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1468 Southridge AveCITY OF EAGAN 9795 Pilot Knob Road Eegon, MN 55122 e ` PHONE: 454-8100 BUILDING PERMIT Site Address Lot Block Parcel * w Name 3 Address O City a Name .Q 0? Address Name _ Address Receipt * N2 5333 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move Q * Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment - Water & Sew Police Fire Eng. Planner Counci I Permit Surcharge Plan check SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that Sec/Sub. AV all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official Penult # pate I=uod psmhtee Plumbing ?-Is - I a - {?rrl*ho+tiV Mechanical C r 0-k, -7 F INSPECTIONS DATE INSP. Rough-in Final Footings _ kAf-21 Date Insp. Date Insp. Foundation Plumbing 8"o7fu " Frame/ins. -.,2 701 J--f- 7f Mechanical Final ZZj/, Remarks. t` ?l a ?3 1NSFEU ION REUO V CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: t Of t u I . I, APPLICANT: ., that- AVI 1'111 1 ! I I PERMIT SUBTYPE: TYPE OF WORK: s PAIR t, i ci r t f?oof Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Lot 1 Rlk M ,.1e 1 T-Ga r1GniTIA a1 I.-d 10 81 IL01 010 01 /ti/-r .,i Improvement Date Amount Annual Years Payment Recei t Date STREET SURF. 1962 7 3 5, 00 73.50 1 STREET RESTOR. GRADING SAN SEW TRUNK 1968 100.00 0 aid # SEWER LATERAL 1970 20 WATERMAIN * VfATER LATERAL & area 1970 2 1 0,00 125.50 20 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK -FJ t_ 7473-44. EAGAN TOWNSHIP xo 1039 BUILDING PERMIT Owner .... ............................... .................... -................... .....-........... Eagan Township Address (present) .... ................................. .............___.....--..........-. Town Hall Builder ...... .......... .."..._ ............. ?i E Date ..-....: ? ? ................................. Address .........1 -i----....._-- DESCRIPTION Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks LOCATION Street, Road or other %sc4'vfion of Location Lo! Block Addition or Tract ,dC' I.p7 1 ?__-- This permit does not authorize the use_ of streets, road al eys of side ks nor o 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 UPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, lhat........,.... ...............has permission to erect a ...... `.._.....`.'.'..'..?.../.-. 1-ar.....--... u on the above described pre 'se subject !o provisions of the Building Ordinance for Ea n Township adopted kpril 11, 1955. _ .............. ... .......... Per ............ ................ ,q.`.`.:`.:L......P................................. Chairman of Tnwn Board Building Inspector CITY OF EAGAN 3794 Pilot Knob Road Eagan, MN 55122 N2 5333 PHONE. 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for HOUSe Re7flOdel Est, Value 15,000. Date 7-25 _ 2.79 79 Site Address 1468 South Ridge Avenue Erect ? Occupancy R3 Lot 1 Block 1 Sec/Sub. Valley View PlateauAlter figt'' ? Zoning R1 Parcel # Repair ? Fire Zone 3 Enlarge ® Type of Const. V s Name Bruce R. Rinkel Move ? # Stories z Address1468 South Ridge Ave. Demolish ? Front 27 ft. Ci Eagan Phone 454-6793 Grade ? Depth 20 ft. p Nome Approvals Fees 0? Address city w Name ?z Address QW CI 1 hereby acknowledge thi the information is corre, State of Minnesota Stat Signature of Permittee. A Building Permit is issue all work shall be done in Assessment - Water & Sew. Police Fire Eng. Planner Council - Bldg. Off. - APC Permit °Wew" Surcharge 7.50 Plan check 24.00 SAC Water Conn. Water Meter Total 79.50 tCl on the express condition that e State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGANN BUILDING PERMIT APPLICATION /Svoo 0-4 To be used for aluation Site Address /Y4& SOrrtrr m Lot Block _ See. /Sub. ??? Parcel U Owner: Address: IyL a SowAr ??? /? Phone H: S 7 4.4 Cam, 73 y?o d Address: _ Phone #: Arch/Eng.: Address: Phone fl: IncYC,de 2 sets of plans, f 1 site plan w/elevationsZtlse S ' of e nergy calculations.Date OFFICE USE ONLY ; Erect Occupancy Alter Zoning - Repair Fire Zone Enlarge Type of Const Move # Stories Demolish _ Front _ 2 7 ft. t Grade Depth ?9D- ft. Approvals Fees ID Assessment Permit Water/Sewer Surcharge Plan Check ? 4 Police Fire SAC Eng. Planner Council Bldg. Off. APC Water Conn. Water Meter Road Unit TOTAL / 1 ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 2 5 7 9 Date Issued: 07117198 SITE ADDRESS: P.I.N.: 10-81401-010-01 1468 SOUTHRIDGE AVE LOT: 1 BLOCK: 1 VALLEY VIEW PLATEAU PLAT 2 DESCRIPTION: REROOF Permit Type Lark Type -tee p ? a s? . ?. "' sL sm?` STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL KR *S5l ( &K REMARKS FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - CASSONE PHILLIP 1468 SOUTHRIDGE AVE EAGAN MN 55121 (651)686-2909 15 UI?,DING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _/No J b ei- E DATE: / DESCRIPTION OF WORK: ar3rcl VV I ryl - STREET ADDRESS: \ Y C7 C> J U u ILA If t BLOCK: I SUBD./P.I.D. PROPERTY OWNER Remodet/Reoair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; * O J Se. Name: Last First 1 c Street Address: l g 6 T ?J 1?r1 1 e City State: _ - 4,3rr+ a Phone #: Company: V-Dc ? Phone #: CONTRACTOR Street City ARCHITECT/ ENGINEER Comp Zip: \ 2, . License # State: Zip: Phone #: Name: Street Address: City State: Sewer & water licensed plumber (new construction only): U and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inform 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 Not ?vF? 2-gDq Registration #: Zip: Penalty applies when address chant and agree to comply with all applicaC OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: T `Y 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units ENERGY CONSERVATION 9UPPLr?. =,'T TO BUILDING PER14IT APPLICATION BUILDING AND SAFE`L'Y DEPART 4MIT CITY OF 4 DATE: This supplement is provided to assist the applicant in computing the EXTERIOR EI -TELOPE n777)_r.S 1Rt" .^.C^_CP I ?C3;! ^IO?r. '?'his infor:rntion is required so the BUILDING OFFICIAL can date:^ine that the submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S responsibility to accurately and completely compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specification, as needed to support the "R" and. "U" factors used; and to assure that construction is accomplished per the approved plans. JOB LOCATION 4LS SbJTH 'ft%qbE OWNER(S) 15 gd R%•AKV., PHONE L 3 CONTRACTOR PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area L(•33 2. Total door area _N oa _ 3. Total sliding glass door area N oN E 4: Total fireplace wall area tJoNE 5. Total wall framing area (average lOb) l.o: c 6. Total net wall area above floor 4L5.49 7. Total rim joist area 5 as-$ Subtotal: Total exposed wall area above floor 8. Total foundation window area Alo13E 9. Total net foundation area above grade ? 34.0O Subtotal: Total exposed foundation area: 134 +:+a GRAND TOTAL EXPOSED WALL AREA '] 3?• oa B. Multi ply.the GRAND TOTAL EXPOSED WALL AREA X .1%4; = Item I 136.36 . i s's C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area GONE 11. Total roof/ceiling framing area +54.00 12. Total net insulated roof/ceiling area 480.00 GRAND TOTAL EXPOSED ROOF/CEILING AREA 54.O.?C D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .0+ = Item II 21•(00 ,p4 . 1. LI.33 X : "U" 6b _ 35.67 2. X_ VUN z 3.. x .. /}~•iV °1.Ills - it d.. Ii 1111 5. X: "U" . o9 '6 425.4°! X U 05. _ _ _ • 21. ZZ 7. ' S 5.8 g X: p. "UN . otL a 2.'L ¢ 8.oaF X "U" 9. 13q•oo X IIN11l1..... 1O = I3 •ADD 1-9 FOR TOTAL WALL SEGMENTS _ Item III 77.9 "toe ermine the',PU" value of each segment (10-12) and multiply,uy the area as follows: \ 10 . k.o1JE.. _ . X "UIt _ 11. S4: oo x NUN 1 $. ¢ _72..486.40?0 X "U" o4i = r1:7 Z. ADUG-1Z FOR TOTAL ROOF/CEILING SEGMENTS r item IV` l 8 If,:Ztem No. III is the same as, or less than Item No. I, you have met the intent of\State Building Code 6006(c)2. If Item No-.-ty ts.'the same as, or less than- Item No. II, you have met the intent of„State Building. Code 6006(c)l. Add Item No. I 13f,.3S + Item No. II Zd.40• _ 157A5 Add Item No, III _.. 77: q1 + Item No.-IV IS-Va _ -? 9(,.Z7 If,:t. a sum of Ztems'IZI ,and IV are ..less 4h4 ,items I and II,, .you have rvt . . the intent ®f the co3e For total envelope system.`" - In addition to the above items you may have to add for such items as floors over unheated spaces, such as cantileverd areas, etc. To arrive at "U" value divide the total of the P values for each segment (as above) into 1.000 Answer you have is the "II" value for that segment. sample: A total 'BII of 35.08 divided, into 2,.000 e .028 "U" Rhe ndersigned, as applicant for a Building Permit-,hereby affirms the at'ove-4 oration has been prepared and submitted by himself or under his-direction; hereby aeZowiedges the ijAformation tobe.correct and accurate; and h'erebip presents the infor:atiAn'With reauired plaf6 ia;'sapport:of the Building Per=it Application Signature Date Cities Digital Quality 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. 1 I 0 f? "Cox ?- 'LAI .:i P.L,. anrL n.; ; v r e 6..11 e L -4 BL _ 1 SUBD. - PCAJ N CITY USE ONLY N1y RECEIPT* ),)(0,531 D RECEIPT DATE: /?1 /-b+'I/ 7-06 PERMIT# ?i d(o 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES ' EACH # TOTAL Alterations to existing dwelling immyrn fee Describe: w f/L Z1,440- $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hottub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished ' requires MPC lie. 75.00 x - $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total -> -> -> - > S O Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - ----- --- ----- - ------ --- -- --- ----- ---- ---- --- ----- I hereby acknowledge the{ I have read this appligtlon, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It Is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 117-06- C/ 4f---- ?' al9D OWNER NAME:: TELEPHONE #: Z 6s/ (AREA CODE) // INSTALLER NAME: ??r ??Fty f?/ZOS TELEPHONE #:??SIo IQJ 6 Fea,,? (AREA CODE) STREET ADDRESS: CITY: STA E:ZIPS-?_ f SIGNATURE F PERMITTEE CITY USE ONLY / ?3 Q ' L BL,?/I D RECEIPT#: SUBD. V ? RECEIPT DATE: 9 9 1997 PLUMBING PERMIT (RESIDENTIAL) ter, . ;. CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)6814675 Please complete for: * single family dwellings townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EA-0 h& TOTAL. Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x _ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x' _ Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = - Water Softener `for dwellings under construction 5.00 x = Water Softener `for existing dwelling 2000 x U.G. Sprinkler 'fordwelling under const. - -- 3.00 - U.G. Sprinkler `forexisting dwelling 20.00 ?? Alterations ' to existing residence JAlater Trrrn Around 20.00 - 20.00 Private Disposal System ` Dak Cty lie. 75.00 (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL r5? ' I hereby acknowledge that I have read this application, state that the Information is correct,: and agree to•complywith. all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability•forany damages caused by the City during its normal operational and maintenance acfivities to the facilities constructed under this:pennit within City property/right•M-way/easement SITE ADDRESS: 1468 Southridge Ave. OWNER NAME: Robert Mertz INSTALLER NAME: Weierke Trenching TELEPHONE #454-3626 STREET ADDRESS: 660 Cliff Road CITY: R c n STATE: MN ZIP:; FF19- f1p 19 '44 Tv ?,r -?---T SIGNATURE OF PERMITTEE f 7-I?97 C JAJ city of eiagan S 1\ Z4? THOMAS EGAN Mayor PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Council Members April 7, 1997 THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk ROBERT & CONSTANCE MERTZ 1468 SOUTHRIDGE AVE EAGAN MN 55121 RE: SEPTIC SYSTEM Dear Mr. & Mrs. Mertz: A Marc 1997 inspection of your septic system by f Samuelson-foetid it to be non- conformng. This o notify you ou-mti t hook up to City sewer system within the next ten months. Please ild Inspections staff at 681-4675 for a breakdown of the permit fees may contact me direct at - onday through Friday between the hours - 8:30 a.m.; 12:30 - 1:00 p.m.; and 3:30 - 4:00 p.m. Sincerely, William Adams Plumbing Inspector E WA/js Ld Gr ?'y Sew 6--17-,77 i?`i MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55 1 22-1847 PHONE (612)681-4600 PAX:(612) 681-4612 TDD: (612) 454-8535 THE LONE OAK TREE MAINTENANCE FACILITY THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT E.AGAN. MINNESOTA 5512^ PHONE. (612) 681 4300 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360 [DD: (612) 454-8535 ?ot'? BIk PID # Sewerlwater permd # 29959 Plat Date 05/12/97 Receipt# 73601 CITY OF EAGAN 1997 SEWER & WATER CONNECTION AND PERMIT CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Connection and Permit Charges Water Connection and Permit Charges Sewer availability charge (SAC) $1,050.00 Wate vailability charge (WAC) $ 780.00 Date previously paid Date viously paid Receipt # Receip Account deposit 15.00 Account de sit 15.00 Sewer permit & surcharge 50.50 Water permit surch a 50.50 Water meter 109.00 Subtotal $ 1,115.50 Treatment plant 420.00 * Plumbing permit & surcharge -2&6Gr Subtotal $1,374.50 Tap 30.00 Utility connection ?- * Plumb' permit & surcharge 20.50 Tap Total $1,415.50 U ' connection Total Sewer & Water Connection and Permit Charges Sewer ailability charge (SAC) 1,050.00 Date r 'ously paid p Receipt # Water availa " charge (WAG) 780.00 Date previously id Recei Account deposit 30.00 Sewer & water permit an rc ge 100.50 Water meter 109.00 Treatment plant 420.00 Subtotal $2,489.50 * Plumbin ermit & surcharge 20.50 Tap U ' connection Total * A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the homeowner if the homeowner is actually doing the work. Property owner p*' Address 1 ?G L?2?Z t ,L?tC , Phone no./-/ 93-.39 q7 Plumber OFFICE USE ONLY PRV 111A No. of taps Utility connectionIf -?GL- JVA Waiver y/A Lot Blk Plat Date Receipt # CITY OF EAGAN 1997 SEWER & WATER CONNECTION CHARGES EXISTING COMMERCIAL PROPERTY Sewer connection charges SAC ($1,050/unit) Date previously paid Receipt # Sewer permit and surcharge 50.50 Water connection charges Treatment plant ($420/SAC unit) Water permit & surcharge 50.50 Subtotal Subtotal * Plumbing permit & surcharge * Plumbing permit & surcharge Tap Tap Total Total Sewer & water connection charges SAC ($1,050/unit) Date previously paid Receipt # Treatment plant ($420/SAC unit) Sewer & water permit and surcharge 100.50 PID # Sewer/water permit # Subtotal * Plumbing permit & surcharge Tap(s) Total The number of SAC units is determined by the Metropolitan Council Wastewater Services. * A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the building owner if he is actually doing the work. OFFICE USE ONLY Property owner Address Phone no. PRV No. of taps Assessments Plumber Waiver I IN SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 03/12/1997 PROPERTY ID: 10-81401-010-01 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100001 STREET SURF 0000 01 0.0000 735.00 0.00 0.00 CL 100040 SAN SW TRK 1967 30 6.0000 100.00 0.00 0.00 CL 100076 S/W L STRT 1969 20 6.0000 2510.00 0.00 0.00 CL 10P689 HAYES/DELOSH/SSTK 0000 00 0.0000 3881.32 0.00 PN ------ SUMMARY OF LEVIED ****** 1997 P&I CERTIFIED ------ SUMMARY OF DEFERRED ------ SUMMARY OF CLOSED ------ PENDING ESTIMATE 0.00 0.00 0.00 0.00 3345.00 3881.32 Press ENTER: or F1. F4, F5, F7, F8 ?vr-- ApR 0 41997 March 31, 1997 Robert & Constance Mertz 1468 Southridge Avenue' Eagan, Mn 55121 D E (Ed) Samuelson 9757 123RD St East Hastings, Mn 55033 437-6310 RE: Septic System @ 1468 Southridge Avenue Eagan, Mn 55121 To Whom It May Concern: The septic system at the above address was inspected by myself on March 26, 1997. The house was built in 1963 and the original system is still in use. Possibly a drainfield was added at a later date. My inspection reveals that this septic system has a septic tank with no bottom. No records were available from Dakota County or the city of Eagan. This is a failing system and must be brought into compliance within 10 months from notification from the city of Eagan. See Dakota County Sewage ordinance which is attached. This system is NOT IN COMPLIANCE. See attached flow chart and MPCA Inspection Forms. IF YOU HAVE FURTHER QUESTIONS REGARDING THIS SUBJECT PLEASE FEEL FREE TO CONTACT ME. ?? S w D E SAMUELSO MPCA #276 saw Minnesota Polluliun Cuolvol ARem-y (MPCA) I)ItA?'rI Inspection Form for Exisihig Septic Systems nATE OF INCI! 14[V: JJ?,)*p_7 l7Ml[: f141-1_ .. W I:Al'IIPRI'UNIrI'll(IN.C: 131'SPERnIfr NUMBER; ItEA50N FVIi1.C1SLBSIIlVC1 H*I'N:1 :11,1CA77VN ?7 / ?• /['`' O RcJmom or bathroom addition Property Ovvrrer(s)_F y?{E2r?.?(t,(?f 7fQNLf y`,f'le.•I elPhlrone ( )O of ' 3,S??a OVarintce Silt! Address .? /GS Sof /NX70GC 14 CilY C-,464,4 OConlplnint Y . AE . Zile Code. T-Tio / .. County DV'kel-4 XProperty 'franster Fire No. Township Name .__.__..___.....__.__..-__ OOIhef_ rlllellf ll ley? Y' N tall I•nllin !'nab attar/I nsit kr nam? SYSTEM Hate tank(s) ever been patent ed? Y N. fear Sydem Built- If yes, how often? far what leu on: (ylealincly f ) I„Isencnl Imckep(] slu(g!ish phuabiu{; (J other Any repair done on system? Y N What \Vbcn Ih wbanl Usage: Ootlter eslnblithmeLL Odwclling Oscnconal Uolhcr_,_ Nu. llcduunna _ No. If occupmlls Water using aphliarrcm OCI(Ilhes washer UUIshwasher U ( i11r Illige disposal Uwhir'Ipnnl hall 13 Wnlcr raallillulllog nail flScIVdcnnm(! bunidifier in btnmce Nearest Surface Water: °-__ R fell, whicle type of sill faire Svalef Q river Olakc (7 xbr:nn(] other (Check oppiolmiale, savor <ymvill t'mngmrnrul and iudivele lornliou un silt tkolch nn I'm l: ul I.aml Tailll(s): XSe lic tank 'I it it Ills) 1\ 11t it I'i it 1: . So i I'I I V It l lit r I I IS I' S lr l u: Pi I Oiler, ' p . ICIg uss .... luck Ib•uoh allclualivr •:ymcm lideulil y type!) _ Acl'obie lank Plastic -Iavelless bench expeline•n1:11 system (idcntily IYPc) - Pump fuck Ilolling lank Metal Come etc c.h.nnber lecuch sce ri le bed ___. olhrr (idrutily type _ I + Olhcr mount ? 'I ank(s) Size: gals Sutl Irrnfmrol area size(s): CQMMIANCE ItY51'4011()IV" Lslhsrs<Ut lmsllurssYCr?c(t_l!uy_cyidcncc.ol; Discharge of sewage to the ground site -face? Dischmrge of sewage to a surtince waler•7 A seepage pit, diywcll, cesspool or leaching pit? Less than three feet of vertical separalion between Ilse soil ucabncul svacm bottom and saturated soil or bedrock? Sewage backup into dwelling or other establishment presently ocruning7 Situations with file potential to immediately mild adversely impart ill Ilucmrn public health or safely? Respousc YLS Yl:s YGti NI ) YI,S Yf,S Yfa N( kxplailt a if YES was answered for any of the above questions, Ilw syslun is failing occluding In Minn. It. ch. 7080 006(]. mosommon -?f•??Il I???? I?tt?l?r?l' STATUS OF TljE SYS7. i M Rased on the compliance Inspection conducted above file system slabs is this document is n (Chouse: Certificate ofCompliamce nil Noucolnp ... Iher.fore, (Choose. it, e.ompiiance ( fail (, ERTIFI AMIN 1 hereby certify as n slate of Miuncsota licensed Inspector, I /esigncr I o OIIIOllied hoployce Ihnl my obscr val ions revordcd lilt Ihis form me accurate as of llte date at file lop of This form for the site sbtled above. No deicuninaliun of fnuuc hydraulic pcNhnuanrc rare be nude duc In unknown conditions during system construction, future water usage lever Dec life of the Sysleue, abuse of Ibc Svs(rnl , 911,11m1 inadcgmne nulinleti mce all of which will adversely affect (he life of the system. _ y Inspector's nantcy _-- "? _ i `` J Q J_:!/? VN,?-S'p 1.? .. 1'hnuc Noq07?/9 I.ircusr ;uul/m Itglisluniau IJumbcr (Please pr ill) ..-?? _?.._.._ Inspector's sigonulro 5) -. I talr? `3 ?. . . Site Sketch: ?l (4' 4" /` L ) ,LI -- ---------------- 100• • - Ill' .. 20 p ? Iml1' Plelse Ilnlicale file location of: Well well SCO,ock II ",.;II III, d,lelling Ile ollntr cslahle:hnu•nl, lank(,) amt Ocnlowto system, reserved soil II Cat IIICI11 wren. crlrlaiI I dmiI I, prnpl•lly Iinrv, Ivulerlvays• and huricd lines (Those NO I installed Iq• the uliIiIy), Include sizes amd length cold appruxiumle diwmnces lium lix'-d 601 -hole poilos SlIch :1'1 'tll( 'CI'::Ilvfl hoilllinp% t'le.ase atlach as- built drawillgs, inspection reporl S, G911llc:11ts) or Compliance and Nnlivel s) of Noncompliance, it alvaitahle. Soil Bol-ings (IM It): Locale caell boring on file mail above, indicate on (lie I ighl of file coluum the soil texture, structure, color, depth ofcach Elil7crenl Soil ly1w, evidence of mottling„ hedrock and standing water. Also indicate if the material is fill. Bit /I Bit 11 lilt 11 PH ll lilt 11 lilt 11 ,, A13 E.CORD UOVIi lil''I LIN'IIES OF MO'1"I'I.IN(1, SI?ASl1NA1.111(111 WA'I'I':It (.\!i Uli'I N 'FV1,11NI!1) 11!CINf1'I III( PItINSIi1,1. ('(11.1)II 1100K) Oft IIEDRO CK 'N AI) oniments: '11,11 needs to he nn upl Bled to print! the allove, system iu to Vol mplianc'! il' limed 1 nl in enrupliane(.7 J irittirtesuta cuatuuun a_,ontrut.Agency klVirik-A) Enter Property Locate tank(s), soil treatment system, %"U. setbacks, buried lines Is the IndiWdual Sewage Treatment System in compliance? Immediate or adverse thrjto h or safetyYES public healt as defined by regulating au......-•-• ..........................•--........----..................---------.. Look for signs of an unsafe environment relafetl to IS TS NO ( Visual, smell Sewage backup into dwelling or other establishment? YES .............. Talk to homeowner. look for signs of discolorarion .•...... . J, NO ? F"; around drains. walls and furniture Visual f K -,TII11InMee- i -Q3 •----•• ?a Ground surface discharge? .................... ... YES Wet area in the yard, straight pipe to ditch, sewage odor, an NO un-mowed area, cattails ! Visual, smell. dye trace sampling] Surface water discharge? ........................... ES ............................. ------....-•------------.....c Straight pipe to water, sewa2c odor Visual. smell, dye trace sampiingJ NO Seepage pit, cesspool. leaching pit or drywell? .... YES ...................................................•. Probe bottom of :ank for solid bottom and sides. r+amiue pumped NO out tank(s) 1 l:-ld' probe, pumper. shovel. Ard+Effl ' -in .: aLess than 3 feet of separation ailin beneath the soil treatment system ............... YES ....................... to saturated soil or bedrock Complete soil bor'.nys for entire area. locate depth of mottling NO I Anger. backsav'er. munsell color book j ADDITIONAL REQUIREMENTS FOR SHORELAND AREAS NO + Built to all applicable Shoreland [anagement Standards in effect? (DNR) YES Verify construction with local ordinance Minimum Equipment Needed Note: This is a minimum designation pa state laws and odes. Local ordinances may differ. P:Uzutna moklow.doc 11-1-95          øþ ÿþ ýüü   ûÿûúþ     ùüü þÿøù ìê èèé ü   ô      ýüõ  ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîï  ïñüïûïí ëÿééùÿþëëïÿ  ü ùíõëëùëí õûïêñüûéÿëï ïí øçóæçí   íô  ôù  ýü ÿèüçóæçí  í  èüóþ í  óò õ ñð ùù Þéâå   õüÞõ÷ôýü ÿî Þîåãó ÿåã áàôôßßß  ûéÿ   î ùù  ëïÿïùé ùùûý ëåýüõë ÿðí ùùì üýÿü Jeffrey Wheeler From: McMahon, Neal [Neal.McMahon @kndersenCorp.com] Sent: Wednesday, June 16, 2010 5:46 PM To: Jeffrey Wheeler Mr. Wheeler: Per our discussion at your office earlier today and your verbal that we are requesting the following exception for MAC job #E We, the contractor and the owner, Linda Miller at 1468 Southri a double wide casement (which does not meet e•` ess The new double hung at 48 7/8" x 52 5/8" has the following cle • Width: 45.69" • Height: 21.90" • Overall area: 6.95 Sq. ft. A new double casement at 48 7/8" x 52 5/8" with special "wide opening hinge ", would have clear opening specs as follows: • Width: 18.60" • Height: 47.88" • Overall area 6.20 Sq. ft. Thank you very much for the fast response on this. Much appreciated. Neal McMahon Renewal by Andersen Corp. 651- 264 -4033 651- 308 -4314 Renewal byAndersen® WINDOW REPLACEMENT an AndersenCompany Neal McMahon Designer Direct: 651 - 308 -4314 Fax: 651 - 264 -4337 1920 County Road C West lic. MN BC20130983 Roseville, MN 55113 RENEWALBYANDERSEN.COM co •e w pproval over the phone, I am formally confirming in writing N12110: e request to replace a bedroom window that is currently new double hung window. r opening specs: RE,C IvE1 3 For Office Use �,� � � •i� Permit#: 0.d EAGAN JUN12 2019 7 l / `.— Cf Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinoinsoectionsecityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/12/2019 Site Address: 1468 Southridge Ave. Unit#: Brad Poff Phone: 978-790-2226 Resident! Eagan, MN 55121 Owner Address/City/Zip: g Applicant is: Owner Contractor Type of Work Description of work: 24' x 22' Attached Garage w/concrete Construction Cost: $18,480 Multi-Family Building: (Yes /No ) Company: Sussel Builders Contact: Geoff Suski Address: 654 Transfer Rd. 16B City: Contractor St. Paul 651-645-0331 Email: gsuski@susselbuilders.com State: MN Zip: 55114 Phone: License#: 80001934 Lead Certificate#: NAT G S `4 2. If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting-documents that you submit are considered tobe public information. Portions of the information maybe classified as.non'-public If youprovide specific reasons that would permit the.City to conclude that they are trade secrets You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeapan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days o permit issuance. 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.gooherstateonecall.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 o 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 ans. xGeoffrey P. Suski x � Applicant's Printed Name Applic is Signature PP Pp 9 . i 14 g ccocki-ki i.Jo il,-(L-- , / _.-,) 0 E' DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES 7 New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 'Z 1,331.. - Occupancy .12 c...--44 MCES System Plan Review Code Edition 'Y)AZo tc SAC Units (25%_100% ?) Zoning R —1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 2 1— Fire Suppression Required Type of Construction V 3 Width 2 4 REQUIRED INSPECTIONS Footings (New Building) . Meter Size: . Footings (Deck) Final/C.O. Required $ Footings (Addition) X Final/No C.O. Required Y Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: Ice&Water _Final Pool:_Footings Air/Gas Tests _Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS ".. Insulation Windows ?( Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final y Braced Walls Erosion Control Shower Pani //'� 1,�ttOther: Reviewed By: ( 4)V1A. "i �1/41. , Building Inspector RESIDENTIAL FEES Base Fee 52 6 S9' ft, Surcharge Plan Review g ‘it <c/.' L(/ S9. 1t MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Plot Plan osDX Job ti it‘ummi~ Estahfshedin1915 MNL1C 1934 Customer. Br SUSSEL GARAGES 654 Saint Paul,Transfer Road ad STE 168 Job Address: 1468 South Ridge Ave Homes•Additions•Garages•Exteriors Phone: 651.645.0331 City/St/Zip: EiprIcli 55121 Home# work# Cell# 978.790.2226 E-Mail Bradpoff@yahoo.com Job Description: 24'0"x 22'0"Attached Gable Stan ad 4/12 Pitch w1112"OSB Legal Description ..—„+ -- -� 3' ---- Lot: r i Coe ! Block: i $ , i I ,q, to Addition: 1, YYttt~y V::z I`� th 1* 65— Ay: 47ii& a Lot Size: a / e,01 44L1 1 • X iDeo evj� . 19, � ro i doh House Si:: gi4 ! ops ° Z.12) SF S �,� /�� own, o4, , cl,,xt;r:.:.. Cross Streets: ,,,,--•=r ,,` FxcsT. ti rtrroeri t ..1,,', And K.,,,,:: 3 g.a �`,, HovSer Direction Scale: Z4 34 1 7 t i \i/ 1 Block= 6., Feet //' 7.~' ' 1(09 t/Jiii$T ?N.- PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163426 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 1468 Southridge Ave Lot:1 Block: 1 Addition: Valley View Plateau Plat 2 PID:10-81401-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Linda J Miller 1468 Southridge Ave Eagan MN 55121 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171728 Date Issued:08/30/2021 Permit Category:ePermit Site Address: 1468 Southridge Ave Lot:1 Block: 1 Addition: Valley View Plateau Plat 2 PID:10-81401-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Linda J Miller 1468 Southridge Ave Saint Paul MN 55121--112 Crimson Copper Plumbing 1416 Deerfield Rd Waconia MN 55387 (952) 356-7152 Applicant/Permitee: Signature Issued By: Signature