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1410 Skyline RdCITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Address: LOS 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.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box'21199 Eagan, MN 55121 Zoning: Owner: Address: Sit, Address: Plumber: I a/rw to , ph wf& as City of 11"Pe Ora MaNow By Date of Insp.: SEWER SERVICE PERM PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charge: Total: Date Paid: • CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC RI V ED FROM AMOUNT $ I DOLLARS goo ? CASH ? CHECK Thank You 1 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Sec/Sub city Phone Name ?)h ? { t 3 Address U r O City ?. - Phone COMM/IND FEE - 1% OF CONTRACT APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES .50 FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on COMM. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3,00 Kitchen Sink - $3.00 -Urinal/ Bidet - $3.00 Laundry Tray - $3.00 f=loor Drains - $1.50 _____:Water Heater - $1.50 --?--= - Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: _ PERMIT # RECEIPT # STATE S/C: . GRAND TOTAL: J -~ '} CITY OF EAGAN Remarks Addition- Lot 2 Blk Parcel 10 77250 020 00 Owner Street 11110 SIWI:ne Dr. State Eagan,MN 55121 161khrl Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. $33 1984 3365.20 673.04 5 1/ STREET RESTOR. GRADING SAN SEW TRUNK ?S 1968 100,00 0 Paid SEWER LATERAL $ 21 watMSeryice 3520.40 352.04 10 1 ? WATERMAIN WATER LATERAL 27n on 10 1 zgo o r008115 10-29-82 WATER AREA 10.66 1 t ,`f STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 10486 -16-78 BUILDING PER. SAC PARK EAGAN TOWNSHIP BUILDING PERMIT Owner --?---:V,1 .:::: = .. e . , .. i ?... R G Address (present) ------------- Builder ------96&6, ... Address ............. .`--7.-.....^/e4? -..-- -.? / DESCRIPTION N. 732 Eagan Township Town ilo_ Halll ?l ??? Date --..ci!v-Y.C....-_f Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks i LOCATION Street. Road or other Descriotion of Location I Lot I Block I Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it dive Ahe 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 P £, PREMISE WHILE THE WORK IS IN PROGRES This is to certify, Yhal---.: : ??.,'..%H+. rl?}.. 'J.:---..._has permission to erect a..-._--...../ ..... .Z.....upon the above desM... ubjec o !h ovisions of the Building Ordina a for Eagan Townshi3ed April 11. 1955. .--------.--- ----... .nwn Board Building -InspecYar•- ???ei CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD i EAGAN, MIN SOTA 55122 DATE 19 Re ENEo FROM AMOUNT Is / `I G O DOLLARS ? CASH ? CHECK goo FOR U cot'a 1 AMOUNT /Srtc, v Thank You N! 62815 r-" White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "NICA AT FOR CITY USE ONLY PERMIT # RECEIPT # OS DATE: 0 WIOEKTIAL= PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: /Y-V L &2 b SITE ADDRESS: LOT: a BLOCK SUBD. q INSTALLER: ??p(L ADDRESS: II?Jry 119 , dC/rl?C? CITY: ZIP: PHONE #: 7Jrc2-/5(? S FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: $15.00 24.00 6.00 3.00 $ )5,06 .50 TOTAL: $ !S-5O SIGNATURE OF PERMITTEE ?// 7/ J 5- ?.u2rtvto ?!/?// GOMMERCIAL"INDUSTRIAV. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 CF PEM411 FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT COWTIT M APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WA R INSTAILATIONS WILL NOT BE-SCBEC- ULM UNTIL PERMIT HAS BEEN APPROVED. . -x**xxx****x*xxxxxxxxxxxxxx+,?xxx*,txx P ease Print 1) 'PROPERTY ADDRESS: LEGAL DESCRIPTION: J /1? TA Jz"O" IF EXISTING SIRT-M77RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon797 Year ?I CO'1MMCIAL/ =AIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) ? ® R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMEw/CONDOMINILm Units) NAME: -bau c( while ADDRESS: 1q(Q Sl ,r ?ln- ?rrve'` CITY, STATE, ZIP: tE` PHONE: y' S r?Z - coq/ 3) m NAME. niFn17FI MFCHANICAL ADDRESS: 3600 KENNEBEC DRIVE, EAGAN. MINN. WAZZ CITY, STATE, ZIP: PHONE: MASTER LICENSE# 001445M2 4) ••r •:u •,w:l: td4MF': dim P Q C # z ADDRESS: CITY, STATE, ZIP: PHONE: AL'tiVe EsCpired Not recorded Staff UTE al -5) a: • a• :: a• ?• CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) • I [? PLEASE HOLD APPROVED PERMIT FOR PICK-Lip BY ONE OF ABOVE ® PLEASE MAIL APPROVED PERMIT TO 1, 2, ® 4, ABOVE (Circle one) FOR CITY USE ONLY PERMIT # ISSUED o? ?? C r' =u "mac Pd w/Bldg. Permit FEES: $ $ $ $ /.5 d 0 $ $ $ $ i ; SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL RECEIPT RECrIiT --- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ( IL(,---ALi&10-2? TITLE: DATE: WAICMR OF HEARING R--QUF;ST FOP, UTILITY IMPROVEMENTS I/We hereby request of the City Council, City of Eagan, Minnesota, utility improvements on and over property owned by me/us as D!lowsc (Mention type of improvement, e.g. water, sanitary seer, etc.) LATERAL BENEFIT FROM TRUNK WATER ^he location of said utility improvements shall be generally as fcllc*!- Lot 2 of Treffle Acres, Section 4 300 Feet at $9.00 per front foot = $2700 Spread at 8% for 10 Years. I/Wa hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any asses .^?o:s necessarily levied by the City of Eagan for such improvements. I/Ve further agree to grant to the City of Eagan any easements rea- sary for the installation of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/We will be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc. Dated: kA d Lam` `?- _ -? Signature /f/'q Sl'-POA)e R°gaest accepted City of Eagan Request referred to City Administrator: Copies: 1. City Administrator 2. Applicant Date Date 1L/ AJ. ? June 19, 1978 i WAIVER OF HEARING Special Assessment Authorization th. 00725 I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: r^r - j,E AL3S ADDITION 10-77250-020-00) ---- for the benefit received from the following improvements: - -? ITEM QUANTITY RATE AMOUNT PROJECT LATERAL BENEFIT FROM SANITARY SEWER 300 Lin.Ft. $14.35 $4,305.00 49-DART 2 TOTAL_$4,305.00 to be spread over 15 years at an annual interest rate of 9 % against any remaining.,unpaid balances. - - The undersigned, for themselves, their heirs, executors, administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proce ings related to these assessments, -mad and further waive the right to object to or appea from lase to these assessor essments pursuant to this agreement. Dated:" 2-3 ` aG Al I Y -_ ? --- - By: Its STATE OF /];/)) j/ ,S, /c. ) 77?? ) SS COUNTY OF /? /La ??Z ) on thiday of?(? before /me a Notary Public within and for said County, personally ap ared to me C--- - --- personally known to be the per on?-• described in and who executed th-e foreg- - oing instrument and acknowledged that-a: - executed the same as?j ,f free act and deed. tary Public -. This Document Drafted By: Hauge, Smith, Eide F, Keller, P.A. APPROVE i? WsDiTe?&tor 3908 Sibley Memorial Nighway Eagan, Minnesota 55122 (612) 454-4224 Pu'1ic 16 /:p; -,% JULIE B. DYKSTRA Revised: 8-30-8 4 X! NOTANY PUSLIC-MINNESOTA DAKOTA COUNTY MY CommIWan E%pIm Sucre. S. 7880 MS EC. 4, T27, R23 T I 9 > 71 A<ref ; I+ .°s°.°2. a..AW RE NC! T osreR dw?ncl 2.e OSO-02 u N.ihf E d lu/A e<9<.- [. 6 2f°si A. C Irn9/// Csrsryn G. Mary C.Sirltf i . 4 ? Jpsr?? g / .I I - R I I ? AVE . ? H/Gh'VI£W / ?jv! I " ,•• - r9/fn i Beh' Ps0(rP A. J°An d E?nz <f I "w0 E>f9 7 Y i / Annl Mfr < OdIn6 Mw.»xe4Y 1 S 6 7 11 r•' I !30 I i :e ? r! T I fife---""""""""..' ' •` John M. j _ _ _ _._ __ mir E? ,Jahn E. ?, n ?Q a r?i< 9 HIGHVIEW .Io LI E 1' V I\==?;E xv" cm rEgd, ./ x 2 . is 2 I I 094-00 L f .r?ene< T. T?AU_N_21?"unaaw I rr., v>/n<C>6 oaoz , 0 , -- / L A c Gfi of Enwn \e • 21 >S 020-70 _ ?4 Y6Q•..''•~i ?'s :?: w'` 6x 2 5 enu 6I xr-- N t 9 L J /"E PA P-e ,.AIN City of EaW F -e . ... .` ?i` - • 03PT0 i 9?^5 I.+SB h? T ? ; rpC. ? x EI ROAD .e ? .cz.c I t q ? ? I n R ¦ d ; " 7 C c I fy a z Vag> r.-°.rr r - ns :... •czc 9 ? \ Mc I4 L ? 4. \ * 2 - ? n 1¦¦¦¦¦¦¦¦ LATERAL BENEFIT FROM TRUNK SANITARY SEWER MAC* Airport Noise Mitigation Project _ _ _ __ (? II For:C!fficE' so 1 L? V t Permit #: 1 City of Ea?dR c r? I so s3° MAY 2 9 2009 ; Permit Fee: 3830 Pilot Knob Road 56 Eagan MN 55122 O g 1 Date Received: ; Phone: (651) 675-5675 v? 1 1 Fax: (651) 675-5694 Staff: I ,a 2008 MECHANICAL PERMIT APPLICATION Date: a???9SiteAddress: y 1?,1 J 4llyle- Tenant: ?-? P(?ui&el'rj LLC, Suite #: RESIDENT / OWNER Name:. ZT 1`L+i.. ??'T t? 2 Phon l As `t'`t Address / City / Zip: CONTRACTOR Name: CENTERPOINT ENERGY License #: Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS State: MN Zip: 55433 Phone: 763-757-6202 Contact Person: JOANN ZINKEN TYPE OF WORK _)L_New _Replacement _Additional -Alteration _ Demolition Description of work: .Snstov?` -Eo CLr1 ?(c, f Q 77NOTE., Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction - Interior Improvement 1/r Conditioner Install Piping Processed Air Exchanger _ Gas _ Exterior HVAC Unit * HVAC units must be screened Heat Pump a' o?k' ? Under/ Above ground Tank (_ Install l Remove) Remove) ** y.o ?.o Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SO- SQ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 wthout a permit; that the work will be in accordapce with the approved plan in the case of work which requires a review and approval of plans. lJ ?/ x JOANN ZINKEN x Applicant's Printed Name Applicant's Signature - - _ - -- FOR OFFICE USE eviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test _Zfloor Heat Final ,&/- 1?-- 6L? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1410 Skyline Rd Lot: 2 Block: 0 Addition: Treffle Acres PID:10- 77250- 020 -00 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Permit closed without required inspection(s). Letter & inspection remarks sent to applicant on 1/6/2010. (pf) Fee Summary: Contractor: Larson Plumbing 3095 162nd Ln NW Andover MN 55304 (763) 427 -7680 Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Paulette L Bosela PO Box 11806 St Paul MN 55111--080 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA089700 06/16/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1410 Skyline Rd Lot: 2 Block: 0 Addition: Treffle Acres PID:10- 77250- 020 -00 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 3,000.00 Contractor: Flannery Construction 1375 St. Anthony Avenue St. Paul MN 55104 (651) 225-1105 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: - Applicant - Occupancy: Total: $90.00 Owner: Paulette L Bosela PO Box 11806 St Paul MN 55111--080 Permit Type: Permit Number: Date Issued: Permit Category: Comments: 2/8/10 Per Arnette with Flannery Construction, they have been trying to contact the property owner and they will not respond to the contractor. 612 - 866 -1079. Permit closed without required inspection(s). Letter & inspection remarks sent to applicant on 1/6/2010. (pf) $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA089748 06/17/2009 ePermit