4255 Pilot Knob RdCITY OF EAGAN Fiemarks
Addition CARLSON ACRES Lot 7 Bik 1 Parcel
Owner, `- fstreet 4255 Pilot Kttdb Road Stace Eagacl, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1,14 1973 175.00 7
SEWERLATERAL 5277.00 003507 I0-14-77
WATERMAIN
WATER LATERAL 1977 1380.00 10 80 C002443 -- 6
WATER AREA 1977 160.00 ZO.67 15 7-9-76
SEW TRK 430.00
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
cirr oF EAc,AN
3795 Pilot Knob Road Eogen, MN 55122
PHONE: 451-8100
BUILDING PERMIT Receipt #
Ts !r u??d fn. Fef VnL a ' ' ' • ' Ante
Site Address `. . .`
Lot Block (2 Sec/Sub. a-6 ?
Parcel
aWC Name _
? Address
0
°C Nome _
?F
?? Address
? r:a,
Name _
Address
I hereby acknowledge that 1 have read this application and state thot
the informution is correct and ogree to comply with oli applicuble
State of Minnesota Statutes and City of Eagan Ordinances.
Erect -Q
Alter ?
Repcir ?
Enlorge ?
Move ?
Demolish ?
Grade ?
N2 5694
80
Occuponcy
Zoninq „
Firo Zone
Type of Const.
.#' Stories
Front ft.
Depth ft.
Fees
Assessment
Water & Sew.
Pofice
Fire
Eng.
Planner
Councit ?
Bldg.Off. ,
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Total
Signature of Permittee I
A Buiiding Permit is issued to: on the express condition that
oll work shall be done in occordance with oll applicoble Stote of Minnesotn Stotutes ond City of Eagon Ordinunces.
Butlding Officiul .
454-2498
..nnM # oar. h...e r«.in..
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-In
Finol
Footings Dota Irup. Date Insp.
Foundotion o =s'- tr" I Plumbing
Frame/ins. Mechanical
Fincl
Remarks:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
?9$30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 0 " APPLICANT:
F.NUH F+D
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . ..
F ?
?
L
Parmit Na. Pertnit Hofder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectton Dato Intp. Commerka
FOOTINGS
FOUND
FFAMING
ROOFING
ROUGH
PLUMBING
PLBCi
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FSREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLO(3 FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , „ I
. I i i I ti; t r?Ul
PERMIT SUBTYPE:
?' I i:,
I; r I
I fl i r14_t
APPLICANT:
f I i1r I
1 f, 1 ? ? ?1 `• ?l
TYPE OF WORK:
I+f ',i k l P l iIIN
i;iF I i I I I N I ,
0 " i o, <
06 /'iN fg9
i n lArO Ni i
I<[ f'A i lt
Rf - ttUllf /M0Vf' VAI I 4 'i
? . ?
INSPECTI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? ' ?
PermR No. Permit Holder Date Telephone M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Camments
Footings I
Foundation
FrBming
Roofing 14z
Rough Pi6g.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Finel Pibg. Plbg. Inspector - Notify Plumber
Const. MeTer
EngrlPlan
4114* Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 675-5675
Site Address:
Lot 07 Block:
PID: 10-16400-070-00
Use:
Permit Type:
Permit Number:
Of Ea an Date Issued:
4255 Pilot Knob Rd
00 Addition: Carlson Acres
Description:
Sub Type: Residential
Work Type: Water Only
Descdption: RCceipt #
Meter Size
Manufacturer
MeterNbr RemoteNumber
Line Size
Remarks' Call £or required inspections. All other fees were collected previously.
Fee Summary:
Surcharge - Fixed
0.50 9001.2195
C?
L,
Contractor: k
?.? C sc. Li?l a 2
NIN 55122
nppiicanc -
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicahle
State of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signatuce
Total Fees: $0.50
:.awrence D Linkeft
4255 Pilot Knob Rd
li?v '"" ?''/d
??
Issued By: Signature
Sewer / Water
EA071374
11/02/2005
, i
cinr oF eaGaN
1993 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTIES
Sewer connection charges
SAC $850.00
Date previously paid
Receipt #
Account deposit 15.00
Sewer permit and surcharge
5ubtotal $915.50
+ tap
Total
Paid 06/08/93
Receipt #CR008254
Sewer permit #211$3
$915."50
Water
Date
Receipt # "',,
Accaunt depos
Water permit &
Water meter
Treatment planl
Subtotal /
t
** (Plumbing permit required)
SAC
Date previously paid _
Water connection-,,
Date previously paiC.o/c
Account deposit 1?
Sewer & water permit and
Water meter
Treatment plant fee ?
Subtotal
+
paid
Water tap pd.
$1,254.
** (Piumbing permit required)
Note: Homeowner may acquire plumbing permit only if actuatly doing the
work themselves. If piumbing contractor Is hired to pertorm the work, then
the permit must be applied for by a Iicensed plumber.
----- -------------------- ------- ------------------------ ------------------------------------------------------
OFFICE USE ONLY
PRV fl10
No. of taps ?
Assessments No
Waiver No
Property owner ? a-ccfhr
Telephone no.
Address o?. .?
Lot I Blk ? Sect
P I D # 10-16400-070-00
695.00
15.00
50.50
105.00
324.00
.$1,189.50
\
?
?
/$
Receipt # 850.00
Re 695.00 Pa.
Ce?
30.00
1 '.g8 100.50 Water perrnit pd.
105.00 Pd.
324.00
$2,104.50
i%;L?
YILLAGE OF EAGAN
3795 Vilot Kneb Rood
Eagan, MN 55172
Zoning: RI
Owner
WATER SERVICE PERMIT
PERMIT IVO.: 2017
DATE:
No. of Units:
Address: `------ - ?- 6 P,?Q44-) aAd.l?
Site Address: 425g pi.L}t K^nh Tmad+--Ed-gAn
Plumber: _WesLS?-y18TER. OFF AT CIJR13
Meter o.:?'-'? 3 Connectlon Chazge: 160.00
g,? ??S' • Acwunt Deposit:
R ader No.: Permit Fee: 10.
1 ogrea fo comply with the Village af Eogan Suichazge: • 50 h
prdinances, Misc. Charges: 60.00
?
By
Date of Inap.:
Totai:
Date Pai
Insp.:
N 24 6
Repuest Oete Flre No. Rough-ln Inpsection Repuiretl Ins eclion Other Tnen FlouBRln
pou musl wll inspecto.when reaCy) ? peady Now ?y?7+.' Will NotMy Inspeetor
? Yee jEr No Dare Reetly
I p licensed contractor ?rowner hereby request inspection oF above elecirical work at:
Joh, Atltlress (Sireet Box or Roote No.)
ti
-:s- pa
6
-
k Ciry
l
s
D
,
,--,
i I
a
Sadion No. Townshlp Neme or No. Range No. Counry
Q lcoT2
Octupa tIPRINT Phone No.
l
ciwhee.c? ' teM'' .2Y ?
Power SupPlier Atltlress
/
l'CGT2 ?lL'?
Elecmcal Comraqor (GOmpany Name) ConVaclor§ License No.
Mailing Atltlress ICOmractor or Owner Meking Installe6onl
I
L /eL
But ri ignaWre IComractor'Owna mg Ins Ilalion . Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlgga-Mltlway Bldg. - Room 5-113 eE ACCEPTED BY THE STATE BOARD
1821 Ilnivarsity Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE I$
Phane (612) 644-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 4P°?" "'?! eanoo?oiy a-a/
? Sea insimctions lor completing this brm on Oack of yellow copy. ??_??i YL,(?,
?flq /
p? 0.2 !+ 7 6- "X" Selow Work Covered by This Hequest m•? L?
ew Add Ri TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater EleCtric HeaNng
Apt. Building Oryer Load Management
Comm./Industrial Furnace Other (SpacHy)
Farm Air Conditioner
Other (syecity) ConVador5 Remerks:
Compute Inspecfion Fee Below:
# Ofher Fee # 1E ntrance5ize Fee
S2 # Circuits/Feeders Fee
Swimming Pool 0 to mps
0 o ro i0o Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SiJ05 Inspector5 Use Only: ? TOTAL
' Irrigation Booms
C ?
? ??
Special Inspection
/
Alarm/Communication THIS INSTALLATION MAY BE ORDERED'DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqmm oa+ -
certity Ihat ihe above inspedion has
been made. F;nai
911 oa+e ?i
7
OFFICE USE ONLY
This request voi0 18 monlhs irom
SPECI AL AS SESSMENT SEARCH SiJMMARY
AS OF: 06/04/1993
PROPERTY ID: 10-16400-070-00
S/Af ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100221 SEWER TRK 1972 20 8.0000 175.00 0.00 0.00 CL
100335 WATER AREA 1976 15 8.0000 160.00 0.00 0.00 CL
100356 WAT LAT 1976 10 8.0000 1380.00 0.00 0.00 CL
100387 SEW LAT 1977 15 8.0000 3277.00 0.00 0.00 CL
100442 STM S TRK 1980 15 8.0000 430.00 0.00 0.00 CL
102068 SS 466 1990 10 9.0000 7600.00 0.00 0.00 PP
------ S[JNIMP.RY OF LEVIED 0.00 0.00 0.00
****** 1993 P&I CERTIFIED 0.00
------ SUMMARY OF DEFERRED 0.00 0.00 0.00
------ SUMMARY OF PENDING 0.00 0.00 0.00
------ SUMMARY OF CLOSED 13022.00
Press ENTER; or F1, F4, F5, F7, F8
CITY OF EAGAN
3830 Pi1ot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: eux DING
Permit Number: 021353
CJate Issued: 06/30 J93
SITE ADDRESS:
4255 PILOT KNOB RD
LOT: 7 BIQCK:
CARLSON ACRES
P.I.M.: 10-16400-070-00
DESCRIPTION:
RE-RDOF/MOVE VALLEY
Ildi.ri§, Permit Type SF DWr, C.(ni9Cj
ild'ing WQrk Type REPAIR
C Ocoupan-cy'?>, R-3
REMARKS:
FEE SUMMARY:
8asa Fee
Suroharge
7ota1 Fee
?
? .
?
\a a .,
PERMIT ` ? ? ? ?6,9
-3?-- y ?
?,
VAIUATION
$45.00
$1.00
$46.00
$2,000
CONTRACTOR: OWNER: - Applicant -
IINKER7 LAWRENCE
4255 PILOT KNOB RO
EAGAN MN 55122
(612)454-2498
Z hereby acknowledg,e that I have r8ad this applioation and 5tate' thaC the
informatian is carrect artd agroe Eo comp2y witFr ail applicable Sgate of Mn.
Statates an,d CiCy af Eagan ordinances.
L ( J
?
4 ?
APPLICANT/P MIT IGNATURE ISSUED V: IGNATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: 7 sLocK:
_.4255 PIL07 KNOB RD
CARISON ACRES
PERMIT SUBTYPE:
SF OWG
APPLICANT:
LZNKERT
(612) 454-2498
TYPE OF WORK:
DESCRIpTION
BUILDING
021359
06/30/93
LAWRENCE
REPAIR
RE-ROOF/MOVE VALLEY
INSPECTION D. , ,.
? . _
?
U( - nr,,.vci.. Ii• ;
ft:it ?qiliri l_.G'I.ti
p{;i`iJ;llci 1.0 1 J01 1 1 _ ?A:'?a? 'r'.E fihlf'
Oh\ bIUA f_ „lal (bl.
L. ' i - N" C N i P 1670 -0 \ fi- 0 0
i 4'.41 .:U11 HCISF?.
Ifll. : IU
4, .11 LI I kIAUf_>. l511
6) f)
wn.r i- u 1 iac
?
REACTIVATE _
PERMIT' #
11M3
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
sYL.oo
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day af month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?.T . l?,zL- l?'3 Valuation of work _R (rz'z)
Site Address: G/r?10, `177_ ,A,,o.? ?? -
sraeer sutre 0
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD.
,y P.I.D. N
Descri tion of work: .. ? •us ? alle-
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
? `
Name ?,`1-rket?? Phone ?'s
Property LAST FIRST
Owner Address P%7` k w??6 iPoO
STREEi STE Y
City ca State N! 6? Zip 2'3/
Company Phone
Contractor Address License ii Exp.
City State ZiP
Company Phone
ArchitecU
Engineer Name Registration M
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
f
correct and agree to comply with'all applicable State of Minnesota 5tatutes and City o
Ea an Ordinances.
Signature of Applicant:??CCarLe?
OFFICE USE O?
BUILDING PERMIT TYPE
O 01 Foundation
pt 02 SF Dwg.
? 03 Sf Addition
? 04 SF Porch
Fb 05 SF Misc.
WORK TYPE
? 06 Duplex
? 01 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
0 31 New ? 33 Alterations
O 32 Addition F 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
13 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Ueck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy g-? 2nd F1. sq. ft.
Zoning Sq. Ft. total
#? of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
? Site O Footing ? Framing
O Wallboard ;K Final ? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
v.tLme;«,: g
?
.
m s, U%
?6 BafementdFini;?h
O '17 Swim Pool ?
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCL System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
5AC Code
Assessments
CITV pf- E'A!;P,P4
CAEiHTER- .ts TrCRPi7:NAI._ NOH thSD'J.
L!niC (7309/5)0 TIMIii:: 1i0n:24•
rDL
pjAPff:.;; Ml:id".IE:iSt]7?ba Fr.licC?(j iNf.:;.
sWn 9001 4255 P7:Lor E;Nr,rs -?
r 4
;:i7
205 5+001 4255 P i:f...f]'1 4•.n!nB .
I.„50
Tot.il. F'Ercn:i.;:;t Amaun:; e 7°p'r: .0'i
Ct;:[]i.'>7;:L 1.
ilSfT :I:rJ: :7AN
? CI'rY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 687-4675
SITE ADDRESS:
PERMIT
PERMITTYPE:
Permit Number: Bux?orN?
031629
Date Issued: g 3/ 19 / 9 B
4255 PILOT KNOB RD
LOT: 7 BLOCK:
CARL50N ACRES
P.I.N.: 10-16400-070-00
DESCRIPTION:
%,„ (PATIO DOOR)
h ermit Type 5F (MISC.)
ryg ., ,? Type REPAIR
CoAg„ u,k_ 434 AL7. RESIDENTIAL
?
?
? Ca ca ., ca <
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $79.57
Surcharge ?1.50
Total Fee $76.07
CONTRACTOR: _ ppplicant - sr. Lzc.OWNER:
MN RU8C0 INC 19359669 0002173 LINKERT LAWRENCE
9901 5ME7ANA OR 4255 PILOT KNOB RD
MINNETONKA MN 55343 EAGAN MN 55122-1848
(612) 935-9669 (612)454-2498
APPLICANT/PERMITEE SIGNA7UIiE
OfllA R.OI f4 I n1. d
ISSUED Y: GNAT RE
? ? ? ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(iAN
3830 PII.OT KNOB RD - 56122
681-4675
New Canstruction Reauirementa
? 3 registered site surveys
• 2 copies of plans (fnGUde beam & window saea; poureC fid. design; eta)
? 1 energy calwleHons _
• 3 aopies M Ues preservaGon plan if bt platled after 717193
required: _Yes _ No
DATE: I -G tS
DESCRIPTION OF W
RemodeVReoair Reauirements
? 2 copfes of plen
? 2 site surveys (exterfor addkiona 8 dedcs)
? 1 energy nlwladons for heated addkions
CONSTRUCTION C05T; ? i??,USL . &D
STREET ADDRESS:
LOT: _q BLOCK: 0 SUBD./P.I.D.#: l.nn),((m IAfnoi)
Name: (?V, f,?Y'! AI t -i"s f7 .?- Phone#:
PROPERTY Last firsc
OWNER j /-? ?? I ? I ?
StreetAddress: Y?(?jJr I? 10nb
ciri _l UC?n sreLte: zip: S,t)-rap- 1?'
?Ij
Company: 1? 11 Yl Yl? ???,1 1?? 1.l'1 L, Phone #: CD l C - q,)J -q In ln !R
CoNTRACTOR .? ?
Street Address:92 0 1 License # c>? ) 1E)
cicy srau: fn C11 z;p: Sa5U-?)
ARCHI7'ECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penally applies when address chang
and lot change is requested once permit is issued.
I hereby acknowtedge that i have read this application and state that the iniortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
y } ?
M. rC . .?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
O 04 5F Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition O 34 Repair
GENERAL INFORMATION
Const. (Adual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging O
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: g c?'Y•SQ , Gd
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°.6 SAC
SAC Units
July 6, 1990
Mr. E. J. VanOVerbeke
City Clerk - City of Eaqan
3830 Pilot Knob Road
Eagan, Mn. 55121
+??
O'\`s
Subject: Special Assessment - Project #10P466
&d NJ"r
Dear Sir:
We, the undersigned, do hereby object to and appeal the assessments
to our property. We understand that the basis for these assessments
was derived from an enqineerinq study which was done more than
two(2) years ago. We believe that conditions have chanqed
sufficiently since that time to warrant a reevaluation of the area.
We further believe that a reevaluation will result in a more
equitable distribution of assessments.
Yours truly,
Name ?
1 '
QA4 ,
Address Pronertv Descrintion
5?1 -'U s?y)ua„W'Ok'
-v so -oa-
?l?1? 7s?-s- o - b 30 -- a ?
`/oe
166? ?v-!GLlZ76
,??????Ilmef9V? 070- DD
}?; o ( lp yo v -
r (67 ? lo7" ?i?-?/3.
\?Y..I,._._- 1 /0 - x? w6 'otO'oi
WAIVER OF.HEFRING
REQUEST FOR UTILITY IMPROVEMENTS
I/Ve hereby request of the City Council, City of Eagan,
Minnesota, utility.improvements on and over properCy oianed by me/us as
follows: (Mention type of improvement, e.g. watero sanitary sewer, etc.) .
WATER LATERAL AND WATER AREA
The locetion of said utility improvements shall be generally as foll.ows;
Lot '], Carlson Acrea'
200 feet at 6.90 FF =$1380.00
water area 160.00.
$1540.00 7- 9-7?-
I/4?e hereby waive notice of any and all hearings necessary for the
installation of said improvements and further consent to any assessments:
necessarily levied by the City of Eagan for such improvements
I/We further agree to grant to the City of Eagan any easements neces-
sary for the installtion of such improvements.
It is further understood that this request shall be reviewed by the
City . Council of The City of E2gan or its agent and I/we will'be given
reasonable notice as to whether this request is possible under prebent
utility planning as to timing, locationy Dated: .T,ll
ac_:1?--, 7 -
"equest accepted by _A& 4e-e ? Date `7-i>-74
City of Eagan
Reauest referred to ?=t3' Engineer: D te
Copies: 1. City
y, C:.ty Engineer
3. Applicant
?
EAGAN TOWNSHIP
BUILDING PERMIT
.'_
._
.............'-'-'--p--- .....'--'--'_-
Ownet .... ?../.!:!1_:....... ...........
Address (Preseaf) •l?S-?:`_?1../.....?..?R:-?'?-.----...--"._
Builder .... - -'_--- ._'- -' ---- ----- -•'---?_ ?-
?f , ?.
Address ._4. ..P..?.'..?.?........
.(l..."3'.`..^.._.
(l
DESCRIPTION
N° 1384
Eagan Township
Town Hall
Dale .-.f4l...?s1........"""•'._....._.
Sfozies To Be Usad For Fron2 Deplh Height Esi. CosS Pexmif Fee Remarks
.?0?^,y .Gc. Qiv
° ? 37
! B'
.2 Z. a?.-o oZ/. °?" T70/_' " d'L`"`'?-
?°n, ?--?s .
LOCATION
Sireel, Road ox olhex Descripfion of LocaSion I Lo! Elock ? Addition or Traci
I rI
This permit does aot aulhorize the use of sireefs, xoads, alleys os sidewalks nor does if give the owner or his agen!
the righlSo creale any siSuation whiah is a nuisance or which presenfs a haaazd fo the healih, safeiy, convenience and
genesal welfare fo enyone ia the communiip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGRESS. ?
T}us is !o ceriify, fhal.'W.......?...?...J.??......-........ ..has permissioa to erecf a .-.-- ------------------------------ upoa
--°-----'---
!he ebove described premise subjee3 !o the provisions of the Building Ordinance fos Ea n Township a pied April 11,
1955. "
- -' -'.. . . ........ ........... " _""---"' ....... _"-'-.'--'.._""'_-___.
?Ll.?z6.N? ..-.'.•'---'°----.. Per ............
_.....--...........
Chairman of Tnwn Board BuildinInsP-' - ector
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, • CITY of EAGAN
BUILDING PERMIT
.... ....................... """..........!.1...........................
own.: ? .?-?-sr..^..-?-?'•-`'? '-?-?-
Addraw (Premni).... . .45.x._ 6.?C-s't
................. .............:........
Huilder ................ ...............?:t¢:.'.:`-.".'..?.?.............. --........................
.............
Addrees ...........
T]F.AC.AiDTi[fN
W ,,
N2 _3651
3795 Piloi Knob Road
Eagan, Minnesota 55122
454-8100
Dels ....LJ...-- 7.I-
...............
6lorias To Be Uead Fos Froni Depih Heigh! EaL Coal esm!! Fse I Aamarks
? / G !S 3`? F
" LOCATION a-75?
Siseei, Aoad oi oiher Uesesipnon ot Location I LOt I 810e6 I AqAiilon oi Tr9M
/ I
1'hfs permit doea not auihorize the use oi sixeels, roada, alleye or sidewelks nos does it give the owaer or L4 ageat
the righf !o ereete any si2uation whieh is a nuisante or w6ieh presenls a hasard !o the healih, eafelp, coaveaieaes and
general welfare !o anpoae in the eommunilp.
THIS PERMIT MUST BE EPT ON TH PAEMISE WAILE THE WORK IS IN PROGAESB.
TMs is !o ceriifp. !hal... ........_...t'.......r..`.?........__....hasparmission 3o erect a-_":? .--.__?"•?`.........._upon
the abave described premise su jec! !o She provisions of all applicable Ordinances for the Ci o! Eagan.
_......... ...............?.' --°--?1-i°2?'? Per ??.e !/ ?.-???.??
.... .........................................•---.---... ..........................._......•-.--...
Mayor ? Suildinp Impeeior
e
?J
o.
0
va '
VILLAGE OF EAGAN
8796 PILOT KNOB ROAD
EA6AN. MINN680TA
ssfsa
r-- -
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? 'K,
y N
PPV
W
0
PHONE 454-8106
?(?!J ?
MASTER CARD
LOCATION
OWNER 44 %4/r, Ke ' La .f/r?7
SAND U ED A5 Q.ll- Ad?. 4 drz i./y .
Permit
No.
Issued Issued To
Contractor Owner
BUIIDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date.
Remarks
Distance From Well
FOOTI NG SEPTIC
FOUNDATION CESSPOOL
FRAMING -26 7G TILE FIELD FT.
FINAL
ELECTRICAL
NEATING DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
08SERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESGRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
DATE
'E!? .
cIn oF Er?caN
3795 Pilef Kno6 Rmd Eagae, MN 55I22 w ME 5694
PHONE: 4S4B100 /
BUILDING PERMIT APPLICATION Receipt # ( ??#z
Te 6, mod y, Storage Shed Eer. voiue 4,000.00 pcft 4/9 1980
S+te Addresi 4255 Pilot Knob R.d
Lot 7 Blxk 60_ Sec/Sub. Cal L 50 i"'
parc,l # 10 16400 070 00
c Name Lawl'ence Linxerti
? Addrew 4255 Pilot Knab Rd.
aean.
Erecc $] O«upancy _?-
Alrer ? Zoning
Repair ?
Zwie -?-
Fire
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front 23 ft.
--
Grode ? Depth 22Y
ft.
Approvola Fees
p Name _
r-
Address
n..,
Nome _
Address
1 heroby ackrrowledge tFwt I have read this applicotion ond stute that
the infortnation is mrrect and agree ta complywlth all appliwble
SMte of Minnesota Stnt(As ?o?nd?2it/y? ott?EagonJ?Ordir?wnces.
Sipnoture of Pertnittee'f??lCClPLdL?C({?i?7.i(1ir.C
0
Assessmero
Water & $ew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 4/8/80
APC
Permit 1>.UU
Surcharge 2.00
Plan check
SAC
Water Conn.
Water Meter
Total 17.00
A 8utlding Permn ts issued to: Lawrence ILlS , t on the express condition that
oll work shall be done in acwrd ith all opp' le State of Minnewto Statutes and City of Eogan Ordinances.
Building Officiol
yyi?
CITY OF F?GAN Include 2!?tAs ;.£ plans,
?P I 1 site plan w/elevations.&
BUIIDING PERMIT P,PPLICATION 1 set of erAefw calculations.
To Be Used For Ye d• G f Valuation ? T Q? Date ? 0
u
Site Pddress: ?1as.5" rf?`/e KH'b 2w-
I,ot 7_ Bl-l- S%./Lub.
Parcel #: " h?-
ro -4 oo O?b
Owner: ?.cLwr{Kec ?'???<?T
-- pddress :
City/Zip Code: L'`a,p pv 5 Si ??-
-?
Phone #:
OFFICE USE ONII,Y
Erect ?p _ occupancy 3
Alter Zoni.ng
Regair Fire Zone
Enlarge 'I]pe of Const.. v
Move # Stories
Denolish Front !?? ft.
Grade Depth ft.
APPROfTALS FEES
Contractor:
Address:
City/Zip Code:
Phone #: yq-Y 2 Y 7 Ff
Arch./Ehg..
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police _
Fire
En4-
Planner
Council
Bldcj. Off.
APC
Pennit
Surcharge ?
Plan Checlc
SAC
Water Conn.
Water Meter
Road Unit
'1VTPS.? 00W 1?1-
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Constructlon Reguirememe
. 3 registared site surveys ahowinp sq. fl. of bt, sq. tt. ol house; and AI roofetl areas
(20Y maomum lot coverage albwetl)
• 2 copies ol plan showing beam & window s2es; poured fountl design, etc.)
. 1 set of Energy Calculetions
• 3 capies of Tree Preservation Plan ii lot planeA eAer 711l93
. Rim ,blst Detail Options seled'wn &heet (bldgs wXh 3 or lass unMS)
DATE L5-` ? 0_??
SITE ADDRESS
NPE OF WOR
APPLICANi ??be-ts 4e
STREETADDRESS r/v07 uH r vc?s'? T
TELEPHONE #(6j 1oV1'_jO7 C LL PHONE #_
Phone #
PROPERTYOWNER Z/ "'1 TELEPHONE#
------------------- ------------------------------------ ----------------- -----------------------
COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 submission type) • Rasidential Vantilation Cetegory 1 WoAcsheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor:
Pluxnbing system includes:
Mechanical Contracfor: _
Mechanical system includes:
Sewer/Wafer Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
o 'X/D ZcY7
1 1 ?? - ^l S-
7Yln, ZIP ss/d
I hereby acknowledge that I have read this applicatlon, state that the information
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignalureofApplicant _
OFFICE USE ONLY
1/3 '
VALUATION
?Vrs
,200 ?
/ / C
o?7'e-
_ Water Softener
_ Water Heater
_ No. of Baths
BemotleVfleoeir Heaulremente
. 2 coples of plan
. 1 set of Energy Cakuletions for heatetl add'Abns
• 15BesurvayforexlerloraddlWns&decks
• Indkate if home servetl by septic system tor atltlilbns
MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
_ Lauvn Sprinkler
_ No, of R.I. Baths
7
ST-;
FAX #
agree to
Fee: $90.00
r'ee: Y7U.oo
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/oz
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
O 11 10-plex ? 19 Lower Level
O 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Poroh (screened)
13 24 Storm Damage
? 25 Miscellaneous
? 30 Acoessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Att - SF
? 36 Multi
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ $iding Srucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
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
Pemiit #: JI I 3?1 L?
Receipt Date: I I 12-/Q S k# 961 5 I
CITY OF EAGAN
2005 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address -1?? ?TF; ?I I l7T k-?V1n L? ?• OFFICE USE ONLY
Property Owner L0, WY2 vl C E' vi ke{ t '
_ PRV required
Telephone #
Plumber
Date of Inquiry
Contact Name
Sewer
4" Sewer Service
Latera] charge @ $2 70/ff
Trunk @ $1,085/conne 'on
Ciry SAC
MCES SAC
Receipt # , Date
Septic abandonment/
Permit Fee
State Surcharge
Total
$ 651.00 1" Water Service 7 • ?
Lateral charge @ $26.95/ff
Trunk@$1,130/connecfion ?
100.00 Water supply & storage ? . ?
1.450.00 Receipt # , Date
50.00 Treatment plant ? .00
Permit Fee 50.00
50.00 State Surcharge ( .50
.50 Plumbing permit required - water `
S metcr to be acquired with plbg permit ??l e 1
Total 0.- 6?0
Sewer and Water
_ City _ Counry R-O-W Permit
Water
4" Se Service $ 651.00
1" ervice 727.00
Sewera charge @ $26.70/ff
c ge @ $26.95/ff
Wateal
Sewek @ $1, 85/connecrion
Watek @ $1,13 onnection
City 100.00
MCEC 1.450.00
Rec, Date
Wately & storage 1,009.00
Recte
Treatplant 612.00
Septindonment 50.00
Perm 100.00
State harge .50
Total / $
Plumbing penhi[ required
W ater meter to be acquired with plbg permit
?
ec: Cazolyn Krech, Finance Department
?? oZ .S S`- 16 7` Kir-t 7 / K D = a
A<< fI
. ?
?
?
?--_-
;,.
?
\
,
2005 RESIDENTIAL PLUMBING PERMITAPPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? tD??o
Date ?L ! ol / DEJ
Site Street Address y 24, Unit #
PropertyOwner I.-QW'fev) ce l_.iv) ?2l+ Telephone#( )
Contractor Telephone # ( )
Address City State Zip
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water soften er and/or water
heater at the same time. If you are installinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
X Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
rotal g ,jb .-F-?b
I hereby apply 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 wi the approved plan in
the event a plan is required to be reviewed and approv .
.
J?e?.?, 4 r.h e? ?,` h k e
ApplicanYs Printed Name A IicanYs Signature
ry?? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION rrr'?
?? / City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/wndos when permits ere required for each unit Date (3_ / I D / (2) W
Site Address L4 3?` , p I 1 C) + / 1 fl 0 b 1'oa8 IInit #
Property Owner L c?U. )('P?Ce_ Telep6one #((bb I) a 5?j
Contractor ?r C), 1(ZtJ P) ? r
?
Street Address V ?f?c? ? r i
?. City n
State ff1 ? Zip ?- Telephone #
Bond #: ?f ?? V 6 Expires: ?+?
V ?6 1!:?o FEB
2006"
Y 6
The AppGcant is _ Owner ontractor _ Other
Add-on or alteration to existing dwelling uuit $ 30.00
fumace _Additional _Replacement _ New
air exchanger
air conditioner
? heat pump
other
State Surcharge $ 50
$
3 O ,?O
To,a,
I hereby apply for a Residential Mectianical Permit and aclrnowledge that the informarion is complete and accurate; tbat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttus is not a
permit, but only an applicazion for a permit, and work is mt to start without a peraut that the work will be in accordance with the
ap oved plan in the case of work which requires a review and approval of
nd L?1?_ I
Applicant's ' ed Name AppUeant's S g tu
2005 COMAMRCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIIV 55122
Telephone # 651-675-5675
Please complete for commerciaUindustrial buildings
multi-family buildings when sepatate peimits are not required for each dwelling wut
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Tetephone # ( )
Contractor
Street Address City
State ' Zip Telephone # ( )
Bond #• Ezpires:
1'he Applicant is _ Owner _ Conuactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *"see below
Interior ImprovemeM _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground fank, caff for enspection by Fire Marshal and Plumbing Inspector
Permit Fees: s70.50 und«grounatankinstsustionhemoval .
$50.50 Afinimum (includes Sta[e Surcharge)
or
Contrac[ Value $ x 1% _ $ Permit Fee
$ State SurcLarge •
If mi t fee is less than $1,000, add $30
If De IR ,t fee is more than 51,000, svrchsrge -
is $.50 for every $1,000 owed..
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge tktat the information is complete and accurate; tUat the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undesstand tbis is
not a permit, but only an applicadon for a peimit, and work is not to start withwt a peruut; thaI the work will be in accordance with `
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
Approved By:
Required Inspections: _ U.G. - RI.
Applicant's Signature
. Inspector Date:
Air Test Gas Service Test InYloor Heat Final
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VJ V r------------------+
1166 I For, Office Use
fr (~~~1~ ter? ~
JUL 0 9 2009 Permit
City of Eayn I
I
J I ~ .
3830 Pilot Knob Road I Permit Fee.
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2009 '
RESIDENTIAL BUILDING PERMIT APPLICATION
Date Site Address: gCa i k ca
~Q
Tenant: Suite `
RESIDENT / OWNER Name: kA U115
.Address/ City /Zip: Applicant is: Owner~~_ Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: ! ice se Zd2
c: DZ~ Address:
City: State:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portionsof
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I Thereby 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 tans.
X
x
Applicant's Printed Name ant's Signature
Page 1 of 3
no
- - - - - - - - - - - - - - - - -
For Office Use
Permit ~(J ®I
V
Cit of a
J
1 Permit Fee: U- ~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I g I.
Fax: (651) 675-5694 I Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _M `cam- Site Address
Tenant: Suite
RESIDENT / OWNER Name:
Address / City / Zip: r
Applicant is: Owner C ntractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Fa B ' tling: (Yes { No
CONTRACTOR Name: Ga i ense
Address:
City: State Zip:C
Phone: 4~s(~ cv~3 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 trade secrets.
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 ap I of plans.
XC~t y1 C?,r' x
Applicant's Printed Name p can s Signature
Page 1 of 3
I
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083521
Eagan, MN 55122 . Date Issued: 06/12/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4255 Pilot Knob Rd
Lot: 7 Block: 0 Addition: Carlson Acres
PID 10-16400-070-00
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Repair
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Gopher Company Lawrence D Linkert
2701 36th Ave S 4255 Pilot Knob Rd
Minneapolis MN 55406 Eagan MN 55122
(612) 331-1555
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113708
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 4255 Pilot Knob Rd
Lot:7 Block: 0 Addition: Carlson Acres
PID:10-16400-00-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Victoria E Munoz Tste
4255 Pilot Knob Rd
Eagan MN 55122--184
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142772
Date Issued:05/17/2017
Permit Category:ePermit
Site Address: 4255 Pilot Knob Rd
Lot:7 Block: 0 Addition: Carlson Acres
PID:10-16400-00-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Victoria E Munoz Tste
4255 Pilot Knob Rd
Eagan MN 55122--184
(651) 454-2498
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151978
Date Issued:09/20/2018
Permit Category:ePermit
Site Address: 4255 Pilot Knob Rd
Lot:7 Block: 0 Addition: Carlson Acres
PID:10-16400-00-070
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 -
Victoria E Munoz Tste
4255 Pilot Knob Rd
Eagan MN 55122--184
(651) 454-2498
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
For Office Use
,1%% i ���, :::
/S7/73
RE C cl•rr:�x . ry
Date Received:
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 l FAX:(651)675-5694 AUG 07 619 19 Staff:
buiidinginspections(ccityofeactan.com J
2019 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date:Aug 7 2019
Fee: $65.00
City Sewer City Water ✓ Repair Disconnect
Description Of Work: Trench and replace 7-75 feet of sewer line.
Street Address for Proposed Work 4255 Pilot Knob Rd
Name: Jarrett Linkertt Phone: 6514422708
owner Information Address,City/Zip: Trench and replace 7-75 feet of sewer line.
Applicant is: Owner ✓ Contractor
Licensed Pipelayer Master Plumber Property Owner
Name: McQuillan Brothers
Phone: 6512920124
Address/City/Zip: 1711 Hwy 36 E
Pipelayer Training Certification Card#: or Master Plumber License#:
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of 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.
Catherine EberleinflwilutA71-- At
Applicant(Print Name) Applicant's Signature
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www.citvofeasaan.com/subscribe.
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