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1436 Highview AveCITY OF EAGAN Remarks r' Street - Lot 2 Blk 75 Parcel 10 00400 020 77 MM16`Highview State Eagan,MN 55121 T-/-f Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 410 196$ 245.00 $.17 30 SEWEFt LATERAL ? q E TERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT ClJRB & GlJTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER, SAC PARK ? EAGAN TOWN S H I P NG PERMIT N9 43 Eagan Township Town Hall . Date? ••. -- ••- ..??._'d.- 5tories To Be Used For Fron! Depth Height Est. Cosi Permit Fee Remarks f • - . 4Y? ? ???? ? r ??? 0 This permit does not sulhoriae the use of streets, roads, alleys or side?,walks nor does give the owner or his agent the right to create any situation which is a nuisance or which presertts a hazard fo the alth, safety, convenience and general welfare !o anqone in the communi2y. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to ceriify, that............................................................. ...has permission to erect a.............................................................. upon the above described premise subject io the provisions of the Building Ordinance for Eagan Township adopted Apsil 11, 1955. • = ? --.----.- -.....----------•---.._.....-------•-•------....-•----•--•----------•--....._....•-.•-••-•.. ...---•-••-•------.-------------=-------°...-•--•--•--........._.;.>....•--•-•-...------ Per Chairman of Town Board Building Inspector . INSPECTI4N RECORD Controi No. 1247 CITY OF EAGAN PERMIT TYPE: ?? itf' Y«ti 3830 Pilot Knob Road Permit Number: 001718 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I oT 1 092 BLOCK APPLICANT: 1436 NI811V?RW AVE TOP EiUM N(1QFINa NTBIIVIEW ACRES (612) 426--1456 , ? i PERMIT SUBTYPE: TYPE OF WORK: I SF (Irt[?I c _ ) REPAIN 4 DE4CRiPTION RF--RQAF Permk No. Pormft HoidK Date TeWphons # S/V1r PLUMBING HVAC ELECTRIC ELECTRIC Inapeotfon Date Inap. Commant4 ? Footings I Foundatlon Framing H°ofi"° o a ? Rough Plbg_ Rouyh Htg. Isul. Freplece FnaI Flty. Orset Test Rnal Plbg. Pibg. Inspector- Notfly Plumbec Cortst. Meter EngrJPlen Bkig. Finel ?/s ' ? 4. n Deck FlS. Dedc Flnal I Well Pr. Uisp. CITY OF EAGAN Remarks Addition Highview LotPt. of 6&9 Bik 1 Parcel 10 32880 092 00 Owner street 1436 Highview state Eagan.. Minnesota 55121 ? Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (? " Z 1982 1 5 74, 109.05 15 STREET RESTOR. GRADING SAN SEW TRUNK 1968 00.00 3. 33 30 AID SEWER LATERAL ' WATERMAIN WATER LATERAL WATER AREA 1977 =71 10.66 15 zz, C CiG?". -7e• STORM SEW TRK STORM SEW LAT -19$2 740. 44 -' 49.36 15 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK cirir oF EAca?N 3715 PUef Knob Roed Eeyon, MN 55122 HONLs 454-8100 BUILDING PERMIT 'd ???? Recefpt # To be uwd for C-4 µ4sCk Est. Value Date 19 SiM /lddreu Erect ? Occuponcy Lot Blxk Sec/Sub. ' Alter ? Zonin9 parcel # Repair ? Flre Zone. Enlarye ? Type of Const. 19 W N? Movs Q # Stories , = iRddreu DemoHsh Q Length Grade ? Depth Sa. Ft. cc 0 Z u°V ? ? Nome _ Addreu 1 hereby ocknowledge that I have read this applicotion ond state thaf the inlormofion is torrect and ogree to tomply with all opplicable $tota of Minnesoto Statutes and City of Eayon Ordinonces. Assessment _ Water & Sew. Polite Fire Enp. Plonner Council Bldg. Off. _ APC Permit Surchorpe Plon check 5AC Water Conn. Woter Meter Road Unit Totol Signaturc of Permittee I A Building Permit is issued to: on ihe express conditlan fhol oll work shall be done in acoordance with oll applioobla Stote of Minnesota Statutes ond City of Eapon Ordinonces. Buitdinp Offtcial Permit No. Permit Holder Misc. Permit No. Holder Plumbing c-v^ H.v.n.c. 3 l?tP CnJ ww&f' w.n Wotar Disp. S?wsr E lectric 2q Irqpaction Deta Insp. Other Footingt Foundation Freming Rouyh Plbp. . Rouqh HVA y Inwlution Final Plbp. Final HVAC Final Water Oeuxibo Loeation: Well - Sower Pr, Disp. ' Receipt PLUMBING PERMIT Parmit No. . CITY OF EAGAN Fee ' FiII in numbered spaces S/C rype or Prini /egibJy Tot. 1. Date 2. Installation Cost 3. Job Address Lat Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building 7ype: Residential 0 Commercial ? Institutional O 9. Work Qescription: New 11 Add I7 Alter ? Repair ? 10. Describe 11. No. / Fixtures Water Closet No. Fixtures Gesspool/Drainfield Bath tubs Septic Tank ` Lavatory Softner ` Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray j Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wiih all ordinances and codes governing this tYpe of work. Signed : for Flough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbened spaces Type or Print legib/y Permit No. Fee • S/C Tot. 1. Date 2. Installation Cost 3. Job Address Lot `r `' 2 Blk. Tract 4. Owner 5. Contractor 6, Address Phone 7. City State Zip 8. Building Type: Residential ? Commercial 0 Institutional ? 9. Work Description: New ? 10. Describe 11. Type No. Equinment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. r an ng: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 464-8100 Add C] Alter O Repair 11 . EAGAN TOWNSI-IIP No 578 i , BUILDINiG PERiNiT ------- Y..'_I---- .."........ Eagan Township Addsess (P esenf) ...... _?. Town Hall Builder _ - 1k- ...... ?fJ . . Date ' ? Address .----- _" .......... ---"--'-" ------... • /i?'C ' '.z ? DESCRIPTION 5foriea To Be Used For ?? Fronf w DepYh Heighf EsS. CosS PermiY Fee - Remerks l. .? ? 4:0 - //J - LOCATIi7N sxreeL ttpoa or oiner uesenpiion ox Location I Lo! I Slock I Addition or Traci This permif dces no!/36thoriae the use of sireels, roads, alleys ar sidewalks nor does it give the owner or his ageni the righlfo creale an"fua2ion which is a nuisance os which presenfs a haaard !o the healfh, safefy, eonvenieace and general welfare !o anyone in the commuaity. TEiIS PERMIT MUST K?T ?' ISE WBILE THE WOA K IS IN PRO RESS. This is !o cerfify, ihaY ..... __....._......... _..___.._._._has permission to eree! .. a.?........_ ._.._..? ..........upon the above dascribe ' subjec io the xovisions of the Suildia Ordinence for M ip adopied April 11. 1955. ? - r ._._'._'.' ._ . _ ._.'.__'. ._.?._.... P r ..1?... .irman of Tawn Soaxd nanP?tor?? ? ? ? ? ? , EAGAN. TOVVNSa°I Ii' Ownex Builder Address ..... ............ _ DESCRIPTION N0. 258 Eagan Township Town Hal] Date .......... .. /........ Stories To Be Used For Front Depih Fleighf EsY. Cos! l Permif Fee Remarka ? // // LOCATION // " _ /JAJ f A//(J This permif doas auihorise the use of sixeels, roads, alleys or sidewalks nor does ii give the owaer or his agent 1494 the zighSlo creai Ofty siiualion which is a nuisanee os which presenfs a hazard !o the healSh, safeiy, convenienee and general welfare fo anyone in the communify. THIS PERMIT MUST BE KEPT N T ? WHILE THE WORK IS IN PROG?)ES/g?????? This is So cerlify. lhaf...._..=?J--? `?.._'_.has pexmission io erect S.Ac?.`.:... _.. ... '.'-._'--.-upon the ebove desc}i? ed pre o!he provisions of the Building Ordinance for Eagan Township pied April 11, 1955. ? XZ / ../l --_.....--- Per ------------------------------------------------------- ..............--- Suilding InspecYOr CITY OE' EAGAN Include 2 sets of plans, 1 site plan w/elevations & ? BiTILDING PERNIIT APPLICATION 1 set of energy calculations. 7U Be Used For / ?Q /- L? ?j Valuation aLl Q Date ' Z2 ?e- Site Address y . ? /- ?•= Lc? ?'? , .. ?. -e OFFICE USE ONLY - ?c Lot C312Block OC? Sec./Sub. {L;S Vi??;?' Erect y? Occupancy Parcel # : /U 3 =z 5S $v O q --1 O 0 Alter Zoning ?- O ? ? ??? ? Repair E l Fire Zone f C t T wner: ,? C• h? / ?o C. n arge ype o ons . Address: /?j e4 ?= GAv - ?? ries lish ft. Front City/Zip Code: jr'aj!?'h? Grade Depth 53 /p ft. Phone #: APPROVALS FEE S Contractor: JC d,?/ /'? / ?• : L.G= Assessments Pesmit 3 Address: /ev eC ewer po lr e ? . ? t eS P an Chec k _?1 City/Zip Code: /V J ' S 1,--2 / Fire SAC Phone #: 3 Cj ? 6 Eng. Water Conn. Planner Water Meter J ! Council Arch./Eng.: ? eL l- g? Off Road Unit g. . Mdress : City/Zip Code: ? (y Ptione #: ?/ ? ? y - _P;' y 7? TOmAr, CITY OF EAGAN N° 7193 3793 Pilof Keob Rood Eegan, MN 55142 - • RHONEs 454-8100 BUILDING PERMIT Receipt # Ts 6s wed ier PORM Est. Velue Y18r000 Dote "T--1' 22.... 1982 Site Address 1430 tilPYlVlEW AV2[N2 . L'r 092 eimk 00 seoisub. HiSkI'Aew Acre Porcel # 10 32880 042 00 W Name ??+aua u. v awic z naa,^u 1436 Highview Ave., ??... . ?. .,.-.? p Nome u§ Addre f- r.,. Neme _ Addrea I hereby ackrwwledge that I have read this apDlicotion ond stote that Ihe informofion is correct and ogree fo comply with all opplicoble State of Minnewto Stotutes and Ciry of Ea9an Ordinonces. Sipnofure of Permittea A Building Permif Is iuued ro: John E oll work sholl be done in accordance with all Buildirp OfffNal ? erect '? Occuponcr R-3 Alter 0 Zoning Repoir ? Fire Zona Enlarge ? Type of Const. Move ? # Stories Demolish ? Length 24 G.ade ? Depth 30 Sq. Ft.- Aoorovala Feea Assessment Permit t40 6 iv Woter & $ew. Surchorge 9.00 Palice Plan check 64_25 Fire SAC Enp. Woter Conn. Planner Water Meter Council Rood Unit Bldp. Off. APC Totol -C. 75 on the express mndiHon Ihni mm?yra es ond City of Eogon Ordinonces. . 71722 REQUEST FOR ELECTRICAL INSPECTION r« ' See instrimfions fnr comOleting thiS fnrm on bnck of Yellow copy. L ! w Be::uw Work Covered by 7his Requesi 3r EB-00001-03 S31 New Atld fleo. Type of Huildin Anoliances Wired Eqvinment Wiretl Home -'Pp Range Temporary Service Duplex Water Hr;ater Lighting Fixtures Apt. Building Dryer Eler.tric Heatin Commercial Bidy. Fmnace Silo Unloader Industrial 81dy. Air Conditioner Bulk Milk Tank Farm otner oom , OtnAr ISUVrityl 01her (Syecify pi hm Uther Campute lnspection Fee Below b Fee ServiceEntrenceSize p Fee Fee.ders/5ubfaxtlers N Frze Circuits ?to100qms 0 [o30Ams 1.2 -30. 00 0 m30Ams / r 101 to 200 qmps 31 to 100 qmps ,pp 31 to 100 Am s Above 200 qmps A6ove 100_Am)s Above 100_Am>s Transrormers Remotc Contro l Circ. Partial-'Other Fee Sic?ns Special Inspection 50 S C Rernnrks OT E ? 71 Rough-in Final ?? ? Da[a ? I. ihe . spacbr, hereby «.uiv,i,atma,no,e ection has been made. Inis request voitl 18 months froni S? ihis reque+t voitl p'Zq La4 Z, SOp( / f`fe-S 315 3( 18 months irom ?' 71722 ? `?? 'o? Hnnuest IJatn ?_??_?^ j Firn No. Rouqh-in Inspeuiinn Re ed? ? XRenAYNow?WiIlNOtilY.InsPec- t??r Wh R d ? ? ? es No en ea v ? Li,;ensed ElecVic.al ConVac[or I hereby request inspection ot above $Owner elechical work installed at Sne t Addres s, Boz aq Rnuln No. ? City ectmn u. Tnw hip Namr. or No. ' Ranpe No. Cowmy ? ?Ql Ocr,upnnt(PRINT) 7So {n. n 0' Too 18- Phone No. s? - 3q 7(o Puwe? SupIr Address S Electric.a?l `Conlrcact^o. ICompany Nanie) OW?G\ ConUacmr's Licurise No. Mailing AdJress (Conhac[or or Owner Making Instailntion) ? ('x- Author' ' iatur ICOn od0 cr Makin latinn) P?n?NTber I7 j 3? ? MIN A STATPeOARD OF ELECTflICITV THIS INSPEGTION REQUEST WILL NO7 G' s-M ' 'dwey Bldg. - Boom N491 ' gE ACCEPTED BY,THE STqTE BOARD 1827 University Ave., St Pxul, MN 55106 UNI.ESS PqOPEP INSPECTION FEE IS p?,,,,,e IqIII Iq71111 ENCLOSED. PERMIT# ?b IYI'l RECEIPT DATE: % RESIDENTIAL f'LUM$INfi P£ftMIT APPLICATION crrY og EAsM saso ru.oT icNoa Rn $148RA, b1A 55122 651-01-4e75 Please complete for: SITE ADDRESS: OW NER NAME: INSTALLER NAME: STREET ADDRESS: cirv: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irtigation system y 36 ? ?yC Place a check mark next to the qermit work tvqe STATE: W ZIP: J r 11> 3 New residential dweiling unit under construction and not owneNoccupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system . new installation/repair/rebuild of RPZ • lawn irrigation system • water tumaround V 'If ?? N f ature o work: Septic System, new/refurbished - $ 225.00 • includes County & Consuking Inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 Total $ U, v Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water tumaround, etc. I hereby acknowledge that I have read this application, state that the informetion is cortect, and agree to comply wflh all applicable Ciry of Eagan ordinances, tt ca?the Ciry during its normal is the applicanPs responsibiliry to notify the property owner that the City of Eagan assumes no liability for y damagesylaas e operational and maintenance activilies to ihe facilities ConstruCted under Mis permit within City propert ? Q I ??CI? ? TELEPHONE #: (AREA CODE) ?vrl rVt TELEPHONE #: 7H 7?_7^ f / l l t _ , (AREA CODE) SIGNATURE OF PERMITTEE Updated 9l01 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT> 092 BLOCK; e 1436 HIGHVIEW AVE TOP GUN ROOFING HlGHVIEW ACf2E8 (612) 425-1455 ? ? Control No. 1247 8UI{_0 ING 001718 10/29J92 7 J PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPI"TON RE-R00F PERMIT CI_TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Datelssued: euzL otN a 0 01718 10/23/9?_ SITE ADDRESS: 1436 H7GHV7:EW HVC LOTe 092 BLOCK: m i1IGHVIEW ACi2IiS DESCRIPTION: ? RF-ROOF .'?Yiuildiln.g Permit Type SF (MISC.) 6uildi,ng",Work l'ypa REPAIR UBC Occupan,cy R--3 ? \ ?- ? Q?j?_.jk(' ij 1-)? REMARKS: C o ?- I/-I u l4 FEE SUMMARY: VAI_UATION Base Fee Si.ircharge L3c. Seai-ch Fee Tatel Fee $81.00 $3.00 $89.00 $6, 000 CONTRACTOR: - Appl].canr. - sl'. LIcOWNER: TOP GUN ROOFING 1'1251.fl55 0003388 OTOOL JONN 9644 X7MTNE5 LN 1436 HIGHV]:EW AVE MAPLE GROVE MN 55369 EAGAN MN 55122 (612) 425-1455 (612)454-3476 hereby acknowiedge at I have read this application and state that the fiormati.on is corre, d agre.e to cnmply wath all applicable 5tate of Mn. taYUtes and Cit a n Ordinanr..as• ?? - Control No. 1247 1/1? ? m R'u ? I. ;ANT/PERM SIGNA RE ISSUED V: IGNA R- PERMIT # CITY OF EAGAN A`i•0r?,' REacrivArE _ 1892 BUILDING PERMIT APPLICATION lqii 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once rmit is issued. Date Valuation of work ?? . Site Address: A' G, vi cL) giy STREET SU1TE / Tenant Name: (commercial only) IAT BIACR SUBD.,{ 1I'/? jI+?y °? P.I.D. # Descrl tion of work: The applicant is: ? Owner ? Contractor ? Other (Daseribe) Name D f?o? al, kll vnmi4 ys' Property . LAST FIRST Owner Address ? Y3 6, ,' ??` q ?r ' s c.J STREET T STE N City State ` Zip .2 l/ Company Nn ?'n Phone Contractor Address X'vyiL,I License # 335? Exp. C' City Z!?7ap/y G ro L) j__ State Zip SS 341, q' Company Phone ' Architect/ Engtneer Name Registration # Address City State Zip Sewer 5 water licensed plumber . Processing time far sewer 8 rrater permits is two days once area as een approved. I hereby acknowledge that I ve read this applicat n and state that the information is correct and agree to comply wi h all applicable Sta of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?-? OFFICE USE ONLY BUtLDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addltion 0 04 SF Porch ?[ 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations F 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy R-3 2nd Fl. sq. ft. Zoniny 3q. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Engineering Building Variance REQUIRED INSPECTIONS. _F ? Site ? Footing ? Mallboard ? Final ? Framing El Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review City SAC Mater Conn. Nater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Cop1es Other Total: aj. ub Yeluatian: s,oo s S dc9vd ? ??• ' +b Oese6ent Finish ? 17 Swim Pool O 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Boaster PumP Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units ?,7? CITY USE ONLY L _a BL w RECEIPT#: I ?,. /I???? SUBD. ? W?XiJ RECEIPTDATE: //?/ ? PERMIT # 'tGU Ii 2000 PL I G ERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PILOT KNOH RD EP,GAN, 2M7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventerforundergraund sprinklersystem FIXTl1RE5 EACH # W5 ? l6, s0 TATAI Alterations to existing dweliing - minimum fee Describe: $ 30.00 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 = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ Septic System p newr,mt.rtaohwd • requires MPC Iic. 75.00 x = $ s o U Se fiC 5 StBm abandonment 30.00 X = $ RPZ new installation/repaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round sprinkler if dwelling is under conslruction 3.00 x = $ Under raundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under eonsWction 5.00 x = $ Water softener it existmg dwewng 30.00 x = $ Water turnaround 30.00 x - _ $ State Surcharge .50 -> -> -> $ .50 TOtal 9 S . S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adcnowledge ihzt I have resd this application, state that the infurrnation is correct, and agree to compy with ell appliceble City of Eagan ord'inenoes? It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by Me City during its nortnal operetional antl mainMnance adivities to the facilities consWC[ed under this pertnk xrithin City propertyhightof-wayleasement. SITE ADDRESS: I y ? L, , OWNER NkIdIE: : INSTALLER NAME: Z(f l/ m eK?- S e,P v i'Ce 5 STREET ADPRESS: FU' CITY: ?,l z vJ C) o Q-7- TELEPHONE #: (AREA CODE) 0' 9 7 CA, ys i . n? TELEPHONE#: 651 (AREA CODE) SIGNATURE OF 550(i? 5 / ?1/1,? Lotdq -'?" Elock 0 PID Sewer lwater permit #} Plat ? V1 V ? e s, A-? f -e-5? Date Receipt # CITY OF EAGAN 1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer / Water / Lateral charge @ $21.85/ff $ - Lateral charge @ $22.10/ff $ Trunk @ $880/connecrion ? Trunk @ $920/connection City SAC 100.00 Water supply & storage 825.00 Base SAC 1,050.00 . Date paid Date paid !? Receipt # Receipt # r` Trealment plant 468.00 Account deposit 15.00 Water meter '*InsWlons req'd prior 114.00 Septic abandonment,," 30.00 to issuing Sewer permit & surcharge 50.50 Account de sit 15.00 Subtotal $ Water it & swcharge 50.50 Sub tal g Total % g ?ing permit & surcharge 30.50 i Total $ Sewer and Water Sewer lateral charge @ $21.85/ff Water lateral charge @ $22.10/ff ? Sewer trunk @ $880/connection {- Water hunk @ $920/connection City SAC 100.00 ? Base SAC Date paid Receipt # 1,050.00 3 ?? Y ? ? Water supply & storage 825.00 __- Date paid Receipt # Treahnentplant 468.00 Water meter '*Inspections req'd prior to issuing 114.00 Account deposit 30.00 Septic abandonment 30.00 Sewer and water peiinit & surchazge 100.50 Subtotal $ Plumbing pesmit & surcharge 30.50 Total $ OFFICE USE ONLY Property owner MV S f-? Q\ r?-n Uv ?- Address 1q''? la ?-t S V? V i f i?.) P,-Ut4Au-e- Phone number S- O 33 ? Plumber PRV required: R-O-W Permit: City County Unpaid Permit Fees: City financed: cc: Carolyn Krech, Finance Department **#***?****t******k**#WRxxxxxxx:xxxx..? CITY OF EAGAN CASHIER: JS TERMINAL NO: 766 DATE: 04/25/00 TIME: 10:21:04 ID: NAME: BHARRATT BALROOP 3210 9001 1436 HIGHVIEW A 111.25 2155 9001 1436 HIGHVIEW A 2.50 Total Receipt Amount: 113.7` CR127427 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) , CITY OF EAGAN 3830 P1 35122 651-881-4675 New ConshucMOn ReaulremeMs ' Re 1/Reoair Rea rvametui ? - > S reglatered eite wneYs showing aq. ftot bt, aq. ft. of house anC QO roofetl areat (2096 maxlmum bl coveraae albwed) > 2 copiea o1 plans (show beam & wlntlow stzes; poured fnd. deslgn; etc.) > 1 aef of energy calculaltons ? 3 copies ol hee preaervoMOn plan if lot plaHed after 7/1/93 DATE: ?'Z,3 Z 4 / ? DESCRIPTION OF I STREET ADDRESS: LOT: 0 ? a BLOCK: 0 SUBD./P.I.D. M: 2 copies of plan l ? 1 1 aef W energy calcWaMa+s tocae?fe9-e 1 site wrvey Wr extedor addtHOna ! decka CONSTRUCTION COST: PROPERN OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ?71-1TAc' Lcst Flnr Sheet Phone #: Ok; ?r i,., P'z Clty 1%Gr1?w State: zlp: S S/2-? Company. Sheet Address: Clty Sfate: Telephone #: ( ) (area code) _ tlcense # Exp. Zlp: Name: Street Address: ReglshaHon #: Cliy Stafe: Sewerhvater Iicensed plumher (if installina sewerhvaterl: Ptwne #: Zip: I hereby acknowledge ihot I have read ihis applkaHon, stafe that ihe in(ormation is cortect, and agree lo compty wilh all appOcable StaFe Af Minnesota Sfalufes and City of Eagan Ordinances. Signature ol AppllcanY. CZE?? , i / OFFICE USE ONLY Certificates of Survey Received _ Yes N- No ?aPR $ Tree Preservation Plan Received _ Yes - No (_2_ Not Required Phone A: BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex O 02 SF Dwelling ? OS 66-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 17 10-plex ? 06 04-plex ? 12 12-plex 9 RK TYPE ' 31 New ? 32 AddiGon ? 33 Alteration ? 34 Repair OFFICE USE ONLY ? 13 16-plex ? 21 Poroh (3-sea.) ,Zk ' 17 Garage ? 22 Porch/Addn.(4-sea.) ? 18 Deck ? 23 Poroh (screened) ? 19 Lower Level ? 24 Storm Damage Ptbg _Y a,_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units o No. of Buiidings I Const. (Actual) yW (Allowable) Z& UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS 13 Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City 5AG Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traits Ded. Other Copies Total: Building ?.SU 113.1:?- QG sq.ft. sq.ft. Footprint sq. ft. Census Code MClES System 3oss CityWater Booster Pump PRV Fire Sprinklered Engineering Variance Valuation: $ js ? . ? 31 F_xt. Alt - Mutti ? 33 Ext. AR - SF 0 36 Mutti 43Tr SAC Units % SAC .- ANET TITLE PLAT DRAWING '. No. 27174 Insp. Date: 9/28/99 Insp. By: PCT roperty Addreas: 1436 HIGHVIEW AVENUE, EAGAN N Buyer: BALROOP Legai: P/O LOTS 6 6 9, HIGHVIEW ACRES (SEE ATTACHED) This Plat Drarinp ia not fntended to be used ae a survey and aAOUId not De relied upon as such. The lot dlmenafons ars taken hom the recorded plat or the eountr records antl are asaumed to be accurete. 7he locatlon of the Improvemente shown on thfa drawlny are approaimate and are besed upon a visuallnapeotbn of the premises. A IlcenaeA surveyor should he eontacted Ii an accurate survey is deeired. Thfs plat Arawinp doas not eonetituta a liebility ot the eompany and ia intendatl for use by tha eompany only. HIGHVIEW AVENUE 30' 1" - 100' 7) SPLIT IEVEL STUCCO 2) DOUBLE TUCK UNDER GARAGE 3) DOUBLE STUCCO GARAGE 4) SHED 5) SWIMMING POOL 330.00' , 'J Lot Block 0 PID # Sewer iwater permit # M Plat ttl g\ Date Receipt # CITY OF EAGAN 1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Water L ral charge @$21.85/ff $ Lateral chazge @$22.10/ff $ Trun $880/connection Trunk C $920/connecrion SAC 1,150.00 Water supply & storage 825.00 Date pai Date paid Receipt # Receipt # Account deposit 15.00 Treahnent plant 468.00 Sewer pertnit & s arge 50.50 Water meter *'Inspect' req'd prior 114.00 a issuing Subtotal $ Account deposit 15.00 Water permit surcharge 50.50 Plumbing permit & surcharge 30.50 Subtota $ Total $ Plu ing permit & Surcharge 30.50 , otal $ Sewer and Water Lateral chazge @ $21.85 and/or $22.10/ff $ ? Trunk @ $880 and/or$920lconnec6on ? ?- snc 1,150.00 ?/?? Date paid Receipt # V? w l? AJU` Water supply & storage 825.00 ? Date paid Receipt # Treatment plant 468.00 Water meter "Inspections req'd prior to issuing 114.00 Account deposit 30.00 Sewer and water permit & surcharge 100.50 Subtotal Plumbing permit & surCharge Total $ 30.50 $ OFFICE USE ONLY Property owner Z ? tiVA-Q- 0,!-w60L--- Address kA=t (-?V\V,f l,, ) ?-\ \l -e- --- Phone number (,S ? - 4 S? - 3 4-1? Plumber PRV required: R-O-W Permit: Unpaid $ Permit Fees: City financed: City Cty - /p-3.2 $80-0907- o0 ,- . Compliance Inspection Form for Existing Yndividual Sewage Treatment Systems ? Thrs form reflects the requrrements ojthe 1996 version of MN Rules Chapter 7080 Minnesota Pollution Control Agency Note: Local inspection standards may be more or less restrictive than the state requircmen[s. These differences mast be made available by the Local Unit of Gavemment. Date of Inspection: Property Owner(s) Person requesting in Rcason far inspecti Site Address r-/& ZipCode?tS? J Fire No. Township 41 6-1 Vs-?,/ 3 Telephone ( ) Telephone ( ) City :r- ii/ ent Regulating this property Township Name ,?o d aJ Section Ouarter (Check approprinte sewer system component and ir.dicate loc:.tior, on site s}:etch). Tank (51: L Septic tank Aerobic tank Pump tank Holding tank ~ Other $ystem Classification S4.11.TI.eBlm4D.t+5YtS€Q11 Rock trench _ Grevelless pipe trench Chamber trench Seepage bed Maund _ At-gradc _ t ? .r_?rlt'1)v [le?rring,,,l:_ _ Altemative system Experimental system Warrantied systam Esp. Datc: _ Other Fjn11.,Mnfj?n Yes No If yes, _ tc) F r r System Built Prior to April 1, 1996 and not Located in Shoreland or Wellhead Protection Area or Serving a Food, Beverage or Lodging Establishmcnt Any System located in Shoreland or Wellhead Protection Area or Serving a Food, Beverage or Lodging Establishment, plus all systems Built after April 1, 1996 'n n 1' 1 I 7 ITnarnde is the svstem an IPHT? Rer gd g 1, Dischargc of sewngc tn thc ground surfncc^ l'17S 6O57 10 mo , . I, Pischargo nf ccwnec m thc grnund surfacc? YES NO 10 ntn 2. Discharge of sewage to draintile 2. Dischazge of sewage to draintile or or surface waters? YES 10 mo surface waters? YES NO 10 mo 3. Sewage backup into dwelling? YGS O 10 mo 3. Sewage backup inro dwelling? YL'S NO 10 mo 4. SiNation with the potential to immediately and 4. Situation wilh the potential immediately and adversely impact or threaren public health or adversely impact or threaten pubfic health or 5afe4'? YES O 10 mo safety? ygc >tn lpm.o Is [he system failine? Is the system failing? , 5. Less than TWO feet oFvertical separation benveen 5. Less Ihan'I'HREE feet of vertical separation be[ween syst a' or bedrock? YU NO LGU'?• sYs[em bottom an1 sa[urated soil or bedrock? YLS NO LGU•' 6 seepage pi esspoo rywetl, r leaching pit? 5'0 LGU•• 6. A seepage pit, cesspool , drywell, or leaching pit? YES NO LGU•' ?+'?J= Local Unit of Govemment ordinance must specify the lime period within which the system must be upgraded. STATUS OF THE SY57'EM Based on the compliance criteria abuve the system siatus is (check on m compliance (functioning) O failing 0 an imminent threa[ tharefore, this document is a(check one) 0 Certificatc of Compli , X otice ofNoncomplianca /3? GG '4 .44 s P g I of 2 .'`.1 ".1 Parcel No. were used to make the determinations for the compliance inspection7_ ,S ?GTi e'7'iti ?Uk f'd C L.? i e H as ?'e55iJC;u s ?or / o oorl 5 Please ettach the-follo7A'ng: 1) Site skeroh. Suggcsted items for drawing include: WeII, well setback to system, dwelling or other establishment, tank(s), soil trcatment system, reserved soil ttea[ment area, curtain drain, property lines, watenvays, and buricd lines (those NOT installed by the utility). Include sius and length nnd approximatc distanccs from fixcd reTcrcncc poinu such as Strccls apd buildinCS. 2) Soil boring logs, showing each horizon. Indicace the Izxture, structure, color, depth of each diffcrent soil type, evidence of mo[tling, bedrock and standing water and whether [he material is fill. Locate wch boring on attached sice sketeS. 3) A list of any and all requirements of the local ordinence that are difTbrent than the sate requirements referred to on this form. A. I hereby certify that al e infordiati hav ovi egar ' individual uwage treaknent system is we, accurate, and comnlete. PropertyOwner e? DatCOI%??s ? .P/ ? B. I hereby eertify a st of Minnesota licensed lnspecror and/or Designer I ar Qualified Employee Inspector and/or Qufllified Employce Designer I that I co ucted an imestigation in accordance with applicable requirements that aecurately deterntined the compiiance status of this system and tha y observations recorded are accurate az of this date. No determination of future hydraulic performance has bezn nor can bc made due? unknown conditions during systcm construction, a6use of thc system, inadequatc maintenance, or future water osugc. Inspector'sname(princYiJDI4 ?RE/??/Y) -J`-14 Phone_141?15'/ -2.7?7` `.,J 3 y3 License end/or Regis[ration Number Address ?3 3/44 4 Employed by Addross _ 144 4 S?, "N?i .S f , 3-3 l Valid until unless the systzm becomes an imminent ehroat eo public health or safery as defined at Minn. R. 7080.0020, subp. 19a, 6efore that 6me. ,..-, .. Minnesota 5tatutes § 115.65 ("law") Upgrade Requirements Date Z- - ? 9. / Any situation wi(h the po!ential to immediafely, and adverselv allect or threaten oublic health or s»fotv, muet he upg.-n-ded, re;:lacad, or i:; use discunfinuad nithin ten mon[ns of receipt or this notice or witnm a shorter penod of time il required by local ordiiiance. !I the local unit o1 govemment with jurrsdictron over the system has adopted an ordinance containing a/temative local standards, the existing system must comply with the ordinance. If the system does not comply wifh the ordinance, it must be upgraded, replaced, or its use discontinued according ta the ordinance. !1 a seepage pit, drywell, ce??sspool, rleaching pit exrsts and the local unit ol govemment with jurisdiclion overthe system has not adop t ted focal standarr/s to he contrery, the system is lailing and must be upgraded, ieplaced, or rts use discontinued within the time rsquired by /oca/ orclinance. If the system fails to provide sufficient groundwater protection, then the local unit ol govemment or its agent shall order that the system be upgraded, replaced, or its use discontinued viithin !he time required 6y rula or the local ordinance. 1/an existing system is not )arling as defined rn law, and has al/east hvo /eet ol design sod separation, then the system need not be upgreded, 2peired, replaced, of its use discontinued, noNiithstanding anylocal ordrnance that is more stnct. This does nof apply fo systems in shore/and areas, wellhead protoction ereas, or tAose used in connection with food, beverage, and fodging eslablishments as delned in law. a:\isu%Prog-aeVkXinP9.aoc • erov Pa$e 2 of 2 . city oF eaqan August 9, 2000 ZELLMERSERVICES P O BOX 113 NEWPORT MN55055-0113 RE: 1436 HIGHVIEW AVE PERMIT #40411 Dear Bob: Locia,B o PATRICIA E. AWADA Mo4or PAULBAKKEN BEA BLOM9UISi PEGGV A. CARLSON SANDRAA. MASIN CounCil Members THOMAS HEDGES Ciry Atlmirnsirotor In May you applied for a permit to install a septic system at the above address. As your equipment was not large enough to complete the job, it was taken over by Mulvihill Excavating. Rather than void the permit, we asked Mr. Mulvihill to write a check to you for the amount of the permit and we then changed the contractor name on the permit to Mulvihill Excavaring. Enclosed is a check for $75.50 payable to you. I hope you are having a great summer. If you have any questions regazding this, please give me a call at 651-681-4695. Sincerely, f? J Severson Office Supervisor JS/js Encl. cc: Doug Reid, Chief Building Official MUNICIPAL CENiER 7830 PIIOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (651) 681-4600 FAX: (651) 681-4612 TDD: (551) 454-8535 THE LONE OAK TREE THE SVMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITV Equal Opportunily Employer wV/ W.CHyOf6OQO11.COrt1 MAINiENANCE FACiLiTY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FFV(:(651)681-43C0 TDO:(651)454-85J5 . MLTLVII-III,L EXCAVATING INC. 25395 LHWISTON BLVD. HAMPTON, MN 55031 PAY TO THE ORDER HAMP70N BAW P.O. 80X e HAMPTON, MN 55031 FOR S?Z ? ?r/? l7JiN? 1:0919078081: 10 O52920 1429 Date - ?u 75-790/919 uR9 ? $; / ? ? ?"hrmares ? ? LLARS e "o:wbo?eea. l1T i4 9 PERMIT Clt3' Of Eagall ' PermitType: Plumbing 3830 P[LOT KNOB RD PemntNumber: EA040411 EAGAN, MN 55122 Date Issued: 05/03/2000 (651) 681-4675 Site Address: 1436 Hiehview Ave Lot: 092 Block: 00 Addition: Highview Acres PID: 10-32880-092-00 Use: Description: Sub Type: Residential Work Type: Sepac Svstem (new) Description: 1 Private Disposal Syst (New/Re Meter Size Type Manufacturer Meter Nbr Remote Number Line Size Remarks: Fee 75.00 Fee Summary: State Surchar¢e 0.50 $75S0 ?ontractor: nPPlica,t - Owner: Zellmer S' es St. Lic.: BHARRATT BALROOP P.O. Box 1436 HIGHVIEW AVE Newpo 55055-0113 6514595097 ST PAUL, MN 55121 3212-9001 2155-9001 [ hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ApplicanUPermitee: Signature IssuedBy: Signazure a ? -14? ? o Z ?;,?-'a ? FROM:P PHONE ND. = 612 781 2471 Oet. 26 1999 STAND.4RD SYSTEM UESICN INDIVIDUAL SEWAGE TREATMENT SYSTE[v1 09AM P3%li?? ILo.ners r+,,,,< <-i A ? ?4 n• ?- n f, i?? .(jA/A 2rrA,T 13FtL i? onI'e? G Joe siteAnera: '.. c;n or rowNn;P ? l°r N r U,. o(audai,s 4 L• ^F? I? t t? - o a i PD!SA I _ /.1<-l _ /9 9 -? 1 "mo- Ao%. Daign FbW Rare Rau .(? L.nd SIePe L?+ 57 filoam T-o Requ'vW T++tk s':rt i 0 O ro tb-Kn G tlvm LiR STa1i0e Thnt Slae N I'A 03:0:s . Typ. atSyswm (:andar" ande or osd) ? SyHem SI1c: %0 Z.Squve Fecv ? y -Linra) t«c ? -Tren<h wiCL? . DcpIh e( tai bclow Oip< Z Dep[h o(RoeY AOO.c Rpc AfII:imum Depih of Treneh ? ? From Exi:cin?e Grade i ? UKUs MAXimom DepN of Trench From EzkGn; Cnde ? kcnts ? - ;? Reommended Numbet of TrCnehq . Rseommandd Len'N oC Tr<nenes ! ? Tttnch SpicinL AScatYrad CCnar m Cenier Ftt: An; OtherSpsculCMWitfon+ JS? DROP pOX? -- . ? J y 7 L° PRESSURE D[STREBUT70N 15 VSED. COMPLE7E T'Fd: rRESSURE' 0I31R191JT10N WORK SXE-?r A'!"C.iCnE7 7w acsi;I, mvsi bs aecomwnicd sr , gisedie Na <levrly ab+n Ne loeation o( IIY vm leiled ++,d apprO?cd b)' Nt (Ollbw?ngg ? 1. Ves ?n ?ppropri?¢ r:olr .ne f?ieie.?. eiiecno^ Y nu of, iwrN 61ro'?. • i :. SIwW A1,L propcny mundarie:. AYhu?M1war. e.semenu, wcll+nd.. V nauw>. .n enlaqed d<u0 0! ux twus. :ve ms: ? aIw ec :wv'vw. , i l. SAOW leogion of house, landa, arivnvy snC III othet imPm•*menU uRbliM1y{ of pwpoafd. • 11. Show loealion and layout of s<+tge ircarment rysmm. ' ;i 7, SnaW lo:srion cf v.ter iupply (waU anClor communiry iupDly lina). a 6. D'uncmion aU set64ckj ard xp.ration aigunw. ?I I TAir qsum lus bc<n auipnca ey 1 Palludon ConUOI Agency (PCA) CcrtJf.d Rofeffional. Ocalinu Na? J ^O` " ^" I `'L PCA Cenifi:ziion M b C? 57 ,,?a???3 6 p t-lG T- ?MQLS? SS?1°n Fm„..Gytx.?7i`?`33S't' - S. gm:v:t 'Det? ? a 7-6 ? Q q An EquJ E??p:e?unOcwrtuniar/Af(m?a:.2 nn{m Emplor<r t( 1'ov N"-f esrts[nncr Duc to Ou.,a;ifir ar I.anl..re Uarritr, luve Cni +30,67oe Jk -3V665e tTDD :3?.J::amv:tin- •r ,• , FROM " Pg[ PHOrE W. : 612 781 2471 Oet. 26 1999 04:16PFI P4 • Ssvs all trm and avoid rom wiiea posssble • Fili rmd/or remove existing tankz • Vui1? all dmwing dimcnaioms snd all pmpary linea Side propcriy ]iaea s6owa are applnXilriata • Rnisa davetioa of ' uiging dtainNae inside honse so tLat drainline lcsves housmra of pvtmd cova, " of aepae hnk to be mtto?'ore thw 6" below ??- " euistins gsoaad. Toilet ffom pool house shall drain grsviry inoo aew uptic twfa. Fizwres fxom upper Ievol of hou" sbap drain gavity inW septic tsnlce. Fixturea from lower Isw1a (ono bath, lwmdty aad 9nor drain) s6a11 drain mbo aew yeetor PumPlbaskat which will be installnd YVork on wcirtiag intetiot d['aia linec md ejedoc ? AumP/bavket sha21 be dox by a licwsed plvmba. _ TANIICS. • uLUstl two new oue thoussnd galloa septic Laaks (no Qarboga dispoaai). Teak Iocatioas show» on dnwing aze spptvxlmate end wo be Seld located to fit site. 10' aet-backs to properry Iiaes and build'uigs. SQ' ut-baek fmm adjaeenf wetl. • Four bedroom home, 600 GPD Aow, 8.03 MPI peYC rate • 1.67 aoil sizing fsaor (fine sand) + 600 x 1.67 =1,002 SF total drainSUd with 6" of roek under pipe (use 12':,of rock: 802 SF total draiafiold) - • 802 / 36•' - 268 LF dnin$eld trench ? • 268 / 4 treaehee - 67 LF/teach • Use 4truchet, 67' long, 36" wide, 12" rock,7.5'spocing, w/drop boxea (A i? ? 7 d 8o0E8D09S?'G?U£d?illi/?S?:i ;d?l 17 d!'0?M) -39a" FO01'' ` PB' 904E w. : eiz 7e1 zon .AP.PIt o?X;_I.?.G.?tt? N _ ... P e.eV _,I_f4?I.. . :C .: ?lFp?_VE_?.?.1l?,? , ?.StN.?. '?'! ??.fcT ?N4Y. .` STA&W-• .lflek-- w-- ? oct. as iss9 eo:iaPn as ?L' __ ?' ?.. .. Af.[" ? ? i 1 • °' i a t ?.' \ 1 0. .d' ? _a-0_c_L..l8we.iZ? el. L o 4,6Ttog5 ?ENGKMA(Zk t4T Itovs??___ 11.. w 6:3 5 d 860£800955 'ON/£l ?£ l'1S/dE: £ l 606! ! i O l(4?,M) Z SO ; ?. • n _, 37? . . ? A . t / U ; .X.A , QR1V E' p.z. • ?"z , ?. ?ItALE f ? 39?918Gr? YP?'d9 WO'a? FFaCM :PBI p-OE tJp. : 612 781 2471 Oct. 25 1999 04:11P11 P7 (3) Soil treatment systems shall be Itxated rs apecifi"l in 7able IV, Tabte fV. . Minimum setback ciistancea (feet). • • : Buiiding Sewabe Soii Treatment Water Feature Tank, Ab3arption Supply ' Sewer, or ' Halding Tank B.Sewer Water Supply ' ' ' • We(Is buried water suction • " ' pipe, and , 8uried pipe diatributinb • ` , ' water under pressure ,. Buildings•' lp 20 Aroperty Lines••"• IQ 10 The Ordinary Hibh WRter Level of Y'ublic Waters 'Setbacks frorn buried water pipes and water supply wells arr governed by ehapters 4715 anc9 4725, respectively. `Far structures oEher than huildings these setbecks may be reduced if necessary due to site conditions, but in na ca>e ?hrll any part of the individtoAl sewrbe treatment vystem be IOcAted under or within the structure. Infringement on build ing setbacks For areas without Iocal ordinance reyuires .ubmitt,l l of a written noCification by the owner indicating the prupo: ed setback and approval by thr cummissioner. ,"'Sr:tbacks fmm lake3, rivera, 2nc1 stCeams nre governed hy - chapters 6105 and 6120. ""'Refer ta su6part 5, item A, subi[em (3). ""`lnfringement on property setbacks fur areas withi-lut Iocal oMinances requlrei written permisslan ft«m any potentiAlty afFected party, and appruual by the commissioner. (4) Soil treatment areAsShall not be plrceci in areas subject ec> flooding or in fluod plaim delineaked by local ordinance> ' adopteci in compliante with the "StTtewidN StAndards And Criteria for Managemrnt uf Fluoci i•'lain Areas of Minne>uta" (chapter 6120), or in areas for which regiunal flood inf<>rmativn is availAble From the DNR, except dirt in areas where ten year flood informAtion is available From and/or apprpveci by d1e DNR, 5oil treatment systems may be installeei in accorciance with the provision: of Appendix A, pTrt 7080.0210, subpArt 1. . ! d 800£8009?; i1 7 p l!p:M) 39Y?1KN iPltl9 'rl??j FROn : pe I LetaLlon or Prejeec loringe tudr Dy Glaaai[leactea Srscu: euser mred,(ohaek evo)t PHUE N0. ' 612 781 2471 Oct. 26 1999 04:12Pt pq Lets oi 3011 geY111[? 9- S _ ???y_.. Dae• ?°lZ'1??? JCA71t0 i YlAA-SCi •: Unttiad ; echor ilaad Or Tevsr ,^: 1116hc .. or' SuCRec : octser ? . Oepch, Berin= nuwbar ` in Surtaee slevecion [cet 0 1 ? bm.ar? 2 r, L,?oar+n , !0`ff2. 4l4 - aS 0260v G ? F?M $anGt? ?r. ?S s- s -- 6 - F:i / 0 - yell.aw,gl, tn? Saru? - g? ?, o - 13 Lo -1`0 [nd et Dorln{ ae -7`fl leat. Sc.ed,tAS vaceT tabla; ? Q Presenc ac feae of depeh, rouss aLcer b'ering. Nec yresant in berLn= hole Heccl*d 0lserved nc t44c oI depeh. Hoc yr4sonc in bering Tole 'k • 003.NatLOns 3nd GOmstnti: Deych, 9orSng numaer 0` G- in Surfaes elevation Aqn. D0 Leet 0 1 O'fLt. 3/7- ` 1'? I LbA++nv? ?,?,r'f•p?, 1Q'[K ?k?i.}= d1C ??sw?? z- F/M ? _ . e- s- a ? 00??. B - Lnd ot.•koring ic r'() [••:. 4tandinq vater cable: N (7 PTe=erc at T? [eeC C! Ceoe'. )fourf sECer eec:r.a. Nor yra+oni !n borlnA ho!e Koctled aoil: ND ODaesvsd te Eaca ef l?9:••• Not pre34nc in borlnR no:e )k - Obsasvatios+a +nd commencs: TOP OF DRAINFIELD AT FEET OR INCHES BOTTOM OF DR.4DIFIELD AT FEET OR INCHES REMARKS_ 1? ? ?r,.-IYJ 8 d 8o0E8009S:'Ou!Ed:£l'1S-'!i?i! _06l !7 p!;?.y) 3DY51acw ANa9 woqa FRM : P81 pOe N0. ' 612 7B1 ?A71 Oct. 26 1999 ga:l? py Lexs•ot 3ei1 tloYli??s . 9-): Lseatlen er Prejent l`ti b!g hVti$!N 6orlnts madr lby _ PQfZ.. Dat• w Z dqstlleatlen Systaas /iASAO ? = IIiDA-ECS ,0&-{ qnified ; ocher Au;ez uied.(chneY cve): ,11sad. 4-, or Jover ,,; Y21=ht ot' Daex*e X: vcle; ? . • D.ptA, 1orin= nuaSer ia Surtaca slsva?ion [eeC 0 Lu }e?Sw? too.r'1 . . 1 - . . 3 ?... tc.CcL`t (s-- K .?Cl.Isw?s1. ` - Fi ne 20LV4 Stt V5 a, e - F+*?c. 5?,?•..&, ?i,r. ?-ra„?l.c ) -- ? ,-0;!6 (e 1.0 Pt ,- Obs.nstioos snd eoameqcs: Depeh. DerinR oumDer W - %-{ En6 of Oorlas ac ?C) [eae. 3tand,iaa vscet taDle: Qo 14eaenc ae leet ot deptA. Aeut• attts boting. Noc presenc ie bbrieg bolo !to<<lod soil: ?Q 0?sezvad ac leec ot daych. Noc OseaenC in beting hola ?. t° SucEaca alevaclen It10?.6II j !uc ° to-cR- 3/2 - v. d1C cc?s°'"b''1` i -- t?co.m 2,?,r tCYR-'?l?{ -?.11. ytll?s.a i S? ] - ' d - taYR'?/?k- yG?lc+?}oCawn Flc, sa.rJ, FC? T 4.4'd 5 6 - ) E. 0 , P., re Z, e ?- S' a - $nd oL-INorinR 1e 7.0 (ea:. S,tandlns vuiLr cable: NQ Prasenc •t teec e! deD r., JLeurs afcer boric . Noc yresenC in berSn? Mo:t Necs2ed so11: fV O ODiervad ie fect of Not Drasanc in 6oziaR ho!t ? Oboervaciona ar+d comeoce: TOP OF D$ANpEMD pT FEBT OR TNCHES BOTCOM OF DRAINFraI.D pT FEET OR WCFiES DCIZ A ev& T% • ? . 6 d 8050E9009S5?}PJ;£?:zl'1S/£E:?! 6361 il Ol(43.M) 399?i?n? ;?N;E ??O?j FK" : F?? PHME N0. : 612 7B1 2471 Oct. 26 1999 04:13PM p11 PERCOLATION 2LS2 OAIA S1iEL1 Tait rols locaciee ?47^' ? 110 Wsw Nola number ?- Z- Date tese hola vs• pr• arsd ?fl ' Z ' Q q ; DiPth of hole boetom, 3 Q :r.c-ee. Dismecer ot Aol?laehei. r So1l daea Croo east !?ola: Dapth, inahas Soil texcuse t7 -Lo IOYR 3& V-D#?-GR•?R I.o?M zo- 3 0 3'8'Q• IF'M SAaD.TR'49vL5 Keched oL •as6cahine sidevall - 't-4 sk (?- Depth ef yea-*i:ed sravel is Sotcm ef hole, i1lehei. Dace aed hour oF Snitlal vatas fillia= 10 ? & 2'•00 ?f4 Depch of inicial'v4C4[ f1111nS, inehea Rbeve hole bocEOm. Method uaed Co ¦aSncain at'lea 12 1aeAaa eE vatet da9Ch ln hela loc ac leas: c no?r: RE-FtLL w Iu?TECQ. Percolaclon caac rtadinas oade Dy U seartin` aC s:po a_ . (dstt p' durin; ceae, inches. . c r. ltaxioum vatct depth a0ove no:i :.... 71me ilmo Lncerval, Nlnutaa . Heasuresenc, inehaa Drop in vaeer lavel, is?eha• Pereol?clon race, minues: yer ineh Remarks ? • 0 ` o r .f - :o 7ercolaclon rate • ?- 2, miautea peT inch: l! d 88GER0099y'0"U£Z'il'1S'7E:=1 9?9! !7 :l!0?.111 3ryo??SV .iflMz._Nu3? a : Minnesota Pollution Control Agency Indtvidua.l Sevvage Treatnent S_ystems License . . ??. ?.?....y ..ww.w.r.. Dosignerf Licenxexpires 31I5140 Datc of Issumue: 12l29/98 Min2(??,to2r?o?u?i??ontr ?i?'y,?SZS La faywe Road, SI.PwI, MN 5 S 1 SS-4194, 1$00.657-1564, ar TDD (for huring anA speech lmpaire0 oniy) (631) 28b3732 Ti?d or,?ryck0 µKrwntdnng et krl 101L Qhen fmm paper KeyckO br ooo? . ? ? ? 0 ? ? Q, ? N N Q Y N D J 0 n N ? ? ? .. ? ? r N ? . ,. ? . ta? ?a 61. Y'?'?'?? ?oVe? i FROM : C8I PFGPlE N0. : 612 781 2471 Oct. 26 1999 04:09PM P3 STANDARD SYSTEM DESICN iND1VTDUAL SEWAGE TREATMENT SYSTEM Q.ner'S Nsmc O loesit<Aaareu (? ?? J ` ' 1 ?'S O ..-r? V I C;cy at TawNh,P A A ., U,. of svilair,= 4-- IA lL_ ?. ° o D'siYn Gbv Auu Q Q P.rc Pa?e .? L?nd Sloiw L Tw RequVW 7++k Sizue 10 0 Lu s?1?, ?„r ?w N c3eo,? fm at Sysum (:uwra, at 8meq a oed) tzTA tV Syfltm 512t: Q??Squve Peel Z C -Limxl Rwt ?j -tlcneh Widtp ? ` Dcptn ef rpck 4clew piyc n.Pm of Roer Aeo?e Pipe MII:imum Dapch ef Trsroh 4?es MAXimum DepN of Trcncn /? From Efcistina Gnde 'S L^cMS Fiom Etiriina Gradc ne ? I Raeommended Number of Tr<rwha . s ReeemmwndW 1-a^sd+ of Trme TtqorK:h SpbtiNL Measwed Ctnbr u Canvtt --X , Al.a,l..sv«l.icenainoN tfte S?Ro.P bo7cE$. ? PRESSUAE DI57RIBU770N IS USED. COXQLETE 77d: tRiSSVRk' CISTR18V710N WORK SKLc I A. t tTC:nau 7ha eai;n mvsi bs accam ankd bX p .'ne dsn Nat <IevIY shoWa um toeuton ot tM_ ue* uswd uW .pprovod ey Ne foqowln; l. Vos •n .ppropri.m salr ane 1Mk*lilk u4eerien bY use of , noirN bfM"'• ]. Slpw Ay„L proputy beundafiss. d=htsahway. essemenu, wedand.. U n.<eassty..n cnlareae deeil of Jhe hous4 :'Id a1w 6e rwu4tW. . l. StwW loution e(llouac. 6anits. aljvnwy end ali aher imProwman4 aFiltirt( ol proposed. J. Show loution ard byoui Of sa+hj? ?tfmnt %skm- ' 5. StwW locarion et rataf lnpply (Wttl iind/or cemmuniry 1uDDIY una). 6. D'uncnsion aIJ sctWcks " xpr'ifion attunca. _ 7ntr »sum nu been duitncd !y a Pollutfon Connot wgency (PCA) CenJS.C ROfaatonal. Dolenet Name ?+ N,Gvr_ l tL` PCA Cenitcalion M ° d ..._ x?r?,3 UK T- F?,..(oi 71q-335-4 ,c,a.. : nn roe« [e-?,,6-9? An E?4ual Emple?m.b? OpVOR??iryf?li?mal?v<A??on Emplorer 310.St]Pi 1( l'vu \'en essifunu D01 11 DitaeNi?7 or laetuaY" i{+'rfMr, /ie+?e CaP +J0.6708 UR uV.665b 1?DD. mv:un- •? .• o £ d $EO£SG8999'OhJI£l ? £4 '1Si ZE? £ l 6661 Ld Ol (43M) ??+`J1?ONI `?Ntl9 Ni?a? FROM : PBI PHONE ND. : 612 781 2471 Oct. 26 1999 04:10P1'1Pd • Savs aU aoes and avoid mots when pouible • Fili atd/or crmove nxiating taka . Vaify all dmwing dimcnaioaa md all propary lines. Side properiy bmw ehown aro apprwdawta • Raiu elwation of aciating buiidinY drain]ine inside houae ao dat dszinlme lcavca house with minfinura of Soumd eover, top of septie taak W be no mae tban 6" below existint ground. 'toilet ¢om pool house shaU draia grav[ty int+o nsw:sptic tpnlcs. Fixeures from upper level of bouse eball dmin gxavity into septic taaka. Fiututes t'rom lower lswle (ono bath, lawukY aod 9uor draia) shali drain mto xw ejatoe pute?P/basicet whieh will be installod. Woik oa existiug mtatioa dtaiz Snes and ejector Pwap/basica shall be bone by a licaotcd plumber. IAMO • Inscall tao new one thouaand gallon sept[a mNcs (ao Prb*8e diR)034)• Tlic Ioeaiiona shown on dsawisg me spptox9mate and wa be Seld loeatul to fit site. 10' set-backs to property lfaes and build'mgs. SO' iet.b4dc fmm sdjacmt well. nRADar[:m • Four Gedroom home, 600 CrFD Aow, 8.03 MPI peae rate • 1.67 noil sizing facwr (6ne sand) • 600 x 1.67 =1,002 3F toul drainfiold r*'itb 6" of reek tmder Pipe (uss 12" of rock: $02 SF total drainfiold) • 802 ! 36" - 268 LF drainfield tremh ' • 269 / 4 trmchea = 67 LFlQeneh , • Uae 4 treneheR 67' bng, 36" wide, 12" roek, 7.5' epacing, w/drop boxee 9 d 86DE?D.UR.S'ON/£d?£l'1SJdE?£l 6661 LG OI(43M) ;J?JAOW ANti9 WDBd FlRCII : PB 1 PFONE hU. : 612 781 2471 ? PtL LJt G 1.?t?? N_ ..p PIiL ? oAFwL4_:4,L1,?r... . . ? IL , \ 11--K?.LL Oct. 26 1999 04:10PM PS ?. __ .__?.. ...._ ? .. . ? u -- ?, .ovEti _ .LA ? ? . . . 1 ?```-`?• s? .._ • .? ? -- l.. o GAT10t?1.`a.#: ?E?.1GKtMA(tk 1kT lteystl ---- 1! 4???GE ?Y?? ' Ip°p -Qo!_/ -? . l ! 9 d $BO£SD0955'uN/fZ?£l'1S/Z£ £l '0861 tZ Ol(a3M) , ? p.z. 1 l-L A /. ?iCAL? ( t 39tl@lf!DVd ?Ntl9 WO?? 6?5 RPR 11 '00 12:53 FROM BANK MORTGAGE 1 f i77av 'o . ,t --rqwr _?mlrd ' ?1?n4 ' ; ?' ?' a s(?'o'N :.! ? . Sa ,- P.2Z2 (WED)t0 27 1999 13:32/ST,13:23/ti0.5560083098 P 5 , - ..... ......g1t011Y?a1 4 ' - -,w315?5 ??3N ? • _.__....._ ; . ? -- . . . ? ? ... of- • ? . r ? ? ? -?v??? --T- ------- 9d Wc1YL:t+0 6661 9Z T4b2 I8L ZT9 :'ON oNCfwd 1---???? z-- _,_,,._.. - •? 3?? a r T:t?i."'??[??T-1o o a -- -?x??r'?-??d rad : woae FROhi : PBI PFI0NE hq. : 612 761 2471 Oct. 26 1999 94:13PM P10 PL1tCOLATION TLST DATA S11EE'P Tesc hole locacieo ?•A-A(4 N (,J + Nols num0ec ?- ` Depch et 1+e1? boccom,?b irc'.ts D.ee caac he1S vaa prpepartd Dtaseur ot hola, O tM1+e?• , ' : Se12 dsca lsos cadc hele: \ papth, inch,ts o 2 -3 Soil texture (o?fZ 3?2 Y? vK ?tc • R` ?o ?0 3 ? ?.• $iC• LoA?'? -- 'Kathed ot •eracchiwIftl •id*vatl ti 11% papep et p66-atssd graval La lottoe et hola. L inche?• oae• and heur e! laleial v+ssi tilltaE , I0 L'4 ?.a Q' Z?a Q P M Dapth of laltiel'vstat E1111niL.. 1.0 inehes ahew hol• boctom. Itechod uaad ce satecain •t'leasc 12 Laahts oC1v4c4s depch in hole Fot +c a hovrs ?? -V?141.. v I It?ATEik . . Percolation caoc raadinEe mde by r fli (o-ZS? 49 eeasein; at dsts) Our3ng cesc, i?_ inehea. o ^. lfaxisum vates dtpcA aEove '+o!t ?-••-' Ure Psreolaeloo Tims Incarval, 14easnoemeat, Dsep i++ vater rate. Minue•s ineAsa loval, inehes nchcas per :oo- 0 oa « ol.clon ract ' - D 3 - minutes Der inth: a lessc Remarks O 1 d 851i£8009?9 'uN/£Z: 2 1 '1Si £E ?£ l 666 1 +_Z 0 l(03M) i?kr?;AON' ,YtvVB ?r0?.j I J FRl1'I : Fbl PFIOW NO. : 612 781 2471 , Oet. 26 1999 04:13PP1 Pli pB{tCOLATION 2LS1 ATA SNLBT ?'b? ? ? ??lVl?u3 ' xels fk unib.r T.,t ra14 lQc.t:on Dace cest Aola us• d 10 ?DDch °f hele boctom, Diamttet of.A01solnehts- ! Ce c Iwla: ; Seii data iem . 5011 ccxtu:e pepcAo s an.s J-D4?•GR. P. t-*,A M in ?L° ' - zo-- 3 0 e ?-?'?T3 g•?• M A+3D ,7R'GRv?' { , t-4 AL.L rNChod of •eescchine sidcwa]1 ipcMJ. y Deyth of Pea-sLs4d s=•vel ia loetes et hol?, 24 ?Q 2??0? 1M Daee aee hour of initial vaCOi [lllinj (? Lnches aDeve hola boctom. DeOth o[ iniclal'vIeer fillin6. Mechod ufed [o oali+cain ae'?oe/i lI inehae oE vstts daD?r !n hel• lor sc leas: L houTi ??-fLt"?'. cr, ? TJ l Pc[a0lacien tsaC Yoadiaaa made y, O tl ?_ vstet dapch JkEovs r.o:a ::...-- ?0?1?? Q •tastin? at . Max1p"m , ' y. {daee dutin= teae, S1IDe YOreolstioa in veteY Iega? Remarks 7ime Incerval, . Maasutaaeat, Drop Mlnuesa inet?aa level, iaehso iminu nehcaa per - - Frrcolacton C8Cf •? In ` Z minutne pet Snch: ? ll d S60Efi00?G?'0"i/£??£l'1S/VE £l 666: LZ 0 1 (03M) 3 DY0 =aN kNv 9 S'M ' fRQ1 : PHI Leaatio* at pYOleec lorings usd?• sy ,-? Glaaaifieaciea Syscsm: AA71W Au[41 uied CChtCk cwo) i Ha4d ,i WDA-SCS Unitiad : echat os.Tevsr ?: 1lighc ?. or'Bucnec : ocAer _ i • ? p?p??, lerin= nuabs: " teet Sustace slsvacion 0 : 10,0L lt/y - dnA 16" . • i - ?wn 10 `M H A4 - as abov t ? 6 - ' S ? 6 - 10-4(Q.S/14'r t.jIM&wagh " Ftn,e. SarA e -- tnd e[ pesint •? .,?? ?6°?' S%andlag vateT tabla2 ? O Pcasenc ac to<s of deyth, ' lfOVYs •Yeer b'esinS. Noc yresanc ie 6erint 1102e ?„• ? . Nocclad :oil: O ?V 0lsetved et ? ???? ot dcptl+. Nec pTesent in berinR l+ole ?• Obs.cvatioaa snd eoMIAentS: )epch,l toring numDer ? s- in I Surface elevatlen gq?? ?0 [eet ?oYa3 torn ?I?= dK ??w??' Z FAM Sa,,.? ? ?• c?,a?C? `. a -- 3 - 6 . Fir,c ?•ecnd ? r. e - sna ot..berieac r••:. QtandlnR vatar HD1at N O 4t6senc at test eL<toc'.. hourg sECer eer:r,a, Not ?toseni !n berlnR hole"? Hoceled eoils ?AD OEscYVCd ac fssc ef Noc pxaaanc in 6ot1nR ho;e ODsarations And commancs= TOP OF DRAINFISLD AT FEBT OR II+1CFE8 ,. , BOTfOM OF pRAIIVFIBLD AT FEET Ok REMARKS _ ,. . 8 d 860£80099?I'1S/££ £1 666t ZZ,OI(03M) 39tl91a0N kNtl9 WGaj Wt PFqNE hp. : 612 781 2471 Ocs. 26 1999 94:12PM P8 LeRS oi Soil goYlhts g_31 FROn : P81 PHCIJE N0. : 612 781 2471 Oct. 26 1949 04:12PM P9 Logs of 5oit BoYLdR? g'2, Leeation ar PreJaes nvtw? a?e• ?? ? Borint* mads' IbY Clasttfleatlen Srs[am= AASAO ; vstiti-acs ,?;,_i Uniti+d ; echer Auaez wed (ekaek Ne): Rsed ?. oY Yovsc ^S t=tYR? .?? oTDaeK?c ?; oc?e- ? • _ D?pch, I forln$ numDoe - ?a SYIfaC• alOVaclon fcec ? V u 4.0 T Sak ? du yel?e,,??sl, br. 1..oo.r+'1 . t- . . = tuy'??t ?e.- K.?l,IswaS1, 5ww•.a, i,r. droi 6- , A r 74:Z ,_O ta e 10 p, 4egth.) DerinR numEer v " tn Sucfate sltvacion 1001' !as[ ° tc-tR- 3/z: - ?. d1L a?su..s%rt.-br. _„_, ta•ta'+lit - dtc. d_. 1 a?f RS'?`i - y tko,. Kbre,.i•% Flc, s0.nd, M qi 44-e-I5 6 - ? E.L\ I t3c-' Z, e gt' e - End at eorie: aC ?,?1? <<??' Bnd OL-Aosing ac 7• u tee?. 9taetd1aa vacer esble: 1I}O Seendins va«r cabies ?10 i4e?entse Lset of deytA. YtaOeot at [eec ef leW? t?eus? •tosr boting. evrs aEear eors? Nos pset<n[ in bbring hel? ??•• Noc prasant Sn Derins 1101a ?• koCtlsd seli: ?VQ Neccled xoi2? iV v Ol?[rvs! ac leet ol deych. ODiervad ac feet o( hoc 9se'seinc 1r besiwg hele ?• ' P1eL ptesanc 1n, berinR ho1C 06saevaciens snd eoaaanes: 6bc?x?°?eiena and eomencs, TOP OF DR.4DtFYELD AT Pzz'3' . $OTfOM OF I7R/IWFIELD AT F= C?15.??ITTCF3ES fi d 8e1,£$008cc G?l/£Z?;£l:',1S/££ Et E5u6 ?l 04(?31it 3`?'v? ;C"! ?},.; ;?,n,u? SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 04/01/1999 _ PROPERTY ID: 10-32880-092-00 S/Nf ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100040 SAN SW TRK 1967 30 6.0000 100.00 0.00 0.00 CL 100339 WATER AFlEA 1976 15 8.0000 160.00 0.00 0.00 CL 100652 ST-292 1981 15 11.0000 1635.74 0.00 0.00 CL 100653 SS-292 1981 15 11.0000 740.44 0.00 0.00 CL 10P663 VALLEY VIEW ST/UTIL 0000 15 7.0000 8950.00 0.00 PN ------ SUMMARY OF LEVIED 0.00 0.00 0.00 ****** 1999 P&I CERTIFIED ------ SUMMARY OF DEFERRED 0.00 ------ SUMMARY OF CLOSED 2636.18 ------ PENDING ESTIMATE 8950.00 Press ENTER: or F1. F4. F5. F7. F8 L q)- ? 00 {{19WeY? Acre's ON S1TE gEryAGE TREATMENT gygTEM _INSPECTTON REpORT applicant mareratira: ?h4 rr4 # f /,/??O a roaP ?eofiaspxnob SiteAddresx -- '?, Inspected b3' Pazce2ID: . Mvnicipalityll'mvns(uP. Haaae TYPc (D II IlI x OfBe*ocm # of Potmtial Hedro,my Solid Punip iy gayenient Yes iN'y? Resa°°Area 01 No (I ? buringmi,) ??(+ccanformsh Y/N) (3000 g!PrbaP &TO=Umtia cma) ;-O"otaI Tank CapacitY rwk Mam&rftXw.?Gs f 3?6:Liquid DePth (3U" mia) Tank DimrnSlons (W x L x D): s- R S X /D _...L_ *SOiIBO+ings (t mim) ,u a'j '? /YU'? Depth m Reso-icGon (iochn) 1'mnpmg Tenk & / No /060 capacitr P=p Siu & Model- ? ? `j?o vll?f . AWm- &/Na Typc i/toDad / Filta ? Tank Level ? Watertight Construcbop L/ # Pac Tes[ (2 mic,) g'O3 (Aaq) Avcage Pac Rata ?r'jdrs- ? A"cpt&ucc Rate 1n-iL,gpci, ;m Tank Covc (20^ NI'm.) CovaSmued: P /Na ? BafIle (5^ beiow liquid-1^ ahove mla aawn) ? a Bazne (6^,bwe r,(pm m+d',«) ?Outlet a M'm. 2^ below Inlet -?<pation PiPes (3 mfiL.q° mm.) -??,.?..........u?s. (/D(2a') Propem Liaes /(io.): Mataial: Conae'°r'> Ihop Bax ModellMake: 7'' 4PT ? • _ Watertight Constrnc2ian Wtll (50' or 100'): ?S-! D Biuied Water Pressure pipey (Ip.). S -tff D 4iBox is Level Pipe W Dc'op Box XIL Pipe Connectioa ReQeetion & Tnhutary (75'): _4"S _D All Othas EcceptRec. & Tnb. (15a?: D ?mvert) OutIet SnveRs (a" abm n (/ Serial Distnbu[ioa Distributioq?t`?, - vity)/ Pressiae ?i TyPe: MVU? Watc Table MMMll R8tias (7' bdaw soH ,bapaian ??; /o? S??13 ,fd- GraveIless Syst? c??? Type: Gwte? '/ ? afpipa •.•n• u¢c Z -P f J?q '&,? site nrawing: ??fRuck Ovc Pipe (21 .A,'/r xocx under pVe (6"•1a'7 ?vemd (Ge&exh7e)? A!?4 Siu of Washed gag C3ia°-z1rz^) ? rrencn wiath 4 (18"-36'? . . ? Soil over Latm$ (6 =36") Total TxeachDeptli (48"m+x) BOtbDM ocrreacn m Water Table or Hedrvck ? ? 3 N ?beroflaterai$ ?v F-6,3 Lengths (iao• ,-, O ? Latasl Sparing (7' mccaetpef,aedj Tomi Sq. Ft Txench Area A:!-Slape ofPipc so _ -?- - •- ?g-r ? ?(O p'? Apprwed: Yes / No lostauer _?/ao? ??1?r7?rlf # /a! ssgnarum: CITY USE OIYLY LOT N)- BL 0 PERMIT#: suso. [tECECPT n: Lf '?) a- ?--l ('?' RECEIPT DATE: I o - 1-3, -G6 2000 MECH4NICAL f'EftMIT (RESIDENT'IAL) crrY oF ertsAr? S$SO PILOT KNOB $D £RfiAA biA 55122 Date: G b 651-681-487s j Complete this section only if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owuer/occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you are remodeliryP, adding to, or reQlacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New ?Replacement _ Other _ Furnace Air conditioning / _ Air exchanger ? Other Q Fee State Surchazge Total $ 0 50?, Reminder: Call forfnal inspection. SITE ADDRESS: OWNER NAME: ?U...rc'? ?C1 PHONE #: l.?I Z. -??c15 -G33 l ( REA ODE) ? INSTALLERNAME: P ?A/? PHONE#: ? (AREACODS) STREET ADDRESS: Z? 0Lo5 CITY: STATE: ZIP:? SIG A OF PERMI EE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 5000 M£CHrk1V1CAL PERMIT (C0141MERCIAL) CITY OF ElF6M 3$30 PILOT KNOB RD EAsAN, M1v 551 22 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dweiling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping 6Vl:en installing/removing underground tank, call 651-681-4675 for isspectian by fre marshaf and plumbing inspectar. Descriprion of work: Fees: I% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x I%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENAN'T IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE #: - (AAEA CODE) STATE: ZIP: SIGNATURE OF PERMITI'EE CITY USE ONLY PERN[IT #: !LSb SO RECEIPT DATE: V? I?-01 RESIDEIVTlAL MEGHl4NICAL PERMIT APPLICATION crrYog $wsaiu S$SO PII.OT KNOB !iD EilBAN blA 551 ES 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: U, ) J (\ I SITE ADDRESS: OWNER NAME: INSTALLER NAME Expert Sheet Metal,lnc 30 West Main St. PO 8ox 9D STREET ADDRESS: Bethe7,PnN 55005 C ITY: STATE: Plara a rhar4 marlr navt Tn Tha narmiT wnrlr Yvna TELEPHONE #: (ARE CODE)? ZIP: New residential dwelling unit under constructionand not ownerloccupied $ 70.00 ? Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: -lurnAr-to ? I`Il. State Surchar e $ 50 L Tota I $ '50 Ren:irader: Cal! for inspections. n JUN 0 4 20 vo1 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: CiUMMERCiIAl. MECi$AMCiA. PERMff 1??PIICiATION CTTY OF £A6m S$SO PILOT KNOB fZD Ek6FeN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NtVV1E (IMPROVEMENTS ONLY): - WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction _ Interior Improvement _ Processed Piping Specify Nature of Work: PHONE #: - (AAEA CODE) STATE: ZIP: _ Install U.G. Tank _ Remove U.G. Tank Wlien insta!ling/removing underground tank, ca[I 65I-681-4675 for inspectian by Fire Marshal and Plumbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x I%= $ (Base Fee) State surcharge calculate at S.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PEILbi1TTEE Updated 1/01 RESSDENTIAL BUILDING PERMIT APPLICATION ? ? fl CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 -681-4675 lew Construction Reouirements 651 RemodeUReoair Reauirements `U 3 regislered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas • 2 copies o( plan (20°k maximum lat coverage allowed) . 1 set o( Energy Calculafions for healed additions 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions 8 decks 1 set of Eneigy Calculations . Indicate if home served hy septic system for additions 3 copies of Tree Preservalion Plan if lot platted aRer 7/1193 Rim Joist Detail Options seleclion sheet (61dgs wflh 3 or less units) )ATE -R- U/ VALUATION JT7 7L 3? r IOB SITE ADDRESS F MULTI-FAMILY BUILDING, HOW MANY UNITS? I 'ROPERTYOWNER 097-1lfi q- hNgl?RA71" 9f1LR00/0 'YPE OF WO tEPLACE(S) L-0 _1 _2 _3 kPPUCANT PHONE # 22 - 535_ - 309'7 kDDRESS /?3as pf';? Sf , l'v?V'4. ?'lynl ZIPCODE s-s-3 'AGER # ? CELL PHONE # 93 a - 4'5-/ - 36 FAX # 9s a - 935' -ooa Energy Code Category (check one) Plumbing Plumbing Mecha Includes: Sewer/Water Contractor: Phone # 111 above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with sll applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant :ertificates of Survey Received _ Tree Preservation Plan Rec ved _ Not Required _ ??? D ENTIAL BUILDING ONLY - FILL OUT COMPLE ? I? ? ?? - MINNESOTA BULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitte 1 ? n^ - Energy Envelope Calculations Submitted _ '? TY Y 1 _ MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted -?l Phone Water?terf / No. No. q?$aths/ Fee: S r Phone # An- C;ondirioning Fee: $ZW Updated 1101 OFFICE USE ONLY ] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ] 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ] OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 7 06 04-plex ? 12 12-plex Plbg_Y or_ N J?a 25 Miscellaneous ] 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 7 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair 7 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof #9 46 WindowslDoors 7 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant /aluation 00 Occupancy MC/ES System :ensus Code Zoning City Water iAC Units Stories Booster Pump Jbr. of Units ! Sq. Ft. PRV Jbr. of Bldgs ? Length Fire Sprinklered -ype of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ?j FinaUNo C.O. _ Footings (addirion) ? p]uinbing Foundation ?AC = Drain Tile ? Roof _ Ice & Water Final Other - FTTmiv$ _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test Final Siding Stucco Stone ? Insularion 7k) Windows (new/replacement) Approved By/-69 , Building Inspector 3ase Fee iurcharge Ilan Review AC/ES SAC :ity SAC Nater Supply & Storage i&W Permit & Surcharge -reatment Plant Ilumbing Permit Aechanical Permit .icense Search :opies )ther fotal -L?L_ PERMIT City of Eagan Permit Type:Building Permit Number:EA132922 Date Issued:09/11/2015 Permit Category:ePermit Site Address: 1436 Highview Ave Lot:092 Block: 0 Addition: Highview Acres PID:10-32880-00-092 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 - Bharratt Balroop 1436 Highview Ave St Paul MN 55121 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature