4750 Nicols Rd. CITY OF EAGAN
., 3796 Pilof Kno6 Road Eagen, MN 55122
PHONE: 454-8100
SUlLDING PEiUA1T
_ . .,
To be wed for Est. Value
Site Address -
Lot Block Sec/Sub. `
Porcel # -
, Name - '.ew15 ttuu
; Address l;lr 'f`V(:Ttuc
b
o Name 'J"l '? 1 t 11 aeis
z3'? ?'7u Leti.igturi Avc.
? Address
?- raw, aa
Name _
Address
Receipt #
N2 5606
Erect ? Octuponcy
Alter p Zoniny
Repoir ? Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish p Front ft.
Grode ? Depth ft.
Aourovoh Peet
Assessment
Woter & Sew.
Police
Fire
Eng.
Plonner
Counci i
Permit Surcharge
Plun check
5AC
Water Conn.
Water Meter
I hereby ackrrowledge that I have read this application ond state thot Bldg. Off.
the informotion is crorrect and agree to comply with oll applicoble APC Totol
State of Minnesota Stotutes and City of Eegon Ordinances.
Si9ncture of Permittee
i?s;;-
A Building Permit is issued to: on the express tondition thot
all work shnll be done in occordonce with ell applicoble Stete of Minnesota Stotutes and City of Eagan Ordinances.
Building Official
hnnR # Daee lsud PW=ithm
Plumbin9 i'? ^ /. 3,-,
Mechnnical ?
3 -7 93Lo -,?A v
?
INSPECTIONS DATE INSP.
Rouph-In
Final
Footings Date Inap. Date Inap.
Foundation Piumbing -
Frame/ins. " Mechonital
Finul -5;C
Remarks:
CITY OF EAGAN
? 3795 Pilot Knob Roud Eagen, MN 55122
PHONE: 454-8100
• BUILDING PER1vtIT ReceiPr #
Ta 6m u?d ier . Fer Vnhtn • I?nFe
Site Address
Lot Btock . Sec/Sub. ?
Parcel # - , - ,
m Name 0" . ' : . I:_1
W
Z
o Address
? Name k=r`ta?eTt L-wtb u. lit?.
6 Address
F. .. .
Ci Phone 721 - t(i
?
WW Name
r-=Z Address
N2 5657
21 ,a 'I
Erect ? Occupancy
Alter Q Zoninfl , _
Repoir ? Fire Zone
Enlarge
?
Type of Const. i
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvols Fees
Assessment -
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
1 hereby acknowledge that I have read this application ond state that Bldg. Off.
the infortnation is corcect ond cgree to comply with all applicabie
State of Minnesoto Stotutes and City of Eogan Ordinances. APC Total
Signature of Pertnittee '
A Building Permit is issued to: on the express condition thot
oll work sholl be done in accordance with cll opplicoble Stote of Minnesota Statutes and City of Eugan Ordinances.
Building Official
PwmIt ?j DaM Mned PNMMtK
Plumbing
Mechanicol ,j y ?
• 3Sl94 to 74M)75 I-LAL
ocP 4 v -
INSAECTIONS DATE INSP.
Rouph-In
Ftrwd
Footings Date Insp. Dats Irup.
Foundation Plumbing
Frome/ins. Mechanical
Finol (e p
Remarks:
No.
Jwne
Dcfe:
Site Address:
1980
CITY OF EAGAPI
3795 Pilot Knob Rood
Eaqen, Minnesola 55122
Pbone: 454-8100
4750 Cedar Avenue
lot Blotk Sub/Sec.
Nome
? Address
?
City ?~an, ? Phone:
Name Jahm Iiea t_' .:
.
14. A.32'; , , , .'V?. . ;'±•
? Address
-.. ?J .
City Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto Stotutes ond Cify of Eogun Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
$ingle I
Residential
Multi Res., Comm./ind. I
New /Alter./ Repair
Cost of Instollofion
'K,
?
Permit Fee
$urchorge
Total
done in otcordance with all opplicoble 5tate of
Buildinq Officiol
CITY OF EAGAN
3796 Pilot Knob Roed
Eagan, Minnesois 55122
Phone: 454-8100
rT=? ?? PERMIT
Date:
Site Address: 47'`0 GCd!!T QVP.
l.ot Block Sub/Sec.
Name _-.-
Vflll@q Investments
0
Address 21?A1 Pilo+, Kno:;
;
City Phone:
Nome renzel '?4ech.an.{ ^9?
.
'? F n n :'. enr e•re r.. ' r*' .
? Address C
O
V .. , . . . - ? .
City Phone:
This Permit is issued on the express condition thut all work shall be
Minnesota Stotutes ond City of Eagan Ordinances.
No. 159(
1'7^, ,'
Receipt No.:
Single
Residential Y
New/Alter./Repair. ? Ltf
Cost of Instollation
Permit Fee 5. 00
Surcharge
Total done in accordonce with all opplicoble Stete of
Building Official
CITY OF EAGAN
Owner ov-N('21?750 Cedar Ase State t?an,rIlV 55122
L???1 M:it1?N t„t?iN ?gtreet ?/ `
1 Z.7 :'% ? ..I. % 1i J i . - ( . . 1 ?i-i ? ?1
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 16.00 41.o6 15 Pg3d
SEWER LATERAL S 1$ 13
254.93 2650-99 5 .
,
WATERMAIN IO C005522 8/21 80
WATER LATERAL ?
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 20549 8121180
WATER CONN. 305.00 20549 Z 80
BUILDING PER.
SAC 525.00 9691 -
PARK
CITY OF EAGAN •
3795 Pi{ot Keob Road
Eagon, MN 55122
Znninn-
Owner:
Address: dz:t
Site Address: .?-
Plumber:
Meter No.:
Reader No.:
1 agrea io eomply wit6 the Cify of Eagan
Ordinaneas.
R..
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
p - O -t$ / 4-.0 -c-
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totai:
Dote Paid:
I nsp..
Date of I nsp.:
-
IF EAGAN SEWER SERVICE PERMR
ilot Knob Road -
Dx 21199 PERMIT NO.:
MN 55121 DATE:
No. of Units:
ComAtllnitv Action Coimcil
agne to aomPlp witb !IM Cihr of Eagaw
By
Date of Insp.:
I nsp.:
Connectton Chwrga: 425. Okl c?cl
Aornunt Depoait:
Permit Fee:
5urchorpe:
Misc. Chorpes:
Totol:
Dote Poid:
cirY oF Enc,AN
3795 Pilot Kne6 Rond Eagat? M';. SSl'2Y
PHONEs 450-8100 Receipt #
Site Address 4750 Cedar Avenue
'- BI k Se /5 6 31
Parcel .#
x c u .
020 06
, Name B/ Robert Lewis House
? ?rew 4750 Cedar Avenue
.-._. F.aaan_ MN -- d52_7466
Name Jlm WilliamS
m
i°C, 3770 Lexington Ave.
Address
Eaean,MN 55123-___
Name _
Address
I hereby acknowledge that I have read this application and state that
the informotion is corr ond agree to comply with oll npplitable -
State of Minnesota , alut onQ City ofi Epgon Ordinances.
Signaturc of PermfHee Q?IL
A Building Permit is issu g.(o•
uIi work shall 6e done in acmrcya/nIce with
Building Offidol FT yT_
N? 5606
J 70
Ered ? OccupancY rt-j
Alter $X Zoning AgT •
Repoir ? Fire Zorre I I I
Enlarge ? Type of Const. V
Move p # SMries
Dertalish ? Front ft.
Gmde ? Depth ft.
Aoo,evels Fees Assessrnent
Water & Sew.
Police
Pire
Eng.
Plonner
Council
Bldg.Off. 1 29 80
APC
Permit `?•??
SurcFwrge 3.00
Plan check
SAC
Wmer Conn.
Water Meter
Total 24 . 00
lams on the express condition thot
State of Mi9newta Statutes and Ciy of Eagon Ordinances.
cinr oF Er?"N
9795 Pllot Kao6 Read Eagan, MN 55122 N2 5657
PHONF:4S4-8700 .
BUILDING PERMIT APPLICATION Recetpt # Isa-7p _
To ba u.ad for Inter6f?vRemodg4iV&ue $,000.00 p,t. 3/21 1 q 80
Sire Address 4750 Cedar Ave. So. Erecr ? occuponcy R3
Lot 2 Block 6 See/Sub. 31 Alter Zo^i^g
parcel # 10 03100 02 06
Repair ? III
Fire Zone
Entarge ? Type of Const. V
w Nome nakota ('OLnty HRA Move ? # Stories na
Z Address Demolish ? Front ' na ft.
437-8258
?
Hastings
% Gmde ? DePCI, na ff
,
om
Ci .
of Name Neraasen Constr. Tnc. Aporovals Fees
0
??
Address 3833 Minnehaha South
nuessmenr
Permit 97-nn
? 721-1694
Mp1s
MN 551k Warer&Saw. Surchorge 4-00
,,
ne
Ci 1?
S
Police Pinn aheck
-
O
G?
?Z Name Fire $AC na
?? Address Enq. Woter Conn. ty2
iw G Phone Planner Water Meter R8
Counctl
1 hereby ocknowledge thot I have read this appliwtion and state that Bldg. Off. -
the lnfortnation is correct and agree to wmply with all opplicable
APC Qdd C
Totol
0
SMte of Minnesato Statutes ond Clty of Eegan Ordinonces. -_.,___
Signoturo of Permittee ? t ?Z
A Buliding Permit is issued r• 1'Jer4 ge*j 6en5 '?"'t?etien on t he express conditlon Mat
all xrork shall 6e done in accordance/? h all applicabl ta?t Minnesoto Statutea ond Cfty of Eagon Ordinances
Building Official /? P ??
E-P 56 5-7
CITY OF EAGAN Include 2 sets of plans,
r ti 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
TO B2 USed FOi Ddt2 ? 2? Q C3
Site Address: p S Cj . OFFICE USE OAII,Y .
Lot ?? Blorx ? sec./sub. ?! . Erect Occupancy
Parcel #_ &I -C7:? -?( Alter Zoning ?
Repair ' Fire Zone
owner: 14P ?l
Pddress:
City/Zip
Phone #:
Contractc
Pddress:
City/Zip Code:
Phqne #:
Arch. /EYig. :
Pddress:
City/Zip Co3e:
Phone #:
Enlarge _
M?ve
Demolish
Grade 2ype of Const.
# Stories G{,
Front ;i/pk ft.
Depth ft.
APP1d7VALS FEES
Assessments Pernut
Water/Sewer -?- Surcharge
Police P1an CHeck
Fire SAC
E7ig. Water Conn.
Planner Water Meter
Council oad Unit
Bldg. Off ?- _
APC -
Code:
CrrY OF EAG,&`-
,, '
BUILDING PER14IP APPI.ICATION
7.b Be Used For kmS* Valuation
Site Pddress: 57'i r?v/4-ve- ILF-
Lot slocx sec./sub. 3 /
Parcel #: Oa O6
Owner:
Pddress:'47?
City/Zip Code: F-:/46 it-?v
Phone #: 7?6- 6, -
contractor: ? ?? %/1rG-u?z?s
Address: 5 7 q
7o L?C N(, -)-D1J ,qtzJE
City/zip Code: ?A-&R-IJ ti ? / `L ?3;
Phone #:
Arch./Eng..
Pddress:
City/Zip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/eIevations &
1 set of energy calculations-
Date / - ? 8-- F 67
OFFICE USE ObILY
Erect occupancy 5-'3
Alt:es V._ Zoning
Repair Fire Zone
Enlarge 7ype of Const.
Nbve # Stories
Demlish Front ft.
Grade DePth '4.,,r-/ ft.
APPFdOUAIS ?S
Assessrents
Wat,er/Sewer
Police _
Fire
Ehg.
Planner
Council
Bldg. Off.?
APC
Permit
Surchan7e 3
Plan Check
SAC
Water Conn.
Water Meter
RDad Unit
7XYI'AL
.. ,
EMGAN TOWNS1""1 0 P
/ ---- ?, BUILDING PERMfT
/ 99 O
. ,p
Address (Presenl) . .... . . ?a ............... ?-- ------ - ' "?g
svilae= ...... ....-? .... ..: ....... ... .....
Address ---------------- ............... ..................---'-------------...._........_-----
DESCRIPTION
Seefon 31 .pla$ Fi '1&
N° 363
Eagan Township
Town Hall
DaC;
5laries To Be Used For Fron! Depih Hei h! Esl. Cosi Permii Fee Remarks
? ??? ??
LOCATION
Slreel, Aoe or ofhes Descrip4ion of Locafioa I Lo! I $lock I AQdiiion or TsacY
This pesmii does noi authorize the use of sireeis, roads, alleys or sidewalke no do s it give the owner or his agent
the righffo cseaie any siiuafion which is a nuisance os which presenis a hazard !o healih, ssfely, convenienCe and
general welfase fo anyone in the communify.
THI5 PEAMIT MUST 8, PT N H EMI • THE WORK IS IN PROG S5. ,G? ??
Thfs is to eerfify, ihaiaH ?, as permission fo erec! a_ k?'" _-----------`-----....upon
!he aboIeflsscd premis?IIb7t i e pr isions of the Building Ordinance for Eagan Towip adopied Agril 11.
...............-----. Per .-----------------`--'---`-'----------------------.._..----`-`
Soard Building Inspecior
EAGAN TOWNSHIP
Ownet
Addrecs (psesen!) ..
Builder ..
Address
BLOlL.DIIVG F'ERNlIT
DESCRIPTION
pi47
N° 163
Eagan Township
Town Hall .
DeC? i?`? 7
S2ozies
To Be Used For
Depih Heighi Est. CosS jPermif Fe
Froni --
Remarke
?
I
LOCATION
or
This permit does not aulhorise e use of sireef§! roads, aileps or sidewalks nos does ii give the owner os his agent
the xighlio creale anp situalion w ioh is a nuisanee or which presenls a haaard !o the healih, safeiy, convenience.and
qeneral welfare !o anyone in the eommunify.
THIS PERMIT MUST BEKf:PT E4EMISE WHILE THE WORK IS IN PROG?R?j S?S.
. !Z _ ` ............._._.....-
This is !o aerfify, Shai .. . ............... ?.... . . . . . ........ has permiseion !o erecf a.....!Z1"'?.%?L----- ?.°'.` vpoa
fhe abov deacri premise sub' ! provisions of the Building Ordinance for Eagan Tow ip adopfed Apxil 11,
1955.
................ ...--?---------._._._.........._. . .. _......._........._. Per ...... ..---..__....................................................
'----'--- .............
Chairman of; Boerd Building Inspeclor
t
SP.e?
C? USE F."i'?^iIT N0. ? - ?
CITY OF EEtGAN
3795 PILO'P xNOS RoaD
EAG; N, aiM.nSarA 55122
The Council of The City oP Ea?zan hereby grants to Dakota Ctv Community Action
HRA Council
of Cty Court House a Conditional Use PerQ.it
as ings, MN 55033
pursuant to application dated 1/17/79 _-for the following purpose
SPECIAL PERMIT FOR A SHELTER FOR BATTERN SiTR.TF.CT mn mHE
ATTACHED RECOMMENDATIONS AND RENEWABLE YEAUry . ATFn Am _
475p CEDAR AVE. SO.
Dated: Fees Paid:110.00
By:_c<s ).?z <
b;:iyor 17
Attest•
?? Clerk
This request void 18 months from
Date o this Request s 3 7 9 3 6
I, as ?Licensed Electrical Contractor ? Qwner, do hereb request inspection of the above electri-
cal wiring inatalled at: ?/
Street Address or Route No. A 7 N) ? 6R,49 r, ?L5,City ?c T?N
Section Township Range County ` ILA OfQ
Which is occupied by E?? W C/, F//
(Name oi Octupant)
Is a roughin inspection required on this job? No ? Yes I? Ready Now ? Will Call ?
Power Supplier Dy} 07- LE C-Address
jNdo F L 3??y3
Electrical Contractor r?J- L c c- Contractor's License No. _
/1? (COmpany rva e) 1 7 ,/ ?y y-g 5 -?
Mailing Address ),?' ?'C G?"? .S?, wr_/? ?Q'l 3 a3
Authorized Signature ??- ..e,Phone, a No.?o -?(?
C. .'7.? 7
[ ncai conWcror or Vwner maKing rnls 1llstallatlon)
o ' p r? . This i?n ec5on r uest will not be aue ted 6 the
SV ?pVE O `?D Qp? State 8 ard unless propw inspection fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
kQUEST FOR ELECTRICAL INSPECTION
CHkK BELOW WORK COVERED BY THIS REQUEST
?777?
S `37931'13
Type o[ Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wi[ed For
Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? Water Heaur ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commemial Bldg. ? ? ? Fumace ? Sito UNoadei ?
Industrial Bldg. ? ? ? Art Condition Bulk Milk Tank ?
Farm ? ? ? List
jig
t
Other
?
?
? p
t
Hehee SI
agi
o to
Remazks 3?5 c,p 9 e o;v?s i
I, the Electrical Inspector, hereby certify that the above
(Final) (&Z1
This request void 18 months from
TOTALFEE
has been made.
.2- 7 15-
r
Date this, Request
53062
I, asLJcenaed Electrical Contractor.p,Owner, d ere y? ues inspection of the above
elect al wiiin'g insialled at:
, . ` 1?
Street Address or RoudNoA 75j-+ te-Jm- 1,m S City_E AaA V
Which is occupied ' i¢--OS%-? L= ..
(Name of Occupan[,
Ia a roughin inspection required on thia job? No ? Yes ? Ready Now ? Will Call j?
i?
Power Supplier Address
Electrical
Licenae No A 3='?'n'
Name)
Mailing Addresa iC X I ? C! -! c. N J V I`I L 1 Y L r/! /" 1 I L$ 5 5 Y!/
(EI Con[nctor or Owner Making 7fiis (natallafion) -
Authorized Signature PhoneNo-5_6 6- 03q I
(Ekctrical Gonuactor or Owner aking Thu Inshl4don)
" Minneso4e S+ate Board of Electricify
1954 UnivgPrsi+y Ave., 5+. Paul, Minn. 55104-Phone 645-7703
- !AEQUEST FOR ELECTRICAL INSPECTION
CHiGK BELOW WORK COVERED BY THIS REQUE5T
NI ?3062
TYpe of Huildinc New Add. Repai Check ADDlianen Wired Fbr Check EQUipmentWiied For
Home 0 0 ]tanRe 0 TemperacyWiring 0
?uolex 0 0 Water Aeater Q Lightin¢_Ec1xturea 0
Apt Bldg. s
Commercial ?g. 0
0 0
? 0
0 Dryer
Famuh
Furn :leetric NesGng,
Silo Unloeder ..
0
?
Induetrlel BI g. 0 0 0 Air Co
on Bulk Milk Tank ' 0
Farm ? ? ? ft
List Liel
Other ? ? ? ??ere
Here Othen ?
Here 1
COMPUTE INSPECTION FEE BEI.OW
Service EnVance Size: # Fee Feedern A SubfeMers: }t Fee Circuifs: # F.
0 W 60 Amyerey 0 to 90 Ampercs D W 80 Amp
61 fu IDO Ampette 31 b 100 Amperea 31 to 100 Am
;
101 b 200 Amyexe Above 100 A. Above 100
Above 200 m Remole Control Circui SiR..
Tnne(o*men Spccid inepeeGOn tee
Parthl or oNer /'
Remarks
TOTALFEB
i ?
1, the Electrical Inspector, hereby cer a[ t atove inspection has:been mad o f?
? ?ia
(Rough-in) ? y ? '. Date r / U
(Final) ?/°•' i ,'.^ S i ?` Date.f?„ o? 7-FJ
request void 1:5 7
onttys from (? Ff r
Date of t Request `i Fire No. "" "146S
I, as icensed Electrical Contractor ? Owner, do he by request inspection of the above.electri-
cal ?ring installed at: 46 6 } . 3 )
n ???/
Street Address or Route No. ?+llJ l D? rt C.7iJ-? City??' '?.''
Section Township Range County
1Nhich is occupied by s
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier .-.r ?7 c?-4 . cAddress
"oor
Electrical Contractor //?t?'.j?(???, Contractor's Ltcense No._
Mailing Address
Authodzed
or Ulniwf maRmg ? n?s mscarlaslon)
^^PhoneNo.?
?
? ?u?",* This ins ecdon reuest will nat be acce ted h the
????7?L%/ ?'?ks.'J ?? State Boerd unless proper inspection fee is enclosed.
minnesota atate noard ot tiectnaty O
Griggs Midway Bldg. - Room N191 d
. 21 University Ave.. St. Paul, Minn. 55104 - Phone 297-2711 ?
REQUEST FOR ELECTRICAL INSPECTION
., ECK BELOW WORK COVERED BY THIS REQUEST
-P&O 7
51466
Type of Building New Add. Rep. Check Appliances WUed For Check Fquipment Wired For
Home ? ? 0 Range ? Tempoxary Wuing 13
Duplex ? 0 ? Water Heater ? Lighting Fixtwes ?
ApLBldg. ? ? ? Dryer ? Electric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Sdo Unloader 13
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm List Lis[
Other ? ? ? ?eiers? p
Neiers?
COMPUTE INSPECTION FEE BfiLOW
Servire Ent=anceSize: # Fee Feeders&Subtcedeis: # Fee C'vcuits: # Fee
0 ro 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 ro 100 Am eces
Above 200 Amps. Above 100 Amps. Above ]00 Amps.
Transformers RemohControl Circ. Pa[lial or other fee O?
Signs $pecial Ins ection Minimum fee $5.0 ?
R/emarks { ?? ,?G/ TOTAL FEE ? v
I, the Elec[ncalTfrector, hereby certify
(Rough•in) ,
(Final)
This request void
?
(speCtion has been made. .? v
;9)V,w?ate --
4,Date
/D-D3/?sa - 'z?A
8EA BLOMWIST
MqYqi
CITY OF
EAGAN :
TMOMnS HEDGES
GITY AOMINISTRAtOR
THOMAS EWN
MMK PARqANTO
JAMES A SMITM
THEODORE WACHTER
COUNCIL MEMBERS
1.4arch 24, 1980
bis. Tdary Ajax
ComIDUni_ty_Actio_`Council
750
Q ?venue Sout?
Eagan, , 2
,3796 PILOT KNOB RDAD
? EAGAN. MINNESOTA
53122
- - rMPNE ""100 .
`i
ly?K\
'?,..
ALYCE BOLKE
CIiV CLERN
RE: Acticns Taken by the Eagan Gity Council, Expanding the Conditional
Use P=rmit £or the Home for Battered Flomen
Dear M,s. Ajax;
The Eagan City Council, on Pdarch 18, 1980, approve3 your request to expand
the Conditional Use Permit to increase the number of people for the
Battered lVomen's Shelte^ from 12 to 20 which includes 6 staff people.
According to this approval,the City Council placed the following conditions:
1. The City Planner was granted the authority to request additional
parking spaces if required."
2. The Buildir.g Inspe6tor to be satisfied that the building is
adequate housing for 20 persons, to be used as a public facility.
According to the first condition regarding additional parking, the
concept was first approved with intent to keep the proposed facility
as residenzial in character as possible. Installing aparking lot in the
front yard is not keeni:lg the resideniial character of the neighborhood.
I wou13 like to request that this front parking area.be removed and
provided on the north.side or in the rear of the buiiding. I would aiso
like to receive a site plan showing the number of parking spaces you are
providing for the £acility so I can evaluate if there is adequate parking
for 20 persons.
The ?u- -.irr Insaector h2s ir_dicated. t!?at he ?±as ir.srectec i.he bu,' .lding
for.t:r:e use of up to ten people. T?e vrou1B. li'_ae to reirSnect the dn
?nges
which have occurred within the structure on April 3, 1980 at 1:30 P.M.
After the ineDection he udill evaluate if the facility is capable of
handling +he additional people.
If you ha=re ax?y questions regarding any of these conditions, please feel
free to contact me at the.Eagan City Hall.
ncerely,
;
7I??
Dale Ftunkle
City Planner
cc:, Thomas L. Hedges, City Administrator
Dale Peterson, Building Official
THE LONE OAK TREE ... THE SYMBOI OF STRENGTH AND GROWTM IN OUR COMMUNITY.
PHONE 454.8700
CITY OF EAGAN
3798 PILOT KNOB ROAO
EAGAN. MINNESOTA
56122
June 20, 1980
B. Robert Lewis House
4750 Cedar Avenue
Eagan, hAI 55122
Attention: Mary Ajax
Dear Mary:
( RE: Parcel__N. 10_ 03100 020 06? /
This letter is to verify the costs for connecting the parcel listed above.
The watermain is now in place and therefore the property can be connected
at anytime: Listed below are the charges involved:
$305.00 water connection charge
60.00 water meter
16.00 copperhorn
10.50 water permit
50.00 curb box
50.00 water ta
491.50
TOTAL M40UNT $ 491.50 -
Lateral benefit from watermain 264 feet at $10.90 front foot
$2877.60
Water area two (2) acres at $700.00 per acre
$1400.00 TOTAL AMOUNT $4277.60 •
GRAND TOTAL $4769.10
If you need additional information please contact me at the City Hall.
Sincerely, `
i
i
Ann Goers
Assessment Clerk
/r??,/S?a--
?'
?? ?
BEn BIOMWIST
VD,ON
THOMRS HEOGES
CIiY ADMiN5TPNtOR
TMOMAS EWN CITY OF EAGAN ALvCE BOLKE
M4Rk PFRPqNTO CItY CLERK
JAMES P. SMITH
iHEODORE WACHTER 3795 PILOT KNOB ROAD
eourvcn. uemeeas EAGAN. MINNESOTA
95122
PNONE 454-e1oo
/
?M?ct
May 14, 1980 • ?
Carl Onischuk, Co. Auditor
Government Center
Hastings, MN 55033
Re: ,Parcel 10_-03300-020-03-1 ?
Dear Carl:
We are returning the tax statement fo=,the above
referenced parcel no. which is for water area
assessments. This parcel is an unplatted city street
and therefore should not have been assessed. Please
remove this assessment from this property.
Thank you.
very truly yours,
i
(Mrs) Alyce Bolke
City Clerk
rms
Ehc.
TME LONE OAK TREE ... THE $YMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV.
• ?
Page 10<
February 6, 1979
City Council minutes
by adding similar institutional permitted uses to residential or agricultural
districts in the City of Eagan was reviewed. The representatives indicated
that neighboring property owners have been contacted and that there were no
objections nor any objec[ing party present at the meeting. Federal funding
has been received for acquisition of [he home and it is intended as a temporary
home in a normal residential setting for battered women and children. It was
noted that a supervisor,will be present at all hours and that no more than 1:
persons, including supervisory personnel, will be permitted on the premises at
any one time. A report from the Chief of Police, without recommendation, dated
January 31, 1979, was also reviewed, but there were statements concernirg the
need for a facility in Northern Dakota County. Conditions proposed by the City
Planner were reviewed, and Wachter moved and Egan seconded the motion, all men-
bers voted in favor, to approve the request for special permit subject to the
following:
1, The Building Inspection Department shall determine that the structure
mee[s the minimum requirements of the Kinnesota State Building Code.
2. All vehicles generated by the institutional use shall be parked on the
property and not along public streets.
3. A supervisor (designated individual) shall be present during all hours
when [he institutional use is operated unless o[herwise approved by the City
Council.
4. There shall be no structural alterations which would no[ normally be
expected in the particular zoning district in vhich the institutional use is
located.
5. No more than twelve (12) persons, including supervisory Dersonnel shall
be permitted on the premises at any one time.
6. The use shall have appropriate licenses for the individual operations
as may be required by the State of 14innesota.
7. The use shall not distrupt or otherwise distract from the appearance
or normal residential character of [he area in which it is located.
g. The permit wil.l be reviewed annually.
STATE OF MINNESOTA ?_. ---- PS 06017-03
DEPARTMENT OF PUBLIC SAFETY .
Fire Marshal Division
1246 University Avenue
St. Paul, Minnesota 55104
???? .1.. _,? r 'C';_,.
ccupancy ner, agent or essee
i I" (~?? 5
??gO?" /
A.
ORDER
Pursuant to the authority vested in me by statute, you and each of you upon whom this order is served are hereby
ordered within the prescribed time to:
l. B-efbre aacupancy, disconnect ald gas piping and re„-!i.?:_;, .:..,...,??;.,.
Minn. Stat. §299F. Oll (1974).
Minn. Rule FireMar 31.
Minnesota. Uniform Fire Code (MUFC) Sec. 1.210 (b), wntch states:
"Whenever the State Fire Ma.rahal deems any ehimney, smokestack, atove,
oven, incinerator, furnace or other heating device, electric fixtfiire or
an,- appurtena.nce thereto, or anything regulated under a naiional"1y approved
standard in or upon any building, structure or premises not ?pecifxcaliy .
mentioned in this code, to be defective or unsafe so as to crea"u-e an
immediate hazard, he shall serve upon the owncr or the person having
aontrol of the property a written notice to repair or alter as necessary
and shall notify any other authority enf'oreing codes regulat lizg such equipment. He may affix a eondemnationtkag prohibiting the use tnereof
unt11 sueh_repaira or alterations are made. When affixed, sucri tag may be
removed only by the order of the State Fire Marshal and may be remov"d only when the hazard to whieh the order pertaina has been Plininated in
? an appraved manner. Unt31 removed, that item ar deviee which has ca:zi3.ed
the hazard shall not bs used or be permitted to be used. When an
structural lzazard is caused by the faulty installation, operEition, oxl
mal.function of talfunction of any of therhereinabove ment3oned items o,
deviaes, the State Fire Marsha2 shall immediately notify the Yauilding ,
vfficial of the jurisd3etion who shall investigate the hazarcl and sha11
eauee sueh hazard to be abated as required under the Buildj.n?; Cvde."
2. BePore occupancy, provide three
and one 3n eaeh bedroom hallway,
Mi.nrl. Stat. §299F. Qll (1974).
Minn. Rule F1reMar 31.
P4UFC Sec. 13.301 (a), which statea
?A-l.OBC type extinguishers, onc: in kitci
pursuant to:
If we can be of further assistance, please feel free ta contact
the undersigned at ._;Failure to comply wrthin time provided is a violation of the law.
PLEASE NOTIFY IN WRITING THE FIRE MARSHAL'S OFFICE UPON COMPLETION.
19 7g
COPY DISTRIBUTION: White - Facility, Blue - Fire Department,
Green - Central Office, Pink - District Coordinator, Gold - Employee
State Fire Marshal
/ V
BY
Page of
.
STATE OF IIAINNESOTA
DEPARTMENT OF PUBLIC SAFETY
Fire Marshal Division
1246 University Avenue
St. Paul, Minnesota 55104
7-
jc?l ?fR?r '
PS 06077-03
-,- -i; • . ,'?@T' ?... , i .::!:
ccupancy wner, agent or essee
Street Address, City, tate, Zip C e
ORDER
Pursuant to the authority vested in me by statute, you and each of you upon whom this order is served are hereby
ordered within the prescribed time to:
"TY3e -Stat-e Fire Marzhsl sha11 designate the type and number- af fire
appliances to be installed and maintained in and upon all buildings ?
and premksea in the jurisdiction other than private dwellinga. rrh3.s
shall be done acvording to tY?e $elative severity oP probable fire, in-
cluding the rapidity with w14ch it may spreac. Such appliances shall
be of a type euitable for the probab].e class of fire asaociated with
guch bui7.ding or prem.ises and sha11 have appr-oval of the S-tate FirC
Mar$hal."
3. Before oacupaney, prov3.de approvsd alarsi system with 1 -st,.Ltion at .. ,
exit, pursuant to:
Minn. Stat. §299F.011 (1974)
Minn. Rule FireaMar 31.
MUFC Sec. 1. 216,-aa amended by.M1nn . Rule FireMar 33(o).
NFPA No. 101, Sec. I1-5311 which stateg:
"A manual fire alarm system Shall be pravided, in accordznee wifih S?c ;?; i"
4L 6_3. ,r
v
4. Before ocaupancy, provide single statioM amoke detect{cn in eve~,y
unit, pursuant to:
Minn. Stat.-§299F. 362, aubd. 4, (thie is mandatory January
?
5,. Before oGt3Up3rZC,y, in bedroom hal?ways, and basement prov?.de sn?r?l?decleteaf,'o?
? - wired -int'a slarffi svatem, because ?of short "single exit from I;'2
?i pursuant to:
Minn. Sbat. §299F.12, (1974), whieh states:
"When the state fire marshal upon inspection shall find a building
sue?n ..-orstructior a.nr? izse that the exits and mFa.na of ep-ress a]..rPa,.!y
. .: '. . . 't }. C::iC .- . . . .:._..- . 1 '1 . ) - _ . . -. .
If we can be of further assistance, please feel free to contact
the undersigned at
failure to comply within time provided is a violatron of the law.
PLEASE NOTIFY IN WRITING THE FIRE MARSHAL'S OFFICE UPON COMPLETION.
State Fire Marshal
19 '
COPY DISTRIBUTION: White - Facility, Blue - Fire Department,
Green - Central Office, Pink - District Coordinator, Gold - Employee
By
Page of
.• ? .::: .
. r . . ., •? , . ?_ r'?
- `. 41
?
STATE OF MINNESOTA Ps 06017-03
DEPARTMENT OF PUBLIC SAFETY .
' Fire Marshal Division
« 1246 University Avenue
St. Paul, Minnesota 55104
Shelter for Battered Women
Street Address, City, State, Zip Code ,
ORDER
Pursuant to the authority vested in me by statute, you and each of you upon whom this order is served are hereby
ordered within the prescribed time to:
_o. custo:.ia_r ily wit._i1-i };?? ,..
openec? ano? sucn means of eaaape to be provided as in his judScr:ier.i: L::v-
reasonable necessary to eliminate the danger arising therefrom."
6. May I a3ao recoamnend aheat detector installed in attached garage, alao
ventint* water heater ppp o2'f valve ta within :1$" off floor ar,d ^elf
clasures on individual bedraom dovrs.
ce Mary Ajax, Community Action Council
Chief Eagan Fire Department '
Robert Forter, Program Development Coordinator, 1560 :I:wy 55,
. f 5503:i'
r
Dated
If we can be of further assistance, please feel free to contact
the undersigned at Failure to comply within time provided is a violation of the law.
PLEASE NOTIFY IN WRITING THE FIRE MARSHAL'S OFFICE UPON COMPLETION.
19
State Fire Marshal
By
. , Oi e215
COPY DISTRIBUTION: White - Facility, Blue - Fire Department,
Green - Central Office, Pink - District Coordinator, Gold - Employee Page of
c?/ O U N?
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.897.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: October 1, 2004
TO: Tom Colbert/Wayne Schwanz (EM)
RE: Well Permit #: 04-H223219
Municipality: Eagan
Fax #: (651) 675-5694
Well Type: Domestic
Environmental Specialist: Olsen
The Water and Land Management Section of the Dakota CounTy Environmental Management Department has
received the following permit application for the well described. If you require further review of the application or
if you have any questions or concerns about it, contact the Envirorunental Specialist ?isted above or our office at
(952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we
will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always
conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated GrouHng Date:
Property Owner:
Well Owner:
WELL LOCATION:
Kimmes-Bauer Well Drilling
9/29/2004
Time:
Time:
Kenneth R Potts
Kennetb R Potts
PLS Coordinates: 1/4, SW 1/4, SW 1/4, NE 1/4, Sec 31 Town 27 Range 23
Street Address: 4750 Nicols RD
PIN Number: 105855002001
WELL INFORMATION:
Diameter: 4
Casing Depth: 117
Total Depth: 121
Static Water Level:
Aquifer:
COMMENTS:
Ejle ?dit iew Tcrols 6pPlicahors ttelp
?t
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z
I
FTTrFTT
Gonncetion I Commerts I
Eagan Bufiding I Eagen Oevelopmerit ? Permits
Owner ? Eagan AssessJ'Sales I Eagan Fropenty I Eagan
ParesllD 105855002001?
Address F50 NICOLS RD
9
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MIT, go 12
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Dwner1 ppTjS KENNETN R
8555175TH ST E _
PRIOFI L4KE MN 55372
Owner Z ppTTS MARY P 8555175TH ST £
PRlOR LAKE MN 55372 _
dwner 3 - ?
Qwnet 4 ?_ ....,.,_
Y) 41 _ Parcel deta updated Augusk 27. 2044
i naac=nrnnni ( e.....,k
651 686 4123
Snis1'- 2E? 2006 1:05 PM FR CORP. CUSTOMER SERVIC86 4123 TO 96755694 P. O1/03
- nwRESIDENTIAL BIJII..DING rERwr mrt.tcaxiorr 'j-7 p o 0
city aEwa
3830 rHot Knon Ro.a, E.gm anv ssias
Tekphone !I 651-67545675 FAX # 651-675-5644 -
3n9ehoadab auveyadaod^B84&ofbt.s4fldMuaxandillrodedaaea 2mposdPlonrontrBlffi4bwne,06
(2096msz:nwnld00VaapeaaW14 tanaEnergy cetwmtoe.tarneemaad6rim
Y wpbad pWl tluwkip he0m &riWwwaimK Varedfd4d dew. elc.
tr?d?
o¦ru?ns 1 BMawrOyfor adi0ne 8 da[Jm
ndd?
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km -? ?y s?.
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a oam arrree nesarguon rbn abt peWeamr mwo
Rin JdelD$tn74+hMrNatialNeA (buggrow49uMpwka)
Mimesoo0 mac4mical vCOtileam fmm
Dste 0 5::/ ay 1 D(v Coostrncdoa Cost II ?!/(/D
6'ite AdMea L , IS UnitlSte N
Dewrqgba of Work 1C.?a ? VQh(J (Wd -' ond !J? -ClOT
Multi-Fsmlly Bidg _ y ? N
? ??-?? ??epba(s) _ 0 1) 1
1 1 _ Z C,
rropert, owner ?? ?'f,rt w.s ?lT£15ci? Talepeoue0cl?S! ? a93 --3 9 5 S'
Contractor ?'M (bL)-QYM )evt S
Addre„ °-133 G?q 'e?vJ 'Ar-
cti?.r
chy
Sbte 11p
5(p0 Tekphonep(7);?7 (vlvS'tn? a-
COMPLETE TH1S AREA QNLY IF CONS71tllC7'ING A MM BUILDIN6
Ensigy Cods Category -?° Ruks 7670 Ceua?v 1 _ ?Q1a Rules 7672
N?,a? nae? . R.eieenmi vsm?on c+mwrr 1won?enoee . raw ?ryy com v?ee
subrramd sua`ae.a
• Enerer Emfeape c.rwmron. subrnmen
In the losT 12 monihs, has the City of 6agan lssued a pertnit for a vrrular pl d on o master plan8
_ Y _ N If yes, date and address of masfer plan:
I.icensed Plumber (D? 06 IePhone #( l
Mechmica{ Conhactw k? Telephone #( )
Sawer/Water Contract«
Telephone N (
2 hereby apply for a Residentia! Buiidiag Pemut and acknowladge Utat the information is complete and ac=We;
that the work wilf be in caiformence with the ordinances end codes of the City of Eagan and the Sta#e of MN
Statectas; Iunderstand this is not a permit, but ady an applicapan for a pamut, and work is not m stan wid?out a
peaatit; that the work will be in acxordance with the approved plan in the case of work 'res a review and
appmval of plans. Z
APPlican " A s
2007 RESIDENTIAL PLUMBING PE?znnir APPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
PleaSe hoFnplete for modifications to euisting residential dwellings.
/s so
Date Q / (D_
Site Street Address ?-7 S O /U Unit#
Property Owner V Ne 1 s o!:2, Telephone #((,S /) 3 o 3-'79a /
Contractor I-IeSS?Qr? i r)2? SeTvj`ceS TA? Telephone#((oS?)6gl•8252
Address E-U Q ox City State -171A? _-Zp S S. i
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
Alterations to existing dwetling $ 50.00
_ Add piumbing fictures. This fee indudes installation of a water softener and/or water
heater at the same time. /f you are instal!!ng only a water softener and/or water
heater, do not cornplete this section; move to the next section and check the
appiiance(s) you are installing.
_Septic System Abandonment
_ Water Tumaround (add $136.00 if a 5!8" meter is required)
-Other:
r
_ Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
?.
State Surcharge
$ .50 .
Total $ ?$So
1 hereby appry for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
01 ; u? s; i+_ 12-121,4 ,
ApplicanYs Printed Name Ap IicanPs Signature
90, ot)
2007 RE.SIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements
3 registered site surveys showing sq. ft. of lot, sq. ft of hase; and alt roofed areas
(20%maximum lot coverage allowetl)
1 Soils Repart if proposed building is M be placed on disNrbed sail
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies M Tree Preservafion Plan if IU plattetl atter 711193
Rim Joist Detail Optiois selection sheet (buldings wiM 3 or less uniLS)
Minnegasco mechanical ventilation fortn
RemodeVReoair Reauirements Olfice?Use OnH
2copiesMplanshowingfootings,6eams,joisfs CeRMSurveyReCtl _Y _N
1 setofEnergyCalculaM1Onsforheatedadditions SalsRepat _Y _N
1 sitesurveyforadditlore8decks TreePresPWnReW _Y _N,
Addtion•irdcateifmrsifesepticsysfem TreePresRequaed._Y _N
On-siteSep6cSysiem _Y _N
Pians are considered oublic information unless vou state thev are trade secret and the reason.
Date// / _7 / V-
Site Address ?{75'? n/icoLs /P? Construction Cost S700`00
UoibSte #
Description of Work
Multi-Family Bldg _ Y a N Fireplace(s) _ 0_ 1 _ 2
Property Owner o ?l/ Telephone # ( ?? 3? ? Sr
Contractor SV.?11'Akl Awle --pWI, 0167?iA'iC47r-_
Address ?Jle kt'??e
State /vt? ' /
City /J . -_ ?? c157
Zip 5_:Y-1 17 Telephone # (617) _2 S_7 6 7
COMPLETE THIS AREA ONLY IF
Energy Code Category - MNnesota Rules 7670 Cateeorv 1
. Residential Ventilation Calegory 1 Worksheet
submission type) Submitted
. Energy Envelope Calwlations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
. New Energy Code Worksheet
Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone #(
Telephone #(
Telephone #(
Permit and acknowledge that the
complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State oY MN
Statutes; 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.
LA
ApplicanYs Printed Name Applic t' Si atu •e
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4750 Nicols Rd
Lot: 202 Block: 1 Addition: Potts
PID:10- 58550- 020 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit r equirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Travis F Nelson
4750 Nicols Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA078531
06/26/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4750 Nicols Rd
Lot: 202 Block: 1 Addition: Potts
PID:10- 58550- 020 -01
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Stove
Comments:
Fee Summary:
Contractor:
Soderlin Plumbing, Heating & A/C
3612 Cedar Ave S
Minneapolis MN 55407
(612) 721 -4080
Quesetions regarding elect
445 -2840
Mary Lowther
3612 Cedar Avenue South
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Travis F Nelson
4750 Nicols Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA088326
03/02/2009
ePermit
cal Inspector, (952)
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
" ll�e���17�csr SLACK 1nk
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�.______----.._.�____�
1 ��r i)f#'ice tlse ��
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OCT 1 9 � �
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2t�1� RES1�E1�T��►L BU1LC��NC� PER�I�T APP�.��A�'1�N
�a�+a:,��`�/'�� � Site Addre&sr.`�4 d(�(.`.��� �i�� tlrrit#:
[tfam�:t'Z��,1'� ��t�.�"""�.t t/t¢'.�0,�4 Rhc�n�: ��� '�������
R+�Sider�t/ �'— �`—
UWI't+�r Address!Ciiy i�ip: � � k�i�� > '� l'�.� �.i �
. �PR1�cant is; Qwner C�ntr��fnr �` (
T e t?f WOt'k �es�riptic�n of w�ark: 5 �"v .i-5��"��r�+c� C��.�✓j �r�� :���:�"�€.� � ��-�tr�� > #--
�� �4�dGk" ���'1+.�,�"'z. ���!'�elt�. L����.l`�'( �r��— c�.
Constructir�n Gast: �+�t� "" Multi-Famiiy Builei�ng:(l'es /No�j
Cornpany: ��t�'` ��v/€'�. �.��,17�Ct��'a�tr� Cqntact� �J�.L� ���"`.�
�an�r��#c�r a�dres�� �l�"� �l,a�4� �����.i'�.– c�ty: ��+�.�C��.t"j
' Sfate; ZGp: ' L�}�� Phane:��'�jZ~��`�._F_rnai{:�����'�1 P��i�i,.�cam1"�`,�uta�"f�,,. �
� � License#. � �d��.✓�-C� Lead+Gert�cat+e#:
If the projecfi is exernpf from lead certifica#ion, please expl�in wt�y: �
.
�
� �- � �5�ct� �.s�' .��rt � �
C€)MPLETE TH�S AREA C3NE.Y IF CC�NS7RU�TlNG A NEW BUI�.C�INC�
In fhe fast'i2 rn�nths,hais#he City of�agar�issued a permit f�r a sirns"lar plan based�n a r�aster pEan2 �
� Yes Ne If yes,d�te and address af master pfan: �
Licenseri Piurribec: P'hone; �
�
Mechanicat Cc�r�tractor. Phc,ne: �
� S�vsr�r&Wafer Contractor: Phone: �
Fire_suppressitrn Gon#ractbr: Phone:
J�tt�TE:Plans and suppc�rfing do�um�ents tl���you st�brr�if�re ccar�sid�r�d tt�t�.�pufifr`c in�'r�rmmativn. P'�rt`ic►ns vf '
the infarmafiio�may b��l�ssi�fr'et�as n��r�u#i�c if yssu�art��r�[fe speci�fic reasarrs tha#would p+ermi#the Gi#�r ta
�onclucle tFt�t l�he are tt'ade�eeer�fs,
C.A�.L. i3EFC�RE YC3U DI�. CaN Gopher�#ate L7ne CaEi at{651}45�#-41Q02 far prQtectiort against undargroe�nd u#Gty damage. G�tl�8 hcaurs
befcare you ir�tend to dig fa reesive faeates o€un�erground ukilities. �,�.�.h�rsta��c�necaiB.cz�
I heraby acknawledg�that this ir�farm�ti4n is camp#efe and accurate;ihaf the work witi be in cQnfcsrmance with#he ordinances and c�des of the Gity a#
Eagan, that l understand fihis is not a p�rmit, but only an appiication fpr a �ermit,and+arork is nak to start withouf a permit:#hat the vs�bric will be in
acearda�ce with the approved pian in tha cas�of work which requires a revieuu and approvat c�f'pla
Exte�arwc�ric a�uth�orized by a'building permifi issued in acc�+rdance wi#h the MEinnesata t uild' g Gode musR be eompEeted withire 18D
days a#permit'rssuanc€.
x �� �,"� ; ,.�,�.,�
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,4p l�canf`s Prir�tsd Narr�e A �ca�t's Sigraatu
Rag�1 of 3
`''� �� � ; C(��� � �C DO NOT WRITE BELOW THIS LINE � .S����
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
`t0 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 _ Repai� _ Egress Window _ Water Damage I
_ Retaining Wall *Demolition of entire building-give PCA handoutto applicant
DESCRIPTION
Valuation `�'2� tJ�� ,� Occupancy .�f2��� f MCES System
Plan Review Code Edition y�tn 2�af�"� SAC Units
(25%_100%�) Zoning -� 1 City Water
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) �o Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
p 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: ��V1I'� )'Y1 ;�C�7/� , Building Inspector
RESIDENTIAL FEES ��l�� J���,�u �f� � � ����-�
�
Base Fee rS.�� , ,,,.�,
Surcharge �,;,,�D� � ��� . '�
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit$Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150924
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 4750 Nicols Rd
Lot:202 Block: 1 Addition: Potts
PID:10-58550-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Travis F Nelson
4750 Nicols Rd
Eagan MN 55122
(612) 964-2350
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179018
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 4750 Nicols Rd
Lot:202 Block: 1 Addition: Potts
PID:10-58550-01-020
Use:
Description:
Sub Type:Underground Sprinkler System
Work Type:New
Description:
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 - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Travis F Nelson
4750 Nicols Rd
Eagan MN 55122
(612) 964-2350
Norblom Plumbing Company
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature