1042 Kenneth StINSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ?? • t r?H i
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
??• ?i t i rJNt 11I 11 f:l Miolyt 1 1 Nl; 11,41
f f . ??? I.' i'•'? S HN.'N -
PERMIT SUBTYPE: TYPE OF WORK:
tcl {'A [k
(VtNY1 S).f.)I Not)
Penmft No. PertnR Holder Date Telephone N
5NV
PIUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsction Date Insp. Comments
Footings I
Foundetion
Framing
Roofing
Rough Plbg. '
Rough Fttg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Irupector - Notify Plumber
Consl. Meter
Engr./Plan
Bldg. Fnal
Dedc Fig.
Deck Final
weli
Pc Disp.
' f?/5?;; ? ?
?
O
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: 1 0; `
I -i I t
I ''. t.f !
PERMIT SUBTYPE:
TYPE OF WORK:
??. '.t i' I I t???i?•
AI TF.kA!)oN
Md1C SOtINf? i ttiNTF1Ol
INSPECTION D• • DA
??illll??i ?h1 111f, ! Il?F,I
I MAKK S: ",F hAAA 1 t f'1 RM 1!`, IrF ui? I fil tt 1Ok ANY 1 1 f 1 t R 1( H f c1H 1'1 IIMIi ( N(, [Jllkl
PERMIT TYPE: i,']Ir + «s N6
Permit Number:
Date Issued: tF? ? t u?? b
.•a r•-r•+ ?? ,? f; i ,,, ; APPLICANT:
:,j 0 -
tni.'1 lts4 d." t0
Pertnit No. Permit Holder Oata Tetephone #t
ELECTRIC pp 9+? ? ?C a`? ` S?
IN/R c
,
?++? ,
???
g a9 9G
-7?3 ? S
HVAC
Inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
10 i7
OFSAT
TEST
BLDG FINAL
BSMT R.I. /b 7/6 /1
BSMT FINAL
OECK FTG •
DECK FINAL
s'
CITY OF EAGAN PERMIT TYPE: k" 11'' ` '' ,;
3830 Pilot Knob Road Permit Number: 0 3'? j4
Eagan, Minnesota 55122-1897 ? Date Issued:
(612) 681-4675
, , . ,. . 01P k
SITE ADDRESS: ? .. ? r . 4 81 (if t. APPUCANT:
ts '4t, 0 N4 0
PERMIT SUBTYPE:
trrrr?F 1 Pl1
Ii( 14ARt: S - FtER[)OF fFk)FTU c,1ORM
I
TYPE OF WORK:
14`tiCR1PTTON
6 pERAIEI
P:f ROi??F
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING ` ?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
fIREPLACE
AIR TEST
FINAL PL[iG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN
F°e -
FiII in numbered spaces S/C
Type or Print legibly Tot.
1. Date T2. Installation Cost
3. Job Address L Blk. _ Tract
4. Owner
5. Contractor
6. Address
7. City Y.. 5tlate ?
8. Building Type: Residential ?T Commercial O Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: " for •
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
addicion- McKee Addition #1 Lot 4 Bik 2 Parcel 10 47750 040 02
Owner ? '`??Lt.src? ?/a1?r?tc?feet 1042 Kenneth St. State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. pgViri 1969 $311.50 $31. 15 10 PAID
GRADING
SAN SEW TRUNK 1968 100. 00 3. 33 30 PAID
+t SEWER LATERAL 1 20
WATERMAIN
WATERLATERAL & SEW 1968 850.00 42.56 20 PAID
WATER AREA
STORM SEW TRK 1984 403.00 26.87 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 502 11-14-67
gUIL01NG PER.
sa,c 200.00 302 11-14-67
PARK
I
ff/o? 9 5?
001..5041
A/i 6 a, f'hC-c?- 4??O-Z
Req6sst ?ate
?/ Flre No. Roughln Inspeclion Requiretl
(YOU m??st call Inspedpr en ready) I
ns ectlon Other Th n ough-In
? qeady Now III Notity Inspecror
?
b U Yes No Da(a
Reatl
I)4licensed coniractor ?owner hereby request inspection of above electrical work at:
Jab Atldre ss (Sireet. Bo
1042 x r Rome No.)
r 1 ? City
FA-WW
Seclion No. Township ams or No. Range No. Cou r,1,,-Y '` ^/7w?rA
Occu aN (PRINT)
avr PM1One Ny.
- 2o
Powe SupPfieP r
s Atltlress ,
acVical ConVa
Eri tor (GOmpany Name)
' Gontracror's Llcense No.
2p- GG
Mziling Atltlress (ConVacbr or Owner Makjnq Install ion) .zs ri,tz. s. N.E. f 5?49
Am tl 5' naNre iConvact Owner Mak 9 Instaliation) Phona Number
`tg3 ?545
MINNIVS-OT'A
C104'C'TV T UNLESS OPER NSPECTIONF EE S
5 62pO8SR Pau SMNB 5 ENGlOSED
Ph
?4So REQUEST FOR ELECTRICAL INSPECTION es-ooooi-qs
a 10- See insimctions for complatinq ihis form on back of yellow copy. y C :
0... 091 504 "X" 8elow Work Covered by This Request ?'?`•??
Nev Atld Rep, Type of Building `"-Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specif )
Farm Air Conditioner
Other (sper.ity,i Conrcnctor's emaBS:
Wu-e nace 4 Af C,Pvaw 10b MMP SISW
Compute lnspection 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 --- Albove 100 -Am s
SI ns Inspedors Use Only: A TOTAL /7?
Irrigation Booms ? 55+JV
Special Inspection
Alarm/Communication THIS INSJAL _EAA-Y-BE-ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED W IN 18 MONTHS.
I, the Elecirical Inspector, hereby Ro?qn- oare
certify that the above inspection has
been made. n /
/ oate
OFFICE USE ONLY
This request void 18 months (ro.
'?
r
E14GAN TOWNSH' P
BUILnIr.or PERb11T
Ownex
Addxess
Bvilder
Address
x? 121
Eagan Township
Town Hall
Dale`?:... - _------
TION
Sionies To Be Used For -- Fxoni I Depkh HeighS £s!. Cosi rmil Fee Remaxks
P-1 7
?aree:, aoaa or oxnex uesuipnon o: Loeaxnon 1 Lox 1 tslocK I taaauion or -rraci
?I I a I M?-
TLis petmif does noi authorize the use of streels, roads, alleys oz sidewaiks nor does it give the owner ax his ageni
the right fo creafe any siluation which is a nuisance or which presenfs a hazard So the healih, safely, convenience and
general welfaxe io anyone in the community.
THIS PERMIT MUST B PT O T IS WHILE THE WOAK IS IN PAOG$'?SS.
This is fo cer2ify, ihaY.. .. .............haspermissioa io erec! a...???... . --------------------------------- upon
the above described premise subjeci !5p;rom
is
ions of Yhe Building Ordinance for Eagan ?ownship adopled April 11.
1955.
?
............._. . ?Lc.?+b........
Tow. ... rd ............_. Per ._.....----------- _._.................. _ Buildin _.__.'_."g'_.. Ins _p_... ecfor _....._...................
Chairman of
-1V
CITY OF EAGAN
,3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMITTYPE: BuxLozNG
Permit Number: 0 3 2 7 5 4
Date Issued: 0 8/ 0 3/ 9 8
SITE ADDRESS:
1042 KENNETH ST
LpT: 4 BLOCK: 2
MCKEE
P.I.N.: 10-47750-040-02
DESCRIPTION:
S70RM DAMAGE
REPAIR
434 AL7. RESZDENTTAL
;t ( i ' .'?•.? V?` ! ?.{p? if it
i
REMARKS:
RERQOF DUE 70 STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - flpplicant - sT. LrC OWNER:
A2TEC ROOFING 18950040 2013914 WARREN KAREN
1444 CIIFF RD E 1042 KENNETH ST
BURNSVILLE MN 55337 EAGflN MN 55121
(612) 895-0040 (651)454-2059
I I
Z herehy acknowledge tfi at I have read this appli'cation and state that the
inforrnation is correct and agree to comply with all applicab„Le State of M,n.
Statutes arid Ci;ty af Eaqan (lydinances_
APPLIGANT/PERMITEE SIGNATURE
REROOF
B?u'?ld'?ing ,Permit T,ype
;guilding Work Type
Gensus Cod-E
<' ? ...
i
G'
<
?f.
SUED BV: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ' CI1'Y OF EAGAN
3830 PII.OT KM08 RD - 65122
681-4675 ?D? (
New Construction Reauirements RemodaVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan g'
? 2 copies of plans (inGude beam 3 window s¢es; poured fnd. design; etc.) ? 2 ske surveys (exterior addRions & decks)
? 1 energy alculations ? t energy wlalations for heated addRions
• 3 eopies of tree preservation plan if lot platted aRer 7/1193
required: _Yes Na DATE: 27-2 "I b CONSTRUCTION COST; I5-6CP - O0
DESC TION OF WORK:
ADDRESS: _ I W Z Ke,
LOT: ? BLOCK: ?- SUBD./P.I.D. #: YVI C_ L2R.
Nazne:_J/SJQ-am K?`U 1 Phone
PROPERTY 1-ast Firsi
°`"T-Mft Street Address: ?o4z k?nn? ?k 5 f-
City State:Zip:
CONTRAC'fOR
Street
Ciry
ARCHITECT/
ENGINEER Comp
Name
Street
City
ne#: 0qI3?1-66 C/Q
License # 2 Q / ? ? 70
1°J17 2nJ v i`lL State: ?t? Zip:
Phone #:
Registration #: _
State: Zip:
Sewer 8 water licensed piumber (new construc6on only): . Penalty appiies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applica6on and state that the information is correct and agree to comply with all applicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
? . . PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1042 KENNETH ST
LOT: 4 BLOCK: 2
MCKEE
P.I.N.: 10-47750-040-02
f,"? ' MAC SOUND CONTROL
uilding_ Permit Type SF (MISC.)
uzld,ing'4,ork Type ALTERA7ION
ensus Code?''. 434 ALT. RESIDENTIAL
?
r
. , . .. . M.??.,
C20la&a 9 3
BUILDING
028665
08/29/96
DESCRIPTION:
?;?,`y ?• i3?.?.
T
VALUATION
r
REMARKS:
SEPARATE PERMITS REQUIRED FOR flNY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
PERMIT TYPE:
Permit Number:
Date Issued:
Fa
`m':.,- a8 ?r f \ f
$18,000
$262.25
$131.13
$9.0@
$402.38
CONTRACTOR: - Applicant - sT. Lzc.OWNER:
SOCON CONST INC 17846910 0008934 WARREN KAREN
9901 XYLTTE ST NE 1042 KENNETH ST
BLAINE MN 55449 EAGAN MN 55121
(612) 784-6910 (612)696-6172
I
Z hereby _acknowled}ge that I.have nread .th3.s applioati,on,and state thaC tkae
information is correct and agree to comply with all applicable State oY Mn.
StaGUtes anst City Q'F,Eagan O,rdinanc`es.
??• ?
APPLIC T/PERMITEE SIGNATURE ISSUE : SI ATURE
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construelion Reauirements
? 3 registered sile surveys
? 2 copies ot plans (inGude 6eam 8 window sizes; poured tnd. design; etc.)
? 1 energy calcule0ons
? 3 nopies of tree preservelion plan tf lot platled after 7l1193
required: _ Yes _ No
RemodellReoair Reauirements
(/0 a 3 8?
? 2 copies of plan
? 2 site surveys (ezterior additions & decks)
? 7 energy calculations far heated additions
DATE: ?P?ZbI q lli , CONSTRUCTION COST:
DESCRIPTION OF V
J
STREET ADDRESS:
LOT _4L BLOCK
11I'CJV v
!'?') -4 c S01,4 E N ? 1
? SUBDJP.I.D. #: ' " ` L
PROPERTY
OWNER
CONTRACTOR
ARCHITECTJ
ENGINEER
Name: Phone #:
ny?t r? (`-? iIRST
Street Address?
City: State: Zip: ?DEI
Company: Phone #: M ? I I 1
Street Address: qQ b I License #:
City: 1? 11?1V1f ?+?(??1t S State: Zip: S 911 q
Company:
Name:
Phone #:
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 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 ???EWED
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
.a-'02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
y--05 SF. Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New 0"33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
Basement sq.
ft. i
MC/WS System
(Allowable) Main levei sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y34
Depth Footprint sq. ft. SAC Code o)
Census Bldg '
Census Unit D
APPROVALS
Planning Building M19 Engineering Variance
Permit Fee Valuation: $ ! E3 ooo. ?
Surcharge
Plan Review
license
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Pertnit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: guxLuiNe
3830 Pilot Knob Road Permit Number: 021881
Eagan, Minnesota 55123 Date Issued: 09 f 02 / 93
(612) 681-4675
SITEADDRESS: Lor: a sLocK: 2 APPLICANT:
1042 KENNETH ST AMERZCAN REMODELING INC
MCKEE (612) 553-0020
PEWIT?S?IS?TI/PE: TYPE OF WORK: REPAIR
)
pESCRIPTION (VINYL SIDING)
PERMIT c4
? CIT1P OF EAGAN ?(-) -) _q ?
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 021881
(612) 681-4675 Date Issued: 09 / 02 / 93
SITE ADDRESS:
P.I.N.: 10-47750-040-02
1042 KENNETN ST
LOT: 4 BLOCK: 2
MCKEE
DESCRIPTION:
(VINYL SIDING)
ldn Permit Type SF (MTSC.)
ldiflg rk Type REPAIR
???? W (KE?:flgynn
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee $63.00
Surcharge $2.00
Total Fee $65.00
$4,000
7199MFIT9N0DElXNG INCPp 15530020 0062406 W74RFFE5 R:
KAREN
3700 ANNAPOLIS LN 1042 KENNE7H S7
PLYMOUTH MN 55497 EAGAN MN 55121
(612) 553-0020 (612)454-2059
' I hereby acknowl.edge that T have read tfiis applicatio'n and stote that the
' information 3:e correct and agree to cpmpl,y with at1 applicakrje State af Mn.
5tatutes and Citp ofi Eagan 6rdinances.
? --- -- _ _ _.?
??APPLICAN ERM E SIGNATURE , ISSTIED B?{1 SI A?TUREI' k-
REACTIVATE _
PERMIT t
2ts??o
CITY OF EAGAN
1993 BUtLDtNG PERMIT APPLICATtON $(,?,00
681-4675
SINGLE & MULTI-FAMI4Y 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once perniit
is issued.
Date 224 05 Yaluation of work 3252 •?
Site Address: 1042 1L?-r1ndl S`fiY 31+
STREET SUITE ?
Tenant Name: (commercial only) Ka?n/) W?ret-l -
LOT BLOC& I` FSUBD.
I? P.I.D. M
Descri tion of work:
The appl i cant i s: ? Owner M Cvntractor ? Qther (oeserinP)
Name PhoneHf 54 - (Z.??
Property LxsT FIRSr
Owner ir2f+
? OL12
°? 2
K
n
-
pddress
2
-c
(y
STREET StE f
City ?Q. Q(ll1 State F'1 h1 Zip 5??21
Company ?(Yl°llCall. KPMCje-?i ? Phone -
' ?
tnCVierk
ense #(2(?(2LIL?6Exp
(IGUi IS 1???
Add
??:? tCYI
? I L
COnt1
8Ct0r .
a
.
i
ress
)
City _1 Ur?1 )1 I'1 ?) P4 State r. KJ Zip ?
Company Fhone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatian 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: ??-''a
OFFICE USE ONLY
BUILDING PERMIT 11fPE 0 OI Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc.
C] 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
13 05 SF Misc. 13 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair CJ 36 Move
GENERAL INFORMATION
Const. (Actual)
6Allowable)
UBC ccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REDUIRED INSPEC710HS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
4ariance
O Footing
? Final
- _ .. ..r?
? 16 Basemea.F:inish
_ ? 17 Swim Pool
0 18 Comm./Ind.
? 19 Coimn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Boaster Pump
Fire 5prinkler
Census Code
SAC Code
Rssessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
5urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded:
Copies
Other
Total:
vatwsion: 8
SAC %
SAC Units
CRY USE ONLY
L BL ? RECEIPT #: (P'3z
SUBD. W C, ? DATE: °19/S(o
7996 MECHANICAL PERMIT (RESIDENTIAL) ??-^-?-
CITY OF EAGAN
3830 PILOT KNOB RD S?
EAGAN, MN 55122 8. la ?i /?
(612) 681-4675 ?
6
Please complete for: • single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
? Add-ori air conuiiioning qdd-on sir exchanger, i.e. Vanee sysiem, etc.
Date: 63 -ZZ q 1P
EM
? 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 2-?• U
SITE
OWNERNAME: MCVI, PHONE#:
INSTALLER
STREETADDRESS: 'I"?A L -G-`:,u vrt1 M • Aj Y/
CIN: ?I ?11V1f? STATE: ??1N ZIP: I
PHONE #: ( wZ)-W-4?46?1 A?IL -
CITY USE ONLY
L __ BL _
SUBD.
?.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? all commerciaUndustrial buildings.
? mufti-family buildings when separate permits are not required
for each dwelling unit.
9ATE: CONTRArTPRIGE.
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: • $25.00 minimum fee QC 1% of conUact price, whichever is greater.
• Processed piping - $25.00
? State sureharge of $.50 per $1,000 of 2gn33jY fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:.
cin:
? PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPEGTOR
E AGf,"1 :11vM3H1P
3795 Filot I:t.ok P,oad
St. Paul, I;i.n.n<.soCa 55111
Telephor.e 45+-:242
PEPEIT FOR SE!^7iR SERVICr^. CO:7"„?C120?t
DATE• Nov. 14, 1967
NTJ?'i,$?Y
61
OWNER• Vioia. P. Fonseth Address 1042 Kenneth
PLLfi;9ER Al1 State Plbg. Typg OP £IPE Ext Heaey cast iron
DESCRIPTION OF BUILDING
Industriai l Gommercial Resider.tisl P2ultirle Dwellir.g fio, of wits ?
--??. ._.,....
f x
?..._.,.._._r____?._..?..?i ...._._.
Location of COll!L°C*10:13:
Cor.nection Charga 200.00 Pd.-10/14
Permit Fee
7.50 ,,
Street Repairs
Tota1 $207•50
Inspected by:
Aate
Rem,:.rlcs;
By
Ctrief SncpecL•or
In consideratica of tt?2 issne sr.d deli•rery to me ef the abo"re pe:r„'.c, I
hereby agree to do the rrcpose3 wcr't in accoxdanr.e c•±it.h tiie rules aud
reg:ilatioas of Eagan Toc-7rshig, Dakofia Coun::y, Mienesota
/?¢ l
PLease x±otif.y v;hen raady £or inspecC?.on ar.d cannecCion ax:3 befere any port'c+n
c:. ilu.- wcrk is cr.vered.
EAGEN TOWNSHIP
; 3795 Pilot Knob Road
5t. Paul, Aiinnesota 55111
Telephone 454-5242
PERtUT FOR WATER SEAVICE CONNECTTON
Date: Non. 14, 1967
Billing Name: Viola P. Fonseth
Meter
Owner: above Billing Addresa above
Pliuaber: All State Plbg.
?-!
,_.
Number: 35
Site Address: 1042 genneth
Connect3on
Pd. 11/1¢
Meter No, IPermit Fee 7•50_ "
Meter Readizxg Meter Dep. 15•00 PP 111)`A
Meter Sealed: Yes 'Add'1 Chg.
IQO iTotal Chg. $222•50
Building is a:
Residence x
Multiple No,
Caauaercia 1
Industrial
Other
Inspected by
Date
Remarka:
By:
Chief 7nspector
In cansideration of the isaue and delivery to me o£ the above permit,
hereby agree to do ttv proposed work in accordance with the rules and
regulations of Eagan Tocaaship, Dakota County, Minnesota.
By
I
Please notify the above office when ready for inspection and connectian.
睪⁌•‿䱂㼠䌠呉⁙单⁅乏奌玕䉕⸰㬠䴠敫楲〲〰倠卌䵊䥓䝎倠剅䥍⁔刨卅䥃奔传⁆䅅䅇ൎ㌊㌸‰䥐䅉⁔䥉低⁂䑒䅅䅇ⱎ䴠⁎㔵㈱ല㘊ㄵ㘭ㄸ㐭㜶വ刊䍅䥅呐⌠ഺ刊䍅䥅呐䅄䕔㩉‧✱ⴷൄ倊剅䥍⍔怠焱⥬⽙夊ഢ倊敬獡潣灭敬整映牯›‿楳杮敬映浡汩⁹睤汥楬杮൳㼊琠睯桮浯獥愠摮挠湯潤桷湥瀠牥業獴愠敲爠煥極敲潦慥档‿慢正汦睯瀠敲敶瑮牥映牯甠摮牥牧畯摮猠牰湩汫牥猠獹整൭䘊塉啔䕒䔊䍁⁈ണ吊呏䱁汁整慲楴湯潴攠楸瑳湩睤汥楬杮ⴠ洠湩浩浵映敥敄捳楲敢ऺउउ․〳〮ര䈊瑡畴ॢ․⸳〰砉उऽത䘊潬牯搠慲湩㌉〮रॸ㴉␉慇楰楰杮漠瑵敬⁴‧業楮畭ㄭ㌉〮रॸ㴉␉潈⁴畴汢灳ॡ⸳〰砉उऽത䬊瑩档湥猠湩५⸳〰砉उऽത䰊畡摮祲琠慲ॹ⸳〰砉उऽത䰊癡瑡牯ॹ⸳〰砉उऽത匊灥楴祓瑳浥渠睥牬晥牵楨桳摥锠爠煥極敲偍⁃楬㜉⸵〰堉उऽത匊灥楴祓瑓浥愠慢摮湡敭瑮㌉⸰〰砉उऽത刊婐渠睥椠獮慴汬瑡潩牎灥楡汲敲畢汩।〳〮रक़㴉␉潒杵灯湥湩१⸱〵砉उऽത匊潨敷ॲ⸳〰砉उऽത唊摮牥牧畯瑮灳楲歮敬晩搠敷汬湩獩甠摮牥挠湯瑳畲瑣潩८⸳〰砉उऽത唊摮牥牧畯摮灳楲歮敬晩攠楸瑳湩睤汥楬杮㌉⸰〰砉उऽത圊瑡牥挠潬敳ॴ⸳〰砉उऽത圊瑡牥栠慥整ॲ⸳〰砉उऽ潲慗整潳瑦湥牥䤠睤汥楬杮甠摮牥挠湯瑳畲楍湡㔉〮रॸ㴉␉慗整潳瑦湥牥椠硥獩楴杮搠敷汬湩१〳〮रक़㴉␉慗整畴慭潲湵।〳〮रॸउ․ധ匊慴整匠牵档牡敧⸉〵ⴉा㸭ⴉⴭा․〵佔慴३㸭ⴉधⴭाⴭ㼭⸉㼠Ⱐ敒業摮牥※慃汬映牯椠獮数瑣潩獮漠污整慲楴湯ⱳ椠攮慷整敨瑡牥ⱳ眠瑡牥猠景整敮獲瑥ഭⴊⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴿⴭⴭ뀠ⴠⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭ锭ⴭ慅慧ഭⴊ漠摲湩湡散ഭ䤊栠牥扥⁹摡湣睯敬杤桴瑡䤠栠癡敲摡琠楨灡汰捩瑥潩Ɱ猠慴整琠慨⁴桴湩潦瑲慮楴湯椠潣牲捥ⱴ愠摮愠牧敥琠潣灭祬眠乩愠汬ⴠ愠灰楬慣汢楃祲ⴠ漠ඕ䤊⁴獩琠敨愠灰楬慣奮敲灳湯楳楢楬祴琠潮楴祦琠敨瀠潲数瑲⁹睯敮桴瑡琠敨䌠瑩⁹景䔠条湡愠獳浵獥渠楬扡汩瑩⁹潦湡⁹慤慭敧慣獵摥戠⁹桴楃祴搠牵湩瑩൳渊牯慭灯牥瑡潩慮湡慭湩整慮据捡楴楶楴獥琠桴慦楣楬楴獥挠湯孳畲瑣摥甠摮牥琠楨数浲瑩眠瑩楨楃祴瀠潲数瑲⽹楲桧景眭祡支獡浥湥䥓䕔䄠䑄䕒卓›⁉瑃㈿ൟ伊乗剅丠䵁㩅㨠㼿ⱬ楦㼿〠䥅戠〳䕃䕌䡐乏⍅›䝉⁓⁉焿ⴧ匿ി⠊剁䅅䌠住⥅南䅔䱌剅䅎䕍›❛唿ㄿ㽃卋㝬ⱎ怠㽙‿䕔䕌䡐乏⍅›愿㈠✬䄨䕒潣敯ഩ匊剔䕅⁔䑁剄卅㩓䥃奉›㼿 ⹃⁁怿ⴿ㩦氮䤠⁰牲渠渠‿‿呓呁㼿䤿✿娠偉›ി䐊䍅ㄠ朠㬠ⱲⰮ 㬿ⴭⴭ䥓乇呁剕㬊
**???*??******?**************?*******?*
CITY OF EAGAN
CASAIER: JS TERMINAL NO: 674
DATE: 08/22/00 TIME: 08:14:54
ID:
NAME: AREA LAKES MECHANICAL, LTD
3212 9001 1042 KENNETH ST 30.010
2155 9001 1042 KENNETH ST 0.50
3212 9001 4321 BEAR PTH T 30.00
2155 9001 4321 BEAR PTH T 0.50
3212 9001 2058 OPAL DR 30.00
2155 9001 2058 OPAL DR 0.50
Total Receipt Amount: 91.50
CR136180
USER ID: JAN
L CITY USE ONLY
? BL ?
` SUBD. fv? c-. tL-k,
RECEIPT #:
RECEIPT DATE:
PERMIT# "T--)- LA
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN S -2-Z''dU
3830 PIIAT KNOB RD
EAGAN, MCI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIxTURES EACH # TOTAL
Alterations t existing dwelling - minimum f e
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
SeptiC Systefl7 new/refurbished • requires MPC Iic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x =
'
$
UndefgfOUnd Spflnkl2r if dwelling is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under eonsWCtion 5.00 x = $
Water softener if axistlng dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surchar e .50 -? -> ---> $ .50
rotal _> -> --> ---> $ 26C?15 U
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------- --------------- ----------------------- °-------------- ------ ----------------- ----------- ------ ---------- -------- --------
I hereby acknowladge that I have read- this application, -state that the information is cortect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicant's responsibiliry to notiy the property owner that the City of Eagan assumes no iiability for any damages caused by the Ciry during its
nortnal operational and maintenance adivities to the facilities constructed under this permR within City propertyfright•of-wayleasement.
SITE ADDRESS:
51Z1-
OWNER NAME: : \, 4,c.._f-2V1 TELEPHONE #: (451 ooe) ^
-?Ev- s N,i-r l1{-?( • (AREA
INSTALLER NAME: , TELEPHONE #:
STREETADDRESS: w (AREA CODE)
CITY: CV? N? G f1'1??..? STATE: ?
SIGNATURE OF
Municipal Notice of Well Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Gala7cie Avenue West
Apple Valley, MN 55124
Tel (952) 891-7011 Fax (952) 891-7031
DATE: March 18, 2002
TO: Tom ColberdWayne Schwanz - EM
Fas #: (651) 6814694
FROM: Water and Land Management
RE: Weli Permit #: 02-H189977
Municipality: Eagan
Well Type: Sealed
Environmental Specialist: Demuth
The Water and Land Management Section of the Dakota County Environmental Management
Department has received the following pemut applicarion for the well described. If you require fiuther
review of the application or if you have any questions or concerns about it, contact the Environmental
Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24
HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of
the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of
and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Kimmes-Bauer Well Drilling
Date application received: March 12, 2002
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: Kazen Warren
Well Owner: Karen Warren
WELL LOCATION:
PLS Coordinates: sw 1/4, ne 1/4, nw 1/4, sw 114, Sec 02, Town 027, Range 23
Street address: 1042 Kenneth St
PIN Number: 10-47750-040-02
WELL INFORMATION:
Diameter: 4
Casing depth: 120
Total depth: 128
Static Water Level:
Aquifer:
COMMENTS:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110672
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 1042 Kenneth St
Lot:4 Block: 2 Addition: Mckee
PID:10-47750-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Ball
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 -
Alcuin J Metzger
1042 Kenneth St
Eagan MN 55121
(651) 365-1304
Action Roofing & Siding LLC
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
-----------------,
� � For Office Use I
I �
� I Permit#: �
Clt �f �� �� ; . �
� � � Permit Fee: I
3830 Pilot Knob Road �
Eagan MN 55122 j Date Received�— ` (� �
Phone: (651) 675-5675 I Staff:�J j
Fax:{651) 675-5694 JUL � 6 ZO�S L________________�
2015 RESIDENTIAL PLUMBING P MIT APPLICATION
,i" .- / , /� �,
Date:f �� SiteAddress: l �'` ' �,- ���`' /EC � 5� ��-/
Tenant: Suite#:
n���� `� �` � �
.--� �
�������� � -� li � � ` y���-� �� ��� ..��.� ��
�� � � � Name: � � Phone�� � �
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�� ����� x� �,. ���" Address/City/Zip: (I,
���
� � � ��� � ;,,( � �]
,
� � Name: �r ���lK� ' �icense#: ��� ���� p �
� � � � '� -
;�¢ ��� �.� � , �
��zF � � -�o , � �� Address`� � � � � City: ��. /LLL� � �--'
. �
�a� / �
�«��T� � �_ � ; �; �/� �, � "� � ��l,✓ `– ���� � f��
�� r ��;�^� State: �}f'L l� Zip: Phone:
� �" '��
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�z����
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r' � New Re lacement Re air Rebuild Modi S ace Work in R.O.W. �
�_ p — p fY P
��.
��� � — � — — —
g���� � � ��� t���
'� ���� � Descri tion of work:
� ��� �
�r� . �� p
� ���� _r :� ..����
, f �=���e� RESID �NTIAL
''� �� :.
� � � �
� � �� ����r R Water Heater ����►-
� � � ��� Water Softener
� ������� ��= Lawn Irrigation(_RPZ/_PVB)
� "�'"���� � � Add Plumbing Fi�ures�Main/_Lower Level)
p _�-�� Septic System
`� Water Turnaround
,�r ,���� ���, _New
��, � � ��r �
_��x �� � � �� Abandonment
RESIDENTIAL FEES:
60.0 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$6f3.00 Lawn Erric�a«a�t�in��Udes S�ate Suret;a�gzj ���
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes State Surcharge)
"'Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC SVstem N�w(includes County fee and State Surcharge) /`�' �
TOTAL FEES $ � �
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 l 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.
X��'�'� �� �,� � X �-/�r
ApplicanYs Printed Name Applica s ignature
i �, s ,�� ��� �'�� r� ���,��}� �s�- � s r r t� ��;,L,I��`*- WB'�5 a�n��w��...�='�,�"'� -� �-'.�"P!�kt �� � �� I��r �,
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Use BLUE or BLACK Ink
r
For Office Use -7
Permit#: /�/� • /City of Evan s (-�
Permit Fee. /!/
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
IName: /GG'16? ./7e74-2.,,,-; ✓` Phone: Kk S i- 3 6 r- 736y
Resident! I
Owner : Address/City/Zip: /0 '/2. ,A e,i/1 c7 7`A S
Applicant is: Owner Contractor
/ �1 /4//7 e, c T/,I t:�� 0/m9
Description of work: tP'�T' d�� �� f� c�? �/�-/t av
Type of Work
Construction Cost: ,4//i 5VO.` Multi-Family Building: (Yes /Nc )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
c-.
License#: Lead 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 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.gopherstateonecall.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 = ding Code must be completed within 180
days of permit issuance.
/01
dr-
x,2 ICG /,2 �>`'Z�-eA x _/ 4Ir
Applicant's Printed Name .plic.*�s '.natur=
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