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776 Golden Meadow RdOwner OF EAGAN Street Lot Blk (E' Co(cSEN I'lEa4OL..3 -poQs-.& rW3? - Improvement Date Amount Annual Years Payment Rece' Date STREET SURF, . STREET RESTOR. GRADING SAN SEW TRUNK 0x? SEWER LATERAL s` WATERMAIN WATER LATERAL WATER AREA 0.00 C STpRM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 8UILDIN R. SA C YAA K CITY OF EAGAN Remarks Addition- -- Section 2$ Lot ?(Q Blk- Owner?R .,;- .1 f- I I Street 776 GOld@Il MeadOW Ro3d I"I(G _r:, Sil . Wrnr.lou) Qwli faL, J:'2 f , _ 10-02500-040-29 stete Eagan, M 55123 _ Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, STREE7 RESTOR. GRADING ,Y,)S 4 riy?i b kn5ej SR" L,ieuelb Q.?'L SAN SEW TRUNK p. 19$1 2054.18 102.71 20 (10 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA QO0T 1981 Q/ j-7 -?p- STORM SEW TRK Q 1985 3078.63 205.24 15 ? •15 (2 o /-/6 Ay, STORM SEW LAT CUFB & GUTTER 51DEWALK STREET LIGHT WATER CONN. dUILDING PER. SAC PARK V? ^ rf L ,,as? CYL 66,?c vt v l CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date 5ite Address 17 Lot .000'0' BloCk o0fdow SeC/Sub. Parcel No. s Name W ? Address ' ° City Phone " 1 , p Name o ? Address y' V ? City Phone Name City I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signatureof Permittee l. A Building Permit is issued to:___i on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official On 5ite Sewage Occupency MWCC System Zoning On Site Well (Actual) Conat Ciry Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review 1' • Bldg. OH. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 P k ar s TOTAL 1` . Permit No. Psrmit Holder Dste Telephona # Piumbing H_V.A.C. Electric Softener Inspectlon oate Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. A'.'.? , Rough Htg. Isul. Fireplace Final Htg. z? 4z) Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address Lot Block Sec/Sub ? Name m m Address 7 c City Phone -'-?.• /''-j ' Name c Address LL, O City Phone FEES COMM/IND FEE - 196 9?6 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.001- SIGNATURE OF FOR: CITY OF EAGAN PERMIT # RECEIPT # _ DATE: 1/411 BLDG. TYPE WORK DESCRiPTION Res. k? New Mult. Add-on + Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO, FIXTUFiES TOTAL Water Closet - $3.00 S? Bath Tubs - $3.00 ? - Lavatory - $3.00 ? Shower - $3.00 3 Ki?chen Sink - $3.00 Urinal/Bidet - S3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMM Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ? STATE S/C: GRAND TOTAL: ?? ? `' •??«-•? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 BUILDING PERA?T ` Receipt # To be used for A t Di T I:,t: Est. Value ? 110 'i-f:C' Date 4-0Y Site Address 776 COLDERi MEAD3iF KG 19?: Y LOt i BloCk + ?eC/Sub. t?U?{_ir?i 13'i OFFICE USE ONLY Parcel Nq. oocupancy ?"-? ?'I FE ES R-1 W Name ?=`??• A ?'tt:+?,v ?a7A?.?.a?.?' Zoning (Actual) Const V"f BIdg.Permit 6J4•L?(' Address `-LA+?W 1? r (/Ulowable) V-t" S SS:?O o urcharge Cit Pho11e 6F+8"9536 y #oiStaies 570 P?an Review 33 7•OC Length p Name Depth 29' SAC Gty Z . O ? Address S.F. Total - L ) SAC, MCWCC ? City Phone S.F. Footprints - Water Conn ? On Site Sewage _ ¢ W W Name On Site Well - Water Meter ?? Addl'eSS MWCC System - a W City Phone Ciry Water Acct. Deposit S 'W P it PRV Required - , erm I hereby acknowlege that I have read this application and state that the. Booster Pump S!W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment Pi Signature of Permitee APPROVALS Ruad Unit A Building Permit is issued to: ???O.'? KRF?'F "'Ar Planner park Ded. on the express condition that all work shall be done in accordance with all ?uncil - appticable State ot Minnesota Statutes and City of Eagan Ordinances. gldy. pff, _ Copies ? ? Buildinq Official Variance TOTAL Permit No. Permit Holder Date Telephone # lNATER SEWER4?'<'C .l ??/ l l: Y. ?/? A.Il?C?:?U•`i.. c' PLUM8ING G 7??G"? C?11?-4L 9 rf ?(l LL (J H.V.A.C. 9/3 1 ELECTRIC rJ,7?- / G /$5 53 o-? Inspection Date Insp. Comments FooGngs I ?/ ? ? y Foundation ?? ? J f' G Framing Roofing - Rough Plbg. Rough Htg. 7/ jn* alv Isu1. -/P-31?p ? , Fireplace Final Htg. g?/j Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ft9. G " /u0 2 Deck Fnal Well Pr. Disp. f - , . •. ::, MECHANICAL PERMIT RECEIPT # , CITY OF EAGAN DATE 3830 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: .?? .fUC' PHONE: 454-8100 For Office Use Site Block Sec/Sub m Name 1 ? Address c Ciy !'E - Name c Addre: ' p City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other /-LG nn eru M BTU M BTU fl M BTU T CFM FEE: S/C: TOTAL: BIDG.TYPE Res. ? Mult. Comm. Other WORK DESCRIPTION New Add-on 'C Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 19'o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERM?T (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) - 524.00 - 6.00 - 1.50 EA. ? - 12.00 - 20.00 - .50 FOR: CITY OF EAGAN CONTRACT PRICE Site Address Lot _ m Name, ? Address ? city?i ? Name.1 = Address FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES ? TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER)EACH $1,000 OF PERMIT FEE) OF PLUMBING PERMIT For CITY OF EAGAN PERMI7 # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEiPT; DATE: PHONE Use ? BLDG. TYPE WQRK DESCRIPTION Res. New Mult. Add-on -4? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: uo. fIxsuREs TOTAL I Water Closet - $3.00 $ o...s, r,.?... 0" nn - 00 0 $3.04 $3.00 - $3.00 $1.50 Phone r.. ..,.. Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEEVS?? STATES S/C: SJ GRAND 70TAL- /a rzszzo o-ya 279 TOWfT OF EAGAN 3795 Pilat Knob Road St. Paulp Minn. 55111 PERNTT NO,: The Board of Supervisors hereby grants "t0 g{esnn2a__SjEl.l_d._Pump__['a• ef 1955 Shawnee Roadi St. Panl 55_?11 _ a? wpit _ cer ? ? bw ?d Permit £or: (Owner)Armond Laurenat ,?c 55111 purauant to application dated Fee Paid: __$Ip-op Dated this 9rh day of jxgk=? ,ep,embe..p 1970._. Building Inspector ? /d 6z.Soo ° ?ld 4-/ TOLIN OF EAGAN 3795 Pilot :Cnob Road St, Paul, Minn. 55111 PERMIT N0. -j5 The Board of Supervisors hereby orants to A. Laurent of 4393 Dodd Ru.d a CESSPOOL Permit for: (Owner) egms aalne , pursuant to application dated 4/12/71 Fee Paid: $10.00 ^ Dated this 12th day of April , 197 1. Building Inspector /o azsaa vyv Zq TOTdN OF EAGAid 3795 Pilot Knob :.oad St. Paul, Minn. 55111 PERMIT N0. 103 The Board of Superv so s reby grants to A. Lausent 77?o??en mei4ew-1Q-" of .•439A--6edd-RvBd a PI.UMBING ?Permit for: (Owner) same gt aame , pursuant to application dated 4[12/71 Fee Paid: $20.00 DaCed thislp th day of ARtil , 1971_. Building Inspector CITY of EAGAN BUILDING PERMIT oWn.: .... Address (precent) ......_'(R":?:.°.`._ { . .... ... ................ ................... Sullder ................................'--................ ................-.---................. Addrace ................. DESCRIPTIOIQ . ,. N2 3423 3795 Piloi Knob Road Eegan, MinaesoYa 55122 454-8100 Dels ...1?::..?. ..?.`.1.................. 5iories To Ba Uaed For Fron! Dapth Heigh! Eal. Cosi erm!! Fse Aamasin ,d??"?_ ?3-2? • ,?- ? ,i 3 d ? •-b 9-? r- 7 >` riox dc V. °a Slreoi, Road or oihar Deseriptioa oe i.oceilon I Lo= nloce aaa7xion oz -rsaci 776 Qrd.th Nad" '7?! This permit doea aol aufhorize the use of cfteels, roada, alleps or sidewalks nor does it give the owaar os 6is agea! !he righ! !o ereafe any ailuafion whieh ia a nuisance or whieh preseals a hesard !o the health, setelp, toavsnieaes aad genezal welfare !o anqone ia the eommuai2y. THIS PEAMIT MUST HE KPT ON THE PREMISE WHILE THE WORK IS tN PROGRESS. This ie !o eerlifp, lhai................. ?..^..:`.:? .................haspezmissioa !o ereet a..... .........._...... ................... ............upon the above described premise subjeaf !o the provisions of all appiicable Ordinances fos fhe Cio?gaa. ..........:............................ .................................... 4 .:..._?r...... ................... Per ....._....................^'.'.:;.......C/.,.....:?.a Mayor 6 Suildln? psclor 'O EAGAN,TOWNSHIP BUILDING PERMIT Ownex ...11.v?t..?-r.!?r.......?. Address (psecen!) --_.°..Z-7: w<-t.... Vt. ...... Bvilder .----- ................................ Address .?:a..... ----------- ..... ....__..:------------- -........ .. 4C?I's-0 1/6 -,20/ N° 2242 Eagav Township Town Hall Dele _.._-f/46fYo _ ................... SSOries To Se Used For Fron! Depih Heighi Esi. Cos! Permi! Fee Remarks I / LOCATION 77G (abiltn 'Ma This permit does aot aulhorise the usa of elseels, soads, elleys or sldewalks nor doea it giva the owner or his ageat the righ2 !o eseate any siluation which is a auisanea or which presents a hazard to the heallh, safefy, eonvenienca and general welfare fo enyone in the aommunify. T1iI3 PEAMIT MUST BE EPT.py N THE PREMISE WHIL£ THE WORK IS IN PROGR SS. This is !o carSify, fhaf......(!i.,"-'-a'--r.5.^.?-:ar.e::-?._------._-----hasparmissfon !o erect a.... ..."'-- .:......'_""..... ..""".........._upoa !he above described premise subjeet io the provisfons o! the Building Ordinance fos Eagan Township doyled Apri1 11, 1955. ?y 7 ........................._-.-?-_.?:.-.C:.:-?'.-c:?•;.. ----.--.. par ........._.............Y'.-:`.-?.... / .Z....-----?-?..........? . ..........""_'....._"" haisman of Tnwn Board Buildin Ins a! CITY OF EAGAN rJa 14 7 4 4 -• 3830 Pilot Knob Road, P.O. Box 21 99, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454•8 C00 Receipt # Sa 3S ? To be used for ROOM ADDITION Est. Value $12.000 Date MARCH 29 ,79 88 SiteAddress 776 GOLDEN MEADOW RD Lot 4 Block 29 Sec/Sub. SECTION 25 Parcel No. a Name ARMAND LAi7RENT w 3 = Address 776 GOLDEN MEADOW RD ° City F?ACAN_ Phone 454-7831 OFFICE USE ONLY On Site Sewage _ OccupanCy R-3 MWCC Syatem _ Zoning On Site Well _ (Actual) Const V-N Ciry Water _ (Allowable) V-N PRV Required _ # of Stories BoosterPump _ Length Depth 16"-0" S.F. Total Footprint S.F. o Name HOGEN HOME BUILDERS I o 'o Address 16025 OAK SHORE DRIVE °a City BURNSVILLE Phone 435-5854 ? w i u z W Name _ Address 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 Minnesota Statutes and Ci y ot a? O di nce? ? Signature of Permittee A Building Permit is issued [o: HOGEN HOME BUILDERS on the express cond ifion that all work shall be done in accordance with all applicable State of Minnesota StaNtes antl Ciry of Eagan Ordinances. Building ONicial j},D11? ???I?11S1 APPROVALS FEES Engr./Assess. Permit 122.00 Planner Surcharge -6-00- Council Plan Review _ _61,90 eldg. Off. SAC, City Variance SAC,MWCC WaterConn. Water Meter Roatl Unit Treatment Pt Parks TOTAL 1S9.O0 CITY OF EAGAN N9 16578 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 ? ? ?/ ? 3 BUILDINGPERMIT Receipt# To be used for ADDITION Est. Value $110, 000 Date JIJNE 5 , 19$9 Site Address 776 GOLDEN MEADOW RD Lot 1 81ock 1 Sec/Sub. LAURENT 1ST aFFICE USE ONLY Parcel No. occupancy R-3 M=1 FEES R 1 Zoning - w Name BYRON KREMENAK & NANCY WAL?EN (ACNaI)Consl V-N BIdg.Permit 674.00 3 Address 776 GOLDEN MEADOW RD (Allowable) V=N 55 00 ? Surchar e 9 . City EAGAN Phone 688-9336 #of swoes 337 57' Plan Review .00 Length a Name SAME DapN 29? SAQCity i sa AddfBSS S.F.7otal - SAC,MCWCC ? CIty Phone S.F. Faotprints - Water Conn On Site Sewaga _ ? ' w Name OnSiteWell - WaterMeter w Addl'eSS MWCC System - ? ?i aw City Phone ciywarer - Acct. Deposit S/W P it PRV Required _ erm I hereby acknowlege that I have read this application and state that Me Booster Pump - SiW Surcharge informalion is corcect and agree to comply with all applicable State of Minnesota Stalutes and City of E agan Ordin/anc?e5/. Treatment PI ? SignatureofPermitee? ; APPHOVALS RoadUnit ?i - BYRON KREMENAK A Building Permit is issuetl to: Planner - park Ded. on the express condition [hat all work shall be done in accordance with all Council applicable State of Minnesola Statutes antl Ciry ol Eagan Ordinances. gid9, pry. _ CoPies -?h A 1e066.00 i I 1 Building Oflicial I1111 4Att ' ? Variance - TOTAL L? gL J CITY USE ONLY RECEIPT 1?/ SUBD. ? /? DATE: g95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. 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 PiNli-19 Ouilet ' minimum - i 3.00 x - Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Aiterations ` to existin9 20.00 = Water Tum Around 20.00 d.od STATE SURCHARGE .50 TOiAL '9?0-5-0 SITE ADDRESS: -7 7 6 Mged6W ?L OWNER NAME: v",27?? ?-- INSTALLER NAME: W??2zu MzA d? STREET ADDRESS: CITY: STATE: ZI p: PHONE #: ( /?/a ) YSa - )S ? ? q s-pnw ? 0?v • Loi 1 Blk 1 PID # 10-44550-010-01 Sewer/water permit # 26163 Plat LAURENT iST Date 08/03/95 Receipt# 46485 CITY OF EAGAN 1995 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Sewer connection Sewer availability Date previously Receipt # \ Account deposit Sewer permit and Subtotal Tap Total charge (SAC) paid 15.00 50.50 $ 1,015.50 ? . ? , Date Account deposil Water perrnit & Water meter Treatment plant Su6total Tap Sewer & water connection charges Sewer availability charge (SAC) $ 950.00 Date previously paid Receipt # Water availability charge (WAC) 750.00 Date previously paid Receipt # Account deposit 30.00 Sewer & water permit and surcharge 100.50 Water meter 115.00 Treatment plant 372.00 Subtotal $2,317.50 Tap(s) ? TOt31 $2,317.50 15.00 50.50 115.00 372.00 $1,302.50 A plumbing permit is also required. lt will be issued only to a plumber /icensed with the City or to the homeowner actually doing the work ' OFFICE USE ONLY Property owner NANCY WALDEN Address 776 GOLDEN MEADOW Phone no. 688- Plumber Water connection charge (WAC) ?$?750.00 paid PRV 4Z 5 No. of taps N o^?- Assessments ?J1/?' -, as 9? Waiver SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 07/24/1 995 PROPERTY ID: 10-44550-010-01 SEE COMMENTS S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100575 SEWER TRK 1980 20 8.0000 1437.93 0.00 0.00 PP 100576 WATER AREA 1980 20 8.0000 1437.93 0.00 0.00 PP 100903 SSTRK383 1984 15 10.5000 2155.04 0.00 0.00 PP 101857 SSTK W300 1989 05 9.0000 4589.41 0.00 0.00 PP ------ SUMMARY OF LEVIED 0.00 0.00 0.00 ****** 1995 P&I CERTIFIED ------ SUMMARY OF DEFERRED 0.00 ------ SUMMARY OF CIASED 9620.31 ------ FUTURE ESTIMATE 0.00 ------ PENDING ESTIMATE 0.00 Press ENTER; or F1, F4, F5, F7, FS Main Prev 2 72 Next S/A Go To Exit Menu Page CN Page COMMENTS Legend 16:29 CAPS 1989 BiIILDING PERMIT 9PPLICATION - CTTY OF EAGAN SINGLE FAPIILY DWELLING3 I to it INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES DF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRFSSES FOR CORN1iR LOTS - CORTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH 9DDRFSS IS DESIRED. AO CHANGES WILL HE ALLOWED ONCE BOII.DING PERMIT I3 ISSITED. MULTIPLE DWELLINGS RENTAL IINITS FOH SALE ONITS _ # OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SIIRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY GALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Se IIsed For: ()? t.?iLUL?? Valuation:'7-??? Date: ? Site Address 74 C*66a /y?gEv Ry , Lot L Block 1_ Parcel/Sub /1lccr2tLf F-ifsf Owner Address '77(n *1An deqdow Q. City/Zip Code "ap??(I?.'?S-lZ3 Phone 64 1 J933(o Contractor 6cel)z2r -0t?Y6n( ?rriiF, ) kr?/benq? Address 776 CO/deyk., 1((O0W M. City/Zip Code MN• 5?;-l 2,3 ?- APPROVAIS Phone ?g$? 933(• Planner Areh./Engr. ? 1 DOt?a'^ vrci?a u3i Occupancy M`I Zoning R-1 Aetual Const V-N Allowable ?/- # of stories Length S r7' Depth 211 S.F. Total Footprint S.F. On site-sewage_ On site well _ MWCC System _ City water _ PRV required _ Hooster Pump _ Council Bldg. Off. Varianee Address ?_te, 3oj!,, lSOf (Uu'orrstfvAar 5.E. L City/Zip Code /?i?1c5- ?rJ, SSt?/? Phone # 379-303 % mhacy tf-J G?5 gb AIAY.3 ? ,, wo, ?? FfiTS Hldg. Permit (,7%00 Surcharge 551oO Plan Review , OC7 SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies TOTAL NOTE: Sewer & Water Permit fees and aecount deposit fees xill be included in the building permit fee. Processing time for sewer and water permits is tvo days once a licensed plumber has applied For a permit at City Hall. ?? ?????r-IJ - -? .,?=?-- --- - 2N /5 x 15 = z?s ---?--- - ----- -- ------- -???'?? - - --^- --- _ UO -_ ? z ? ? ------ - - z-9 -=.-i S • ? b _ _ ? ?- - x 5-0? -6 ?Aal-? -- - - -- - - - - --- - - 2 2-?c ?6 =' S' ) 7 -- - - ---?- - -- - - - -' `26-`-?----- --- -- - - ----- -- ---?L--? ? ?-D ---- - -- - --- ---- 0- -??---? ?-i? *.? j- -- - - - ?. -- _- - • Certificate for: ' 8yr.6n Kremenak DELMAR H. SCHWAN2 • uu+o aumcrone. Ne. DET`I / L ftobw uMN L... af n» saft a 11760 SOUTH ROBERT TRAIL ROSEMOUNT, MtNNESOTA 660!! 412/423-1769 ?^ SURVEYOFi'S CERTIFICATE ?r•47 b O/TioN ? ql Ao Z •r ?J ?k.k x •s p\ i _ . ? R x NSE ; f ? ?36cJ V m / v r?- qyA +0•6 4ta.f 0??/ O ? Elevations shown are existing / ? -- 1 1 ., Y ? ? q ? .? ? ' A?wAOO?rinN ' ? ? ? • 1 . r 1/?/ EX?ST/N6 //ONfE ? . 1 SE? pEYAiL ? ? ?. 1 M Ioq \ \ ? M 1? \ 1. ?OND Drainage &.utility ? easement 394.os - - - - - - -J ? 6?S l3 NB9-, ¢¢=' 96 E . SCALE: 1 inch = 100 feet LEGAL DBSCRIPTION: Lot 1, Block 1, LAURENT FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. ? ?pU\I\ilill IIIti171fg?? , Also showing the location of a exis???p?y?n§? ?gd proposed additionthereon. I hereCy certNy IhM tAia suney. Plen. or roport wsa :???\'C',:•' •. ?Q?,''. //11 preperod Dy me w uMer my dUSCt supenisbn end - ? thet 1 am e duly RegNlered Lane 3urvsyor undsr `DELMAR H. ? / tne Isws ol tM Stats o1 MlnnssWe. = SCHWANZ - D?isd May 3. 1969 -8625- ;Q,` M?;? ?.NO.lE26 .. a . '. 0... .??,\\\\ . .. • /?????ii???,,(fi???:???,?i0`>,' ' .. ?- % e , fi MANUAL d: 7th Ed. Rt 6Hf-J: V1.f0 SHORT FOR M ? ? For. Nace KE'MypyMi7. Addr City EA6AN State MM tiP By: Contr MM *R7tM AAdr " City ST. FAIIL State NN I(p ?. Ytr, City Minneapolis/St._Paul State Aq ?. " Dsn: Win put db -16 Uey F. Min In d6 12 Dsn TO 98 6eg f. " Sum aut dh 42 peg F. Sue In db 78 Dsn 16 14 Deq F. Rel Hu¦ 50 I Uaily Rrtq M 6rains 31 ? Epp Htq: Make Made] tYPe ' input 0 QutpuR 4 Tep A 6 r Cfe's 2010 HF 0.024 EQP Clq: Make Model TYAe ? Sens 0 Latent 0 iatal 0 Cfe's 2000 CF 0.053 " ROQN NpME ; AREa 1 HEp7 Lpgg ; RSH 6AFN ; NEATINB ; COUUN6 r^ ' ( S.F. ; BiUH I BTUH ; CFM I CFM ?'exeeraxeavoov'oceceev ezaaa''xr a sa'xs "" axaa'_ ' "`x' 'e?_'x ' iOYER LOFT ; 225 I 7726 I 3553 ; 182 I t90 ---------°------ ------------ ------------ ------ ------- ----- BR il --------------°- ; 162 1 ----------- 5394 ; 3149 ; ----- 121 I --------- 174 AATN/5T11DY ------------------ - ! 238 ? ------------ ----------- 2789 ; --- -----------° 647 ; ---------- 68 I ------°- 35 HALLlS1AIR , 458 I -------- 57:4 ; ------------- 2657 I ---------- 175 I --------- 142 ----------------- ------------ ------------ --°------- - ---------- ° BR 12 ------------------ ; 216 ; --------°-- 7144 ; 3600 I 169 ; ------- 192 .- MpSiEq BR ------------------- - , 221 ? ------------ ----------- 5393 ! ---- ---°-------- 2483 I ---------- 127 ; ---°--- 133 LIVIN6 RM ; 315 f -------- 10928 ; ------------ 4483 ; ---------- :SA : --------- 240 r- -------°--------- ----------- °- °-------- ------------ -------- DIMIM6 RM ------------------- , q31 ; ------------ 4405 ! 2418 I -- 109 ; --------- 129 .- KItCHEN ------------------ ; 147 ; ---- ------------ 10376 ; ------------- 6744 I --°------ 245 f -°---- 361 FANtLY RM -------- ; 293 ; ---------- 6564 I -----°------ 2852 ; --°------ ]SS I -------- 151 r- ---------------°-- -°-------- ------------ ------------ ------ ENTRYISTpIR ------------------- , 218 ; ------------ 4435 I -- 1540 ; -- 116 ; - 82 BR 13 ---------°-------- , 231 ! ------- °--- ---------- 2755 1 ° -°---------- 1926 ; ---------- 65 I ---°--- IOS r STUDY/BATH ------------------- ! 261 ; ---------°-- -°------- 1875 ; - °---------- 441 I ---------- 94 ; -----°- SR BASEMENi I 1225 ? ------- --- 16505 ; ------------- 1071 I -°------ 21g ; ------- 57 Entire Mouse ; 4593 ; 86513 ; ;Bt46 I 2000 ; 2040 Veati?a!ion Air I ? 11616 ; 1818 I ; Latertt Cooling { 4283 ? /? """c=ce"'xcve"ex ""_eeee?v --- av"exac' _ s°v_v'esxeaecss`eesecsn"e'e' -- tDTaLs , 4543 ? ?i? I "142T7" t _ 264e ; 200 , RJGkT-d SUlft1ARY INFURMATIUN e 6ENERAL DkTA r ' For: Mame RREMENRK/YAL6EN Address rw ? CitY EA6AN ,a State MN i;p r.. By: Contractor PALMER SERVICE Address City Si. PAUI State NN tiP " Mtr: State MN r. . City Minneapolis/5t, Peul_pP „ 6E516M CONOITIONS !- NINTER SUMNER ? Qutside dh: -16 Deq F. QuEside dh: 92 Deg F, tnside dh: 77 Oeg F. Inside d6: 79 Deg F. Design TD: BB 6eg F. Desipn ip: 14 peg F. - Rel. Hua. : 5d I Daily Range M : 6raias Mater 33 ^ HEATFN6 SlIMRARY CAOlIM6 SUMMARY " Bldg. Hea! lonY 86513 Btuh Design Toop Swing 3.0 Daq F. r.. 4entilatinn Air 120 CfM Vcntilation air 120 CFN Vent Air Loss 11616 Rtuh Vent Air 6ain 1848 Btuh Design Neat Lnad 48129 Btuh Total Sensihle Bain 39994 Btuh iotal Latent 6ain 9283 Btuh ., Total Coaling Load 49277 Btuh ? _ E9tlIAMENi 10AD SI1IM6 SENSIBLE LkTENT n Structure 58146 Btuh (nternal 6ains 1840 Btuh Ventilation 1B18 Btuh Ventilation 2693 Btuh -- Hate/Swirtq Mult. 0,95 Infiltratiort 4754 Btuh a+ Tnta] Equipikent 37945 Btuh Total Equipsertt 9283 9tuh , fQU1PMEN1 SUMNARY HEpTIM6 COOL1N6 -`` Design Blawer Stre 2044 CFM Design 61ower Site 2040 CFM Xake Nak¢ Model Madel TYDe TyPe E44iciency ! HSPP 0.00 COP/EERlSEER 0.00 r Heatinq lnput d Btuh Sensihle Caoling 0 Btuh Heating Output 9 Btuh Latent Coolirtg 0 Btuh ? Heating Temp Rise 0 Deg F. Total Coalio 0 Btuh Heating CfM 2040 q CFM Coalirtg CFM yp;p Crp Heating factar Q.O:q Coalinq Facter 0.053 Space Theraostat i._Tth_CA e4ruT i. un CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION OYfNER: ?? 'A r6v, F-, Lt- K--R SITE ADDRESS: CONTRACTOR: lir PHONE: (G tf t- '47 3.? 4 Determine irorking square footage of each: 1. Total exposed wall area sq. ft. x.11 - 1 ?2, C, 2s Total roof/ceiling area .. ?U? S 3 sq. ft, x.026 = 2??3 ? .J, rLCDR o,.t/' in?er::n Untie+ik4 SPG[e Gl,Nq ,,, Total exposed wall area above floor a. Total wall window area ............................ .2 3 9,/ r b. Total door area ..................... . ........... . . ( c. Total sliding glass area ............ ?.:.(:..?....... d. Total fireplace wall area ...........•............ e. Total wall framing area (average 10%) ............. f, Total net wall area above floor ................... g. Total rim joist area .............................. Total exposed foundation area = ?/72-, h. Total foundation window area ....................... ? i. Total net foundation area above grade .............. Determine 'U' value of each wall segment: a. x ' U' (f%. b. s f'v x 'U' ?2 - C. X tUl d . ri X I U ' _ 2. t'i G XIUI = f. ? 52 .S. X 'U' _ 9. r 'o x ' U' _ h. X 'UI - i, x'U' - 3 . .............. ..................................... Total = Z 1!. 5 ( If item #3 is the same as or less than item I11, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = / O Sl-3 j. Tota1 skylight area ............................... ?.' k. Total roof/ceiling framing area (average 10$) ..... r0 59? 1. Total net insulated roof/ceiling area .............. ?r c OVER Determine 'U' value for each roof/ceiling segment: j• (2 x 'U' O• _ ? ? k. l J S X?us 7,?„ 1. X fu l ?. O 2- `/ - 0? ? 4 . ...................................................... Total = 3vrb.;J If total of #4 is the same as or less than l12, you have met the intent of SBC 6006(c)1, Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items If3 and ll4 shall not be greater than the sum of Items tt1 and I12, `7r' t C(q,. K + Z. .2` v ?.?V,7 .+ 3. 71?? S"1 + u. so. t3 ( = C? I cvr r! 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies -.R-38 U= 0.025 Average 2. Exterior wa11s & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baf£les are to be placed in.every rafter space. LUIOEUnE To (a) Vnauas rnmi r,;iin;,[ nnriunL ' _ Of TYPICI,LLY USCD FRaWCTS . R R Inierior hir Film (Walls) O ?iB GyDSUm or plaster boare ;/g" p j2 Eaierior qir pllm (ualls) 0.17 Gypsum or ylaster boarC I/2" O.yS Interlor fi ir film (Vcnped Ceiling) 0.61 Gypsam or nl:.s[cr board 5/0" 0.56 Exteri?.r Air film (Vcnted Ccilin9) 0.61 PlywooA 3/6" 0.47 Interlor Air Filn (Ilcn Ven(eA) 0.61 Piywood 1/2" 0.62 Ex[erior Air Fllm (Ilon Ven[ed) 0.17 PlYwnoA 3/4" 0.93 Sheathinq, reg. density 1/2" 1.32 Rtuminiim Sidina 0.61 Sheathinn, reo. density 25/32" 2•06 Alum{num .,{th Backer 1.62 Nail-Aase she:.thinq 1/2" - 1,14 Aluminum aith Backer L foiled 2_95 I12 n 8 Lcp Sidinn (NOOO) 0.81 Buil bup Roofs 0.33 - 7/16 x 12 Ilurdboard Sidinq 0.67 Asbesms-cement shinpl,s 0.21 ' Rsbesros Sidinqs I/4 l?pDed 0.21 Asphal[ roll reo(in9 0.15 . . . Scucco (ero.:n ana Ginisn [oat) --. aspahic shingles 0.44 314" Vood Subfloor or Shca[hing 0.94 Insula[ion: 2-2 3/4" Fiberqiass 7.00 1/2" Ply..ooE .hcathinq 0.62 Insvlation: ; 1/2^ Flber9ias5 I1'.00 . 1/2" Particlo tlo..rd 0.66 Insulacion: 6" Fiberg7as5 19.00 ROODS: . BLOWIIIf. 40015 " . . . . . iir, pine L similar zoft 4ood5 1 1/2" 1.89 Approz. ;'- . 9.n0 Z 1/2" 3•12 ApVrox. 4 I/2" 13.00 - . ' 3 112" 4.35 Apvrox. 6 1/4" 19.00 .. . . .. . -'... - : 5 1/2" 6.87 Apvrox. 7 I/4° .. . c:, :_;..-.. . . 24.00 ... . .-:- .. .. . . . APProz. 14" . 90.00 .. . ' Approx. 18" 40.00 ' - - - AIl otner insulation materials nusc be . . - Filled verified (R Facror) (R) Vermicvli[e . .. 8° Conuete Block (5 G G R¢q,) 1,-11 1,-9; . . _- IY' Concrete Ciock (5 L G R¢g,) 1,28 3,15 ' ., 8" Light ucight 2.18 5.03 . ,. 12° ligh[ W<i9ht 2.48 5.82 ' . . - . NOTE: (U) x Area SQUare G<et A71 ulnAOws (w/Smrnz I^ ta 4^ Spacc) .56 eemoval Double Llaxing (ftDG) .55 . Thermo or ucldcd 3/16" air zpace .69 1/4" air 5vace .65 1/2" air space .58 (Other uindows sDecifically Sested can use be[ter ratin9z) I 3/4 Solid care door ,46 w/smrm, wnod ,31 . w/smrm, metal ,26 Peaze StceiDoor In}1/r,/CL 7,45R ,13 Slidinq Glass Ooor, Nood .65 Netal .715 _ CITY OF FAGAN • PIINIPNM "U" VALUE Ai\TD R-FACTOR AT RODF, WALL, RIM !u\'D CONCRETE BLOCf: 1 . _ROOF j C?.IL?NC, (Y) VA? p ?0TEXlo? ?:tc? F??? i O S19' GYP ??. . OO 1?SULA ??oN • ? . ? EX ;o(? AlR F1Ul ' tS?tiLL? - ??Ur?- ??tZ - _or_ ToTqL (R?_ _ .? ?- VALL (?) Q ii?l?P-lol= AIR FtLM ToTAL (9) _ ? CL 5 1/2' 1NSULAT101a - • ? sIr- Tc?r?i ,btsT : 2 105 J u- CS?;S?r?ITE StolN? .? AIr- FlLM uva ToTP' (Cc?_ foJ?DAT?o??? . . ttz? vt?tu? i3 1NiEI7lZ AIiC F{L!'l . C 6 1 1. C G. SLh, 0 - v, 'v G ?Xjcf?to;c AIR FICM ?- 1c u U = l?tZ= "; ; T81a.L- (C<)= . Floors oce; unhezted spaces must have mininuzi R-factor of R-20 (tucl-under garaoes). Floors ov<^.r ou[door air (overhangs) nust tiave a r.iinimum P.-factor of R-33. . ? t ? 8 ? ? l.ll?iR'?7?.?' ,t??i?1 •, . , MATTSON/MACDONALD INC. STRUCTURAL ENGINEERS 9596 W.LAKESTREET ' MINNF_APOLIS, MINNESOTA 55408 (61 2) 827-7825 7une 6, 1989 Mr. Bernie Kremenak 776 Golden Meadow Road Eagan, MN Re: House Addition 776 Golden Meadow Road Dear Mr. Kremenak: I hereby certify that I have done structural calculations to determine the framing for the addition to your home. The calculations have been done in accordance with requirements of the hlinnesota State guilding Code. Sketches of the structural framing have been provided to you and the Architect. If you have any questions, please call me. MATTSON/MA DOtUALD INC. / U Wesley C.,M ttson, P.E. WCM:kjn ? 1988 BUILDING PERMIT APPLICATIOAT - CITY OF EAGAN _ l 14 4 _ SINGLE FAMILY flWELLINGS INCLUDE:2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRES S FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHIC$ ADDRESS IS DESI ED. NO CHMIGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. M[TLTIPLE DWELL NGS RENTAL UNITS FOR S9LE UNITS Il OF UNITS y • INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT., 1 SET OE ENERG CALCULATIONS COMA7ERCIAL INCLODE 2 SE OF ARCHITECTURAL & STRUCTURAL PLANS, ?- 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - 1 l? To Be Used For: ??ALli Valuation: 1AYbD.t37? Date:?3?3??? ? Site Address 7 76 fdICP,cJ /KPq-,,)?,J Lot OY dp Block c;29 Parcel/Sub 4Cal. (O Yw ?asdd Owner Address City/Zip ;de SS/23 Phone S ' 3 ? Contractor &Ap Address ?}',Q I City/2ip Code A-ofAfy. S? 3 3 7 Phone SF,3 ?- - si- S ? I Arch./Engr. Address City/Zip Code On site sewage_ M47CC system On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Occupancy . 2oning Actual Const Allowable If of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess . Permit Planner Surcharge Council Plan Review Bldg. Off. ??L9 SAC, City Variance - SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL R- 3 v-N v-N IB 7-2, o u G,. 00 oa d0 Phone # .• . ? a .. l?E1FobM Alb-Di1 /ON CZYY OF EAGAN EITERIOR ENVELOPE 9VE&AGE 'U' COMPU79TION OWNER: tr2l?,?N? L.nu2 ?NT SI1'E ADDRESS: 274 C:;DCOjEit/ //EAoOccJ Rr-- I. CON2RACi0R: DATE: PHONE: Determioe vorking square footage of each: 1. Yotal exposed wall area ,. 50¢ .-,-?- sq. ft, x .11 = 5.5. ¢ir 2. Total roof/ceiling area ... 7-08 sq. ft. x .026 = ? 7•4198 Total ezposed xall area above floor = 5 C? 4- a. Total wall windoa area ............................ 4-? b. Total door area ................................... - d- c, ?ota2 sliding glass area .......................... _ q- d. Total fireplace wall area ......................... -f? - e, Total aall framing area (average 10%) ............. S o f, Total net wall area above floor ................... ¢1 ¢ g. Total rim joist area .............................. 3 3 Total exposed foundation area = / C>d h. Total foundation window area ....................... - 0 - 1, Total net foundation area above grade .............. - o- Determine IU' value of each wall segment: ' a. 4?0 x fU' .37 - 12.7--? b. x 'U' - C. x 'U' - d , x ' U' - e. SO x 'U' ±/62 = PR.o2? f. cFt ¢ x' U' 9. 3 3 x' U' h, x 'U! - ' i, x 'Ul _ 3 . ................................................... Total _ 3 B, GOf- If item 43 is the same as or less than item 61, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = OBP 3 J. Total skylight area ......:........................ k. Total roof/ceiling framing area (average 10%) ..... 1. 2ota1 net insulated roof/ceiling area .............. 24¢ ?^' , 6 8 r4Q ? , nCs OVER ?.,z7 . ? Determine IU' value for each roof/ceiling segment: J. x out ,5 - (5 k. Xful x' U' 4 . ...................................................... Total -/ S, 2 2., If total of $4 is the same 'as or less tha? 62, you have met the intent of SBC 6006(c)1. Alternate Building Farvelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 64 shall not be greater than the sum of Items U1 and 02. 1. + 2. C. Z, cJ Z- s. +u. 53,8 6 ? 2c. ? G 2 , SINGLE b DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUZREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. ? 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles aze to be placed in every rafter space. GUIOCIIIIC 70 (F) fA[TDAS fP.On lSU0.id W.tlUAI 0? 7YPI(ALLY USCD PPAGU(TI faI (0.) Interior Ajr Film (ualls) 0.68 GrDSm Or Dlaster board 3/8" 0.32 [aurfor qir Film (ualls) 0.17 GY7+u'^ or ylaster boara 1/2^ 0.45 Ontcrfar Fir Film (VCnteA Ceilinp) 0.61 Gypf. or nlaster bwrE 518" 0.56 Eqeri, Air Film (V?nted Ccilin9) 0.61 ?lp+ood 3/8'• 0.47 Inlerler Alr Film (Ilen Ycncee) 0.61 ?lyvood 1/2" 0.62 E.terior Air Fllm (ua. Ventea) 0,17 ?ly.icwd 3/4" 0.93 Sheathina. re9. densltY 1/2" 1.72 Rlw.imwn Sidino 0.61 Sheaeninn, rea. dmsity 25/31" 2.06 Alarninum .,itn B+cker 1.82 N:ii-hase sheithinq i/I" 1.14 Aluminum ritn 9ackcr G Foiled 2.96 . I/t a 6 lcp Sidinn (HOaa) . 0.81 Built-up Roofs 0.73 7/16 x 12 IlardDOartl Sidin1 0.67 Asbestos-tement shinal, s 0.21 ' . Ribestos SiAinns IA LanDCE 0.21 Asphalt roll rooling 0.1$ - ' Stucw (6ro.m antl finisn Coa[) AiPahlt Shlnqles 0.44 . 7:4" l.po0 Subfleor or Snwtning 0.94 Imulation: 24 3/4° Ciberolass 7.00 1/7" Ply.,oaC '_hra[hinq 0.62 Insulation: 3 1/2" FlEerglass 1f.0a . 1/2" P+rtille tl,,.,rd 0.66 Insuiation: 6" ilber91+s5 19.00 WODS: BLOUIUf. u0o15 Fir. Dine i slmllar soh lloods I I/2" I.89 ApAros. ;" • 9.00 I I/2" 3.12 ApDrox. 4 1/2" 13.00 .. . 3 I/2^ 4.35 AOVrox. 6 1/4" 19.00 ... ' . : • 5 1/2" 6.87 ApProx. 7 I/4" 24.00 ...."` .-"..' .. .. AII otner insvlation materials nvst Ee P111ed verified (k Fac[or) ' (11) Yermiculi[e B^ Concrete Block (5 L G Reu.) 1.71 1.93 ' - - , 13" Concrete ¢loek (S 6 G Reg.) 1.29 3.15 . ' .. . .8^ Light ucigh[ 2.18 5.03 . .' 13^ Lignt t:eignt 2.48 5.82 •!G4lGi?xtEOfA!'?!?!lL=?tf.3?1 NOTE: (U) x Area Spuare iec[ `R3) l?l Ail WlnAOVS - (w/Storns P' [0 4" Spacc) .56 Remo?,1 Do.ele eI,:iny (ROC) .55 Thermo or weidcE 3/16" air space .69 1/4" air :pace .65 I/2" air soace .58 (Other rintlows spe<ilically tesmE can use be[tu ra(ings) 1 3/4 Soild wrc Eoor .46 w/starm, woop .jl . w/s[orm, meul .26 ?ease Sceeippor Insl/f:/LL 7.45n .17 Slldinq Glass Door, Weod .65 Mcul .71$ ' `:, :-,: MU3" "Q" 1A1.QE AiD l-7pLTDi LT iODJr Ui.s iI!! YM C10t=i'ri iSOQ RD?F GL ILiN(, - Q lrl-(Ula? /UR ?j ?R? g1?1t ? E?F-?.??oa2 • ?/ ? ?r'SutA'??aN rz? ?8 0 OO EXTERlo? AlR RLP'1 f? 7 (STIII) 0U0t l1 R=, CL S ToTql (R)= 74 WAt? CR) v?w p tMjE Rtor- Attz Fk.n G) yv G'f P. 8D. . 4 q p G" WSULA'[toN ApY7-pJ7c z,oro ? " `?1fli?''(x ? - . ?t Q ? ?f ?y? E/1-tEi?I?T M? f{? ? j e// 041 •_ i1R w .a¢4- TOTAL (R) _ZZ, 3¢ RIM (R) vALtg (g1 bITEt'-IoR AM FtuI .r, g ? 6 " yssULqjIOI-4 FtR Ruj S?ts? ?. S 9 . ?s z'/sv 6vN.? ?iTG 2.Gc? f; / • sio?rib , ?¢ ? EXT?a?R paR fl?tt , ?7 ?U4 = lJR= ,0 42) TD1AL (R)=a¢7? fZyJrADAl?ot•I (R) ? ? WjE{Z? A?« Fkt1 ? ? cat tc.. 2LK, m i" ?YP???''? ? EXjERI* AIR FICM floor• evet mbeatst spsces must tuve aininua t-factor oi i-20 (tuctwndez aarates)• tloers orer outbor air (everunss) maest bave • rinfr R-faeeer oi t-38, Lctt g ay, Se-e, 'ZS BEA 9LOMWISi MAYCH THOMAS EGAN MARR PPRRAMO JAME$ A SMIfH TNEODORE wACnTEF COUNQL MEMBEPS CITY OF EAGAN , »D! PILOT KNOB ROAO EAGAN.MINNESOTA 70122 IMONE 454-11100 / nf?? Sep±ember 8, 1980 Mr. & Mrs. Armand Laurent 4393 Dodd Rd. Eagan, Mn. 55123 Dear Mr. & Mrs. Laurent: Yoi:r near address is and should be changed as soon as possible to: 776 Golden Meadow Rd. Eagan, Mn. 55123 Sincerely, L?2y? ale P_terson Buiiding Official DP/jac cc - Assessment Clerk Dakbta Electric Association N'N Bell Telephone Co. Eagan Post Office TIIOMRS MEWE$ OIiV RpMiNi$fRP10P ALVCE BOLNE CIiY CLERN -r . ^.Jr .-.er rocc TNF OVIJRIffI nc cTRENGTM AND GROWTH IN OUR COMMUNITY. .\.-'N ° ? e ?\ i?l \ '0O as \ s `?f,?, y - - _ ? \ .:FiON? ?86 ., a;sooe, DEL?AAAR ?f ? LAN Di R,? 32' I I ! ? ? F ?8a 329.00 .. 1 SCale ~i inCn -jvv Ha SdHW/"1Nb ? I SURVEYaR ? - ? 895.00 _ 77nnn . S89°44'36"W -- ? 1Zi60?? PaReEL c: TkOMAS E. a GRETCHEN M. ? \ _5. L.27 \ E? AT ION 887 T MURR i / 71i6-60 a r a? lo ss9 4 AR $ FLEVATION 867 __ '?JqD ob s _- ! (p? 7E. ??L? yb. ? D' D " GOLDEN MEA, OW ROAD 71 ? -- r? m N O? ?a W o i r? N gCC D?/1?,ENhION h N ? C? yCqG?.^?7 z ? U? ? o N ?v I m I \ ? ' ? tD ? N 12,000? 1/0 ? W Q o C3 17 ti ? z ? i?oo I 1 0 m ? a ? Z m ? z g A ? m ? ? -, v A W 639.5G R. <J -- . MASTER CARD • LOCATION OWNER ?C: J5 STRUCTURE AND ? ? J LAND USED AS ?(/ • ? Permif No. Issued Issued To Coniracfor Owner BUILDING NG PLUMBING CESSPOOL - SEP71C TANK ,?r 7A ' ? ??O 114- weu -9 9.7a 1g ?`f1oA.S ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC fOUNDATION ? Q CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL / HEATING GAS INSTALLATION DEPTH ? OF WELL SEPTIC TANK CESSPOOL _ro tI/rr' ? 7 DRAINFIELD PLUMBING W ELL SANITARY SEWER Violations Noted on Back COMMENTS: WOp \ 1 ?•. 77? 3 ?--? -In - ? \\ \ ( r ? ? ? ?`l \ rA ? \ cJ'aq W ) \ . ?U9 ? . r z -= r N ? U) ? ? ? z? 0) -1 ? ? 71 . W ? 7v - ?'e? .E E t 1 I NW'4 Sr? zS'° \ I ? 15"? oyo-- ?l ?j93 ,E7a?/o? ??/ ?A?'iSi•J ?,?,v , .5?-i z j . MASTER CARD LOCATION OWNER LQ ?re1,? VI /'I'Y?LfY1d STRUCTURE AND LAND USED AS 4 ur J( .?O str?? i r"00tr, ? Permit No. Issued Issued To Contracfor Owner BUILDWG PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I O7HER I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ' ??- TILE FIELD FT. FINAL ELECTRICAL HEATWG DEPTH OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SRNITARY SEWER Viofations Noted on Batk COMMENTS: 5?k city oF etigcin 3795 PILOT KNOB ROAD, P.O. BOX 21799 . BEn sLOM9Ui57 EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 TtiOMAS EGAN JAMES A. $MITH JERRV THOMAS iHEODORE WACHiER - Courictl Idembers .Tune 8 1983 1HOMA5 HEDGES A i f City tlmin shafor EUGENE VAN OVERBEKE Ciry CI¢rk Armand Laurent 776 Golden Meadow Road Eagan, MN 55123 Dear Armand: This letter is to verify that your well and private disposal system meets Eagan's codes and standards which are mandated by the State Building Codes. If I can be of further asaistance, feel free to contact me. Sincerely, ?? Dale S. Peterson Chief Building Official CC: Yarcel File -.10_02500 040 29 DSP/bar THE IONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GR01NTH IN OUR COMMUNItt t r•?` r ? • AGREf.MENT PROJECT t418R GOLDEN MEADOW ROAD TflIS ACREEltENT dated this ___k- day of 1985, by and Hus6and and Wi£e betWeen the CITY OF EAGAN, called Eaqan, T80!!AS RICE and BONMIE RICE,/called 9 Husband and Wife Rice, and ARMAND LAURENT an J LAURENT,/ called Laurent; WHEAEAS, Eagan has prepared a feasiDility report for an improvement project for the instailation of sanitary sewer and water laterals, utility services, and street improvements on Golden Headow Road, lyin9 easterly of. Dodd Road in the City of Eagan, and Rice and Laurent each own land abuttinq said road; and WHEREAS, the parties desire to enter into an agreement whereby Rice and Laurent will install utilities and street improvements on said Golden Meadow Road :ying adjacent to property owned Dy Rice and Laurent at thei[ sole cost and expense; and WHEREAS, Rice owns Lots 1 and 6, Sunset Third Addition and Laurent owns property on the south side of Colden Meadow Road desccibed in Exhibit "A" attached (I.D.No. 040-29). NOW THEREFORE, for and in consideration of the mutuai covenants herein contained, the parties agree as follows: 1. Eagan Will proceed with Improvement Project f418R under normsl Prcced::res for the installation :f senftary seNe* an9 aat_r laterels, utility services and street improvements on Golden Meadow Road for that portion of the road lying easterly oE Lot 6, Sunset Third Addition, which addition has been subdivided and developed by Rice. 2. Rice and Laurent shall proceed to install sanitary sewer and water lateral improvements, utilities, services, anG street iaytovemente adjacent to their propecty on Colden MesAow Rosd to tAe east line of Lot 6, Sunset Third Addition, according to City atanOarCs and approved by the City PuElic Works 1 t Department during 1985 at tAe sole cpst of Rice and Laurent, but only iE the Eagan City Council approves the installation of the balance of the remainder of said Colden Me3dow Road improvements contemplated under Improvement Project #418R. 3. Eagan will not assess Lots 1 or 6, Sunset Third Addition for such improvements, nor wili it aesess the land owned by Laurents, lyin9 on the south side of Colden Meadow Road foc such improvements. It is further understood that all other assessments for City improvements or assessments for other purposes may be levied against the property dr.scrihed above, owned by Rice and Laucents and that this agreement shall have no effect upon such improvements or assessments. 4. The parties agree that this Agreement may be recorded with the Oakota County P.ecorder and shall affect the lands described above. WHEREAS, the parties have siyned this Agceement on the date first above writter.. Pl.M?Pn.M. b1^.V /?•,yV?•..?h' nn'p(:.N NJ?J". '"-rc KUTAAY FUBUt-MINaESOTA i • i ?.. i990 y l 20 2 , 1 MyCOmm.CxDitnJU •YWYIYYIWW W?V W VVyyV V?V?'vVYV?'W a Subscriked and sworn to before me thi E?, da of , 1985. Notary Pu c ? Subscribed and swornto before me th' 6 y ? /1'lav?C? , 1985. Notary lic ;. <y. _? ... { kOTARY fO6UC-ktNNE50TA ? 5??`<S`.•?HEr:::cPIrv r,nunrv Z MY Comm. [apt.ex July 20. 3950 ? iVVN?f/l".'WVW WN.^N.h WvtM1".'W ?^NtY a Yhomas Rice ? n? C??.?..? Armand Laurent /r_?-.Le? t L L.L?x-Z- Laurent 2 , ?. : 1` ? STATE OF MINNESOTA ? ? Couniy of Dako-,z SS OP°ice ot Count}• F'ecorder ' ? TNs i, to cerrfy ?F:t.4 t;ie tmmin , ? instrumsnt wa<s filec3 inr rr.car;1 in, , 11.1z' N7is otficc af NasYr:gs, ;,n ? day af i. i?. ? a?. ?:'x. , h3., and tiiat the .5nmr wa; culv r°car<7zd in Dakr,fa rour.ty ficvj; ds. U. .??.?+.l.r ? A'14 ' N) C_ou?-'tyFcecovder n ? By C- ? ? G+"?a-?¢cti,_ Deputy X ? ?o ?e- ____._ ,. . .. ? EXHTRTT A Rice Property Lots 1 and 6, Sunset Third Addition,Dakota County, Minnesota Laurent Pzopesty (Parcel No. 10-02500-040-29) All that part of the Northwest 1/4 of Section 25, Township 27N, Range 23 W of the 4th P.M., described as follows: Comnencing at a point on the South line of said NW 1/4 639.5 feet West of the Southeast corner of said NW 1/4 said point being in the centerline of Dodd Road as now laid out and travelled; thence along the centerline of said Dodd Road on an assumed bearing of N 10 12' 53" E, 226.8 feet; thence N 70 24' 53" E, 265.97 feet to a point in the centerline of Do`d Road which is 490 feet North of the South line of said NW 1/4 said point to be known as point "A"; thence 5 890 44' 36" W, and parallel with the South line of said NW 1/4, 770 feet to the point of beginning of the property to be described; thence continuing 5 890 44' 36" W, 125 feet; thence S 50° 39' 39" W, 777.24 feet to a point on the South line of said NW 1/4 2096.5 feet West of the SE corner of said NW 1/4; thence N 89° 44' 36" E, along said South line of the NW 1/4, 761 feet to a point which is 696 feet West of the centerline of Dodd Road; thence N 0° 00' 00" W, 190 feet; thence N 13° 06' 15" W, 153.85 feet; thence N 0° 00' 00" W, 150 feet to the point of beginninq, containing 5 acres more or less: togethez with and subject to a 60-foot easement reserved for roadway purposes which may also be given-to others, the centerline of which is described as follows: beginning at the above mentioned point "A";?thence S 890 44' 36" W, and parallel with the South line of the NW 1/4, 895 feet and there terminate. The South line of said easement is extended Westerly to meet the Northwesterly line of the above described parcel. THIS DOCUt1ENi DRAI":SD E°: Paul H. Hauge Hauge, Smith & Eide, P.A. 3908 Sibley Memorial Highway Eagan, MN 55122 (612) 454-4224 NO STATE DEED TAX STAMP DUE Exempt from State Deed Tax Dakcta County Treasurer Q tt '?,rasefhent description Por : Oh(o -?2P City of Eagan Ref: Dwg. 80-54 DELMAR H. SCHWANZ LANDSURVEVOR qpisptW Untlv Lawt of TM Sdte o/ Minnosota 2978 - 146TH BTREET W. - BOX M RObEMOUNT, MINNESOTA 56068 PMONE 617 413-17N SURVEVOR'S CERTIFICATE A ponding and drainage easement over that part of the Northwest Quarter of Section 25, Townahip279 Range 23, Dakota County, Minnesota, de.aribed as Pollows: Beginning at the eouthweet corner of said Northwest Quartert• thence North 0 degrees 00 minutes 54 aeconda Wsst (seeumed bearing) along the weat line thereof a distance of 348.98 feet; thenoe North 29 degrees 13 minutes 36 eeconde East a distance of 224,55 Yeet; thenee North 57 degTees 11 minutea 10 seconda East a distanee of 237.03 feet; thence South 39 degrees 17 minutea 52 sfaonda East a distance of 392.00 Peet; thence South 32 degrees 16 minutes 38 seconds East a diatance of 278.85 feet; thence South 59 degrese 42 minutes 19 seconde East a diatance of 257.94 feet to the south line of said Northwest Quarter; thence 3outh 89 degrees 44 slnutes 36 seconds west aiong said aouth line a distance of 9?8.67 feet to the point of beginning. Aa oontalnEd within the Pollowing desolibed traet. (Insert existing descriptions at thia pGint) RY;ating description - Parcel D .? All that part of the Northwest Quarter of Section 25, Township 27 North, Range 23 Weat of the 4th P.M., described as Pollowa: Commencing at a point on the south line of said Northwest Quarter 639.5 feet west of the southeaet corner of said Northweet Quarter, said point being in the centerline of the Dodd Road se now laid out snd traveled; thence along the centerline of said Dodd Road on an aesumed bearing of North 1 degree 12 minutes 53 seconds East, 226.8 feet; thenee North 7 degrees 24 minutea 53 aeconda East, 265.97 Peet to a point in the ? centerline of Dodd Road which is 490 feet north of the eouth line of said Northwest Quarter, said point to be lmown ae point A;. thence South 89 degrees 44 minutes 36 seconds Weat, and parallel with"trie south line of said Northwest Quarter, 770 feet to the point of beginnirig of the property to be described; thence continuing South 89 degrees 44 minutes 36 seconde West, 125 feet; thence South 50 degreee 39 minutes 39 seconds West, 777.24 feet to a point on the south line of said Northwest Quarter 2096.5 feet west of the southeast corner of said rbrthweat Quarter; thence North 89 degrees 44 minutes 36 eeeonda East, along aaid aouth line of the Northwest Quarter, 761 feet to a point which ia 696 Peet west of the centerline of Dodd Road; thence North 0 degreea 00 minutes 00 seconda West, 190 feet; thenee North 13 degrees 06 minutea 15 seconds West, 153.85 Peet; thence North 0 degrees 00 minutes 00 seconds Weat, 150 feet to the point of beginning. 4" wx? Dated: December 5, 1980 ' MINNESOTA REGISTRATION N0.8825 `--. ? * ?.. • 3?,;;':; , ?`?•• . rormtNr, nNn uTii.[Tx EASF:pR?NT THIS INDF.NTUIiF., mlde und entered into thls _Ljday of ?Il U n by.and betwcen Armand E. Laurent ? T ?y th[, ,r. r ae Cran[ or, and the Clty of Eagan, llakota oC unty, Minnesota, as GranGee, . .q.:: J? . . t • WITNF.SSfiTll WIII:RF.AS, sald C.rantor is/are the owner of the Cracts of land in the C1ty o[ Eagan, Uakota Cuunty, lfinnesotn legally descrihed as follows: , . See attached "EXHIBIT A" ? ' NOL/ TIIfiRF.i'OR°., thc said CrnnCur , in consideratton af One Dollar (S1.00) and other good and valuable consideration to him pald by Crnntee, recelpt.Wt6reof is hereby ncknowledFed, herehy grnnta an easement to the a6ove premiRes to said - Cran[ee, its hetrs nnd asslgns, Cor permanent lake and ponding purposes, including tVie normal practice of filling wich wnter the nbove deacriUed premises from storm sewer runoff, and Cor utility line purposea. The Cran[ce sliall have [he right to do whatever is necessary for the enyouy- ment of the riglits herein granted, includfng the riRht of clearinp, the easement nrea [o allow (or the use of the land as stated hcrein nnd for ingress and egresa to and from said tract of land and over and across said easement only for the " -,?'_;.,:"purpose of laying, maintaining, operating and repairing eaid utility lines. And the snid Crantor , forhlln self his heira, executors, administratora nnd nssignR do es hereby relense ehe said C1[y of Eagnn, its successors and aaslgns, from ill claims for any nnd all damagee resulting [o said land by reason of the locatlon of said lake, ponding area or utility linca. , ?, . . . ' - By acceptance of these easements, the r,rantee agrees that it shall restore - [he proper[y locn[ed outside She nn[lcipa[ed perime[e[ of s[anAinp wa[ec to as near thc existing };radc as Ls rcasonably pu?ssihlc and further agrees to replace existing culttvnted shruba or sod and to seed all otlier areas nu[ cuvered wich s[anding wa[er. It is expre5sly imderstooJ that the Crnn[ce, i[s successors or assigns sh?ll wniver and release sald lands or [hit por[Inn [hereof used for permanent lake oc i' ?ponding purposes from any specia] assessmen[ levledon an area basis on accoun[ oC any improvemcnt in the City nC Fagnn for such N me as satd lands are used for - permanen[ lake or ponding purpo5es„ but nt such [ime as auch uses or purposes are ° abandoned then saiJ lanJs miy ngai? be suh.ject to such special aesessments, as have bcen levled or may hereafter be IevieJ. IN WITNf•.SS W1U•:RfOP the A seals the da and ' parties liere[o have hereunto set their hands and Y year firs[ above rrrit[en: ' C7TY COUNCiI, CITY OF RACAN .?? . r? •:, - Its__?_ Gran[ee ? 2`0 .t: A ' . -t-?.---._-_. A[test:(? b.? Umm oy??? IFs Clerk , . .?? _ ,,, a ;. + , . . Oakota Ceuniy ireasumr . ?• ? ??- ?. . ' ., •? . ? ' , . , . Iran to r { EXEHI'T FROM STATF. DEED TAX STAMP ? ??'Z <tC d c.,. 4 ? ? ? • 't j 7. ' x ; m ?I r ?? ? ? ? . . . _. J ? ... ??' . . • ' ?' ?'+ ? O ? ? S : . . . -. . . . l .? ., ? ' . ' ? ? I ? #•i' ' C x , u ? ? _ ,. ;, . ?, .. STATF. Ol' MiNNESOTA Bfl. ? COUNTY OF UAKOTA ? • ' f :?1. ? . _ ' • Q t be o mc e dnY of ?j Tj?^ On [h1s r ? - within nnd fo r said Count persunal y uppeared • [o me knnv?m fo bc thc -t and / ?orthe City of Eaqan, and rrho exer.ut .d the foregoingA*? tLey executed tlie same as their free ac[ and. i I instrumen[, anJ acluiovledged [hat •'? ? deed. ? . . ? . . ..? ?,. . . .. . '.ju;y. VNnAMnA.1MAl?i? • ? .. ? JUDITH CHAFFEE NOT.SRY.Pi18LiC-MI"NNESOTA?2.? .. 'OANCTa rpuNiY' l ¢ . ?,; ? . . , . . . MyCpmmissionf.piresMaun.l2,1988 }VWWWVV" JV?WVVVVJYJ`/VWVVVVYVV/ . ? STATE OF MBdNf•.SOTA COUNTY OF DAKOTA, 8?• a. . , , . .. . .. ? . ? On this I? day of , 19 before me a ,it in and For said County personally appeared ?g to me known to be tlic person_ duscribed _ ln, and vho executed the foregoing instrument, and acknowledgeJ that _he_ executed the same as %;i( ?, free act nnd deed. - ., . ; i ?. ? ? . T?av.,w,nMnnnnn????nnnnnnnnw,nnrmnn. - ? . - ??? !' ° . IUPITH CHAFFEE .. . -.. __ _... . _ . ? . . _ ? . ?Wn? NOTARY PUBUC-MINNESOTA l) OAKOiA COUNiY MyLCmmisxwnExuirasMarcA,12,1486 Drafted by: City of Eagan ? .w?wwvvv??v.w?.?vw?wwvw„wv• ` ; 3795 Pilot Knob Rd. ' ? ; .. Eagan, Mn. :55122 , . . . .. , . - _, . , .. _ ?. , .4 . : ? . . . , ??r. ' . . . . ? , • ? .. . . . . . . . .?,;? . .. ,?_ . .? ,: .: ;.. . .? : .? ? . . ? . .., r?; ? ..- . . . ? . .. . . .. .,. : . : . ? . ' . ? . :; ......,.' .?._. .. -; - .. ? r. ' • ",? ?• . __? . ?.• ' •S'. l .: ? . ? . , ? . _. . . . . - . .. . . ' ? .::t:.?.... .:_"_.'.... - . . . ? ? . . . . . .. ?? ??`i.? ? l. ..., ,? ? . . .. ? . ? O . ? Q y o m ry \ . c ti .?. „ . .. -, ° r .. t? °' (!+ : ? M O Q ?tl^ 0 d 1 ? . - . . . ... . . (\ ^.kt:. ., . . .. - . ' . • " - . yY55 d o, o 0 oftDtN.aNCE>%o. 114: . Permit No. wELL CONSTRUCTION AND a.BANDONME:`1T NVELL PERNITT 899016 ••??"'-;s DAROTA COU`ITYPUBIICHE.4I.THDEPARTME,iT ENVIRON1ti1E:`7TAI. HE«1L7'H SERVICES SECTION ' W?,TER QUALITY MANAGEhiE.*7T UN1T , ;; E Wen[worth Ave., Wat SL Paul, hIN 55118 Teiephoac: (61-7)450-2601 PERMITTSE: DSA: Kimmes-Bauer, Inc.- ADDRESS: . 21830 Lillehei Avenue Hastings, Pffd 55033 has paid the sum of seventy five ($75.00) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well described herein: An abandon water well, of approximately 150 feet in depth. The well shall be sealed with neat cement and the casing terminated two feet below the surface. and located in the municipality of Eagan on the property Owner: Bernie ittemenak Well Owner (if different) Address:776 Golden Meadow RD. Address: Telephone: 688-9336 Telephone: NOW, THEREFORE, Rimmes=Bauer, Inc. is hereby permitted and authorized to permanently seal the well described and located above for the period April 1989 to April 1989 subject to all provisions of said Ordinance and any conditions attached on the reverse side of this permit form. Given under my hand this 28th day of April 1989. NON-TRANSFERABLE /C A/1?Or?lU 2APJ4 ENVIRONMENTAL HEALTH SPECIALIST i ) /CG'YI.IXJL Acy7 ATTEST ?•?'-[.?. (t,_?s?t.<L:'3`?i ENVIRONMENTAL HEALT-H SUPERVISOR PUBLIC HEALTH DIRECTOR OiL'; 1N?'NC? .NG. 114: Pe: mit vu. WELL CONSTRUCI'IO[`f Ai`rD AB%+.`1DON' MEYI' FVELL PEKWT 890027 ,;4=?°=;•., DAIiDTA CO(JY'TY P4BLIC AEALTN DEP.URTA1E`1T EYVIRONMEN'TAC, HEAI.TH SERVICES SECTION ? NVaTER QIIaLITY ?1a,?,GE,rfE.?tT jTiwTT ? =3 E Weanvorth Ace., Wesc St. Paui, ?f`i 5.i113 Teiephone:(613)454-?b07 WHEREAS DBA: Kimmes-Bauer, Inc. ADDRESS: 21830 Lillehei Avenue Hastings, MN 55033 has paid the sum of one hundred fifty ($150) dollars to th County of Dakota as required by Ordinance Number 114 and ha complied with all the requirements of said Ordinance necessar for obtaining this permit to construct the well or well described herein: A potable water supply well to a depth of approximately 160 fee and terminating in the glacial drift. The well shall be gase and grouted with bentonite grout containing at least lo bentonite. A water analysis for nitrate-nitrogen of less than 1 mq/L shal be obtained. If a nitrate-nitrogen level greater than 1 mg/L bu less than 5 mg/L is obtained a statement of Acceptance shall b filed with the Department. and located in the municipality of Eagan on the property Owner: Bernie Kermenak Well Owner (if different) Address:776 Golden Meadow Road Address: Telephone: Telephone: NoA, THEREFORE, Kimmes-Bauer, Inc. is hereby permitted an authorized to construct the well or wells described and locate above for the period April 1989 to ApTil 1990 subject to al provisions of said Ordinance and any conditions attached on th reverse side of this permit form. Given under my hand this 28th day of April 1989. NON-TRANSFERABLE i(Q?FiQ// POia ENVIRONMENTAL HEALTH SPECIALIST 'CG1: ?°? ° .?J C7? ATTEST ENVIRONMENTAL HEA Tff SUPERVISOR PUBLIC HEALTH DIRECTOR 2004 RESIDENTIAL BiJILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4,`1 O o0 NewConslrudionReouirements RemodellReoairReouirements All 3 registered site surveys showing sq. ft. of lot, sq. ft. ot house; and all roofed areas 2 copies of plan (20% mazimum bt coverage allowed) 1 set of Energy Calculafions for heated addifions 2 copies of plan showing beam 8 windovr sizes; poured found design, etc. 1 site survey for additions & decks i set W Energy Calculations Addifion - indreafe i( on-sife sepG'c sys[em . "_ 3 copies of Tree Preservation Plan if lot platted afler 711193 Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units '. Date G. l Z?o l bk CoustroctionCost f';x)c]f SiteAddress &oL? ? ? WAD(?,L1> ? UnSUSte # Descriptionotwork /t-)rjJ'?I.[, 64 5 k-iSGif-% Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone # ( GJ? ) qO5"95 3 Contractor Address ??65? t+', 1'6?y /?' City 9Llva4"? ? State AV-11 Zip 55) S7 Telephone #(M) 4j3 "0 7 S"9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 su6missionrype) Submitted Submitted . • Energy Envelope Calculations Submitted , Have you previously constructed a buifding in Eagan with a simiiar plan? _ Y _ N If so, 25% plan review fee applies. LicensedPlumber 111J11 r lfn I? II 114 I i IiTolephone#( Mechanical Contractor II II I rt8 k ci' 'Jll04 I IIT?blephone fl Sewer/Water Contractor I . Telephone # ( I hereby apply for a Residential Building Perxnit and acknowledge that the information is complete'; and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, 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 lan ' th A ?ork which requires a review and approval of plans. Applic s ruited Name Applic ,Ys Signature O ? ?? Z J h ? W ? ? 0 ? ? ? ?? ? ? ? ? ' ? ? ? ? j } r ?- ? ) ? ) 0 U ? • Q -O ) Y ' J <I ' a\.. -? ? = R. .: ?. ? ? . r .. . . _ ? .. .y . ,__.. ? '? '`a .'? ^_ 3 ? `?., nl'?? ?yy ?., a< w . ?. . ,° D L.. ? 1 ? f ti9 ., _ ?r.a _ ?' w-`if?,.? ? . t ^' t ¢,.?, ., :? ,,. ?.s?, ?S?` C ?'v?o ?+E1?5w fw ?'S'?" l.Jv':L?.+E.t,?3K??.'sv c, f??°? '-.d' ? t,:, ..??e..i....,1h"r? +Y w ?aS" ? r` r* a ` ?,?d? 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Y. ~ ~ . ~ . ~ . ~ ~ . ~ ~ . ~ ~ ~ . . ~g ¢ . ~ ~ . g'.,~ y$'e~ ~,t~ . . ~ ~ i i . . ~d ~ >,~i` . . . . . . 3~ t ~ ~,x e ~ , ~ f ~ ~ ~ , » .m u . ,.;v' ~,b , b „ , k ~ ~ ~ ~ r, ~ ~ ~ .a, ~ . ~ ~ r ~ ~ ~ W < ~ ~ r ~ < 3 .~w~.,~:; .yn~.~.„; ~,...,.~,~,~..~v~.:_.-,~,~ ~ ~ : ~ ~ ; i~ . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ , : ~ ~ - ~ ~ ~ < < ~ , ` < r= ~ ~ ~ ~ ~ ~ ~~x ~ ~ t~ ~ t~ r` ` ~ ; _ ` ~ < ~~~I-2~~'~. ~ ~ ~ ~~~,:~w, ~ • ~ ~ ~~a~~ . . . . ~ ~ ~ . q~ . ~ ~ ~ . . . . . . . ~ . . . . . . . . . . . l~ ~ . . . f&. . ~ ~ . . . ~ . . ~ " . ~ . . . ~ . ~ . . _ . . . ~ ~ ~ . . . . . . . . . ~ ~ . . . . . . . . . . . . . . ~ . ~ . . ~ . . . . ~ . ~ ~ . . ~ ~ ~ ~ - . . ~ . ~ . ~ ~ . ~ ~ . ~ . ~ ~ ~ . ~ . . . . . . ~ ~ . ~ ~ ~ . ~ ~ ~ ~ . , . . . . ~ . . ~ , . . ~ . ~ . . ~ . . . ~ . : ~ . . . . . . - . ys~~. - . . . . . . . . . . . . s~ ~ . . ~ , . - ~ . 4.- . ~ . . e ~ ~ x ~ ~ T'~ « ~ ~ n . . ~ ~ - . . - i~ ytis ~ ~A ~ ~ ~~i~~~ . ~ " , ~ ~ ~ ~ ~ . ' .,,u ~ ,~5,. ~1 F ~ :a . . . . . " . . . . . . ~ k'. . . . . . . . . . ~ ~ . - . . . . .,e.~ . ~ . ~ . - . . ~ ~ . ~ . ~ ~ ~ . . ` , . . ' . . ~ . . . 1~ `L . ~ . . . . . . . . . . ~ . C . . . . . ~ . : 4 . . . . . . . . + . . . . . . . , . .i . . . ~ . ~ ~ . . ~ . . . . ti`~"~"°~-~.~._.~..*~~- . . . . ~ ~ , . . . . . ~ . . . . _ , > . . . , . . . . . . . , , . ~ ~ r. , ~ . . r. . ~ . ' ~ ' 'v_.. ~ _ _ -e . ..~...__.._,..r--.._.,--.-._..-._.w,.,,,;~,,..~., --~.«...a„~_~.--.....e_,e......,-` - ...w,_-...._..-____.. ~ ~---•-~-Y-°.~ . , . . . '.-,-...-_..,..._....,....a.....-- _ . . _ _ . . . . . . r-:._.. . REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ' Sae ynstructions lor comoleting this lorm on beck ol Vellow copy. -yJ ? D-d"'t -61 8 4 "X" 8elow Work Covered by 7his Request Hdd Reo. Tyoa ol 8u11aing Apoliuncea Wind Equiument Wire•] Home Ranye Temporary Service Duplex Water Heater Lightiny Fixtures Apt BuilAing Dryer Elec[rie HeaUn Commercial Bldg. Furnace Silo Unloader - Industrial Bldg. Air Conditioner Bulk Milk Tank Farm 01nrr ner., v 0her ISi-ty1 1 er Vecify ther Othi)r Comoute lnsoection fee Belaw tl Fee ServiceEMmncaSize M Fee Feeders?SubfeeJers b Frte Gircvits U tp 200 qm s 0 to 30 Am s 0 tn 30 Anxjs Above 200 qmpy 31 to 100 Amps 31 to 100'Am s Swimminy Pool Abave 100_Am s Above 100_Amps Transiormers Irrigation E30oms Partial.' ee Signs Speciai Inspection TOT L E ) Remarks it E' CC ???) i - flouph-in the Elecfricnl Inspector, here6y certify that the nbove Final r D'nle imgpectlon hes been (Q ? ? maea. rmsreoosei.oiaiemoomafrem ? This request void?//Ip/ryp 18 nna[hs Irom ? 6 6 18 4-Z//a,09 fienuest ppato Y / ?f Rre N. Rnuph-in Inspec?lon Raq rted7 ?Reatly Now?Will Notify Inspeo- 3 ?? ?? ? Ves ?No «?r When Ready ? Licensetl Elechical Con[ractor I hereby request insoaction ot abova VOwner electricel work instellad a<: Srreet AdAress. Box or Route No. ?' ? ection N..ii' Township Name ur No. Rnn9e No. Coon_t OccuyantlPplNTI .Et L.4u?C?cr? Phone No. ?ss?-7 3/ Po er $upplier ? ?A-kvt.4 Atltlress Eloctrical Contractor ICOmUanv N,ime) Cont?ar,mr?s License No. MailinB Address ICon[ractor or Ownar MakinB InstallatioN Aut ized Sienat (ConvamodOwner Makinq Installalion) Phone Numbe:r ?? ? 7t?31 MINNESOTq STATE BOAflD OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT GrigBS•Midway Bldg. - Poom N•191 BE ACCEPTED BY THE STATE BOAXD UNLESS PPOVEX INSPECTION FEE IS 1821 Universih Ava.. S6 Vaul, MN 55106 Phone(612) 642-0800 ENGLOSED. Uis r@9u7+t void CA10 Z'? .Z -1 / [ LJ 18 rtwnths fram W073860 no Rxquesl Date Fire No. IbuBh-in Inspection Required? []HeaAy Naw ill N. Inspec- ?"y ?Yes ?No _ eady tor Whe? Licensed Elec[rical ConVactor I /brepy request insoecTOn uf ebova ? Owner elecvical work imiallad aC Slreet Addr s, Box or flo r7 4? o. m ( EC1. 1 c i ecti n o. Towns P ame o, No. Aae9e No. C punt IPpINT) ? Phd'. No. "' V/ / er Sup lier AAdress EI [ric Co r tor (COm Na ? Contracmr s cens No. 'n Address IC v cto r wner Making Instailation / ii- ' ed Sig^ature ICOmr /Ow Maki 9nstallai 1 Phone N?mber / W?rr STqTE BOARD OFE ICITY ay BIAg. - Roam N- sity Ave., St. Paul, MN 55709 --- 1u111 en71111 TNIS INSPECTION REQUEST WILL NOT BE ACCEPfED BY THE STNTE BOAND UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION - ' Sae instruetions (or completing this fnm on 6ee4 0f Yeilow caoY. ? 073860 "X'" Below Wark Covered by This Request ,r Adtl ReD. TVOe af Builtling APCliames Mired Equipmean WiraW::. Home Range Temporary Service Duplex Water Heater Liglning Pixtures Apt Building Dryer Electric He<Vin Commercial Bldg. Fumace Silo Unloader' Industrial BIAg. Air Conditioner Bulk Milk Tunk Farm Othe. tst'ecitv) ther Iscedlyl Ur,r SVeci y O[her Other Compute lnspection Fee Belaw p i lk Fee ServicaEnvence5ize q Fee Feeders/SuMeeden # Fee Circuits 0 to 200 qm s 0 Uo 30 q to 30 Am Above 200 qmps 31 m 700 Amps 31 to 700 Atnps Swimming Pool A6ove 100-Amps Above 700_Am s Transrormers Ivigation Boovs A Pattial'Other Fee Sigis Special Inspection S ? OTA Remerk • ? • flou0h-in 41 ? ate ? ?? I, t e ctri y/ IIn mr rabY certi?y I the above Final ? ? < inspee[ion has baen ? < meda. TLlsrmuwslvnitllAmaniMlloT V v. -- I --/ -? %/a 3/sc, ? y??- ? 66411 GI ? ? ?c , Raquest 0 te 1 /? ^ y? • Fire No. Raugh-in lnspection F ulred? ? Heatly Now;'ill Notity Inspcctor R tl 7 Wl 7 v Yea ? No en ea y I E:l licensed contractor owner hereby request inspection of above electrical work at: (sireet, Box or RQC.I Gry Li. Sedion No. Township Nsme or W. Rarvge No. Counry Q 6G,Q ?- OccuparX (PRIfJn V` Phone ? No. ? 'k- f 33 c Power Suppli - Atldress ElecNrical ConVaclor (Comperry Name) Coriiraclw's License No. D LnJ L-? V` Mailing Mtlress (COnVaclor or Dwner Making Inslallation) (,4-1 iJ ?O- Aullwrizetl SqneW ?rer Making Installation) Phonember? ? NINNESOTp STATE?`BOARD ? ELCTIi1CITY THIS INSPECTION REOUEST WILL NOT GAggrNWwey Bitlg. - Rawn 5713 BE ACCEPiEO BYTHE STATE BOARD 1ffi1 Univeraiy Ave., M. Peul, MN 55f09 UNLE55 PROPER INSPECTION FEE IS Ph,xme (612) 662-0BW ENClASEO. Os/]o REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ? See insvuctions for completiig Mis fortn on back of yeilow mpy. .? f? f;F 41 1 ' 'x' Below Work Covered by This Request e dd Rep. 7ypeofBuilding AppliancesWiretl EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Z. Building Dryer Olher (Specity) Comm./Industrial Furnace Farcn Air Conditioner Other (specify) CantractOrS Remarks: Compute Inspection Fee Be/ow: # Other Fee # Service EntrenceSize Fee # Cirouits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps (pQ Transformers Above 200 _ Amps Amps SignS Invpedor5 Use only: TO7AL ? Irtigation Booms V? J ?O Special Inspection Alarm/Communication Other Fee ? I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in F;,,ai oa? OFFlCE USE ONLV This request witl 18 manihs 1rom ?-121ff ? 5w 0-0 f? 07768 i fiequest Date Fre No. Rough-in Inspedion Haquiretl? ?}?e? ppady Now ? WII Nofily lnspector ? ? Yes 91To When Featly? I licensed contractor ? owner hereby request inspection ot above electrical work at: JOb Atldress (SVeet Box ar ute N.Jf/?/? ? / ?ily i d IYL? _ e4.U?/ Seclion No. Taxnship Name or No. Rarge No. Coum/yJ ,(/ C Occupent (PRINn C. ?G ` G''r? d Phona No. 2 / (t $' "' 3/ F Power Supp6er ? O ' ' r p?rp? Yu. GC ? Eleqricel nttad (COmpany Name) Corihaclw5license No. ?- .wei .sv e ?et /tC ? 6 Mailing AOdresS (COnVactor ar Owner M?g In3lallation) Aulhorized?jpoeYUo-(6erWec[or(Oxner Maki Phone Number 7 7 MINNESOTA $TATE BOAPD OF ELECTqICRV THIS INSPEGTION REQUEST WILL NOT GrlggrMitlwey Bltlg. - Noom &173 BE ACCEPTED BY THE 5T.4TE BOARD 1821 Universtty Ava., St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS 71ww (612) 802-0800 ENCLOSED. p7/7/YOr P _07Z68 REQUEST POR,51LECTRICAL INSPECTION ? See instmclion's for wmplenng this fortn on back oi yalbw copy. X" Below Work Covered 6y This Request JV'-% EB-0D001-01 L 93?n e Add Rep. TypeofBUilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speci(y) Comm./Industrial Furnace Farm Air Conditioner Ofher (specity) Convxtor5 Remarks: CR/C ^y-e ? Campute Inspection Fee Be/ow: -7-c C, "PI? # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool . 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps _ Amps Signs inspector§ Use Ony: TOTAL Irngation Booms - Special Inspection , Alarm/Communiration Other Fee I, the Electrical Inspector, hereby tit th t h i flaugh-in oata y a t e above nspection has cer been made. Finel o -' OFFlCE USE ONLY • Thk request witl 18 months !rom &// iS 9 IP Q7756 , REQUEST FOR ELECTRICAL INSPECTION 0, See insGuctions tor completing ihis form on Cack of yellow rnpy. X' Below Work Covered by This Request M EB-00001-07 C7._42,,-27,1 ew AdLr qep 7 TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specfij) Comm./industrial Fumace Farm Air Conditioner O?e, (specifY) Conlr rk Remerks: y Ly sr/</f C'C//? ?-/ ?c Compute /nspection Fee 8elow: - Lv c??' ? alcFc / cG:. G??s tr # Other Fee # Service Entrance5ize Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps /,, O'.+ , 0 to 100 Amps S Transformers Above 200 _ Amps Above 100 _ Amps SigpS InspMarS Use Only: TO AL Irrigation 8ooms Special Inspection AIarMCommunica[ion - ' ? Other Fee ? 44.7 I, the Electrical inspector, hereby certify that the above inspection has been made. ROUgh,in ,_ Fnai ?O o?, ? OFFICE USE ONLV __.... .. . " Tliis requesl voitl 18 rtwnMs from illi 6?/i iF'? p 0 7 7 5 6 Request Dale I Fire No. Rough-inlnspecUan I Requi d? ? Aeatly Now ill Noliy Inspector ? es G No When ReaEyT I licensed contractor ? owner hereby request inspection oi above electrical work at: Job Atldress (Street, Boz w Rou .) ? ? 4 r , Ciry ? 7X ? e .. P.-4 dc?v ri s .1 Section No. Township Name or No. Range No. Co/un?y ?C '? / ltG Octupant(PRINT) , e es., a e ,?? 'ev: 4/<0' Phone No. Pow/er7Supplier Adtlress G'C4 Electrical Contracmr Company Name) Cqntraclork License No. le tc v /7C - Mailing AdUress (Connector or Oaner Makingy alletbn) ` ? G /7 -o /7 ?.?c ! /tG°, e--%. (COnM or/Owmr M ' Pho umber MllNNESOTA STATE BOANO OF ELECfRICT' THIS INSPEGTION FEQUEST WILL NOT GtlggaMitlway Bitlg. - Haom &173 BE ACCEPTED BY THE SL4TE BOARD 1821 UnWmaiy Ave., $L Poul, MN 55101 UNLESS PROPER INSPECTION FEE IS Phona (612) 842-0800 ENCLOSED. ûï ÿþ þý ÿþþ ýüûïüúûû ùþþïïøäð þü óó ÿþô üûúù ø ô üûúù ÷ ø ùþ ü öõþ þ ô üô óóïüùþú ò ñüþ î ù ù ù þýî þ íüí î ù ìëþþ þþþ ê þ ü þ þ ùþ üù ê ôþ íé þ ñü úþì þíúîí ê þ ð çæçååêåêóå óù ü îþ çêê èþüþýê òñ ôöð ùùþ ù éø ö Öþîü îü óóï ààâõ ã þìø ùù èþ úãáóÿþ þãá ßÞå î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü ö÷ö ÿ ÿ þýý üûÿúûúú ùýý øèñ ýö þýö þýüûúù íýö Ùöò ö øöûúù õ öùíýö Ùöò ö Öý ö ö öù öóö îýö ó ýü ö ðö öÿþ ö ù öÿÝæÜ ý â ð öóí Ýô ù ó Üäéâéââ õù þýöö íØ äéæéæ ôüüó öòñ ùù ìó ö úò ößý þý ù õÞèèèç ð ô úóýðõ ðõ ÝçÜèçççèç ö üú á ö ùù àöóöö ö óùúùùü þ àð þý òúà ñö é ùù÷ öó þ ýö ý úþ ýö Minnesota Pollution Compliance Inspection Form Control Agency W 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St. Paul, MN 55155-4194 (SSTS) Doc Type: Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency (MPCA) For local tracking purposes: requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days System Status System status on date (mm/ddlyyyy): 4116/2014 Compliant - Certificate of Compliance ❑ Noncompliant - Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s) for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety ❑ Other Compliance Conditions.(Compliance Component #3) - Imminent threat to public health and safety ❑ Tank Integrity (Compliance Component #2) - Failing to protect groundwater ❑ Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater ❑ Soil Separation (Compliance Component #4) - Failing to protect groundwater ❑ Operating permittmonitoring plan requirements (Compliance Component #5) - Noncompliant Property Information Parcel ID# or Sec/Twp/Range: 104455001010 Property address: 776 Golden Meadow Road, Eagan, MN 55123 Reason for inspection: Property Transfer Property owner: Yaohuei Shu and Maylee Chen Owner's phone: or Owner's representative: Representative phone: Local regulatory authority: City of Eagan Regulatory authority phone: Brief system description: Comments or recommendations: ~E 17rt iS" /$tt /vr/ YicEyf . Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Inspector name: Gary M. Bohn _ Certification number: 959 Business name: Bohn Well Drilling Co. License number: 1043 Inspector signature: Phone number: (952) 445-4809 Necessary or Locally eequired Attachments ® Soil boring logs ® System/As-built drawing ❑ Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us • 651-296-6300 • 800-657.3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1124112 Page 1 of 3 Property address: 776 Golden Meadow Road, Eagan, MN 55123 Inspector initials/Date: ~T-- 1. Impact on Public Health - Compliance component #1 of 5 Compliance criteria: Verification method(s): System discharge sewage to the ❑ Yes N No gr Searched for surface outlet round surface. „Searched for seeping in yard/backup in home System discharge sewage to drain tile ❑ Yes WNo ❑ Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony (See Comments✓Explanation) "Black System cause sewage backup into ❑ Yes ,~'No ❑ soil" above soil dispersal system dwelling a establishment. ❑ System requires "emergency" pumping ❑ Performed dye test Any "yes" answer above indicates the system is an Imminent Threat to Public Health and Safety. ❑ Unable to verify (Sea Comments/Explanation) ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, ❑ Yes Ef No Probed tank(s) bottom cesspool, drywell, or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Attach) compliant if allowed in local ordinance. ❑ Observed liquid level below operating depth Sewage tank(s) leak below their ❑ Yes A( No El Examined empty (pumped) tanks(s) designed operating depth. If yes, which sewage tank(s) leaks: ❑ Probed outside tank(s) for "black soil" ❑ Unable to verify (See Comments/Explanation) Any "yes" answer above indicates the system is Failing to Protect Groundwater. ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: 3. Other Compliance Conditions - Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to structurally unsound. ❑ Yes* ❑ No ®W"Unknown b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* W/No ❑ Unknown *System is an imminent threat to public health and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspector ❑ Yes* ff"No *System is failing to protect groundwater Explain: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1124112 Page 2 of 3 Property address: 776 Golden Meadow Road, Eagan MN 55123 Inspector initials/Date:Jy> 4. Soil Separation - Compliance component #4 of 5 Date of installation: Unknown Verification method(s): ShorelandMellhead protection/Food Beverage Yes ❑ No Soil observation does not expire. Previous soil Lodging? observations by two independent parties are sufficient, Compliance criteria: unless site conditions have been altered or local For systems built prior to April 1, 1996, and _ j Yes El No requirements differ. not located in Shoreland or Wellhead 4M Conducted soil observation(s) (Attach boring logs) Protection Area or not serving a food, ❑ Two previous verifications (Attach boring logs) beverage or lodging establishment: ❑ Not applicable (Holding tank(s), no drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify (See CommentsiE,xplanation) separation distance from periodically saturated soil or bedrock. El Other (See Comments/Explanation) Non-performance systems built April 1, Yes ❑ No Comment&Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* 'Experimental", "Other', or "Performance" ❑ Yes ❑ No Indicate depths of elevations systems built under pre-2008 Rules, Type IV r or V systems built under 2008 Rules (7080. A. Bottom of distribution media ,Z 2350 or 7080.2400 (Advanced Inspector License required) B. Periodical) saturated soil/bedrock(~ Drainfield meets the designed vertical C. System separation 36 r' separation distance from periodically - saturated soil or bedrock. D. Required compliance se aration* -7b Any "no" answer above indicates the system is *May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP* - Compliance component #5 of 5 Not applicable Is the system operated under an Operating Permit? ❑ Yes ❑ No If "Yes", A below is required Is the system required to employ a Nitrogen BMP? ❑ Yes ❑ No If "Yes", B below is required BMP=Best Management Practice(s) specified in the system design if the answer to both questions is "no", this section does not need to be completed. Compliance criteria a. Operating Permit number: Have the Operating Permit requirements been met? ❑ Yes ❑ No b. Is the required nitrogen BMP in lace and properly functioning? Yes El No Any "no" answer indicates Noncompliance. Upgrade Requirements (Minn. Stat. § 115.55) An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1124112 Page 3 of 3 d w w' P. is. 41 4, •E~ v E E tit q "N' d 'O N 'O " 'c+ H b ~i .C b H ~ C 11 `n ~ o v v o A w CtS R6 r. O N (O .GA3J t's ~ 3 ~r1 3~ 3~ . Ra ~ i a a c .5 .5 •~1 r.. Q" Vj W ~ a o? a q a v.~ a T v.~ a v.~ a ~ y > ~ A C/1 wcCv,~ C1r~inC> aacv~ ~maaSiC~7wma`v~o~asav !r ~ C L ca " ° ca o ~ o ~ a ~r 50~ o 0 0 0 0 10 d ~~yp7~y .Yj G `V O tE O A O ~ ~~.1 t~ u3L O y W Ob 0 ~ O ~ O ~ O O u ~1 p, O ~°?T cvi wT ~v $,e? w U°:~ cvi •5 cav cwv cad ca,T, caa, ❑a~ v UAC7 CgAC7 UAC7 UAC7 UQO UAc7 e~ .~i co Q 0--q COl W ~ ~ o *D City of hp Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-567. 5 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #:/g/ 57J l , I1 1 1°" Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 30 —16 Site Address: 7-26. (moo/ ` ,_i ( "Lip.._ Unit #: Name: 444 20,+V fee, / / 4,4114 Phone: I65/" $R7 I°S) Address / City / Zip: 7 76 Applicant is: Owner jc Contractor Description of work: Multi -Family Building: (Yes h / No ) tt // ,I p� ?25.- Company: 0P/i C_"C SCJ Ll geOTLL�(1 S Contact: gcr " ( 7 I Address: q�T 14 t L/yG 4£ ,c.44 City: 54 . v State: Zip: S'S'(05 Phone: 6,q -m .2.75"mail: e.2¢.7 ?C./lc-4)R Ud7Y�r'i4 0 _C a License #: _C....-- 0 6' Lead Certificate #: If the project is exempt from lead certification, please explain why: "Thiv was ►�' /4 -Fw-r l zc L ex. 4-4 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: NOTE: Plans and supporting documents that you;submit are considered to be p the information may be classified as non-public if you provide specific reasons conclude that the are trade secrets Phone: Phone: Phone: Phone: Pi CALL BEFORE YOU DIG. CaII 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 daysysjof—permit issuance. x JCat� • h e t� Applicant' Printed Name A ant' Signature Page 1 of 3 SUB TYPES Foundation Q Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall k{ -i 11)0140 JtWRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation .51/in) =' Plan Review (25%_ 100% •?.0) Census Code #of Units # of Buildings Type of Construction V j$ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: 10 Ice & Water > Final v) Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: ) `: W1 t/V1 i c t �-- Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant .1126 - I mi2-oC 11-1 7'4 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick ,to Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (.25!1 5-- 3 .5 9 q't ill H 57'Cf1 g ecdRoou4 %3/ zoo IAA I ' 8"›< 17' Ciz & / 5p Ce ° n -9 (-4 U A3 1 to 7 p-r2e t9)- 71 13 el.igo. •r` 46.1 004 2_ f iJ p I t S lz� -� Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140123 Date Issued:11/28/2016 Permit Category:ePermit Site Address: 776 Golden Meadow Rd Lot:1 Block: 1 Addition: Laurent 1st PID:10-44550-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aaron J Milbank 776 Golden Meadow Rd Eagan MN 55123 Broll Inc 7317 64th Ave N Brooklyn Park MN 55428 (612) 251-6030 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140123 Date Issued:11/28/2016 Permit Category:ePermit Site Address: 776 Golden Meadow Rd Lot:1 Block: 1 Addition: Laurent 1st PID:10-44550-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aaron J Milbank 776 Golden Meadow Rd Eagan MN 55123 Broll Inc 7317 64th Ave N Brooklyn Park MN 55428 (612) 251-6030 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r .- ..,. For Office Use ::::e. City of EaRan ticiv ,..- V (-- 7/ / 3830 Pilot Knob Road Eagan MN 55122 Date Received: (j-2.5(47 Phone: (651)675-5675 EI�,°,' f)17 Juo? n ' t',:f Staff: Fax: (651)675-5694 ,a' 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6 " r l 2 Site Address: / 7 �"�� 5� "`� Unit#: IName: A'Z.s."ti -r--k-,-se. /4-6 l.( 34--v//2 Phone: C75 i—5 7 /Co S3 F Resident/ /�, ��,{ pp Owner Address/City/Zip: .77 6i' C '41'7 t `,'; i g..., I 9� Applicant is: Owner X Contractor • S 3 Description of work: , '!=—h 9 ) -s Type of Work s Construction Cost: /t; ' Multi-Family Building: (Yes /No X ) 1 Company: ,.,_JE-13 7 ,c:- _(• 1 Contact: .-----1 �e ' (—YU?1/4.--C - A l ' Address: / S 7 (: -, 1City: y: 4.........(COntrcC#Or LJ �_ n25 SS � ,„„k,-, i_. .0,-. fes, (State: Zip: ��r jPhone: Email: 5s7g License#: 7 Lead Certificate#: �..-----' If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 , dwa � A 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.qopherstateonecall.orq 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 Minneso r State Building Co.• s ust be completed within 180 days of permit issuance. x ie' - ao,(e_st........, V x 4I .q Applicant's Printed Name Ap. is nt'- Signature Page 1 of 3 77 , 60thri- ,f1 2) �0 NOT WRITE BELOW THIS LINE I ye-70 SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi 10 Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Jr/ 02'Q. '5='— Occupancy ‘. G 1 MCES System Plan Review Code Edition wtat Z1iD1 SAC Units (25%_ 100%?°) Zoning -1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction kr,13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Jo Footings (Deck) Final/C.O. Required Footings (Addition) ?p Final/ No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test Final Siding: Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: o W1: {C 1V/9- , Building Inspector RESIDENTIAL FEESec)- L1(cr 5f. 7 • Base Fee Surcharge S�570%/2 Zo 3�j ' Plan Review & '/<-, 1�v 5'5, ft- MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Certificate for: • ' J Byron 1cremenak ,' r• 17/9r 2 ��'� m - / s 4, hili, DELMAR H. SCHWANZ LAM wmra,roRe INC. 6 ,<04)'1 14750 SOUTH ROBERT TRAIL ROSEMOUNT,MINNESOTA 55005 d»?V4231T110 ``` 1r NA 4f'D . SURVEYOR'S CERTIFICATE �c i '47 CO•` Arcto z :� 4 IA-Pt ,lV r ( *1' 9=b.g r, .. ` .4, 0 *� . w / 4 N X ),scflwcr _ N. I �� w c • / ' • • tv, , 1 - ,,.S : • .1\ 1,1 Elevations shown are existng1 It: J 4 s 'Jae'AAVr;bN / o Is io1 l', x 7 *. 11' . if V,Pen P16./illf% • •EXIJT/NG /YD '7vt ii$E °PP D i. q \ . 1 t`" gt • I. MVP �` _�— Drainage &.utility f �` easement 1 ___,\,.. 45._ NSI---•4.* 54 & • SCALE; 1 inch = 100 feet LEGAL DESCRIPTION; Lot 1, Block 1, LAURENT FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a exi5 _.�,»tiumuurrminiv, p�{� ♦ proposed addition•thereon. I hereby certify that this survey.plan.or report was `�� .1'� prepared by me or under my direct supervision and q them I am a duly Registered Land Surveyor under �`f DELMAR H. '::1 / the caws of the State of Minnesota. SCHWANZ x. 149vl / Dated May 3, 1989 �'. --8625— ' g oe�r M.iMts / 7i•-.,• .4�a Minnwo4 pplIMEM Biro.eblS - -.. i