2129 Silver Bell Rdtoo
CITY OF EAC6aA
3795 Pilot Knob Road
Eas;<^Z? vLrnesota 55122
-
PFSi2+LLT p70 , : 722
The City of Eagan hereby grants to Raymond E. HaeQ Plbg_Znc.
of 7226 Cedar Ave So. M21s. 55423
a _PTnMRTNr Permit for: (owner) Mike Hazel
a"' 217g qj i A A ' 1 Rd I pursuant to application dated _- 9/10 76
Fee Paid: pro- cl0 dated this -13 day of September , 19_76
.50 S/c
Building Inspector
Mechanical Permits:
Bid Total:
Kind of Formation Color Started
Depth Ended
Depth Width of
Formation Remarks
Clay 0 20 20
Sand 20 80 60
Clay 80 180 100
Rock 180 210 30
Well Address ?$ I WELL RECORD
Driller's
Date Permit Number
Drilling Company Address Telephone
Dependable Well Co. 1411 West 97th Street 888-4 808
SIZE OF WELL .................4........ ................. INCHESI WATER LEVEL.......... ........... 8..0............ .......... FEEI
WELL DEPTH .............. 210....... :................ ...... FEET I DRAW DOWN ............................ Q...................... FEEI
CASING DEPTH ...... ....19.0 ..............................FEET I CAPACITY GALLONS ....... 8.0.Q............. PER/HR
DEPTH OF IMPERVIOUS FORMATION ..... ......... 200.......................... FEET CASED WITH
SAND POINT ..................FEET ..................INCHES/BY ..................INCHES WELDED JOINT ( )
MAKE AND TYPE MATERIAL: 201 Ooen-hole irL--rock SCREWED JOINT (X)
Remarks: Copy filed
CITY OF EAGAN Remarks
Addition Section 18 Lot Blk Parcel 10 01800 100 79
Owner a ,J Street 2129 Si 1 ver Be 1 1 Road State Fagqn ; MN S S 1 22
7 -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 0 1968 0.00 .33 30 PAID
SEWER LATERAL (v3 19 2 3559.3 237.29 1
WATERMAIN
WATER LATERAL 15
WATER AREA 5
,q Z)
`' c?? 2,
7 s2
Services 191J2 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $ 335.00 23842 3-23-81
BUILDING PER. #3913 2784 4-28-76
SAC 450.00 2784 4-28-76
PARK
INSPECTION RECORD I Control No. .'JU-41
CITY OF EAGAN PERMIT TYPE: HU t L P INN
3830 Pilot Knob Road Permit Number: 08111568
Eagan, Minnesota 55123 Date Issued: 98/31/92
(612) 681-4675
SITE ADDRESS: LOT; 19 R L o f- X , 19 APPLICANT:
2129 SILVER BELL RD UNIVERSAL CHIMNEY OF {Mii
SECTION t8 (61.2) 956--9296
PERMIT SUBTYPE:
tN ri.ACf (LIBER)
TYPE OF WORK:
NEW
INSPECTION TYPE
F-[REPLACE .DATE iNSPTR. INSPECTION DATE INSPTR.
Permit No. Permit Holder Date Telephone tt
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Darts Inap. Comments
Footings 1
Foundation
Framing
Roofing
Rough Pfbq.
Rough Htg.
Isul.
Fireplace
Final Htg. tiC a
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dec* Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
WPT,L PERMIT
No. 272
Date: 6lareh 10, 1977 Receipt No.: 1)542r'
Single
Site Address: 21 ' Silver Pe 11 Re ; Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name tKichael L. hazel /Repair
New/Alter
.
.
Address 2129 Silver Pell Roars Cost of Installation
O
"a(;an
City Phone:
Permit Fee
Name rFr'-ndarle W-11 Surcharge .fir}
1 All W. %7t?? St.
Address
r
City `" ')omincrton Phone: Total
r
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
r! CITY OF EAGAN
'P 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
SEPTIC TANIK & PRI±INFIELL, PERMIT No.
Date: April 7, 1977
Site Address:
2129 Silver Bell Road
Lot Block Sub/Sec.
Name Mike Hazel
4
I Address 2129 Silver He11 Roue
City Phone:
` Name Rav E. Haeg PlumLing & Heating
Address F":r1r ',vr . ::o
e
0
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and CitY of Eagan Ordinances
273
n5f
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee 1HSpo
Surcharge ' 50
Total 10.50
done in accordance with all applicable State of
? t
-r Building Officiol,?,
CITY 0' EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan
Ordinances.
By
Date of I nsp.:
I nsp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
WATER SERVICE PERMIT
CITY OF EAGAN
379: Pilot Knob Road PERMIT NO.:
eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
:
Reader No Permit Fee:
.
1 agree to comply with the City of Eagan Surcharge:
Ordinances Misc
Charges:
. .
Total:
By Date Paid:
Date of Insp.: Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
PERMIT
CITY OF ,EAGAN
3830 Pilbt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
2129 SILVER BELL RD
LOT: 10 BLOCK: 79
SECTION 18
-Suildi'n,g Permit Type
Building`-Work Type
r,
i
1 t
?F
it
FIREPLACE (LINER)
NEW
c
'ZI
BUILDING
001368
08/31/92
REMARKS:
C 0 ac, . ? l
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
UNIVERSAL CHIMNEY
810 1ST ST
HOPKINS
(612) 936-9298
- Applicant - OWNER:
OF MN 19369298 HAZEL MICHAEL
150-B 2129 SILVER BELL RD
MN 55343 EAGAN MN 55122
(612)452-8692
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 M'n.
Statutes and City of Eagan Ordinances.
L -?? ('-? ZLZ V- ftmw &
APPL CAN /P MITEE ATURE I SUED 5 AT E'T
1 d _ _ _____ -_
INSPECTION RECORD I Control No. 1004
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 001368
Eagan, Minnesota 55123 Date Issued: 0 8 / 31 / 9 2
(612) 681-4675
SITE ADDRESS: LOT: 10 BLOCK: 79 APPLICANT:
2129 SILVER BELL RD UNIVERSAL CHIMNEY OF MN
SECTION 18 (612) 936-9298
PERMIT SUBTYPE:
FIREPLACE (LINER)
TYPE OF WORK:
Control No. 1004
NEW
F
E
RACTIA
ECTIYA?E
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$2_ .L0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot change is re guested once permit is issued.
Date `$ / 9/ / -_ Valuation of work 1936. LD
Site Address:__ ?1a9 /LUfe /215W, 4PAYO
STREET SUITE N
Tenant Name: (commercial only) -j&
LOT 10 BLOCK ? SUBD. ? I I P.I.D. x
Description of work: f, ASE. far ?
The applicant is: ? Owner Contractor ? Other (Describe)
Name 7,L /W IC, G Phone "1S9 , -lb
Property LAST FIRST
Owner Address
S'/ L vf.wz 13 6 4G l2v.r ,n
STREET STE M
City I-_r4'6 fq"J State MYy Zip ?Sr7-
Company aNr :aL yI?l LA4z F1191Nx/5i&e" >,vU Phone 236 922
Contractor Address L4-/P- S-r ? Suite /,,;re . t3 License f ate/ Exp.
City State Zip 5Y3y3
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: -aul? cx????r y?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const: (Actual)
(Allowable)
UBC Occupancy
Zoning
/ of Stories
Length
De,th
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
? Framing
? Draintile
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
valuatim: $
SAC %
SAC Units
STATE RESIDENTIAL CONTRACTOR/REMODELER
LICENSING INFORMATION
PERMIT #
1. I have made application for license to the Department of Commerce.
Date of Application
Residential Building Contractor
Remodeler
Signature Date
2. I am exempt because I am a 9Dg specialty remodeler.
J/3
gnat a Date
3. I am exempt because my annual gross receipts are less than $15,000.
Signature Date
4. I am exempt because contracts on individual projects in aggregate do not
exceed $2,500.
Signature . Date
Questions regarding the licensing law should be directed to the Department of
Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319
Licensing Information, (612) 296-2594 (Enforcement).
1?
CITif '04 EAGAN
ING PERMIT
UYL
Owner pL ...Address (presen
t) ...???? _
................................ ................................
Builder .................
Address ..............................................................................................
DESCRIPTION
s iw
N0- 3913
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
Dale.A/4t/. fJll..l..!..lf?
Stories To Be Used Far Front I Depth Height ?. cos Pesml! Fu
f/ h- Re fark? ,
/>
.y
This permit does not authorize 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 K PT N T,F?E PRE ISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that... s. ... •• .................haa permission to arset a....t? ... , .. on
the above descri? premise subject tot provisions of all applic ances for ibe of Eagan
........ .p1L...!lx--.---------°°---------------1 .............. Per .. - .. ...............................
cl Mayor Building Inspector
DATE:_j?? 6
BUILDING PEzMIIT APPLICATTON CHECK
Lot_ Block Addition
Parcel and section number jd &YIM 1D® oa / /?
Street iV=,ber
r6 2 b 7 rl I+
Owner 442 ?l M7 Ie It Address
Developer
Address Tele
Zone-Ordinance #52
Lot Size X
Building Size X
Occupancy
Type of construction l6QG yK P
Setbacks: Street sides Rear ?v
Sides
Parking: Total area
Parking area setbacks:
Street side Rear
Landscape approval
Special Assessments.:
SAC charge_
Water area:
Assessed
If assessed: Connection charge
If unassessed: Connection charge
Lot division:
Additional assessments needed
Not needed
Laterals:
Assessed Not assessed
Waiver of hearing:
Needed Not needed
Teal area
_ Total area
Unplatted
Total spaces
Sides
Bond required C2
.4 4
..-
$450.00 ?Q -1* ,42 01P
Unassessed
Assessment elk Water & Sewer Dept Building Dept
Police Dept - Fire Dept (Comm &: Ind only)
M D/Seb IAO I9
MASTER CARD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING S
PLUMBING
jeA
CESSPOOL - SEPTIC TANK o? 3 '7 - >•-?>
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING _ SEPTIC
FOUNDATION 7-t?x CESSPOOL
FRAMING TILE FIELD
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL s! s? ! L
DRAINFIELD
PLUMBING to-y 7
WELL
SANITARY SEWER
" Violations Noted
on Back
COMMENTS:
CITY USE ONLY
L BL p RECEIPT #:
SUBD.DATE: BLS
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
.
r' 0-1-anno.in \/knew cVC40m otrt_
PAJN-NII pN iiViYV IllVl din y ubv., .. _ ..?-.?...? .
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? WAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL ", ro
SITE ADDRESS- ;11-2 9 5 /A ?4'lz ?3T L L `' b
OWNERNAME: /aiK? L?RZCL PHONE#:4sa-L2a
INSTALLER NAME- H k2w A"? zO L
STREET ADDRESS: i 9 5'? v? 2 (E3 ?LG 1zb
CITY: ,?:714 64,0 STATE: IqIJ ZIP: S ?i a
PHONE#: (4/a ) 9sa-B1a92.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114968
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 2129 Silver Bell Rd
Lot:010 Block: 079 Addition: Section 18
PID:10-01800-79-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Michael L Hazel
2129 Silver Bell Rd
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
.. -� '
Use BLUE or BLACK Ink
---------,
"',� � For Offtce Use �
'-'!:r � � � �-2�/� i
Clty of �a�a� RECEiV�D � Pe��t#: �� � �
� �
� Permit Fee: ��� I
3830 Pilot Knob Road NpV 3 � 2�15 ; Date Received: I
Eagan MN 55122 �
� I
Phone: (651) 675-5675 i
� Staff: �
Fax: (651)675-5694 � _________
�������J
2015 f�SIDENTIAL PLUMBING PE IT AP LICATION
Date: `"�1����Site Address: � /�tJ"�
Tenant: Sulte#:
�,,r, ;�` � "' .�� ;F n p __�
��� ��
� � Name: ��' Phone: � �`
. �i Residen�Owne �/�
�?`� AiF� .r IY/ � .
�,r�� ���,, �. Address/City/Zip: i�ii�.-
�� �� ` � 7� � � WC641376
7 '`�� � ,�� � , rvame: M�b�'t Corn.pany Inc dba Gulligan Water �icense#:
�, �a���„�, �
�� ��� � �� Address: 1;8Q�. SO� St E1St c�ty: Inver Grove Hgts.,
� ,��ontr� toK��� �
�� �`� state: Mn Z�p; 55077 Phone: 651-451-224r
�
� ������ ''` �' conta�: William R Milbert
Email:
s� ��„ � . ,r
i� �.
�' sype O,f� r oC,, —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
,� 5 ��
��, �; �. ,,,� �� '� Description of work: � � � � �
��� �F ���� ?G��t T� RESIDENTIAL
� ;��� �`�z ..
� �,�' ; Water Heater
�� ,��N� x . � — �Water Softener
� �� � Lawn lrrigation(_,RPZ/ PVB)
Fermit�Typ,,c.
��' ' r� ��,�� Septic System Add Plumbing Fi�ctures�Main/_Lower Level)
�
;�� __New Water Tumaround
� ,
� �
���, ;��,� ��=� � � Abandonment
RESIDEMTIAL FcES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
� $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge)
• $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surharge)
"Water Turnaround(add$200.00 if a 5/8"meter is required)
' $115.00 Septic Svstem New($10.00 per as 6uiit)(includes County fee and$5.00 State Surcharge) f�
TOTAL FEES$ �/ O O
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage.
Call 48 hours before you intend to dig to receiVe locates of underground utilities: www.aopherstateonecall.or4
I hereby acknowledge th8t this information is complete and accurate;that the work will be in conformance with the ordinances an�codes oi the City oi
Eagan; that I understand this is not a permit, buf only an application for a permit, and work is not to start without a permi�that the rk wili be in
accordance wi the approved plan.' ,the case of which reguires a review and appro al of plans
� � ^� r �
X � V. 4 X 1
ApplicanYs Printed Name Applicant's Signature
. , � ..
_. ... .� z
.. �re � ,.
��OR�OF�I � US.-�. `�� �� � 3 Re ew"�"ed �� . �a�� �
,� �`���^.��`�� ��` � � S
Require,d�lnspecri=ns` � � ��;� �� � ro M�d�� I%..� ir es � - s�;�� E�
�Me ��� ��� �; � �
� ��,��
er Relat'ed tem,s �Meter�Si�e °_�: ��q ; �. . 'F _ ' .e.
����. .��.. .�, .. . .R. �,���,�, • ' � � .� �
_,�
PERMIT
City of Eagan . , Permit Type: Building
3830 Pilot Knob Rd "+;,� : •`, Permit Number: EA157836
Eagan, MN 55122 E AG A N
Date Issued: 09/11/2019
(651)675-5675 Permit Category:ePermit
www.ci.eagan.mn.us
Site Address: 2129 Silver Bell Rd
Lot: 010 Block: 079 Addition: Section 18
PID: 10-01800-79-100
Use:
Description:
Sub Type: Fireplace Construction Type:
Work Type: Gas Insert
Description: Two fire places
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
•
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney/flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota
Fee Summary: BL-Base Fee$3K $88.50 0801.4085
Valuation: 3,000.00
Surcharge-Based on Valuation$3K $1.50 9001.2195
. Total: $90.00
Contractor: - Applicant - Owner:
Glowing Hearth and Home LLC Michael L Hazel
100 Eldorado Dr. 2129 Silver Bell Rd
Jordan MN 55352 Eagan MN 55122
(952)492-9276
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.
Applicant/Permitee: Signature Issued By: Signature