1065 Beatrice St
Use BLUE or BLACK Ink
I
I ,I
MY
of f ke I PmM Fee:
F
~ Pilot N Knob Road j I 65122 Received:
Phone: (661) 67546675 i Dells Fax: (651) 67545694 sunk:
2010 MECHANICAL PERMIT APPLICATION
Date:.04v _ 81te Address:
Tenant: Sullo A
RESIDENT /OWNER Name: Phone:~y Ya
Address / City / Z p:
CONTRACTOR Name: ,A;04 License #
Address: /.✓S~' Gam, ? e3ga L"e City:
Shirts: Zip: Phone: 2~~-
T
Contact Email:
TYPE OF WORK New oemm-4 Adder! Dernolition
Description of work: ll~JZ'i?
RESIDENTIAL COABMERCM
PERMIT TYPE : Furnace New Con mmdon inlerW improvement
Ak CAxxnoner Irwtem Pov Processed
Ak Exchanger Gas Exlerkx WAC U*
Beet Pcxnp _ tinder / Mow Wound Tank k*d / _ Rmmve) j
When inetatlingfremovtng tarhk(s), call ~r by Fie
-0dw men" and
RESIDENTIAL FEES.
$50.50 Minimum Add-on or alteration to an existing unit (irx*xsos 5.50 State Surcharge) C
$90.50 Fire repair (repiam bumed out applances, ductwork, etc.) (includes $.50 Stab Surcharge) _ _ TOTAL F
COMMERCIAL FEES.
$70.50 Underground tank installation/removal OR Contract value $ x1%
$50.50 Minimum (includes State Surcharge)
a$
- If Permtt Ell is less than $1,000, swvhwge is $.80. Permit Fee
- If Pert Eja is > $1,000, surcharge Wanes by $.50 for each Surcharge
$1,000 Pam* Fee (i.e. a $1,00142,000 Per" Fee rsquirm a $1.00 srreharge).
TOTAL FE E.
CALL BEFORE YOU DIG can Gopher stab one cam at (m) 45441002 for proadion apart undw Wound ut0ty damage. call 48 hoe
before you intend to dig to receive localse of underground udlill . www.aooherstateonecall.ora
I hereby aduwMedge that ft inIbmadon is cornplelle and aochrate: that the work will be In corsfonnarm with the ordnom and codes of the of
Eagan, OW I understand this Is not a pemh5, but ordy an appka#m for a permlL and work is not to start w a perinit mat the work M be In accorcance
with the approved plan in the case of work witch requires a review oriel app oval of ple m.
x x
A plies a Printed Wam
ioortrnt'e 8lpnaturs'
p
CITY USE ONLY
4
ROW
CITY or BST # {
36SO p . 10M NO
r`-
BAQW, W 55122
651-t~h-457g
Please Complete for. > skvw %mly dweftp ;
> RWA*WMG WId =Tdo* WW WMb are r** br'Mal1'tfra t
3► ' baddltaw p ~ tatekerrgrour~d f
IXMRU' Val
Alterations to existing dwei - MhOrwI flee 4
DewAbd: t J eUf--c,-4-, w&044 .
Bath tub $ 3.00
Floor drain 5-00 x `
Gas piping outlet * rnrwm - t 3.00 x 3
Hot tub/spa 5.00 X
Kitichen sink 3.00 x 'e
Laand 3.00 it,
Lavatory 3.0N3 X
sepoc System i1la~nNlsabbhaid i t~C ac. 75.00 x .
so tic S stem 3000
i x.50 x
Rough
ow-
U!* round ri"r x Is undat, ,00 x. _ F
30.00 x:`
on do- ft
Unde round lder if
Water closet 3.00 x i `
Water heater 3.!
Ylhrber softs~rrer ~ $ r X ~
Water softener weds M! 9 30.00 x
` Water ttmtanwnd 30.00
State Sumho .60 + ...~a`
TOM
Rmindw. Call for Of hills I AL IWW 119411611M. i adcn'a-wNe inai i iia iietlaoi+,
is
OW I
4oorsat. ae .a`oM
ika6i sRi~ EbiiiAraniiMioR d
It is the a wiant's nwpaea r to now V10 MOM awrier that the CiEy d t' pn aeauma no tai .
norrnel oPeratbnal and nanoe to the ooeadruMsd oft pr►t2 wr1ftn G
SITE ADDRESS: f
CiVIfNER NAME:: TELEW**:
INSTALLER NAME: G'.1L...~ TL
STREET ADDRESS:
CITY:
my 1 T.
SIG
CITY USE ONLY
LOT BL PERMIT 0: 7I
SUED. RECEIPT M.
.
RECEIPT DATE:
2000 MM'CXMCRL PMTRl$SaA~L~
c=mar tap sa t -1
3830 Mari .1~
ZAQW, W 5512?
651-691-4675
Date: 10 ( ve t
Complete this section ffik if you are installing HVAC in a siwo hffi4~ to wmxne ~ cow* mok
instruction and not owneafoccnied.
• HVAQ 0r100 M B T U $ n Y 30.40
ADDITIONAL 30 M BTU
►.~4
• Gas outlets (minimum of one required ( $3.00 ea.)
stag s
Total
r~
i
i~! woo-
• - - -
Complete this section Pa if you we age' g, jMUg or as modith- 'lr ONWM&
townhome, or condo. Please indicate if it is a new item, ahmation, or reps . u
New _ Altenition Repair Odor
Furnace Air coo tlo
Air wwhangar .L "
{
FCC
SAC StoohWr
Total '
Remho&r: Call fir impftiWw
SITE ADDRESS: ' L•C tocPS
77 77'
OWNER NAME: PHONE M. b . " JC6 INSTALLER NAME: TSCACKSW 1+e_1 PHONE
STREET ADDRESS: L'4n ~J' tACOOE) r4
CITY: STATE:
1, r
MY tm ONLY,
L
APPROVED ®1C:1 ltJC`TCiR ABOO 'f DATE:
r. W
DATE: .
WORK ITM- Ntiw, bdl fl tt i 'i ott
Pao FipisS t;
llcert lnllrylat u~e~`MrrJFy taatl ~Sll-9';e ~Ye MW%W +a
- y
DNWWM ccrWO&
FM: moftonowprioo-a♦5soNM $ ~ .
U~#oic remo~ral~iuuNiAlf
Cvair~ct price: S x tli: S Mali
SU to sin ge Oak" at &M for ea& $100
X TOTAL S
SrM ADDRESS:
GWNERNAIM: IiB`: ",........w
TENANT NAME {ZlA OVEMM S i1MY~' _
WAS MERE Ai 1'R$'NIOUS "'1iKTAt'f' IIN.'tiS;sPACE? 'Y N. NA>i d r ;
INSTAU E$:
ADDRESS. y,
- a . ~ '
CITY:- , ~ ; ...»S'~'~"~F: -
SLCtA"fCxRE OF PEJ1
319 - 946 OF E ONLY This request void 18 months from validation date printed in this box.
~~.9 p~ r!o ~7/S
9G
e ,MC
PLEASE PRINT OR TYPE
Request Da Rough-in inspection required? [I Yes NLNo Inspe 'o Other Than Rough-In; ❑ Ready No Will Call _
` 5 (You must call the inspector when ready) y'
I, licensed contractor ❑ owner hereby request inspection of the above elect al wor
Job Address (Stress, Bo or Route No.) City j- Code
Section No. 'Township Name or No. Range No. Fire No. County
Occu at 7 Phone No.
Power 5 pplier Address
El qlricol Contractor (Company Name) 1 - Contractor Licegse No. Master Lic. No. (Plant Elect. Only)
m Address (Contractor or Owner Perforining Irlstpllation)s
r~od~ l r/ ~
Authoriz ractor 'Pe ing I tallation) Phone t*
ES-OOOOlA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY
i a REQUEST FOR ELECTRICAL INSPECTION
IIII II III II III II III II III II III II III II III 1~ I II Minnesota State Board of Electricity°
t. Paul
, MN 55104
1821 University Ave., RIRTY'~
3 1 9 9 4 6 0P ;)ne 4312) 642-0800 ,3 , v
Home Duplex Apt. Bldg. Other: New Addn
tDryer ercial Industrial Farm Remod . Repair
nd. Htg. Equip. Water Htr. Load Mgmt. Othe
Range Elec.Heat Temp. Service ~-7
"K' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
i
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Enhance Sae Fee # Circuits/Feeders Fee
Mobile Home Park Stall ) 0 to 200 Amps .G21 0 to 100 Amps
Street Ug./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USEO;LY TOTAL
Sign/Outline Ltg. Amr. Alarm/Remote Control Swimming Pool I hereby certi Cal i ion described herein on the dates st d
Irrigation Boom Rough-In Dale
Special Inspection
Final Date ~f
Investigative Fee .L It 4L,
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHI 18 MONTHS.
im"Vxa;2f05~ e
Request Date Fire N . R gh-in Inspection
f Required? ady Now ❑ Will Notity Inspector
F O Yes Cl- o When Ready?
I ~I licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
O S
Section No. Township Name or No. Range No. County
Occupant TR~rn Phone No.
~c3a- ~0 9 y
Power Supplier Address
EI Contr r (Co y Name) Contract r$ License No.
Mailing Address ntractor r Owner Making to tion)
I-lu
K v
Authorized Signat~touOwyeldbiaking Installation) Phone Numb
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E13-00001-07
11~ See Instnxtons for completing this form on back of yellow copy. L 9 ~~~~w
F -53-1-45 X" Below Work Covered by This Request
ew Add ep. TypeofBuilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contractors. Remarks:
Compute Inspection Fee Below:
# Other Fee # SenrIceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms ts~
Special Ins pection`s
Alarm/Communication
Other Fee
t, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final r Dal
rbeen made.
OFFICE USE ONLY
This request void 18 months from
}
/d atAmo?. MECHANICAL PERMIT RECEIPT #
CITY OF'EAGAN F~~ .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATA
CONTRACT PRICE. PHONE: 454-81dO
Site Address C 7A , c T, BLDG. TYPE / WORK DESCRIPTION _f9 -6 Lot ` Block ecl8ub Res. New
v
`c m Name % Mult Add-on
C.-' %1Gii- ✓.sJ elf G CJ.~ 7 t// G 7 L .
Address `7/.k Comm.. Repair
CitY .j~c.vr.c.a Intl Phone Other -r-
}
Name 0010 r- '41ec c_ RES.HVAC 0I FEES
,t>.
-100 M Address l>fj-1~( )T~lc6 ADDITIONAL 50 M BTU BTU - 0 -
p City Z- 4&_IA/ Phone le' 7 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) ' fi i1►
o. `1tr M COMM/IND FEE - 1% OF CONTRACT FEE
]*bAd Air - Z M, BTU: APT. BLDGS. - COMM. RATE APPLIES
a'Te +1`ETF~t JO 1S $ 00N~0.~-REST HATE ~sF_ -
I~II V~ R_ ES(D5EN IACFEE - ALL Abb m-b"
Unit We M BTU REMODELS - 12 ltf# s
Air Coed: M BTIl MINIMUM COMMERCIAL FEE - EOtlB
Vent CFM STATE SURCHARGE PER PERMIT - y
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # D BEYOND $1,000)
Other -
FEE. -7
S/C: r' SIGNATURE OF PER TTEE
t` TOTAL,
FOR: CITY OF EAGAN
t -
5j
VV r
II ~ /J~ I'r' / ~~I /1 t t
11 ` 1 ` LV\ 4f
1 ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~a j 2 N s
(612) 681-4675
SITE ADDRESS: I 01 . I APPLICANT:
i:~ti.!; t3EA1Ril.~" raT IFj~a1.':iMiA CtIN`rF. ,1
IN (,1C E # L !a 1 t') "Ho-cm 3
PERMIT SUBTYPE: TYPE OF WORK:
r, CR I P i tAN MAC SQUPOPROOFIdNG.,
INSPECTION
VRA1411 NG RO1.)61i IN pt 136
it00614 IN N i li F C NFL!
L,
aw1 Y,. ~y F.
Permit No. Permit Nomw Date Telephone #
ELECTRIC f S
PLUMBMlQ
HVAC ! top 3
In"www DM Imp. Oenmuft
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OR$At
TEST
BLDG FINAL b/ j~clf 69~ +t44 rp!)
D
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition McKee Addition #1 Lot 22 Blk 2 Parcel 10 47750 220 02
Owner IYIt r` 1065 Beatrice St. State Eagan MN 55121
i~`~,t.~~ Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
4 l STREET RESTOR. PaVin 1469 311.50 31.15 10 aid
GRADING
SAN SEW TRUNK 1968 100.00 3.33 30 56.71 0005515 8/19/80
SEWER LATERAL 1968 Z
WATERMAI N
WATER LATERAL & SEW 1968 850.00 42.50 20 297.50 0005515 8/19/80
WATER AREA
STORM SEW TRK -S2 1984 403.00 26.87 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4-30-68 $90n-nn 717 EUILDING PER.
SAC $200-00 737 4-30-68
PARK
EAGAN TOWNSHIP
N° 885
BUILDING PERMIT
Owner . / ?"?-rX✓.... Eagan Township
Address (Present) ...............•---....U- Town Hall
Builder fJ/C~ L-
Date ......f----_.'
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Descriptio_n_ 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 Eagan Township adopted April 11,
1955.
Per
Chairman of Town Board Building Inspector
CITY 0F. EAGAN
CASHIER". S TERMINAL NO 771
DATE: 07Jigl99 'TIME. 98:45„45
ID u
N ME: KACY SINGH CHANDI
3210 9001 1065 BEATRICE 167.>25
2V5 a 9(300. 1.065 BEATRICE 4„`;0
a
Total. Receipt Amount a 171.75
CR 9.1;3:.39
USER IDs NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EACAN c~~QQ I w -
.2) 3830 PILOT KNOB. RD - 55122 _
651-681-4675 --I
New Construction Reou rern Remodel/Reaak RealkaMgo
> S registered site surveys showing sq. 0. of lot, sq. ft. of house 2 copies of plan
and ,gj roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show boom & window sizes; poured fnd. design; etc.) 1 site survey for exterior addlions i decks
> 1 set of energy calculations
> 3 copies of tree preservation plan 9 lot platted after 7/1/93
DATE: /7- 9 9 CONSTRUCTION COST. y V ~V
DESCRIPTION OF WORK: O0 vh t4l~ 0 k
STREET ADDRESS: 6 S 13 L'A 7 R l^C L S 3" Et) (fit Al M ri 5-s- ► 2 1
LOT: BLOCK: .2 SUED./P.I.D.4P. Mc
Name: CHA WD 1 ~ ey Phone rn - 11s9' Yob 7
PROPERTY Lost First
OWNER GL
Street Address•
City < 6o N State: M A Zip: S S) 2 )
Company: I Phone*.*
(area code)
CONTRACTOR
Street Address: License Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer i water licensed plumber (required for new construction onlvl:
Penally applies when address change and lot change is requested once permit is issued.
r I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all appl cabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Cerfificates of Survey Received Yes No RE ..D
JUL 131999
Tree Preservation Plan Received Yes No Not Required
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling . ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
)Sr31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg.' ❑ 40 Gas Insert ❑ 44 Windows/Doors
❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 3$ Demolish (Interior) ❑ 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code y3~
(Allowable) Main level sq. ft. SAC Code 0
UBC Occupancy sq. ft. 160 No. of Units D!
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Ao7- /O7$0 Fire Sprinklered
APPROVALS & ~101140 1 l ei $ a
Planning Building Engineering Variance
Permit Fee 7, 7, 5 Valuation: $ f~06)
Surcharge j j SD
Plan Review
License lpXlb ~/6~ JC,y _
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment Pl.
Park Ded. ,
Trails Ded.
Other
Copies `
Total:
SAC Units
% SAC
MINNESOTA ENERGY CODE
E 1-2 Family Residential Building
RESIDENTIAL "COOKBOOK" WORKSHEET
2-&57-?vf7
Applicant Name f/A [ f y Phone Bate Statement *(Compliance: Building Official Use
Applicant Address The proposed building design represented in these
documents is consistent with the building plans,
C1 7 5 T a A , 1nA N 2 1 specifications, and other calculations submitted
Building Address: with the permit application. The proposed
building has beta designed to meet the
S M ; requirements of the Minnesota Energy Code.
Appticant/Enginecr
MINIMUM REQUIREMENTS for "Cookbook" Option:
Entry Doors 1-314" solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19
door br equivalent (Min. 7'/2" to late to sheathings -
Foundation Windows* Insulated Glass w/112" gap in wtt low heel truss R! 44 * Floor over '11-24 woad, or vinyl frame unconditioned space"
*Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
to determine above grade Window U-Value.
**Insulation Performance at Winter Design Conditions
Window and Door Area i' 100 1 o? 301D a 17-36 % WINDOW U-VALUE :
As % of Exposed Wall Area Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC or ASHRAE 1993 Handbook
FodedatlonWindow/Door Area
MAXIMUM WINDOW U-VALUES
Cheek Wall WALL TYPE MAXIMUM_WINDOW AND DOOR AREA % OF EXPOSED WALL AREA
'type Used 17% 1'4"/° I6°16 !$*IG 20*/i 22% 24°fi 26°l° 213°/a 30% 32% 34%
TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23 0.22 0.20 0.69
TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.34 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18
TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.391, 01 .0.29 026 0.24 0.22 0.21 0.19 0.18 0.17
TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.3 0.34 0.31 0.28 0.26 0.24 0.22 0.21 0.20
TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18
TYPE F 20 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 0.23 0.22 0.21
" 'this sable contains interpolations of the values in the Energy Code, Part 7670.0475, Subp.1.
This is a summary only. Other requirements may apply. See the Minnesota Energy Code.
Qucstions7 Call Department of Public Service Information Center at 612/296-5175 err 1-8001657-3710. 215196
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CITY OF EAGAN
CASHIER". S, TERMINAL_ NO; 24
DATE-. .08/28/0.6 'TIMEa 15a0`_7a80
SIi 4
.NAME° BROL.SMA DESIGN BUILT INC
3210 9001 1.065 14E:ATRICE S 249.75
3422 9001. 1065 BEATRICE S . 124 A 88
2155 9001 10 ,5 BEATRICE S £3„50
32:1.0 9001 1.056 MCKEE ST 224 a 75
3422 9001 1056 MCKEE ST , i y 111 d 38
2J.55 9001. 1.056 MCKEI~-' ST 7.50
321.0 9001 10 ,1. MCKI :E ST 199.75
3422 9(:)0:1. 1061 MCKEE ST 99 0X38
2155 9001. 1061 MCKT.*,E ST 6.50
Total Receipt Amourt a 2.y 033 a 89
CR0634.77
(.lSE::R III:, NANCY
CITY OF AGAN PERMIT BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, (Minnesota 55122-1897 Permit Number: 028529
(612) 681-4675 Date Issued: 08/28/96
SITE ADDRESS:
1065 BEATRICE ST
LOT: 22 BLOCK: 2
MCKEE
P.I.N.: 10-47750-220-02
DESCRIPTION:
MAC SOUNDPROOFING
Building Permit Type SF (MISC.)
buildingWork Type ALTERATION
Census Cade 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $17,000
Base Fee $249.75
Plan Review $124.88
Surcharge $8.50
Total Fee $383.13
CONTRACTOR: - Applicant - ST. LIC-OWNER:
BROLSMA CONST, J 18880283 0005710 CHANDI KACY
506 MISSION RD 1065 BEATRICE ST
BLOOMINGTON MN 55420 EAGAN MN
(612) 888-0283 (612)454-9566
S hereby acknowledge that I' have rend this application and state that the
information is correct and agree to comply with all applicable Stato of Mn,
Statutes and City of Fagan Ordinancese
Nib EIVIAI a
A LlCANTlPERMITEE SIGNATURE ED Mt. SIGNATURE!
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
C 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
7 681-4675
New Constn~clion Raouitertfents Remodel/Repair 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 3 decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan N lot platted after 7/1/93
r"uked: _Yes _ No
DATE: , k°ct(, CONSTRUCTION COST: 1 C0 1
DESCRIPTION OF WORK: r F
STREET ADDRESS: (D (O S E Q. y
LOT BLOCK a' SUBD./P.I.D. #:p
PROPERTY Name: OnC~ Kctc_-- j Phone S S (ofo
OWNER
Street Address• k~e cLA ~ , L e.
City: C State: Zip- 15-5 IQ i
X88--023
CONTRACTOR . Company: Phone
Street Address: O14 l`~~sS~ c,, License -7 10
City: 1I State: 'l 1Q Zip ~5~ q-2- n
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip-
Sewer & water licensed plumber. Penalty applies when address change and lot
change are 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
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEPVEFD~,
Certificates of Survey Received Yes No A U 0 8 1996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish
o 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. ❑ 17 Swim Pool
a 03 SF Addition o 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility
v 04 SF Porch o 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous
05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New 33 Alterations o 36 Move
a 32 Addition o 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS 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 v
Census Bldg
Census Unit o
APPROVALS
Planning Building A4-t~ Engineering Variance
Permit Fee Valuation: $ t7, o oo
Surcharge
Plan Review
License
MCIWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM Permit
SNV Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY USE ONLY
L BL RECEIPT
SURD. I Y I G DATE' 91960
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN~
3630 PILOT KNOB RD 31 9 -
EAGAN, MN 56122~-~
(612) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
New construction Add-on furnace
n
Add-on air conditioning Add-on air exchanger, i.e. Vane system, etc.
Date:
FEES,
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 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 _
SITE ADDRESS•
OWNER NAME: C ~4 A PHONE* INSTALLER NAME. r I11rY1 cob-1),11
STREET ADDRESS- ' -12-
CITY: ~a.IY1_ STATE: ZIP:
PHONE
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1956 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681.4675
Please complete far: all commercialrindustrial buildings.
multi-family buildings when separate permits are ngi required
fbr each dwelling unit.
DATE: CON`rRAc`l° PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ► $25.00 minimum fee gr 1% of contract price, whichever Is greater.
Processed piping - $25.00
Smote surcharge of $.50 per $1,000 of peanft 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
EAGLN TOWNSHIP
3795 Pilot Xnob Road
St. Paul, Minnesota 55111
Telephone 4545242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:_ Apr_ l 30--268 NUMBER 157
OWNER: Darv_1 Rainford Address 1065 Beatrive
PLUMBER All Stte Plbg. TYPE OF PIPE exit. heavy cast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residenti6l Multiple Dwelling No. of units
Location of Connections: Connection Charge 200.00 Pd. 4/30/68
Permit Fee 7.50 "
Street Repairs
Total 207,50
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, Minnesota
r( I.II., .M1.~Ir....w T..r~.n..~.~.w...w.,~..
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: April 309 1268 Number: 82
f .
Billing Name: Daryl Rain.ford Site Address: 1065 Beatrive
Owner: above Billing Address
Plumber: All State Plbg.
Location of Connection Meter Size Connection Chg. 200.00 Pd 4/30/6
Meter No.Permit Fee 7.50, "
Meter Reading Meter Dep. 15.00 "
Meter Sealed: Yes Add'1 Chg.
NO Total Chg. 222.50 "
Inspected by
Date
Building is a: Remarks:
Residence
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, Minnesota.
By:
f'- ,mow?
-A4 Z
Please notify the above office when ready for inspection and connection.
4EW RECEIPT ft.
ZECZIPT DATE-/-~/&/IJ , -
nAT~ C~ `7
J
TO JCB
~7CgL
OWNED
PLFJISE BE ADYLSF,D THAT THUE IS A F~ SHORTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF
SHORTAGE KET RE PAID 's;HITHIN 14 DAYS.
REN.ARKS
- Co 30 aM13. circuits=
31 to 100 amp. circuits= .w1
0 to 100 amo service= /
101 to 200 amo. service,.,.
TOTAL FEE DUE=
LESS FEE RELIEVED
TZAT, F G DU - l-t
PERMIT4___f `
ORIG. RECEIPT#
RECEIPT DATE
RETURN A COPY OF THIS FORM WITH REMITT_MCE.