4319 Kirsten Ctjd d 3c) Zy
TO{•IN OF EAGAN
3795 Pilot Knob P,oad
Eagan, Minnesota 55121
PERMIT N0. 74
The Board of Supervisors hereby grants to Weierke Trenching
c1f Route 2, Rosemount, leIId.
Septic Tank
a Cesspooi Permit for: (Owner) Myron Kreckjau
at b?;5\1\ ?,,?.?C•-?' &
, pursuant to application dated
AuBUSt 11. 1971 ?
Fee Paid: 10.50 Dated this li day of August i 197 1
Building Inspector
/p G ZSbd 03u e-?e
,
.
TOL•JN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55121
PERMIT Ai(). 153-_-
The Board of Supervisors hereby grants to Mvron Krecklau
of 730 Hnckatnore Drive
a PLiJMBING Permit for: (dwner) same
at same s pursuant to application dated
9/2/It .
Fee Paid: $20.00 Dated this .2nd day of September , 197? .
.50sc
Building Inspectar
t „ /U` 31 -7 5u- 6 30?-0 I AaQ?cj
EAGAN TDWN S H IP
? BUILDING PERMIT
1 Owner --- ...?..-- •---`-`-?--''°? ------ •-° --° ..............••°--------? -- -f----?-----°°--
? ---
? Address (preseni) •• ??.°.-?--- ?'?-s"? J•'•?°.'.::? .- ..... ..----?°'_
Builder ....... °.......-• .............. .. .....?r???ct?e?_!.?-----
---..-----....--
_........^`.t:4:?. ..J...y...... 22........ .'_'........ :
Addreas ......
DESCRIPTION
11T° 2475
Eagan Township
Town Hall
n8:e ..... ...................
:....
Stosies To Se Ueed For Fron3 I Depth Heigh! Est. Cos! ' Permi! Fee Remarka
• .?r z
v LOCATION r -,e /-? a
Streel. Road or oiher Deserip on of Locati n I Lo! Slock Ad tion or Trae!
This permit doed not auihorise !he use of slxeels, roads, alleys or sidewalks nor does it give !he owaer or his agen!
!he right fo create any situatioa which is a nuisance or which presenis a haaard !o !he health, safety, convepieace and
genesal welfara to anpone in !he commuaily.
THIS PERMIT MUST BE KEPT ONT?H?E? ?PREMISE WHILE THE WORK IS LN PROGR SS.
•••-•
This is to ceriify, thal..._.._------.----•........... has permission 3o e:ect a ...... ........ . . . . . . ... .... . . •••-_uPon
!he above described premise subjec! Yo !he provisions of the Suilding Ordinance fo: agart/ Township adopted April 11,
1855. o-
........................_ ..._..--.-•-• •••. .. . ..1`„`"'..._---..._. .---. Per ----°-....--.-------f"°"?: .......V.____----....._............_•--•°°-
Chairmaof Tnwn Board ? Suildin Ias ecfor
CITY OF EAGAN Remarks
Addition SUNSET 2nd ADDITION Lot 5 Blk 1 Parcel 10 72986 050 01
Owner screet 4?31-9 Kirsten Court state Eagan, MN
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 5 jsr 1981 196.67 9.83 20 aid unde ori ginal ar el
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA S 7?. 1981 196.67 9.83 20 aid unde ori inal ar el
STORMSEW TRK 1985 668.45 44.56 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
?j .
Ah? Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Fax: (651) 675-569475 05' / 3 L/1&_(_&G1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
uate: 5?6?204'? Site Address: L?.3/1 K ;Y,I tep1 Ct. /Yl/y 55123
Tenant:
- --------------
i
j Permit #:
? Permit Fee: I J? ?
