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1814 Taconite Trr City of Ea�a 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Perm": q q'3 Permit Fee: ✓ - V 0 Date Received: Staff: INFLOW ,& INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: nilA7 l j 70(/ Site Address: 18(4- (4- T4 a,Tr T1&1 L Tenant: t [TAM II/MAP-14y Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: SELF License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: 4JfV1 WE C.OgeL4 T V12. (13 ( .(,\1m 56 -wee.) 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 I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.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.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 ap•lication 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 crk which -qui r„ a r;v'-w and approval of plans. xll� UYIC i Applicant's Printed Nam x Ap icant's Signature Required Inspections: RESIDENTIAL BUILDING PERMIT APPLICATION g CITY EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements RemodegRepairReguirements 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and?ll roofed areas • 2 copies of plan (20% maximum lot coverage albwed) . i set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 22 DATE 1,01 Z31 d l VALUAION 7 ? JOB SITE ADDRESS 1& TPr Lo tJ I Tr T2- L-- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY t. 4- c. TYPE OF WORK QP, /Slc- + ? 1'Lo?T U FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT C-Vef; Cf VI,15s WI N O )7?3 A-S-,oN C?9 (o . PHONE#r9521 9- R I - 3l a 0 ADDRESS W b Sb G L Cl P° DfZ4y-r ./ ZIP CODE l 12--! PAGER # CELL PHONE # FAX # L15 Z) 91 - %UW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I U1 U J All above information must be submitted prior to processing of application. Ly_` I hereby acknowledge that I have read this application, state that the information is correct, and agree to'c ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Y Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck - ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test - Final _ Siding _ Stucco _ Stone Insulation Windows (new replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ Final/No C.O. Plumbing HVAC Building Inspector CITY OF EAGAN Remarks AdditioTn???Yt?rRnAR GROVE #7 Lot 3_. Blk R Parcel 11 16600 030 08 Ovmerll?? e - r 05k I- Street 1814 Taoonite Trail State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK y 1970 58.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN • WATER LATERAL 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 EAGAN TOWNSHIP BUILDING PERMIT Owner ....L..,L..C.NY.......CGw!-.'!°-..... .`..-°."?:` "..:. .?..... Address Builder ...................._---...._.......-----'--'---.........._..............._._..... Address ...................... DESCRIPTION N° 2048 Eagan Township Town Hall Date .?-3o lG.F.......---.......... Stories To Be Used For Front Depth_ Height I Est. Cost Permit Fee Rem arks ) g LOCATION Street, Road or other Description or 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 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 PRA ISE WHILE THE WORK IS IN PROGRESS. This is to certify, ......t....ti..-!`?.`.. .:C-O................... has permission to erect a...7.......... Z; ...... OG?-C-?/ ....'._ ..'....7.. ..... ..._upon the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11. 1955. Q ' `- ...................,!:...--.-.'---.,d.!.....--'.....-........:... Per -'----u._...(/?'.f-..._..................... i Chaiffnan of Tnwn Boa'rdd Sutlding Inspector / I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION to to CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 1 S. 5 651-675-5675 Please complete for modifications to existing residential dwellings. Date ZJ 011 MCCARTHY, SUSAN 1814 TACONITE TRAIL Site Street Address EAGAN, MN 55122 Unit # (651) 681-1521 Property Owner ) l Telephone # ( ) NORBLOM PLU MBING CC). Contractor (612) 8274033 Telephone # ( ) Address 2905 GARFIELDAVE. SO. city State I Zip NEAPOL S, MN 554M The Applicant Is: _ Owner j Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 If a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ S. SO I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved, Jed ?arb?w?? - Y Applicant's Printed Name ApM'OKK gna ure TIT IL IN AUG 3 1 2004 ?? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: June 27, 1969 Billing Name: Cedar Grove Const. Co. Owner: Cedar Grove Bonst. Co. Plumber: Stein, Inc. Number: 341 Site Address: 1814 Taconite Trail 3 - o" 7 Billing fddress7343 Concord Blvd. E. Meter Size Connection Chg.23o.On na 10/8/69 Meter No. Permit Fee 7.50 Pd 10/8/69 Meter Reading Meter Dep. Meter Sealed: Yes ]Add'1 Chg. NO [Total Chg. Building is a: Residence xx Multiple No. 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: Please notify the above office when ready for inspection and connection. . EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 27. 1969 OWNER:Cpdar Grove Const. Co. PLUMBER Stein. Inc. NUMBER 479 Address 1814 Taconite Trail 3 ~ 3-- / TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Comnerciall Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 200100 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 Count/y,r/? Minnesota By dCY_!??hZ '? Please notify when ready for inspection and connection and before any portion of the work is covered. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1814 Taconite Tr Lot: 3 Block: 8 Addition: Cedar Grove 7th PID:10- 16706 - 030 -08 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. $88.50 $1.50 Total: $90.00 Owner: Susan K A Mccarthy 1814 Taconite Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 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 Issued By: Signature Building EA091035 09/04/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA113044 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 1814 Taconite Tr Lot:3 Block: 8 Addition: Cedar Grove 7th PID:10-16706-08-030 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 . Carol Foss 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 - Susan K A Mccarthy 1814 Taconite Tr Eagan MN 55122 (651) 307-5228 New Exteriors By Sma Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315-8900 Applicant/Permitee: Signature Issued By: Signature