2857 Vilas Lane
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~
BUILDING PERMIT Receipt ~
To w wed fer Est. Volue ' Date
Site Addrea " ? L` Erect Q Occupancy
Remadel ? 2oning
Lot Bicek SeclSub. ` ' T
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
~ Name
~ ~ Demolish ? Depth
Addras 2857 V I L.A F: Grede ? Sq. Ft.
City jAtPhone Install ?
Name Apoeovak Fees Addreu Assessment Pem~?it
Woter 6 Sew. Surchorye
1-- City Phone
Police Pian Review
Fire SAC
P°C Name
C
W
Address Enp. Woter Conn.
O'W City Phone Plonner Water AAeter
Councit Rood Unit
I hereby ocknowledqe thct 1 haw rcod this opplication ond state thot Bldg. Off. Parks
the intormation is correct and ogree to comply with oll opplicable APC Total
Stah of Minnesota Stctutea ond City of Ea9on Ordinonces.
Var. Date
Slqnotun of Pertnittao '
A Buildinq Pertnit Is issued to: on tM express tonditbn Ihot
oll work sholl be doro in ocoordonu with olt opplicoble Stote of Mln.+esoto Stotutes ond City of Eapan Ordirwnces.
Buildinp Offlciol
Pa.nk Na Pwmit HoIdK Dem ToNottons
~
Plumbin0
H.VA.C.
ENatric 1 SL
Softwwr
Irapection Daa Insp. Oehw
Fovtings
o- _ •
Foundation
Frowminq
Rooflny
Rouyh Plbo.
Rouyh HV
InwHtion
Find Plbo.
Final HVAC
Final
Grt/Oo~.
D~texibs location:
j-Pr.DIsp
Receipt - PLUMBING PERMIT Permit No. '
CITY OF EAGAN .r.
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot '
1, Date 2. Installation Cost
~?p, Co~x Y~ fK_
3. Job Address Lot b Blk. L Tract
4. Owner lE, JOric.r .
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential {_7 Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
10. Descxibe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN Fiemarks'
10 18300 O80 09
Addition CAUntr~* HOma uPt gt,ts Loc 8 Rik 9 Parcel
OwneR Street 2857 Vi 1 a a T.anp State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 $100-00 $3.33 30 PAID
WER LATERAL & Stub 1972 P ID
WATERMAIN
* WATER LATERAL Z
WRTER AREA
STORM SEW TRK ' 1984 495.00 33.00 15 429.00 A01 g60 26 8
STORM SEW LAT
CUFi6 & GUTTER
SIDEWALK
STREET LIGHT
V4ATER CONN. 6324 8-24-72
BUILDING PER.
sac $260.00 - -
PARK
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: } APPLICANT:
I nrli 1 , i NNF MAh I r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . D
IItI. i liI I 1ti I I I-.I I I i:.,
:II~II,II f fl ii 1I• I 11JoV1
I : I f 9 1 s 4; l l ' rti I i f 1 1 , h 1 1 I ' I I r p l i t I 1 I J l i l l 1 4 . i NN`i I ' 1 1 1 M 1 i 1 N l , I 1 1 , i I I I I?ill111 G•11.IN1
~
F
~ ' ~
Permit No. Permit Holder Date Telephone !i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings i
Foundation
Framing V
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
Bldy. Final
Deck Ftg.
Dedc Final
Well
Pc Disp.
~
4~
EAGAN TOWNSHIP x~ 1150
BUILDING PERMIT
Ownen ......'---_...---~S,~c.:'~~----p----~-------------- Eagan Township
Addresa (preseni) Town Hall
Builder ---....~'^:'._~'....~ci.c..c!r?..--------....... Da!e ./z.._6. f
~__SF
Addrees
DESCRIPTION
Sfories To Be Used Far Froni Depth Heigh! Esl. Cos! Pezmi! Fee Remarks
`Q""R] d ~ ~ ~ ~--?..ar /els . ~
LOCATION
5ireel, Road os olhes Descripfion of Locafion Lo! Block Addifion or Trae4
e 9 co. ,t~~
This permif does nof authorise the use of sfreeis, roads, alleps or sidewalks nor does it give the owner or his agen!
the right !o creafe any siSuafion which is a nuisance or which psesenls a haaard !o the healih, sefely, convenienee and
general welfare !o anyone in the communiiq.
THIS PERMIT MUST BE KEPT ON THE PAEMIS~E /~rHILE THE WOAK- IS IN PROGAESS. ~ r~-~~. ~
This is !o eesiifp. ~~-•---..-..has Permission !o ereat a... -1-- _.~.u.... ~.riy'..~.u-p-on
the ebove described pzemise subjeef !0 the Provisions of the Building Ordinance tor E~Townsh' adopied Apsil 11,
1955.
~y
_ Per
' . _
Chairman of Tnwn Board Building Ins p eclor
L
r
,
;
; E~??G~?N °r01Ni~1 S~I I P N~ 109
~ ' BusL~an~G ~E~a~oar
Ow x --~r-p-~--- - Eagan Township
~ A re (Preseni) . ~ . - . Town Hall
Builder - ~
DaYe - -~,G`l--
Address
DESCRIPTION
5fories Ta Be Used For _ Fronf Depkh HeighS I Esl. Cos3 Permi! Fee Ramarka
~ ~il ~ ~ .
LOCATION ~ ~
Sireei, Road okher Descripiion of LoeaYion I Lo! Block Addilion or TracY
~ ~i5 ~ ~ ~ . ~
This permif does no! aufhorize !he use of sireeYS, roads, alleys os sidewalks nor does ii 9~v he owner oi h' agenl
fhe righi !o ereale any sikuafion which is a nuisance or which presenls a hazard io fhe healih afeiy, aonven' ee and
general welfare !o anyone in Yhe communify.
THIS PERMIT MUST BE KEP T E PREMISE WHILE THE WOAK IS IN PROG/R~ S~~.~~~/ ///-~j~ .a
This is So eexiify, ihal. . . .....__..".'___..has permission 3o erec! a...~!.nvsu....s~! _..'._..__.._........_upon
ihe above de i e e is ovisions of She Building Ordinance for Eagan Tow~dopied April I1,
1955. ~
~
. .1 Per
. ................__..'........q....._P_................................
Chairman of To rd ~ Buildie Ins eeYOr
, CITY OF EAGAN nj° 1010 6
` 3830 Pilot Knab Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 ReuiDt 79
#
Te M awd fm POOL Est. Value $.000 Date ]~DDTT i ~ , ~q~~,
Slte Addrets 2857 VILAS LANE Erect ~ OccuPenoy
~ -
Lot $ Block 9 SeclSub. CTRY HOME HTS Remadei ? Zoning
Repair ? Type of Conrt.
Parcal No. Enlarge ? No. Storiea
Move n
Neme LESLTE JONES pemollsh ? Oep h
~ Addteez 2857 VTL•A4 LANF. Greda ? Sq. Ft.
city EAGAN phone 454-8940 Inatall ?
VALLEY POOLS, INC. Aypravab Fas
~ Neme
Au A Assessment Permir 68.50
651 CLIFF RD
1- City BURNSVILIpkone 894-1480 wnter85ew. Surchorpe 4.00
PoliGe Plan Review
t~ Name Fin SAC
Address Enp. Water Conn.
"W City Phone Plonrar Wotar Meter
CAUncil Rood Unit
I hercby ackrowladpe rMt I havs reod this appliwtion end :tate thaf gldg. Off. 4 /1 7/8 S Parks
tM inlormofian is CArreel and ogree ro wmOlY with oll opplicable APC Totnl ~J2 _~j~
SroPo of Minrxsoto Stotutea ard Ciry of Eagan Ordiron
~ Ver. Date
Siynaturo of Pem+iMaed.:-J -
A Buildinp Permit Is Issued ro: VAT.L•LV OOLS. TNC _ on fhe express conditlon Ihot
dl work shall 6e dona in r~da/r}c~e with~g opplicable Stote ot Minnewto Stotutea and City of Eapcn Ordlnoncea.
Buildirp OHitial
h-~r-
, ,~PI olo~
_ CITY OF EAGAN Include 2 sets of plans,
1 Certificate of.Survey &
• BUILDING PERMIT APPLIC'ATION 1 set of energy cal.culations.
PooL- ~ -
-4
To Be Used For Valuation ~Mp Date
Site Pdclress: y OFFICE USE ONLY
Lot 7> Block Sec./Sub. e-jrw J--h~ine_ Erect X Occupancy
Parcel ~-T Alter zoninq
Repair Fire Zone
r~6x7E5 ~~e _ Type of Const.
Nbve # Stories
Address: &„qC L:tE Demolish Front ft.
City/Zip Code:„~ ~"()@J ~I2,1 Grade Depth ft.
Phone # : ~-.S~^ ~~l!~~o APPROVALS FEES
Contractor: Assessments Pernut ~8. J~
Acldress: - re Water/Sewer Surcharge 4
Police Plan Check
City/Zip Code: (;E A1 Fire SAC
Phone Eng. Water Conn.
Planner Water Meter
Arch./Eng.: Council Road Unit
K~ Bldg. Off..f-
Address: APC
City/Zip Co3e:
*pne # : T7PAL 7 ~ , U
2004 RESIDENTIAL BUILDING PERMIT APPLICATION -70
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremenis RemodellReoair Reauirements Ofhce<Use O~v
3 registered site surveys showing sq. fl. of lol, sq. ft. of house; end all roofed areas 2 copies of plen Cer~?1 S~~ ~ .....Y _.-N
(2(Pb mazimum lot coverage allowed) 1 set of Energy Calculations for heated addiGons ~reEPrCSPI&ti..:RCC14 _ Y_N.
2 copies of plan showing beam & window sizes; poured found design, etc. . 1 site survry for additions & decks Tres Pres f~urced Y N
1 set of Energy Calculatiom Addifion - indicate ii onsife sepfic system 6 [t811839pGe:5ysiein
wpies of Tree Presemalion Plan if lot platted afler 711193
Rim Jast Deiail Oplions selection sheet (bldgs wBh 3 or less units
Date / Construction Cost
Site Address a0`~'J-7 U( j Gt.S L,0--Vl.,0_ UniUSte #
Description of Work 29.Q/J2 ! a n-NlI g- ^ 1
Multi-Family Bidg _ Y_ N bYreplace(s) _ 0_ 1 _ 2
Property Owoer tQ rrLP C 4, o !n /~t i 0 Telephane # (b5 1)
Contractor
_ ts ~tt~nnar,OD~
Address N.Ir ktP~e Ci
State }'nN Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Mlnnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submisslon type) Submitted Submitted
. Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Conhactor SEP 0 9 2004 Telephone )
Sewer/Water Conhactor Telephone #
Y
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 pernut, but only an application for a pernut, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
d~Gw'Tw. AeL7.S
Applicant's Printed Name Applicant's Signature
OFF'ICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 af_plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WndowslDoors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation 4momoRm Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FiiuiUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W PeRnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~T, . PERMIT ~UqA
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z Lo z NG
Eagan, Minnesota 55123 Permit Number: 025138
(612) 681-4675 Date Issued: 0 3/ 0 7/ 9 5
SITE ADDRESS:
2857 vzLAS LRNe
LOT: 8 BLtlCK: 9
COUNTRY MOME HEIGMTS
P.I.N.: 19-18300-080-09
DESCRIPTION:
r°l MAC SOUND SNSULATIOM
Bmilding?_Permit 7ype SF (MTSC.)
~ulldinq I~a~rk Type ALTERATION
r`~ .
~r"~ . -•.a
! (
~ A'~
,
Q7L Q
REMARKS:
A SEPARATE PERMTT IS REQUZRED FpG2 ANY PLUMBING OR ELECTRICAL WOftK
FEE SUMMARY:
VRLUATION $12,000
Base Fee $135.00
Plan Review $87.75
Surcharge $6.00
7ota1 Fee $228.75
CONTRACTOR: - Applicant - sT. LIC. pWNER:
,70HNSON CONST, LYNNE MARIE 15531983 2001213 LARSEN JEFF
6272 YUCCH I.N N 2857 VILAS LANE
MAPLE GROVE MN 55311 EAGAN MN 55121
(612) 553-1989 (612)835-1656
, S Yseretry aeknowledge Ghat I have read this applicaCion and state that the
, inform;atian is correct ahd agree to comply with al1 applica-ble State of Mn.
5tatutes and Gity of Eagan Qrdinances.
L J
Pw~--'--~°RE~~'~~-~
APPLICANTlPERMITEE SIGNATURE -~~IS ED B:51
I-It CITY OF EAGAN Eooas
~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ~ zA ,
New ConstruCion Reouirements RemodellRenair Reauiremerrts
? 3 registered sRe surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exteMOr additions 8 decks)
? 7 energy calculations ? t energy wlalations kr heated addilions
? t Vee preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: Fel;ruar"s 15_ 1995 CONSTRUCTION COST: 811.004.00
DESCRIPTION OF WORK: Misc. Alterations - MAC Sound Program
STREETADDRESS: 2857 Vilas Lane
LOT ~ BLOCK ~ SUBD. (Xm`~~~,y P.I.D. #
J
PROPERTY Name: Phone
OWNER
5treet Address-
City: State: Zip:
CONTRACTOR COmpanY:LYAA7E MARIE JOHNSON CODISLRUCfION, INC. PhOne 553-1983
StfQBt AdCJr@SS: 6272 Yucca Lane North LIC@11SB 20012133
CIty: Ma:lP r.rove MN 55311
ARCHITECTI Company: Phone M
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies 'rf address change or lot change
are requested once permit is issued.
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-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Mufti (Misc.) 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
CP~-05 SF Misc. 0 10 Multi (additional) 0 15 Deck
WORK TYPE
? 31 New &'33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code z-/ 3%
# of Stories sq. ft. SAC Code ~
Length sq. ft. Census Bldg. i
Depth Footprint sq. ft. Census Unit O
APPROVALS
Planning Buiiding Engineering Variance
~
PermitFee Valuation: $ oQO
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
191•~~
r
Ma
H
l
Lor S z d~ Ln~
luz L~~E.
1
N
Lha,6e
SK1lnfneR
ORAi~I Mt~RT
~a$ ~6G ~.~q4
GK ~E0.
IY1,E~
iF
Pnr~n hFC~ ~ Q
I V ~T]4ii~~ED
~
ip
i•
NJJSE ~
R -z7z~
LgL ~J CITY USE ONLY RECEIPT
SUBD. DATE:.317195
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
~ Add-on air~conditioning Firepiace conversion (to existing fireplace)
OM J'?l},?bLa i,J &jap,4~ w) _ A^49rk AAD ('aadaa_tz pw_-O_ ,
Date: 3 `3 ' 9 5
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required aQ $3.00 each)
? State Surcharge .50
TOTAL 20 • 50
~
- - - - - -
SITE ADDRESS: 2-957
OWNER NAME:3L-E)r-rd- a?inJqg /,&50J PHONE
INSTALLER NAME: MR491 Hea'l""ul AriQ A-%e Co.1d
STREETADDRESS: 62y$ LAMLiWD n°( Ah
CITY: 91Z0VI(-I!jJ P~K STATE:ZIP: 5s-V7_8
PHONE (617 ) 636-0667
SfGNA70Ff'E PERMITTEE
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-famiiy buildings when separate permits are ~ required
for each dwelling unit.
r~nr,-~1 •ron -r nn~.~l-.
DATE:
~ .,..c.
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: w $25.00 minimum fee Q 1°/a of contract price, whichever is greater.
p Processed piping - $25.00
State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ACDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
~j, j'
~ U LOT V BL PERMIT!!: `}oibl
SUBD. COU 4V4 Vrp 14 Q I h I S' RECEIPT / r} S ~O
~
RECEIPT DATE: -373 C~- (7 O
2000 MECHANICAL PERMIT (RESIDENTTIAL)
CITY OF EAGAN -
3830 PILOT IINOB RD
EAGPN MN 55122
Date• I o 0 651-661-4675
Complete this section on if you are installing I-NAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
. HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcherge .50
Total $
Complete this section onlv if you are remodelin¢, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
V New _ Alteration _ Repair _ Other
Furnace _ Air conditioning
_ Au exchanger _ Other Fx hn oSj- o
~~Kha~S3- ~wn 7
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspectioru
SITE ADDRESS: _CQVS]_~ i? (2--%_1 OL r) 'eaa a n~
OWNERNAME: pxorEn: ? ~2_3 ~
(AREA CODE)
INSTALLER NAME: PHONE (01 Z - N ly r~ ~ I b
(AREA CODE)
STREET ADDRESS: ~Cl ) M a i r~ ,5~ ~ n Bn 9n
ciTY: 9`3emhe( STATE: /"J U! _ ZIP: 5,50 0 ,S
SIGNATURE OF PERV TT'E~
CITY USE ONLY
L _ BL _ PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (COD4IERCIAI,)
CITY OF EAGAN
3830 PILOT ANOB RD
EP+GAN, MN 55122
651-681-4675
Please complete for. all commerciai/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: _ New construction Install U.G. Tank
_ Interior Impmvemeut Remove U.G. Tank
_ Ptocessed Piping
R'hen installing/semoving undergrouxd tank, ca!! 651-681-4675 fos inspection by fire marshal and
plumbing inspector.
Descriprion of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is geater.
Underground tarik removaVinstallation = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
s?T-EADnREss:
OWNERNAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE
(AREA CODE) ,
CITY: STATE: ZIP:
SIGNATURE OF PERMITTBE
CITY USE ONLY 2 ch q f~ I
lJ
LOT ~ BL q r ~ I PERMIT
SUBD. ~(1 k r, ~n=A n~ NCj VYI.a 1 I 4JZ1- RECEIPT
RECEiPTDATE: 3"IC~ 00
p5 i~10. C
2000 MECHANICAL PERMIT (RESIDENTIAL) Pcxxx os sacnx
3830 PZLOT KNOB RD
EAGAN 2M7 55122
651-681-4675
Date: .3 ) (o
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
cons*luction and not owner/occunied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets (minimum of one required Q$3.00 ea.)
State Surcharge .50
Total $ 3(1 • Sb
Complete this section onlv if you aze remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
X New Alteration _ Repair _ Other
Furnace _ Air conditioning
Air exchanger X Other Ex haL) ~-s A-- MGt``J
Fee $ 30.00
3tate Surcharge .50
Tatal $ 30.50
Reminder: Call for inspections
SITE ADDRESS: 98 -7 1/i ) A S Z-G h
& vl, ~ p
OWNERNAME:N'onr A~ )eF~ C~c- nrs PHONEN: 12 ~eg6~ D~c3l!7
(AREA CODE)
INSTALLERNAME: 'Shee-F fVf42- +Q f PHONE#: /n2 - - 0 I
(AREA6CODE)
STREET ADDRESS: f
CITY: 15e-a kic STA1'E: _ IY]i1/ ZIP: W OfS
~-~~~~l 4
SIGNATURE OryERMI E
cmr use oNLv
L BL PERMIT
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (COMNMRCIAL)
CITY OF EAGAN
3830 PILOT IQiOB RD
EAGAN, M 55122
651-681-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TI'PE: New constructioo Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Pipiog
When instaUing/rennoving underground tank, call 65I-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Undergound tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $50 for each $1,000 Base Fee
TOTAL $
-
SITE ADDRESS:
OWNERNAME: PHONE#: -
(AREA CODE)
1`ENANC NAME (IMPROVEMENTS ONL17:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
5IGNATURE OF PERMITTEE
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mianeaota 55111
Telephone 454-5242
PERI41T FUR WATER SERVICE CONNSCTION
Date: AugLiSt 23a 1972 Number: 954 ~'S-q C• l~•
Billing Name: Williazn Adams Site Address: 2857 Vi1as Lase
Owner: same Billing tlddress
Plumber• same
Location of Connection Meter Size Connection Chg. 300. p,,,4,.,1
S325788
--/1o.oof'/
Meter No. 22117940 Permit Fee
Meter Reading 00s00 Meter Dep. •50 s/c
Meter Sealed: Yes_ Add'1 Chg. -ft60 copperhorn
IQO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx
$Z5~ - - ~
.I~U
14u7.tiple n'o, vntt8 IMpRpFLRLY ildSIt;LLL-D friETEftS.
Commercial
Industrial By;
Other Chief InspecCOr
In consideratfon of the issue and delivery to me of the abwe permit, I
hereby agree to do the proposed work in accoxdance with the rules and
regulations of Sagan Township, Dakota County, Mianesota.
sy:
Wiuiam Aaams
Please aotify the above office when reedy for inEpection aad connectiou.
T
EAGAN TOWNSHIP
3795 Pilot Rrtob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• August 23~ 1972 NUMBER 1113
OWNER: Willia¢n Adams Address 2857 Vilas I,ane
PLUMBER same TYPE OF PIPE Heavy Cast Iron
AESCRIPTION OF BUITD ING
Induatrial Cammercial Residentiel Multiple Dwelling No. of uniYs
~
,
Location of Connections: Coanection Charge260•00 w
Account Deposit 1 .00 y~ 7 -a<f-~.~
Permit Fee 10.00 iAA 7~
,50 s/c
Street Repairs
Total
Inspected by:
Date
Remarks•
Sy
Chief Inspector
In conaideraeion of the issue aad deliverp to me of the above permit, I
hereby agrea to do the proposed work in accordance with the rules and
regulationa of Eagan Totmship, Dalcota CounCy, Minneaota
By
Wi]liazn Adaras
Please notify whea ready for.inspection and cotmection and before any portion
of the work is covered.
10i14 193 10:24 ID:DAICOTA CO-WSC FAX:6128917031 PAGE 2~ xn
4~t
?!~•a n e
MUNTCIPAL HOTICE 08 NELL P8MIT 1?PpLICATION
IfAKOTA GOVNR'Y 811VIRAt11d6NT11I, WINACiBlM DBPA&TMBNT
W11T8R ANA L11ND NANA(i8loNT 88CTiom
14955 Galexie Avenue pest, AppZe Valloy, MN 55124
Tel (612) 891-7011 FdX (613) 891-7031
D1?TB: Oatober 23, 1993
TOe Ta~m Colbert/p?ayne Sahwar?s gau #t (612) 681-4612
FROI[s Nater atld Land ![anagement
RSs Nell P6rlqit 93-9263 Nsll 3'ypY: $polirig
MUniaipelity : Eagan Revierrer : Rutten NOTICE:
The Npter atld Land Mannqwoent 8ectian of tho pekota ,Couzfty Snviranmental
Malugement Depei~tment has reoeived the following permit application !or
the well daocribed. if you requirp futher reviav oP tha Application or
3P you have eny queptions Or aonaerns about it, ContttCt the 8nvironmantal
6pecialist liated ahove or vur otfioe ilt (612) 891-7011. Ip thera ie no
regponee from your ofiioe vithin Za Hovgg (exolufling reskancls euid
holidays), ve vili aeaume that you have no objectioas to the issuAnce of
the F?ermit. Please note t.hat permit lesuenca is elprays aonditioned oh
the parmit nppiicant's obgezvanae oP anp oomplianaa with sli appiiaabie
laws and cvdas, a ccpp of the ve21 permit will ba Porwarded tio your
offiCA ilherr aonpletod.
WELI, CoNTRi?CTOIt INFORMATIONa
itahar Wall Drilling
A~n~iaipated ari113n~S~litaig1Date i# knom; Times t
LOCATiQ1P OF ifEL,Lt
PLS Coordinatos NW kl SW SW 8ec 3~ Toan 27 , Rm?ge 23
Weil Location 2857 Vilae I,ene
Proporty owner Ias & Nanoy Joneo
Weli Owner Les a Nancy aones
PID Numbex 10-18300-08-009
fOBI.?+ INIPOR!(ATTON:
Diameker
cassr,g a.pth aao
T~al depth aza
O163
Aquifer Unoonsolidated sedimants
COt4ENT8 s .
R=95% 612991'f031 10-14-93 10:22AM P002 SF18
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
o.a~~ xo. i u:
WELL AND WATER SUPPLY MANAGEl4fENf
Permit No.
WELL PERMIT
DAKOTA COUNTY ENVII20NMENTAL MANAGEMENT DEPARTMENT 93-9263
WATER AND LAND MANAGEMENT SECTION
,.y. •F ' 11955 GJuie A,mue, Apple Vdlq, MN 55121
Tdcp6ooc (613) 891-7011
R'l ft ll
WHEREAS, the NON-TRANSFERABLE
PERMITTEE/DBA: Maher Well Drilling ISSUED TO: 19301
ADDRESS: 17530 Red Wing Blvd. REVIEWED BY:Rutten
Hastings, MN 55033
has submitted a permit application, has paid the sum of $108.00
dollars to the County of Dakota as required by Ordinance Number 114 and
has complied with all of the requirements of said Ordinance necessary
for obtaining this permit to seal the Well described herein:.
An abandoned well with a casing diameter of 4 inches, depth of 224 feet,
and completed in Unconsolidated Sediments, will be permanently sealed.
The well shall be cleaned of equipment and debris, disinfected, neat
cement pressure grouted and terminated at least two feet below grade.
THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLIAWS:
WELL IACATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS
2857 Vilas Lane Les & Nancy Jones Les & Nancy Jones
2857 Vilas Lane 2857 Vilas Lane
Eagan, MN 55121 Eagan, MN 55121
NOW, THEREFORE, Maher Well Drillinq is hereby permitted and
authorized to construct the well described and located above for a period
of one year from the date of this permit. Construction of this well is
subject to all provisions of Dakota Countx Ordinance 114, the Minnesota
Water Well Construction Code and any conditions attached on the reverse
side of this permit.
Given under my hand Wednesday, October 13, 1993
, ATTES
EN~LI-ROl N'PAL SUPERVISOR ENDIRONMENT MANAGEMENT DIRECTOR
~
SOi14 '9;; 10:24 ID:DAIQ]TA CO-WSC FFa!(:6128917031 PAGE 2~
?l~•a o e
P![1NTCIPAL NOTICS OP IPBLL pgRl[Im ApPLICATION
DAKOY'A OOUNTY BHS/IROMISNTAI. If7?liAGH9E1iT DEPARTlENT
ivATS& 1?ND LAttD NAN71ci8tl8NT SSCTxoN
14958 Galexie Avenue West, Apple Vallap, 11N 55124
Tel (612) 881-7011 FaX (612) 891-7031
W?TEt OCtober 13, 1943
Tom Colbert/Wayne gchaaaa Fax (632) 681-4612
FR~M: Water etld Land t~[anaqem~t
R8: Well Pex7qit 93-9263
1~hhanicipal3ty : ~ggn iPall Typo: sealing
Reviower s Ruttan
NOTICSs
The i4atar afld Larxi Maraqement gec{ion of the Da)[ota County Bnvironmantal
Management Department has received the foliowiag Permit applicatian for
the well described. Ip you require Puther reviev of tha uppiication or
! specialist@listed a~enoroo~ plpf~ dt o (612) ' 89n p,~Yp$~ere~is nol
I' regponma from your oPfico Wit.hin aa x~ouRS texcludfng weskendo and
! holidays), ve wili aesume that you hava no objectio»e to the 1sauAnpe of
~ the perm~t• Please notA that peripit iesuence is alaays aondiEioned on
t
he permit 4ppiicant';~ obaezvance of ar~d complienca vith sli nppiiaebie
laws
officanwlfandc~cmp2etedpx °f ~g wall paripit vill be fonrarded to your
WEW+ CON'1'RACTOA ZNFORMTTON:
Nahsr Weli Drilling
Aptilicatlon nrilliaqjSealing1Date if known; Time: ;
I+OCATIQN OF iPSIy:
PLB Cocrflinatem t, Nq t, 8W k$W g
Well Loaation 2857 Vilne Ler,e ' eC 3, T~ 87 ~~g~ Z3
Property ptmBr Les & Naney Jonea
Well OWneX Les 6 Nancy sonos
PIb Ntunber 10-I8300-08-009
WRLL INirORldATTON:
Diameler
casinq aepth 220
Tutal depth 224
sNL 163
Aquifar Unponsolidated Sedimetlts
COWiENTS:
R=95% 6128917031 30-14-93 10:22AM P002 #18
Use BLUE or BLACK Ink
Limb, - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
I For Office Use I
I Permit Z~ 3
non I
City of EaV
I Permit Fee: b
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: LJ(~,'L Phone:
Resident/
Owner Address I City !Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work r?-0,, v r-o F /
u
Construction Cost:Multi-Family Building`. (Yes ! Nop(, )
Company: Contact:,5-o 6 b 1 <_,gV5 6>a B 1
Contractor Address: 4)5- City: ty;, C901-4
State: Zip: Phone: 61;1-1
License ! gb a-q Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m be completed within 180
days of permit issuance.
x V ~ L L~ 0)/
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3