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
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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?
--
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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
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?
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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$00.657-1564, ar TDD (for huring anA speech lmpaire0 oniy) (631) 28b3732
Ti?d or,?ryck0 µKrwntdnng et krl 101L Qhen fmm paper KeyckO br ooo? .
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FROM : C8I PFGPlE N0. : 612 781 2471 Oct. 26 1999 04:09PM P3
STANDARD SYSTEM DESICN
iND1VTDUAL SEWAGE TREATMENT SYSTEM
Q.ner'S Nsmc O
loesit<Aaareu (?
?? J ` '
1 ?'S O ..-r? V I
C;cy at TawNh,P A A .,
U,. of svilair,= 4-- IA lL_ ?. ° o
D'siYn Gbv Auu Q Q P.rc Pa?e .? L?nd Sloiw L
Tw RequVW 7++k Sizue 10 0 Lu s?1?, ?„r ?w N c3eo,?
fm at Sysum (:uwra, at 8meq a oed) tzTA tV
Syfltm 512t: Q??Squve Peel Z C -Limxl Rwt ?j -tlcneh Widtp
?
`
Dcptn ef rpck 4clew piyc n.Pm of Roer Aeo?e Pipe
MII:imum Dapch ef Trsroh
4?es MAXimum DepN of Trcncn /?
From Efcistina Gnde 'S L^cMS
Fiom Etiriina Gradc ne
? I
Raeommended Number of Tr<rwha . s
ReeemmwndW 1-a^sd+ of Trme
TtqorK:h SpbtiNL Measwed Ctnbr u Canvtt --X ,
Al.a,l..sv«l.icenainoN tfte S?Ro.P bo7cE$.
? 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
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RPR 11 '00 12:53
FROM BANK MORTGAGE
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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
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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
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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