1040 Keefe StCITY OF EAGAN
r"-. n"t
Remarks
Lot 1 Blk 2 Parcel lo 47752 010 02
screet l`114O KPP'PP. St. 5tace Ea.g-aniMN 5,5121 _
Improvement Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
;
SAN SEW TRUNK 100OO
SEWERLATERAL
WATERMAIN
* WATER LATERAL 968 930.00 G O 2
WATER AREA
STORM SEW TRK 1 _8
STpRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 2
BUILDING PER.
sAC 200pfl 2 11-21-6
PAR K
N"
_, Y0
MN aaiu ? ?
. .
$111:?
BUILDota PERMIT ReceipL #
To 6ir u"d for r?r?rtSUn?,cE. Est.Volue S; 4
? n(1C] Qote_* ?••??
Site Address lp1?p?CPefe St.xee+` Erect ? Occuponcy R--3
Lot Block._Z 5ec/Sub.Ac`uoo Irti Alter ? Zoning R-1
Parcel # 1 f} 477 5? (11(1 (1? Repolr ? Fire Zmx NA
E
l Vn
T
f C
n
arge ? ype o
onst.
W Name sir;,ward ?Jauet LinclpTManll Move ? # Stories
=
9 Address1 04f) Kpp'fp Strpwt Demolish Q Length_15._
r:.., r..,,.,., r'Czi ^1 oL.___ JeSA_i A Gz Grode rl Depth r, Sa. Ft.
? o Name (?:mPr
?
?? Address
r- r:.., o?,...._
Nome
/4ddress
Assessment
Water & Sehr,
Police
Fire
Eng.
Planner
Councl I
Bldg. Off.
APC
Permit 4450
5urchrrge
Plan check
Woter Conn.
Woter Meter
Rood Unit _
Totol $4 ???n
Sipnoture of Permittee - I
A Building Permit is issued to: HoWaid Linder?nn on the express condition that
oll work sholl be done in otcordonte with ull opplicable Stafd'of Minnesota Statutes ond City of Ea9on Ordinances.
Buildinp Officiol
Permit No. Permit Holder Misc. Permit No. Holder
vi
Elactric
Inspection Date Insp. Other ..
Footings
Foundation
Freming
Rough Plbq.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Finsl
Watar Describe Locatian:
YVell ?
Sewsr
Pr, Ditp.
cirr oF EAGAN 3795 'Ilet Knob Raod Ee9on, MN 55122 PHONEs 454-8100
BUILDIN?`s PERMIT Receipt #
Ts bi wed fee Est. Value • Date 19
Site Addreu Erect p Occuponcy
Lot 81ock Set/Sub. Alter fl Zoning
parcel # Repoir ? Fire Zone
Enlarfle p Type of Const.
W Na^w Move ? # Stories
? Addreu Demolish p Length
Citv 3 Grade p Depth Sq. Ft.
p Nome ...
Address
F r?.., eL___
Name _
Address
Assessment _
Wafer 3 Sew.
Police
FIro
Enp.
Planner
Councl l
Ftas
Permit
Surchorge
Plon check
5AC
Wcter Conn.
Woter Meter
Rood Unit
I hereby acknowledge that I have reod this opplication ond state ihat gldg. Off.
the iniormotion is corred and ogree to comply with oll oppliceble ^PC T?al
Stote of Minnesoto Stotutes and City of Eaflon Ordinor?ces.
Sipnoture of Permittee
A 8uilding PeRnit is issued to: ? on the express conditian ohar
oll work sholl be done in occordorxe wlth all opplicable 5tate of Minnesota Statutes and City of Eapon Ordinances.
Bulldin9 pfficinl
Psrmit No. Permit HoltNr Miac. Permit No. Holder
Plumbing
E
H.V.A.C. '
weu
Water
Disp.
Sevrar
'
Electric
Irqpadion Dats Insp. Other
Footinqs
Foundetion
Framinp
Rouyh Plbg.
Rouph HV
AC
Inwlatfon
Final Plbp.
Final HVAC
Finai
Weter ' DescHbe Loeation:
VWII `
Seviwr •
Pr. Dbp. .
ON
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
J•
I•tl i i i I I; ?'
I PERMIT SUBTYPE:
PERMIT TYPE: " i` I #G
Permit Number: K t' 1 t. %
Date Issued: 4)9/ 06/g6
52- 0l 0 i' APPUCANT:
t Ei 1?,1 i r
+.; i? I.+,? ? ??iM , Iis??? I t??id fM(
?fr.tt.'? 1?(7?d -?In'f11
TYPE OF WORK:
(ii .I.4; 1 I I ! tiM
A( rrRnr I na
MAC 50UN11 1 M:tiUT A 1 fnM
INSPECTION
i " i"? ! fil., .• • .A
,;,Ili ;! F?I
} ?tl?l?i? ! f! tI ? I. . i l??•I
i ?
?
Permlt No. Permit Holder Date Telephone N
ELECTRIC C /SO 0 P /
PLUMBING
HVAC ? 4` ?
Inapection Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG - -
ORSAT
TEST
BLDG FINAL ?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
7`J
HOUSE HEATING TEST RECORD
ADDRESS /v VO XAF? " APT.-FLOOR qTY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. Or" G / 1
SOLD 8Y
INSTALLED BY
Elecxieal Work By Gos Line By
TYPE OF HEAT GA - FA _HW -STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGD,--? ) CONVERSION
MAKEw ??0?'d P?9yZ,4fJ loI'??GY/' MAKE OF BURNER '
Model _ F Z7S37 / 'r1 Y Model
$erial Max. BTIJ Reti..o
INPUT O 6•.n?yCr2 MAKE OF FURNACE -
L I CPItlTROlS
THERMOSTAT? T ?? Heat Plug
Valve LaZh
Limit
•
Limit Setfing
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut OfF
Pressure 9,C n14 "{,,' Parcent COZ &
Input CFH 10?v y z o Percent 02 ?
Stock Tamp. ?_r Percent CO p
Model
Vent Sizs
KIND OF LINE SIZE-S?? NONE
Dtoff Hood C?"w R gulator g(ellkd
Filters Size ?'rl umber ?
Chimnsy Location Ins' a Outside
Chimnay Conatruetian ? ?
Smoke Bom Wiring
Draft fi? Test Tag_ s
Door Prsasure r
Lighting I t ?+S
Date Teated ~
?
M
Company Tes ' g ?A
i?
Name oi Test
Form 235
-of -4 0 1 l? cz91Y or 3ExcAN
BUILDING PERMIT APPLICATION
7b Be Used For_$aZAR GRE?Nf/aHgE. valuatian w*
site Address: /OG??F'SF£ 57 ?
I,ot ? Block Z Sec./Sub.AcKr- EE 3? Erect
Parcel # : ( O 01o G ? Alter
Repair
o,.mera l-iUG/ARI) L r4-11NE 1' 41Nf1CM?1N.h/ Enlarge _
? Move
Address: /paa A'_Fce FE s7 Deimlish
City/Zip Code: ?rr/ 2 / Grade
Phone # = 14' -cc! - I+{ 0
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date c17,c. /?k 3,/ 4 fs
- -?T
OFFICE USE ONLY
Occupancy ?
Zoning J
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ? ft.
Contractor: QW VLAssessments
Address: Water/Sewer
Police
City/Zip Coc1e: Fire
Phone #: Eng'
Planner
Arch'/Eng': Council
Bldg. Off.
Aclclress:
City/Zip Cocle:
Phone #: •
PernLit 9?J do-
Surcharge ?
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
ZCYPAL
EAGAN TOWNSHIP
BUILDING PERMIT
ownat ...... VA-L ....... K11' FiA S C H.. ...... .......... .-.-
Address (Preseni) -`-I-Q-40 ....... GE F? ...................'-----..
Builder ._...---•................................................................
Addresa ----- ------------- ................._------°-
N° 900
Eegan Township
Town Hall
la?ii ?G 2?
Dale °°- ............._-?- --°---
Sioxies To Be Used For Fronf Depih Heigh!
I Esl. Cosi Pesmif Fee Remacks
'1 LOCATION
SSSeel. Road os olher Deseripfion of Loeaiion I Lo! Block Addition or Tract
1640 IleEFE 1 Z !vl c 1??a "S?
1'his permii does not auihoriae the use of sireefs, roads, alleys or sidewalks nor dcea it give the owner or his ageni
the righf io create any situation which is a nuisance or which presenis a hazard So the healih, safely, coavenienee end
general welfare !o anyone in the communifp.
THIS PERMIT MUST BE.I??Epp T O THE EMISE WHILE TH£ WOAK SS IN PROGRESS.
This is !o cerfifP, ihat--??!1?._11:.'.?!_._'.'.....__""_..has pexmiasion !o ereet a............... _.. "'___upoa
the above doscribed premise subjeaY io the provisions of the Building Ordinance for EagarkAfownshiPW7 edopled April 11.
- S. /n{o
l - 955 -
--°` ............ .... ...'-°'- --??-°'- --........ Per ...........-- F -...?-..............
Cheirman of Tnwn Board / Building Inspeotor
Q?
0EAGAN TOWNSHIP
n BUILDJWC; PE12fdl6T
Ownex ....... (,f.4
Address (pseseni)
Builder
Address
DESCRIPTION
Aj° 320
Eagan Township
Town Hall
Dalo"V G3?.'._?.?.......
Sfories To Be Used For Froaf Depfh Heighf Esi. Cost lPermi4 Fee Remarks
/ 1
LOCATIbN
Stzeei, Road or oSher Descripiion of Locaiion I Lo! Elock AddiYion or Tracf
'? ?
This permif does not a oriae the usa of slreets, soads, alleys or sidewalks nor does if give !he owner or his agen2
the tigh! !o ereale any si ation whieh is a nuisance or which presenis a haaard !o the healih, safeSp, convenienea and
general welfaxe ia anyone in i e communily.
THIS PERMIT MUST BEE ON E PREMIS WHILE THE WORK IS IN PAOGR . ?
This is ! ceslifp. !hal-.- ---------- . "gV-_-.--.has permission fo exacf a_.- - - - -- ------------- _ _----'----'-'-"_..___upoa
the'aboS6p io the provisions ot the Building Osd:nance far Eagan To s x adopied .April 11,
.. - . . .. Per --- ----..._------'----._..----------` - -g -----`P"-T"-
Chairman of : Board Buildin Ins ec_or
/ ?
? ?' ?
2 CITy pF EF,GAN Include 2 sets of plans,
?R,? 1 site plan w/elevations &
BUILDING PERMiT APPLICATION 1 set of energy calculations.
2b Be Used F'or g 1?i.„ drroVLValuation Date
c 6? -
Site Address )04o e, 6F 2ST.
Lot 1 Block a. Sec.isublNC4E- ?
Parcel #: 10 4-[`15Z GJO cJZ
Owner: 4ol,ArA )- 1nilcmann _
Address: jQun J?Oe F e
City/Zip Code: gaun i
"Phone #: 41,sw-Iqlo3
Contractor: S z 1 ??
Address:
City/Zip Code:
Phone #:
Arch./Eng.
Address:
City/Zip Code:
Phone #:
OFFICE USE dNII,Y
Exect oocupancy
Alter ? Zoning
Repair Fire Zone _
En].an7e _ Zype of Const. ?
Nbve # Stories
Derolish Fxont ft.
Grade Depth ft.
APPRWALS FEES
Assessntents Perntit
t4ater/Sewer Surcharge S?
Police Plan Check
Fire SAC
glq, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. ?
APC
Tl7PAL /2 •O d
BUILDING PERMIT
N? 8111
Receipt
Te bi wsd fer GREENHOUSE Est Volue $$ 4,000 pote .Tune 7 , 1 q-u_
Site Addreu 1040 Keefe Street
Erect
?`j.
Occupanry R-3
Lot 1 BI«k 2 Sec/Sub.McKee 3rd Alrer ? Zon;ng R-1
Pcrcel
10 47752 010 02
#
Repoir
p
Flra Zona
NA
Entarge ? Type of Const. Vn
W Nome Howard & Janet Lindemann Move ? # Srories
; Addrass 1040 Keefe Street Demolish ? Length 15
° ci Eagan 55121 phom 454-1463 Graee ? Depth 6 Sq. Ft.-
w
0 Name OWIleY Approvals Fees
?? Address Assessment _
Water & Sew.
~ Cit Phone
Police -
? Name Fi
W
f re
?? Address Enp.
<'Z" Ci Phone Planner -
Council _
I hereby acknowledge that 1 have read this applicotion ond state chat gldg. Off. -
fhe informotion is correct and ogree to wmply with oll applicuble
State of Minnesota Statutesand City pf Eagqn_Ordinonces. AP? _
Sipnuture of Permittee
A Building Pertnif Is issued o: _
oll work sholl be done in nccordance
Buildinp Official
CITY OF EAGAN
9795 Pilat Rnob Rmd Fugan, MN 55122
PHONE: 454-8100
Permit 44JV
SuIChOfge 2.00
Plan check
SAC
Water Conn.
Water Merer
Rood Unit
Totol $46.50 .
on tho exDreu condiHOn thnt
Stotutes ond Ciry of Eagan Ordinances.
cirr oF EA"N
3793 Pllee Knob Raad Eagan, MN 55122 N? 737'
F PHONE: 454-8100 -
BUILDING PERMIT r
INS
Ai Receipt
•
•
T
Te 6e'aaad M?6LIDI2?'i GLASS DOOREst. Value $500.00 Date Ju ne 29 _, 1q-82-
Sire Address 1040 Kee fe Street E
t O R'3
?
rec ccupancy
Lor 1 Blxk Z Sec/Sub. McXee 3rd Alrer ? Zoninp R-1
parcel # 10 47752 010 02 Repoir ? Fire Zone NA
E V
nlarge ? Type of Const.
W Name Howard Lindemann Move ? # 5lories
; Address lOdn K anfe C+_, Demolish 0 Length ? .
U Ci Eaq aA 55121 phom 454-1462 Grode ? Depth NA Sq. Ft.-
? Na ppner ADVrovels Feet
p me _
r
?U Address
I- r:...
Name _
Address
I hereby acknowledge thot I hove read this application and state that
the informotion is correct ond ogree to comply with all opplicable
State of Minnesoto Sfatutes and City of ogon Ordinances.
Signature of Permittee ?wb-n?.+?
A Building Permif is Issu to; Howard LiSSaELl8flil
all work sholl be done in acmrdance with alt opplimble State of Mir
Assessment Permif 11.50
Water 8 $ew. Surchorge .50
Police Plon check
Fire SAC
Enp. Woter Conn,
Plonner Wafer Meter
Council Rood Unit
Bldg. Off.
APC Taol $1?0-nn
Statutes
on the ezpress condition lhn+
y of Eagan Ordinances.
Buildinp Officiat
Lil j
0 091: ??09 0 ?(?1c.1? 3'?,? J, o -
Requesl Date
?? Flre No Rough-In InspecLOn Reqmred
(VOU musl oall inspeotor w en reatly) IhspecAOn Other Thdn pougMn
? Reatly Now ?K j Will Nolily Inspector
f/ ?
? '?Cl ? Yes No Date Reatly
I4licensed contractor ? owner hereby request inspection of a6ove electrical work ar
Job Atldress (Sheet 8ox r Roule No )
I()q6 ge S6. City
Efi6mv
Section N. Township Name or N. Range N. Count
?p
r/ M13J! n
Ow IPRINT)
n S,-,l Phone No
Power S?ujplie
V ntltlress
f? /?/J/?
/tit/se?
EI n/cal Cont((ra?Jct,o.r- (/CO?m?pany Na
/ Il.!`--?-? , - ConVa/ctors? License No
V r `V
M g Atldress Cont or Ownar Ma ing Iris? la on)?
`sa?z?c? ?`-?-N,? la? ?'iu
A ignature (Convac 'Owner Ma' nq Installahon) Number -q
ir o 5 S
?5
1CITV I C I T
2 Uns 2 s?? A ? Je., ??pau ?MN855104 II IIIII IIII II? I I? II? III IIIII IIIII I'I EN SOSEOPOP ER NSPEGTON ?E
II II 11 bl U ?I ????? a& U
Phone g pD
REQUEST FOR ELECTRICAL INSPECTION >C?;N" QB opo/q1?-O9
? See instmaions for completing tnis form on back ol yeliow copy (4
1
0 091'50 9 "X" Below Work Covered by This Request
Ne% Add Rep. Type of Building ' AppliSTces Wved Equipment Wired
Home Range Tamporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Load Management
Comm /Industrial Fumace Other (S ecify)
Farm Air Conditioner
Omer (spealy) Comraclor's RamaMs /
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps- .._,_ Above 100 -Amps
SIgnS Inspector's Use only .? TOTAL
'
Irrigation Booms ?J
?
p?' 7 v
Special Inspection ?
Alarm/COmmunication THIS INSTAILATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI 18 JMONTHS.
I, the Elecirical Inspector, hereby R°°qn-in oate
certify that the above inspechon ha s' Finai / oata ?
6een made.
OFFICE USE DN' ?
This requas( vJ 18 mO??ns Irom
-I-I
? RESIDENTIAL
oq BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-661-4675
Naw ConaVUCdon Heaulrementa
. 3 registeretl sHe surveys showNg sq. fl. of lot, sq. fl. M hause; and 10 rootetl areas
(20% maxlmum bt coverage allowed)
• 2 coples of plan showing heam & window sizes; poured found design, etc.)
• isetofEnergyCakulalions
• 3 copies of Tree PreServatian Plen il lot platted aRer 711 f93
• Rim Jolst Detaii Options selectbn sheet (bWgs with 3 ar less units)
DATE 40
SITE ADE
NPE OF
APPLICANT
STREET ADDRESS J,?J3_y /11z
TELEPHONE #95'R :?Q7- (6959CELL PHONE
PROPERTY
/ 2?y ,Ls
RemotlaUReoalr IieaulremeMs
• 2 coPie3 of plan
• 1 set of Energy Calculathns for heated add'd'ans
• 1 sBe survey for exleriar addttbns & decks
• Indicaie A home served by septic sySem for edtlitbns
VALUATION t JS j W o`?
IULTI-FAMILY BLDG _Y N
FIREPLACE(5) X0 _ 1 _ 2
'::?,CITYBu/'/z.?yiJGSTATE jr rrvZlP?]
----OWNER CJ ILt/ I,n? ?? ----- TELEPHONE#?/?6?7-_-D?oQ?
----------------- ------------------------- --°----°-°---------
COMPLETE THIS SECTION FOR 7NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheat 5ubmitted • New Enargy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing,Conhactor: Phone # ?
Plumbing system includes: _ Water Softener _ Lawn Sprinkler p :$ ?
= Water Heater _ No. of R.I. Baths ? ??? ? 7 LUOZ ?I!I ?
No. of Baths
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Rewvery System
Phone #
Phone #
Fee: $70.00
------------------°--°-------------------...._....-----------------°---°---------°°---------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appifcable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnafure ofApplicant
............ y OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex
? 02 SF Dwelling 0 08 06-plex
? 03 01 of _ plex 0 09 07-plex
O 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex O 12 12-plex
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
0 13 16-plex
? 16 Fireplece
? 17 Garage
O 18 Deck
O 19 LowerLevel
0 20 Pool ,
? 21 Poroh (&sea.)
? 22 Poroh/Addn. (4sea.)
? 23 Poroh (screened)
? 24 Storm Damage
? 30 AccessoryBldg
? 31 Ext Alt - Mufti
? 33 Eatl Alt - SF
? 36 Multi
Pibg_Y or _ N ? 25 Miscellaneous I
Int Improvement ? 38 Demolish (Interior) 13 44
Move Bldg. ? 42 Demolish (Foundetian) O 45
Demolish (Bldg)* ? 43 Reroof ? 46
•Demolkion (EMire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS ?
_ Footings (new bldg) _ FinallC.O. '
_ Footings (deck) _ FinaUNo C.O. i
_ Footings (addition) _ Plumbmg
_ Foundation HVAC I
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Fcgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Wittdows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC ;
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
L BL CITY USE ONLY
suso. ?'Y? C?'
1996 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complefe for: ? singfe family dwellings `'aIN'
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
X Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: G'-/'? -96
? 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 ac.? ?
SITE ADDRESS: /
OWNER NAME:
INSTALLER NAME:
STREET ADDRESE
m
a ?
RECEIPT #: t, qa
DATE:__TILCL?.
L-b-C
a0?1 S??
FEES
PHONE #:
??.
CITY: 2j STATE:'/Y/V ZIP:
?
PHONE #: ( (o /,? ) `1934 .5 41
. P,l
CITY USE ONLY
L BL RECEIPT #: ^
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL) I?
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675 Please complete for: ? all commercial/industrial buildings. ,
? multi-family buildings when separate permits are D(2 required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: 1'
FEES: ? S25.00 minimum fee Qi 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $7,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE ,
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVeMeNrs oNLY)
INSTALLER:.
ADDRESS:_
CITY:
PHONE #:
SIGNATURE:
TELEPHONE #: '.
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR '
# s7z,?
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
RE????`7TSP:X:-; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
--'---------------------- ----------°------------------------------'
WORK DESCRIPTION FEES
NEW CONST
AD? ON ?
REPAIR
OWNER NAME: Zt/t:? /-
SITE ADDRESS: ?? Y? .?+?? 3 •
?
LOT:_L_ BLOCK ? SUBD.
INSTALLER: Wsr..?4?? /?t? ?C
ADDRESS: I ?S.S- ,f/'??1??/'1 _
CITY: ZIP:
PHONE #: /0' Y-ry?/y69
SUBTOTAL:
STATE SURCHARGE: .50
TOTAL: $ /.Sl
DWELLINGS &
------------
ADD-ON MINIMIIM 44LD
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
?
GNA U OF? RMITTEE
C03"RfERXTAL/IvDU51'R-fAI::; PLEASE COMPLETE THIS PORTION POR ALL COMMERCZAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUIZDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT. '
CONTRACT PRICE
OWNER NAME:
SiTc :w.^iRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #;
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE s $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
A. ti
i t
1??FR?%c1Rh??ti?tYF$+ M?k?C?kB<?<X?SS?Rk??kM??i ?k?%?kM1%??X?)'F???NRC?
CI'fY 01= [-F1GAN
CAF3Fi.T.f.::R: S iE:hM'tP!AI._ f33
nATE.e 09/05/96 T1:ME:: 15.47e23
IU e
NAMFe I:F:P1 FtOC:K CONST C{:I [NIf:;
320 .'?OCIi 030 13f:::A'fR.L!]E i.62.25
2155 9001 1030 8E(11'R.[CE_ `,,DO
;9Wf.1 9001 if173 x3EA1'RfC[. 09.0
3422 90(:)1 iq73 BEAT'fiICli 99.98
i:?05 9001 11.173 lil'::f111i:CCli' 6.50
3210 S)DU:I. J040 h(EEFIii: S7 i':37„2:;
342i' 9001 1040 KIcE'!=[.: 57 HEI.63
205 9001 :I.q4C) KF.FF'1:_ S'T 3,.00
Tr7t7.1. RCdCr+1pi: Anioi,!r;+,g 837.26
CSrI 639t?G
IJSE:I: '.I:T_!: NANC;"
i ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
-?
BUILOING
028675
09/05J96
51TE ADDRESS:
1040 KEEFE 57
LOT: 1 BLOCK¢ 2
MCKEE 3RD
P.I.N.s 19-47752-010-02
DESCRIPTION:
MAC SOUND INSULATION
Permit Type SF (MX5C.)
i4,p?rk Type AL7ERATION
81?111. 434 flLT. RESIDENTIAL o ?
,
9..d.. s_
_r. ?'i? ?wte?
et,?
?#
?,._ *?%nA?'
?pSE ft _L'j%5?G d& ? 3Y ?p ?xwi 6 ? 4h ? 5
3LtlmF va a?ro. 1Yfk# ?a"m-s'£IN tp? ??L%M1iz ?`^=?i4 '?bB @:S '}?:a?i E ?
iaia {{'m?
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$237 .25
$118.63
$8.00
$353.88
$16,000
CONTRACTOR: - Applicant - ST. LIC.OWNER:
RED ROCK CONSTRUCTSON INC 18589262 20054621 SOM CNANNY
7960 CHLCAGQ AVE A 1040 KEEFE ST
BLOOMINGTON MN 55420 EAGAN MN
(612) 858-9262 (612)687-0604
I • • j? k ..x u
a ?h.ereby, aek`?ow??dq€;
• , h'T?s
5tatutes aWcf Clty?,?16fi,L.
? . _ .. ,..__ . _.... _... ?.. ._?. ??
41
x ha?e read. ???.s ?:pplic:aG?uie ,?tt~d ??at?e ?I't,?t-a?he
-'a"VutoP?y _?:r.a.?h ?1,?Fapp],a??ab?#? `???? ? IAn •
d agr?s t
?i ?brdia*arncecs:" x?
?
?}11,? .P11' r
I SUE YFIG UF T-?
CITY OF EAGAN
60' 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVRenair Reeuirements
? 3 registered site surveys ? 2 copies oT plan
? 1 copiee o/ pfans (include beam d wtrtdow sim; poured W. dea7gn; Mc.) ? 2 site surveys (ezterior addiNons 8 deeks)
? 1 anergy cakulations ! 1 energy ealculations Tor heated additions
? S copies of tree preservaNon plen B bt pfetted aRer 7/1193
mqvired: _ Yes _ No
DATE: July 30, 1996 CONSTRUCTION COST: $15,572.00
DESCRIPTION OF WORK: MAC Sound Insulation
STREET ADDRESS: 1040 Keefe Street
11.1
lOT BLOCK
?.
lP
SUBD
I
#:
D
m G' e, 3?
.
.
.
.
PROPERTY Name: Som Channy Phone #; 687-0604
OVYNER ' w, me`.
Street Address• 1040 Kee£e street
City: Eagan State: MN ZiP- 551121
CONTRACTOR C0111p8ny: Red Rock Construction, Inc. Ph0n2 #: 858_9;1U
Street Address: 7960e Chieago Avenue License #2nn1; uhP i
Clty: Bloomington State: MN'Zip:,FF42n
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #?
'5 b -? •
Street Address:
City:
State:
Zip:
Sewer 8 water licensed plumber: . Penaity applies when address change and lot
change are requested once permit is issued.
1 here6y acknowtedge that I have read this appiication and state that the information is corcect and agree to mply wRh aii
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicant:
G???G?MLDD
OFFICE USE ONLY
AuG 2 2 i99s
Certificates of Survey Received _ Yes No
---------------
Tree Preserva6on Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
1 Foundation o 06 Duplex ? 11 Apt.ILodging o 16 Basement Finish
2 SF Dweiling
V o 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition o OS 8-plex a 13 Garage/Accessory o 20 Public Facility
n 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. ? 10 = plex
I o 15 Deck
WORK TYPE
0 31 New 0-'33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demalition
GENERAL INFORMATION
Const (Actuai) Basement sq. ft. MC/WS System ?
7-
(Allowable) Main level sq. ft. City Water 1
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. L73'l
Depth Footprint sq. ft. SAC Code o i
Census Bldg +
, Census Unit o
APPROVALS
Planning
Buiiding ? Engineering
Permit Fee
Surcharge
Pfan Review
license
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Par{c Ded.
Trails Ded.
Other
Copies
Total:
Variance
Vafuation: $ t,?=
96 SAC
SAC Units
0 •--
EAGA4 7"JWNSH?P
3795 Pilot Knob P,oad
St. Paul, Minnesota 55111
Telephone 454-5242
PEBMIT FOR SEWER SERVICE CON:dcCTION
DATE: November 21, 1967
OiMEF.: Valentine Ka,rasch
PLLMER sel£
NUN,3ER 72
Addresa 1040 Keefe St.
TYPE OF PTPE Ext. Heavy cast iron
DESCRIPTION OF BUI7AING
Industrial( Commercial Residential
x
Locarian of Connections:
Multiple Dwelling I No. of units
Connection Charge $200.00 Pd. 11/21
Permft Fee 7•50 "
Street Repairs
Total $207.50
Inspected by:
DaYe
Remarks•
By - - -
Chief Inapector
In consideration of the issuP and delivery to me of the above pe.*.'c:i.t. I
hereby agree to do the prepcsed work in accordance with the rules aad
rewlations of Eagan Tocroship, Dakota County, Minnesota
By
P1°a°n ;±ati¢y i.hen reGdy for is.spection and corn<.ction ar.d before an.y port:.ca
os tha wcrk is ccwered.
EAGEli TOidNSHLP
3795 Pilot Knob P.oad
SY. Paul, Minnesota 5?5111
Telephoae 454-5242
PEFiNiIT rOR SE+IER SERVICE C0NNSCTIOPI
DATE: November 21# 1967
OWNER: Palentine Karaeah
PLL??BER se1Y
NUN:SFR 72
Address lOQA KeeYe St.
TYPE OF PIPE Ext. Heavy Caet iroa ?
AESCRIPTION OF BUIIAING
Industriall Commercial' Residential Multiple Dwelling No, of units
Loca+.ion of Connectiona:
Connection Charge 5200.00 Pd. 11/21
Permit Fee 7.50 "
SCreet Repairs
Tota l 0207.50
Inspected by:
Date
Remarka•
By -
Chief Iuopector
Itt consideration of the issue and delivery to me of the above p^*ci.t, I
hereby agree eo do the preposed work in accordance with the rules aad
re3ula*_ione of Eagan Torraship, Dakota County, Minnesota
By,
p2eapP r.o`ify r;hen re_ady for irspeccion and connaccton ar.1 'uefare any portzon
o_ tna cacrk is cavered. .
.
EAGFN TOWN5AIP
3795 P1Iot Knob Road
5t. Panl, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
bate• Nov. 21, 1967 ?p Number: 45
Billing Name: -u'o-P1?'^°"-? 5ite Address: 1040 KeeFe St.
pwne=; above
Plunber• above
Connection
PLEA5E REF'ER TO
N0. 447
Billing Addresa
.,
Meter Size o ConaecCion Chg.j??o, "'Ofz-r! G???>a
Meter No, .??'6 ?:?- Permit Fee 7.50 Pd 11/21
Meter Readi • pnv Meter Dep. -?
Meter Sealed: Yes_ I Add'1 Chg.
NO l1bta1 Chg.
Buildiag is a;
Residence_?L-
Multiple Ho, Uaits,
Commerc ia 1
Zadustrial
Or.her
Inspected by
Date
Remarks:
B9: Chief 7nspector
In consideration of the issue and delfvery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the sbove ofPice when ready for inspection and connection.
r
EAGAN TOWNSHIP
3795 Pilot ICxtob Rorad
Se. Paul, Minaesota 55111
Telephone 454-5242
PERP•1IT FOR WATER 5ERVICE CONNECTION
Date• Nov. 21, 1967 Number• 45
Billing Name: VeVaizaE78?r"as F Site Address: 1040 Keefe St.
Owner• abone
Pluaber: above
PLEASE CtES'.ER TO
No. 447
Meter
Meter
Billing Addresa
a
Permit Fee 7•50 pd 11/21
Meter Reading_&e= IMeter Dep.
Meter Sealed: Yea__ IAdd'i Chg.
NO ' Total Chg.
Suilding is a:
Residence_
t+(vltip2ego, Units
Commercial
Industrial
Or.her
Inspected by
Date
Remarka:
By:
Chief 7nspector
Tn consideration of the iseue 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:
Please notify the above office when ready for inepection and conxiection.
?
I
EAGAN 1UWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNAT FOR WATER SERVICE CONNECTION
Date: June 17, 1970
Billing Name:Howard Lindemann
Ownex: Howard Lindeman
Plumber: All-State Plumbing
Connection
REE'ER TO PMMIT
No. 45
NO ' Total Chg.
Building is a:
Residence aoc
14ultiple PFo. Units
Commercial
Industrial
Other
Meter
Number: 447 ? -?) HGk.--3
Site Address: 1040 Kee£e Street
Billing Addresa 1040 Kee$e Street
Meter N0.6818642
Meter Readin 111,Oi
Coanection Chg.2 0.0o pd 6/17/70
Account Deposit77177_6/17/70
PermiC Fee io. '-'o d
Dep.
Meter Sealed: Yea_ 'Add'1 Chg.
Iaspected by
Date
Remarka:
BY:
Chief Iaspector
Ia consideration of the isaue arncl delivery to me of the above permit, I
hereby agree to do tte proposed work ia accordance with the xules aad
regulations of Bagan Township, Dakota County, Minnesota.
All-State Plumbing
Please ttotify the abwe office when ready for inspecCion aad connection.
.
EAGAN TOWNSHIP
DAKOTA COUNTY, MI1,122SOTA
I/We hereby request of the Township of Eagan permissian as
followe:-
water
1. To connect the sztU"x3mz=r service line from my residence/
sawwffaizt building at 1040 Keefe St.
to the
.....,oter or lateral located
2.
?
/ , v
)
will`not hook up and use ttse service
until I/we have paid to gan the aecessary connection fee for such
hookup. It is further understood that ia the event that I/we do hcok
up and uae said saaiCary sewer service before paying the req+aired
connection fees, thae I/we will be required to pay the Townchip a em
3. . ?
l pv ?
? ?
It 1s u?e ood that /we
in addition to the connection fee of $
I/we also understand that I/we will also be required to pay
to the Township in addition to the fees required above the normal
inspection fee for each inspection by the Eagan utilities departmen`.
;
Dated:
Signed:
k?
?
F.?
?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142620
Date Issued:05/11/2017
Permit Category:ePermit
Site Address: 1040 Keefe St
Lot:1 Block: 2 Addition: Mckee 3rd
PID:10-47752-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Channy Som
1040 Keefe St
Eagan MN 55121
(651) 354-1746
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature