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2875 Fairlawn PlCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2875 Fairlawn P1 Lot: 4 Block: 6 Addition: Country Home Heights PID:10- 18300 - 040 -06 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Tony Green 2875 Fairlawn P1 Eagan MN 55121--131 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA090440 08/03/2009 ePermit CITY OF EAGAN Remarks Addltion Countr Home Hei hts Lot 4 aik 6 Parcel 10 18300 040 06 Owner ?-' Street 2875 FalTlaW[1 State Eagan, MN 55121 Irnproveriient Da A Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 9AN SEW TRUNK $3. 33 30 PAID SEWER LATERAL & LZS.LZ O U WATERMAIN WATER LATERALS StuU WATER AFEA STORM SEW TRK 3 > STORM SEW LAT ` CURB & GUTTER SIDEWALK STREET LIGHT - WATER CONN. Z .OO 3/39 - 6-23-11 BUILDING PER. snc $200.00 3739 - - PARK EAGAN 'rOVVNSI-IIP NO. .165 ` euoLDir?G PERMS-r ?- Ownez?!?3?. -CA,? Address (Preseni) Builder -------- ---- _._----- ----------- --- Address --------------------------- ----- ----------------------- ------------------------------ - DESCRIPTIOPI Eagan Township Town Hall DaY .??--.-?.---•--1..°..?'...- ? 7 -- Siories To Be Used For Froni Depfh Heighf EsY, Cos! PermiS Fee Remazks / LOCATION" A Stxeei, Ro d or oSher Descripiion of Locafion _I Lo! Slock ddition os TracY This pexmif does not auihorise the use ot atreels, roads, alleys or sidewalks nor does it give e owner or his' agen! the righ! !o creafe any siYuation which is a nuisanee or which presenls a hazasd to the healih, ely, convenie e end genesal welfaxe fo anyone in the communiiy. THIS PEAMIT MUST BE I{EPT ON THE PREMISE WHILE TIiE WORK IS IN PROGRESS. This is io ceriify, ihai ..... ---------------------------------------- has permisaion So exect a-------------- .----------------------------------------------- upon the above scrihed?e eai !o the provisions of lhe8uilding Ordinance for Eagan Township adopled April 11. 1955. '-??? ---?-- t'...._..Per --------...._.._--------..... Buildin --g-- Iae -p' eci _or EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERNII T FOR WATER SERVICE CONNECTION Date• June 23, 1971 Billiag Name: Jerrv Nelson Owner: same Plvmber: AL1-State Plumbine of Connection HAVING WATER SHUT OFF AT CURB. ONLY GOING TO USE SEWER AT PRESENT. Number: 648 L?-Io G•YV`,"4 • Site Address: 2875 Fairlawn Place, Ea¢an MN 55121 Billing Address Meter Size 5/8" .ead Out No.: 212177 Meter No. 21415824 . 260,00 pd 6/23/71 Permit Fee 10.00 pd 6/28/71 Meter Reading MeCer Dep. 15.00 pd 6123/71 Meter Sealed: Yea_ Add'1 Chg. $.00 pd 6/28/71 NO ITotal Chg. Building is a: Residence xx I4ultiple No. Uni Commercial IndusYrial Other Inspected hy Da[e Remarks; $25.00 P,p-i"r?SPECTION FEE FDa PAi ROPERLY INST^? 1q :.4r"r.7rt Hy: Chief Inspector In consideration of the issue and delivery to me o£ the ahove permit, I hereby agree to do Lhe proposed work in accordance with the rnles and regulatioas of Eagan Towmship, Dakota County, Mlnnesota. Please notify the abave office when ready for YnEpection and connection. EAGE3I4 TOWHSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 23. 1971 OWNER:Jerrv Nelson NOMBBR 806 4- (o C • /-f, *_ AddY898 2$75 FairlBwn plac???_ F.agun MN 55121 PLUMBER All-State PlumbinE TYPS OF PIPE Cast Iron DESCRIPTION OF BUILDING Iadustriall Commerciall Residential I Multiple Dweliing I No. of unfta xcx Location of Connections: Conaection Charge 200.00 od 6/23/71 Account Dep. 15.00 pd 6/23/71 Permit Fee Street Repairs ToYal Inspected by: Date Remarks• Sy Chief Inspector In consideration of the issue and delivery to me of the above permi.t, I hereby a$ree to do the proposed wortc in accordance with the rules and regulations of Eagan Toemship, Dakota County, Minnesota By / v All-State Plumbine Co. Richfield, Minnesota Please notify when ready for inspection and connection and before any portion of the work is covered. Ordinance No. 114: Pemut No. WELL CONSTRUCTION AND ABANDONMENT 91-9118 WELL PERMIT DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT ENVIItONMENTAL HEALTfI SERVICES SECTION WATER QUALITY MANAGEMENT UNiT 14955 Galaue Ave., Apple Valley, MN 55124 Telephone: (612)891-7556 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Kimmes-Bauer, Inc. I88UED TO #19521 ADDRESS: 21830 Lillehei Ave. REVIEWED BY Swenson Hastings, MN 55033 has submitted a permit application, has paid the sum of one hundred ($100.00) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well(s) described herein: An aliandoned welt(s) with a casinq diameter of 4 inches, depth(s) of 205 feet •and completed in unconsolidated sediment will be permanently sealed. The well(s) shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The abandoned well is located in the municipality of Eagan as follows: Well Location: Property Owner and Address (if diffarent) Well Owaer and Address (if Ciffersnt) 2875_Fairlawn Place E gan; MN - - David Emerson NOW, THEREFORE, Kimmes-Bauer, Inc. is hereby permitted and authorized to permanently seal the well(s) described and located above for the period 'July_ 1991 to_ July 1992 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this llth day of July, 1991. ?G17aLi?? L/ cn1?i ATTEST g:V?Pa."- R. 141' V?-?L??? ENVIRONMENTAL HEALTF-SQPERVISOR FC1QMONMt TAL HEALTH DIRECTOR 73v,? 9 2006 RESIDENTIAL PLUMBING PeRMiraPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?.? Date D`7 1 25 I U?, Site Street Address 2.67a`? i2? Unit # Property Owner ? G?b /, ?Cn Telephone #( ) Contractor ?Zl,. Telephone # (651 Address °lS ?Is- 4",G J},Jt"/ City Ytt?Sa ?il Fza-n State •L- Zip sSi?2 ' The Applicant is: _ Owner ? Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 10000 Per as-huilt $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener and/or water heafer, do not complete 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: " C,01- e c,.: /- 14 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 Plum6ing Permit and acknowledge that the information is comple accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and th plum ing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without permit nd work will be in accordance with the approved plan in the event a plan is required to be reviewed and a ? % c? LG t?vo 51'+-(?e Applicant's Printed Name pplicanYs Signature EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: J011e 23. 1971 NUMBER 806 OWNER: ,Jerry Nelson Address 2875 Fairleun PI aces, Fp, n pfP 55121 PLUMBER A11 -State Plumbing TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xxx Location of Connections: Connection Charge 200.00 pd 6/23/71 •.ccuunc Dep. 15.00 pd 6/23/71 FigT' Permit Fee Street Repairs Total Inspected by: 0 Date 6 " .2- ) Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, 1 hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By A11 -State Plumbing Co. Richfield, Minnesota Please notify when ready for inspection and connection and before any portion of the work is covered. City ot8apn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office yyUse Permit #: I I @-31 5 Permit Fee: Date Received: Staff: (�! INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 8[10(2-0\S Site Address: 2075 atr\ CU -On Place- Tenant: Place- Tenant: TO)'.\y ainck Suite #: Resident/Owner v Name: Y\� 4- Q kk.16y &e r Phone: 60S-1 -4 t - 1c, - 9 9 / Address / City / Zip: Zg 15 air/ 4AA-i' P1 a Le I '�#((2,r) Mk/ i 55 )Ll Contractor Name: O Aar License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair X Other: Remove_ l ea.ve --1l oct Other: Description Description of work: ui k, ."r,U1.1'-' RoiM- 1 g --#....m t t1 't I 1 r'1(Ne4 cc,vtet_ (Any VLOleS i 1/1 (1 &-'r\ PI I Cee( . FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ & 0. i70 * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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,rjeview and approval of plans. xghelt C eer Applicant's Piinted Name FOR OFFICE USE Required Inspections: Applicant's Sig Reviewed By: Under Ground Rough -In Final For Office Use G e ; or Permit#: f`7 Qi76E AG N ‘. l ' Permit Fee: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RI `" "MINED Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspections(@citvofeagan.com MAY 0 9 2018 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 5 v1 ` �C Date: '� _�� Site Address: �� `� �a-�� I 6-v-)�� i42 Unit#: Name: 1 v't3°�� Q. '1'-` Phone:/SJ 3 5J 13/6 7 ai * ent! � 11 owpOot, Address/City/Zip: a,T1 5 fTh11r k(AM Applicant is: Owner / Contractor Description of work: ij (1 P/\(�Z i.i, ,IIMi N/ h v}�' l'-'11/1,) S1 t I YPe York.� h ° r onuy Construction Cost: 1i 310U.°v Multi-Family Building:(Yes /No ) Company: r! l �1 �CS� Contact , t�(i71n C factoff Address: 5a 1 c (i~!!-1 Gi'c1 �� City: �I . f\g 014-1/1PIx53.7 , Q'23/33mail:Zip: Phone: License#:_W;776 Lead Certificate#: Q3C1-1 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: x:. 1410e Plans and supportin t rme�s ou s "= pare; to be,public in!formati e, I f f E 1, „ 'be.. lassrfied gas non-public:if y * prove Pacific." that vpermit a ity to lude that 1 = r w y are trade $.ed � .... .nf 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.citvofeaoan.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)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 -•. oval o p,:ns. 'Z' 1(11/1 it/ Applicant's Printed Name ignat .r�� e 76 pii-21460/1 P/ . 9 1/ - DO NOT WRITE BELOW THIS LINE /X . 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 Accessory Building 01 of Plex Lower Level Pool s — — WORK TYPES — New — Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation — Replace _ Repair \/ Egress Window _ Water Damage — Retaining Wall Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation __941?0 Occupancy L' MCES System Plan Review Code Edition J j(c( SAC Units (25%_100%x ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vr3 Width REQUIRED INSPECTIONS��,J 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 SFraming X 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS iInsulation )( Windows 1`, 1,11 >t vt) 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 (-1/ 5 Surcharge 6-1/\ 3 ( Plan Review ! �' MCES SACA liy)a City SAC 13 Utility Connection Charge S&W Permit&Surcharge ` Treatment Plant r/ t Copies i TOTAL Page 2 of 3