1053 Beatrice St
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s i ir? r? . s-0
New Construction Reauirements RemodeUfteaair Reauirements Qffiea:Use Only
3 registeBd site surveys showing sq, k. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_N
(20°k maximum lot coverege allowed) 1 set of Energy Calculations for heated additions Tree Pres Piart Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney for addiGons & decks Tree Rres Required _ Y_, N
1 set of Energy Calculations Addition - indicate ff on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Pian ff lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date ' / Z_ / 0 Y Construction Cost &20 6:90
Site Address /0's-_3 _&CA ?_?? ? Unit/Ste #
Description of Work ?? I,c— ? f,+'l'1?D f r
Multi-Family Bldg _ Y?j N
T Fireplace(s) ?D 0 _ 1 _ 2
Property Owner _0 lAa-1-1 1),, t) Telephone #(&F/
Contractor Riz i.5765m,44o T_????_?,? t ?
Address 7 -7, <Z) /? -t--? City
State 441? I Zip ,_S7?-) l 3 Telephone # ((AV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate,gorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) 5ubmitted
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
Mechanical Contractor
Sewer/Water Contractor
VY9?o\J1?
AUG 0 2 20o4
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Buil '"' - ermrt 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.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OB-plex
? 05 03-plex ? 11 10-plex
0 06 04-plex ? 12 12-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
X 34 Replacement
?
Valuation 6L&
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy 17-191
Zoning R-/
Stories
Sq. Ft.
Length
Width
_ Footings (new bldg)
_ Faotings (deck)
_ Footings (addition)
Foundation
Drain Tile
` Roof _ Ice & Water _ Fina1
Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation =
Approved By:
Base Fee ? V
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W PeRnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 19 Lower Level ? 24 Storm Damage
Plbg_Yor_ N A 25 Miscellaneous sy/L(vG p/?A?'t1??e/L ?v?,??
? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests Fina1
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
_, Building Inspector
----- -------- ?.?_-----
='' ?-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
????lh
PERMIT TYPE: gUI LDI NG
Permit Number: f9 2 6 7 3 5
Date issued: 06/ 0 5/ 9 5
1053 8EA7RICE 5T
LQT: 25 BLOCK: 2
MCKEE iST
P.I.N.: 10--47760-250-02
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
SOUND CQNTROL
Buildin'g,Permit Type SF (MISC.)
Building Wflrk 7ype AL7ERATION
VAI.UATION
$237.25
$83. Or4
$8.00
$328.29
$16,0@0
CONTRACTOR: - Applicant - sT. LTC. pWNER:
SQCqN CQNST INC 17846916 0608934 DAVT5 CHARLES
9901 XYLITE ST NE 1953 BEA7RIGE ST
BLATNE MN 55449 EaGaN MN
(612) 764-6910 ? (612)454-6750
I hereby acknnwledge that I hava read this applicatinn and state that tne
informatinn is carrect and agree ta camply with all applicable State of Mn.
Statu'Ces and City of Eagan Ordinances,
?
PERMIT
I
APPLICANT/PERMITEE SIGNATURE ISSUED : IG RE
INSPECTION RECORD
CITY QF EAGAN PERMIT TYPE: s u r LoIrv G
3830 Pilot Knob Road Permit Number: 025736
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 5/ 9 5
(612) 681-4675
SITEADDRESS: p•I.N.' 10-47750`250-02
LOT: 25 BLqCK:
1053 BEATRICE ST
MCKEE 1S7
PERMIT SUBTYPE:
5F (MISC.)
2 APPLICANT:
50CON CONST INC
(612) 784-6910
TYPE OF WORK:
ALTERATION
pESCRIPTION SOUMD CQNTROL
INSPECTION .A . .•
FRAMTN6 I ROUGN IN PLBG
ROUGH IN HTG FINAL
? ?
L
*?. ,
, cITlr oF EAGAN
CATItJN (RES1DENTlAL
1995 BUILaING PERMtT APP L 1
)
8814675
4 3 registered sft ,survp • 2 copies of plan
? 2 copies of plars [indude ieam & wkdow shm; poured ind. design; etc.) ? 2 aite survep {exler?or addftm & de"
? 1 energy oalculattans ? 1woFgy ealcuMbns #cu heWad addkions
? 1 bes pfeservstian plan ff Ict pkftd after 71i193
roquired: _ Yes _ No
QATE' ,._...,A= Ti z 5, 7 9Q5 COAISTRUCTION {GC?ST: $ 15, 8 ()
DESCRtPTlON 4'F WC}RK: q->>nrl rnntr01
STREETAL}DRESS: 1053 Beatri-ce Eacran. MN
LOT 9< BLaCK 2"' SUBQ.lP.I.Q. #: _....?
cDay7 454-6750
RRGPERTY Name: Davis C arl g k Shirley FhOne#: ( Fve l 454-2246
OWNER
Stree# Address' 105.3 s ea r a..
C'rtY: Eaaa,n State: MN_ zip- s S 12 1?
cONTRACTOR Compally: Soc,on Gonstruct, nn PtK7M#: 784-6910
StfE:E!t Add1esS; 9 901 Xyl i t e S t N. E. Llienm #. 0 U 0 8 9 3 4
CRY. M 15 Minn 55412
ARCHITECT! CoT11pany: , CEE ?, - Pi1orm #'?111: 9337__ --
ENCINEER
Name: ?ji m Rrai na-rtrinn PAgISftt{oT1 *????A.w
Stve#Ad+dleSS' 631.4 Standis,h vp. fiU- ?,.
Cfty: Richfield ft#e: MN,^
Sewer & wa#er lroettsed plumber: Penaltp appMes whsrt address change and !e#
change are r?equested once pormit is issued.
I hereay acknvwiedge thaE 1 have read thls appka*m and s'tew tha# th3e infwmation is carred Ond - agrte to tomply wkh aN
applicable State of Minnescria StabAes and City of Eaugan Orclinances.
$Jgnatune of Applicsnt ?
OFFICE USE 4NLY
Certifica#es of Swvey Received
Yes Na
Tree PtoservaEion Plan Rereived Yes No
????? ?D
MAY 2 ? 19g5
- ---------------
ClFFICE USE OWLY
BUILDING PERMiT TYPE
a 01 Fowndatilon 0 06 Duptex o 11 Apt./Lodging o 16 Barsement Finish
0 02 SF Dwelling o 07 4-pfex o 12 Mu#ti (A#lisc-) 0 17 SvWm Poal
0 03 SF Addifion o (?8 8-plex 0 13 Gara,gelAconwry E3 aa ??? ???lity
o 04 SF Porth d 09 12-plex o 14 Fieplace o 21 AAisc:oIlweQUs
cp!? 05 SF Misc. 0 10 Mum (atd1fio,a1) 0 15 Cfedc
WORK TYPE
? 31 New cW- 33 Alterations o 36 Move
? 32 Addfion n 34 Repair cr 37 Demvlkian
CiENER4L IHFQRMAT10N
Const. (Ac#ual) (Allowat,le) ?
UBC Occupancy ?
Zoning
# of Staries ?
Length
Cepth ?
APPROYl4LS '
Basemerrt sq. ft. ? AAGIWS System ?
Main.Iewal sq. ft. Cityr Wator ?
.?„ sq• ft. F'u'e Sprinklere+d
sq. ft. ? PRiI
? sq: ft. ? Boos#er Pump
sq. #L ? Census CoCte. -??--
Footprirtt sq. ft. ? SAC Code
, Census Bkig
C+ensus Unit
Plannirg Buildirg Engin+aerirg ? Varianaa
?
?
Permit Fee 1/a1ua1ion: $ oov
Surcharge
Plan Review
License
MCIVVS SAC
City SAC . .
Water Conn.
Water Meter
Accf. Deposit
SNV Permlt SNV SurcFtarge
Treatmw PI. .
Road Un'rt .
Park Qed.
Trails Ded.
. OtFer
Copies
Total:
• r ..
% SAG -
SAC Units
CITY USE ONLY
LOT BL RECEIPT #: I o? SSII
J
SUBD. _ ;` RECEIPT DATE:
/ MECHAIVICAL PERMIT # j' 1?° ?V 11 MECH"CAI. PERMIT (RESIDENTIAI)
crrY oF EikeM
3$30 PILOT KNOB fiD
E46MMN 55] g2
? (651) 6$1-4675
Date: ?
?
Complete this section galy if you are installing FiVAC in a single family dwelling, townhome or condo gnder
construction and not owner /occuvied.
. ,
? H'JAC: 0-100 MB T U
•ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ ' 30.00
6.00
.50 ?
$
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New - Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
Furnace /
Air exchanger
SITE ADDRESS: ; r?i _`5 -11
\
Air conditioning
Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
OWNER NAME: 1'i ? r ??1 ? i r'??a PHONE #: /?;? - ? ?,??J ?"? ?
(AREA CODE)
INSTALLER NAME: E_C PHONE #: b1:?
• ,?AREA CODE)
STREET ADDRESS:
CI'TY: ? r ??? ?' ? ?J STATE: )„1N rL; ZIP: `' - r
7=)
SIGNAT[IltE OF PE , ITTEE ,`?
r,
L BL
SUBD.
CITY USE ONLY
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
bIECWtNICAI. PERMTT (CObIMERCIAL)
CITYOF EAfiM
3$30 PILOT KNOB RD
E4Cv4.N, bIN 55122
(651) e$14675
Please complete for: ail commerciaUndustrial buiidings
multi family buildings when separate permits are aM required for each dweiling unit
. ,
DATE: CONTRACT PRICE:
WORK T'YPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
**NO'TE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
`
DESCRIPTION OF WORK:
FEES: 1% of contract price Qa $30.00 minimum fee, whichever is greater.
CONTRAGT PRICE x 1%
PERMIT FEE
STATE SURCHARGE
($.50 per $1,000 of pgm]'_t fee due on all pemrits.)
TOTAL
-- - - -------------------------- ---- - ------------------ - --
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IIvIPROVEMENTS ONLY'):
INSTALLER:
.
?
ADDRESS: ? PHONE #:
(AREA CODE)
CTI'Y: STATE• ? ZIP:
/
SIGNATURE OF PERMITTEE
CITY USf ONLY
L ,Q:dBL RECEIPT #: 0_
SUBD??? DATE: &IV9S -
1995 MECHANiCAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 661-4675
Please compiete for: ? single family dwellings
? townhomes and c.ondos when permits are required for each unit
New construcfion Add-on fumace
? Add-on 3-ir ?dftioning Fireplace conversion (#o exis#sng firepdace)
Date: 95
?
? Minimum Fee: Add-onlRemodel(sxis#ing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additionai 50 M BTU 6.00
? Gas Outlets (minimum af 1 required C $3.00 each)
?
? State Surcharge .50
TOTAL o?D . SQ
?
S1TE ADDRESS: r053 6e&r1
OWNER NAME: ehQ,j"IeS L,,9-/ /S PHONE #:
INSTALLER NAME: EgvCx?50J
.-
STREET ADDRESS: ° la -1-5QtztZ JY,-•
CITY: STATE:_,W _ ZIP: 6?5441 9
PHONE #: ( 05i )
/
cmr use oatY
L BL
SUBD.
REcEIaT #:
DATE:
1995 MECHANtCAL PERMIT (COIYMERCIAL)
CITY OF EAtiAN
3830 PiLOT KN08 RD
EAGAN, MM 65122
(612) 6814*75
Piease complete for: ? all corrvnerdalftndustrisl bulidings.
? multi4amily buildings when separatae permits are !1Di required
for each dvwelling unit.
CC?NTFiACT RRICE:
WORK TYPE: NEW C4NSTRUCTION INTERlOR 1MPROVEMENT
DESCRIPTI4N OF WORK:
FEES: ?$25.00 minimum fee g 1% af oatbact priCe, whichever is greater.
' Processed piPin9 - $25.00
? State archarge crf $.50 per $1,000 of g=ft tee due vn ali perrrtb.
CONTRACT PRICE x 1 °lo
PROCESSED PIPlNG
STATE SURGHARGE
TOTAL
SiiE ADDr'iESS:
OWNER NAME: TELEPHQNE
TEMANT NAME: (IMPROVEMEMTS tyNLl)
tNSTALLER:
ADDRESS:
CITY: STATE: ? ZIP•
PH4NE #:
SIGNATURE:
SIGNATURE Of RERMl'ME CiTY tNSPECTOR
/
. (2w
1987 BIIILDING PERMIT 1PPLICATION - CITY OF EAGlN
SINGLE FtILY DWELLINGS
-z
?
INCLIIDE A SETS OF PL.AIiTS, 3 CERTIFICgTES OF SDRVEY, 1 SET OF ENERGY CALCIILATIONS
NOTE: I?DRESSES FOR CORNER LOTS - CONTRgCTOR/HOMEOTdNER MUST DESIGHATE W$ICH ADDRESS
I DESIRED. NO CHANGES TdILL BE ALLOWED ONCE BIIILDING PERMIT IS ISS[TED.
M[1LTIPLE DWELLINGS - RESIDENTIAL RENTAL IINITS FOR SALE IINITS
INCLUDE SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK jTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CA CULATIONS,
a $2,000 LA DSCAPE BOND
To Be Used For: Valuation?4f?6?? Date: IIZ) k7
Site Address 113 5-3
?
Lot Block ?
Parcel/Sub k-
Owner etqA l2 L L. S D.?7 V I S
Address /pS3 l3Eiq7-1Z I G -
City/Zip Code hJ I
Phone Y
Contractor
Address
City/Zip Co1?
Phone
Areh./Engr.
Address
City/Zip Code
Phone #
OFFICE
On Site Sewage Occupancy Nl-?
-
MWCC System Zoning ?
On Site Well Type of Const
City Water (Actual)
?
(Allowable) I
# of Stories '
Length
Depth Zy' '
S.F. Total
Footprint S.F .
APPROVALS FEES
Assessments
Water/Sewer ?
Police
Fire
Engr
Planner
Council
Bldg Of f ! 1o S
APC
Variance
Permit 6.C, So
Surcharge 3 . 0O
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ?, $p
EAGAN Z10WNSHIP
3795 Pi1ot Knob Road
St. Paul, Minnesota 55111
Telephoae 454•5242
PERMIT FOR SFWER SERVICE CONNECTION
DATE:_ Oct. 27, 1967 NUMBER ,,, 7?_ _
OWNER: Erwin Mielke Address 1053 Beatrice St., St. paul 55118
PLUMBBR ?. Heaw Cast iron
? TYPE OF PIPE Ext.
DESCRIPTION OF BUILDING
Induatriall Coamaerciall Resideatial I Multiple Dwelling I No. of units
Locati.oa of Connections:
Connection Charge $200.00 Pd. 10/27
Permit Fee 7•50 01 1,J43
SCreet Repairs
ToCa 1
Iaspected by:
DaCe
Remarks:
By
Chief Ir,spector
In cone:?ieration of the issue and deiivery to me of the above psrmit, I
hereby agree to do the prnnosed work in accordance wiCh th rules and
regulations of Eagan Ton-insh3p, Dakota Co , Minnes
By
P?eesp nnt.i,fq whea ready for inspectirn and cor.necticn and bFtare any por:?.cn
af the Z9f:p'I: °i$ cavered.
*6
s
i
E.P.GGN TOW;ISHIP
3795 Pilnt Knob Road
St. Paul' Min-nesora 55112
Telaphone 454-5242
PERF4IT FUR WATER SERVICE CONNECTIQN
Date: Oct. 27, 1967
Number:
_.??2 _
Billing Name: Erwin Ma.elke Site Address: lp5_3 Be r; ng St21_ Paul 55118
..?...?..._.._,. ... ..._._.
Owaer: above
Pl,imber:
Billing Address above
itiou of Connection Meter Siz e` Conaectian Chig.2200. OQ Pd. 10/27
M.eCer No. Permit Fee 7• ?? ?"` ?('?
Mster Readi.ng? Meter Dep. 15.00 "
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
znspected by
Date
Building is a;
Resideace X
Multigle sa. Units
Cammercial
Induserial ?
Other
Remarka:
Chief Inspector
In consideration of the issue aaad deliverp to me of the above percLs., I
hereby agree to do the prorosed work ia accordaace wiCh the rules ar.d
regulations of Hagan Towasha.p, Dakota Cou? , Miz?nesqtag,57
pc ?
sy: ?---.?/
Please noCify the above office when ready fax inspection and coruaeceion.
Request ate
^?? Fire No. Rough-In Ins ' equlred
(You must call inspect n ready) Ins ection Other Th n iiaugh-In
? Ready Now Jf7iili Notity Inspector
Yes o Data Read
I[Ylicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box ar Route Na.)
/053 BEA7_,eJcj5 Cily
, EyC"
Section No. Township Name or No Range No. Couryy_,,
OccuP t (PRINn ?
1/
h
N Pho?
??,?
??
?u
?
Power Supplier
IS I ? '
II Address
n
?iP• ?C?Sayr.LE
Electncal Conlractor (Company Name)
-
? Contraclor's License No.
`
f
S(5/V (o
Mailing Adtlress (Contractor or Owner Making Installation)
??azliz .sf. /V 4?p. '5???aLI5
Authoriz ture (CoMracto, wn r Makm Installation) Phone Number
MINNESOTA STATE 8 RD OF ELECTRICITY
9
I
IIII
III
II
IIII) I
IIII I
IIII I
IIII
III
I) I
IIII
(I
II I I
III THIS INSPECTION REQUEST WILL NOT
O
R
Unive slty Ave., 5L P uISMN 55104
G827 I EE
IS
OPER INSPECTIONF
O
Phnne raiz? reanann
l OSED.
EN
C.JJ _4.a_..3
REQUEST FOR ELECTRICAL INSPECTION
10, See nstruciions for completing Ihis form on back ot yellow copy.
"X" Below Work Eovered by This Requesf
EB-00001-09
.
41,
,
New Add Rep. Type of Building Appliances Wired Equipment Wired
ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ryer Load Management
Comm./lndustrial ?i urnace Other Specify)
Farm Conditioner
Air
Other (specify) Contractors Remerks: '
kecor;neet -Fur'nczc?e-, wu-e- A/c, u)50.Gl CWw
Compute Inspeciion Fee Below: /oo AMP SP,Y'VIGe
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 100 Am s
Transformers Above 200 Amps _ 00 Amps
SIgnS Inspector's Use only:
^ TOTAL
Irrigation Booms ?
?•zDn
Special Ins ection ? /
AlarmiCommunication THIS INSTALLATIOPI MAY BE 6*11F3EREEY01-9CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby
if
h
h
i Rough-in oala
cert
y t
at t
e above
nspection has
been made.
F'nal
Di r Q?G ??
OFFlCE U5E ONLY I
This request void 18 months trom
CITY OF EAGAN N°_ 14 2 71
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 -1
BUI'LDING PERMIT Receipt# a
To be usedfor C-ARAGE Est. Value $5,300 Date OCTOBER 7 19 87
Site Address 1053 BEATRICE ST
Lot 25 Block 2 Sec/Sub. MCKEE 1ST
Parcel No.
s Name CHARLES DAVIS
3 Address SAME
0 City Phone 454-2246
, o Name SAMF:
? Q Address
¢ City Phone
?- Q
yVj W
Name
Address
u
4 W
City
Phone
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 Eagqn Ordinances.
5ignature of Permittee `'?' '&n?' u--.?? - _ - -
A Building Permit is issued to:_ CHARLES DAVIS
on the express condition that all wark shall be done in accordance with all
applicable State of Minnesota tatutes and Cjity of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning _
On 5ite Well (Actual) Const _
City Water (Alloweble)
PRV Required # of Stories
26
Booster Pump l.ength
24
Depth
S.F. Total
Footprint S.F. ___
APPROVALS FEES
Engr./Assess. Permit 0 5. 50
Planner Surcharge 3-.-QQ-
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
WaterConn.
Water Meter
Road Unit _---
Treatment P1
Parks
TOTAL $68_50
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for Est. Value
Receipt
Date
,19
Site Address
Lot Block Sec/Sub.
Parcei No.
oc Name
; Address
° City Phone
¢
o Name
.
? 4 Address
? City Phone
U?
W
W
Name
W
=? a Address
Q W City Phone
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 Permittee -
A Building Permit is issued to: -
on the express condition that all work shalt be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_ -
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On 8ite Weli (Actual) Const
City Water (Aliowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Data Telephone #
Plumbing
H.V:A.C.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final •-?" /
Cert.Occ. 2,/
-
?4
Temp. LP n
-
Deck Ftg.
Deck Final ?
Well
Pr. Disp.
CITY OF EAGAN Remarks i
Addition McKee Addition #1 Lot 125 aik 2 Parcel 10 47750 250 02
Owner ?U%` Street 1053 RPafirirP St_ State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
.?? STREETRESTOR.pavin 1969 311.50 31.15 10
GRADING
SAN 5EW TRUNK 0 1968 100. 00 3.33 30 PAID
# SEWER LATERAL 20
WATERMAIN
f¢ WATERLATERAL& SEW 1968 850.00 42.50 20
WATER AREA
STORM SEW TRK 1984 403.00 26.87 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $200.00 456 10-27-67
BUILDING PER.
SAC
PARK
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Eagan, Minnesata 55122-1897 pgle bsued:
(612) 681-4675 '
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