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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 ? ? 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 6 ? A a ? ? ? ? MIT, go 12 KIsG 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? a8o? re ?, km -? ?y s?. ?F'"' ? y aep sy - cx . ;x;;&,?, .,r 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 �.1,1 � �.______----.._.�____� 1 ��r i)f#'ice tlse �� 1 �✓ �� � Rerrnit#: ! �� j � , � i��� ������� i P��,�����: �-��[�C ,�f. r 383tf Pilat Kr�ob R�ad � � �Q �����,�r��s�r�� REC�IVED i �ace����t�:/!� �l I'l.S , F�hone_(s51)s7�-5s75 � � ���:�s���s7s-sssa 1015 i sca�: � � OCT 1 9 � � _� 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 �� �,"� ; ,.�,�.,� x ,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