1049 Beatrice St. - r CI'ff OF LM"
3795 PM IGwb Rosd N9w„ 104 931'n
• . PFiBNEs 4111"T04 ; . _
BUILDING PERMIT Reaeipt
Fst. VwlWe _ 5, 7Q0. - .
... ? ` ..,
Site Addroas -`vYy r?car.c.,cx au?ez Erect ?1 ?1 ??
Lbt 26 Block 2 See/Sub. McKee Alf+er ?
?
ftroel # Repoir . ? Fie Zaeo,
E
t ?F
1'
n
age p ? a
W DOt]dl,d J?'u]sQl
Nome M? C}
? 1049 ?attioe Stt.
Address Demolish $) 01&,.+t -,....,,?,.
?. Eagan ? 454-7474 c?rr,de - p
r? - b?h
?
S?assel Oo.
Nome
p
g
Address 1350 CIMO Avenue
Assessn,?r
???
? Ci t. F'aul p? 645--03:3I Water & Sew ??
Police
?
W Name Fire ?r?
?
xz
Address
Errg ?
$?qEii1
w a '
. .
QE Ci Phcme Planner - ?r
- COU11C1{ S:
I hereby ocknawtedge Fhwt 1 have read this opplicatlon end state Mct gi?, OR. !CS
-??
the information is correct ag ?e to comply.NVith all appliw6la
?
d'ma
e
Stote of Minnesato Statu s and City
arY 4r
APC -
- - ' ;
?
?
?
?
? ?
Sipnoture of Perm' .?:
A Building Permi't is iss?red ta: ??1 ?`?? wq?i'M?p1 ?,
erf i?M1innesoto Stof?es
all work shali be done in acxordonme yrith o11 app(icabk State
Buildinp
Offieial ._?_.?-?,,,
.. .
. . .... ,
?n,?.?::
V,
PomN # pet. Ilod Itir.Nt..
Plumbing
Mechan(col
INSPECTIONS DATE IFJSP. Rotgh-in Final
Footings Date insp. Dete Irap.
Foundation Piixnbing
Frome/ins. Mechonicol
Final 71.?-
Remarks:
.
Reaeipt MECHANICAL PERMIT Permi# No.
CITY OF EAGAN .? s
fill in rwmbered waces S/C
Type or Prrnt legrbly Tot.
(
t J I? ?/
2. Instaliation Cost
1. Date
'
?--
Job Add
e
s Lf; UL r y`- Blk
3 Tr
ct
.
,-
.
r
s a
?i
4. QWiI@f .
10 y7?
OZ
5. Contractor J`{ t? Gt l t a--k Phone <? ?`! ?? S?
6. Address 1'I I C)
7. City State Zip
?
10. Desaibe
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
11.
Fuel TYpe
No. Equioment BTU - M. Ea.
Forced Air No. EquiPment CFM
Ai
H
dli
Mfg, r
an
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
,
Air Cond.
Mfig.
Gas, Piping Outlets
conp1y wit??fl ordi rtt?s and codss governiny this type ofi w?ork.
Siyve?d : ?? . _ fc,,,
12. 1 heeby certity that the above information is true and correct, end I agree to
; .. PlasA Fi p ?
` Irrspectiona: Date Insp. Da???CO7afat Imp.AlkL
?-.-
?'17iis i3 yatac permit when numbered anci approwd. ?
CttY vIF EAGAM 48448490
.
rA4ta.t3 ? '
ct, a,^? 51?, " lo.?
1NNYLl.;TlUPV KLC;U!{1J
,--?CITY OF EAGAN PERMIT TYPE: Hi' E t. I' t. N''+
3830 Pilot Knob Road Permit Number: ??? ?6;,' A
Eagan, Minnesota 55122-1897 Date Issued: 10102198
(612) 681-4675
14 j 777774 . '`-' ?' -- : ,
SITE ADDRESS: ? ? '
APPLICAMT:
10 44 ist:Ali',iI'°t' C;1 1iIFIhf"AP) [1AhfA1.D
m i I' 1 f: ( I) V,474 14
PERMIT SUBTYPE: TYPE OF WORK:
f3At?li(ii /A' t i`•,SPlVi' Fil'3D[fiTON
F` 1 . i 1 I`I {i f V 3 F 1 1 fi I.) Ei1` WA Y M t M 1 i I k' I? .
I Ai t r6:7', .;'tiAli7 itt 6ACr()l:N0, Hi? t''S f? C(:i1! 1,1 J+M7. i lRIMt). T!d`y??P t; i f.fltJ`7-.
Permit Holder Date Telephone #
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 FlNAL
DOMESTIC
METER
IRRIGATIDN
METER
FLUSH
MAINS
CON DUCTIV ITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPEC'TI?N R???ORD
C1TY OF EAGAN PERMrf TYPO: -
3830 Pibt Knnb Raad Perrn+t t*jmbw:
Eagan, Minnes[rta 55122-1897 flate iwerd:
(612) 6$1-4675
- ? -
SITE AUQRPSS•'> tla t' 1 0 4 0 - F 1,*3 a . API?LI?ANT: .
1. r'? 1" . ;? f, 81 i t if_ ? . .
10443 Ht A irrtr:4 AMt'RIr:AN r64wr
t , • ? n ? 2'9 .. 7 0 j;:'
PEFOlIT SUBTYPE: TY . OF j?: .
k 1-10 A R t°. . A :I F riV A Ft V I_Ith t 7 t #, 1911 t 0 1`1l VA) R A 13`! V 1 .0 M 1;e1 H #i r?Vr" It??•'r it t cAt'"'???
r,
VWMNe. P~ lkftrr Udb trkpbm#
BXCTAIC
? HWIC
?D
?
?? .
?
?T? •
IklaA
_
GVP'?
FIFUNFILACE
AM
;
OWT
TE?T
-
K4P3 A/
d?IkAT FIl+1?lL
DEC?G FTG
L3EW FRdAL
.
? ? .
HOUSE HEATING TEST RECORD
ADDRE55 APT. F OR r iT UBURB
OCCUPANT OWNER n ??--
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA -,4,-_ FA HW STEAM SPACE HTR. UNIT HTR. OTHER '
GAS DESIGN
MAKE MAKE OF BURNER_
Model f,?- "` t Kl????(y"7'9? Model
Seria l S,& C-?,?, Max. BTU Rating -
INPUT Zi Qit MAKE OF FURNACE
Model
CONTROLS ? ? . e,
THERM05T Heat Plug f LP ?? Vent Size
Valve
AOZ KIND OF LINER SIZE-_-f:? NONE
Limit Draft Hood Regularor
Limit Setting e ','l1f Filters Size Number
Fan Setting Chtmney Location J,qside?0utside
Pilot Type Chimney Construction rq5-• ?
Pi1ot Make
Pilot Model Smoke Bomb t Wiring -ELL
Pilot Timing 3? ?
L.W. Cut Off
Pressure 3,r 3 Percent C02 yo
Input CFH-T.7.-f Pereent 0?
Stack Temp. -sae?-Pereent CO
Form 235
Draft ?%?-a ? Test Tap
Door Pressure Lighting Inat.
Date Tested
Company Testing
Name of Tester
CON V E RSI ON
i ;.
st void 18 months from
Date of this Request ? P 4 4 016
I, as gLicensed Electricil Ovmer, do hereby request inspection of the above electri-
cal a+inng installed at:
Street Address or Route No. /o ?t`? 0&A T-R,?ee-, CityL4_c"
Section? Township Range?.?_ County
Which is occupied by,?(?&A ?_? ?? /1% S l1z/
(Name of Occupant)
Is a roughin inspection required on this job? No? Yes ? Ready Now I? Will Call ?
Power Supplier
Electrical Contractor
NameJ / 1/ .Aj'-rQ
Mailing Address
?
Authorized Signature (/~ 4?d' /'-'0, PhokPk.6 q5,' f
( tca ontractor or Owner Maki his Installatlon)
STATE BOARD C4PY ;
Minnesota State Board of Electricity
?1P,54kUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHCCK BELOW WORK COVERED BY THIS REQUEST
/-'S a S-
P 44016
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wiced For
Home ? ? Range Temporary Wiring ?
Duplex ? ? Water Heater Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace A Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ?
List
List
Other ? ? ? Rehers?
1 Rthe s?
COMPUTE INSPECTION FEE BELOW
Setvice Entrance Size: # Fee FeedersbESubfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres •2
101 to 200 Amps. s if 31 to 100 Amperes 31 to 100 Am eres ,
Above 200 Amps. Above 100 Amps. Above lOQ_Amps.
Transformers Remote Control Circ. Partial or othei fee
Signs Special Ins ction Minimum fee $5
Remarks TOTAL F ^
Cjo
I, the Electrical Inspector, hereby ?fy
(Rougt?-in)
(Final)
This request void 18 months from
1?e a ,..i$pectio been
S> ?: •;? '=Y.,; 15:1 te ,3
' ! pate 3 -.;zJ-?
This request void
18 months
nA c (?e
? ?
A r?
r.,. ?.. 1C4
Req,pst Da a, Fire No. Rough-in Inspection
flequired?
[:]Ready Nuw Q WiII Nntifv ?nspeo-
?Yes Q'M'o [or When Ready
ki¢ensed Electrical Contractor 1 hereby request inspaction ot above
? Owner electricel work installed at:
SI«e4Addt,@".=1Bnr.'ar(}I0te No. Citv .- . `
j `' ? T I 1 - " '1 `). 1.?
ection o. Township Name or Plo. Range No. CouiltY
Q'C'ui!'Clan.t' ?1fifT}:•,i:?'` Phone No.
..
? ' ! . J : ) -' ? ? ,-
_?
w(?x, Su9plier
? Address
r ... .... „ ...
EdC?iYi?911'?onti8e{on,ICompany Name) Contracto ti(ce^rrse' o.
KfO ili'ri4 Ado,n`esi? ICfortteactor ort?her ,._.k. tdq. ?sta;?M?Qinn) ", ?_??•iLLwr_;
Auihorized S±;gnafure (Contractor/Owner Making Installation) Phone Nwh?;
s
MINNESOTA STATE BOA? R D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-191 gE ACCEPTED BY THE STATE BOARD
1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FE? IS
Phone (612) 297.2111 ENCLOSED. ^ .
REQUEST FOR ELECTRICAL iN5PECTION Ee-oooot-aa
See instructions for camplatin§ thiri,,form on back of vellvw copv.
by This Request
""X" " 8elow Work CoMP
Now c? Rep. Type o1 Building Appliances Wired Equipment Wired
' Nome Range - Temporary Serv+ce
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. ? Furnace Silo Unloader
inc{ustrial 81dg. Air Conditioner eulk Milk Tank
Farm Other Specify Other {SPecify]
ther SpEClfy f er - 01her
Comoute lnspectron fee Be1ow
q Fee ServiceEntranceSize # Fee Feedars/Suhfeeders # . Fee Circuits
0 16 200Ams 0 to30Ams 0 to30 Am
Above 200 Ampsi 31 to 100 Amps 31 to lOQ A s
Swimmin PoQI Above 100_Am s Above 100-Am s
Transiorrner5 Irrigation 8oom5 ParIial.'Other Fee
5igns Speciai lnspection 44^ TOTAL
Rerrorks
nK.r -
,p •
RoLOh-in Date 1, the Elec '
Inspector, herebY
certify that tiie ahove
Final ? D inspection has been
mede.
this request void 18 months from
CITY OF EAGAN
? 3795 Pilot Keob Road Eagan, MN 55122 N2 5204
PHONE: 4548100
6(JILDING PERMIT APPLICATION Receipt
To 6e used for Gar'age Est. Value 5.700. Date 5-9 , 1979
?
1049 Beatrioe Street
Site Address
Erect M"IeW Qccupancy
Lot 26 Block 2 Sec/Sub. MCKee Alter p Zoning
pamel # Repoir ? Fire Zone
Enlarge p Type of Const. Frcm
cc Name Donald `7chnsm Move ? # Stories
Z Address 1049 Beatxice Str. Demolish E Oldront 26 ft.
° City, Eagan Phone 454-7474 Grode ? Depth 30 ft.
9 N Sl]SS21 C'A. APProvals Feeo
ame
vb Address 1850 CCMD AVE-'nU2
?- Aaitl oL.,...e AdC:i-(1AIA1
Name
Address
Phone
Assessment
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
1 hereby ocknowtedge thnt 1 have reod this appiicaYon and state that
the information is correct d ogree to comply ith all applicoble
State of Minnesota Stot % and City of Eagn r' a, s. 4
Signature of Permittee
?
Permit 4s.vv
Surcharge 3.00
Pian check 10 • 50
SAC
Water Conn.
Wcter Meter
IMrolish
old qaract e15.00
Totat 49.50
A Building Permit is issued to: Sussel C?oarQany on the express condition that
cll work shall be done in accordance h all a 'cab Sf of Minnesoto Statutes and City of Eagan Ordinances.
Building Official _ -
CITY OF EAGAN Remarks
Addicion, McKee Addition #1 Lot 26 Bik 2 Parcel 10 47750 260 02
Owner???'°'' Street 1049 BEa rr; r p Ct State F.a gan _ MN 55121
Amprovement Date Amount Annual Years g?j Payment Receipt Date
STREET SURF.
.? ? STREET RESTOR. paV n 1969 311.5? 31.15 10 '
GRADING
SAN SEW TRUNK p 1968 $100.00 $3.33 30 PAID
* SEWER LATERAL 1968 ZO
WATERMAIN
WATER LATERAL& SEW 1968 $$50.00 $42.50 20 PAID
WATER AREA
STORM SEW TRK 1984 p g7 V15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $200.00 474 10-1-67
BUILDING PER.
sac $200.00 474 10-1-67
PARK
CI7Y. C7F E(tGAN
C.:ASH7:Eii: ra "t'F:Ri'SIi4AL NCl". 79:3
DA'TEo 10/02I98 "f'7MLg 15°04n55
ID- NAME a DONAl..D E 1 f]i-(NSON
32:1.0 9001 1049 BEATh:CCC 87.25
21.55 9001. J.049 BEA1'hIGE r.??el:lC1
?
?
To+ a1 F:ereipi; Amount. ° 8'.3 L P.5
CR09'79"r"9 a
LJSER I.L1o NIElNC!(
. ,.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
FERMIT
1049 BEATRICE 5T
LCIl"e 26 E3t OCK : 2
Mt. KEE
P.IeN,a 10-47750-260-02
DESCRIPTION:
PERMIT TYPE: Bu zL°ING
Permit Number: 033620
Date Issued: 10{ 02 /? ?
GARAGE/AccEssoRY
ADDITTON
438 AI.T. GARAGE
REMARKS:
F'LAN RF.VIFWE[l BY WAYNE h1.T.LLEFt.
GALL 445-2340 RkGARDING ELECTRICAL PERh1IT ANq 1:NSPECTSQNSe
FEE SUMMARY:
\lALUA1'ION $4,000
t3a5e Fee $87e?5
Surcharye ?2e00
__..? ?_?..?...?.?.__
Tot:a1 Fee 5
CONTRACTOR:
(
a
OWNER: '°' Applicant -
JOMN50N DUNALD
1.049 BEA7F2TCE ST"
EAGAN MN 55121
(651)454-7474
T hereby acknawledge that I have read this aPPlication and state that the'
infi'crrmatian .is earrect and aqree t4 oampl.y with all applicabl? ?tate afi hfn.
5tatutes and Ga.ty of Eagan Qrdinances.
L
" APPLICANT/PEF E SIGNATURE
ISSUED BY: SIGNA URE
-1
1
' , hQ . . . . . -' . . . . . . . . , -
??FICE USE 11INLY ' . ... ?? ? ? . . . .
BU1LDtNG RERMIT TYPE _
17 09 Foundativn O OC Ovpiex O1l flpt.fi.vdging 01S Sarsenwi# finistt
D 02 SF Dwelling 0 07 4-plex ?12 MuWi RopairlRem. 0 1.7 Sr+tim P+oW
0 03 SF Addition ? 08 8-pleac V1 3 .
Garage/Acammary ? 20 .Pu???adlity
0 04 SF Parch
0 09
12- x
P?
'14 .
Fire la? 0 2'1 ??
R ftt?
,V65 SF Misc.
? 0 10 = plex . 13,15 Do& .
WORK TYPE
17 39 New ? 33 A1terations 0 36 Move
? 32 Addifion + CI' 34 Repair CI 37 DemoIition
GENERAL INFORMATION
Const. (Actual) Baserneni sq. ft. ? 14ACNVS System
(Allowable) Main levvW sq: ft. City'IAIafier
UBG Occupancy sq. ft. ? Eire Sprinkl?d
Z.onirg ..._.......... ? sq. ft. PR'N
# ot Stories sq. ft. ?
? Booster Purnp ? .
Lertg#h sq. ft. Cerrsus Code..
? lDepth ? Foc?tprirat sq. ft. SAC Code ,.; '" L
,. . Cersus Bldq 1
Censcs Unit
APPROV,aLs
Planning ? Building rtifar*fte
r -
?
. Permit Fee
Vsduotion: .
$
Surcharge
Plan Review
License
.
-
*
MC1WS SAC r
. .
- 6W Y P-l ' ?. 3??? -
2
Cit,, SAC
Water Conn.
Water Meter
Ac.ct. Cfeposit
SlW Penni#
StW Surcharge .
Treatmertt Pt.
Park L?ed. ,
Traifs Ded.
O#her
Cvpies
To#al:
_ 9 .: .
.
. . - - . . . - .
._ . . :.
- % SAL .... . .
. . . .
- . . . , , . _ - _ . , _
- .. .,
• "C tJnh
_. _ - _
. _
- -
. - . - . . . . . _ . . .- .
? C?l
•? ?. ?O
s '
It>
?
o x '10
...?.,..... ....-....,?... _. _. _
.
?
;
- ?,
,
,
2,7
t -
a ? a j o
I o 3`7
7G ; . 70 70
.?.._. _
. t.
.
.:
lo
.
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7c
7b
70
70 ?
,
..
i?
s .t?
C \
.
+
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,
? 70 70 7a
? ? ? ? l ?? ?? ? f -?--_t ? ??
??
_? -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
??- 4I? ?t L,
suiLpzNG
025336
05/23/95
SITE ADDRESS:
1049 BEATRICE ST
LOT: 26 BLQCK: 2
MCKEE 15T
P.I.N.: 10-47750-260-02
DESCRIPTION:
MAC 50UN1] INSULA7ION
Building Permit Type SF (MISC.)
Build.ing Work Type ALTERATION
REMARKS:
A 5EPARATE PERMI7 I5 REQUIRED FOR ANY PLUMBING OFt ELEC7RICAL WORK
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surcharge
7ota1 Fee
$126.00
$81.90
15.50
$213.40
$11s 000
CONTRACTOR: - q p pli c a n t - 5 T> Lz c e OWNER:
pIVERSIFIED AMERICAN GONST 19297982 20017349 JOHNSQN pqNALD
5115 EXCELSIQR BLVD 107 1049 BEA1'RICE 5T
S7 LOUIS PARK MN 55416 EAGAN MN 55121
(612) 929-7982 (612)454-7474
? I
I hereby acknowledge that I have read th3.s applioaCian and sCate that the
information is correct and agree to comply with all applicabl,e State crfi Mn.
? Statutes and Gity af Eagan Qrdinanees. -
APPLICANTiP ER MITE E SIGNATURE
a gvAl [U
ISSUFO B SIG TUR
INSPECTION RECORD
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L q I N C
Permit Number: 025336
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 0 5/ 2 3/ 9 5
SITE ADDRESS: p•I•N.: 10-A 7 750-260-02 APPLICANT:
LOT: 26 BLOCK: 2
1049 BEflTRICE S7 DIVERSTFIED AMERTCAN CONST
MCKEE 1ST (612) 929-7982
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
ALTERATION
DESCRZPTIOM MAC SOUND INSULATION
INSPECTION
FRAMING D. •
ROUGN TN PLBB DA
QUGH IN HT6 FTNAL
?
CITY OF EAC3AN
3830 PILOT KNOB RD - 65122
1995 BUILDING PERMIT APPLICATIC)N (RE3IDENTL4L)
669-4675
Name: Phone
uw Fan
* 3 ropistand sWe sWVeys ? Z oopiea of plan
? 2 copin of pisris (indude bsam & windaw sizss; pourod ind. desipn; etr-) ? 2 sft survoys (wneerbr additfons & dsdcs)
? 1 eneroy Galcwlatlons ? 1 erbrgy cakwhtiotla far heaad addkWm
? S oopies of tree proservatlon plan if bt plattsd aW 711193
required: Yes _ No
DATE: ? lo?a CONSTRUCTI4N COST•.
DESCRIPTION OF WORK:
STREET ADDRESS:
,
LOT ? G BLOCK SUBD./P.I.D. ? J'A
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Street Address'
City: State: Ztp'
??13•4 a
rhild 4 - f ,
Street Address: ?// f?"1'Go?., ?? f 7License #_. 49 / 7? ??
City;State: Zip'
Company:
Name:
Phone #•
Registrafion #Street Address, -
City:
State: _.._.?.,?.._ Zip•
Sewer S water licetuoed plumber: Penaliy applies vvhen acklress change and !ot
change are requested once permit is issued.
f hereby acknowledge that I have read tlhis application and state that the kftTnadon is ooffect and agree to caMply with all
applicable State of Mlnnesota Statutes and City of Eagan Ordinances.
Signaturo of Applicarrt: OFFICE USE ONLY RECEIVED
Ceffmtes of Survey Receirred Yes No MAR 3 0 MS
Tree Preservation Plan Received Yes No ---------------
ri
OFFICE USE OMLY
? `.
°''? ?. ?'"?r?:.F.•^? =?r,..rl?
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
o 02 SF Dwelling a 07 4-plex
0 03 SF Addition o OS 8-plex
0 04 SF Porch o 09 12-plex
r,<05 SF Misc. 0 10 _-plex
0 11 Apt./Lodging a
0 12 Multi RepaiNRem. a
0 13 Garage/Accessory o
Q 14 Fireplave o
0 15 Deck
16 Basement Finish
17 Suvim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
0 31 New cffi?,:::?33 Afterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
0 36 Move
0 37 Demolition
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water ?
UBC Occupancy ? sq. ft. ? Fire 8prinklered
Zoning Sq. ft. ? pRV
# of Stories sq. ft. ? Boosfer Pump
Length sq. ft. C.snsus Code. ?f 3 y
Depth Footprint sq. ft. SAC Code
Cemus 81dg
Census Unit
APPROVALS
Planning Building i Engineering Variance
Permit Fee
Surcharge
Plan Review
Lioense
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposet
SMI PeRnit
S/W Surcharge
Treatment PI.
Road Unk
Park Ded.
Trails Ded.
Other
Copies
Total:
Vatuation: $
qb SAC
SAC Units
CITY USE ONLY
L a ? BL a
suBO.
RECEIPT #: / D'" ? U a 1
RECEIPT DATE: -*@- I U'
PERMIT # ?J C? v ? a
1999 PLtTMBINfi PEM1T (RU1DF.NTIAL)
crrY oFEAsm
s$so PaoT Klqos ftn
£kfiAlN, MN 55122
(651) 6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkier system Al? ok C....
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i in outlet minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee atterations to existin dwellin 30.00 x I = $
Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x - $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water ctoset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ---> $ .50
Total •-> --> ---> ---> $ _
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------------------------------------------------------------------------------------------------------
I hereby adcnowledge that 1 have read this applicatlon, state that the infortnation is correct, and agree to comply with all applicable City of Eaean ordinances.
It is the applicanYs responsibility to notify the property ovmer that the City of Eagan assumes no liabiliiy for any damages caused by the City during its
normal operaGonal and maintenance activiUes to the facilities consVucted under this permit within City propertylright-of-way/easement.
SITE ADDRESS: °l bo- +r ic ?IQ
OWNER NAME: :LCvY'?J(i ?o?1f'? S t?Yl TELEPHONE (OSI yS y--74 14
(AREA CODE)
INSTALLER NAME: ?,,?'1l'KCI ?)`I"CA `S G[1 2nC. TELEPHONE #: (0 I o?. ? ?SO "c? U ? CU
(AREA CODE)
STREET ADDRESS: ,-
CITY: STATE: M? ZIP:
. ?
SIGNATURE OF PERMITTEE Cl/
?
?
DATE
SL'II.DING PERMIT AP'LICaTI0':
Include '_' sets of plans. 1 site plsn w/elevatiuns an? 1 set oE energy ca:cvations.
To be used for Valuat:on
Site Address: 'i i
to[ Block Sec.!Sub.
? ? ..? lk c ??--
•
Oa? e r
Addrzss 'izz
Contractor ?
ad_'ress
Arch/Eng.
adaTZSs
Parcel Nur5er
Telephone
Telephone
Telephcne
OFFICE CSE 0%'LY
Erect
Al:er
Repair
Enlarge
Kove '
De^iolish i/
Grade
Date of Aoproval and Initial '
Assessment
Water/Sewer
Police
?
Fire
;
En3ineer
Planner
Council
B13g. Off.
A.P.C. _
Occupancy
Zoning
Fire Zone
Type of Const. ?P "-
0 of Stories
Front ??
Dep th
Fees
Permit
Surcharge
Ylan Check
SAC
{,latet Connection
Water Neter
?-
TOTAL -
I? t =-
x
EAGt'.N TQW:ISHIP
3795 Pilot RnAb Road
St. Pau1, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVTCE CONIVECTION
Data: Nov. 1, 1967
Number: 24
BillYng Name: Leonard D. Pme . Site Address: 1049 Bea.trice
.... .
Quner; above Silling Address above
P1+.=ber: Kroppelnicki Plbg.
of Cannection MeCer Siz er Connection Chg. ?.00 _ Pd. 11/1
Feter ldo„ Pomit Fee ,3.50 f`t 1//7
Meter ReadiagMeter Dap. 11/1
Meter Sealed: Yes Add'1 Chge
NO Total Chg. $222.50 _
Inspeceed bp
Building is a:
Residence X
Multf.ple No. Uaits
Conrnercia 1
Ir,dus Cria 1
OLher
Date
Remarks:
Eq• ?
? Chief tnspector
Ia consideration of ehe issue and delivexy to me of the above pexmtt, I
hereby agzee to do the proposed woxk in accordance wizh Che rules and
reg-ilations of Eagan Towaship, Dakota Cflunty, Minuesota.
PIea:3e aotify Che above oftice when ready for inspection and COLL"1P.ctian.
•••"`Vt111 7TRlTSL2TP
3795 Fi10t a'U1ot, RQ'r7d
St. Paul, Minnasora ?5111
Telephone 45+g5242
PE?WIT FOR SEtTER SERVICE COITNLCTION
DATE: Nov. 1, 1967
01•NBR: Leonard D. Pa?n.e
.r ,.. .,
PLL'MBER Kroppelni.eki Plbg.
N°'J"TER 42 ..e......
Address 1049 Beatrice St.
TypE pF pIpE Ext. Hem cast iroxi
? ._.......
DESCRIPTION OF BUILDING
_.._..._.___,
Industxiai g r,,nmepci.a]. I Residential I P2ultiple DWe113ng I No. of aritg
¢
..?...?.........._.._ F?...?..
Locatian of Collrections:
Cor.npction Charge $200.00 Pd. 11/1
Permit Fee 7•50 R:e ???7
Street Repairs
ToCa 1
iaspected by: ,
DaCe
Itemarks :
By . ,.._..
Chief Irw^pecLav
In consi.0as3tion af the issuA ar.cl deIi•rery to me of thQ abo":e p??rn'i:, I
herFby agrno Eo do the px:posed work in accordame vyith ttie x+iles and
re,?,u1.atious of Edgan To?-raship, Da2:.ota Countl, M3.n?tesO .,T) ?
- -',/ ?s Ry
....___,..._.._..?.....,...._w?.....u. __
P?Qasp xtnrify then xP9dy fvr ix+.spection and com.ct.ion ard aaf^re any pn::.`_:an
Ci ti'ie CIC•YZt iS CC+VA1"?4.