1771 Gabbro Tr
Use BLUE or BLACK Ink
r
For Office Use r
Permit 5
City of Ea o~-~
E I Permit Fee: V• 6 0 I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: d j
Phone: (651) 675-5675 I ~,n I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lt7 Site Address: / 77/ 6,4e,0 2015 e
Tenant: Suite
RESIDENT/OWNER Name: 9~ G /~aLb~ e1' Phone: 5'So~ r / / - d96~7
Address / City / Zip: 777/
~93~.2o T~
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
i°ra,~
Construction Cost: Multi-Family Building: (Yes / Nd`~\,_)
CONTRACTOR Name: ~C ~CyII24 n Ame Fti'l o/l'►c%,me4_~ License ~2-c5
Address: ✓ /P Age City: '7C7f,
State:/01I Zip: 5-7--//7 Phone: 5-767
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o pl ' s.
X /CnUern zmr%f' x V~A 4114
Applicant's Printed Name Applicant's ' ture
Page 1 of 2
CITY OF EAGAN Remarks SeW & Wf2' 2Y'I117.tS 12-20-68
Addition Cedar Grove #6 Lot 13 eik Parcel 10 16705 130 0
owner ,J 9' Street 1771 Gabbro Trail State Eagan,MN 55122
K/.A J
Improvement Dete Amount Annual Vears Payment Receipi Date
STR E ET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL O 7Z,00
P21C?
WATERMAIN
WATER LATERAL 20
WATER AREA
STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 'LOO OO 172 12-2-68
HUILDING PER.
snc 200.00 112 12-23-68
K
EAGAN TOWNSHIP
BUILDING PERMIT
Ownes ....... _.. i--L- /.........r?--?-;...... ?'
?- ............ ..
; - ...............................
Address (Preseni) ""- 111-1 ...... -'- .
Suilder ........
Addrea ......
DESCRIPTION
N° 1930
Eagan Tawnahip
Town Hall
Daie /
------................. ....................
SSOries To Be Used For Froni Depfh Heighi ermii Fee
Esi. Cosf Remazka
?
v ? LOCATION
or
I.3 1 .S' I Z.
This pexmit does aof aufhoxise the use of afseels, soads, alleys ar sidewalke nos does it give the ownes os his agent
the :igh! 10 creafe any sifuation whiah is a nuisanae or which presents a hazard 20 the heallh, safetp, convenienee and
general weliare !o anyone in the communilp. .
THIS PERMIT MUST BE KEPT ON THE PAEMISE WFIILE THE WORK IS IN PROGRFsSS.
!o erec! a--_-•l?;:.,.?_.G ? ?.......... : upon
• y, lhat ..... r.... C::............. has permissioa
ThSs u !o certif
............ _
-------...------.......° - .
the above described psemise subjeef fo the provisions of the Building Ordinance for Eagan 4ownship ad !ed April 11,
1855.
? . ..
--............... .............................. -.._............ -......... ......--------.,.--.-------.............
----------------.--- .__.::?-, :-•--•? ?'---- -'.,-.--------- pe:
l% Chairroan of Tnwn Soard ? Building Itupecior
?J CITY USE ONLY
L ?? BL d' RECEIPT #:
SUBD. l:24C.LUI'_ /Gd4lC- ?CO RECEIPTDATE: ? ?9
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: . single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH v Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x • _
Laundry Tray 3.00 x =
Hot a 3.00 x =
Water Heate 3.00 x
loor Drain 3.00 x =
Gas Piping Outlet • minimum - 1 • 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under construction 5.00 x =
Water Saftener " Mr existing dwelling 20.00 x =
U.G.Sprinkler 'fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' W existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` Dak Cty Iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE .50
5'
2?
0 -
TOTAL
t hereby acknOwledge that I have read this appliption, stale that the Irdomuetion is correct, and ag2e to comply with all applicable City
of Eagan oMinances. It is the appllcaM's responsibility to notHy the property owner that the City of Eagan assumes no,liability for any
damages wused by the City during ks nortnal operatlonal end maintenance adivities to the facilities conaWcted under thi3pertnft within
City proparty/rightof-way/easement. , , ,
SITE ADDRESS:
OWNER NAME: ?? • (,`?
INSTALLER NAME: i g-
STREET ADDRESS: / 3[3 y C
CITY: 1?!ll??GS,
#: Xd if `7L° y
STATE: A"?y " ZIP: S
AA:Z ??
SIGNATURE OF PE IR'FA TTEE
r
EAGF.N 'IY)WNSHIP
3795 Pilot Knob Road
5t. Paul, Minnesota 55111
Telephone 454-5242
PERt7IT FOR WATER SERVICE CONNECTION
Date• 1,l/,2d16 t' Number: '906-
Billing Name•
Owaer:(?Cr7i A'?
Plumber• -9-L¢?-x/ ?
site Address: /721 .kMet-°?
Billing Addreas
Connection Chg.
NO ITotal Chg.
Buildiag is a:
Residence r
Multiple Hp,
Commercial
Iadustrial
Other
Meter No. lPermit Fee
Meter Readinp'Meter Dep.
Meter Sealed: Yes_ 'Add'1 Chg.
Inspected by
Date
Remarks:
B9: Chief Inapector
In conaideration of the iasue and deliverq to me of the above permit, I
hereby agree to do the proposed work in Accordaace with the rules and
regulations of 8agan Townahip, Dakota CountyGsota.
gY:
Plea3e aotify the above office when ready for inepection and connection.
,
EAGEN TOWNSHIP
3795 °ilot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT rOR SEWER SERVICE CONNECTiON
DATE: /o?12d'/l?' > NUM$ER . .?/7
OWNER: . ,r. &,Ok Ci . Address /,3-A-6 1771 _&dte- c-
PLUMBER C?'rI'ZG- TYPE OF PIPE
DESCRIPTION OF BUIIAING
Industriall Commerciail Residentisl I Multiple Dwelling I No, of units
Location of Connections:
Inspected by:
Date
Remarks•
Conaection Charge
Permit Fee
Street Repairs
Total
By
Chief Inspector
In consideration of the issue arni delivery Co me of the above permit, I
herehy agree to do the proposed work in accordance with the rules and
regulations of Eagan Toianship, Dakota County, Minnesota
BY ? .Q.?.? C/ e4/ i
Please notify when ready for inspection and connection aaci before any portion
of the work is covered.
CITY USE ONLY
LO'i' ? BL ? PERMIT #:
suen. Cejq r (,rnue #xECS[rr #:
5tate Surcharge
Total
RECEIPTDAI'E: 11_ZHo
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT IdNOB RD
EAGAN tM1 55122 651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
conshvction and not ownedoccunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
.50
$
Complete this section onlv if you aze remodeline, addin2 to, or re?airinQ an existing single-family dwelling,
townhome, or condo. Please indic if it is a new item, alteration, or repa'v.
_ New lteration _ Repair _ Other
? Furnace
_ Air exchanger
Reminder: Call for inspectiorrs
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
9?1??
Air conditioning
Other
Fee
State Surchazge
Total
#: (V
SIGNA
$ 30.00
30.50
454-zz40?5
IDE? '? `r'19Z.?o
ZIP: ? ^G y_raJ
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
YI cinr oF EacaN
3830 PILOT KNOB RD - 55122
651-681-4875
New ConslrucHon Reaulremenh Remotlel/Raoalr Reaulrements
n 3 reylsteretl fite wrveys ahowing aq. H. ot bt, sq. H. ol house
and gH roded areas (20Y. maxlmum bt coveraae allowedl
> 2 coples of plana (ahow beon & window slzes; poureE Ind. deSign; efcJ
i 1 sel of energy catculattons
> J coplea ol free presenaflon plan tl lot plalted alter 7/1/93
DATE: I I ' !a -Co
DESCRIPTION OF WORK:
2 coplea of plan
1 fet of energy cdculaHons for heated atltlHlona
1 sife wrvey for exdedor atldiHons & decka
CONSTRUCTION COST: -!,,?? , 0-3
STREET ADDRESS: ( 1 I! (rr, 6p k, <<^
LOT: ?.&? BLOCK: _0 SUBD./P.I.D. #:
Name: ?) c ( n i) C h YYl ? ?v ?? Phone
PROPERfY Los? Fi'st
OWNER
Sheet Addreas: rrc. L/ C) 1 v'r ? i
City c., J5a State: Zip:
Company:? (0il ? Phone M: S,0:11 (area code)
CONTRACTOR
Sheet Address: l a aLi 7 n 1' r•. i l,4 AUF . Llcense Y ExP•
Cly AL<fn 5, state: m n l zip:
ARCHITECT/ Name:
ENGINEER Company:
Telephone t: ( )
Sfreef Address: Regisha8on #:
qy state: ZiP:
Sewer/water licensed plumber (if Insfallina sewer/watarl: Phone #:
I hereby acknowledge Ihat 1 have read Ihis applicalbn, sfate Nwt 1he infortnatbn is cortect, and agree to comPN wilh ag appdcable StafE
of Minnesota Stalutes and Cify of Eagan Ordinances. AAJ
Signalure of ApplieanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan ReCeived _ Yes - No _ Not Required
MEMO
T0: DIANE DOWNS, UTiLITY 81LLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CED/iR GROVE NO. 6(141 LOTS)
This memo is to iniorm your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block fi, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be bilied at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being bil{ed by Dakota Electric for streetlighting in the above listed
subdivision.
l
Ed Kirscht ?
Sr. Engineering Tech
cc: Mike Fosrtsch, Asst. City Eng.
EK/je
C
POTH
Professanal Associatbn of Treacment Hanes 5851k-[3ubd+3ereec, Minneapd's Mimesaa 55432{tr13j 54d-6d1t 5 54 2 8
5701 KPntuckv Avenue North_ Suite 165
May 4, 1983
City Clerk's Office
3795 Knob Hill Road
Eagan, MN 55122
To Whom It May Concern:
The following hame in your city has been licensed to provide
foster care services for one child:
Joseph and Mary Kaye Bozicevich
17-7-1-Gabb-r-o-T-ra.i.1' ;
Eagan, MN 55122
They have three children of their own under the age of eighteen.
Sincerely,
Don ?M1ez CS`
Executive Director
DRM/jm
n Mon R+oHc organi:arion
PERMIT# 1 a *p
r
RECEIPT DATE:
RESIDENTIAL PLUMBINfi PERMiT APPLICATION
CITY OF E4&!kN
SSSO PILOT KNOB tiD
HlkfiAN, MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
(sA)jr1D
S ITE ADD RESS:
S0./
OWNER NAME: : rnM ?c111? GI ? TELEPHONE #: S LL_5?' R2694?r
? (AREA CODE)
INSTALLER NAME: J TELEPHONE #: ?A b?'ly b%LE ?
"o . a r,L ?r? (AREA CODE)
STREET ADDRESS:
CITY: STATE: ? ZIP:
Ptace a chxk mark next to the oermit wark tvoe
New residential dwelling unit under construction and not owner/occupied $ 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
• waterturnaround
Nature of work: , a7"
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license ,
Water tumaround - existing dwelling unit, including: $ 50.00
• 5f8" meter 715.00
$ 165.00
State Surcharge $ .50
Total
Reminder. Schedule inspections of alterations, i.e. water heaters, water softeners, water turnarountl, etc.
Iherebyacknowledgethatlhavereadthisapplication,statethattheinformationiscorrect,andagrecomplywithallapplipbleCityofEaganordinances.It
is the applipnYS responsibility to notify the property owner that the City of Eagan assumes no liab' ? for any damages ca ?d by the City during its nortnal
operational and maintenance activities to the §ciliGes constructed under this permit v8hin C ro? fri - ent.
Updated 9101
SIGNATURE OF PERMITTEE
e months C,
Irom 6 /?u
?e 73948 ? ? ov?- '01
Request ata . Fira No. Repuned7 ?spection C]qeady NuwgWill Inspec-
I ? I ?Yes N. tor When Reatly
censed Electrical Contrxctor 1 he.eby request inapeetion ol ebove
? Owner ? electrical work installed at
Streei Address, Box r Route No . City
eclion o. Township Name or No. . anBe o. Coo
?
Occupnnt (PRINT)
Z) Er .66
Cevlc Phmne No.
?S -oZa(o5
Power $upDlier Addr25s
Elec 'cal Contracmr ICOmpam? Namal
4 Coniractor's License No.
'.G - a 3 ?
Mailin8.4tldress ( nt r or ner Makinp Ins[ailation)
3
' cA? ,-f-1. . 3S)
Aui rized Siqnat e
IContractor Ownor Making Installat on) P one NumOer
/
MINNESOTA STATE BDAflD"OF E?'LECTRIC? ITY TNIS INSPECTION PE?UEST WILL NOT
Griqpa-Midway BIOp• - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 UniversitvAve..3t. Peul, MN 55104 UNLE55 PNOPEN INSPECTION FE
Phene (6141642-OH00 ' ENCLOSED.
g??(G/?YJ! REQUEST FOR ELECTHICAL INSPECTION E,/e?-ooooi-U(X
See insiruc[ions for tompletirp this torm on beck of Vel low copy. el(?9Ory/ (J
it.7,3P48 X" Below Work Covered by lhis Request .
0.tltl eD. Tvoe of Builtlina Aovliancea Wired EquiVment WireC
nx 1 I Water
lo
p Fea ServiceEnirBnceSize k Fee Feeders/Subieeders N Fee Gircuiis
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 AmpS
Swinttnin Pool Above 700_Amps Above 100_Am '
Transtormers Irngation Booms Partial."Other Fee
I I I Signs I I iSUecial Inspection ?S
Xemarks ?? Jl?J TOT 'F
/
Finel
certi/y thet tho abovB
inapection hes bean
meda.
tOb requeet voitl 18 monlM trpm