3645 Sibley Memorial HwyCITY OF EAGAN Remarks ?-
Addition Section 17 Lot Bilk Parcel 10 01700 010 50
Owner a"2»g1W- 9- Street 3645 Sibley Hwy. State E2gan,MN 5514L
Imprbvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1972 907.42 10 Paid
STREET RESTOR.
GRADING
P-0 S 2 % to -313&.3 TRK S rScw 3/3G • 3a G'O /S??- .3 3 6
SAN SEW TRUNK 1968 140-00 30 Paid
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 730-00 48.66 1 t C0 07
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP Nc 247
,--.BUILDING PERMIT
Owner ? ..?i..?_...._ ... ?-----..._.... Eagan Township
Address (present) '.- .. -.1.--.. .... ... `._.. Town Hall
C?
Builder .......... .'----------- ........ ..... ....... --..... _...._... rC.C.t-ate / ?
Address --------------------------------------- ---------------- -------------- -------- ---------- .
DESCRIPTION
Stories T Be Used For Front Depth Heig Ed. Cost Permit Feel
; 1n- Z , Remarks
/
0
4
e am
5-0
'
.
17'a
-
or
LOCATION
or
50 5c,? t-ro
This permit es not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to eate 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 B?u-T ON TH P)jI]]jjWHILE THE WORK IS IN PROGR X45. -??/
This is to certify, Thai. '? .Qru@ /? i / ------- - -has permission to erect a---- - --._-upon
the above descr' premise sub" to the provisions of the Building Ordinance for Eagan Tow adopted April 11,
1955.
.....------.....,. t G .. ...__..... Per ----- .------- -..- ................-----' ----------------------
Chairman of To n card Building Inspector
EAGAN TOWNSHIP
BUILIDING PERMIT
Owner ---(,..L/ s..1.-----------------
Address (present)
Builder .--........................ -------- -.__---- ------------- ---------- ----------------- ----
Address ---------------------- -------------------------------- ............. .........
DESCRIPTION
N° 839
Eagan Township
Town Hall
Date
Stories To Be Used For Front Depth Height Est. Cos! Pe
rmit
Feel Remarks
er
-
LOCATION
Street, Road or other Description of Location Lot Blo
k Addition or Tract
I c i
This permit does not authorize the use of streets, roads, aNeys or sidewalks nor does if 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?yKEPT O?N? THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that..a- ---L.r ................ has permission to erect a----- ------------- ......................... upon
the above des pr 'se sub'ecI to t 'rovisions of the Building Ordinance fo?hagan wnship adopted April 11,
1955. /,/?;??
.............._..........--....---_......-" ---................................. Per ___......-.G.G.C ./,: t?....d ' ..
Chairman o Tnwn Board Building Inspector
Permit #: t- `, l (-d
Receipt Date:
n -7
CITY OF EAGAN
2004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
11 __ nn EXISTING RESIDENTIAL PROPERTY
Address 31° 4? tQ h tin\ e Vdl c1V ` p.Q ,? l?J OFFICE USE ONLY
Property Owner Y ?c? c I stn s ., n
Cc t/ ? PRV required
Telephone# 3z'SS'13 /0-Tr
Plumber
Date of Inquiry '8 /?/ 0
Contact Name yyl, k<- / 1'r/* a s7 n
Sewer
4" Sewer Service $ 600.00
Lateral charge @ $24.60/ff
Trunk @ $1,000/connection
City SAC 1000
MCES SAC ,135000
Receipt # , Date
Septic abandonment 50.00
Permit Fee 50.00
State Surcharge .50
Total / $
`" City 7" County R-O-W Permit
Water
1" Water Service
Lateral charge @ $24.85/ff
Trunk @ $1,040/connection
Water supply & storage
Receipt # Date
Treatment plant
Permit Fee
State Surcharge
Plumbing pe required - water
meter to b cquired with plbg permit
930.00
588.00
50.00
.50
Sewer and Water
4" Sewer Service
I" Water Service
Sewer lateral charge @ $24.60/ff
Water lateral charge @ $24.85/ff d 0,3 , 58
Sewer trunk @ $1,000/connection
Water trunk @ $1,040/connection
City SAC
MCES SAC
Receipt # Date
Water supply & storage
Receipt # , Date
Treatment plant
Septic abandonment
Permit Fee
State Surcharge
Total
Plumbing permit required
Water meter to be acquired with plbg permit
J
ors-8?b %??? F-??i
? us F/Me?
b,. a. .ivrn..t.f
930.00
588.00
50.00
100.00
50
$?Iri7,
A116 0 6 4`004 JJ,III
h_
cc: Carolyn Krech, Finance Department
I.
CITY OF EAGAN
SEWER & WATER CONNECTION CHARGES - 1989
EXISTING PROPERTIES
SEWER CONNECTION CHARGES
SAC
Previously Pd.
Receipt #
ACCOUNT DEPOSIT
SEWER PERMIT
TOTAL:
WATER CONNECTION CHARGES
$ 675.00 WATER CONNECTION $ 580.00
Previously Pd.
Receipt S
15.00 WATER METER
10.50 TREATMENT SURCHARGE
$ 700.50 ACCOUNT DEPOSIT
WATER PERMIT
PLUMBING PERMIT
TOTAL:
TOTAL FOR SEWER & WATER HOOK-UP:
$1,636.50
OFFICE USE ONLY
C? C-C ?-
PROPERTY OWNER: fl (?LLL??/I?L!rvrL?
ADDRESS: 0(, V,(- JGG ` "/
L:()/() B: .?D ADD: 4y r7tt -2, 1-7
90.00
228.00
15.00
10.50
12.50
$ 936.oo
•?
rn //- z.g- 8q
/r Arfra, s fA0. - 7,H5Y w;//
8.e toDK;nj at fAe;i
sapkia 7
NF1R w 11
Sar,, 4.1 S@w?r 7!l Sys 7
Is D, K. Sas M?
??
'Cod
CITY OF EAGAN Remarks x`
Addition Section 17 Lot Rik Parcel 10 01700 010 50
Owner' i t.'. tL "2 !? ¢" Street 3645 Sibley Hwy State Eagan,1N 551•2a"?
//i
Imprbvement Date Amount Annual Payment Remipt Date
STREET SURF. 1 2 0 2 Paid
STREET RESTOR.
GRADING r k
O?O S8?- 33 6
SAN SEW TRUNK Vp
1968
1 0.00 3
Paid v
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
1
0,00
15
-Pa a t
co 07
9-3- 7b
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
17 Lot plk Parcel 10 01700 010 50
Addition Section
Owner.' ,i { ?'? Q!???M;?/NL 9 Street 3645 Sible4 HW-y State Eagan,MN 551
Imprbvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1972 907,42 10 Paid '
STREET RESTOR.
GRADING
2p S' 2 / !o /3G•3 TRp( s7.Sew 3/3L.3a CO /S??- 33 E
SAN SEW TRUNK 'VD 1968 140-00 30 Paid v
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 0,00 4b.66 1 1 t CO 07 9-.3- 7Z
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
i? - 1 07
?ftr? y /f,/0 14e
Lt./ A r4 T S To ? o o ?? v / ?o S,e wR? c. >L s( -p
?TR„NK 30o AW4y
w7?1? 5'ee ?, Face. fFen,a.
1--4 n
Xx?
?sT7mafld CoJ?J C/1
aa7o4, ala7
rv?f?l T??,r??%?n ?dl3, T?Ptl`i0.00 -/Co.0u -so?? ar73, Sd'
I ?4A r, ? -v l
ItialI"
5l=tA,-
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14
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V
06
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09-20-'11 11:18 FROM- T-146 P005/006 F-548
44IP
C!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
t(
Ltt
Use BLUE or BLACK Ink
For Office Use /�
Permit #: /�) /0 &?
Permit Fee: 7C)
Date Received:
Staff:
2011 SEWER AND WATER REPAIR / DISCONNECT PERMIT
J
Date: Q//s11/ Fee: $55.00,
X City Sewer City Water Repair '� Disconnect
/
Description Of Work: �l2ii,i f is �J' £-%-,' •Iger/;A
Street Address for Proposed Work Mi / -5— -Cb Aim, 0/: d /7'i
OWNER
Name: "CivtSo{Ma. V4/4 7 ,.si if-' AA1.41on,/y Phone: 1 -)-grg.- 7S`ao
Address / City / Zip: /%SSv / i, ,dr,VL -- 374.,,Asv//4 AIN S-5-93 7
Applicant is: Owner Contractor
Licensed
Name: lit,./' Alt s t 4
Pipelayer iC Master Plumber Property Owner
194 Wo 4S) l.... -.C. Phone:�Sy� ---dtP//tr
Address/City/Zip: 17/5130 W, Ct ¥?j furh- /OS- — at,e,5v'IJ ?IN 55337
Pipelayer Training Certification Card #: !a / or Master Plumber License #:
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is
not to start without a permit.
Ow, 12,11/t /---JEL�
Applicant (Print Name) Applicant's Signature
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.orq
09-20—'11 11:17 FPOM-
41,11'CitJorBaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
C
lug
T-146 P002/006 F-548
Use BLUE or BLACK Ink
For Office Use
Permit It /�"�j
/ 0e.4�
Permit Fee: qr . 0 0
Date Received;
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Name: ! i i,v,Ks04,a Y/Yl /£ y `ft4rfr'- ,444.0.40"4 Phone: 95.--1 " cr8. — 75700
Address/City/Zip: ltss0 C trivE. %'1N S5337
Applicant is: Owner W Contractor /�
Description of work: 44~/fig. • eK%Sfis� f-,trsrc. �r�� (�iv=?/6S
Company: /'M4 f17» * Wor,cj ,' ,. G . Contact: 1 -;;Tat
Address; .2 -COO Cok,ay ,Qd r2 -1S 4't/orCity:
State: /y N Zip: CS'_ 3 37 Phone: fl) - gs11 67/1
License #: Lead Certificate #;
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
fid,)/4;9 .G4Jc .44••• A44
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.aonherstatoonecall.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 Coda must be completed within 180
days
oo�f^permit issuance..
X ` /4M g£✓W1 d
Applicant's Printed Name
Applicant's Signature
Page 1 of 3