1073 Keefe StCITY OF EAGAN
3795 Pilo* Kaob Rood Eegen, AAN 55122 '
R• PHONE: 454-8100
BUILDING PERMIT R?ipt #
To b, wa ior Est. Volue Date , 19 ?
Site /Wdross Erect ? Occuponcy
Lot Blxk Set/Sub. Alter p Zoninq
parcel # Repoir ? Fire Zone
Enlarye ? Type of Const.
ac Name
W
? Address
Ci Phors
? Nome . -? c.,.
0
u? Addreu
~ Ci Phone
GW Name
?-
_? llddreu
Mova p # Stories
Demolish ? Length
Grade ? Depth Sq, Ft.
Appeovals Fees
Assessment _
Water 8 Sew.
Police
Firo
Er,g.
<W I Gty phone Planner
CountH
I hereby acknowledge thot I hove read this opplication ond state thot gldg, Off. _
the information is correct ond ogree to comply wifh oll applicoble ^?
State of Minnesoto Stotutes and Ciry of Eogan Ordinances.
Permit `
Surcharye
Plon check
SAC
Wcter Conn.
Woter Meter
Road Unit
Total
5ipnoture oE Pennittee I
A Building Permit is issued to: on the express condltion thnt
all work sFwll be done in occordonce wlih all opplicabla Sfote ot Minnesota Statutes ond City of Enqon Ordinonces.
Bufldirip Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
w.n
Weter
Disp.
Sewer
E lectric
Inspeetien Data Insp. Other
Footings .. f
Foundation
Framiny
Rough Plbq.
Rough HVA
Inwlation
Final Plbq.
Finsl HVAC
Final ?
57
Waftr Desaibs Loeation:
YVell ti
,
Sower '
Pr. Dkp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
? (612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
i tl:,
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
: 4 .4?0 ? iiY•J , f , ! '. 14 rPlrl1 I
, . s ? ] ta Fj .'{
TYPE OF WORK:
41i I i t i 11 1114
Ai +a:hA i 1 14 N
FIAI ':;WIFVI? I IW'01 ) N 1 14114
INSPECTION D• • DA
e
MAldY: }, ; H'jF I'ARA1 F: Pf- 17M1 t 1', ili (11lt E It f ff UnH RMY PE 4IMH 1 IVi'i l1Ft 1: 1 I f t ft 1+ I11 I-l11fiF
?
Permk No. Permit Molder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapeetion Date Insp. Commenta
Footings I
Foundation
Framing
Roofing
Aough Plbg.
Rough Htg. //L s -
Isul. ?
Fireplace
Final Htg.
i
Orsat Test i
?
Final Plbg. ?Ibg. tnspector- Notify Ptumber
Const. Meter
Engr.JPlan
Bidg. Final
/
Qeck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition McKee 3 Lot 9 Bik 1 Parcel lo 47752 090 01
Owner '.--% - `` J i ?Ll tfl r - ' Street 1073 Keefe St. State Eagaa,MN 5.5121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
* WATER LATERAL i
WATER AREA
' STORM SEW TRK g'p/
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200OO 437 10-23-67
BUILDING PER.
SAC 200.00 437 -
PARK
CITY OF EAGAN N° 7331
9795 Pibf Keob Roed Eogan, MN 55122 -
PHONf3 451-8100
BUILDI,Nd PERMIT 2eceiPr # ?YS
Te M'utad foe GARAGE Est. Value $5 r009 Date J17ile 9 t9 12
Site Address 1073 Keefe 9t1C86t Erect ? Occupancr R-3
Lot 9 Blxk 1 Sec/Sub. McKee 3Ya qlter ? Zoning R 1
porcel # 10 477$2 090 Ol Repolr ? Fire Zone NA
Enlorga ? Type of Const. - V
w Name GOrdon B8tT µove ? # Stories
z Addreu 1073 Keflfe St. Demolish ? Length ZZ
Ci EB48ri $5121 Phone Grade ? Depih 14 Sq. Ft._
°C Name D10r9a (Pa lIDBteer) SB2'Vice CO_ Approrala Fees
O
i
Address 2987 Pilot
xnob Rd.
Assessment
I Permit 50.50
?
? r.., FA4Aa 55121 0k...,. 454-4474 Woter & Sew. Surchorge 2_50
Nome
Address
Poiice _
Fire
Eng.
?Ciry Phona Plonner-
Council _
I hereby acknowled9e thot I hove read this opplication ond stote fhat gldg. Off. -
fhe informofion is correct and agree to comply wifh oll applicable APC
Stofe of Minnesoto Statutes and Gty of Ea9an Ord?nonces.
Signofure of PermiMee
A Bullding Dermit Is issued to: mn•g
oll work sholl 6e done in occordcnce with oll
Plon check _
SAC -
Water Conn.
Water Meror
Road Unit -
Toml $53.00
_ on the express mndition thm
ond City of Eagun Ordinances.
Buildinp pffitial
EAGAN TOWNSHIP
BUILDING PERMIT
???---- ? ?
oWna: ......... ......... . ..- ..................... -----..:........_.............- ................................
Addrecs (Preseni) ..1.4..7 ..- --.,l...??...:?..................................
Builder ............
Address
N° 3068
Eagan Township
Town Hall
Dele ... /.?...?. ?:._?.? ....................
Biosies To Be Used Fox Froni Depfh Heighf Esl. Cos! esmi! Fae Aemarks
??
This permit dcea aot authorise the use of slsee2s, soads, ellepa or sidewalks nor does fl give the owner or hi6 agent
the sigh!!o creale eny silua2ion which is a nuisaace or whioh presenis a hasard !o the health, safeip, eoaveaienea and
general weliare !o anpone in the eommunifp.
TfIIS PERMIT MUST SE EPT/p{ N? T?H?E PREMISE WHILE THE WOBK IS TN PROGREnS?S. This is to cerfifp, fHa!_...---L...................- ........ haspermissioa !o esoel-a-----. l ?-- - -upon
° ............. ....._ ---'-°. ....... .....................
!he above desoribed premise subjecf !o the psovisions of the Building Ordinanee for Eagea Township adopfed Apsil 11,
1955.
?
'----""_"'_'-.,P.._----'. .........'-" .... ....' "'.._??'."`..`.': ?.`?... Per ..... .---' ........... ....,?,.. "...._.....'---.
Cha ...."".......gI..._aspector.................""_"""'_"'_--
ism? T?wn Board ? Buildin?
EAGAN TOWNSHIP NG 135
II BI..Ii1vDBf?ll? F'EF2Nii°°
Ownex .. .?r..---XJI?i--?.--.. -- ? }- --------- - - - ? Eagan Township
b
Address (Presenf) a :0--.- Town Hall
Euilll0i `e........" lr?.r?
Date ..................................
Address ----- _--------------- .------------------- -------- -------------------------`-
DESCAIPTION
Siories To Be Used For Front Depih Heigh! Esi. Cos! Pesmii Fee Rema:ks
a?
LOCATION
- I P I/
This permit does Y auihorise the use of sfreeis, rd6ds, alleys or sidewalks
the righ! 10 create ny sifuation which is a nuisance or which presenls a hazard
general welfare fo anyone in the communiYy.
THIS PERMIT MUST BE KEPT,f N THE REMISE WHILE THE WORK IS IN
This is Yo cerlify, .x!--._____has permission !o exee
the above described premise subjeci io the ovisions of the Building Ordinance
1955.
."__..---- Per ..-------------
Chairman own Board
or
aos does it give the owner or his ageat
!o the healih, safeSy, convenience and
PROGRESS
--------------- .....---------- upon
for Eaqan ToI ip adopted April 11,
8uilding Inspecior
y0
r?---? crrY oF EAc,Arr
suir.onlc rERMTr ArrLiCATtoN
'Ib Be Used Fbr Valuation ?V?. Odd
Slt2 PljdL'OSS: /0 7 1 X/:Sf'
Lot "l slocx 1 sec./sub. WickE.t- 3?"-?.rect
Parcel #: J O q7 7 S Z. oc(O C? ?Alter
Repair
Owner: ?cK ?G?J .QA??!Z ? Enlarge -
Move
Pddress: /0 73 11r,??? vemolisti _
City/ZiP Code: ZftGH ? doyr Grade
Phone #:
,
CAntractor: ?1 ,(/Qa,7 S ?F/L Ul C 1 ?p Address: a_/`B"J
city/zip code: Aai • n?ev .?' Si x 1
Phcne #: 4{sy - yy 7?e
Arch.)Eg.: _
PBdress:
City/Zip Cocie:
Phone #:
? l3 Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy calculations.
Date ,6 -" '? - '?? 2-
OFFICE USE ONLY
Occupancy
Zoning
Fire Zone A14
7.ype of Const.
# Stories
Front _:z ?z ft.
Deptli _ oZz ft.
APPR(7VALS FEES
Assessments Penait 6-V a
Water/Sewer Surcharge a '?-
Police Plan Qieck
Fire SAC
P.ng Water Conn.
Planner Water Meter
Council ad Unit _
Bldg. Off. ? ?qq,
APC ?
TOTAL ?5 3
?f i>C 13
4 PERMIT ??,???
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z Lo i Ne
Eagan, Minnesota 55123 Permit Number: 025135
(612) 681-4675 Date Issued: 0 3/ 0 7/ 3 5
SITE ADDRESS:
1073 KEEFE ST
LOT: 9 BLOCK: 2
MCK£E 3RD
P.I.N.: 10-47752-090-01
DESCRIPTION:
Bili.lding
?ui,lcting
r'
i
l
i
t
i
t
?
?? C^(1 t
R SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTiiICAL WORK
C7ry
??`^^
f'"r7,•?#{ ?7i c-4~1
?3lJ
1
?
REMARKS
FEE SUMMARY:
MAC 50UNCl INSULATION
ermit Type SF (MISC.)
b?r.k 7ype ALTERATTON
VALUATSON $8,000
Base Fee $99.00
Surcharge _ 4.00
Total Fee $103.00
CONTRACTOR: - aPplicant - 5T. Lzc. OWNER:
JOHNSON COIVST, LYNNE MARIE 15631983 20012133 BARR CARLA
6272 YUCCA LN M 1073 KEEFE ST
MApLE GRQVE MN 55311 kAGAN MN 55121
(612) 553-1983 (612)456-2222
?
I hereby acknowledge that Y have read this application and staCe that tfie
informati.on is correct &nd agree to comply with all applicabie State of Mrc.
Statutes and GiCy of Eagan ESrdinarrCes.
APPLICANT/PERMITEE SIGNATURE
L IIP,J'
--? D B SI A UR
l,-
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r:
1073 KEEF[ 57
MCKEE 3RD
PERMIT SUBTYPE:
SF (MTSC.)
BUILDTNG
625135
03/07J95
9 B L 0 C K o 1 APPLICANT:
JOHNSON CONST, LYNNE MARTE
(612) 553-1983
TYPE OF WORK:
ALTERATION
pESCRIPTTON MAC SOUND TNSULflTION
INSPECTION
FRAMING D. .
ROUGH IN PLBG ..
ROUGH ZN HTG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUM6ING OR ELECTRICAL WORK
?
J
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
01 .1
CITY OF EAGAN E0059
?
U1 kf 1995 BUILDING PERMIT APPLICATION (RESIDENTlAL)
681-4675 $ ( 03• C'O
New Construction Reauirements Remodel/Fteoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes, poured fid design; etc.) ? 2 site surveys (enterior addRions 8 decks)
? 1 eneigy calculations ? t energy celculations for heated additions
? t trea preservation plen ff IM platted after 7/1193
reqwred: _ Yes _ No
DATE: Feburary 15. 1995 CONSTRUCTION COST
DESCRIPTION OF WORK: Misc. Alterations - MAC Sound ProQram
STREET ADDRESS: 1073 Keefe _J.I--
LOT BLOCK SUBD. P.I.D. #
PROPERTY Name:
owNeR
u„
FIFSt
Phone #:
Street Address:
City:
State: Zip:
coNrrtacTOR Company: Lmm W= JoESIsorr coiusriurriorr, INc. Phone #: 553-1983
Street Address: 5272 Yucca Lane North License #: 90019i ss
(;jty; Maple Grove. MN 55311
ARCHITECTJ Company:
ENGINEER
Name:
Street
City:
Sewer 8 water licensed plumber: _
are requested once permit is issued.
I hereby acknawledge that I have read this appliCation and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances. -=
Signature of
OFFICE USE ONLY
State:
Zip:
Penalty applies if address change or lot change
is Correct and agree to comply with all
Phone #:
Registration #-
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex o 12 Multi (Misc.) ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
,A"5 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYFE
? 31 New EK?33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
, -t• a
?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. Census Code Z13 y
_ sq. ft. SAC Code ?
_ sq. ft. Census Bldg. ?
_ Footprint sq. ft. Census Unit o
Building Engineering Variance
Valuation: $ df 000 ?
% SAC
SAC Units
:E:>' (G(, $9 '
CITY USE ONLY
LOT q IIL /
SUI3DQ_?- ,e_.c-
?
RECE[PT#: /D.37?'?
RECEIPT DATE:
1999 M£CHihNICAL PEiMMIT (RE51D£NTIAL)
Cfl'Y 6F EAfiAN
3$30 PILOT KN6B RD
EA&RN MN 55122
Date:
? (651) 681-4675
Complete this section oizlv if you are installing HVAC in single family, townhomes or condos under
constructiou and not owner /occupied
e HVP.C: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6•00
• Gas ou±lets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
. TOTAL:
Complete this section onlv if you are remodelina, adding to, or repairine existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New ?Replacement _ Repair _ Other
Furnace _ Air conditioning
Air exchanger, i.e. Vanee system, etc. ? Other 1Y1F'1 ?in2/1 ?
C;" -Y
Reminder: Call 681-4675 for inspeciions. ?30.0 V ok
State Surcharge: . SO 4zp Alc
Total: S30.50 3 IVIV9
SITE ADDRESS: V Uk
OWNER NAME: CJ ? n? 671 F-l`- PHONE #: L&-?5"`E-- 3?4L
PISTALLER NAME: PHONE #: 2b 3r
q'rnFFTnnnaFSS
CI1'Y V,? ?AK-??' STAT . ZIP:
SIGNATU40ELRMITTEEJ??
IS/PORMS DLD/MHCf-I PLRMIT (RES) - 1999
? L BL
SUBD.
?
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
19991K£CHANICAL P£RMIT (COMMEgCIRL)
CITY Of £AHAN
S$SO PILOT KNOS ii.D
EA6AN,INN 55122
(651)681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DA'1'E:
CONTRACT PRICE:
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 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
(S.50 per $1,000 of perrnit fee due on all pemrits.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
STATE: ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
Cities Digital uality 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.
i
EAGAN TOWIdSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&lER SERVICS CONNECTION
DATE• 62 ?% j ? / 7
OW?VER: i.: Ee , ' =' < .r
PLUMBER ? .
NCfi1BER o27
Addrees
TYPE OF PIPE C I r ,v , -., r t.
DESCRIPTION OF BUII,DING
Industriali Caamzerciall Residential I Multiple Dwelling ! No. of units
Location of Connections:
Connection Charge
?
Permit Fee a v . .
Sereet Repairs
Total
?.,•?.
Inapected hy:?'?;C-?'"/.? =P?
Date lZ> Z 3,? /6 ?
Remarka•
P ,
By.
CYlief Inspector
In conei-Ieration of the iasue and delivery to me of the above perit, I
hereby agrae to do the prnuwsed work in accordan^.e a*ith tha xules ar.d
regulatiozs of Eagan Township, Dalcota CounCy, I?i eaota
gy z.?..,?'r.?,-?.? Gu'???-j
P1Aese r.or,i.fy wh.ez ready for inspea*ion and cornect9.r_r an:l beSore any rert?.c;a
oi th_ w?rk :.s cover.ed.
Cities Digital Qualitv 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.
?
EacAN TOw.tsxza
3795 Pi1ot ?,ob Roaa
St. Paul, Minnesota 55111
Telephone 454-5242
PERMiT FOR WATER SERVICE CONNECTION
Date: % ; ? `' Number: ?
Billing Wame: 6, :?'.- - •
Owaer:
Pl+.amber• -
SiteAddreas: f.'? ' r?.---L- ?"I /,/1•?5-
Billing Addsess NO I Total Chg.
Building is a:
Residence
Multiple No, Uni
Comnercial
Ir.dus tria 1
Other
Meter 53ze GoanecClon cng.
?..r :
Meter No. Permit Fee '0?'3.
Meter Reading_____ (Meter Dep.
Meter Sealed: Yes I Add'1 Chg.
Inspeceed by?
Dxta lL°?? ? 7
&emarks:
By:
Chief Inspector
In consideration of Che issue and delivery to me of the above perc3e, I
hereby agree to do ttre prorased work in accovd ce with the rules aad
regulations o£ 8agan Towaship, Dakote County-, innesata.,)
;
By.
?,/fl,( ---
c
..,
, 1/. ,•'
Please aotify the above ofEice when ready for inspection and conaection.
MASTER CARD
LOCATION 12"P-4"-f j /D
OWNER
SiRUC7URE AND
LAND USED AS
Permit
No ,
Issued Issued To
Cantractor Owner
BUILDING
PLUMBING 4Q/C/
O p
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAI
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
PGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
EL.ECTRICAL
I
HEATING DEPTH
OP WELL
-
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBWG
WELL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUi DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
D AND DESCRIBE? AS FOLLOWS:
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interes[ present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific re0uire-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR DATE
COMMENTS:
03i01 194 11!24 ID=DAKOTA CO-WSC FAX:6128917031 PAGE 1
MUNICIPAL NOTICE OF WEGL PERMIT APPLICATION
DALtoxA COUNTY ENVIRONMENTAL MANAGEMSNT DEPARTMENT
iVATkR AND LAND MANAGENlENT 8&CTION
14955 Galaxie Avenua West, Appie ValleY, MN 55124
Tel (618) 691-7011 Fax (612) 891-7031
DATE: MBYCh 01, 94
TO: Tom Colbert/Wayne SohWbnz
Fax J: (612) 681-4612
FROM: Water and Land Management
RE: S9e11 Pezmit #: 94-9031
' Municipality ; Eagan
Well Type: Sealinq
Raviewer : swenson
NOTICE:
The Water and Land Management Section of the Dakota county gnv3ronmentei
Mahagement Depaztment has reoeived the foliowino? permit epplfeation for
the well dascribed. If you reguire futher revi?w of the application or
if you have anp gu estions or concerns abvut it, contalct the Bnvironmental
Specialist listed above or our ofPice at (612) 891-7011. If there 18 no
response f=om your office within 24 HOURS (excluding weekende and
holldays), we will assume that you have no objeqtiana to the issuanCe of
the permit, Please note that permit issuance is always conditioned on
the permit applicant's ebasrvance oF and campliance with all applicable
laws end apdeg. A copy vt the vell permit will be forwarded to your
office when campleted.
WELL CONTRACTOR INFORMATIpNt
Keys [Vell Dri121ng
An?iciaatea nriiiieas ozlzz/9a ? A ng/SeaYing DBte if known. s
LOCATION OF WELL:
pLS C6ordinates gW h, NE SW h, Sec 2, TpWt1 27 , Range 23
WeZl Location 1077 Keefe Street
Property owner Cnrla Harr
We11 Owner Carla Barr
PID Numbez 10-47752-09-001
WfiLL INFDRMATIONt
Casipgedepth 4
Tota1 depth 139
SWL 107
Aquifer Uncvnsolidated Sediments
COMMENTS:
R=95% 6128917031 03-01-94 10:15AM P001 7F12
9, Idi
ordinAn« xo. iia
WELL AND WATER SUPPLY NIANAGEMENT
WELL PERMIT
AKOTA COUNTY ENVII20NMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAGEMENT SECTION
14955 Calarie Avmuq Apple Vdley, MN 55124
TdepLanc (612) 891-7011
Permit No.
94-9031
WHEREAS, the NON-TRANSFERABLE
PERMITTEE/DBA: Keys Well Drilling ISSUED TO: 62012
ADDRESS: 413 N. Lexington Prky REVIEWED BY: DS
St. Paul, MN 55104
has submitted a permit application, has paid the sum of $111.00
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 seal the Well described herein:
An abandoned well with a casing diameter of 4 inches, depth of 139 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 grade.
THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS:
WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS
1073 Keefe Street Carla Barr Carla Barr
1073 Keefe Street 1073 Keefe Street
Eagan, MN 55121 Eagan, MN 55121
NOW, THEREFORE, Keys Well Drilling is hereby permitted and
authorized to seal the well described and located above for a period
of one year from the date of this permit. Sealing of this well is
subject to all provisions of Dakota County Ordinance 114, the Minnesota
wells and Sorings Code and any conditions attached on the reverse
side of this permit.
Given under my hand Tuesday, March 1, 1994
Fll? ATTEST
SUPERVISOR ENVIRONME AL NAGEMENT DIRECTOR
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_ ="GARAg-9. -PLO0.R PLAN 23' x 24'
_ C6M2R9YE .SLA9 FloaR•
5I5Ix SrU D s 1t.0. G. rRU;s ?WrE95 2q0,c.
Nov, 21. 2016 10:58AM No. 1093 P. 2
Use BLUE or BLACK Ink
For Office Use, /� in��j
Permit/I:
L ' CC�-
CityO Eaaau PePermit Fee: /VJ'�-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)875-5675
Fax:(651)675.5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name:GA- (!L (c- Phone:651 J LI 54^3, `-(
Resident/ . ,--
Owner Address/City/Zip: 1013 k ecce S- L a 55 Qt
Applicant is: _Owner ✓Contractor
Type of Work Description of work -r o-C—C— It `f E 'f 0j kb%A-se a-rck Elia .
Construction Cost: $ 1 ) g y 1)0Multi-Family Building:(Yes_/No_)
Company:S& k 6Gt .'c (.(Mhet�ton Contact: A\ .€ ` r`tx(Vtn10
'..rgQnt<J8Ct0 Address�3 O- 0 AJ Iv City: �('OtAA/Y\ Ce4eT
W. '`°it Stater Zip:554 phone)(03- -913EmaiL CIS e c:.): �� `
` t License#:C. , FtsLead Certificate#:
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression Contractor: Phone;
:' NOTE:Plans and supportlnyrdoe j' "`en ...'w` ;cou submit are considered to be public information Por•",tion s•of„'•.
the information maybe classified as:,l', ,;p ,figiC rou provide specific.reasons that would permit jibe'City'to
aa... ti hb t la Y <:;..;...•
•,. . .<,;:,. . �1 .t a are.trade secrets.� ,. >;=��:; ��:� ..
CALL BEFORE YOU DIG. Call Gopher State One Cell 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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate:that the work will be In conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work Will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Applicant's Signature Page1of3