The URL can be used to link to this page

2142 Nancy Cir Use BLUE or BLACK Ink F----------------- I for Office Use I Permit City of Ea ~a~ Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 j Date Received: I ~ I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff. ------J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7.2,olo Site Address: -2/ym2 /l~it~rcu 6/1YD4, fa~a" S ZL Tenant: Suite RESIDENT / OWNER Name: Brack € l~arL✓c K c.".~rr Phone: 6S% - b~7 /3 2S Address / City / Zip: o2C5~.1 ll~~z~us Crrrl~r 5312.L Applicant is: Owner _ Contractor TYPE OF WORK Description of work: 19"hSYhu cc~a i/euJ s ~l'rlia e'i b~ac. It/rZrduws Construction Cost: $/,I-0• a Multi-Family Building: (Yes No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: 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 _KNo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S 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.gooherstateonecall.org I hereby acknowledge toat 111 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 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 of work which requires a review and approval of plans: x f/~ C~ tC l x z'4 k , &w Applicant's Printed Name Applicant's Signature Page 1 of 2, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 5512.'e (612) 681-4675 SITE ADDRESS: ? ?! hi r1 h1 ?. Y PERMIT SUBTYPE: I'.. ,f II ? INSPECTION RECORD PERMIT TYPE: Permit Number: 397 Date Issued: Pt? r I I.r rN6 g.'9iNH 0 / fa </qr, t c+ j? : '3 04, t? r. ?' APPLICANT: i?• 1! 1 U?{ l. ! t.'! FtI;111-f r TYPE OF WORK: INSPECTION , . j, w D q _a3Y9 • . ? .. D - I - d I1???1??? kFMllNh5 '+Ft'AHAIE f'f`VM11.`.+ RFQlI1RFD fi7k E1t i"f{dII A! Oi? !'IUMEt1Nli Wt)Rk I ? V ? 4.aG ? ? Permit No. PermR Holder Oate Telephone N ELECTRIC ?G 7,3 JcG 00 o'r- M ?a4& 8 7 PLUMBING HVAC InspecUon Date Insp. Comments FOOTINGS FOUND FRAMING ,yB -4v- ? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ? ..Q. MB GYP BOARD FIREPLACE FIREPLACE AIR TEST FINRL PLBG FINAL MTG OASAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAI CITY OF EAGAN Remarks Addition TOUSIMMT'S 18 I I Lot 3 Blk 1 Parcel 10 77000 030 Ol Owner a.- tZ?c-' r Street 2142 Nancy Circle State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING * SAN SEW TRUNK Abt) 3 175.00 15 Paid ** SEWER LATERAL 5 P • WATERMAIN ** WATER LATERAL * WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 175.00 6035 7_6_72 BUILDING PER. SAC PARK . ? .. , , . ?. CITY of EAGAN N° 3641 . ?? Owet: ......... : ............................ ..... .. ..................................... Addseu (Preeeal) --....??. ?.4?.? :........ . . ......_..?.?..5:`:?....... Builder .........?`^'??° . . . . . . ? ". : : '. - `. . ' . . . . . ....... ................... ................... Addreas .33 5"?? ....?. .?'h? .-... ....... .............. .........?. ............... ?..:......... BUILDING PERMIT DESCAIPTION 3795 Pilo! Snob Road Eagan, Minnesola 55122 454-B100 Dals .... X .Z?? 5iories To Se Usad Fos Fson! Deplh Haighf Esf. Coe! Peemit Fse Aamarin ?? aa-a-o /a • e? ? o ?.? ?p- ,?,?? LOCATION 1?3 ' Sfreel, Road or olhes De9eziplion ol LoeaSion I Lo! I Slock I AAtlIlion os 1TSet d I / oL? This pesmii does nof aulhorise the use of. slzee2s, roads. alleys or sidewalks xor does it glve the owaer or hls agea! the righ!!o creafe enp aiivaiion which is a auisance or whieh pxesents a hazasd !o the heallh, safatq, eonvealoaee and geaeral melfaxe !o enqone in the communifp. THI$ PERMST MUST SF?{EPT ON 1'HE PREMISE WHILE THE WOAK IS IN PR06AES8. This te !o eeriifp. lhat...c............ .............. .....haspermiseioa !o eeeet e........4............ ........... .....'............ _npon the above described premise subjeeYrovisions of all applicable Ordinanees for the Citp of Eag? ' ??Q?? ? , /?--?--L _ ???2?L?,? --_-•-•--_? ....--"-........ Per .............."'.................................. -••"'-"-'.......""....."'............""... .....----.......--°--.......?--'Mayor- ? .... /3 BufldinQ Impaclor ? EAGAle! TOWNSHIP BUILDIIVG PERNeIT .... .._ - oWnet . /? ... ?J ? - -- Address (Pr eni) .../.\.`..?.........OC.aL.4d.-.:,ra.--c-?-?--- ------ Suilder Address DESCRIPTION N° ]_094 Eagan Township Town Hall Dafe .___................ Siories To Be Used For Fron! Depih Heighi Est. Cos1 Permii Fee Aemarks -- _ ? J1 1 7 _ eZO?Ivo ?p o0 // O LOCATION Sireef, Roed or ofher Descxipiion of Locafion LoY Elack Addifion or Traci 3 This permii does not aulhoriae the use of slreefs, roeds, alleps or sidewalks nos does it give the owner o: his ageni the tight io creaSe any siYuation which is a nuisance ar which presenls a hazard !o the health, safe2y, eonvenienee and general welfare io anyone in the communify. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRESS. . ?,?t This is to cerlify' Shaf..'_J? ?'._.?.. _.....__.. ?v?'"........... has permsssion !o eseei a_.__._.._ ................ ?-?f/ uPOn the above deseribed preise subjeei !o e pravisions of the Building Ordiaanee forEag n Township dopfed `7?pril ,11. 1955. - ... i - ............................... . .. ...'_'........... .. ..... .. Per ....._...._...__._."..._ 'L(........ ?-cs. -.--.".' hairman of Tn Baard 4 .fj&. Suilding Inspector C O ? 2r?j m f? J G O O OFFiC US ONLY This requast void 78 months imm validatian dok p? In% 6ox ? `l? 0 3 ?G ' a4a- 7 ?p?o/9G .,?. . ?0 58 e4p ° A ? ? '? 