1778 Silver Bell RdClrr OF EAGAN
3796 Pilot Knob Rood
F-Son, MI+J 55?22
Zoning;
O 'ner: ??-
Address:? ! Site Address:
-?_
Plumber;
SEER SERVICE PERMIT
PERMIT Np
DATE:
t N . of Units: _
i agree to comply with Ordinances.
the City of Eogon
.
Connection Char
9e:
Account Deposit;
By Permit Fee:
Fee-
Date of l Surcharge. _
Ins p.: Misc. Charges,
Total:
Dote Paid.
CiTy OF EAGAN
3795 Pilot
Knob Road
Eagan, M
Zoning. N 55122
owner:
Address:
Site
Address: _
Plumber; - • '-
Meter No.;
Size:
*AT ER SERvICE PERMIT
PERMIT No.:
DATE:
No. of Units:
Reader No.. Connection Char
count Deposit9e. r t ..
Ordtoa to COmPJY with the c
Per
onoes CrfY of Eo9an mit Fee:
B Surcharge:
y Misc.
Date Charges: ;
of Insp.. Total;
Dote Paid:
Insp.:
1?
CITY OF EAGAN f
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
To be wed For l' 1 C)t . Est. Value 500 Date 19 ' -
Site Address
Lot Block /Sub. w z
Parcel No.
Name
Address J ,a
City Phone
Erect U Occupancy _
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories _
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Name
ZZ
O? Address
U9 City Phone Assessment
Water & Sew.
Police
G
t! Name Fin
X,3 Address Eng.
City Phone Planner
I hereby acknowledge that I how rood this application and state that Council
Bldg. Off.
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinonces
Var. Date
Signature of Perrnittee
Permit
Surcharge .
Plan Review.
SIC
Water Conn.
Water Meter
Road Unit
Parks
Total
A Building Permit is issued to: • an the expross condition that
oil work sholi be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit HoMw Dete TNs hone
Plumbing
H.VA.C.
Ekwde
Softener
Inspection Date Insp. Other
Footings
Foundation
Framing
Roofing
Rough Pibg.
Rough HVAC
Insulation
Final Pibg.
Final HVAC
Final
Cert/Ooa.
Water Describe Location:
Mil
Sewer
Pr. Disp.
MECHANICAL PERMIT DATE: 6/4/91
RECEIPT: 101653
SITE ADDRESS 1778 SILVER RF.T.T. ROAn Unit # Permit # 13073
L 9 B 3 Sect./Sub. CEDAR GROVE 1 1 TH
BURNSVILLE HTG. & A/C-894-0005
INSPECTION INSPECTOR DATE COMMENTS
%/c f4w yo9
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUNT
& DOLLARS
To o
CASH CHECK
BY
NUMERICAL FILE COPY
CITY OF EAGAN Remarks
Addition Cedar Grove 11 Lot 9 Blk 3 Parcel
owner trees 1778 Silver Bell Rd. State Eagan,MN 55122
6/ V
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1 1 261.65 26.16 10 (c
STREET RE3Tqfi. rr' 1975 124.31 12.43 10 /
GRADING
SAN SEW TRUNK c 1968 0.09 2.00 30
# SEWER LATERAL -< C( 1975 1493.96 297-79 4 6 /
WATERMAIN
WATER LATERAL « 1973 200-45 13-36 15
WATER AREA
x Wtr lat & area 1975
STORM SEW TRK iy 1971 33.5 1.67 20
STORM SEW LAT 1971 22.37 1 .11 20 u / G
197 2 .39 3•
CURB & GUTTER
SIDEWALK 7-27-
STREET LIGHT
WATER CONN. +? p6
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6786
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value Date 19
Site Address Erect ? Occupancy
Lot Block Set/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
ed Name Move ? # Stories
Z Address Demolish ? Front ft.
3
°
city Phone
Grade ?
Depth ft.
Name Approvals Fees
0
Add
u Assessment Permit
ress
'
city Phone Water & Sew. Surcharge
Police Plan check
W Name Fire SAC
v? Address Eng. Water Conn.
<W city Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg
Off.
the information is correct and agree to comply with all applicable .
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to, on t he express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
htmlt # pate befell peAOttee
Plumbing l E t
Mechanical
?c CC- -tISI6's
INSPECTIONS DATE INSP.
Rough-in
Final
Footing s Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final t -
1 1
Remarks:
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
Date 2. Installation Cost
3. Job Address
4. Owner
Tract
5. Contractor Phone
6. Address
7. City
8. Building Type: Residential GD
9. Work Description: New ?
10. Describe
11.
