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3987 Peridot Path Use BLUE or BLACK Ink r I I For Office Use I I Permit City of Ea Ea~ I Permit Fee: d L- 3830 Pilot Knob Road j I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Staff: I Fax: (651) 675-5694 L -----------------I INFLO INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: JO WE Z~3, ZiDI ) Site Address: 39"67 pEai i5oT _PA-"+( Tenant: Suite M Name: 4C~G l il-t w L C--C Phone: RESIDENT / OWNER p, Address/ City/ Zip: J g Pcg► DaT n hal Name: License Address: City: CONTRACTOR State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: ~~G t> 0N 5 V VMP (Dump FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x _ ec , T-}+ FOW L... r-p- x " qnj_e~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CiTY OF EAGAN Remarks Sew & wtr permits and wtr & sew Conn, pd. on 6-3-69 Addition Cedar Grove #6 Lot 11 eik 7 Parcel 10 16705 110 07 Owner i"!'•' f"? '' ,== f? street 3987 Peridot Path state Eagan,M 55122 ,.4-,.?-1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 19- 1970 1472.00 O ' lu?c ? WATERMAIN # WATER LATERAL 1970 20 WATER AREA * STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 210.00 1 8 .. ...6--9-69 PER. sAC 200.00 1478 6-9-69 PARK Cities Diai itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. EAGAN TOWNSHIP BUILDING PERMIT .-..-:_ ", own.: ..: • -- -- - = .?:?./.. ° - -- -- . ..... :.._ _...: ? Addrecc (PresenS) .?E7_z......... '/.S------------------------------- --- Buildet ....... Addreas ..... DESCAIPTION N° 2030 Eagan Township Town Hall Dafe ---._.. 7.. ?G .`i------....... 5fories To Be Used For _ Froni Dapth Heigh! Esl. Cosi Permit Fee l Remarks _ LOCATION This permit doea aot auihorize the use of sfreeis, roads, alleys or sidewalks aor does if give the ownar or his agenf the right fo creale anp sifuafion which is a nuisance or whieh presenls a hazard to the healih, safefy, convenience and general wel4are 2o anpone in the communify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES$. This ia So cerfifp. lha2. c. -'` --r ' - .•...- - ?• ---.has permission !o erecf a.... .':.... ? ............. ..-.-.`?.:..:.. ' {::......-......upon ..??-c_..=.:...d/?=-:.... the above described premise subjeef fo the provisions of the Building Ordinance far Eagan ownship adapfed April 11, 1955. ?1,.... -"_..._........... ........... t.t......._.------ -................ Per _--....__.... --.........r....fca•.:S.F...?. Chairman of Tnwn Boasd Building Inapecior 1 13 ;?1 D ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 Naw Construction Repulrements • 3 registereG sile surveys showing sq. ft, of bt, sq. tt. of housa; end ILI mofeU areas (20% maxMUm bl caverage allowetl) . 2 copies of plan showing beam 8 window sizes; pouretl found deslgn, etc.) . iselofEnergyCaLuletbns • 3 COpies Of Tree PreSBrvatbn Plan if bt plBtlBd afler 7/1/93 • Rlm Joisl Defail Options seledbn sheet (hldgs wfth 3 or less un8s) DATE 2- SITE ADDRESS 31677 NPE Of WORK h E' --SIiJ e- APPLICANT MULTI-FAMILY BLDG _ Y ±-N' _ FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS /3re) :L?ZI- ?'C?? C? CITYSTATE? ZIPTS? TELEPHONE #qI L ` S'7 ? CELL PHONE # I? (2 FAX # l022- L PROPERTY OWNER ?i PCref P/t TELEPHONE # ------------------------------------- ----------- ------- ---------------------------- ----°°-° COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet 5ubmittetl • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical ConhacFor: Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # -r-t Lawn Sprinkler No. of R.I. Bathsi ? u? C?- ? 1 2C'2 IuI I _ Phone # ?iL _- - ?'ee: $70.?1 Phone If I hereby acknowledge ihat I have read this applicaTion, state ihat the Informatlon Is correct a d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin?r?ce Signalure of Applicant ............................................... OFFICE iJSE ONLY Certiflcates of Survey Received ^ Tree Preservation Plan Received _ Not Required _ Updated 4102 /??. 7-5 pemadeVHeosir Aeaulrements . 2 copies ol plan • 1 set of Energy Calculatlons for heated addkbns • 1 site survey for eMerbr additlons & decks . Intlicate I home serveG 6y septic system for addttions VALUATION 4? 7G U OFFICE USE ONLY ? 07 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex O 05 03plex ? 06 04-plex O 07 05-plex ? 13 16-plex O 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garege O 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or_ N ? 20 Pool ? 21 Porch (3sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory eldg ? 31 Ext. Alt - Multi ? 33 Ext. Ak - SF O 36 Mutti ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacemenl Demolition (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new b1dpJ _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Fina1 _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ve «".9„ : e ?.?F,"„".,"..?.? •u_'.1:• ?, ?;,_',':. ? i;?ti-: ? _ c'dy of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGiNEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NEO. 6(141 LOTS) This memo is to inform yaur department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-16 18 Block 4, Lots 1-11 11 Block 5, Lots 1-9 9 Block 6, Lo1s 1-53 53 (Lats 54 through 61, Block 6, should not be biiled at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lot5 1-11 11 TOTAL 141 The City is currently being bi{led by Dekota Electric for streetlighting in the above listed subdivisian. ?`?.?,?•y ?? ? ? ?? / ? Ed Kirscht Sr. Engineering Teeh ca Mike Faertsch, Asst. City Eng. EK/je ? ----- . .. _,_.;?x'??o•._ , ... . CHICAGO TITLE INSORANCE 4620 west 77th Street TO: EAGEN Edina, MN 55935 Phone: 835-3100 DATE: 08l17/78 ADDRESS 3987 PERTIIOT PATH FROM: LiONNA FILE NO.: M46318 FILE NAME: gMITH RONAL.D L.. DYS: PLAT: COUNTY: LiAKOTA PLEASE CFECK TO SEE IF TEIERE ARE ANY LEVIED/PENDING ASSESSMENTS ABS:RACT TORRENS LF'GAL DEsCRIPTION: LOT 11 RLOCK 7 C'Fiif)V2 C;RfivF f. kk*A******#******dA******R**k***sY**R*p*N****A*R*R*****i'*?F{AR**R**!?R!• PLCASE FURNISH THE FOLLOWING LEVIED ASSESSMENT_INFORMATION ON THE ABOVE DFSCRIBED PROPERTY: Tyl-e of Improvement Balance Due Original Amount NUNE PLEASE FURNISH THE FOLLOWYNG PENDING ASSESSMENTS THAT ARE ESTIMATED AT THIS TIME: IJONE ALSO REQUESTING ANY ASSESSMENTS CERTIFYED TO THE AUDITORS AT THIS TIME AND INTEREST: Signed: Assessment Clerk, Date: Auqust 28, a978 _ AMOUtdT OF UNPAID WATER BILL, IF ANY: $ 9??, ,•,,y,?r 7gJ8 EAGA,N TOTdNSHTP 3795 Pilot Knob P,oad St. Paul, Mfnnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:Juna 3, 1969 OWNER:Cedar Grove Const. Co. PLUMBER Stein, Inc. NUMBER 412 Address 11-7-6 3987 Peridot Path TYPE OF PIPE Cast iron DESCRIPTION OF BUILDING IndustriaZl Commercial` Residential Multiple Dwelling No, of units X Location of Connections: Permit Fee 7.50 pd. Total Connection Charge 200.00 pd. Street Repairs Inspected by: Date Remarks By. Chief InspecCor In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toemship, Dakota Counl=?e? , By Please notify when ready for iaspection aad connection and before aay portioa of the work is covered. ? P" EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEM4IT FOR WATER SCRVICE CONNECTTON Date: June 3, 1969 Billing Alame: Cedar Grova Const. Co. Ocmex: Cedar Grove Const. Co. Plumber: Stein, Inc. NO ' Total Chg. Building is a: Residence X t4ultiple go, Commercial Industrial Other Number• 286 Site Address: 11-7-6 3987 Peridot Path Billing Address 7343 Concord Blvd. E. Meter 210 Meter No -5S ?+ Permit Fee 7.50 Pd• Meter Readinge? ooa MeCer Dep. Meter Sealed: Yes_ Add'1 Chg. Inspected by Date Remarks: Sy: Chief Inspector In consideration of the issue and delivery to me ot the above permit, I hereby agree to do ttm proposed work in accordance with the rules and regulations of Eagan Tocanship, Dakota Cou t, Minne"ta. By:? Plea3e notify the above office when ready for iuspection and connection. iiw CItV OF ei9gta 3705 PILOT KNOB ROAD. P.O. BOJ( 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 DATE: Novenbes 1, 1983 DAKdrA COUNTY ABSTRACT CO. 1250 Highway #55 P.O. Box 456 u__tings, MN 55033 SPECIAL'ASSESShIENT'SEARCH BEA BLOM9U157 hlova THOMASE6AN JAMES.^. SMIiH JERRY THpMAS 1HEODORE WACHiER Caa+ca Mempyrs THOMA$ HEDGES GN Ao*mnaia EUGENE vaN OVERBENE Gty CWk PE= Cedar Grove # 6, Iot 11, Block 7 3987 Peridot Path, Eagan, MN 55122 Parcel # 10 16705 110 07 Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original'Amount Balance Due I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. ' Kind of Improvement Approrimate date ot Completion Approximate cost NONE WAIVER: Neitlier the City of Eagan nor its employees guarantees tlic accuracy of the above in- formation which was requested by the persoii or persons indicated. Nor does tlie City or its employees assume any liability for tlie correctness tiiereof. In consideration for thc supplying af the indicated information in tlie above form, and for all other considerstion of any naturc whatsocver, any claim against the City or its employces rising there from is hereby expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, M. 55033 Very Lrul2?_ ? ? THE LONE OAK TREE...iHE SYMBM AND GRONRH IN OUR COMMUMITV Enclosed herein is the search which you requested made on the above described pronert_ Kind oi Innrovemenc YPq.- Beeinnins Orisinal ?.ccounc Balance Due NONE . I further certiFy that according to the records of said office, the following 3mprove- ments are contemplated or pending after having been approved and aze now in the proce: of planning or completion. - Rind of Imnrovement Annroxiaate Da[e of Comvletion Aooroximate Cost .M . _ - ;_ .. NONE;, . . _ _ . , ' .. . . . . .. _ , ... .. r",.... -_ . . , _- WAIVER• . . . " •' . - .. '".`- - heither the City ofEagan nor its employees.guarantees the accuracy of the above infoi mation vhich was requested by•the oerson or persons indicated. Nor does the City or : employees assume any liability for the correctness thereof. In consideration for the supplying of [he indicated information in the ahove form and for a21 other considerat: of any nature whatsoever, any claim against the City or its employees rising therefroi is hereby expressly waived. Levied assessments to be paid to the CITY OF EAG.VV, • "}'?`''"• 3830 Pilot Knob Road, P. 0. Box 21199. Eagan, MN 55121. - Very,truly yours, .:.:..... .... ? ' Vti.• ' -'?Q '..!? _ " - SPECIAI. ASSESS*fENT DIVISZON • _ - , _ ', . . _ . . ',:. , , . ?.'r- .' : . - ? y +. .... ,..;,. , .. . • , .. . ? _ . . - . .. . . . ' 1HE [ONE OAK TREE...THE SYMeOI OF STRENGTH AJJD GROWfH IN OUR GOMMUNIN Stewart Title . Co of MN li RE' Cedar Grove #6 Sui[e 107 i Iot 11 Block 7 101 West Burnsville Parkway j 3987 Peridot Path Burnsville MN 55337 ? • • - cirv use oNLv L ?_ BL ~I RECEIPT #:& ZZZ1Z SUBD. doGC. 'COTlL ? ? DATE: `-'? g/a3/F c. o 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Piease complete for: ? single family dwellings ? townhomes and condos whcn permits are required for each unit pIXTURES EACli ?Q. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 x _?_ _ •oo Floor Drain 3.00 :c = Gas Piping Outlet ' minimum -1 3.00 :c = Rough Openings 1.50 :c = Water Softener 5.00 x = Prrvate Disposai ` DakWa Cty. license 65.00 = (new and refurbished systems) U.G. Spdnkler * home under const. 3.00 = Alterations ' ro existiny 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ZO•,?O SITE AD OWNER INSTALLI STREET ADDI CITY: PHONE #: ( ? Z-/O-?7 a STA' ZIP: )RESS:• FOWLER KIETH ? 3987 PERI00T PflTH ERGRN , 55122 NAME: H 454-4497 W OFFICE USE ONLY L BL RECEIPT #: SUBD. DATE:_ 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 " Please complete for: . all commercial/industrial buildings. . multi-t2mily huildings when separate oermits are no required for each dwellina unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE iNSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT. FEE: $25.00 minimum fee or 1% oi contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgnnjt fee due on ali permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ cirv: PHONE #: METER SIZE: " DATE: STE. # . _ ; . " STATE: ZIP: SIGNATURE: APPLICANT OFFICE USE ONLY INSPECTOR: Use BLUE or BLACK Ink For Office Use Permit non City of Ea Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: fi7 I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: _i:~/ Resident/ f Owner t Address / City i Zip: j Applicant is: Owner Contractor Type of Work Description of work:/ /CGAXjI2,V(/),v bol-✓-5 I j Construction Cost: Multi-Family Building: (Yes / No Company: C r A~tS'7ti) 4 / 15~ o/*kYZ.S LZ,L a;% Contact: .~9D/Z/ Contractor Address: 13-72- &AJ City: Gay State: /,71 ^J Zip: Phone: 7W43 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _w ~m NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ) X_ x Appli nt's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172486 Date Issued:10/04/2021 Permit Category:ePermit Site Address: 3987 Peridot Path Lot:11 Block: 7 Addition: Cedar Grove 6th PID:10-16705-07-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Keith H & Elaine Fowler 3987 Peridot Path Saint Paul MN 55122--293 (651) 454-4497 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173404 Date Issued:11/10/2021 Permit Category:ePermit Site Address: 3987 Peridot Path Lot:11 Block: 7 Addition: Cedar Grove 6th PID:10-16705-07-110 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Keith H & Elaine Fowler 3987 Peridot Path Saint Paul MN 55122--293 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature