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2981 Lexington Ave CASH RECEIPT vp CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ' 19 REcervCo t ? Fr?a. 1 ? (?, AMOUNT ? CASH 8 DOLLARS ioo CHECK i\ wn t. ;.? A_ C 11788 GVy Pink-FiW Cwv Thank You . sv { . . ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KN08 ROAD EAGAN, MINNESOTA 55122 aATE 191 ? f . ortcerv?o tf!' ? - , 4 -- AMOUNT & DOLLARS ? CASH a CHECK ?p? i _ ` / _ ? ' t ev : 4. ,: ' %".. r. c , r C i 254Z "h"~P?? Yalbw.-POSting Copy Thank You - - CITY OF EAGAN , 79 1 r- 3795 Pilot Knob Raod Eogon, MN 55121 -' -`- ` PHONE: I54-8100 BUILDING PERMIT c, , Recetpt # To be uwd Mr Est. Value Dote 19 Site /Iddress Erect ? Occuponcy Lot Blotk Set/Sub. Alter ? Zoning parcel # Repair ? Fire Zone E t T n orpe ? ype of Const. Name Move p # Stories W ; llddress Demolish ? Length b Grade ? Depth Sa. Ft. o Nome ? OU Address ? oL___ - i . Name _ Address I hereby the infoi State of reod Sipnuture of Permittee A Building Permit Is issued to: oli work sholl be done in accordorxe with ell opplicable 5fate of Buildinq Official Assessment _ Water 8 $ew. Police Fire Enp. Plonner ? Council Bldg. Off. , APC Permit Surchcrge _ Plon check _ SAC Water Conn. Water Meter Road Unit _ Totol on ths express condition thnt ond City of Eayon Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. , Wsll Water Disp. Sawer Electric Inspection Date Insp. Othar Footinyc Foundation Framinp Rvugh Plbp. RouQh HVA Insutation Final Plbg. Final HVAG Final water Describe locaeion: Weil 5evuar Pr. Diap. CITY OF EAGAN 3795 Pilot Knob Rood Fagan, MN 56122 PHONE: 4548100 BUILDING PERMIT Receipt # *.. ? ....a ?. . ?_? ....?.... . ?_.e Site Address Lot Block Sec/Sub. Partel # ? i 0 x zF°- oU u< ? Nome Address . City Name Address City Name 721 Ng 5675 /A Erect ? OcGUponcy Alter ? Zoning Repair p Fire Zone Enlarge ? Type of Const. Move E] # Stories Demalish p Front ft. Grade ? Depth ft. Approvals Fees • • Assessment Wnter & Sew. , Police Fire Eng. Plonner Council PermiY Surcherge , Plan check SAC - Water Conn. Water Meter I hereby ackrwwledge that I have reud this application and state that gldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota 5tatutes and City of Eagan Ordinances. Signoture of Permittee ` "!- A Building Permit fs issued to: on the express condition fhat alt work shall be done in accordartice w'sth o!I opplicobfe State of Minnesota Statutes ond City of Eagon Ordinances. Building Officiai PaeiM # DaM lauei Prsiff" Piumbing Mechanical IN5PECTIONS DATE INSP. Rough-In Fir?at Footinqs Date Insp. Dote Inap. Foundation Plumbing Frqme/ins. oQ Mechaniool Finol - d Remarks: ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS• ' I Nr.? fi)N rlVF i '1 l fttJ a PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date issued: 0110 r' APPLICANT: I; I 411 R - ( ai:' )/ tt ?1 i, ?? I N TYPE OF WORK: W .' n clv/:??;/?i± nl i rl<n i r1w Mrlr ,011N[i IN.1tl h 1 I rlid ftE ' . r : 1 t I I I "t I ItN F: AM t W1i I NA! H IM liil, ? Lf MIII;F '. ?I ?'f;???5l+ S i 2,M[ I I'. 1+1 ?Illlf,l tr ' I ? ?I Pertnk No. Permft Holder 02 Date Telephone 11 ELECTRIC PLUMBING / ? 91 tfs- HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FlNAI PLBG FINAL MTG \ ORSAT TEST BLDG FINAL 10 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? ' SITE ADDRESS• APPLICANT: • ?,tw nvE: .,1 t p i 11iN i c F, i,' ? ?tn t•,, i, I PERMIT SUBTYPE: ? . TYPE OF WORK: ol ?,, ., !I, i ? ;-I, I 1 111 M+ ? r;? M A rar ?? : PF?? o,+t nFit, ro srhtrp c" nwaOr . r' ;:? Permit Holder Date Telephone # PLUMBING HVAC Inspectivn Date Insp. Comments FOOTINGS FOUND FAAMING Ra?;?,? 79 q? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE -?, FIFEPLACE AIR TEST ? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition Section 3 Loc 2 aiz 77 Parcel 10 00300 020 77 Owner Street 2981 S. Lexington Ave. State Eagan?MN 55121 -?O j, 1- C Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 14 1977 186.20 2. ',:;L D I- STORMSEWTRK 1019 198 742.50 4??.50 15 oZ.SO C-lO p-//' STORM SEW LAT CURB & GUTTEFi SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K RkEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE METER # CHIP? '.•,•?? METER SIZE ISSUE pATE PERMITDATE 03/18/91 PERMIT # 11866 U. RECEIPT # C 1 ? 542 1§*. RECEIPT DATE 03 18 91 ? • _ PRy _ BOOSTER PUMP I SITE ADDRESS PERMIT REQUESTED LOT BLOCK ' SEC/SU6 - SEWER X WATER 1 TAPS APPLICANT: ' ADDRESS: - COMM/IND A' RESIDENTIAL CITY, STATE ZIP _ NEW X EXISTING PHONE: Lawn Sprinkier Meters are to be Install PLUMBER: Ahead of Domestic Meters on Water Lin ADDRESS: ' Credit WILL NOT be given for Deduct Meter , CITY, STATE ZIp i PHONE: ,, I AGREE 70 PLYWITH CITY QF OWNER: '?E?QN COL?? EAGAN O ES .t ADDRESS: 2981 S LEX f^; .i,la CITY, 3TATE _ ?AGAN 01' ZIP PHONE: ?` ?'' ?`NATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FQR INSPECTIONS. FOR STOR SEWER PERMITS, CONTACT ENGINEERING DEPT. pLUMBING PERMIT DATE : 3/ 18 /9 l RECEIPT: C12542 SITE ADDRESS 2981 SOUTH LEXINGTON AVENUE Unit # Permit # I 4234 L 2 B 77 5ect./Sub. SECTION 3 'I VERNON C LE W TER TU-RN-AROUND IHSPECTION INSPECTOR DATE COMMENTS ? ? I ` ? CITY OF EAGAN 9793 Pilof Kno6 Rmd Eeyee, MN 55124 PF10NE: 434-8I00 " BUILDING PERMIT PORCH Receipt # N9 7217 oy Site Address L7b1 oo. LaxinqLOil eive. Lot 020 Block 77 Sec/Sub.T SP-Ctim 3 pamel # 10 00300 020 ']] w Nome IIS]E &1T = Addrea 7981 Cn_ TPxine tm Aw- 9 ci Fagan 55123 phone Erect ff Alrer ? Repoir ? Enlarge ? Move ? Dertwlish ? Grade ? Occupancy Zoning Fire Zone Tyce of Canst. # Srories Length- Depth Sq. Ft.- k}, p Nome PPt'P Fi+- orc APPra'ob Feas p a ou Addfeu 1549 Hoyt Ave. W, , ssessment 14.50 Permir 646-1614 C„St. Paul 5510?PQh wore. a seW. su.cr,erge .50 one Police Plon check F Fw Noma Fire SAC ?,Z-? Address Eng. Water Conn. <W CI Phone Planner Water Meter Council Rood Unit 1 hereby acknowledge that I hove reod this opplicotion and stata thaf BIdO. Off. the inlormation is wrrecf a d ogree fo comply with oll opplicoble A? Totol 5.?? Srote of Minnesota Srotutes aq of Eo q nus. Sipnoture of Pertnittee A Building Permit Is issued to: PeCeT ECI on tha express condition thm all work sholl be done in acmrdance wit o opPlicobl St e of Mi ta-Statutes o nd Ciry of Eapan Ordinances Building Official 6? # ?49,C? 7b Be Used Fo Site Address: CITY OF EAGAN C BUILDING PERMIT APPLICATION Lvl.@?o?1•1. r Valuation7$ VO "e I.nclude 2 sets of plans, 1 site plan w/elevations & 1 set of Pnergy calculations. Date J`' 3 ' Y-;?- a?j $! k en? ?a'fe.._ I?-Jq_ -S OFFICE USE ONLY Lot OZf) Block -t-1 Sec./Sub. 5 Ec Vc^oVl ?ect Occupancy Parcel #: (b C7 U 3oG G 2 0 -7 -7 Owner: F)Sle- Ker/' Address: ag sr Avo- -s City/Zip Cocle: Phone #: Contractor: ?.?tee- Fc,"e?-q Address_ l-TY4 No t Ave th3 City/Zip Cocle: S570? Phone #: Arch./Ehg.: Address: City/Zip Codec Phone #: Alter Zoning Repair Fire Zone Enlarge Type of Const. _ Move # Stories Denblish Front ft. Grade Depth ft. APPFtOUALS FEES Assessments Pexmit Water/Sewer Surcharge Polioe ?- Plan Check ,y U Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL ???/ ? cirY oF E?G?N 9795 Ppof Kno6 Rmd Eegan, MN 55722 ` PHONES 454-6100 ` BUILDING PERMIT APPLICATION Reuipt # To ye md fo, Porch Addition Est,yalue 2,800.00 p,te_ Site Mdress ;eydl SO. L2XlrigtOri AV2. Lot Block Sec/Sub. eC. parcel # 10 00300 020 77 . IN.m. Leslie Kerr ; Address 2981 So. Lexingotn Ave. ° r:... Eaean. MN oL..__ 454-1721 a IN.m. Thomas W. Nordstrom o? Address 20828 Jackquard Ave. W. ",. ,.,?, Lakeville,W 55024 469-5280 Nome same I hereby ocknowledge thot I heve reud this opplication and state that the lnformation is correcf and ogree to wmply with all opplicoble Stata of Minnesota Statutes and City of Eagon Ordirwnces. Signoture of Permittea. ?>Ozr'Z-t N? 5675 /0 K5 80 Erect ? Oaupanq R3 Alter ? ZoNng krrl Repair ? Fire Zone III Enlarge ? Type of Const . V Move ? # Stories Demolish ? Front 10 fr. Grade ? Depth 6 ft. Apprmals Feea Assessment Water & Sew. Police Fire Eng. Planner Council BIdy.Off. 4/8/80 APC Permit `I.UU SurtFwrge 1. 00 Plan check SAC Wmer Conn. Water MeMr Total 10.00 A Building Permit is issued to: ID on the express condition that nll work shall be done in accord4Ce'with,all/ '.ble Stote of Minnesoto Statutes ond Ciy ot Eagon Ordirwnces. Building Official CITY OF EAGAN - - Include 2 sets of plans, -- ? r ? 1 site plan w/elevations & BUILDING PERAI'f APPLICATION 1 set of energy calculations. '?rc? SP?SoF. ?or?l, 'Ib Be Used For ?Q d d ? s? cin Valuation Date 7 0 sit.e paaress -2,29( Sd Lexr'nAto?q A!/!= OFFICE USE ONLY Lot slocx sec./sub. Erect A_ occupancy Parcel #A bo 30o 0 2U27 Alter zoning Repair Fire Zone ? Oaner: ? P- S??e `? ?',r Enlar9e _ TYPe of Const. ? A Nbve # Stories Address: Demnlish Fxvnt /D ft. City/Zip Code: Grade ' Depth 6 ft. - Phone # : qSW ` 17 2, 1 ?J APPROVALS FEES Contractor: // ?`rrc?c l,,?/ Afo,cl< 7? d ,-, Assessments Permit -" P,ddress: City/Zip Phone #: Arch./En Adciress: City/Zip Phone #: c kn. c.Ar? [aater/Sewer AUP kJ Police Surcharge Plan Check Code: ?.a l?e T? Fire SAC ? ? Water Conn. Water Meter . Council . Blg Rpad Unit AvP Kw / AYC. 9 Tdrz.r. 17> O q-0 I IIIIIII II II REQUEST FOR ELECTRICAL INSPECTION h*'? ?1 Minnesota State Board of Electricity 1621 UniversNy Ave., Rm. 5-128, St. aul, MN 55104 ?? ? 0 @P26 0 3 7* Phone (61'?4r6dW A9 / 95 *`?? Home Duple: Apt. Bldg. Other: New Addn Commercial Indusirial Farm Remod e air ?I Air Cond, tg. Equip. Wafer Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "k' obove ihe work tovered 6y this request Enter remarks m this space ond on the back of the white copy only. w,)ec -FUjevAcc, ,??(!, J1VS-W??-41- NEW 100AM)o 56Xv1 Calculafe Inspecfion Fee - This Inspechan Requesi will not be accepfed wdhouf ihe rorrect fee: OHier Fee aP Service Enhanae Sae Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ? 0 to 100 Amps Sireet Lig./TraHic Sig. Above 200 Amps Above 100 Amps TfanS{ofine!/Cienemtol INSPECTOA'S USE ONLV TOTAL $ign/Outline L}g. X(mr. Alarm/Remofe Control $wimming Pool I Mmb m?n Mar I im ?ckd ?he electriml inswllahon desmbed heretn on the dales sbted Irriga}ion Boom Rough-In D.b $ ecial Ins ection p p Inves}igative Fee final ? 7?L.. De Cf ? " D' / THIS INSTALLATION MAY 8E ORDEREO DISCONNECTED IP NOT COMPLETED WITHIN 18 MONTHS. 2 O?-6 0 3 ? OFFlCE USE ONLY This request void 18 monMs (mm wlidohon dok pnnled in thrs box. /oi?/9.3 4l 40& 9 PLEASE PRINT OR TYPE Requmn,t Dok Ro.gh-in i-pecnon raqucnd2 ? Yea o Inspernan Other Than Rmgh-In 0 Ready Now Will Coil v S? (You mo?1 mll the inspedar when ready) Dak Reody I, N( licensed coniroctor ? owner hereby request inspecfion of 1he above elecfnml wark af- lob Pddress (SM1eel, Baa, or Rovle No ) l ' FYz1V6i N Agy Gry N Zip Cade ' 5ecM1On No. Township Noma ar No. Range N. Fire No Cow Oaupom &rfrevN DAY, Phone No Po..er5upplier SP Pddreez I/,Sd/V'J?.°.ADINT Z2 ?`CI?SEVIuL? ElMnml Conhacbr (Company Name) ? AIZ?C.' Commnor Lmnae No / Master Lic No. (Planr EIM Only) AM033'41-' Mm6ng Mdmu (Conhador or Owner Pedoeming Insmllarion) . >ii c?e /V .5 5?-l? 9 AuManx mConkador or e Im no C . . - /7_ / -•Tw•w46G C /?CW /OD P?? J •? 'T EB-00OOlA.10 6f95 l`/ ~STple80ABOCOPY-SEEINSTRUCTIONSONBACKOFYEILOWCOPY V t .., y-?? ??2f? CITY USE ONLY ?y L BL RECEIPT#: SUBD. OOC36cv 'D?0 ' 77 RECEIPT DATE: 97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4875 Please complete for: ? single Yamily dwellings . townhomes and condos when permits are required for each unit • backflow preventer for underground sprinkter system FIXTURES EA.CH ? TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum - 1 • 3.00 x = Rough Openings 1.50 x = Water Softener ' tor dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 x U.G. Sprinkler 'tnrdwallingunderwnst. 3.00 = U.G.Sprinkler 'forexistingdwelling 20.00 = AItQreYIOnS ' ta existing residence 20.00 = Water Tum Around 20• - Private Disposal Svstem 75.00 = r (new and returbiahed systems) Private Disposal Systems • nbandonment 20.00 = STATE SURCHARGE .50 TOTAL I hereby adcnavledge that I have read this appliption, state that the infortnaGon is cortect, and agree to wmply with all applicable City of Eagan ortlinances. tt is the applipnYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and mairdenance ectivities to fhe tadlities construded under this pertrid within City property/nghtoi-wayleasement. n o . SITE ADDRESS: OWNER NAME: INSTALLER NAME: ?e STREET ADDRESS: f' cin: ?gOT22 y zz-g 7 1600 ? TatifC $?J ?Nr?/ / i'r? V/`? 7 1 TELEPHONE #: ?5 SF?G?G STATE:2W ZIP: 3 ?. SIGN RE OF PERMITTEE + , S uwsrs DAKOTACOUNTYPUBLICHEALTHDEPARTMENT•UNIFORMRECORDOFINDMDUALSEWAGETREATMENTSYSTEM FamiA PERMITNO. DATE: MUNICI ALITY: PIDNO. 0-0,?0 - Z - - - O 'TELEPHONE(-_ I -- OWNER A - V /a7/ / $ITEADORESS LL?"d/ ClTY ? zlP?,TS F- SUBDMSION ADDITION ' BLOCK LoT AREA aq. k./aaes 2 o oF OF OF OF SECTION TOWNSHIP T. N. RANGE R. W. PLSCOORDINATES: _ NEW [ j RECONSTRUCTION (CHECKAPPLICABLE): SEWER[ ] TANK( ] OISTRIBUTION []TREATMENT [] OTHER MAX.DEPTH_tt SOILTYPE_PERCOLATIONTESTS:NO._AVG.PERCRATE MPI SOILBORINGS/TESTPITS:NO. 0 r _ SOILSUITABILITY SLOPE: AvG_x rnnx x 501LTMT.AREA ACCEPTANCERATE sq.nlgpd. ? MIN. DEPTH TO RESTRICTION in. TYPE: MOTRJNG [ J BEDROCK ( J WATERTABLE [ J NOTE ? RECOMMENDATIONS w F SRE EVAIUATOR: LICENSE N0. DATE N SEWAGE FLOW: siNCLeFmmI?v NO.BEDROOMS1, NO.BATHROOMSJ-(TYPE_-j SUBTOTAL gpd; ADD'LBRSPACE( ] MULTIPLEFAMILY[ ] NO.OFUNRS ()9 SEWAGEFLOWPEF3UNR gpd=SUBTOTAL gpd. N9NRESIDEMIAL gpd DESIGN: ToTnLFLow gpd TMT.AREA sq.tt. WASTEWATER:SOFfENER( I GEOTHERMALPUMP[ ] GARBAGEDISPOSAL[ ] ? OTHER WATER SAVING DEVICES (iise) W SEWER:COMMON [I SEPARATED (rrtiSSVSTeM):suCicwArea( I Gaerwn'reR( ) WELL: TvPe DEPTH fl. ° SHORELAND/FLOODPLAINZONING[ ] SETBACKS SUPPORT AREA RESERVED sq.n. w RECOMMENDED DESIGN: raNK oisTaisurIoN TREATMENT y COMMENTS } m DESIGNER LICENSENO. DATE ¢ WATER METER [) onTE/FlenDiNG EVENT COUNTER (DATElREADING ? DISCHARGE TO BLDG SEWER: GAnMrv [] aunnaeo j I PUMP: rvPe S¢E H.P. FLOW 9P'^ y BLDG SEWER: aE/wours COMMENTS: Caws[JTYleelt SLL10[iE0?6e1 1 . Z N Y Z S 6 W C7 ; : &-"gal. MANHOLE INSPECTION PIPE [ TOTALTANK CAPACITY TANKS: SEaieS (N0 ) I aaRaLLeL (NO.) MULT _ . . - y PUMPING/HOLDINGTANK:caancm_gai.aeseaveal.rLLnFU+snocnrioN PUMPEWCLEANERCONTRACT(] COMMENTS DISTRIBUTION: GRAVITY[ GRAVITYDOSING[ ] PFiESSUREDOSING[ ] DOSING gd/cycle CYCLES perday DOSING PUMP S¢E H.P. SIPHON [] FLOW gpm O SPECIFlCATIONS CONTROLS: TYPElLOCATION ? DUAL DRAINFIELD [I vw.ve eowuNe DISTRIBUTION BOX / BAFFLEo [ 1 ¢ DROPBOX(NO.L CONTINUOUS-LOOP: GRnvrTr[ ] PaESSURE[ ]INSPECTIONPIPES v~ COMMENTS i 0 TOT. TMT AREA LS (J sq.n. LATERALS: NoA.ENGtH t?L- TDT.LATERALLENGTH?R 3 tn. ON-CTASPACING?tt. CONFIGURED:SERwL ] anRqua? CpNTINU0USL00P[]NOTE PIPE: TYPE DNM._?LIn. IEVEL StAPm 76 PERFORATON . OV1M. j in.; SPAqNC?in. NO.OF ROWS ? INSPECTION PIPES ?J ROCK: DEFTHUNDERPIPE?in. AT PIPE P, in. AMT___pib.ydAm ROCKCOVER: GEOTDmLE[RESIWIatAFT PAPER [ ] HAYlSTFiAW(4in.)[ ; OTHER BACKFlLL: TYPE DEPiHA?Ltn.NOiE TRENCM LINER: TYPE DEPTH in. NOTE PROBLEM DRAINAGE,[ ] FtESOLvEp ev INSTALLER 6 U 'Z ,v H 7 0 Y < J 2 6 J a DATE (iIME) AND DESCWPTION LICENSE N0. CDMPLETION DATE ? 0 CERT.NO. I CAMPUANCECK I W1TE ICERT.NO. INSPECTOR: MPCA CEFtT. N0. OTHER INSPECTOR (CERT. NO) SIGNATURE: SYSTEM: APPROVED L NOTAPPROVED[ ]; ---?' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-00300-020-77 PERMIT PERMIT TYPE: Permit Number: Date Issued: 2981 LEXIIVGTON AVE 1.0T: 2 BLOCK: 77 SEC7ION 3 c????4 o BUILDING 026445 09f26/95 DESCRIPTION: ? ? \\ • ? [ t? ?.4" _ ' ? . ..< < - .,',--,-• ,.- . ? MAC SOUND INSULATION Bnildi ngI-P.ermit Type SF (MISC.) 6ui7.ding Wt?r.!6_ Type ALTERATION / ».. F ?e REMARKS: A SEPARATE PERMIT IS RFQUSRED FOR ANY EI.ECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $224.75 $78.66 $7.50 $310.91 $15,000 CONTRACTOR: - Applicant - sT. LZC. OWNER: SOCON CONS7 INC 17846910 9008934 DAY KATHRYN 9901 XYLITE ST NE 2981 LEXINGTON AVE BLAINE MN 55449 EAGAN MN 55121 (612) 784-6910 (612)454-3144 T hereby acknowledge that'2 'have read tihis application and state that the infiormation is correct and agree tb comply with a1l appli¢able 5teits oF htn- ? Statutes and City of Eagan Q,rdinances. _ ,?4,," .s? ?rqor P.??i,? 1 `?? APPLIC T/PE ITEE SIGNATURE ISSU D BYISIUNATUH11 • CITY OF EAGAN $1310 i41, L4t5 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) OT 681 -4675 ? 3 regiatered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window sizes; poured fid. deaign; etc.) ? 2 stte surveys (exterior etlditions 8 dedcs) ? 1 energy calalations ? 1 energy calwletions for heatad additions ? 3 copies W hee proaervation plan if lot platted after 711/93 ' reQuiretl: _ Yes No DATE: r2B`'7 ? T CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: L- vl i vl ' r tv Ul , vU v v LOT BLOCK ifil SUBD.JP.I.D. #: PROPERTY Name: ^'ar_KAM) Phone #: - ?? I q OWNER } 1r (1 I?- w* rwcStreetAddress•? City: State: ffi.N, ZipES11 CONTRACTOR Company: SO??ft ?,M,?YUUIV) Phone #: I B g- pjb Street Address: qDi W1 eSV U.License #: State: ffi%_ Zip:,M9 ARCHITECT/ Company: Phone #-TS" (02s? ENGINEER Name: Registration #, Street Address, Ciry: \)?YIUaAS State: N? ZiprZ*G?1,-nq Sewer & water licensed plumber: change are requested once permit is issued. Penalry applies when address change and lot I hereby acknowledge that I have read this apptication and state that the iniormation is cortect and agree to comply with all appfipble State of Minnesota Statutes and City of Eagan Ordinances. Signature of AppliCant: OFFICE USE ONLY If ? L?? ??! J i ey Received _ Yes _ No SEP 2 0 1995 i Plan Received Yes No ___________.__.._ ? Certificates of SurvTree Preservation BUILDING PERMIT TYPE OFFICE USE ONLY r .... ? . ? . .. ? '^ 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex • 0 14 Fireplace ? 21 Miscellaneous ,4!r-05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New -d-33 Alterations ? 36 Move a 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Adual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering Variance ? O? ? Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNU Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAG Code Census Bldg Census Unit g o°° ? °h SAC SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: gy?jfflNG Permit Number: Date Issued: 07/ 2 8/ g$ SITE ADDRESS: 29$1 LEXINGTON flVE LOT: 2 BLOCK: 77 SECTION 3 P.I.N.: 10-00300-020-77 DESCRIPTION: u f"l,d°s.n ? ?rc?us G? . .. . ? - a=.-w,F+• ?A ' .y.m ?( { ? L jr'R.N9 .f C STORM DAMA6E REpAIR 434 ALT. RESIDENTZflL m °m °el# ??'ii. Kff f 9t?S u} Pt4 aIm 'yjgllCi ??4i S?? rSi +4, 411 k;L Y8? Tt ?j? c?;M« 1'1? ;&3 vm?i ? S`aw:_ ': $?n ',a?s, 'z;S ds? REMARKS: REROOF DUE TO 57tlRM DAMAGE. FEE SUMMARY: CONTRACTOR: - appticant - sr. Lzc OWNER: E E JONES INC 14632876 0002599 DAY KA'TIE 6905 255TH ST 2981 LEXINGTON AVE FARMIN6TON MN 55024 EAGAN MN 55121 (612) 463-2876 (651)454--3144 T her.ebp, aakrrvwledg? ti??t I have re-ad' 'tha.s ?ap?i?cation ancl sCat0 ?haG. ths ,.. imfct.rmatiitYt': iS .corre?ti- and ag'r?? t4: ?rimpl;y ail Appla.:cakalt?-S;?a?s caf- filn.- ; ? St?t?utes a Md" C3.Cyr Oed?,i?a?tc?s':. ?r• q ? ............:.. :. , ° ._.. . ._? -.?__ ?.___.se_e . ?.? . APPLICANLPEfiMITEE SIGNATURE ? UED BV SIGNA7UFIE ? RERnoF Permit Type idork Type _. ? ? m?w6ry ..rixi?r ?? ., . i 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? So r (? ? 3830 PII.OT KNO; RD - 55122 -I ?{) New Construetion Raouiremants RemodeUReoair Reauirements ? 3 registered sde surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fnd, design; etc.) ? 1 energy wlwlations • 3 copies of hee preservation plan H IM platted after 717/93 reqwred: _ Yea _ No DATE: 7- Z 8-26 ? 2 copies of plan • 2 site surveys (eMerior addttions & derJcs) ? 1 energy calwlations for heated addrtians CONSTRUCTION COST; Z, 0°o, -" DESCRIPTION OF WORK: ?? r- cZ o D-(? <?? V VV\-- 'b a STREET ADDRESS: Z 9 5/ Ik-) ir . Td IJ L1 E LOT: J- BLOCK: SUBD./P.I.D. #: S-2 CA--?O yl 3 A Name: 44 ? ? ?T1 ? Phone #: PROPERTY 1-azt First OWNER Street Address: Z,?'i R5 I / NC 16 A) P?- /J ? City ,F (4 c 4 k-i State: m 1J Zip: Company:_ F, E- .? b 1J IE- S r lU C, Phone #: Z e7 & CONTRACTOR Street Address: ?? CJ S Z 5? S T License tl Z S9,5 v Ciry ?- iq R?YI ,N G7-0 AJ State: N U Zip: S 5 C5?10- ARCHII'ECT/ ENGINEER Company:Phone #: Name: Registration #: Street Address: City State: Sewer & water ficensed piumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No ' CITY USE ONLY 9 L ?Ii BL J? RECEIPT #: (P SUBD. ? DATE: /yl7 5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD ' EAGAN, MN 55122 ' (612) 681-4675 ,. Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ??Add-on air conditioninq Fireplace canversion (to existing fireplacQ) Date: , FEES ?' Minimum Fee:,' Add-on/Remodel (existing residence only) $ 20.00 ?' HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.OO-each) ? State Surcharge .50 TOTAL SITE 'OWNER NAME: IIZ/ PHONE #: '1,511-3J' / INS7ALLER NAME: STREET ADDRESS:?1?? CITY: pja-[/Yt.eJ ` STATE:_ ?d V ZIP: I ?? W. DAKOTA COUNTY July 26, 1996 Ms. Kathryn Day j 2981 Lexington Avenue South ? ? Eagan, Minnesota 55121. Dear Ms. Day: ` /D - 00.5&) - 0PO ' 12 7 On August 31, 1995, the Minnesota Pollution Control Agency (MPCA) notified the Dakota County Environmental Management Department (Department) staff of a complaint that lead-acid batteries and casings were discovered on your property during repair of the Individual Sewage Treatment System (ISTS). On September 18, 1995, Mr. Stephen Scott of this Department conducted an inspection of your residence located at 2981 Lexington Avenue South in Eagan. Mr. Scott observed lead-acid battery casing entrained in the disrupted soils in the viciniry of the septic tank and drainfield. As part of his inspection, Mr. Scott collected sampies of soil and exposed battery casings for chemical analysis. During an interview with you at that time, you disclosed that you are connected to the City's water supply but not the municipal sewer system and that you continue to use the on-site ISTS. Mr. Scott forwarded his findings to Department supervisors and to me. Our review of the issues related to your property has focused on the following areas: immediate health and safety issues; use of the existing septic system; and, what must or should be done regarding the lead -acid battery casings. We looked at this last issue in terms of both public health and safety as well as the environmental impacts. Health and Safety Issues Testing of exposed lead-acid battery casings and soils at your address indicated concentrations of lead that exceed the lead level standard of 100 parts per million (ppm) for bare soils in Minnesota Department of Health (MDH) Rules 4761.0300. In accordance with established procedures, composite samples were taken from the top two centimeters of the disturbed soils. These samples were analyzed for total lead and showed 1600 ppm and 330 ppm. The soil samples were also analyzed using the Toxic Characteristic Leachate Procedure (TCLP) that identified concentrations of 4.2 milligrams per liter (mglL) and 2.0 mg/L. Each of these levels is below the hazardous waste Ievei for lead, which is 5.0 mglL. Surface scrapings of the battery casings exceeded 200,000 ppm for total lead. MDH Rules, Chapter 4761, requires that abatement actions be taken to reduce the human exposure to identified lead sources at a residence of a pregnant woman or of a child whose blood lead level is equal to or greater than ten micrograms of lead per deciliter of whole blood. We have not received information that leads us to believe this requirement applies except that your grandson does visit you on occasion. His blood lead level was tested and found not to exceed this level. Technically, therefore, the MDH Rule requiring lead source abatement does not appear to apply to your situation. Although these Rules may not apply, we believe that the continued presence of the lead contaminated soils and battery casings at the soil surface represent a possible risk to you, your neighbors and future residents of the property. Thus, we recommend that you remove or, at a minimum, cover the lead- ENVIRONMENTAL MANAGEMENT DEPARTMENT 14955 GALAXIE AVENUE BARRY C.SCHADE DIRECTOR (612) 891-7011 FAX (612) 891-7031 APPLE VALLEY, MINNESOTA 55724-8579 Pnn1eA on recycleG Oeper, 20% pontcansumar • ? EUUAI OPPOHTONITY I . W contaminated soiis and exposed battery casings on your property (see attached recommendations regarding abatement activities). The section below on the Management of Lead Acid Batteries, Casings and Lead Contaminated Soil furtheraddressestheseissues. Continued Use of Your Sewage System . Our records indicate that this septic system was excavated in August 1995, to compiete repairs, at which time lead-acid batteries and battery casings were identified around the septic tank and drainfield. According to a neighbor, the drainfield had been repaired in the early 1980s. Battery chips do not meet the definition of "drainfield rock" in Minnesota State Rules 7080, which set minimum standards for ISTS on a State-wide basis. Even though the use of battery casings makes your system a nonconforming system, that in itself does not mean that it is a failing system. At this time there is no State or County requirement to upgrade a nonconforming system. Minnesota Rules Chapter 7080 defines a failing system as the following. Any system that discharges sewage to a seepage pit cesspool, drywell, or leaching pit and any sysfem with less than 3 feet of soil or sand behveen the bottom of the distnbudon medium and the saturated soil level or bedrock. In addrtion, any system posing an imminent threat to public health or safety shall be considered failing". Minnesota Rules Chapter 7080 Rules define Imminent Threat to Public Health or Safety as the following. AIl situations that are a pofential to immediately and adversely impacf or threaten public healYh or safety. At a minimum, ground surface or surface water discharges and any system causing sewage backup into a dwelling or other establishment shall constitute an imminent threaP'. A failing sewage system must eventually be upgraded, either at the time of a bedroom addition, or possibly at the time of property transaction, or by a time set by the municipaliry. Recent amendments to Dakota County Ordinance No. 113, On-Site Sewage Systems, include additional upgrade requirements at the time of properry transaction. A system posing an imminent threat to public health or safery must be upgraded within ten months of the time it is determined to be failing. If the ISTS system on your property demonstrates any of the above characteristics, it would be considered failing. All Dakota County municipalities administer their own sewage system permitting and inspection programs. You may wish to contact Dirk House or Bill Adams with the City of Eagan at 681-4675 since the City of Eagan may have additional requirements. Although your sewage system does not appear to be failing, it is clear that the lead contaminated soils and battery casings are in constant contact with water owing to their presence in the ISTS drainfield. Thus, we recommend that you discontinue the use of the ISTS system and connect to the municipal sewer system. Management of Lead-ACid Batteries, Casings and Lead ConWminated Soiis Battery casing chips have been analyzed by our Department at other locations and have been shown to contain significant amounts of lead. In addition to battery casing chips, we observed small pieces of lead plates, wires, and screen intermixed with the chips on your property. MDH Rules Chapter 4761 state that lead-contaminated soils may not remain on-site if the Commissioner of the Minnesota Pollution Control Agency (MPCA) determines that burial of the soils on the premises would threaten the ground water or cause other environmental damage. if this determination is made, the lead contaminated soils and casings must be excavated and removed from the premises for management in accordance with MPCA requirements. In other, similar situations, battery chips mixed with soils have been considered `contaminated media' by the EPA and MPCA. Removal of the lead-containing chips from the surrounding soils may require that the chips and associated contaminated soiis be sent off-site as hazardous waste unless the lead- W. contaminated material is treated on-site to render it non-hazardous. If rendered non-hazardous through on-site treatment, the material may be managed at local sanitary or industrial waste landfills. The MPCA Voluntary Investigation and Cleanup Program (VIC) has adopted soil cieanup standards of 400 ppm for Iead for IndusVial sites where limited human exposure is anticipated. By following guidelines established by the MPCA's VIC progrem, the owner of the property (or the party doing the cleanup) may receive a letter from the MPCA certifying the cleanup has met MPCA standards. In the event the MPCA does not require you to remove the lead-contaminated soils and battery casings and you choose not to do so, MDH Rules, Chapter 4761.0300 Subp. 10.,outlines options for covering lead-contaminated soils in place. These options consist ofi A. Promotion of a living ground cover; B. Construction of an impervious cover, such as concrete or asphalt; or C. Application of other cover material such as sand, wood chips, etc. In summary, although we have no specific requirements that you must meet, we do have the following recommendations: 1. We recommend that you remove or, at a minimum, cover lead-contaminated soiis and any exposed battery casings on your property even if you are not required to do so. If you choose to remove them, you may want to enter the MPCA's VIC program; 2. We recommend that you discontinue use of the existing ISTS system and connect to the municipal system; 3. We recommend that you contact the City of Eagan regarding any requirements it might have for ISTS systems and connection to the municipal system; 4. We recommend that you contact the MPCA as to whether or not the Agency would require the removal or clean up of the lead-contaminated soils and battery casings on your property. If you have any questions or need our further assistance on this matter, please contact me at 891-7004. Sincerel Barry C. S ade, Director c: Charles F. Kelly, Kelly Law Firm LTD. Dirk House, Ciry of Eagan Bill Adams, City of Eagan? . .40 Recommendations For Soil Abatement Activities 1. Exposed lead and lead-contaminated materials, including terminal posts, partial lead plates and lead- acid battery casings, along with lead-contaminated soils should be removed or covered. Precautions should be taken by the person(s) performing the abatement to prevent lead exposure to self or others and should comply with items A through E. A. Protective clothing and respiratory protection should be worn during abatement activities. At a minimum, a disposabie dust mask, shoe covers and gioves should be wom to minimize contact or inhalation of lead-contaminated soils. These items should be properly discarded after completion of each day of soii abatement activities. Work clothes should be laundered separately from other clothing. B. Children and other susceptible persons should be prohibited from playing or otherwise coming into contact with the soil being disrupted during abatement. C. Precautions should be taken to prevent the wind dispersal of lead-contaminated soils from the site. Abatement activities should not occur on windy days and dust suppression techniques should be adopted where practicable. D. Lead-contaminated soils or materials that are removed must be properiy stored or disposed of at the end of each work day. E. Efforts shouid be made to prevent soils from being Vacked, or otherwise dispersed, from the area of contamination during abatement. Soils tracked onto steps and walkways should be removed and steps, walkway and foundations should be hosed off with water at the end of each work day and before applying new cover materials or soils. 2. The area of suspected lead-contaminated soiis and exposed lead should be covered with at least six inches of topsoil or other appropriate cover materials. The placement of a water-permeable geotextile fabric barrier or other type of barrier over the lead-contaminated soils and exposed lead would provide protection against recontamination of the surface soils by the contaminated soil and exposed lead. The area should be seeded or covered with sod, bark or mulch to prevent erosion. 3. The area of lead-contaminated soils should not be disturbed or used for any purpose which may result in disturbance of the soil cover or vegetative layer. The Department recommends that the area never be used for the production of food crops. 4. The exact location and extent of the lead-contaminated soils and ISTS must be determined and this information filed with the County Recorder, in order to inform future buyers, or other interested parties, of the presence of the lead-contaminated materials and the land-use restrictions appiied to the site. swdsitWltaay .. LoR Plat Date Receipt CITY OF EAGAN 1996 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Sewer connection charges Sewer availability charge (SAC) Date previously paid ' Receipt # Account deposit Sewer permit & surcharge Subtotal * Plumbing permit & surcharge Tap Totai $1,000.00 15.00 50.50 $ 1,065.50 20.50 ...? * Date Account depo3il Water permit & Water meter Treatment plant Subtotal Tap Sewer & water connection charge (WAC) paid & surcharge ?760.00 15.00 50.50 107.00 396.00 $1,328.50 ?, 20.50 Sewer av ilability charge (SAC) f$`1,000.00 Date prev sly paid Receipt Water availabili harge (WAC) 760.00 Date previously p ' Receipt Account deposit ? 30.00 Sewer & water permit and charge''? 100.50 Water meter ` - - - - 107.00 Treatment plant • 396.00 suatotai , $2,393.50 * Plumbing pe mit & surcharge 20.50 Tap(s) ? }al - * A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the homeowner if he is actuaRy doing the work. OFFICE USE ONLY Property owner KATH?tYN DAY PRV N/A Address zes i T EXINGTON nvE No. of taps I Phone no. Plumber =" Blk PID # 10-00100-020-77 Sewer/water permit # io?.sg o`lO.t° 454-3144 ASS2 SS1Y1211tS ?° d O''? - -?I (O ?,u>b„^d?w?,' Waiver 'Ip c ^ f o,OP .J ?a (? ?W?„ 5- 3S y? j?r<? CoJG? ?ro`1 Water connection SPECIAL ASSESSMENT SEARCH SUMMARY AS OF : 03/04/1996 PROPERTY ID: 10-00300-020-77 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN. PRIN. 100034 SW WAT LAT 1967 20 6.0000 186.20 0.00 101019 SS-TRH 410 1985 15 11.0000 742.50 0.00 102174 WLTK 358 1991 10 0.0800 1523.85 0.00 ------ SUMMARY OF LEVIED 0.00 0.00 ****** 1996 P&I CERTIFIED ------ SUMMARY OF DEFERRED 0.00 ------ SUMMARY OF CLOSED 2452.55 ------ PENDING ESTIMATE 0.00 Press ENTER; or F1, F4, F5, F7, F8 Main Prev 2 72 Next Menu Page CN Page 14:20 CAPS PAYOFF CD 0.00 CL 0.00 PP 0.00 PP 0.00 Go To Exit Legend / hellI <4r V ?!-? S.014X r WAIVER OF HEARING N0. 535 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: 10-00300-020-77 for the benefit received from the following improvements: ITEM UQ ANTITY RATE AMOUNT Lateral Benefit Sanitary Sewer 101.59 f.f. $20.10 $2,041.96 TOTAL $2,041.96 to be spread over 5 years at an annual interest rate of 7$ against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31st of the current year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right assessments made pursuant to this agreemen Dated: Fee Owner heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these to object to or appeal from these t. By: Kathryn Dav STATE OF ) )SS COIINTY OF ) Its: On this day of , 1996, before me a Notary Public within and for said County, personally appeared Kathryn Day to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that she executed the same as her free act and deed. Notary Public ---------------------------------------------------------------------------------- FOR CITY USE ONLY Revieved: Eagan Public Works Department Y WAZVER OF HEARING N0. 00358 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, hIN (Dakota Co.) to assess the following described property owned by me/us: 10-00300-020-77 North 101,59 feet of the South 536,3 feet of the East 208.71 feet of the SE Ouarter of the SE Ouarter of Section 3. for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT N0. Lateral Benefit 101.59 ff $15.00/ff $1,523.85 lZ Water Trunk TOTAL 51523.85 to be spread over 10 years at an annual interest rate of 8.58 against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October lSth, the first year's installments cannot be prepaid and it includes interest from the date of signature to December 31st of the next year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right assessments made pursuant to this agreemen Dated: f ` / I? - // heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these to object to or appeal from these t. ? , Lp?? Vernon Cole // z,z,91 Y/- ?? Kathleen Cole STATE ) )SS COUNTY OF ???'?/'D% I) ) On this /el- t-lday of 1957J, before me a Notary Public within and for said County, p rsonally ppeared (!4?tGqC C`iLE- to me personally known tdbe the personS described in and who cecuted the foregoing instrument and acknowledged that ---/--? fv executed the same as?s?/t=( 2 free act and deed. ?? . ,APSMlINf ???C. ? ? ?!3C? 6!AAIA L WUClIEFlPFENNIG V;,1pY PMi? -MiNNES?TA ' _?otary Public j / - r-pAKQFA{'i04JUT -Y- ---------- ------------ - ---------=- Gor?;inrslon ExP, Foh B. 1093 ? FOR CITY USE ONLY ?.•?,;v.rsxco:s:nra:c:??.?-e:c;es^o!• ' Reviewed: Eagan Publi Works Department • ? • ? k? ?w?wrs ? /?P '_ '_' _"_ _ e ~? O ? . •( ar. '_?(? ?i;•,? 1'?•"L - ??r ? ?-:?; ' , ?P 7 1 s.•n'. N? n ? ?O ? R Q -------- --- \NOJS,???P?. ? 2 ? ? i c , .? ; ui . I?I $ W ? =Ms I `xl 10 :I I }I I n=1 N , r j . i O. i' ? Y?41 Mfi 1 ? «... ?f a J ?t?? W • ? U? •• ?• •? ? ? •. w« ¦. 'N?uN? LATERAL BENEFIT FROM TRUNK WATERMAIN CITY OF EAGAN SEWER & WATER CONNECTION CHARGES - 1991 EXISTING RESIDENTIAL PROPERTIES REWER CONNECTION CHARGES WATER CONNECTION CHARGES SAC $ 50.00 WATER CONNECTION $660.00 Previo y Pd. Previously Pd. Receipt # Receipt # ACCOUNT DEPOS 15.00 ACCOUNT DEPOSIT 15.00 SEWER PERMIT & HARGE 15.50 WATER PERMIT & SURCHARGE 15.50 SUBTOTAL $ 780.50 WATER METER 90.00 + SEWER TAP TREATMENT PLANT FEE 276.00 TAL PLBG. PERMIT & SURCHP.RGE 15.50 SUSTOTAL $1,072.00 + WATER TAP 100.00 TOTAL $1,172.00 ?a?r R& WATER CONNECTION CHARGES fz! w. snc ?so.oo l0/.?5/? Previou Pd Receipt # S? 3,? WATER CONNEC N $ 660.00 ? Previously Pd Receipt # ? 1-I?-GI ?? ?SesSmen?s-?C11785 ACCOUNT DEPOSIT $ 30.00 SEWER & WATER PERMIT URC GE $ 30.50 WATER METER $ 90.00 TREATMENT PLANT FEE $ 276.00 PLUMBING PERMIT & CHARGE 15.50 ? I?-il QG?..?Ci??' ?aNlecnDr Cf1Gn??-#C17?j?? SUSTOTAL $1,852.00 51, I 9 ?.00 + SEWE WATER TAPS ' OFFICE USE ONLY ASSESSMENTS;J& PROPERTY OWNER VERNON COLE i77? PRV ? Af 0 TELEPHONE # 454-1535 i/ # TAPS ?? ADDRESS 2981 S LEXINGTON AVE WAIVER L 2 B 77 SECT. SECTION 3 P.I.D. # 10-00300-020-77 LO. UT) . 43 LU 1 LL n/c?z? ?o72?i iT ----, 77J q 43oND Te7e ,9Wy srn??- V-- Gv2/? 431 - 11 So SPECI AL ASSESSMENT SEARCH SUlIlMARY AS OF: 01/15/1991 PROPERTY ID: 10-00300-020-77 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100034 SW WAT LAT 1967 20 6.0000 186.20 0.00 0.00 CL , 101019 SS-TRH 410 1985 15 11.0000 742.50 49.50 0.00 PP ------ SUMMARY OF LEVIED 0.00 0.00 0.00 ****** 1991 P&I CERTIFIED 0.00 ------ SUMMARY OF DEFERRED 0.00 0.00 0.00 ------ SUMMARY OF PENDING 0.00 0.00 0.00 ------ SUMMARY OF CLOSED 928•70 ? Press ENTER; or F1, F4, F5, F7, F8 N , YAIVER OF HEARING N0. 00358 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: 10 00300-020-77 North 101.59 feet of the South 536.3 feet of the East 208.71 feet of the SE Ouarter of the SE Ouarter of Section 3 for the benefit received from the following improvements: ITEM OUANTITY RATE AMOUNT PROJECT N0. Lateral Benefit 101.59 ff $15.00/ff $1,523.85 Water Trunk TOTAL 1523.85 to be spread over 10 years at an annual interest rate of 8.58 against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October 15th, the first year's installments cannot be prepaid and it includes interest from the date of signature to Decemher 31st of the next year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right assessments made pursuant to this agreemen heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these to object to or appeal from these t. Dated: ? '" I ? - / ? ?i?h ?' '?? Vernon Cole e& n C/ L? Kathleen Cole STATE ) )SS couNzY oF /)i?/l l T/I > On this N day of ? .t 19?//, before me a Notary Public within and for said County, p?rsonally ppeared i,/.??i ?,4 cL? °+ ?}?i`+` LFtN' cCLC to me persanally known to/be the personS described in and who e'xecuted the foregoing instrument and acknowledged that / Fexecuted the same as%v(4=12 free act and deed. .nM1! ..MwKIINflf ? ? , , •?^? ?,??^?' Ye L MC11Ef,?FENNIG t . ? [ nnr PUC?i? - M-NESDTR "p.?.".+JfA{'iOEJt?tZY- e?, C..? ?r,;on EzP Fcb B.1 93 y?.:.. .. .. ...e, i- .. _ . __....,.b_... .. ..,. n . otary Public ---'--'----- ------'---------- / ----------'- FOR CITY USE ONLY Reviewed: Eagan Public Works Department ?-)Si ? I V?.1O h R?j --e- J, I abz- MEMO ' city of eagan TO: DALE SCHOEPPNER, CHIEF BUII.DING OFFICIAL FROM: JON HOHENSTEIN, COMMUNITY DEVELOPMENT DIItECTOR DA'I'E: FEBRUARY 23, 2004 SUBJECT: BATTERY CASINGS AND ISTS In response to your memo dated February 17, 2004, I agree with the approach you have defined relative to flagging the pmperties that have been identified as having used battery casings in their ISTS system that could be addressed in the future if the matter comes up. Thank you for your continued attention on this matter. or .TH/]d cc: Tom Hedges, City Administrator Tom Colbert, Director of Public Works Mike Lence, Senior Building Inspector .,» I?:? ???-1 s?v'?•-.ri??Yk"Fs. ? city of eagan MEMO TO: JON HOHENSTEIN, COMMUNITY DEVELOPMENT DIRECTOR FROM: DALE SCHOEPPNER, CHIEF BUII.DING OFFICIAL DATE: FEBRUARY 17, 2004 SUBJECT: BATTERY CASINGS IN I.S.T.S. 7on, attached you will find a letter from Barry Schade, Dakota County Director of Environmental Management. Barry has had a number of contacts with Gail McMahon regarding excavation of battery casings on her property at 1429 Lone Oak Road. As you can see by Barry's letter, the County has idenrified ten sites in Eagan that used battery casings in the construction of individual sewage treatxnent systems (I.S.T.S.). It appeazs that four of ten sites are still pending, or casings remain on-site. Based on this information, I believe we should place a waming flag on lots containing battery casings that haven't been mitigated, as well as place a copy of Batry's letter in the relevant pazcel files. A wamiug flag on the PIMS system would allow us to inform individuals requesting permits of this issue. Barry has indicated that sites containing battery casings usually don't need to be mitigated until they aze disturbed. Once they aze discovered, it is Dakota County's policy to require the property owner to record this information with the property data base at Dakota County. If you need additional information or if you feel our plan of action needs to be modified, please advise. Chief Building Official DS/js A cc: Tom Hedges, City Administrator Tom Colbert, Director of Public Works Mike Lence, Senior Building Inspector C O U N T Y Envvonmencal Managemenc Barry C. Schade rjireRar Dakoa Counry Wescern Servi<e Center 14955 Galaxie Avenue Apple Valley, MN 55124 952891 7557 F? 952 891 7588 w.w+ co dakoca mn ?s February 4, 2004 Gail McMahon 1429 Vince Trail Eagan MN 55121-1113 Re: Analytical Results - 1429 Vince Trail, Eagan Dear Ms. McMahon: Fra ZO " 4 J,I.J 1 ; Enciosed are the analytical reports for the samples of water, house dust, and soils collected from your residence on January 9, 2004. The results indicate that the interior dusts and the well water supply are free of lead contamination. The soils collected from the soillbattery casing stockpile in your backyard contained significant levels of lead. This suggests that lead from the soiUbattery casing stockpile has not been transported into your house and has not impacted the well water supply. However, the lead in the soil/battery casing stockpile represents risk to human health and measures should be taken to reduce the potential for exposure to this lead source. While the plastic cover placed over the stodcpile has served to reduce the potential for direct contact with the lead, bare soils contaminated with lead are accessible to direct contact or through wind dispersal. We recommend placing additional plastic sheeting on the stockpile to further reduce the exposure to the lead contaminated waste and soils. We also recommend that you limit the use of the backdoor and install additional fencing around the stockpile to prevent inadvertent contact with the stockpile. Also enclosed is the list you requested of other situations the County has encountered where battery casings have been used in the construction of ISTS's (individual sewage treatment systems). If you have any questions, please call me at 952-891-7004. Si Barry Sc ade, Director Environmental Management Department C: Dale Schoeppner, Chief Building Official, City of Eagan Michael J. Tibbetts, Major Faciiities Section Manager, MPCA C: 29-Jan-04 Residential ISTS NAME Saad 8 Coury Baltery Dlsposal Day 8 Cole Lead Battery Disposal Gerhardl Lake (Parks) Disposal Schultz (Parks) ISTS Disposal McMalion Battery ISTS Disposal Business ISTS NAME Fina (Union 76) Paridis Inc Battery Disposal George's Goif Battery Disposal Dart Warehouse Manley Brolhers/0ak Bluff Richard's Place Battery Disposal Grand Oak/ Seepage Trench Slte Address Clty Slte T Was[e Oescriptlon Status Slto Number=lle Locatloi Complaint 7175 Angus Ave E Inver Grove ISTS Battery Chips/Casings Removed 1143 TD 06/01191 2981 Lexinglon Ave S Eagan ISTS Chips Remaln on-site 2076 U3 09/05/95 4970 Johnny Cake Ridge Rd. Eagan ISTS Battery ChipslCasings Pending 2696 U33 03117l03 1315 Carriage Hill Dr. Eagan ISTS Battery Chlps/Casings Pending 2632 U34 summer, 03 1429 Lone Oak Rd Eagan ISTS Battery Casings Pending 2202 U4 11l17/03 51[e Address Clty Site T Waste Descriptlon Status Site Number 'ile Locati oi Complaint 3159 Dodd Road Eagan ISTS Baltery ChIps/Casings VIC # PT2710, J. Slahnke 2183 U72 08/07/91 900 Lone Oak Rd Eagan ISTS Battery ChipslCasings Developed 2615 U11 summer-83 2333 Water Dr. Mendola Ht: ISTS Casings on-sile mgml8landlilled 2663 X34 00104197 2767 Hwy 55 Eagan ISTS Casings Developed 2400 U2 01/12/98 4150 Ellian Drive Eagan ISTS Battery Casings Chem Fixed & Removed 2142 U24 05/26l99 4185 Robert Trail S Eagan ISTS Battery ChipslCasings Removed 2167 U24 June,2000 Formerly 2799 Linde Lane Eagan ISTS Ballery Casings Removed 2213 U2 10/20198 '+ ' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: ) [/2j014 RESIDENTIAL PLUMBING PERMIT APPLICATION Dte: 3-1--1 l T Tenant: Site Address: Suite #: Name: �►"-C 7 /(h Phone: 5?) -- Address / City /Zip: 203 ✓O/`'t'ed'St Ce// S 50.a2S Name: ! h4 C Address: /0 /( 616 /q State: /11/V. Zip: 5721:5' Contact: Alm' &hoc/ License #: J New _ Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: >d l'► t62,4 RESIDENTIAL L Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System /New X Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Z-! Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: - Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: City of Ewa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 Permit #: 'LI Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:.- /({ 1 T Site Address: t7� 2/ Lem 'i / ✓O PPUnit #: Name: 6req P/4 Phone:6-S7 S9) v ?1- Address / City / Zip: 703 �D —,/k02,5 -a- "/ Resident/ Owner J Applicant is: Owner Contractor Description of work: Construction Cost: gscv - W Company: P Multi -Family Building:il/(Yes / No ) Contact: /ui�4A- /�-e4/ // Address: Ma L/ 5ickc(.61/1-1/. / C < City: S7 1«-z., / State: /1 -(All Zip: J`'sl Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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 Minnesota State Building Code must be completed within 180 days of permit issuance. (6,-1A Ze( Applicant's Printed Name x Applicant's Signature Page 1 of 3 . Minnesota Pollution Control Agency 520 Lafayette Road North St. Paul, MN 55155-4194 SSTS Abandonment Reporting Form Subsurface Sewage Treatment Systems (SSTS) Program) Instructions This form is offered to meet the abandonment requirements of Minn. R. 7080.2500 and Disclosure Requirements of Minn. Stat. § 115.55, subd. 6. Future water supply well placement can also be affected by an abandoned SSTS. The use of this form is not mandatory; however the information on this form must be submitted to the local government unit (LGU) within 90 days after the abandonment. This form may be completed by a certified SSTS practitioner or by an individual who has direct knowledge of how the system was abandoned. Property Information Date of abandonment/30 V Reason for abandonment: Property owner name(s): Property owner's address: City: Ste, tYt S Yo Site address (if different): .29 8/ s City:,q , Compliance Information State: Zip: State: 1. All solids and liquids removed from all tanks? g( Yes ❑ N Disposal Site: V 7 Zip: 2. All electrical devices and devices containing mercury re, ved? Yes ❑ No Disposal Site: 3. All underground sewage tanks crushed and filled with soil or rock material? J Yes ❑ No or Removed and disposed off site? 0 Yes 14 No Disposal Site: 4. Contaminated materials*emoved and disposed off site? ,®' `Yes El No Disposal Site: cep'1 c ziteek. lA�� i, jtJ'a '' + p-cairtavot 5. All underground cavities** crushed and filled with soil or rock material? 21 Yes 0 No or: Removed and disposed off site? 0 Yes ❑ No Disposal Site: 6. Future discharge to system permanently denied? vin Yes 0 No Method(s) used: *Contaminated materials = Distribution media, soil or sand within three feet of the system bottom, distribution pipes, geotextile fabric/ rosin paper/straw, tanks, contaminated soil around leaking tanks, any soil that received sewage from a surface failure (7080.2500 subp.3). **Underground cavities = Cesspools, leaching pits, drywells, seepage pits, vault privies, pit privies, pump chambers (7080.2500 subp. 1). Does not include chamber media, drop boxes, or distribution boxes. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-03 • 11/21/08 Page 1 of 2 Map Include location of building sewer, septic tank(s), soil dispersal system, cesspools, seepage pits, and other pits. Also include a permanent reference point(s) and dimensions. Certification I hereby certify the system was abandoned in accordance with Minn. R. 7080.2500 and any local requirements. Title: ,/,%.1}qz% Name (please print): > /4/aA. 8 j T Address: /(j City: g Phone: Z/)--- ZJ5 c Date: j")14 J Y Signature: Aof State: ri7/ Zip: _cSlo2.e} License # if ap ,40 licable): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-03 • 11/21/08 Page 2 of 2