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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 . ? 7c 7b 70 70 ? , .. i? s .t? C \ . + ,?,? • •?? ? ? . ? ? , ? 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.