1868 Gold Tr
Use BLUE or BLACK Ink
For Office Use I
ina
n I
City of Ea I Permit V I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Staff:
Fax: (651) 675-5694 L---------------
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: oZ / Site Address: IOR
Tenant: Suite M
RESIDENT /OWNER Name: Mad4l'~ Phone:
~7 1- (J
Address / City / Zip: / 6ln J'
Name: License M
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: J L f p I,,a le j2- to o A L,o d W i R V
DESCRIPTION ~J^` ~T-
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case o ork which r quirepproval of plans.
zz_
7 ld~ !lpplican Printed Name Applic t Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN Remarks Sew & w+,r permdts 1-20-49
Additio?n '•C'??'' Grove #6 Lot 8 Rlk 3 Parcel 1 167nK 080 03
owner??.Y2L??..r ` treet 1868 Gold Tra31 State Eagan,MMPII 5622
' Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
' STREET RESTOR.
GRADING
5AN SEW TRUNK 1968 92.43 0$ 0 Paid
# SEWER LATERAL ' 1 97 O O
WATERMAIN
# WATER LATERAL 1970 1472.00 ZO Pi
WATER AREA
# STORM 5EW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200OO
9UILDING PER.
sAC 200.00 1191 1-27 9
PARK
cirir oF E?c,AN
3795 Pi1ot Knob Rood Eogon, MN 55122 NR 5794
PHONE: 454-S100
BUILDING PERMIT Receipt 1#
To be owed for Est. Value ' Date , 19
Site Address - - - - Erect ? Occuponcy
Lot Block S ec/Sub. Alter p Zoning
Repair ? Fire Zone
Parcel #
Enl
? e of Const
T
arge .
yp
Name Move ? .# Stories
W
Z
0 Address Demolish ? Front ft.
Ci Phone -Grade ? Depth k.
?
O Name Approval*
- Fees
?? Address
oti,,.,e
Name _
Address
I hereby acknowledge that I hove read this opplicotion and stote that
the information is correct ond agree to comply with all appficable
State of Minnesota Stotutes ond City of Eogan Ordinnnces.
Assessrnent
Woter & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg.Off. ,
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Totol
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in occardance with all applicable Stute of Minnesoto Statutes and City of Eagan Ordinances.
Bullding Offlciol
PnwM # Yete Iowd PxmMtM
Plumbing
Mechonical
INSPECT10N5 OATE INSP. Rouqh-In Final
Footings Date Insp. Date Irbp.
Foundution Plumbing
Frame/ins. Mechonical
Firwl
Remarka:
( , _r'i -
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 35722 NO 5794
? PHONE: 4548700 ' /
757
BUILDING PE RMIT A PPLICATION Receipt #
Te be uwd for Garage Esr.value 2,500.00 oate May 1, 19 80
Site Address 1 869 Gold Trai 1 Erect ? Occuponcy R3
Lot $ Block 3 Sec/Sub. Cedar Grove #6 Alter ? Zoning R1
Parcel .fk Repair ? Fire Zone TIT
E
l
?C e of Const
U
T
n
arge .
yp
z
w Name Rohert J I.aTkin Jr Move ? # Stories
3 Address SaMe Demolish ? Front 14 ft.
? Ci Ea 3R MN phone 452-3889 Grode ? Depth ?'? ft.
Name Same
Approvalc
Fees
r
?o
? Address
Nome
I hereby acknowledge that I have read this application and state that
the informofion is correct and agree to tomply with oll opplico6le
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of PermiMee ?a} ,l, • ??"--?-''"?"
\
A Building Pertnit is iwued to: 3Tki11
all work sholl be done in occorda i II o lic le State of Mir
Bulldin9 Official
Asseument -
Water & Sew.
Police -
Fire
Eng.
Planner -
Council -
Bidg. Off. -
APC
Pertnit
SurcMrge 1•00
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Toral 13.00
on the expreu condition thot
Statutes and City of Eagan Ordinonces.
, 44?'J / /?_o --&-,sz??
`?5 CITY OF EAGAN Include 2 sets of plans,
/? ? 1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of eneryy calculations.
? ?"5-wr) - ?.
To Be Used For.?R???'? Valuation -? Date , J
Site Address: 18,,/ g(?-; o Icl 7&-, / OFEICE USE ONI.Y
Lot _'j' Block ? Sec./Sub. C G(p
Parcel #: ^
Qwner: c"i2)
Pdaress: j!?(oS G o/d ? A? j
City/Zip Code: ER?? rn? SS I 2-L
Phone #: 9 S Z- 3 S3
Contractor: Kob?f 1 . L.aek r..i ,-J?
Address: .4.60e1'4_::
City/Zip Cocle:
Phone #:
Arch./Eng•:
Pr3dress:
Erect occupancy
Alter Zoning ? -
Repair Fire Zone 3
Enlarge ? 7ype of Const. y
Nbve # Stories
Delrolish Front / ?_ft.
Grade Depth ?.? ft.
APPROUIILS FEFS
Assessments PeLmit `r
W3ter/SEwer Surcharge
Police Plan Check
Fire SAC
Enq, Water Conn.
Planner Water Meter
Council Roal IJru.t
Bldg. Off.
APC
City/Zip Code:
Phone # : TOTaL
EAGAN TOWNSHIP
BUILDING PERMIT
/ i
oWna: ?,
__.L.?...?--'--?.._-- ..._-t.... _------......- ...................
Addreu (Preseni) ..'4 ------ ?."_...if:_""'..._..."'...._._._.
Builder ..------------------------------ ......... .......----.. _-------- ....
7lddress
DESCRIPTION
N° 1939
Eagen Township
Toan Hall
Date ?-1-.................
Sfories To Be Used Fo: Fsonf Dep2h Heighi Est. Cosi l Permif Fee Remarka
y ?^. .
SIIBOf. H09tl Of OI71Bt UEiCIIpIlOII OI LOCBIlOi1 I LOI I 2510CK I AtlQIIlOn O[ TfBCi
C : /?' ?r Gr
This pesmit does not auihorise the use of sirae}s, roads, alleys ar sidewalks nor does it give the ownes or his egeni
the righ2 2o areaie anp siiua2ion which is a nuisance or whiah presenfs a hasard !0 the heallh, safely, convenienee and
genera3 wellare !o anyone in the eommunity.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS tN PROGRESS.
This ia !o eezSify, ihal.. ..... hespermission !o erea! a......:°:`.:.' - upon
L.'.:^?:'.":---?! :... .... .........- ....... 'f y/ . . ... ' - --
!he above deseribed premise subjeci fo the provisiom of the Building Ordinance for EagaiY TOwnship adopled April 11,
1955.
--° ............. ...?-- ...... `--^------........-°--....---- Per ---....... .._?....... (!'"'..._......... '.:?:J....._....-.`------..
? h`C irmen of, Tn2ln Board Suilding 7nspecfor
?
EAGAN TOWNSHIP
BUILDING PERMIT
Ownet ....'-'...--' .. _ "- .......................................
Addreu (Presen _.I.Q.?.B....1rf.?K...'_?.`......--"-'-°-°....
suiiae= ----- ....... 6.3 .............. ................
_ -
Addreas ?s ...... -, ?yh.i?-°
...........................'--v--° -'-•°-'°.--'-----'--....................
DESCRIPTION
?
N° 3082
Eagan Towaship
Town Hall
aata ...........
Stories To Be Used For Froni Depih Heigh! Esf. Cosi ermi! Fae Remazka
G
LOCATION 144•ov.
or
? 1.3 1 C-6-0
This permit does nof suihorise the use ot sfxeels, roads, alleys or sidewalks nor does it give 16e owaes os hia ageaY
the rightYO creafe any s?luation whieh is a nuisance or whieh presenls a haasrd !o the heallh, safely, eonvenienea and
general weltaxe to aayone in the communilp.
THIS PERMIT MUST BE KEPT ON T4E PREMISE WHILE THE WORK IS SN PAOGRESS. ?
Thia is !o eer2ifY. that.....?.t ......... ...................... has ermiscion !o ezect a....... ^+^? . ?°" --'."."."...`?
P -•-•--° --°°°•-------?...._.._upon
the abave described premise eubjeei !o the provisions ot the Suilding Ordinance for Eagan Townchip adopted April 11,
1955. ?/? ?-?,-, ----- ` ?
.
-•-•-°'---...._..-' ............. .....:....`- •.Q"v'O?- 5:!?-? Per _.................--'-°- ... ----°--..._g ._.._P............
Chairman o s„
f ThWn BoS:a? aai.n Ias eclor-?
q
EAGErN TOWNSHIP
3795 Pi1ot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT I'OR SE47ER SERVICE CONNECTION
DATE• Q & '7_
OWNEF.•
PLUMBER ??,r.r•? v?hC/
DESCRIPTION OF BUIIAING
Industriall Connnercial4 Residential
Location of Connections:
N@fBER 331 _
Address P'3-6 /14 jJ
TYPE OF PIPE (./ L
Multiple DwelLing I No, of uniCs
Connection Charge 200180
Permit Fee 7•50
Street Repairs
ToCal
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tormship, Dakota County, Minnesota
gy c%
?.
Please notifq when ready for inapectian and connection and before any portion
of the work is covered.
.
,
EAGF,N TOWNSITYP
3795 Yilot Rnob Road
St. Paul, Minneaota 55111
Telephoae 454-5242
PER4IIT FOR WATER SERVICE CONNECTION
Date:
.?
Billi Name:
Owaer•
Plumbe'r:
tion
Number• 213
Site Address• p-o3-(
Biliing Address
Meter No,!,Pi,Y.s`i ?iMeter Parmit Fee 7•50
Meter ReaDep.
Meter Sealed: Yea_ IAdd'1 Chg.
NO ITotal Chg.
Inspected by
Building is a:
Residence-j_
tiultiple Ho.
Causnercia 1
Iadustrial
Other
Date
8emarke:
By:
Chief Inspector
In coneideration of the ieaue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of Sagan Townahip, Dakoia County'?sota.
gy; //u/
b
Please notify the above oftice when ready for inepection and connection.
- - N MR s ?•? S --?'? N - -- - --
_ 1 g b f3-Cc5j-o_-
NORTHWESTERN BUiLDERS
• 80'Sr3 BtoomFngton P reeway
Minneapolis, Minnesota 55420
Phones $84-886e
exVcTr N?
30N ^ J
W / N'locw
F
I
' t? JsS
Y ?
?S%? 6
1, ) r\ J,?`
4z°°r, 'p
. o?'9N 5
, - ?
-- !? -
,
I ?+ I
GPQA4g-
?
R?2c-'. ??'??L Y0 a?i' 1 N l?rS
H ?p ?ZooF a' ouegF7AN&
I N8OL./{TF-(J 3}4E.4TN?lr
,CtLOM11vpN 9Xn&, ,
?2" PoaR2? foo'?i r, as
C?'rv.?.,n1T $Lac.k$'Zb ?R+v?p?..
t? a?R?C ?o ou"r L?,$
}i iA--I? 3Y NbMT- Ot.uN?R.
, Z,F N)uu E So'D A,?
y.i ae'i-t-TtAC27 ?olZ, ??t ?r
I??.?
C.?,fl t?13 L b
S-,\ G;QJ
?
MASTER CARD
STRUCTURE AND I
V/I A A&701 Dd
LAND USED AS 2ro? 0
Permit
No.
Issued Issued To
Contracfor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS WSTALLING
SANITARY SEWER
OTHER I
OTHER I
I}ems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING '1 _ s ?f
L
?
? 73 SEPTIC
FOUNDATION --I
- CESSPOOL
FftAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
-,7
" Violations Noted
on 8ack
COMMENTS:
'IiF?r?i'pY?NLi
_ city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform 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 6, Lots 1-53 53
(tots 54 through 61, Block 6, should not
be billed 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 currerrtly being billed by Dakota Electric for streetlighting in the above listed
subdivision.
L?'?•?..7 li?? ? '?Q? ? ?
?
Ed Kirscht Sr. Engineering Tech
cc: Mike Foertsch, Asst City Eng.
EK/je
Sarah Thomas
From: James Lanigan <jamie@Ianigankolb.com>
Sent: Monday, January 14, 2013 3:42 PM
To: Sarah Thomas
Subject: Opal Services, Inc.
Hello Sarah,
Thank you for your response to our call regarding the group home locations that Opal Services, Inc. is in the process of
buying and licensing. As my colleague mentioned in the voicemail this morning, Opal Services is buying Opal In -Home
Services, and applying for licensing of all existing group home locations. The county and state licensing process requires
that we inform each municipality that we are applying for licensing. We are not requesting to be licensed within the city
of Eagan. We simply needed to inform you that we are applying for county and state licenses for homes that are located
in Eagan.
Per Minnesota Department of Human Services form DHS -0250 -ENG, page 5: "Applicants for a residential program (adult
foster care) license issued by the Department of Human Services under Minnesota Statues, Chapter 245A, The Human
Services Licensing Act, are responsible for contacting the municipality where the program will be located to inquire
about applicable local ordinance requirements." The form requires we list the contact name, phone number and date -
of -contact for each city that we informed of our application.
I will note on our license application that you are the person we informed for the city of Eagan.
For your information, the four group home locations in Eagan are:
Coachman, 3518 Coachman Rd, Eagan, MN 55122-1212
Diffley, 941 Diffley Rd, Eagan, MN 55123-1775
Gold Trail, 1868 Gold Tr, Eagan, MN 55122-1616
Slater, 4489 Slater Rd, Eagan, MN 55122-2382
Regards,
James Lanigan
Opal Services, Inc.
Owner, President & Administrator
763-242-0212
Circular 230 Statement
To ensure compliance with requirements imposed by the IRS, we inform you that, unless specifically indicated otherwise, any tax advice contained in
this communication (including any attachments) was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding tax -related
penalties under the Internal Revenue Code, or (2) promoting, marketing, or recommending to another party any tax -related matter addressed herein.
INFORMATION IN THIS MESSAGE, INCLUDING ANY ATTACHMENTS, IS INTENDED ONLY FOR THE PERSONAL AND CONFIDENTIAL USE OF
THE RECIPIENT(S) NAMED ABOVE. If you are not an intended recipient of this message, or an agent responsible for delivering it to an intended
recipient, you are hereby notified that you have received this message in error, and that any review, dissemination, distribution, or copying of this
message is strictly prohibited. If you received this message in error, please notify the sender immediately, delete the message, and return any hard copy
print-outs.
1
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
Permit Type: Building
Permit Number: EA109000
Date Issued: 01/30/2013
CityofEaan
Site Address: 1868 Gold Tr
Lot: 8 Block: 3 Addition: Cedar Grove 6th
PID: 10-16705-03-080
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: Occupancy:
Zoning:
Square Feet: 0
Comments: Opal Services - Kristi Filipiak 651-554-6160
Fee Summary:
Day Care Inspection
$50.00 1221.4216
Total: $50.00
Contractor:
Owner:
Merkan Corp
706 S Robert St
St Paul MN 55107
- Applicant -
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
Sarah Thomas
From: Sarah Thomas
Sent: Tuesday, January 15, 2013 9:00 AM
To: 'James Lanigan'
Subject: RE: Opal Services, Inc.
Thank you for the information. We will put a note in the parcel files.
Regards,
Sarah
...1/ L..(L
\. I L€ , * C 1$-L-1 ct S (ciO4
Sarah Thomas 1 Planner 1 City of Eagan
City Hall 1 3830 Pilot Knob Road 1 Eagan, MN 55122 1 651-675-5696 1 651-675-5694 (Fax) 1 sthomas(a)cityofeaoan.com
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
From: James Lanigan [mailto:jamie@Ianigankolb.com]
Sent: Monday, January 14, 2013 3:42 PM
To: Sarah Thomas
Subject: Opal Services, Inc.
Hello Sarah,
Thank you for your response to our call regarding the group home locations that Opal Services, Inc. is in the process of.
buying and licensing. As my colleague mentioned in the voicemail this morning, Opal Services is buying Opal In -Home
Services, and applying for licensing of all existing group home locations. The county and state licensing process requires
that we inform each municipality that we are applying for licensing. We are not requesting to be licensed within the city
of Eagan. We simply needed to inform you that we are applying for county and state licenses for homes that are located
in Eagan.
Per Minnesota Department of Human Services form DHS -0250 -ENG, page 5: "Applicants for a residential program (adult
foster care) license issued by the Department of Human Services under Minnesota Statues, Chapter 245A, The Human
Services Licensing Act, are responsible for contacting the municipality where the program will be located to inquire
about applicable local ordinance requirements." The form requires we list the contact name, phone number and date -
of -contact for each city that we informed of our application.
I will note on our license application that you are the person we informed for the city of Eagan.
For your information, the four group home locations in Eagan are:
Coachman, 3518 Coachman Rd, Eagan, MN 55122-1212
Diffley, 941 Diffley Rd, Eagan, MN 55123-1775
Gold Trail, 1868 Gold Tr, Eagan, MN 55122-1616
Slater, 4489 Slater Rd, Eagan, MN 55122-2382
Regards,
James Lanigan
Opal Services, Inc.
Owner, President & Administrator
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116905
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 1868 Gold Tr
Lot:8 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-080
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 by law in ALL single family homes .
Brian Preuss
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 -
Merkan Corp
706 S Robert St
St Paul MN 55107
(763) 242-0212
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature