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1069 Beatrice St cffy USE ONLY 2 LOT L~ BL PERMIT SUED. MC k-M RECEIPT RECEIPT DATE: 2000 NUCHMICAL: BIRMT {1IL cm ~r3f MAGM 3WO PILOT , Z71GA* W 55122 651-6ei-46415 Date: o Complata this section g* if you are installing HVAC in a shoo fanny d l - I cons#ucbon and not owncd=W d. • HVAQ 0-100 M B T U $ y ? " ADDITIONAL 50 M BTU • On outlets (minimum of one required (a~ $3.00 ea.) S l .SE1 Total Complete i11is section ,9* if Ym are =26" NOW 10, Or' townhome, or con&. Pkm "Oft if it is a new iW^ shmsltion, or mac. - New ] g::~"mdm _ i Furnaces Au Air der . O&W Fee $ 3~ 00 AgA 06 Total► Rentbrder: CaAfar hupeettons f ~ SITE ADDRESS: OWNER NAME• PIIEiE • lINSTALLER NAM : Expert Sheet Metal, Inc. ; ~ - STREET ADDREM: 30 West Main St. PO Box 90 Bethel, MN 55005 CITY: "ATE. BY: arf Use ONLY L 8L ` e T t.~1~!! / 1 11 r1Y1 ■ W~Ri IR. R f 7 SUM. RE . ~lR~ri e APMOVW f)Y: IN R RteD;A M DI ' A w o 'ITT 322 $I5~ ~1-+S~IC'15 t J'i b DATE: - WORK TYPE: Now limp, F-an I U A TO®k < ? p!'OP :Am* ca 6$1-4v-M and . i Ot! A WfJ DM. lip ml &w. 19b of alwift'" COtt~stx ~ x 144 ~ g • - s€ , $hh aat a OAO~ at S-V f6t'sa&'t1,AfJ0 TOTAL S SITE ADDRESS. OWNM NAME: Pupm TE C. 1 jQC NAM D1+iL.Y t' e WAS TIOU A PREVIOUt TENA'W IN Ti SPACS?' Y- 'N. Ald~ INSTALIML ADDRJM PHONE M (AREA CQM CITY: STATE. M. 8t+~fl+lATiAB OF CITY OF EAGAN Remarks Addition McKee Addition #1 Lot 21 Blk 2 Parcel 10 47750 210 02 Owner OWS tiro street 1069 Beatrice St. state E3Ran, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Pavin `4~ 1969 311.50 $31.15 10 PAID GRADING SAN SEW TRUNK q~ 1968 100.00 $3.33 30 PAID * SEWER LATERAL 20 WATERMAIN WATER LATERAL & SEW 1968 $850.00 $42.50 20 PAID WATER AREA STORM SEW TRK 1984 403.00 26.87 15 403- 00 (2008184 -7--28-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 1302 10-8-75 BUILDING PER. SAC 200.00 2133 - - PARK INSPECTION RECORD CITY OF EAGAN PERIINT' TYPE: 3830 Pilaf Knob Road Permit Number: Eagan, Minnesota 55122-1897 Cate fad: 2 j ~ ~ (612) 681-4675 10 4 77 0 77 10 0 2 SITE ADDRESS: .1 OT 2 5 H L O C F . APPLICANT: 7-069 HFATRICF. S;I 0TVERSIVI.ED AIN!EPxCAN rON T Nt,xr_i. PERMIT SUBTYPE: TYPE OF WORK: F' .Mil t; ) ALTERATION i'r sCR PdiviAN rinr:, QUlID Trgt Ijk..1'fit'.0#1 FSAMINt; 7(iH Nt'a r r'NAr.. L _ 7 t rao. tit rrcrr nmeg ire # ELECTFUC FOOINN FOUM FROAMC RDUW Y. =rue r t# K& a"Pp B0v17 FkTAWLACE PUIIEI'1AM Alft TW FK4LFM Fom"m ORSAT TEST BLDQFINAL t R.i. IOtVI MAL DECK F DECK RNAL EAGAN TOWNSHIP No 24 BUILDING PERMIT Owner'?' ~...ev! Eagan Township Address (present) "1-'r"y....s~.kt....__:._.._. Town Hall Builder --.-..-mq _ Date Address r e------------•------------ DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks ~ 42! LOCATION Street, Road or other Description of Location I 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 011_ THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that~ .....:.........................---.--~x__.._--....-•--_-_-has permission to erect a_...~s ..:.:.:....:.._i:---------------------------------- upon the above described premise;sub3eclLto the provisions of the Building Ordinance for-: Eagan Township adopted April 11, y a- 1955. -,;x.,... t ,~f" =.;F' • 1 Per Chairman of Town Boardf Building Insp......-.ector. PERMIT eo a ~ 4 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027001 (612) 681-4675 Date Issued: 02/01/96 SITE ADDRESS: 1069 BEATRICE ST LOT. 21 BLACK: 2 MCKEE A.I.N.: 10-47750-210-02 DESCRIPTION: MAC ,SOUND INS'U LATI;ON Building Permit.Type SF (MISC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $8,000 Base Fe.e $137.25 Surcharge $4.00 Total Fee $141.25 CONTRACTOR: Applicant - ST. Lic OWNER: DIVERSIFIED AMERICAN CONST 19297982 2001734 HUTCHINSON PAUL 5115 EXCELSIOR BLVD 107 1069 BEATRICE 5T ST LOUIS PARK MN 55416 EAGAN MN 55121 (612) 929-7982 (612)725-2000 I. hereby acknowledge that I have read this application and state that the information Js correct and agree to comp-. 1y with all applicable s'fate of Mn. Statutes aid City of Eagan Ordinances, APPL CANTJPERMITEE SIGNATURE SSUE ATURE INNFEUTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 027001 Eagan, Minnesota 55 1 22-1 897 Date Issued: 02/01/96 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-47750-210-02 APPLICANT: LOT: 21 BLOCK: 2 1069 BEATRICE ST DIVERSIFIED AMERICAN CON5T MCKEE (612) 929-7982 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION MAC SOUND INSULATION INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. FRAMING ROUGH IN HTG FINAL u i I p " li t I I { . I i1 j. ~IIf 1? I 1 III , I CITY OF EAGAN I , r 1A 11001 3830 PILOT KNOB RD - 55122 `t 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) GQ 2"I 681-4675 New Construction ftuhements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sites; poured fnd. design; atc.) ♦ 2 site surveys (exterior additions 3 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated addidors, ♦ 1 tree preservation plan ii` lot platted after 7/1/93 required: _Yes _ No DATE: 0?5- A CONSTRUCTION COST: DESCRIPTION OF WORK: k&ag STREET ADDRESS: 1Dlo 9 Ayzd=S~S= jf; &W4 3 LOT BLOCK SUBD./P.I.D. 1,0914 PROPERTY Name: 04e, Phone OWNER UW pRn Street Address- /Ol9,e City: QQe- State:-/~ Zip: CONTRACTOR Company. AI .,I aid - Phone Street Address: Z/a_'0..10 7 License Ma-200 V,"L City. zA sac/!z ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address* City: State: Zip- Sewer E 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 Infornurtioxt is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No JAN 2 9 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY a/P"C'i ie BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex a 11 Apt./Lodging o 16 Basement Finish a 02 SF Dwelling 0 07 4-plex o 12 Multi (Misc.) o 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Acoessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous x=05 SF Misc. 0 10 Multi (additional) a 15 Deck WORK TYPE 0 31 New cA"3 Alterations o 36 Move o 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 6 Depth Footprint sq. ft. SAC Code o Census Bldg Census Una APPROVALS Planning Building Engineering Variance C Permit Fee Valuation: $ fib Surcharge Plan Review License MCNVS SAC City SAC _T.. _ . . Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other , Copies Total: % SAC SAC Units 0. P CX V2 1 Ordbmm No. 114: WELL AND WATER SUPPLY MANAGEMENT Permit No. .WELL PERAM 92-9042 DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Garde Ave=*, Appk Val1q, NN ZIU rdephow (02) 8917011 . WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Johnson and Sons, Inc. ISSUED TO 127580 ADDRESS: 3637 16th Ave. REVIEWED BY BW Minneapolis, MN 55407 has submitted a permit application, has paid the sum of one hundred and five($105) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well(s) described herein: An abandoned well with a casing diameter of 4 inches, depth of 135 feet and completed in in the drift will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The well is located in the municipality of Eagan,as follows: Well Location: Property Owner and Well owner and' Address (if different) Address (if different) 1069 Beatrice St Lee Sperl Eagan, MN 55121 NOW, THEREFORE, Johnson and Sons,Inc. is hereby permitted and authorized to permanently seal the well described and located above for the period March 1992 to March 1993 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 27th day of March, 1992. Ai:il"!e ATTEST ENVIRONMENTAL S SOR ENVIRO E ~~?~v? ~ Pfll•fiTfl .-rr_~,IIY'-~,iF~TFf'fl =FIT. ~1R. ffi%t1 Ordinanca No. 114: WELL. AND WATER SUPr'LY MANAGEMENT MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DAKOTA COUNTY ENVIRONMENTAL MANAGEMf NT>7EPARTMCNT WATF-H AND LAND MANAGEMENT SECTION 14955 Galaxle Avenue West, Apple Valley, MN 55124 Telephone 612) 891-7011 Facsimile (912) 891-7031 DATE: U-1 d Z- TIME: (f 1S AM M SENT:. rax,_k Mail Other TO: T-acw C,61(0Q'J ~{~~~cti~rLQ SCkt'),o.o1 MUNICIPAL OFFICIAL TITLE TELEPHONE r r2.~ ~c r 6 - 6 f z. "fig ; 01 ADDRESS ~CSIMII_C MUNICIVALI'11 FROM: le*UAV. 8~ f -'7sQ ENVIRONMENTAL SPECIALIST ~TELEPHONE REFERENCE; t►~ 11 WELL PEH IT NO. NOTICE: The Water and Land Management Section of the Dakota County Fnvironmental Management Department has received the following permit application(s) for the Well(s) described. If you require further review of this application(s) or if you have any questlons or concerns about it, contact the Environmental Specialist listed above or dur office at telephone (612) 891-7011. If there Is no response from your office within P4 ou s (excluding wockends and holidays), Water and Land Management staff will assume that you have no objections Issuance of the permit(s). Please note that permit Issuance is always conditloned on the pernilt applicant's observance of and compliance with all applicable laws and codes. A copy of the well permit(s) will be forwarded to your office when completed. DESCRIPTION: PROPERTY:OWNER L. S~~e,►~'1 WELL(IfDworentr LOCATION Or WELL(S): ADDRESS J O E, I 1vc c-~ S . PUBLIC LAND SURVEY COORDINATE OF . OF SECTION ,T, N., R. W„ MUNICIPALITY: _ .k-(!-!'i j1_---___ PROPERTY ID NO. WELL CONTRACTOR! ~p11 MAtly1. ..--_I.ICr:NSI: NO, ~ 7J v APPLICATION RECEIVED j~ f l Z,. SllI3CONTRACTED TO: PERMIT TYPE=: NEW CONSTRUCTION RECONSTRUCTION REPAIR(No Permit nogvirod) PERMANENT SEALING ANNI AL AINTENANCE: TFMPoffA-RY CAPPING RECLAIMEO-U~°~ 13EGISTEriED USE 'PAI-KiAny USE OF WELL(S) CASING DIAMETER INCHES; LEND I-H rPET; WELL DEPTI f ( --Y FEET; AQUIFER t3~ C•~' COMPLE I FU; OPEN HOLE - SCREENED; ANIICIPAIEUDRIL_ING/SCALINGDAIE(IrKnown): COMMCNTS: VILLAGE-017 EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: _ 1856 Eagan, MN 55122 DATE: _ 10/975 Zoning: RI _ No. of Units: Owner: Otto F. Weierke _ Address: Site Address: 1069 Beatrice St.,, Eagan Plumber: -iame _ Meter No.: 24425320 _ Connection Charge: 320.00 Size: 5/9 Rock Account Deposit: 15.00 Reader No.: Ga~~~ t _ Permit Fee: 10.00 ` I agree to comply with the Village of Eagan Surcharge: .50 Ordinances. Misc. Charges: 60.00 Total: --11 By Date Paid: Date of Insp.: Insp.: I EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: January 23: 1970 Number: 402 C;1 I -CJ dcC k. `i Billing Name: Otto F. Weierke Site Address: 1069 Beatrice Owner: Otto F. Weierke Billing Address 1069 Beatrice Plumber: Weierke Trenching Location of Connection Meter Size _ Connection Chg.__ Meter No. Permit Fee 7.50 pd 1/23/70 NOT HOOKING UP NOW. SIGNED UTILITY AGRE&vJENT FORM. Meter Reading Meter Dep. Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence xy- Multiple No. Units Commercial r~ Industrial By: Other 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. By: Weierke Trenching Rosemount, Minn. 55068 Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: JgaU& r 2'3. 127Q„ NM BER 551~._._... OWNER: Otto F. Weierke Address 1069 Beatrice ! - PLUMBER Weierke Trenchin& TYPE OF PIPE cast xi iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 200.00 pd 1/23/70 Acct. dep. 15.00 Pd 1/23/70 Permit Fee 7.50 ice. 1/23/70 Street Repairs Total 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 ToEmship, Dakota County, Minnesota By Weierke Trenching Rosemount, Minn. 55068 Please notify when ready for inspection and connection and before any portion of the work is covered. ^>u~~ 7S~ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Re ui \Planif RemodeURepair Reauirements Office Use Only 3 registered site surveys of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot cov1 set of Energy Calculations for heated ~fddiiions _ Tree Pres Plan Recd 2 copies of plan showing sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy CalculatiAddition - indicate if onsite septic stem On-site Septic System 3 copies of Tree Preservlatted after 7/1193 Rim Joist Detail Options Idgs with 3 or less units /C7 <3 Date. Construction Coit Site Address Jr . Unit/Ste # Description of Work ' r 1 Multi-Family Bldg _ Y _ N Fireplace(s) 0 _ 1 _ 2 Property Owner e CAULtV Telephone # 46-) ) 64 ' (0 { Contractor fAdiffm IRA J III Address City M State Telephone # ~5✓() ~501 Lf COMPLETE THIS AREA NLY IF C STRUCTING A NEW BUILDING Minnesota es 7670 Category 1 Aftuicsota Rules 7672 'Energy Code Category -T • Residen ' I Ventilation Category 1 Works e, 5 'Nd~ Energy Code Worksheet (4 submission type) T'j Submi d Sub ittgd • Ener Envelope Calculations Submitted Licensed Plumber Telephone # ( ) I, - Mechanical Contractor e)ephone # ( ) Sewer/Water Contractor Te phone ) I hereby apply for a Residential Building Permit and acknowledge that the i formation 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. IN Sell Applicant's rinted Name Applic t' 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. Alt - 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 Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg'* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. 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 _ Ft s Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - 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 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Custom Remodelers ADDRESS: 474 Apollo Dr Lino Lakes MN 55014 PERMIT # 60552 RECEIPT #/DATE: 52185 7/31/2003 VALUATION: $11,000 REASON FOR REFUND: JOB CANCELLED - CONTRACTOR REQUEST TYPE OF REFUND: Account Deposit 9220.2252 $ Building Permit Base Fee 0801.4085 $ 195.25 Construction Meter D Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Overpayment 9001.2250 $ Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ SAC (MC/WS 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surchar a 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meter 6101.4509 $ Water Supply & Storage 6101.4680 $ Other (Copy) 9001.4230 $ Total $ 195.25 /are under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. --t, 1 /08/04 SIGNATURE DATE f TW~MV of aagan PAT GE4GAN January 8, 2004 Mayor PEGGY CARLSON JOY RICHARDSON CUSTOM REMODELERS INC CYNDEE FIELDS 474 APOLLO DR MIKE MAGUIRE LINO LAKES, MN 55014 MEG TILLEY RE: REFUND OF BUILDING PERMIT 460552 Council Members Dear Ms. Richardson: THOMAS HEDGES As requested in your letter of January 5, 2004, permit #60552 to re-side and install windows at City Administrator 1069 Beatrice Street has been cancelled. The City is refunding $195.25 to you under separate cover; the State Surcharge of $5.50 is non-refundable. This letter is also meant to advise you that the City of Eagan's Fee Schedule contains a $50.00 Municipal center: fee to refund permits that have been processed and receipted. As a courtesy, we are informing 3830 Pilot Knob Road contractors of this policy and issuing a full refund, minus the state surcharge, for a cancelled permit on a "one time only" basis. Additional refund requests will be charged the $50.00 Eagan, MN 55122-1897 administrative fee. Phone: 651.675.5000 Fax: 651.675.5012 If you have any questions, please feel free to give me a call at 651-675-5671. TDD:651.454.8535 Sincerely, Maintenance Facility. anise D. Severson 3501 Coachman Point Office Supervisor Eagan, MN 55122 Phone: 651.675.5300 cc: Dale Schoeppner, Chief Building Official Rick Turner, 1069 Beatrice Street, Eagan, MN 55121 Fax: 651.675.5360 TDD: 651.454.8535 www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community :l Custom CRIRenzodelers, Inc. HOME IMPROVEMENTS 474 Apollo Drivc Lino Lakes, MN 55014 (651) 7(A-264E -441 5-0p / Refund Department: To Whom It May Concern: Could you please refund M 0 W, e pwnit in the amount of ~ 90 0, This request is made' because Enclosed is a copy of the per Thankyoua - Joy Richardson 651-78#-2646 If TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 YYg T FOR WATER SERVICE CONNECTION p,?2 Number- •-r'~' Date: Site Address iast.w yiiceacri..a j c1o r• Billing Name: B1111ag Address Owner: Plumber: ' Connection Chg , Metes Sizes 4u /25/70 location of Connection permit Fee Meter No.--r Meter DeP•--~--►-''-- JP Meter ReathnQ Addsl Chg• Meter Sealed: Yeas ~ - Total Chg•,- by / t Inspected LY Date Remarks: Building is a: Residence - No. units Multiple - Commercial Chief Inspector By: Induatrlal Otheri~ rmit- I delivery to me of the abovYUlas and of the issue and accordance with the In consideration the proposed work is MiDu8sota. to do ship, Dskota County, hereby agree Town regulations of Eagan Byz Lou please notify the above office when ready for inspection and connect. = Use BLUE or BLACK Ink ' r I For Office Use City of EaRon Permit#: f I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: bV(~~ Site Address: Joca Ct i-f lC-L Unit Name: C) vt J Phone: 6S I _ 6 Z c-~ ` J11`1 RESIDENT / , OWNER Address / City / Zip: Applicant is: Owner X Contractor p ~t ~ ct ~ wor s~sll al}(f r5 1u(eiL 2x~,► d~ lur fS /QCQ TYPE OF WORK Description of Ct3 Construction Cost:' r Multi-Family 9 ( Buildin :Yes / No ) OCLS Company: RIC'_ ✓ AC C' iV Contact: N CONTRACTOR Address: P766 CEC-t-r- ALV-- City: State: ^Zip: G E> 1 D C) Phone: License Y1 10 1 S Lead Ce i cafe If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minneso a State Building Co days a must ompleted within 180 of permit issuance. xY~✓l 1 Qy1 ~°.~11~ x Applicant's Printed Name licant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Tle Valuation Occupancy MCES System Plan Review Code Edition .7- SAC Units (25%_ 100%_) Zoning City Water Census Code /Y31! Stories - Booster Pump # of Units / Square Feet PRV # of Buildings t Length r Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE Base Fee yQ i° Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Date: City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: l i g ill I Permit Fee: 16- 71c-- Date Received: 7-1GI 3 Staff: /gC.) 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: \. eli\(t ,i\ (‘ Phone: r ---3-.0.7\41,c c-. Address / City / Zip: 106 \ Applicant is: Owner .S- Contractor Type of Work Description of work: P.b Construction Cost: Multi -Family Building: (Yes / No Contractor t tlyo-,e__ f C\\EI\I Company:4 `i ',f to V3 Contact: , Address: I Sl -t 7 1 8 co1j(^i City: '` fit'(er State: fYir\ Zip: . -SC) L ( Phone: 6 1.2- 3�r: iaj C(.f License #: Cg 3 6S -YT Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signa ure Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125434 Date Issued:07/23/2014 Permit Category:ePermit Site Address: 1069 Beatrice St Lot:21 Block: 2 Addition: Mckee PID:10-47750-02-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Jason Quist 34345 Quinton Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Hong Blaine Development Llc 6616 Gleason Ter Edina MN 55439 Aerotek 34345 Quinton Avenue Center City MN 55012 (651) 493-8324 Applicant/Permitee: Signature Issued By: Signature