1045 Keefe St?
0
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
EfEf I ! fi 1 "r;
0: - ?t o t 4
N > / . :' / 'l
' SITE ADDRESS: ? ?? ? :
PERMIT SUBTYPE:
TYPE OF WORK: Allf KqlInN
, ? , , MA4° RFNf3VA i .Tf)N
INSPECTION
r . • D
? ?+ilt??l I N Ii i?. f I i•Ir?t
k! 4NA(iM', ',I f't1f?Ali f'FkMI ('. Kf?i,?IftkF 11 F'Aft E1Fi- i1rli'At (iR F3'1_l?MI+INll t-itikb
APPLICANT:
.?.?.??
??
Permit No. Permit Holder Oate Telephone N
ELECTRiC M 6
PLUMBING ?N (p 7,f,-f-5'cS 5
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST '
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREALACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
0
BSMT R.I.
BSMT FINAL
OECK FTG
(?ECK FINAI
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. y
STREET RESTOR.
GRADING
SAN SEW TRUNK 110
I ? 1
* SEWER LATERAL 1969
WATERMAIN
* WATER LATERAL 1
WATER AREA
STORM SEW TRK qot 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200OO 12-11 -
BUILDING PER.
SAC 200.00 12-11 .67
PARK
? TOWN OF EAGAN
3795 Pilot Knob Rcad
St. Paul, Minn. 55111
PEAMIT N0.• 3
The Board oP Supervisora hereby granta to Thcmpson Plumbinx Co.. Inco
of ln01 i9lnnetRlvd `$ Pliunbing
Permit for: (Owner)
at 1045 Ka Heefe St. lp y??5d cs?)a oJ
pursuant to application dated -3Z1_965?__?__?,_?_•
Fee Paid: $520,00 Dated this25th day cf blarch , 19-Lo-.
----- ?/-
•"d" " ''I+'-?O ?'-----
Bu?.ng Inspec
il
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ----vzt? -/-'J-r/-'4? ---- ..-------- -'-----'-
Address (Present)..,/. .... ----°---
?a
Builder
-------.. .................. ........ ..... ....................... ---
Address ---- °----'----------------'°'---......----'......._--...-'---.........__..
DESCAIPTION
x? 1,015
Eagan Townsfiip
Town Hall
Dale ._ ; ?*.'? ./....................
Sfosiea To Be Used For Froai Depfh Heighi Esl. Cost Permit Fee Aemarks
y4`?. .1d A ? 3?e s -n
v ? LOCATION
Slreef, Road or olher Descripiion of Locaiion Lo! Bloek Addilion or TracS
?- ? r-1-7X? 3
This permit does nof auihoriae the use of slreeis, roads, alleys or sidewalks nor does it give the owner os his agent
the zight to creale any si3ua2ion which is a nuisanae or which presenls a hazard !o the healih, safely, convenience and
general welfare fo enyone in the eommuniiy.
THIS PEAMIT MUST BE PT ON THE P$EMISE WHILE TfiE WORK IS IN PAOGRESS.
This is !o eerfify. Shai.... .. .. ..-._- -VF? -------_-...haspermission !o esec2 a .............. ........ ..."" -' "-upoa
the above deseribed premise snbjae! !o the provisions of the Building Ordinance for Eag?h Townahi adopled April 11.
1955.
. .............
'----......_----... - ........ .........V.....`.."..'..`.?e....?.:?... Per -----...----..........?...r....?.''P?:...d'?F-..`..:??a.
Cheirman of Tnwn Board Building Inapeolor
EAGAN
TOVVN5HIP N9 190`/
BLDILDING PERMIT
Ownet /J??
t/
Address (prasent)
Builder -------- tl,
Address ..............
DESCRIPTION
Eagen Township
Town Fiall
?
Siories To Be Used For Fion! Depih Heigh! Esf. CosS Pezmi! Fee Aamarka
/
v LOCATION -?- ' f -
Sireel, Road or oiher Deseription of Localion I Lo3 I ock Addition or Traci
/
i
?
'This permit doevno vaulhariae the use of streels, roads, alleys os sidewalks nor does if give the owner or his agenl
the xight io ereale ao siYUefion whieh is a nuisance ox which presen2s a hasard !o the healYh, safety, convenienee and
general welfare !o anyone in the communiip.
THIS PERMIT MUST BE KEP (?N £ PAEMISE WHILE THE WORK IS IN PAOG..._SS. ?
This is !o cerlify. Shai??. -...i.-?'?,?-?/..('?''.?""?` A........._..haspermisaion !o exec2 a......" ... .' ..... .i..... a.'d._.___.._......... _upon
the abo ?e des ' ed premi ?ih?Nprovisions of the Suilding Ordinance for Eagan To s p opfed April 11,
1955. '
r ?
.............. . ... --------- ---... ......... . . ..... . ........... Per __------ --------"---....---------...-----.....--------'-"--......-----'-'-----
Chairman ot Town d 8uilding Inspecior
a Q/ REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
See O O? 1 5?12 insimr.twns lor completmg this form on back of yellow copy.
°X" Below Work Covered by This Request
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (S ecify)
Farm Air Conditioner
Otner (spenfy) CoCrector's Remarks' _ ? _ r?. ? # 3?4;?9•.??
??LC? ??? rnP.r?Y.U? /1f7hOYt.c.L
Compute Inspectron Fee Below: 1'jr )4Ly /a JJ/qP 56ny/f.-?-
# Other Fee # Serwce Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Amps
SIgnS Inspecmr's Use Only TOTAL
Irrigation Booms cT
3S,?V
Special Inspection
Alarm/Communication THIS INSTALLATIO Y BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WIJ+71N 18 MONTHS. ?
I, the Electrical Inspector, hereby
if Ro?qn,n / oaie
cert
y that the above inspection has
been made.
OFFICE USE ONLY
This request voitl 18 months (mm
0 0-91?512
4/ -o
Y14.x.. _3il
60 a i6?1-i
Repuest Dafe
oJ / Fire o Roug?-In InspecLon uired
(Vou mustcallinspector vyhed reetly) Insp c?ion Olher Than Rough-In
Reatly Now ? Will NotAylnspector
Q (Q ? Ves ate Reatly
IXIicensed coniractor ?owner hereby request inspection of above electrical work at
,aet. aa. o ,rRoute S? Citr
Seclion No Township Name or No Range N.
Cou uf
Occu a (PFINT) ? Phone N??? ^ ^ ??
?i
Pownr Suppher Address ?
3 /lS G?r[?er- ou?t . asevi?li
Eleclncal ConVactor iCOmpany Name) ?
E2-1?mv ?? CoMracrors L?rense N.
IAailing Atltlress (Con' 1_rnoror or Owner MeMng Instell8tion)
Authonzed I' ure (ConUactor/ wner.Mekiny Insl letion)
lo? Phone Number
-7?3
G829 UO?ty Ave, e St??uS MN B S?pd 'CITY II ryl?l ?1'I I?I ?Iryl I?? II?? ?I? ?'ll IIII UN ESSEPPTED ROP ER INSPECTION PBEpST
Phone (612) 642-0600 U I4 ? III ? II ?I N ENCLOSED.
O? ...,
?IIIIIIIII?IIII IIIIIII f?llll IIIIII I III IIII MS2IQFOR ?
UYIA Ss? ?a Rmo, E1CSA? Paul ?, M`N 55104
* U 3?., 9`f 3 6 L* phone (812) 642-0800 ?j?Q ?
Home Duplex Apt. Bldg. Other: New Addn
Commeraal Industnol Farm mod Re air
Air Cond Htg. Equip. Wafer Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" above ihe work rovered by this request Enter remorks in fhis spare and on fhe back of the white copy only.
,k" ,q-/C, , ,? ?no 441Wd QC&Vt,?-z
Calculate Inspection Fee - This Inspection Request will not 6e accepted wdhout ihe mrrect fee:
Olher Fee Service Enhnnce Size Fee # Circvifs/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Sfree} k}q./TraHic $ig. Above 200 Amps ° A 700 Amps
7rans{ormer/Genemtor INSpECiOn'SUSEaNLr TOTALn
L
Sign/Outline Ltg. Xfmr. " U,
U
Of J
Alarm/Remofe CoNrol
-C?
$wimlYling Pool I here6 wdi 1Fa1 I i "?al in:Wllmian de:rnbed here;n on the daro::wted
Illigafion Boom Roogh-In Date
S
eciallnspedion
p
Invesfigahve Fee F????
THIS INSTALLATION MAY BE ORbERED DISCONNECTE NOT COMPLETED WITHIN 18 MONTHS.
3 1.? -ji3 6U OFQFl?C UpSE O/p?I±LY This requesl vaid 18 monihs (rom vaLdanon dore pnnled in oy? g O !T/
? ?r 0.?.
'
jI
?
?? Sv` d
/7
C/
W ?
?
j CIV
PLEASE PRINT OR TYPE
41
Requnt Dob
aa -9& Rough-rn ??pedion reqmrad2 ? Y? o
d Inspeaion Other Than Roughin 0 Ready Now ill Call
t
B
d
D
7 rou mos? mll Ihe inspeMr when reo y) e
ea
y
a
I, [Xlicensed <ontradar El owner hereby requesf inspedion of fhe above elecirical work at:
Job Address (Sheel, Bm, ar Roine Na.?
4 qry bp Code
S ee
D
Seeion No Township Nome ar N. Ranee N. Fin Nn Comly
Oau
3 eel e
° Phane No.
9?
4?
o,v? .
-
PowerSuppLer Pddress
Elennml CoMmdm (Company Nome?
lei ?-/?SQ? fi Conhoctur Limm<NO/
11
6{? Masler lic No. (Piant Eled Only)
Moiling lddras (Contmtlor orOvmer PerFarmmg I s aliont N
.?.s?.t' . P? ?^
?
AoPoonz ankoctor r P Insmllohon) Phone N? / /
EB-00001h10 6/95 ( STATEBOARUCOVY-SEEINSTRVC710NSONBACKOFYELLOWCOVY
; .. PERMIT
V CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
E2g2n, Minnesota 55122-1897 Permit Number: 0 2 8 0 3 4
(612) 681-4675 Date Issued: 0 7/ 2 2/ 9 6
SITE ADDRESS:
P.I.N.: 10-47752-020-01
DESCRIPTION:
1045 KEEFE S7
LOT: 2 BLOCK: 1
MCKEE 3RD
.-„ MAC RENOVATION
priildi'+?'g Permit Type SF (MISC. )
;`Build'xng?Work Type ALTERA7ION
r€etT.6us- C.od??"494 ALT. RESIDENTIAL
?
/ r
i
? \\?4Yrft{, r
t ,
REMARKS:
SEPARATE PERMITS REQUIRED FOR ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VAIUATION
$187.25
$93.63
$6.00
$286.88
$12,000
CONTRACTOR: - Applicant - sT. I.IC.pN/NER:
BLOM CUSTOM HOMES 18913773 0001110 STEELE THOMAS
8675 135TH 5T W 1045 KEEFE ST
APPLE VALLEY MN 55124 EAGAN MN
(612) 891-3773 (612)454-9455
I kaereby acknowledgethat Z have- read this-eppJ.ication arod state thet Che,
information is correct and agree to comply with all applicable State of Mn•
Statutes artd CiCy o'f Eagan `Ordinances.? L . _ . __. _-. .. ._.. ?
? AP T? NATURE TSS'IEDCY. S?NATUFTE??
CITY OF EAGAN
3830 pILOT KNOB RD - 55122 ?
1996 BUILDING PERMIT APPLICATION (RESIDEN
681-4675 1-W Lo ?
r ,1 (t
New Construciicn Requirements Remodel/Repair Reauirt ? U r? °7
? 3registeredsilesurveys ? 2 copies of plan _____________.,_
? 2 copies ot plans (include beam 8 window sizes; poured Tnd. design; etc.) ? 2 sile surveys (exterior a ddions ?dec s
? 1 energy calculations ? 7 energy ealculations (or heated additions
? 3 copies of tree preservatlon plan ff lol platled after 7/1/93
iequired: _ Yes _ No
DATE: lD CONSTRUCTION COST: 16 7Y0
DESCRIPTION OF WORK:
STREETADDRESS: /U7
LOT .1 BLOCK I
v>
s ?
SUBD./P.I.D. #: ?y? gu_
PROPERTY
OWNER Name: 5 T4 5L-r- 7! p
"
Street Address,
gA5
`""
Phone #:
City: k_41¢11 State : L1? Zip:
CONTRACTOR Company:
Street AddresBsLO 8675135TH ST. W. Phone #: ?
License #: ? ?/??O
AVPLh t
City: State: Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration M
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
i hereby acknowledge that i have read this application and state that the informatio ' correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Pian Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweliing ? 07 4-piex ? 12 Muiti RepaidRem. ? 17 5wim Pool
0 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
,0-05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New 60'-33 Alterations o 36 Move
o- 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
G/
O
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
.
Vaiuation: $ /zI pt) a ?
% SAC
SAC Units
CITY USE ONLY
LOT ? BL RECEIPT #/: C -7
SUB . RECEIPT DATE:
1999 MEcHAvicAL PEMrr (REsinENnAIa
CITY OF £kfikN
S$SO PILOT KNOB iiD
E4HAN MN 55122
aa?-?q (651) e81-4e75
Date•
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section ontv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New S_ Replacement
Repair _ Other
J_ Furnace
Air exchanger, i.e. Vanee system, etc.
Reminder: Ca11 681-4 6 75 jor inspections.
Air conditioning
_ Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITEADDRESS: ?014r'J Ke4de S+1'e-2-I"
ORNER NAME: ?_(1'NYr?p ?'? rQk PHONE #: 405' (LH I Lp
I\`STALLER NAYIE: RpyX'S W6)0-nk Cc4 PHONE #: 4 +? -'3 5`6'?
STREET.4DDRESS:
CI'CY: _'-'?YA STATE: M N ZIP:
All,,;, Ca?wz
SIGNATC,72E OF PER'viI'ITEE
JS. FORJiS BLD, tif ECH PER.Yf iT (RES) - 1999
L BL
SUBD.
APPROVED BY:
RECEIPT #:
RECEIPT D,
INSPECTOR
1999 MEcHAvicAL PERMrr ccoaME[tctAw
crrY oF E,aeAv
3$30 PILOT KNOB RD
EAfiAN, MN 551 EE
(651) 681-4675
Please complete for: all commerciailindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CON i`iLAC'1' YK1c;E:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1°/a
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONIY
PHONE #:
($.50 per $1,000 ofpLnmit fee due on all pecmiu.)
PHONE #:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY ? r1
L ? BL ? d RECEIPT #: 4°? ? T
SU DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
New construction Add-on fumace
A
?I Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
! y
Date:
FFFC
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minirrrum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL AA)
SITE
OWNER NAME' 1116l'Yl RS SW` V _ PHONE #: " 10 2-1 4jy Jq`r4'5
INSTALLER
t
STREETADDRESS:
CITY: R? Cl.l'(1 el STATE: M?I ZIP:
PHONE #: (IpIZ ) 79?'4?45 0`
:C?-,f?? ? ?--?
CITY USE ONLY
L _ BL _
SUBD.
r.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 min(mum fee QI 7% of conVact price, whichever is greater.
? Processed piping - $25.00
? STate surcharge of $.50 per $1,000 of pgmQ tee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE AL»RESS• ..
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER:
ADDRESS:
cinr:
- PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
EAGfsN TOWNSHIP
3795 Pilot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR S&7ER SERVICE CONNECIION
DATE: December 11, 1967
OWNER: Victor H. Schauer
PLUMBER All State Plbg.
NUMBER
Address 1045 Keefe St.
TYPE OF PIPE Ext. Heavy cast iron
AESCRIPTION OF BUIIDING
Industriall Commerciall Residential I Multiple Dwelling ! No. of units
X
Location of Connections:
Connection Charge $200.00 Pd 12A1
Permit Fee 7.50 "
Street Repairs
Total $207.50 Pd
Inspected by
Date
Remarks
By.
Chief Inspector
In consideration of the issue and delivery to me of the above pera:it, I
hereby agree to do the proposed work in accordaace with the rules and
regulations of Eagan Toc•mship, Dakota County, Minnesota
By r ?_
r" _
?
_ ? -
Plsaee r.otif.y crhen ready for inspection and comnecY.:ion ar.d before any port:cn
oi thz wcrk is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERT11T FOR WATER SERVICE CONNECTYON
Date: December 11, 1967 Nutiber: ZT
Biiling Name• Vietor H. Schauer Site Addresa; 1045 Keefe St. C) - ?
Owner:
above
Plvanber: A7.1 State Plbg.
Meter
Pd. 12/11
Meter No. 'Permit Fee 7•50_ "
Meter Reading IMeter Dep. 15.00 11
Meter Sealed: Yes_ lAdd'1 Chg.
NO ITotal Chg. $222.50 Pd.
Building is a:
Residence X
Maltiple Ho, Uni
Coao*iercia 1
Iadustrial
Other
Inspected by
Date
Remarka:
By:
Chief Tnapector
In consideration of the iesue and delfvery to me of the abwe permit,
hereby agxee to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Countv_ Mtnnesota.
By
Billing Address above
I
Plea:ae notify the above of£ice when ready for inepection and connection.
,- i
L BL ?i
SUBD.
CITY USE ONLY ,J
? RECEIPT#:
rRECEIPT DATE: O
?
PERMIT #
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOH RD
EAGAN, M4i 55122
651-681-4675
Please complete for: ? single famity dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES '
EACH #
TOTAL
Aiterations to existing dwelling - minimum fee
Describe: C'(.0V0.-cA $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Se tic System newkefurbisned ' requires MPC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repeidrebuild 30.00 x = $
Rough o enin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener 1} dwelling under tonstruction 5.00 x = $
Water softener if existing dwalling 30.00 X = $
Water tumaround 30.00 x - = $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> --? $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------•----• •--------------•-----------------...--------------------•----•------------------------
I he2by acknowledge that I have 2ad this applicatian, state that the information is corted, and agree to compty with all applicable City of Eagan ortlmances.
It is the epplicanPs responsibility to notiFy the property awner that the City of Eagan assumes no lia6ilky for any damages caused by the City during its
nortnal ope2tional and malntenance aGivities ta the facilfties construc[ed under this pertnk within City property/right-of-wayleasement.
SITEADDRESS:
OWNERNAME:: TELEPHONE#:LOS{ (0'8> --- 910?
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
ciTV:
TELEPHONE #:
(AREA CODE)
ZIP: S!a±4-
PERMITTEE
Ord"wanm No. I ld:
WELL AND WATER SUPPLY MANAGENIENT
Permit No.
' WELL PERMIT 92-9159
AKOTA COUNTY ENVIItONMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAGEMENT SECTION
16955 Gdas[e Atmue, Apple V.&q, M['! 55124
Tdephone (612) 891-00I1
WHEREASt the NON-TRAN3FERABLE
PERMITTEE/DBA: Don Stodola Well Drilling ISSUED TO #27306
ADDRESS: 15306 Hwy 7 REVIEWED BY Swenson
Minnetonka, Mn. 55345
has submitted a permit application, has paid the sum of one hundred
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 described herein:
An abandoned well with a casing diameter of 4 inches, depth of 140 feet
and completed in unconsolidated sediments 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 qrade.
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)
1045 Keefe St. HUD
Eagan, Mn.
NOW, THEREFORE, Don Stodola Well Drilling Co., Inc, is hereby permitted
and authorized to permanently seal the well described and located above
for the period July 1992 to July 1993 subject to all provisions of said
Ordinance, the Minnesota Water TAell Construction Code and any
conditions attached on the reverse side of this permit form.
Given under my hand this 29th day of July, 1992. ?
/?:?d?Jd'O//Ytb"_ ATTEST
ENVIRONMENTAL S ISOR
DIRECTOR
8i93i2007
13:53 EAGqN ENG+COM DEU 4 915076649182
7? 2007RESIDENTIAL BUILDIlNG rERMIT ArpLrcAxnox
City Of Eagan
3830 PiloL Knob Road, Eagao MN 55122
Teiephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reoulremens
3 reglstefad site aurveys showing sq. h. of IM, sa ft of nouae; and J rooled ereas
(20% manmum loi mverage ellowetl)
1 Soils Repori'rf proposed 6ulldlrig le to be placad On dlStufhad sql
2 Co01Ss of plen showllghbam & Windaw sl2as; poured tound d95ign, etC.
1 setof Enemy Calwlatlons
3 wplbs of Tree Preservetion PHn II IM plahEd aryer 711/33
qlm Jolst DetaII Opllons seiaclion shaat (hu0dffgs wilh 3 0r less unllcJ
MmnagesCO rrachaniWl venqla0on fomi
RemaGel Renair ReqWremenl9
2 coples of Dlan showinp f0olin95, eeems, Jolsts
1 sel of EnotgY Celculatians for hp0fed eadhions
1 Si(B 84NBy fOf SddId006 & QBCNg
pRtltllan - intlicate II onspm septic systam
N0.710 D01
1o?l"c7"? l
9O- C/`-'
llw us?
CeAotSurveyRenl _Y _N
SoilsRepcri _Y _N
ifee PfeS Pi9n Recd _Y _N
SreapresRequired _Y _N
OnsileSeplieSystem _Y -N
"d d ublic information untess ou state the are trade secret and the reason.
P1ans are consi ere
Date 6 ! s / 6-1
Sita Aadress o ? +tz..
Gt N Construction Coet Los CXD ' B ?
M-- C7nidste #
? (22
Aescription of Wnrk
Mulli-FamilyBldg 1' N Ptirep)ace(s) _ 6 7 _ 2
Praperiy Owner U
( ,312,13 c>
? G Z>? Telephone # U-61
?
Contracfor ` -
?-YLC? .lrxS t -
?l.EJ?I
Addcese
Siate City
Zip i0S? -1]e1ephone # ('aY'U
COMPLETE TH15 AREA ONLY IF CONSTRIJCTING A NEYV BUILDING
- Minnesoca I,tules 7670 CaEe¢QrY 1 7vIinnesota Rules 7672
E?ergy Code CetEgOry
• Residentlal VendlaUan Caeegory t Workeheet • New Energy Gode Wodcsheet
(4 submlSSionlype) SuAmltYed SuhmiLted
. Energy Envelope Caiculaclons SuDmitted
In the Iasf 12 monihs, has tha Ci4y of Eagan issued a permii for o similar plon based on a mosiu-r plan?
_, Y _ N If yes, dofe and oddress of mas}er plon:
Licensed Plumber
Mechanical Contractor
5ewer/'Nater Contractor
Telephone #(
Telephone $f(
7elephone #(
T hereby apply for a Residential 13uilding Permit and aclanowledge that flie information is complete and accurate;
that the work will be in couformaiice with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; i understand this is not a pennit, but only azi application for a permit, and work i,s not to start without a
permit; that tbe worlc will be in accordance with the approved plvi i1t tha case of k wliich requires a review and
approval of plans.
v ?
Appli an s nnted Naane ? ApnlicanYs Signatur
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA105435
Date Issued: 07/13/2012
Permit Category: ePermit
Site Address: 1045 Keefe St
Lot: 2 Block: 1 Addition: McKee 3rd
PID: 10-47752-01-020
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Kris Oien
Comments:
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Champion Plumbing Gwenne Dykhoff
3670 Dodd Rd., #100 1045 Keefe St
Eagan MN 55123 Eagan MN 55121
(651) 365-1340
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.
Applicant/Permitee: Signature Issued By: Signature