Sec/Sub. Lakewood Hills Alter ? Zoning Rl Porcel .#' Repair ? Fire Zone Enlarge ? Type of Const. V of Name RllSSell AgTiIDSOn Mwe . ? # Stories ?- w Z Address Same 3 Demolish ? Front - 50 ft. ° Cit Phone _454-6521 Grcde ? Depth 3.n ft. ce Name Approvals Fees 0o Address S?e Assessment Permit 39 . o0 V? Water & Sew. Surcharge 6.?? Ci Phone Police Plan check 19.50 ?, ?Z Name Fire SAC NA ?? Address Eng. Water Conn. NA aW Ci Phone Plonner Water Meter NA Council Road Unit NA I hereby acknowledge that I haye read this applicotion and state that gldg. Off. the informotion is correct and'agree to comply with all applicoble APC Total 6?.50 Stote of Minnesoto Statutes ond City of Eogon Ordinonces. ? Signature of Permittee A Building Permit is issued to: Rll?@l l AP'ri? on the express condition thet all work sholl be done in accordc with all appl' le St te of Minnesota tatutes and City of Eagan Ordinances. Building Officiol ? J / REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 I ? See instmctions for completing this form on back of yellow copy. ? 38357 - "X" Below Work Covered by This Request _A??? ` ew F,Yid ? ep. ° TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Other (Specity) Comm./Industrial ' Furnace Farm Air Conditioner 01her(5pecify) ConvactorSRemerkso J Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TransfOrmerS Above 200 _ Amps A v 100 _ Amps $i9nS Inspector5 Use Onty: / ; TOTAL ,s-O Irrigation 8ooms J OG ? s Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Olhei Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oare certify that the above inspection has been made. Final oate ? /_ OFFICE USE ONLY vtwp This request voitl 18 monihs irom ' a 38 3 5 7 0 00 •?e,,,? Request Date - s/? C ? Fire No. 1 1 Rough-in Inspection Required7 O Yes No ? Ready Now Will Nolily Inspeclor When Ready7 I? licensed contractor owner hereby request inspection of ahove elecirical work at: Job Atltl (S . Box ou No.) Ciry . Section Na. I Township Name or No. Range No. Couny (PRMT) 71k&ss ? LL rjm 5on PhOne No. Power ier ` Atltlress - Electric I ConVacror (Co y Name) om.e.bwnE,r Contractork License No. Mei i?tltlress (COntractor or Owner Meking Instelletion) . . me-, AWhori i nature (CoNr onO.vner Making Installation) Phone Number . MINNESOTA STATE BOARyyreLECTRICIiY THIS INSPECTION REQUEST WIILNO7 Griggs-NMwsyBldg. - Room S173 BE ACCEPTED BV THE STATE BOARD 1827 Unlvenlty Ave., St. Paul, MN 55104 UNLESS PHOPER INSPECTION FEE IS Plqns (672) N2-0B00 ENCLOSEO. - • REGEIV€D Apri117, 2009 Mayor & City Council Members 3830 Pilot Knob road Eagan, MN 55122 Attn: Russ Matthy"s, P.E. APR 17 2009 EWGAN ENGINEERING DEPARTNIElVT Re: 5torm Sewer Improvement Assessment Objection Properry Assessed 1044350-140-00 Owners: Russell & Lois Agrimson Dear Mr. Matthys: On Apri186, 2009 we received a letter indicating anEassessmemt.o€ $6,279.61 is being placed on the above listed property. That parcel of property has no unpacU bearing at all for run off of water; related to ttus Trunk Sewer Assessment/Improvement. The parcel is, in fact, a large deep ravine & receives run off from adjacent proper[ies. It is usually dry most of the year. We understand our options available for protest of this assessment & appreciate this hearing of our appeal by the Eagan City Council. The possibility of an Appeal to District Court &/or a Senior Deferment are oprions we will have to seriously consider; if the Council is unable to waive this assessment or decrease the assessment levied to this parcel. On Apri17'y" our Lakewood Hills Homeowners Association met for our semi annual meeting. One of our members indicated that he had been to Eagan City Hall requestiug an update on the Storm Sewer Improvement Project. He was told the initial assessment meeting would be held on June 7t'. We look forward to attending the City Council Meeting on Apri121" & to the considerarion given to our objection. Sincerely yours; ? Russell & Lois. Agrimson ? 894 Lakewood Hills Road -Eagan, MN 55123 - LA/la !pr7 __. _ ......?.. --- . ? LI..J 01 JF THIS DOESNfT F1LL PAG[ LET ME KNOW AND WIL.L TRY AGA1N pATE 031478 PAGE I(I i r ? 0 . ? l z93!i.:: .... , ; , • . ? l5 D5 .. .., ; 2130.59, TOTpL EQUIPMENT COUNT IS b r INpICATES NEW ITEM RECEIVED DURING CUkRENT pER10D. SEND TO... E AuGUSTA " (L- 19) ? ? ? ? ? ? -- ., QPS JOB . , l.l:L PRQP+ MGM;T' T;, ,. , - MEt1IC, MONTHI,Y, EQUI.pMENT . L[5TI:N6 _.? . , -. ..... ? _ : r PA25 > : ;,.. M4NTN; ?NOi;NG MAV d}? 1977 pAGg; ? N RE M C A OATE TI F ER CT N MODE EMPL UStR NUM ACC7 BLD RDO AREA MEMC REF CA TRqNS R CODE DATE ARK AEC p EN TU L ON ACqD pESCRIP p MA UR U I. G ht - EM S . .. .!?-?'?"A-?-?'rl?'?'A'?f'?'t?'? ?-?'.?'?Y.^-?.?I.T.H'?'?'?'1'PV'?'IpT"R'?7'1•A.,?.?'^.?_ 'R1.F?. ;. 14lGZ TAL807 l #=5b7'1:7AQD .MllCH INE: EI.EC7RIG :1 JIT.? VI;C7PR 718554 $782:00 3230•47 2121 .! 11'2 . G S ^ `qb'2877?28. ? . 1603 8 „ . GENERATpR -PULSE ' O5/6"7 'LRL G 1 LE14895 5590-3 9 3 2121 2 2 1 ly. : A ZO?fT+`19 ? 9 372393. METER Ph 10/68. CORN N ?0 55 0- 5 1 1 ?2 , fF€-T-Eft - / 7 5 T-E-K T-R-4?t-I-X--?- J=1-6 5 5_q?1-:-3 _?-d 'I= S 0-+.8-?-?- ' n? 0 6 i 180859 TELETYPE' " 12/69 TEI,ETYPE 33TZ 5590-35 21 ? 21 14 ?? K OJ0777-49 • 236261 VIEWER-INFRARED 06/77 FJW iNU 5 55`70-35 z 21 14 503683 g 0 0677*26 SEND.TO..: ''E AUGUSTA ?L- 19) ' ? • ? • ? PRQP,. MGMT;?,. , ,, - MEi?.IC MQNTHLy E9:UIPMENT REPORi ? DPS JOB N0? ;42? t6,: PA25' . ,: .. , AEG NUMeR I CAt L 1 ST I NG MON,TH.END I NG MAY O L 197 ) P.AG:E , ? .. ? . ? ..: _'jR iw T! iR.w.. ? w v. IR . '?'?"t ? w iY-wT'?'?'''??' _ 'f'?'? ^ ?-?1??'??•???'?'i"!?'?'?'?'?`? ? A ??a.?.?-?.?.?w+?.??s??-?.??.'.?.i.?y:?.? . .. _ ... -L-4 k- P R-O P„--hFGM T. _ ---M E-M-1-C--M O W-T-H L-T E-Q U-1-P-M E N-T-L-1-5-T-1 N-G--- - D P_S-+L,?? ? 6 PA25:.: ; `'. , MONTHEND I`NG h1AY 01 ? 1977 !. PAGE ? s _ ; . ,,.. . , °A-T- ..:. . ;.. .,EMP--L ll5-Ft AR-E-A?iEMC AEC NDMENCLATuRF ACOD nESCRIPTIDN MANUFpCTURER Pg00EL NUM ACCT BI,DG ROOM REF CA REMARKS DATEnC00E ? _. . _ • - - - Tq.q?????..w......n???.......... fl?-7-8-1 2 B-Aiz-A N-C-E- p 3?-S 4 ...w....w....r.q..w..lII --V-O k6t-W 6+S Otd ?-3-2-t?? ....n....'iw.... w.....w..w....l...'.......T??1R.A^..w7 -6-1-1 1- 4 5-2 4-3 5-?-0-7-g -B ,-q7_7 3-7 n^-l-A >... 1525.q? .B4ASTER_SAMD ' ?L C ' C `'p '?` 05/6 6 ? ' H 7 ' WHiTE S;S. K T E F, 7 6112-45: 9 ' 3435 2?i3 1Q?0 7 A ? Z 6A 4aQ 75^?28 7?28 i H14 ? 2030N ? 'CA?. UL QRT TQR l TR A P T EL'? CT O p8/72 ER SqUL O T Pq{ HEWL T T CK E RP35 ; 638p 7? ?9 5 bbt2- 0 y -. 5 243 p ,(Q 7 " : GA : . p: 7i 7 2Q308.6 . ,EALCUL. TOR OR N R 06/72 SCF{MI T T NEWt? PA MP35 12 61 1*? 5 5 10 0 Q -03-83 #-T-O R--ReR-T=E L_C 1'-RB-N- -O 6/-3-4'--S-A rFl T-E F?-m H E-W?E-T ?`-P a-CK- -M?'-3 6 7-8:3.8_Q 0? -b-1-1-2? 4-5- -24 -35?1-II-7_D . _Il G 4 n?1• [ 9?r7 ? 2 g 043595 CAMERAl05 GRAPHIC" ' 10/55 SAULTER H GRAFLEX 45 783800 6101-45 2435 1070 A C 091477-28 ? 069970 CAMERA-4X5 GRAPHIC 05/58 GRAFLE% 95 783800 6112-45 2935 1U70 C 011576"28 219350 CAMERA-POLqROIU LANp - 06/75 5AU4TER N POlAROID 195 783800 4112^45 2435 1070 A C A 04 1977'28 n 9 1 9 7 2 9 6-5-13 4 -C-A•M," A^,.P R-t-PN f_p.q f fr, -0 l-flr8- - 9 b-l-0-l=4 5- -2 4-3 5- 1 Q7_0- A • 7 05529. 2 ..GAMERArPRtNT/PAC;K 04l73 SAULTER POI .AROID 450 783800 6112-45 2435 L07U A C ,p??977;2 • ` 154 CONV RTER[QUENCY 05%76 . y? EL ET?RORAyAK 1AF5 6j'2?? 4 2,43 '5' ;1D7D' A ?A28' 01[2? . : . 4-6 3-0 5 -9-E-T-E-C-F-O 6-0t+!'-.. V-A-C U U P9 -4-1 1-0 q ..: 1?'.5 ?=2_?_ 205545 DETECTOR LEAK 04/73 LEBER NRC EqUIP FiE 6101-45 2435 1070 B OS0676-28 ? 089086 pH[I.L pRESS BENCH 09164 pP289 ROCKWELL UNKNOWN 3321-01 1935 I070 J 0?2370•28 206282 GENERATpR D1GITql. PELAY 12/73 6USBEE BERI?ELEY NUC 70209 6112-95 2435 3Q90 A U6Q'776*49 p&? 4 5 3- H-A-MFE+E Rmm E l.-EC-T-R F-C :- -? -v?. i-b-t , B kA 6?-*-D E w-?+- -k-0 2 6-1 -1 -2„ y-S- -2 y-3-5 - -1n 7 8 ? Q 7 2 3? 0„ 2 8 2175546 1NDICATOR- EAK ATE 04/73 (.EgER NRC ?QUIp " AV 6101^45 2435 I070 ' 8 ` (TgOG?7b?,2 2179j9 'L"ASEFi-kRGO.?' ? . ;: 02/75 FRAh1K LEXEt CDRP 75 ' 6101-45 ,2935 .1070 8 0y1377i!99 219A61 METER?ENERGI' W/pROSe Q4/7y IASER PREC RK3z30 . ' 6101-45 2435 l(J7p HALL A 031277w.99: 3-k-45- -M-I-Cf7-0?5 C-U.o ?. .._ ^'+%-fr2-M L? {? ?-M-1'-d---=?•p-t/•S-? H' E O M8- K-T-1?8-7 3 -6?5 4 p 0- b-1-0-t-=H-5- 2-y-3.6- 1-0-7-g 8 n?12J, ] 7 w Z g: 2?7920 POWER SUPPLY?LASER 02175 LEXEL CDHp 75P 6101^45 2435 1070 A 0`?I377*-99 ? 1"18922 PUMP SPUTTER-IpN'15L/S 02/66 VARtAN 9115011 6112-99 2435 1U70 HALL B 100275-28 139930 PUMP VACUUM T/M 250 l./S 014/70 WEL.CN 3102C 6112-45 2435 107p 9 070676-44 04f--5-6-9- ' R-E-F-R+GE-R-A-nR 2l?5-5 --y--Eti-- F T: I?E-L-?l-?-N A'' ^, ?,^?-- :,-?C?R-I- C-- 6-?-? n7 p A B n]_23-7C- 2B, 051 522 SAWING'M+ICHNE CUT Ofp 10/Sb GS 17 FELI(ER 41p' 3321'4! Z'?35 1070 ? ! ??Qt?5?28 F . ib9137 T'ELESC'OPE ' 11/67 KEUfFEL 71-2052 : 6172?45 2935 . 107u $ 8 D6297Ti2 4?-7.22,a , , ^ ? ? ? ? ? • • • • ?r • ? • • • • • • • • ?? ?, ? • - __...??..... - - iv Use BLUE or BLACK Ink For Office Use j Permit City of Eajan Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: y 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r ^/4 Site Address: N1~T WOOD 1-4445,61 Ali Tenant: l~ G~z ,e/rYl S~iV Suite RESIDENT/OWNER me: etJyS 4w, fVs©n1 Phone: Address / City / Zip: C "7' 1,' ~ weelo Jc~~ 14S Applicant is: Owner X Contractor TYPE OF WORK Description of work: Ubl3W00-29 / 1VIA10k F/'40e d 04& 5'✓`~~iUc Construction Cost: / (y / 17z4ae Multi-Family Building: (Yes No CONTRACTOR Name: A9,C - / kt/w/r&&~ License Address: 99V6 "r %Try il'~':'/v / City: /LG ~ r State: i71) Zip: L)c~~ Phone: Contact: / Email: 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 the 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. x M)qek"-T-M 'K X Applicants Printed Name App icants Sign ture Page 1 of 2 Use BLUE or BLACK Ink r For Office Use I I I Permit#: City of EaEft~ Permit Fee: J q 3830 Pilot Knob Road 1 I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 AUG 2 9 2011 1 I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: &-98- Site Address: P / / L 17kf i4lood H.i l-L$ ht Ill Umt Name: etI 5 gLL egIl ~91i1o1 .501V Phone: 651 3y3 X342- _ RESIDENT / OWNER Address/City/Zip: Cp C1 Al k L'1000 &EzLS lierg4!!FA Applicant is: Owner Contractor TYPE OF WORK Description of work: 1,6L .'z iX 1.)- OL- r- Construction Cost: 241060. a Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate 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: 1 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 their are trade secrets. _.........__~..clud_~._ ~ ~ ~ ~ _ 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. x R <!~EL/- X76.¢ SZ x~j-'aQ.~.~~ dry Appl'icant's Printed Name Applicant's Signat e Page 1 of 3 `DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level - Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* -Move Building Reroof Addition Demolish Interior _ Alteration _ Fire Repair Windows Demolish Foundation _ -Replace - - - - -Repair- Egrets Wind-ow ----Wae-rDamage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: ---Ice & Water -Final Pool: -Footings Air/Gas Tests ----Final Framing Siding: -Stucco Lath .-Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By:! Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC / Utility Connection Charge S&W Permit & Surcharge 21 Treatment Plant Copies TOTAL Page 2 of 2 Print Preview Page 1 of 1 C L ? t "T f Dakota County, MN Map E..x€'r. d rte. Scale 1 inch = 68 feet s.nn.aw: ~,'xs 't42 3 .m L, v ~Y ~ a z : »t a Jtrr< o v 1 x, 'W' X Parcel ID 104435000100 Bathrooms 1 . Owner Name Agrimson Russell P & Lois A Garage Sq Ft . oml Owner Other Garage = SG TUC GAR Disclaimer. _ Map and Owner Address 894 Lakewood Hills Rd Misc Building parcel data Owner Address 2 Estimated Land Value $74,900 are believed to be City/State/Zip I Saint Paul Mn 55123-1923 Estimated Building Value $163,200 accurate, Common Name Total Estimated Value $238,100 but accuracy - - is not Property Address :894 LAKEWOOD HILLS RD , Special Assessments $0 guaranteed. is not This a Property City EAGAN Total Property Tax $2,741 b . Use Residential Date of Sale document m , . . - _..w - . Homestead Y Sale Value $0 and should not be Year Built 1956 Acres 1.52 substituted fora title Building Type S.FAM RES School District 196 search, Building Style ONE STORY Watershed District GUN CLUB appraisal, survey, or Foundation Sq Ft 1482 Plat Name LAKEWOOD HILLS for zoning Finished Sq Ft 1482 Tax Description verification, Frame WOOD Lot and Block 10 Bedrooms 13 http://gis.co.dakota.mn.us/website/dakotanetgis/printPreview.aspx?PrintOptData--Dakota 8/15/2011 Use BLUE or BLACK Ink r----------------- I For Office Use Permit I City of Ea ~a~ I Permit Fee: 3830 Pilot Knob Road I / I Eagan MN 55122 ; Date Received:( Phone: (651) 675-567 r I Fax: (651) 675-5694 - - - - - - - - - - - - - - 2011 RESID CA N -DING Date: !'GZ-1.3 Site Address: d19q 41 L O~OPG 147,44~ iPC Unit M Name:, 2L"'6G 6 rli. Phone: 6_!v'/ 3<f3-~342- RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 4,rp..yC d/r✓.~ Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate 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. x x Applicant's Printed Name A plicant's Signature Page 1 of 3 Use BLUE or BLACK Ink �-------- --, ���'`,�t^� i For Office Use � i V L1 ��4 U��� tlll � '�� i Pertnit#: �+� ��' I �� I ��1.� � �O � Permit Fee: j 3830 Pilot Knob Road � ` Ea an MN 55122 � °� � Phone:(657)675-5675 i Date Received: 3G7'� � Fax:(651 j 675-5694 � Staff: j �������� _������J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ��3—�y Site Address: �9�-1 �e�ocr�.t���s 1Zc�a� �Q�►'1� `��� Tenant: Suite#: � . '� �-�G�i21f��S2�IJ ._ Phone: �'� � Name:� idertt/C?�(n�r� ,� � �� �����`� ` ��� l� > `�- s� , Address/City/Zip: � � �`� n 5's�v.� ,�55 , � , �varre: ��.7h�.� -1-1"� License�: � -/ ��` � � � �.P S�GI�O r�— LGl h'� �� City: �.L�IY�� �����..:� Address: 1�- ., � �+Q � _ � ��'� � `� Jr5l�)� Phone: J�(��ll�i.�"lo7D d � � �� State: � Zip: �� Y � �� \ �: � � - . � ' ° Contact: �� EmaiL_�r,}�,y1��1'1�. .f^�1/'Jh(''. L�U3'� a:,:. ,. , : ... ,ti�_, . �,�. �� '� � New Replacement �Additional �t 'Alteration Demolition y ` � ; � �T : � � , 'jy��p{��r[� Descript�on of work � , � ��� �� � NOTE Raof � un'� h�` r��i nd maur�t�d t►mech���i�a1 qui�me�rt,�� �a�r���'����creen+at��y Gity ; t � �� „ ':,,,, .��;,... �.. ,<. .... �od� p�eds�rt�GOn�c�f���Ilecha��rt��l,lr�sp�ctarfor^tn�ormaf�on��np�rm�t'�`�„ti���:en�ng'rn��t��s � ����� �� = RES/DENT/AL COMMERC/AL �� � �. �� �� � x; f� _Fumace _New Construction _Interior Improvement �ry � �� ` �� Air Conditioner Install Piping Processed kS ���� �f� ��.. � �� .: - . _ � s �� � ��, _Air Exchanger Gas Exterior HVAC Unit � ��� �� y����- _Heat Pump _UndedAbove ground Tank (_Install/_Remove) � � �: t �� � � ther 1 RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) /� $100.00 Residential New(includes$5.00 State Surcharge) _$ `�0•'� • TOTAL FEE , $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 "*"If the project valuation is over$1 million, please call for Surcharge =$ TOTA�FEE 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. x T�t 1�P,.�`G-�t�l-7" x o�r�. �'�f� • ApplicanYs Printed Name ApplicanYs Signature F�R���IL � SEg� y �..��' � a�.���� � .� � a �, �a aP�a �u:v�E>� `��. '��;�,- a, .� � _ ���� s��rY' � Requ� Ir�spe ��t�� ��� �� � r z�� � ,�';� � � ��� �'`�� �Cet� �$� �� �� � � � ��� , D���� ' : .�'a��j�'- /y� � � r� ��y� �,�` $:x 4� s:�,; � � � � � ��s���a . ;��} � ;9 � � /� z�w. '�`�°�"�� ,,. :Vlf���i*�C\!��. i3� ^.�A/��� ";� � � .� ����s�4 ����� �iiTir����` �\'I,i��.����\!5�� � ����� y�.� �F����7��.R������i'% ��.�'.. �ui�y i4uc.«p weicn riumping inc. oui-n45-y4uo p.� t�se BL�E or BLACK Ink r---------------- 1 For Office t7se • i ' _ �It� of Eap�� �J� ' � Permit#: I� � I � ( 1 � 1 Permit Fee: (,/,W � 3830 Pilot Knob Road i � Eagan MN 55122 � Date Received: 3 I Phone: (651) 675-5675 � i Fax: (659) 675�694 � Staff: � �------ --------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7�Z�—/� Site Address:_ �� �cA'I��iC�C.�(� �i` ��5 �n(�f°'!� Tenant: -°—— � - -- ._._�___m.,.�.t._,�.,�......_.,, 5uite#: � _..,�..�....__.._ ,�_.. e..._..._.�..__.._..�._. nQ � � Name: K�SS�ili(� /7-��T�sv/�/' Phone: Resident/Owner ; � 1 , ! /� i ._,.,...�..�� . ; Address/City/Zip:��r'(C'{ �i�r ,� �LJ�XL� tt-l�5 lL��� E ; "�.`"__.__�_ °-- -— � j Name:—�/�LCi� �G[�c.�vi�2/UG'y�� � � License#: � � k � j Conttactor ; Address:�G/C`� �(x�SS���G7� City: lt��j,�'7`-j`��i-c.�c,(� � , : j � State: ���-� Zip:_ SGIV ci 7 Phone:—SG'���f�� ��� ; ', r ,��..,.,.._...�. ` Contact �`'�Vv�� Email_ jitl�GG���M?L�,iN�,r�'J!l/ G-�1�y�' I : � ��rN 5 Type of Work s —New �Replacement _Repair _Rebuitd _Modify Space _Work in R.O.W. v � � i . � Description ofwork: ° :._t......__��.-.._._..,.� : .z>. ..�.. ...�._..._. .__._,.__._.�..v... _. ° ' ? RESIDENTIAL �'�"F --- ._..�.,,��_.�...""'"""'._"w".w'°"""..:3 � ' � � ; � �Water Heater ; f� � Lawn Irri ation � Water Softener 6 Permit Type � 9 �RPZ/_PVB) � s � � Septic System � Add Plumbing Fixtures L Main/_Lower Level) � � _New f Water Tumaround ` f ,�__`___,� --�� _Abandonment � ° � � RESIDENTlAL FEES: "° `�°--- °------� ; $60.00 Water Heater,Water Soflener,ar Water Heater and Softener(includes$5.0o Sta1e Surcharge) � � $60.OD Lawn Irrigation{indudes$5.00 minimum StaEe Surcharge) ± � $60.00 Add Plumbing Fixture5, Septic Svstem Abandonment Water Turnaround"(includes 55.00 StaEe Surcharge) � t "Water Turnaround(add$2Q0.00 if a 5/8"meter is required) ' � E115.00 Septic Svstem New($10.04 per as bu"slt)(includes County tee and$5.00 State Surcharge) � � ' � �� TOTAL FEES$ ; CALL BEFORE YOU DIG. Cafl Gopher State Dne Call at(651 j 454-0002 for protection against underground ulility damage.�� Ca1148 hours betore you intend to dig to receive loca[es of underground utilities. ��ww.popherstateonecalf org I hereby acknowledge that this infortnalion is cornplele and accurafe;that the work wiil be in conformance wit or inances and codes of the Cily pf Eagan; that I understand this is nol a pertnit, bul only an appliqtion for a permit,and work is not to s o a rmit; fhat the vrork will be in accordance with the approved plan in the case of work which requires a reviewand approval of plans. x ��� InJ� r�ri�`t x Appliea�t's Pnnted Name Applican ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Ro�gh-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read 5taff: