1053 Keefe StCITY OF EAGAN Remarks
Addition McKee Lot 4 Blk 1 Parce? 10 47752 044 01
Owner ;? ' Street 1053 Keefe St. State Fagan.mff_55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 1
* SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 90 1985 437.00 29.13 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
sAC 200.00 856 -1 -
PAR K
CITY OF EAGi
f
3830 Pilot Knob Road, P.O. Box 21-
? PHON E: 454-81
BUILDING PERMIT
To be used for . Est. Value -: i 1. c'i``
? Site At)iA
Lot
Parcel No.
c lVan
z Addi
0
City
°L Narr
,a
? s Addi
? City
Phone 454"2W5
Eagan, MN 55121
Receipt #
---w
? ?• r• A, •w •
'19 - 1
On Site Sewage Occupancy ?
MWCC System Zoning
On Site Well (Actuaq Const
City Water (Allowable) ?i
PRV Requlred # ot 5tories
Booster Pump Length
Depth
S.F. 7otal
Footprint S.F.
Phone ???
APPROVALS
FEES
Engr./Assess. Permit.
Planner Surcharge
Council Plan Review
PhOne
Bldg. Off. SAC, City
a rnarl 4hic annl:re+:nn -A ctafo fh2t thQ Variance SAC, MWCC
Minnesota Statutes and City of Eagan drdinances.
Signature of Permittee
A Building PermR is issued to:
on the express condition that all work shall be done in accordance withal l
applicable State of Minnesota Statutes and City of Eagan Ordinances.
, Building Official
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL 11 . ? -
Pe.mit No. Permit Holder Date Telephone #
Plumbin
g
H.V.A:C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing 1/1_ / -
Roofing ?
Rough Plbg.
Rough Htg_
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oco.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Dfsp.
?. _ _. .
'k
?, .
PLUMHihIG i
CITV AF F,
PERMIT #
RECEIPT # -
M, MN 55722 DATE
Site Address ° BLDG. TYPE WORK [
Lot ? Black Sec/Sub Res. New _
Mult. Add-on
? Name Comm. Repair
? Address Other
c Ciry <.,l :A ` Phone??° RES. PLBG. ONLY - COMPLETE TH
- NO. FIXTURE5
Water Closet - $3.00
Name
I Bath Tubs - $3.00
c Address
TOTAL
S
3
p City ' ?- Phone- Lavatory -
3.0
Showep..$3.00 ,
Ki?chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMMJIh1D FEE - 1fl/o OF CONTRACT FEE Laundry Tray =$3.00
APT. BLDGS - COMM RATE APPLIES F(oor Drains -$t.50
TOWNHOUSE & CONDO - RES. RATE.APPLIES Water Heater -$1.50?
h
l
•
0
MINIMUM - RESIDENTIAL FEE -$12.00 ir
pool - S3.
W
0
MINIMUM - COMM/IND FEE ' -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $50 S!C 1F PERMfT PAICE GdES 5oftener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Di?p. - $10.00
1
- Rough Openings - $
.50
SIGNATURE OF PERMITTEE FEE:
STATE S1C:
FOR: CITY OF EAGAN $
0
GRAND TOTAL: ' •
INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ••
(612) 681-4675
SITE ADDRESS: APPLICANT: j
I 0r, .t
Mi'tF h •!: 0
PERMIT SUBTYPE:
': GWi i I ra?
/ tii r! t; y 1?1
TYPE OF WORK:
nI I 1 irAt I (?H
CIF.ti i.k Yp I 1 11 N ',rillplli i IINll:Cil
INSPECTION
• ? .A .
? , .A
1
PertnR No. Pemift Holder Dats Tdsphone #
ELECTRIC
PLUMBING
HVAC
Inspsctfon Date Inap. Comments
FOOTINt3S
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
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN PERMIT TYPE: OfrJh
3830 Pilot Knob Road Permit Number: '3-
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICQNT:
? , i ;i l? V. 1 l:?l ?•'? ( lf ;i
PERMIT SUBTYPE:
TYPE OF WORK:
? it Rnr I r?r.
<<!lNIs , Itra I
INSPECTION .. . DA
.. ? . .. .. ? . . ... . . -.. . ? _ _ _ 1F ?''? .
? ?
Pertnit No. Pertnit Holder Dats Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINdS
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-
ORSAT
TEST
BLpG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOV!/NSHI P M 137
B1.91LDING PERNIIT
Address (preseni)
Builder .....--------- .
................ ------'-----'-------...
Address ----? --------------------------- ------ ?------- _-'--.......... -----------------'-----------
DESCRIPTION
Eagan Township
Town Hall
Dafe _`?.±? ? ? ....--°--.
SSOxies To Be Used For Fronf Depih Heighi Esi. Cosi IPermii Fee Remarks
This permii does no!°auihorise the use of sireefs, roadC/hlleys or sidewalks
the righf to create any siiualion which is a nuisance or which presenSS a hazard
general welfare !o anyone in the eommuniiy.
THIS PEAMIT MUST BE KEPT TILE P E ISE WHILE THE WORK IS IN
•Q
This is io ceriify, ihaf?l.`...l .._ .. _... ._has permission !o erec
the above described premise subjeci i the rovisions of the Building Ordinance
1955.
._ ................ ..,i?Lf?-- -•------° ------"-----. Per .-------'---°---
Chairman of oard
nor does it give the owner or his ageni
fo the heallh, safeiy, convenienca and
PROGA/E?g/ S.
i a....-!`t?. -- --_-...... .--'-----...-'---..._upon
for Eagan T s ip adopied April 11,
Suilding Inspeclor
EAGAN TOWNSHIP
. ., j BUILDING PERMIT
Ownex . !?? U --??,?`?Y ' - -- -
Addzess (PreseniJ --....?.?...??..----J?.--?.......-'--
Builder ?
..---'--`-'--.. ------- -------- ---- .__............__..--' ..............-----.....
Addxess
DESCRIPTION
N° 844
Eagan Township
Town Hall
a8:e .?N---- L..?f'.- Cv...
1?
Siories _d For Froni Depth Heighi Esi. Cos! Permii Fee Remarks
? /? ?-? ?81 S-go
(J LOCATION ?
Sireel, Road or ofher Descripiion of Loca2ion Lo! Block Addition or TracY
I e,41 I / /// e ? .?-.a <
This permit does noY auihorise She use of streeis, roads, alleps os sidewalks nor daes it give !he owner or his ageni
ihe righf !o creafe anp siiuaiion which is a nuisance or which preseais a hazard !o !he healih, safeip, eonvenienee aad
general welfare fo anyona in She commuaifp.
THIS PERMIT MU5T BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
?-
This is !o ceriify' Shaf-------------------------------- -------------------------------- has permission o e:eeS a------ .-----'...._-'------.....'--._..._......----'-°--upon
7he above describ em' ub'eef !o ihe oisions of ihe Building rdinen for Ea an Townshi ado !ed A ril 11,
7 4 P P?P
1955. ^
. . - -- -' ? - .__ _t.'
.............. ....... ?......... -....... .-- - - --? - ? - -°------.. Per .._- ----°-----ui °? : - •-
-' ? -?-• ----"--'--"-----....---....
Chairman of nwa Board ? S iag a-speefor
BUILDING PERMIT
To be use4j for REMODEL
Receipt # WUr9 ! a,
Est.Value $11,000 Date AUGUST 26 ,1g$8___
Site Address 1053 KEEFE ST
Lot 4 Block 1 Sec/Sub. MGKEE 3RD
Parcel No.
;IName VIRGINIA PELOVASKI I
Address 1053 KEEFE ST
° City EAGAN phone 454-2805
°C Name BEFORT ROOFING & SIDING
O
oa Address 336 W WATER ST
i City ST PAUL Phone 227-0868
U yj
w ¢
W
Name
F
?? Address
a W City Phone
I hereby acknowledge thal I have read this apphcation antl state that the
iMOrmation is correct antl agree to comply with all applicable State of
Minnesota Statutes and Ci f Eagan Ordin nce
i
Signature of Permittee ?
A Bwlding Permit is issued ta_RFRNTF RFFf1RT
on [he express condition that all workshall be done in accordance wdh all
applicable State of inneso[a S?ta?tJutes and Cily of Eagan Ordinances
Building Official??dL?,Lw
CITY OF EAGAN N_ 15526
3830 Pilot Knob Road, P.O. Box 27•799, Eagan, MN 55121
PHON E: 454-8100
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ (Actual) Const
City Weter _ (Alloweble)
PRV Required _ # of S[ories
Booster Pump _ Length
oevtn
S.F. Total
foo[print S.F.
APPROVALS FEES
Engr./Assess. Permit 114.00
Planner Surcharge 5.50
Council Plan Review
BItl9. Off. SAC, City
Vanance SAC, MWCC
Water COnn.
Water Meter
Roatl Unit
Treatment P7
Parks
70TAL 119.$0
9/???IF'
E T2? 5
REQUEST FOR ELECTRICAL INSPECTION
/ Seo instructions lor comoleting this lorm on back of yellow coov.
'X'Below Work Covered by 7hrs Request
0 EB-00001-06
$(?,_o & e
aw fAd.01 Reo. Tvpe ol Bulltlinp Apohaticee WireE Equiumeni Wved
Home Range Tertiporary Seivice
Duplex Water Heater Liqhtinq Fixtures
Apt. Bmlding Dryer Electric Heatin
CommerciaT Bldg. Fumace Sllo Unloader
InduStrial Bldg. Air Condrtfnner Bulk Milk Tnnk
Farm tner peci v tM1er 15ne1 .ifvl
t nr ucuty Othm Olhur
ompute lnspection Fee Below _
N Fee ServiceEntraneeSize b Fee Faxdees/5ubiaeders N Fen Cvcmts
Z,(JL) 0 to 200 qm s 0 to 30 Am s - G11 s
Above 200 qrnps 37 to 100 Amps SG(j s
Swimming Pool
Above 100-Amps
_P,m
gE
l
Transiormers irngation Boorc?s rFee
Signs Special Inspection
T AL
Remarks ?? ?j
/ iiI
i v v -- • i ?...- - --- -
Rough-in ? D?/ J the Elact I
Ins , heraby
certify tMt the abava
Final ?? mspec4mi hes been
de.
t1116lBGIl08t VOId lB T0n1115 IfO111
This 18 mo ths from'd ?
E iAIi 5?9 7 ?.4.
PC? -*& CK
Aequest Oate
-?y.y?./
8-3 Frt No. Roughin Insper.tion
Pepwrodt ?/
?
?
?ftuatly Now Wiil NnUty Inspec-
Wh
fJ ? ?Yes
A
NO or
en ReadY
censed Eleclncal Contrecmr I hereby request inspec<mn ol aCOVa
? Own¢r electncal work installed aL
Stree[ Adtlress, Boa ar Ro re o. LitV
053
ectmn o. Township ame o o. Nange No. Coan
Occao t PINT) Phone No.
e24s v
Power Suppl,er_ ? Addres
Electnr.al n acmr ICOmpany Name.l ConVaclor's Li:mse No.
pyL?..?._
,?.r.t? S?C731` 7
,
Mailinp AdJress (COntractor or Owner Ma a Instailati ) p
JS
G
?
Y
S7D
Awhurize nature Mractor/O ung Installa n)
77 Phone Number /
3
MINNESTp7E BOARD OF ELECTNICITY
Griggs.Ml'dwev Blde. - poom N-191
1821 Universitv Ave.. SL Peul, MN 55104
Phone 16121 642-OROD
THIS INSPECTION qEQUEST WILL NOT
BE ACCEPTED BY THE STATE eOAflD
UNLESS PXOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSP lECTION ?'?`ee-00001-09
???(}C? ? z s ?
]`J? iz1 `?-y? ? See msVUCnons lor mmpleling this lorm on back ol yellow copy yj 1
// J/?
"X" Below.la,?or?yvered by This Request 7ey
Ne Add Rep. Type of 8uilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater . Electric Heatin
Apt Builtling Dryer Load Management
Comm /Industrial Fumace Other (Specify)
Farm ir CondiUOner
Other (specify) Conlractor's Remarks
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee H Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps AboveJ00-Amps
SIg05 Inspector's Use Only TOTAL
Irrigation Booms ?
S ecial Ins ection C
Alarm/Communication THIS INSTALLATION MAY BE IF NOT
EDISCONNEUE"
Other Fee COMPLETED WITHIN 18 MON7HS.
I, the Electncal Inspector, hereby
it Rougmin oeie
cerl
y that the above inspection has
bean made.
OFFICE USE ONLY
This request void 18 monihs fmm
Request D e
9?
0 Fre No ASugh-In InS^a on Reqwretl
(vou must call mspecto? whe ready) Inspectian Other Than R uqh-In
? Reatly Now WIII Notity Inspector
? Ves o Date Read
IArlicensed contrector ? owner hereby request mspection o( above electrical work at:
Ja0 Atltlress (StreeC Box or Route No )
D53 Keefe ??. Ciy
-
ji?-- '44?5?lfq
Seclmn No Townshp Neme or No. Range N. Counry
L?AKGTirI
OCCUpantIPRINT)
G N 1510V511-1 Phone No
ys?-2805
Power Supplier
SP Atltlress
13115' ?enf iAr'l' J7,?, A "-&vr
Elamncal Contraaor (COmpany Name)
tReeKSoiv Pf-/C Conlracto/s Licanse N.
?a( G
Madh Atldress (ConVactor or Owner Making Installation)
9??a Ssa..rL.t_-r.? /447.
Authori g e re (ConUactor r akmg Instail tion) Phone NRum?er
8_ ??VE-
/ ?V
MINNESOTp STATE B flD OF EL CTRICITY
Grlgga-Mitlwey Bltlg. - oom 54Y8
111
111
111
11111
11111
111
1111
11 I THI$ INSPECTION flE0UE5T WILI NOT
BE ACCEPTED BV THE STATE BOFFO
1821 llniversity Ave., SL Paul, MN 551M
Phona (612) 642-0800 I I1NLE5S PROPER INSPECTION FEE IS
ENCLOSED
ILDING PERMTT APPLICATION
200
RESIDENI'IAL B
? 5
U UY
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone !# 651-675-5675 FAX # 651-675-5694
New ConstNChan Reaui2ments RemodeUReoeir Reouiremenls Office Use Onlv
3 registered sile surveys showing sq. il of lot, sq. ft. of house; and ?II roofed ereas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% mazimum lot coverage allowed) t set of Eneqy Calalations for heated addihons Tree P2s Plan Recd _ Y_ N,
2 copies of pian showing beam 8 window s¢es; poured found design, efc. 1 site survey for addRbns & decks Tree Pres Required ' _ Y_ N
7 set af Energy Calculations Addkion - irMkate "rf onsife sepfk system OnsRe SepUc System _ Y_ N
3 copies of Tree Preservation Plan Nlol platted aker7l1f93
Rim Joist Detail Optlons seleGbn sheet (buildings wifh 3 or less units)
Date S 1.2? l US
Site Address Iv? ? ??d•Ci ?? ? Construction Cost
UniUSte #
Description of Work
Multi-Family Bidg _ Y ? N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephooe # (
Con[ractor
Address
Sta[e City
Zip Telephooe # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) SubmiKed Submitted
• Energy Envelope Calculations Submitfed
Have you previously constructed a building in Eagan with a similar plan2 _ Y ? N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wor _?ti"rh *P and
approval of plans. A ? p,,?`; n
-1(nc4-1 6 ?
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex O 09 07-plex 16 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ribg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Vaiuation Ji °oa, ?
census code 3 cg
SAC Units
# of Units
# of Bldgs
Type of Const Y i?
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
ZO Framing
_ Fireplace _ R.I. _ Air Test _, Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 35 Int Improvement
O 36 Move Building
? 37 Demofish Building'
"Demolklon (Entire E
Occupancy _
Zoning _
f
i
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 38 Demolish Interior ? 44 Siding
? 42 Demolish Foundation ? 45 Fire Repafr
? 43 Reroof ? 46 Windows/Doors
Idg) - Give PCA handout W applicant
U MCES System
Z-/ City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
wiam z y '
REQUIRED INSPECTIONS
FinaVC.O.
?o Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
? ?e+?achei? zy'X3L` x?Y.D? =r/??7SZ.-
4
•
??C) '
V
' (-13'4
y
?--)y ?j
v
T
-H9 t)5
y
?1 b
IV
?d ??
" _ ? d,
?? S3
Kee¢e- S ? •
Ir??rT, ? ; ?
?? ??D
By -
DATE
BURDING D?SPECT9M?ci
I
? Clf.ll OF EAGAN
'3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
cP. 4z6 ?
LI-'V q?
BUILDING
025732
06/02/95
SITE ADDRESS:
P.I.N.: 10-47752-040-01
DESCRIPTION:
1053 KEEFE ST
LOT: 4 BLOCK: 1
MCKEE 3RD
SOUND CONTROL
Building_,Permit Type SF (MISC.)
buildiny Wo,rk Type ALTERATION
?
?
.. , .
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
7ota1 Fee
VALUflTION
$174.75
$61.16
$5.50
$241.41
$11,000
CONTRACTOR: - appiicant - sr. Lzc. OWNER:
SOCON CONST INC 17846910 0008934 PELOVSKI VIRGINIA
9901 XYLITE ST NE 1053 KEEFE ST
BLAINE MN 55449 EAGAN MN 55121
(612) 784-6910 (612)291-7404
I hereby acknowledge thaY Y h'ave read this application and state that the
informatian is correct end agree to comply with all applicabie State afi Mn.
Statutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SSUIED ?:51 ATUR
I
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLozNG
3830 Pilot Knob Road Permit Number: 0 2 5 7 3 2
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 2/ 9 5
(612) 681-4675
SITEADDRESS: P•I•".: 1e-47752-e40-e1
APPLICANT:
LOT: 4 BLOCK: 1
1053 KEEFE ST SOCON CONST TNC
MCKEE 3RD (612) 784-6910
PERMIT SUBTYPE: TYPE OF WORK:
5F (MISC.) ALTERATION
DESCRIPTION SOUND CONTROL
INSPECTION
FRAMING D. •
ROUfiH IN PLBG D•
ROUGH IN HTG FINAL
?
-1
t M
f
l
CITY OF EAGAN
? s'--?? ? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construction Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies ot plans (inGude beam & wlndow sizes; poured fid. design; etc.) ? 2 aite survays (exterior additions & decks)
? 1 energy wlwletions ? 1 energy calwlations for heated additlons
? 1 tree preservetion plan rf lot platted efter 711193
required: _ Yes _ No
DATE: April 5, 1995 CONSTRUCTIONC05T: S 10,100
DESCRIPTION OF WORK: Sonnd Cnntrnl
STREETADDRESS: lus3 xeete St.
LOT L? BLOCK ? SUBD./P.I.D. #:
I-zi
(Day) 291-7404
PROPERTY Neme: Pelovski Virqinia PhOne #: (EVe) 454-2805
OWNER """
Street Address• 1053 Keefe s
Ciry: Eaaan State: Mtv Zip: 551')l
CONTRACTOR Company: snr-c)n rnnatriir+inn Inc PhOne#: 784-6910
Street Address: 9901 xviite st N.E. License #:ooo89sa
(`,Iry: Mp] s Mi nn 55449
ARCHITECTI Company: cEE Phone#- 3 48 -A13 7
ENGINEER
Name: Jim Reinertson _ Registration#* 2 0 5 0 4
StreetAddress, 6314 stanaisn Ave. so
Clty: Richfield State: MN Zip: 95423
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 information is 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 Plan Received - Yes - No
???EMED
MAY 2 3 1995
--------------
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 (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facitity
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
-9-05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
0 31 New -c`'33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVAL5
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 Bldg
Census Unit
Variance
5/3Y
o/
a
Permit Fee
Surcharge
Plan Review
License
MC/WS 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:
Valuation: $
% SAC
SAC Units
L gL ? CITY USE ONLY RECEIPT #: ??/?1
SUBD. ? i44,v V DATE:te,--- 7s
7995 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 permits are required for each unit
New construction Add-on furnace
? Add-on air conaitioning Fireplace cor;version (to eicisting firEplace)
Date: 4- .28 - 95
FEES
? Minimum Fee: Add-on/Remodei (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 An5?0
SITE
OWNER NAME: VtI"QlYIiQ. Pe Io VSLl PHONE #: 415'4? ??os?
INSTALLER NAME: ErtrkSCJN 122? L.
STREETADDRESS: T??? (k-'
CITY: J9 IaeLYI P STATE:AIN_ ZIP: '5 44
PHONE #:
U
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 6814675
Please complete for: ? all commercialfindustrial buildings.
? multi-family buildings when separate permits are nDt required
for each dwelling unit.
nP.TE:
WORK TYPE:
CONTP.P;CT PR!GE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: o $25.00 minimum fee Qt 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE qDDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ? ff.5 U
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/$OMEOWNER MpST DESIGNATE WFIICH ADDAESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS !F OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI,AfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCiILATIONS
Resi?l+'nc? ? .
To Be Used For: R?A,-J4l Pium54 OeAaluation: (4'?r Date: RffO AUG 2 6W$
Site Address .1D `J .3 OFF:
Lot 4 Block I On site sewage
Parcel
Owner
Addres
City/Zip Code
Phone Z4 tD, r0
Contractor 1-3 zre" ff.& q/
Address
City/Zip Code D ?
Phone
Arch./Engr. - -
Address ?
City/Zip Code ?
Phone U
MWCC system
On site well
City water
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Oceupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit )y pv
Surcharge , SJ
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ?9,yo
Cities
iizital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
2ITY eF ??R;^N
,'.:5 't'•L
10/+4/99 1.::37
3''.L) ?.,?.7.? :41?K.? Iv:'?G?"G C.• ' '
r. t ? ... . . ? .. ..?
ss
t
_+. ?•?? ?;
r ?_ ... r' .,,,
?. ?`?)f)???i?. Ir?4••.Y.?1??..??? ? .. ei.?.. ??i'4.i?i:?Y}4.:. . ?iq.A?
1999 BUILDING PERMIT APPLlCAT10N (REStDENTIAL)
,
3830 PILOT KNOB RDN 55122 ?'
651-681-4675
io- 99
Now Conshutiion Reauiremenh Rem4del/Reoalr Reaviremen}s
? 3 regisfered sRe surveys showing aq. k. of lot, sq. tt. ot house 2 coples of plan
and ?11 rooied areas (20n maximum lof eoreraae allowed) 1 set of energy ealculaflona fw heated addfftons
? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sHe survey tor extedor addBlons d. decks
? 1 set of energy calculaflons
D 3 copies of hee preservation plan B lot platfed atfer 7/7/93
DATE; I01[tiga ^ CONSTRUCTION COST: ??/ B00
- ^ -
DESCRIPTION OF WORK: C\P- f nn %Pe-r (1-1'f
STREET ADDRESS: 10 S 3 IC C..e-T Q. S"?.
LOT: __q_ BLOCK: SUBD./P.I.D. #: OL- 1! ,C
Name:!jel U V S K l V i c' A[ n t a Phone #:
PROPERTY last Fir
OWNER r
Sheet Address: tC7 S? e 4-
City ? State: _/Vt_ Zip:
Company: Ar'\.e c i c a0 D lw?Q? C-oa?c'ai?', Phone #: 1'- 1 a 7 0'7- 64 S 9
(area eode)
CONTRACTOR p
Sheet Address: ( aa 14 -7 /ll i c eL(e-f a ve s. License # s?Q?6 3g ?;?Exp. ?o.Qo
Cify ? v-r tls J<« e State: /q? Zlp: 5 S? 3"7
ARCHITECT/
ENGINEER
Telephone #: area code (
Name:
Sheei Address: Registration #:
Ci1y StaFe:
Sewer 3 water I(censed plumber freauired for new conslruction onlvl:
PenafFy applies when address change and lof ehange Is requested onee permtt [s issued.
Zip:
,
1 hrCeby acknowledge that I have read this application, state that the IMOrmation fs cortect, and agree to comply with all applicabl
Sta j? W Minnesota Statufes and Cffy of Eagae Ordlnances.
T
Signature of ApplicanY. ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
_ No
No , Not Required '
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
Q 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
TreaYmenY PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
_ Basement sq. ft. Census Code
_ Main level sq. ft. SAC Code
_ sq. ft. No. of Units
_ sq. ft. No. of Bidgs
_ sq. ft. MClES System
_ sq. ft. City Water
_ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
?-7. ?
a.C?C
q q. a-e?
Valuation:
?
SAC Units
% SAC
EAGPN 'InWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 15, 1968
Number• 106 'l/'/ N?k- ?
Billing Name: Wilfred Pelovski SiCe Address: 1053 Keefe St.
Ocrner•
Plumber: All State Plbg.
ion of Connection 1 Meter
Billing Address
Meter No, iMeter Permit Fee 7.50 Meter Reading Dep. 15.00 "
Meter Sealed: Yes_ lAdd'1 Chg
NO I Total Chg. 2pp_r,p it
Building is a:
Residence x
P4ultiple LTo,
Commercia 1
Industrial
Other
Inspected by
Date
Remarks:
Sy:
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
regulaCions of Sagan Township, Dakota County, Minnesota.
? L-
By: ?t-r--'
A1 ate Plbg.
7/15/6E
Please notify the sbove affice when ready for inspectlon and connection.
EAGAN 'fOWNSHIP
3195 Pi2ot Knob Road
St. Paul, Minneaota 55211
Telephone 454-5242
PERMIT FOR S&7ER SERVICE COIVNECT30N
DATE: Julv 15, 1968
OWNER; _Wil`fred Pelovski
PLUMBER All State Plb,g.
NUMBER2O1 ,.
P.ddress 1093 Keefe St. )-j °/E Alc-4- ^ 0
TYPB OF PIPE cast iron
DESCRIPTION OF BUIIDING
Industrial[ Commerciall Reaidential I Ntultiple Dwelling I No. of units
x
Location of Connections:
conneccion Charge $200.00 Pa. 7115168
Permit Fee 7.50 "
Street Repairs
Tota7, 207.50 "
Snspected by:
Date
Remarks:
By
Chief InspecYOx
in consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accardance wirh the rules aad
regulations of Eagan Township, Daiwta County, Minnesota
By L,
AI-Y tat
Please noCify when ready for iaspectioa aad connecCion and before any portioa
of the work is covered.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153418
Date Issued:12/18/2018
Permit Category:ePermit
Site Address: 1053 Keefe St
Lot:4 Block: 1 Addition: Mckee 3rd
PID:10-47752-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Jeffrey D Maciej
1053 Keefe St
Eagan MN 55121
(651) 434-7955
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154495
Date Issued:03/26/2019
Permit Category:ePermit
Site Address: 1053 Keefe St
Lot:4 Block: 1 Addition: Mckee 3rd
PID:10-47752-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Jeffrey D Maciej
1053 Keefe St
Eagan MN 55121
(651) 434-7955
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature