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1038 Beatrice St CITY USE ONLY LOT B~L^ - PERMIT SUBD. RECEIPT RECEIPT DATE 2000 MECHANICAL PERMIT IRESIDZUrr:ul ) . CITY OF EAGAN 3830 PILOT KNOB RD, ZAiGAN 14N 55122 Date: 651-681-4675 Complete this section Qnly if you are installing HVAC 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 Q $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are reYno el na. adding to or fir in an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair Other Furnace Air conditioning Air exchanger Other f 41aw3VO _ Fee $ 30.00 State Si rcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNER NAME: PHONE#: (AREA CODE) INSTALLER NAME: Expert Sheet Metal, Inc. PHONE -1 j(1:?,,~ - t-( R., •?j 1QS 7 30 West Main St. PO Box 9o (AREA CODE) STREET ADDRESS: Bethel, MN 55005 CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY OF EAGAN Remarks Addition McKee Addition X61 Lot 3 Blk 3 Parcel 10 47750 030 03 OwnerI L~oj,~ L, '11 CA street 1038 Beatrice St. State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.Paving 1969 311.50 $31.15 10 PAID GRADING SAN SEW TRUNK s?C 1968 100.00 $3.33 30 PAID SEWER LATERAL 1968 20 WATERMAIN WATERLATERAL & SEWS 1968 850.00 $42.50 20 PAID WATER AREA STORM SEW TRK 1984 403.00 26.87 15 STORM SEW LAT CURB & GUTTER. SIDEWALK STREET LIGHT WATER CONN. $200.00 531 11-28-67 BUILDING PER. SAC 1 11-28-67 PARK cr :r :4 y ym S,.H w w :00 O Q~. tJ' m t4 '[f m w 0 w O 'd Q f► n m O S M mw m n m to n m n w 0 ti) 00 0 m' ¢ o' H m 0 c A. a 'G rm. 4 > to 0 C3 00 :3 0 m ~ n tl1 x C m x~ umi Cd r to .0 x Mx Z n ~ 0 ~ m - `i c ~r tea: 1 o ; c `I ~ m O O ~ M: :11 p ry ri t » y" 'Q Yr 4+ us In t, Q t pf 10 10 O n `S 14 pr " Q 1 y a ° m n coo ca U a n w.. PERMIT i CITY OF EAGAN PERMIT TYPE: 3830,Pilot Knob Road f; U L 1) I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 ; S 5 7 l (612) 681-4675 Date Issued: f 114119 8 SITE ADDRESS: 1, 0 18 1.0Ta 3 SLOt:,K; 3 Mc K F f-" li ~ DESCRIPTION: lti Ldirlq )"(yl;)C,-? R%.1)AIR ( : : i t) 4 A L T v R F = S 10 E I?! `1 '1 A L. i REMARKS: i FEE SUMMARY: I~ CONTRACTOR: OWNER: A p cj 1 `i. c: a n t RURBAC K °LHO MAS 1038 BEATRICE ST EAGAN MN 5 12 1, II (,65:1-),454-., 05'1 f F- r , Li,1 0t'Fri Jt)PI Ci~r t t t 1 0 (It C, ,t t.r~ ~;rrlli[1L`/ I,1:1,1,I1 II t'11 "irlil APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNATURE L 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) MY OF PAC" 3830 'PII.OT KNOB RD - 55122 r o T New Construction Reouirements &amodeepair Requirements # 3 registered site surveys 2 copies of plan # Z copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations # t energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711/93 d a required: Yes No p 0o 0 DATE: 1© 1 0 CONSTRUCTION COST; DESCRIPTION OF WORK: S I D I N- J-- Ro o 'FI N G STREET ADDRESS: 1 7e' LOT: 'BLOCK: SUBD./P.I.D. LL Name: &9 gig Lk 0 Phone # 816 3 2 q 0114PROPERTY Last First OWNER Street Address: 1©3 C City EA- G A( State: l"l tV , Zip: t Company: S i f L Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT! ENGINEER Company; Phone Name: Registradon Street Address: City State: Zip: I Sewer & water licensed plumber (new construction only) Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the Imbrmation is correct and agree to comply with all applicabi 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 Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 foundation 0 06 Duplex Oil Apt./Lodging 0 16 Basement Finish 0 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ` 0 17 Swim Pool ❑ 03 SF Addition 0 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. ❑ 10 = plex ❑ 15.1 Deck WORK TYPE ' 31 New 0 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV ~ # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT rt~ll CITY OF EAGAN PERMIT TYPE:~u~ ~ 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 5 0 2 (612) 681-4675 Date Issued: 05/16/95 SITE ADDRESS: 1038 BEATRICE ST LOT: 3 BLOCK: 3 MCKEE 1ST P . I . N 10---47750--030-03 DESCRIPTION: (MAC SOUND PROGRAM) Building Permit Type 5F (MISC.) Building Work Type ALTERATION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $10,000 Base Fee $117.00 Surcharge 5.00 Total Fee $122.00 II CONTRACTOR: Applicant - ST. LIC. OWNER: HOMECARE INC 18844187 0002116 BURBACK THOMAS 9301 BRYANT S 215 1038 BEATRICE ST BLOOMINGTON MN 55420 EAGAN MN 55121 (612) 884--4187 (612)297-0661 1 hereby acknowledge that 1 have read this application and state that the information Js correct and agree to comply with all. applicable State of Nno Statutes and City of Eagan Ordinances., I ~ J PL T/PERMITEE S ATURE ISSU D B f. SI ATU OFFICE USE ONLY 4'lr BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi (Misc.) ❑ 17 Swim Pool 0 03 SF Addition o- 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility 04 SF Porch o 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 13 05 SF Misc. 0 10 Multi (additional) ❑ 15 Deck WORK TYPE ❑ 31 New 0 33 Alterations ❑ 36 Move 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit eQDRAVe L S NJOM ONIBWnld 80 ]VOIH1391:A ANV 80.-A g821Ino9~1 SI 11WH]d - lVdVdBS V *-S)IigVW38 IVNIJ 9iH NI HJnO 991d NI HSnoH JNIWVHA (WV8008d ONnOs ovw) N0I1dI83S30 N0I1V8A11a (•OsIW) is :)IHOM 30 3dAl :3dm ens 11114a3d IBTb-°tr88 (ZT9) 1ST 33NOW ONI A8VOAWOH 1.s Aoid.IVAH 8S0T 8 -IN3018 S -'101 :1NV3l-lddV E0_-0e0-09LLV-0T •N•I•d;SS3aaatJ311S L9t~- l89 (Z l9) 96/9T/90 ns a sae P I 1 4 5 ,L69 L99 elosauuiW `ue6eA Z 0 9 s z 0 :aagwnN 1!wa8d peoa gouA 101!d OCK O N ICI 11 n 8 :3dA11lINH3d NV!DV3 =10 A113 (INOD:4H NOILLDIds i i PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 7 7 (612) 681-4675 Date Issued: 0 B SITE ADDRESS: 1038 BEATRICE ST LOT- 3 BLOCK: 3 MC KEE: J P.I,N, ; 10-47750-030-03 i DESCRIPTION: Bu:i._idinc~ Per`m.ity Type GARAGE/ACCESSORY BE.I.i l d i r q ktcwk Type NEW 1:1' r.li1d.irnq 1.e qt:h 30 13 1 1djr!(j IJidt,h 33 11 qu ,e i e,ef". 990 Cenc'Ij t;0 d 328 OTHER NONRES, i I I REMAW~ev,EWED BY DALE SCHOEPPNER. REPLACE OF GARAGE DUE TO STORM DAMAGE. f 1.10MEOWNER REPLACING A 24'X26' GARAGE DESTROYED BY 5-30--98 STORM. NEW GARAGE ter.*~ i.lnrtll7 PAYING, DIFFERENCE BECAUSE OF BIGGER GARAGE. I A°rIDN $6,000 I 5 5. i OWNER: _ Applicants - BURBACK THOMAS :1.038 BEATRICE ST EAGAN MN 55121 (651)454--2057 i avr rau:d t hi, r;c I i_c at:a.c)rl and s cat:<; t:ha1 the . 'Pe 1-c; ~omp..v w i 1--h o11 ~~pp l cob Fare o f 1jy117 r t f SSUED BY: SIGNATURE 1998 `idUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD - 55122 681-4678 New Construction Requirements Remodel/Remir Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if ku platted after 7/1/93 required: _ Yes _ No DATE: - CONSTRUCTION COST; ff~ DES RI ON OF WORK: STREET ADDRESS: 03 LOT:_ BLOCK:- SUBD./P.I.D. Name: _ Phone T~( V~ PROPERTY La/sty First OWNER Street Address: City State: - ` l Zip Company:.. Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl 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 Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish Cl 02 SF Dwelling ❑ 07 4-plex ❑ 12 Muni Repair/Rem. ❑ 17 Swim Pool 0 03 SF Addition ❑ 08 8-plex Q 13 Garage/Accessory ❑ . 20 Public Facility 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous Q 05- SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE 1 r; 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length ? o sq. ft. Census Code. ----fir 3 Dept Footprint sq. ft. SAC Code Census Bldg Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge! Plan Review License MC/WS SAC y l,~ "'aj All aiP~ .;f e jv^a,y 30 City SAC ? 9 3.8 9/ Water Conn. Water Meter Acct. Deposit S/ W l Permit 1 S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total:f 7 % SAC SAC Units CITY USE ONLY LOT BL RECEIPT SUB RECEIPT DATE: A0 1~10 1996 MEC NICKEL PERmrr (MIDENTIAL) CITY OE E*eAN 38so'PiLoT K1fmoB iID FAA" MN 5512s Date: 1 Q 13 C) 13 (612) 661-4895 Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner'/occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 U R M f~ G • TOTAL: OM Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical, permit is not required for alteration/add-on to ductwork in existing reside units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: PEAT A I e OWNER NAME: ~I7 D M i .S N ~L) U C/1 PHONE Pl C I~ k 3 ~T O PHONE INSTALLER NAME: - S L. AT STREET ADDRESS: ~L~'/T 1 I L CITY: (V STATE: M IV_ ZIP:J SIGNATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) -1998 CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: ,INSPECTOR 199$ MECIIANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (618) 6$1-4675 Please complete for: all commercial1industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 ofpermit fee due on all permits.) TOTAL - - - - - - - - - - - - - - - - - - SITE ADDRESS: OWNER NAME: PHONE # TENANT NAME (iwRovEm Ews oNLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT _ BL 1-6 RECEIPT SUBD. RECEIPT DATE: MECHANICAL PERMIT # j MECHANICAL PERMIT (RESIDENTIAL) crrY OF EA&AL1T 3830 PILOT KNOB RD EA6MMN 551 E£ (651) 6$1-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. { ri JAC: 0-100 M B T U $ - 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Repair _ Other Reminder: Call 681-4675 for inspections. Aq Furnace / Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: OWNER NAME: mot.-~.' < f r # PHONE (AREA CODE) INSTALLER NAME: PHONE ' ' m (A CODE) STREET ADDRESS ZIP: r, CITY: STATE: e SIGNATURE OF E TTEE w_ CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT % MECHANICAL PERMIT (COMMERCIAL) CITY OF KAGAN 3830 PILOT KNOB RD EAGAN, MN 55188 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price PR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE i STATE SURCHARGE ($.50 per $1,000 of pemrit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (RAPROVEMENTS ONLY): INSTALLER: r ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE BL CITY USE ONLY RECEIPT SUB 1 _ DATE: a5 ~s l;~~~ 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 permute are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger. i.e. Vanee system= etc. (/4f Date: ~ `z3 " FEIE5 ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► WAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL. :Su._ SITE ADDRESS: LO- 38 bPa 1R1 r c OWNER NAME: `ioin~,o 0~ Z_/wA ,t t~Bfl~d~ PHONE 55 3 - /,9, F3 5~D INSTALLER NAME: STREET ADDRESS:. z y8 L AxG CITY: STATE: MA) Zip": ~S yZS PHONE (/PJ 2- 53(.-0&67 SIGNATURE OF PFMIME CITY USE ONLY L BL RECEIPT SUED. 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-family buildings when separate permits are nQj required for each dwelling unit. DATE: _ Z2 Z ~c7 5- CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► 25.00 minimum fee r 1% of contract price whichever is greater. ► Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR MASTER CARD LOCATION r t ~ v Id 3~' IFO OWNER ~ e STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING 7-2- 70 i PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING _ I GAS INSTALLING SANITARY SEWER OTHER OTHER • Approved Items (Initial) Date Remarks Distance From Well DOTING ~r y • SEPTIC FOUNDATION 17~ CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - Violations Not on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ❑ ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ❑ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ❑ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 l i EAG11i T0v?NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 5.111 Telephone 454-5242 PERMIT FOR SEWER SERVICE COTINECTION DATE: a'ovember 28, 1957 NII~;BE?t 77 01, Mr, - ~ Eonnje Blac:1ev Address 1,038 Beatrice ;street PLLNI BER _;tate TYPE OF PIPE Extra Heavy Cast Iron . DESCRIPTION OF BUILDING In.destrial Co~,mnercial Residential Multiple Dwelling No. of units x Location of Connections: Connection Charge 'a'200.OO _ Pd. Permit Fee Street Repairs Total cC'' ? S"'% Inspected by: Date Remarks: By Chief Inupector In consideration of the issue and delivery to me of the above peer.-:'.t, I hereby agree to do the prcPosed work in accordance with the rules az:d re ulations of Eagan Township, Dakota County, Minnesota By, z Pleaee not-iry v> tnn re dy for inspection and co:nnzct ion and bey^;:e any port,-*,--,n o LI.4 wz rk is covei:ed. EAGtN TOWNSHIP 3795 Pilot Knob Road St Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: NQvemhPr 28-1q07 Number: L9 Billing Name: j a klQ;- Site Address:,1038 Beatrice Street Owner: "'ame Billing Address Same Plumber: All :state Location of Connection Meter Size Connection Chg. .`:200.00 Pd.. Meter No. Permit Fee '71 Meter Reading Meter Dep. 15.00 ~ d. Meter Sealed: Yes_._ Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence x Multiple No. Units Cou-tercia 1 Industrial By; . Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do ttn proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection, 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd - Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date I D Construction Cost _ v 1~ Site Address 6 !J &41 /lr C e 2e~ Unit/Ste # A) 5-1 d- Description of Work Us' e, 10~ sf~S• Multi-Family Bldg - Y kN Fireplace(s) - 0 - 1 - 2 C> S~ Y PropertyOwner ysn GI/✓mA lJy,~ IJ~r~~ Telephone # (h Contractor M -al G,9J t ✓r C t ~(~i✓~,e,fr 1, Address t ^ ~ f? ✓c~ c~ A'l o Std T'C 1 06 City / ~/2~ State Iv ` jJ Zip ~3 ~ -7 Telephone # (q 5~ l 0 - l J~ f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations 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 Contractor Telephone # ( ) 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 a review and approval of plans. Applicant's Printed Name Applicant's Signature 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 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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) _ Final/C.O. Footings (deck) _ Final/No 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. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 37, 33~ G,gR4GC 30 ` APPON 3a 170 DRIVI-WAY i H O U SE apt' n ' T f f~ .tom 1NSFEU ION REUOK1 CITY OF EAGAN PERMIT TYPE: till t 1 la 1 f4ff, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 t c t SITE ADDRESS: Y 1 41 ."41 16 0 It „ 3 APPLICANT: 1.04, 3 t3t0C#,; l 0 1 HVI A 0 tt'.t » t' t lttaE# c 4 4ta)i~19 "k 4i e. M t' k. f_ V: ! ) 4 (`4 PERMIT SUBTYPE: TYPE OF WORK: Dt-~rC01 P`T....I ON to t";iszo0i p'i'( f) I' N i INSPECTION INSPECTION TYPE DATE INSPTR. It, 0 ff N6 i 1 G i Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINGr Q ROUGH C 7 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 I DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: +r I # # ► P 3830 Pilot Knob Road Permit Number: .a Eagan, Minnesota 55122-1897 Date Issued: k~ k, ! (612) 681-4675 SITE ADDRESS: # I r k I g# APPLICANT: 1 0 t #S1 iA I 11,1 # f#fr# t' All 1 t #1i= PERMIT SUBTYPE: TYPE OF WORK: `iI ( I't I ' . t.... A I # I. P A I 1 014 I~`##'# ##~FJ fh#t4i;`,r 11h~1} !."&dEif~ISf%~1} ' INSPECTION I;:tA#~ ~ l~6ti I: stillz$C ! f•3 6t #dr~ tilit~I# 1 h# # rA # ! tltil. V# # rt# t'' 1 # I' t e'AII 14'1'141 I 1-41 0##I1-:I UOP ANY' I I I p° IktCAt fs#= V1 0MRINII I30fif. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC C v7$ S S3G-DI~G Inspection Ikw 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL l j CT'T1l USE ONLY LOT iIT SURD,. atECEtT # RECEtP" T DATE: CITY OF x : 3830 VXIM nM W 33122 l81-6~1-4fi73 CoMpl this tiara if yoU 10W14 HVAC is a $in& family dwWisl"**Ame 40" gossulwo fA l U s ' S 30.00 6.00 G83 OW40 $tft Swvh" .S~i . - Tonal the ru am'►,3e. or DjMjft:L8n al fi dv+ g, townhorrso, or. cam. Plase " if to s new } hertz, s1tcrit an, or repair. New , , Alt a ►d Repair tither Form" Air t nditioWa , Air emhuW O&W We"ti TOW S 30iStl li J, AemWer. call fir ftvsm"s aV^M NA : MME it. cNSTAt,>r> rte, Purr:. 30 Woo mob at. Po &19 so sT-UST-ADDR , My 56M (AOA M CITY:° STATE: 2!P "SIO TX of PERMITM CITY OF EAGAN Remarks Addition-_McKee Addition #1 Lot 3 Blk 3 Panel 10 47750 030 03 Owner' dos a,, L)ao 611 fG1t.-Street 1038 Beatrice St. State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.PaViri 1969 311.50 $31.15 10 PAID GRADING SAN SEW TRUNK NO 1968 $100.00 $3.33 30 PAID +k SEWER LATERAL 1968 20 WATERMAIN WATER LATERAL & SEW 1968 850.00 $42.50 20 PAID WATER AREA STORM SEW TRK 1984 403.00 26.87 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $200.00 531 1 -28-6 BUILDING PER. SAC $2no on 531 11-28-67 PARK EAGAN TOWNSHIP BUILDING PERMIT X® 2268 Owner .-.1XI ~r Eagan Township Address (present) Town Hall Builder ~?11 Date ....71AIn~ Address DESCRIPTION Stories To Be Used For _Front Depth Height Est. Cost 'Permit Fee Remarks 1 4, 1- X Id 0 2:~- LOCATION Street, Road or other Description of Location Lot Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ~ ..............has permission to erect a.......... £ _upon the above described premise subject to the provisions of the Building Ordinance for Ea Cgan Township adopted April 11, 19, Per f~ Chair~4lan of Tnwn Board g Building Inspector PERMIT CITY OF EAGAN ` ` 3830 Pilot Knob Road PERMIT TYPE: B t.) I I. DING Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 6 , 7 (612) 681-4675 Date Issued: 10 /14/ 9 8 SITE ADDRESS: 10 3 'q BEATRICE Sr LOT! 3 BLOCK. 3 MC KEE° P,I>N. a 10--47750-+030--03 DESCRIPTION: REROOF/SIDING BL,!ild _nq t'prrnl Type STORM DAMAGE F3`ui,ldinq Work Type REPAIR C.en i),~ Code 434 AL.T. RESIDENTIAL REMARKS: FEE SUMMARY: I t I I ~I CONTRACTOR: OWNER: A p p l i c a n t BURBACK THOMAS 1038 BEATRICE ST EAGAN MN 55121 (651)454-2057 j I {1t'.rF~?V aCf;rtr t,1 E3 ti(~( t}tat I 7aV'(? reid thi,,3 -)ppJ,:i c a Lin an l Late ti"I at E1f nf'orrnat;.on t cor°rect: and agree to c~,omoly t„,.i.'rh a11, appl._le,,-ibte S'1-ate o.E Mn Statute- and Cj-r-v of Eagan L APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE I -1998 NUUMING PERMT APPLICATION-, CT'iE' 1f' 3930 PMOT SUD "1-4615 14 r , 3 regWored ails surfs" ► 2 wap" of obrt • 2 oopk s eat glens (#xdude bom Awindavr mass: poumd Md. desip" etc.) ♦ 2 sbe surve" ***rW 01w* # 3 **4ee d bw wwovoWn Ow if tot 0~ after 711/03 resfuWsd. Yes No DATA: . t -L3.- qs c UCT COSt i I SCRI# 71ON O F vvr K: ~ 11) 1 N R O O T LOT: BLOCK SUea.P.t:D. ~ f Y Name: Fhme PROPERTY Last first ` owx IV, Sftte: Z* Compmy. CONTRACTOR ftt Address: La se # cfty state MCHITECTIl ENGINEER Cttrnpati Mae t, Marne: Street Address: City State:p r war d pkm*w (r w ro*hx6on only): 3 1 +ni~ +q vnd p lot change: is tod once pen is imed. i hereby w*n~ they i herft reee d this op un and s ► that the it ommMon is ~ to a ice : $ftto of Mrmeesoto S es wW City of Ea W Ordinarmas ft"Mum bf Applicant: -114 OFFICE U ONLY r#rc et of Su"y Received Yes , _ - TV":Pftswvzftn!fin Received Yes No R r. 0 '01 Found n ' 0 06, x t3 11 Apt./Lodging 0 16 Ent F Dwelfi b 07 x 4t C3 12 MudP4P*ftn.: 0, 11°P€ id& 4F AAdd- 008 3- t C11 air a ? xF . a~ Porch 0 0 12-0lc Gl 14 Fi e r Do* 0 06 SF Misc. V. 10 s...- x T3 I;~~, S Y T \ It vu WWPE; D b 31 New ~ 33 A 'ens cl, 36 Mow 0 32 AdditiQtl 34- Re"13 37 Ii#on 'att. (Ach*) fl. MCNV8 Systom Afiiale a sq, ft - Cl ' ..~.___r_.. MC O=pancy zolft" # or axles sq. ft. 90060er PWM Lert#~.,.. sq• ft. mow.. t• It Fvc►tint sq. ft..,..,.,, SAO Code C*n" Unit APPROVALS, Permit F" Vskjabon: Sttrchat~ ` , Plan Review License Me SAG . City SAC Water Cann. Water Mir Acct. Qept Stet Perrntt &W su[ ; Trot Pi. Pare tied, Trails Ued. TOW.. ~ SAC Mc Ufft .at•Jrr'•~i t.•.:•:: ~r.•;~y•u: •:r~, ~.(•.o .l: ,c.r4 a,,i: ..n v{••e,~ ~;p•„tr,,.,~~..,. •..r:r::~:..~S,1.e?::;..:3.:;::~.1¢..;.~::x::r.t,.h'...,:tr',..~C.,`..'r?r... :i',trr,:n.t..,::r..~t CITY Or" EAGAN 08l2:.!98 TIME: 0W Q5 MAW a 'P' : S 11. o ,t j . 3210 9001 WS BEATRICE 8 H205 2i5b 9001 W38 BEATRICE S 3.00 i Total Receipt Amounti; H5.25 r•:r°. WR 0o NANCY a-.t,•a:.,r,w y~.o• :1"~''~r• 'JI a:., Ik':• f"'r~r'''t 9l.A.W~+r .L r`b. ,t+~y~ ~l. :~~~..v„•v..ni:tr...~f,..:.rr.~:.~r`.~•'.~:.,:.r:,~;....y.4,.~.r~..,:7'T•.9'.,~,.~7:.?'r.~.:p..•~'r~.'.~rl'..`h.r, }~j`.'F• CITY OF EAGiAN 3830 PILOT KNOB RD - 55122 W04195 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 3 re tared sbe ate ya ♦ 2 copies of plan 2 copies of plans (Irmiude beam & ,window sites; poured fnd: design; efiC) wF 29 ib sun rays { a exterior docks} 1 energy ca ♦ 1 energy calcubitions for gated additions "f t tree prgse"4= pilar►11-Jet ptaNed after 711/93 Y ; required: yes No a - Ott - DATE: 12 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT _ BLOCK SUB©./P.I.D. # PROPERTY Name: Phone . klu .os.,,~........ OWNER LW FVW Street Address' City: State: Zip' CONTRACT-OR Company: ,4~4dl.=.!Q4a". ~c-~. Phone Street Address: 2~ License... CRY: ARCHITEECTI Company: Pho ENGINEER Flame: Registration Street Address;. City: State: zip" Sewer & water Md plumber. Penally dtiange and ~ dhanga are requested once permit is issued. I hereby ac~moaile lge that 1 have read this o ion and state that the h don is COfTW aid agree io, applicable State of Minnesota Statute and City of Earn Ordinances. Stthre of Applicant OFFICE USE ONLY CerdfC&tes of Survay Received Yes No MAY 16 1995 Three Preservation Plan Received Yes No .r.+.r.~ r„rr--w -wvn wives OFFICE USE ONLY 4 BUILDING PERMIT TYPE o 01 Foundation o 06, Duplex o 11 Apt /Lodging o '18` Basement Finish 0 02 SF Felling o 07 4-plex o 12 Mufti (Misc.) 0 17- Swim Pool a 03 SF Addition o 08 8-piex o 13 Garage/Accessory o 20 Public Facility o Fl 04 SF Porch o 09 12-plex o 14 Fireplaces o 21 Miscellaneous d 05 SF Misc. 0 10 Multi (additional) 0 15 Dec* WORK TYPE a 31 New o 33 Alterations o 36 Move o 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNa system r.._.__._ (Allowable) Main level sq. ft. ,r City Water USC 'Occupancy sq. ft. Fire Sprinidered Zoning sq. ft. PRV * of Stories sq. ft: Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Cent Unit . AhPROVALS Planning Building Engineering : Variafnce Permit Fee Valuation: $ Surcharge Plan Review License i MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM! Permit SMf Surcharge Treatment Pl. Road Unit Paris Ded. Traits Ded. Other _ Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN Adl ~1 3830 Pilot Knob Road PERMIT TYPE: IL I Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 5 0 2 (612) 681-4675 Date Issued: 05/16/95 SITE ADDRESS: 1058 BEATRICE ST LOT: 3 BLOCK: 3 MCKEE 1ST P.T.N.: 10--47750-030-03 DESCRIPTION: (MAC SOUND PROGRAM) Building Permit Type SF (MISC.) Building Work Type ALTERATION I I REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $10,000 Base Fee $117.00 Surcharge 5.00 Total Fee $122.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: HOMECARE INC 18844187 0002116 BURBACK THOMAS 9301 BRYANT S 215 1038 BEATRICE ST BLOOMINGTON MN 55420 EAGAN MN 55121 (612) 884-4187 (612)297-0661 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 Mn. Statutes and City of Eagan Ordinances. G PPL T/PERMITEE 5Z-NATURE ISSU ED-81': SIMATUFIE L INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 5 0 2 Eagan, Minnesota 55122-1897 Date Issued: 05/16/95 (612) 681-4675 SITE ADDRESS: P . I . N 10-47750-030--03 APPLICANT: LOT: 3 BLOCK: 3 1038 BEATRICE ST HOMECARE INC MCKEE 1ST (612) 884-4187 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION (MAC SOUND PROGRAM) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK i PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 7 7 (612) 681-4675 Date Issued: 08/21/98 SITE ADDRESS: 1038 BEATRICE ST LOT: 3 BLOCK: 3 MC KEE P . I . N 10--47750--030.03 i DESCRIPTION: i Building Permit Type GARAGE/ACCESSORY Building Work Type NEW building Length 30 'Buil.dinq Width 33 Square Feet 990 Census Code 328 OTHER NONRES. REMNW EVIEWED BY DALE SCHOEPPNER. REPLACE OF GARAGE DUE TO STORM DAMAGE. HOMEOWNER REPLACING A 241X26' GARAGE DESTROYED BY 5--30-98 STORM. NEW GARAGE IS 30'X 33'.PERMIT FEE WAIVED PAYING DIFFERENCE BECAUSE OF BIGGER GARAGE. FEE SUMMARY: VALUATION $6,000 i Base Fee $112.25 Surcharge _ 00 Total Fee _ $115.25 f CONTRACTOR: OWNER: - A p p l i c a n t - BURBACK THOMAS 1038 BEATRICE ST EAGAN MN 55121 A (651)454-2057 I hereby acknowledge that I have read this application and st.at:e t;.hat the information is correct and agree to cornply with all applicable State of Mn. Statutes and City of Ea(,,jan Ordinances. APPLICAN /PER EE SIGNATURE SSUED BY: SIGNATURE M I S098 ILDING PE MIT AP 'tLICATION a DrXn" Crry OF SAG _ . -sue- 383 LOT IIMOR RD - W1221 ~ z ~ ~ _ _ uRataait Rer~ufremartta r~ ~ ` } U 4 3 ` site surreys 2 vopies of plan 4 2=pbs of ptans offakda bsa" & wk wow skw..mod ft. deson; ett) i 2 site , surreys fex*hor AWMoas & ct oks) # 1 omw sawmwons f energy lculatians for t*a*d ac ns • ~ txtpis8 of eee welt ~ t~ a~tr ~r1tffit3 r:.,.._ Yes No MATE: CONSTRuano COST; ~ / DE R ON OF WORK: STREET ADDRESS: 103q ~ LOT SLOB: SUBD./P.I.D. 9 Name: Phone PROPERTY LAU Thu OBI Street Address: Le~ zip 'ty Company: Phone CONTRACTOR Sheet Address. License # city ~r zip: AR~iTECTr - ENGI ER Company: Phone Name{ f RegistraticM Situ Address. City Zip: Af ` r 1Alt8~f (nor coo tfut tion only); panift appks t + ' and Idt ng* tetEt once permit it ' I her yf wedge tit I have read fts apps and stdo O the itfixmation is correct wd e la comp#y v#A ag ate of tAnn*80t9l era and City of Eagan Ordinarmm. Vocobt Signature Of App nt: OFFICE USE ONLY Cw#fiC tes of Survey Received Yes No Tree PAMYvatien;Plan Received Yes Not Required OFFICE USE ONBUIL.DI BUILDING PERMIT TYPE 0 01 Foundation 03.06 Duplex E3 11 Apt./Lodging 0 16 Basement Finish 0 02 SF D willing 0 07 4jAex E3 12 Multi Repair/Rem. 0 17 Swim Pool D 03 SF Addition © 08 8-plex - 13 Garage/Accessory Q 20 Public Facility © 04 SF Porch d tag 1:2-plex 0 14 Fireplace © 21' Miscellaneous O 05 SF Misc. 0 10 Flex © 15 Dock 11V RtC TYPE JIO(dr 31 New 0 33 Alterations 0 36 MOW 32 Addition © 34' Repair 0 37, Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC occupancy, ~ sq. ft. Fire Sprinklered Zoning sq, ft. V # of Stories sq, ft. Booster Pump LerVtit sq. ft. Census Code. Depth - Footprint sq. ft: SAC CCaft © L -Census Bldg ......,L..._ Census Unit APPROVALS { Planning Building Engineering Variance _ Permit Fee Valuation: $ © 60 Surcharge Flan Review 2 y~ ~A License ~~ewhr is~/~ch n 1 MC/WS SAC I wQ 1 ~t dray w.%~ ti 9~ . 3° t~ S~a.^., City SAC Water Conn, Q L2u; f ara~+ 4 i 3 Water Meter Acct. Deposit S /W Permit P~htii fleet w-ee_ t "Al Cdr S '~Or S/W Surcharge lat e 4,-~-' Treatment Pl. f Park led. (a r~ e~JlE Ise o f e Trails Deu. CVO fir eh c c Other Copies Flo Total: - 'l z c f SAC SAC Units CITY USE ONLY LOT BL RECEIPT SUB RECEIPT DATE: t 1996 MECHMICAL PERMIT (RESII)E14TIAL) CITY OF £°Aww S$SO P11.0T KNOB IM FAO" US 55122 Date: g (612) 661-4675 Complete this section guk if you are installing HVAC in single f€+mily, townhomes or' condos der construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gass outlets ( minimum of one required a@ $3.00 ea.) • State Surcharge: .50 • TOTAL: rvj D R 1" 1 4 G ~Q Complete this section ggly if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is Dot gum for alteration/add-on to ductwork :in existing resi units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system:, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 sITE ADDRESS: 01KC 5-TV OWNER NAME- ~L 51 f ` l .S t fU !`s PHONE* j~n INSTALLER NAME: S E L F PHONE STREET ADDRESS: T CITY: G.... /T G h STATE: ! / L' SIP: J SIGNATURE OFPERMWME JSIFORMS SLD/MECH PERMIT (RES) • 1998 CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: INSPECTOR 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 5630 PILOT KNOB RD PAGAN, SIN 55182 (618) 681-4675 Please complete for. all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1„0W of flee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT' _ BL RECEIPT I c7v1 JS SUBD. M RECEIPT DATE: MECHANICAL PERMIT # 3 Cl 3 2,' MECHANICAL PERMIT (RESIDENTIAL) crrY of EmAN 3830 PILOT KNOB RD EAeM MN 551 E8 1 Date: ~13 kc (651) 6$1-4675 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. FiJAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ C Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _~g Alteration _ Repair _ Other Reminder: Call 681-4675 for inspections. Furnace / Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS:L OWNER NAME: 1'tiC~-.~ / h r a ;C,~ r PHONE 1 s t (AREA CODE) INSTALLER NAME: /V]"f ~l 16C PHONE - ( CODE) STREET ADDRESS: CITY: STATE: ZIP: .-7 SIGNATURE OF E TTEE CITY USE ONLY L BL RECEIPT SUED. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT MECHANICAL PERMIT (COMMERCIAL) CITY OF EAfiAN 3$30 PILOT KNOB RD EA614N, MN 5518E (651) 6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price iR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: r ADDRESS: PHONE (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L BL _ RECEIPT 8U l W / DATE: 1985 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (812) 881-4675 Please complete for: ► single family dwellings ► townhomes and condos when perm are requked for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. al e system. etc. 4 j7-,t Date: 1/2, 3 LS" Ems ► Minimum Fee: Add-on/Remodel (existing residence only) 20.00 ► WAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required $3.00 each) ► Mate Surcharge .50 TOTAL'.... SITE ADDRESS: LO- 38 Pa RfOWNER NAME: PI4C3NE : 553 - / 9Z3 INSTALLER NAME:'` STREET ADDRESS: CITY: STATE: 23P.- i J~ c! - k Milk M - PHONE ((pl - 53(--0&&7 CITY USE ONLY L SL RECEIPT SUED. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for all commercial/industrial buildings. ► multi-family buildings when separate permits are [ required for each dwelling unit. DATE: 2 Z /9S CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee or 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of ggB32 fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR MASTER CARD LOCATION 10 OWNER STRUCTURE AND LAND USED AS a Issued To Permit No. Issued Contractor Owner BUILDING 'D PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks * Distance From Well FOOTING • y w SEPTIC FOUNDATION 11+ CESSPOOL FRAMING 6 TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING • WELL SANITARY SEWER 01- Violations Not on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS 0 PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ OBSERVED. EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ❑ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND ❑ NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 123 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 5-5111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONINECTIOIAI DATE: November 28, 1967 NUl`~E?t 77 OGJNER: EE". P R. Bonn; _ Rl a nkley Address 1038 Beatrice utreet PLUMBER All State TYPE OF PIPE Extra Heavy Oast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units f x Location of Connections: Connection Charge $200.00 _ Pd. Permit Fee `le Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above p^r'r=.t, I hereby agree to do the proposed work in accordance with the rules sad reoulaLyons of Eagan Township, Dakota County, Minnesota By Pleaa;n nnt'Vy vhnn re dy for i.rspection and connection ar,A l beff:re any port*lon of Liza w;.-rk is cove-red. EAGAN TOWNSHIP 3795 Pilot Knob Roud St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Novamheg 28+146„ 7 Number: L9 ~i Billing Name:_,~,rje 'fi x aekley Site Address: .1038 _eatgice StreQt,~w Owner: _ .:ame Billing Address Same , Plumber: All State Location of Connection Meter Size Connection Chg.-3200.00 Pd, 1 /-Y Meter No. Permit Fee Meter Reading Meter Dep. X15.00 Pd. lly ,,P Meter Sealed: Yes- Add'1 Chg. NO Total Chg. f s° Inspected by Date Building is a: Remarks: Residence X Multiple to. Units Commercial Industrial r By: Other Chief Tnspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection. 00- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y, _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y, N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y - N. 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date I D_ Construction Cost _ 4 Ci . CYV Site Address 10 3 Y/ eA T,Zr C e ~/Z ems- Unit/Ste # OW r 1a-;"Q5 Description of Work 't.eG4__ Multi-Family Bldg - Y ~N Fireplace(s) _ 0 - 1 - 2 Property Owner ! y!"'t d G l Nm A 1J~Q ~J.~ Telephone # (G 0- ) W Contractor f~'t-'ttl G.~~ ✓r~~~d ~(~i~,~riG~ Address q 6 o ~✓~,`,,,,d StJ~7-e /ol) City ~ U2rcJSJ'/C ~ State op. Zip S_S_ 3 3~1 Telephone # p55.4 -101 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations 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 Contractor Telephone # ( ) 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 a review and approval of plans. ID 1WICL Jcwt, t e r Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of i plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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) _ Final./C.O. Footings (deck) _ Final/No 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. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 37, 33i GARfiGE 30 APRON f a'6„ T I?o DKIVl- WAY H O U S E aw' ~ pa qS' J 'l u 6 u OM OF ~ N PERMIT TYPE., a 3W Not KgDb'Road Permit Number: n, Minnesota 55122-1897 t.r DaW rued: 11+1! { 91 (812) 681-4675 >k r... tCl•1 z 3 BLOCK I K E. r Wit) 464-20K7 SUMPE: TYPE OF WORK: it 14 DA*AQ raz e a I Permit Holder Date Telephone # PLUMBING HVAC o"ecdo" Date Insp. coa amft FOOTINGS FOUND FRAMING ROOFING 3f C~ ROUGH PLUMBING PIOG AIR TEST ROUGH HEATING l GAS SVC TEST INSUL GYP BOARD + I. 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 rr*f OF EAGAN PERMIT TYPE: $830 Not Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date IssuoM. t (61?) 8$1-4675 M AWRESS: t r 10 r .1 4l l e, V t APPLICANT: tAty K 1~ , 1 *s ;t ~ r. t t ra ra ~ ~ i ~t , PEFOW. SUBTYPE: TYPE OF WORK: 'C AttERAIION' tit: <.; r t t> t t Ct N "AC S OOM BFI R O (M A") ®/A 11N~ 1 t011("itt t N t``t.N6 ttu t t Ott tt r' . t t M A A ''iUt`-'AV Ait t'f"PMt tTR,V04tttrt1:t3 t°0 ANY A t i_C°t`!~fCAl t114 *41 UORV, ~FN l ' PWO* ft pw How", Oro TOWN"# E.t MM Ak 4M~IP40 o ~Tt FOUND FRAUNG Tilt' ~t~l { R S~+OtAl7M M 4 M1SUL GYP BOARD i~ FIREPLACE AIR T€ST FWAL PLOD FMML HM ORW TE ST t BLDG FWAL BSIYtt° R.L 881" FWAL DECK "a DECK FWAL 40111116 City of Eagu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 0 5 2013 Use BLUE or BLACK Ink For Office US I Perrnit #: I 1 JO( Permit Fee: 1a O " Date Received: 13 '� 1 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans("-'�'i +� with all commercial 7licati ns. Date: 11- aci- I-3)Site �Addrress:IC) a�` s Tenant s G J J3t'!I k`mc°`. Resident/Owner Name: Address / City / Zipi() Suite #: Name: Rons Mechanical Inc License #: Address: 12010 Old Brick Yard Road City; Shakopee State: MN Zip. 55379 Phone: 952-445-8585 Contact: Linda Email: New Replacement Additional Alteration Demolition Description of work: oof mounted and ground Mal i echa ical equipment is required to be screened by City ease .contact the Mechanicallnspecto`r-:for'informmaticn=onwpermitted screening methods. / RESIDENTIAL // Furnace Air Conditioner _ Air Exchanger Heat Pump Other New Construction _ Install Piping Gas COMMERCIAL _ Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install/ _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) r/ , $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ CQrte , 0 0 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum `If the project valuation is over $1 million, please call for Surcharge Contract Value $ _ $ Permit Fee = $ 5.00 Surcharge` $ TOTAL FEE x1% CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aopherstateonecaliorq 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)o start without a permit; that the work will be in accordance with the approved plan in the case of wok which requires a review and approval of plans. L, n `ick e Y{ 1anUlw Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground . - Rough In Air Test : - . . Gas Service Test : In -floor.: Heat x App nt's Signature Vim,,,, -o'er Reviewed By: " Date: Final HVAC Screening