4 16 PLEASE PflINT OR TYPE XR I Reqvezt Dok Rough-in inspMion reqoired2 ? No Inepeclion Olher Than Raugh-in: 0 Ready N ill Call (Iou must coli the inspedor when reody) Oote R dy: I, 0 licensed con}racfor owner hereby requesf inspedion of ihe ab eledrical wo Job Pddr ss 5 1, ox, or Roub No G N ?p o e I a .? G I Secllon No. Township Name or No. RoMe No. firc No. Caunty / Occupo c,? ? ec,?er Phone No. PowerSuppOer nda.e.. Eiearicol C Im r(Compa ny Nome) Conwdor tlcense Na. Moner Lic No. (Plant Elea Only) p p ??W0w' !vf Mailiig rese (Convanor or Ovmer Verforming Inamllafion) /Ofbo V 1p..- ANhanzed $i Nrc (Conhacmr or Owne?r P`eefann?n inimlhfian) ?? • K?eov 91-1325, E8-00001A-10 6/95 STATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFY0.LOWCOPY IIlll?i j131II III REQUEST FOR ELECTRICAL INSPECTION ???? II? Minnesota SWte Board of Electriciry ?I O 2 7 3 2 6 *. P 1821 none (siz) ss?az-oeoo ,%9?/ Paul, MN 55104 ?.44 Home Duplez Apt. Bldg. Other. New Addn Co Indushial Farm ? ? ?'? ?y Remod Re air 1 Air Cond. H}g. Equip. Water H}r. Lood Mgml. Ofher. Dryer Ran e Elec. Heaf Tem .$ervice "X" above the work covered by ihis reqvest. Enter remarks in this space and on fhe back af the whife copy only. Calculate Inspectian Fee - Tbis Inspecfion Requesf will nof be accepfed wifhouf fhe covecf fee: Other Fee #t Service Emrance $ize Fee # Cirwih/Fceders Fee Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps Sireef Lig./Tra$ic Sig. Above 200 Amps Above 100 Amps Transformer/Generotor INSPECTOR'SVSEONLY T ? Sign/Outline Ltg. X{mr. Alarm/Remote Conhol Swimming Pool ed the elendml ineioilo' herein on the dnha sam ?\ i hereb? Am I in Irrigafion Boom ? 2o?gh-m , - S ecial Ins edion p p Investiga}ive Fee Final O 4?'3 ` ? THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WRHIN /8 ONTHS. RESIDENTIAL BUILDING PERMIT APPLICATION ?? CITY OF EAGAN 1 l.o ?P 3830 PILOT KNOB RD, EACAN MN 55122 651-687-4675 NewConstruction Reauiremenls RemodellReoair Reauirements • 3 registered site surveys showing sq. tt. of lot, sq. tl. of house; and all mofed areas • 2 wpies af plan (20% maximum bt coverage allowed) . 1 set oF Energy Calculations for heated addNOns • 2 copies of plan showing beam & windmv sizes; poureA found design, etc.) • t site survey (or ezterior additions 8 decks • 1 sel o( Energy Calculations . Indicate if home served by seplic system for additions • 3 copies ot Tree Preservation Plan if lot platted after 7/1193 • Rim Jast Delail Options selection sheet (bldgs wiUi 3 or less units) DATE I o ? I 1 I C) ?;k VALUATION `"f ((4), .Q SITE ADDRESS ? I`1 D MQY?C.y l?J MULTI-FAMILY BLDG _ Y ? TYPE OF WORK FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREETADDRESS Id"/O7 1'16770PJ' ,1 f[e_j U CITYC&t'1P!"GUYt,LSTATErnAZIP TELEPHONE#Pr7)?;)-,'/?5CELLPHONE#IaiL-II Fax#45?- 953-H99 PROPERTYOWNER YD& 4j?q? YQ ?!1`e&fY' TELEPHONE#141 COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNISOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) Plumbing Contractor: _ Plumbing system includes: • ResidenHal Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Suhmitted • Energy Envelope Calculations Submitted Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: ------------------------°-- Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System ,Lj r. I _ Phone # !J ? ------------------- ----------------- I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 4_ Signature of Applicanf OFFICE USE ONLY Pllone # Lawn Sprinkler Fee: $90.00 No. of R.I. Baths PFione #i -?--- - Teei "' $70.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ? . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: suz LoxHe Eagan, Minnesota 55122-1897 Permit Number: 028100 (612) 681-4675 Date Issued: 0 7/ 0 3/ 9 6 SITE ADDRESS: 2142 NANCY CIR LOT: 3 BLOCK: 1 TOUSIGNflNT'S 1ST P.I.N.: 10-77000-030-01 DESCRIPTION: Building.,^Permit Type Building Work Type Census Code ti. ? ? ? ? . ? ? ; :, ,?-- ? v l t? y ' it {t ? ;i l r ? E a I? t !, r _-•S,Y4```".(1"^-?f .. BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL ? E `i-?`y F?= ?1 'r? REMARKS: SEPARATE PERMITS REQUIRED FOR ELECTRZCpL OR PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee ' $50.50 CONTRACTOR: OWNER: - Applicant - KIECKER BROCK 2142 NANCY CIR EAGAN MN (612)681-1325 I here'by acknowledg;e that S have read this information is correct and: agree to comply StatuCes and.Gity of Eaga» Ord3nances.t ? • ? _ ._ __ . _ _ APPLICANT/PEFMITEE SIGNATURE application and state that the with all applicable State ofi Mn. ? ISSUED B . IGNAT CITY OF Er1GAN ? 3830 PILOT KN00 RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 6ti1-4675 ? 3 registered ske surveys ? 2 copiea of plana (indude beam 6 window sizes; poured fnd. design; etc.) ? 1 energy ealculatione ? 3 copies M tree preservatlon plan H fot pletled after 711/93 required: _ Yea _ No r DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: MS?? ?? AeotoDEL ?ST.REET ADDRESS: LOT S BLOCK ? I SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: iCIE(°•IW Phone #: & 51-1325- m•• 6V 33"5D70 Street City: PbAn1 State: Zip: 5;5-l 22 Company: _?T d'1 OwN£R Phone #: Street Address: City: State: Company: i" TD62.fh OWAIM Name: License #• So S? Zip: Phone #• Registration #: Street Address* City: Sewer 8 water licensed piumber: change are requested once pertnit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this applicetion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Applicant: /?• kL OFFICE USE ONLY ???ENED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No --- ----"'"--" RnmodeV2eoair Reai rements ? 2 eopies of plan 2 ske surveys (erterior addkfone 6 dedcs) ? 1 energy celalations for heated adddfons L ? B` / CITY USE ONI.Y RECEIPT#: o[? -?- SUBD. RECEIPTDATE: 5 a' / PERMIT # ? 1 LC? 1999 PLUA313IAi@ PERMIT (#ESII}EbiTUL) crrYof Enanrr ? 9$30 PILOT KI108 t{D fAcHAN, MN 5572E ,r.?y (651) 6$1-4675 J? Please wmplete for. ? single family dwellings D townhomes and condos when permits are required for each unit "v 6ackflow preventer for underground sprinkler system j FIXTURES EACH # TOiAL Bath tub $ 3.00 x = $ Floor drain 3.00 x - $ Gas i in outlet " minimum • t 3.00 x = $ ' Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ b_ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ ? RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ I Water closet 3.00 x = $ ?Waiarli--ater 3.00 x = $ -- ----- --- Water softener if dwelling under construction --- 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e .50 --? ----> ----> $ .50 Total --> --> ----> °°> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------------------------------------------•----------------------------------------------------------------- ------- I hereby acknowledge Nat I have read Nis application, siate that the information is conect, and agree to comply with all applicable City of Eagan ordinances. fl is the appliranPs responsiblliry to notity ihe property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operetional and maintenance activities to fhe facilities constructed under this permit within City propertylright-oT-way/easement. siTEaooRESS: '?- Gtfoz /1//.1-n? Caclc OWNERNAME:: ggoc'k- Lizk-£(Z TELEPHONE#: SO9-I 691-?325- (AREA CODE) INSTALLER NAME: SA?m il: TELEPHONE #: STREET AQDRESS: JA'Yj'L4? (AREA CODE) CITY: STATE: ZIP: ?L '6? AL? SIGNATURE OF PERMITTEE CITY USE ONLY pL ? BL ? ^L RECEIPT#: SUBD. RECEIPT DATE: 3 oz?/96 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, D4T 55122 (612) 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 # 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 Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under wnstruction 5.00 x = Water Softener ` for existing dwelling 20.00 X = U.G. Sprinkler ' kr dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 Aiterations ' to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System * MPC iic. 75.00 = (new antl refurbished systems) ` Private Disposal Systems Abandonment 20.00 STATE SURCHARGE .50 o 090 TOTAL ----------------- -- --- ---------------------- • - • --------------------------------------- --- ------------ --- ----...... - ----- -- --- --- --- --•- I hereby adcnowledga that I have read this appliwtion, state that the information ia corred, and agree to comply with all appliwble Ciry of Eagan ordinances. It is the applicanPs responsibility to natify the properly owner that the City of Eagan assumes no liability for any damages wused by the City during its normal operational and maintenance adivdies to the fecilities construeted under this permit within City property/right-of-wayleasement. SITE ADDRESS: ;2 / OWNER NAME: BlVJC.k-- kkLku- INSTALLERNAME: SAM G TELEPHONE#: (Oel-132-5 STREETADDRESS: S/f ? CITY: STATE: ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 $i9GAN TOWNSHTP 3195 Pilot Knob Road St. Paul, Minneeota 55111 Telephone 454-5242 PERMIT FOR SFWER SERVICE CONNECTiON pATE: 12/29/72 (8/2/73) NUMgER 1387 .? / 7v??i?na?+%5 OWNER: Jaznes Butzer Address 2142 Nancy Circle, Eagan 55122 PLUMBER Cliff Sohnson Excavating TYPE OF PIPE DESCRiPTION OF BUITDING Industrial[ Commercial] Residential { Multiple Dwelling I No, of units Loaation of Connections: Connection Charge 260.00 pd 8/2/73 Add'1 Acct. Dep. . 0 pd 73 Permit Fee 10.00 d 12 26 72 .50 pd 12/2 72 s/c Street Repairs Total Inspected bq: Date Remarks By Chief Inspector In consideratioa of the issue amd delivery to me of the above permit, I hereby agree to do the proposed work ia accordance with the rules and regulationa of Eagan Ta•mship, Dakota CounCy? Minneaota By Pleaee notify when ready for inspection aad connection aad before any portioa of the work is coverad. EAGAN 1L)WNSHIY 3795 Pilot Rnob Road St. Paul, Minaeaota 55111 Telephone 454-5242 PER141T FOR WATER SERVICE CONNECI"!ON i Date: July 6, 1972 Number: $$7 _y? 1 TdOSJ C/Nlwj Billing Name: James W. Butzer Site Address: 2142 Nancy Circle 55122 Owner: Billing Addreas? / Plumber: J. J. Mach DBA General Contractor r A ? ?' NO + 1bta1 Chg. Building is a; Residencexx MulCiple no. Unita Commercial Industrial Other Meter Size Connection Chg. 1.00. 7/6/72 ?3L Account Deposit 1 00 pd 7 6/72 Meter Nov?/ ??/'? Permit Fee 10.00 pd 77702 -50 r0/72 Meter ReadinpL_ Meter Dep. Meter Sealed: Yes_ lAdd'1 Chg. Inspected by Date Remarka: ? `. S. Sy: Chief Inspector In conaideration of the isaue and'delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Bagan Township, Dakota Couaty, Mianesota. By: J. J. Mach DBA General Contractor Please notify the above office when ready for inepection and cosu?ection. LOCATION ,//A A/Ii.?J 1... MASTEA CARD STRUCTURE AND 7 LAND USED AS Permit No. Issued Issued To Coniractor Owner . BUILDING & ?-/J=Z 1'? (??hs'L . PLUMBI NG CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATI NG GAS INSTALLING SANITARY SEWER OTHER OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTI NG ???I?•? S SEPTIC FOUNDATION CESSPOOL FRAMING TILE PIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: ? 3 /?? ???`?"'? !.? 1020i92 19:48 MOO1?R COUNTY-WEST N SERU. CTR. 001 Ordinance No. 114: WELL AND WATER SUPPLY MANAGEMENT MPIUICIPAL NOTICE OF WELL PERMIT APPLICATIDN pAKQTA GPUIVTY ENVIRONMENTAL MANAGEMEN7 DEI'ARTMENT WATER ANP LAND MANAGEMENT SEGTION 14955 Gelaxie Avenue West, Apple Valley, MN.55124 1'elephone (612) 891-7011 - Fac&imile (612) 891-7031 DA7'E: D OLPI'IQ TfME: TU:. 0 FROM: SENT; Fax NC Mallr, Other,^, REFEf{EidCE; WELL 3 !L°"S `i Way v C ? N0, NOTICE: 7he Water and Lsnd Management 5ection of the pakota County Environmental Managemeni Department. has recslved the following permlc appllcatlan(s)i for the wailisl descrbed, li yOu require iurther review of this applicationtsl or if ypu have any questtons vr Concorns about It, contact the Environmental Specialist Iisted above Crt our office at telephone (672) 899-7011: !f there is no tesponse from your ofiice within 24 liet. rs iexcluding weekends anq hDtidBysf, 1Nater and Land Managem9nt siaif will assume that y0u n8ve no obJectlons issuance of the permit(s). Pisase note that permit issuence is always condiiioned on th'e perrrtit appticant's observance of and compllance with all applicable laws and codes. A copy of the well permit(s) will be forwarded to ynur office wtieri completed. pESCRIPTION: ' PRQP.dRTY:OWNHR ZTI? ? ¢1[+rWELLpr oitteronq_ LOGRTION OF WELL(5): ADDR@SS a rYa /JC?/1CY Cl /+C fle ? i PU6LIC LAND SVRVEY COORpINA7E8$4J OFStaOFllk>OFd& OF SECTION3t,T.a7 rv., R.'?W., `' " ? i MUNICIPALITY: L.-?,.?y?? PRDPERTY Ip NU. 10 -770W'" O3Q -0 1 ? WELL CONTRAC7dR; AtE ,ttc Rr?r ?A?1. GicEusE ao. APPLICA710N RECEIVED , fFJ ;L SUBCONTRACTEO T0: PERM17 7YPE: NEW CONS'CRUCTION FiECON3'I'RUC'f10N I4ENAll$(tlo Perlnlt Rnqukotl) PERMANENT SEAI.ING? ANNUAL MAIN`fENANCE; 7EMPORARY CAPPING RGCLAIMED•U E RE01$TERED-USE PRIMARY USE OF WELL151 C/aSING GIAMEYER NCHES; LENGTH FECT; WLLL DEPTIiFEET, ? .?T..?.?_ AIIUIFER COMPLETE6: OPEN HOLE .N_ SCREENED ; I ANTICIPATED DRII.LING/SEALiNG pA7L-pt Rnawni: /Ora1(+j (?/`?, i COMMENT5: . t i R=9A% 612 891 1031 10-20-92 10:43AM P001 #24 \St Or 3830 PIIOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE (612) 454-8100 January 21, 1988 \??5 DAKOTA COUNTY AUDITOR'S OFFICE DAKOTA COUNTY GOVERNMENT CENTER 1560 WEST HIGHWAY 55 HASTINGS MN 55033 ATTENTION: PEG RIMPILA Re: (_Parcel Number: 10-77000-031-01 Property Owner: James and Mary Lou Butzer Levy Number: 1434 Dear Peg: Please find enclosed the County's copy of the prepayment receipt for the above referenced parcel. In official action at its regular meeting on January 19, 1988, the City Council authorized the prepayment of this assessment including the 1988 installment. Would you, therefore, please adjust your records as necessazy to reflect this prepayment and ensure that the Butzers receive a tax statement for payable 1988 which does not include an installment for this assessment. Thank you for your assistance with this matter. Please contact Deanna or myself, if you have any questions. Sincerely, C:;;O?L E.J. VanOverbeke, CPA Finance Director/City Clerk cc: Deanna Kivi Ken Damlo Enclosure EJV/jeh THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY DAKOTA CQUNTY MINNESOTA ? RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMEN,T ASSESSMENTS ` O? Ag??? ?RECEIPT N0. . . . ? . DATE //o? 07/rS ? , . .. . .. . . - . . . ,. . - - NAME: ? „vt '? . : ? . . .. . , . . ? . . _ . , ADORESS: . . . ? . ? ? .. ? . . DESCRIPTION: ? OISTRICT I/O I PLAT t;Z/L7OD I PARCEL NO. I r7?` U I 0 / ICHECK DIGIT1 I 1201 1 MUNICIPALITY U2-UI NC-1B) 119.21/ I22-231 IMPROVEMENT D/P' AUD = INT. e FROM TO ORIGINALAMOUNT PRINCIPAL INTEREST TOTAL PAID , ' (2]-36) (37-001 U1-501 ' I51-601 ' .. . . . "I Paid Befoie Certification C] (77=4) Prepayment ?(77= 5) Paid in Full ?(78 = 1) Partial Paid ? (78 = 2) PREPARED BY NORMA B. MARSH, COUNTY AUDITOR PREPARED BY MUNICIPALITY OF: ev: !I If payment is made by check, this is not, v lid receipt until check is paid.. .. This Receipt does notinclude (NAMPJ the instal ?. certifiedYO POSTED BY ' DATE.. . ' . the.19 taxes. ' ' I? mUNICIPALITY D P COPY ` y 4 .. . .... . . ,. .., . : uf! .• :ara.?a r0:.. .-an . h:.°!.?' i .: nc1?'..S..y ...? l+c, ui\t?,??.mrxS Sv2. '~i .. .. . Jx , nn "R , ,. ? . . ??.:. , . , . .. ,. .. ... ..... , .: T.:... . , •. ...? ,.._ .... . .,., .,. ...d':. ..>. .. . .. . . .. , , .. ... . .. ?'..a. . ....p. . . MEMO TOS CITY ADMINISTRATOR HEDGSS FROM: FINANCE DIRECTOR/CZTY CLSRR VANOVERBERE DATE: JANIIARY 13, 1988 SUHJECT: JAMES AND MARY LOII BUTZER REQIIEST TO PREPAY 1988 SPSCZAL ASSESSMENT INSTALLMENT The above homeowners who reside at 2142 Nancy Circle were in City Hall earlier this week with a request to be allowed to prepay the 1988 installment of their special assessments. The desire was to save approximately $300 of interest. The assessment in question was levied on September 15, 1987, which meant that they could prepay the total assessment of $4,400.19 anytime on or before October 14, 1987. State law states that after that date the first installment has to be collected with the ad valorem tax in the following year with interest calculated from the date of certification (9-15-87) through the end of the next year (12-31-88). This is never an easy situation to explain and typically comes down to "that's what the law says." This couple had first made the request at the County and were told that it is something the City would have to do. I said that as staff we could not make any deviation from the law to in effect forego the interest and that that would have to be authorized by the City Council. I suggested that they write a letter that could be reviewed by staff and passed along to the Council after some research had been completed. They were uncom- fortable with that and instead appear to have chosen to present their case to the Council under visitors on January 19, 1988. Hopefully we can provide enough background so that a decision can he made at that time. I think they are honestly confused by the whole deal and will have a problem presenting the request to the City Council. James also has a hearing impairment. If the City Council were to authorize the prepayment, the County would have to issue an amended tax statement upon the request of the City. The total interest in question is $495.04 which covers the 15 month period from 9-15-87 through 12-31-88. I believe they would be agreeable to paying through 1987 which is approximately $100 or 3/15 of the total. STAFF MEMO JANUARY 13, 1988 PAGE TWO Financially, this arrangement would not create any problem for the City, however, it should be looked at as being unique to the circumstances of this couple so that it does not set a precedent. Please let me know if you would like to would like more information. If you feel some other manner, please let me know contacted. Finan Director/City Clerk discuss the matter or it should be handled in so these people can be EJV/kf ? ? t I¢r.?2a.? ?, J 12??.E?- (00-? L11j,711-41, , ? 411e.? C4zr c6C/ 02 / TDZ ?Qr_c,?? C?LLc.Q.L/ io // `/F 7 l-F'tFihiSFif..;'7`:'Oh.l TL"?: 1=i76B S!'EC7:Al_ ASSE55MENTS 4:iPECIAL ASsr_SSi"II_.hd7°S ;3E:AI;:CH S(Ji'IM11FiY PFlC.1f'1=.FiT1'' I,. U., TCiLi(-1'Y9 C)(17E. Cr 1/ 7. :I.lF:ifii -- ---SI''I:_C l: AL_ t=L. "F'iL;lS- ._....._ ---_......._......_ S_ A. # _._._..._.---_.._...-----___..__._.__.____...__ ASSr a sMENT DF St':G. ._......- YR °------. YI=iS .__...------... h:(a'T.F:. _. -------____.. TDTAL ------_.___-----• - raltlNe F'F? 7:IV. -._.__...._..._.__.._ I-'r'3YtlFF _._.__ L'.piIMF_NIT ]Ub?!ilt SW "I"I:: W Af-i 72 15 B. ±iU% 1'75.i)c") .:;ii .Oi; CLO:EiL-=D 100:202 c!-'J/fn:AT L_(4T 72 :lE', C?. oC)°t, 1615. QLt . 00 „Oii i:f_.QEE:U 1014?;4 STFi1=E"C P482 87 75 q.n(-,); 4400.7.9 293.35 41U6.9 <l SUIVHR'r OF Al';'fTVE 4400. iy '4'93.M 4106.84 ?t?•ttx?t?# '1'HIS YEA1=i''_+ 'T0"T 1=";I 7E38.38 '\ ? S ? F'rc=!a= F i c3r- F';' !I-Ieadc.r Fc5rm7 nr F7 (IRE>Eq'Lart". I?'7E4:3) NOTICE OF SPECIAL ASSFSSMENT Project # ?{A 2- The EAGAN CITY COUNCIL will meet on September 15, 1987, at 6:30 p.m. at the Eagan Munlcipal Center, 3830 Pilot Knob Road, Eagan, Mn, to approve and adopt the special assessments against the following described property: The dollar amounts (by assessment type) and years of assessment are as £ollows: TOTAL PRINCIPAL SAtdITARY AMOUNT N0. YRS. Area Laterals Lat Benefit from Trunk SERVICES Services STORM Area Laterals ANNOAL PRINCIP9L AMOUNT F19TER Area Laterals Lat Benefit from Trunk STREETS Grading/ Gravel Base Surfacing TOTAL 9NNUAL PRINCIP9L PRINCIPAL AMOUNT N0. YRS AMOUNT Res Equiv. GRAND TOTAL PRINCIPAL $ Any portion of the total amount of these special assessments may be paid within thirty (30) days, speeifically on or before October 14, 1987, without interest at the Eagan Municipal Center. The unpaid balanee will be collected in annual installments (principal and interest) on your future property tax statements through the Dakota County Auditor's office in Hastings. Annual installments will include interest at the rate of _ per year on the unpaid balanee. The first year's installment on this balance appearing on the tax state- ment will inelude the interest from September 15, 1987, to December 31, 1987, plus interest for all of 1988. ( 0 V E R ) 1 + O?alV The proposed assessment roll is on file with the City Clerk. The assesym?tD related to this project total $ and the area is as follows: Written or oral objections will be considered; no appeal may be taken as amount of any assessment unless a si ned written ob3eeti6n is filed to thn with the clerk rlor to the hearing or resented to the residin officer at the hearin . An appeal Lo district eourt may be made by serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district covrt within ten days after service upon the Mayor or Clerk. The City has a Senior Citizen deferment ordinance based on income and homestead status. Details are availablc by calling the Assessment Department, 454-8100. riease note that you will receive additional iue is amended. If you have any questions con Assessments at the City of Eagan (454-8100). City of Eagan 3830 Pilot Knob Road Eagant Minnesota 55122 e on this matter only if the ng this matter, please call s ;; ? MEMO TOS CITY ADMINISTRATOR HEDGEB FROM: FINANCE DIRECTOR/CITY CLERR VANOVERBERE DATB: JANUARY 13, 1988 SUBJECT: JAMES AND MARY LOU SOTZBR RSQIISST TO PREPAY 1988 SPECIAL ASSSSSMENT INSTALLMENT The above homeowners who reside at 2142 Nancy Circle were in City Hall earlier this week with a request to be allowed