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4871 Pilot Knob RdBUILDING PERMIT CITY OF EAGAN 3795 Pilof Knob Road Eagan, MN 55122 N2 4495. PHONE: 454-8100 i, , Receipt # 5ite Address i . "' 1, 11 o 0 Ka• _ Lot _ Biock Sec/Sub. = eC „ 33 Parce l #k cc Name I in 3 Address O City - Phone 45 ?- 39 2a _ ? Name z E o Address - u-C cc ~ Ci Phone v? W Name - W R Address - 'r Erect Occupancy I I hereby acknowledge thar I have read this applicotion and state that the information is correct and ogree to comply with all applicable Stote of Minnesoto Statutes ond City of Eogan Ordinances. $ignoture of Permittee Alter ? Zoning Repair E] ? Fire Zone -' Enlarge ? Type of Const. A+4ove ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvols Fees Assessment Permit ' Uts• Vi) _ Water & 5ew. _ Surcharge 1$. 50 Police Plon theck Fire SAC 4 7 5. tlf i Eng. Water Conn. Planner Water Meter Council Bldg. Off. APC Total A Building Permit is issued to: ` " - on the express condition that all work shall be done in occordance with all oppliwble Stote of Minnesota Statutes and City of Eagan Qrdinonces. Building Officiul .l.. Pwait # Doh Iwed PuwItM Plumbing ? S ^ ?' 7 C • Mechanicol --35--7 , .ct - 7 ..t INSPECTIONS ' DATE INSP. Rouph-in Find Footings , 6) I Date Inap. Date Irnp. Foundation Plumbing 10'2 `2 Frame/ins. Mechanical Fincl 'W?'? f Remarks: II-/f 77 ext ? ? CITY OF EAGAN 3796 Pllot Knob Road ! Eogan, MinnasoN 55122 Plane: 454-8100 PLLTMIIItJC _ PERMIT No. =',nril. 19, 197? Date: - Receipt No.: $ingle I Site Address: 4871 P 1 ZO t Knob Residentiol Lot Block Sub/Sec. _'?C' Multi Res., Comm./Ind. I Nome New/Alter./Repoir n r'i', . ? Address Cost of Instollotion City Eagan Phone: Permit Fee 20' 00 7- f Name GrqSZ & Lei1I(l?t?1 5urchorge ' ? ? Address n - O. Eiox _. ' 13 . City ' " , , - Phone: Total This Pe it is issued on the express condition that oll work sholi be done in eccorGance with all epplicoble Stote of Mi to Statutes ond City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Piiot Knob Road Eagon, Minnesota 55122 Phone: 454-8100 PERMIT Date: n`'tok,er 24, 1977 Site Address: 4871 Pilot F.noL- ?ZOad Lot 61atk 5ub/5ec 33 & 34 Nome GroSz & I,ehman ? Address p • 0• Box 1211 City '`'=z.sville Phone: Name . ? /Jdress Phone: This Permit is issued on the express condition that all work shall be Minnesota 5tatutes ond City of Eagan Ordinances. No. "9 e) Receipt No.: 07951 Singie I Residential ? Muls; new New/Alter./Repair. Cost of Instollation 10, r,1" Permit Fee . , : Surcharge ln. 5!i Tota I done in accordance with all applicable Stote of Building Officiol CITY OF EAGAN 3795 P91of Keob Aoad Eagan, MinnesoM 55122 Phone: 454-8100 HFATI"IG PERMIT Date: October 25. 1977 5ite Address: 4871 Pilot Knob R,d. Lot Block Sub/5ec. 33 N o. Receipt No.: ?7$5? Single Residentiol X Multi Res., Comm./Ind. I Name New/Alter./Repair new . ; Address _ Cost of Installation O City Phone: Permit Fee ? Name _ Ray N. Welter xeati.ng & A/C Co • Surcharge .50 ? Address 4637 M-icago Ave. So. 0 City ? Qhone: Totaf 20.50 This Permit is issued on the express condition thot all work sholl be done in accordonce with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Building Official ' CITY OF EAGAN ' 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 SLP?'IC 7'FL.•11h.. & P,RAIhF'I?:',? PERMIT Date• -??•;?r:,??,ar 14. 1r_,77 1 Site Address: . '-871 Pi 1 ot 1,'noL, T?Oan - I Lot Block Sub/Sec. No. 292 Receipt No.: 0$09=3 5ingle Residential .{ Multi Res., Comm./Ind. I Name New/Alter./Repair . 0 ; Address Cost of Installation O City Eagan Phone: Permit Fee A??• n 0 ? Name igearyrke Trenchii?? rz, Fs•cavati-icx Surcharge ? Address F?r?:'1 r1 if.f Road ycity Ir,,5?Q?'--Ln - =' 2 - Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. -_ s i' ?i „f ?• ' Building Officiol I `- CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE RECEI V EO 19 AMOUNT $ I 1L" OJ :?sDD DI Gn ?S $ DOLI?AR$ ioo ? CASH ? CHECK ? Z/- B Y ?- . NUMERICAL FILE COPY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHOME: 454-8100 BUILDING PERMIT Receipt # N2 % J p. 3.3146 To be us*d lor FIREPLACE IN '?Iue $1,200 Date JANUARY 27 19 v7 Site Address 4871 P I LOT FiC70B K[) Erect 11 Occupancy Lot 012slock 75 s?isub. SEC'I' 33 Remodel ? zonin9 Parcel W Name CLIFF GESSNER ; Address SA1qE ° City Phone 454-8610 o Name 5K3i•ti•iIT i:NERGY IhC ?< Address 7242 1•lASti I NGTON AVE SU ? ?:... F:DFN PRAI.aTF 944-6647 a ? W Name ) n Address < W City Phone 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. Signature of Permittee Repair ? Type of Const Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. [Z_ Sq. Ft_ Install Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. Var. Permit ? 4.) • y v Surcharge 1,00 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Copies Total ' y A Buildin Permit is issued to: SU!•1.K1TT ENERGY IN4 9 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' r PermR No. PwmH Holder Dah T~aN k Plumbiny H.V.A.C. IEI*ctrtc SaMow IrqpeeNon Dste Inap. Commenb Footfngs 1 Footings It FoundeHon Framiny RooHny Rouph P16p. Rouyh Htp. Inwl. Finplace U146 Finsl F#ty. Final Plby. Bldy. Ffnsl Cert. Oec. Deek Fty. Dtck Frmp. WeN Pr. Dlsp. CITY OF EAGAN Remarks Addition SECTION 33 Lot 012 e1k 75 Parcel 10 03300 012 75 Ownerr.' Z-' Street 4871 Pilot Knob Road state Eagan, MN 55122 .... Improvement 55337 Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 132.82 C003531 1-5-78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PEFi. 495 7533 - 9-23-77 sAC 475.00 7533 9-23-7 PARK 120.00 7533 -23-']7 INSPECTION RECURD ? COntrol No. ?? ?P13 CITY OF EAGAN PERMIT TYPE: QUI I l1IMR 3830 Pitot Knob Road Permit Number: 0 0 0 4 3 C+ •b/wt /91 Eagan, Minnesata 55123 ,,Date issued: (612) 681-4575 SITE ADDRESS: t oTt ai z BLUCK! APPLICANT: 4811 P1LOt KNDN kU NE!lSCFiEM DAMtEI R SECT1l3N 93 (612) 688-7397 PEPM IT !Wp , Ty Fif? TYPE OF WORK: nDDtrYON Rf IIARir 5 r Rf:CE 1 i'T • Fsrmlt No. Permn Hokler oea T.hphone !i s11N PLUMBING HVAC eLEcI-Ric G ?r 3 ?p °a ELECTRIC Inspwtion Oah 1nsp. Comm?nta Footings I Foundation Framing /%-"` 5?/C..L. Raoling `a°"gr' Plbg. 7 Y 3 ' a, Fiough Htg. Isul. ' Fireplace Final Fitg. Orsat Test Fx?91 Plbg. Pfbg. In6padOr- No1itY Plum6er Consl. AAeter EngrJPlan Bldp. Flnal r ? Deck Ftg. Deck Final wsn Pr_ oiW, ? F^;c i/4/9s- 2 Q??/] ? O ? O OFFICE USE ONLY This requml void IB moM hs fiom volidanon doM pnnicd in?;,973i G ? ?$?' o0 PLEASE PRINT OR TYPE ? D- 033 0 0- D - 75 r Rpumt Dak Roueh-in inspedion required4 [] Yes o Inspeeion Other Than Rough-In: Reody Now ? Will Call g'L fYou muxl mll the inspecror when ready) Oaie Reody: I, icensed conhactor ? owner hereby request inspection of the above electrical wark af: lob Pddress (Slreel, Box, or Rou ? f h'S?/ / Ciry ? ? y? Zip da w a Satlion No. Township Nome or No. Range No. Fire No. Co?? ? 7I1 ?1 l. p??oanL Phone No. N U !J'e$L t? 4?' PowerSoppliar Address [ Eletlriml Commtlor ompany Nome? ? Caimmaar Limrvse No. Maskr Lic. No. (Plam Elen. Only) " x r 6 .4G Mailing Pddn nhatlor or O«ner P rming Immllarion) ?? u??? ??0( 8 ? c.+ato 0 nuduudud sia re Icom.e o, oomn Ane iMmn n fo ? Phona No. ?L / EB-OOOD1A-10 95 ST?fEBOA11DCf5RY-SEE?lSTRUCTIONSONBIICKOFYELLOWCOW REQUEST FOR ELECTRICAL INSPECTION v?- Minnesota Stata Board of Electricity 1821 Unive!sity Ave., Rm. 5-128, St. Paul, MN 55104 111111111 I 111111 * 0 @M8 R ? 0 O*. Phone ?n? 642-OB00 (?a '/?& ? Home Duplax Apt. Bldg. Other: New Addn C ercial Indusfrial Fartn Remod Re air ir Cond. Hfg. Equip. Water Hic Load Mgmt. Other. D er Ran e Elec. Heat Tem $ervice "X" above the work covered by fhis request Enter remarks in this space and on t6e back of ihe whife copy only. Calculale Inspet/ion Fee - 7his Inspectian Request will not be occepted without fhe correct fee: OTher Fee S Service Erdmnce Sae Fee # Cilcuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheet Ltg./Traffic $ig. Above 200 Amps Abov 00 Amps Transformer/Generator INSPECTOq'SUSEONLV TOTAL ?? $ign/Oufline ltg. Xfmr. 0D eQ Alarm/Remote Control Swimming Pool i hercb um thai i m ed me decmmi m:aliar d?:<nbad he?m o? the daks m Irrigtition Boom Boogn-?? D.? $pecial Inspedion Investigafive Fee Final ? ??? - Da ? THIS INSTALIATION MAY BE ORDERED DitCONNECTED IF T COMPLETED WITHIN 113 ONTHS. JAZ .- 25 359 ? ,LGt?' /?76 X/lP ? Request Dete iire o. RougRin Inspectbn Requiretl? ? ReaEy Now '*Jill Noiity Inapedor : NOV? 19, 1990 ?ves No WhanReady? IEKlicensed contractor ? owner hereby request inspection of above electrical work at: .lot, AWress (Siree6 9ox or RoWe NoJ Ciry 4871 Pilot Knob Road Eagan Seclion No. 7ownship Name or Na Fenge No. Counry Dakota Occupenl(PFINT) Phone No. Dan Henschen 688-7397 Powar Supplier AtlCress DEA Farmington Electncal Comracmr (COmpany Name) ConhectorS License No. Corrigan Electric Company 039549 8 Mailing Atltlress (COnVaclor or Owner Makinq Installalion) P 0. Box 475, Rosemount, MN 55068 AN? n 0 ignawre (COn ra ner aking Installation) Poone Num?ar , 423-1131 MIN ESOTA STATE BOA ELECTHICITY THIS INSPECTION REOUEST WILL NOT GrlqgrMlOway BMg. - Rb,Ghq 3173 gE ACCEPTED BV THE STATE BOAfiD 1821 UnIVmI1Y ave., St Poul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plnna (613) 642-0B00 ENCLOSED. /0?3??/O REQUEST FOR EIECTRICAL INSPECTION EB-00001-OB ? ? See iTSRUqions tar completing fiis lorm on back oi yellow copy, m 7s'Isq "X" Below Work Covered by This Request ew Add Rep. Typeafeuiltling AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Other (Specify) Comm./Industrial ' Fmnace Farm Air Conditioner otne.(speciy) contrectorsAemems: 2)(AL MErwM NG- Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps /• Do Translormers Ahove 200 _ Amps A 0_ Amps SignS Inspecmr5 Use Only: NTAL f ?O Ircigation Booms l ! 4o -? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCCIMNECTED IF NOT Olher Fee •$p COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oeca certity that the above inspection has been made. F?ai ?`:?' - ` o,/? a 7? OFFlCE USE ONLV This requesl voW 18 months Irom ?? K450 7 ?W417 Raq est Dale F116 o. RoughL Inspeclion • ?? /_/(1? p? ??? L? ? Reedy Now 8? Will Notity InspeciM V ? Wren Reetly? I= licensed contractor 1:9 owner hereby request inspection of above electrical work at: Jcb ArlOress (Street. Box or Roule Na.) Cily P`lo)'' K?ob ?Po Section No. Township Nama or No. R OPqlNTi Nn ;e l yQ /?eH 5? ev, Power Supoler Daka,;t EIed?:t qs-?&c Elecincal Comracmr(Company Name) JornfownCA-- Adaress iCOnVactor or Owner Making Installation) ? Ci /'? Q Q ki arge No. County 02kat"4 Phone No. 6SS'-739 Itlress y300 !.J .?o70,-tijFaMM"ry ConhactorS License Na. MNI H tl SignaNre IConv or?Ow ar I?gking Inslailatbn) I K. ?n?u? - 3 7 I ? ?' MINNESOTA STATE BOAFD OF ELE?CTAICITY THI$ INSPECTION FEQUEST WILL NOT Griygs?MlEway BIUg. - poom St]3 1- BE ACCEPTED BV THE STATE BDAFD 1821 Univenlly pve., SL Paul. MN 55100 3 ? UNLES$ PROPER WSPECTION FEE IS Phone(61]) 602-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION nee.a ? a "? 45067 See inslmdians lor complJting (his form on back of yellaw Capy y?/Q "X' Below Work Covered by This Request ew Adtl Rep. Type of Building AppliancesWired EquipmeniWiretl X Home Range 7emporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Spetify) Comm./Indusirial Fumace Farm Air Conditioner Dlner (sVeciN) Convectw5 flamarks' ?Compute Inspection Fee Be/ow: 3 sit4son # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps - Amps SignS Inspeclw§ Use Only: .1 W iOTAL ,cyF? Irrigation Booms ' ? Special Inspec[ion i Alarm/Communication TNIS INSTALLATION MAY BE O PISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MCSNTHS.; I, the Electrical Inspector, hereby certify that the above inspection has bee n made. RL??, oa„ ? OFFICE USE ONLY Tbis request voitl IB months fmm This iequest void 18 months from ?r0 D 33 OD O/ d 7S, ,:P,?J' 7? •- i6 o3yoa o ?i so 'Date ?of ty s Request P 2 6 0 2 3 I, as Ud'Licensed Electrical Contrac[or Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 40 /1 24d leyW, ", City rz "'^' Section? d?Township Range County Which is occupied by?Z-//Ld4lL 41' &d'?/'??l ?' (Name of Occupanq [s a roughin inspection required on this job? No ? Yes ? Ready Now W_'?Will Call ? Power Supplier??? G6? Address ir?/?"/l!/YI?'L ? . Electrical Contractor Contractor's Licenae Nfj? Mailing Address Authorized Signature l?.J? ? G4GLLU Phone No. - -7 f??6 (EII Contractor o? Ow r Making This Installatlon) STATE BOARD COPY ? Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL INSPECTION rCHECK BELOW WORK COVERED BY THIS REQUEST p 26023 Type o( BuOding New Add. Rep. Check Appliancea Wired Foi Check Equipment Wued For Home ? ? ? Range ? Tempocary Witing ? Duplex ? ? ? Water Heater ? Lighting Fixtuies ? Apt. $idg. ? 0 0 Dryer ? Electtic Heating 0 Commercial Bldg. ? ? ? Fumace ? Silo UNoadet ? Industrial Bldg. 0 ? ? Air Conditio et ? Buik Milk Tank ? Farm ? ? ? List J? ?.ry?yy?7 List Other E1 El 0 Rthers? eie f G- the exe COMPUTE INSPECTION FEE BELOW 090!tx INW-10, Service Entcance Size: # Fce Feeders& Subfcedeis: x its: Fce 0 to IOD Am s. 0 to 30 Am eres m eres 101 t o 200 Amps. 31 to 100 Amperes Am eies . C? Above 200_4mps. Abme 100 Amps. Amps. 7 Transformers RemoteConvolCirc. therfee Signs S ecial Ins ection ce 55.00 Remazks TOTAL E r C G' I, the Electrical Inspector, hereby certify that the above inspection has been made. ? (Rough-in) Date (Final) Date -/?-7 This request void 18 months from ` 'f °"?<"' PPOW- {quest void 18 months from L?D o??o aia>,sJ ??, io 2??0o elJ-sd ? 38357 Date of is Request TI'.iZ`M,&1,R- T t9?? ? I, acensed Electrical Conuactor ? Owne:, do hereby request inspection of the above electri- cal wiring installed at: City 46A'4 Street Address or Route No. 46 ? ? R47 KA06 14. ?ion !E? '--_7Township Range County ilAA Which is occupied by ??rtZ:'{" L.".uR+J ED(LS• Is a roughin inspection required on this job? No ? Yes:K? Ready Now ? Will Callk Power Supplier J.7AX.6i'A '_ZtX - Address ?FAZm, a67U.l ' Electrical Contractor &_LL Z)'-Ck ' Contractor's License No3-Z-" MailingAddcess_14'?1 Clt h' (U. gU.?2?,15?/llt? , AlA 55337 (Electrlcj) Cont o r Owner Makln9 This Installatlon) Authorized Signature / Lv?^---- Phone No. ??'s= (Electrital Controct er Making This Installatlon) STATE BOA &$Y ? ? Minnesota State Board of Electricity ? 1054 University Ave., St. Paul, Minn. 55104-Phone 645•7703 REQUEST FOR ELECTRICAL INSPECTION ?CHECK BELOW WORK COVERED BY THIS REQUEST U '?'/z / G _p 38357 Type of Building New Add. Rep. Ch¢ek Appliancea Wired Fm Check Equipment W'ved For Home Duplex ? ? ? ? ? Range Water Heater ? Tempoiary Wiring Lighting Fixmres ? Apt. Bldg, ? ? ? Dtyer Electric Heating ? ercial Bldg. ? ? ? Furnace ? Silo Unloader 0 ustnal Bldg. ? l ? Cl ? 11 ? 11 Au Conditioner List ? Bulk Milk Tank List ? Other ? Q ? Hthers ete ) ? Rthecs e COMPUTE INSPECTION FEE BELOW ServiceEntranceSize: # Fce Fcedeia&Subfcede • -#. -? ?\ ??1 ` iU: x Fce 0 to 100 Am s. 0 to 30 Am res AN115 Am eres 101 to 200 Am s. o 31 t Am xes c 31 t o ]00 Am ees Above 200 Amps. g Abo00 Amps. - Above 100 Amps. Transformers RemCon Vol Citc. Paitial or othei fee S' ns Spens tion Minimum fee $5. Remarks O c TOTAL FEE 4w ap ? I, the Electrical Inspector, hereby 6?iHfy thaf 've in ction has been ade Q. O' (Rough-in) ''i'?? ? Date ??`' ? (Final) DaYe ?Z - ? This request void 18 months from CITY OF EAGAN 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, nnN 55121N° 13146 PHONE: 454-8100 BUILDING PERMIT `? Receipt q / 7 T Tobeusedtor FIREPLACE INSW&Ue $1,200 Date JANUARY 27 1987 SiteAddress 4871 PILOT KNOB RD Erect ? Occupancy Lot 012 Block 75 Sec/Sub.SECT 33 Remodel ? Zoning Parcel No. W I Name CLIFF GESSNER 3 Address SAME ° ciry phone 454-8610 o Name SUMMIT ENERGY INC $¢ nddress 7242 WASHI.IGTOiV AVE SO P ciry EDEN PRAhWE 944-6647 .? ? W Name ? m Address o a W Ciry Phone I hereby acknowletlge that I have read this application and sfate that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of E an Ordinances. Si9nature of Permittee O-AA GM? A Building Permit is issued to: SUMMIT ENERGY INC all work shall be done in accortlance with all Building Official State ot Repair ? Type of Const Addition 0 No. Stories Move ? Length Damolish ? DepM Int. Impr. a Sq. Ft Insfall Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date T Permit $23.90 Suroharge 1.00 Plan Review SAC Water Conn. Water Meter Road Unit Tr. Pa Copies 7otal $24.90 on the express condition that and Ciry oi Eagan Ordinances. cIn oF enc,AN 3795 Pilot Keob Rood Eagan, MN 54122 ' - PHONE: 4548100 BUILDING PERMIT APPLICATION $37,000. Receipt .# Site Address 46/L p10L KpOD KU. Lot Block Sec/Sub. SeC. 33 Porcel # 10 03300 012 75 rc Nome GL08z-LC'hmaIIII Z PO BOX 1211 ; Address 454 2?5 ° - '-' '-- ---- z ? 0 VSy r Name _ Address Name _ Address N? 4495 7533 Erect pK Octuponty I Alter ? Zoning A Repoir ? Fire Zone 3 _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 64 ff. Grade ? DeDth 26 h. Aoorarals Fces P.ssessment Permit 108,00 Water & Sew. Surcharge 18.50 Police Plan check Fire SAC 475.00 Eng. Water Conn. N AV8i1 Planner Water Meter Councii Park Don 120.00 gidy. ppf. Planner 45.00 ApC 7otal 766.50 1 hereby ackwwledge that I have recd this opplication and styte thot the information is correct and a9fee to comply, with pll q{lplicable Stgte of MinnesotoStqW A City of Eag r 6an irs. Si nature of Perrri ? A Building Permit is issued to: TOS2-I.E}IfRBII _ oll work shall be done in occo nce with?oll pplica Ie StMe of inns Buildirg O4ficiol ?oC .cr i E„ , on the express condiTion that Stotutes and City o£ Eogan Ordinances. RESIDENTIAL BUILDING PERMIT APPLICATION ? l ` I' CITY OF EAGAN "T `T 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConsWCtion Reauirementa • 7 regislered site surveys showirg sq. R. of iot, sq. R. of hause; and ah roafed areas (20% mazirnum lat coverage aliowed) • 2 copies of plan showirg beam 8 window saes; poureC found desgn, etc.) • 1 set of Energy Calculatians • 3 copies ot Tree Praservauan Plan if lot planetl after 7/1193 . Rim Joist Oetail Optioris selecUon sheet (bldgs witb 3 or less unitt) DATE d ? I ? ? 02 SITE ADC TYPE OF IULTi-FAMILY BLDG _Y 4?N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT D,l`y L-e'P Oiy I C) Ck STREETADDRESS CITY Lqa:aG1 STATE n1j?ZIP iELEPHONE # ZO(5I - YDS'1,53(cCELL PHONE #(p/? -CvclV(p FAX # 7Co 3' S?/S - 77 U g "743 01 - (;koK wx PROPERTYOWNER P?w1 °I-IVIa+^yCeP e/atS!/Dd- TELEPHONE# 71v3-S?i-?oyoy r , ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVVEtiOT:I RIiI.F,S 7670 CA'I'LGORY t NII. fAUG (J submission lype) . Residential Venulation Category 1 Worksheet Submitted C e o sh. Energy Envelope Calculadons Submitted 0 1 2002, Plumbing Contractor: Phone # Plumbing system includes: 4Vater Softener _ Lawn Sprinkler ee: Water Heater _ No. of R.I. Baths vo. of Baths Mechanieai Contractor. Mechanical sys[em includes: Sewer/Water Contractor: Phone # Phone # Fce: $70.00 ----------•----------•--------------------•--°°--------°•------------.....-------------°-.....------------------------ I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicanf ?? OFFICE USE ONLY .air Condiuoning Hcat Recovery Svstcm o o-? RemodeUReoairReauirements &' -D 3 -0 -), • 2 copies of plan • 1 sel of Eneryy CalculaGons for heated aCditions • 1 site survey for extenor additions 8 decks . Indicate if home served 6y septic system for additions VALUATION Y' 6 ? ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Oi Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex X 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair x 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Oemolition (Entire Bldg only) - Give PCA handout to applicant Valuation ? Occupancy U" / MC/ES System - Census Code ?! 3y Zoning Ciry Water - SAC Units `- Stories Booster Pump ' Nbr. of Units '- Sq. Ft. 17 PRV Nbr, af Bidgs '- Length ? Fire Sprinklered `r ? Type of Const j/_/y Width ??- REQUIRED INSPECTIONS _ Footings (new bldg) FinaL'C.O. Footings (deck) ? FinaUNo C.O. ? Footings (addition) _ Plumbing ? Foundation HVAC _ Drain Tile Other S'79LUc7UGl9L ..S4-Ai3 Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ [nsufation _ Rewining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8, Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other Total ? CITY ;6F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 000435 05/01/92 SITE ADDRESS: DESCRIPTION: REMARKS: i RECEIPT N ?b I g'S ! FEE SUMMARY: Base Fee Plan Review Surcharge 5ubtotal VALUATION $126.00 =81.90 $5.50 $213.40 $11.000 COPIES $2.00 Total Fee $215.40 CONTRACTOR: OWNER: - APPlicant - IiENSCHEN DANIEL R 4871 PILOT KNOB RD EAGAN MN (612)688-7397 I hereby acknowledge that I have read this applicatiors and state that the information is correct and aqree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? 4871 PILOT KNOB RD LOT: 012 BLOCK: 75 SECTION 33 Building.Permit Type RES. ADDITION Building Work Type ADDITZOro 'BUilding Length 14 . ? Control No. 0363 I Building Width ` 14 I ? ? h??mdr.Gw,ti? ? R p:rl .?f AP ICA T/PERMITEE SIGNATURE 155UED B: SI NATUlE INSPECTION RECORD I C°nt °"°. 0363 CITY OF EAGAN PERMIT TYPE: BuiLpidG .... 3830 Pilot Knob Road Permit Number: 000435 Eagan, Minnesota 55123 Date Issued: 05/01/92 (612) 681-4675 SITEADDRESS: LoT: 012 BLOCK: 75 APPLICANT: 4871 PILOT KNOB RD HENSCHEN DANIEL R SECTION 33 (612) 666-7397 PERMIT SUBTYPE: RES. AppITION TYPE OF WORK: ADDITION INSPECTION SITE ., . FOOTING DA FRAMIMG YNSULATION FINAL _REMARKS: RECEIPT M 1- ? cirr oF EAc,AN 1992 BUILDING PERMIT APPLICATION 6814675 APR 2 Z RECo 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 specif9cations, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date ?nri'/ / a0 //9902 Valuation of work Site location: y9// AO' Pi/o_? AVa,? o °_T2EET STE M ` 0 ah, Tenant Name: 0 e.1 hf ?c?rsGh?y? LOT 0 BLOCK 2:C& FSUBD. 3.3 P.I.D. # Descri tion of work: «r c!aso or hea,?ed u<2s/ The applicant is: ? Owner ? Contractor ? Other (Describe) Name Phone !?,8?-731?7 Property LaST FIRST Owner 21b'71 P l Adaress / aa STREET STE # City ? 2State /V A) Zip JrS/a a- Company -*=w95y- hv?e vwn p.- Phone COt7tYaCt01' Address License # City State _ Zip Company o h-+e vw ?? Phone Archttect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 1,9 or,-P- 17P ,ede e-1 . 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 correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H 0 05 Apt. Bldg. WORK TYPE r 90 New ? 91 Addition ? 92 Alterations ? O6 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL iNFaRiVlATlOhl Occupancy _P 2j Zoning Const. (Actual) (A1Towable) # of Stories Length ? Depth 14, APPROVALS Planning Engineering RECIUIRED INSPECTIONS ?11 Res. Ad ./ orch__--, 12 Camm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 96 Move ? 97 Demolish ? 99 Undefined r ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous Basement sq. ft. MWCC System lst F1, sq. ft. City Water 2nd fl. sq. ft. PRV Required Sq. Ft. total Booster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code On-site sewage SAC Code Building Assessments Variance ? Site Footing ? Wallboard ? Final P[ Framing ? Draintile Y 3 V ,0?Insulation ? Fireplace veluac;on: Permit Fee °?. ---- -- Surcharge 5,5 e ? Plan Review ai,qC? License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies ?t.co Other Total: u A,4,? SAC % SAC Units • " Sk: 27/3 j . . ., T?'Sd 553s7 ? DELMAR H. SCHWANZ LANOSURVEVOR RptfUrW UnOer Lawt Of Th! Sble Of MinnlsOU 11615 SOUTH ROBERT TRAIL P.O. !OX M ROSEMOUNT, MINNESOTA Sb068 K ? J'0" ? PHONE 812 423-17E9 SURVEVOR'S CERTIFICATE ?dE corner NE1/4 SE1/4 NW corner NW;/4 S'vll/4 132.05 i'49 na I ?'l ?890 se. 9000`? , 2J,. 1 C? ? C PAF ^. F;r p ? lf/ew ?-1 - ?.. lx l° I ?e I 21. m 0 Z t- SCAL° i inch=;!' ft. o Denoter iron o i 1 a I 1 ?0 58 33 33 I hereby certif';; that this :s a t^ue and correc? repr senta? on of a survey of the boundaries of: PAr.CF.:, A The nortr 164.34 feet of the east 132,0: feet of the tvorthea--t Quarter of the 'outheast Guarter of Sec±ion 33, Township ?7, Rmt-,e 23, Dakota County, i!iznesoLa. PAR^EL B The north 204.94 feet of th(. west 132,05 feet o^ the *lorthwest Quarter of the Scutnwsst @sarter of Sect_on 34, ToWnsh:p 27, Ranpe 23, Dakota Cou-ity, F:innesota. Sutject to Pilot iLnot Road. To*.al A^ea o: Parcels A and B- 1.00 Acres As surveyPd hyrne tt:is 12th day of August, 1977., ?, . MiNNE50? REGISTRATION NO.B625 . ? •. nnxE S PP? a7 /,/ I 77 BUILDING PERM2T APPLICATION include 2 eets of planar i aite plan w/elevations and 1 set of energy calculations. ?p ?j ,? To be used for R?IOENT!/JL H?V 5C i?/???i?akion ?Od, 0 0 0- Site Addreas: 417 PDAD Lot Block Sec. /SUb. Parcel Nmnber - /p Q 3 3 00 O/ a.?S aaner G/QO5 Z V- ncldress ? Contractor SAr?i'? _ Addreas Arch./En Address Erect Alter Repair Enlarge Move Grdde + OFFICE USE pate of Approval & Initial Assesament 9,Za.?/r7 G1 ?. water/Sewer Police Fire Eng. Planner Oouncil - 2-7 7 Sldg. Off. A.P.C. PAvc G&s z ?sa - ?a 9 Telephone A-5A/ E M /11 S - • .?._.__, ._.....?_ Telepho t? h ? Tel?i'hone (? L? OFFICE USE OccupancY JC Zoning Fize 2one Type of Const. • q of Stories ? Front DePth 2 f? FEES Permit /b,5" Surcharge ? g- Plan Check SAC ''- FTater Conn. 47ater Meter ' ?2a q s'? TAL / ??, Survey for: Att: Ken Lehmen gk, 17/3 Gross & Lehmnif , P.O. °Box rZll Burn3ville, F'W 55337 _ DELMAR H. SCHWANZ LAlJDSURVEVOR Reqi3laiatl UnEer Laws ol TtlOStale af Minnssota 14515 SOUTM HOBERT TRAIL P.O. BO7( M ROSEMOUNT, MINNESOTA 56088 SURVEVOR'S CERTIFICATE NE corner NE1/4 SE1/4JTNW corner MW1/4 S?J1/4 132.05 y 132.05 _1 _ PHONE 612 423-7789 sr,AL° 1 tnch= W ft, o Denote! iror. •y7- cb •. i 32.03 132.05 zi se 33 33 I hereby certify that this 13 a true attd correc repr Gentat on of a survey of the boundaries of: PARCF.L A The north 164.94 feet of the east 132.05 feot of the NorLheatit c?uarter of the Southeast Q,uarter of SQCtion 33, Townshlp z7, Ponge 23, Dakota Caunty, 14innesota. PAftC EL B The north 164,94 feet of thc wQSt 132.05 Feet of the Northwz)st ruru^ter of the Southwest Quarter of Section 34, Totenship 27, Fa.njo 23, Dak,ta County, Y1*inesota. SubjeCt to Pilot i{nob Road. Tota1 Area of Parcelo A and B? 1.00 Acres Aa aurveyed byme this 12th day of August, 1977,. ` .'? MINNESOTA REGISTRATION N0.8625 4 .. /3 / ?16 1987 BOILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 OF SOHOEY, 1 SST OF ENERGY CALCOLA?IOHS DiOTE: ADDRESSES FOR CORNES LOTS - COHTRACTOR/HOMEOWNfiR MOST DESIGHATE WHICH ADDHESS IS DESIRED. NO CHANGES iiILL BE ALLOWSD ONCE BDILDING PERMIT IS ISSIIED. MOLTIPLE DNEL.LINGS - RFSIDENTIAL RSNTAL QAITS FDR SALE DNIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0.'1MRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, Ke7trl- F ? ??? Ty'r5emT w$2,000 LANDSCAPE SOND ? (1.EP?A?t.? / C,t ju$? 6ie .u,t-nrz F l °l$4 5 ?D,42D - ( 5 ? /t?rr.H r-D? To Be Used For: ?- Valuation: I fa,(?1?,?}0 Site Address 'Q?7I Pl(?L? {GiVpI,3 (LI? OFF Lot 01a Block 7? On Site Sewage_ c? .s M4JCC System Parcel/Sub de?.?' ?.?i On Site Well Owner c,4IF- (SC:SSI?? City Water - Address L{671 QiOl-? KNQ(? P? City/Zip Code E4(TAN ? MA/ Jr"?ja.q, Phone ?5Q- $(pj(? I APPROV6LS Contractor ?jvtrl/?Mj 1- El4/tD2(y'?1 „i?t/G Address ?9Qr?, wASNiA/(y`I?V /1'? 5 City/Zip Code Phone ?Q9-(y(pq`7 Arch./Engr. Address City/Zip Code Phone lk Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance 70 E7c15-7706- NYt1450WA+'i gH,e-LfleJ i4S oD62.. NFPRa ll (on 5Y'AlN7XiS Date: 97 D*V r 1IWM4 RS PE12. USE ONZ.Y I LAL Oecupancy Zoning Type of Const (Actual) (Allowable) 11 of Stories Length Depth S.F. Total Footprint S.F. FEES ?jo Permit 23. ' Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL /0 0 33 00 75- ? RF 9 OI.U?' T. ON CTTY OF Es:G6N 61HEREAS, a public hearing pursuant to notice was held at a Regular meeting of the Eagan Advisory Planning Commissioa oa July 26, 1977 coacerning the applicatioa of Renneth Lehman and Paul Grosz fos waiver of aubdiviaion requiremeute under Sagan Ordiaance No. 10 coveriag the follariug deacribed premieee: Norft,'-yi. of North. one (1) acre of West four (4) aares of NortYaiest 14 of Southaeat 14 oY 3ection 34, T27, P23, Dakota Caantp, ltl.imeaota accord3ng to-Government:Sltavey thereof and - Legal of Parcel A. The aorth 164.94 Yeet of the east 132.05 Yeet of the Northeast Quarter of the Southeast Quarter of Section 332 Tawnahip 27, Nange 23, Dakota County, Minnesota. fiHEREAS, a msjority vote of the members of the Advieory Planning Commie9loa, vith a quonmm being preeent at [he hearing, voted in fanor of racommeading apprwal of such application; and. 41HEREA5, a Regular meeting of the Eagan City Crnmcil, Dako[a Coimty, •• Minnesota, vas held on August 2, 1977 at the City Hall at 6:30 P.M. all members being present.em=p= NOW THEREFORE, upon motion of RYdrYch , seconded by Smith , all Council membere voting in favor except: Wachter who voted no. it was RESOLVED that said applicatioa for waiver of sabdivision requirements coverinR the above desczibed premisea be, and it hereby is, approved. DATED: Aueust 20 12'j7 CITY CO CIL - CITY OF,EAGAN E7(CMf'T FP.O21 STATE gy; i ? DEED TAl{ STA14PS Ita Mayor _?-- R T I F I C A T I 0 I, Alyce Bolke , Cletk of the City of Eagan, Dakota Co+m ty, Minnesota, do hereby certify that the foregoing is a true and correct copy of a RESOLUTZOd adopted by the City Council of the City of Eagan, Dakota County, Minnesota GO AiigyCt ?194W DBAFfED BY: CITY OF EAGAN 3795 P11ot Knob Boad Sagan. Mnneaota 55122 ?. City C rk City of Eagan (SBAL) K•p. . /D O _43Lw D/,?, >-y Millrr.Mus Cn.. MinnoapI-li1 \ ?. ('Iaim Deed Form No. 27-M Minncsnta UniForm Cunvcyan.in} Blank. (R..I.oJ.l?'41 Indn'iJVal1olnJiridual .._......__._...,_."- .---- ..-.. -. ?iji? 3lTtaenture? ,1lndr lhix 31St dnry u/ AllcJL15t rg 7 7 t-talcolm D. Reid and Susan R. Reid, husband and wife „/' fh?• ('"rnrly o/' iiennepin rrnd Rlrl1e u/' blinnesota ie!j,/ Ih, /irni ie,,l Kenneth C. Lehman and Paul It. Grosz ,,j'!hr !'ounti/ of li2riII0plri., . .. . rert.d $tatr of' i$1riRE950Ld parf 1eq)J tAr,vrronrl part. WllriCgkiClfJ. 7'ltat the s¢id part_3,e&_ o/' the flrst part, iro con.ci.dvratioa n/ Uiv ?uno nJ' ane dQllar and.other.q.o..od_and.yaluable consideration tn the 1.Y in hand paid by the said part_1e.`??of the second part, tlte rerrint uArr(."/ r=: !r, reLll n,knnudedged,do _ henrhy (>'rwat,Barlairo,Qwitclaem,and ConUeyunto the said pnrt 1eS "j t1".,"rortd parL thelY'heirs nnd as.rigns. ForeuPr, all the Lr¢ct . or pnrcrl nj (nm7 li/rn2 ari,l hNingin Uie ('ounfyof FiO.i]Tl_2p1i1__._..___..__ dnd SL¢teof ?l9innesot¢, rle.ecribf•d n.rfnl7na.+, to-uit The north one-half of the north one (1) acre of the ?- west four (4) acres of the northwest one-fourth of the soutawest one-fourth of section 34, township 27, range 23, Dakota County, :!innesota, according to the Government survey tiiereof. and Tlle north 164.94 feet of the east 132.05 feet of the d?a-73 Iortheast quarter of the Southeast quarter of secticn 33, township 2', rangc 23, DaY.ota County, Mlnnesota according to the Government Survey thereof. State Deed Tax: $2.20 /D - 033a4 o1a-75 R39 QI.UT.T.OId CYTSf OF EAGFSI WAEREAS, a public hearing pursuant to notice was heid at a Regular meeting of the Eagan Advisory Planning Coomission oa July 26, 1977 coacerniag the application of Kenneth Lehman and Paul Grosz for waiver of aubdivisiaa requirements under Eagan Ordinance No. 10 covering the following described premiaes: North ]!? of North one (1) acre of West £our (4) acres of NortYiwest k of Southwest 4 of Section 34, T27, R23, Dakota County, Minnesota aceording to Government Stixrvey thereof and - Legal of Parcel A. The north 164.94 feet of the east 132.05 feet of the Northeast Quarter o£ the Southeast Quarter of Section 33, Township 27, Range 23, Dakota County, Minnesota. t7HEREA5, a majoritp vote of the members of the Advisory Planning Comissicm, with a quonmm being preaent at the hearing, voted in favor of recwomending apprcval of such application; aad. WHEREAS, a Reeu].ar meeting of the Eagaa City Couacil, Daketa Coimty, Mtxmesota, wae held on August 2, 1977 at the City Ha21 at 6:30 Y.M. all members being preseat.11x N047 THEREFORE, upoa motion of RYdr9ch , seeoaded by Smith all Council members voting in favor except: Wachter who voted no, it was RESOLVED that said application for waiver of subdivision requirements coveriag the above described premisea be, and it herebq is, apprwed. DATED• Au¢ust 20 1977 CITY CO CIL - CITY OF EAGAN EXEMPT FP,OI1 STATE gy; DEED TAX STAMPS Its Mayor C E R T I F I C A T I 0 N I, A1yce Bolke , Clerk of the City of Eagan, Dakota Colmty, Minnesota, do herebq certify that the foregoing is a true and correct copy of a RESOLUTION adopted by the City Council of the City of Eagaa, Dakota'County, tfinnesota O° ?.guct 2, 1477 DRAFfED SY: ?e< i0?e?-? CITS[ OF EAGAN C:?ty C1 rk 3795 P31ot Knob Road City of Eagan Eagan, Mixmesota 55122 (SEAI,) 1 vnM;.rcE ciTx oF EnaaT? 3795 PTrJoT I{ 'OB ROAD Encar;, ru I 'ESOTa 55122 The Caunnil of The Citq of Eagan hereby granta a variance puraua,nt ta apglication of Kenneth Lehman and Paul Grosz d0Ad _ Julv 12, 1977 for the folloaring pnrppge Oariance from 5 acre provision for single £amil,p dwelling on agricultural land - subject to the attached conditions. 33,0'- 3y: Date approved: August 2, 1977 Fees Paid: $50.00 B3': -Z?7 Attest: ? -Cler -'-- . ,-? 7 HOARD OF APPEALS. The Council members and Mrs. Blomquist wexe present. k? • 1. Lehman and Grosz Variance. Mr, Lehman and i1r. Grosa appeared on behalf of their application for variance f-rap five-acre provision and from one-acre requirement for secrer and iaater tor coastruct£on of a home on a nne-half acre F^.rcel on Pilot Rnob Road, The APC recomnended denial. The appiicants indicated that they would acquire a 165 £oot by 132 foot deep parcel immefliatelq West of the parcel from M.F. tliekelson; further, that they would grant a 75-foot half right of way for Pilot Kno6 Road. There was discusaion concerning the lack of hardship and the possibility of platting the properCy into two oae-acre paraels with the understargiing that platting of the two acres eiould be basis for granting the permits. Rydrych moved and Smith seconIed a motion to reeouenend approval of the application on the basis that; 1) Each tot complies with the one-acre minimum. 2) That the applicants acquire a fu11 acre to the t7est to be attached to the acre parcel, whieh is the subject property, and '.) That the applicants grant a 75-foot hal: right o' way L-or F,ighway '?131 prior to the grant o: the building perm3.t. L:11 memUers voted in favor except iTachter and Blomquist, who voted no, and the motion was adopted. ?? 3 ? RESIDENTlAL 5 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructian Reauirements • 3;eqislereo ste surveys showinq sq. ft. oi:ol, eq. k. of house; and all moled areas j20°e maximum bt coverage allowea) • 2 cocies of pian showing beam 3 winaew srzes; ooured found desgn, ztc.) • 1 set of Energy CalcWations . 7 coDies of Tree Preserva6on Plan if lot patted aRer 711193 . Rim Joist Detatl Options selection sheet jbldgs with 3 of less units) DATE a-Oa RemodeVRanair Renuiraments //3- • 5 • 2 :Opies of plan •' set of :nergy Calcula6ons for peated additions . !;de survey for ex[enor additions 8 decks •!ndicate !f home served hy septic sys[em for additions VALUATION SITE ADDRESS I87I P' lot Ko0? ? MUL11-FAMILY BLDG _Y N TYPE OP WORK'?? a? ,0k- Rcx-g /l FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Pcu(l STREETADDRE$5 6C7I `?o•Ook ?sc;,^R- CITY k,la;.;s I{?cQsSTATE/W ZIPS67o`27 TELEPHONE #OL'721-660? CELL PHONE #&'750-VS;lg FAX #6;rz-7a4- 6'607 PROPERTYOWNER i'MWl TELEPHONE# (s/- yos- i5:36 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ][IN\I:SO't':\ RUL.ES 7670 C:CCEGORt' l 'V[I\ (i submission rype) . Residendal Ventilation Category 1 Worksheet Suhmitted • d?4 Is • Energy Envelope CalculaUons Submitted - 1IUI 12 2002 Plumbing Controetor: Phone 4 _ Plumbin,- system includes: _ 4Va[er Softener Lann Sprinkler By ., ?Vater Helter No. of R.I. Baths No. o( Baths Mechanical Conhactor: Ndcchsmic:il svstcin includc,: Sewer/Water Confractor: -- :\ir Condiuoning -- Heu Recoaen System Phone # Phone # Fcc: S70.OU ------°----------------------------------------------°°---...---•----------•--._..._._..._.....---°------------------- I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Slatutes and City of Eagan Ordin Signafure of Applicanf -----------°-------°°---------------°^-^-----"'-°--°-_-------------"---------------------°-------°--^-------------'-----------------------""_"-- OFFICE USE Oti LY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 f _ ? 2/25/02 WaterµNastewaterIST?4 .'5"1 ; Compliance Inspection Farm for Existirtg Individual 5ewage 1'reatenent Systems Minnesota Pollution • ? Controi Agency Completion o(th(s fqrm (ul(Iffs.the minimef raquirements of Minn. Stat. § 715.55 (2007) and Minnesota R. ch. 7080 (1999). Piease refer -- •: - -• . .° -., Ge. Oa,'.. ; •,, Date:of Inspection: 6-2-03 .. Reason for inspettion:. Sale Property Owner(s)^ Paul & Mary Lee Blaylock _ Tefephone (51) 405-1 536 Person requesting inspectian Tetephone { ) Site Addre • ? ?" City Fagan Zip Code 551 23 Fire No,J Parcel No: County Dakota 7awnship Cegal Description Locaf Regulatory Authority Date system constructed System in Shorefand Area: yes4g? 3ystem in.Wellhead ' Protection Area: yes? System serving a MDH licensed facility: yes no Local Permit #(if any) Systems buift prior to April 1, 1996 and not located in ;. Shoreland or VVelihead Rrotection Area or Servfng a Food, Beverage or Lodging Establishment Systems located in Shureland or Wellhead Protection Areas or Serving a Food, Beverage or Lodging Establishment, or systems 8uiit after March 31 1996 Is the system en Imminent threat to public health or Is the svstem an imminent threat to publio heafth as fetv? (a yes answer is an.ITPHS system) or sa fetv? (a yes answer is an ITFHS system) - Discharge of sewage to the ground surface? YES N - Discharge of sewage to the ground surFace? YES NO - Dlscha[ge of sewage to dralntile or surface waters? YES - Dlscharge of sewage to draintife or surface waters7 YES NO - Sewage backup fnto dwelling? YES - Sewage backup into dwelling7 YES NO - Sltuatlon with the potendal to Immediately and - Situation wlth the potentlal to immediately and adversely impact or threaten publlc health or adversely impact or threaten pu6lic health or. safety7 YES safetyl YES NO r; . Is the s,ystem failina? (a yes answerls a failinq system) Is the system failinq? (v yes answer is a failing system) - Less than 71N0 feet of vertical separatton between - Less than THREE feet of vertlcal separaUOn between =- system bottom and saturated sofl or bedrock? YES ? system bottom and saturated soil or bedra^k? YES NO - A seepage pit, cesspool, drywell, or leachin9 pit? YES - A seepage pit, cesspool, drywell, or leaching pit? YES NO Is the system non-compliant7 Is the svstem non-conipliant? - Is the system regulated under a monitoring plan or - Is the system reyulated under a monitoring plan or operating permii7 (it no, go to page 2) YES NO operating penriit? (if no, yo to page 2) Yes No , It yes, !f yes, - Has the required monitoring taken piace? YES NO - Has tho required monitoring taken place? YES NO (!l no, the system is non-comptying) (1l no, Ihe system +s non•cornplying) Does the monitoring fndicate that the system meets - Does the monitoring indicate Ihat the system meets performance expectaUons? .. YES NO performance expectations? YES NO - 7 (If no, flie system is non-complying) 7 7 QI no, the system is non-comply JUN O 9 IOO' '?I Page 1 of 2 wq-wwis?ts4.31 I Property 1 $ystem Comaonents (Please describe the Fire Pto./ Parcel IVo. and at(a4l site sketch showing system location).• •.5-lv It= * ;What methods ware used to make tha determinations for ihe cnmpfiarice inspection? (NOte: No standardprotocolex/sts. s The fol%wrng list is not exhaustive, or in sequentia! order nor indicates which combrnations may necessary to make a determination) ; Watertight tank(s) Hydraulic Functioning Vertieal Separatiort Distance i? Probed Wnk bottom Searched for stuface outlet ? Conducted soil borings Observed low liquid level ? Performed hydraulic test Depth to limiting layer /UA H/-e 4:6d, ? j O Examined const. records ? Searched for seeping in yard UEpth to systemYc&**L? r ? Examined empty (pumped) tank ? Checked for back-up in home ? Probed outside tank for "black soil" O Excessive ponding in soil system/G-boxes O Pressure/vacuum check A Homeowner testimony ? Other ? Examined For surging in tank ? "Cilack soil" above soil system ? Examined records O LGU Limifing layer Verifcation ? Oeher ? O:her `Status of the s stem Based on the compliance criteria, the system status is: (check one) ? failing (to protect groundwater) O an ; imminent threat to public health or safety (ITPHS), 0 non-compliant (monitoring issue) ? compliant (none of the 3 pre.vious conditions). Therefore, this document is a:XCertificate of Compliance ? Notice of Nonwmpliance Is this svstem an EPA C(ass V Iniectian Wetl? ? v?s ? no :.. i:Certification i I hereby certify as a stafe of Minnesota licensed Inspector and/or Designer 1 or Qualified Employee Inspector and/or Qualified Employee j Designer I that I conducted an investlgation that accurately determined the compliance staCus of this system and that my recorded ' observations are accurate as of this date, No deYermination of fuCure hiydraulic performance has been nor can be made due to unknown conditions during system construction, abuse of the system, inadeyuate maintenance, or future water usage. Inspedor's name (print) Bob W. Freiermuth Phone_ 651 -437-5343 Licenseand/orReqistrationNumber 798 Address 23620 Lillehei Ave., Hampton Employed by oacz 6-2-03 U parade Repuirements (derivedfrom Minnesota Stafutes§ IIS.SS) An lTPHS must be upgraded, rep/aced, or /ts use discontinued within ten naonths of receipt of this notice or within a shoKer perlod if . required by local ordinance. If the system fai/s to provide su[flcient groundwater protectron, then Che system must be upgraded, rep/aced, pr its use discontinued within the time required by ru/e or the /oca/ ordinance. Tf vn cr4sth9 s'ystem is not fai/ing as defned in law, and has at /east hvo feet of design soi/ separation, then the system ireed not be upgraded, repvired, rep/aced, or rts use 'discont/nuea', notwi(hstanding any local ordinance that rs more strict This does nut appiy to systems in shoreland areas, wellhead :`.pro tection areas, or those used in connection Yvith food, beuerage, and lodging establishments as defined in law. ?Suqggste'd Attachments ;1) Site sketch could also include: well, well setback to system, dweliing or oCher buildings, tank(s),reserved soil treatment area, surface water and so(I boring locations. Indude as-built drawin9 if avaitable. `2) Soll boring logs, Showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock, standing water and whether the material Is fill. 3) A list of any and all requirements of the local ordinance tliat are different from the state requireinents referred to on this form. 4) A homeowner survey of system performance, signed by the homeowner as beiiig faciual. 5) Monitoring data as appropriate, Page 2 of 2 ??- t ? v iir ?- ? ?- ? c? ? ? ? \ ? f ?.l • r ? 4 ? ? ? ? 'V ? r ? 0 1\ ? ? ? GJ ? ?s ? . 4 0 Date: 6-2-03 Customer Name: Paui & Mary Lee Blavlock Street Address: 4871 Pilot Knob Road City, State, Zip:' . Eagan, MN 551 23 ' Phone Number: 651-405-1536 C069PANY DISCLAIMER Based on what we were abia to obserpe and on our experience with on•site wastewater technalogy, we submit this Onsite Sewage Treatment System Inspection Report based on the present condition of the onsite sewaee disposal system. Bob freieimuth has not been retained to warrant, guarantee, or certify the proper functioning of tho system for any period of time in the future. Because of the numerous factors (usage, soil characteristics, previous tailures, etc.) which may affect the proper operation of a septic system, as well as the inability of our company to supervise or monitor the use or maintenance of the system, this report shall not be construed as a warranty by our company that the systern will function properly for any particular buyer. Bob Fieieimuth hereby DISCLAIMS ANY WARRANTY, either expressed or implied, arising from the inspection of the septic systerri or this report. We are also not ascertaining any affect the.systern is having on the groundwater, Inspecting Company Bob Freiermuth Phone 651437-9605 License No. 798 Customer Acknowi d ement X? la??tpc KFdv'?' I have studied the information contained herein and certify that my assessment is honest, thoro?o, and to the best of my ability, correct. 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