1714 Sartell Ave41,01''
City of Eaan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
Permit #:
966q
Permit Fee: $5S• 00
Date Received: G12
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
dol(
Site Address: ! /
7 /../ 5-4,/eft %,J e t-417.-9 "
Suite #:
RESIDENT / OWNER
Name: A/ 71‘,1..,
G- i A✓iel 4"
Phone: 'St' g`7,l e
Address / City / Zip:
/7 `` ' -/// / 6L J:",.,,,,,,,,,/ s -S/ 3
CONTRACTOR
Name: 'C'! et,
License #:
Address:
City:
State: Zip:
Phone:
Contact:
Email:
TYPE OF WORK
PLUMBING (Within the
Sump Pump Repair
building envelope)
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
DESCRIPTION
Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $ *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
;v/hew
�;,d/it AP
Applicant's Prin d Name
FOR OFFICE USE
Required Inspections:
/
Applicant's Si • nat
CITY OF EAGAN Remarks Wtr con, pd. on 9-26-72
Addition Cedar Grove #8 Lot 22 Blk 10 Parcel 10 16707 220 10
Owner 1 Gb i- r Street 1714 rt .l l Ave. State Eagan,MN .5.5122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z-ar 1970 125.00 .00 2 Paid
SEWER LATERAL 1974 1539-10 Paid
WATERMAIN
-
-
1
# WATER LATERAL 19
7
1F 5
WATER AREA
STORM SEW TRK
# STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 6516 9-26-72
BUILDING PER.
SAC 170,00 6516 9-26-72
PARK
RESIDENTIAL
1 BUILDING PERMIT APPLICATION
7 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?a C ?
651-681-4675
New Construction Requirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
. 2 copies of plan shoving beam & window sizes; poured found design, etc.)
. l set of Energy Calculations
. 3 copies of Tree Preservation Planf lot platted after 711193
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE `6 L / -75 r fJc?_
SITE ADDRESS 17 /?/ 5.92 ell Ac/
TYPE OF WO
5111th ti/r9 °r "? W i
APPLICANT ???¢Lloi? 7 65P??l ?Deg< 41
STREET ADDRESS CITY - ? STATEM^fZIP '55/a-2
TELEPHONE # /.,57/ (08(0 7p14C CELL PHONE # Co /? ? O ?g S 5 FAX #
PROPERTY OWNER _ l?s?{vrvi. L i ??Pit?&l TELEPHONE# 6/6 Gt'4? 70l9'
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
AUG 13 Z002 D
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Oronopces.
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
MULTI-FAMILY BLDG _Y Y N
t,,3? FIREPLACE(S) _ 0 3/1 _ 2
Phone #
Iawn Sprinkler
No. of R.I. Baths
RemodegReoair Requirements
2 copies of plan
. i set of Energy Calculations for heated additions
. 1 site survey for exterior additions & decks
. Indicate if home served by septic system for additions
VALUATIO Z. ?2 D 0. f) C)
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final
Framing Siding
Stucco
Stone
_ Fireplace _ R.I. - Air Test - _
Final - _
_
Windows (new/replacement)
Insulation - Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
y_ EAGAN TOWNSHIP
BUILDING PERMIT No 2859
Owner e
......_ * -"-?-?---............. ----- ----------- Eagan Township
Address (Present) ---......-. - 'j-".
`
.............:t......---``.:i.`.:`..?............... Town Hall
Builder ......................... _................... ..... _.._................ .... ...._._.. '---........
Data Z-
Address _...._..---........... ............ ................. .......... _.... ......... --
DESCRIPTION
Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks
_
LOCATION J -V
?. Street, Road or orner llescrlplron of Location I Lot Block Addition or Tract
r .x y f, s 9
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that ...??{: .:` ...:.:.... :.:r....:... .4.::..`............haspermission to erect a..._.td...... ?/ .' '
the above described premise subject to the provisions of the Building Ordinance for Eagan ?ownship adopted April 11,
1955.
....... ........................ Per ................... ................
...........ildi.. . .Io .
Chairman of Tnwn Bo rd Suilding Ins Ins p actor ........................
' xf
MASTER CARD
LOCATION e50? y , / // I/ z X -w
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING Z AA
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 6 r
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER qq?
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION
FRAMING
FINAL
ELECTRICAL 0.
?0 7 .j
J CESSPOOL
TILE FIELD FT.
HEATING
4? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER ?
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR DATE
.? ao
ate- /?- 8"
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
1 Number 998
Date:
Billing Name. ?t?Site Address: 1?jw
Owner: Billing Address
Plumber
Meter
9/26/72
Meter No, Permit Fee 10.00 pd /26/72
Meter Reading Meter Dep. .50 pd 9/26/72 s/c
Meter Sealed: Yeas 'Add'1 Chg.
NO Total Chg.
Building is a:
Residence xx
Multiple No.
Commercial
Industrial
Other
inspected by
Date
Remarks:
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota unty, Minne ta.
By:
Q RavLe
Please notify the above office when ready for inspection and connection.
c9c;? -/0- K
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: q?a a NUMBER 1155
OWNER ONJ Address 17L j? ?? !`?v
PLUMBER TYPE OF PIPE CI-A NA.6?
DESCRIPTION OF BUILDING
Industrial Commercial) Residential I Multiple Dwelling ` No. of units
I
Location of Connections:
Connection Charge 260.00 pd 9/26/72
Permit Fee 10.00 pd y/26/72
s c
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesotel 0 n
Please notify when ready for inspection and connection and before any portion
of the work is covered.
TOPN OF EAGAN
3795 Pilot Ruob Road
Eagan, Minnesota 55121
/U -
C?pAiC ?G1o ?? -R
PERMIT NO. 2618
The Board of supervisors hereby grants to Cedar Orove Constraotian Co.
of 7,343 Concord Blvd. Bast, south St. Paul. MN 55075
a PUMMI0 Permit for: (Owner) some
at ITn741i 3wte t-? s
pursuant to application dated
9/25/72
Fee Paid: 00900 Dated this 26th day of September
1,50 o
Building Inspector m
Ip .
as-iv f?
W"N OF EAGAN
3795 Pilot Knob road
Eagan, Minnesota 55121
PEI'MIT NO. Mi
The Board of Supervisors hereby grants to rmd (lrrnre Con„tr,+ntien Oa.
Of 7.31' Ionrnrrj ol.a r..,gt, 0"th G;._ 25111 55075_
I AFATTyn Permit for: (Owner) game
1737 Sartell 2-9-8, 3912 Blackhawk 8-9-8,
at ' 171h .nrt.ell ??_t•? R , pursuant to application dated
Fee Paid: tibU.UU Dated this 26th day of ?tasgber 9?.
1.5U a/c
Building Inspector
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use G
0
- ~ Permit Z2
City of EaEd
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 540Z Site Address: ~5'7 e `e lz y:z Unit
Name: //d✓piv~~/ G-%✓r~P/[~fl~~/L Phone: Co
Resident/ i
Owner Address / City / Zip: l 7 ! S-3~ PGl ~¢c/ `nz, i l
j 9 Applicant is: Owner Contractor
Type of Work Description of work:e p~~y C o~ ,~~c
Construction Cost: 0 Multi-Family Building: (Yes / No
Company: Contact:
i.
Contractor Address: City:
r i
State: Zip: Phone: Email:
e
i
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to I
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x x
Applicant's Pr' d Name A icant's Sign ture
Page 1 of 3
~f`