1764 Silver Bell RdCITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PLC"'I?IT _ PERMIT No.
Date: Receipt No.:
Single
Site Address: ! (-.4-1.7Fr Silver Bell ; a Residential
Lot Block Sub/Sec. ' Multi Res., Comm./Ind. I
Name r_ New/Alter./Repair
a 9 Address Cost of Installation
City ' } l Phone: Permit Fee
Name - t: :L : _ F l 1l 7 Surcharge
Address
e
City Phone: Total
This Permit is issued 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 Y-
- r+llls
HEATING
March 15, 1977
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
/0 i&,1i/ oao VI
No.
;•? 5E
Date: Receipt No.:
Single
Site Address t ^r ~'' t r -1 - To,iJ Residential c* x
Lot Block - Sub/Sec. C.G I Multi Res., Comm./Ind.
Name New/Alter./Repair
m
Address Cost of Installation
C
City Eag2n Phone: Permit Fee 20. r)r'
` Nome '--r-edrickson Heating Surcharge
Address 4030 Beau d'Rue Drive
C
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Buildirid Official
CITY OF EAGAN
06 3795 Pilot Knob Road
r
Eagan, Minnesota 55122
Phone: 454-8100
HEATING _ PERMIT
Date:
?larch 29, 1977
1766 Silver Bell 1aad
Site Address:
1
Lot Block Sub/Sec
CG 11
Receipt No.:
Single
Residential
No. 869
n553A
t3b1 t una.
Multi Res., Comm./Ind.
Name New/Alter./Repair
Address Cost of Installation
C
City -an Phone: Permit Fee 2 0. r' n
` Name Fredrickson Heating & A/Co Surcharge 5n
Address
0
City Phone: Total
This Permit is issued 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
CITY OF EAGAN Remarks
Lot 2 Blk 1 Parcel 10 0913 m
Silver Bell Road State Eat, 19 55122
f-
i
Improvement
Date
Amount
Annual
Years
Payment
Receipt
Date
STREET SURF. C? 1971 261.65 26 -16 52.37 A005415 2/14Z78
STREET RESTOR. 1975 124.31 12.43 74.59 A005415 2114/78
GRADING
SAN SEW TRUNK -yG 1968 60.0 2.00 30 39 09 A005415 -2/14179
!t SEWER LATERAL 1 l o493.96 298.79 298.80 AOOS41S 178
2/14
* Water lat. & stubs 1975 .
WATERMAIN
WATER LATERAL & area 1973 200.45 13.36 1 120.29
WATER AREA
* Storm Sewer Trunk 3 i 1976 268.39 .68 107.38 A005415 2114178
STORM SEW TRK 1971 33.56 1.6 20 20.20 A005415 2/14/78
STORM SEW LAT !ro 1971 22.7 1.11 20 13.49 A005415 2/14/78
CURB & GUTTER
SIDEWALK 1978 181.5Z 18.75 168.77 A005415 2/14/78
STREET LIGHT
WATER CONN. O L 8? // - J,9 7&
BUILDING PER.
SAC DD _
PARK
CITY of EAGAN
BUILDING PERMIT
Owner ...... TOLLEF.SON...BUILDERS...I.N.C.n .............. I......
1848 Turquoise Trail
Address (present) ..............................................................................
. INC.
Builder ........TOLLEFSON .BUILDERS .
.......... ..................................
Address 1848 Turquoise Trail, Eagan 454-6873
DESCRIPTION
N° 4146
3795 Pilot Knob Road
Eagan, Minnesota 55122
454.8100
Date .........11/18/76 ...............
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
Duplex & 2 Gar. 48' 24' 41,000
20.550
I
s/c
LOCATION i .
1764 & 1766 SilverBell Road
CG #11
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.
u _upon
This is to certify, that .... Tialle£s. a...B.u.;Udex- -.. Imes permission to erect a.... D......P..l.e.....x ................................. & 2 Garr. ...
the above described mise subject to the provisions of all applic rdinances for the City of Ea
...................
..-+......-----•---..° .............. Per -......-(... ....
.... ............................... Mayor Building Inspector
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF
3830 PILOT KNOB RDN 55122
L 651-681-4675 p
New Construction Regurements Remodel/Repair Requirements
? 3 registered site surveys showing sq. H. of lot, sq. h. of house 2 copies of plan
and Q roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
? 2 copies of plans (show beam E window sizes; poured Ind, design; etc.) 1 site survey for exterior additions 6 decks
? i set of energy calculations
? 3 copies of tree preservation plan R lot platted after 7/1/93 _
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
CONSTRUCTION COST:
1 w-t--
LOT: -- BLOCK: • SUBD./P.I.D. #: 0-` G Y 'C) V-C-
PROPERTY
OWNER
Name: 1 0n br)ii Phone#:U 1' 462-'gy'59
Last First
Street
City F naQx? State: fyi Zip: 56 1?.Z
Horizon Exteriors
Company:- 1333 Larc Industrial Blvd. Phone #:
L Burnsville, MN 55337 (area code)
CONTRACTOR (612) 890-3900
Street Address: -? License #9Cc1 Z;Exp.
City
ARCHITECT/
ENGINEER
Telephone #: area code (
Street Address:
City
Sewer 8 water licensed plumber (required for new construction only):
State:
Penclty applies when address change and lot change Is requested once permit is issued.
I heresy acknowledge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes - No
State: Zip:
Name:
_ Registration
(o3gb • 70
Zip:
Is correct, and agree to comply wflh all applicabl
AUG 2 7 1999
Tree Preservation Plan Received Yes - No - Not Required
FIELD DENSITY TEST REP(
IT o IN M[7® TE /'9E?G C
4000 BEAU D'' RUE DRIV 1
® ® ST. PAUL, MINNESOTA 551
° CEDAR AVE. at T.M. 13
in EAGAN T19P.
POeTAOLS T[OTINO Or N16NgAT CONOTRUCI
L2+5(,c'GI ((
0. J. KOPACCa, Paaraae.a.q Owauw.aa CAIN 454.3544 an 076.4066
INPLACE DENSITY TEST RESULTS DATE Monday 4/8/78
For Tollefson Builders
Location Eagan, MN
Teets Authorized By Job No. 1764 ilver Bell Road
Date Tested Monday, 4/8/78 at A.M. 12.30 P.?.
Area Tested Under Footing
Test Number 78-1 Required
Station 1764 Silver 101 North
or Bell Road of South Wal l
Location
25' East of -
Position to C.L. West Wall
Depth Below Surface I I DI I
Soil Classification rave
th Loam Lu
ps
Moisture Density
Curve Number 78-1
n ar u mum
Density 132.1
Dry Density 133.4
Relative Density 101 95+
Average e a ve
Density
Standard Optimum
MDi sture 8.8
Per Cent Moisture 9.5
Relative Moisture 107
Roma rhst Meets Requirements Cppies to: Tollefson Bldrs.
Moisture Density Test Sampled with Field Density City 4f Eagan
See sheet -2- of -2- for results (Dale Peterson, Bldg
citrCn Cods t - 4302, 1 - #303, 1 - #SOti, + 1/2 Inspector)
#61
MR= -3-
SOed
G. J. Kopamk Rotoolonal Eneinew - Reglostion No. 7264
I i ? V
f
Council minutes
April 21, 1981
All voted yes.
OCC68
Smith moved, Parranto seconded the motion to accept the request of the
developer for the preparation of the feasibility report for street and utility
improvements in the First Addition subject to submission of an application by
the developer. All vote yes. R 81-22
CARL TOLLEFSON WAIVER OF PLAT
Carl Tollefson appeared on behalf of his application for waiver of plat
in order to subdivide six duplex lots for single ownership located in various
lots and blocks in Ches Mar and Cedar Grove Additions. The Planning Commis-
sion recommended approval on March 24, 1981, subject to certain conditions.
Mr. Tollefson indicated that Dave Gabbert and he are going to form a joint
homeowner's association for existing double bungalows in the Ches Mar area.
Egan moved, Parranto seconded the motion to approve the application subject to
the formation of a homeowner's association with the by-laws and articles to be
reviewed by the City staff and further subject to the following conditions:
1. All property shall retain the existing drainage and utility ease-
ments.
2. Each of the newly created lots must meet all applicable ordinance
requirements.
3. That the homeowner's association by-laws shall be subject to staff
review and approval.
All voted yes.
BRIARHILL TOWNHOUSE TEMPORARY ADVERTISING SIGN
R 81-23
The application of Carl Tollefson for temporary advertising sign to
advertise Briarhill Townhouses located on Silver Bell Road was next con-
sidered. The sign would be at the southwest quadrant of the new Trunk Highway
f13 and Silver Bell Road. Smith moved, Parranto seconded the motion, all
voted in favor, to approve the application subject to compliance with the
applicable ordinance.
WILLIAM MEADE WAIVER OF PLAT
The application of William Meade for waiver of plat to subdivide a five
acre parcel was next considered. Because of lack of appearance by the appli-
cant, Parranto moved, Wachter seconded the motion to continue the application
until the next regular meeting. All voted yes.
SALLT BEADCHF7IIN REZONING
The application of Sally Beauchemin for rezoning from R-1 to Agricul-
turalof a parcel in the Wilderness Retreat area on Cliff Road was next
considered. Ms. Beauchemin was present and indicated she preferred to rezone
to Agricultural rather than to acquire a special use permit as recommended by
6
C:Y CF ESN
3795 F:. lot Kncb Road
Eagan, +linnesota 55122
DAKOTA CCLnM TRIBUNE
420 THIRD STREET
PAR4 NG-roN mN 55024
Re: City of Eagan - Legal Notice
Gentlemen:
I am herewith enclosing 1 c,)Y/copies of Notice of Public Hearing
in the following matters:
Carl R Tbllefson for waiver of platting for 8 dLmlevv ?o?
which please publish for 1 week (s) in your * ^h 12 . 19 81
and , 19 edition of the Tribune. Please forward
to the City of Eagan your Affidavit of Publication. Thank you-
Very truly yours
?a o
E.? VanDverbeke, City Clerk
City of Eagan
Telephone: 454-8100
F+j-1cung regulations to split eight duplex lots for
s * ngl ownership of property located in Dakota County, Minnesota described as
follows:
Lot 1, Block 1, Ches Mar 5th Addition
lot 2, Block 3, Ches mar 1st Addition
lots 1 & 2, Block 2, Ches liar 5th Addition
.Lot 1, Block 1, Cedar Grove 11
Lots 1 & 3, Block 4, Ches Mar 1st Addition
lot 21 Blocs 1, Cedar Grove 11
Of the Nh of the NW, of Section 14, Township 27,
Range 23
Dated: 3-6-81
Advisory Planning Commission
City of Eag`an1
By : v CtM
City Cl k
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
_ ADD-ON FURNACE
FIREPLACE INSERT
DATE ?L-4 y
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
FEES
$ 24.00
6.00
GAS OUTLETS (MINIMUM I @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE
TOTAL
.50
a0. Sc7
SITE ADDRESS: 176V S' /v et-?LGRS/ _
OWNER NAME: Do h/ TELEPHONE #:
INSTALLER: P-e f-er50
t,r/oG
ADDRESS: S°//o CChArWi.L yyv- svC
CITY: NyGc,,? (,: ?a t 1tit? k Fs STATE: Vivr? ZIP CODE: J--rq 2--/
TELEPHONE #: T J'Z - 2 7 Y Z
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
46
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
J? ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM I @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING coNsTRUcfION) $ 20.00
STATE SURCHARGE
TOTAL
.50
ao. 5cv
SITE ADDRESS: 1766
?.'lr.er 13rLC ?,l
OWNER NAME: ?Q N 610 F? TELEPHONE #: U.Sa -, 5-9 3 n
INSTALLER: r?c??rsG.-? 13?o s
ADDRESS:. 111o cc,, ?r?L /9Ut h/ef
CITY: 0644 .,,,G n- I- s STATE: -n hi ZIP CODE: -5- rs- Lam i
TELEPHONE #: 7 Y Z -S 7
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681.4675
Date: Teo _
BUILDING PERMIT APPLICATION
LOT Z- BLOCK / ADDITION / _, AK Of I/
PARCEL & SECTION NU&BER IF U14PLATTED
ADDRESS OF PARCEL
ZONING R 2 OCC;IPANCY FUSE -'
ESTIMATED COST s/P led
OTILIER ? 111 TELEPHONE NO
ADDRESS
CONTRACTOR , 6114PA 'Mr #90• ?,V Wf .7.4 C • TELEPHONE 1,,0. YOF 73
Note: Include site plan, building plans, and energy
application
signed.
l1 OFFICE USE
VALUATION///??
--n
SAC
WATER CUNNECTION
WATER 14ETER
BUILDING PEWIT FEE
SURCHARGE FEE
PLAN CHECK FEE
PARK DEDICATION FEE
OTHER
lcul ions with this
9?o m
49
ll?`°o
TOTAL*
APPROVALS:
JZ- BUILDING DEPT. POLICE DEPT.
ASSESSMENT CLERK
WATER & SEVIER DEPT. FIRE DEPT. PARK DEPT.
MASTER CARD
LOCATION 1764 & 1766 Silver Bell Road L2 B1 CG #11
OWNER TOLLEFSON BUILDERS INC.
STRUCTURE AND
LAND USED AS DUPLEX & 2 GARAGES
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 4146 11/18/76 Tollefson Builde s Inc.
PLUMBING
CESSPOOL - SEPTIC TANK ]n
--
WELL
ELECTRICAL _
HEATING
GAS INSTALLING NG3
rH lo?% 3^/?
-eZ9->)
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ?Q--?? -
WELL
SANITARY SEWER
az&Z Q22
Z - Violations Noted
on Back
COMMENTS:
CITY OF EAGAN
SUBJWT: WAIVER OF PLAT
APPLICANT: CARL TOLLEFSON
LOCATION: LOT 1, BLOCK 1,CHES MAR 5TH,LOT 2,BL= 3, CHES
MAR 1ST, I=, 1&2,BLOCK 2,CHE5 MAR 5TH,LaT 1,BI1)CK
1,CEDAR GROVE 11,LOTS 1&3,BLOCK 4,CHES MAR 1ST,ICFr
2,BIACYC 1,CEDAR GROVE ll} OF THE NW; OF THE NW OF
SECTION 27 AND SECTION 20
EXISTING ZONING: R-2 (RESIDENTIAL DUPLEX)
DATE OF PUBLIC HEARING: ILL 24, 1981'
DATE OF REPORT: MARCH 18, 1981
REPO= BY: KURTIS G. ULRICH, PLANNING ASSISTANT
APPLICATION SUBMITTED
An application has been submitted for a waiver of plat to allow for the sub-
division of 8 duplex lots for separate aff ezship of each duplex unit with
lot.
COMMENTS
1. The lots in question currently all contain one duplex upon a single lot.
The proposal is to split each lot to allow for separate ownership of
each duplex unit with lot.
2. Each of the newly-created lots would meet all ordinance requirements
applicable to the R-2 zoning designation.
3. The proposed lot splits would not negatively impact the character of
the neighborhoods and would encourage owner occupancy of the dwelling
units.
4. In the past, other similar waivers of plat have been granted in the
Ches Mar and Cedar Grove neighborhoods.
5. Separate utility lines are currently provided to each unit.
If approved, the waiver should be subject to the following conditions:
1. All property shall retain the existing drainage and utility easements.
2. Each of the newly-created lots must meet all applicable ordinance re-
quirements.
KGU/jac
a33-iA
F. C. JACKSCN
LANO SURVEYOR
R[OIST[R[D UNDER I..AWS 0/ STATE OI MIMN[SOTA
UCENSEO RT ORDINANCE OR CITY OF MINNEAPOLIS
3616 EAST 55TH STREET 55417
727-3484
Surbep6r's aLcttiticat ge.3?'' If
1) 11
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I HERESY C[RTIPY THAT THE AaCVE IS A TRUE AND CORRECT PLAT OF A SURVEY Of
Lot 2,81ock 3,Ches Mar First Addition,
Dakota County,Minnesata.
As suRv[Yeo ST ME THIS 23rd. DAY OP Jan.
1978>
P. C. ?ACKSON. MINNESOTA [OISTIIATION. NO. 3600
F. C. JACKSON
LAND SURVEYOR
SC ?c _ O
REGIOTCREC UNDER LAWS COP STATE OF MINNESOTA
a= f YO /? UC[Nf[D MY ORDINANCE OF CRY OF MINN[APOLIf
3618 EAST SaTH STREET 55417 )2)_3484
. *urbtpor'$ Cttfibt8it -
I
IN 11
j l I T Iv ? ?
red
v .SSu b +'v; sie y
t?
1 I :a 3f' li.+
o
HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT/PLAT OF A SURVEY OF
Lot 1,Block 2,Ches Mar Fifth Addition,
Dakota CGunty,Minnefota.
AR [URV[YED RY M[ TMIf.._8th•__-DAY 0/ YpV• A.D. 1978 /
SIGN[ w'
F. C. J CKSOI
X
R[pl[TRATN]M. NO. 3600
F. C. JACKSON
J
.... .__._ LAND SURVEYOR
SC1= _ ../ V REGISTERED UNDER LAWS OF STATE OF MINNESOTA
_ LICENSED BY ORDINANCE Or CITY OI MINNEAPOLIS
... _ • c 1. YO N,
3616 EAST 83TN STREET55417 727-3484
z o,7- ?ntbcpoc's 9CcciiGtate
y.
Oki
P
f?
V
I MEREST CERTIFY THAT THE ABOVE IS A TRUE AND CDRRECT PLAT OF A SURVEY OF
Lot 2,Black 2,Chas Mar Fifth Addition,
Dakota County,Kinnesota.
At SURVEYED BY ME TNIS_-_2nd, DAY pP!,VS• D. 1978
Revised Jan. 19tn. 1979
F. C.
_ 41^ mil"? d- 'n ---
MINNESOTA REfIBTRATION, No. 3600
i.a iE__ ? .. alas ....i. ,ir.?. ..
176-a.+
F. C. JAC.KSCN
• LAUD SURVEYOR
RE616TESED UNDER "WE OF STATE OF MINNESOTA
... _ a r ?"p H ucE wn r ORDINANCE OF CITN OF MIMMEAIOLIS
9616 EAST SSTH STREET 55417
727-3484
_ / *urbtpot's/ Certificate
/ A ?" r ? J(
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S. 6 .1 ?vi's /o.,
r
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1 HERESY CERTIFY TWA THE ASOVE 1¦ A tRUE AND RECT PLAT OF ASURVEY OF r 1
Lot 1,Block 1,Cedar Grove No. 11.
Dakota County,Klnnesota.
AS SuRvcYSD EY ME THIS 20th. DAY DF Dec• A.D. 1977
Revised Jan. 18th. 1978
F. C.
/ J/
t
'
? ? ? iY
i? !'II
G L 'r"'r?
?N. MINNE
S
OTA ESISTRATION. No. 9600
//
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/
L
'A
F. C. JACKSON
LANO SURVEYOR
REGINTtARD UNDER LAW¦ OF [TAT[ OF MINNESOTA /
LIC[NB[D BY ORDINANCE M CITY OF MINNEAPOLIS
3616 EAST SSTN STREET 5_`417 71.7-34 34 *urbrpoc's Certificate ? \ S G y I e: i°-? '
v
l( ?I
_?f E c,-r 7.r ..
%
Gtr .:, „?\
)I
1 N[R[EY C[RTI?Y; TNAT TNt A90 V[ IS A TRUE AND oDRRECT PLAT OF A SURVEY OF
AS SURVZYSD 1Y ME TNIS 9th. -DAY Of April
Lot 1,Block 6,Ches MAr First Addit0r,
Dakota C3unty,Hinne[ata.
1979
SIGNED / / Y? 1. 1
F. C. JACKSON, MINN[EOTwfR[ ET RAT". NO. 3600
F. C. JACKSON
LAND SURVEYOR -
R[616TERE0 UNDER LAWS OF STATE OF MINNESOTA ,
LICENSED MY ORDINANCE or CITY OP MINN[A?OLIS i 1
- 3616 EAST 66TH STREET 55417
727-3484
?ucbcpor'g aLcrtiu 't \ ?p
V,
1 HEREBY CERTIFY THAT THE ASOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF '
Lot 3,Bl7Ck 4,Ches Har,First Addition,
Dakota County,Hinnesota.
1
At SURVEYED SY M[ THIS--9th. DAY DO Aug' ..D. 1978 --I
Revised Feb. 7tn.1979
F. C. Jj(CKSON. Ml NMCSOTA OISTRATION. No. 3600
Carl '-,liec.on
F. C. JACKSON
LAND SURVEYOR
REOISTER[D UNDER LAWN D/ STATE OF MINNENOTA
ry '+
' ) ?-• / - ? J LIC[NN[D MY ORDINANCE OI CITY OF MINNEAPOLIS
N = ro r7 727-3484
9816 EAST 55TH STREET 55417 -P
- ? .. $iLLLUCfMC?9 QC[LHfitalt
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I HERESY CERTIFY THAT THE ASOVE le A TRUE AND CORRECT PLAT OF A SURVEY OF
Lot 2,31ock I,Cedar Grove No. 11.
Dakoti County,dinneaota.
AN NURV[YED RY Y[ THIS-_4th_D^Y Of Nov
20-27-23
976
F. G JACKSON. MINN[NG
17b-6
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0
IATKJM. No. 3600
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UTILITY ' La'FM T
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Carl Tollefson
F. C. JACKSON
LAND SURVEYOR
RWISTERED UND[R LAWS OF STATE OF MINN[SOTA
S`r le: ! r D LIC[NS[D WY ORDINAM= OF CITY OF MINN[APMIG
= l ra rf 727-3484
3616 EAST 513TN STREET 55417 -P -O 4661
$mfiep"02; cau tme
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1 HERE[Y CERTIFY THAT TH[ A[OVE 10 A TRUE AND OORR[CT PLAT OF A SURVEY OF
0
v
Or. 10568
176-6
Lot 2,Block 1,Cedsr Grove No. 11,
Dakota County,Minnezota. '
As PURVEYED BY M[ TH16 _ 4th. DAY OI Nov. 1976
?.D.
20-27-23
F. C.
r(
i 1
VQ316TRATt0N. No. 3600
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CITY; F E AGA N WATER SERVICE PERMIT= -
3T95� Kno Roa PERM NOc - ':1'4 . .,
EagaMN 55122 DATA,"
Zoning: t . """"'. `No: bf Un its: - -
Owner: "~ 3 .? : 1 a � ;- i c i e
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Meter No Connection Charge: }'' : c i,,l t" it} t
Size: ($ ;� Ac unt ' Deposit: %-� -
Reader No.: t ▪ Permit Fee " D r?+
1'agree to comply w ith the City o agan ., ur6b m
Ordinance lvlisc. ' 1` 1
+, Tote :`' .
By h_. / t� Date Poi
l
Date o f V .r ® I nsp
VILLA SE o f EAGAN SEWER SERVICE PERMIT X
3 95oi K Road PERM NO.
gan Pil ;N 55122 nob TE:
Zoning: raf DA o FJ•nits
Owner: • . '� - � ° l {, � � 1
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Address:
Site Address: i
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Plumber• ' t'
• a i °- 1 / 1 agree to c omp ly with the Villa EbgarlConnecfion Ch gel '
Ordinances. ::: a `.At c �"un i Ile _0/4,4„,-.1.„,,,.,
sit °: ~- r By. sc :# ' � Charges. Date'tfiup; Y t al:
,Insp.: '' ▪ Date Pa
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - -
I
I For Office Use
Permit 1 17
Win
City of Ea
Rd Fee.
3830 Pilot Knob Road ; I n of r' ;
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: LMT
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
/ tt
Date: Site Address: C C L / Unit
Name: Phone: Z/,.,/5/ 0-d
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Co . . Multi-Family Building: (Yes / No
Company: #A I ZV&4& 'Vf1 / Contact: V V 14t"/
Contractor Address:& cs~ y41,F t114-1 A/- City: Z1k-~ XC 4
State: 1114,"1 Zip: S> A Phone: Z/
License C' l Lead Certificate
I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
xocvf / yV ` f 014JZ-,/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
"i
I 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:
i NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
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.
Applicant's Printed Name JAn Signature
Page 1 of 3
cart Yo11eY3aa
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F. C. JACKSON
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R{6ifT[R[D UNDtq LAWg p? fTAT[ O? MIMNiBpTA
' • ???" ?? LIC[N![D C/ ORDINANC[ pR pTN OI YIMN[APOLIB
• _ ? r a h 727-3484
361e EAST 667N STREET S$4I7 4
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Lot 2,Block 1,Cedar Grove No. 11.
Dakota Couaty.lliaqesota.
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hlstuwraw. No. 360o
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