2960 Sibley Memorial Hwy
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CITY OF EAGAN Remarks
Addition Riley Sub. I nt 3 Rik 1 parcel 10 64200 030 00
Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 -968 100-0r) I() Pm d
* SEWER LATERAL 1972 30)15-()() PC) Pal d
WATERMAIN
* WATER LATERAL 5Te6 1972 20
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 28o-oo 12009 10-28-74
PER.
SAC 00.00 00 10-28-
PARK
PERMIT If q c[Q °?j RECEIPT DATE:
8008 RnIDENTIAL PLUMBING PERMIT APPLICATION
crrYof Emm
3880 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: a 4 (? c? t ??*rx:+-t?
OWNER NAME:: N of Oloon TELEPHONE #: (o5 (- 45y - /- 9??
(AREA CODE)
INSTALLER. NAME:
STREET ADDRESS:
CITY:
TELEPHONE #: 165 / - y5-133
(AREA CODE)
STATE: MAJ- ZIP: 550-5
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
- Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
- Abandonment of septic system.
- Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
Other:
- RPZ: new installation/repair/rebuild $ 30.00
- lawn irrigation system
Replacement/ dditional: _ water softener _ water heater $ 15.00
y
State Surcharge D AY 0 2 2002
.50
Total / $ ?5-S o
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City p rope frig -w .ay/easement. Y-d9 -0--
SIGNATLKE OF PERMITTEE 1/02
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 08/18/00 TIME: 07:34:14
ID:
NAME:- WENZEL MECHANICAL
3212 9001 2960 SBLY MEM H 30.00
2155 9001 2960 SBLY MEM H 0.50
Total Receipt Amount: 30.50
CR136056
USER ID: JAN
CITY USE ONLY
L BL RECEIPT #:
SUED. 1\ \ 1 'Q In / RECEIPT DATE:
PERMIT# W) L
-[ 0
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, tar 55122
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIYTIIRFC
EACH #
TOTAL
Alterations to existing dwelling - minimum,fee
Describe: (look 1)IP C-i .sl 4-'%:QU" $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC llc.
Septic System abandonment 75.00
30.00 x
x =
= $
$
RPZ new installatioNrepair/rebuild 30.00 x = $
Rough opening
Shower 1.50
3.00 x
x =
= $
$
Underground sprinkler if dwelling is under construction
Underground sprinkler if existing dwelling
Water closet 3.00
30.00
3.00 x
x
x =
=
= $
$
$
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x
State Surcharge .50
Total -->
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
o cdrnply with ail applicable City of Eagan ordinances.
I hereby admowledge that I have read this applicatioh, state that the information is i:onect, and agree -to--c-o-
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
(AREA CODE)
INSTALLER NAME: td(2Air 4 a AJ C ,? TELEPHONE #: 65-f - YS a -15S6S
p _ t (AREA CODE)
STREET ADDRESS: T fS? < kkOAJ.Jf? 94
CITY: 1-A 6/41J STATE: ZIP:
SIGNATURE OF PERMITTEE
EAOAN TOWNSHIP
UILDINIG PERMIT
Owner
DESCRIPTION
N° 325
Eagan Township
Town Hall
Date
Stories To Be Used For Fxont Depth Height Est. Cost Permit Fee R arks
7
1
or
Thisfp6rmit does not authorise the use of streets, roads, alleys or sidewalks nor does&if,Liive the owner or his agent
the 'kWhtto 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 MU KEP ON THE PISE-WHILE THE WORK IS IN PROGREE
This is to certify, !Sa --;..?-._?-.haspermission 3o erect a-.-..-? --.-.:..--.-..-upon
the abov,describedIse jec sins of the Building Ordinance for Eagan Township ov36d April 11,
1955.
Per .-._ ........ ......... ------------------------------ .----------- .......-..-..
Building Inspector
Lor Blk O PID# ??-(,c?•2??-?g?-OO SewerAvater permit 0
Plat 01 I Date Receipt
r>g.Ur?? ??-?l?
CITY OF EAGAN
1997 SEWER & WATER CONNECTION AND PERMIT CHARGES
EXISTING RESIDENTIAL PROPERTY
Connection and Permit Charge/ Water Connection and Permit Charges
Sewer bv@ilabili
Date pre ' us
Receipt #
Account depose
Sewer permit &
Subtotal
* Plumbing p i
Tap
Utility nectio
charge (SAC) $,19050.00
paid
15.00
ur r 50.50
$ 1,115.50
& surcharge 20.50
Water availability charge (WA AC)
Date previously paid
Receipt # IHO?
Account deposit
Water permit & surcharge
Water meter
Treatment plant
Subtotal
* Plumbing permit & surcharge
Tap
Utility connection
Total
Sewer & Water Connection and Permit
Water availabill char
Date previously p
Account deposit
Sewer & water permit
Water meter
Treatment plant
Sewer aVAlability charge (SAC)
Date previo sly paid Receipt
Subtotal
(WAC)
Receipt #.
* Plumbing pe ' & surcharge
Tap(s)
Utility nection
/$050.00
780.00
30.00
100.50
109.00
420.00
$2,489.50
20.50
$ 780.00#
15.00
50.50
109.00
420.00
$1,374.50
20.50'
ifz.d
? fa??•D?t
* A plumbing pennit is also required. It will be issued only to a plumber licensed with the City or to
the homeowner if the homeowner is actually doing the work.
OFFICE USE ONLY
Property owner _Q 4"Ruh- PRV. 112A
Address 't1-0 ?? pIa ?fl 'AL JItkl.
Phone no. #?'t - Q• g
Plumber
No. of taps d
Utility connection -&"'?
Waiver ???
Lot Blk
Plat
Date
Receipt
CITY OF EAGAN
1997 SEWER & WATER CONNECTION CHARGES
EXISTING COMMERCIAL PROPERTY
Sewer connection charges
SAC ($1,050/unit)
Date previously paid
Receipt #
Sewer permit and surcharge 50.50
Water connection charges
Treatment plant ($420/SAC unit)
Water permit & surcharge 50.50
Subtotal
Subtotal * Plumbing permit & sun_ harge
Tap
* Plumbing permit & surcharge
Tap Total
Total
Sewer & water connection charges
SAC ($1,050/unit)
Date previously paid Receipt #
Treatment plant ($420/SAC unit)
Sewer & water permit and surcharge 100.50
PID # Sewertwater permit # '
Subtotal
* Plumbing permit & surcharge
Tap(s)
Total
The number of SAC units is determined by the Metropolitan Council Wastewater Services.
* A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to
the building owner if he is actually doing the work.
Property owner
Address
Phone no.
Plumber
OFFICE USE ONLY
PRV
No. of taps
Assessments
Waiver
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 11/17/1997
PROPERTY ID: 10-64200-030-00
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100005 SAN SEW LAT 0000 01 0.0000 3045.00 0.00 0.00 CL
100040 SAN SW TRK 1967 30 6.0000 100.00 0.00 0.00 CL
------ SUMMARY OF LEVIED
****** 1997 P&I CERTIFIED
------ SUMMARY OF DEFERRED
------ SUMMARY OF CLOSED
------ PENDING ESTIMATE
0.00 0.00 0.00
0.00
3145.00
0.00
Press ENTER; or F1, F4, F5, F7, F8
VILLiBE OF EAOAN SEWER SERVICE PERMIT
3795 Pi23.71_
lot Knob Road - PERMIT NO.:
Eagan, MN 55124 DATE: _ .10/28/74 "-- -'•?'•'
Zoning: :. No. of Units: 1 . `..?
Owner: -Earl W Olson
Address:
Site Address: 2960 Sibley Mem. Hwy. Ea an 55121
Plumber: same
1 agree to comply with the Village of Eagan Connection Charge:400.00, pd ,
Ordinmmn. ' ' - Account Deposit: 15.00; pd'.
Permit Fee: 10.00 pd.: .,
/? - Surcharge: .50 pd
.Bj Misc. Charges:
Date of Insp.: Total: -
Insp.: Date Paid•
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road 1610
PERMIT NO.:
Eagan, MN $5122..
,.-
" DATE: 10/ 28/74
.
Zoning: R1 1
No. of Units:
Owner: Earl W. Olson
Address:
Site Address: 2960 Bibley Mem. Hwy., Eagan 55121
Plumber: same WATER TUMiEEl) OFF AT CURB
8u.uu Pa
Meter No.: ax 23784876 Connection Charge:
Size: 5/8 Rockwell Account Deposl't,
b
Reader No.: .580944 Permit Fee:
. P
1 agree to comply with the Village of Eagan Surcharge: .
Ordmanaee ..,Misc. Charges,
Total:
- BY ?F• o "?ya- Date Paid:
Date of Insp.:
'r
Insp.:
fL 1;
i
$ I ? Lot Block ?Z PID # Sewer /water permit --#
Plat l? Date 0 V Receipt # CITY OF EAGAN
2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer
charge @ $22.30/ff
City SAC
Base SAC
Date paid
Receipt #
Account deposit
Septic abandonment
Sewer permit & surcharge
Subtotal
Total
100.00
1,100.00
15.00
30.00
50.50
Water
Lateral charge @ $22.55/ff $??>r
Trunk @ $940/connection
-84990 ?ll?
Water supply & storage
Date paid d 7 f?
Receipt # ! o
Treatment plant
Water meter "Inspections req'd prior
to issuing
Account deposit
Water permit & surcharge
Subtotal
Plumbing permit & surcharge
1 Total
Sewer and Water
Sewer lateral charge @ $22.30/ff
ater lateral charge @ $22.55/ff
Sewe a. $900/connection
Water trunk 40/connection
City SAC
Base SAC
Date paid Receipt
Water supply & storage
Date paid Receipt #
Treatment plant
Water meter "Inspections req'd prior to issuing
Account deposit
Septic abandonment
Sewer and water permit & surcharge
Subtotal
Plumbing permit & surcharge
Total
100.00
1,100.00
840.00
492.00
114.00
30.00
`-?39.5?9 PtQ ?/7
l S O (D
I S ? C)
OFFICE USE ONLY
Property owner F-a,( \ G\ so 1n
Address -,) 9 (o C? <E;, i ?D VY WICIJ i oQ 4u-,? ?
Phone number S l t S? - l 9 3 °?
Plumber W -c- to
PRV required:
R-O-W Permit:
Unpaid $
Permit Fees:
City financed:
1@'Cr
Cie/tounty el
cc: Carolyn Krech, Finance Department
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 08/18/00 TIME: 13:42:29
ID:
NAME: EARL W OLSON
2252 9220 2960 SBLY MEM H
15.00
Total Receipt Amount:
CR136103 15.00
USER ID: JAN
. . .... a.L+? -., . .
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