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1786 Taconite TrCity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CG r Use BLUE or BLACK Ink For Office U Permit #: 631 Permit Fee: 55 v Date Received: 7-6-1l Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 7' 16 /1( Site Address: / 7‘ %/ n f e Th --/. &16-1-4///27:4./ 537 az Tenant: !/� 744 / l / S'�`1 Suite #: RESIDENT 1 OWNER Name: S` Phone: Address / City / Zip: Name: 5e/742 License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) XSump Pump Repair re,f0zee Z e7/o___ Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate; that the work wil in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application or a permit, and.•work is not to.start without a permit; that the work will be in accordance with the approved plan in the case of work/ich resiret;, review and approval olans. ) , IQ ? l Pc vi Applicant's Prin%d Name Applidar is Signa ur � •. x FOR OFFICE U Required Inspections `_;UnderGrourd ., CITY OF EAGAN Remarks Addition CEDAR GROVE #7 Lot 10 Bilk R Parcel 11 16600 1.00 OR Owner nwi , ? ,? Va.t nS Street 1786 Taoonite Trail State_ Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET R ESTOR. GRADING SAN SEW TRUNK y ( 1970 58.18 2.08 28 Paid • SEWER LATERAL 1971 20 WATERMAIN t WATER LATERAL 11L 1973 1,615.00 80- 75 90 Pai(3 WATER AREA # STORM SEW TRK IL' 1971 90 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 1 10-11 -69 BUILDING PER. SAC 200.00 119,114 PARK EAGAN TOWNSHIP BUILDING PERMIT Owner .-......_....r.^::_ ................."...__....------------ Addrest (Present) ..:.`. '..-.."t... -... Zt. -.-.......-.-. Builder Address -- -------------- - DESCRIPTION N° 2150 Eagan Township Town Hall Date ../.`..'/?I-.. ...... Stories To Be Used For Front Depth Height Est. Cost Permit Fee Aemarks 'T _ LOCATION Street, Road or other Description or Location I Lo! I Block I Addition or Tract This permit does not authorise 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 KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, r-..-has permission to erect a....... .:''.`. upon the above described premise subject to the provisions of the Building Ordinance for Eagan Toship adop eApril 11, 1955. .------------------ .._ ...-.-"'-'.'.. "'--~------'-....._ .............. Per .............. -/.-._....._. .?/..•?'?F-. ...................... Chair?sfAn of Tnwn Board Building Inspector C 06, 30(b 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 n Reauiremen > 3 registered site surveys showing sq. H. of lot, sq. ft. of house and all roofed areas (20% maximum lot coverage allowed) > 2 copies of plans (show beam t: window sizes; poured Ind. design; etc.) > 1 set of energy calculations > S copies of free preservation plan R lot platted after 7/1/93 DATE:"/ Cl `9 9 DESCRIPTION OF WORK: Street Z/500.. STREET ADDRESS: I I J / a e sv^ ?e LOT: 11 I BLOCK: q2 SUBD./P.I.D. #: 1L/ Name: l n-0 ? 51zx Vt)- Phone #: In g f ! S--.2 PROPERTY Last First OWNER Street Address: City 1 78 to / a?? -ZL?Q State: Zip: Company L- a- a ` ¢?2?ti ra Phone#: ? (area code) CONTRACTOR Street Address: ?2 / o'3 License # 90/'? Exp, o d0 City Y7a? L" State: M i1/ Zip: S -?3 O ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) City Registration #: State: Zip: Sewer 8 water licensed plumber (reauked for new construction only): Penalty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that 1 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: - OFFICE USE ONLY ?n Certificates of Survey Received Yes No ?l1 V? Tree Preservation Plan Received Yes No Not Required y Remodel/Repair Reaulrements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions b decks A, CONSTRUCTION COST. 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) ? 04 2-plex ? 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 ,o?.. 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ' ? 36 Move Bldg. .0 40 Gas Insert ? 44 Windows/Doors ? 33 Alteratioo ? 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 S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: ' $ SAC Units % SAC EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: October 28, 1969 Number: 376 Billing Name: Cedar Grove Constr. Co. Site Address: 1786 Taconite Trail -- 10-8-7 Owner: Cedar Grove Constr. Co. Billing Address 7343 Concord Boulevard East South St Paul, Minn. 55075 Plumber: Stein, Inc. 10/31/69 Meter No. 'Permit Fee 7.50 Pd10/31/69 Meter Reading Meter Dep. Meter Sealed: Yes_ jAdd'l Chg. NO Total Chg. Building is a: Residence XX Multiple No. Uni Commercial Industrial Other Inspected by Date Remarks: By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Carol Stock Cedar Grove Construction Company Please notify the above office when ready for inspection and connection. 4 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 28, 1969 NUMBER 518 OWNER: Cedar Grove Constr. Co. Address 1786 Taconite Trail 10-8-7 PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial) CommercialI Residential 1 Multiple Dwelling` No. of units rte: Location of Connections: Connection Charge 200.00 pd 10-31-69 Permit Fee 7.50 pd 1o-31-69 Street Repairs Total Inspected by: Date Remarks: sy. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Carol Stock Cedar Grove Gonstruction Gomoanv Please notify when ready for inspection and connection and before any portion of the work is covered. PERMIT City of Eagan Permit Type:Building Permit Number:EA107213 Date Issued:10/01/2012 Permit Category:ePermit Site Address: 1786 Taconite Tr Lot:10 Block: 8 Addition: Cedar Grove 7th PID:10-16706-08-100 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage 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 . Valuation: 7,200.00 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 - Vitaly Grinshpun 1786 Taconite Tr Eagan MN 55122 Estate Claim Services LLC 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature