1789 Taconite TrCityofa�a1I
3830 Pilot Knob Road ""` S 1 REi' uO
Eagan MN 55122 I /I
Phone: (651) 675-5675 I G
Fax: (651) 675-6654
Use BLUE or BLACK Ink
Penult 0: \ `Gt
Permit Feer \C\
Date Received: _L ? I -70
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7,-ZND
Site Address: / 769 C.aafrre- z-., Fiareat, M4 5.x/2' Z. -
Tenant: Suite #:
RESIDENT TOWNER
Name: ...Jertzi 4 r).*Rl 4tt 1-44O0 INA Phone: e.etz-6. '-&.4(
Address / City / Zip: / 789 rAtor4-m-E_ 1-!T-06,11.7 F-40140.0-4. Mt4, 55722..
Applicant is: Owner Contractor
l `
TYPE OF WORK
Description of work: f i g .4. lox 20 sTa ¢A i.+� ../-1-1:›
Construction Cost: Multi -Family Building: (Yes _f No
)
CONTRACTOR
Name: St-1-C/'�D License #:
(Zi
1
Address: elG s 1 I-LaNt/ 01 Li City:.4.06,4.1 E.
State: M i.S Zip: ' 7e;S Phone: 552 22'"'7ZZ-
Contact: tir-s(iIG%tJC0C— Email:
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor.
Phone:
NOT .:P(505.41 5t Oft # you * I rrl cldt l °be; ttt t tiif�a ttrtrt. ►o
lite;. Ar i , `ou p9n" ILS eclfk reasons
l dude Mot they areltriple semis-
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonecalioro
I hereby acknowledge that this information is complete and accurate; that the work wiN 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 n to start without a permit; that the work will be in
accordance with the approvedrplan in the case of work which requires a review and app . -� of
x L,,,�Esasl_ i, pp/it t s t t,i x
Applicant's Printed Name Appli ; nt's S gnature
a • d
Page 1 of 2
XILd 13C?I3SU1 dH Wd6T :a 0102 TZ Inc
DO NOT WRITE BELOW THIS LINE
SUB TYPTS
Foundation
Single Family
Multi
01 of Flex
Accessory Building
Fireplace
Garage
Deck
Lower Level
WORK TYP S
New Interior Improvement
Move Building
Fire Repair
Repair
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION _
Valuation 6
Plan Review
(25%_ 100%*5
Census Code
# of Units
# of Buildings
Type of Construction
1134/
Porch (3 -Season)
Porch (4 Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
_ Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
`Demolition of entire building - give PCA handout to applicant
Occupancy 1:&_:4L MCES System
Code Edition �.0"? SAC Units
Zoning R -1 City Water
Stories Booster Pump
Square Feet a.0.0 PRV
Length /0 Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
<f:.•Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
AL Framing
Fireplace: _Rough In Air Test Final
insulation
Meter Size:
b-
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Penult & Surcharge
Treatment Plant
Copies (1 j
TOTAL
6•d
7G 7-f--
6 ' d
0
Lo
Sheetroc k
Final/C.O. Required
Final 1 No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests , _Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Erosion Control
Building inspector
A� & 02-r
ft
XUJ 13C213SU1 dH
Page 2 of 2
Wd6T:2 OTOZ T2 Tn[
a.d
kd3 13CN3Sd1 dH
WdL2=6 0102 61 daS
CITY OF EAGAN Remarks
Additio CEDAR GROVE #7 Lot 4 elk 7 Parcel 11 16600 040 07
Owner ` ?+'•% ?% r: u.r.,t`!Jf Street 1789 Taconite Trail State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 'r 1970 58.18 2.08 28 Paid
• SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL rM 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 1769 10-6-69
BUILDING PER.
SAC 200.00 1769 10-6-69
PARK
?p?j? y ' n
/ &.ow
J Jb94d,C 75` -
Request Dat Fire No. Rough-in Inspection
I Required? heady Now D Will Notify Inspector
''
L Yes 160 7
When Ready'
I Vicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. county
Occupan (PRINT Phone No.
f
Power Supplier Address
ElecGC omract (Company a 1 Con(racbr5 License No.
Mating Address IConlractor or Owner Making Installation)
'
Authorize Sign re
actor Makin smllatigni Phone Number
MINNESOTA STATE B&I`f6OF ELECTRICITY
Griggs-Midway Bldg. - Room 5-173
1821 University Ave., St. Paul, MN 55106
Phone (612) 6C2-01100
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
C? REOUEST FOR ELECTRICAL INSPECTION aT TM' %I E?000p1-0e
(v i 1i See instructions for completing this form on back of vellpw copy. /i, I - - ,
_'J 3 5 9 4 8 W' Below Work Covered by This Request I /' UVAW
y
New Add. Rep. ,, Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer (specify) contractors Remarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN IS MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final oat ??1?
OFFICE USE ONLY Qoto
This request void 18 months from
°K tj 6 *7/ 6-,? 41,7 MIDLAND HEATING
O 6442 Pe/nn Avenue S/ouch *Phone: 869-3213 ?y p
ADDRESS ?7J L1 COalt 'Iw T401*/ ?
AP T._-FL R-CITY SUBURB
OCCUPANT -
HEAT LOSS DATE HTG. INST
OWNER j tCA ft?0 uy jwt/
SOLD BY -_ INSTALLED BY
Electrical Work by -Gas Line By I U vl lC.
TYPE OF HEAT GA -FA>-_HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN
MARE tPn MAKE OF BURNER _
Model 7-S „ Model
Sarlal S y2 1,6 J b Max. BTU Rating
INPUT 7 ? M MAKE OF FURNACE
THERMOSTA
Vo Iva
Limit -
Limit Setting
Fan Setting _
Pilot Type -
Pilot Make -
Pilot model _
Pilot Timing
L.W. Cut Off
CONVERSION
Model
CONTROLS
s rr
Neat P p _ Van, Size
M4 KIND OF LINER SIZE- NONE
t O fxc,,. Draft Head Regulator
Filters Size Number
m Chimney Location Inside Outside
t/' 4,4( T L Chimney Construction
Pressure S Percent CO2 o d
Input CFH_ Percent 02 -
Stock Temp. l5 Percent CO 0I0
Form 235
Smoke Bomb Wiring 0
Draft Test Tap
Door Pressure- // Lighting Inst. C/4`
Date Tested 4 - ? - Q
' / Z ? F
T ' - ' /c_
Company Tes o / P( I c w I Q
Name of Tester
EAGAN TOWNSHIP
BUILDING PERMIT
?fl
Owner ----- `?-- .....------------------- "<&'_.'.--- 6--_----
Address (present) ._.. _.:._ ._ :_--10 ! `--'-'C-c .........................
Builder
Address
N° 2084
Eagan Township
Town Hall
Date ----- ...................
Stories To Be Used For Front Depth Height Est. Cost ( Permit Fee Remarks
F
LOCATION
Street, Road or other Description of Location Lot utocx Aaamon or -Tract
tit 7 1 e- ,7
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 B,Eo? KEPT ON THE PREMISE WHILE THE WORK IS IN PROG SS,
This is to certify, Thal..4?-*- -.--:_n`.__...""'`._. :C".._....hes permission !o erect a---- ........._. !4'_...._____...... upon
the above described premise subject to the provisions of the Building Ordinance for Eag Township a pled April 11,
1955. ,rte
............"---'----------- -------' ----- ----- .f _>._..?`..C1^....---.._... Per ......._...... _..... ..........-E
hairman o Tnwn Bcerd Building Inspector
4 Is..
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
"909m,
FOR CITY USE ONLY
PERMIT #
RECEIPT 0
DATE:
E$IA lax PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTIONM?., S ^'
NEW CONST
ADD ON Gro\???1
REPAIR
OWNER NAME:
SITE ADDRESS;\?\?
INSTAL
LEK:
ADDRESS:????? n o1A yYJ?
\ .
CITY S" a& ZIP N
PHONE #: n
?n n /1
0037M RGIAS? 7SSfIST'MV.11' 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:-
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
_ EACH $1;000 OF PERMIT FEE.
PROCESSED 'RUING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOT k_ ,a_
-S53.GN'ATURE OF PERMITTEE
CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE
CITY: ZIP:
TOTAL:
PHONE #:
(SIGNATURE)
FOR
CITY OF EAGAN
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: August 5. 1969 Number: 343
Billing Name:Cedar Grove Const. Co. Site Address: 1789 Taconite Trail 'y- 7-7
Owner: Cedar Grove Const. Co. Billing Address7343 Concord Blvd. E.
Plumber: Stein, Inc.
NO Total Chg.
Building is a:
Residence
Multiple No. Unit
Commercial
Industrial
Other
er Size Connection Chg. 230.00 pd 10/8/69
Meter No. Permit Fee 7.50 pd 10/8'69
Meter Reading (Meter Dep.
Meter Sealed: Yes_ jAdd'1 Chg.
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 tin proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By: S,
Please notify the above office when ready for inspection and connection.
a ^?
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454.5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: August 5, 1969
OWNER: Cedar Grove 6onst Co.
PLUMBER Stein, Inc.
NUMBER 481
Address 1789 Taconite Trail s41,7 - 7
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge200.00 pd 10/8/69
Permit Fee 7.50 pd 10/8/69
Street Repairs
Total
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 f®
By
Please notify when ready for inspection and connection and before any portion
of the work is covered.
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:06:35
ID:
NAME: RIGHT WAY ROOFING INC
3210 9001 1789 TACONITE T 251.25
2155 9001 1789 TACONITE T 7.50
Total Receipt Amount: 258.75
CR128294
USER ID: JAN
} [ O 5 I 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
n 3 registered site surveys showing sq. ff. of lot, sq. R. of house
and gS roofed areas (20% maximum lot coverage allowed)
n 2 copies of plans (show beam & window sizes: poured W. design; etc.)
1 set of energy calculations
> 3 copies of free preservation plan if lot platted after 7/1/93
DATE: 4IZ 7 / Uo
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST: / ?4 % S 5/ ° °
DESCRIPTION OF WORK: ?G - ab P /?01 STREET ADDRESS: l 7 S- G //? c rn le ??/k ,/ f G o
LOT: BLOCK: _ I SUBD./P.I.D. #: Cedar'
Name: C B /!7u UA-J ,, a Phone #: C/ - (o -ff-- 7 6 3 /
PROPERTY Lost First
OWNER ?
Sheet Address: fin 4 "
City a ?- State: 4A ti Zip:
Company. i tv4 ?j ?Z o v Phone #: G (Z - 5 S 7- 5
(area code)
CONTRACTOR 3/?ov
Sheet Address: t tf 0 License # I I ? 9_Fxp.
City -S ?ti r K o?_ State: ' Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Registration #:
City state: Zip:
Sewertwater licensed plumber (if installing sewer/water): Phone #:
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with aA applicable Stoic
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant,,
OFFICE USE ONLY
Certificates of Survey Received Yes - No
Tree Preservation Plan Received Yes - No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 31 Fad. Aft - Mufti
? 33 Ext. Aft - SF
? 36 Mufti
SAC Units
% SAC
Use BLUE or BLACK Ink
For Office Use
i
f Ea a~ ; Permit I Permit Fee: (0 0
?,City o
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING ERMIT APP (CATION
.e~ e% I C Irel
Date: -14-1 -1 1z, Site ddress: A2o U)
Nj'A~~ Tenant: J,,IA L-4,4~ ``Suite
Resident/Owner U me: Phone: 4~~. q rl
Address ! .,Ity / Z. m
Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC
Address: 1801 50"' STREET EAST City:
INVER GROVE HGTS
Contractor State: MN' Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email:
Type of Work - New replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater (0Water Softener
Lawn Irrigation ~ RPZ PVB)
Permit Type Add Plumbing Fixtures 9 L_ Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$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 System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.gopherstateonecall.org
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 without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv I of tans.
Applicant's Printed Name A a i ture
FOR OFFICE USE Reviewed By Date:
Required Inspections: Under Ground Rough-In, Air Test Gas Test - Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119137
Date Issued:11/15/2013
Permit Category:ePermit
Site Address: 1789 Taconite Tr
Lot:4 Block: 7 Addition: Cedar Grove 7th
PID:10-16706-07-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jerry L Calhoun
1789 Taconite Tr
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature