1049 Keefe St
Use BLUE or BLACK Ink
r-----------------
For Office Use '
City of Ea an Permit
'"77 J
00
E I Permit Fee: l "
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: -e-il 1u J4~~,V J~e1-1r A- e-r Phone:
h
Address / City / Zip: 5r t5
Applicant is: ✓Owner Contractor
TYPE OF WORK Description of work:
x+
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: S ,2 Email:
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 the 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.gogherstateonecall.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 pproved plan in the case of work which requires a review and approval of plans.
x/~%' x s.r~ FLT ~2X/
Applicant's Pri d Name Applicant's Si ature 011
Page 1 of 2
GITY OF EAGAN Remarks
Add'+tion McKee 3 Lot 3 -Blk 1 Parcel 10 I.77 ?2 ??n 01
Owner ? ?11w :i Street 1049 KAefe St. State Fagan.MN 551?1
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF. 1969 347.1
? STREET RESTOR.
GRADING
SAN SEW TRUNK 416 ? C8 100.00
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1968 230.00 C O 20
WATER AREA
STORM SEW TRK 1985 437. Q 29.13 15
STORM SEW LAT
CURB & GUTTER
SVQEWALK
STREET LIGHT
WATER CONN. 26O O 2637 8-6- Q
BUILDING PER.
sae 200.00 2637 8- -70
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
' (612) 681-4675
SITE ADDRESS: !
i or
j s; :r
I li1E 1 ! 1?'i?
j PERMIT SUBTYPE:
XoRD
PERMIT TYPE:
Permit Number:
Date Issued:
r+t?I i P inc
4):'N /bK
W5i f Vlfi 19b
F'.? - ".;" 0 ` APPLICANT•
:a ?? i. ??f r '
( t? 1 r) fI ti 441 1
TYPE dF WORK:
l11 fF 12A1 itihl
o F .,4 I; 1 I' !! "PJ { 1wAC S00411 TNr.lfk )
INSPECTION D• • D•
------------------------------------
?
Permit No. Permit Holder Dete Tel¢phone #
ELECTRIC 9 9?a s4 °°
PLUMBING
HVAC ' C 9?- 4G 783-- 5
Inapectlon Date Insp. Commattts
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
/7 p
oRSnT
TEST O /7 ? ?
BLDGFINAI.
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
A %•. I
EAGAN TOWNSHIP
BLJILDING PERMIT
Owner .... ......... . ..... ` " ". .
- "----......."-'-'
-------?-?---- -- ----
_?-
Address (preceni '""-J`-'?°" ?
.................... `?-? ?
....'-..............
..._.............. ? ..... ......
Builder ?L-.-..--` .............'-----......-'-'---.....--'°-------...-"'------_.'
Address ....................... ......................................................................
N° 20'7°7
Eagan Towns6ip
Town Hall
Dale ---- ^ ?"?-...f.?' %G
?-1 -----.,4..
?
Siories To Se Used Fos Fron! Dapih Eieigh! Esf. Cost ermif Fee Aemarks
o2d
ot a e/ ,.-, ? as-?
.S? .. i? i? ?
/
?-
Sireei, xaaa or oinea uescnpnan ox Locanon I Lox niaea aaamon or -rract
This permit does not aulhorise the use of sireefs, xoads, alleys or sidewalks nor daes if give fhe ownes or his agen!
the righ! !o creafe any siluation which is a nuisance or which presenls a hazard !o ihe health, safeip, convenience and
general welfare !o anyone in the eommunilp.
THIS PERMIT MUST BEPT 00 THE PREMISE WHILE THE WORK I3 IN PAOG ESS.
This is 2o cerlify, '?_'._.?'y`J..--_--"--.....----""...has permission fo ereet a- .-._.. ---_-.-'-.--- ..?..°.'.R:....?upon
the above described premise subjec! !o the provisions of the Building Ordinanee fos Eagan Tow ship adopled April 11.
1955. 4 /? ??
...................... .._'-. .Pairman -. of.._Tnwn Soard ....."'...........- Per -......"?_?C?c-."I/..........d6'g.`.=.-.p
Ch Suildin Ins eelos
.6-
Esgan Township
Dakola Counlp, Minnesofa
Applicatior for Building Permit
Typa of building or wosk conlemplafed.
?Rasidenlia Commeraial
? Indusirial
j Euild 'J Enlarge AlYer Repair
Dimensions..-----.
?e_:?- ,
/
Circle correcf descripliona.
..
Insfall Move Wreck Okher.....
?
Cosl.._/?O ?_cK..`...??......
DeYails or remarks.........................................................................
Localion
PEBMIT NO. . ? 4...7..
DaYe .........
Number S1ree! Belween whai cross sireeis Sizo Est. Valuation
41
Lo! Block Addii?on Reaxran
geme
ni ofE Tsaei
j ,
1
.3 ?51
Ownes
Coniraalox ......... ^? _"-_'-""--'---------------"'--.-_'..."-.-'-'-"'
4
Addr2ss
_..____...------ .._:" '
- ...."------------
AddPess
The undersigned hereby makas application for a permi! !o
$ do work as herein spacified, agreeing 2o do all work in slrici
Tofal fee colleeted. accordance wifH !he building ordinaace adopfed April 11, 1955
by !he Eagan Township Board of Supervisors.
Permif fees are nof
xefundable.
---r------.-..-. "-- ----- ............... '-
REQUEST FOR ELECTRICAL INSPECTION ?
Ave?Rm Ele 8:aty Paul, MN 55104 W
III) I III? I II I?II II I I I I I I II I I I II 8121 Un e State
0
3 u 9 9 4 4 5 phon=?siz)sa2-oaoo ??
Nome Duplez Apt.8ldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Woter Hfr Load Mgmt. Other:
D er Ran e Elec. Fieat Tem $enice
"X" above fhe wark covered by }his reqoest Enler remorks m this space and on fhe back of the whi}e mpy only.
A
Calculafe Inspechon Fee - This Inspection Request will not be occepted without fhe correct fee:
Olher Fee # $ervice Enhance Sae Fee # Ciraits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreei Lig./fraHic $ig. Above 200 Amps _? -- Above l OD Amps
Transformer/Generotor INSGECTOR'Sl1SEONLV TOTA{.,? ?
Sign/Outline Lig. Xfmr. ?
`
Alorm/Remote CoMrol
Swimming Pool
I hereb cern 1hot I ms m meallaM1On desmbed herein on h,e dmes smted
Irngafion Boom Raogh-In D.*
S
ecial Ins
eclion
p
p
Inveshgafive Fee final Di
TNIS IN5T4LLATION MAV BE ORDERED DI ONIfECTED IF N C PLETED WITHI MONTHS.
319 - 9 4 4? OFFl?i 5? O??Y?s reqvast void 18 monlhz fmm validotion dore pnnlad in Mis box ?
9 ??? oyL/ ?
. . %
4
?
?O
d
PLEASE PRINT OR TYPE -
Request D 1y?I 10 r^?
?
f ??f Rwgh-in inapMmn re mred4 ? Yez ?] No
Y
ll
h
h
d Inspeaion Olher Than Roigh-Im ? Ready Now Wi0 Call 1113
d
Cm
R
?
? '
oo most w
e inspemr w
en rea
1
,l y
e
ea
I, V[ licensed coniradar [3 owner hereby request inspection of the above electrical work ah
Job Addrees ?Sfreel, eor, of Rouk N
i?C? Ciry ?;/ Ip Cod?
Secnon No. Township N6me or No. Range No. Fire N. J County
?2??J ?
o pont Phone N.
?-
Po r Su J P.dJlwsC
lectri
E I Conhadar (Campany Name)
?rlGk?, Conhaaar imnse N Mnsler Lic No. (Plonf Eletl.Only)
M. g Pdd ?ws iCantronor r Ovmer Per(orminp Insbll ' -
?? ? II ?/,? ( i,..i-? li /?
l ?-S?C?[f
,.,?
.
?U?'?
.
?.
.
Avlhon Cqnhacmror erPedo(p' Insmllonon)
IV ? Phone'No.) ?/{r'V
l?? /
EB-00OOlA10 6/95 STqTEBOAHUCOPY-SEEINSTBUCTIONSONBACKOFYELLOWCOPY
CITY USE ONLY
L ?- BL RECEIPT #:
y d
SUBD. 2? DATE• 9/a- 9C'
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
? Add -o.^. ::ii °.,'L." :dw"^vi iii9g r7du'-C:i'1 bii a:fCi ieiltJer, i.e. V8f1@@ SySI2fT1, @tC.
Date: 11`al--q (p
Fig'EP
? Minimum Fee: Add-oNRemodel (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 D•C) 0
SITE
OVIMER NAME: I3CI/Prly H?!?l ICPi%YICV?{? J PHONE #: ???• ?13Z-
?
INSTALLI
STREET
CITY: N Q 1V1 ? STATE: MKI ZIP:
PHONE #: j
??? ?.?
CITY USE ONLY
L BL
«..
SUBD.
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.
D:qTF: 9;rJFdTRI^1CT6'fdIGC:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? $25.00 mintmum fee yt 1% of contrad price, whichever is greater.
? Processed pipin9 - $25.00
? State surcharge of $.50 per $1,000 of am= fee due on aIl pertnits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SiTe ADDRESS:
OWNER NAME:
TENANT NAME: (InnPROVeMeHrs oNLv)
TELEPHONE #:
INSTALLER:
ADDRESS:
CI1Y:
'LL PHONE #:
STATE: ZIP•
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
.. i , ?
e -
IM?KrtYMw„*A 0100MM#'i,;:*?%?F?%W'?kt?.??F;#fi?;? d:
t.11 V ur r-.ncnN
r:nSi?ILr•::, t; rf:F;M7riAi_. nc:?: 8;
iiArf.::: Ci(:i/p`;/% IIMG:;, i.`_i?c5J e08
T.D ;:
HANE,, EIOMECARf: :I'TC
':;F:i Q 9001 049 It1-PdNF'7H ;T I c;f:r.?5
205 9001 'L049 Sl' 5.00
3210 ':)f:)(!i 060 I<:Eli':f G: f37 162.25
2195 9001 1.I.)l-,Cl KF"k:.F'I ''iC 5.00
:R;`..I.J ::7001 049 F'.Iii:li:F'E f,i 149..75
2i.'.i;i 3(7C1:!. :Lt;t¢9 KE-}_.FT= E;T 4.50
-t;.;1:a11 !'+'ern:ip1; Am;])u751;^ 48E3.75
CF't 1f?.;?.)f3 i
Ur.;F:R .cD: nAr!Cv
. : PERMIT ?
CITY 01 EAGAN
3830 Pilot Knob Road PERMIT TYPE: ' B U I L D I N G
EBgdn, Minnesota 55122-1897 Permit Number: 9 2 B 7 6 8
(612) 681-4675 Date Issued: 0 9/ 0 5 J 9 6
SITE ADDRESS:
1049 KEEFE ST
LOT: 3 BLOCK: 1
MCKEE 3RD
P.T.N.: 10-47752-030-01
DESCRIPTION:
INSUL)
SF (MISC.)
ALTERATTON
434 FLT. RESIDENTIAL
f, d
ii?
(MAC SOUND
6-€tilding,-Permit Type
,?Building Work Type
' Gensus. Code
?
: ?• ?_;??;
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$149.75
$4.50
$154.25
$9,000
CONTRACTOR: - ppplicant - s-r. LIC.OWNER:
HOMECARE INC 18844187 0002116 HENKEMEYER BRAD
9301 BRYANT S 215 1049 KEEFE ST
BLOOMINGTON MN 55420 EAGAN MN 55121
(612) 884-4187 (612)832-4500
C ? -
I hereby acknowledge that I have read this
information is correqt and ag.res.to comp2y
? StatuGes and City of Eagan Ordinances.
APPLICANT/PEIiMITEE SIGNATURE
application and state that the
w?Ch ell,yappl,icable State, ofi Mn.
D?,?
IS UEDB SIG' TURE
OT KNOB RD 55122
PIL' N
3830
19140,996 ?? '? ?
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construclion Reauirements
RemodeURenair Reauirements
? 3 registered sile surveys ? 2 copies of plan
? 2 copies at plans (include beam 8 window sizes; poured fnd. design; etc ) ? 2 site surveys (exterior add8ions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated addilions
? 3 copies of tree preservation plan if lot platted after 711J93
required: _ Yes _ No
DATE: August 29, 1996 CONSTRUCTION C05T: $$ 482.00
DESCRIPTION OF WORK: MAC Sound Insulation Pro ject r 0 /Z(o
STREET ADDRESS: 1049 Keefe Street
LOT A BLOCK SUBD./P.I.D. #: -
PROPERTY Name: Henkemeyer Brad phone #:452-4132 H
OWNER us* FIaS* 832-4500 W
Street Address: 1049 Keefe Street 646-7871 W
City: Eagan State: MN Zip: 55121
CONTRACTOR Company: HOMECARE. INC. Phone #: 884-4187
Street Address: 9301 Bryant Ave. South License #: 2116
Clty: Bloomington State: MN Zlp: 55420
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFPICE USE ONLY
Certificates of Survey Received
_ Yes _ No
SEP p 3 49,06
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Poof
? 03 SF Addition ? 08 8-plex ? 13 GarageJAccessory ? 20 Public Facility
a 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
?05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
*
? 31 New 33
Xr Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
?
MCfWS System
(Aliowabie) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of 5tories sq. ft. Boaster Pump
Length sq. ft. Census Code. L4s?
Depth Footprint sq. ft. SAC Code
Census Bldg i
Census Unit _0
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation: $ Uvo,-'°
Surcharge
Plan Review
License
MClWS SAC
City SAC
VVaier Conn.
Water Meter
Acct. Deposit
S!W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
CoQies
Total:
% SAC
SAC Units
EAGlN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNSCTION
DATE: Maxch 25, 1970
Roger Olson
OWNER: Wade Construction
PLUMBER 'Phompson Plumbing Co
x[M8ER564
1049
Address X*45 Keefe St. 3'? 4"!? •,3
TYPE OF PIPE cast iron
DESCRIPTION OF BUIIDING
Induatriall Commerciall Residential I Multiple Dwelling I No. of units
xx
Locatioa of Connections:
Connection Charge 200.00 pd 8/6/70
Permit Pee 10.00 pd 3/25/70
Street Repairs
Total
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue aud delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Fagan Township, Dalwta CounYy, Minueaota
By
Thompson Plumbing Co.
Minnetonka, 'nn.
Please notify when ready for inapection and comnectioa and before aay portioa
of the work is covered.
EAGAN TDWNSHIP
3795 Pilot Rnob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PER141T POR WATER SBRVICE COPTNECTION
Date: 3/]¢}/70 Number: 412
1049
Bi111ng Name: Wade Construction Site Address: AMO Keefe St.
Owner: Roger Olson- Wade Const, gilling Addreas 1045 Keefe St.
Plumber• `1'h°mpson Plumbing Co.
Meter No.4f/..F&1f Permit Fee 10.00 od 3/25/70
Meter Reading&? `pO Meter Dep.
Meter Sealed: Yea_ Add'1 Chg.
NO ITotal Chg.
Building ia a:
Residence xx
tRultiple Ho.
Commercial
Industrial
Other
Inspected by
Date
Remarks:
$25.00 RE-iNSPreTion r-E Fc:Z
!11PROPERLY INISTALLED N1E7ER'.
By:
Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regalations of fiagan Tovmship, DakoCa Couaty, Minnesota.
BS':
Thompson Plumbing Co.
inne o a, lvlinn.
Please aotify the above offica when ready for inspection and connection.
11101,citV oF eegan
THOMASEGAN
MaVOr
October 23, 1996
HOMECARE INC
9301 BRYANT AVE S# 215
BLOOMINGTON MN 55420
ATTENTION: STEVE EARL
RE: BUILDING PERMIT #28768
1049 KEEFE ST
LOT 3, BLOCK 1, MCKEE-3RD-?
Deaz Mr. Earl:
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Counctl Membars
iHOMAS HEDGES
City Admmisirator
E.J. VAN OVERBEKE
Cliy Clerk
On October 9, 1996, the City of Eagan Protective Inspections Division performed an inspection at
the above mentioned address to alterations made under the MAC sound abatement program. This
inspection revealed that the existing furnace and water heater aze not properly venting. There is acid
azound the connector pipes and drip tee. T'he space heater vent is not legal and is too close to
com6ustible materials. THIS LETTER IS TO ADVISE YOU THAT TffiS COULD
POTENTIALLY LEAD TO A CARBON MONOXIDE AAZARD.
If you have any questions regazding this, please feel free to contact me at 681-4677.
Sincerely,
William Adams
Plumbing Inspector
WAfjs
cc: Doug Reid, Chief Building Official
Bradley & Beverly Henkemeyer, 1049 Keefe Street, Eagan, MN 55121
Chuck Rogers, CEE, 6301 34th Avenue South, Room 159, Minneapolis, MN 55450
1049-kee.mac
MUNIGPAL CENTER
3830 PILOT KNOB ROAD
EA6AN. MINNESOTA 55122-1897
PHONE: (612) 6814600
FAX:(612) 681-4612
iDD: (612) 454-8535
THE LONE OAK TREE
iHE SYMBOL OF STRENGiH ANO GROWTH IN OUR COMMUNITY
Equal Opporiunity/Afflrmoilve Acilon Employer
MAINTENANCE PAdL1TY
3501 COACHMAN POINi
EAGAN, MINNESOTA 55122
PHONE: (612) 681 -a300
FAX (612) 681-4360
rDD:(612) 454-8535
i
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