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2850 Sibley Hills DrBUILDING PERMIT :_ ._ ._-A s__ ??L f rL CITY OF EAGAN $?c 3795 Piilot Kaob Read Eegea, MN 55122 PHONE: 454-8100 Receipt # Est. Value $5,000 Date August 24 19 3 Site Addre ss Lo :)u 0iV1? y 1 liiJ L<ivc Lot .3 Block 1 Sec/Sub Post 1st kdditioi Parcel # 10-58500--05 j-00 of Name Joe Kur la etz i Address 2850 Sibley Hills Drive city Eagan 55121 Phone 45 - OS Name western Construction Uo. it 5353 Wayzata 31vd. o Address u fols. 55416 a?.._ 54(--?3 ")5 Name I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Erect } K-.$ Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stori? Demolish [] L Length D F - - Grade ? epth Sq. t. Approvals Fees Assessment _ Water b Sew. Police Fire Erg. Planner Council Bldg. Off. APC Permit Surcharge 2.50 Plan check SAC Water Conn. Water Meter Road Unit Total $53.30 Signature of Permittee CO- I A Building Permit Is issued to: on the express condition thm all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sower E lectric Inspection Date Insp. Other Footings Y Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Wall Sewer Pr. Disp. CITY OF EAGAN N 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 eU1LDING HERMIT o ,10 4 0 6 PHONE: 4548100 Receipt * P Y To be treed fa, 3-SEASON PORC& Value $9,500 Date JUNE 17 19_L5_ Site Address 2850 SIBLEY HILLS DR Lot 5 Block n Sec/Sub. POST 1ST ADD Parcel No. Name vvva:sa as a?va?aaa?vniu Address SAME City Phone Name VAN LAECKEN CONST u Address 3234 VALLEY RIDGE DR City EAGAN Phone 454-4148 GW W Name H Address u <W City Phone 1 hereby acknowledge that I have rood this application and state that the information fs cp-rMNK and agree to Comply with ll applicable State of Minnesota totut and City o Eoflo r nce Signature of Pertnitt 16 ^- A Building Permit Is Issued to: VAN LAECKEN CO T all work shall be done in accordance wlt** p licobla S of Mir Erect Q Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. Install ? Appevals Fees Assessment Permit Water 3 Sew. Surcharge 5.00 Police Plan Review Fin SAC Erg. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. 6/17/85 Tr. PI. APC Parks Var. Date Copies 0 Total on the express condition that s29o Statutes and City o2 Eagan Ordinances. Building Official CITY OF EAGAN .? 310406 830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt Site Address 5 E+ - L t . J : Y ?-,ILLS DR 1 Erect Occupancy Lot Block 0??Sub. A U:? ' 1 S T i D Remodel i ? Zoning Repa r Type of Const. Parcel No. Addition ? No. Stories Name ?t='SfJ ltilJ,`?4111rA? Move 11 Length Demolish ? Depth Address Int lm r ? F S . p . t. q. City Phone Install ? Phone Name _ Address City _ 1 hereby acknowledge that I have road 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. Signature of Perntittes A Building Permit is issued to: yN" L.I\1. i'f' all work shall be done in accordance with all applicable State of Mi Building Official Assessment Water b Sew. Police Fire Eng. Planner Council t Bldg. Off. APC Var. Date an nntasoto Statutes and City o Permit v • j u Surcharge r? • U0 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parka Copies Total the express condition that Eagan Ordintonces. bola •.d ,.m" Hem :uolteaol plea ?atulll? ? **OAAso Iould 841d lauld BtH Ifuld oagduld •Inoul •81H 4Dnod 'd41d 4anot! Bugoom 1 Bulwsid uoltspunod 1196upood 1 l 1 I osuitood N4p0 •dsul wea uoltoodtul MUStlo8 79 n ?1M3 eul9u+nld s au04dolol otoa JoPIoH ilwJod 'ON tlwHd CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood ' = 1 •' PERMIT NO.: Eagan, MN 55122 _ DATE: Zoning: No. of Units: Owner: _ Address: Site Address: -' ble 'Till! : Plumber: Meter No.: - Connection Charge: ' Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. f?n F"i - Misc. Charges: % Total: BY Date Paid: Date of I nsp.: _ I nsp.: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ I. ?? 5 elk I- plat 42w a e too CASH r-1 CHECK FOR BY NUMERICAL FILE COPY CITY OF EAGAN Remarks Addition Post Addition #1 Lot 5 Blk 1 Owner Street 9850 SibleTHills Dr Improvement Date Amount Annual Years Payment Receipt Date 13 STREET SURF. 197 -A ",1293-16 $129.31 1 STREET RESTOR. GRADING SAN SEW TRUNK 1968 1 000 .3 30 PAID *SEWER LATERAL D WATERMAIN *WATER LATERAL 20 WATER AREA 1977 160 00 1 t) - (16 Ifi . STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. p0 BUILDING PER. SAC 652 6-10-71 PARK REQUEST FOR ELECTRICAL INSPECTION EB-O"I-04 See inwtruptions For conuletinp this form an back of wit. copy. W10 ?"t 61 V ( ""X'" Below Work Covered by This Request 971i's Adtl %p. Type of Building Appliances Wired Eeuipment Hired Hone Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air. Conditioner Bulk Milk Tank Farm Other m.. y the, lspocilyl t r Specriy Other Other omoute Inspection Fee Below tt Fee service Entrance size s Fee Fsedeis/Subfnedcrs a Fee Circu O to Ami? 0to 30A 0to 30 An Above 200 Amps 31 to 100 Amps 31 to 100 q Swimming Pool Above 100- Above 100 Transformers Irrigation Booms - 115D F Partial 'OtSigns Special Inspection $ 20 rM 1l TOTAL•F?E emerks ( ;20 °!) Ibuph-in D to the Eleetriral Inspector, hereby Final p?t{ eij _ ih rhea the above iespeetim has been ? X? G ydo. fhb tsptmsl vd0 78 montps hpdr id SYS11 W I L 05 /&A Post A 3 1g s- ,)-0.00 Requ 1 5 to ' V ire No. Rough-i Inspection eqm []Ready Now rll Notify Inspec- tor Wh n R d /? es ?No e ea y [[9111censed Electrical Contractor 1 hereby request iasl Lion of above ? Owner electrical work installed at: Street ddress, Roc or Route No. ?'O S' Ciw Zibctlon No. Township Name o No. Range No. County c ntt (PRINT) Phone No. ,v AjS Power Supplier Address ' ) pleom - a .'. S ToJ MA Electricaf Cgntractor ( orrpany amel Contract r s License No. Mailing Address (Contractor or wner Making Instaila do 1 ai. te Au orl Signature (Coot c aking Installation) phone Number ;;M 7 -7370 MINNESOTA STATE BOAOF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BEMIS 1 , way Bldg. - Rosa . INN 551 09 RE UNLESS PROPER USS EP BY I THE STATENSPECTION FEE IS 1821 YUni University Ave.. , SL Pau1l, ENCLOSED. plrarw (6121297-2111 CITY OF EAGAN ND 84,25 9795 PBW Knob Road Eagan, MN 56171 PHONEt 454.8100 ?! y / BUILDING PERMIT Receipt ij ? -3 ) TU To be need for GARAGE Est. Value $5,000 Date August 24 ly 83 Site Address 28Sn Sibley Hills Drive Erect gg Occupancy R-3 Lot 5 Black 1 Sec/Sub. Post 1st Addition Alter ? Zoning R-1 Parcel # 10-58500-050-00 Repair ? Fire Zone NA E l T f C t V n arge ? ons ype o . W Name Joe Kurhaietz Move ? # Stories z Address 2850 Sibley Hills Drive Demolish ? Length 22 C; Eag an 55121 phone 454-4089 Grode ? Depth 22 Sg. Ft- Western Construction Co Approvals Fees . uu Address 5353 Wayzata Blvd. Assessment '., Clt Mpls. 55416 Phone 546-3385 Water & Sew. r? Police Fw Name Fire Address Eng. <W City Phone Planner Council I hereby acknowledge that 1 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 Permit ?u.7u Surcharge 2.50 Plan check SAC Water Conn. Water Meter Road Unit Total 853.00 Signature of Permittee I Western onstruction Co. A Building Permit Is issued to, on the express condition iha, all work shall be done in accordance w1 aalll oppii' le S te-af Minnesota Statutes and City of Eagan Ordinances. Building Official ? ?"t? 'y ? - 1I04(A9 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel Repair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pass Required _-Y _ N I set of Energy Calculations Addition - indicateif onsdeseptic system OnsiteSeptic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail options selection sheet (buildings with 3 or less units) p Date O /?-/ Site Address ?G Construction Cost Unit/Ste # Description of Work ' y 92:' Multi-Family Bldg - Y N Fireplace(s) - 0 - I K' 2 Property Owner v Telephone # (?S/) L/,? l/ LSD 9 Contractor Address ?/` /o w State C? r0 . U/ City / GLGzz Zip i]S'I O 7 Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 'T -, L /? /(UR/-/AA ?fz ? " r Applicant's Printed Name o icants Signa ure OFFICE USE ONLY Sub Types ? 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 EM. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 -Brick _ Fireplace - R.I. _ Air Test -Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector CITY OF EAGAN CASHIER: JS TERMINAL NO: 040 DATE: 09/21/00 TIME: 11:06:36 ID: NAME: FIRESIDE CORNER 3210 9001 28501SBLY HL DR 60.00 2155 9001 2850 SBLY HL DR 0.50 Total Receipt Amount: 60.50 I CR137779 USER ID: JAN 42905 ?60.5p 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: q` /5 0 Description of Work: , ?onstruct new fireplace -Gas -Masonry Alterations to existing V Install gas insert only Install gas line only Other Job address: Lot: 5 Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: &Yhm f ?. I,"Ck-.) Phone #: "f J ( p PROPERTY Last (? '..Ij First 3 J. 4 I? ?AJ OWNER ?USll \. 4, Street Address: y O?V City E/Wla/Y tl/ 1 State: I ? l 'U Zip: SS Cd-/ Company:(] l Cc l t t Phone #:q ? G fV 7?? FIREPLACE (area code) INSTALLER Street Address: f VV l ? i\1 City r S V1? /J State: ?_ Zip: Company: / l V L- Phone #: (area code) GAS LINE J INSTALLER. Street Address: / City --T State: Zip: I hereby acknowledge that I have rea this application and state that the information is correct and agree to comply with all applicable State of innejtnta7es rd CitA}oFsPgan Ordinances. RIE;CE157F,1,11 SEP 18 2000 ` BY:- 4 Block: on Subdivision/P.I.D. #: 1OSj' OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 41 Wood Stove ?[y 2? CITY OF EAGAN4W Include 2 sets of plans, fa/ ur 1 site plan w/elevations & Q BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For ?C- Valuations d Q Date Site Address ,-_2 '9,60 s`h/ry Y"11-5 Ax-iv OFFICE USE ONLY Lot 5 Block ( sec./sub. PoS?- t s Erect Occupancy 3 Parcel #: 10 - S g S p U -0G0 - a p Alter Zoning Address: City/Zip Code: Phone #: L/ 17 </ - c- Contractor: tU Z°. Repair Fire Zone F(Z Enlarge Type of Const. s Move # Stories s Demolish -Front AA ft. Grade Depth ft. Address: ,5J . City/Zip Code: f?l ??/? S S %/{ Phone #: . Arch./Eng.. Address: City/Zip Code: Phone Ma << APPROVALS FEE$ Assessments Permit 5? S O Water/Sewer Surcharge 2 5 0 Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL _t 3-3 b_) 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF S URVEY 191e, 1 SET OF " j? ?i1,G? SQa Sa n fT? ENERGY CALCULA TIONS To Be Used For: ll ?sro?s. ?p Valuation: Q5-0 0 Date: Site Address: ??SO / Mj Qy OFFICE USE ONLY L t J ` '60 12? " ", / o : Block Sect/Sub Erect Occupancy / Remodel d S Zoning Parcel N Repair Type of Const O 3 A / Enlarge r # of Stories wner 03-e- u R .- 2 7 Z Move Length d&,c-o Demolish S 6? /// ?P/ /?c Doe r Grade Depth Sq Ft City/Zip Code ? cca n C?? ! Z/ --------------- -------------- ------ Phone APPROVALS Contractor tla k Assessments Permit Water/Sewer Surcharge a o0 Address Police Plan Review / Fire SAC City/Zip Code f P, /yj ,, c" -/ 2 I Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Parks Arch./Engr. ' APC Treatment Pl Variance Address TOTAL ?j City/Zip Code Phone # M MASTER CARD l LOCATION OWNER O STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING 32 77 - ?1 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER o" !1- Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE, BUILDER WILL COMPLY WITHOUT DELAY. AS FOLLOWS: PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION 11 NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? REINSPECTION REQUIRED 11 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DATE OF REINSPECTION REVEALED CERTIFICATION -1 certify that I.have carefully inspected the above in which 1 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 BUILDING INSPECTOR COMMENTS: DATE EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 10. 1971 NUMBER 795 OWNER:Jgseoh Kurhaietz Address 2850 Sibley Hills Drive, Eagan 55121 PLUMBER Weierke Trenching TYPE OF PIPE CAST IRON DESCRIPTION OF BUILDING Industrial Commercial Residential I Multiple Dwelling I No. of units Location of Connections: Connection Charge 200.00 pd 6/10/71 Account Deposit 15.00 pd 6/10/71 Permit Fee 01,"Aj7i Street Repairs Total Inspected by: Date Remarks, By Chief Inspector Inconsideration 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 Tm-mship, Dakota County 9innesota By i Eagan, M nnesota 55123 Please notify when ready for inspection and connection and before any portion of the work is covered. 12/04/92 10:14 DRIQ]TH COLPITY ERN SERV. CTR. 901 Ordinance No. 114: WELL AND WATER SUPPLY MANAGEMENT MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14966 Gelaxle Avenue West, Apple Valley, MN 66124 -Telephone (612) 891.7011 - Facsimile (612) 891.7031 DATE=: TIME: ?M SENT. Faxk Mail_ Other TO: _ 'rem 4016art1w 10el FROM: REFERENCE:. b,'a,- e 2 q'Z -qz. NOTICE: The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application(s) for the well(s) described. If you require further review of this application(s) or If you have any questions or concerns about It, contact the Environmental Specialist Ilsted above or our office at telephone (612) 891-7011. If there Is' no response from your office within 24 hours (excluding Weekends and, holidays), Water and Land Management staff will assume that you have no objectlons;. Issuance of the permit(s). Please note that permit Issuance Is always conditioned on the pefmlt applicant's observance of and compilance with all applicable laws and codes. A copy of the well permit(s) will be forwarded to your office when completed. DESCRIPTION: ?/? , PROPERTYtOWNER _ ?DG 4441 atj a¢Z WELI-O D111orpnt) LOCATION bF WELL(S): ADDRESS Zssro SI DIG/ Rills .Ll?it•e? PUBLIC LAND SURVEY COORDINATES:-OF-OF-OF-OF SECTION E(J.g:SI., R. W., MUNICIPALITY: _ t -7480w) PROPERTY ID NO. WELL CONTRACTOR: _ 94 s WG4 LICENSE NO. ?DZC? I APPLICATION RECEIVED l I SUBCONTRACTED TO: PERMIT TYPE: NEW CONSTRUCTION RECONSTRUCTION REPAIR(No Psrcnil Requtred) PERMANENT SEALING ANNNNTAL MAINTENANCE: TEMPORARY CAPPING RECLAIM REGISTERED-USE PRIMARY USE OF WELL(S) CASING DIAMETER 4- INCHES; LENGTH FEET; WELL DEPTH_LkQL.FEET; AQUIFER ?+alvlG PUL f:LMLl? ?L COMPLETED: OPEN HOLE SCREENED ; ANTICIPATED DRILL INGISEALING DATEt11 K ownj: ?: G(? 64VLi IQ ¢ ? w -- COMMENTS: '"§?d 612 891 7031 12-04-92 09:09AM P001 #1 It ORDER FOR'JUDGMENT Based upon the foregoing stipulation entered into by and between the City of Eagan and Joseph Kurhajetz and Julia Kurhajetz; IT IS THEREFORE THE ORDER OF THE COURT THAT JUDGMENT BE ENTERED FORTHWITH. BY THE COU T: Dated: LAZIJ , 1992 V)t& JUDGE OF; ISTR OUR JOHN J. DALY I certify that the above constites a judgment of the court. JUDGMENT ENTERED AND FILED THIS 'f DAY OF , 1992. (SEAL) BY THE COURT ROGER W. SAMES DISTRICT COURT ADMINISTRATOR Deputy STATE OF MINNESOTA ) . ) ss. COUNTY OF DAKOTA ) On this rsT day of _<j+L 11 1992, before me a Notary Public within and for said County,/personally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. .. , ?::sr?trer.-er l: e: is zz: c:: • °. •zzu+•: 1 1, AIR::^. iYil L W.UG :`. " E 11i N^.-A8Y PCZ', :. ;•S DAKOTA COUNTY a +° Via;,;,. ?? M•/ i.(.n. .cn E,%9 F.:9 S. 1L?3 STATE OF MINNESOTA ) ) ss. COUNTY OF A K UT ?, ) On this I U day of T'^ L ` , 1992, before me a Notary Public within and for said Co nty, personally appeared JOSEPH KURHAJETZ and JULIA KURHAJETZ to me personally known to be the persons described in and who executed the foregoing instrument and acknowledged that they executed the same as their free act and deed. Notary Public } APPROVED AS TO FORM: ¦ ¦ SANMATIE DONNA SINGH NOTARY PUSLI"INNESOTA v- DAKOTA COUNTY City Attorney 's ffi MyCaraftwanExpirmMar 17,1699 c,6 VVV6% Dated: 71?_ APPROVED AS TO CONTENT: . Fin a Department Date . 1-.71 - 4Q I 2. The parties waive any rights to request costs in the above-captioned action. 3. The City shall direct the Dakota County Treasurer to recompute Petitioners' real estate tax statement using the new assessment figure of $0 for assessments related to Project 543R. 4. The Petitioners waive Notice of Hearing and Hearing on the reassessment of the Subject Property. 5. Upon the execution of this Stipulation, the Petitioners shall cause this action, Court File No. C5-91-7935 to be dismissed with prejudice. EAGAN Dated: Lir ` ' 19 2 Dated: 1992 Dated: / , 1992 U 1_/ Dated: , 1992 : Mayor By: VanOverbeke Its: C?ty Clerk seph Kurhaj<eet is Kurhajetz t a STATE OF MINNESOTA COUNTY OF DAKOTA JOSEPH KURHAJETZ and JULIA KURHAJETZ, Petitioners, VS. CITY OF EAGAN, Dakota County, Minnesota, a municipal corporation, Respondent. r DISTRICT COURT FIRST JUDICIAL DISTRICT CASE TYPE: Assessment Appeal Court File No. C5-91-7935 STIPULATION AND ORDER AND JUDGMENT WHEREAS, Petitioners Joseph Kurhajetz and Julia Kurhajetz ("Petitioners") are the owners of a parcel of land in the City of Eagan with the Property Identification No. of 10-58500-050-00 ("Subject Property"); and WHEREAS, on July 2, 1991, Respondent City of Eagan ("City") assessed the Subject Property a total sum of $2,402.74 for street area as part of Public Improvement Project No. 543R; and WHEREAS, Petitioners brought an action in District Court appealing the sum of the assessments for Project 543R, known as Joseph Kurhaietz and Julia Kurhaietz v City of Eaaan; Court File No. C5-91-7935; and WHEREAS, the parties have resolved all dispute over the assessments against the Subject Property. NOW, THEREFORE, the parties do hereby agree as follows: 1. The assessments levied against the Subject Property for Project_ 543R shall be reassessed in the sum of $0. ?..•? - ?`;.? Fled this d'ay Fly! G' 4 I^-?• SZ ??G 2 ROGER W. ES, wun Aoml mw 5 1992 DEPUTY .r-I. CV Vlil l ?i?V In UCr.rpp (..ol - ANNETTE MARGARIT ATTORNEY AT LAW 600 MIDWAY NAT'L.BANK BLDG 7300 WEST 147TH STREET L APPLE VALLEY MN 55124 STATE OF MINNESOTA COUNTY OF DAKOTA NOTICE OF: F THOMAS W. BIBUS '0 FILING OF ORDER ATTORNEY AT LAW 5350 SOUTH ROBERT TRIAL $Z ENTRY OF JUDGMENT INVER GROVE HEIGHTS MN 55077 ? DpCKETING OF JUDGMENT L ' Court Flla No.: C5-91-7935 \ ,IN RE: JOSEPH KURHAJETZ & JULIA KURHAJETZ V. CITY OF EAGAN You are hereby notified that on was duly filed In the above entitled matter. 6 an Order You We hereby notified that on' SEPTEMBER 4TH wea duly entered In the above entitled matter. y 8 92 a Judgment 13 You are hereby notified that on was dui ? ? t3 a Judgment y docketed in the above entitled matter In the amount of S--? A true and corrsctcopyolthis Notice has been aerv ad by mall upon the parties named herein at the last known address of each, pursuant to Mlnneaola Rules Of Civil Procedure, Rule 77.04. Filed t]ated`SFDTFMRFR?C 1?_ ROGER W ROGER W SAMS Court Aurniinistrator b Dy W 6N M RESOLUTION OF CITY OF EAGAN ADOPTING SETTLEMENT AGREEMENT WHEREAS, on July 2, 1991, the City of Eagan assessed various parcels for street area improvement as part of Public Improvement Project No. 543R; and WHEREAS, the following is a partial list of persons assessed with a street area charge pursuant to Project 543R who have brought an action in District Court appealing the street area assessments: Subiect PID Court File No. Frances E. Bader et al. 10-58500-040-00 C9-91-7937 Donald Hill Sr. et al. 10-58500-020-00 C4-91-7943 Carl W. Glewwe et al. 10-58501-050-00 C6-91-7944 Joseph Kurhajetz et al. 10-58500-050-00 C5-91-7935 Norman Lindman et al. 10-58501-030-00 C2-91-7942 Marvin W. Post et al. 10-58501-040-00 C9-91-7940 Elenor E. Weber 10-58500-030-00 C8-91-7945 WHEREAS, the parties to the above-listed court cases have agreed to settle these disputes according to the terms described in the attached Stipulations. NOW, THEREFORE, be it resolved, the Eagan City Council hereby adopts the attached Stipulations resolving these assessment appeals and authorizes the Mayor and City Clerk to execute the Stipulations on the City's behalf. CITY OF EAGAN Dated: 741 , 1992 BY: Thomas A. j Its: Mayor ATTEST: By: . J. VanOverbeke its: ity Clerk STATE OF MINNESOTA DISTRICT COURT COUNTY OF DAKOTA FIRST JUDICIAL DISTRICT CASE TYPE: SPECIAL ASSESSMENT APPEAL File No.: Joseph Kurhajetz and Julia Kurhajetz, Petitioners, NOTICE OF APPEAL OF SPECIAL ASSESSMENT VS. Assessment #:10-58500-050-00 City of Eagan, a Municipal Corporation, Respondent. TO: CLERK OF THE ABOVE-NAMED DISTRICT COURT; CITY OF EAGAN, ABOVE-NAMED RESPONDENT AND ITS ATTORNEYS, GRANNIS, GRANNIS, HAUGE, EIDE & KELLER, 1260 Yankee Doodle Road, Eagan, MN 55122: PLEASE TAKE NOTICE that the Petitioner/Appellants herein, Joseph Kurhajetz and Julia Kurhajetz as owners of property located at: 2850 Sibley Hills Drive hereby appeal to the above-named District Court from a special assessment in the amount of $2,402.74, as and for Project Number 10P543R (Sibley Hills Drive/Skyline Road - Streets and Utilities). The nature of the Petitioners'/Appellants' claim is and the grounds of this appeal are: 1) that there was no benefit to the assessed property as a result of Project 5438; 2) the special assessment exceeds the special benefits to the property and is therefore a taking of property without fair compensation in violation of the 14th Amendment; and 3) that said assessed property has been improperly, unfairly and unequally assessed, in violation of Minn. Stat. 429 and the 14th Amendment. WHEREFORE, Petitioners/Appellants pray for the judgment of this Court as follows: 1. That the Special Assessment Role be reviewed and corrected, and that the assessment of Petitioners'/Appellants'. property be stricken from the Roll, or be reduced to a proper amount and properly equalized with the assessments of other real properties on the same Roll; 2. That this Court take evidence, or cause evidence to be taken, to enable Petitioners/Appellants to show the illegality, over-valuation, inequality, and error of the special assessment of the real property of and 3. That the Court grant such other and further relief as may be just and as the nature of the case requires, together with the costs and disbursements of this proceeding. Dated: BIBUS AND LARSON LAW FIRM By/=h Thomas W. Bibus 08114) Attorney for Petitioners/ Appellants Kurhajetz 5350 South Ro ert TA II Inver Grove Heights, MN 55077 612/457-2046 2 ACKNOWLEDGEMENT The undersigned hereby acknowledges that costs, disbursements, and reasonable attorney and witness fees may be awarded pursuant to Minnesota Statutes 549.21, subd. 2 to the party against whom the allegations in this pleading are asserted. Dated: 9 anomas w. Bibus Attorney for Petitioners/ Appellants 5350 South Robert Trail Inver Grove Heights, MN 55077 612/457-2046 ?z?rn ?` 7y w- r ?/3 7 i q sl? i F'f /i..'i ? _?`' _. .._'•.f is •-c'-/Yi /•/? cLJCG Y^L`? /i C.?[?? r _ , r _ , r r < C c ' ` ,y,.L C c 1` `?C iL??. ?? c <uG .a.?"cd_C ,mac.<<c"CG r -'- 177 0 1.. JAivuA?y /? /98q /Va, J or ?_ 13? ? Cr3ll?Son/ ?A?;'L? ,?IJNE s?-?v ?2Ts2 = ..? ? j ?J? 1.4 3 , l v co c rV c e < ?F/tjL3EiPI/ Cirr/ 6f C.??9? or(;A /+ 6cglvlR9E9 rVZANO /710.0 JrJ?/?/ #"077 d/NXcN D l>?i'V? D9v/o /f ??%SrAt- f e?J SSia , /C cs, L 1 T? 7-7'szcx y Jim .S7'l-tr,77 . ?? 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Tc?EPi{ f? . f?uRNN SETZ ,LL STREET-AREA BASIS SA NAME ST543A SAN 2196 YEARS 15 INT RATE .085 WS 1ST YR INT 17 YEAR 1991 REC PROPERTY NMBR IDENTR CL 1 1D-00400.011.77SF 2 jc- 0400-012.77SF 3 10-1,-»00.020-56SF 4 10-00400-020.75SF 5 10-00400-030-75SF 6 10-32880-094-DOSF 7 10-58500.010.00SF S 10.58500-020.00SF 9 10-58500-030-OOSF 10 10-58500-040-OUSF 11 10.58500.050-OOSF 12 10.58501-010-OOSF (1) 13 10.58501-020-OOMF 14 10-585DI-030-00SF 15 10-58501-640-OOSF 16 10-58501-050.ODSF ' 10-58501-060.OOSF 10-58800-010.01SF -58800.010-02SF '.6800-010.03SF 58800-020-0ISF 22 10.58600.020-02SF 23 10.5880D-020-03SF 24 10.58800.030-01SF 25 10.58800-030.02SF 26 10.58600.030-D35F 27 10.5880D-040.OISF 28 10-58800-040-02SF 29 10-58800.040-03SF 30 10.58800-050-O1SF 31 10.58800-060-01ST ASSESSMENT COST BREAKDOWN PROJ NAME SIBLEY HILLS DR AND SKYLINE ROAD PROJ NUM P543R SA WE STS43A _ COST 197,709-61 GROSS Loll i S2,576,786. 00 CORNER LOT, 0.00 SUBTOTAL 2,576,786.00 COMPUTED RA 0.07673 1S THE ABOVE COMPUTED RATE APPROPRIATE FOR A- Y SF MF CI WC GROSS UNITS C 479264 43691 13500 76230 104000 108900 344456 344456 344456 344456 344456 344456 1 344456 344456 344456 344456 496923 496923 496923 496923 496923 496923 496923 496923 496923 496923 496923 496923 496923 496923 REDITS 68389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 139521 139521 139521 139521 139521 139521 139521 139521 139521 13952 13952 1 13952 13952 SUBTOTAL FA 410895 .8 43691 1 13500 1 76230 1 104000 1 108900 1 344456 1 344456 1 344456 1 344456 1 344456 1 344456 1 11 344456 1 344456 1 344456 1 344456 1 357402 1 357402 1 357402 1 357402 1 357402 1 357402 1 357402 1 1 357402 1 1 357402 1 1 357402 1 1 wi,021 395,21 357402 1 1 357402 1 357402 1 LASW ^F POOKItly 0.07673 /S.F. 1,775.000 /L.S. 0.07673 /S.F. 3,306.850 /L.S. NET UNITS PRO-RATA ASSIBLE SHARE 370384 1 43691 1 13500 1 76230 1 104000 1 iOB9D0 1 344456 11 344456 11 344456 11 344456 11 344456 11 344456 11 11 344456 11 344456 11 344456 11 344456 11 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 357402 26 ASSESSMENT RATE AMOUNT avaacv_a 0.077 28419.56 0.077 3352.41 0.077 1035.66 0.077 5849.13 0.077 7979.92 0.077 6355.90 0.077 2402.74 0.077 2402.74 0.077 2402.74 0.077 2402.74 0.077 2402.74 0.077 2402.74 11775.000 1775.00 0.077 2402.74 0.077 2402.74 0.077 2402.74 0.077 2402.74 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 1054.75 0.077 . 1054.75 (1) Prepaid by special agreement 1/16/90 r STATE OF MINNESOTA COUNTY OF DAKOTA JOSEPH KURHAJETZ and JULIA KURHAJETZ, Petitioners, VS. CITY OF EAGAN, Dakota County, Minnesota, a municipal corporation, Respondent. DISTRICT COURT FIRST JUDICIAL DISTRICT CASE TYPE: Assessment Appeal Court File No. C5-91-7935 STIPULATION AND ORDER WHEREAS, Petitioners Joseph Kurhajetz and Julia Kurhajetz ("Petitioners") are the owners of a parcel of land in the City of Eagan with the Property Identification No. of 10-58500-050-00 ("Subject Property"); and WHEREAS, on July 2, 1991, Respondent City of Eagan ("City") assessed the Subject Property a total sum of $2,402.74 for street area as part of Public Improvement Project No. 543R; and WHEREAS, Petitioners brought an action in District Court appealing the sum of the assessments for Project 543R, known as Joseph Kurhaietz and Julia Kurhaietz v. City of Eagan; Court File No. C5-91-7935; and WHEREAS, the parties have resolved all dispute over the assessments against the Subject Property. NOW, THEREFORE, the parties do hereby agree as follows: 1. The assessments levied against the Subject Property for Project 543R shall be reassessed in the sum of $0. 2. The parties waive any rights to request costs in the above-captioned action. 3. The City shall direct the Dakota County Treasurer to recompute Petitioners' real estate tax statement using the new assessment figure of $0 for assessments related to Project 543R. 4. The Petitioners waive Notice of Hearing and Hearing on the reassessment of the Subject Property. 5. Upon the execution of this Stipulation, the Petitioners shall cause this action, Court File No. C5-91-7935 to be dismissed with prejudice. CITY F EP,GAN Dated: A , 19%12"'Z-- B)(. Thomas E9 ar1 1 ^ Its: May r c?/ 7,4 Dated: T?A I y ? t , 1992 _ By: E. VanOVerbeke Its: City Clerk 1992 Dated: Z-l/ Jo ph /Kurhajetzz Dated: 1992 Ce'l -, l J lia Kurhajet2 STATE OF MINNESOTA COUNTY OF DAKOTA ss. On this day of L r 1992, before me a Notary Public within and for said County, p rsonally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. L V, STATE OF MINNESOTA ) ) ss. COUNTY OF ) On this day of Public within and for said KURHAJETZ and JULIA KURHAJETZ persons described in and who acknowledged that they executed AS TO FORM: City Attorney's Dated: ?I/? APPROVED AS TO CONTENT: - k 1?b V&L Fin ce Depa=t. ? t qg Date : '! .. 1992, before me a Notary County, personally appeared JOSEPH to me personally known to be the executed the foregoing instrument and the same as their free act and deed. .. -L I Notary Public SANMATIE ppNNA SINGH 4 A NO7AAY PUBLIC- Wr 17.tYi8? N?00"Wo Eon r ORDER FOR JUDGMENT Based upon the foregoing.Stipulation entered into by and between the City of Eagan and Joseph Kurhajetz and Julia Kurhajetz; IT IS THEREFORE THE ORDER OF THE COURT THAT JUDGMENT BE ENTERED FORTHWITH. BY THE COURT: Dated: . 1992 JUDGE OF DISTRICT COURT I certify that the above constitutes a judgment of the court. JUDGMENT ENTERED AND FILED THIS DAY OF (SEAL) BY THE COURT ROGER W. SAMES DISTRICT COURT ADMINISTRATOR 1992. Deputy Y STATE OF MINNESOTA COUNTY OF DAKOTA JOSEPH KURHAJETZ and JULIA KURHAJETZ, Petitioners, VS. CITY OF EAGAN, Dakota County, Minnesota, a municipal corporation, Respondent. DISTRICT COURT FIRST JUDICIAL DISTRICT CASE TYPE: Assessment Appeal Court File No. C5-91-7935 STIPULATION AND ORDER WHEREAS, Petitioners Joseph Kurhajetz and Julia Kurhajetz ("Petitioners") are the owners of a parcel of land in the City of Eagan with the Property Identification No. of 30-58500-050-00 ("Subject Property"); and WHEREAS, on July 2, 1991, Respondent City of Eagan ("City") assessed the Subject Property a total sum of $2,402.74 for street area as part of Public Improvement Project No. 543R; and WHEREAS, Petitioners brought an action in District Court appealing the sum of the assessments for Project 543R, known as Joseph Kurhaietz and Julia Kurhaietz v. City of Eagan; Court File No. C5-91-7935; and WHEREAS, the parties have resolved all dispute over the assessments against the Subject Property. NOW, THEREFORE, the parties do hereby agree as follows: 1. The assessments levied against the Subject Property for Project 543R shall be reassessed in the sum of $0. f 2. The parties waive any rights to request costs in the above-captioned action. 3. The City shall direct the Dakota County Treasurer to recompute Petitioners' real estate tax statement using the new assessment figure of $0 for assessments related to Project 543R. 4. The Petitioners waive Notice of Hearing and Hearing on the reassessment of the Subject Property. 5. Upon the execution of this Stipulation, the Petitioners shall cause this action, Court File No. C5-91-7935 to be dismissed with prejudice. Dated: 4 1 ? Dated: 1992 Dated: , 1992 Dated: 1992 CITY v By'c Thomas A. Eg // its: May r U%WNAL By: E. VanOverbeke Its: City Clerk t zel- JF ?ph KKurhajetz J}flia Kurhajetti STATE OF MINNESOTA COUNTY OF DAKOTA ss. On this lS day of Public within and for said and E. J. VanOVERBEKE to duly sworn, each did say Clerk of the City of Eaga instrument, and that the s by authority of its acknowledged said instrum municipality. ?TA STATE OF MINNESOTA ) _ ) ss. COUNTY OF ' '-'" ) 1992, before me a Notary County, p r?lly appeared THOMAS A. EGAN o me personally known, who being each by me y that they are respectively the Mayor and n, the municipality named in the foregoing eal affixed on behalf of said municipality City Council and said Mayor and Clerk ent to be the free act and deed of said on this i day of 7i', '% , 1992, before me a Notary Public within and for said County, personally appeared JOSEPH KURHAJETZ and JULIA KURHAJETZ to me personally known to be the persons described in and who executed the foregoing instrument and acknowledged that they executed the same as their free act and deed. Notary Public APPR ED AS TO FORM: City AttoI 's ffi Dated: 1 APPROVED AS TO CONTENT: I - 6 'LL Fin ce De artjy?ent Date - "J 1 -q8 r SANMATIEWNINASINGH NOTAW PUBLIC,?IINNESOTA OAKOTABGUNTv 17. IY? r Evk-- r ORDER FOR JUDGMENT Based upon the foregoing Stipulation entered into by and between the City of Eagan and Joseph Kurhajetz and Julia Kurhajetz; IT IS THEREFORE THE ORDER OF THE COURT THAT JUDGMENT BE ENTERED FORTHWITH. BY THE COURT: Dated: , 1992 JUDGE OF DISTRICT COURT I certify that the above constitutes a judgment of the court. JUDGMENT ENTERED AND FILED THIS DAY OF (SEAL) BY THE COURT ROGER W. SAMES DISTRICT COURT ADMINISTRATOR 1992. Deputy � � _ � �jj��a �""��`� Use BLUE or BLACK Ink � c� -----------------, � For Office Use I �i �] I /.�, /-/1�.� I ���� ��.17���1i j Permit#: �7 � I ���� � I Permit Fee: � � 3830 Pilot Knob Road � � Eagan MN 55722 � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 � I I Staff: � L----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. r Date: ��-�`�-�i `� Site Address: ,�`��'� `�r�J��Lt �-� l�`7 di OP'. • Tenant: � Suite#: �'�I��sxd���iOW�f�:r''���� � Name:�G`��G1 ILt`it�'h�i.,j�.��� Phone: �oS�(—��L�-=�o`��� Address/City/Zip:�$�� S; t e ;ct 5�'f': . �c� ��� ;ti�+J '- ' Name: License#: �����,���,�� Address: � City: State: Zip: T402 Washington Ave�p��ne: Eden ra e, 5�4 Contact: 952-941-10�ai1: New �Replacement Additional Alteration Demolition Typ� v€���'k Description of work: -�-,, , ,�..::�: ... : , t��T�.Rt�pf�c�ur�ted an��rrc�u����3t�d mech�nical eq�uip��€�t is r�quir�c��t���r�e�ed by Cfty ' �.> �a�te A�ease cont��##t��Me��r�l Inspector fr►r':inftrr���e�rw���^m�#t+���itin�;m�#�ti+��ls. �>. -� RESIDENTIAL COMMERCIAL �� Furnace New Construction Interior Improvement ��,���-��p� _Air Conditioner Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESIDENT/AL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ �� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee _$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. � _ :� ^. x -..�t��i/t- �?L, �,� . �,.� �` X ri.' ApplicanYs Printed Name Appli,}' s Signature F(?t�t}FFECE iJSE' FtequFr�sd tnspec#i�ns: Reui�wed By: ,:.[�af�rw ,`, _ ,. :�._ Undergr�urrd. F�ou�h In �ir T��� - ' �as�erw��ce;Test. Irt:f����;�� Final ���V�����c�ning ��?i�'� 4`�`-�� Use BLUE or BLACK Ink -----------------, � For Office Use I � I ��. � / � ���� I } ���� �� I Permit#: � �� � � /-, I � Permit Fee:��• �j l..' I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � � Staff: Fax: (651) 675-5694 L________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ��—`��"? `�� Site Address: ��"`�` ;�r�r���'ti �� l�� �� �.c��i�i-7 Tenanf: Suite#: ��s����!'J�}wner Name:���'�� 11-c.,v'l�cct�i��a� Pnone:��t-�-7��:--'7���' x ^� Address/City/Zip:;�{�°�_� � (,�1�r w�Cl � .�✓" �� ur.�`� ��a� r-r1� r-'._,,%�=}- � Name: License#: ���,��,����, ',- Address: City: 7402 Washington Avenue State: Zip: Fden Prairle,MN 56$�%pne: 95Z-941-1044 ' Contact: EmaiL ���� �,���r� , _New ,�Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: RESIDENTIAL ' �„Water Heater Water Softener Lawn Irrigation (_RPZ/_PVB) ������T�Q�' Add Plumbing Fixtures�Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00'Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00`Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes State Surcharge) "Water Turnaround (add$210.00 if a 5/8"meter is required) $115.00 Seqtic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ ��� 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:qopherstateonecall.arq 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 's 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 lan J � � � . � �.._ ,r;., , ,; �.,_._,.__.._ , �. X� �.�� � �L Ut l�.� X ��� ApplicanYs Printed Name App�icanYs Signatur :� � ; ,. � ��� �I'��t �FFI��E�E � � � � � � �� R��r�+�we�tf y �.�; e �a��. Rsquire� Inspec#icar�s: Under�roun� ;�c��a�=lit Air 1'est' " ���°,T�st F���� "� Me#er l��tated 1t�ms:` Met�r Si���N°��2adi� R�;ad > : Iti��t�ti�f�r Staff; . '. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138548 Date Issued:09/02/2016 Permit Category:ePermit Site Address: 2850 Sibley Hills Dr Lot:5 Block: 0 Addition: Post PID:10-58500-00-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joseph R Kurhajetz Tste 2850 Sibley Hills Dr Eagan MN 55121 (657) 454-4089 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature