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
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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