1526 Lone Oak Rd
PERMIT #
' MECH/i?NICKL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-8100 For Office l
m Name
? Addre
c City _
? Name
c Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Air Cond. ?
Vent
Gas Piping Outlets #
tli"i ' _ r t
b
BLDG.TYP
Res. `
Mult
Comm.
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE -
S/C: _
TOTAL• _
WORK DESGRIPTION
New
Add-on X,_
Repair
FEES
RES. HVAC 0-100 M BTU
ADOITIONAL 50 M BTU -
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MtNIMUM - 1 PER PERMIT) -
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS •
$24.00
6,00
1.50 EA. .i
12.00
MINIMUM CaMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATU E OF ERMITTEE
/
FOR: CITY OF EAGAN
CITY OF EAGAN
Addition S Lot Rlk Parcel 10 00900 'r1Q 9?
owner G ? street 1526 Lone Oak Rd, state Eagan?MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. •
STREET RESTOR.
GRADING
# SAN SEW TRUNK 100.0 O
SEWER L,ATERAL 1970 ?()
WATERMAIN
.#. WATER LATERAL 1
WATER AREA
;? STORM SEW TR K 970
1
20
STORM SEW LAT
CURB 8i GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
REQUEST FOR ELECTRICAL INSPECTION /e/e-ooooi-os
/ See inshuc4ons tor completing this lorm on back el yellow caDY.
LJ , &613 0 "X" Below Work Covered by 7his Request
Fdd Pep TYOe of 9wlemg Apolancaa WireA-- Equ.umem WireA
Home Range Temporary Service
Duplex Water Heater LighUny Fiztures
Apt. Building Dryer Electnc Heaun
Commercial 61dy. Furnace Silu Unlonder
Industnal Bldg Au Conditioner Bulk Milk Tank
Farm Otn, peci v .1hoi Isnecifyl
t c,r SVeu y Omer O,hn,
Comoute lnsoecUOn fee 8elow
p Fee ServiceEnVancaS¢e R Fea Fnxders/rSubfeeders b Fea Crtcults
U to 200 qm s 0 to 30 Am s 0 co 30 An s
A6ave 200 Ampsj 31 to 100 Amps 31 to 100 Am
Swinvniny Pool Above 7('10-Amps Above 10a_Am)s
Transiormers Irngation Booms Partral-'Other Fee
Signs Special Inspectron
TOTAL E
Pemarks ?
HouBh-m Dnte I. the Electncal
Inspecbq hereby
cerLiy IDat the above
Final
? inspectian has been
mBtle.
Thu reQUest voitl 18 monlha irom
This request vaid
18 monIhs fmm
D 661304 ic*t•e-x? R
Request Dale Fire No: ? q?
uph-in Insuection
:
Hepu?retl? E]Featly NuwXWill NolitY Inspec-
?Yes ?NO tor Wh¢n Fead
U L..eiueu uecinwi convacmr
I hereby reQuest mspecnon ol above
NOwner electncal work installed eL
Street Atldress, Box or Route No. City
/SZ& Lo?,G or? ???-? G G??
ecLOn o. Township Name or No. RanBe No. Coun
ry
/
?
?/ry'/?(O/ ^f
OcLuVaniIPRINT)
G ! '?LN ? ??^
Phone No. Z
Power Svpolier
/VSP Address
Eleolncal ConVaclor IComVany Namel
O ??f? CoMracmr's Liconse No.
MadmO Address (COntractor or Owner Making Instailavonl
is zG [,orv4o o *k'
Aufhonred Sipnnture ICOMractor/Owne Makin Installation) Phone Numher
6? C? t1i"'6-41-14 Z s
MINNESOTA STATE BDAFD OF ELECTqICITV THIS INSPECTION HEQUEST WILL NOT
GriBBS•Midway Bldg. - Room N•191 BE ACCEPTED BY THE STqTE 80ARD
1821 Universrty Ave.. St. Peul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
PERMITi! q tA "T --1 O
RECEIPT DATE: 6- a- CJ
USIDENTIlEL f'LUM$INfi PFItM1T A"LICATIOft
crrY oF EteM
ssso PnM Kxos sn
EAfiAA. DfN 55182
631-8$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: 1526 LOne Oak Road
OWNER NAME: : Glen Ho]]and
TELEPHONE #:
(AREA CODEj
INSTALLERNAME: Dakota Plumbing & Heating, Inc
TELEPHONE #: 651-454-6645
(AREA CODE)
STREET ADDRESS: 3650 Kennebec Dr, #102
CITY:
Place a eheck mark neYt to the oermit work tvnr
MN Zlp: 55122
STATE:
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
-r--waTerl u`maTOand`
,
? AUG 1 cuul
ature of work
__!
1
Septic System, new/refurbished - ?1? $-= 225.DD---=--
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
II ?
i
J
I hereby acknowledge fhat I have read fhis applicatlon, state that the informaGOn is correct, and agree to complywith all applira6le CiryoF Eagan ordinances. Il
is the applicanl's responsibility b notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its norrnat
operational and maintenance activiUes to lhe facillGes consWCted under this permit within City?rry/right-of-waylea enct.
?
SIGNATURE OF PERMITTEE
Updated 1lOt
Permit #• /3 04L Receipt Date: --- 7"
, ? .. . ,. , . -
CITY OF EAGAN
2001 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIbEN71AL PROPERTY
?? ?35b
1000 OFFICE USE ONLY
Address I c?- 3 l< u(h v\,?- O
PropercyOwner !? o e /?o??'wcP ?es PRV required
i
Telephone # --
? ? City ?zs County R-O-W Permit
Plumber ?o v eiP ?• ?? _
--
Sewer Water
Lateral chazge @ $22.85/ff $ Lateral chazge @ $23.05lff $
Trunk @ $925/connection Trunk @ $965/connection
City SAC 1. 0 Water supply & storage 0.00
Base SAC ,150.00 Date paid
Date paid Receipt #
Receipt # tment plant 516.00
Account deposit 15.00 r metcr **Ins tions req'd prior 115.00
Sepric abandonment 50.50 to issuing
Sewer permit & sureharg 50.50 osit
Account I5.00
;
r it & surcharge 50.50
mg permit rcquircd
Total l $
Sewer and Water
Sewer lateral chazge @$22.85/ff vi lr cLqrL+"`+
1
Water lateral charge @$23.05/ff vd 6?L aJJ«m 0 aao I
1
Sewer trunk @$925lconnection pd?u?1m ?M1 , ?' 3 0
Water tzvnk @ $965/connection Pd b,, .c jerfm
City SAC 100.00 •
Base SAC 1,750.00 •
Date paid Receipt #
Water supply & storage 860.00
Date paid Receipt #
Treatment plant 516.00
Water meter **Inspections req'd prior to issuing 115.00
Account deposit 30.00 ?
Septic abandonment 50.50
Sewer and water permit 8c surchazge 100.50=
Plumbing pcrmit ruquircd
Total
ca Carolyn Krech, Finance Department
r.iTV or• rAr.,AN
r.,aSfr.r.rr-,: as TEhMr.Nai_ Nn: 6913
ItAI'F_': 07/20/99 T'IME: 102003
zb -,
NAPiE;: F:NiGHT & SUNS J NC.
3210 9001 J.526 I_UNf- UFlF: li 97.25
205 9001 1526 LONF OAK Ft 2.00
4
Tatal Receipt Amnurit" 99.25
CRL13'r'34
USF'R .T.li: JFlN
__...?. J
r
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ?? al
651-681-4675
nrtrucilon Reaulrements
? 3 regisfered aMe surveys showing sq. ff. of lot, sq. ft. of house
and Q rooted areas f207, maximum lot coveraae allowed)
? 2 copies of plan: (show beam 8, window shea; poured fnd. design; etc.)
? 7 set of energy cpiculalions
? 3 coples o1 hee preservaNon plan R IW plaMed after 7/1/93
DATE: 1 " -L)'O ' °t I
DESCRIPTION OF WORK:
.
a?S
Remodel/Reoatr ReaufremeMs ? ` D' U - l ?
2 copfes of pian
1 set o} energy ealcWaliono tor heafed addNions
1 sNe survey for exterlor addfllons 3 deckt
CONSTRUCTION COST: 347 8 (0 vo
SiREETADDRE55: L U vLE 0 K-iL U
LOT: 1'n BLOCK: 2? SUBD./P.I.D. #:
Name: & `1D14,''\1 `E-= V, Phone#:
PROPERTY Last Flrst
OWNER
Sheet Address: G'Li? Q ? v- IL ? ?
City c- 6 & State: Zip: S
Company: Phone
(area code)
CONTRACTOR
StreetAddress: License# 3516 Exp. '3-3I-oo
City ?? ? A (J State: VK v, Zip: 15S ()qq
ARGHITECT/
ENGINEER
Telephon@ #: area code ( )
Name:
Stree? Address: Regiatration #:
City State:
Yewer 8 water licensed plumber (reaulred fw new construdlon oniv):
PenalFy applles when address change and lot change is requesfed once permR is issued.
Zip:
I h?by acknowledge thot I have read this applteaHOn, state thaf the informalion I ct, and agree fo comply wffh all applicabl
Sta of Minnesota Statutes and Clty of Eagan Ordinances.
' Signoture of Applicard: - -?
i-?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' ,'?'{ - ? ?
Tree Preservation Plan Received , Yes _ No _ Not Required '