State Zip
Commercial ? Institutional ?
Add Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
PERMIT #
4 MECHANICAL PERMIT . r?
X
'
CITY OF EAGAN RECEIPT # -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE U I
_ ?
CONTRACT PRICE: PHONE: 454-8100 T
Site Address ° BLDG. TYPE WORK DESCRIPTION
Lot -Bloc k Sec/Sub Z
1
4j Res -1- New
? Name Mult Add-on
'R _
Address
Comm.
Repair
c City hone L Other
Name
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
2SM BTU
M BTU
M BTU
M BTU
CFM
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: 1
S/C: SIGNAT P
TOTAL
FOR: CITY OF EAGAN
BUILDING PERMIT
Sing. Fam Dw1g.
CITY OF EAGAN
3745 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
r.; s Receipt #
„_, _ ate
Site Address i ' ' ' ' k:' . e L i nu. Erect Q Occupancy
Lot Block 3 Sec/Sub. r? Alter ? Zoning }
Parcel #)` Repair ? Fire Zone _
Enlarge ? Type of Const.
W. Nome
W Move ? # Stories
Z Address - e Demolish ? Front ft.
o
City Phone
Grade
E]
Depth -- ft.
Approvals Fees
°C Name
o ?
}
oou Address Assessme nt - Permit •
?cc: Water & Sew. Surcharge 14.00
I- city Phone
Pl
h
k
Ww Name Police
Fire an c
ec
SAC /4-75.00
Address - Eng. Water Conn. °' 310.00
<W Ci Phone _ Planner Water Meter
C,
7 5
Council Don
.
I hereby acknowledge that I have read this application and state that Bldg. Off
the information is correct and agree to comply with o!I applicable .
State of Minnesota Statutes and City of Eagan Ordinances. APC Total <<'
Signature of Permittee
A Building Permit is issued to: Maxell Const on t he express condition that
/ N° 4368
6365
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
permit # Deb hwW rwWMIN
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Find
Footings Dote Insp. Dote Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final
Remarks:
• CITY OF EAGAN
• 3795 Pilot Knob Rood
• Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date:
June 14, 1977
Site Address: 1778 Silver Bell Rd.
Lot Block Sub/Sec. CG 11
Name
v
Address
Phone:
Cit
y
Name-
Q`
Ti
Address
tg
Phone:
City
_
This Permit is issued on the express condition tha t all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
841
Stco titent 03','
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
new
New/Alter. /Repair
Cost of Installation
20.00
Permit Fee
.50
Surcharge
20.50 2:illed
Total -
done in accordance with oil applicable State of
Building Official
This requsst,•'oid fQ )(
18 months Fro
E 319x7 z, q f3,5 ? ,Y_ o- //'k'
8??7/v
Request Late Fire No. Rough- in Inspection
Required? '
Ready Now ? Will No illy Inspec-
L 7/
A ? , .J Dyes 0NO for When Ready
k Licehsed Electrical Contractor 1 hereby request inspection ql above
ftb.ner electrical work installed at:
Street Address, Box or Route No.
1 -5/'/ , /
"r- City
J
.1l 11
Section No. Township Name or No. Range No. County
Occupant (PRI T) Phone Nn..
owe, Supplier Address
E)ec/?(y//?]a//I-Contr r (Comp y Name)
/Cy1 Z/,` G°le,d-, /Coot,a?mu,'s License No.
CiJ /o° L-) -5
Mailing Address (Contractor or Owner Making Installation)
/-xc - ? J
.1Ae?.t?h.?ri,?ec1 Signature (Contractor Owner Making Ins [allation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwny Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 UNLESS PROPER INSPECTION FEE IS
Univil lv Ave.. St. Paul, MN 66104
Phone (612) 642-0800 ENCLOSED.
,2
E -9.7
REQUEST FOR ELECTRICAL INSPECTION
Ii, See instructions for completing this form on beck of yellow copy.
"X'' Below Work Covered by This Request
ES-00001-06 .?
Fdd Rep. Type of Building Appfmnces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Omer peel v Other IS ne_rifyl
t er Specify Other Other
Compute Inspection Fee Below
Al Fee Service Entrance Size M Fee FaedersrSubfeeders b Fee Circuits
o to 200 qm fs 0 to 30 Am DS 0 to 30 Amos
Above 200 gmps?. 31 to 100 Amps 31 to 100 A s
Swimming Paol Above 100_Antps Above 100_Amn
Transformers Irrigation Booms Partial. Other Fee
I I Signs ' I ISpecial Inspection ?S J? 1
Remarks T74) FEEO?/
This request void 18 months
Thisre74dstvoid L4 i i C G. I ( NCO?Cj'j
]8 months fr
om
Date of this Request C( - _ I Fire No. aT 15165
I, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No./ ?? ??1& Cityz?'B!
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No ? YesX Ready Now ?
Power Supplier tt?6k-a_ EJ F-C '-i\t n'Address
Electrical
Mailing Address
or
Authorized
Will Call P(
Contractor's License No.
(,??j /} n SUARD COPY This inspection request wii not accepted the
?j ?J (,? (-0? State Board unless ess proper inspection fee is enclosed.
min- sofa atate ooaru or mWITIGIcy
Gr ;s Midway Bldg. - Room N191
'21 _VniversitvA re.. St. Paul, Minn. 55104 - Phone 297.2111
REQUEMOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
EB-00001-02
T 15165
Type of Building New Add. Rep. Cbeck Appliances Wired For Check Equipment Wired For
Home J ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting Fixtures AR_
Apt. Bldg. ? ? ? Dryer ? Electric Heating OL-
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Indugtrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other - O ? ? p
Herer Hereers
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 1 1 0 to 30 Amperes a2 0 to 30 Amperes
i Sb
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00 S
Remarks
TOTAL FEE J , OV
I, the
(Final)
This request void
18 months from
certify th t Aire inspection has bee? a/d /.
Date
Date /L /D/
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
_ PHONE: 4548100
BUILDING PERMIT APPLICATION $28,000. Receipt # -
To be area for Sing. Fam Dwlg. Date June
Site Address
Lot 9 Block 3 Sec/Sub
Parcel #
CG 11
W (Name Karell Const.
3 Address 10111710 Lynda I AY SO
0 1
0
z
or,
f
Name _
Address
Name _
Address
Phone
77
Erect fC] Occupancy
Hl
Alter ? Zoning .
Repair ? Fire Zone _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 38 ft.
Grade ? Depth 24 ft.
Aoarovols Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner -
Council
Permit o7.7u _
Surcharge 14.00
Plan check
SAC 475.00
Water Conn. 230.00
Water Meter
Park Don 75.00
I hereby acknowledge that I hove read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total 879.50
Signature of Permittee
A Building Permit is issued to: Mar-" ('04St 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
tI
Na 4368
6365
CITY OF EAGAN
? 3795 Pilot Knob Road Eagan, MN 55121 Ne 6786
PHONE: 454-8100
BUILDING PERMIT A TIOI
r Receipt # a rO O 4? 7'p
?jy?
To be used for GAEW & BSW.Es. Value $10YO00 Date Jll1Y 31 19 8
Site Address 1778 Silver Bell Road Erect Occupancy Ni
Lot 9 Block 3 Sec/Sub. Cedar Grove 11 Alter ? Zoning
10 16711 09 0 03 Repair ? Fire Zone
Parcel #
Enlarge I$ Type of Const.
W Phil ReYee
Name Move ? # Stories k
1778 Silver
Address Bell Road Demolish E3 Fret q? °. yt
om
18 ? ft.
?,- Eaean a,___ 454-8766 Grade n Depth 24 18 ft.
of Name (100 Nawat on atruntien «PPf°•°1O
0
Address 1 3277 Hirmhol d t Ave
Assessment
Permit 0.50
,
u?
BtIIRIBVille
894-3841
Water &
Sew. Surcharge 5•?
Phone
City
Police
Police Plan check
Gw Name Fire SAC
Address Eng. Water Conn.
city Phone Planner Water Meter
Council Road Unit
1 hereby acknowledge that 1 have read this application and state that Bldg. Off. '
the information is correct and agree to comply with all applicable $85
50
State of Minnesota Statutes a ' y of Eagan Ordinan es. APC .
Total
Signature of Pennittee
A Building Permit is issued to: Nem .,?.?.?tl om on t he express condition that
all work shall be done in accords ce with all applicable take of Min nesoto Statutes and City of Eagan Ordinances.
Building Official
r ?I ?I CITY OF FAGAN Include 2 sets of plans,
IVI7 1 ?(/ 1 site plan w/elevations &
BUILDING PEPMU APPLICATION 1 set of energy calculations.
G r+?wy?
To Be Used For rto0Xw.4 &senwrValuation /?r?lm0 Date 3A-Y?
ryr M+j
Site Address 9 a ,Pp.
Lot Block _J'- Sec./sub. a
Parcel #: to 1(0-10 octto O'-'?
Owner: f yiL 4s6tes
Address: 177 y3 Si/ve-/ R leU
City/Zip Code:
Phone #: YS - 76 G
Contractor: C-?noQ Ue e .s C?zct ?eitcr4ay
Address: 132.7 /lu Idl- /wc
city/Zip Code: g &Aea,5rll, WAK
Phone #: av?/ -39
Arch. /Ehg..
OFFICE USE ONLY
Erect V Occupancy
Alter Zoning -
Repair Fire Zone
M-01
-
p ')o Enlarger Type of Const.
Address:
city/Zip Code:
Phone #: 3
;q 4a
Move # Stories _
Detmlish _ Fronts ft
Grade Depth ft
?dater/Sewer Surcharge_
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
TOTAL K5
CITY OF EAGAN N0 1 0 2 5 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 4548100 Receipt # r?
ADDITION
1,500
Site Address 1778 SILVER BELL RD
Lot 9 Block 3 -wjSub. CED GRV 11
Parcel No.
Name KADUM UM
Address SAME
City ' Phone 452-7795
Name SAME
Address
City Phone
Name - - --- --- - -
6t6 - -- - - -- -- Phon6 ----- --- - --
I he"y o2kn6wledpe that i_h
JIM inloimnfien Is [e'reet tm
State of Mlniriota Stational
Slpiiefatd of PetriNNw -__
A 9iiildinp Permit to ieoued to:
ell dark "it be done In occo
Bagditg Official - -
Erect LJ Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Install ?
Approvals Fees;
Assessment
Water d Sew.
Police
klie - - _-_ -__
IDIOM& -
Goin;211. - -_-_
9Bap: 5/2 0/ 8 5
.Pei; Date -----
Permit ge
Surcharge
Plan Review
§Mt2 ---- - -- -
Watai Land, - - -
Water Meter - -
Road Unit
Parks
Total 0-
-_ an the ex ren c"flen that
and City of Eagan Ordirieniea.
BUILDIPIG PERMIT APPLICATION
,bP'V
Date: Cis - /-?/ r
LOT BLOCK 3 AilDITIOCJ ,r?s?ez i?,z,..? C?
PARCEL & SECTION 11URBER IF Ui1PLATTED
h ppt?
ADDRESS OF PARCEL (? g 3<
'LONIZIG -OCCUPANCY
ESTIMATED COST
ADDRESS
TELEPHONE 1110.
CONTRACTOR :=?Z TELEPHONE 110.
</K?T-
ADDRESS
Note Include site plan, building plans, and energy calculations with this
application
Signed
OFFICE USE
VALUATIOi?
SAC
WAVER CaL i3EC210:'
WATER METER
BUILDING PERI•iIT FEE
SURCHARGE FEE
PLAIT CHECK FEE
PARK DEDICATIOU FEE
OTHER
TOTAL'
,A?30 . ao
,rd
6?
APPROVALS.
ASSESSMKI.T CLERK BUILDING DEPT
POLICE DEPT
TTATER & SIsb7ER DEPT. FIR= -DEPT. PARK DEPT.
Yan1 ?I.wwiw{ sll?Il (i'Y171 n{7S Nf?voy W.?s N.C.
lewd sm." • pml
Ali-
Cldl lnaineor iw{ }elephono 704-0006
"'""'tipol fopls"eri"{ Engineers 6 Surveyors Area Cc" 012
Mortgage Loan Survey for CE'DAC? GROVE CONST CO.
S1LV?R BELL POND
n
m
LO
LO
0
r
m
/
/
'f I
LOT -9 QLOCIL 3 CMAR GROVE NO. 11
DAKOTA C011?1ZY
-- - Denotes Drainage $ Uhli Y Casement
VIA$.h • It" and secret[ repretewtmet" of a wr"y of who ?omm"tie. of tow food also" described mad of tbe
.letatfon of all beitdirys, If pry, shamed, and all iH?to owtroethme"N Nary, Mw or e" said Mod. This seedy is
terde tlnly he semeettlem wish m otr"we" Mow mom lseie{ pieced r the property mod ao liability 6 msse"ted
_ - .amto?t tm tie AoYor of wsA .rrtpym or may osier MNrost mtgWnd by the rooNO Of '"Is worm"". it is
wdetwmd and 0boood w?o?it.n?owontoa • how boo" eted far the pmrpo" N "fabfishiwa lot Yaps or Fwn/ory
.. oormirmc, Dosed- tbh twy of?A. O. R,
fULURRAN ENGINEERING, INC.
`
??.
Scalp: 0'942 40 Cut w ?e. l . ? -r??" ,
WI
C
W
pl
?I
h
r»a s,/Vc z l3E6a
(A/ ?au2 FGP{/Nf, /CO2 ?a? RDO/t?o"/
Qc %)
(4/ (N?rc mesNCF/ /QE a2 40010 J - 4/" S/ab 7// &lc% 69;540y ?,n. F?opR /w NC.d r. •
/7 'G"
3k
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?771rt10A3 Valuation: Date:
Site Address: 5?, SILII? Pl))FFICE USE ONLY
Lot:
Parcel #
Block Cl- Sect/Sub{?/Erect Occupancy
Remodel Zoning
Repair Type of Const
Enlarge # of Stories
Owner PA () V M ?,l {vl Move Length
Demolish Depth
Address Sj M L Grade Sq Ft
City/Zip Code j !3? Z - C S?
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
APPROVALS
Assessments Permit 2S.
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Offs •/p Parks
APC Treatment P1
Variance
TOTAL
ST.PAULTITLE
INSURANCE CORPORATION -
RE: Payment of Special Assessments
Gentlemen:
127 South Seventh Street
Minneapolis, Minnesota 55402
(6121339-4894
Enclosed please find our check in the amount of $ for
payment in full of the special assessment(s) for
on the following property.
If there is any question on this payment of assessment(s) please contact
us immediately.
Also, please send all receipts for payment as soon as possible with our
fiel 1fia= aLQ--aSreferenced on the receipt.
Thank you for your cooperation.
Sincerely,
Escrow Closer
St. Paul Title Ins. Corp.
'I SA C) C) J('!? h li o n CA ?Qi?c?vr,
Phone ' ? - ? g
Af ilims of THE ST. PAUL COMPAN I ES INC.
I r -I'] I Vkne.A' • `'1)V VY I_\l?lC.lX Il,-I(D'/1k"'y'9V'l
Property Address Plat and Parcel
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
"90940 "mm
FOR CITY USE ONLY 3 / (o l
PERMIT # /?073--
RECEIPT #
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
171-
REPAIR
OWNER NAME: K)k-hum_ `(-km-
SITE ADDRESS: 111 9 SI'LJ?fsSL??
LOT:9 BLOCK ,3 SUBD. (&(A?C AYWVC_
INSTALLER:
ADDRESS: 12481 Rhode Island Ave. So. MN 55378-H22
r
CITY: 894-00A?;
PHONE #
FEES
ADD-ON MINIMUM 00
HVAC 0-100 M BTU 4.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT J
SUBTOTAL: $ L S
STATE SURCHARGE: x.50
TOTAL: i/
SIGNA'TURE,pF PERMTTTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000" OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
411.
C!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use n�
Permit #: ! °�/�!-C�
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
ent)
O�IV!ner
'
Name: Phone: 12-61y
nr_Z-2
�
Address / City / Zip: I -114Z V'liter ed/ EX
Applicant is: Owner Contractor
Description of work:
-.1 ir f #
Construction Cost: a _ Multi -Family Building: (Yes
/ N )
Pt ,/".
Company: •_ A i►$i,
_ l Contact: 01,1
Address:L/l i oiln/19
fr
Z r 4Y City: FlvtA
State: MV Zip: 554/6S—
Phone:
V"Ck�)Email: 4ADM,66
E 4L CO 1
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY
has the City of Eagan issued a
If yes, date and address of master
IF CONSTRUCTING A NEW BUILDING
permit for a similar plan based on a master plan?
plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
E 1 ns a � upport ng dorm t tha u sub ` fie cons' erer publf
the 1 ormati n b
«.: a ��a��lffe� � jJub1LC � ®� ° �� paii+4 thetg
ode
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
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 peps issuanc
Applicant's Printe • ame
X nytiv Rro
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141720
Date Issued:03/27/2017
Permit Category:ePermit
Site Address: 1778 Silver Bell Rd
Lot:9 Block: 3 Addition: Cedar Grove 11th
PID:10-16711-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Leah Tototzintle
1778 Silver Bell Rd
Eagan MN 55122
(651) 335-3892
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature