2131 Silver Bell RdSEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT #
P.O. Box 21199 METER # B.P. RECEIPT #
Eagan, MN 55121 READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE PRV -BOOSTER PUMP
SITE ADDRESS -
LOT LOCK
PERMIT REQUESTED
SEWER RWATER -TAPS
k
COMM/IND RESIDENTIAL
NEW EXISTING
APPLICANT
ADDRESS:
CITY, STATE
PHONE: l
ZIP
PLUMBER: ?kYKJVXA, VVZ-V_"?
ADDRESS: 1 AGRE?t, V?I H CITY OF
CITY, STATE ZIP E PHONE:
t / '?
OWNER: \: ?\
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF-EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
LOT VBLOCK SEC/SUB
APPLICANT: -, t
ADDRESS:-
CITY, STATE
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE: 1 - `
OWNER: ? w ,?
ADDRESS: ' veN e
CITY, STATE ZIP
PHONE:
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # -
METER #
READER #
METER SIZE
ISSUE DATE
ZIP
SEWER PERMIT # _
B.P. RECEIPT # -
B.P. RECEIPT DATE
_ PRV -BOOSTER PUMP
PERMIT REQUESTED
SEWER ZWATER -TAPS
COMMIIND RESIDENTIAL
_ NEW EXISTING
C.'
I AGREE TQ MP WJTH CITY OF
EAGA.I"N ,
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
LOT BLOCK ' SEC/SUB
APPLICANT: .
ADDRESS:-
CITY, STATE
PHONE:
PLUMBER:
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # -
METER #
READER #
METER SIZE
ISSUE DATE
ADDRESS:
._?
CITY, STATE ZIP
PHONE:
OWNER: A-V
ADDRESS:--",131 e
CITY, STATE ?.?.?0.VNI ZIP
PHONE:
SEWER PERMIT # _
B.P. RECEIPT # -
B.P. RECEIPT DATE
- PRV -BOOSTER PUMP
PERMIT REQUESTED
SEWER .'.WATER -TAPS
COMM/IND RESIDENTIAL
NEW EXISTING
I AGREE TO-COMPLY WqH CITY OF
EAGAN 9IDINAN
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & MATER PERMIT
CQy OF EAGAN
3836 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE
LOT,
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE:
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT #
METER #
READER #
METER SIZE
ISSUE DATE
ZIP
PLUMBER:
ADDRESS: E^
CITY, STATE m? ZIP
PHONE:
OWNER: w •?
ADDRESS: ; VeK ti
CITY, STATE ZIP
PHONE:
SEWER PERMIT # _
B.P. RECEIPT # -
B.P. RECEIPT DATE
PRV -BOOSTER PUMP
PERMIT REQUESTED
SEWER WATER -TAPS
COMM/IND RESIDENTIAL
NEW AEXISTING
I AGREE TO COMPLY., WITH CITY OF
EAGAN ORDII?FAN S•
vN_• r 1
Zzw
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN Remarks -1% '"
Addition Section 18 Lot Rik Parcel 10 01800 030 79
Owner Street 2131 Silver Bell Road state Eagan, W 55122
Improvement Date Amount Annual Years Payment Receipt Date
sTREETSURF. , 1982 2090.66 418.12 5 1672.53 0008025 10-4-82
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 140.00 4.66 30 PAID
• SEWER LATERAL;,' 1982 4050-14 210.05 1 3780 70 C008025 0-4-82
WATERMAIN
• WATER LATERAL 1982 1
WATER AREA () A W 1977 380.00 25.33 15 228.02 008025 10-4-82
• Services 1982 1
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK T,: a G? dLC cG C?r -X
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
I epee to e- ob w" tM Cllr of 11•Nn Correction Chorpc: 475.0,)pd
OrJiaaaeec. Aaca rvt Deposit: .15 0-0 nc'
Pem* Foe: `,') r -'
Surcharge:
By Misc. Charges:
Daft of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMI
3830 Max Knob Road T
P..t7. %,x 21199 PERMIT NO.: "
Eagan, MN 55121 DATE:
Zoning: No, of Units:
r;nl Ler
Owner
:
Address:
Site Address: - - i ! ,•-e F. ; , , , ;?
Plumber: ,
Meftr No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 dome to oorrrpis w" the Qtr of own Surcharge: . 5 P
Onllwaaocc. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
Address:
Site Addross , . i '-ties Fi.' ?C 0..•3179
-
17
Plumber. '? '
/o _ /?66 0' 6 79
EAIaAN TOWNSHIP
UILDING PERMIT
Owner
Address
Builder
Address
DESCRIPTION
N° 382
Eagan Township
Town Hall
p
Da
Stories To Be Used For Fron3 Depth Heigh! Est. Cost Permit Fee Remarks
I /
This permit does n
the right to create ary
general welfare to ar
THIS PERMIT MUST
This is !pp certify, the
the . 7 desesibgd p
1955. ? 1
LOCATION
,& 9/,!'L I I r"&, 4 0 3a -?g 1
orize the use of scree roads,-alleys or sidewalks nor does it-give the owner or his ages
Lion which is a nuisance or which presents a hazard to the health, safety;--convenieiice and
in the community,
. MISE WHILE THE WORK IS IN PRO??g?gTSS.
.. ------ ....... - ---..has permission to erect a...!S.r °-- ---°°------------------...upon
? y f visions of the Building Ordinance for Eagan Tow ip adopted April 11,
?! . 3"
Per ---------------------- ------------------------------------------------------
Building Inspector
v
1
G
?
r
v IV v
t
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ----- - -- ------------
Address (present) .-__... .... ...?.-------- ..
Builder .....------- -- --------------- ..........................--------
Address ..................... .............. .-------------------------------------- ---------------- - -
DESCRIPTION
N° .743
Eagan Township
Town Hall
Dale ... ...... .... IF,-: ---1?/...
Stories To Be Used Fox Front Depth Height Est. Cost Permit Fee Remarks
33 3 6
LOCATION
Sireel, Road or of es Description of Location I Lot Block Addition or Traci
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that ................................................................has permission to erect a-------------------------------------------------------------- upon
the above described premise subject to the provisions of the Building OrdlnyeL) for Eagan T 3p adogied April 11.
1955. nI _ '•=
..'.'.......................................................... -----_------...-----... Per ----------- ----- '- - ------------
Chairman of Town Board
CITY OF EAGAN
SEWER 8 WATER CONNECTION CHARGES - 1989
EXISTING PROPERTIES
SEWER CONNECTION CHARGES
SAC $ 675.00
Previously nPd.
Receipt # L, "k a
ACCOUNT DEPOSIT
SEWER PERMIT
TOTAL:
15.00
10.50
$ 700.50
WATER CONNECTION CHARGES
WATER CONNECTION
Previously Pd.
Receipt y4 7?&o
'-
WATER METER (0. J-0
TREATMENT SURCHARGE
ACCOUNT DEPOSIT
WATER PERMIT !10.50
i
PLUMBING PERMIT 12.50,)
TOTAL:
TOTAL FOR SEWER 6 WATER HOOK-UP:
OFFICE USE ONLY
PROPERTY OWNER: 0", CLx
ADDRESSs
.1q
n
Ls? B:? ADDS?i nJ
--------------- --
04tFY OF EASAN Remarks r -- -
Section 18 Lot Bik -Parcel 10 01800 030 79
Addition
Owner), b0ii'r Street 2131 Silver Bell Road -State Ea¢an MN 55122 c
7 _Nl
',I y 4
Improvement
STREET SURF. (0.. Date
1982 Amount
2090x66 Annual
418.12 Fears
5 Payment __
16710 Receipt
C008025 Date
1 -
82
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL g g
1989 i40.00 •
4050,14 -+ 4 t 66:.,
27005 .30 L PAID
37804 70 1
COO
WATERMAIN
• WATER LATERAL
WATER AREA
_411i 1982
1477
380:00
25:33 1
15
228;02 -
C008025 -
'
104-82
s Services
STORM SEW TRK 1982 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
M . fi®SS?SSyh?a,Ts
No T`A PS
P R ?,
No
6, ICS
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road II?r 11
P. O..l3oit 21199 PERMIT NO..
Eagan, MN 55121 DATE; 4-2-815
Zoning: Pi No. of Units: 1
Owns, Walter E. White
Address:
sits Addess: 2111 Silver Bell Road 01.80003019 i
Plumber, Matz F 6 R
41..86 fjOE8 OU.U'^rd
I cons to - phr vials dw Cay of dpia eonnedlan Charge: 475.017od
Owl OWL Account Deposit: 15.00Dd
Parmk Fes: 10.000
surcharge: - .50ad
By Misc. Charges:
Dote of Insp.:
Total:
Dote Paid.
tH t
X-- co jA Gi
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.: 726_-
P.•U' Sax 21199 DATE: 4-2-86
Eagan, MN 55121 No. of Units: 1.
R1
Zoning:
w
Owrbr: wal ter
i
Address: R D1EOr1 9 U
site Add as: 2111
Plumber.
Mater No.:
size:
Reader No.:
1 agree to som* wi& 1M CRY d ""a
By
Dote of Insp.:
-
Connection Charge: inn ri(1s,
?- ,?-
1 i Ol d
Account Deposit: 10 Or1r d ' 1
Permit Fee: 5^ p?1 1
surcharge: 1 jb • UOncl 7
Mix. Charges: b3 SO Dd metes,!;
Total:
Date Paid:
Insp.:
NDTSCITY OF EAGAN : PA)W TS OF FEE AT TIM OF
. APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT: ;
APPLICATION FOR PERMIT
* INSPECTION OF SEWER AND/OR W MM
INSTALLATIONS WILL NOT BE bcm-
SEWER AND/OR WATER CONNECTION » bLED UNTIL PST HAS BEEN
* APPROVED.
(Please Print
1) PROPERTY ADDRESS: L 11, 1- - R p - 5/600 - o;o- 7y
LEGAL DESCRIPTION:
Lot Bock Subdivision or Tax Parcel ID )
?F EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: !
PRESENT ZONING/PROPOSED USE: Mon ear)
? COMMERCIAL/REPAIL/OFFICE
[] INDUSTRIAL
? INSTITUTIONAL/GMMRNMENT
2)
NAME:
ADDRESS:
CIM STATE, ZIP:
PHONE: ,r u
R-1 SINGLE FAMILY
? R-2 DUPLEx (Two Units)
? R-3 TOWNHOUSE (Three + Units) ( Units)
? R-4 APARTMENT/CONDOMINIUM ( Units)
NAME:
ADDRESS: Ly /?D I SAD ?? S' f r..
CITY, SPATE, ZIP:
PHONE: y.2.3 - 2XS-J. MASTER LICENSE# J O ,Z, 3 g/ P4
4) •• • i?-
NAME:
5???
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Active
Expired
Not recorded
St Initial
® CONNECTION 10 CITY SEWER CONNDCTION M CITY WATER OTHER
6) n • r ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF
R, w? ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
I 'tom q-/ , '?-N (Circle one)
7)
TRANSACTION ID: R768 SPECIAL ASSESSMENTS
SPECIAL ASSESSMENTS SEARCH SUMMARY
PROPERTY I.D. TODAYS DATE: 10/20/89 ---SPECIAL FLAGS----
1- 4-5-6-7-6-9-10
10-01800-030-79
S.A.# ASSESSMENT DESCR. YR YRS RATE TOTAL ANN.PRIN. PAYOFF COMMENT
***** SUMMARY OF ACTIVE .00 .00 .00
***** THIS YEAR'S TOT P&I .00
Az-
W-A
? ,
CITY OF EAGAN
SEWER & WATER CONNECTION CHARGES - 1989
EXISTING PROPERTIES
SEWER CONNECTION CHARGES
SAC
Previously Pd.
Receipt 4 L , r,.(_
ACCOUNT DEPOSIT
SEWER PERMIT
TOTAL:
WATER CONNECTION CHANGES
$ 675.00 WATER CONNECTION ?$
Previously Pd. y-2 lam
Receipt
J,-p
15.00 WATER METER G • SO _=i0ioem-
10.50 TREATMENT SURCHARGE
$ 700.50 ACCOUNT DEPOSIT r
WATER PERMIT 10.50
PLUMBING PERMIT 12.50
TOTAL:
TOTAL FOR SEWER & WATER HOOK-UP
OFFICE USE ONLY
PROPERTY OWNERS t. ?
41-
i
ADDRESSt 47=2ef 4'` L
?JJgW®
L: Be ADDS
?4ee
CITY OF _ -,..
Kno
b Road
3 Knob WATER SERVICE PERMIT
b
P. O. BoX'21199
i .PERMIT NO
:
Eagan, MN 55121 .
Zoning: _
-DATE:
. Owner: li'<t i.?'cr `: itv -No, of Units;
Address:
Site Address: ?'ll li :1 T vn.- 'r - - '?l$00 OR/D 74
R
Plumber. =n to t'
3 7
Meter No.. &/.S? !?a 3 Connection Char
Size: 4e R cK -
??
JlOr No,; 00 73 3 3 S
(? ^ _ :
Account Deposit:
P ,
I egrse to comply w" Ilia CR
of E ermit Fee:
Y
ason
Ordlrasr. Surcharge:
Misc. Charges; J 5,.. dGi:1 'f n
By Total: 63.1iih::u ;rt0:?r
Date of Insp.: / Dote Paid: i
APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
NOTE: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT. ±
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
(Please Print)
1) PROPERTY ADDRESS: L I/ R R p _ blSoa - 00-7f
LEGAL DESCRTPTTnN-
/ Lot' Block Subdivision or Tax Parcel ID )
v1F EXISTING STRUGZVRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE, ZY
PRESENT ZONING/PROPOSED USE: Month/Year) CUVERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
INSTITLrTIONAL/GOVERDAzNT
2)
NAME:
ADDRESS:
LUTY, STATE, ZIP:
PHONE:
3) r: NAME:_ X"l 0 Z ?? /?
ADDRESS:
CITY, STATE, ZIP:
PHONE: 4/2 4 - jxft MASTER LICENSE# 00-, 3 g( mj
4) •• • i:r - -
NAME: 5 Q=-W\
ADDRESS:
CITY, STATE, ZIP:
PHONE:
kuumers License:
Active
Expired
Not recorded
St Initial
CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER
6)
u • r
Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
Q PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
4N (Circle one)
5a R-1 SINGLE FAMILY
Q R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
,?
FOR
CIT Y USE ON LY rt-
.
-
PERMIT # ISSUED
$?2-cola
Pd w/Bldg. Permit FEES:
$ /G'•5 $ SEWER PERMIT (INCLUDE SURCHARGE)
$ 16115-0 $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
_
$ $ ACCOUNT DEPOSIT - SEWER
$ 0, $ ACCOUNT DEPOSIT - WATER
$ 7O O- o-Z) $ WAC
$ 'S ` O-y $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ o o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER-
s f 3 S S $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOL LOWING CbNDITIONS:
APP ROVED BY:
TITLE:
DATE:
,Z/.l
f >
..4..r
1? •
SAC 1Q??4" 575.00
A/DeP 15.00
Sewer Permit 1.50
600.50
?'
Plater Conn 500.00
63.50
Meter
Treatmt Schg 156.00
15.00
A/DeP 1().50_
water Permit
745.00
Total Sewer & 1345.50
Water
a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113620
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 2131 Silver Bell Rd
Lot:003 Block: 079 Addition: Section 18
PID:10-01800-79-030
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
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 -
Ilene Tste F Hazel
2131 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126035
Date Issued:08/12/2014
Permit Category:ePermit
Site Address: 2131 Silver Bell Rd
Lot:003 Block: 079 Addition: Section 18
PID:10-01800-79-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Ilene Tste F Hazel
2131 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137691
Date Issued:07/18/2016
Permit Category:ePermit
Site Address: 2131 Silver Bell Rd
Lot:003 Block: 079 Addition: Section 18
PID:10-01800-79-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Ilene Tste F Hazel
2131 Silver Bell Rd
Eagan MN 55122
(651) 334-5521
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature