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1054 Beatrice St
cSb 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date _0(0/ 0) / 05 1 Construction Cos / I U 0 D Site Address Unit/Ste # boib Description of Work Multi-Family Bldg _ Y ✓ N Fireplace(s) - - 1 _ 2 Property Owner P' Telephone # • n l 3 Contractor fflL1uu,5cA 1qzja_)B, C4-Ac A ~~22 Address 5J~ Jrv City LAJU State Zip Telephone # (1"5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota. Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( } Mechanical Contractor Telephone # ( } Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. j -1 Vohs Applic t s Printed Name Applicants ignature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ -20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing - Siding _ Stucco _ Stone _ Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total EAGAN TOWNSHIP N° 19 BUILDING PERMIT Owner ' . .c. . Eagan Township . 1 tar Address (present) ._:......~~f,~:~=SC...----~:..-.~i:~+t~ L~ Town Hall ! Builder -------------------!r'.:11 Date ~.'.t 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.A- t# _ !w_-A ...4 .......................has permission to erect a.r ::~_.'_`i1~ T_-...........--------------------------- upon the above described prem $-#o the provisions of the Building Ordinance for Eagan Township adopted April 11, ' 1955. 1 J f~ Y~- i ' - 4--~'•-*"~------'`~y, ----~--.;rr------°.... Per i Chairman of Town' .Board Building Inspector r `r 1 ~J CITY vsa ONLY LOT 1 BL PERMIT O SUED. ~IIL'iVJ RECEIPT { RECEIPT DATE: T ~:A CITYGrake" 3634 t'ifJi I O, $t~k1 lid ~.f' itR ^ Date: Complete this section pAy if you are installing HVAC in a single-family dwelling, townhome or eoztdo H1 iced,. construction and not owner • HVAC: 0-140 M B T U $ ADDMONAL 50 M BTU 00 ` • Gas outlets (minimum of one required $3.00 ea.) State Sum Total $ Complete this section only if you are remerf+nTlltg, gdft-go , or r an tang sing , dwelling. townhome, or condo. Please indicate if it is a new item, aftmatioa, or reel t, ~f~ew Replacement Odxr r ' . . Furnace Air conditioning Air exchanger C Other r h ow w D (Vanii 140#%*en VFc-k Fee $ 3Q:i0 . State Surcharge Total Reminder: Call jbr final impectiox. SITE ADDRESS: 1 vS!A fee c~r-y- i L =e ~~~..._.a~r...._ OWNER NAME: C h ri n:-c n Q .1h, PHC . t INSTALLER NAME: PH(14E STREET ADDRESS' Expert Sheet Metal, Inc. I 30 West Main St. PO Box 90 Bethel, MN 55005 CITY: - - - STATE- ZIP' i~ SMA OP Cffy USE ONLY L SL PERWT#: } 3UB0. RIPS"'#: APPROVED BY: - - ,1 TOR RECEtI` T DA-M: r. Please compete fbr: 811 v mwlti-iamll 440th y9w "p" pew am IMr fw e ' DATE: w x. . WORK TYPE: New coosavctioa rwdall 7. 1'; ' ) i DIT"emk Proem" Pipiq When errsmllln s ewag emu BSS 4WJ_ M75 for btu. by JIM, t~ - Auk planuubinr i~sptcwr. Description of work: Fees: 1% of contract price iX S30.00k. ime weer is greaW. Underround lok reua nY felt ° i Contract price:: S x l%= t - _ (Basel ero) _ State aurdmp ca n at 3.54 hr a $1,000 aw,ra TOTAL ~z SITE ADDRESS: s OWNER NAME: FROM* TENANT NAME (MeROVEMEMMY): WAS THERE A PREVIOUS TENANT loTIC SPAE'1EP Y N:° 1!ilkME: INSTALLER: r ADDRESS: PHONE - (AREA COOED CITY: 4 -STATE: j - Z1I~• 5 3f~1A OF FORM EAGAN TOWNSHIP No . 734 BUILDING PERMIT Owner .L d--t ~--3 Eagan Township Address (presen ,f:.`aL ~.--....c~ / Town Hall Builder Date _ ---U--•• Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks L O CATIO reef. Road or other Description of Location Lot Block Addition or Tract -7 -3 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 descri emis s ject to a pr i ons of the Building Ordinance for Eagan Township adopted April 11. 1955. .-K......••----. :7~: Per Chairman of T wn Board Building Inspector .,t t Y OF EAGAN Remarks Addition McKee Addition #1 Lot 7 Blk 3 Parcel 10 47750 070 03 Owner ` Street 1054 Beatrice St State Eagan. MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.Paviri 1969 311.50 $31.15 10 PAID GRADING SAN SEW TRUNK 0 1968 $100.00 $3.33 30 PAID * SEWER LATERAL 1968 20 WATERMAIN WATERLATERAL & SBjn] 1968 850.00 $42.50 20 PAID WATER AREA STORM SEW TRK 2 1984 403.00 26.87 15 401- 00 M171121 215 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $200.00 381 10-9-67 BUILDING PER. SAC $200.00 381 - - PARK INP CTION RECORD CITY OF EAGAN PERMIT TYPE:u I. " 3830 Pilot Knob Road Permit Number: x 6 6 Eagan, Minnesota 55122-1„897 Date Issued: ~►e ~2~ r __(612) 681-4675 SITE ADDRESS: I 01 , t; I.. 9 k APPLICANT: I a ~ t~ t~ A ► h f i~ r~ tt Pi r., tf N ~ 7 l i`t r PEm'm1T SgpTYPE: TYPE OF WORK: t M J. 1 AI. TERAT I-ON of Sett 1111,10" MAC SNUNO CONTOOL FRAMAIdti ROUGH IN PIRG P(i oll t m ft t fi t-I NAL RfMA1 K'.. 1 F VAI4R1V P[RNy f'i. RI'gj)1pf0 rok ANY f I VC: Tf?-TCAt. OR PI UMN'tNG 400IC Permh No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Imp. comnmft FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING TEST VC INSUL ' GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPE%-.- REC..,: QTY OF EAGAN PP WTYPE 3830 Pilot Knob Road Eagan, Minnesota 55123 [die Issued: 04 0 1 ~ 9 4 (612) 681-4675 SITE ADDRESS: I. I' r, r: j APP1T: t49': q bf$. t1i C9`t. 1 f 0Mk h: MAI rSA PERMIT SUBTYPE: TYPE OFD WORK: ~NSPFCTION TYPE -td4) C I ~t~ 1'1rAV1 4 fi't('i tNAt. <N k3 s. t ,1 Af,'AIF F'k~*ML! 1 ftf- %jItlj 11) 1 ~lP t#fl€`~~ 'rl t~I.i4~t4:A! 61t) R r !qP ; ill 3'I pan* Nabor PLUMB" uqpemm Deft two r Fatal PIS} !spat~r MA" COVA Maw Fail Do* Fly tisele ~irtal Wd Pr. Nap. PERMIT C1~~, rzc'(~ s CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L.ef N G Eagan, Minnesota 55123 Permit Number: X 2 3 0 2 2 (612) 681-4675 Date Issued: 03/01/94 SITE ADDRESS: 1054 BEATRICE ST LOT: 7 BLOCK: 3 MCKEE P . I . N 10--47750-070-03 DESCRIPTION: Building Permit Type GARAGE/ACCESSORY Building Work Type ADDITION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY VALUATION $7,000 Base Fee $91.00 Surcharge $3.50 Total Fee $93.50 CONTRACTOR: OWNER: - Applicant - TOMEK MALISA 1064 BEATRICE ST EAGAN MN 55121 (612)454-2615 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable state of Mn. Statutes and City of Eagan Ordinances. L4L APPLICANT/PER ITEE SIGNATURE ISSUED Y: SIGN E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 3 0 2 2 Eagan, Minnesota 55123 Date Issued: 03/01/94 (612) 681-4675 SITE ADDRESS: LOT: 7 BLOCK: 3 APPLICANT: 1054 BEATRICE ST TOMEK MALISA MCKEE (612) 454-2615 PERMIT SUBTYPE: TYPE OF WORK: GARAGE/ACCESSORY ADDITION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK CITY OF EAGAN F 17 1994 BUILDING PERMIT APPLICATIO 681-4675 F Eg 17 1994 _ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set.of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date` valuation of wor i t--.,6Do Site Address: c STREET SUITE # Tenant Name: (commercial only) LOT BLACK J_' SUED . `2L P . I . D . De scription of work: The applicant is: 16 Owner ❑ Contractor ❑ Other (Describe) Name m e Ush- en PhoneL4 C_ . Property LAST FIRST 0 ~ C) Owner Address ~i L_*_- JL El STREET sTe # City State zips Company Phone Contractor Address License Exp. City State Zip Architect) Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this app lication 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 UE ONLY BUILDING PERMIT TYPE 13 01 Foundation Cl 06 Duplex ❑ 11 Apt./-lodging 0 16 8, nt Finish 0 02 SF Dwg. 0 Of 4-Flex C3. 12 Multi. Misc. 0 17 Swim Pool 0 03 SF Addition 0 08 B-Plex 0 13 earadge/ assary 0 18 Cdr./Ital. 04 SF Porch 0 09 12-Plox Q 14 Fireplace C3 is Comm./Ind. misc.. 0 05 SF Misc. 0 10 Multi. Addl. 0 is Deck 0 20 Public Facility 0 21 Mitcollaneous WORK TYPE C1 31 New 0 33 Alterations E3 35 Tosaitt finish Q 37 0wol lsh. M32 Addition 0 34 Repair C3 16 Moue GENERAL INFORMATION Const. (Actual) Bad nt sq. ft. ICC' system ` SAl l owwabl a 1st fl. SQ . ft. Ci ty water U8C ccupancy 3ttd` Fl . q. ft. PRV Roqui read Zoning Sq; - Ft. total "Oster Pum 4 of Stories Fostortitt, ft. Fire Rp~rink er Length tit: aa~l l ~ Census Code 37 Depth " Dii;ett smage SAC Code Census, Bld APPROVALS Census Unit Planning B0 ding Assessments Engineering airi ce REQUIRED INSPECTIONS U .Site [ Foctiag tir ing 0 Insulation 0 Wallboard ,2 Final 13 Drvia~lle ® fireplace Permit Fee e Surcharge' Plan Licensevtew G' kJ~3~ CC SAC :City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Mead Unit Park Ded. Trails Ded. g ies - - er Total SAC % SAC Units Cl y sw' f 5 uar~ Feed' ~8. s 19 p"Al ~S3 Per gg65~ Ft w ; q 0' ~,(aV I, CITY OF EAG;AN CASH.CI=Ra S TERMINAL Not 344 DATE., 08/29/96 TIME:: 14:53:29 z3:~ NAME.- SOCON CONSTRUCTION INC 3210 9001 1042 KENNETH ST '262 01.?5 34.22 9001 . 1.042 1•.ENNETH ST 13 i .13 P.155 9001 i042 KENNETH 'ST 5.00 32.1.0 9001 1046 BEATRICE S 262.25 .34-22 9001 104.6 BEATRICE S ' 131.01.3. 21.55 9001 1.046 BEATRICE S 9.00 3210 9001 104.6 K%ENNETIA ST 224.75 3422 900'J. 1046 1•:F.NNETH ST 112.38. 2:1,55 9001 1046 1•:ENNi•M'TH ST 7.50- 32:1.0 9001 1.033 MCKEE ST 224.75 CR063693 CONTINUE IJSEI"t III: NANCY ~k CONTINUE ~X?% ~K *>ic>~ ~X ~c ~Kkc%~ ?K ~kX~>~~k KIM M~k CONTINUE CITY OF EAGAN CASHIER: S . 'TERMINAL- NO.- :344 DATI" 08/29/96 TIMI-:s 14:53:3J. II+: NAME: SOt:;ON CONSTRUCTION INC 34.22 9001. 103:3 MCKEE ST 112.38 2155 9001. :1.033 MCK'E.E: ST 7.50 32J.O 9001 1058 BEATRICE S 224.75 3422 9001. i058 BEATRICE.S 1.1238 21.55 9001 1058 BEA'T'RIC:E S 7.50 32:1.0 900:1. 1.0349 MCI %EE ST 224.75 :3422 9001 1049 MCKEE ST ii2.38 ?1.55 9001 1049 MCKEE ST 7.50 3210 9001 1033 BEATRICE S 2i?4a 75 3422 9001 1033 BEATRICE S 112.38 CRO63693 >I<~ CONTINUE USER ILA: NANCY CONTINUE. t ?kktik~K X Xtik c>K~r>k)k>a )k ##~K iX ckc~K~KX~~Kik CONTINUE: CITY OF EAGAN CASHIER: S TET,MINAL. NO. 34.4 DATE: 08/29/91... . TIME. 14. 13.33 III. NAME. SOCON CONSTRUCTION INC 2155: 9001 . 1033 BEATRICE S 7.50 3'2'1.[.1 .9001. 1021° BLU GENTIA 09.75 3 4•"r_?P 9001 1027 BLU. GIL*:NTIA 99.88 2155 9001. J.027 BLIJ GENTIA 6.50 3210 9001 1044 MCKEE ST 1.4.9.75 3422 9001 J.044 MCKEE ST 74•.88 2155 9(:)01 1044 MCKE:E: ST. 4.50 3210 9001. 1.069 KE:NNI:::TH ST 237.25 '3422 9001 1069 KENNETH ST J.18.63 21.5 9001 J.069 KENNETH ST £3.00 CR063693 CONTINUE USER ID.- NANCY %~)k CONTINUE ~X~~iX>k)k)K)kkt~kkC)k~k)k~C%~>IC~~X~iX~k~)k~*ik~C)ki#~A~~K)%~~~#~~X ~K~K)k~Kik)k 71<ik)k ~kik>k~Kkc ~4c~KikX~ )k ~K~XN~ ik CONTINUE: CITY OF EAGAN CASHIER: S TERMINAL NO. 344 DATE. 08/29/96 TIME". 14.53.36 ITi s NAMEe SOCON CONSTRUCTION INC 321.0 9001 1030 KENNETH ST 137.25 3422 9001 1030 K %ENNETH ST 68.63 2155 9001 1030 KE.NJNETH ST 4.00 3210 9001. 1-054 BEATRICE S 212.25 3422 9001 1054 BEATRICE S 1.06.1.3 2155 9001 1054 BEATRICE S 7.00 Total. Receipt, Amol.An+. 39962.31 CR063693 USER IDg NANCY ~akik~i%~)K~~~*~cik*)k~Kik~>k~k<>k)K)k~iX~~~~sk?k~>I~~kc)k>k~ . PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit ]Number: 028664 (612) 681-4675 Date Issued: 08/29/96 SITE ADDRESS: 1054 BEATRICE ST LOT: 7 BLOCK: 3 MCKEE P.I.N.: 10-47750-070-03 DESCRIPTION: MAC SOUND CONTROL Building Permit Type SF (MISC.) t3uilding Work Type ALTERATION Census Cade 434 ALT. RESIDENTIAL REMAISEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $14,000 Base Fee $212.25 Plan Review $106.13 Surcharge - $7.00 Total Fee $325.38 CONTRACTOR: - Applicant - ST. LIC -OWNER: SOCON CONST INC 17846910 0008934 NESBITT BEN 9901 XYLITE ST NE 1054 BEATRICE ST BLAINE MN 55449 EAGAN MN 55121 (612) 784-6910 (612)650-0280 I hereby acknowledge that I have read this application and state that the information is correct and ag_re'e to coalply with all applicable State of Mn. 'Statutes and City of Eagan Ordinances. AP ICANT/PERMITEE SIGNATURE ISSUED : S URE CITY OF EAGAN 3a s-. 3U 1 t-r / 3830 PILOT KNOB RD - 55122 (c 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4676 New construction Requirements Remodel/ReRair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) + 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: ! Yes _ No DATE: 2~ q ~n CONSTRU TION COST: OF WORK: SC • a^` • ~~a ` DESCRIPTION STREET ADDRESS: jl~ LOT_ BLOCK SUBD./P.I.D. PROPERTY Name: N&O Phone * 6SO - vLV OWNER WT MST Street Address re city: Ea Q'~ State: Zip: C) m r~~V1 ~~'~~co~it0 CONTRACTOR. Company: Uri ~ N , ~ AA Phone AW Street Address: `1 V l J JV License MAW City: ~a u1~ State: Zip: JS~ 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. 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. Signature of Applicant: 4-A ~~im OFFICE USE ONLY ! T j C N ]LED Certificates of Survey Received Yes No A9 1996 Tree Preservation Plan Received Yes No - - - _ _ OFFICE USE ONLY BUILDING PERMIT TYPE V 1 Foundation r3 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 2 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 44341 Depth Footprint sq. ft. SAC Code 01 Census Bldg Census Unit D APPROVALS Planning Building !Ll 3 Engineering Variance Permit Fee Valuation: $ I ti,, ocxo, - Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: NUMBER _ OWDTER: ~',+jLPN Address /e"- I/ is _ .5+-D " PLMMER rZ V I TYPE OF PIPE ~ =77N , S T ~c'c r1+' j - #A DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge *Zr c' • PD le Permit Fee Street Repairs Total Inspected by: ~ I Date~G?A ~9~ Remarks : Sa -f. L. P4 61 W -txa f d& ?Z (3 By Chief Inspector In cone-'Aeration of the issue and delivery to me of the above pe=,it: 1 hereby agree to do the proposed work in accorda*_t^_e with the rules and regulations of Eagan Tounship, Dakota Co, Hinnes a s Pleesp notify when ready for inspection and connnct:.oz and before any portion os the work Is covered. lEAGL'.N TOWNISHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONFECTION Date: lr/f1~. Number: Billing Nsme: jfjj./„/ Site Address: lel.J -41 c-,+r,e "c Owner: if Billing Address ^ P 1•:rmber : cation of Connection, Meter Size Connection Chg. .2 oo, t'•~~ ~o/g%~ ~ Meter No., Permit Fee h Meter Reading Meter Dap. _ °d P~• 1U1d1c/ Meter Sealed: Yes_ Add'l Che,a_ NO Total Chg. Inspected byr Li. 4 - . ~1 Da to - Building is a: Remarks: Residence Multiple No. Units C~-!~ Co=ercia 1 By: r~- Industrial Chief Inspector Other In consideration of the issue and delivery to me of the above perLit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota; By: r' Y` Please notify the above office when ready for inspection and connection. A~ r y 'I'mo we # • -67 s Please compkte far: Sink Family DW*lliW* T6,,%** vhd ca q + ib~ } t. 14 Diate Site it~, J~ Lei// Aeldrea~ J✓~~'afff->tA.r+~.~ j r •k ~+F £ y r" s P"" "Y Owaw t , i Coub!actor " 8910 Wentworth Avg. S) ~3tmd Address I at pclli , 5jj2Q ft" M. Otheff K. Cmtracw ©ww _ 'Fhe Applffcant Is. ==xw Add-on, modification w abse-aflau to dweWft' e r ✓ furnace replacement kz~ rld'~ k~air ewhanger aW conditioner _ Now Ftepiso ment + ^ other u k , Tokal `y I by apply for a Residential l!acbmied hrmit and aclmowlecp Ow the lion R ao r> be in conformance with the ordiamoksi and coes of the wit r of Eagan aid wide the M permit, W only an application ix a pew, *W work is not to std A t a p wni t approved plan m the case of week wbwh re quim a wview►• and apQrovai of Plans. W al IItl~ - S AM 19 1 WOE r i A*BCMVS Printed 1 one App is S1 p r p ~ [ ~ c 66, TOiNg NAM (M gyp,®y~~~ y ! n• , v 'gym Ali ti~ E7~..,~,,~ _ X14 ~ "t ~ ~irf ;s M~, ~ yia ~ i 1 ~ ~~'x~ ~ "I Ag I :Ail sow "d - - ~ . • ~ - ."a Y `f~. i.itN~~'ri~✓~~ ~ti X31 +sY:+~ APAICMt, to ~.r OYpm G M~Fdg •.t L x' . } .c...n~~ _ it F'1 ~ tK:^ r Y r 1, ~NF~qa~ s - '~NI'17l1~~!--, ?~y a~ t tsar a _ 41 P.. } 4 ro of %to*~ = t ~'~IFRi ft f it FesAIL low Glow Cbfttnkd '.►ZV~_N i'io i r a~y j: y .5~ Jib. t ~'R"~`_7~ r w. if pe M* !ras is var ~ S:" @i ~OW 1 t~ i >L b. "3. PNMkp a 4 t a SI 006 'M bell a peto0it, but OS.SII'i~ F ft moved pion is flue coo of w + ` f s F F. it x --Ara' t r; r SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. S"38!'7 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (952) 881-9000 TEST RECORD ADDRESS S / a p ~Y C e CITY J,49.4 AJ OCCUPANT ✓~jY~/~!I /Q~~ rfA OWNER ~A" Q"^ SOLD BY INSTALLED BY MAKE L Q h n X MODEL r S Cuf-/ 3 6 'Q O 9 SERIAL NO.. INPUT f A I THERMOSTAT ~Qvq 23ic3 VENT SIZE VALVE TYPE OF LINER 11 LIMIT LINER SIZE - LIMIT SETTING FILTERS: SIZE v`✓ NUMBER FAN SETTING WIRING ~ IG li ,V ,1 PILOT TYPE TEST TAG L U IGNITION MODEL U C'7 LIGHTING INST. ` PILOT TIMING S-k) C © DATE TESTED C` 0. PRESSURE ' ~~PERCENTC02 Boo y INPUT CFH PERCENT 02 COMPANY TESTING LtwQa B STACK TEMP. Z F PERCENT CO NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ For Office Use Permit City of Ea R I Permit Fee: v 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT/OWNER Name:&F-,A) MNWJ Phone: Address / City / Zip: 10 bLI kLft~G- ~i d 5 S I Q- L Applicant is: J- Owner Contractor TYPE OF WORK Description of work- R( nO Construction Cost:' ` lpr,ho Multi-Family Building: (Yes /No CONTRACTOR Name: ~Tt ~Q p 3 License #::kQLS i AS I Address: ail G City: _ Id)P66; State: Zip: C( Phone: Cad 03 3V13 Contact Person: L Y` -AL 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. X x Applicant's Printed Name Applicant's Signature Page 1 of 3 EAGAN TOWNSHIP 3795 Pilot Knob Road p_ St. Paul, Minnesota 55111 a Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION /0/9 /B y Date: 7 Number: Billing Name: ~AP~ ~~rssEVt~c Site Address: ~O s~ ate'" a~"= Owner: pp Billing Address Plumber: Location of Connection Meter Size SJ9 Connection Chg. 11191,7 Meter Permit Fee -/g Meter Reading L / Meter Dap, is, as Pc. ,>w~i7 Meter Sealed: Yes Add'1 Chg. 5011 C„,_,, Hcaa NO Total Chg. P / JC Inspected bye n~2~13vx .Date /OJ/JiC7 7 T~ Building is a: Remarks: Residence Multiple No. units Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above perc:it, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Plea3e notify the above office when ready for inspection and connection.