to prepay the 1988 installment of their special assessments. The desire was to save approximately $300 of interest. The assessment in question was levied on September 15, 1987, which meant that they could prepay the total assessment of $4,400.19 anytime on or before October 14, 1987. State law states that after that date the first installment has to be collected with the ad valorem tax in the following year with interest calculated from the date of certification (9-15-87) through the end of the next year (12-31-88). This is never an easy situation to explain and typically comes down to "that's what the law says." This couple had first made the request at the County and were told that it is something the City would have to do. I said that as staff we could not make any deviation from the law to in effect forego the interest and that that would have to be authorized by the City Council. I suggested that they write a letter that could be reviewed by staff and passed along to the Council after some research had been completed. They were uncom- fortable with that and instead appear to have chosen to present their case to the Council under visitors on January 19, 1988. Hopefully we can provide enough background so that a decision can be made at that time. I think they are honestly confused by the whole deal and will have a problem presenting the request to the City Council. James also has a hearing impairment. If the City Council were to authorize the prepayment, the County would have to issue an amended tax statement upon the request of the City. The total interest in question is $495.04 which covers the 15 month period from 9-15-87 through 12-31-88. I believe they would be agreeable to paying through 1987 which is approximately $100 or 3/15 of the total. STAFF MEMO JANUARY 13, 1988 PAGE TWO Financially, this arrangement would not create any problem for the City, however, it should be looked at as being unique to the circumstances of this couple so that it does not set a precedent. Please let me know if you would like to would like more information. If you feel some other manner, please let me know contacted. zm2 'Q Finan Director/City Clerk discuss the matter or it should be handled in so these people can be EJV/kf ? _. NOTICE OE SPECIAL ASSESSMENT Project # 482 ?J_AA1_CITY COUNCIL will meet on September 75P 1987, at 6:30 p.m. at the Eag? unicipal Center, 3830 Pilot Knob Road, Eagan, Mn, to approve and adopt the special assessments against the following deseribed property: 10-77000-69,:?O - O % The dollar amounts (by assessment type) and years of assessment are as follows: TOTAL, ANr1UAL PRINCIP9L PRINCIP9L S9NITARY AMOUNT N0. YRS. AMOUNT Area TOT9L ?UAL PSINCIPAL PRINCIPAL HATER AMOUNT N0. YRS AMOUNT Area Laterals . Laterals Lat Benefit Lat Benefit from Trunk from Trunk SERYICFS Services STORM STREETS Area Grading/ ' Gravel Base Laterals Surfacing $4,400.19 15 $293.35 Res Equ3v GRAND TOTAI. PEINCIPAL $ 4, 4 0 0. 19 Any portion of the total'amount of these special assessments may be paid within thirty (30) days, speeifically on or before October 14, 1987, without interest at the Eagan Municipal Center. The unpaid balance will be collected in annual installments (principal and interest) on your future property tax statements through the Dakota County Auditor's office in Hastings. Annual installments will include interest at the rate of q5_, per year on the, unpaid balanee. The first year's installment on this balance appearing on the tax state- ment will inelude the interest from September 15, 1987, to December 31, 1987, plus interest for all of 1988. ( 0 V E R ) 4 ? The proposed assessment, roll ig on file with the City Clerk. The assessments related to this project total $_ 26.401:14 and the area is as follows: Lots 1 through 6, Block 1,.Tousignant's First Addition. Written or oral objections will be considered; no appeal may be taken as to the amount of any assessment unless a signed, written objection is filed with the clerk prior to the hearing or presented to the presiding officer at the hearing. An appeal to district court may be made by serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district court within ten days after service upon the Mayor or Clerk. The City has a Senior Citizen deferment"- ordinan'ce based on income and homestead status. Details are available by calling the Assessment Department, 454-8100. Please note that you will receive additional notice on this matter only if 1 amount due is amended. If you have any questions concerning this matter, please ca Special Assessments at the City of Eagan (454-8100). City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 ? L o ' ?? • ? ; ? - 1 _ t ,. ; ---- - l f " .. -----? v ?? t ? ~? - i -•? / ;?. ' ,' ? . ? ? i ? t J ? , ( } I ,. i { 1 i ?.._, z. ` r..? r f? :• cx'i ? L ? ? f . ?- + t• r i.. ? 1. - ,'.. i 1 ? • r {1 l? _li ???!=iN:' ri VU11 _) Use BLUE or BLACK Ink : �---------------- Il� I For Office Use � I /� ll� / � � Permit#: / �� 'I�lS City of �a�� ; . . �y�� Permit Fee. 3830 Pilot Knob Road I � I Eagan MN 55122 � Date Received: ' �- � � Phone: (651)675-5675 AUG 21 20i5 I � I Fax: (651)675-5694 I Sta • I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: •�'� ��Site Address: Z` 2 �i�%� ��G��" Unit#: � )/ . / Name: ��-�— C�• � 1��-�► Phone:��Z- ��'_`�o$lO ��'.� ��a��,�� ! 2 �!/A� �� ` Address/Ci /Zi : � � � tY P �� > � �# ' Applicant is: Owner 'C Contractor � �/ � a� � ��,-.. / i `_� r?° Description ofwork: �� L ' ::��nll�lo ��t �..,�, ��x #rt- Construction Cost: � � Multi-Family Building:(Yes /No s�) ` .�_ � � v Company: Contact: � � � � °�`n� � � ` Address: City: t��CtO� �yv �� "�""' State: Zip: Phone: Email: � .� � �� v �� License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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? �I Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: � l�� FI� ar� ��Po o� Y #�a� ,��e.cr� ;, i � ` � {��h��r�� . t� �ma t�e �ss��'� � wr � � � � �� Y,�.. � �� . �' ��Ct��s'� �:ha�t.. �t�l,��.� �� , �n�. .� .. � .: y..., k� � ..�:. '.�,�z �.:, ��- ,x ."�';..,.. �.v-rt�..,_.., �� .; :': . .: ',. ' � � .��.� ��,� �� ,..�s..'� �� x� „ � � 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.aopherstateonecall.orq 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 of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 4 X BR9C,l� �. �Cl��k�2 X ��1c—�". �Gc�� Applicant's Printed Name ApplicanYs Signature Page 1 of 3 �� ' � � i�L.- , DO NOT WRITE BELOW THIS LINE ��a ; SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �� Occupancy �(„�;�-` MCES System Plan Review Code Edition �y1�� SAC Units ', (25%_100%�) Zoning City Water 'I Census Code Stories Booster Pump �� #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: I��, Building Inspector RESIDENTIAL FEES Base Fee Surcharge � �.,�� °t ��jl� � � � � Plan Review � MCES SAC ,� � City SAC �--�- �Ya�� _�� Utility Connection Charge � ��` � S&W Permit 8�Surcharge �� , � Treatment Plant � ,� �' Copies � TOTAL Page 2 of 3 Use BLUE or BLACK Ink -----------------, For Office Use I City of EaEaff I Permit#: I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: 651 675-5675 Phone: (651) I Staff: Fax: (651)675-5694 1---------------- 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I �e �1C Site Address: ICR �`� / L° �r"�, C i r Tenant: 0 i1 u Suit//e#: 1 d"I V Y ^ I V fi R @SICe /OWrI� Name: f 0C Phone: /' Address/City/Zip: 11 x Name: License#: i el �V Contra # Address:��3 3 CO3A 0otc-1 f�� ,�C City: lJ�f ror State: Zip: Phone: cl S 7 �� G� EGG °y73► j �ZC nn Contact: ✓ Email: g/Z a� `'�rn�j ,ev r ' f .r New Replacement —Repair —Rebuild —Modify Space Work in R.O.W. l 7' a Of — — — Yp Description of work: IM RESIDENTIAL -a-�S rvecJ fl✓a5..� Water Heater V , - Water Softener Lawn Irrigation(—RPZ/—PVB) Porni Tip@ Add Plumbing Fixtures(—Main/—Lower Level) Septic System _New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gopherstateonecall.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 of work which requires a review and approval of plans. / x t/ ` �J I L- — x l� v Applicant's Print d Name Applicant's Si nature 1 x tenulre ' nsp pns. nd � ,� gh r Te Gas [na( iM1r 1ted staff PERMIT City of Eagan Permit Type:Building Permit Number:EA139102 Date Issued:10/10/2016 Permit Category:ePermit Site Address: 2142 Nancy Cir Lot:3 Block: 1 Addition: Tousignants 1st PID:10-77000-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Brock K Kiecker 2142 Nancy Cir Eagan MN 55122 (651) 681-1325 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature Date: City of Badu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OC1172016 r Use BLUE or BLACK Ink For Office Use I Permit#: / S C 9 36knit\ci,f Permit Fee: 6 ' 5-o At Date Received: -77- /* I Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 7Site Address: ZI'2 /JAIy Unit #: Resideni/ Owner Name: 6k -i /B z,E k G.‘/2. Phone: 6/Z- (18/ --/ tog P r Address / City / Zip: 021i102- ��9 La -i EA6,4!t// /11.0(/ e `.J 5/ ZZ Applicant is:Ar. Owner Contractor( � v Description of work: C-� F-"�0� 1-k4Cje./& / Construction Cost: Multi -Family Building: (Yes / No X. ) Cot] actor Company: ,--i Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 6,0,6e. /S fl L/cvsc1 L'o,./7 /24-e-44--- In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE anA ntl ) portin documents tha r l•#Ifo , � c tams of fhe inf rmation ay abe ified as norm ou provide specific re sora i H: r® e: alai th ity' to < v :.. conclude hey are trade secrets t r 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.00pherstateonecall.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 i'n the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x � - Ktcki& Applicant's Printed Name iv/ 7/4 Applicant's Signature Page 1 of -3 i -7-- 12-OT WRITE BELOW THIS LINE SUB TYPES Foundation ( Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 2 ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair coo REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan v3 Siding Reroof Windows Egress Window • Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy .L11 Code Edition Irv) 2 o Zoning Stories Square Feet Length Width Reviewed By: i liv\ ev\ ICI ,A,. Tz- MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink 1 I For Office Use I // t 41!!Ps' 7 i Permit#v I • r � � Citi o a��Il Permlll Fee:_ __ 3830 Pilot Knob Road L� ` '� Date Received: Eagan MN 55122 Phone:(661);6764678Staff: I Fax:(651)875.6684 J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION a5 O d 1 t; : Site Address: 919 a Na� GC(Ck . Unit#: Date: ii 4,r0.4, - :'� 4 1)(nC-K. I�.Gr-f.c Phone: 612-481 - 1(0310 IAF rok IP ;Name: ,,,,,wC w.,,, ,� 1,� , , � 'Address/City I Zip: PI' .**.fi ' • 1),W, 14 Applicant ia: Owner X Contractor �;� ;;fr• 2's r a ,'• Ikey,rvl. .ems trt\0.SOrncy 'et p‘aCA*1., USi�e� 10" IA1,44ftS 1n,t,, *4` `� • ;Description of work: -'co c1rf,.t. I i At.< SyS+C-t'^ - �^b 11 A e,V4:hW SS {a:" C�. C. ,, ;� t aopo°° ;1•:*e,; +' -�' Multi-Family Building:(Yes /No Per, y� - 4 •' ;Construction Cost: oxo �`;0 V , 4 `00 �, �% 0, } :Company: 3o. X I ‘..).1-C.e?- �r G.. Contact: .;�.� ,%t{• -,',0 p„�,>..,•it 1 V L� R City: ./�'\ A h fF,..*., ,Address: `d o90 I Cern al Atm ,/ v,..1 r'''.:4454,4M;.• f, t{3 9 Phone: (G3-�t2,a- Email: c v e m. i+L.uS Or� 2.t.SAW, :.,'44, t .State:t Zip:��_ S t" W. ' ; yLead Certificate#: ,,v?" �y .•�, ,, :,„ License tile..18 33(�9 If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan iesusd 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: Fire Suppression Contractor Phone s;,,, ,, 7:-''''.2:71' /.�c ''( G � 1` { l ,s,'5, � .t' oY^ 7 1 dr—rr r , .Hfr'EJ '; l S f;''.. + t1,, ' ,� � c.,, ,, f fr!, E .�nxi's :a , ,;,. .c ;ri44 7,? p > �1."/0t�lrIPLV7 +dr ,.3. rf} I ez Vt 1i.t r6 ,F , :4 � " rfja,�. 4 3 � I 0 + ,,4 + , ,•7,--.,,,,i4,;.P . f7ho '�'1 �� cFQ % c �<g" � +S 7h+"nti F r v ! ' . �.,,,,?:.k,,,, L .ni ixc, trYar v.�' 7.r f f (4 . Ff"•,ri. J:LOt�s�flrio�f5�WDxWetg� ,��rL,.�.L,2n_L,..,c _,�r,. t ? d •s 4 x,1,1 . n �SN CALL BEFORE YOU DIG. Cali Gopher State One Call at(e61)454.0002 for protection against underground utility damage, Call 48 hours before you Intend to dig to receive locates of underground utilities. wtoi.aogneistateonycall.ora 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 of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i V'v xAl1,(0.7.1044.50' r ^ &SI-433-Lid 57) A licant' s Signature Applicant's PrintedlName Page 1 of 3 1 DO NOT WRITE BELOW THIS LINE ,`1 p /)/ ru7 Cod-- - g -' SUB TYPES _ Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) )( Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement — Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation .1t j Deo Occupancy 26–I MCES System Plan Review Code Edition tj i ZO/S' SAC Units (25%_ 100% P) Zoning 12, t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) x? Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests _Final r Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 U FYI (k /Y If , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies /,2e.._, ,.D.' ' d-13 6 . ZS f TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use /_��' /� d4a1b z2 7 City of EaQali Permit Fee: L 0.Cr-D 3830 Pilot Knob Road Eagan MN 55122 Date Received: 2 r� Phone:(661)675-5675 Staff _, f — � Fax:(651)675-5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION af ^1 a 14 o"Z N 0.�G� i(cJ' e• unit#:, Date: a�NOL) II' Site Address: •;••':G,;e,i.:�;,�.r:.,r�,y.yr^4.'f-' le t�e.��.'e� _ Phone: '';!,.:::,4N,,.'',,44n:r4.1,` 14` Name: ( 0 CI- 7f _)�.J A.CY f.yl+�fr - \lam •,,J7,02....?.- ` "`'�; ` ,p,: . Address/City I Zip: ` `".; . 'rl':,'; ""'' ,G Contractor •. , i;;��'x y 1.FFVi''i U Applicant Is: Owner E A `' 2 w o►S (hi tie-tom ,;,;,,,,• � J, Description of work: �ryCIL w d O r +h i S •;r'�: . 5 1pS,$ f Multi-Family Building:(Yes /No ) ,:>1,;. : ..1'`"r: `41:4;�:,•:: 1N„:-�:a;'��'nt�+�h'�:, �°r;:;� '' Construction Cost 1�' `(� ;: r'itq' `StAt+� 17: 1e� Contact: ;‘;.•? ;0p,,�:-�r:r�;y:� gin: Company: :; :�atr(".w.;:+•, ..w��:r��myh Address: li . , ivz 04 81 i-�'1.,uS�.�ton�i3r.GOnn ''.'1,; �,, ;y,041ZO:,:vpk”� State: :5 5' 43 P Phone: 1103'y aa- Email:�f l; 's e w ��..;��exy'(ati>�G:„ P• ;�.;�>f<�,, N ZIP 1 rf,;;f`�i�'''�,1t"rjtikt gigag :te.18 33(09 Lead Certificate#:_ .. , ,�;��,,+ifry � License�' If the project is exempt from lead certification,please explain why: 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: Phone: Fire Suppression Contractor • .P 1u � : y r.7.G ;'D-jw,�Z .''. Ja' ° rx u.(^mma . a �'. yrfrR 77t � cti' r . • ' r.,Y .�' ° dd� Pt p s^ F . , ti3 � . "r 3• " r yv• ,{ • ` i• ' ' rP .V .f .-,-:7',,,.:" .!..r.:::.,:::,� -�t ( (��, , z,l -.,.;...,,,..J.,. . ,( h . s '. ''7� 2 'l Mg r _, , • 4„„,. a:h",,r• 1e..p :,,4.•• ^ ,- •• .- -...tY¢• Yk+y ' r ," .r � ' "�' "r 41 � � is.. ' �• a>/' 44! , 4 '0. hx. rMr . Xoa .z+ ; s .; m:.4:.—. e1Fe6 ar .I � v)i- ;t:ih ,0Agc,i 61:4:47,0q.:•.;.'.Yn . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,goohersaoneca or 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, andwork planot 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 Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. , x A0k.,C& G-e....." 441) ��'On x ppllcan's Signature Applicant's Printed Name ACDS 1- wS1-y33 t„�� Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160571 Date Issued:03/20/2020 Permit Category:ePermit Site Address: 2142 Nancy Cir Lot:3 Block: 1 Addition: Tousignants 1st PID:10-77000-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Brock K Kiecker 2142 Nancy Cir Eagan MN 55122 (952) 447-8025 Salzer Plumbing 14033 Commerce Avenue NE Suite 300 Prior Lake MN 55372 (612) 366-4731 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160572 Date Issued:03/20/2020 Permit Category:ePermit Site Address: 2142 Nancy Cir Lot:3 Block: 1 Addition: Tousignants 1st PID:10-77000-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Brock K Kiecker 2142 Nancy Cir Eagan MN 55122 Salzer Plumbing 14033 Commerce Avenue NE Suite 300 Prior Lake MN 55372 (612) 366-4731 Applicant/Permitee: Signature Issued By: Signature