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1700 Riverton PtCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: / , 4/0 Permit Fee: Date Received: Staff: (to' J 2010 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY I Address: / c 0 Property Owner: Telephone #: Plumber: lift -419 Al 1 Date of Inquiry: Contact Name: S' ATER Sewer Service Sewer lateral charge Sewer trunk W City SAC Q MCES SAC Receipt #: , Date: Septic abandonment Permit Fee State Surcharge - $ 100.00 - $ 2,100.00 $ 50.00 $ 50.00 $0.50 - TOTAL: 31 • r Service Water • • ral charge Water trunk Water supply sto Receipt #: , Treatment Plant Permit Fee State Sur arge *Plum . ' • Permit Required — water meter to be a • •red with building permit TOTAL: $ 1,185.00 $ 735.00 $ 50.00 0.50 SEWER ATER Sewer Service Water Service wer lateral charge @ $62.70/ff Wate eral charge @ $63.30/ff Sewer trun $1,275/connection Water trunk @ $ 5/connection City SAC MCES SAC Receipt # ate Water supply & rage Recei , Date Trea nt plant ptic abandonment Permit Fee State Surcharge *Plumbing Permit Required -: water meter to be acquired with building permit ~�rJ $ 100.00 $ 2,100.00 185.00 $ 735.00 $ 50.00 $ 100.00 $ 0.50 TOTAL: CALL BEFORE YOU DIG. CaII 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.gopherstateonecallorg Gity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink FSP» / Penns* 9 (/ 4 Permit Fee: 90 , et Date Received; _ b Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION egfeLd Date: (R --(sr--2A1 U Site Address: �, �014.147 Tenant �, _ .. Suite #: RESIDENT / OWNER Name: affilaa tL tId 2.0 . Phone: — Address 1 City /Zip: 1 i v[ r Jtj Pr: Iil° Applicant is Owner 4. Contractor TYPE OF WORK Description of work: 4.c•fe r" / 60Trar'- R . Mutti armly 8rnfdeng: (Yes 1 NO X ) Construction Cosi a.00 _ CONTRACTOR Name: /5/776b4.1 640-66 0.10/L$ License 0: /?9ll ZO 4 X.12,/e0 Address;!.- 6, I C) ?, ? __ _ Cit S t # '106 -Ci & State: PO /7Zip: S-5709 Phone:, 6Si." ?.106 -4/364 Contact_Pave/ gidgWo Erna % tm._3•Ci!m COMPLETE In the last 12 month%; has Yee No If yes, THIS AREA MaIF CONSTRUCTING A NEW BUILDING the City of Eagan issued a pennrt for a similar plan based on a master pian? date and address of master plan: Licensed Plrnitber, Phone: Mechanical Contractor: Phone: Sewer & Water Conti at.tor: _ - - Phone: NOTE: Pientemy itoortthgvietoneeteinet',you Stattitarb Cbnside U to bs pub110 itW ,ma zott,. PooMnS Of , �r h owl*, � lk on*M�ltpou lode spedifie fEaao bS :I?rat watt i.parrr It the Cliy fb Cettleitide thattil+ :aro r ► ig4elltfiti. ;. CALL BEFORE YOU DJG. 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 gooherstateonecal1.orq I hereby uanisysedge mat fits Infomtatiion le complete and accurate; that the work wal be in confnmrance with the ordinances and codes of the City of Eagan, ittat 1 rxrderrOnd this Is not a permit, but vrtly art application fur a permit. and wick Is not to start withoUt a permit that the work will be in accordance with the approved plea In the case Om* whkar requires a revtew and approval of pians, x _}r}u' 1Q t5�vi? Applicant's Printed Name A igrt s Sahne Page 1 of 2 • `'' CASH RECEIPT s CITY OF EAGAN ` 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RZCME;D FROM AMOUNT $ F7 CASH [-] CHECK 7c i - FUND CODE AMOUNT /. V - Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition BLACKAAWK LAKE ADDITION Lot ? Blk 7 Parcel 10 14385 010 01 Owner a4At'4L• $$treat 1700 Riverton Paint State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK - 10-50 9S 0, SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 18.17 1 ()• 0 STORM SEW TRK 1983 86.39 15 950. 3S STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ,BLDG. PERMIT NO,. c 01-3210 Bldg Permit -? 09-3422 Plan Check 1? ;> 01-3445 Surch./Adm. 01-3446 SAC/Adm. s? 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. U c c.? ?U TOTAL t- CASH RECEIPT ., CITY OF EAGAN 3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 i DATE 19 RECEIVED FROh1 AMOUNT $ • & DOLLARS ioo E)CASH ;j CHECK BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN ^764 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date Site Lot Block Sec/Sub. " ;'WK LAt 1'; On Site Sewage n MWCC System {+ Parcel No. On Site Well City Water Name W = Address City Phone +7--51? o Name t ?s?u ltv) 0 Address ? City Phone 8w¢ FW Name Address a z city Phone ?W APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Occupancy Zoning Type of Const (Actuan (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter L tip /5 J _'U I hereby acknowledge that I have read this application and state Bldg- Off. Road Unit - that the information Is correct and agree to comply with all applicable ARC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to. 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 Permit No. Permit Holder Date Telephone Jr Plumbing HMAC. Electric C1 C1 ?'? l y. i?cC u' Fs 4f?,115,19 -2 ? . o-v Softener Inspection Date Insp. Comments Footings l Footings II ,? Foundation Framing x ?Mf r ?? Roofing 0 7 - ?' 7 /'b Rough Plbg. Rough Htg. Ak-i Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # Site Lot . Name a? Address h C City Phone Name _ 3 Address O City - FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $100 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 Rough Openings - $1.50 FEE I ` ?'CJ r: STATE S/C: GRAND TOTAL: I ?L CONTRACT PRICE: Site-Address Lot Block m Name ?o Address C City Phone - Name - 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # Z-- PLUMBING PERMIT RECEIPT # CITY OF EAGAN p 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ - Bath Tubs - $3.00 - Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 Laundry Tray - $3.00 - Floor Drains - $1.50 - Water Heater - 51.50 Whirlpool - $100 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL 1 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 8- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: T PRICE: PHONE: 454-8100 --ten n c t . . r _ .. rr Site Address BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair Name N -`i ism t:3ie -it Address ANe. c City Aieil le" Phone Name Brice & Gi.ii_:'OlSun c Address 1700 Riv-t2rtcxi .3i7Lt p City :cijcirl Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cdnd. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM FEE: 3 S/C: 3 TOTAL _ FEES HVAC 0-100 M BTU -$24.00 TIONAL 50 M BTU - 6.00 HVAC INCLUDES A/C ON NEW STRUCTION) OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. M/IND FEE - 1% OF CONTRACT FEE BLDGS. - COMM. RATE APPLIES NHOUSE & CONDOS - RES. RATE APPLIES AUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 JAUM COMMERCIAL FEE - 20.00 'E SURCHARGE PER PEF+MIT- - .50 $.50 SIC IF PERMIT PRICE-GOES )ND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN .. -? Tex#ifira#t of Orrupaury Citp of eagan ar Mt of wurnt" 3wrrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating huilding construction or use. For the following.• Use ChLudicotion Md& Permit No. O-Prancy Type Tang D6grict •? Type Carat Owoer of &am ng' ( Y n Address .:thy, '' 1 1.' r Building Address Y ; , I I3 ! ??/pp q4 Due: t?+!\ 23, Wding OtTiois) POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No. Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road Permit No: Meter No: 3 Date 1 f Size: P.O. Box 21199 Reader No: Date 3 -eZ Eagan, MN 55121 114ZgD ri Owner. r0?Cingt:r 011 aR Riverton Point i. Site Address: ', ac •_,inw T.a e Mpd if ?nfIA?I F? Conn. Chg: 1.5. MW 4 QR? Acct Dep: OR 1gg 0 Permit Fee. Q. 091-LE-P-0 RE - VE- w+e ' Surcharge: 7"^1 I r n e N a"ttjkW with the City of Eagan Tr. Plant Ordinances. Meter. ?' ;: ?i .L? ,/? WATER Conn. Chg: 725.00pd Zoning: R2 Acct. Dep: 1.). P No. of Units: - 1 Permit Fee: C Surcharge: I agree to comply with the City of Eagan Tr. Plant go. 00Pj Ordinances. Meter. -,7.0 e 6,1g/87 REQUEST FOR ELECTRICAL INSPECTION EB-000001-05 &/ls/& ^l , See_inatruetione for completing this form ne back of ve Ilow copal 7?1J / S ?C 4T950 p p "'X" Below Work Covered by This Request 7' </?6,3/7 rywvf P.dai RaP•1 OTyppee of-Build-ing + Appliances 17i.aE Equipment Wires i I I I I Industrial Bldo. 1 1 Air Conditioner 1 I Bulk Milk Tank I R Fee Service Entrance Size a Fee Feeders/Subfeeders a Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200-Amps 31 to 100 Amps 31 to 100 Amps (42P 1 Swimming Pool Above 100_Am s Above 100_Am Transformers Irrigation Booms Partial.'Other Fee Signs ISpecial/h ecti'4S 1 ITOTAL FEES-/?-?• Irip the Elec trice) actor, hereby Final certify that the above Inspection has been 717? ,. w matle. r 00. This request void 7 71/ -f 5Y 1 months from ?s/Fr7 7?1G3/ Req Dal Fire No. Rough-in Inspection Re mr ? Ready Now otify. tnspec- tO ?No A 4 ? for hen Rea?v [}Licensed Electrical Contractor I hereby requeai inspection abov°T'? _ ? Owner electrical wprk installed at Street Address, Box or o to No. City __ ?• ?+p?r' Section No. Towns NP ame or o. Anoe o. County Oc .,3 ACIL t INT) s a Phone No. --r -77 Pow DDlier Address lectrical Corittrractor (ComyYponny Name) I ARUNP Contracts 's License No. Mal inng r rress '(({o r ino Instailation) 14540 PENNOCK LANE AuM oEt nTraTct OtLt6AMa'95 fi6l4. ion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orioos-Midway Bldg. - Room N-191 .. BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 UUnivensilv Awe.. St. Paul, MN 66104 Phone 16121 1642--OBOO 0800 ENCLOSED. 00001-06 p/? REQUEST FOR ELECTRICAL INSPECTION Bray-//oooo?y ? s",?/?? , Sea instructions for completing this form on back of yellow copy 4 ?F "X" Below Work Covered by This Request ® 416'N Appl Wired Equipment Wirers n n.f Rep. Tvoe of Building Wate Heater I?"Lighting Fixture ex 1- Flares trig Hnatln ial Bldg. Furnace T Bldg. Air Conditi Farm Sarvlce Entrance Size h Fae reeoersro?..e - U to 200 Amps 0 to 30 Am s fR1 0 t° A k-,,- 9nn -l 1 31 to 10u Amps 171 /O•p+?l 31 to 1 50 f vase 1, the Electrical lough-in ?? ?j Inspector, hereby certify that the above t inspection has-been Final Hyde./ This request vaid 18 monlhs.lrom D fl/ 'I)V) 5? /J re ?n 76976 t-e /9_1 7 ) Fire No. Rough-in Inspection Re ec- a Repu retl? Ready Nuw ?Y1FNotify, Insp !/ /V` 'es ON. for When Ready U-6censed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Be. or o e No. City nship Name or No. Ranee o. Count yn (p?? I s Q ? Z Ph e No. i?912- 1.3 tltlress lCo?pany r (Company Name) El CC ?ont?rajf tor's License No. ? M t king Installation) N©CK LANE N P E 54Q R qo ? 1? A u[h?'? n si i ?J HLLi: i ?OHeAgYTM lationl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.- St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ` A See instructions for completing this form on bacx of yellow copy "X" Below Work Covered by This Request 11 E% EB-000 1- 8 WWh ?,.y4V !.tYY? ew dd Typeof Building Appliances Wired Equipment Wired " Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecify) Contractor's Remarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspector's Use Onty. TOTAL f Irrigation Booms ow pecial Inspection S Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in -"- - , r Date certify that the above inspection has been made. Final to , OFFICE USE ONLY This request void is months from 4341 C G a Request Dme j Q /{ /` Fire Np. Rough-in Inspection Requiretl? -.Yes No ?Reatly Now ill Nolity Inspador hen Reatly? I - licensed contractor x owner hereby request inspection of above electrical work at: Job Address (Street. ule No.) 00 i ?i n o;i City Section No. Township Name or No. Range No. County Occup?ry PRINT) (3in er i Phone No. Power Supplier Atltlress Electrical mracor ICOmpany Name) 0?L Contractors License No. effg r ss ICOntraclpr or Owner Making Insl611d!iont ?e g:gnawr r e Making InstallaLOnt Phone Number 2-4 Z MINNESOTA STATE 6OAR0 OF ELECTRICITY THIS INSPECTION REQUEST WILL NOI Griggs-Midway Bldg. - Room S-173 Be ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. 155104 UNLESS PROPER INSPECTION FEE IS Phone 161216420600 ENCLOSED. CITY OF EAGAN N2 13 7 6 4 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 B --1 14 Co 3 a UILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $182,000 Date JUNE 11 19 87 Site Address 1700 RIVERTON POINT OFFICE USE ONLY ELACKHAWK LAKE Lot 1 Block 1 Sec/Sub On SiteS ewama Occupancy R3 . Mwcc Syste X Zoning R1 Parcel No. On Site Well _ Type of Const V City Water X (Actual) a Name BRUCE R OLSON (Allowable) w z Address 16245 NORTHWOOD RD # of Stories Length ? o City PRIOR LK Phone 447-5113 (H) Depth 711 4 F. . Total S ,o Name SAME 681 2339 (W) . FootprintS.F. of Address APPROVALS FEES City Phone Assessments _ Permit $ 749.50 9 F ¢ Water/Sewer Surcharge 1 _00 W W Name Police _ Plan Review 374.75 z q- Address Fire SAC, City rs Engr. _ SAC, MWCC aW City Phone Planner - Water Conn. X00 6 Council Water Meter 7.00 1 hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit 305.00 thatthe information is correctand agree tocomplywith all applicable APC _ Treatment P1 IAn_n0 State of Minnesota Statutes an pity of Eagan Or ine Variance Parks M Signature of Permittee_ X1.1 i Copies TOTAL 5 A Building Permit is issued to., BRUCE R OLSON on the express condition that all work shall be done in accordance with all applicable S of M innesot tatutes and City of Eagan Ordinances Building Official 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ?S3 Ss?j 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ls30 .? Date- / j c> (- Site Address -1 -To m j? (?2 (i () vJ 1?t?? j Unit # PropertyOwner l.C n D l [ l? 01JZ Telephone # (G ) Asa . a y 9 Contractor A r rn y?}5 ? (C S J? Street Address City State ryl 0 Zip SSt' Telephone # (q Sa) U3?. 3 Bond #: _n2?aLl1?.- Expires: The Applicant is Owner ?Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 / l/ furnace -Additional ?Replacement air exchanger Vfair conditioner -New ?lacement other _ nn@r R JUL 14 2N4 State Surcharge Ids $ .50 Total $ s- I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 1 the case of which requires a review and approval of plans. Applicant's Printed Name A s Signature CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION i MM0 _- PAYMF.?;T OF FEE AT TIME OF i APPLICATION DOES NOT OONSTrAJLE F APPROVAL OF PERMIT. v INSPECTION OF SEWER AND/UR WATER r IBSPALI.ATIONS Wn.L NOT BE SCHED- ULED UNM PERMIT HAS APPROVED. (Please Print 1) PROPERTY ADDRESS : LEGAL:DESCRIPTION: Lot B ock Sub ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Mon ear ? COVM CIA vVEnIL/UMCE ? INDUSTRIAL ? INSTITt*rIONAL/CdVERtp 2) . NAME: ADDRESS. CITY, STATE, ZIP: PHONE: 3) :a NAME: ADDRESS: CITY, STATE, ZIP: PHONE: NAME: ADDRESS: CTTY, STATE, ZIP: PHONE: ?5) ? R-1 SINGER' FAMILY ? R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) Q A-4 APARTmjT/CONDIKINItN ( Units) MASTER LICENSE# 2 Active Expired Not recorded Staff n teal i ?J /,I_. 1 CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER ? OTHER 6) • • r 7) ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE Q PLEASE MAIL APPROVED PERMIT TD 1, 2,(9 4, ABOVE 1?1_ T?.j- - r, (Circle one) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit 5 S S 7. vZ $ S S S S 2- S n? S S _ S S FEES: $ SEWER PERMIT (INCLUDE SURCHARGE)" $ ?? SZ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP S ACCOUNT DEPOSIT - SEWER $ /S G' U ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ -.---- ---TRUNK. WATER: ASSESSMENT- -- -- $ TRtTNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER S f l? . try $ S 7/7/ e o $ ?. a -- - z- RECEIPT -RECEIPT - WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: - - - - I DATE : 7/? ?? 137 6-?? v 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I ?Z,o?O pry To Be Used For: C5/ eiifia Valuation: Date: ?9 d Site Address Lot Block Parcel/Sub N f aC 6awk La to AV, Owner Fide CG 01500 Address 1(0 01 e/S /1/arfAU100d /?a1 City/Zip Code Pr;or La he , /'fN553'7" Phone yy 7- ,5/I3 w° r.91-9335 Contractor SC /7' I Address S(d M1: Q S Q 6 AV °L, City/Zip Code Phone Arch./Engr. (7PoraP. ! !?i YISfEy?GI Address 7y?o /?rvkc_fa/gee 12r. ti ss3y5 City/Zip Code Ede Prair7?_ e Phone 11 On Site Sewage ? Occupancy K 3 MWCC System Zoning 2 1 On Site Well Type of Const City Water v-? (Actual) TL (Allowable) !k of Stories Length (o(o Depth- S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit So -14-q . - Water/Sewer Surcharge ?l Police Plan Review Fire SAC, City N Engr SAC, MWCC Planner Water Conn S Z51 Council Water Meter (07 Bldg Off Road Unit 305. APC Treatment P1 ib0• Variance Parks Copies TOTAL -5=- S-^ 12 x 14 ? K?C- = 3 ? Zj- ?o = (? ? 8 = Z ?? ( 4-n ( 61- ^ f9 ?> K 4-c?- = Sco 2-4? I?f 3?2- EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ` OWNER: BrUC'G 01s6 11 ' SITE ADDRESS: J70o 9IVer6" !fold Gagatj Nm CONTRACTOR: z 5e DATE: 5-19-,f7 PHONE: 31y7- 5??3 DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,,. 45'4:,? sq ft x "U" 2. TOTAL ROOF/CEILING AREA,,,,,,,, I?j g Z sq ft x "U" 3• TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor3 1 ? 4 sq ft a) Total wall window area: 11 .026 All SoZ,I? ' L3 *l4, glazed,,,,,. 4,31 sq ft x "U" 31 * 14q, Il glazed,,,,, sq ft x "U" ?- - _ b) Total door area ,,,,,,,,, 97 sq ft x "U" Z Z. Zj, ZZ c) Total sliding glass door area: L O yV 4E? glazed...... IZ CO sq ft x "U" 33 '?- glazed...... sq ft x "U" _ d) Total fireplace wall area C((Z sq ft x "U" 117 = j Ui4 e) Total wall framing area (Average 109,).......... _ q Z sq ft x "U" , 9 3 Z g f) Total net wall area above floor (Insulated)......._ Z7 Co sq ft x "U" ?= 1 S g) Total rim joist area...... 3 7 ev sq ft x "U" ,O4 = 1S, 1 2 Total foundation area (Exposed)......... 2!(413 sq ft h) Total foundation window area............ sq ft x "U" T) Total net foundation area above grade........ Z 6v3 3 sg ft x "U" , ( 0 TOTAL a) thru 1) = Zra-3b If Item N3 is the same as, or less than Item H1, you have met the intent of S.B.C. Section 6006 (c) 2. 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ -157 Z sq ft J) Total skylight area....... sq ft x "U" Q Total roof/ceiling framing area (Average 109.,')...... 9 sq ft x "U" _ ,OZ? = 3 9 ?l 1) Total net insulated roof/ceiling area....... 13 3 3 sq ft x "U" , 6Z? Z7 99 4. TOTAL j) thru 1) 3 1 9 7 If total of 114 is the same as, or less than 92, you have met the intent of S.B.C. Section 6006 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items N3 and N4 shall not be greater than the sum of Items F1 and #2. 1. + 2. - 3. + 4. _ C E R T 1 F I C A T 1 0 N 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the building here describej?mme€t? or exceeds the State of Minnesota Energy Conservation Act. tsonature) U (Date) xterior air R VALUE 0.68 t wood L, gY 2,0(a ,?10 0.17 TOTAL R = r I,o q U = 1/R = 67J MR ! 9. Pri 2,oJG I O 0.17 m TOTAL R = 73. ! & U.- 1/R = , D ST SECTION: ION SECTION: Interior air film n.69 IZ'L Bt-acu- 1, z Exterior r film 0,17 TOTAL R = 9, (P 3 U = 1/R , /D SLAB ON GRADE NSTRUCTION AMING SECTION: Interior air film t/? Inc t 1?::> { F., erior a 14ALL SECTION (INSULATED) --lI Interior air film +4' ."j , 14 hp? ,• ?.,"a a'? ZL cl e? ) O 41. Q? U - 1/R = 04 CONSTRUCTION R VALUE CEILING SECTION (INSULATED): 1 Interior air film 0.61 2 2_Y Dyua9r w d 4 Exterior air film (still) 0.61 TOTAL R = 4 .l 7 U = 1/R = , 0.0 CEILING FRAMING SECTION: 1 Interior air film o.6 2 0*., 14 3 !J i t-k uU 3 d 4 Interior air film still 0. 5 <-//-7--inches soft wood 61 AO U = 1/R = lOZ? CEILING SECTION (INSULATED): 1' Interior air film 0.61 2 3 4 Exterior air ilm still O. Tr TOTAL R = U= 1/R= VENTED 3 4 Exterior air film still 0. F 5 inches soft wood TOTAL R = CEILING FRAMING SECTION: 1 Interior air film 2 U = 1/R = 1 Inside air film n.61 2 3 4 S Outside air film n.17 TOTAL R = U - 1/R = 0.61 Interior A1P Exterlo"r Air Interior Air Exterior Air Interior Air Exterior Air Flln Fi in Film Film Film Film OF TYPICALLY 0LD fiiuu61. i, , (R) O .'C8 Gypsum or plaster board 318" 0,17 Gypsum or plaster board 1/2" 0.61 Gypsum or plaster board 5/8" 0.61 Plywood 3/8" 0.61 Plywood 1/2" 0.17 Plywood 3/4" Sheathing, reg. density 1/2" o.61 Sheathing, reg. density 25/32" 1.82 Nail-base sheathing 1/2" 2.96 0.81 Built-up Roofs 0.67 Asbestos-cement shingles 0.21 Asphalt roll goofing -- Aspahit Shingles (Walls) (tdaIIs) (Vented Ceiling) (Vented Ceiling) (tlon Vente.:) ([Ion Vented) Aluminum Siding Aluminum with Backer Aluminum with Backer 6 Foiled 1/2 x 8 Lap Siding (Wood) 7/16 x 12 Hardboard Siding Asbestos Sidings 1/4 Lapped Stucco (Brown and Finish Coat) 3/4" Wood Subflocr or Sheathing 1/2" Plywood Sheathing 1/2" Particle Board WOODS: Fir, pine 6 similar soft Woods 8" Concrete Block 12" Concrete Block •8" Light Weight 12" Light Weight (S 6 G Reg.) (S 6 G Reg.) 0.94 Insulation: 2-2 3/4" Fiberglass 0.62 Insulation: 3 1/2" Fiberglass 0.66 insulation: 6" Fiberglass BLOWING 140OLS 1 1/2" 1.89 Approx. 3" 2 1/2" 3.12 Approx. 4 1/2" 3 1/2" 4.35 Approx. 6 1/4" 5 1/2" 6.87 Approx. 7 1/4" Approx. 14" Approx. 18" All other insulation materials Filled verified (R Factor) (R) Vermiculite 1.11 1.93 1.28 3.15 2:18 5.03 2.48 5.82. *i.4 }?A ii}}}}1A1A A??J,A ??I A1AA?t ?I NOTE: (U) x Area Square Feet -?Rj v All Windows (w/Storms 1" to 11" Space) .56 Removal Double Glazing (RDG) .55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can 1 3/4 Solid core door .46 w/storm, wood -31 w/storm, r..etal .26 Pease SteelDoor Ins]/t:/GL 7.4511 .13 Sliding Glass Door, Wood .65 tieta1 .715 use better ratings) (F 0. 0. 0. 0. 0. 0. 1. 2. 1. 7. 11. 19• 9. 13• 19 24, 30. 40 must b,. city of aagan r THOMAS EGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members March 5, 1993 THOMAS HEDGES City Admininstratoi EUGENE VAN OVERBEKE City Clerk FIRST STAR HOME MORTGAGE 3900 SIBLEY MEMORIAL HWY EAGAN MN 55122 ATTENTION: MARY BOWAN RE: 1700 RIVERTON PT TO WHOM IT MAY CONCERN: In 1987 the on-site septic system and drainfield at the above-mentioned address complied with Chapter 7080, Minnesota Pollution Control Agency, Water Quality Division and is currently functioning properly with no reported problems to the City of Eagan. Sincerely, William Adams Construction Inspector (Plumbing) WA/js MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE: (612) 681-4605 PHONE: (612) 661.4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360 TDD: (612) 454-8535 TDD: (612) 4548535 V of Began MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681-4612 TDD: (612) 454.8535 MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 681-4360 THOMAS EGAN Mayor October 23, 1992 MR BRUCE OISON 1700 RIVERTON PT EAGAN MN 55122 RE: SEPTIC SYSTEMMRAINFIELD Dear Mr. Olson: PATRICIA AWADA PAMELA MCCREA TIM PAWLENTY THEODORE WACHTER Council Members THOMAS HEDGES City AdmNinstrator EUGENE VAN OVERBEKE City Clerk In 1987 the on-site septic system and drainfield at 1700 Riverton Point complied with Chapter 7080, Minnesota Pollution Control Agency, Water Quality Division. Sincerely, b) a, ?:'« William Adams Construction Inspector (Plumbing) WA/js THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer Geotechnical Services Commercial, Residential Municipal, DHUD ALLIED TEST DRILLING COMPANY 4000 Beau DRue Drive, Fagan, MN 55172 (612) 452-6913 SUBSURFACE SOIL INVESTIGATION AND PERCOLATION TEST RESULTS FOR Lot 1, Block 1, B1ackhawk Lake Add'n Eagan, Minnesota 18 May 1987 Project 87076 INTRODUCTION This report summarizes the findings of a subsurface soil investigation and set of percolation tests completed by Al- lied Test Drilling Company in Eagan, Minnesota. Location of the work is on a residential tract of land located at 1700 Riverton Point, on the south shore of Blackhawk Lake. Legal description is as per the above title block. The work was performed for Bruce Olson, referred to hereafter as the "Owner". The investigation consisted of drilling three soil bor- ings and two percolation test holes on the site to determine soil profiles, water table elevations, percolation rates and other information to assess suitability for onsite treatment of wastewater. From this data, recommendations are developed for individual wastewater treatment system design. The area of investigation is a large platted residential lot located as noted above. Site terrain is characterized by a fairly continuous and steep slope (15 - 25%) from the road- way (Riverton. Point). to the lakeshore. Some short steeper slopes are also present, such as at the transition from road- 87076 -2- way grade to natural site grade and at an isolated area just south of the proposed residence location. The area is covered with fairly heavy woody vegeta- tion. At the time of this investigation, the house site and proposed drainfield location had been cleared of this vegetation and the house stake was staked. BORING AND TEST HOLE LOCATIONS AND ELEVATIONS The boring and percolation test hole locations were chosen by Allied Test Drilling based upon the staked loca- tion of the proposed residence and most desired drainfield location together with such other factors as topography, required separation distances. initial judgments as to proposed treatment system layout, etc. The soil boring and percolation test holes were ultimately placed within the anticipated site of the proposed treatment system to ob- tain representative soil profiles and percolation tests. These locations are shown on the attached sketch. Ground surface elevation at the borings and percola- tion test holes was determined and referenced to the top of a a surveyor's hub on the south side of the proposed garage location. This datum has a known reference eleva- tion of 839.77. SOIL INVESTIGATION The auger borings were performed using the Power Flight Auger (FA) method of investigation. Refer to the attachment (color-coded blue) for a description of this 67076 -3- method. Also contained on that attachment are descriptions of methods of soil classification and groundwater mea- surement. Attached is a log for each of the borings. The depth of individual layers of soil may vary somewhat from those indicated on the logs due to the inexact nature of auger sampling, the relatively small size of a 6" boring in com- parison to the size of the site under investigation, and the occurence of transition between soil layers. The borings indicate topsoil of from 3" to 1' in depth. Below that is silty clay loam and silty clay to 5 feet of depth. Clay loam and silty clay loam are present to termination of the boring. Groundwater is not observed in any boring by standing water. However, mottling (indicating a past groundwater level) is observed from 2 to 4 feet below surface. It is highest at Boring 3 and lowest at Boring 2, indicating that maximum groundwater approaches ground surface as ele- vation decreases near the lake. Based upon the above results, most soils appeared unn it.able for testing for percolation rates due to their fine grained nature (silty clay and silty clay loam) or their being within 3 feet of maximum groundwater level. However, soils very near the surface appear to be rather loose and permeable. Hence, the area of Boring 1 was deemed feasible for testing for percolation rates at a depth of about one foot. This is the maximum bottom ele- 87076 -4- vation that a standard drainfield can be placed without crowding maximum groundwater level. It assumes that, due to development and improved drainage in the area, maximum groundwater levels may be lowered somewhat. For the pur- poses of this report, this lowering was estimated to be 0.5 feet. PERCOLATION TEST PROCEDURE AND RESULTS Refer to the attachment (color-coded pink) for a de- scription of the procedure for performing a percolation test. Percolation Test Holes 1 and 2 were established in the vicinity of Boring 1. The percolation tests were per- formed on 16 and 17 May 1987 using two test holes to depths of 14 inches, the approximate anticipated levels of 'the bottom of the treatment system. The holes were pre- pared and saturated earlier. The reason that percolation testing was performed on two dates is that Percolation Test Hole 2 was disrupted by rodent activity and had to be prepared and saturated again. Results of the tests are as follows: Test Hole No Percolation Rate, min/in ------------- ------------------------ ------------- ------------------------ 1 8.1 2 5.7 Average 6.9 Transcribed test forms of the percolation tests show- ing that portion of the recordings which are relevant are attached to this report. These percolation rates above 87076 -5- show favorable results at the levels tested. CONCLUSIONS AND RECOMMENDATIONS The groundwater conditions noted above in the vici- nity of the proposed treatment site together acceptable soil profiles good percolation test results indicate that a variety of configurations of standard systems will suf- fice for the intended purpose. Typical design exemplified herein is a shallow drainfield with drop boxes. The structure that the system will serve is a full basement with walk-out single family residence having three (3) bedrooms, approximately 4200 square feet (sf) of living area and more than two anticipated water use appli- ances (eg, clothes washer, dishwasher, garbage disposal, etc). This is a Type I residence having an estimated -wastewater flow of 450 gallons per day (gpd) according to the provisions of 6 MCAR 4.8040. Based upon, this flow, the percolation rate, and other data, the following standard designs, or any other design based upon the data, may be used= Septic Tank, gal (min) 1000 (recommended) 1250 Type of Disposal Shallow Drainfield with Drop Boxes Depth of Rock, in 6 12 Acceptance Rate, sf/gpd 1.27 1.01 Treatment Area Req"d, sf 570 456 Width of Trenches, ft 3 3 Configuration 5 lines @ 4 lines @ 38' 38' The proposed area for the drainfield should be care- fully surveyed to determine if it can be located in the available space. Lines should not be located below the 87076 -6- steeper slope area just below the proposed residence loca- tion (maximum groundwater is too high here). And, of course, lines cannot be located too far upslope or drain- age level compromises may have to be made. If space proves to be a problem, the Owner should consider raising the grade of the house and moving it upslope or east somewhat to gain the necessary room for installation of lines. Also, as little as possible surface water should be diverted around the residence on this side. What water does run in the vicinity should be diverted around the drainfield trenches. Attached to this report are sketches of a typical shallow drainfield trench, drop box system, and drop box. During construction, soils encountered should be carefully monitored to assure conformance with those discovered in the boring and test holes. The septic tank and disposal facility should be loca- ted at separation distances as noted in 6 MCAR 4.8040. These distances are summarized in the tabulation attached to this report. The only additional advisory is that the treatment system be off limits to travel by foot or ve- hicles, or the area should be barriered to prevent this traffic. This is because such travel will compact the soil or drive the frost deep, possibly causing system failure. It is further recommended that any system be con- structed according to the various provisions of 6 MCAR 4.8040. 87076 -7- ENGINEER'S CERTIFICATE I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly registered Professional Engineer un- der the Laws of the State of Minnesota. I further certify that I am licensed to perform per- colation tests and to design systems under the provisions of 6 MCAR 4.8040. ALLIED TEST DRILLING COMPANY Patrick J Hines, PE Date Registration No 12086 ISTS Prov Reg No 00241 ALLIED TEST DRILLING COMPANY Attachment to Sails Report METHOD OF INVESTIGATION AUGER BORINGS Allied Test Drilling Company uses a number of varia- tions of methods of investigation by termine soil profile. Most commonly, (FA) method is employed. Sometimes a (HA) is used. Refer to the main body the boring logs for an indication of Requirements for these investig auger borings to de- the power flight auger hand operated auger of the report and to the method chosen. ations are outlined in ASTM ? 1452, "Soil Investigation and Sampling by Auger Bor- ings". In the power flight auger procedure, a 6" diameter solid stem helical flight auger is advanced into the ground by mechanical/hydraulic means and withdrawn at appropriate intervals. Nature of subsurface soil is determined by ob- serving and sampling disturbed material found on the flight auger. Representative samples are retained, sealed, and stored for future testing or reference, if necessary. After cleaning the auger, it is inserted into the bore hole again and the process is repeated until the desired testing depth is accomplished or until refusal (failure to advance the auger due to bedrock, detached boulder, hardpan, etc,) oc- curs. A log of each boring is kept noting date, depth of changes in strata, description of soil in each major strat- um, groundwater conditions, and other date. The hand operated auger procedure is the same as above, except that the 1" to 3" auger is advanced into the ground by hand means. This type of boring is usually re- served for investigations to a shallow depth in an area fairly inaccessible by machinery. (over, please) Method of Investigation (cont`d) Unless otherwise specified, no tests upon inplece soil, such as for compaction, percolation, etc., were per- formed except, in some instances, to note the rate of drilling (a general indication of inplece compaction). Soil Classification Soils were classified by field personnel and verified by the Soils Engineer according to the Minnesota Department of Transportation (Mn/OOT) triaxial chart. A reproduction of this chart showing composition by grain size percentages of the various soil class types is attached to this report. Groundwater I In order to establish the possible occurance of ground- water in the region of testing, one or more of the boring holes were allowed to stand for a period of time, that peri- od depending on the free-draining nature of soils encounter- ad, and then checked for standing water or cave-in prior to backfilling. In addition, soil samples were checked for mottling (discoloration the result of oxidation in water flucuation zone) and saturation. However, because of the nature of soil and due to va- rious meteorological and geological influences which occur over a large area and time span and which can affect the site, an accurate measurement of the highest annual ground- water or range in fluctuations thereof usually cannot be determined in the time frame and scope allowed for most investigations. Observed water levels, if any, are indica- tive of groundwater at the time of testing only. ;„g Attachment to Soil Investigation Report ALLIED TEST DRILLING COMPANY CLAY 200% Gy?Q e y J`f O ?' ?" Op O 00 ?' R O a' r O O O O y TEXTURAL CLASSIFICATION OF SOILS from: Mn/OOT Grading 6 Base Manual Figure B 5-692.603 Note: The term "Loam" refers to a particular mixture of sand, silt, and less than 20% clay. Adjectives describe the predominating material(s) in a loam. AASHTO Gradation specifications: Gravel 2.Omm+ Sand 0.074 - 2.0 mm Silt 0.005 - 0.074 mm Clay less than 0.005 mm Allied Test Drilling Company Attachment to Soils Report Percolation Test Procedure Percolation testa are performed in accordance with the method outlined in 6 MCAR 4.8040, "Individual Sewage Treatment Standards"., as adopted by the Minnesota Pol- lution Control Agnecy. This procedure begins when a sub- surface soil investigation in the area of the proposed drainfield evidences soils that may result in acceptable percolation rates. Six inch diameter test holes are drilled using the power flight auger or hand auger method to the approximate anticipated bottom level of soil treatment trench. Soil profiles are noted. The sides of these holes are loosened to simulate actual conditions of an excavated trench and to negate any spearing effects of the auger. Two inches of 1/4 to 3/4 inch gravel is placed in the bottom of the 'hole as a splash pad, to prevent scouring, and the hole is re- inforced with rigid tubing to guard against cave-in. The hole is filled with approximately 8 inches of water and allowed to stand from 4 to 30 hours, depending on type of soil, to saturate. After this time, holes are refilled and, after another short period to stabilize, re- cordings of the drop in water level versus time are made. The average drop in water level is reported as the "perco- lation rate" in minutes per inch (mpi). This rate is used for design of the onsite wastewater treatment system. --- _ '-- 24 -GNG -1- 3 PEGS OR %L:S 6' HOLE DIG 6 SUGGESTED 4S-IC PIPE 5 LONG RIGID PERFORATED OR'IN WITH RANDv.A p470NG ,N BO-TCM FOO, 2' TO 3 DIA ' a" TO 6' . LONG P'_LSBC^l_ OR EXPANDEC PCL STYRENE FLDAT 3/4 1 1-41 ..5r,r.- 3-.rc enp N` -PL-S :C F:aE` ' -I/4- DRILLED HOLE 3/<' <r - _ -- _ . _ avs -?a- WATER DEFT". A- START OF READ-NG (MEASURED j FROM BOTTOM OF HOLE? 2- OF PEG GRAVEL ALLIED TEST DRILLING COMPANY PROJECT: 67075 - Lot 1, Block 1, Blackhawk Lake Addition, Eagan, Minn LOG OF BORING NO: 1 DEPTH SURFACE ELEVATION: 823.0 SAMPLE LAB& OTHER TESTS IN OGY GEO N WS DESCRIPT N IF ON L R L FEET IO AND CLASS ICATI # TYPE W DEN ?; Dark Brown Sl Organic Silt Loa 1 rather loose dam FA Brown Silty Clay Loam 2 t loose tiRmp Brown Silty Clay g moist (3 4 mottled 5 Brown Clay Loam w/ tr gravel B moist, mottled 7 Brown Silty Clay Loam B w/ fine sand fraction moist, heavily mottled 9 10 . End of Boring - No Refusal 11 12- 13- 14- is- 16- 17- Is- 19- 20- 21- WATER LEVEL MEASUREMENTS DRILLING DATA DATE TIME SAMPLED CASING CAVE-IN PT DRILLING M WATER LEVEL DEPTH DEPTH H DE UD LEVEL Crew Chief: DH 13 May 4:42 10, 9, None method: 4" Power Flight Auaer 14 May 3:38 " Boring Completed: 13 May 1987 3 I 1 1 r ? i a z H a E ?w ?o ? ac a I I r Perco1 Test H No .2 I 1 S Boring No 3 Elev = 815.7 - 40 21 a i l Ir To Blackhawk," Lake r / r G n - a?V Scale: 1" = 14'± Base map is an enlargement of a map furnished by the Owner 1 r yUl ? • U 5 - Pr as staked 7' oposed Basement Slab Elevation = 626.0 e JL r 11' { ' ,i 1 f 1 1 i i r.. w I? 1 G ` I-or I! vI r , ?i r-1 ; f 14; , ?• `F '..? Boring No 2 -[- Elev = 838 2 .? 90 I f -, or 1 l 1 t , L I i t S 1 t 1 1 Proposed Driveway 1 t • U '' •.' yr, '_'+-?'?' _ /jr?' I N ' j \J ro ro o a o Z i.: tqn nH "- ti O H s a r0 ? D I. C ...j O ? ~ z Co ?- p7 H -n p rM m H 113 O O 1-'2, n 3 N O CP M, -4 rt w n xl ,y ?' y Co n Fz p ri,gh of-way line v ' C M_ J (D N .r-._-.?.._-1., ..-....•r.?rr.wr?w+?r.rw? 'G O X 2 77 .. w r o W rC^ 2 w r '? x by y O m CO 2 - RIVERTON POINT > t7 0 a 'v 7 !c Al 1 IC11 TGCT 11n11 1 lklr-% f%^KAnAlKIV MG`IGV IG I Vf11G1.I1rV 4VIYIrKI?i .PROJECT: 67076 - Lot 1, Block 1, Blackhawk Lake Addition, Eagan) Minn LOG OF BORING NO: 2 DEPTH SURFACE ELEVATION: 838.2 GEO Y O N WB SAMPLE LAB A OTHER TESTS IN L G L L FEET DESCRIPTION AND CLASSIFICATION # TYPE R W E . L, Black Organic Silt Loam FA loose dam Brown Silty Clay Loam 1• rather loose moist Lt Brown Silty Clay 2 moist 3 4 4 mottled 5 End of Boring - No Refusal 6 WATER LEVEL MEASUREMENTS DRILLING DATA PATE TIME SAMPLED DEPTH CASING DEPTH CAVE-IN DEPTH DRILLING MUD LEVEL WATER LEVEL Crow Chief: pH 13 May 4:44 5' 3' None Method: 4" Power Flight Auger 14 May 3:40 " Boring Completed: 13 May 1987 ai i tin TiPcT nRii i imr: rniupAmv PROJECT: 67076 - Lot 1, Block 1, Blackhawk Lake Addition, Eagan, Minn LOG OF BORING NO: 3 DEPTH SURFACE ELEVATION: 815.7 SAMPLE LAB A OTHER TESTS IN GEOLOGY N WS L FEET DESCRIPTION AND CLASSIFICATION # TYPE R W E :?: Dark Brown Organic Silt Loam HA 5° loose moist Gray-brown Silt Loam 1 loose moist Gray-brown Silty Clay Loam 2 some iron staining moist 2 (2, mottled Gray Silty Clay Loam 3 w/ localized fine sand layer somewhat .,soft moist, mottled 4 5' End of Boring - No Refusal .6 WATER LEVEL MEASUREMENTS DRILLING DATA DATE TIME SAMPLED DEPTH CASING DEPTH CAVE-IN DEPTH DRILLING MUD LEVE WATER LEVEL Crew Chief: 17 May 10:47 5' 05' None Method: _6" & 3" Hand Augers 17 May 8:15 4.3' moist 18 May 8:40 " " Boring Completed: 17 May 1987 D ALLIED TEST DRILLING COMPANY 4000 BEAU D'RUE DRIVE EAGAN, MN 55122 (612)452-6913 PERCOLATION TEST Project 87076 Location Lot 1 Block 1 Blackhawk Lake Addition, Eagan, Minn Test Hole Number 1 Elev 621.6. Depth to Bottom of Hole 15" Diameter of Hole 6,, Depth, Inches Soil Texture 0 - 10 Black-Dark Brown Organic Silt Loam w/ roots, vegetation 10 - 14 Brown Silt Loam to Silty Clay Loam w/ roots Percolation Test By Date of Test 16 May 1987 ime Time Interval blinutes Measure- men t, Inches Drop in Water Level, Inches Percola- tion Rate, Minutes per Inch emarks ?1 If A+ Q??.° \? :ab Is ?S y C t( 3a to 31/6 y 2 'y2 e?.°11 52 1 v ??u 8 v.d G \kS Percolation Rate= 8.1 Minutes per inch ALLIED TEST DRILLING COMPANY A D 4000 BEAU D'RUE DRIVE EAGAN,MN 55122 (612)452-6913 Project 87076 5 Test Hole Number 2 Elev 823.7 Depth to Bottom of Hole 14" Diameter of Hole 6" Depth , Inches Soil Texture 0 - 8 mark- Dark Brown Organic Silt Loam w/ roots, vegetation 8 - 14 Brown Silt Loam to Silty Clay Loam ti/ roots PERCOLATION TEST Location Lot 1 Block 1, Blackhawk Lake Addition, Eagan, Minn Percolation Test By Date of Test 17 May 1987 ime Time Interval Minutes Measure- ment, Inches Drop in Water Level, Inches Percola- Lion Rate, Minutes per Inch emarks 3:38 A cji(3 ', iV 5 7 g S. 7/ ao R@G ?i ' 25 5 ? s/!d b • 33 A49 AAV Percolation Rate= 5.7 Minutes per inch LOCATION of SEPTIC TANK - ITEM MINIMUM D I STANCE FT. PROPERTY LINES 10 BURIED PIPE DISTRIBUTING 10 WATER UNDER PRESSURE. BUILDINGS 10 ANY SOURCE OF DOMESTIC WATER SUPPLY OR BURIED 50 WATER SUCTION LINE LOCATION OF 50I L TREATMENT SYSTEM FIELD ITEM MIN. DISTANCE, FEET WATER SUPPLY WELL LESS THAN 50' DEEP AND NOT ENCOUNTERING 10' OF IMPERVIOUS MATERIAL ANY WATER SUPPLY WELL, OR BURIED WATER, SUCTION PIPE STREAMS OR OTHER BODIES OF WATER (SHORE LAND MANAGEMENT ACT) BUILDINGS LARGE TREES PROPERTY LINES OR BURIED PIPE DISTRIBUTING WATER UNDER PRESSURE 100 50 50, 75, 150 20 10 10 DROP BOX DISTRIBUTION SYSTEM DIVERSION FOR SURFACE WATER GRASS COVER 41" 7". 12"-18" LOAM?SOIL BACKFILL OV :,_ ER AREA .., . 6' 12" 'wad DRAINFIELD '? - - ? i 1 ,?• ? TRENCHES i AT LEAST 1 '- --? ' 0 INTERCEPTOR 3 ORIGINAL DRAIN TO GROUND REMOVE EXCESS SURFACE SOIL WATER (Use only if obviously warranted) 1 - -- _ SOIL TREATMENT UNIT USING SHALLOW TRENCHES AND INTERCEPTOR DRAIN OUTLET TO NOTES TRENCH INLET FROM SEPTIC TANK OR PREVIOUS DROP BOX -, ALL PIPES SHOULD BE AT LEAST 4 - INCH DIAMETER. 2. ELEVATION OF INLET AND SUPPLY SUPPLY LINE LINE TO NEXT DROP BOX MAY BE TO NEXT ADJUSTED UP OR DOWN FOR DESIRED DROP BOX EFFLUENT LEVEL IN TRENCH. ??. 3. SUGGESTED TRENCH LIQUID LEVEL IS AT TOP OF OUTLET PIPE. 4. INVERT OF INLET MUST BE AT LEAST ONE INCH HIGHER THAN INVERT OF SUPPLY PIPE TO NEXT DROP BOX. I INLET j 1 I I OUTLET TO 5. TRENCHES MAY OUTLET ONE SIDE OR TRENCH BOTH SIDES OF DROP BOX. I I i I I I i INLET -SUPPLY LINE S NY I / I LI E `J I I I I I I I I I I OUTLETS I I I OUTLET TO TRENCH I TRENCH i I I I DROP BOX TO 2" EARTH COVER HOUSE SUMP - PUMP (IF NECESSARY HOUSE SEWER MIN. GRADE I" IN 8 FEET MAX. GRADE I" IN 4 FEET SEPTIC TANK DROP BOXES OUTLET SEWER MIN. GRADE I" IN 8 FEET NO MAXIMUM GRADE HOUSE o m 4" DISTRIBUTION ' PIPES--?,, IT LEAST 10 FEET DROP BOX--( SEPTIC TANK 0 AT LEAST 4 V2' OF UNDISTURBED 1 ,EARTH FOR 1 1 CONSTRUCTION l CONVENIENCE f I? 4" WATER - TIGHT I I PIPES I I 0 -J 4 I 11 I ,I I' I CAN BE ADDED IF ? I (NECESSARY- SEWAGE TREATMENT SYSTEM WITH DROP BOXES i .Ib? : ,? R1N 1p51 L---- P13? FEES / ? dr 7 ;, ii/ ?l r f•liX, h & I- h y I'?yf ? MOUND FILL 4"- 6" TO ALLOW FOR SETTLING COVER -6" TO 34" OF SOIL COVER ABOVE ROCK -3/4" TO 2 1/2" 01 A. CLEAN ROCK HAY OR STRAW COVERED WITH ZTHROUGHOUT LAYER OF UNCOMPACTED RED ROSIN PAPER RENCH BOTTOM MUST BE LEVEL LENGTH M ROCK COVER ABOVE PIPE ---6" MINIMUM ROCK DEPTH BELOW PIPE --- 4" DIA. RIGID PERFORATED PLASTIC PIPE WITH ONE ROW OF HOLES ALONG BOTTOM - WATER TABLE OR IMPERVIOUS LAYER SUCH AS CLAYPAN, ROCK, ETC. W PIPE TO NEXT DROP BOX EARTH BACKFILL AT LI' 6" ABOVE TOP OF ROCK AT LE, ST 6" DEPTH OF CLEAN ROCK /4" TO 21/2' DIA. DROP BOX MAXIMUM LENGTH = 100 FEET OVERFILL NOTES j -- 4 TO 6 INCHES INSPECTION i „c- WELL BACKFILL 6"9 TO 12" OF e SOIL 13ACKFILL e __J2" DEPTH OF <<.t.r 0 v e ROCK ABOVE PIPE ROCK a AT LEAST 6" OF t , ROCK BELOW I\ ;'c PIPE Fes- 18" TO 36" __- ° 1. BOTTOM OF TRENCH MUST BE FLAT ALONG LENGTH. 2. SLOPE ON DISTRIBUTION PIPE IS BETWEEN LEVEL AND 4 INCHES PER 100 FEET. RECOMMENDED SLOPE IS I TO 2 INCHES PER 100 FEET. 3. DISTRIBUTION PIPE CAN BE PERFORATED PLASTIC WITH 1/2 INCH OR LARGER HOLES. ONE OF THE ROWS OF HOLES MUST BE LOCATED ALONG THE BOTTOM OF THE PIPE. ONE - FOOT AGRICULTURAL DRAIN TILE CAN BE USED WITH A 1/4 INCH SPACING. 4. SCARIFY TRENCH BOTTOM AND SIDEWALLS AS HIGH AS ROCK WILL BE PLACED IN THE TRENCH IN ORDER TO EXPOSE NATURAL SOIL. REMOVE LOOSE SOIL BEFORE PLACING ROCK. 5. WHERE TREES ARE PRESENT OR LIKELY TO BE PRESENT DURING THE LIFE OF THE SYSTEM, 12 INCHES OF ROCK MUST BE PLACED UNDER THE DISTRIBUTION PIPE. 4"DIAMETER INSPECTION L WELL WITH CAP 4 TO 6 INCH LAYER OF ° MARSH MAY OR STRAW AND ° A LAYER OF RED ROSIN PAPER " TRENCH CONSTRUCTION DETAILS 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?5. 50 Ck?r?• ?l503 r956q Date -/ O / J Site Street Address 1700 Unit # Property Owner Telephone # ( ) Contractor ic_,, Telephone # 6 2 Address/3e ^e 4' Itull Sr ^1 -S7c you City c State Zip ' x3 L The Applicant is: _ Owner _*ontractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) -Other: ?1 \,? ActyV CCU _ Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 n ? JAN 0 4 2005 Total . I'LI $ I hereby apply for a Residential Plumbing Permit an&W e?at the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in th event a plan is required to be reviewed and approv J? Applicant's Printed Named ",,?pplicant's Signature X005 r T 5 K 3 2004-RESIDENTIAL MECHANICAL PERMIT APPLICATION k? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit $3o.50 Date/6,9_/n4 Site Address nc)o \ ACS`( \ ??lX\T Unit # Property Owner 7F? NV elephone # (LO)0_1, )- 299 a QbP, Contractor 0, Street Address City St t r\ Zi ozEcn Q57 Telephone# 45' a e p Bond #: Expires: The Applicant is Owner 1 // Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger _ air conditioner -New - Replacement s1 other 24)D F(Y\ A t ) WxJ `?U ('1 1 J State Surcharge $ .50 30- 4'0 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 ap roved plan in the case of work which requires a review and approval of pl rs. 1('1WY? 111. cJJ?? lC.. e Applicant's Printed Name Applicant's Signature Co? 3S? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 .? Mu-A- ? Telephone # 651-675-5675 FAX # 651-675-5694 -?_ ............... New Construction Requirements Remodel/Repair Requirements 9fr?ce':Ltse dii10 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cent of Sum.ey Recd Y .? N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree PfesPlmtt Recd •_Y _ry: 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions B decks Free Pres Re 11trc? , T Y• 1 set of Energy Calculations Addition - indicate Sonsite septic system OrFSile Seppe System ;I. Y. Ni 3 copies of Tree Preservation Plan if lot plafted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date_ / 61? / OLI P Construction Cost Site Address / M /?i 1! ?>ITh V (yi h Unit/Ste # Description of Work /Z ?/rGe /' ay,-_ c%? e 9t Ihu lre6iX!!7 - 7?fe?w c la/lt a! ,? drl e?, .rN.r? c7 - /Ub.J Bld Y X N Multi-Famil ? , bur/ej Pd,)Vt'S N j2ftv .d. j? 0 Fire lace(s) r4+?r f; V7 r r c r did c •Y. 'S,"?y? 2 c 4.., /w74 1 g y p _ _ _ / Property Owner l y{? f/J ( ('70 -n ZD qt- wFi5i_ Telephone # (65'/) y$?c? "a1'??7 9 Contractor (2e) 7pd hA a ; m en S i ovt S .Znc? Address Sk l;i 6/0'N City S?• Z1a)A S Qjn4 State /F ZipSSW61 Telephone # (9,5A) /aO'SSSS COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category I _ • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information-i§=coTnptet- ?te; 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; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. A NEW BUILDING Minnesota Rules 7672 New Energy Code Worksheet Submitted Applicant's Printed Na e A plicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex x 02 SF Dwelling ? 08 06-plex ? 03 01 of-plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types... ? 31 New ? 35 ? 32 Addition ? 36 ;, 33 Alteration ? 37 ? 34 Replacement Valuation C7 Census Code y 3 y SAC Units # of Units # of Bldgs Type of Const (j ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) 13 31 E)d.Alt-Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage Plbg_Y or_ N [3 25 Miscellaneous 6#777`-5 rJar'/ /z ?Pl1Cij5 2? MOL0?4 Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PC A handout to applicant Occupancy P, _3 MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) - Footings (deck) - Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco -Stone -Brick Windows Retaining Wall Building Inspector as .U 0 3 ??.3Z 9•Ua-- yy ('90 0 i , I r ems. P ' ~ i I 1 ~ ~ ""4 ~ ' i ^ I ..j ~ ~ { r. 5 ~ P ~,h f - ~ r~ i NVJ~= 79~. ~ f I ~ ~ ~tiV r , _ Ft~,~~i' ~A fi 9 ~ i ~ { ,.`te'a I 5 ~ S ? ~ ~ - i S,. ~ " ~ - I , { I j- ~ i~~a t I I .SCAM- i -sae ~ ~ { I - I f f i I i ,11 LEGAL DESCRIPTION I i { .fit'! . ! ~ I Ill; ; : ~ ~ f I i~ i i, 1`~ , I ` m . ~ yl / a _ - . 1 n. ~r ~ ~ ~~3~ j°~i>~~.~:,~ i Tip\.~s +1f:1 l-; }i1 7 y r I ~e?4, ~ , ~ c u ~ ~ < °iS ; 1 r , : rC; c ~ ^ ..'t ! / ~ Zr ~ B.oo d ~ , ,R_- - P (p~~.c-: ~ mss;°~. i~'r~:; , l~, ~ ~ , ~ : - a o ~ i , "c m _ ~83n. i ~ -i,. ' I ~ 'R33 ~ u 'g= b ~d_c g p , i ~ ~ , \ a'. W ~ X32.5) ~ \ ~ ~~i ~i '1 g r~ rn, d ~ ~ ~ >k Q N ~ m q I !G - `834 > l \ ~e ~~•O~ KETRit~~t,~, ~ ~ \ ~ i ! N I / 9 ~l 5 a c ~ fi~ ~ ~~K'~I _ 170 . ~ ~ - y - _..._..y i~ <J i'' i, R ti w__~.,~,_..~.._..~. , I i I ~ J ~i ( DESIGNED CHECKED I HEREAY CERTIFY THAT THIS PLAN WAS ~ '_I ~ PREFARE~ ~O~' D FOR. SHEET REV. C®NSULTIN6 ENGINEERS, PREPARED BY ME OR UNDER MY DIRECT -'",k ' DRAWN GATE E PL(~NNEAS and IAND SUAYEY00S SUPERVISION AyD 7HAT^,~ Mr DpULY - REGISTERED /_.AN"~ ~ ~a Y SCALE BRUCE OLS UNDER THE LAWS OF THE STATE 1, CE oLsON 1 NGINEE~IHG DP MNI ESD A _ t .i. . JOB N0. ~i ~ _i' } ~i~ O.liP(~N~ INC• S' ~~n N0 GATE BY REMARKS ~ DA1~~REG.NO:yuu.,~~ REVISIONS 1000 EAST 1461h STREET, 9URNSVILLE, MINNESOTA 55337 PH 432-3000 ,t C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675. Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: J 2010 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address: 170o ►>lei -1 n Al / Property Owner: C vr) 1 ( C.) Telephone #: 3-7 c Plumber: C at' ) ) -Q-- Date of Inquiry: f ' Contact Name: C t -7'm 9 1. C 9 - Sewer Service Sewer lateral charge Sewer trunk City SAC MCES SAC Receipt #: , Date: Septic abandonment Permit Fee State Surcharge TY. F ----- -�- $100.00 -: $ 2,100.00 $ 50.00- $ 50.00 - $0.50' TOTAL: / 300 44 Sewer Service Water Service wer lateral charge @ $62.70/ff ral charge @ $63.30/ff $1,275/connection /connection Wate Water trunk Water supply sto Receipt #: _ Treatment Plant Permit Fee State Su rge Plum • • Permit Required — water meter to be a , red with building permit r Service r ral charge TOTAL: $ 1,185.00 $ 735.00 $ 50.00 0.50 Wat = Sewer trun Water trunk @ $ City SAC MCES SAC Receipt # Water supply & Recei Trea - nt plant $ 100.00 $ 2,100.00 185.00 tic abandonment Permit Fee State Surcharge *Plumbing Permit Required - water meter to be acquired with building permit 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. copherstateonecall.om City of EaQaIl Engineering Division 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651-675-5641 - Fax: 651-675-5694 www. cityofeagan. com Permit Number: RW' ag34•'" Cr)b/f7 Date Received: Wlisl/0 FOR CITY USE ONLY Submit 1 (one) completed form with 4 (four) sets of maps Permit To Work Within City Property / Right -Of -Way / Easements General Information Applicant: -s -.'t- kill Ccs Address: / n ----sr t- 51— City: it'014 7 -City: -ani f•s4, ,....i‘.11,3 IN State: �'"�tCi- Zip:_�r..a v.,.�.-,y' Contact Person: .,)..er S.....,,...... ,..,r Title: •--9 t t .4.(4."'i'" Email: ....t . r : -i3 W €. 3e.., )1e,-,;$ +ri..,, t;/Li/Phone: G$OC Reg. #: Fax: Z S -1 -WS A 7S G / - 7 Contractor (if other than applicant): r 64.-e GSOC Reg. #: Contact Person: Title: Email: Phone: Location: Fax: (Street, property arens or eg"' , or from nearest public street intersection) Excavation Information Start Date: /Tit -- 2 v JO Completion Date: Z-- �• Purpose of Construction: New o Repair ❑ .dG j tJ Replacement ❑ Other 0 Type of Excavation: Trench ' Hole ❑ Plowing o Boring o Other 0 Joint Trench Construction: Yes ❑ No 'sr Lane Closures Required: Yes NC No o Detour Required: Yes s( No o R/W Area being disturbed: Street Surface "ts' Curb/Gutter-8- Sidewalk/Trail 6 Boulevard a - Additional information: Che undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agrees to fully :omply there to the satis ction f the City of Eagan. The undersigned also declares that he/she will comply with all relevant City )rdinanc and Right of ay Ij�gulations. ;igned: tea. Title: ,- .i Vis, 7Z - Dater --tom � 4 OR CITY USE ONLY Financial Security Amount: $ s'Ont1 Type: (Cash, and LOC, etc.) Permit Fee: $ ZOM Receipt No. >pecial Conditions: ORIZATION OF PERMIT APPROVED EP • TMENT OF PUBLIC WORKS BY: DATE: h..Z,J/0 Receipt No. ODl Effective Date: June 17th, 2010 Western Surety Company LICENSE AND PERMIT BOND KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 24778941 Thatwe,Sauber Plumbing & Heating Co. of the City of Farmington , State of Minnesota , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of Minnesota , as Surety, are held and firmly bound unto the City of Eagan , State of Minnesota , as Obligee, in the penal sum of Five Thousand and 00/100 DOLLARS ( $5.000.00 ), lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Street Opening by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until June 17th 2011 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration ofti' ays from the m , y ailing of said notice, this bond shall ipso facto terminate and the Surety lieved from any liability for any acts or omissions of the Principal subsequent to said the number of years this bond shall continue in force, the number of claims made bo the number of premiums which shall be payable or paid, the Surety's total limit of hall not • = iulative from year to year or period to period, and in no event shall the Surety's total exceed the amount set forth above. Any revision of the bond amount shall not be Ltii Data�.is 16th day of Fofm 532-1-2010 June 2010 Satiber iambi`' H ..ng Co. Principal ?- `�i��,'Tfl._ - /ePrincipal WE E ;�SURET COMPANY Paul T. Bruflat,nior Vice President } STATE OF SOUTH DAKOTA as COUNTY OF MINNEHAHA On this 16th day of June personally appeared Paul T. Bruflat officer of WESTERN SURETY COMPANY, a corporation, and that he as the foregoing instrument for the purposes therein contained, by signing ACKNOWLEDGMENT OF SURETY (Corporate Officer) officer_ IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ++„M,.«+...4...,+ + 1 S. ETCH s 1.--W SOW H DAICOTA MART PIMLICO. + ..w.4 My Commission Expires February 12, 2015 2010 , before me, the undersigned officer, , who acknowledged himself to be the aforesaid such officer, being authorized so to do, executed the name of the corporation by himself as such STATE OF COUNTY OF Iss Notary Public — South Dakota ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) On this day of , before me personally appeared known to me to be the individual _ described in and who executed the foregoing instrument and acknowledged to me that ___. he _ executed the same. My commission expires STATE OF AMeStiftr )C COUNTY OF Z - t - On this /V day of ULLl w-- Notary Public , 4000 , before me personally appeared who acknowledged t of 3aLbgj' Plthnh1 himself/herself/f 171r. b. f '�S�rtr O , a corporation, and that he/she as such officer being authorized so to dor executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My co on expires r11. • 3l License or Permit. No , 204/ 0 1 Name of Applicant ,erdyac yevif Notary Public rZ PERMIT City of Eagan Permit Type:Building Permit Number:EA125674 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 1700 Riverton Pt Lot:1 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Joan Ciesler Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Mattson 1700 Riverton Pt Eagan MN 55122--313 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature • Use BLUE or BLACK Ink r________________� I For Office Use � � � Permit#: � ��`7� �,�" ` Clty of �a�� ,. ,� . � �� iPermit Fee: � �' 3830 Pilot Knob Road � ✓ � /�I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � :, . I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: i��v ��J—�s."' ` / � Unit#: f Name: �-- � Phone: �l�Zi Zfo'�/' (,%� � �� Address/City/Zip: �� • �c�.-,•� _��Z Z- � � - c Appiicant is; �Owner Contractor � �,� J� Description of work: �� ,�-r �,��.�.�� . (�,�K�-i� /�Jj(lt'.c��•C �/ Construction Cost: �� Multi-Family Building: (Yes /No�) Company: Contact: Address City: ', State: Zip: Phone: EmaiL li 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: 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.qopherstateonecall.orq 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 Mi esota State Building Code st be completed within 180 days of permit issuance. x Y�� x Applicant's Pri ted Name ApplicanYs$Pgn ture Page 1 of 3 �(,�,� �`%� �'Z �f� DO NOT WRITE BELOW THIS LINE .S��'�—s�'' � J r �.� SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi �Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation � Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � �� Occupancy ��.�r�' MCES System Plan Review Code Edition 3"��"` �,�"` SAC Units _�__ (25%_ 100%�) Zoning �y `�_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation =� HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaIL_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee � ��`e�� Surcharge � iJY�� °�°�� Plan Review � � � # � �� *� �` ��.� MCES SAC � �� "" � � � �.� �� City SAC '��..�� ,,��,: Utility Connection Charge ,��,�'�� s �;.� S&W Permit 8�Surcharge � -� " d� �� Treatment Plant �� f Copies �'��Y�� TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160206 Date Issued:02/24/2020 Permit Category:ePermit Site Address: 1700 Riverton Pt Lot:1 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Terry L Mattson 1700 Riverton Pt Eagan MN 55122--313 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature