605 Todd Ave ~T,__:;~~~_ .
,
r -
a? _ rf _ .
~ ~ .
~ C~;~~~ca#e a~ ~ccu~anc~
~{t~ nf
~c~rtwart ~ ~~i~ ~K~ati.n
I
~ This Certificate rssucd pursuant to !he requir~e»unts of the Unifonre Buildeng Code
ctrtifying fhat at doe lime of rssuunce thes structur~e was in compliance welh the various J r~
' , ordinances of dte City regulating building constructian or use. For the followrirg: ~'f f~`~
, Uee Cl~aeiFicuion: BWg. Pamk No.
~y ~Ya~ ~ zo~ n~sa;~c R~ ~ c~. ~
o~oer or au~w~g PEII~9Qd A~ 2.~00 ~ IlR, B' VIIIE
; 605 1aD AVFNI]E ~ I~, B2, MAi~it IAI~ 4~i ~
i _ ~y" nu~. ! 1/27/92 I
--Y.~_ _ . - I,
~
POST IN A CONSPICUOUS PLHCE
.
.
DAKO7A COUNTY MINNESOTA
RECEIPT FOR PAYMEN7 OF PUBLIC IMPROVEMENT ASSESSMENTS C 20585
, ~ RECEIPT NO•
DATE ` ~ ' ~ ~
NAME: ` ' _
ADORESS: j ? J ~ ~ ' ' I
OESCRIPTIOM:
~ i Y <1
~ - f', _
DISTRICT pLAT Lf,~ ~ PARCEL NO. S CHECK DIGIT MUNICIPALITV ~„f,
(12-13) 11~-161 119..21) f22.23) ~ (26)
i;
IMPROVEMENT D~P = AUO ~ INT, :o FROM TO ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAID
~
~ ` . /r r ` 7~
~~l ~ ~ ? ~ ~ I ~ ! w~ ~7
12~-36) 137-401 1~1.501 (51-601 ~
Paid Belore Certifi[ation (77=4) Prepayment ~(77 - 5) Paid in Full ~(78 = 1) Partial Paitl ~(78 = 2)
PREPARED BY NORMA B. MARSH, COUNTY AUDI70R gY: ~
PREPARED BY MUNICIPAUTY OF: ~~r ~ Qy: • - E; -
If poyment is made by theck, this is not a val'+'Yd receipt until check is poid. ;
This Receipt does not include
~N~~ the insta~lment certifiedto pOSTED BY: ~ATE
the 19 taxes,.
AUDITOR'S CAPY
F---'.
! INSPECTION RECORD ~°"U°' ;
f CITIf OF EAGAN PERMIT TYPE: t~ ,
; '3830 Pilot Knob Road Parmit Number. ~ F•-'
; Eagan, Minnesota 55123 Date ~ssued: ~
! {612) 6$1-4875
SITE AQDRESS: ~ ~ . ~ , APPLIGANT:
•.u~, rni~i, ~Vt~ W! T F f~',~,t~ ~;~t ar~~r~
r
~q~11F* ~ A1 I 4( li f t, 1 ! H9t,' 4 1ii~
i
. PERMIT SUBTYPE: TYPE OF WORK:
: ~ ~uri ~r ti
~0~'T IM8 FItItM~ Na
~~ilStil.ATION i~NAL .
R~
~ r~R~P~ACk
i
Rf.}Ilitx~ •~s Ht f.t T! ! ~ ~';GIJ F'I titc 1{(tM F~~tMF'N
~
~
~ y ~ - - - -
Pwndt No. PwnNt Nole~. o.~? 7M~p~om •
~ SJW
pUJi~I~iPi(~ -
; , _
NYII~- _ i
E1.~CTAIC _
EL.ECTAlC
M~o+otlon brb Y~p. Camww~b ,
~°'°'~"°s' ~j.,/g ~
F°""~Mf°" ~ 4~ lf1.~ .,H,r/t p L~. ~ I
~
FamM?p ~ ~3 ~ KuC..h" / I
~ ~ ca,.~+.~ u~~ ~
14' 2 ~ i
A°"a' p°c. ~J a -4
~_J '
~
~ •
~'r ~%l C r rs' ~
I. ~~0''~'~~'r~ .s.~T ?~..-~D - cocM
~f/' 9tv ~ I
r 10 `1 ' g•2 lif1~~ I
On~t lY~t
1~f P4p. hb0• Nbp~c~or - Hotlty PM,n~w
I
Cd~t. A+IMer
En0?./PMn i
~ ~ L:~ / ~
D~dcF~.
DaCk ~wl
YN~1
P? ~ep.
~ REOUEST FOR ELECTRICAL INSPECTION ee~oooo,~~q/a
9 Q ~j ? See mstmctions br compleunq this lorm on back ol yellow coOY ~sl /Q ~~p ~
7"~` ~ 'A"' Below Work Covered by rhis Request ~~P•~'~
ei ~ Rep.~ TypeofBUtldmg AppliancesWuetl EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
ApL Buildmg Dryer Olher (Spectly)
CommJlndustrial Fumace
Farm Air Conditioner
Omer ~su~~Nl Comrxmr5 Remarks:
Compufe Inspection Fee Below:
x Other Fee 8 ServiceEntranceSize Fee # Circmts/Feeders Fee
Swimming Pool ~ 0 to 200 Amps g 0 to 700 Amps ~ (~„CQ
Transbrmers Above 200 _ AmpS Above 100 _ Amps
Signs inspec~or's Use Only: ^ TOTALu
Irrigation Booms ~ ~ ~
Special InspecLOn y'~G
Alarm/Communication THIS INSTALLATION MAV BE ORDE~ED~ ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO ,
I, Ihe Eledrical InspectOr. hereby R°°gn~in D e
certify Ihat the above inspechon has F,,,ai o,i ~
been made. lJ ~3--
OFFICE USE ~NLY
Tnis request vmtl ~B momns trom
a 7 22
~'/9 9a- 5~
ReQuesl Date Fre . Rougb-in Inspec~wn
_~O ~7'y Re uneE'+ ? Reatly Now ~VJill Notily Inspenor
~ ~ Yes p No Wben ReatlyP
I~licensed contractor owner hereby request inspection of above electrical work at:
Job FOtlress ~Stree~ Box or Route No ~ Gry
C~ S To- .t}v ~ ~n
Secv~ Towns~iD Name or No Range No Counry
\
OccuOam ~PRINT~ Phona No.
~-ce P~e~er-Son $4~ ~13s'-~
Power S p0~~ Atltlress ~7~'~ ~,'~,Q Si- ~
D~a~~~ ~\{'c`~~~C ~acm1 ~1-ec~ ~^`~N °aS01u~
Electncai Contta<tor ICOmpany Name~ ConVecror's Lwense No.
S ~ ~ ~\~ec~~ ;c ati~a ~4
Mailing ACpre551CON~aqOr or Owner Meking Insta~l3lron)
3Za-o Pac-l~.~a\~-~ ~i~ ~~~e~nl~ ~lN 55305
AulM1Onzetl SrgnaluR IGOnVdctOnQvner MdMmg In51a11aUOn~ P~One~NumOBr
D._C/\ ^ 1~'' \`C`~
MINNESOTA ST4TE 80ARD OF EL TRICITY THIS INSPECTION REOUEST WILL NOT
CrIB9e~Mltlwey Bltlg - Room S~n3 BE PCCEPTED BV THE STATE BOARD
1811 Univeruty Ave_ 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PMne~612~6CZ-0800 ENCLOSED
Addrasa:605 PODD AVFIVUE Lot 4 Blk 2 Sec/Sub MANOR I,tllCE 4IH
These items were/were not completa at the tima of the final inspection.
II/27/9Z Yes No
Final grade (6" from siding)
Permanent stepa - garage
Permanent s[eps - main entry ?
Permanenc driveway ~
Permanent gas
Sod/seeded grass
Trail/cuib damage
Porch
Basement finish ~ Z ~ ~
Deck
Please varLfy vith tha buildar the =emovel of roof test caps from the plumbing
system and the ahut-off of vater supply to the outsida lavn faucat befora
freeze potentSal exists. ~
.~o ~
Whlte - City copy Yellow - Reaident copy Pink - Contractor copy
PERMIT ~ontrol No. O 5 O(]
~ CITY OF EAGAN ~ ~ J
3830 Pilot Knob Road PEFtM1T TYPE: sui~oiN~
Eagan, Minnesota 55123 Permit Number: 000752
(612) 681-4675 Date Issued: 06 / 10 / 92
SITE ADDRESS:
605 TODD AVE
LOT: 4 BLOCK: 2
MANOR LAKE 4TH
DESCRIPTION:
Building Permit Type SF OWG
Building Work 7ype NEW
UBC Occupancy R-3 M-1
Constructio~ Type VN
~ Zoning R-1
Building Length 63
Building Width ~ 45
~ _ ' .
,
~ , i ~ i ~ ~ i; ~ ~
~i~ . ,
\ ~i
REMARKS:
RECEIPT kc,~~q SSW P~BR. = RON PALMEN .
FEE SUMMARY:
VALUATION =118,000
Base Fee ;702.50 MISC FEES 51.610.50
Plan Review s456.63 Total Fee =3,528.63
5urcharge =59.00
SAC ;700.00
SAC 8 100
SAC' Units 1 .
Subtotal s1,918:13 ,
CONTRACTOR: OWNER: - Applicant -
PETERSON GREGORY
2800 SELKIRK OR
BURNSVIILE MN 55337
(612)882-9384
I hereby acknowledge that I have read this applicetion and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ -
~ /T ~
AP ICA TlPERMITEE SIGNATUFE ISSUE Y' SIGNATURE
~ INSPECTION RECORD ~ 0599
CITY OF EAGAN PERMITTYPE: sui~oiNc
3830 Pilot Knob Road Permit Number: 000752
Eagan, Minnesota 55123 Date Issued: 06 / 10 /92
(612) 681-4675
SITEADDRESS: ~or: a a~oc~: 2 APPLICANT:
605 TODD AVE PETER30N GREGORY
MANOR LAKE 4TH (612) 882-9384
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTIIVG FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT 6 S&W PLBR. ~ RON PALMEN
~ ~
~ _ ~
PE'iiMIT '~Y ~ cmr oF enGaN ~ 3 5~~~ ~3
1992 BUILDING PERMIT APPLICATION
~ S~ 681-4675 C~~g~'_,~,?~ ~U N~0 5 RE
~
~ L . ~ ~
r
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ~r / / /99~ Valuation of work
Site Address: /o~.S ~ ' ,O~"G'~h/,c,e_
STREET STE Y
fenant Name•
~or ~ BIOCK o~ wso. yj'f ~na r' ~qXe ~ITN v.t.o. s
Descri tion of work: S F l~t~ -
The applicant is: Owner L~f Contractor ? Other coeeo~ix~
Name iP.~~s~i'l ~~r~.an~r/ Phone ~.P.~,2- g3~'S~
Property ~~ST FIRST
Owner Address a~ol' ~5 P.C r' ~ 02/~~
STREET ~ STE M
Ci ty ~cJ ? Y~ S(~ i State ~ Zip ~ 7
Company 5.~. P Phone
Contractor Address License ~ Exp.
City State Zip
Company 'ctPhone 7~y - 3 3.FU
Archttect/ Q ,l~ ~
En gineer Name ~ o. v~, ; n5 k; Registration
Address7~;~1~ ~l~~l'/~ C~/,
City /~rn~~ ~?/I 1~c~iK State d.~J/7 Zip ~
Sewer & water licensed plumber ~~n~mr.ii . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
BUILDING PERMIT TYPE ~ , • ,
? O1 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 13 Public Fac.
J~ 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool ~ 14 Agricultural
? 03 Two family ? 07 Fireplace O 11 Res. Add./Porch O 15 Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck O 12 Cortm./Ind.
WORK TYPE
31 New ? 34 Repair ? 37 Demolish
? 32 Addition O 35 Tenant Finish ? 99 Undefined
O 33 Alterations ~ 36 Move -
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System y~
(Allowable) v- ni lst fl. sq. ft. City Mater y~~
UBC Occupancy R-3 M-~ 2nd F1. sq. ft. PRV Required
7nnin~ t0+2~ g~C54er~ D~nw.~ '
~Y of Stories Footprint Sq. ft. Fire Sprinkler
Length ~3' On-site well Census Code ioi
Depth ~ On-site sewage SAC Code ui
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site O Footing ? Framing ~ Insulation
? Mallboard ? Final ? Draintile ~ Fireplace
Permit Fee p2,5ro v.i~.ci~: s O~~`~
Surcharge sq ~oJ GAfiAVE;
Plan Review us'U~~,3
License a4 y 22 6 SZE~
MWCC SAC ~D~.oo ~,Lx,~~~ Zyz
City SAC ~av.ao -
Water Conn. ~ ~Sr~Xt6 r 1~,4~~0
Water Meter N~~ o~ 13ShCT.
Acct. Deposit ~o,oo
S/M Permit 3o,uo ayn2~_ bzy
S/W Surcharge . S° %Z X ~ x 7_ (2S ~
Treatment P1. 3 00,,,0
Road Unit sao.o~ '
Park Ded. ~C I i = ~'Cl,~~ ~
Trails Ded. ~ ST ~~ooR ~
Lopies
Other ayy 63~
Total: IS~Z
SAC % 1 ofl S~ a~ ~ 2~ ~
SAC Units T ` ~ '
s,~~~= =s~S3= ~~°~~y~~~ 607
~ r ~ . .
EXTERIOR ENVELOPE AVERAGE "U" COI~UTATION
~ owx~tt C~2C6 E-fE2So1-~
SITE ADDRESS Lo'f ~l woac 2 ~1aWoa G,a~ Yn+ ~np'N .
CONTRACfOR DATE S'~i'GI Z PHpNE
DETERMINE WOAKING SQUARE FOOTAGE OF EACH
i, TOTAL EXPOSED WALL AREA /83~ gQ. Fr, x•~/ - 20l .9 ~
2. TOTAL ROOP'~CEILINC AREA ~'~3Z sQ, F3', R•OZ~v ~ ~,~I
TOTAL EXPOSED WALL AREA ABOVE FLOOR I~(.-rl ~ I Slori~
a. TOTAL WALL WINDOW AREA I 85.73
b. TOTAL DOOR AREA 37• 8S
c, TOTAL SLIAING GLASS DOOR AREA 4 0,02
d, TOTAL FIREPLACE WALL AREA -^o-
e. TOTAL WALL FRAMING AREA (averaf~e lOJ6~ ~~~•~8~' 13o/,dl.
f. TOTAL NET WALL AREA ABOVE FLOOrt I17I~ ~7~-/
g. TOTAL RIM JOI3T AREA I~OZ X~ Z ' 2- ~
TOTAL EXP0.SID FWNDATION AREA Ib'Z,~,(o~ ~ IOS, y~
, h, TOTAL FWNDATION WINDOW AREA - 6~
i, TOTAL NEf FOUNDATION AREA ABOVE GRADE l O P~S~{
TOTAL FLOOR CAt~`lTLEVER AREA . I Lo ~ ~
TOTAL H'LOOR FRAMING AREA (average 10,g)
k, TOTAL NET FIAOR CANTILEVEH AREA "
DETERMINE "U" VALUE OF EACH WALL SEGMENT
a. 185~~3 x ~~p~ ,45 . $3,S ~
b, 3~,~35 x.~v~~ ~i3 . 4,9z
o. 4o.o'L x~v^ , 3'L - 12. ~ I
d. - b- X~~~I~~ -
s, /3o•!SG x°u,~ . o[s: ~ lo,'R o~
r. 11~1.~~y X .041 - ~D',o33
g. 11.Z g ,039 - (n,318
h - d - g ~,~i~ - o- ~ -n-
? o~. S~ x,~~U~~ . I~ 1 - ~~-i, zz
I ~4 x ~u~~ , 0~3 _ ~328 `
k. fU, ~ g~~U~~ . bZ(i ~ ~ 374~
181.1 9 ~
3. -------------------Tarer,
If aum /f3 is the eame aa, ~r lesa than item #l, y~u have met the
intent of SBC 6006 (c) 2.
TOTAL r.XPOSID ROOF~CEILING AFiEA ~ I3 3 Z
TOTAL GR0.SS TRUS3 AREA l3 3 Z
TOTAL GHOSS RAFTEEi AR~A '
1. TOTAL SKYLIGHT AREA - v-
m, TOTAL TRUSS FRAMINC AREA (nvernge 10,~) 33 Z
n, TOTAL NEf INSULATID TRUSS AREA 1( q a.$
TOTAL RAF"TER FRAMING AREA (average 10,8)
p, 'POTAL NEf INSULATID RAF`fER AREA - o-
DEfERP1INE "U" VALUE FOR EACH ROOT'~CEILINC SECMFTIT
1. -u~ g -u- ~ -o- ~
m. i33.2 g ~q1" .a33 - ~,3 9~
' n. ! 19'1f.8 x~~v~~ . oZS ~ Zq, ~J 7 ~
- ° - X ~~U,~ - u- ~ - d-
P, u- g u- ~ _ ~
4' ------------------TOTAL _.~7T,~~~ .
IP t~tal ~f #4 ie the ea,me ae, or leee thnn ~/2, y~u have wet the
intent of SBC 0006 (c) 1,
T~ utiliee the t~tal envel~pe eyetem method, the va.luees eeLablialod
by the eum ~f iteme p3 and #4 ehdll n~t be gceater than the eun ~i iteme •
#1 and A'2 ,
1. Zol.9y +2. 3y,~3 e 23~,5~
3. 181,14'$ +4. ~4,~~8 ~ .S~
. ,
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. ~ il
illf~~ /O~
i ~S/ ~ (6SN
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~,I CAdb~ A.Qjo a~.Q....~„ l~ Q Z (~l. 131 7. l0 5
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I'~2.' ~,oo~(' Gvao~ J, p 9 (..1, c~ 3 3 2~t = 3 0. ~ 3
~~~S~~z~' 6,.-~ 19,0
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n TRI-LAND C0.
L~ SURVEYING
SERVICES
S I T E PLAN FOR ~ PErE~2sotiJ
LEGAL DESCRIPTION: ~oT~, BLOCK 2,~~ ~a~e ~-o irzr~
ACCORDING TO THE RECORDED PLAT
THEREOF pakoTa COUNTY, MINNESOTA
ADDRESS: h05 -rUO~ AVENUE
,
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~NM~r4` `'r r ~ ~ i ~I
S~~IT YON WALkOJ~
LEGEN ~"~l,
INVERT ELEVATION AT SERVICE ExTENSION=
o DENOTES IRON.„#1 UMENT PROPOSED GARAGE FLOOR ELEVATION = 9~6,66
~ DENOTES WOOD.~B SE7 PROPOSED FIRST FLOOR ELEVATION = 00
DENOTES EXISTI G SPOT PROPOSED BASEMENT FLOOR = 9~.So
ELEY TION ELEVATION
DENOTES PRO D~SPOT
ELE. 'TION
~ DENOTES DRAI ' DIRECTION NOTE' VERIFY ALL FLOOR MEIGHTS WITH
;:{t{i~= FINAL HOUSE PLANS
1
I henby certify tAat this ~urvsy,plan or
report was prepored by,;me or undar my e
d~recr supervision and thfQf I am o duly Bradley J w~n~on, Mn. Req. No. 15235
, Reqistered Land Survf~or und~r ih~
aws of tAe Stme of Mirlnesota. Date ~5 -9~--
`
r ~
CITY OF EAGAN
~ll~--~~92_~~ 'YJ~ MECHATTICAL PERMIT RECEIPT # C bZ U. ~
(612) 681-4675 DA1'E 80'15
RESIDENTIAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEI'E FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLWG UNIT.
OWNER: - e r. . ADD-ON A/C ADD-ON FURNACE ?
SI7'E ADDRESS: ADD ON/REMODEL (EI~QSTING S 15.00
~ ~ CONSTRUClTON ONLI~
INSTALLER: ~ n~~ HVAC: 0.100 M BTU Z4.00
PHONE - 3~-~ ADDTfIONAL SO M BTU 6.00
ADDRESS: ~,~1 S_ /4 GAS OU1'LEfS - MINIMUM 1@ S3 EA. 3, o-a
CITY: ~~.~5 v r~ ZIP:S'~'- j~ SURCIIARGE: $ .50
SIGNATURE: ~ TOTAL: $ Sp
NO PERMIT REQUIRE? FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DESCRIPI'ION: , CONTRACI' PRICE: FEES
196 OF CONTRAGT FEE.
STATE SURCIIARGE IS 5.50 FOR EACH
SL,000 OF PERMIT FEE. $
PROCFSSED PIPING • S~•~
$
MINIMUM FEE - 525.00
OWNER: TOTAL: $
STfE ADDRFSS:
1'ENANT:
SUITE .
,
INSTALLER: _ _
ADDRESS:
CI1'Y: ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
i
~ ~ ~ CITY OF EACAN ° FOA CITY USE UNLY
3870 PILUT KNOB ROAD
F.ACAN, 1.^.: 55i22 PERNIT M ,
PNONE: (612) 454-8100 RECEIPT N C a~ `7'> z-"a i
YLU1iHING„PERMII' DATE: ~°•~--~~z
~tESIDEtiTTil`l.:2 YLEASE COHPLETE UPPER PORTION ONLY FOR SINCLE FA2tILY DIiELLINCS ' 6
.
~ TOWNIIOMES/CONDOS WNEN PERHITS ARE REQUIRED FOR EACH UNI,T.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEt1 CONST X ADD-ON MINIMUM 15.00
ADD ON ~ ~ S1i0WER 3.00 o°
REPAIR ' _ ' ~ ' WATER CLASET 3.00
~ BATII TllB 3.00 3. o~
- ~ IAVATORY 3. 00 o o ;
0{7NER NAME: v~'R-~ A rS b n ~ KITCHEN SINK 3.00 ~r. '
1 LAUNDRY TRAY 9.00 ~.vO
S 1TE' ADDRESS : ~v 0 S-T 6 c.~ d' {}~y Q, HOT TUB/SPA 1. 00
~ l WATER HEATER 3.00 3• v~
LOT:~ BIACK ~ SUB . 'l F1AOR DRAIN 3.00 3con ~
Matthew Daniels ~ CAS PIPINC OUT. 3, oU '
INSTALLER: _ (MINIMUM - 1) 3.00
ROUGH OYENINGS 1.50
ADDRESS: 15185.Carousel Way _ OTHER
- GIATER SOFTENER 5.00
CITY: ~sertqunt ZIP. 55068 _ PRIVATE DISP. 15.00 . ' ~
U.C. SPRINKLER 3.00
NE a: ' 423-3730 S 3~, oo I
' SU6TOTAL
t ~-Lj~,9.~9` ~ ST. SURCW+RCE .50
SI ATURE OF PERMITTEE 3~- J~ ~
TOTAL: S
,
CONMEltCIAt.'~INDIISTRTAI.~ PLEASE COHPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
' HULTI-FAHILY SUILDINCS LISIEN SEPARATE PERHITS ARE NOT REQUIRED FOR EACiI
D1IELLINC UNIT.
CON'fRACT PRICE: FEES
~
OWNER,NAME: 16 OF CONTRACT FEE. ' I
STATE SURC}IARGE - $.SO FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: ~ BLOCK _ SUED, $25.00 MTNIMUM FEE. ,
INSTALLER: CONTRACT PRICE x 18 S
ADDRESS; STATE SURCHARGE, $
CITY: ZIP:
TOTAL: $
PNONE
(SIGNATURE)
~
FOR • 's'' ~
CITY Of<EACAN
' '
I
. . ~
DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS ~~rl
i ~ ,i, RECEIPTNO.~ ~0~~°~'
DATE i~"lCI7 ~ ~
i.
~ NAME: ~ ~ ' r ' `
ADDRESS: J? J ~ • l
DESCRI~TION: ' ~ ~
' i , c;~
l `~f%~--
DISTRICT /C PLr1T y7~ Jk PARCEL NO. Z CHECK OIGIT MUNICIPALITY ~
112-131 IIC-1B) 119-211 f22-231 1291
IMPROVEMENT D/P ~ AUD - INT. °b FROM TO ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAID
V ~ /
~ r / l ~ !'tM,7! 1or,a~ /Y ~ r~.~;.-
12]-361 13]-C01 IEI-501 I51-601
PaiO Befo~e Certification ~(77=4) Prepayment ~(77 = 5) Paid in Full ~(78 = 1) Partial Paitl ~(78 = 2)
PREPARED BY NORMA B. MARSH, COUNTY AU~ITOR BY:
PREPARED BY MUNICIPALITY OF: ~ ~ ~ gY: . - •
If payment is mode by chetk, this is not a valid receipt until check is poid.
This Receipt does notinclude
(Nh1dE) ihe installmenT certified to POSTED BV: DATE
ihe 19 toxes..
AUDITOR'S ~1PV
Jl,9i J J~ 17LV 1!'~i '~LLI111LL I~UIIL VLUUL6.J I~IIn I{V~ UI~JJiiU`tU
CITY OF EPGRN TEL~612-681-4612 Jun 03 92 11~33 No.008 F.02
:
city oF eaq~n ~
MVNICIfALCENT[II MAINYEHANCEFACIIRY iHQMA6E6AN
~ 9BSC PIL01 KN08 ROAD l6p1 COACHMAN POM I.byOe
EAGAN. MINNEbOiA 66172•1847 EA6AN. MINNESOtA SSt7T
PHONE(61~dB1d600 PNONE7(612}681-4~00 PAIRICUTAWADA
FAk: (612) 661~461Z 51Jh (61'q 6b1.d360 i PAMELA MCCpEA
11M PAWLENiY
TNEOpORE WACH1Fit
~ ' / CwDeBMwnb§I!
~
iHOMAS NEDGES
Ju~e 2, 19sa / , clhAanr+ru+mior
EU6ENE VAN OVERBEKE
GMrq.rt
~
ROSERT MIDDI,EMIST, JR ~_p-~ o~ OS
aZ305 COUNTY ROAD S1 ~
BDRNSVILLE bp~i 55337 ~D~ l U-~'Za"~ ~P~i~-fj~
Res p~nd~gq ~?~aes~gon,~ for ![anor S,aks ~attrth Adai,tioa
DeBr Mr. Middl~Yaiatt
You have r2Quaeted of the City of Eagan a means of prepayfng
estimatefl spe~cial aec~eeementa on lots fn the abpve-raleranced
re9idontial uubdivision regerdinq the muniaip~l improvements
therein. Th~ CitX~s understanding is that yqu eesire Ct~ereby.to
avofd escrow requirements in iri9banGes where loe saies cloca praor
to tt~e date final asseoanten~s are certiiied. Under separato cover,
the City has reaeived From you your acknowig4gement thaC currently•
pending esae6smenta on lots in thf6 subdivisiva 3re °nlv estimateo~
anC that final costs mey be higher or loa~r. Tha Rity ha~ also
reaaivaH your written ngreement that, in such eve~t, ypu rrill make
• paymont of tihe diYference pren~t2y whan easessment~ are levied. .
Tho ourxent oatimated Aesessments on lot~ in this subdivi~ion totol
approximatiely $14,200.
S1i~7jCC~ to the above, nnd in considerat4on of your agreament to
make payments ot am ditPerences in thQ final assesement, thn Ci~y
agroea ae followa:
i. Until such time as pr~gaymeTlts aP the estimated aesesemsnts
are received, City records Will~r6tleat the pending asaesenerit
on aACh lor.
2. In the event oE 8 lot oYosing, the City will aapept b peyment
Pro~n }.~e titie company or oloaer in the emount ot Chs
estimated asseesmenti arid theraafter nfljust 3te z~aords to
reflect that the assaaamenka ragarding the iot for whl.alx ~uan
payment is sUbmittpd Gre pafd itt ful~.~ relyinp upon you eo
aover any ~9~.fferanoa per our agreement.
THE LON@ OAK TREF YHB SYMBGL OF ~1RENGTN ANa 6RdNRH IN OuR COMMUNITY
Equol ppporfUnl}y/Amr~rldlive Acflon Employer
/
JUII J JL ' LL I1' l I VLI.I ll ILL 11'e11L VL'Jr./LIUJ I ILI II'... ' 'i i_..
CITY OF EA6RN TEL~612-681-4612 Jun 03 92 11~34 ND.OOa P.o3
R068R't' HZDDLEMI6T~ JR
JDN~ 2~ 1991
P~1G~ TNO
3. Wh4n eny title aom~rany or aiaser submits pay~aent ef the
eatiaated 3saessment, it ohoulG epeciPiCally 7Celerenas the
logal deBCription o! the lot with respOCt to which kl~~ yaymeAt
is b~ing aubmitt~d.
I balieve t~is letter ~~marizae the positinn a£ the City and ia
consiatent xith prevSou~ dimcu~~io~a.
Verx LL'Uly yous-~, •
8ugm J. VaetOVarbeks
Dfrecrtor of Finanoe/City Clerk
B,TV/vmd .
.
\
411°
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use Perit#: /qv>
Permit Fee: 6 CO
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: '< ✓-.( ! Site Address:
Tenant: Suite #:
Phone:(
AIWA" AIA AL -
Name:
Address: City:
State: Zip: Phone:
Contact: Email:
License #:
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: ` e1
ct
FEES
$60.00 / 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.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.orq
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)eview and approval of plans.
Applicant's Printdd Name
T 4-: Pty
pplicant's St nature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143992
Date Issued:07/07/2017
Permit Category:ePermit
Site Address: 605 Todd Ave
Lot:4 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gregory S Peterson
605 Todd Ave
Eagan MN 55123
Nmc Exteriors & Remodeling
14276 23rd Ave N
Plymouth MN 55447
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature