1066 Beatrice St t T OF EAGAN Remarks
Addition McKee Addition #1 Lot 10 BIk 3 Parcel 10 47750 100 03
Owner Street 1066 Beatrice St. State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. Paying- $311,50 $31.15
GRADING
SAN SEW TRUNK 1968 00 0 $3.33 0 PAID
tt SEWER LATERAL 1968 20
WATERMAIN
WATERLATERAL& SEW 1968 850.00 42.50 20 PAID
WATER AREA
STORM SEW TRK - ,
1984 403.00 26.87 15 415.00 0008615 10-13-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $200.00 692 3- 19-68
BUILDING PER.
SAC 200.00 692 3-19-68
PARK
E- TIO a- _"~_F,
NS P
CITY OF EAGAN PEF1 rm.- I u t, . f r x M
3830 Pilot Knob Road Permk l er: a s
Eagan, Minnesota 55122-1897 Date leeu ,
{612) 681-4675 / a ~f►
SITE ADDRESS- I' N 10, it i , a l 0 0 • 0 :4 APPLICANT:
1 it I ! {f ff 1, {.r { l'.: ;
iclt,t, k(n11 1~ 1 ,.l Ul'~1r"i~'•lf ItU fAMfRi[AN CQNST
PERMIT SUBTYPE: TYPE OF WOK:
Syr <M 1 , At ERATION
t) f., <.t la t F''! 1 om NAU S, :ill "',~A A
"OAM'I Nit I?flU{ill iN 1"! Hh
f11J r:~ it ! N 11 I' f ~ F I M Jt I
Rt 14 Alit:`:; i ',1 1'APAII fit RMil Tr; fit 4011 Of It V00 litd''i !'lIM14.1NO ill: U1.U'"[l;Icm. WoRk .
2TV
t ~ r s
w T
"1 4-
PION ft IbglllHoldv cob Tliiophom!
ELECTFOC
-PUJ
WAC
POUND
FRAAMMQ
Map"
iIBJIJBFI
PLUMBING
rm
AWI T€'8T
OAa sm
TW _
rAm
F#VVL"
FOWUM
IYYtTQT
FN+IA~. P6~
F IN& HM
OPUM
TEST sy
SLAG FINAL 3 Ail
OBW FLL
BOW FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP o 888
BUILDING PERMIT
Owner ...7
• Eagan Township
Address (present) /!S f_ Town Hall
Builder..-------•-- to Z~
Date
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
This permit does not authorize 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._.........-- ......r.................. upon
the above described premise subject to t provisions of the Building Ordinance for Ea n Tow ship adopted April 11,
1955.
Per Gc..---- fir ~C
Chairman of Tow Board Building Inspetor
EAGAN, TOWN S H'I P
N. 23
BUILDING PERMIT
`g
Owner _ Eagan Township 14 Address (Present)
._.Town Hall
Builder E qm.rs-•-•--•---..-..--------•-••------------
Date
Address 64_: I
=
DESCRIPTION
Stories To Be Used For. Front Depth Height Est. Cost Permit Fee Remarks
_ LOCATION
Street, Road or other Description of Location I Block Addition or Tract .
L L Y
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 THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that _has permission to erect a -iJ6•k r1 __________________upon
the above des ibed pr ct to the provisions of the Building 'Ordinance for EaganDyownship adopted April 11,
1955.
'R _ .:c' Per
Chairman of eto oard Building Inspector
PERMIT
CITY OF EAGAN
3830 Pilot Knob,Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit. Number: 0 2 5 3 3 7
(612) 681-4675 Date Issued:! 05/23/95
SITE ADDRESS:,
1066 BEATRICE ST
LOT: 10 BLOCKS 3''
MCKEE'.1S
P.I.N.: 10--47750-100-03
DESCRIPTION:
'MAC SOUND INSULATION'
Bu.ding Permit Type, iSF (MISC.)
- C3iii 7 ding Worts Type 'ALTERATION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING;OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $8,000
Base Fee $99.00
Surcharge $4.00
Total Fee $103.00
i
i;
CONTRACTOR: - Applicant' - ST. L I C . OWNER:
DIVERSIFIED AMERICAN CONST 19297982 20017349 DAHLBERG LAURENC.E
5115 EXCELSIOR BLVD 107 10;66 BEATRICE ST
ST LOUIS PARK' MN 55416 EAGAN MN 55121
(612) 929-7982 (612)454--4470
I he(eby acknowledge that I Iiave' r o a thi app,I aco ti..nn and t,:yt.e that the
infor-maLi..,-jn i~ cort,ect and agree 'to comply with a.11- app13.oabJ.(~ State of 1411
SLat_utes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE SUED 13Y:F,1GkATURE1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 5 3 3 7
Eagan, Minnesota 55122-1897 Date Issued: 05/23/95
(612) 681-4675
SITE ADDRESS: P . I . N 10-47750-100-03 APPLICANT:
LOT: 10 BLOCK: 3
1066 BEATRICE ST DIVERSIFIED AMERICAN CONST
MCKEE 1ST (612) 929-7982
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION MAC SOUND INSULATION
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
1433 3830 PILCITY OF OT KNOB RDN 56122 03• 00
91,1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
♦ 3 registered site sumeys ♦ 2 copies of plan
♦ 2 copies of plans (include boom & window sizes; poured fnd. design: etc.) ♦ 2 site surveys (eAeft addition & dedus)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan 9 lot platted after 7/1193
required: Yes - No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 0zz,-C
STREET ADDRESS:
LOTBLOCK SUBD./P.I.D. Q-
PROPERTY Name: Phone
OWNER LAST .o
Street Address-
City: State: Zip-
CONTRACTOR Company:
Street Address:/ License ZZ,
City. Zip•-
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip-
Sewer & water licensed plumber. . Penalty applies when address charge and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and that the i odor is a nee to comply with all
applicable State of Minnesota Statutes and City of Eagan Ord' c
Signature f Applican
OFFICE USE ONLY ilk E E Q V E D
Certifmtes of Survey Received Yes No MAR 3 a 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY,
BUILDING PERMIT TYPE
a 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
o 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. o 17 Swim Pool
a 03 SF Addition o 08 8-plex a 13 Garage/Accessory a 20 Public Facility
a 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
05 SF Misc. a 10 _-Alex a 15 Deck
WORK TYPE
a 31 New X33 Alterations a 36 Move
a 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCANS System
(Allowable) Main level sq. ft. City Water,
USC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3Y _
Depth Footprint sq. ft. SAC Cale
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
~A
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Dad.
Other
Copies
Total:
% SAC
SAC Units
5L CITY USE ONLY "OtECEIPT
suso. ~ PPS RECOFr DATE E a r;~ Ca .
PERMrr0
.rrnr~~ *rr~rai n G PUM aMENDE MW
-CfryorfACM
S$$0 P& a I
&"*K MR Sit l$S
Please complete for. > single family dwellings
uwftrrree and condos when permits are retired for each unit .
➢ tt>oieki ow pmventer fior undergr d sprinkler syssem
FIXTURES EACH TOM
Alterations existin dwelling - Mmirnum fee
Describe: $ 30.00
Bath tub $ 3.00 x
Floor drain 3.00 x
Gas piping outlet " ffmvwm.1 3.00 x
Nat tub/spa 3.00.. x.
Kitchen sink 3.00 x
Laundry tra 3.00 x
Lavato 3.00 x
Septic System neVjMftgbiaHad " MPC Flc. 75.00 X '
5 tic system abandonment 30.O0 x
RPZ now rAretruNd 3000 x
opening
Shower 3.00 x 3
Un round sprinkler if is vender orntrucum 3.00 x
Unde roundsprinkler if ftwirrn 30.00 x
Water closet 3.00 x ~
Water heater 3.00. x
Water softener If dw*oWq under construeMn 5.00 X
Water softener If ax 30.00 X
Water tumadround 30.00 x: .
State ftrcharo
Total .~y
Reminder: Call for inspeeti ns of alterations, i.e. water hestere. WSW SOR0091111, + ;
i t►eretajr ac'riodpe+tti8t ! f ice! .is fir, a tt ilia inforiwdoi is Y _ .
it is the ap~s rs +so ty to racy"property► owrw that ft City of Ea61an asp no Mobft ~ o ryda r IL A d noel
operational and mainter W40 activities b *0 Fa!CiN" construcfMt under fle permit wMhin city pro i,
SITE ADDRESS: a
LOS
OWNER NAME:: TELEPHONE
INSTALLER NAME: !aj TELEPHONE :
M C1
STREET ADDRESS: I
CITY:
s a
s $IGNATE , PEF07EE
EAG114 TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 5111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:March 20. 1968 NUMBER 129
OWNER: L. E• -0ahlberg Address 1066 Beatrice Street -.l
PLUMBER All State TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
a
Location of Connections: Connection Charge 200.00 Pd.
Permit Fee 3.50~ Pd.
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesot
B
Y
Please r..orify irhen ready for inspection and coLmaction and bef^.re any portion
or tha work is covered.
EAGAN TOWNSHIP
3795 Pilot Xnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date• March 209 1968 Number: 76
Billing Name: L. E. Dahlberg Site Address: 1066 Beatrice Street
Owner: Same Billing Address Same
Plumber: All Rtate
Location of Connection Meter Size Connection Chg. 6.00 P~-
Meter No,~ Permit Fee 7.50
Meter Reading Meter Dep. 15.00
Meter Sealed: Yes Add'1 Chg.
NO _ Total Chg.
Inspected by
Date
Building is a: Remarks;
Residence x
Multiple No. Units
Commercial
Industrial By:
Chief Inspector
Other
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, Minne ota.
J~
By:
Please notify the above office when ready for inspection and connection.
SC# 1004 KJOC :10 56-60-EO Xse-x
. t1
lx~
MUNICIPAL NOTICE OF WELL PERMIT APPLICA
DAROTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAGEMENT SECTION
14955 valaxis Avenue West. Apple Valley, MN 59124
Tel (612) 891--7011 Fax (612) 891-7031
DA'L'E: March 09, 95
TO: Tom Colbert/Wayne Schwanz Fax (612) 681-4612
FROX; Meter and Land Management
RE: Well Permit 95-9044 well Type: Sealing
Municipality : Ragan Reviewer : Luehrs
NOTICE:
The Water and Land Management Section of the Dakota County Environmental
Management Department has received the following permit application for
the well described. If you require futher review of the application or
if you have any questions or concerns about it, contact the Envircnntental
Specialist listed above or our offices at (612) 891-7011. It there is no
response from your office within 24 HOURS (excluding weekends and
holidays), we will assumes that you have no objections to the issuance of
the permit. Please note that permit issuance is always conditioned on
the permit applicant's observance of and compliance with all applicable
laws and codea. A copy of the well permit will be forwarded to your
office when completed.
WELL CONTRACTOR INFORMATION:
Johnson and Sons Drillin
Application Received: 03708/95
Anticipated Drilling/Sealing Date if known: 03/10/95 Time:
LOCATION OF WELL :
PLS Coordinates % SW W SW W, NW W, Sec 2 Town 27 Range 23
Well Location 1066 Beatrice St
Property Owner Laurence Dalberg
Well owner Laurence Dalberg
PIU Number - -
WELL INFORMATION:
Diameter 4
Casing depth 135
Total depth 135
SWL 105
Aquifer unconsolidated sediments
COMMENTS:
i 3SGd : x~~ 3 M- M ti1D*U :al 98:8I 96. 60/w
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements Remodef kpir Reouirenrents office use only
3 registered site surveys showing sq. ft. of K sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Real _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Soils Report _ Y _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate d oe-sde septic system Tree Pres Required _ Y _ N
i set of Energy Calculations On-site Septic System , Y - N
3 copies of Tree Preservation Plan if fat p9atted after 711/93
Rim Joist Detail Options selection sheet (buidngs with 3 or less units)
k4nnegasm mechanical ventilation form
Plans are considered public information unless you state the are trade secret and the reason.
Date o6,/ Construction Cost 14 ~ V
Site Address DE'pArt C Q 6& Unit/Ste #
f-AG 5:5-1 a) q_0
Description of Work m L& J9 S 1o,lLfy nn"-)
Multi-Family Bldg _ Y 4 N Fireplace(s) _ 0 - 1 - 2
Property Owner V_/ NC e DAP L O CIZZ Telephone # (0.1 R 7 7~ 1
Contractor Aj Aj cQ~
Address CO u Cf City d 1 A) Q(? 4P6 L 1S
State AJ Zip ) Teiephone # E68 - 81-78
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category
submission type) ' .:.Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical. Contractor Telephone j
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 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.nn
~PF4t3
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Su T es
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
0 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 0 31 Ext, Alt - Multi
❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage 0 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
❑ 31 New C] 35 Int Improvement ❑ 38 Demolish interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fine Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) - dive PCA handout to applicant
Description: water oamags Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
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) _ Sheetrock
- Footings (deck) _ Final/C.O.
Footings (addition) Final/No C.O.
Foundation _ HVAC
Drain Tile Other
Roof - Ice & Water J Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding ` Stucco Lath _ Stone Lath ____Brick
_ Fireplace _ R.I. - Air Test - Final Windows
- Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
For Office Use
I
Permit
City of Ea
Permit Fee 'L2 3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
I
"RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I J Site Address: 1 D b r Oe
Tenant: Suite
RESIDENT / OWNER Name: LIC Phone:,j~
Address/ City/ Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: UCH i Y 5 j Ll •e t Y~ Ce~44P
Construction Cost: r~S ~r 7 O Multi Family Building: (Yes /No
_11q:7 -
CONTRACTOR Name: r',~,° & r r ^ on ®rt~~e Ss) D nct) S License _ n y 7
Address: i h 61 A 4f W,
City: LYQ 4 r / '1 State: ~ Zip: a3
Phone: 6S-)--3 J5D+ Contact Person: i
COMPLETE THIS AREA ONLY IF CONSTRUCTING-A NEW BUILDING
Minnesota Rules 7670 Category 1 - Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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.
_z x
Irt s ri a Applicant's Signature
p
Page 1 of 3
f
,
G~
~i
1
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
9
Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi
❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF
❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORK TYPES
❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building*
❑ Addition Building ❑ Reroof ❑ Demolish Interior
❑ ve ❑ Alteration Fire Repair ❑ Windows ❑ Demolish Foundation
❑ Replacement ❑ Egress Window ❑ Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancyt ~-ts MCES System
Plan Review Code Edition SAC Units
(25% 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Una Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation
Drain Tile Other:
- V Roof: Ice & Water Final Pool: -Footings _Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:_R.I. _Air Test -Final _ Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
RES/DENTIAL FEES: p D 413i,~i, 0 41 S TO?' r75iV 4/0
Base Fee
Surcharge
Plan Review
J ~f
MC/ES SAC { 21 3,5
l~
City SAC
~j
Utility Connection Charge
1
S&W Permit & Surcharge
T'
11
Treatment Plant 00~
Copies
Total
Page 2 of 3
Use BLUE or BLACK Ink
F-----Us-e
For Office I
j Permit j
City of Ea
Permit Fee: lo F~
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 staff:
y - - - - - - - - - - - - - - - - J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress:~ At'L c`A U-)M no
Tenant: GU SZ A 1,0 n7 Suite
RESIDENT / OWNER Name: Eq L A/1 o Phone: 4"C11 -
Address / City / Zip:3_,54, ,,9LLk5 -1--A~A t t,)A4 -J11ni)
Applicant is: d- Owner Contractor
TYPE OF WORK Description of work:
Construction Cost` ~l a ~c Multi-Family Building: (Yes / No
CONTRACTOR Name: / T D License oZDaZ ~ 6 IBS
Address: /P !3 2 Goib sit e W Lr /ezLG
City: LAXe(/ft,LC Statem r) Zip:
Phone*.6 b2 -4PQ I LAS~5 Contact Person-q ~Sb.3 1
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 the 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.aopherstateonecall.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 a proval of plans.
f ►
x A rJ lam, `CrC
Applicant's Printed Name Appli nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation - Fireplace _ Porch (3-Season) _ Storm Damage
t gle Family Garage Porch (4-Season) Exterior Alteration (Single Family)
ti _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ ition _ 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 Oa
(~-~3~
Valuation Occupancy A - 1 MCES System
Plan Review Code Edition SAC Units -
(25%_ 100% Zoning City Water
Census Code ky 3 q Stories - Booster Pump -
# of Units Square Feet - PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIA EES
Base Fee d
Surcharge
Plan Review 41a~
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies CW
TOTAL
Page 2 of 3
2009-12-10 2146 Stern Heating & Cool 6512584857» 651 675 5694 P 2/2
ma mule of MACK Ink
I ~dllreilse I
Qty of Eagn 61 j pa►rat 1=N: ~ t
MD Plot Knob Road
Eagan MN 56192 I DOW tress MO:
Phone: (6511679-6675 1 F
Fax: (651) 5754[94 1 statF I
2009 MECHANICAL PERMIT APPLICATION
Date: __1_^ -1 O -'0? ! sm MIS : b 4 u~ CA- sT-
TRnanC -t . D phis 1111104
RESVENT 1 OWNER Name: Phone:
Address I City I Zip:
CONTRACTOR Name: $TerK t4p-ri rlq Ucomo
Addt'ess: 41VI 8a
city: f~+M• state. IJ Zip. S-5-064
Phone:lZf S"1--76~I' 4 Contact Person: &"J • rxr,% - -
TYPE OF WORK New Rep#acament Adl t onsl _ Altsredon Dsawttlat
Oeso►lpdonoIW-- i.++~s C f~tti.T~++stl• +P6f ~t.,L 1+ ~f t~`
NOTE: Roof rnogrftd 'and gmWW I!4"1r tsd ft>eohanloal bqulpmmt is regtdmd to be screwod by Cyr
Cods. PNaae oonteat the Me10#ii 616*l Ins~ralo► for'in sflan art pwm t nd satsefNng msdww*L
PERMIT TYPE RESIDENTIAL. CONNERCLU
X f=urnace _ Now Construction J Interior Improm, art
Air Conditioner ` Instal PIph+Q Proc eased
Air Emcharapr Exterior HVAC Unit
_ Hest Pump Undar T Ab0Ve gawfMd Tank t_ trmtalI1_ Remove)
-Other inatsYk*N mwrng tank(s), call for inspection by Fire
maw* and plwrn0i t
d4ESIDEN1IAL FEES:
$90,40 iM imum Add-en or alteration to an existing unit (Inc hWas $.50 state Surcharge)
$90.30 Firs mpaair (roplace bumed out oppriances, doetwork..stc.) (includes $.SO Stale Surl:homo) S TOTAL FEE
COMAI'lRCb4L PWS:
$70.60 Underground tank Installation/removal OR Contractvslue $ X11%
$50.56 NI MMUM (includes State surehsrge)
s = Pemtit Fee
- If Palm Em is lem thrtn $1.00. sumhMgs is li'K
- if fn to s =4.0[10. surcharge Inemum s by $401 for Soon 8ut~yiirge
$1,000 Permit Foe (i.e. a 81.001-52,000 Permit Fes requires a $1.00 surcharge).
a TGTAt, Fite ,
Y U WG. Call Qoptrsr state one cou at ("1) 4WONI Im probation a0ninst wMergrowtd tldl(t1I ttaM ODC Call /a hours
botaro you lii ft to dig to moolve toastas of ur4mvrnund utUklse.
I neracy acknowledge that INS kftM Mlprr Is porptets And &=nKe, that the work wla be 0 coftrmMs with the erdirmums and codes of the City of
Eagen, that I umW land this is not a permit, burl "so appti BWO for a permit, and W&V Is not to Ann without a pennR: test the oak Will be M &*Wdmwo
write the epvrwed plan in the CUe of work which requMea a review and approval of plane. d) 0
X it"N r .5 TeC r~
Applicantnled Name Appl#ca s Signature
FOR OFFICE USE RWAWAsd By: Date-
Required Inspections. __Un*r Ground Rough In Ate Test. Gas Servbe Test ,_in-floor Heat Final
71
/ \ Exteri N C Stxssrrl Ins lion
2009-12-10 12:36 CITY OF EAGAN 651 87S S694 Page 1
Use BLUE or BLACK Ink
For Office Use
' I Permit 1P
C1ty of EantalIl I
Permit Fee:
3830 Pilot Knob Road I I
;
Eagan MN 55122 1 Date Received: z -13
Phone: 651 675-5675
Fax: (651) 675-5694 ; J
a
X2_0)10 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: C
Tenant: Suite
RESIDENT / OWNER Name: ! >QYIt% Phone:
Address/ City/ Zip: `aAD 'Ro t cc
CONTRACTOR Name: 4-N e5 I ur,( C\C e' License 6174 J
Address: r~ "r L<< City: ~?Cx 1
State: Zip: !E-~ ( CX5 Phone: (O
Contact: Email:
TYPE OF WORK _ New Z Replacement -Repair _Rebuild - Modify Space Work in R.O.W.
Descri 'on of work:
PERMIT TYPE RESIDENTIAL
ID
Water Heater Water Softener
Lawn Irrigation Add Plumbing ~Fi res
RPZ PVB) 41ain jt~
Lower Level}
Septic System Water Turnaround
-New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'"Water Turnaround (add $166.00 if a 5/8'meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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- wwwgopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 approv ans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test , -Gas Test Final
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: March 20, 1966 Number: 76
Billing Name: L. E- Dahlberg Site Address: 1066 Beatrice Street
Owners Same Billing Address Same
Plumber: AU Mate
Location of Connection Meter Size Connection Chg.
Meter No, 76 Permit Fee 7.50
Meter Reading Meter Dep. 15.00
Meter Sealed: Yes Add'l Chg.
NO Total Chg.
>P Inspected by
Date ~lalgr~Yj
Building is a: Remarks:
Residence-aL-
Multiple No. Units
Commercial
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By;
Please notify the above office when ready for inspection and connection.
Ju1111411:43a AAGarageDoor 651-702-0838 p.1
� Use BLUE or BLACK Ink
jFor office use `_-------�
�t O 1 f-j� �]n � Perrni!#: /CY T��d I
b� 1 iJ �Qll ' ,�1 �
j Permit Fee: V�°?� 1
3830 Pilot Koob Road � �7 �
Eagan MN 55122 � Date Received: l �1 �
Phone:(651)675-5675 1 I
Fax:(651)675-5694 � g�N. �
I 1
L------- --------�
2014 RESIDENTIAL BUILD�NG PERMIT APPLICATION
Date: � �� �� Site Address� �1J�41_�(,(l�''/(Q S� Unit i1:
� I �j
� � Name:�VI n� �v f l ('ti^ 1 Phone: ��a.30���cf��
g ResidenU I v��
� Qwner $ Address/City!Zip' �'�(,�,, ��— �yQ� � ��/ S�l��
3 � I V /
�_ Applicant is: _Owner �Contractor �
_ � I
a � Description of work: K� p I�� �.Xr'�f�wq 0�h� q��-a.q,Q �Uor d n d��� ��� .
r Type of Wo�k �
1 � Construction Cost 1"�"O' d v Mufti-Famil Buiidin � �
s- y g:(Yes_!No �
�� M I
� Company: �'IK GZ���- �b�1� Contact: �b �����H�� !
1 f'_
f COntr"dCiflf Address: �O� ; '��'1 �'e.� City; �� ��i�i[�� ���
� I '/ //►(�/ [�G�
� ; State:��Zip: � 1 � Phone: UI�U /� �O ! — �/�� �
� f License#: Lead Certificate#:_�f� �% 7Q y� }
3 If the project is exempt from lead certitication, please explain why: (see Page 3 for additional information)
i �
f COMPLETE THIS AREA ONLY IF CONSTRUCTING A iYEW BUILDING
i
� In the last 12 months, has the City of Eagen issued a permit for a similar plan based on a master plan? �
s Yes _No If yes,date and address�of master plan: �
� r
� Licensed Plumber: Phone: '
� Mechanical Contractor: I �
Phone: �
I
� 5ewer&Wate�Contractor: I Phone:
! NOTE:Plans and supporting docurr�ents that yo�submit are considered fo be pubfic infoimation. Portions of
� the infarmation may be c/assi�ed a�non-public if you provide speci�c reasons lhat would permit the City to
` _ I conclude that they are frade secrets
�
CALL BEFORE YOl1 DIG. Cali Gopher Stete One Cafl at(651)454•0002 for protection against underground utility damage. Catl 4B hours
before you irRend to dig to receive locates of underground utilities. .rvnv.00pherslateonecall org
I hereby acknowledge that this intormation is complete and accurale;that the work wili be in oonformance with the ordinances and codes of the City of
Eagan;that I understand this is nol a permit, bul'oNy an application for a permit, and work is not to staA wilhout a permit;Ihat the work wiA be in
accordance with the approved plan in the case of work which requires a review and approvai of plans.
Exteriorwork authorized by a building permit issued in accordance with the Mi�nesota State Building Code must be completed within 180
days of pemtit issuance.
X ��h G��a��e- X
ApplicanYs Printed Name ! App icanYs Signature
i,
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151594
Date Issued:09/04/2018
Permit Category:ePermit
Site Address: 1066 Beatrice St
Lot:10 Block: 3 Addition: Mckee
PID:10-47750-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Kevin Rotzien
1066 Beatrice St
Eagan MN 55121
(612) 801-2936
The Plumbing Guys
3440 Kilmer Lane N
Plymouth MN 55441
(612) 746-5545
Applicant/Permitee: Signature Issued By: Signature