2987 Pilot Knob RdqTY OF EAGAN Rema.ks Sewer stuYi assessed no water stub ------ "---?
-?-_
Addition .HNnER ACRES. Lot 2 Blk 1 Parcel 10 58800 020 00
Owp9?e? q D?' ? Sveet 9R7 i] o nnh Rr?ad State EdcJ?, I+IN 55122
f'Z! !!: rIij J
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 40 1984 2224.00 222.40 10
STREET RESTOR.
GRADING
SAN SEW TRUNK D 968 100.00 3.33 30 /Adi, ?
yrSEWER LATERAL ]_972 2,655.00 132.7$ 20 Paid ?
lbSew, , Wat - Service 1984 2085.38 208.54 10
WATERMAIN
•WATER LATERAL stub 1972 20
WATER AREA
STORM SEW TRK
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY USE ONLY
LOT !- BL ? RECEIPT #: I9 -D
SUBD. Z(, hAL 1' ?W RECEIPT DATE: ?o- a?-I •??
MECHAMCAL PERMIT #
1999 MECHANICAL PEftMIT (ftES1DENTIl4L)
CITY Of £A6AN
3830 PILOT KNOS $D
f.lkfiAN biN 55122
(651) 6$1-4675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
constrvction and not owner /occuuied.
?'n'vnC: 0-100 ivi n T ii
ADDITIONAL SO M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50
$
Complete this section on/v if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair Other
Reminder: Call 681-4675 for inspections.
Furnace Air conditioning
Air exchanger Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNERNAME: ? V`U.Ll1') PHONE#: L5 / ????/
?? ? ? (AREA,CODE)
INSTALLERNAME: i?S07n PHONE#: C99-/ '-?Sc7. ?"77J
3?5a 44C,vvu.?'« ? +_1 r (AREACODE)
STREE7 ADDRESS:
CITY:
S7AI'E: NIN ZIP: ,.--;612 Z'
SIGNANRE OF PERMITTEE
CITY USE ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT#:
1999 MECfiANICAL PERb1IT (COMbiEftCli4L)
CI1'Y OF E4fiAN
S$SO PILOT KNOB ftD
EAs,kH, Muv 55122
(651)6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
D.ATE: rONTRACT pR1rE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPI'ION OF WORK:
INTERIOR IMI'ROVEMENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CGNTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(nxEw cone)
STATE: ZIP:
(5.50 per $1,000 of cermit fee due on al] permiu.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
EAGAN T'OV1/NS I-I I P N92 217
. ? B6JiLD1NG PERiviiT
Ownex ---"-'------- - a'----------- ---'- -
Address (pxesenf) ,.. . ?.?... ._. .... ?-....-
Builder .__----....?............ ._ ..............---...-----------_....
Address .......... -...... -..........
DESCAIPTION
Eagan Township
Towa Hall
----.._.._...
Stories To Se Used For Fronf Depih Iieighf EsS. Cos! Permii Fee Aemarka
/ .__??C{ .--y
Xi/s?
? / / I LOCATION " I // Z? / /J
,
24,
Thia permit does noi aulhorize the use of sfreeis.rroads, alleys or sidewalks nor does it give the owner oz his agenf
the righf !o create aap situaiion which is a nuisanae or w6ich psesenis a hazard to the healih, safeiy, convenience and
general welfaxe !o anyone in the com uniiy. THIS PERMIT MUST BE ?PT OI?jf? j MIrSE?WHILE THE WORK IS IN PRpQgy?.? S5. ? L
.s111C4.y?l......-has pexmission 2o erec! a..?.`:.'-iLiC
This is !o cer 'Yf. . -F???up_On
the above dESeribed ise ' ci-#o_Sha provisions of the Suilding Ordinanca for Eagax?Jf'ow?N?p adopte"1?fpril 11.
%
1955. ???.??
--° - --- ...?4t?9! '/. .?I?.': Per _ ------..........__..........----- ---J ---- - ...-----...
. exa:...,a.. .,i r,...... n Buitding Inspeefor
y-?
EAGFN TOWNSHIP
3795 Pilot Knob Road
5t. Paul, Minnesota 55111
Telephone 454-5242
PERMIT POR WATER SERVICE CONNECTION
Date: October 18, 1971 Number: 736 C?)' - Z' A'
Billing Name: Donald M. Palmateer Site Address: 2987 Pi1ot Knob Road. Eagan 55121
Owner: same Billing Addreas same
Plumber: Ron Idissling
Locatioa of Connection Meter Siz . Coanection Chg. 280.00
?ss,3 0 6
Meter NofXll_&SgQi Permit Fee 10.00 0
4 S/c
Meter Reading Meter Dep.
449
Meter Sealed: Yea Add'1 Chg._? ?
NO Total Chg. ?
/
Inspected by
Building is a:
Residence x2ooc
Multiple So, Unit
Commercial
Industrial
Other
Date
&emarks:
$25.00
PERLY
!?,APRO
By:
Chief Inspector
In conaideration of the isaue and delivery to me of the above permit, I
hereby agree to do tte propoaed work in accordance with the rules aad
regulatioas of Fagan Townahip, Dakota County, Minnesota.
BY:
Ron Kissling
Please notify the above office when ready for inspection aad connection.
EAGAIV TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERAIIT FOR SEWBR SERVICE CONNECTION
DATS: October 18. 1971 NOPiBER 894
o-ao - ?? &'
OWNER: Donald M. Palmateer Addtees 2987 Pilot Knob Road, Eagan 55121
PLUMBER Ron KisslinQ TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commercial+ Residential ` Multiple Dwelling I No. of units
Location of Connectione:
Inspected bq:
DaYe
Remarka•
Connectioa CUat
Account Deposit
Permit Fee _
Street Repa
240.00
15.00
10.00
,50 s/c
Total 265.50 v
By
Chief InspecCOr
In consideraeion of the issue arnd delivery to me of the above permi.t, I
hereby agrea to do tfie pmposed work in accordance with the rules and
regulations of Eagan Tamship, Dakota County, Minneaota
BS'
Ron Kissline
-?
Please aotify mhen ready for iaspection and coanection and before aaq portion
oE the work is covered.
EAGAN YOWNSHIP
N° 1528
BUILDING PERMIT
Owner ........------ .....---.----?----4--, ?7 n Eagan Township
Address (Presen!) ._.•?• .. .... ....... ................ ......... _,._...-.0 ( Town Hall
Builder
Addrees
DESCRIPTION
Date
................
Sloriea To Ba Used For Fronf Depih FIeigh! Esi. Coaf Permit Fee Remarks
W , o,I ?-o / ,4-uez..F--2°,/?
?
Straet, Hoaa os oteer yescnpuon os i.oea:2on ? Lot 1 uioex I AQQITIOII O! 7"IBCI
I ? ? ? -2?-? ?-0 .
Thispermi! doec noi aulhorise the use of streels, roads, alleps or sidewelka nor does i!g[ve the owaer or hia agent
the righlio ereaie anp sifuation mhich is a auisaaee or which presents- a hezasd !o the healih,`safelp, convenieace and
genezal welfare to anpoae in the eommunify. THIS P£AMIT MUST B??' K/EPT ON THE PREMISE WIiILE THE WOAK IS IN PRO RESB.
This is !o cextify. !hal.:;:L-'.?.f?..-......._..---°° ........ ........haspermission !o a.......----° _ . upoa
----.....__...
the above described premisa subjeci !o the prov3sions of the Building Ordiaanee for Ea n Towa .
3 ip adopted April 11,
1955. n /? ?7 ?
."'_""-°-'---.._.._..!!(.?..._1.?-ti'!F?,.. ................... Per ................-L?C -?-...'r-="`"•"'T,.-{'-•'-_-•-.--._.°-.-"-""""-'_..
Cheirmaa of Tnwn $oard G Building Inepecior
4 '!3-
Vincent J. Kennedy•s request for permit
to move 22 x 24 frame construction
garage on to lot x2, Zehnder Acres,
Vincent J. Kennedy
1415 Loae Oak Road
St. Paul, Minnesota
55111
o ft.
?
?
?
?
-k.
200 Ft.
ac 3t.
?--?
? L,m$. ;t ? h r1 ae r?c t-e 5
_?-__ -- - -
?_------?__? -1-
i
?`
G.1 4.L
Municipal Notice of Well Permit Application
Dakota County Environmental Management Deparhnent
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (952) 891-7011 Fax (952) 891-7031
DATE: July 23, 2002
TO: Tom ColberUWayne Schwanz - EM
Faac #: (651) 681-4694
FROM: Water and Land Management
RE: Well Permit #: 02-H196722
Municipality: Eagan
Well Type: Sealed
Environmental Specialist: Luehrs
The Water and Land Management Secrion of the Dakota County Environmental Management
Department has received the foilowing perrnit applicarion for the well described. If you require further
review of the application or if you have any questions or concerns about it, contact the Environmental
Specialist listed 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
ttte permit. Please note that pemvt issuance is always conditioned on the permit applicanYs observance of
and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Sampson Brothers Well Co.
Date appiication received: July 22, 2002
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: Donald Palmateer
Well Owner: Donald Palmateer
WELL LOCATION:
PLS Coordinates: -ne 1/4, se 1/4, se 1/4, se 1/4, Sec 04, Town 027, Range 23
Street address: 2987 Pilot Knob Rd
PIN Number: 10-88800-020-00
WELL INFOIi,rIATION:
Diameter:
Casing depth:
Total depth: 208
Static Water Level:
Aquifer:
COMMENTS:
Fax sent by : 6514830025 R.C. BURNS CO.
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
01-06-10 05:15p Pg: 2/17
Use BLUE or BLACK Ink
For Office Vsee
Permit #: / ��
Permit Fee: i, 7 f I7' /�
Data RAceiv C/
Staff:
fJ
2010 RESIDENTIAL BUILDING PERMIT APPLICATION Gq
Date: /—Ze%CJ Site Address: 0-_9 3 PI Lo
AI.
Tenant: efl /'t1 .0 G (&)
Suite #:
RESIDENTWNF
�A
Narne: / `t di1 Phone: 6.0S—/ ' F-- //9 f�
g citJ
1 ! �i / ,✓' /'
Address / City / Zip: La 1.8 r t C � t` wrW L , C4 12q AJ s5/ GJ
Applicant is: Owner Contractor '
TYPE OF WORK
Qescription of work: t -r !ice. i r (� 6 At J -9;.� /1j°4 Aq:--) .
_6
Construction Cost: O . Multi -Family Building: (Yes / NoX )
,
CONTRACTOR
Name: -g , C . A o•zr-'s ed , >vC' . License #: 39/
q
Address:Fo. & 18 3$ '' City: /Ly/S
�
State: L N Zip: �.�."'5-,' t4/ g Phone: 4� �' �'tti 3 '� (3° "C1%�
Contact:? is ,6v Pe"--( Email: Riu b gf �a %15-4 V. Coy)
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
__Yes
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans and supporting
1. the information may
Phone:
Phone:
documents that you submit are considered to be public information. Portions of
be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility darnage.
Call 48 hours before you intend to dig to receive locates of underground utilities, www unpi rstati,onecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit. and work is not to start ' +. t a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appns f plans,
a c-142--- C', 6 ✓ rci'
Apant's Printed Name
PP
x
ant's Signature
Page 1 of 2
Fax sent by : 6514838825 R.C. BURNS CO.
Ogg7 I + IC+ kooh Rd, DO NOT WRITE BELOW THIS LINE
SUB TYPES
/Foundation
Single Family
Multi
01 of Flex
Accessory Building
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New _ Interior Improvement
Addition Move Building
Alteration /Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Pian Review
(25%_ 100% v )
Census Code
#of Units
# of Buildings
Type of Construction
911
4r3
REQUIRED IN_$PECTI�N.$
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
3 Insulation
Meter Size:
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
81-86-18 85:15p Pg: 3/17
q5-76
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Siding
Reroof
Windows
-_. Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
w _ Demolish Foundation
Water Damage
`Demolition of entire building - give PCA handout to applicant
MCES System
0Z013% SAC Units
City Water
Booster Pump
PRV
Length - Fire Sprinklers
Width
Final
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
1
Pool: Footings
Siding: _Stucco
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
Air/Gas Tests Final
Lath _Stone Lath Brick
, Building Inspector
RESIDENTIAL FEE'S
Base Fee /0 /I
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
7t) Mea.
Page 2 of 2
02/15/2010 21:56 7637535125
Date:
C!ty of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
NOWTHEN PLUMBING
PAGE 02103
Use BLUE or BLACK Ink
��r'Dtflr��►'GiS
Permit*:
Permit Fee:
Date Received;
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
1 , 1 Site Address: 6911 31 Pi 1 h4-
Tenant:
lT
RESIDENT / OWNER
Name:
Suite*:
Phone:,
Address I City / Zip:
CONTRACTOR
TYPE OF WORK
Address:
State: AA f\ 1
Zip: 3
License*: AO' t% 1q —
City: 7� I fr
Phone:
Contact: Email:
_ New Repta¢ement
Demi tion of work:
Repair i Rebuild _Modify Space vyork in R.O.W.
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation
RPZ IPUB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures
( Main _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 516" meter is required)
$100.50 Septic System ew ($10.00 per as buil() (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duotwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL. BEFORE YOU DIG. Gall Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.caopherstat rnet aILore
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances end codes of the City of
Eagan; that t understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
"e'Y b1%e„ ex
App icant's Printed ame Appli n;41- ignature
FOR OFFICE USE Reviewed By: l/ .Date:
Required Inspections: _„Under Ground _Rough -In Air Test. _Gas Test Final
City of aan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
E ose
Permit #:
Permit Fee:
Date Received:
Staff: (�
2010 MECHANICAL PERMIT APPLIICAATION,/i
Date: — l /cite Address: /,r7 jD/ /Ste
Tenant: LCVU ),29�,� �� C 4 Lie,o1L5 C U
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:ei6`% t
CONTRACTOR
-
Name:moii 02-67 C +2lii�iie"��i � License #:
Address:74IO 33V1/1/21,6 &i5 City: (�t9
State:111 Zip: 5!�l `-�' Phone: 6,-)/2 41 C97. --q/
Contact/1Z Q ;./�/7-1.0r-EmaiL 2q' t63-- �e-% i/77✓ r-
TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened byCity
Code.Please'contact the Mechanical Inspector for information:on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
--Furnace
COMMERCIAL
_ New Construction _ Interior Improvement
Air Conditioner
Install Piping _ Processed
Air Exchanger /
Gas Exterior HVAC Unit
q i?.
Heat Pump
_
Under / Above ground Tank ( Install / _ Remove)
}
Other,OC IA ,4
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $��t/
TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
_ $ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utili
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in
Eagan; that I understand this is not a permit, but only an application for a permit, and work is
with the proved plan in the case of work whic requires a re iew and approval of plans.
App icant's Printed Name
x
Applicant's
age. Call 48 hours
des of the City of
in accordance
FOR OFFICE USE
Required Inspection
Exterior. HVAC
Reviewed By:
Gas Service Tt
creeping Inspection
4
CONSULTING STRUCTURAL ENGINEERS
MINNEAPOLIS I DULUTH 1 PHOENIX
March 2, 2010
R.C. Bums Company
PO Box 18338
Minneapolis, MN 55418
RE: Structural Invest anion
Eagan, Minnesota
Dear Mr. Burns:
I12 SOUTH SIXTH STREET. SUITE 810
MINNEAPOUS, MN 55402.1564
TK: 612.338.0713
IFAX: 612.337.5325
www.mbjeng.com
b�L
DANIEL E. MURPHY, PE
MICHAEL J. RAMERTH, PE
JEROD HOFFMAN, PE
ANTHONY J. POLUSNY, PE
BRION SZWED, PE
I have inspected the subject residence in order to assess the structural adequacy of c errtain components
of the construction. This inspection was made on February 26, 2010.
The building had been damaged by fire and structural reconstruction had been substantially completed.
Specific components that I investigated, together with my evaluations and requirements for additional
work are as follows:
• Garage roof trusses: These members are shown on the accompanying detail sheets S-1 and S-2.
Please note that additional joint strengthening is shown to be required at the heel joints of Each
truss and at each rafter tie member at the peak. The live load (snow) on the trusses was 35 lbs
per sq. ft., the building code -required value, and with a dead load of 10 lbs per sq. R. This
strengthening is;necessa y to supply resistance to the lateral thrust on these joints in addition to
that furnished by the roof sheathing system.
• New beams supporting roof areas: This beam, located on Drawing S-1, is on a 14'-6" span. It
is formed of 2 —13%4 x 14 LVL members which have allowable bending stresses of 2950 lbs.
per sq. in. The total load on this beam is 5500 lbs. This load stresses the beam to only about 1/3
the safe carrying capacity.
• Floor joists: The floor joists on a 10 ft. span immediately north of the garage are 2x10 members
at 16" o.c. They are calculated to be able to safely support about 100 lbs. per sq. It., whereas the
building code requirement is only 40 lbs plus a partition weight of 10 lbs. per sq. ft
I shall be glad to discuss or clarify any items in this report that you may wish.
Sincerely,
Meyer, Borgman & Johnson, Inc.
John E. Meyer, P.E.
Minnesota Certification No. 4584
CONSULTING STRUCTURAL ENGINEERS
MINNEAPOLIS 1 DULUTH 1 PHOENIX
i hecery certify that this plan, specification, or
report was prepared by me or under my direct
supervision Sid that 1 am a duly Registered
Profestionar Engineer under the laws of the
State of Minnesota.
7. ` i t2 Reg.'3Vo.
0
7
Job No.: 1 19. 7 e Sheet: s —
Project z a{ e 7 Qt Lor fC N4F:• Tom.
rte
By: Dote- 3 - e— In
MBY
CONSULTING STRUCTURAL ENGINEERS
MINNEAPOLIS I DULUTH 1 PHOENIX
Job No.- 10, 3 7i Sheet -
project: e ? E5? P I k.N t lt>
By. .-a e-tseN Dam• 3 - 2- { CJ
twiroos5cAosez>
2,. hA�►-tt� .
t�t~1ti t Foy- -res 5 UM -TA,
•
I hereby certify that this plan, specification, or
report was prepared by me 0, under my direct
supervision brd that 1 am a duly Registered
•Pretessionat Engineer under the laws of the
s e of tv nesota.
41 e
3 - .Z_- J O Re9. No 4584
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\� Imo _ . l.ottlj�
x- 1 Q `( EAG .N 1GWN$RIP ) �` / V /2 ,
r `/ "'1 G l ` \ 3795 Pilot' Knob Road ,'p' ,
t ta "St Paul, Minnesota 55111 , �P * /�0 ,
�; P Y , T91 454 -5242 - �,G,
\d T Mt WATER SSRVIC11,CQNgeCTION 1 + /(n o b •
Date: Octobar 1971 'Number: 736
,,,.", 7 .- Dir,lisg Nsme: ' DonaldH t Palmataer ;Site Address: 2987 Pilot Knob Roa1. Eagan 53121
u Owges= same Rillieg Addree• same
Pli bsr¢ ROn Nisaling' 4
� I . G , a' tocegion of Coayectioa Neter ' Sise � _ Connection Cbg. 280,00
sj ! Meter No._ Perm .
Permit Yee 10 . 00 7U iit ° J
\
S'
ffffflSSc r„]]] 4 E✓ o Meter Reading_ Neter Dep. t nn
4 r )4 Sealed: Yes 1dd'1 Chg. :88 v
* F f7•VM
f ^` •
4 ,,,,,,,,, ,,,,,,,,,,,,/)0 NO Total Tot C hg. 977 �n
t ; ....
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, ��� �. T Dseo . I I-- H *
' , is Remarks; •
Redid }tie
Nu }tipl • No units A 25. 0 0 R E -tt14 4 . r
' 4, 1 1lMPROPCRLY tH —.'`
x/1 blfv.
I dustrte r '`
O ^ . �^ Chief Inspector
In conaideratioa of the issue and delivery to me of the above permit, I
hereby agraeto do tlu proposed work in accordance vith the rules and
regu of Ea gaa 2owua D ako ta . Co uaty, M inne sota :
Kon Klasliug
Flews notify the abovi 4ffLC• Vhaii ready for inspection and connection. 4..,,,,,,y,
-. ' ' . , ' '' : ‘' ' ' (("6/4/,4.,...) 4...o_e,.....474—€.."2- •-"'
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