? Date Received: j
I I
I Staff: 1
I
? _ J
Suite #:
RESIDENT / OWNER Name: 0q?iC1 i HPrfJ,' He?ev??ZrYth Phone: 65/. 6[f6 7q57
Address / City / Zip: 43 17 " 1 rSteP? Cf Ea?an ,/tA/V 5?5 /Z J
Work/Day pho19e ? q?.M7 3J15
A
li
x
pp
Owner Contractor
cant is: _
TYPE OF WORK Description of work: oxk YCYJdt'Id
;t, J2
300 M
il
B
ildi
Y
N
i
l
i
F
C
C
1
am
y
u
ng:(
es
o
onstruct
on
-
ast:
u
t
CONTRACTOR Name: Se I.? License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitled
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_Yes _No If yes, date and address oi master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
iio iii
4r Y
? ?zi ?, i, ?,??.`?- ??"ro?f ?1 t?t - .-r? • ' ? ', 4 . . -`? ; ?
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cily of
Eagan; that I understand this is not a peimit, but only an application tor 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 appro ?oi plC vv"U ?
x l?tvI Vq Q!? ,C?Gil?tr l x vf
ApplicanYs Pri ed Name ApplicanYs Signature
Page 1 of 3
M1
? w ' •
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex P< Deck ? Porch (screen/gazebo/pergola) ? Muiti Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demotish Building`
;6- AddNion ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
` Demolition (entire building) - give PCA handout to applicant
DESCRIPTIOPI:
ti
V
l
O
stem
MCES S
a
on
ua ccupancy y
Plan Review Code Edition SAC Units
-
(25°/a 100% ? Zoning City Water
Census Code Stories Booster Pump
# ot Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. ? Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _Air Test _Final
Insulation
Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of S
Site Plan ?
Address: 4319 Kirsten Ct.
Eagan, MN 55123 '
Owners: Davit# Hegenbarth ?
Heidi Hegenberth
?
,
r C>'
? -- I 5?a .? I ----- -_
N89 ° 38? 38, : E ?
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x
co1 =
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Kirsten Gt i ?
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oc
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DF'AlNAGE 5 L
? r EA.7.,1V1E3V! ^
?6
Z23
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, s
s?}p •,? : r
? to p
ILITY
`? f 1
?9.2 9? ?4.$9
_-
? tv:r?°?=..,m ?aa'xixi,
? 534.50.
S89°$6 ` C35
. -i ? ? 3
Pernut #: Receipt Date:
CITY OF EAGAN
2005 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address
Property Owner NyyhP ky-e-CkA ot L
Telephone # 7):a[-) - SAE?_ PpU() ?
Plumber Tp?lh
Date of InGuiry I O
Contact Name ,
OFFICE USE ONLY
_ PRV required
_ City _ County R-O-W Pemut
e {I I ? ,
,.L?
Sewer Water rndl?
4" Sewer Servi e $ 651.00 1" Water Service 727.00
Lateral charge @ 6.70/ff Lateral charge @$26.95/ff
Trunk @ $1,085/co ectio Trunk @ $1,130/connection v
City SAC 100.00 Water supply & storage 1.009.00
MCES SAC 1,450.00 Receipt # , Date
Receipt # , Dat Treatment plant 612.00
Septic abando t 50.00 Permit Fee 50.00
Permit Fee 50.00 State Surcharge .50
State Surcha e .50 Plwnbing permit required - water
meter to be acquired with plbg permit
Total $ Total
$
Sewer and Water
4" Sewer Servi \a26 i" Water ServiSewer lateral cff
Water lateral eff
Sewer ttvnk @ ioi
Water trunk @ ior
City SAC
MCES SAC
Receipt #Water supply & Receipt # Treahnent plant
Septie abandonment
Permit Fee
State Surcharee
Tota1
Plumbing pennit required
?Vater meter to be acquired with plbg permit
W0.h?5 ? k1-?OVJ
$ 651.00 JV 5`n2? C1ee6S ?D
727.00 Q 6 q AIZO ?
- ?'?? - ^-.s=.e?
w e,I ? aA so . n
100.00 OtI o
`?.
S .
1,450.00
1,009.00
612.00
50.00 ?
100.00
.so J ?.
$
cc. Carolyn Krech, Finance Department
CSTY QF E:AGAN
CASHIER. J5 TEFiMINAL NQ: 032
DFl7Ea 12/20/99 TIhfEt 13.54a40
IL? ?
NAMEe AfiLEPlE R. f.REC:YL_AU
3866 3379 4313 F:IF:S'1'EtN CT 100.00
2275 9220 4313 KIRSTEN C7 17433.5b
3446 3001 409 F'.LRSTI::N CT 10.50
3865 9220 4313 KIRSTEN CT $25.00
3868 9224 430 KIRSTEN CT 468.00
2252 9cnc?U 430 KIRSTEN CT 1.`a.00
3232 9001 409 t:LRSThM CT 30.00
3743 9220 43i.9 KIRSTEN CT 5(),(]0
303- 9220 $09 F:IRf'.?T[N C7 50>QO
2155 9001 4319 h;7:FiST£N CT 0.50
Toi,a7. I;eceipt Amo„nt: 2a58E3.50
Cfi 1.21. 395
IJSF_fi ID: 7AN
Cy? ? ?
?
. ?. .
?, ??r c,s
Lot ? Block ' PID #
Plat 0
Sewer /water pertnit # -??9 1 U 1
Date k P" a- 6 / q ? Receipt # j `,)- 1 ?,? I 'S?
CITY OF EAGAN
1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer
Water
I.ateral charge @ $21.85/ff $ Lateral charge @ $22.10/ff $
Trunk @ $880/connection Trunk @ $920/connecrion
City SAC 100.00 Water supply & storage 825.00
Base SAC 1,050.00 Date paid
Date paid Receipt #
Receipt # Treatment plant 468.00
Account deposit 15.00 Water meter "Inspections req'd prior 114.00
Septic abandonment 30.00 to issuing
Sewer permit & surcharge 50.50 Account deposit 15.00
Subtotal $ Water permit & surcharge 50.50
Subtotal $
Total $ Plumbing permit & surcharge 30.50
Total $
p? Sewer and Water-
Sewer lateral charge @ $21.85/ff
Water lateral charge @$22.10/ff
? Sewer trunk @ $880/connection ?- ?
Water tArunk @ $920/connection ?1 ?
1"?
l?
?- ' itY S!]C 100.00
Base SAC 1,050.00 ?,?c9?? .<;i)
Iv
Date paid Receipt #
Water supply & storage 825.00
Date paid Receipt #
Treatment plant 468.00
Water meter "Inspections req'd prior to issuing -444P? nc F-- ?'J c? :?,r?-y? ?•`?`'?^-"
Account deposit d U-38?p? w? ?, c fS r?
Sepdc abandonment 30.00 -1.
- Sewer and water permit & surcharge 100.50
Subtotal $ D "s-
Plumbing permit & surcharge 30.50
Total
S
? OFFICE USE ONLY
Property owner PRV required: ?e 5
Address A'-?) IR,,S4,n C?" ? R-O-W Permit: CityCounty /Y//{
Phone number q u id $
Pj,J O Pe?it Fees:
Plumber
City financed:
cr. Cazolyn Krech, Finance Department
CITY USE ONLY 1
L ? 8L RECEIPT #:
SUBD. RECEIPT DATE:
PERMIT#
1999 PLUMBLNG PERA+IIT (RE.SIDENTIAL)
CI'fY UP EAfilkN
S$SO PILOT K1VOB RD
EAfiAN,11dN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwetling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 X = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ---- _ $ 3
State Surcharge .50 --> --> ----> $ .50
Total --> --> ----> ----> $ 36 . S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and ag2e to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS:
,. _
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
( `e C-k ( 0. l„ TELEPHONE #:
(AREA CODE)
U NT rNC TELEPHONE #: ?/,-? G2;?- "Lls; '-7S
(AREA CODE)
CITY: STAT : ZIP: 65
SIGNATURE OF PERMITTEE
Y
>k
r - ?
'?+ + S4? ;.tA
S3f
? city of eagan
TO: MEMO TO FILE
FROM: MIKE LENCE
DATE: JANUARY 8, 2003
SUBJECT: i • '
MEMO
On January 7, 2003 we received a complaint regarding the possibility of someone sleeping in a
room at the above-mentioned address that did not have a legal egress window. I spoke with the
homeowner Arlene Krecklan, and mentioned to her that all sleeping rooms require an egress
window. Ms. Krecklan stated that this was not the case and she would not put people in jeopardy.
This note is being submitted to the parcel file as a record of my conversation with the homeowner
on sleeping rooms and required egress windows.
cc: Dale Schoeppner, Chief Building Official
MASTER CARD
0 LOCATION
OWNER
6 sF, _ ") s- -
STRUCTURE AND
LAND USED AS 12k) ? AM GOR ?
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING R
, 4 /T/C ellL L 4 (J
CESSPOOL - SEPTIC TANK
WEII -7
ELECTRICAL 47
HEATING 40
GAS WSTALLING ?
SANITARY SEWER
OTHER I
O7HER I
.
?
N
ITems Approved
(Initial)
Date
Remarks
DisTance From Well
FGOTING
FOUNDATION ?
l? aL? 9A
•??? ?? SEPTIC yO
CESSPOOL Q1p?
-
FRAMING
FINAL I
ELECTRICAL
i ?
TILE FIELD FT.
HEATING
- DEPTH
OF WELL
GAS INSTALLATION i
SEP71C TANK ? ? ?•?
CESSPOOI
DRAINFIELD V_ s ??11
PLUMBING
WELL ? •? ,,/ ??//?
SANITARY SEWER
-
?
? ID?
ViolaTions Nofed
on Batk
COMMENTS:
?
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS ?
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS
1:1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
?j COMPLETION OF CERTAIN IMPROVEMENTS
LJ WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
?
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR DATE
COMMENTS:
?
.jg? 23
r ?+
?
it-citip oF cngan
3795 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
April 26, 1983
-- --
=. lo ag-?, -D
ARLENE KRECKLAU
EAGAN MN 55123
Dear Ms. Krecklau:
BEA BLOM9UIST
Moyor
THOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
Council Members
THOMAS HEDGES
Ciry Atlmirtisiratpr
EUGENE VAN OVERSEKE
Cirv Clerk
Mayor Blomquist sent a letter to my attention which was forwarded
on to the Director of Public Works for review and comment.
Your concern relates to the financial and/or assessment responsi-
bility regarding the development of the proposed Sunset Addition.
Mr. Colbert has reviewed the letter and there are a number of issues
that can relate to public improvements and as a result impact area
assessments. It would be well that you contact Mr. Colbert and
arrange to meet or discuss the issue by telephone with his office
so your concerns can be better examined by the City. Mr. Colbert
is responsible for the special assessment department and administers
all public improvement projects for the City.
You can contact Mr. Colbert at 454-8100 and ask for the Publfc
Works Department.
Sin rely,
?
Thomas L. Hedges
City Administrator
TLH/hnd
cc: ?Tom Colbert, Director of Public Works
TNE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
CITY OF EAGAN
? OFFICE INFORMATION MEMO
TO ? DATE TIME
FROM ? L ?- OF
PHONE NO. RECEIVEDBY
H Was here to see you
Please call Will call agaln
Returnetl your call
ACTION REMARKS/MESSAGES
Revlew and See me
Review antl comment -ro M r
O&k"
Prepare reply }or my slg.
RePly and sentl me coPY
?V ?ew1 K y?,?
' ?
e
? ?
For your approval A
I-
-
A?N ,?, ? [t ?,Q..
For your Information
For slgnature 1? 1 O
??y.\\eS ?r
As we discussetl Clw*??
ki
As you requestetl
Take appropriate actlon S
e
' 1 r /?A tl.S.
Notifystaff
\
FILE 1:1 DISPOSE OVER
J%j
PHOTOCOPV:
ONE SIDE ONIV H COLIATE
NO.OF COPIES HEAD TO HEAD STAPIE
DATE NEEDED HEAD TO FOOT (Other)
TYPING:
ROUGH ORAFT RUSH
OATE NEEDED SINGLE SPACE FINAI COPY
DOUBLESVACE CARBONS
r
V
Nl0.y o-r
D'f W CA2_h
CO V?l CeJC Vl% 611 2-.
hex re.s vum CA? 'ys ?-
con
?Y
eo55?b??a?r ` c?`C13,hq .
J
he a? o?? a?- ??m s e?n ce.?cw1 v??
ct?5ess Yv?eM?S ? c? Cc?c.e?MS
C'kv
IS Got1
ti
MEMO TO: THOMAS L. HEDGES, CITY ADMINTSTRATOR
FROM: THOMAS A. COLBERT, DIRECTOR OF PUBLIC WORKS _
DATE: APRIL 19, 1983
SUBJECT: SUNSET ADDITION - ASSESSMENT RESPONSIBILITIES '
"` L4_- _aasov__a av=-a g_
The following is a response to a letter dated April 6th to the Ma-
yor pertaining to the financial and/or assessment responsibilities
to existing adjacent properties that may result from a new devel-
opment such as the proposed Sunset Addition.-
In reviewing the proposed Sunset Addition plat, although a 25'
half right-of-way will be dedicated from this new subdivison, an
additional 25' half right-of-way will have to be acquired from the
property to the south of Hackmore Drive which is presently owned
by Arlene Krecklau. Whether this right-of-way is acquired through
negotiation by the developer or through condemnation acquisition
by the City, assurances that this additional right-of-way will be
acquired will have to be provided before proceeding with the final
plat appr,oval and ordering.the installation of public streets and
utilities to service this subdivision.
The assessment responsibility associated with any improvements with-
in this area will be levied against all benefited properties. As
such,.Ms. Krecklau's property will benefit by the extension and in-
stallation of streets and utilities as they abut her property.
This situation is very similar to the Oster Addition subdivision
wherein streets and utilities had to be installed within Skyline
Road which resulted in assessments to the existing residents along
the southside of this existing road.
Unless the City Council would elect to deviate from existing assess-
ment policies or give special deferment consideration to Ms. Kreck-
lau, any feasibility report that would address the installation of
public streets and utilities to be installed under City contract
would have to include Ms. Krecklau's property proportionately for
her fair share of the benefits received.
An alternative available to the City is to deny the petition for
the installation of utilities under City contract and require the
developer to install these public improvements at his full cost
and expense. It would then be the developer's responsibility to
work out any financial arrangements with the adjacent property ow-
ners if you wish to proceed with his development proposal. How-
ever, this would not resolve the issue of having to acquire the
necessary additional right-of-way to provide for the ultimate 50'
right-of-way required for the installation of these future public
streets and utilities to insure adequate rights-of-way for future
City maintenance responsibilities.
?-
.
Thomas L. Hedges
Sunset Addition - Assessment Responsibilities
April 19, 1983
Page two
If any further additional information or explanation
taining to the impact of this proposed development on
properties, please let me know so that I can provide
formation.
Respectfully submitted,
qhom
as s A. Colbert, P.E.
Director of Public Works
is desired per-
the adjacent
additional in-.
TAC/jach
?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Sit
St
et Add
e
re
ress Unit #
Prope rtyOwner llh)_L? IVt-???.QR?I.- Telephone #(3d0 J 8?-S -4398
Contractor 12r. Telephone # ( jA) ?lplv ^ (a0? 3?
Address 24 ? • City. ~ State lt.. Zip s.5
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
I Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State $urcharge $ .50
Total $ 1 ?15 ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
th& event a plan is required to be reviewed and approved.
YAWIn.Lt. ,- kgAomik 4.
Appli nYs Printed Name ApplicanYs ignature
16:18 NOV 21, 2005
FR: THERESA SCHOSTAG 027535 PAGE: 1i1
C=_-y'V ?!
C O U N 7 Y /
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
S t=A Ltn, C7,
MUNICIPAL NOTICE OF WELL PERMIT APPLICATION
DATE: November 21, 2005
TO: Tom Colbert/Wayne Schwanz (EM)
RE: Well Permit#: 05-1-1238757
Municipality: Eagan
Fax #: (651) 675-5694
Well Type: Domestic
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management Depariment has received the
following pernut application for the well described. If you require fiuther review of the application or if you have any
quesrions or concerns about it, contact ihe Environxnental Specialist listed above or our office at (952) 891-7557. If there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the pernut. Please note that pemut issuance is always conditioned on the pernvt appGcant's
observance of and compliance with all applicable state, county, and municipal laws and codes.
W ell Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Property Owner:
Well Owner:
WELL LOCATION:
Associated Well Drillers Inc
11/21/2005
Time:
Time:
Arlene R Krecklau
Arlene R Kreckiau
PLS Coordinates: 1/4, NE 1/4, SW 1/4, NW 1/4, Sec 25 Town 27 Range 23
Street Address: 4319 Kirsten CT
PIN Number: 107298605001
WELL INFORMATION:
Diameter: 4
Casing Depth: 148
Total Depth: 182
Static Water Level:
Aquifer:
COMMENTS:
qg_?) v
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion Requirements
3 registered sRe surveys showing sq. ft. of bt, sq. tk of house; and aA roofed areas
(ZO% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 sei of Energy Calculations
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Detail Opfions selection sheet (buildings wifh 3 or less units)
Minnegasco mechanical venUlation fortn
RemodeVRepair Requirements
2 copies of plan showing footin9s, beams, joists
1 set of Energy Calculafions for heated additlons
1 site survey for additions & decks
Addkion - indicate i( on-sde septic system
ti4C. 6? ?,
Office'Use'Onlv
CedoiSurveyRecd ; _Y _N
SoilsReport Y
_ N
Tree Pres Plan Recd Y _ N_
Tree Pres Required Y _ N
On site Septic System _ Y _N
l?- ? ? ] a9
Date 0 C) G Construction Cost
Site Address Unit/Ste #
A(A )
Description of Work (e-Y;'_toJri1 can^ /n wc? ?C-c70 rti 1A,4AA0
Multi-Family Bldg _ Y ? N Fireplace(s) ? 0 2
Property Owner D.x-V G, 1't e4 4? v? o-Ik Te[ephone #( )
Contractor ? ?? S -r ,? aa,.?` ?i v-G
Address (i r? City lirzoe (.??
5tate JA ,/V Zip g> L Telephone #(?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber !r; '--?-c•°--- •----•- --- - Telephone # (
Mechanical Contractor Telephone # (
Sewer/Water Contractor ' !- Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approv;pl' the ca of work which requires a review and
approval of plans.
? ?? S4 Appl Ys Printed e A ignature
DO NOT WRITE BELOW JIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling
t ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-piex ? 25 Miscellaneous
WorkTvpes
? 31 N
r (G? ????'?''?Y??L??.TU?+l?`'????``?
?fiAoro<3tnA
? 44 Sidi
? 35 I
h I
i
ew nt Irhprovement ? nter
or
38 Demolis ng
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
/C 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
DlSCrIptI0I1: Water Damage! Yes
Valuation 1?6,,?200
Plan Review 100% or 25%
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Frazning
Fireplace _ R.I. _ Air Test _ Final
74 Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Sheetrock
FinaUC.O.
x FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ 5iding _ Stucco Lath _ Stone Lath _Brick
_ W indows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Perrnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?(74M DztO C:1,
? ?Gr'J?dorv?
/ ? ? (?!!] L 7
(
? 2006RESIDENTIAL PLUMBING PERnnir aPPLicarioN ?
CITY OF EAGAN V50 `
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 9 I? O I7,
Site Street Address ?ct Unit #
Property Owner Telephone # ( )
[Contractoir .SC?,?A.?n ! ??./?? Li+?• Telephone# (7/?)?S7 637?'
Address l;?,;? City State-)A.,,, Zip Sgt
The Applicant is: _ Owner ?Contractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license Incfudes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
4 Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing onlv a water softener and/or water
heater, do not compiete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5!8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wili be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
42,n .v pA9 sc-? 4a?
Applicants Printed Name ApplicanYs Signature
?eSic?e,v?o`.,\ A 30'??D
Zo MECHANICAL rERMiT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family bui]dings when separate permits are not required for each dwelling unit
Date
Site Street Address 13 Unit #
Tenant Name (if appl;cable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor Se-Ah /9 fxG-
--,-•
Street Address 44421 City Z?z 4 r IV I_
scace zip SyJY Telephone #( 7 6_7) 7:?_7_
Bond Expires:
The Applicant is Owner Contractor _ Other
Work Type
New Construction ?Interior Improvement _Install Piping _Processed _Gas
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing lnspector
Nature of Work:
P01'Illlt F¢CS: $70.50 Underground Gink installationlremoval $50.50 Minimum (includes State Surcharge)
or
ContractValue $ x 1% PermitFee
$ State Surchazge
If pernvt fee is less than $1,000, add $.50
If oerntit fee is more than $1,000, surchazge
is $.50 for every 51,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work
wIll be in conforxnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 lans.
XP yi _ jjej9
Applicant's Printed Name A plicant's Signature
Approved By:
Inspector
Required Inspections: _ U.G. - R.I. _ Air Test _ Gas Service Test _ Infloor Heat - Final
2006 RESIDENTIAL MECHANICAL rExMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pernvts are required for each unit
Date
Site Address Unit #
Property Owner Telephone # ( )
Contractor
Street Address Cit3'
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement _ New
air exchanger
air conditioner
heat pump
other
$ .50
State Surcharge
Totat $
I hereby apply for a Residential Mechanical Permit 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 Mechanical Codes; that I understand this is not a
permit, but only an application for a pernut, 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.
Applicant's Printed Name
Applicant's Signature
7?5s5
2006 RESIDENTIAL BUILDING rERMiT arrr.icATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. R o( lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed buifding is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheel (buildings with 3 or less units)
Minnegasco mechanical ventila6on form
RemodeVRepair Reauirements
2 copies of plan showing footings, 6eams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate i1 ons8e septic system
A70. 1.?)
?(?hJs?i bnh
CQitofSUtveyRectL ? 1
5
T'nee
Mequued ? Y ?r t?
O?t'si{?'SeR6GSystem ?= ?.?! N
Date r' Constructian Cost ??OOQ
Site Address Unit/Ste #
Description of Worlt 9? 1 .0- Le P-x -s? ? ?t Cagc?c.ti? aw S r.d lk^ i?cw
Multi-Family Bldg _ Y XN Fireplace(s) _ 0 X 1 _ 2
Property Owner + 17 "c:k Ho-qL? ? a.r ? ?. Telephone #( )
Contractor
Address 3 ? City iw I V
State M A/ Zip Telephone # ((',
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUItDING
- Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
14"S
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approv of plans.
Applia t's Printed ame App ic nt's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolperola) ? 36 Muiti Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 6uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bld g) - Give PCA handout to applicant
DCSCYIptlOn: WaterDamage_ Yes
Valuation Occupancy MCES 5ystem
Pian Review 100% or 25%
Census Code Zoning City Water
SAC Units 5tories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ^ Sheetrock
_ Footings(deck) ` FinallC.O.
_ Footings (addition) ` FinaUNo C.O.
Foundation AVAC
Drain Tile
? Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucw Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
,
0
,
?
?
? 3 9-' ,.
3.t°°°
03 7
Cities DiRital Quality Control
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,. n-.rwllc! 14 ?tti the West line uf sai¢i 1.-, 522 feet; t}aenee kd+es$es'ly
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-1,116)
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
/6776s:a
Permit #:
Permit Fee: v { I
Date Received: ??-717--
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J Unit#:
Date: -."-Site Address:
Pe)
RESIDENT /
OWNER
Name: De• - u ,e- j" O L cis )j e,^. r 4 Phone:
Address / City / Zip: Vi 3 I 11,-,-,;,-, r-,-. 64`,
Applicant is: Owner X -Contractor
TYPE OF WORK
Description of work: ` �a1�{ �,� . c
p L? Gu. 33 . ' 0,-6 -0 cam_ c . ., 4- ,( e _ �.. v <., ,..._
`,
,.
Construction Cost: , 000 '...'.-2---
x� Multi -Family Building: (Yes / NoX )
CONTRACTOR'
er-
Company: _% i' �y .---4,,,___ _LA c.," Contact: i caV< <ky....�
1
Address: % `/ C' I 'D-01--- '.1--.. (, U City: ,� i., ...e �f a. -L ��, .,... ,1j/
f
/� I Ai > (--j 6,i s' s'7,.)-7
State: Zip: Phone: s 7 - 7
License #: e)-(3 < 7C/ `'Z1i Lead Certificate #: EPA - G7 bats- — / P /2 coA'% �'�-
If the project is exempt
(c'.{ Ai,: e
from lead certification, please explain why: (see Page 3 for additional informs ion) 1�
�U cot �C�' _ d
, G < tP-.'-. -_ YZ ci 1` 001,s. —.( ` `- , rpt I .c e--..._
1-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,
Yes No If
has the City of Eagan issued a permit for a similar plan based on a master plan?
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota SBuildin Co • e must be completed within 180
days of,ermit issuance.
_7r
Applicant's Printed Name
x
Applicant's ' 'gnature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
14 Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%/r
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
,, ' Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
8
tin
REQUIRED INSPECTIONS
Footings (New Building)
Footings` (Deck)
✓ Footings (Addition)
y Foundation
Drain Tile
yRoof: Ice & Water ! Final
Framing
Fireplace: Rough In Air Test
Insulation
1 Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
3) 7 r, -t,e„ 6.
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
,2 p - j MCES System
AO°? SAC Units
R - 1 City Water
/ Booster Pump
A 03 PRV
4.4 y i' Fire Sprinklers ----
/0/ /0
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests
Siding: Stucco Lath Stone Lath _
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
1,037c 38'2-
Final
Brick
Final
773A A2
Page 2 of 3
trie"cf3
/43
,o)
411*
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: I!
Tenant:
L
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
b7. C`6
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
/2"-- Site Address: yf! ( Kt v1 C7' ;
Suite #:
RESIDENT / OWN
Name: Name: Phone:
Address / City /Ziip:
CONTRACTOR `
Name: vhaecK1i JD- C o 6- License#: C / SPA-(
Address: `Zoe 13cx- a -c. pi, City: M V lei- I• loN E -H
State: Zip: 37 Phone: u R — t L mac( `)
Contact: Email:
TYPE OF WORK
— New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
Septic System
_
Water Turnaround
New
_
Abandonment
&4s L f" `p l )TK c__
RESIDENTIALFEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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 DA-(4.TArtecfr
Applicant's Printed Name
x
Applicant's T"nature
FOR OFFICE USE Reviewed By:
Required Inspections: Under Ground Rough -In _Air Test as Test Final
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA135759
Date Issued: 04/04/2016
Permit Category: ePermit
Site Address: 4319 Kirsten Ct
Lot: 5 Block: 1 Addition: Sunset 2nd
PID: 10-72986-01-050
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
- Applicant -
Owner:
David A Hegenbarth
4319 Kirsten Ct
Eagan MN 55123--207
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
46.
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
)2 ea en nrner
Name: "i,2_. Aye, -7 r APhone: 65/ -`2 7 Er"— Cc? G'.3
/
Address / City / Zip: y,ti3/, / 1 ;/'S'4
br
y License #:
Name: V.. e'ci4 7 f)/Lim 6,
Address: 226 ,q),-7 / )0/ City: /12, /-7(
State: h7,,// Zip: S 57-2,6 Phone: G 57 /5z- 9'2 % 7
Contact: Email:
New Replacement Repair Rebuild odify Space Work in R.O.W.
— —
Description of work: t?'5- gbc ./---
!e ,--)✓ C7 /
n.,
errrr tnType .
'
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
—
Water Turnaround
New
— Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
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.00pherstateonecall.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 ' ,ot 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 approv
Applicant's Printed Name /
x
Applicant's Signature
411°'
City of Badu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 2 d 2016
r
Use BLUE or BLACK Ink
For Office Use
-1/4&3
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 431 ! kir3Tev) Cr., Ccwcui MA/ 5751 13 Unit #:
� p
R s Idem!
Owner
✓i cl f et 62 63
Name: i .evl b aYT�I Phone: 651, Z7
Address / City / Zip: 4-3I ri
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100°/Q>'° )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
eSD Lower Level
q -o
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Interior Improvement
Move Building
Fire Repair
Repair
U
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building:
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy J'2 C- \
R�l
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In Air Test _Final
10 Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
oyo Sg . . Z0.0o -s?./49--
Page 2 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA144910
Date Issued: 08/15/2017
Permit Category: ePermit
Site Address: 4319 Kirsten Ct
Lot: 5 Block: 1 Addition: Sunset 2nd
PID: 10-72986-01-050
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Royal Plumbing
23310 Canby Ave
Faribault MN 55021
(507) 202-1969
- Applicant -
Owner:
David A Hegenbarth
4319 Kirsten Ct
Eagan MN 55123--207
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