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3325 Lexington AveCITY OF EAGAN Remarks --?> Addition Section 10 Loc eik Parcel 10 01000 050 75 Owner screet 3325 Lexington Ave. S. State Eagan,Mi'e 55121 ' ' - -L Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 660.00 66.00 10 660.00 1510 10-16-75 STREET RESTOR. GRADING Street & Drain ' 1976 660.00 66.00 10 Paid SAN SEW TRUNK 7-7 1970 157.50 6.30 25 A 1646 11-1 -82 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 334.40 22.29 15 STORMSEW TRK 7 1979 640 00 42.66 1 2 6.06 A011646 11- -4 82 STORM SEW LAT CURB & GUTTER SIDEWALK STREETLIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWN S H I P BUILDING PERMIT Owne: .-------- ? - - `? - ---- -••-- =--------- ------....-----°--- - Q Address (P:es ni) _.......__ ?? a?:?r--••,,a?e.-'-_- . - - - ?. ? ...... Builder •---- - .4" "-•"":".--°-°°--r?-------------.. .? Address . ....... ----------------------------------- - --------------------- -------°° --------- DESCRIPTION N° 852 Eagan Township Town Hall Dale .... •• -- j-- - 5iories To Be Used For Froni Depih Heigh! Esi. Cos! Permii Fee Remarks I -?- LOCATION Street, Road oz othex Description of Location Lo! Block Addifion or Tracf C7 S"Zjl 7 ? I . /6 This permii does noi auihorize the use of slreets, :oads, alleys or sidewalks nox does it give the owner or his agent the right fo creaie anp siYuafion which is a nuisance or which presenis a haaard Yo the healYh, safefy, convenience and general welfare fo anyone in the communiYy. THIS PERMIT MUST BE EPT N/ TH?E-. ?P.R?EMISE WHILE THE WOAK IS IN PROGRESS. !? This is !o certifp, ihat.--- •-°-?-----------.-----has permission to erect a-----°• --°------- ...-'`. --`-'?'•"•.?,¢, .upoa the above described pre ise subjec3 !o the provisions of the 8uilding Ordinance for gan wnship adKpted'" April 11. 1955. ?'Y....- ..?.?_.,._-.°-:....._.. Per -----•••••-----? --°.••-•--- ----- -------• -----°-- ................. ------?`----? Chairman of Tnwn Board ° Buildin Ins ecfor ! 4 " " Ahk Clty 0f EaEdIl 3830 Pilot Knoh Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? _ _ _ _ _ _ _ _ _ _ _ _ _ _ - ? Pertnit#: 6 (r/ ? ? Permit Fee: ? Date Received: ? ? I I ? ? Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: O?( Site Address: Tenant: Suite #: RESIDENT / OWNER Name: Phone: 6 -z;i - c6 Add /Ci lZi ress p: ty CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAC ? - ? ? _ Water Heater _ Water Softener ! L f?, Q? _ Lawn Irrigation _ Add Plumbing Fixtures ? ?? ' ? ? RPZ PVB) (_ Main _ Lower Level) - _ Septic System ? Water Turnaround New ? M _Abandonment RES/DENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (indudes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing FixtureS, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 SeptlC 5ystem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ? I nereby acKnowletlge that this information is complete and accurate; that the work will be in conformance with the ortlinances anq codes oi tne crcy or Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; 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?,??GAlL? Applicant's Printed Name ?? Appli6anYs Signature `, . WAIVER OF HEARING NO 723 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES UWe hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: 3325 LEXINGTON AVENUE S 165 FT OF N 373.72 FT OF E 264 FT OF S 1/2 OF SE 1/4 For the unpaid permit fees: ITEM QUANTITY RATE AMOUNT Permit Charges 1 $6,659.50 $69659.50 TOTAL: $6,659.50 to be spread for a term of 5 years at an annual interest rate of 6.0% 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 31S` of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: Notary l? .? e?i JUDY M. JE NK(iV? OTARY PUBLIC- MINPJESOTA hiy Ccmiaisaiun Expin E5 Jan.31, 201Q .? FeeOwner: ? MARCELINO SALVIEJO RNAS City of Eaian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 --------------i r - - I For Office Use ? I ? Permit #: I PermitFee: I I ? Date Received: ? I i sraff: ? L -----------------? 2008 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address: OFFICE USE ONLY I/ ?• Property Owner: C? LL) PRV required Telephone #: ?? s - !?/yv ?l l ?e Plumber. i`lD City ? County R-O-W Permit Date of Inquiry: V Contact Name: I SEWER WATER 4" Sewer Service Sewer lateral charge @$28.30 I ff $691.00 " - Water laterai charge @$28.60 ! ff 14;7N' 4-7, l ¢' Sewer trunk @ $1,150 ! connection Water trunk @ $1,200 / connection 200. City SAC $100.00 MCES SAC Receipt #: , Date: $1,825.00 ' Treatment Plant $690.00 Septic abandonment $50.00 Permit Fee $50.00 Permit Fee $50.00 State Surcharge $0.50 State Surcharge $0.50 'Plumbing Permit Required - water meter to be acquired with building permit TOTAL:?J`C7 TOTAL: SEWER & WATER 4" Sewer Service $691.00 1" Water Service $772.00 Sewer lateral charge @ $28.30/ff Water lateral charge @ $28.60/ff Sewer trunk @ $1,1501connection Water trunk @ $1,200/connection City SAC $100.00 MCES SAC $1,825.00 Receipt # , Date Water supply & storage $1,150.00 Receipt # , Date Treatment plant $690.00 Septic abandonment $50.00 Permit Fee $100.00 State Surcharge b * $0.50 , e Plumbing Permit Required - wafer meter to acquired with building permit TOTAL: , .. . City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT till of f Site Address: 3325 Lot: 005 Block: 075 PID: 10-01000-050-75 Use: Description: Sub Type: Residential Work Type: Water Only Description: Meter Size Meter Tvne Lexington Ave Addition: 5ection 10 Permit Type: Permit Number: Date Issued: Sewer & Water EA082639 04/19/2008 i ^ fLy??l wAkVL, Manufacturer Serial Number Remote Number Line Size Comments' Call 651-675-5646 for inspections. A separate plumbing permit is required. Fee Summary' 1" water service $0.00 9378.4611 Surcharge-Fixed $0.50 9001.2195 Treatment Plant $690.00 6101.4685 Water lateral charge $4,719.00 9378.4611 Water Permit $50.00 6101.4507 WaterTrunk $1,200.00 9378.4611 Total: $6,659.50 Contractor: Owner: Marcelino Salviejo-Rivas 3325 Lexington Ave Eagan MN 55121 - Applicant - 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. Applicant/Permitee: Signature Issued By: Signature PROnER:I ID: 10-01000-050-75 AS OF: 05/16/1994 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100001 STREET SURF 0000 01 0.0000 660.00 0.00 0.00 CL 100122 5AN SW TRK 1969 25 8.0000 157.50 0.00 0.00 CL 100277 STM SW TRK 1974 15 8.0000 640.00 0.00 0.00 CL 100318 STREETS 1975 10 8.0000 660.00 0.00 0.00 CL 100336 WATER AREA 1976 15 8.0000 334.40 0.00 0.00 CL ------ SLTMIKARY OF LEVIED 0.00 0.00 0.00 ****** 1994 P&I CERTIFIED 0.00 ------ SUNIlKARY OF DEFERRED 0.00 0.00 0.00 ------ SUNIl4IARY OF PENDING 0.00 0.00 0.00 ------ SUMMARY OF CLOSED 2451.90 Press ENTER; or F1, F41 F51 F71 F8 , -O) ', ?-4 J ,d' , CON??C-A 02 mi,/0 L Ai 4 ?- ?74, :;? d r ? .?- U n Lot ? Blk PID # Sewer/water permit # Plat Date Receipt # CITY OF EAGAN 1994 SEWER & WATfR CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Sewer connection charges Sewer availability charge (SAC) $ 900.00 Date previously paid Receipt # Account deposit 15.00 Sewer permit and surcharge 50.50 Subtotal $ 965.50 Water connection charges Water availability charge (WAC) $ 725.00 Date previously paid Receipt # Account deposit 15.00 Water permit & surcharge 50.50 Water meter 115.00 Treatment plant 348.00 Tap Totat Subtotal $12253.50 Tap Total Sewer & water connection charges Sewer availability charge (SAC) bate previously paid Receipt # Water availability charge (WAC) Date previously paid Receipt # Account deposit Sewer & water permR and surcharge Water meter Treatment plant Subtotal Tap(s) Total $ 900.00 725.00 30.00 100.50 115.00 348.00 $2,218.50 --------------- ---_---------------------------- ld- -??G-7S OFFICE USE ONLY Property owner 04e?? PRV Address 33 cz$? Phone no. No. of taps AsSessmerrts Plumber Waiver WAIVER OF HEARING NO. 635 City Project 771 WAIVER OF RIGHTS TO OBJECT TO SPECIAL ASSESSMENT UWe hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Property Identification Number 10-01000-050-75 Legal Description T'he South 165 feet of the North 373.72 feet of the East 264 Feet of the South 1/2 of the Southeast Quarter of Section 10, Township 27 and Range 23, City of Eagan, County of Dakota, Minnesota for the following improvements constructed under City Project 771. These assessments will be certified to the County, thirty (30) days after the adoption of the assessment roll for the noted project. Said assessments have been preliminarily estimated at: IMPROVEMENT-Water Service Corporation, Curb Box and Stop 1 inch copper pipe Prime Contractor Mark-up TOTAL 4UANTITY RATE AMOUNT 1 Lump Sum $350.00/Lump Sum $350.00 23 Lin. Ft. $25.00/ Lin Ft 575.00 10% 92.50 $1,017.50 to be spread for a term of 15 years at an estimated annual interest rate of 7.00% against any remaining unpaid balances. You may pay any portion of these special assessments without interest for a period of thirty (30) days after the adoption of these assessments by the City Council. Payment can be made at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 315` of the current yeaz. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these improvements and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agre ent. Dated: Fee wner Marcelino S viejo-Rivas No STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA) The foregoing instrument was acknowledged before me this _?b day of , 2001, by Mazcelino Salviejo-Rivas . . SALLY ERICi(SON RMy NOTARY fl1BLIC - NIINNESOTA otary Publi WASHINGTON COUNTY Comm. Expires Jan. 31, 2005 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTl'S ARE REQUII2ED FOR EP?CH UNTT. NEW CONSTRUCTION ADD-ON A/C r ? ADD-ON FURNACE DATE 1 /:J 1/ e/ 13 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExtsTING CoNSTRUCTION) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 $ 15.00 .50 ge srrE ?wDRESS: 3 32S' L ex) -4)? ro?J OWNER NAME: TELEPHONE # yS`1/- / S'V-7 INSTALLER: ADDRESS: 3a55_ /3/5-r &J' CITY: R 5'k" ?- STATE: N- ZIP CODE: TELEPHONE #: y2?"?? ?Z 'LA" 'k SI N TURE O RMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ity oF 3830 PILOi KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE (512) 454-8100 August 27, 1986 Delores E Roberts 3325 Lexington Pkwy S St. Paul MN 55121 BEA BLOMQUISf Mwor THOMAS EGAN JAMES A. SMfI'H VIC ELLISON THEODORE WACHTER Council Members 1HOMAS HEDGES City Adminislrafor EUGENE UAN OVERBEKE Ci1y perk RE: Project 443 As a result of the Eagan City Council's action at the final assessment hearing for Project 443 on August 19, 1986, the following parcels are permanently deleted from the final assessment rbll. / Parcel 10-01000-040-75 Parce1?10-01000-050-75 ?Parce-1 10=01000=060-75 These parcels were previously assessed under Project 104. Sincerely, ? `? E.? VanOv erbeke Finance Director/City Clerk dk , £sMr 146.4." 1:35,140'; S,t. Se¢. /e 1°??0. ?o. 44? TEMPORARY CONSTRUCTION EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT NO. 694 This easement, made this ? day of J t,j ,J r__ , 1996, between MARCELINO SALVIEJO-RIVAS, a single person, hereinafter referred to as "Landowner", and the CITY OF EAGAN, a Minnesota municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as "the City". WITNESSETH: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuabie considzration, ine receipi and suificiency oi wl;:ci; is ":,recy acknuwrledged, does hereby grant and convey unto the City, its successors and assigns, a temporary construction easement for site grading and construction purposes over and across the following described premises, situated within County, Minnesota, to-wit: ?. The South 165 feet of the North 373.72 feet of the East 264 feet of the Southeast Quarter of the Southeast Quarter of Section 10, Township 27, Range y 23, according to the U.S. Government Survey thereof, Dakota County, ? Minnesota. Said temporary easement being that part of the above described property lying easterly of a line parallel with and 88.58 feet (27.000 meters) westerly of the east line of the Southeast Quarter of Section 10 Township 27 Range 23, Dakota County, Minnesota. Said temporary easement to expire December 31, 1997. See also Exhibit "A" attached hereto and incorporated herein. The Qrant of the foregoing temporary construction easement for site grading and construction purposes includes the right of the City, its contractors, agents and servants tc enter upon the premises at all reasonable times to construct, reconstruct and inspect site grading and the fiuther right to remove trees; brush, undergrowth and other obstructions. After completion of such.construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. The Landowner, for himself, and his heirs and assigns, does covenant with the City, its successors and assigns, that he is the fee owner of the premises aforesaid and has good right to grant and convey the easement herein to the City. Transfer Entered ThIS ( t ?- . day of - -, - ? ,) u N I ? ???? ^•.?,? c,;unT,+ Treasurer-Audite, 0 IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. t ? \ By: Marcelino Salviej+vas STATE OF MINNE50TA ) ) ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged befare me this day of 1996, by MARCELINO SALVIEJO-RIVAS, a single person. Notary Public APPROVED AS TO FORM: L?- &-- Y?-- City Attomey's Office Dated: ,,(4{4y ---------------- ? caMELw A. eaLow $ Naunr Pwuc MWWWu , y MY COAAAAISSION EXPlRES ? `. 1ANUARY 31, 2000 ! APPROVED AS TO CONTEi1T: 4-eii*!:W?krks Department Dated: ??? 6 S _'E: .rE c / 0 ? t? scole 1:500 meter METRIC 04 b75 I ? ? S ? 05 0 ? , , , --- . . ? ? -?-/'l I w > a z 0 ? ? z X W J r? N ? n FT. ? )m) o U W V) , w ? ? 0 w z J F- Q W W2ll¢!iltJlt4dli CONSULTiNG PM? 7 ?TEYV dVRr EARIE?+?7 air ar EAciw vea. No. e94 - 96 3-07 GROUP, INC. ss No ooszaro PO C E H lm Fi p go 0 . W. THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & ? MOLENDA, P.A. ? 7300 West 147th Street, Suite 600 ? Apple Valley MN 55124 ? ? (612) 432-3136 aD RBB/kmw 206-13462 Project No. 694 LS j Easement No. 635 N ? W Q ? aw? ~ ¢ o ¢Z 0 ? ? ?? W ? W > ? ?? _°' O = r? W Q ? N O 2 p = N ? U , :EKQ ? ~ °w ? ? ? } V w 0 O ? Z ? a O?W o O ( (z vi = pZ -n ZW = Q ? S p o Qa LL 0 " .?? ? /0 ?.._ 1? PERMIT City of Eagan Permit Type:Building Permit Number:EA136947 Date Issued:06/08/2016 Permit Category:ePermit Site Address: 3325 Lexington Ave Lot:005 Block: 075 Addition: Section 10 PID:10-01000-75-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marcelino Salviejo-rivas 3325 Lexington Ave Eagan MN 55121 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use Permit City of Ea al Permit Fee: w, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ncy-f--- A)lite Address: 511J` t- X I/k)(1'/�U Tenant: I v Suite#: Resident/Owner Name: EEL-I ' 9 IU � Phone: II Address/City/Zip: t 20 (eu''1 j i VVt LUtr S 1)38EName: � 1� ;. .. l_ License#: Contractor Address: _ y: <="� State: r V V! Zip: j� Phor : L �^ Contact: YA' -"t-e Email: Type of Work —New —Replacement —Repair _Rebuild Modify Space —Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type Add Plumbing Fixtures( Main/—Lower Level) Septic System New Water Turnaround •andonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and 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.orq I hereby acknowledge that this information is complete and accurate;that the «• •— nce with e ordina -s and codes of the City of Eagan; that I understand this is not a permit, but only an applicatio ,••-• permit, and w•, is no ,' out - •'°i'it; that the work will be in accordance with the approved plan in th- case of work which requ' - - review and •.royal of p-ns. '111 ��- 1/./12.-'V/ - j"106,,VVY ire Applicant's Printed Name Applicant' •nature FOR OFFICE USE Reviewed By: Date:'. Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff For Office Use * City Permit#: C�` I of �� �� Permit Fee:_ w- 3830 Pilot Knob Road Eagan MN 55122 Date Received . Phone: (651) 675-5675 Fax: (651)675-5694 Staff' � I 7017 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address: Z-C (`fi j j `C, OFFICE USE ONLY //I Property Owner: CK S/9-7l f) co- ri vn Telephone#: 115/ 73 ?•73-X�� �"�C� No PRV required to/y, -1( �( Plumber: b W Date of Inquiry: L City County R-O-W Permit � r ILL( Contact Name: JEt-t" I The - ` (1•�lea (s� I 70 SEWER WATER 4" Sewer Service $691-:68•NA - = - - ' - - Sewer lateral charge @$28.30/ff AlA Water lateral harge @ $ :.60/ff to-g. 119 429 Sewer trunk @$1,150 I connection f j.. Pie v. Water trunk @ '1,200/ onnection I/2vo. City SAC h/to - $10098 =- • • = c; ,° : • ' MCES SAC ;,z{4 i $.1,825700 ': ; !- -• Receipt#: , Date: Treatment Plan $690.00 Septic abandonment $50 Permit Fee $50.00 Permit Fee a. State Surc =rge $0.50 State Surcharge $f *Plumbing Pz it Required-water me •rto be acquired with building permit TOTAL: to 0, TOTAL:(o 7.5.C.) SEWER&WATER 4"Sewer -rvice $691.00 1"Water Se ice $772.00 Sewer lateral •arge @$28.31 Water lateral ch. •e @$28. Off Sewer trunk @$1, 0/con,ection Water trunk @$1,20 k co,nection City SAC $100.00 MCES SAC $1,825.00 Receipt# , Date Water supply&st• age $1,150.00 Receipt# , Date Treatment plant $690.00 Septic abando ent $50.00 Permit Fee $100.00 State Surcharg $0.50 _ *Plumbing Permit Required-water meter to be acquired with building permit • - TOTAL: t\n Vrj j 1 Use BLUE or BLACK Ink OF �,q For Office Use L.��] J yo , C 1 Uto `�` .� Permit#: (73 71% C Permit Fee: )/)"„1-9 °,42 $ Date Received: 1:2-J4 / DEC 0 4 2017j 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 buildinginspectionst cityofeagan.com r� 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: a r✓ Phone: C('-5,1-- I2 ;7?6i3 Resident! :x: Owner r Address/Cit /Zi Applicant is: Owner X Contractor Type of f/Vork if Description of work: -4111,4i( 4 e -erf Cu,h�6cv ;/1a 2.y C�„P h)t " v Construction Cost: //7o.oO Multi-Family Building:(Yes /No ) Company: I r /la l 5S/v f-t;r1.1- 6.141i--(2.-' 1 Contact: <lrc Ji•/� � ( Address: )7© /-,:;71C Contactor u �( � city: lvs2��1 y �3 Stater/ Zip: 5-5-A 4 Phone: 657 i.3'trnail: rye,:re f20 , t q. A4T—F1'70ao7-/ C License#: �C tg ,� ;�� Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: MOTE:.Plans and supporting do menat,you submiton . { to be publicinformation motions of at!on, y classified as non- blic °. r rovici it c s at wulco . rt the C to" , ,:,that th- a . a .e- ,- .0 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaean.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approkicxue/4 ed plan in the case of work which requires a review and approval of plans. - r re1+ xApplicant's Printed Name Appli nt's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE -3--Ds- X-hs k (lye_ / I SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior _ Alteration Fire Repair Windows __ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall Demolition of entire building-give PCA handout to applicant DESCRIPTION r Valuation ( 0 Occupancy MCES System Plan Review Code Edition to SAC Units (25%_100% 1 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS Insulation / Windows 1'Z, ""' Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC t , City SAC i _47)1414 Utility Connection Charge2 `-' 0 S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171785 Date Issued:08/31/2021 Permit Category:ePermit Site Address: 3325 Lexington Ave Lot:005 Block: 075 Addition: Section 10 PID:10-01000-75-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eli C & Shannon C Rupnow 3325 Lexington Ave Eagan MN 55121 (952) 447-2080 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature