3326 Wren Lane
. I
CITY OF EAGAN Permit Na 9776 pate 7-15-88
3830 Pilo1 Kaab Road Meter No: Size:
P.O. Box 2110 ' Reader No: Date:
Eagan, IMN 55121 ;3ATEn 0NLS
Owner. RQbPrr ia_ n,Ane
Site Address: 'A376 Wrer+ TanP t,a Bi IAa; vev II
Plumber_ n~ti„ra pl.,mhiny,
Conn. Chg: 5 5 0 n~pd Zoning:
Acct. Dep: 15 _ OOnd No. of Units: `
Permit Fee: 10. OOnd
Suroharge: _ 50~d 1 agree 1o comply with the Clly ot Eayan
Tr. Plant ?04 0Gud Ordinances.
Meter.
Misc.: . . . . Bl? ,
WATER SERVICE PERMIT
_ . . . _ . ~
9778 Date: 7-I S- Sf~
CFTV~OF EAGAN Permit No:
• 3830 Pilo[ Knob Road Meter No: SiZe:
P.O. Box 21199, Reader No: Oate:
' Eagan, MN 55121 i~,~'~ t,•":I_'!!
I
. Owner. ' . Tr~ane
.-.c~ T..nne • s r.l. i~rvep ZI
Site Address:
Plumbe~ 1jr-lb `n j~
a54.00 d
Conn. Chg Zonin9: _
Acct Dep: ' No. ot Units:
Permit Fee: Z`t' 0nr`~
' Surcharge: '5`,pd 1 agree to comply with the CNy of Eayan
Tr. Plant Ordinances.
~ Meter. `7 OOIE -
Misc.: 'T'~' ILVn 1]ZP°"' - By j
WATER SERVICE PERMIT j
PLUMBINf3 PERMIT PERMIT N 9
CITY OF EAGAN RECEIPT li
3830 PILOT KNOB ROAD, EAGAN, MN S5122 DATE:
CONTRACT PRICE PHaNE: 454-9100
3
Site Addr ss BLDG. TYPE WONK DESCRIPTIDN
Lot ~ Block ~ Sec/Sub Res. New
-Mult. Add-on
m Name 't Yr ri ~ r f 1'1h 'ti Comm. Repair
~ Addre K-e ~ e Other
c. Ciry ~~t,~'~` h Phone Z' ^ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- ` .i NQ. FIXTURES TOTAL ~
W ater C loset -$3.00 S~
Name cj~ L ? ~ Tubs - $3.00
c Address ° Lava - $3.00
p Cily Phone 1-' - Y 3lZ Shower - 00
Kitchen Sink 3.00 j ~
FEES Urinal/Bidet - $ . ~
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.0
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
~ TOWNHOUSE 8 CONDO - RES. RATE APPUES Water Heater -$t SO ,
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 ,i
' MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets $1.50 ~
i STATE SURCHARGE PER PERMIT - .50 (MINIMUM - ER PERMin
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
~ BEYOND $1,000.00) Well - $10.00"
Private Disp. - 910.00 •
Rough Openin s - $1.50 ~
SIGNATk1RE OF PERMITTE - FE~ ~
~ • c,j ' J;~T-A/l,t'~' STATE S/C: 7
~ FOR CITY OF EAGAN L 5C
GRAND TOTA
~
CITY OF EAGAN Remarks
Addition Lot Rlk 1 Parcel i n32nn5n m
Owner e-~ ~5treet 3326 Wren Lane State ~gana D& 55122
Improvement Date Amount Annyal Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
GRADING
SAN SEW TRUN% 1970 125,00 OO 2 Paid
* SEWER LATERAL& StLfUo' 1972 22143.75 107,19 2 Paid
WATERMAIN
* WATER LATERAL 1972 20
WATER AREA 3
STOHM SEW TRK 1984 561.00 37.40 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
IV CASH RECEIPT ~
0 I
. - , CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ~
DATE 19
FrOM~'
AMouNT a C,5- i D
~
& DOLIJIAS I
? CASH °LI c;HECIC
of' r / i~ /I~ • ~ E,,
r.
r/ ei
33 z
FUNO OBJE&f AMOUNT
,
Thank You - BY
~
• VJhite--PaY- CAPY
YeYow--Postkg Coqr
Wnk--F'ie Copy
EAGAN TOWNSHIP
N° 1217
BUILDING PERMIT
Ownex - .I~/S/~S.Eagan Towaship
Address (Presenl) /..N..':c!.~.......1',~........................
Town Hall
Builder .----.....r---------------------------- /
Addrass Dafe
i
DESCRIPTION
5lories To Be Used For Fronf Depih Heighi Esi. Cos! Permit Fee Remarks
-~x ~
~ LOCATION
Sireef, Aoad or ofher Deseripiion of Locafion I Lo! Block dilion or Traci
7'r--t. . I S Ad
~
This permii does noi aufhorize the use of siroeis, roads, elleys or sidewalks nor does it give the owner or his agent
the righito ereale any sifuation which is a nuisanae or which pzesenfs a hazard fo 2he healih, safeip, conveaienoe and
general welfare fo anyone in the communify.
THIS PERMIT MUST BE KFP,T ON TFLE PA£MISE WHILE THE WORK IS IN PROGAESS.,
Thia is fo cerlify. ......'..._has permission !o erect a....""...'
. ...._.upon
.
the above destribed premise subjee! !o the pzovisions of !he Building Ordinance for Eaga Township dopfed April 11,
1955. ///J~-n
~W....~/...~~_-._.....(.-r.J Per
../N..O..~. _.~.~_....U~I"~"~-t..
'
Chairman of Tnwa B erd L ~ Building ns'peefor
CASH RECEIPT
CITY OF EAGAN `
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE
AMOUNT r $
8_ DOLLARS
im
? CASH 4EICHECK
Sca.K~
33 Z~+ L1..tr_..!,
l
FUND OBJE AMOUNT
$60
Thank You
~No 85558 ~b~~~~~y
Pink-File CopV
UaRu-~
~ ~ ~ ~
~~v~~--ei
~
~
d~ ~
~
~
C
BLDG. PERMIT N . ~,LyE "
Z
3210 Bldg. Permit
P3422 Plan Check
01-3445 Surch./Adm. a-
013446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
203865 Water Conn.
20-3868 WaterTrmt. CD
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit e) .%0
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
Gr- z~7~ tiG..n 00
TOTAL
EAGAN TOWNSHIP
BUILDING PERMIT N° 3162
Ownee Eagan Township
Address (Presenf) :I.•3 Town Hell
Builder
Dale
Addreas
DESCRIPTION
Stories To Be Vsed For Front Depih Heighl Esf. Cosi Permit Fee Aemarks
IX y,a = /a:.s'd
,
LOCATION
Slreel. Road or oiher Deseripfion of Locafion I Lo! Slock Addifion or Treei
I s , 4--x-~. s~ .
This pesmii does aot auihorize the use of ctreefs, roade, alleps or sidewalks nor does it give the owner os hia agent
the righifo ereafe any sifuafion which is e nuisance or which presenSS a hazard fo the health, saiefy, eonvenieace and
general meltare !o anyoae in the community.
THIS PERMIT MUST BE I;EPT ON THE PREMISE WHILE THE WOAK IS IN PROGA SS.
This is !o cerlify, fhaf...: j~...!~e....'...... .has permission !o eree! a._.'_._' ..........."""..._upoa
the above doseribed premise subjeet fo the provisiona of the Building Ordinance for gan ...w.nship adopied April 11,
1955. Q p
.'-----"..........._.~1~:.'-'-'-"'-' Per I ns P............._...-'_""'_"'--
Chairmai~' of Tnw~Baard ~ Hu ildin eelor
5
'A RESIDENTIAL BUILDING
Permit Application ~ ~d'
City Of Eagan C u~G~d q/~103
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Conshuction Reouirements RemodeVReoair Reuuiremenfs OKCe Use OnN
3 regislered site surveys showirg sq. ft of lot sq. ft. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% mazimum bt coverage allowed) 1 set ot Eneqy CakulaUons for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy CalculaUons Addrtion - indicate il on-sile septic system _ On-site SepGc System
3 mpies of Tree Preservation Plan if lot platted aher 7/1193
Rim Joist Detail Options seleaion sheet (bldgs with 3 or less uniLs
Date 2 / _11-_ / 0 3 Construction Cos[
SiteAddress 332~ Wm e,., LA-Ne v UniUSte #
(\j ~S 2\
Description of Work CAAAJQ rvo.~tipp?vi i!\ L0"P1L j2.LDel
PropertyOwner ~.JCLa c~om~ P_~ $,A~ Telephane#(6SI) (9133 2~-31
C) I
Contractor J?~?101vo.~l ~e QQ41v~O11 oxn
Address ~-1'~`-i ~,vrv~ [Gk-~ ck a J2 City l7uiunAV t e
State Zip 3 3 Telephone qSL) 1131 - 3! 22
J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate oe rv I Minnesota Rules 7672
Energy Code Category . Residental Ventllation Category 1 Worksheet • New Enerqy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building 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 State of MN
Statutes; 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 review and
approval ofplans. E~rn 5 (1(1~ ~A `
Applicant's Printed ame Applican s Si ature I I~~ ' J
By
OFFICE USE ONLY
Sub Types
? 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. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_V or _ N O 25 Miscellaneous
i3Ict 71-1 2o0,,,',
Work Types
,4 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) - Give PCA handout to appliwnt
Valuation ? v~ v Occupancy ~ J 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 UA Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) ~O Final/No C.O.
_ Footings (addition) Plumbing
_ Founda[ion ~O HVAC
Drain Tile Other
~ Roof _ Ice & Wa[er _ Final - Pool _ F[gs _ AidGas Tests _ Final
Framing Siding Stucco _ Stone
Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (newheplacemen[)
~0 Insulation _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT # 5 -1 oG -7 RECEIPT OATE.
2002 RESIDEN'f'Ilkl, #'LiJMBIN6 PEfiMIT APPL,ICATION
CITY OF £AfiA1V
S$SO PILOT KNOB RD
EAfiikN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS. ~ 3 3 a~ w r c~ LY\ ~
OWNERNAME:: lok~ + 3oa. &&w4r^S=~+.,P,ELEPHONE#: CcSI- (s$~- a~?/
(AREACODE)
l
INSTALLER NAME: TELEPHONE Co Si- (,8/- g' 2 S~
Hessian Plum6ing Servir,m, igic cAREA cooe>
STREET ADDRESS:
P.O. Box22172 ZIP:
CITY: Faggn~qn61~ flfi~- STATE:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply '
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_~~dding fixtures to lower levels or room additions, excluding water softeners and water heaters. 50 00
_ Ahandonment of septic system.
Water turnaround - existing dwelling unit 5/8" meter if n ded -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenVadditional: _ water softener _ water heater $ 15.00
State Surcharge r°1 $ 50
'l ~ I
Total g Sp,sa
I
I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable City of Eagan ordinances It
is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normat
operational and maintenance activities to the §cihties constructed under this permit 1wthip~6iy~ pr ertyJri t-of-way/eas ent
~
SIGNATURE OF PERMITTEE 1l02
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)l 12
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
i
New Conshuction Reaulrements Remodel/Reoair Reaulrements
? 3 registered sMe surveys showing sq. tt. of lot, sq. R. of house 2 coples of plan
and ~II roofed areas (40% maximum lot coveraae allowed) 7 set of energy calculallons lor heated addHlons
? 4 copies of plans (show beam R wlndow sizes; poured fnd. design; etc.) 1 sHe survey tor exterlor addXions 8 decb
? 1 set of energy calculatlons
D 3 coples of hee preservatlon plan B lof platted affer 7/1/93
DATE: _ Ab igq CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: WM/~~I
LOT: BLOCK: SUBD./P.I.D.#: 4c3.V~l~e
Name:&J,?y~S-z1"Af~ Phonelk: (c)I
PROPERTY La~ USt
OWNER
Street Address: S32'A L,).yx,v., tolyiy
City State:Zip:
Company: Phone
( ea code)
CONTRACTOR
Street Address: Ltcense # 2016~ Exp. ~
City ~ State: AII~ I. Zip: rRybm_
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Streefi Address: Registration 1k:
City State: Zip:
Sewer S water Ilcensed plumber (reaulred for new constructlon onlv
Penally opplles when address change and lot change Is requesfed once permM Is issued.
I h%eby acknowledge that I have read this appllcaflon, state thaf the tnformatlon Is cortect, and agree to comply wtth all applicabl
Stafe of MlnnesoTa Statufes and CiFy of Eagan Ordinances.
, Signature of Applicant: I&evl
/
• OFFICE USE ONLY ' ,
Certificates of Survey Received _ Yes _ No ,
Tree Preservation Pian Received _ Yes _ No _ Not Required
I " -Y
1,-
1 ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex 0 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 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 ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 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) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee ~~S• a~ Valuation: $
Surcharge 3. o cD
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
r
Trails Ded.
Other
Copies Total:
SAC Units
% SAC
CITY pF EAGAN
CFlSFISE.RC 7S IFRMSNAL N0: i 18
DATE: 07/16/33 TIME: j,0;24;22
IU:
NAME: CFNTl1FY RUUf-'TNG TNC.
320 9001 3326 WRL:N I_k L2J.^GJ
21'55 3001 3326 WftF_N LN 3.00
Tot,al Receip+, Amount; 128.25
CRi.134L7c
USI:R IA: JAN
' APFLICATION FOR PERMIT :NO1'E= PnYME.'71` OF FEE AT TIME OF
' APPLICATION ppFS N,7f CpL}-
. ~
SfITtflE A PPR('iJAL OF PQtPIIT. z!wQ:! SEW ER AND/OR WATER CONNECTION INSPfLlION OF SfY7FIi ANID/OR WA1fR IKSfAI.V+TIOKS WII.L AVP BE c['crvnFn l!Nl'IL PEFFIIT HAS BFI4~1 APPROVID. s'sty oF ecaqcan
(PLEASE PRINT
1) PROPERTY ADDRFSS: i 7~ li; l L~~,.-~,/ ~
LFS'AL DFSCRIPTION` 5 / llez_-z
Lot B ock S ivision or 'IEix Parcel ID
IF EXISTING STRCCTORE, DATE OF ORIGINAL BUILDING PMMLT ISSOANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q CONA'lEE2CIAL/RE,TAIL/OFFICE ~R-1 SINGLE FAMILY
Q INDC'STRIAL ~ R-2 DDPLEX (3Uu L'nits)
Q INSTIZL)TIONAL/GOVERNMENT ~ R-3 TOWNHOL~SE (Three + Cnits) ( Onits)
Q R-4 APARTMENT/CONIDOMINItiM ( Units)
41
2) ~ NAME:
ADDRFSS:
CITY, STATE, ZIP: /y!/?
PHONE:
For City Use
3) • i: NAI`7E; Plumbers I.~ cense:
ADDRESS: Active
Expired
CITY, STATE, ZIP:
Z-/ Not recordec
PHONE: MASTER LICENSE #
Sta In~f itia~
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) + a• a~• • au . i a~
a CONNECTION TO CITY 'S1EWER ~ CONNECTION 'IC) CITY WATER O OTHER
\ l~
6)
:t***+*+*+*w*,t**+*****:t~+**+*~***~**.*vr~,r*+*~~++~***++*~*++***r,**+:r~+**.«**,t*++*,t~*,t~+~**+*.~r*r*r~~.
* y
THE GOLD COPY OF 'iiIE PERMIT WILL BE SENI' DIRDCfLY TO PLBLIC WORKS 70 FACII,ITATE METE72 PICK-UP.
,*t PLEASE ALiAW 'IWO WORKIP]G DAYS FOR PROCESSING. SOMFONE FROM TEE CITY WILL CONfALT YOU IF allERE t
* ARE ANY PROBLF2IS. ~
~*****~~+**r*****,r+.**rr**+***+*~r,r****+xr****,r**+*****r+~«r~*,r**?:*r«**,e**+**,r**********r:*+:~**~*fy
FOR CITY USE ONLY
PERMIT # ISSUED •
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMZT (INCLCDE SI7RCHARGE)
$ $ WATER PERMIT (INCLUDE SCRCHARGE)
$ $ lp ~J• U Z~ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOCNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S $,~2D y' WATER TREATMENT PLANT SORCHARGE
$ $ 1,;2• 3-7) OTHER: e~ f,t~
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
El NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
.
. ~
EAGEiN TOSdNSHIP
3795 Pilot Knob Road
` St, Paul, Minnesota 55111
- Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: March 5, 1971 NUMggg 706
1 O2ut~ 4-2-
OWNER• Robert Doane Address 3326 Wren Lane, St. Paul 55121
PLUMBER same TYPE OF PIPE cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Reaidential Multiple Dwelling No. of units
Ioaoc
Location of Connectione: Connection Charge 200.00 d 3/5/71.
Account Dep. 15.00 pd 3 5/71
Permit Fee 10.00 pd 3/5/71
Street Repairs
Total
Inspected by;
Date
Remarks•
Sy.
Chief Inspector
In consideration of the issue amd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•inship, Dalcota County, Minneaota
BY
Robert Doane
Please notify when ready for inapection aad connection and before any portioa
of the work is covered.
,
. .
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERPUT FOR WATER SERVICE CONNECTTON
Date: March 5, 1971 Number: 547
Billing Name: Rohert Doane Site Address: 3326 wran LanP,_St_ Paul 55121
pwner; same Billing Address same
Plumber: same
Location of Connection Meter Size Connection Chg.
NOT HOOKING UP AT PRESENT. Meter No. Pexmit Fee 10.00 pd 3/5/71
SWbpS BRINGING WATER INTO
HOUSE AND CAPPING OFF. Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remazks:
Residence xxc
Idultfple No. Units
Commercial
Industrial By:
Other 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 Fagan Township, Dakota County, Minnesota.
By: -VV
Robert Doane
Please notify the above office when ready for inspection and connection.
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STRUCTURE AND
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Issued To
Permit No. oIssued Coniractor Owner
BUILDING
PLUMBING _
CESSPOOL - SEPTIC TANK
WELL
ELECTRIGAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Inifial) Date Remarks Disfance From Well
FOOTING 0. S SEP71C
FOUNDATION CESSPOOL
FRAMING d~~ ^ 7~ TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HE,4TING OF WELL
GAS INSTALLATION
SEPTIG TANK
CESSPOOL
DRAINFIELD
PWMBWG
WELL
SANITARY SEWER
Violations Nofed
on Batk
COMMENTS:
1-~~" ~C O
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.897.7568 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: September 22, 2004
TO: Tom ColberUWayne Schwanz (EM) Fax (651) 675-5694
RE: Well Permit 04-1-1222314 Well Type: Domestic
Municipality: Eagan Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmeiital Management Department lias
received the following permit application for the well described. If you require further review of the applicatioo or
if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at
(952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we
will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always
conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor: Sampson Brothers Well Co.
Date Application Received: 8/I 1/2004
Anticipated Drilling Date: Time:
Anticipated Grauting Date: Time:
Property Owner: Todd Baumgartner •
Well Owner: Todd Baumgartner
WELL LOCATION:
PLS Coordinates: SE 1/4, SE 1/4, NW 1/4, Sec 12 Town 027 Range 23
Street Address: 3326 Wren LN
PIN Number: 103200105001
WELL INFORMATION:
Diameter: 4
Casing Depth: 335
Total Depth: 346
Static Water Level:
Aquifer.
COMMENTS:
-
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~ Eagan Building I Eagan Development I Permits ~
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~ SdLLY,CIR Address F326 WREN LANE
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MN 55121
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ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION 5ECTION ~
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www•co.dakoW.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: August 26, 2004
TO: Tom Colbert/Wayne Schwanz (EM) Fax k: (651) 675-5694
RE: Well Permit 04-1-1222314 Well Type: Domestic
' Municipality: Eagan Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management Department has
received the following permit application for the well described. If you require further review of the application or
if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at
(952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we
will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always
conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor. Sampson Brothers Well Co.
Date Application Received: 8/11/2004
Anricipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: Todd Baumgartner
Well Owner: Todd Baumgartner
WELL LOCATION:
PLS Coordinates: SE 1/4, SE-1/4,-NW 1/4, Sec 12 Town 027 Range 23
Street Address: r 3326 Wren LN
PIN Number: \ 103200105001
WELL INFORMATION:
Diameter: 4
Casing Depth: 335
Total Depth: 346
Static Water Level:
Aquifer:
COMMENTS:
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