1486 Palomino TrSEW,ER 4 1VATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55 1 22-1 897
DATE T II. , 72, 119911
OFFIGE USE ONLY
METER # PERMIT DATE 02I04f 91
CHIP # PERMIT # 11793
METER SIZE B.P. RECEIPT # ?', L i I %
ISSUE DATE B.P. RECEIPT DATE 01/301 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS
LOT 11 BLOCK ? SEC/SUB -55er"wood DoWns ist
APPLICANT:
ADDRESS: 1813 3 C e d a r A v 8
CITY,STATEFgrminpton. Mn Zip55 4
PHONE: 4 3 L- 2 001
PLUMBER: Co ns -tydn
ADDRESS: 14 7 4 5 S. Ro b a r t T r
CITY,STATERosenount, Mn Zip 55069
PHONE: 4 2 3--1 14 4
OWNER: -
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
PERMIT RE(]UESTED
w x
- SEWER - WATER _ TAPS
COMMrIND
7- RESIDENTIAL
__x__ NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit Woft-I4JOT-be qiYan for peduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINAMCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FUR PROCESSING. CALL 4345220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
.?-
CASH RECEIPT . ? .
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
a?rvEO \ .
FFIOM f ;? I - , i _ •
AMOUNT
i _ - -'
& DOLLARS
sro
? CASH ?]?CHECK
: , ? - ; --? 1 ; • - - -.
. r
sv lls `}
C 11912 ?"COPY
Po*-FNe CoDv
Thank You :
, . CITY OF EAGAN ' gs"
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P HO N E: 454-8180 !
BUILDING PERMIT Receipt # ' ?•
To be used for SF DWG/C"AR Est. Vafue $130,000 Date JAN 29 1y 9!
Site ACj?'ess arov CALAASl?R7 aR
Lot s i Block Sec/Sub. SURUM
Parcel No.
occoPancy
W
JOE MILLER HOFtEB
Name z«,iny
(Actual) Const
? Addfes
S (Allowable)
° FXRNLpi=w
Citv Phone +r oi stories
Name
City Phone
Name _
Address
Phone
I hereby acknowlege that 1 have read this application and state that the
information is correct and agr to co with all applicable Sta1e ol
Minnesota Statutes and Cit g r nces
Signature of Permitee
!!'.l.EB ?S
A Building Permit is issued to: JOE
on the express condition that afl work shall be done in accordance with all
applicable State of Minnesota Statutes and Ci1y of Eagan Ordinances.
Building Official _
OFFICE USE ONLY
B-3 !s-i
-K=1
? Bldg. Permit
- Surcharge
Length
Depih
S.F. Total
S.F. Footpnnts
On Site Sewage
on site weu
MWCC System
City Water
PRV Required
FEFS
745.00
65.00
484.00
1?.00
650.00
660.00
???
?.oo
]0.00
?i Plan Review
- SAC, City
- SAC,MCWCC
?
Water Conn
Water Meter
Acct. Deposit
S/W Permit
?
Booster Pump - g/yV Surcharge 0
276.00
Treatment PI
?
APPROVALS Road Unit
Planner -
C
l Park Ded.
ounci
-
Bidg. Oft. _ -
Copies
3
SW
50
Variance - TOTAL .
.
Permk No. Permit Hoider Date Telephone #
WATER
SEyYER
PIUMBING 464191
H.V.A.C. E
ELECTRIC ?
417/
kKpetlion Date Insp. Commenb
Foofings I //i ?
fouMlation "
Framing
Roofirg
Roug+Plbs -Z 7'?
P.Qh Hts. - ??
lsui. ? 4-
Fueplace
Final Hts• I - l
Fnal Plbg.
Consl. Meter Plbg. Inspecta - Notity Plumber
Engr.IPlan
81dg. Final ' , 00- /
Dedc Ftg.
Deck Final
wen
R. Disp.
% .?.4
(Iltx#i#ira#t af (Orru?anry
titp of (Cagan
Drpartmrtct of WuilMng Jnaprrtimc
This Cern'ficate issued pursuant to the requirernenu of Section 306 of the Uniform Building
Caie certi, fying that at 1he tirae of issuance this structure was in compliance with the various
ordiirances of the Crty regulaling building constreection or erse. For the followfng:
vse abmakmion SF I7WG/GAR ]Nc*. ?rviit ro. 18677
o-r-Y TYW R3MI zoninz nWrid RI TW c-. VN
0%,W or?.]CE MIIIZFR IKMS Addren 18 133 CEt)AR AVE., FARAINMM
WldirWAd? 1486 PAi?'II1? T_RAIL L-hty L 1 I, B3, RiL? D3Jt35
4/ 18/91
e„Mng oaki4?
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT.
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE.i-.n ,+± ?2q , 1091
OFFICE USE ONLY
METEFi #?Y 94 70 " PERMIT DATE C'2 /04/91
CHIP # PERMIT # 11793
METER SIZE ' SeA u S B.P. RECEIPT #L', 10 1 =
ISSUE DATE. - 3_ 9i B.P. RECEIPT DATE O L J' C
_ PRV - BOOSTER PUMP
SITE ADDRESS t -
?OT ! I BLOCK -' SECrSUB 'n E rwo o d L".? ?-1-,. s 1 s t
APPLICANT: J o e Mi 3.1 a r fla mes
ADDRESS: 1 fi 13 3 C e d a r Av S
CITY,STATErBrmin;?ton, ?'n ZIPS5(DA4
PHONE: '? i- 2 0 0 1
PLUMBER: Ge n z-Ry an
ADDRESS:14745 S. Robert Tr
CITY, STATERn Sp mo un t, Mn ZIP 55068
PHONE: 4 2 3 -1 14 4
OWNER: _
ADDRESS:_
CITY. STATE
ZIP
PERMIT REGIUESTED
_ SEWER - WATER - TAPS
- COMM!IND ` RESIDENTIAL
x NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
pct Meters.
Credit _ ?IOTbe,Jgi%n for Ded
?
WITH CITY OF
PHONE: a?arvr? ? vn?
PLEASE ALLOW Z'WO WORKING DAYS FOR PROCESSING. CALL 454-5220 FaR
SEWER PERMITS, CONTACT ENGINEERING DEPT.
FOR STORM
?t.s
RE:
DATE:
FEB 4, 1991
1486 PALONINO TR (JOE MILLER H0MES)
X
' Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Piease pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
L ,retary, Building Inspections Dept.
BUILDING PERMIT
To be used for SF I
130,000
Site Address 1486 PALOMINO TR
Lot 11 Block 3 Sec/Sub. SHERWOOD DOWNS
Parcel No.
w IName JOE MILLER HOMES
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
zio Name SAMF
oa Address
? City Phone
Name _
Address
City -
Phone
I here6y acknowlege thal I have read Ihis application and state that the
information is correct and agree to wingilf with all applica6le State of
Minnesota Stalutes and City gan i, nces.? !
Signawre oi Permilee?
A Buiiding Permit is issued to: JOE MILLER HOMES
on the exprass condilion thal all work shall be done in accordance with all
applicable State of Minnesota Statules and,.C,,,iry ?pof Eagan OMinances.
Building Otficial 1 A. Ol11. ) 11{-?CI
CITY OF EAGAN Np 18677
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100
Receipt # 0?L(
t s91-
OFFICE USE ONLY
Occupancy R-3 -11--1 FEES
Zoning R-1
(Actual) Const -Y--N Bldg. Permil 745.00
(Allowable) V-N
Surcharge
65.00
# ol Stories
Length
(y$ '
Plan Review 484. 00
Depth 50' SAQ City
0
100.0
S.F.TOWI - SAC,MCWCC
o
650.0
S.F. Footprints -
OnSileSewa9e _ WaterConn 660-0
n
On Sile Weil Water Me1ar 90.00
nnwCC System X
Deposit
?? 30.00
Ciry Water X ?
PRVRequired - S/N'Parmil 30.00
eoosterPump - S/WSurcharge •5?
Treatment PI 976.0
n
APPROVALS Road Unit
?
370.0
Planner - Park Ded.
Council --
BIdg.Off. _ Copies
Variance - TOTAL
0
3,500.5
s0oao91
m 39142 ? / "
ff?
?
?
Repuesl Date Fire No. lRough-ininspectro
n
Required?
? Reedy Now ),WII N
01 iry Inspector
Vas ? No .
WhdPeatly?
1$ licensed contrector ? owner . hereby request inspection of above electrical work at
JoE ress (Street, Box a Pwle No.)
? Ciry
486 Palomino Tr. Eagan
Seclion No.
Townsni0 Name w No.
Range W.
County
I I Dakota
Occupant IPRINTI Phone N0. -
Joe Miller Homes 431-2001
vow. suaara neeress
Dakota Electric 4300 220th st. Farmongton,
Eleclrical Comraclor (COmpenry-Name) Cumraqar§ License No. -
Midland Electric 4 1610
Mailing qtlOress contraclm or Own¢r Making InslBlletion)
7630 145th st. w. Apple Valley, Minn. 55124 #214
Aut ' e greWre IConiraclor Mak- Ins?ailatun) Phone Number
""')? , (612)432-6688
YINNESOTA STATE 66AN0 OF-ELECTRICRY I7
Grlqqs-Mldwey BWy. - Poom S113
7621 UnlvenNy Rve., SL Peul. NN 55104
vhen.181Y184Y-0lOo
THIS INSPECTION REOUEST WILL NOT '-BE ALCEPTED BY TME STATE BOAR¢ .
UNLESS PROFER INSPECTION FEE IS
ENCLOSEO.
a 39142
REQUEST FOR ELECTRICAL INSPECTION
? See instructions br completing this form on back of yellaw copy,
'X" Be/ow Work Covered by This Request
E6-00001-08
e Add Rep 7ypeaf8uilding AppliancesWiretl EquipmentWired
bl?pme Range Temporary Service
Duplez Water Heater Electric Heating
ApL Buildinq Dryer Other (Specity)
Comm./Industrial
' Furnace
Farm Air Conditioner
Olher(specity) onlractor§ Remarks'.
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuiL4Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps S(y
Transtormers Above 200 _ Amps Above 700 - Amps
SignS Inspector5 Use Only: TOTAL t
Irrigation Booms !
O? l? , JO
Special Inspection ?
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 WHS.
I, the Electrical Inspeaor, hereby Rough-in a+a +
r
certity that the above inspaction has
been made. Final ?
- /-y?
OFFIGE USE ONLY
TIii3 repuest vai0 18 mon1tG4 fmm
Address: 1486 p?CMM T-RAIL Lot 11 Blk3 Sec/Sub SHa4.ppD DOWN$
These items were/were not complete at the time of the final inspection.
p te: 4/18/91 Yes No S
Final grade (6" from siding) ?
Permanent steps • garage t?
Permanent steps • main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Pleasa varify vith the builder the removal of rooE test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucat bafore
freeze potential exists. ?
uc?amww
White - City copy Yellow - Resident copy Pink - Contractor copy
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWc6on Reauiremen4s
3 regislered ste surveys showing sq. N. ot lot, sq. fl of house; and all rooted areas
(20% maxinium lot coverage allowed)
1 Soils Repor, if propoSeA huilding is to be placed on dislurbed soil
2 copies ol plan showing 6eam & vriMOw sizes; poured found design, etc.
1 set of Enert.y Caialations
3 mpies of Ti ee Preservation PWn if lol platted aker 711193
Rim Joist Det3il Options selecfion sheet (buildings wAh 3 or less un05)
Minnegasw mechaniral ventilation form
RemodeUReoair Reauirements
2 copies of plan showing footings, beams, joists
1 sef of Eneigy Cakulations for heated addi6ons
1 site survey for additions & decks
Addftion - indicate'rfonsite septic sysfem
,X55Co
'9d -o0
Qfa )s n
CertofSuivey BW ? -?Y =N
SoilsReport
i Y _N
:
TreePreSPlai tecd
TreePresRec
On-'sileSeptic ystem Y'_N
Date LL / ?r '6 ^/ ?? Constructian Cast
SiteAddress ?'-1 l0 ?('A1I}IV1L1UniUSte#_
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
Propert} Owner ?? Telephone # (6J I ) -.)J-. -!?-?-
Contracior Z4IL?ICI' G!(,f6'0? 'Gc@,?7lJ/1 /
Address 5(?'?f'Z %7/1%Y1DYi?z./ ?l/?. City :S72 //&`Gt-re .
Statc %?,) A? Zip Telephone # ((p67) ? ?• 4 '? ? O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIfJ?
Minnesota Rules 76 ?
- Minnesota Rules 7670 Cateeorv 1 -
Energy Code Category . Resitlentlal Ventilation Category 1 Worksheet • New Energy Code orksheet
(J submission rype) Submitted Submitted • Energy Envelope CalculaGons Submitted
In ihe lasi 12 monThs, has ihe 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 Telephone # ( )
Mechanical Contractor Telephone #( )
Sewer/'JJater Contractor Telephone #
I hereby apply for a Residential Building Permit and aclrnowledge that the information is com] ete and accurate;
that thc work will be in conformance with the ordinances and codes of the City of Eagan an( the State of MN
Statute;; I understand this is not a permit, but only an application for a permit, and work is no to start without a
permit; that the work will be in accordance with the approved plan in the case of work which rec ires a review and
annrp..,i
Ap icl inYs Printed Name Applicant's Signature
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I S• S-D
Date -LL- I Lj_ l
Site Street Address /Yl / n n Unit #
Property Owner Telephone # (451
Contractor_ Mo ?Jz/2T?r' Telephone# (Qd?) ??7z?61J
Address .53 33 ??l) t'11 ;a7t S? City h r k State I*y Zip5?5372_
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 518" meter is required)
Other:
? Water Softener _ Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge I ?mtJ ,=r7]i % ? 1 $ .50
UCT p 5 2004
7otal
$?d
"y
I hereby apply for a Residential Plumtiin'g-Pemit 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 approv .
Applic nt°s Printed Name App icant's 5ignature
? ?'( 65 MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Ptease complete for Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
4 30.5t
Date
Site Address ? y???0 Q l?? C7 cr• r? Unit #
Praperty Owner ^ Telephone # ( \?pS\
Contractor ' ?p??
"• l ,? na ?;??T+ k-\ f
Street Address City 12 T o?
State Ztp Telephone# (c\S'DL) '
The Applicant is Owner Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
? other
State Surcharge $ .50
Total p L C? ? 0 d C? o,s?
? Aaa 9. R 7n03
I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnarion i?omplete and accurate; that e work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mecba t'esd€5?3?I'r?azlexs this is not a
permit, but only an applica6on 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 wMch requires a review and approval of plans.
?_ ? -
Applicant's Printed Name ApplicanYs Signatur
MECHAIVICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (iF applicable) Previous Tenant Name V
Property Owacr TelePhone # ( )
Contractor ^
Street Address City
State Zip Telephone # ( )
The Applicant is _ Ownei _ Contractor _ Other
,
Work Type
Newconstruction UndergroundTank _Install _Remove
_ Interior Improvemenl Call for inspection during instaliationlremoval of tank
Processed Piping ,
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
ConhactValue $ x .Ol% ° $ II PemvtFee
• If pernnt fee is $1,000 or less, add $.50 =:> $ State Surchazge
If permit fea is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
?
1 hereby apply Tox a Commer.cial Mechanical Permit and acknowledge that the information is complefe and accurate; that the work
will be in cortformance with ihe ordinaaces and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will he in accordance with
the approved plan in the case of work which requires a review and approval of plans.
?
Applican['s Printed Name
ApplicanPs Signature
Approved By: , Inspector Da[e:
*dtV oF eagcin
Q93 6210
THOMASEGAN
8pecial Asaeasment Search Mayor
- PATRICIA AWADA
SHAWN HUNiER
Datei April 5, 1993 SANDRA A. MASIN
THEODORE WACHTER
Coundl Membew
Requeated By9 R@! Sherwood Downs>
?Lot 11 Block 3 . THOMASHEDGES
Qvality Abstract Inc -- - - ? CifyAdmininshotoi
EUGENE VAN OVERBEKE
ciN aeik
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessr.:ent obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
RAIVER/DISCLASMER:
Neither the City of Eaqan nor.its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim aqainst the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
truly yours,
MuNiav.RIMQ1MAL ASSESSMENTS THE LONE OAK TREE MAINTENANCE FACILITV
3830 PIIOi KNOB ROAD THE SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNI7Y
EAGAN, MIjJE OiA 55122-1 g97 3501 CoacHMAN PO1N5
EAGAN, MINNESOTA 55122
PHONE: (6[?6 a6bhmenL PHONE: (612) 681-4300
FAX'. (612) 681-4612 Equal Opportunity/Afflrmaflve Adion Employer FAX: (612) 681-4360
TDD:(612) 454-8535 TDD: (612) 454-8535
SPECIAL ASSESSMENT SEARCH StTMMARY
AS OF: 04/05/1993
PROPERTY ID: 10-67670-110-03
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100221 SEWER TRK 1972 20 8.0000 89.63 0.00 0.00 CL
100335 WATER AREA 1976 15 8.0000 40.57 0.00 0.00 CL
100732 SS TR 297 1982 15 12.5000 458.76 0.00 0.00 PP
101373 WAT LAT BN 455 1987 15 8.5000 131.90 0.00 0.00 PP
101374 WAT TRK 455 1987 15 8.5000 164.29 0.00 0.00 PP
101375 SERVICES 455 1987 15 8.5000 17.48 0.00 0.00 PP
101376 STORM LAT 455 1987 15 8.5000 177.22 0.00 0.00 PP
101377 STREET 455 1987 15 8.5000 360.45 0.00 0.00 PP
102065 SL 466 1990 10 9.0000 95.27 0.00 0.00 PP
102066 WL 466 1990 10 9.0000 61.89 0.00 0.00 PP
102068 SS 466 1990 10 9.0000 608.00 0.00 0.00 PP
102069 ST 466 1990 10 9.0000 155.26 0.00 0.00 CL
102132 SSTK W343 1990 05 8.0000 275.64 0.00 0.00 PP
102133 SLTK W343 1990 05 8.0000 597.93 0.00 0.00 PP
------ SiJNIIdARY OF LEVIED
****** 1993 P&I CERTIFIED
0.00 0.00
0.00
0.00
Press ENTER; or F1, F4, F5, F7, F8
SPECIAL ASSESSMENT SEARCH SUNII+IARY
AS OF: 04/05/1993
PROPERTY ID: 10-67670-110-03
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
----- SUMMARY OF DEFERRED 0.00 0.00 0.00
----- SiJNIMP.RY OF PENDING 0.00 0.00 0.00
----- StJMMARY OF CLOSED 3234.29
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ? MJ7V?? Valuation: Date: J' o?oZ ? 9?
Site Address / Q ?
Lot P Block 3
Parcel/Sub kLy?-1/i.i,fJbD-?' LYSk?lGS?a?/ -0
Oc.ner
Address
City/2ip Code
Phone
Contractor U.eX-l/c p/d!/L-E'/?
Address &63&4-I!15GV ?
City/Zip Code , y?ilp
?
Phone VJ v `
Arch./Engr.
Address
City/Zip Code
130 1 000 . OFFICE USE ONLY
FEES
Occupancy R-3 M-I
Zoning K-j_
Actual Const V-A1
Bldg. Permit
?,Uo
Allowable V-N Surcharge
00
65.
# of stories Plan Review 1-tO[?
Length SAC, City I 00
Depth 50? SAC, MWCC "O,
S.F. Total Water Conn (?hD,Op
Footprint S.F. Water Meter
o
40,0
. Acct. Deposit $O,DD
I On site sewage_ S/W Permit c'jO,OD
On site well S/W Surcharge $D
MWCC System V7 Treatment Pl. 270,00
City water ? Road Unit' 372O,DO
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL 9R,
Council
Bldg. Off.
Variance
Phone #
._ ' VALLACnQ
12 x22- 48Q? x ?s = 7zoo
B5MT
? Y xrY = z5 1-
k3` = 93(O
? x) 2-
t ?>c I y= 1 S6Z t-(
L3S MT.? I f ( (o
'
l
( 13o X 51= 5 765?
2 • --
ZyzX S = ?2
`I S`I x s i= y`6 ?t 09
IZci363
o rC ? 3? ooo'
. o,*
745•00+
65•U0+
484•OOt
@ 2P206•50+
•\'? 3,5U0•50'm
745•00+
65•00+
484•00+
2j200•50+
32500•50*
Pioneer Engineerinv ," 6819488
(612) 681-1814
* * * *
't PION
* engin
* ,? ?}*
2422 Enterpriae brive
MerMOta Halghu, MN 55120
1,k.k7oN weLl
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Cert;f;cete o, 5urve,, fd,:J4SEPN M. MICCER CUNST. G4.
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190,00
1V t39°i4'!S" W
? 9D0•0 Denotes £xist`rnj PCVtYflO175
f oo•oo Denotes Rroposed Elevations
°--- •- prnofCS Umma e {U1+l/fy EaSemen{
Drnotts Orarnae Flow xlr7-nws
o penofes Monument
BealY»Is shown are assumsd
P. 02
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DAUOr.a CouNry, M1NAIt50TA Subject to tasemenfs oj^record
I hereby CertHy Zhet this survey, plan or rdport wes prrsp rad by rt/?a ?or, under my? diract suparvislon end that I am duly ReQlsterM LOntl $ur`KYo'
under the lews of ths State of Minneso?e. DBted thisAy oif
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t5
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
N
FOR CITY IISE ONLY
PERMIT # /o1'7!ZZ_
RECEIPT #/U/ 00
DATE : / a S S/
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
FEES
OWNER NAME :
SITE ADDRESS:?`"Y2?0__]?C?l?I'?.?
ioi: 1\ ni.-,x ? :uRD. 511? ??occ? S
INSTALLER:?L`??1C'O \\£? ? ? t`?
ADDRESS : Y C, . I <?O
CITY: M , C1'n ZIP: `7`J U
PHONE #: ?<? (D O- COO:?-
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 33 C?
STATE SURCHARGE: .50
TOTO,..: S35 lso
?
NATURE OF PERMITTEE
u
?O3+R?4?R?TALf1NDUS2LL?APLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APAR1'MENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
vgpCggegn P7pTNG = $?S OO
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF E9GAN
3830 PZLOT &NOB &OAD
EAGAN, MN 55122
PHONE: (612) 454-8100
malma._......
FOR CITY USE ONLY
PERMIT # ?-7-41 d
RECEIPT # O
DATS: 8 9
PLEASE COMPI.ETE UPPER PO&TION ONLY FQR SINGLE HAMILY IIWELLINGS
TOWNNOMES/CONDOS WHEN PERMITS A$E REQIIIRED FOR EACH 17NTT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR ?
OWNER NAME:
SITE ADDRESS: 14afv
i.oT: 1l sLOCx 3 susn. v^ (?? ?owr? /?
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount, MN ZiP; 55068
PHONE #: (612) 423-1144
OF
COMPLETE THE FOI.IAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMOM 15.00
? SHOWER 3.00 -?
3 WATER CIASET 3.00 ?
BATH T[TB 3.00 j?
IAVATORY 3.00 [?
? KITCkIEN SINK 3.00
_ LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 12;
? FLOOR DRAIN 3.00 3
GAS PIPING OUT.
? (MINIMtIM - 1) 3.00 ?.
RDUGH OPENINGS 1.50 4' '=
oTHER
_ WATER SOFTENER 5.00
_ YRZVATE DISY. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL S ?/a Sf ?
ST. SURCHARGE .50
vv
TOTAL: S y ?J -
qlMERG? y I? $?' :> :;_s + PLEASE COMPLETE THIS PORTION FOR ALL COZAfERCZAL/INDUSTRIAL SIIILDINGS AND
.?2',,?,.,.u„.??
MULTI-FAMILY BUILDIIdGS WHEN SEPARATE PERMITS AR£ NOT REQIIIRED FOR EACH
DWELLING iJNIT.
_-__-_-___--__---_-_-_____--___-_--__-__-_---______..-_-_-___-_---__--_______--___
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLACK _ SUBD.
INSTALLER:
ADDRE55:
CITY:
PHONE
FOR:
2IP:
FSES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
?)` G?-? .(30 2006 RESIDENTIAL BUILDING rERNOT nrrLicnTioN
City OfEagan C?a- D o
?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nr» Comtruciion Reauirements Re eUReoair Rewirements k n .. .
3 registe2d s3e surveys showing sq. ft. oi bt, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Suriey 8dd
.Y =:N
Soiis Report
?
n
ddili
h
t
d
. _
,.
a
o
s
ea
e
(20%, maximum lot coverage allowed) 1 set of Energy Calcula6ons for
1 Soils Repor, if proposed building is to be placed on disturbed soil i site survey for addiGons 8 decks 7ree pres Piai ieCd „_Y A
N
t red' _Y
7ree P2sR
_
e
2 copies of plan showing 6eam 6 window sizes; poured found tlesign, ero. Addmon • indicate NonsRe septic system
Qn-sjteSepGc ystem , Y=N.
lsetofEnerzyCalwlaGOns
3 mpies of Tiee Preservation Plan'rf lot platted after 711193
Rim Joist Defail Oplions seledion sheet (buildings wAh 3 or less unHs)
M'mnegasco mechanical ventllaGon form
" C
`
-
Date Construction Cost v
lo m? r?o Tr UniUSte #_
S t Address
tion of Work
Descri
p
MWti-FamilyBldg _ YN Fireplace(s) _ 0 _ 1 _ Z
`'jf)LI5Li 27d?1 Q3
'? ?+t e Ve ?D 1Y Lde()CJn Telephone#((
e
Property Owner Y
1
k
(L b61/ C' 4/J;S?I? E7? G1f1
Zf?2? nlal ?CC
/
.
Contracior
Address 17v. /L,; City
Stato /'11) Zip ?<5 Telephone # (/157) 2 ?- L 3 L;1-0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD114G
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 76 ?
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code orksheet
(J si6mission type) Suhmitted Submitted
. Energy Envelope Celculations Su6mitted
In ihe last 12 months, has The City of Eagon issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechonical Contractor Telephone #( )
Sewer/'Nater Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is coml ete and accurate;
that thc work will be in conformance with the oxdinances and codes of the City of Eagan an( the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is no to start without a
permit; that the work wiil be in accordance with the approved plan in the case of work which rec ires a review and
annrnval r.f..l?.+?
//??
1? R4i V I 1 lx. L " vlA cOttl
Applic,mt's Printed Name Ap icl anYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108273
Date Issued:11/28/2012
Permit Category:ePermit
Site Address: 1486 Palomino Tr
Lot:11 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-110
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W Moench
1486 Palomino Tr
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature