4665 Manor Dr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
I I
~ Permit ~
Win
City of Ea
d b I Permit Fee:
3830 Pilot Knob Road I J I
Eagan MN 55122 I Date Received: N f I I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 i Staff:
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: `mil h b /?fW 471- i~12"LVE
Tenant Name: ( l' 7- (Tenant is: New /xisting) Suite
Former Tenant:
PROPERTY OWNER Name: b`? Phone:
Address / City / Zip:
Applicant is: Owner Contractor
6.
TYPE OF WORK Description of work:
Construction Cosf# '21600'
CONTRACTOR Name: 7 License
Address: City:
State: Zip: Phone:
Contact: Email:
ARCHITECT / Name: Registration
ENGINEER
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: 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.orci
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; t the work will be in accordance with the approved plan in the case of work wh' re ire a review and approval of plans.
X x
Applicant s Printed Name Applicant's Signature
Page 1 of 3
OiL-
~t
DO NOT WRITE BELOW THIS LINE
SUB TYPES l
Foundation ✓ Public Facility _ Accessory Building
Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous _ Antennae _ Exterior Alteration-Public Facility
WORK TYPES
_ New _ Interior Improvement Siding _ Demolish Building*
Addition ✓ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
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) ,S,heetrock
Footings (Deck) Finat / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
V Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: l..Wlk~lfi , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 0. ID V Water Quality
Surcharge 1-00 Water Supply & Storage (WAC)
Plan Review 0.06 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL
Page 2 of 3
CITY OF EAGAN
Lot Blk
Street
Improvement Date Amount Annual Years g? Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
saNSEw TRUNK ? 196 2557.00 170.47 15 2386.54 C009482 9-24-84
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STOFM SEW TRK '& 1984 2361.00 170.73 15 25t".27' C009482 9-24-84
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
iaANEIFt fttt
cr.rON 16
I PERMIT SUBTYPE:
-1
t?.? r r ?? ?,i?, ?
??:? r ?+:;w ? ;
?f,;`Ofi/4H
°'? -- 4 ` •-? ~ APPLICANT:
. . . . . I . . .
?6 1r.ll hk 1--$6t•fi
TYPE OF WORK:
j,, ,1 1. 1 1 1 1:;rj
?.
aITFaaTrnn
HawsIr(r?P a(,rf q*,:
{n? Qo
??.
?
PermR No. Permit Holder Date Telephona N
ELECTRIC
PLUMBING
HVAC
Inepection Date Inap. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
HOUGH
HEATING
GAS SVG
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? INSPECTION RECORD
CITY QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 .
.'J i LF
SITE ADDRESS:
1 J0M ";(:
PERMIT SUBTYPE:
? I t icAM { Nr:;
I I , f riAi
APPLICANT:
, ;, l.• y .,:{ ? •z?,?.tx
TYPE OF WORK:
{4Il!)rI NIi
k1 R) f I 1) I fd i.
MfPp rrr
4HARN1
0
77"'7
r?....?.
Permit No. Permit Holder Date Telephone if
ELECTRIC
PLUMBfNG
HVAC
InspectEon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
' S a? ,/ R
v'
ROOFING
y"'dr 1?+4 i D o
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TffST
fNSUL
GYP BOAflD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL IiTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. `
BSMT FfNRt
DECK FTG
DECK FINAL
0 0 0 6 0l_ [P37 3
b
Reques? ?at
?l Fire N. Rough-ln Inspection Raquiretl
(YOU musl call mspecror en ready) In echon DlherThan Roughdn
? Ready Now ? WIII Natlly Inspector
? Ye5 No Oete Rea
I icensed contractor ? owner hereby request inspection of above electrical wofk at:
Job Atltlress (Siraei, Boa or Roule No ) City
Sedion N. Township Name or No Range No. County 2
Occupqnt? INT) ??
g,
C' Phone NoY/ - ??
Powef, pher
-?: /?- Address
?C? G? 1;,t
Sr-
Elecmca nVactor (Company Name) ConVactor's License No
? O-3
Matling Atltlress (COnhactor or Ownet Making Inslalla0on) ?
Zt? C./+?sr.96f ,?Jt/' L? `Ar,..??..??ro,? ?.?
Authonzed Sign re (CO trad ner king Installauan) Phone Number
MINNESOTA STATE BOApO OF ELEGT?ITY THIS INSPECTION REQUEST WILL NOT
Griggs•MiOway Bitlg - Room Sa28 BE ACCEPTED BY THE STATE BOARD
1821 Universly Ave„ St. Peul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phome, (612) 692-OWD ENCLOSED
0 0 3 0 3 REQUEST FOR ELECTRICAL INSPECTION
oo. See instrucnans tor campleting this brm on back ol yellow copy
"X" Below :'1ork Covered by This Request
9%3?1-1
??•?k? ?753
e Add Rep. Type of Building ' Appliahces Wired Equipment Wired
Home Range Temporary Service
Du lez Water Heater Electric Heatin
Apt. Buildin Dryer Load Management
. Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (spealy) Contratlors RemaBs
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fes # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transiormers Above 200_Am s ove 100 Am s
Si ns imspacrors usa oniy; ? T AL 0
?
Irrigation Booms G Q•
Special Inspection
Alartn/Communication LATION MAY DERED DISCONNECTED IF NOT
Other Fee PWITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oare
certiry that the above inspection has
been made.
40
OFFICE USE ONLY
EAGAN'TOWNSHIP
BUILDING PERMIT
Y
Ownex .y?....?/..1V..'_? --" "-- -." -'-'-
."
-' ..
- --
/ ?
Addsess (PresenS) ......!??b.S ...............Ss-:: . . ......13. .
/..
Builder ..................... '-...13;5- ?t.-?l....!..'---_..--- .............."----........----'
?
Address ........'_--................ ................................................................
N° 2761
Eagan Township
Town Hall
aa:e . ..?--?,/.1..?.1....?-'
Siorias To Be Used For Fxonf Deplh Heigh! Esl. Cos! Permit ee Re arks
, p.fiir.fur.Y a3soo ° o ? ? ?., io'?.C
LOCATION "Dw'- - r
Sfree2, Road or other DescripSion oE Locafion I Lo! Block AddiSion os 1'sac!
?66 s? .
This permit doea nof aulhorhe the use of slxeets, xaads, alleys or sidewalks aor doea it give the owner or his agent
the sigh!!o creete any silualion whfah is a nuisanee or whieh presenis a hazard !o the heallh, safelp, convenianee and
general weliare !o anpone in the eommunifp.
THIS PERMIT MUST 8 T O E PREMISE WHILE THE WOAK IS IN PROGAESS. ,
This ia !o cerlifp. !ha! - °.---- ..... ................................. has parmission to erect a..........r..??S3 ./.?.. ?....?................. _upoa
the ahove deseribed psemise eubjec! !!he psovisioas of the Building Ordiaanae for gan ip adopled April 11,
1955. ! /J
l.?. _"1? I Chairman ? o.f T-"---.-'- nwn""-"'•__'- Soerd........... ... Per ..?_ .il.S.i...--? ." ""'.. ....--' Hvildin _g " I ' na P ...."- ector ............. ...........
i ? S
r? , ?o ? , ?oo? ; ?,??
G(/lY?'.-c-[.a,e- Yt?! `f._2??t`r,/I, :' ?? ?
a ? ??
?,. ??, ? -
_ ?..
?, s,_ n t?/ .t ?r_ rr r_ ,? r.
-
f? ? ? ?• z c' _.?? {.< .?
?u'?1 G..?/?dvf.-.?`?°-.? ?
j/'???
?
??c ;t.-,< «_
2004 FIRE SUPPRESSION SY5TEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ?- 3 l- o S
Requirements: 2 c lete sets of drawings and specificahons
cut sheets on materials and components to be used
Date l Z- / 0
Site Address: tc4--nor-
Tenant / Building Name:
The Applicant is: Owner ? Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR 1?]C4.? 1? I'1C?J ;C?nse No e r
Address: lNe?city: 9E?L-I Gz ifl.Q_
State: Zip: Phone #:
ESTIMATED COMPLETION DATE:
FIRE PERMIT TYPE: ? Sprinkler System h? Fire Pump _ Standpipe
ey ?
Other: r6'
10
WORKTYPE: New Addition Alte ' ns Remodel
F?l
DESCRIPTION OF WORK: Commercial esidential Educational
- ?t
*Other: /Z-0?5-FQ / ;F?t-/7
Please continue on reverse side
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ ?? x .Ol%
If Permit Fee is $1,000 or less, add $.50 =>
If Permit Fee is over $1,000, add $.50 per
$1.000 Permit Fee
3/4" Displacement Fire Meter - $155.00
TOTAL FEE:
J?
?4
I hereby apply for a Fire Suppression System permik 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 with the
Minnesota Building/Fire Codes; that I understand this is not a perxnit, but only an application far a permit, and
work is not to start without a permit that the work will be in acr?ordance with the approved plan in thgfca e of
Nrk which requires a review and apnroval of plans. ? * A
Applicant's
ApplicanYs
?
_ $ PermitFee
$ State Surcharge
DO NOT WRITE BELOW THIS LINE
?2004 COMMERCIAL BUILDING PERMIT APPLICATION
St?e?? o h 3 l° Of Eagan
City
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651- 675-5694
lo 1;-L`
. d.. • ' . lnteriDr Improvement
Structural Plans (2) se5 • Architectural Plans (2) sefs • Architeclural Plans (2) sels
• Civil Plans (2) • SVUCtural Plans (2) • Code Analysis (t) "
• Certificate of Survey (1) • Civil Plans (2) • Prqect Specs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (i)
. ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always'"
• Soils Report (1) . Spec. Insp. & TesGng Schedule (1) " • Elec. Power & Lighting Form ('I) not always"
• Meter size musl ba esfablished • Meter size must be established • Meter size must be established-if applicable
1 • PrqectSpecs (1)
1 • EnergyCalculaUons (1) " 1
l • Electric Power & Lightlng Fortn (1) " 1
1 • Master Exit Plan (1) l
1 • Emergency Response Site Plan (1) b
1 • Soils Report (1) 1
. SAC detarmination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Hcalth at 651-215-0700 for details regarding food & beverage or lodging facilities
Con[act Building Inspections for sample and if requircd when it sta[es "not always".
*'• Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date ( ? / t 7- l-0 (? Wv u'?J ?onstruction Cost
SiteAddress Y66? k'1f1'vo2 02?F ( i{OLZ Fr42m) Unit/Ste #
Tenant Name (-Z' T?( dF F,46LiN Former Tenant Name
?'k_ or_PT
Description of Work (_ON.ST2UC-7 T.NSuLt1-TF..O 4-0SE1_ F02 F212C- SVMM<' -J CL?o?,P-
Property Owner D F Er4-GA-y ?l ?U L 6,424yHTr ? Telephone #( ) e675- ' S' 32 g'
Contractor PxV L- CI? A-Koqi+'-
Address CitY
State Zip Telephone # ( )
Arch/Engr Registration #
Address Cih' -
State Zip
Telephone #( ? n r?I5
l
) ??! 1?r? IU, 12 II ?I lS I
?
nin Y I
?
Licensed plumber installing new sewerhvater service: Phone #: ( ` )
? - -
?yy
I hereby apply for a Commercial Building Permit and acknowledge that the infortnation 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 plan in the case of work which requires a review and
appr al ofplans.
& l _ «{,? ?J J_L_
Applicant's Printed Name ApplicanYs Signature
Sub Types
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
?C 33 Alteration
? 34 Replacement
OFFICE USE ONLY
X 26 Public Facility
? 27 CommerciaUIndustrial
? 28 Greenhouse
? 29 Antennae
? 35 Int Improvement ? 38
? 36 Move Bldg. ? 42
? 37 Demolish (Bldg)• ? 43
'Demolition (Entire Bldg only) - Give P
Valuatfon Occupancy
Census Code -q-3-2._ Zoning
SAC Units Stories
Nbr. of Units Sq. Ft.
Nlir. of Bldgs Length
Type of Const ?6 Width
Required Inspections
_ Footings(new bldg)
_ Footings (deck)
_ Footings (additron)
Foundarion
Drain Tile
?
?-
-?
?
-?
? 30 Accessory Building
? 32 Ext Alt-Apaztments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
Demolish (Interior) ? 44 Siding
Demolish (Foundation) ? 45 Fire Repair
Reroof ? 46 Windows/DOOrs
CA handout to applieant
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
Insularion
FinaUC.O.
Final/No C.O.
Other
Roof Ice Pr _ Decking _ Insul _ Final _ Pool
X' Framing _ Siding
r_ Fireplace _ R.I. _ Air Test _ Final Windows
Approved By: '7 . Planning ?Z Building Inspector
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Water Supply & Storage (WAC)
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Water Trunk
Sewer Trunk
Other
Total
_ Ftgs _ Air/Gas Tests _ Final
Stucco Stone
30C>
?p'LL Slr?'?°2rSrD•v 20 vyLl
?...
Holz Farm M'ap ?.?
.?
Y
?
•r
?.
• ' S
Fomv
? s
04SE
?
6e-HS
GAANAFtY
?r-
•
•'G . .
?ovf NoaSE
a
0 snokE koasE
.Sto!v` b E
+s
tNi
? ?Re?
3 ; MAcN?ove SNEO
INE SNEp
For Membership or Voluntecr Information Cnll: 681-4660
2004 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 P1LOT KNOB ROAD, EAGAN MN 55122
651-675-5675
. '5O?-
r0/o
01
v
d
'
? ?)
"U ?
?
J
/
Date
1
Site Address
Mp_V\_G r Unit #
Tenant Name Former Tenant Name
Property Owner Telephone # ( ??) ?? S - Sv v J
Contractor a- W'
Address City
State Zip Telephone #( Gi? 4'?;_O 14 -7
The Appticant is _ Owner _ Contractor _ Other
Work Type _ New Bldg _ Add-on Repau RPZ _ PVB _ Irrigation system *
' Rain sensors re uired. Jer Wobschell [o calc ulnte fees
Description of Work
To inquire if Ressure Reducing Valve is required new service, call 65]-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oickin2 uo meter.
Inigarion Size & Type Avg GPM 2 " turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disolacement $1
5
5.(0
,
(?
'"'(,_`
?(g?? lJ 0 Y?t'??yi'"'
D
Si
& T
i
No
d d
i
?
Y
I
l
d
hi
6 d
omest
c
ze
ype eman
ev
ces
_
es _
nc
u
es
g
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x I% Base Fee
$ O Meter(s)
Required on all new buildings & boulevard irrip,ation svstems $ `- 0'3 Radio Me[er Read
If base fee is $1,000 or less, surcharge is $.50 $ ? State Surchazge
If base tee is over $1,000, surcharge is $.50 per $1,000 of [he Base Fee
?? ?
Follawing fees apply only when instaltiug new irrigation sys[em $ Water Permit
Contact Jerry Wobschall a[ 651-675-5024 for requiced fee amo
un
u
\
?
?jl% t t ?OWweST` L S TreatmentPlant
$ Water Supply & Storage
a $ State Surcharge
--------------- ---------------------------------- --- ------------------------------------- -----------------------------
$ Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in
confortnance with the ordinances and codes of the City of Eagan and with the Plumbing Cales; tha[ 1 understand this is not a permit, bu[ only an
applicaROn for a permit, and work is not to start without a permi[; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
uJ rn Atl4wiS
ApplicanYs Printed Name ApplicanYs Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.C. _ Air Test _ Gas'fest _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: , BUILDINC INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00
• RPZ's must be rebuilt every five years. A roinimum fee permit per address is required for RPZ rebuilding or repairing.
• Water meters include copper hom/s[rainer, remote wire, and touch-pad meter.
METERS REOUIRING A4-HOUR ADVANCE NOTICF, PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst $ 788•00
displacement sm commercial turbine** muSt Y¢CeiVe
maximum
approval
concinuous
10 from Public
Works
2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00
maximum displacement residential &
continuous sm commercial production lines
IS
3-50 I" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & Ig comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $488.00
maximum displacement &
continuous most comm bldgs
SQ
MF.TRRS REOUfRINC 30-DAY ADVANCE NOTICE PRIOR TO YICK UP
GPM MF,TERS USE PRICE GPM MCTERS USE PRICE
5-351) 3" turbine vcry Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs Sc $3,744.00
syst & praduction very Ig comm bidgs
lines
1/2-320 3" compound +200 nnit bldgs S2,407.00 10-1000 6" compound +400 unit bldgs $6J24.00
vcry Ig comm bldgs vcry Ig comm bldgs
15_1000 d" turbine very IK irrigation $2,384.00
syst
& productimi lines
l.VI11IfIG[IW
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, cal I 651-675-5300.
cc Maintenance Division Clerical Techmcian Upda[ed 5/04
Perniit #:
Receipt Date:
CITY OF EAGAN
2004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
? 0/o
z9a?6,o
l U -,-3( - G `i
Nb `Z '`cxv ,m \A6'??- I OFFICE USE ONLY
Address ?( O`T \\! `? ?
n(} ? PRV required ? rt' S
Property Owner C?? C? ???a Ca ln - n16
? R-O-W Permit: City County
Telephone #: ?
Unpaid
y3-?5.?? ` ?
Plumber ?
Permit Fees
G
Date of In4ui
ry: Ciry Financed
Contact Name: 0 v\
8" Sewer Service $ 1,380.00 6" Water Service $-2349&,N
Latera azge @ $24.60/ff Lateral charge @ $31.30/ff
Trunk @ $ , 0/acre Trunk @ $2,165/acre
Ciry SAC @$I unit Water supply & sWrage @$3,415/acre
MCES SAC @$1, /unit Treatment plant @$588/SAC unit
Receipt # te Pernut Fee 50.00
Sepric abandonment 50.00 State Surchazge .50
Permit Fee 50.00
State Surcharge .50
Total Total $ 50,5?
t
Separate plumbing permtt required
Sewer and Water
8" Sewer Service
" Water Service
Se lateral chazge @ $24.60/ff
Water lbtt ral chazge @ $3130/ff
Sewer trun $2,060/acre
Water tnmk @ 165/acre
City SAC @ $100 it
MCES SAC @ $1,350 i
Receipt # ate
Water supply & s age @ $3, `
Treatment pl @ $588/SAC uni
Septic ab onment
State
Total
Sepazate plumbing pernut required
Nmnber of SAC etnits is determrried by the Metrop4
$ _ 1380.00
2.310.00
50.00
100.00
.50
$
Council Enviroronental Services (651-602-
cc: Cazolyn Krech, Finance Deparnnent
Pemut #: Receipt Date:
CITY OF EAGAN
2004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
I ? \2 ?+? d ? '(? OFFICE USE ONLY
Address ? ? `?0. V? ? ? ` 1 Y + ?1
? PRV required
Property Owner 0 ? E0, e m- ? ,,•1 _A(o
? R-O-W Permit: City County
Telephone #: ?
n ? Unpaid
Plumber s ? Permit Fees
U )U`Y ? Ciry Financed
Date of Inquiry:
, 1-
Contact Name: "J -A? v
8" Sewer Service
(La 1 chazge @ $24.60/ff
Trunk 2,060/acre
City SAC 00/unit
MCES SAC @ , 50/unit
Receipt # , u
Sepric abandonment
Permit Fee /
State Surcharge
Total
(/ " U
$ 1 3 .00 6" Water Service ??
Later charge @ $3130/ff
Trunk $2,165/acre
Water supp & storage @ $3,415/acre
Treatment plan $588/SAC unit
Permit Fee
50.00 State Surchazge
50.00
?
3u.uu
.50
g I I Tota1 Iz \ $
permit required
Sewerand
., 8" Sewer Service
6" Water Service
Sewer•lateral charge @ $24.60/ff
Water lat charge @ $130/ff
Sewer trunk 060/acr3e
Water trunk @ $2,1 cre
City SAC @ $100/unit
MCES SAC @ $1,350/
Receipt # Date
Water supply storage @ $3,415/s
Treatme ant @ $588/SAC unit
it Fee
Surchazge
Total
Separate plumbing pernut required
Nairnbes of SAC waits is determined by the Metr-op?
$h386-99,
la°j?
S , ?O
50.00
$
Environmental Services
I l 33IOq
cc: Carolyn Krech, Finance Department
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion )( 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg 43 Reroof ? 47 Repair
'LY 33 Alterafions ? 37 Demolish (Bldg) 44 Siding ? 48 Authorization
'0 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 4v Zoning 59• ft•
SAC Code - # of Stories sq, ft.
No. of Units Length S9• ft•
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MCBS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insularion Q Plumbing ? Stucco/Stone
Engineering Variance
VALUATION $ 0 ?
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W 5urcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
45,LTy ??vLT Z
06? 1"!7 U F
% SAC
Meter Size /-«f 7
SAC Units kh
_ 1?%.
Total
=?-?- (,:::,,-4 9
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Call 651-215-0700 for details.
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . ArchitecWral Plans (2) sets • ArchitecWral Plans (2) sats
• Civil Plans (2) . Strudural Plans (2) . Code Malysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeMalysis (1)" • LandscapingPlans (2) • KeyPlan (1)
• Project Specs (1) • Code Analysis (1) " . Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule " • Certifipte of Survey (1) • Energy Calculations (1) not always"
• Soiis Report (1) . Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be esFablished • Meter size must be esfablished • Meter size must be established - if applicable
• PmjedSpea (1)
1 • EnergyCalculations (1)
d • ElectricPOwer&LightingFOrm (i)" 1
1 . Master Exit Plan (1) 1
1 • Fi2 ProteGion Plan (1) "* 1
1 • SoilsReport (1) J
• MGES SAC determination letter . MC/ES SAC determination letter • MGES SAC determination letter
call 651-602-1000 call 651-602-1000 rall 651•602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health.
DATE: 2- 'L WORKTYPE: NEW ?- REMODEL
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
SUITE #:
DESCRIPTION OF WORK ?d?
Name:? ? Phone #:
PROPERTY Last p irst
OWNER
City: _
Company:
CON'I'RACTOR
Street Adc
CONSTRUCTION COST:
dv?? CP??Y?S1
.1 E 3f8vi
7-3 1 -o a..
S (?-Q 0
Zip:
Phone #: ( qv? ) o I oo ?
?/ -
City: ? Aia, k)yOOV1 `l rAIRS! State: Zip: 41.
ARCHITECT/ ? ? ? fl (? ?
ENGINEER Company: Phone #:
Name: JUI. O 2 ZOOZ Regis4ation#:
Street Address:
CitY: State:
Licensed plumber installing new sewer/water servica: P #:
I hereby acknowledge that I have read this application, state that the information is Ve Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
State:
Zip:
to comply with all applicable State of
? CITY OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT '
PERMIT TYPE:
Permit Number:
Date Issued:
?? a3o 1 3
y -So-gsS
BUILDING
031938
05/05/98
SITE ADDRESS:
4665 MANOR DR
LOT: 2 BLOCK: 4
SECTION 36
P.Z.N.: 10-03600-020-04
DESCRIPTION:
Building-."
f6uiltlin.g Cdb
r?Censu.s Code
r?
?
?
HANpICAP ACCESS Pq41a<j,
rmit Type o"° ,?EZZMZ*+"
rk Type ALTERATION
'?.. 437 ALT. NONRES.
,
`-
_.
Ez i i ? F
a
???"-?`.?:f 10,
REMARKS:
FEE SUMMARY:
Base Fee $.00
Surcharge $.89
Tptal Fee $.89
CONTRACTOR: OWNER: - qpplicant -
CITY OF EAGAN
3830 PIL07 KNOB RD
EAGAM MN 55122
(612)681-4665
_ > - . .? .. i _
I hereby acknowledge that?Z-?haveWread this applioation and state that tMe'
informztion ie oorrept 4nt9 sgr*e"td`ccinrp-j"y'Qi,€'M 611? a0pl1oabl"e S"tate af' Mrt.
Statutes and City of Eagan
ei
I LI ANT/ E ITEE SIGNATUFiE ISSUED : SIGNA7URE
~ ? ` / 1998 BUILDIN(i PERMIT APPLICATION (COMME1tCIAL)
--
.?/ ?? CITY OF EAGAN
( / 681-4675
Submit following to obtain necessary permit
Foundation Onl New Construction Interior im rovement
struUurel plans (2 sets) architedural plans (2 sets) archileeturel plens (2 sets)
tivil plans (2 sets) strudurel plans (2 sets) eode analyais (1) "
code enalysis (1) " civil plans (2 sets) pmject specs (t set)
soils repoA (1) lendscaping plans (2 sets) Key Plan
projedapeCS (1) oodeanaysis (1)" energyplwlafions (1)ndaMrays"
Special InspeGions 8 7esting Schedub " soils report (t) EleGric Power 8 Lighting Fortn (1) not eNrays "
SAC detertnination btter from MClWS - SAC delertninetlon letter from MCNVS • SAC determination letter trom MC1WS -
call 602-7000 wll 802-1000 call 602-7000
Sp8CI81 IIISpBCIl0116 &TBSt1118 SChfidUIB (1) "
project specs (t)
energy wlculations (7) "
Eledric Power &' htin Form 1 "
" Contac[ Building Inspections for sample
Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of HeaRh. Call 215-0700 for details.
DATE: APim,., 2'1; j49R WORKTYPE: Z. NEW _ REMODEL
DESCRIPTION OF WORK: IAISTkt,l. HANIXCAJEM ACr L35 TD a,j'SIDEOF HfL2 BRRN.
CONSTRUCTION COST: TENANT NAME: E ?A,64 PA2K-S 17EPT.
SITE ADDRESS: MaNOr- D2tvg - E.a4AA4 SUITE #:
? / (
LOT -1- BLOCK? SUBD. ?1l1.?P?Y' 3b P.I.D. #
Narne:
PROPERTY Last First
OWNER
Street
City
State:
Zip:
Campany: C; '4"J -T:Ici,v k 5 Phone
CON7RACTOR
Street
City ,
ARCHITECT/
ENGINEER Comp;
Name:
Street Address:
City
Sewer & water licensed plumber (only iT installing sewer 8 water):
License #
State: Zip:
Phone #:
Registration #: _
State:
Zip:
1 hereby acknowledge that I have read this applfcation and state that the iMortnation is correct and agree to comply with all appiicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplicaM: 04A
VVW-V
G
Fhone #: ? - M
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 18 Comm./Ind.
WORK TYPE
? 31 New
0 32 Addition
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 19 Comm./lnd. Misc.
0 20 Public Facility
M 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Planning Building ?
? 21 Miscellaneous
? 35 Tenant Finish
O 37 Demolition
MC/WS System ?
City Water /
Fire Sprinklered
Census Code y 3 7
$fC Code
Census Bldg.
; Census Unit p
Engineering
Variance
Permit Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
Valuation:
n1 o L 1+Hn4 a-
$ ?
• - '_ ` _? ? ??3---??. _ _ ?,,.- .?- _ _ - -: ?
' yzp __ r T CLIFF R01jD=_,•-!-? -----?-?_. --_ ?__
WE?'?
?- - ' ___- - -_- ,- - -- _ - ?
??? ?_ ?
---?9 30%?
\\?O`??I
SITE ANALYSIS
01111 HOLZ FARM PARK
! I ? ? I ? ?/ D 5?] 10d ISD 2p0 2?50 3U0
I` C,J. LILLY - PARK PLANNER
-\--'.-?,.....? ...?-` ; ` ? ?. ` \ ? ._ - ? _ ? ? _'? ? ? \
.? .?: ? -?_ ?.. % ?-^.,..?_._ i ?` ? ?.y ? ? ? -- - -' ? ? _ _ _ ? ? \ ?
?\
v?i[i?r,eu)",--'---`:
1,0
1 ??1?\? ? ` ?? • ?`??'__ \ \\ \\ 1`? 1
-l
SITE
HOUSE,
-- . I
-d ? , ? ? '_?.? ?if ?• // ? ?/ /
i ?
LAKE
? _ _ ?.- •? ?, BARN p
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
`Eag2n, Minnesota 55122-1897 Permit Number: 030762
(612) 681-4675 Date Issued: 10 J 0 8/ 9 7
SITE ADDRESS:
4665 MANOR OR
1.0T: 2 BLQCK: 4
SECTION 36
P.I.N.: 10-03600-020-04
DESCRIPTION:
MISCELLANEOUS
REPAIR
437 RLT. NONRES.
(BARN)
BLpildiii'cj_ Permit Type
Building W4rk Type
Cansus
l5 `M?
REMARKS:
FEE SUMMARY:
VALUATION $700
Base Fee $.00
Surcharge $.50
Total Fee $.50
CONTRACTOR:
L
OWNER: - Rpplacanz -
CITY QF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612)681-4660
I hereby acknowledge tFtet I heve ° reasl.this: a;pplioatio.h aftd %:s Cate tR?at t-he °
in,#qxmatio.n is correat ar?d :agres to cQmply- tf3.;t;W=al1=-aPp-licable °State of rMn:.
Stiatut;es and Gity of,Eagcj,n,Or,dinance•s.
?
APPLICANT/PEFj! ITEE S---,
µIGNATUFj
? 7
{Afi kotA!}?-
ISSU D : S NATU E
? 997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
- ` 681-4675
New Constructian Reauirements RemodeVReoair Reauirements
DATE:
9 registered sita surveys ? 2 copies W plan
2 copies of plans (inUude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addftions 8 dedcs)
1 anergy calculations ? 1 energy calwlaHons for heated addftions
3 copies of tree preservetion plan if lot platted after 7/1/93
required: _Yes _ No "
- 3 -q7
DESCRIPTION OF WORK:
STREETADDRESS:
LOT ? BLOCK ?
CONSTRUCTION COST:
u-e--
o?0
cfj J ? I -, o
?
SUBD./P.I.D. #: JQk g?
PROPERTY Name: C ( CA- 2--a q``\
OWNER
eT
3<M
Pr
0+7KIto ?
Street Address -
Phone #: vyl- 46o
City: EFa?A A State: /`'IA) Zip:
?,
CONTRACTOR Company:
Street Address:
ARCHITECT/
ENGINEER
City: State:
Phone #:
License #:
Zip:
Phone #: y70- 2000
Company:
Name: T°? Lu?'n Registration#: 75?
StreetAddress: Zo0 SC14 6, [-?U-
City: State: ItPj Zip:
Sewer & water Iicer.?,ed plumber (new construction only):
and lot change arciequested once permit is issued.
Penalty applies when address change
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.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace 9' 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORKTYPE C;r „ C,rard f Y ¢ir f6
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition )3' 34 Repair ? 37 Demolition
GENERAL INFORMATION ?
Const. (Actual) Basement sq . ft. MC/WS System
(Allowable) Main level sq . ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?
Depth Footprint sq. ft. SAC Code J? O
Census Bldg /
Census Unit U
APPROVALS
Planning Building Engineering Variance
?
Permit Fee ff C Valuation: $
Surcharge .So
Plan Review ? C- '
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. -
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
-/--?
i?C,.v ?? I c ? n-? 1? ?i/ l•?J- r/f s'?-fl' e e.r
''ONI.4 -V *9 E'
? Minnesota Pollutton Controi Agency (MpCA)
Inspectlon Form for Exlsting Septtc Systera.q
DATE OF InTN? TItiIE' 1?9
M'fiAT1IER CONDITIONS:
!
BEASONFORIN?FFrTIpN
( ) BMroom or boNivom addliion
( ) Vulanu
( ) Comploinl
( ) Properry Truisfer
( ) Othcr,tn-d6? A,O.4 1- .4
PTOptKy 01
Site
Zip Cade?S?'?`! `? f`7 - -
.y. Fire No. ` --""- owns
a 3/t<11 Ls eytlem opfntd up' Y NFull
? ?STRppAM1TNUR^^
Telephone (
Z? ) (?, (J
SYCT M [ f O N/I /7J A/D 7A11
ills bnk(s) e•er bten pumpedT Y N Yur Sy?tem IIu11L• 7?
I! Yq, how ofl?n7
Any ropdr don? on ?ynemT?Por whot re_uon: Orouilnely O E?vsmenj beckup0 6lu«Ish rIumCin
VuQei Ooiheresq?blishmemOdwellin Whet [0 otAer
Bywhon?
on?lp other
Walerwingeppll.neei Ck;orA /d feu When
Surface W y 1°?har ODlihwyhrr O Gvy1? d,,No Bedrpp
mi
•itr? . h from whlch i yP i M,el O WhIrI?I bo?n O Woier conJlilonln? unit OSdf.el?yiln? Aumldlllaln Ih ?e? Nmrri
e o( ?vAoce Waier O ?atC lakd] nrean0 olher Y
-77
(Check appropriate sewer sysiem component and indicaie locaiion an site skeich on back of fortn), r• D Gi s
?
TenklslI 7'enk(l<)nss --?-?-?-• ^Sat rlal• Olher:
G Seplie Iank Fib erg --+--- Soil Trealmenf
Aerobic tank ? Plesilc rock irenob _ altemaiive synem (idemi( t Y?
_ Pump lank Meial - Bravelless trench ? txperimental system (idemifte) ??
_ llolding iank ._ chamber trench _ olher (idemif t Y YP )
7?. Concreie _ seepagc bed Y YrO?
? Other _ moond _ ai•grade
T?nk(s)Sli¢:??_gais SollkealmeMarea alxt(s):? y-}
----?._eq. fl. ?d/ / 4 4-1
COMpI.IANC . [NCnvrrrn
hill o he ths??en eav evide_?e of,
Diacharge of 7ewage lo the ground aur(acel
Dischvge o( sewage io a surface wai,,y '•
A seepnge pit, drywell, cesspool or Itathing pIi? ?
Less than three (en o( veriical tepyaiion belween ihe spil Ireaimeni sysiem
boitom and snturaied sotl or bedrockp
Sewege baakup inla dwelling or other escablilhment7
Situetlons with ehe potemial to immediuely end
public heaiih or safety7 adversely impact or threaicn
' if YES was answercd fnr an ef the ayolc cues::c,,s, ?
YE?S?? Ex?lain
YE to'
g • o , `
YES d!
YES N i
Y85 NO ?R?
- " 1+ '4111nq accortlin lo ,'.1inn. R, ch.
STATUc OF T_ ? qy?7?y
Dased on Ihe compllunce inspecllon conducted above the
rystem slatw Is ??` ? ? L ?
Ihis docvmenl Is a 1 , i° ? (Chaose: in comnl?npro
OR' f?ilin8 )
(Choose: C' V?r /Yl ?7L 1 d, n r?+ E
_ ertifitate o? Compliance OR NOlite of Monrnm,:i' ...._ . `
CERTIF! ATION . . I hercby eerti(y aa a state of Minnesola Iicensed Inspenor, Designer fied Employee ?hat m
accuraie as of the daie ai ihe ivp o( ihis form 1 or Quali for ihe size staied above, No detertnination of (wure hydraulic p?dprmanee ean be made due to
unknown cvndiiions dunng 3ystem construclion, luiure waier usagr over the life o/ ihe system, abuse of ihe rysiemrean?p ?nadsqua?ie
mainknance all of hich wyJ adversely a(ftct ihe li(c ol ihe syslem.
? ?e
Inspccior'sna??`?r/?_?
f'honcNo. ?; ?/
(plcase prinq ---_? License and/vr Regisvation Number -? ,_? `?_?S _
`
Inspeclor's signaror ?? --A, I , I // .---.
Dat%,?_ ? ? "` `77 1?'
McMENOMY & SEVERSON
A I'I{I H? I'N51 ONA I. ASSf rt'I A'19( I N
Al"Pn1INP;l4 A'I' I.AR`
Ii1IWAI;I)11 MrMP;Nf1MY
I.AItR1' S. SRVF.RFON'
dAMIZR F. SIIY:LI)f)N
MICHAF;I. V. SOVIF
dOHN E. A'UKF:L[CH
'19SItISNCI? P. UURKW
lif•;IiN14: M1I DUSIf'fl
Miciinr:i.G nOur.mFjeTti?
'r\I Rn IA('11NtiEII IK PrtIA
•.AI.Fii IJ('PTS4:U IN lilci oNeIN
U RP:PI.1' PU
iaon N4;tiT 1471H tiTRt:F:'I'
pi r noX21s•29
AI'PI P. VN.IdsY, A NNIi50'fA SfiPt1
p;rt nzar?e
P:I'LV' TU
i urai nou rti amiH:irr ?ritn u.
rn isnxr
NutiI:A10UN"i'. MINNI:vol'A M16069
ll;lLl 12.1 t153
Ju]y 14, 1987
?
Otto ana E;l1a Holz
4665 South Rooert Trail
F..agan, MN 55123
Re: Holz/PetersPn
Our Fi.le No. 20Z-01544
Dear Mr. and Mrs. Holz:
RF.IU.) HANSEN
MICHABL E. MOI.F,NUA•'
dAMF;S C. lAFS1ROM
11N:NISE i, RP:UTF.I2
KBV1N P CARROLI,
KF,V W W. hALS'
MICHpF.I.d. LUfKFNS
nF COUNSF.i:
I1014AftP Ii AI.TON..IIi.
LF:ONAItU P. HIf:ftNA'I'
CE!=.TT_FIED AiAIL
RETURiV RECEIPT RGQUESTEU
ReceipC Cdo. P-493-656-319
On Ju1y l, 1987, we met with Milton and Mardell Petersen
at your residence. At that time you received your final pay-
ment from the Petersens pursuant to the Contract for Deed
dated November 1, 1971. In turn, you executed a Warranty
Deed conveying the property described in the Contract for
Deed to the Petersens.
You have retai-ned title to the homestead property you now
live in, along with an easement over part of the property
you conveyed to the Petersens i.n order to allow you access
to your property. I have enclosed the Abstract of Title to
the property you nave retained and suggest that you keep
it in a safe place such as a safe deposit box in a bank or
ir, a f'_r?;+rno? your home. I have also enclosed
a final bill for our legal. servires rendered to date. If "
you should have any questions in regard to this or other
matters in the future, please feel free to contact me.
Very truly yours,
RECE1VED J tl L 1 4 ?992
McMENOMY & SEVERSON
? Kevin W. Daly
`?'Z.i? ? ? .. •
-rQ
+•; tr ? Co3?
r ??
/!1l-41A?
KWD:lss
Enclosures
L ake %j k'ew
-?C a,? M6
ciky froj 011-
,
July 24, 1992
TO: CITY OF EAGAN
b3?
The purpose of this letter is to give approval to the City of Eagan to perform the relocation
of the driveway access to my home as shown on the drawing prepared by the City dated July
24, 1992; and to enter and work on my property to accomplish this work.
Signed: - ` L
Signed: 6A. YA
`RoN? e 6% ccey -''a
?l eo.!'G2I -0e
l
020 - 04 + N? 4 0? Sec 3(?
?e?
V
1/
M??e F '''?
f+'o `? 6 3 S tr? 12 .?-°--- ?"."
? ?,-
Sok?
?d K ?
s+a ? L- ?
J
Community Development Department
Building Inspections Division
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
(612) 6814675 Fax: 6814694
TO: JON OYANAGI, RECREATION 5UPERVISOR
FROM: DALE SCHOEPPNER, SENIOR INSPECTOR
1
DATE: MARCH 19, 1997
RE: ? HOLZ.FARM?
36
As per your memo of Mazch 17, I will attempt to establish what requirements the Building Code
has for the anticipated use of the Holz Fazm struchues. A partial listing of potential activities
includes: small meetings, catered needs, dances, overnights, fazmers mazket, concerts, and
classes.
When a change of occupancy classification occurs, the Uniform Building Code requires that a
Certificate of Occupancy be issued. In order for a Certificate of Occupancy to be issued, a
building permit must first be obtained.
With a change in use from "Residential" to "Public Facility", the Building Code requires
additional feahues be provided to the occupants.
Exiting issues will have to be addressed on a"per building and use" basis. A floor plan for
buildings open to the public must be developed and reviewed for code compliance.
Rest rooms must be provided at a rate consistent with U.B.C. Table A-29-A (see attached). As
you can see, plumbing fixtures required for a dance floor aze based on 15 sq. ft. per occupant.
Based on a hypothetical 1,500 sq. R., the code requires a minimum of one water closet for males
and three water closets for females (1,500 = 15 = 100 = 2= 50 male, 50 female).
Handicapped accessibility of these structures will also need to be addressed, i.e. the second story
of the bam must be handicapped accessible. The Planning Division has expressed interesYin the
parking layout for the site, especially when it involves a sizable crowd.
,
During an on-site visit by Bill Bruestle in 1996, he suggested to the Pazks Department that an
engineer look at the barn prior to using it. Has tlus happened?
We do need to review plans for the Holz Fazm buildings once designs and uses have been
established to insure that all codes are met. There is aiways a question of funding in instances
such as this and I would like to recommend that perhaps you apply for a historical grant to help
with these expenses. (The owner of a barn proposal on Lexington Way investigated lustorical
designation status and grants for that particular project; however, a grant was not awazded
because the surroundings were not consistent with the barn).
If I can be of fiuther heip on this project, please let me lmow.
4SeorInspector
DS/js
cc: Doug Reid, Chief Building Official
Bill Bruestle, Senior Inspector
? . . . ?' • ?- :'? ? ? ?1
. ne_ w-uwtw w oiliMi11Nr FIYTl112ESI• 2+ 3
.. -'WATERCLOSETS'+
(tlatures w? M?w^)
W IAYAMPoE36
IflxwmW?W?nI BATHfUB0118MOwEH
TYPE OF BUILOIN6 ON OCCUPIINCY4 MALE FEMALE MAIE FFNALE (flintaimPirP-)
For the occupancies listed below, use 30 square feet (2.29 m?) per occupan[ for ihe mimmum number of plumbing fixmres.
Group A
Con[erence rooms, dining rooms, drinking
I-1-25 L t-25
one For each wacer closet up ta four,
estabiishmen[s, ezhibit rooms. 2:26J5 2?6-75 then one for each two addinwal wacer
gymnasiums, lounges, stages arid similar 3:76-125 3:76-175 closets
uses incfuding resmurants ciassified as 4:126-200 4: t26-200
Group B Occupancies 5:201-300 5:201-3IX1
6:301-400 6:301-400
Over 400, add one fixtum for each
additiona120Q males or 150 females.
For the assembly occupancies ]isted below, use the number of fixed seating or. where no fized seating is provided, use IS square feet ( I.39 mz) per occupant for [he
minimum number of plum6ing fixlures.
Assembly piaccs-
Audiroriums, comenuon halls, dance
1:1-50 3:1-50
1:1-200 1=1-200
2201-400
floors.lodgerooms.stadiumsandcasmos 2:51-100 4:51-100 2:201-400
406750
3
3:101-150 6:104200 _
:
3:401-750
4:151-300 8.201-400 Over 750, add one £xtuee for each
Over 300 males, add one Fixnue for additiaia1500 pe[sons. -
each additiona1200, and over 400
females add om for each t 25.
For [he as:embly occupancies listed below, use the number of fized seaung or, whete no fixed seaung is pcovided, use 30 squere feet (219 m2) per occupaot for the
minimum number of plum6ing fiztures.
Worshtp placu
Principal assembly area
one per 150 one peT
e per 2 wazer closets
Worship places
Educationel and ac[iviry mi[ 75
one pet 125 one pe
per 2 water closets
me
For the accupancies listcd below. uw 2IX0 square fcet (18.58 m'-) pet occupan[ fm ihe mmimum number of plumbing fuctums.
Group B
l:l-IS l:l-IS
oneper2warerclosecs
2:16-35 2:16-35
3:36-55 3:36-55
Over 55, add ow fot each SO persons.
(Cathrtued)
?
0
n
MBOOf
R1?
?
m
P
C
2
T
O
a
3
m
C
?
O
2
n
O
O
m
D
9
m
m
c
X
n
2
D
9
ti
m
a
m
WpTEN LIOSET$> LAYATpq1E5a
'
T'rPE OF BUILOING
! ON OCGUPANCW I (tlnurppwpnaenl
MAIE FEM4lE
fflzlurqqrpenanl
AAAIE FEMRLE
BATHTUBOqSXOWEP
(IhturM pn pna[al
I F??r the occupancies listed 6elow, use 50 +yu ure feec (4.65 m=) per occupant [or the mmi mum number of plumbmg hxmrcs. '
CroupE L1-IS L'l-IS oneper4p onepe[JO
Schoals-(or s41tf uu 2:16-35 2:16-35
AII SCIIOOIS 3:36-55 3:3G55
Over 55, add one tixture for each
addinonal 40 persons.
Sehoots-FOr swdrnt nx 1 1-20 1:1-20 L 1-25 L 145
Daycse 3;21-50 2:21-50 2:26-50 226•50
Over 50. add one fixmre for each Over 50, add one fixtum for ench
additional 50 persons. addiaonai 50 pcrsons.
Elemenury one per 30 one per 25 one per 35 one per 35
Sec;ondary one per 40 one per 30 one per 40 one per 40 - -
Fnr the occupanaes listed below, use 50 squa re teei (4.65 m'-) per occupan[ for the mini mum aumber of plumbing tixtures.
Education Facilities o[her than Group E
O[hers (colleges, universities, adutt cenrers.
etc. ) one per 40 one per 30 one per GO one per 40
Fnr [he cecupancies listed 6elow, use 2,000 square feet (185.8 mZ) per cecupant for [he mimmum number of plumbing fixtmes.
Group F L1-10 L 1-10
Wockshop, foundries afM similaz 2-11
25 2? I1 one for each two wa[er closets one showet for cach 15 persons
-
-25
establishments, and Group H Ocwpancies 3:26-50 3?6-50
3 exposed [o ezcessive heat or to
skin contamina[ion with imtating
4:
1-75 4:5I-75 materials
5:76-IDO 5:76-100
Over 100, add one fixtum for each
additiana1300 persans. -
For the occupancies listed below, use the designared application and 200 square feet (18. 58 m2) per accuqan[ of the geneeaL use area for the minimum number of
plumbing fiztures.
Croup I
Hospital waiung raoms one per room (usable 6y eithcr sex) one per room
Hospi[ai general use aroas 1:1-15 L• I-l5 one per each two wa[er ciosets
2:16-35 3:1635
336-55 4;36-55
Over 55, add aft fixmre for eacfi
addinona140 persons.
. Hospitals
Ponen[ mom
Ward room une per room one per room one per room
one per eight patiena one r 10 a[tents
pe p one
per?0 panents
r
r
Iails and retomatories
Cell = .n er ce ll one pa cetl
Exerrise room er exercise room one per ezclcise room
Other msu[uuons (on each occupied floor) one per 25 one per 25 one pet 10 one per 10 one per eight I
For che occupancies lisrod beiow, use 200 square tee[ (1858 m=) per occupan[ [or the muumum num6er of plumbing fixtules.
Group M
Retail or wholesale stores L 1-50 1:1-50 Ofre for each [wo waeer closets.
2S41U0 2:51-100
3:101-400 3:101•200
4201-300 5301-400 ?
Over 400. add one tixewe for each
addi[ionai 500 males and one for each
l50 femalea
For Group R Occupencies, dwelling units and horel guest rooms, use [he chart. For congregam residences, use 200 square feet (I8.58 m2) for Group R. Division 1
Occupancies und 300 square fee[ (27.87 m'-) for Group R, Diviaion 3 Occupancies for ehe minimum plumbing f zmres.
('mup R
Dwelling uni[s one per dwetling unit one per dwelting ume one per dwelling un¢
Hoiel euext raoms one per guest room one per gues[ room one per guest room .
Coneregate residences one per l0 one per eight one per l? one per l: one per eieh[
Add one fxmre for e:uh addinonai 25 Ovet 12. add one fixmre for each For femaies,.uld one 6athmb per
males and ane for each nddi[ionnl 20 addi[ional _U males and one for each 70. Over t54 add one per 20. I
femules. addinonal 15 fema
Fur [he occupanCrcs lis[ed 6elow, use 5.000 square fee[ (464.5 m=) pef oCCUpanl for [he mimmurt num6er of plumbing tiztures.
Group S L 1-10 L I-10 One per 40 a:cupants of z:kh ,ex, onc .hower for each t5 persoas
Warehouses ?:I L?5 2J L25 exposed ro excessive hea[ or [o I
3.26-50 316-50 I
skin cancammanon with
4:51-75 45IJ5 5:76-100 poisonous,infectiousurimtating
5:76-100 matenals
Over I00, add one for each 301 mules
und femules.
m
z
C
r
'n
?
m
a
a
'The tiuurcs ahown are bxsed on one fixmre bemg ehe mmimum reymmd for the num6er ai pcrsans indicmed ur any fracnon chereoY. >
2Any cmegury not mennoned speciticalty ur uboue which there are any yurations yhall6e ctassdied by the bwldinc oBicial and included m che caie?ory which u mou nearly ?
mcmbles, buxd on the expttced use of ihe plumbing faciliues. m
' W hcrc unnal+ ere provWed, nne wmet closet less than [he rtum6er xpecdied may 6e pmvided Fnr ea[h urirml mstalleJ, e<cepl [he number of waler clme[s in wch c:u'cx =
hall not be n;eiucel to te+s efian oM halt of tfie mimmum ?pecitied. x
4Onnking foun(uina ?hull nut tx ms[alled in iodt[ roums. n
7wentv-tnur mchea (610 mmi uf waah +mk or 19 mches f457 mm i ot a nrcular baam, whan provided wnh wpipr uudrb fur such ypace, ?hall he cnnaideroJ eywvalent io -
OfLL: ILV:IIUN. >
?
^When ihe deven uccupam IoaJ H lV11 (hall Iq pennn., a facJuy inahle bv cnher w.e mdy be apprmrd hy ihe hUdd111g UtfICl0.i, ?
NU 1'E: Occup:mt luada uver 30 .hull huve nnr dnnAin¢ tuumnin lur cnch I lO UtCOpdIIP ?
V
10 03(A0 020 04
L ? , ,3 1 ?
MEMO TO: JIM STURM, PLANNER
FROM: STEVE HANSON, ASSISTANT BUILDING OFFICIAL
DATE: NO\7EMBER 25, 1988
SUBJECT: OTTO HOLZ FARM - 4665 HIGHWAY 3
Could you talk to Bob Middlemist regarding these issues? I met
with the Holzes on November 22, 1988 and discussed the following
issues:
1. What agreement was there to provide a driveway to Highway 3?
There was an existing driveway. After site grading, the
drive was graded but no driving surface was provided. If the
ground had not been frozen when I drove on it, I would not
have been able to get in. The Holzes are paying to have rock
trucked in. They also had to hire someone to regrade the
driveway. They should be provided with at least as good a
driveway as they previously had, with no expense to them.
2. Some machinery was left next to their driveway. Apparently,
it interferes with their operation. Could the machinery be
moved somewhere acceptable to them?
3. The Holzes appear to be very reasonable. If Bob would just
talk to them, I think these problems could be corrected.
?G-7 4Building Official
SH/mc
February 5, 1985
Mayor Bea Bloomquist -A, Ie-
3830 Pilot Knob
Eagan, Mn, 55122
Dear Mayor 8loomquist;
We are the Milton Petersen's who purchased back in 1970
the Otto Holz Farm approximately 43.12 acres on the SW corner
of C1iff Rd, and Htiiay 3.
This letter is psrtaining to
in our area. We are aware 2f tne
designated area for that center.
and Hwa?l 3 having two major roads
of the land is excellent for that
We stopped last week at Oity Hall
gone. We then spwke to Dale Runk
letter to our Mayor.
the need far a convenience center
catyI s interest in locating a
We think the SW cornEr of Cliff
would be ideal, also the contour
purposel
to speak with you, but you where
=1, who suggested to address a
We would appreciate your consideration and opinion regarding
this matter? We would like to meet with you in the Puture to discuss
this in more detail. Tnonk you kindly;
Regards,
?
?u??
z?
S)dtvoF
3830 PILOT IQVOB ROAD
EAGAN. MINNESOTA 55122-1897
Pl10NE: (612) 454-8100
fAX: (612) 454-8363
August 3, 1989
MR & MRS OTTO HOLZ
4665 ROBERT TRAIL SOUTH
EAGAN MN 55123
Re: Senior Citizen Deferment
Dear Mr. & Mrs. Holz:
VIC ELLISON
M.Vor
iHOM45 EGAN
DAVID K GUSTAFSON
PAMEL4 MCCRfA
1HEODORE WACHIER
CounplMembers
nHoMws KEo-Es
cM ?unm«
EUGENE VAN OVERBEKE
Gly Cleik
In official action at its regular meeting held August 1, 1989, the
Eagan City Council approved your application for a senior citizen
deferment for Project 520. This deferment shall remain in effect
for this project until such time as you would no longer be eligible
as defined in the Eagan City Code.
Enclosed for your file is a copy of the signed application showing
the City's approval. If you have any questions, please feel free
to call either Deanna Kivi or me.
Sincerely,
E. . VanOverbeke, CPA
\1W OV?
Finance Director/City Clerk
cc: Special Assessment Clerk KiviJ
Enclosure
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
yo-os( . oo-o?z o-oy/
Equal Opportunity/Affirmative Action Employer
MEMO TO: CITY ADMIHISTRATOR HEDGES
FROM: BINANCE DIRECTOR/CITY CLSRR
DATE: JULY 26, 1989
80HJECT3 SENIOR CITI2EN SPECIAL ASSEBSMENT DEFERMENT - HOLZ
Ella and Otto Holz of 4665 Robert Trail South have applied for a
senior citizen deferment on Project 520 which installed the trunk
utility improvements in the Manor Lake Addition.
The applicants meet all conditions as defined in the City Code and
I am, therefore, recommending approval of this application by the
City Council.
Attached for your information are the following:
1. Application
2. Income Tax Information
3. Special Assessment Search
4. Appropriate Section of the City Code
Please let me know if you would like any additional information.
Financ Director/City Clerk
EJV/kf
-.:• ?•
? -1?`:C?1-I'.
?'L
y••?'r'?i,'JI'I i .Li.??.? ?- '
i ?I
l'?": r;
: (_::. vC.?v:?1.- :???-(?
r.r.?_.?. .'?I'CI_...i. ?Yi;.. ?.. 'f:J_) _
".`.._ 1_ . _.
i.
iF'!:_C ;.,:;1_ P..,_.. E ?!1+E.i`i .-., ?,IL:,'aftCF- SUi°II*1Ad R',
iO- .?
I..II'I:' ..
.j?.?i..( }..l..?.r
"r'??'i_:L)
l -..;lil
_
r.
,,..I.. _ ?
]I..? i
. , .It....._,.
?.??.??
_ : , ;
. . _
.......1:`??_'?..,
?? r?i
.I??tt_ -_I?.'... ..
..._
q ,
._........ . ......_ ............
o=``=I`nSI'lP1`iT ...___"__._..........
rt^.ECI"(, "_"_._.____.____.
*'R Yk> __. ____'"_.._.
RA'IE .."'__
"i.IT;-:t. ;7!`!1'
„i-•:IN.
PP'TDF;'
r.OM!"tE7•.)i
..??i:'75:.?^?
_,._ 'c.... ! I •.P.
...> ? c?.. %•" ? ?.=_?' ,
i,....':, ?
.. , !:.'., ,
.,-.,,i.?i
_ar?.?L,. _?._
?.: ,.r ?
..r?..' ? i"i ?c't..
..... )??_ :
yi?
(?f11.ic? ..' !I"tii`. :??. , .i. r . " '
.L?.la . _.? ,_
_:J`?I??'.)i. .
o ti{) .00
.LI
?..L.)... I_ ?,t
1115F36; dii'. .o..`il o.R.Y Ib s..qO;'` 3670,no 144,6Y .'67 0,0"
Rrt i, u..a} }; =::131':?`:t?;?-:'.' 1 !1
._" _. - 4(„I?Il.1I'
' '_ lib. . )
?:%„° !
F °
.
?_4`I'??)? __.fi.. ?.'. . .)
a; ?x???-;? o-.
s .,. .
?I`I?„ ?_ ":'L' :?eF': __. .I:1'? ,..?:
' 8 I . L .,;,;
-
f0 m 1988 MINNESOTA PROPERTY TAX REFUND
-------
-
-
---- ---- -- L
- - - - - -
-
YDUR .------------- ----
LAST - NAME ---
F1Rn?T NAME, MI ------
#t
SEC.
SOC.
--0T T0 J HOLZ --- -------470-42 3476 - STATE CAMPAIGN FUNU
SPOU S['S FIRST NAME, M1 LAST NAME SOC. SEC:. !3
--EL LA HOLZ 473 66 0394 IF YOU WANT $5 Tb AII`
PRES FNT HOME AUDRESS (STREET, APFIRTMENT NUMBER, ROUTE) STA7E CANDID ATES THEM
--46 65 SO ROf3GHl 1RATL CHECK ON[ BOX. UOIN(:
CI1Y OR TOWN STATE ZIP CUDE COiiiJT'r SO WON'l AFFFCT 7AXE:
--EA GAN, MN 55123 -------- ----DAK07A
---- ------ -------------------------------------- IR C?FL GC!
CHEC K BUXES THAt APPLY [ 7 RENTER [X] HOMEOWNER YOU: C] L J I 7
--- - -- -- --
------------------------------------------------- SPOUSE: [ 7
----------- [ 1 [ 1
----------
1. FFDERAL ADJUSiED GROSS INCOME FROM-lINE--31;-FORM 1040 :-::..C11$ a,780•
2. SOCIAL SECURITY PAYMENTS OR RRi'A NOT INCIUDEU IN LINE 1...[21$ 4>Z20.
3. PAYMENTS TD IRA, KEOGN, OR SEP ....................... .....[3]$
4_ WELFARE PAYMENTS NOT INCLUDEU IN LINE 1._. ..... C4]$ -
5. ADUITIONAL 1TEMi YOU MUST INCLUDE IN INCOME .... ...... ..... CS]$ -
6. ADD I.INES 1 TNRUUGH 5 .............•••••••..........•• • 6.$ 14.000
kENTERS
7. AMOUNT FROM WORKSHEFT. NUMBER OF DEPENDENTS-[ 0]..... . :-•-L71$ 1,950.
CNECK 1F ti"OU AFE: 65 OR OLDER [X] UISABLED [)
8_ SUBTRACT L7NE 7 FROM LINE 6. 8.$ 12.050.
9. RENTER'S SHARE OF PROPERTY TAX (LINE 3 OF CRP)....... ..... C91$ -
10. ------- -- - - - --
AMOUNI" FROM 1ABLE IN THE INSTRUCTIONS ........ ........
.... [10]$
HOMEOWNERS --- - ----- -- - -
11. AMOUNT FROM L1NE 1 OF PROPERTY TAX STATEMENT PAYABLE '89.[11]$ 1,721.
12. AMOUNT FROM TAF3LF IN THE INSTRUCTIONS ................ . 12.$ 1,075.
13. Rf10UNT FROM LINE 2 OF PROPERTY TAX-STATEMENF-PAYABLE '89.[13]$ 725-
14. SUBTRACT LINE 13 FROM LINE 12 ........................
- . 14.$ 350.
15. -- -
SPECIAL PROPERTY 7AX REFUND FRDM LINE 40 .................C15]$
16: ADD LINES 14 ANU 15.,.::-.-::-:>:::_=-?__v _-_= 16•$ 350.
ALL APPLICAN75
17. DfJNATION TO NONGAMF W1LDlIFE FUNp................................ [177$
18. PROPERTY TAX REfUhlU ...................... ................ [181$ 'SU.
I DECLARE THAi THIS APPLICATiON-iS-GORREGT-RND-60MPLETE-TD--THE BEST UF MY KNOW-
LEDGE AND BELIEF.
YOUR SIGNATURE °1-0USE'S SiGNATURE DATE DAYT7ME PHONC.
------------- ------ - --- --------------------------------------------'--------
PAID PREPARER'S SIGNATUHE ---MN--TAX-dD-OR SOC/SEG-NUM.- DATE DAYTIME PHUN[
472-22-0809 443-2457
----------------------------------------------------------------------------
f3E SURE TO ATTACH YOUR CRP-OR PROPf_RTY TAX STATEMENT
MAIL TO: MINNESOTA PROPERTY TAX REFUND, ST. FAUL, MN 55145--00<^U
restrictions as the Council may deem proper to protect the
City's interests, nor shall anythin9 contained in this Sec-
tlon limit any right or power possessed by the City over
exisctng franchises.
SEC. 2.73, ABSENTEH HALLOT COONTING BOARD. The
Council hereby authorizes an Absentee Ballot Counting 8oard
ind further auchorizes the elec[ion judges of such Doard to
rr.ceSve, examine, and valida[e absentee ballots. The
[urther duties oE such board shall be those provided by
statute.
SHC. 2.71, SPECIAL ASSHSSMENT POLICY. The Council
may, by resolution, adopt, from time-to-time amend, or
repeal a special assessment policy.
SEC. 2.75. DEFERMENT OP SPECIAL ASSESSMENTS. '
Subd. 1. The Council may de£er the payment of any
special assessment on homestead property owned by a person
who !s 65 yeacs of age or older, or who is retirrd by virtue
of permanent and total disability, and the City Clerk-
Treasurer is hereby authorized to record the deferment of
special assessments; where the following conditions are met:'
;A. The applicant must apply for the defer-
ment not later than ninety days after the assessment is
adopted by the,COUncil
.B. The applicant must be 65 years of age, or
older, or retired by virtue of permanent and total
disabllity.
C. The applicant must be the owner of the
property.
iD. The applicant must occupy the property as
his principai pl'ace of residence.
Ei The avera9e annual payment for all
assessments levi'ed against the subject property exceeds 18
of the adjusted gross income of the applicant as evidenced
by the applicant's most recent Federal income tax return.
The average annual payment of an assessment shall be the
total cost of the assessment divided by the number of yeacs
over which it is spread.
Subd. 2. The deferment shall be granted for as
long a period of time as the hardship exists and the condi-
tions as aforementioned have been met. However, it shall be
the duty of the apPlican[ to notify the City Clerk-Treasurer
of any change in his status that would affect ellgibiLity
Eor deferment.
Subd. 3. The entire amount of deferred special
assessments shall be due within sixty days after loss of
eliglbility by the applicant. If the special assessment is
24
not paid within slxty days, the City Clerk-Treasurer shall
add thereto interesh at 84 per annum from the due da.te
through December 21 of.the following year and the total
amount oE principal and interest shall be certified to the
County Auditor for collection with Gaxes the folloWing year.
Should the applicant plead and prove, to the satisfaction of
the Council, that full repayment of the deferred speclal
assessment would cause the applicant particular undue finan-
cial hardship, the Council may order that the applicant pay
within sixty days a sum equal to the number of installments
of deferred special assessments outstanding and unpaid to
date (including principal and interest) with the balance
thereafter paid according to the terms and conditions of the
original special assessment.
Subd. 4. The option to defer the paymen[ oE
special assessments shall terminate and all amounts accumu-
lated plus applicable interest shall become due upon the
occurrence of any one of the following:
A. The death of the owner when there is no
spouse who is eligible foc deferment.
B. The sale, transfer ot subdivision of all
or any part of the property.
C. Loss of homestead status on the property.
D. Detecmination by the Council for any
reason that there would be no hardship to require immediate
or partial payment.
SL'C. 2.76. PARTIAL PREPAYMENT OP SPECIAL ASSESSMENTS,
Subd. 1. Scope. Paxtial pcepaymen[ of assess-
ments in connection with any assessments adopted by the
Council and certified to the County Auditor for collection
may be made at any time.
Subd. 2. Payment. The owner of ariy property so
assessed may, within 30 days of adoption of the assessment
coll by the Council, prepay any or all of his assessment to
the City. No interest will be charqed on any portion of the
assessment paid within said 30 days. The remaining unpaid
balance of the assessment shall be spread at the same rate
of interest and for the same term of years as the original
assessment.
SEC. 2.77. EMERGENCY PREPAREONESS PLAN. The Council
may, by resolution, adopt, from [ime-to-time amend, or
repeal an emergency preparedness plan for the City.
(1-i-83)
25
APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX
ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD
' LAWS 1974, CHAP1'ER 206
STATE OF MINNESOTA)
COUNTY OF DAKOTA ) .
T0: County Auditor, Dakota County, Minnesota DATE J1Ja4F .3D 19a-
- I, the undersigned, declare under penalties of perjury:
That I reside at r_ F06.„4 'Tiai l r_ E46d?/ ?
That I am not less t4ha?1 65 years of age and that?the date of my
That I am the owner of the property legally described as: _r,
J.3
S ifo g g! .r ?r. T L !repj2 $gg e T L Ob?? _?4 2 Z2$
, Progerty Identification No. //s D;,Ca2 QZe Q,?
That my interest in the ownership of the above property was aquired on .4"??
19?and is as follows: ' 7 """'-
1. Sole ownership (Enter Yes, if applicable) ?f.
2. Joint tenancy, held with EGLq y d i L
3. OTHER undivided interest (Specify)
That on January Z, 19,kg or June 1, 19_k$_I owned and occupied the above property as my
homestead and such occupancy began on Adgy 19??
That the installments for improvements on the SPECIAL ASSESSDENTS duly adopted in ordin-
anca by the [' ? r/?, / aPS10OF ,?{?t/ AS OF??&F (, 19 kQ
which have been alloca ed a ainst the su ject property would create undue personal hard-
ship on my behalf and I respectfully request that payment be delayed and that such in-
stallments be so deferred for the years 29JT _to A'rr.:A4?j ?? s.. .;..?J'.Sklli?•
SIGNED: pb? C L L+? r l d La
- - - - - - N7r'ER - - - - - - - - - - - ,- - i - - - POUSE
- - - - - - - - - -
s. ?
I. F• T Va NWtrL V4L- , Clerk of the CiTy OF [ Y{r? qrV
IN ??KOZ?? County, State of Minnesota, do hereby certify'that the application
of p?.?? a„,{ E I la N o Iti above named, has been duly reviewed and that '
in ac=erdance with the: minutes of official record in s d cham6ers was duly :
APPROVED_ x ?Ap,4XUX as of ?uy uyi
That in accordance with approval granted, the SPECIAL ASSESSDfENTS listed below on the
affiants subject property levied for annual collection in the amounts and for the years
shown be so deferred with interest at the annual rate shown until such time as it is
deemed tha applicant no longer qualifies or the property Ioses its eligibility.
ASSESSMENT D/P N0. TOTAL AMOUNT YEARS INTEREST RATE
Project 520 1867 3670.00 15 9%
DATED 19?
(over)
/D o3600 ??
MASTER CARD? ° 'f
• 1? 0?7-?? 3G ??? .s 6?r?s
OWNER STRUCTURE AND
LAND USED AS B?A /.?. - _ _ . ? ILJO'/?Thy ' L x 2 ? ? reb 1=
Permit
No.
Issued Issued To
Con}rador Owner
Bl11LDING
PLUMBING 2741 _
e2
_-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTAILING
SANITARY SEWER
OTHER I
OTHER I
•
?
Items Approved
(Initial) Date Remarks Distance From Well
FUOTING g
: q-7 SEPTIC
FOUNDATION .
'L CESSPOOL
FRAMING Q-11- z
v 7 TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL '
SANITARY SEWER
7- 7,;?- ?
? Violations Noted
on Back
COMMENTS: ?
?
?
?
?
?
?
?
?
?
,
,
'
t
'
?
'
'
?
'
?AO
Holz Farm
Strucfural Examination and Evaluation
of the Barn
Eagan, Minnesota
SEH No. A-MSPST9701.00
April 25, 1997
?ASE"
i
f
,
'
'
?
'
1
?
?
'
?
'
?
?
?
1
?
'
09/04/97 18:20 FA% 812 490.E190
Short•Ellivtt-Hendrickson, lnc.
ConsuRing Engineers, Architects and Planners
St. Paul, Mirmesota • Chippewa Falls, Wisconsin
St. Cloud, Minneeota - N(adieon, Wiaconsin
Minneapdis, Minnesota • Lake County, lntliana
-r--i , - ; - ? •- -,-- ??-t- - ?? ? i
4 ? • ??- i -i?? ' -?'
--r . ; -• -, ? , . ; i, . ,
. ? -- - ' ._ :.frY4'?C?ER- •_. r• •
' Wr>op,
GoL?n??S I -
---? -' - ' J- ! - = - I? ?-- ? -
S t wi? 50 ?..+ Co , ?
? X
ft e7 mov?
?
. .. , . ?
._ ?
SEH ST. PAUL 19002/002
sliErr NO.
)
LGUlA7ED 9'(
G OY1TE " ' '
OHEpRDOY .
$ME
I .-
i. j.,., ; _, . • ? I--
L_?_. ;.._.; ._?
i _; ...L .. ..?. ?.
, •.?
f . .
; ±-,?-?
1 ?
,
? ?..:-?A .
° -- ? -?? E?H WA?
.i ? .,.
C'dA??? , • -.?.
5!-P+?- ??a2 Sl.-r48
. : . A .. . . , . ..? `- -?; -
.
, ,a. !`_i__•-°? - r. % ?r?.? ;?.-?? , ? _ ?
-- ? , i
I 0 ' '
-'r-N..--?- ? --
i
I•-
; ?
-• ? -•; ••j-?-
.
._i . ? .. _ ? ... !. ? i.. ? ? - F--- -? -- -?r. i -• ? /tF.c'?f ? ??I 3??1 ? ? ?
? : - -- ' ?
1 -L-
?
.
' -
?,--
?
Z"- ? ? ? • : 0Mo ',?,.? i ?..
?,
? A ? ,,
N
? ._, . ;.._.. ,-
- ??-
.;_. I ? . . , , ? . . . ; .. ? , .; ?..I
! ? ' . . ?. , . ? - ?• .. ..- I ?= :` • • 1
I . ' . . .. - . ._..... -. -
R-98%
612 490 2150 09-04-97 04:26Pt6 P002 #69
i
?
,
'
?
?
?
'
?
?
,
i
I
?
i
!
'
?
?
Holz Farm
Structural Examination and Evaluation
of the Barn
Eagan, Minnesota
SEH No. A-MSPST9701.00
April 25, 1997
I hereby certify that this Report was prepazed by me or under my direct
supervision, and that I am a duly Registered Professional Engineer
under the laws of the State of Minnesota.
Date: Apri125, 1997 Reg. No.
Short Elliott Hendrickson Inc.
3535 Vadnais Center Drive
200 SEH Center
St. Paul, Minnesota 55110
(612) 490-2000
7545
'
'
,
3535 VAONAIS CEMER ORIVE, 200 SEH CEMER, ST. PAUL, MN 55710 612 490-2000 800 325-2055
ARCHITECTURE • ENGINEERM6 • ENVIRONMENTAL • 7RANSPORTATION
' Apri125, 1997 RE: Structural Examination and Evaluation
of the Holz Fazm Barn
Eagan, Minnesota
' SEH No. A-MSPST9701.00
'
Mr. C.J. Lilly
' Landscape Architect
City of Eagan
3830 Pilot Knob Road
? Eagan, MN 55122-1897
' Dear Mr. Li11y:
On Apri121, 1997, I met with you and examined the upper floor in the above referenced barn.
' We aze pleased to present this report which outlines the existing structure problems and indicates
our assessment and recommendations.
' If you have any questions or comments, please contact me at 490-2000.
Sincerely,
' Robert J. Eaton, P.E.
Structural Engineer
' Senior Project Manager
tlo
'
I
' SHORTELLIOIT
HENORICKSONWC MINNEAPOLIS, MN STCLOUD, MN CHIPPEWAFALLS, WI MADISON, WI LAKECOUN71; IN
' EOUAL OPPORTUNITY EMPLOYER
'
r
'
,
,
,
'
'
'
'
?
'
'
,
'
'
'
'
'
Table of Contents
Certification Page
Letter of Transmittal
Table of Contents
Page
1.0 Purpose ................................................... 1
2.0 Scope of Investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
3.0 Description ofthe Barn ....................................... 1
4.0 Methods ................................................... 1
5.0 Existing Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
6.0 Discussion ofFindings ....................................... 2
7.0 Recommendations ........................................... 3
8.0 Disclaimer .................................................. 3
Strudural Examination and Evaluation of the Holz Farm Barn MSPST9701.00
Eagan, Minnesota Page i
?
, April 25, 1997
,
,
'
1
Holz Farm
Structural Examination and Evaluation
of the Barn
Eagan, Minnesota
' 1.0 Purpose
, The purpose of this report is to determine the structural soundness of the
floor system of the bam, located at the Holz farm in Eagan, Minnesota.
' 2.0 Scope of Investigation
The assessment of the bam floor was limited to accessible azeas within
' the lower and upper levels of the barn. No destructive tests were
performed.
' 3.0 Description of the Barn -
The bam is a traditional shaped bank bam, with a roof system that spans
' between the exterior walls, with two intermediate supporting wood
columns. The wood floor spans between two intermediate lines of
, structural wood supports and exterior stone/concrete walls. See enclosed
Floor Framing Plan.
, 4.0 Methods
The following methods were employed in the field investigation:
' • Visua]
• Nail probing
, The following data was collected and assessed:
• Dimensions were taken on the wood joists, wood beams, wood
' columns, and other structural features.
No drawings were available to us from the previous survey.
'
MSPST9701.00
, Page 1
'
, 5.0 Existing Conditions
The main bam floor system is 2"x10" wood joists (16/s" x 95/e" actual
, size) spaced at 24" on center, framed to a 8"x10" wood beam system.
The 8"x10" wood beams are in tum supported by 8"x8" wood columns
' placed on footings. The floor joists frame into and aze supported by the
stone/concrete wall (west side) and into a 2"x6" wood stud wall (east
side).
' The lower level was dry as there was no evidence of standing water,
dripping pipes, or other moisture that had entered the lower level. Some
' exterior vents were noted.
Th
i
d
d
l
b
i
d
e wood jo
sts, wood beams, an
woo
umns appear to
e
n goo
co
condition, except the two northernmost wood beams had longitudinal
' face cracking. The face cracking appeared moderate and not very deep
and did not go through the wood beams. The face cracking appeazs to be
old, probably there when the barn was first constructed.
' Three wood joists appeazed cracked on the bottom and ends, and five
wood joists were being repaired on the west side (below the west door to
' the upper level).
The wood framing was checked for wood rot. None was noted where the
' nail probing was done.
There is no evidence of significant wall bulges, lazge cracks, or
differential settlement of the foundation walls.
'
6.0 Discussion of Findings
1 The barn appeazs to be in good condition. The exterior stone/concrete
walls aze losing some of the interior facing of the concrete.
, The few joists that were cracked or have soft spots appeaz to be only
slightly weakened. The longitudinal face cracking of the two
northernmost wood beams does not appeazs ta be shucturally significant.
t The cracking is old, and the wood beams have carried the bam loads for
many yeazs without detrimental deflection or sagging.
' Structural calculations on the wood joists have revealed that the wood
joists in the east and west bays can carry approximately 100 pounds per
square foot, but the joists in the center bayEcan only carry approximately i
' 67 pounds per square foot/Calculations on the wood beams indicated that
the northernmost, southemmost, and center beam bays can carry
approximately 100 pounds per square foot. The second northernmost and
' the second southernmost beam bay falls_significanUy short of_the 100 ?
?_pounds per square foot. f
'
Strudural Examination and Evaluation of the Holz Farm Barn MSPST9701.00
' Eagan, Minnesota Page 2
I
' Th
f
e two roo
columns are supported by two built-up wood joists, and
they, in turn, frame to the wood beams in the second northemmost and
, the second southernmost beam bay. As the wood beam size (8"x10") is
the same throughout the first floar system, the beams that support the
floor loads also support the roof loads. Therefore, the capacity of those
' wood beams is being used both to the cany the floor and roof loads.
As the barn floor may be used to carry assembly type loading, the
' Minnesota State Building Code states-tfiat=the Iiye load-requiied for
4ssembly"5feas to be.100 pourids per_square fo`ot (State Building Code,
UBC, 1994, Table 16A).
,
7.0 Recommendations
, If the bam floor is to be used for places of public assembly, the live load
of 100 pounds per square foot is required by the Minnesota State
' Building Code. Therefore,,it is iecommended tKe center wood joist bay ,,
_ .
be reinforced with additional2"x10" wood joists
and placed between tlie
_
; existirig-wood joisfs. This would increase the load carrying capacity of
' fhe center joist bay beyond the required 100 pounds per squaze feet.
It is further recommended that the second northernmost and second
southemmost wood beams be reinforced by_placing_new 8"-x8`' .wood>
, columns. ,o`r 3": + standard pipe7columns:and,concrete foo _?in line and
between the existing wood columns. This would shorten the existing
' beam span and would significantly add structural capacity to the existing
w
d b
oo
eam.
By adding the new wood joists and new wood or steel columns, the
' structural capacity of the floor would increase to a live load of 100
pounds per square foot ar greater, thus satisfying the code requirement.
'
8.0 Disclaimer
' The opinion and recommendations contained in this report aze based on
the field investigations performed as part of this project. T'his report does
not address any other portions of the structure other than those areas
' mentioned, nor does it provide any warranty, either expressed or implied,
for any portion of the existing structure. Design-check calculaUOns were
performed.
,
'
1
Strudural Examination and Evaluation of the Holz Farm Barn MSPST9701.00
,, Eagan, Minnesota Page 3
m m m m m m
HOLZFARM.DWG
m m m m m m m m m m m m !
c:crY OF EAcnr.
casHZr_,;: .,s rr:FrMrNA!_ NO: 94r,
CiF1TE:;: 08/11/99 T:[M1=t 12:;3F:,02
Irt ;
hf3Mf::a I_A1alRf::NCC C:ON6'i1:ilJC;'1'IClN
203 9001 4663 M(itdUFi Dk 2.50
Tcata:l Fiece:i.pi; Amcorii:: R.S0
CF? 1 i,`'s27'f?
USf_R Ziie JAN
M>k7,c?,tY,CiX%X?kX?????XYi*?;:Y<?:?M' ?*?W>kYF'M>kX«;?;>X?YF?3kIF;S?k
1999 BUILDING
?-f ?
onstruction Reaulremenh
PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
D S regisfered sHe surveys showing sq. R. of bf, sq. R. of house
and QJI roofed areas (207g maximum lot covewae ailowed)
? 2 coples ol plans (show beam a window shes; poured fnd. design; Mc.)
D 1 se1 of energy cakulafloro
D 3 coplea ot hee preienafbn plan M lot plalfad aHer 7/1 /93
DATE: F51.l L? ?C)
DESCRIPTION OF WORK:
(RESIDENTIAL)
? a sc?
Remodel/Reoair Reauiremenh
2 coples of plan
1sef of energy cakulaNons fw heafed addHbns
1 fXe survey for eiderla addiNOna 3 decW
CONSTRUCTION COST:
??/ 7a2dr0?
a na_ /? -,
STREET ADDRESS: qC 6 S 24Z&'s?
LOT: d- BLOCK: 14 SUBD./P.I.D. #: ?P C TZ C) U.
Name: Phone #•
PROPERTY ? Fbd
OWNER
Sheet Address:
City State: Zip:
Company: ?? Phone#: 4? Sl
(area code)
CONTRACTOR /
Sheet Address: ?}?`1> ?Lv?-a-?? ?'•?-tre -?' license # 200y4lLtl Exp.'LZZaop
Ci{y dl.,? 164?0? ? State: I" Zip: SSD 7 7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Shee4 Address: RegisfraHon M:
Cryy State: nP:
Sewer S water Iicensed plumber (reauhed for new eonslrueNon onlv):
Penally'applfes when address change and bf chunge Is requeried once permft Is issued.
I hereby acknowledge that 1 hwe read Ihb applicafton, sfafe tliaf the IMormatlon ia correct, and agree fo comply wiFh all appllcaW
Stcte oAMinnesota Statutes and Cily ot Eagan Ordinances. ?
Signafure of Applicant:
OFFICE USE ONLY .-
Certificates of Survey Received _ Yes _ No luC)
? r+uy
Tree Preservation Plan Received - Yes - No _ Not Required „ f0']
(
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stcrm Damage
? 05 3-plex 0 10 S-plex ? 15 Lodging ? 20 Pool U 25 Miscellaneous
WORK TYPE goorr` o9 rFG u` a? r4fAQrv?
0 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code Y? y
(Allowable) Main level sq. ft. SAC Code o/
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs D
# of Stories sq. ft. MC/ES 5ystem
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC •.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PI651-68/46 5. 55122
F=rX-=M niTL4iM: T = F
D S rcgtslered sMe surveys showing sq. 8. of bt, sq. R. ot house
and go rooted areas f20% maximum loT coveraae allowed)
D 2 copks ot plana (show beam E window s@es; poured fnd. deslgn; Mc.)
D 1 set ol energy calculaflons
D 3 coples of hee pieservoNOn plan 8 b1 plalfed aRer 7/1/93
DATE: 2 6Z--? /
DESCRIPTION OF WORK:
STREET ADDRESS: ?-2
Nome: ??/ Y v? &1+6A^-' ` Pd,?S ",?. Phone #:
Last FGaf
LOT: ? BLOCK: 4 SUBD./P.I.D.#: SfCL CIVL I 1e -
PROPERTY
OWNER
SheetAddresr. - E-A?LL?An - 3P30 ?,: 4 t 4ha` /Za
/
Clty F. State: ??l/l/ Zip:
Company: umg Phone #:
(area code)
Remodel/Renair ReauiremeMs
2 coplea W plan
1 sef W energy calculaHons lor heated addiNons
1 aRe suney iw exAertw addHlons a decks
CONSTRUCTION COST:
/o
F_
S-??o 3 3
CONTRACTOR
Sheet Addreu: License # Fxp.
Ciy
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone 1k: area code (
Zip:
Sheet Address: RegistraHon #:
City
Sewer & water licensed plumber (reaulred for new conshuction onN):
State:
PenaMy apptles when address change and lot ehange Is requesfed once permN b Bsued.
Zip:
I hereby acknowledge ihat I have read this applicaHon, sfate fhaF fhe InformaHon is correci, and agree to eomply wNh all applicabl
StaFe of Minnesota StaTUfes ond CHy of Eagan Ordinanees.
Signafure of Applicanr
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stortn Damage
? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sidi nglSoffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Adual) Basement sq. ft . Census Code y3 ?
(Allowable) Main level sq. ft . SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs ?
# of Stories sq, ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Val uation: $
Surchargc
Plan Review
License
n0 ?
c4
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit '
S/VN Surcharge
Treatment PI. .
Park Ded.
Trails Ded.
Other
Copies
ToW I:
SAC Units
% SAC
9528917000
OCT-26-2006(THU) 09:17 Dakota County POO (FRX)9528917000 P.0011001
C5' v'C 0 V H'' T ?'
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GRpUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Vatley, MN 55124
952.891.7557 • Fas 952.891.7568 • www.co.dakoW.mn.us
MUNIClPAL NOTFCE OF WELL PERMIT APPLICATfON
SEA-c.1nlG .
DATE: October 26, 2006
TO: Tom ColbcrdWayne 5chwanz (EM)
RE: Wcll Pennit #: 06-I•I254052
Municigality: Eagan
Fax #:(b51) 675-5694
Well Type: Domcstic
F,nvironmcntv! Specialist: Luehrs
I?/V
. ?'
The Walcr and Land Management SecLion of the Dakota County Environmcntal Management Deparhnent h:ss
rcccived the following permit applicaUOn for the well dcscribed. If you rcquire lurther rcview of the applicatian or
if you havc any qvestions or concerns abuuf it, contact the Environmental Specialist ]isted above or, our office at
(952) 891-7557. If Uiere is no re,ryonse from your o llice wittun 24 HOURS (excluding wcekends and holidays), we
will a.esumc that you hava no objectionc to the issuance of the permit. Please nate that permit issuance is a]ways
conditioned on the permit applieant's observnnee of and complianeG wiSh all appliesblc sklte, counry, and mimicipat
]aws and codes.
Well Cantractor:
Date Applicntion Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
P[upcrty Owner:
Well Owncr:
V1EI.L LOCATInN•
Keys Well Drilling
10/24i2006
Ciry Of Eagan
City Of Eagan
Time:
Time_
PLS Conrdinates: 1/4, SW 114, NW 1/4, NE 114, Scc 36 Town 027 Range 23
Street Address: 4665 Manor DR
PIN Number: 104727507000
WELL 11%FORMATTON•
17iumctcr: 2
Casing Dcptli: 97
Total Depth: 100
Static Wntcr Levcl:
Aqnifcr_
CONIIIIENTS:
9526917009
OCT-09-2006(MON) 07:32 Dakota County PDD
(FRH)9528917000 P 001/001
N??
ENVIRONMENTAL MANAGEMENTDEPARTMENT
GI20UNpWATER AROTEGTION SECTION
14955 Galaxic Avenue • Apple Valley, MN55124
952.897.7557 • Fax 952.697.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL PERMIT APPLICA710N
$?AL-thrG ,
nATk:: octoterr 9,2006
TO: Tom ColbertiWayne Schwanz (EM)
RE: wcllPcrmit #: 06-H230718
Community
MunicipnGty: Eagan
Fax#: (651) 675-5644
` VII v
Well Type: Public SupplylNon-
Environmental Specialist: Rulten
The Wnter and Land Management Section of the Dakota County P.nvironmental Msnagemtnt Depsfincnt ha.c
received the foilowing rermit application for ihe well descriUed. If you require further review of the application or
if you have any questions or conccros about it, contact the Environmental Specialist iisted above or our ollice at
(952) 891-7557. II thtre is no response from your office within 24 HOURS (ezccluding weekends and holidays), we
will assvme thut you have no objcctions to the issuance of the permrt. Please note that permit issuance is always
conditioaed on the pertnit applicanYs observance of and compliance with all applicable stite, county, and mvnicipal
laws and codes.
Weli Contractor:
Date Application Reccivcd:
Anticipsetcd Drilting Dnte:
Anticipated Grouting Datc:
Property Owner:
Wcll Owncr:
WCLL LOCATIOIV:
Keys Well Drilling
10/3/2066
City Of Eagw
City Of Eagan
Time:
Time:
PLS Coordinates: NW 1/4, SW 1/4, NW 114, NE 114, Sec 36 Towtt 027 Raage 23
Succt Address: 4665 Robert TRI. S c{ iotpS
P]N Nnmber: 100360002004
WELL INFORMATION:
Diameters 4
Casing Depth: 126
Totut Dcpth: 130
Stutic WaterLevel:
Aquifer:
COMMENTS:
I ~
`
~ ~ . ':i~~.
- ~ ~ ~
NOTES:. T & EL A . OT 0 L
HOLTZ ~ - •PARKING LOT SECTION SHALL BE 6 C~•5 CRUSHED LIMESTONE & 2 DEPTN MND07 2331, POND LP 28 LP-28 ~ ~ C f
NWi~ = 9I2.0 ~ ~ Y ~ ~ ; = 912.0
TYPE 41 BITUMINOUS WEAR COURSE. 8-612 CONG CURB DIMENSIONS ARE FACE'~TOFACE. HWL=915.5 , =915.5 ~ ~ a ~ a
~ ~ W t~. `
CURB SHALL BE B -612 ~ ~ ~ ~ a o p ~
„ ~ ?HARDCOURT 'SECTION SNALL BE` 4 CL~S CRUSHED LIMESTONE, 1,5 MNDOT 2331, TYPE 31
EX GRAVEL DWY. ~ ~ ~ ~ ~ ~
~ ~ OUT LO T C $A E C UR E 1.5° TYPE 41 BfTUMINOUS WEAR COURSE. S Q 5 ~ ~ ~ ;
~ ~ ~ ` < u ;
„ •BiTUMINO~JS TRAII. SEC7ION SHAI.L BE 4 CL5 CRUSHED LIMESTONE, 2 DEPTH MN DOT MANOR LAKE 4th
_ ~
1 2331 TYPE 41 BITUMINOUS WEAR COURSE. , . ~ ~ ,
~ , x
I ' •CB ~ SHALL BE DESIGN EE ' WITH NEENAH R-3067V CASTING OR EQUAL. ' ; i , N O
o ~ •SWALE GRADIENTS SHAL~ BE I•5 /o. ~x. cAROEN 6 OF CLASS 5~ AGGREGA7E ~ 4 ~ ~ 3 3Q 15 0 30
~ ~ ,
100 /o CRUSHED ROCK DWY I ~ ~ SCALE IN FEET
~ SUBCUT BLAC DIRT` BEFORE ~ ~ ~ ~ ~
EncE oF swAMP PL.ACING GR` VEL. - ~ , Ex ~ ~ ~
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ W.
~ $OTTOM EX. GARDEN SHED ~ -C]. ~ , , LEGEND ~
OF POND I ~ . ~.1~
~ ~ i; _ ~
N ' ~ ~ n 9zo EX. CONTOURS ~ (n ;
` A
, . . . . - . . . ~ . . . . . 920 PROPOSED CONTOURS ~
. . . . _ . . ' I ~ . . . . . . . / - ~ . OR~ ~
. . . / I ~ . . ~ . . ~ ~ . ' ~.l.~
. . 1 , . . . . . . . ~
~ . ~ . ~ . . . ' . . : . . . . . / k ~ ~ . ~ . ~ . ~
26~5 26.5 X ' ~ _ _ 0~ ~ W
/ ~ . N ~
~ ' ' x ~ 1~ ; ~~4 ~ O
. , / ~ ~a . ~;:i ~a - ~ ~ ~ . ~a
SILT FENCE ~ PLAY AREA PAD ` ' ; ' 0 '
/ 2 0 ~ ~ µ ~ ~ 0' ~ ~
h 26.5 26•5x k
~ / ~o 28•~ 6 a~~' ~ -
- 26 E~ ' , \ , , 6 J
- a 4 0 x 40 ° ; ~ ~ ~ ~ - g2 ~ ~ ~ , ~ ~ ~ ~ ~
r 920 22 x 2s.~ 2s.4x~ 9 . .
HARDCOURT -3 ~ ' ~
924 92 ` Z ~
60~ ROW ° Y
2 8. 4 ~ ~ ~ ; x
~ 92 8 ~ , ~ , ~ ~
o ' MANOR LAKE 4 th Q
o . ONNECT 0 X. MN 103 6 (L ~
, tv 92A , ' ; 240 RADfU~ OUTFIELD ~ g- . BY C~R D: ~L.ING 0
. 65 ~ \ _ _ _ _ _ ~ ~ B T 7 RA I L o , _ _ (-~Y~1 . _ ~ _ _ 1 ~ a _ _ ~ . . ,
~h M . - - - - i . . ~ ~ ,
_ ~ , . s . . ~ . ........i............ . . . ~ . S i , . . ' ~ ~ ~ ~ . , .
. ~ ~ o' ` AG-LIME INFIELD ~ , _ . , z.. . .i . . . . ...j., . .i.................,. ~ ~ Q~+~ ~ o a, . . l... '~x:; MN i.0'~' ~ . . ~ ,u ro ~ ~ . ,
z . , W ~ , :~ROP ,~S:Ep:: . a N . ; ; . . . . ' . . . . ~ . ~ ~ RE i.929• 8 ....................i...... . ..i.. . j ,
~Q7 I . ~ ~ ~ . . . ~ : ~ . . . . . . . . . , ~ c~~~~ :~~:a~: ~ N 3 ~ ~ z . . ~ . . . . . . . . ~ ~ ~ ~ ~ ' 930 ~
„ , . , , . B Y O T H E RS Q ~ ~ ' : . :.R~:."~Z:~~:4(~.. ~ ,o~ r-; . . . . . . . . . . . . . i ~ H ro o
~ , n _ , g26 20 24 , . . . . . . . . . Q, C . . ` ~ ~ ............................s............................................ . . ~ ; . j. . . : . . . . . . . .c l~i N ro ;0 3 1
. i 0 27.08(F~ ~'66. 8 n \ , a 7 . . . ~ ~ ~ . . . . . . . . . . ~ ' I .:......y . . . . . U N p Q , ; , . . ~ . : ' . . . . . . . . „ . . . , . , . . . . . . . . . . . , ~ ~
, 26. 61 ~ , , ~ . , . , , ~ . ~ , ~ ~ N N ~ . , ' ' . , - . . . . . . . . . . . . . . w 0 ~ q~ ~ rI ~ . . . t o . . . . j . . . . . . . . . . . ~ L . , . . . .
- E-~6:~0 . ' IN -,2~.40 r. . - • ~ m : . ~ . ~ , , . . . . ' i . o ~ .I: ~ :~:E:R:~F:Y~:.::~.~.~~i:..:p , , , ~ . J . , . . . . . ; . . ; 925, ~ ~ ~ i
~ , - URB CU - ~ . . . , . . . ~:1::.::::::4.....~rr~...~:z..~a~s.~~a~.~........,........ ~ ~ o ~N . . . . , , . . . . . . . . . . ~ : ' . : . ' . . . ....::~1:(~~:Cp: ~ N:T1~:~;I::.::.::..~ ~ ~ o = o w ~
~ : . . : x , , . , . ~ . . , . . . . . ~ ~ ~ . , ~ ~ > , , , ; ; . . . . . . . . P . . . u cn u .
~ ; W W . ~ i ~ ~ . ~ X ~ . . ~ ~ ( .....i .i . ; ..i.. i.~~ . ....UJM....... . . . . ~ A~•~ ~ ~ c r . ...................~......................i.............,..... ...SQ , , ~ ~I~ F- . . . . .i... . ...R:G:P::..~:~4.5..... ~ u ~ ~
Q ( w ~ . . , ~ . 3 C9 c~ ~ . . . . . ~ ~j I~..r tn ~ . . . . . . ~ r ~ ; , ~ ~ ~ ~ . . . . . .
0~S ~ , , x 930.0 ~ ~ . . . . . . . . . . . . ~ ~ , , . ~ , ~n , ; ; ro ~ ~ ; ~ ~ ~ . . . ~ n H v, c~ a ~ , : , , q , ~ ~ . .
H P) r. _ w 166,58~ i° . ........E . . . . . . . . . . . ..i., .=.~1....).;.~g.R~.~ I.. ~ X.... Q , , . . .
~ N ~2.0°/ . ~92a:4a::.. ............o°.. , . " ~ . ~ 9~.~0:0 , . .......................E::...................,.::.,............. ~ ..:ex:;!~...~c~~:.................. ~
- cp ~ - - : - , , i - tb . i . . . . ....................i....... . . . . . " . , . . ' ~ f...............~...,... . . i.:.~.... s. . . . .
~ - . . ........i.................... .5..... ......~8{~~ {Yii~...j . .
. ~ . 1; a . ..::s:'......... . . :~:::':9:1:6:.~:4,...: ~ ~ ...t . 's.:.. ~:~~:~ARA(~~~:~. ~i
~ ~ ~ . . BALLFIELQ GRADIE ~tt---- ~ - o ~ ~ , , . ~ ~ ~ ~ ~ V ~ ~ . s 915 :F ;:s;;
NOT EXCE 2.00 /a ~ , <~n , . .......................i . , . . i , . . . .R. .
~ o ~ . , . . ~ . . . . . . i . i.. .:s . ....f........... . . , . •
Pr ~a+5s N-'N N>" AN ITION URMOU~tTABL~ ~ ' ~ 28;06(FL) u. w C~ 28, 69 _ ` s "i , , , , ~ , . . , . ' 1 f ' ~ ~ ~ . . ; ....y . , . . . . i
„ ~ M r 0 B 2`P-~0 CURB:., ' , . . . ' , , , . . ~ . , ..y....... .
~ o . ~ , r; , ~ ~ m (60T SIDES) . . . r, . , N.. i~ 3• ~ . .i.......~..~..~... . . .....~3..... C
t , . . ~o . . ~ . . . ~.:0 ~ 0 ~ I i . S , ~ ~ q i ~ ~ ~ ..i,. C ~ , ~ s . .i.:............., . ......~~t.~.. . . 0 0 i r . . . .
` c a ~ . . ...........~.........................i.,........... . ' . . ~ , . . . ~ . .........1...................., .N cd ~ :
' 4, a, NSTA L CONG. DRW ~.`..~P.:R.Q~' O ~P ~ SE DETAI L ~PI:R~E~~ N0 `4~#~..... , . . . . ~ . . . ~ 4 ; . . : . . . . c0 NO . . . . . . . -
, ~ G ';q o, .B STA. 2i 'e• ~q ~ ~ , . . . , . . . , ; ~ ~ . . . . n , . : : ~
t' i . ~ * o , ' 4 LIGHT LE LOCATION~:: , . . : , s . . . . i . . . i.. .....~.3 ~ W
e' . . ' ti OUTLOT , LAKEVIEW 7RAILS A ~ . . . . , . ~ . . . . . . . . . . . . . . . . . . . . . , , ;
N ~ ~ . . oo~ ~ , < . ~~P.Q,B. ~WEST GU7TE~R~LahJ~~ . ' . . ..i.. _ . , . s... . . . . . . . . . . : . . . . , ; , . . . . . . : . . . . . .
, , . N ~ ac~ 2+ A .,.~.~~.E - ST 00 M NO~t , ~ . ~ . . ~ ' . ~ . . , . . . . . . ?~i . . . ~ .
. . : q< a OAD. ELEV. = 30.17 : ~.V'.~RI~:~ . ~ ~ ~ . ' ~ y . . . . . , ~ ~ . ~ ~ . ~ . 1.~: ............i... . ~ . . . . . . . . . , . . .
~ ~ r, 0 ~ , ~ ~ . . . . . . . . . . .i . . . . .S. . . . . . . . . ~ . ~
S ~ ~ ° c , . . . H _ ~ ~ ,~.1... ' , ~ ~ ~ . ~ M~? ~ ~ ~ . . . . . . . ~ . . .
R NST L C ONC. P~~ ~-~AM~ ..j Q a ~ . . . . ~ q , , , , . _ , : ~ . , . . ; . . ~ ; . . . . . .
. Nr ~ SEE ETAI~ PLATE~~IU0~:~53C1~.....~~~~.. ~ . . . . . : ~ . ) 53C1 . , . . . . , . . . . . . , . : ..........f.... . ~ . . . . . . . . . . . . . . .
6 , . :4 93 ~.i., . : :4 i......: ? . . , ; . i.. : . . . . . . . . . . . . . . . . .
, i . . ~ . . . . . . . . . . . . . . ~ ~ , . !
. ..,.,.,,.,......~...~...,i..........~.,..,..~.. . ; , ; . , ,
. . , . , . , . , . . . . j.. ...........................s..,,.......,... . . . . . . . . : • ,
20 i . ~ . j.. , E , . . . . , . ~ . . , 'i ,.........j . . . . . . . . . S.............,....,... .i
a g CURUE DATA 93 k P . . . . . . ~ . . tn
p, . , : • l . ~ o,M CURVE N0. I R=27.50 . . . . . .E..................,.... -r~ , :.i::..................... . . . . ~p ~ ~ 3
~ ~ D =208.20 ~ .....................j.......,...... . . .3., ~ ~ a '.,i.. . # cn p.
p = 4 3 . . , : ~ ~ ~ ~ ~ ~ ' ,s ~ N . . . .......j....,,................. . ...,..........j............ . ~ , .i # ~
L = 45,5 6 « _ . a T = 30.00 . .........................i...,.,...,..,............j . ....,.1..,... V i~ ~ I ...~.......~,...s . .i...............,....... ,a tn
, • i.. _ ~ C =40.54 . . i . . . . E ~ Q ~ ~ i , ...................::~::,........,...........::~::...........,.........':j::..........,.......... . , c 0 v
~ . ......................j.........'.;.,......... ~ ~ 0 m ~ .Q U r. , , . , . ..3 ~ . , .i U'a ~ C .aG ~ ,
. , . ~ . . : , ~ ~ ...s:.,.........,............:.................. ....t , , , . , ; t ;
~ T ~ ~ ~fA ; (U ' ' ~
W . . . . ~ . ~ . . v ' ' ,d! ' ~ ~ . . ~ ~ i fi. . T ~:i- . . . . N Sheet of Sheets ~ ~ ~ o o ~ o
~ :N ~ - ~ ' . ~ M. ' ' "~+`~v'6.^.~lV' . . ~~s~u.5'Y~"W:~.,~ .
-I
For Office Use V
e ..
Ø : Ø
::e:
f:,.., E GAN
' I� l'.1., f ar ki, 1
Date Received:
3830 PILOT KNOB ROAD I EAGA ,MN 55122-1810
(651)675-5675 I TDD:(651)454-8 35 I FAX:(651)675-5694 Staff:
buildinginspections ancitvofeagan.c,m L '
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8-15-18 Site °ddress: 4665 Manor Drive Unit#:
Name: Citi of Eagan Holtz Farm House Phone: 651-485-0803
Resident/ 3830 Pilot Knob Road, Eagan, MN 55122-1810
Owner Address/C'y/Zip: g
Applicant is: Owner X Contractor
Type of Work
Description ,fwork: Re-roof tear off and install cedar shingles
Constructio Cost: $35,480 Multi-Family Building: (Yes /No X )
Company: ackson & Associates LLC Contact: Davie Veit
Contractor
Address: 1 :17 Buerkle Rd City: White Bear Lake
State: MN Zip: 55110 Phone: 651-274-8877 Email: Dave@JAARoofing.com
License#: 'C649368 Lead Certificate#: NAT-127162-2
If the project is exempt from le.d certification, please explain why:
COMPL: TE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the Ci y of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date a d address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting dfocum,;nts that you submit are considered ki be public information Portions of the information Maibel'
classified as non-public if ou proof,e specific reasons that would permit the Cit to conclude that the..are trade secrets:: "`'
You may subscribe to receive an ele.tronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.comisub-cribe.
Exterior work authorized by a buildint permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gophe 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 under round utilities. www.qopherstateonecall.org
I hereby acknowledge that this informat on 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 •ermit, 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 th• case of work which requires a review and approval gf plans.GTi(/�
x Davie Veit x C/
Applicant's Printed Name Applicant's Signature