2127 Silver Bell RdCITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6187
PHONE: 454-8100
BUILDING PERMIT APPLICATION 3 Receipt #
_ To be used for GARAGE Est. Value 4,600 Date 9-18 1980
Site Address 2127 Silver Bell Rd. Erect X0 Occupancy R3
Lot - / Block =79 Sec/Sub. Alter ? Zoning Rl
Parcel # 10-01800-040-79 Repair ? Fire Zone 3
E
l V
t
T
f C
n
arge ? .
ype o
ons
rc Name Nancy Lee Mehehoff Move ? # Stories
z Address " 2127 Silver Bell Rd. Demolish E] Front 24 ft.
° CI Eagan. Mn. Phone 454-3930 Grade ? Depth 24 ft.
Nome Bill Hat _l Approyals Fees
0
o<
Address 2129 Silver Bell Rd.
Assessment
Permit 18.00
ui- CI Eagan, Mn. Phone 452-3933 Water & Sew. Surcharge 2.50
Police Plan check
rc
1Y Name
Fire
SAC
r
-Z enar , s arage
Address Eng. Water Conn.
iw 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 APC Total 20.50
State of Minnesota Stotutes d City of Eagan Ordina es.
Signature of Permittee
A Building Permit is issued to: Bill Hazel 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
r n ?? CITY OF EAGAN Include 2 sets of plans,
j 1P IN. 1 site plan w/elevations &
BUILDING PERMfT APPLICATION 1 set of energy calculations.
To Be Used For _C', H C, Fo F Valuation Date
Site Address: a/27 OFFICE USE ONLY
Lot Block Sec./Sub.
Parcel #: /D D /SOd f -Y
Owner: A/_?L C ?F MFf(PoFF
Address: 7 S/LI/6n RECL 2d
City/Zip code:
???,U
Phone #: 5-5L3 93
Contractor:. (61LL f 9 zEL Assessments
Address: /??) S/LU£2 {? ?/ Water/Sewer
Police
City/Zip Code: _. ?r46?1 dY1 ?? ?
/?Fire
Phone #: 7,933
Arch./Eng.: 6h41104enc C AK?, 6
Address:
City/Zip Code:
Phone #:
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge - Type of Const.
Move # Stories
Demolish Front a y ft.
Grade Depth 'd y ft.
APPROVALS FEES
Eng -
Planner
Council
Bldg.
APC Off.
Permit /5'
Surcharge 2?-S
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
TOTAL 96
Jig
- 1652-
0
f
o
W
J
09', -75
/f/ ?a.sG/7/_/?r
7t
m
r
v
a
CITY OF EAGAN NO 13 8 6 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE-454.8100 ---) S a`q
BUILDING PERMIT (RESIDENTIAL) Receipt #
To be used for ROOFING REPAIR Est. Value $1 , 500 Date JULY 7 g 87
Site Address 2127 SILVER BELL RD
Lot 4 Block 79 Sec/Sub. SECT 18
Parcel No.
a Name GARY MEHRHOFF
Address SAME
G city Phone 454-3930
e Name 890-0116 (W)
o a Address
P City Phone
t- w
wm
Name
a Address
<w City Phone
I hereby acknowledge that I have read this application and state
that the information iscorrectand gree tocomplywnh allay#P1 ble
pfp. State of Minnesota Statutes an ity of Ea I Or i !!a
?CSignature of Pert
A Building Permit is issued to: GARY t HOFF
all work shall be done in accordance with all applicable ate of
Building Official ?/p_.?c..
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit $29.00
-
Water/Sewer .UCF
Surcharge 1
Police Plan Review
Fire SAC, City
Engr. SAC, MWCC
Planner Water Conn.
Council Water Meter
Bldg. Off. Road Unit
APC Treatment P7
Variance Parks
Copies
TOTAL o
_ on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN 13 8 6 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT IAI Receipt
To be used for " 'r !N11 REPA L 1. Est. Value ' I ' 50c; Date JCLY 7 7
,19
Site Address 1 .. 7 S).' V F, It, 38.
Lot Block Sec/Sub.
Parcel No.
SECT 18
Name GARY Nc ti?; It `? r
,t
z Address 5Al
' C
o f
Y ?-393y
City Phone 4
o Name 9?-yllt? ?. i
Address
city Phone
U
W WWw Name
g Address
i W City Phone
I hereby acknowledge that I have read this application and state
that the information is correct and Igree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee l`
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of M
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well - Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
FEES
Permit
Surcharge
Plan Review
SAC, C ity
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
on the express condition that
I City of Eagan Ordinances.
$29.00
_X
Permit No. Permit Holder Date Telephone
Plumbing
HN.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing { ?- 0 7 is
Rough Plbg. - a 6 E )f,
Rough Htg.
[Sul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6187
PHONE: 454-8100
BUILDING PERMIT Receipt # _
To be end for Est. Value Bate 19
Site Addre ss Erect 1:3 Occupancy
Lot Block Sec/Sub. Alter ? Zoning
- '-
Parcel #
Repair ?
Fire Zone
Enlarge ? Type of Const.
ff
a Name :nr-CV i?cl _
Move ?
## Stories
3 Address Demolish ? Front ft.
city Phone 454- 3`'' Grade ? Depth ft.
Name Approvals Fees
0 Assessment Permit
? Address
~ City Phone ! Water & Sew. Surcharge
Police Plan check
r
Wn, Name Fire SAC
x? Address Eng. Water Conn.
u
<W CI Phone
Planner
Water Meter
Council Road Unit
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
Signature of Permittee
;azel
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit # Deft loved permittes
Plumbing
Mechanical
INSPECTIONS 9ATE INSP. Rough-An Fi
l
Footings G? Dote Insp. n
Dote a
Insp.
Foundation _ Plumbing
Frame/ ins. Mechanical
Final
Remarks:
CITY OF EAGAN Remarks„ ZOA&s
Addition Section 18 Lot Rik Parcel 10 01800 040 79
Owner ?litreet 2127 Silver Bell Road State Eagan, IOW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ('08t 1982 1813.90 362.78 5
STREET RESTOR. (pg? Pc^t 'T
GRADING
LAD SAN SEW TRUNK 'ff; 1968 100.00 3.33 30
iF SEWER LATERAL -7 2 3559-38 231.29 1
WATERMAIN R
WATER LATERAL 2 1
WATER AREA q 19 190.00 12.66 15
* Services 1982 1
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 525.00 22336 12/10/80
PARK
CI'b . IF EA6AN
3795 "ilot Knob Road
Eagan, MN 55122
Zoninn-
Address:
to comply with the City of Eagan
of I nsp.:
Connection Charge:
Account Deposit:
Permit Fee: --------
Surcharge:
Misc. Charges:
Total:
WATER SERVICE PERMIT
WCt 'IF FAQAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Mete N
r o.. Connection Charge:
Size: A
D
ccount
eposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.:
Insp.:
PERMIT NO.:
DATE:
No. of Units:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of units:
62
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
o $2,000 LANDSCAPE BOND
To Be Used For: eo? - ?flYJIE
OF SURVEY - CHECK WITH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF
o?
Valuation: 1500'
Site Address 212 75 ww!/ OFF:
Lot Block On Site Sewage_
MWCC System
Parcel/Sub On Site Well 'lui City Water _
Address 2/2 7 c,
City/Zip Code
?/L`iyn r/%ir? 5'S / Z 2
Phone ?S7 j7f'' 0/no- 0116a APPROVALS
Contractor OQ, ,°? y u//f
Address 1
City/Zip Code
Phone I
Arch./Engr. '
Address
City/Zip Code
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date: 6 -,30 -67
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit Z1.
Surcharge I
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL a30 eg
Phone #
of
3830 PILOT KNOB ROAD. P.O. BOX 21194
EAGAN. MINNESOTA 55121
PHONE: 0612) 454.8100
DATE: Dece111ber 4, 1985
gPECIAL ASSESSMENT SEARCH
DAKOTA COUNTY ABSTRACT C1 RE: Section 18
1250 HWY 55, P O BOX 456 10-01800-040-79
HASTINGS MN 55033 Township' 27 Range 23
Lot 4 Block 79
SEA BLOM9UIST
Marv
THOMAS EGAN
JAMES A SMITH
JERRY THOMAS
THEODORE WACHTER
ccv¢s 1`m s
THOMAS HEDGES
city Aw+ ftn
EUGENE VAN OVERBEKE
City c?
Enclosed herein is the search which you requested made on the above described property.
1986
San Sew Trunk 30 1968 $ 100.00 $ 36.73 $ 5.74
Sewer Lateral 15 1982 3559.38 2372.93 524.42
Water Area 15 1977 190.00 63.40 18.74 -
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Improvement ADDroximate Date of Completion ADDroximate Cost
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or it;
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideratio:
of any nature whatsoever, any claim against the City or its employees rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121.
V°eerry. truly ?yours,
SPECIAL ASSESSMENT DIV ION
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
city of csaga
3830 PILOT KNOB ROAD. P.O- BOX 21199 SEA BLOMBULST
EAGAN, MINNESOTA 55121 Mo,a
PHONE: (612) 454$100 THOMAS EGAN
JAMES A- SMITH
JERRV THOMAS '
DATE: November 29, 1985 THEODO
ER
E ACH
R
i
THOMAS N°DGES
Or, Aa ..Sato
EUGENE VAN OVERBEKE
OnECLU ASSESSMENT SEARCH Gfy C2rk
DAKOTA COUNTY ABSTRACT CO RE: Section 18
1250 HWY 55, P 0 BOX 456 10-01800-040-79
HASTINGS MN 55033
Enclosed herein is the search which you requested made on the above described propertv.
19ff6
Kind of Imnrove^Tent yPDT_. Beeinnine Orisinal Amount Balance Due =S11
San Sew Trunk 30 1968 $ 100.00 $ 36.73 $ 5.74
Sewer Lateral 15 1982 3559.38 2372.93 524.42
Water Area 15 1977 190.00 63.40 18.74
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Improvement ADnroximate Date of COTnpletion ADnroximate Cost
NONE
WAIVER:
Neither the City of.-Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or its
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideration
of any nature whatsoever, any claim against the City or its employees rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121.
yours,
,Verr
y..truly
,
y
SPECIAL ASSESSMENT DIVISION
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
_ 3830 PILOT KNOB RD - 55122
651.681-4675 ,
New Construction Requirements Remodel/Repair Requirements
D 3 registered site surveys showing sq. N. of lot, sq. ft. of house
and all roofed areas (20% maximum [of coverage allowed)
? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.)
1 set of energy calculations
? 3 copies of tree preservation plan 0lot platted after 7/l/93
DATE:
DESCRIPTION OF WORK: anml ft4I e6 4 I II
2 copies of plan
1 set of energy colculgtlons for heated additions
1 site survey for exterior additions 6 decks
CONSTRUCTION COST:
STREET ADDRESS: L+ 4L( ,h 1112CM1 R POA V
pp
LOT: ?I?J 1 BLOCK: ?] I SUBD./P.I.D.#: ?-C Cpl O V -TTs
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Phon e#2? 66 56C0
Street Address: 4ADU JA J, za,
City State: lI1W Zip:
Company: 9 Phone #: 611
(area code)
Street Addres : $ License # ?_Exp. 31 0
1 ?
City State: >1?? Zip:
Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer & water licensed plumber (required for new construction onlvl:
Penalty applies when address change and lot change is requested once permit is Issued.
1 hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. / /(
Signature of Applicant..
Certificates of Survey Received _ Yes
OFFICE USE ONLY
No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq, ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
CITY USE ONLY
LOT /7 BL ? RECEIPT #: /0202 cS
SUBD. v RECEIPT DATE: ?VCP S
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
J `?y` 6 Q (612) 681-4675
Date:
Complete this section pnly if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace t.,/ Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: 20.50
SITE ADDRESS:
OWNERNAME: D pr J 2nc f Soi1? PHONE#:
INSTALLER NAME: WO h A2r S Sv Gt- PHONE #: ?%I- 7d 9S?
STREET ADDRESS:
CITY:
STATE: ZIF cS ':P
6 eQ
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L _ BL
SUED.
RECEIPT #. _
RECEIPT DATE:
1998 MECEANICAL PERMIT (COMMERCIAL)
CITY OF RAGAN
3830 PILOT KNOB RD
RAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
($30 per $1,000 of nerrnit fee due on all permits.)
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (PaRovEMENTs oNLY):
INSTALLER:
ADDRESS: PHONE #:
CITY:
SIGNATURE OF PERIvIITTEE
STATE:
ZIP:
CITY INSPECTOR
x71.819, L //
Ordinance No. 114: Pemdt No.
WELL CONSTRUCTION AND ABANDONMENT
91-9054
WELL PERMIT
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SERVICES SECTION
WATER QUALITY MANAGEMENT UNIT
14955 Galaue Ave., Apple Valley, MN 55124
Telephone: (612)891-7556
WHEREAS, the NON-TRANSFERABLE
PERMITTEE/DBA: Johnson and Sons Drilling ISSUED TO #27580
ADDRESS: 3637 - 16th Ave. REVIEWED BY Swenson
Mpls, MN 55407
has submitted a permit application, has paid the sum of one hundred
($100.00) dollars to the County of Dakota as required by Ordinance
Number 114 and has complied with all of the requirements of said
Ordinance necessary for obtaining this permit to permanently seal the
well(s) described herein:
An abandoned well(s) with a casing diameter of 3 inches, depth(s) of 54
feet and completed in unconsolidated sediments will be permanently
sealed. The well(s) shall be cleaned of equipment and debris,
disinfected, neat cement pressure grouted and terminated at least two
feet below grade.
The well is located in the municipality of Eagan as follows:
Well Location: Property Owner and Well Owner and
Address (if different) Address (if different)
'3127-'Silver Bell Rd. Gary Mehrhoff
Eaggva MN, 55122
NOW, THEREFORE, Johnson and Sons Drilling is hereby permitted and
authorized to permanently seal the well(s) described and located above
for the period iApril 1991 to April 1992, subject to all provisions of
said Ordinance, _the-Minnesota Water Well Construction Code and any
conditions attached on the reverse side of this permit form.
Given under my hand this 26th day of April, 1991.
?N!< i ATTEST 9" LA.&4 P. uz<..? 1
ENVIRONMENTAL H UPERVISOR ERVftbNMV1TAL HEALTH DIRECTOR
05/01/91 13:24 DAKOTA COUNTY-WESTERN SERV. CTR. 001
DAKOTA COUNTY
PUBLIC HEALTH DEPARTMENT
PUblie Health Nursing
Services
REPLY TO:
C ND I 80"ICe Cem,.
33 lost wmtwerl0 Avenue
w81t 86 Pe01• MN 55118
(Big) 4W2614 .
f9. (8tll ?564W!
DONNA M. ANDERSON
PUBLIC HEALTH Ca1ECT0101
(612) 450.2614
gnv-I (gnw#.ngLLga I jb
-Spu .
a wutem soWco Comm
1d"5 Gelexle AwI
Apple volley. MN 08178
4419) 80"500
Fex (!1!)501-103
Emergency Medical
Services
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT - WATER QUALITY MANAGEMENT
WESTERN SERVICE CENTER, 14955 Galaxie Ave. West, Apple Valley, MN 55124; (612)891-7556
FACSIMILE (612) 891-7473
MUNICIPAL NOTICE OF WELL RERMIT APPLICATION
SEND T0: MUNICIPALITY: "EtiPEaMI
OFFICE: TELEPHONE:(
} PACSTlP1LX: fi h49R•63G
FROM: INSPECTOR A' TELEPHONE:, ) QQ( -?SS6
DATE/TTME'FORWARDED: COMMENTS:
REFER TO WELL PERMIT NO. C?, 9US?
DAKOTA COUNTY WATER QUALITY MANAGEMENT US RECEIVED THE WELL 'PERMIT APPLICATION(S) DE-.
SCRIBED BELOW. PLEASE NOTE: IF YOU REQUIRE FURTRER REVIEW OF THIS APPLICATION(S) OR
IF YOU 'HAVE ANY QUESTIONS OR CONCERNS ABOUT IT, CONTACT OUR OFFICE AT 691-7556 OR THE
IsNVIRONMENTAL HEALTH SPECIALIST LISTED ABOVE. IF THERE IS NO RESPONSE FROM YOUR OFFICE
WITHIN 24 HOURS (EXCLUDING WEEKENDS AND HOLIDAYS), STAFF WILL ASSUME THAT YOU HAVE 'NO
OBJECTIONS TO THE ISSUANCE OF THE PERMIT. ALSO PLEASE NOTE THAT PERMIT ISSUANCE IS
ALWAYS CONDITIONED ON THE OBSERVANCE OF AND COMPLIANCE WITH ALL APPLICABLE LOCAL RE-
QUIREMENTS AND ORDINANCES. A COPY of THE WELL PERMIT WILL BE FORWARDED WHEN CONPLBTEp.
PROPERTY OWNER: WELL OWNER:
LOCATION OF WELL(S): ADDRESS a( X-7 Sluil Mp-- 12D
PROPERTY ID 140. COORDINATES: OF OF OF OF SECTION
TOWNSHIP NORTH, RANGE-WEST. MUNICIPALITY:
WELL DRILLER: DATE RECORDED:
ANTICIPATED DRILLING/SEALING DATE (IF KNOWN): Ck d / ?ICt
WELL(5) DESCRIPTION: PRIMARY USES C _NEW CO"NSTRUCT/ION_ RECONSTRUCTION
TEMPORARY CAPPING_ PERMANENT SEALING ANNUAL MAINTENANCE: RECLAIMED REGISTERED
WELL DIAMETER-?- INCHMS. WELL DEPTH_ I. AQUIFER SCUDAM 2 MEiOTS,,,
NOTES
AN EQUAL OPPORTUNITY EMPLOYER
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117959
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 2127 Silver Bell Rd
Lot:004 Block: 079 Addition: Section 18
PID:10-01800-79-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brett Fletcher
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Robert L Bengtson
2127 Silver Bell Rd
Eagan MN 55122
That Construction Company
14105 Heritage Court
Apple Valley MN 55124
(800) 380-7069
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172679
Date Issued:10/12/2021
Permit Category:ePermit
Site Address: 2127 Silver Bell Rd
Lot:004 Block: 079 Addition: Section 18
PID:10-01800-79-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Robert L Bengtson
2127 Silver Bell Rd
Saint Paul MN 55122--103
Centraire Heating & Air Conditioning
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172680
Date Issued:10/12/2021
Permit Category:ePermit
Site Address: 2127 Silver Bell Rd
Lot:004 Block: 079 Addition: Section 18
PID:10-01800-79-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robert L Bengtson
2127 Silver Bell Rd
Saint Paul MN 55122--103
Centraire Heating & Air Conditioning
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178950
Date Issued:09/12/2022
Permit Category:ePermit
Site Address: 2127 Silver Bell Rd
Lot:004 Block: 079 Addition: Section 18
PID:10-01800-79-040
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robert L Bengtson
2127 Silver Bell Rd
Saint Paul MN 55122--103
(651) 343-8490
Admiral Radon & Mechanical Services
13816 Utah Ave
Savage MN 55378
(952) 226-5577
Applicant/Permitee: Signature Issued By: Signature