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1045 Kenneth StCITY OF EAGAN Remarks Addition McKee Addition #l Lot 4 sI k 1 Parcel 10 47750 040 Ol ownernoAfFW H 4tf.X1NdEZ Street 104 5 Kenneth St. scace EaQan, MN 55121 Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF, STREETRESTOR.PyV1R '? 1959 $311.50 $31.?.5 10 P?.ID GRADING SAN SEW TRUNK Q 1968 $100.00 $3.33 30 PAID • SEWER LATERAL 19C8 ZO WATERMAIN WATER LATERAL & SEW 1968 $$SO.OO yS42.50 ZO PAID WATER AflEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT - WATER CONN. $481 7-10-73 9UILDING PER. SAC _ - PAFK CITY OF EAGAN Remarks Addition McKee Addition #l Lot 4 Bik 1 Parcei 10 47750 040 Ol OwnerAueiE'?) Street 1045 Renneth St. State EaQan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j STREET RESTOR.PaViII 969 $311.50 $31.15 10 PAID GRADING 5AN 5EW TRUNK 1968 $100.00 $3.33 30 PAID I* SEWERLATERAL I GH ZO WATERMAIN WATERLATERAL & SEW 14ES $HSO.OO 42.50 ZO PAID WATER AREA STORM SEW TRK 1984 40-1.00 26-97 19 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 8481 7-10-73 ' BUILDING PEF. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: ? I . " ? 1 0 4 ? ? ? q ?. PERMIT SUBTYPE: ; ,??,I , } (? 1 t f N ta l i E i '•? f A?r ! 1 T f? E? `'o 040 ' APPLICANT: q F.ci 0 i t ! TYPE OF WORK: A INSPECTION .• • DA itt? MAfi?. •> :`:F- f?Hk Il 1! i't KM ( I', Ill l)!I l h( I:0 F f1R A1dY f 1 f t t{2 ( i' A 1 nf? 1' 1 IIMt3 I NIi WI"IHY ? G Y Permit No. Permit Holder Date Telephone !t EIECTRIC D 15 ?!L l L D? PLUMBING HVAC / (P InspecUon ate Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST fNSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PlE3G FINAL HTG ORSAT TEST BLDG FINAL I/- A Ihl3 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? a -? `? `7 Z? CITY OF EAGAN BUILDING PERMIT APPLICATION Zb Be Used For AQ.s e n;-t Valuation r4 site Ar]dress: ? Lot slock ( sec./sub. me ° , Parcel # : I U L( -?`L 1?4 D qD o ? Owner: A/AlnPr4 ) & j/1/lQ ?e ?7 Address : ?.?E ?r., City/Zip Cbde: - 5 -27 Phone #: ? Omtractor: Altc 6V-d hAr?e v? Ac7dress: City/ZiP Code: f)UrMLI)le ghcm #: ?-?35-- 95 7 ? Arch./En9-- P,ddzess: City/Zip Code: Phone #: Include 2 sets of plans, 1 site plan w/el.evatians & 1 set of enesgy calculations. Date l.1/5-- a OFFICE USE ONII,Y ErE.ct t/ Occupancy Alter Zoning Repair Fire Zorie Enl.arge T?W Qf Const. Move # Stories Derolish Front ft. Grade Depth ft. APP%nTALS F'EES Assessanents Permit 14? Water/Sewer Surcharge Polioe Plan CheccJc Fire SAC Erig. Water Conn. Plamer ' Water Meter Council Rcad Unit Bldg. Off./ -?S' - APC ? TOR'P,L cirir oF EAGAr, 37lS Mkt Kno6 Read Eoyen, MN 55122 r? - PHONl: 4S?i-8100 7 r ? 5 BUILDING PERMIT Receipt # Te be w"d fa Est. Value Dote T9 Site Addrcu Erect p Occupency ? Lot Blotk Sec/Sub. Alter p Zoninq P Porcei # Repoir ? Fire Zone Enlorye ? oc Name W Move Q ; Address Demolish ? b Ci phone 6rode ? °C Ncme Approvals ,o ?? llddreu Assessment - ?' Ci p?ne Woter 8 Sew. r Poi ice ? W NO/^e Firo ?? /lddress Eng, <W City phone _ Plonner Type of Const. # Stories _ Length Sq. Ft. Faes Permit Surthorge Plan check SAC Woter Conn. Wnter Meter Courxil Road Unit I hereby ocknowledge that I hove read this opplicotion and store thot Bldg. Off. the information is wrrecf ond ogree to comply with all applicoble Stofe of Minnesoto Stotutes and City of Eagan Ordinances. ^PC Total Sipnafuro of Permittee A Building Permit is issued to: on the exprcss condition thn+ oli work sholl be done in occordance with all opplicoble Stete of Minnesoto Statutes ond City of Eopan Ordinantes. Buildinp Official . Parmit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. w.u Wator Disp. Sawar EMctric Inspsction Date Insp. Othar Footinyt ? y. Foundation Framinp Rauph Plbp. Rough HVAC Inwlation Final Pitq. Final HVAC Final Water Deseribo Loeation: `. Wall ' Sewer Pr. D'ap. tILLAOE OF EAOAN WATER SERVICE PERMIT 3795 Vil K b R d : PERMIT NO 1243. no oo ot . N 551I7 DATE: .11113r inT 1973 iagan.M R-1 ? i of Units: 1 Na . .on ng: . :)wner: Cloud P 8 addcese 4' y?/, ('Z 4 >ite Address: 1045 Kenneth St. Aumbec: Weierke Trenchina Neter No.: g Cv Connection Charge: 320.00 pd 7/7 d 7 10 ------ -------- ------------------- - - - 00 10 ;iZe: 5? Account Deposlr. p . 467887 t d N permit Fee: •50 pd 7 10 ea er o.: _ Surcharqe: F E a l ifh fh Vfll agraa to eomp oyo o uq n y w e ) di ? azSes: r nances. . -? ? Total: ? ? 3 ?ate Paid: y late of Ins Insp : . . 9l/ gI?4 1 0 G91 515 6 51_5 7? 0??v 00 Requast Date yry / / '- _ Fire o. Fough-In Ins ' n uiretl (VOU must call insped w n ready; InspMion Other Tha ough-In ? qeatly Now ?Will Notity Inspec[or p (P (? ? Yes 25QN. Date Reatly I I)(1 licensed contractor ?owner here6y request inspection of above electrical work at: Job Atltlre ss lSlreet Box r Roure No.) s ennefh ??. Ciry F?i&,4,? Section No. Tawnsbip Name or No. Range N2 Coun",/?(/? ? Occu am r?? ;{_?? } \.(1 i Phone No..56 -91/? ?? Power Suppller SP Atltlress 65EY/uF I ElecVir.al Coniractor Company Name) 4C., Conlractors License No. I APL 6 Ivlailing Atltlress (ConVactor or Owner Malung Inslallarion) .. 21_N6 / AW 5??? 4 ANhonze re iContractor er akin / Installelion) ? Phone Number 7?3-ysV5 rUnlvtl?ty Alve, ? $?m 5??8 SC?ICITV Iry?l I?? II11' I'I'I I? N1II'I? N? pNl INN UNESS E PROPER INSPECTION FEE p 1821 T IIIN IIIIqNI ?INII II NN Ilii Vhone (612) 692-o8W ENCLOSED . REQUEST FOR ELECTRICAL INSPECTION es-ooooras ? ? ? See inslrucpons br comple[ing ihis form on back ol yellow copy. ????F' . U U .J 1 b15 "X" Be/ow Wor overed by This Request ?"`"??,??7•,111 - ` Nev Add Rep. Type of Builtling Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial -Fumace Other (Specit ) Farm Air Conditioner Other(specity) ComrsclorsRemaBS. ? ? l(yZ y??, YL.Lt/c_n-2t'.? ?? Compute Inspection Fee Below: d # Other Fee # Service EnUance Size Fee 1! Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 mps ve 700 -Amps Signs inspemor's nry: TOTAL Irrigation Booms ? Special Inspection , X AlarmlCommunication THIS INSTAL OHDERED DISCONNECTED IF NOT Other Fee COMP' 78?G10NTHS. I, the Electrical Inspector, hereby certity fhat lh b i ti h R° h'in o! e a ove nspec on as. been made. ? oat¢ v? OFFICE USE ONLY This requesl voltl 18 months irom EAGAN TOWNSHIP BUILDING PERMIT Ownes ....... -'--.•'----- ./. ... ................................ .............................. Addreu (Presenf)...l...d.?:?..}._ ...............'--....---•.'-"'-'---..._....._... Builder ...... 7?':!?`.^?'._.Z&n?? ...fk'?°`:?O .:........ .... Addsess .........--....... .... . ........ ?7- .? . .j?. ...... --------'---` -- -----`-... 0 ? ? DESCAIPTION N° 3146 Eagan Township Town Hall Da:a ...... .9.-_??-? .................. 5tories Ta Be Used For Froni Depih Heighi Est. Cosf Pecmi! Fee Remarka .. I U // `? ? °L? a?G-a °J' ?? i'° G ?? ??"T?.A?r? ed This pexmit does noi aulho=ise the use ot slreeffi, roeds, alleps or sidewalks noc doas i3 glve fh ownar or LSa agenY !he right fo eseale anq sifua2ion which is a nuisanca or whieh pxesanls a hazard !o !he heallh, safely, eonvenienee aad ganesal welfare !o anpone in !ha community. THIS PERMIT MUST HE KEPT ON THpE.,?PAEMISE WHILE THE WORK IS IN PROGRESS. .... T6is is !o ceslifp, ................... . ...has permission !o esect a........... -------- -•--- - .....-.-..............._ _ upon !he above described premise subjee! !o !he provisions of !he Building Ordinanee for Ea an Township adopied April 11, 1855. ?q ???? .................................. L"..`._' :::-"'---?.?^"Per ._..........--...1....................... ....-""-"_-'_•_.........._".....'-'............... Building Itupecior Chairman of Town Soerd 16 15 CITY of EAGAN BUILDING PERMIT Ownex Addzecs Buildar Addra4e A4 .... ?Y?i. GIJZ.C?c?? ............................... (Presani) 102?/& ....Ae?ziYF.o.?i? ..:............................ ...............7.?.J,..:c?,f...u...? . ,, N2 3837 3795 Pilo! Knob Aoad Eagan. Minnesola 55122 454•8100 aa:o ..?4..2...'.lZ.t.s.'S.....`..l.J?7........... DESCAIPTION Blosies To Be Used For Fron! Deplh Heigh! Esl. c" asmi! Fee Aamarks ? LOCATION ' This pexmit does aot aufhoxiae the use ot sireeis, xoads, alleyc or sidewalks nor does it give the owner or h[s agen! the right !o ereale any ai2uation which is a nuisance or whieh psesenis a hazard !o the heallh, safetp, conveaience aad genaral weltare to anyone in the eommunily. THIS PERMIT MUST BE NEPT ON T?HE PRnEMISE WHILE THE WORK IS IN PROGAESS. the ]?tdc?.?3? .has parmission !o ai?ast-C2rz,:• • ---.?.•.i?s: ...... _.._upoq This is !o ceziiiy. lhet? . above degoribed premise s jecY io 2he pxovisil?ll applicable Ordinanaes for the Cif of Eagan ""'-"'-._/.?t`.-. .,.? vn? '----'-..................................... Per ??...... -?='?••-.Lc.?,?.1.-.B??1....._......"" ................ ? 0 MaYar Building Inspeelg?? CITY OF EAGAN 9797 Pilef Knob Rmd Eegan, MN 55143 N? 7725 ' PHONF: 454-8100 , - BUIbDING PERMIT Recetpt Te 6s wed hrMASONRY FIREPLACE Est, Volue $800.00 pate Decembet' 15 ,1 q 82 Stre ndd.ess 1045 Kenneth Street ¢recr EpC occupancy Lot 4 BI«k 1 $ec/Sub. MCKee let Alter ? Zoning parent # 10 47750 040 Ol Repoir ? Ptre Zone Nome Andrev Hernandez Enlorge ? Type of Const. W Move 0 # Stories ? Addrea 1045 Kenneth St. Demolisb ? Length_ Cifi, Eag an 55121 pF1O1te 454-7583 G.ode p Depth Sq. Ft.- g Name RiChard Burton r Addrezs f .-:... Rnrnravilln ..___ 4?S?QS7R Nome _ Addrcm I hereby ocknowledge that I have read this application ond stote that fhe information is correct and agree to wmply with oll opplicoble State of Minnesota Statutes qQd Ciry; of Eagan Ordirwnces. $ipnofure of PermiMee ? A Buildirg Permit Is issued to: ? oll xrork sholl be done in occordance with Building pfFiciol ADYrovols Faes Assessment Permit 14. 0 Water & Sew. Surcharge •50 Police Plon chetk Fire SAC Erg. Water Conn. Plonner Water Meter Council Road Unit Bldg. O(f. APC , Totol $15.00 C/ on tha exOress tondition thnt Minnetoto Sfatutes and City ot Eagan Ordinances. cin oF ee,cnN 3795 Pilot Knob Road Eagan, MN 55122 N4 4479 PXONE: 454-8700 BUILDING PERMIT APPLICATION $5t000. Receipt # ?3Z9 _ ro be used Fo. Addn Dcte September 8y 19 77 Site Address 1045 Kenneth Erect ? Occupancy Lot4- Blockl Sec/$ub. M..Ree _ Alter {] Zoning Parcel # Repair El Fire Zone _ Enlarge ? Type of Const. z Nome - pm}},.-Hm?nde.Z Move ? # Stories 3 Address 104S u6gA Demolish ? Front ft. ?.._- r..l. ? Cit Eagan Phone 454-7583 Grade ? Depth ft. s.._.......?. see. o Nam Schomaker Coast ?? Address 1400 Clement St, ? ,.:.lSen. Hehts ow,.__ 457-2935 Nome _ Address I hereby acknowledge that 1 have read this the information is correct and agree to c Stote of Minnewta Statutes-end CiN of $ignature of Permittee A Building Permit is issu oll work shall be done iv itian ond state that with all opplicable Assessment _ Woter & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit +o.vv _ Surcharge 2.50 ' Plan check SAC Woter Conn. Water Meter Torol 20.50 umcci wus y on the express condition that appliwble State of Minnesota Statutes and City of Eaqon Ordinances. Bullding Official - _4'?- - 3 p 6Q M Request Date ?/ 6 Iy T 7/4/'. T? No. RougRin Inspection equireC? o ?/ ? Ready Now qWl Notify Inspecmr " YJnenReatly? I` licensed contractor owner hereby request inspection of above electrical work at: Job Atltlress (Slreat Box or Route No.) L? Ciy 1x+ti eish e. /?N 4 q h Settion No. ? Township Name or No- F Range No. 23 Gounry D i q a,y kKG f - OccupanllP'TRINTI Phon e1 N?o. It.rh KU , Power Supolier ntltlress ti'S Eletlrical ConVactor cOmpany Name) Contreclor's Liwnse No. Mailmg Atltlress COmracror(o/r Owner Meking /Inslallalion, ?? KC,htiG h 5f? ?a 4?, Mk , ssiz r AmM1OrizeO Signawre na? M=o-,^q Installahon ?i??? -- ? Phon456e Numbe: ' -9(t MINNESOTA STATE BOARU ORiCECTPICITY THIS WSPECTION FEOUEST WILCNOT Grigge-Mltlway Bltlg. - Poom 5-173 • BE ACGEPTED 6VTHE STATE BOARD 1821 Ilniversiry Ave., SL PaW. MN 55106 . . UNLE55 PROPEq MSPECTION FEE IS Phone (612) 642-011110 ENCLOSEO. REQUEST FOR ELECTRICAL WSPECTION .:'s`??", m nnn EB-Oa00t-OB / ? See instructii lor completing this brm on back ot yellow copy. 3460 Q ? "X" Below Work Covered by This Request ??;•'?'' ew Adtl Rep. Typeof8uilding AppliancesWired EquipmenlWired X Home Range Temporary Service Duplez Water Hea[er Electric Heating Apt Building Dryer Other (Specity) Comm./Indusirial Fumace V r C. O 1? 4P1 Farm Air Conditioner Omor suacilp Comractor's Remarrts- Compute Inspection Fee Below: n Other Fee !r Service EnlranceSize Fee # Circuits/Feeders Fee Swimming Poal 0 ro 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspectors Use Oniy. TOTAL m Irrigation Booms /J . J" Special Inspection AIarMCommunication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby certify ihat the above inspection has been made. Rough-in # -ui F;,,ai ate OPFICE USE ONLY Tnis request vold 16 monms tmm VILLAOE OF EAOAN WATER SERVICE PERMIT 3795 Filot Knob Road PERMIT NO.: 1243. Eugan.MN 55122 DATE: -?$31}'-1Q, 1973 . 'Lmiing: No. of Unite: --.1.-.---?--.. Owner:_Cloud M. Wildep4uei __ Address: y - l --?? " ? - Site Addrese: _- 1045 &eIIIIeth St. Yiumber: __Weierke Trenchina Me[er No.: Z$]???7 C?' Connecdon Charge: .320.00 pd?10 Size: 578 Account Depoeit 10.00 pd 7 10 Reader No.: 467887 Permft Fee: .50 pd 7 10 - - I ogrw ro cemylr wNM fM VqMye eF Eoyos 6urc6er;e: Ordinoncn. . azges: ? ? Total: By 'Date Paid: Date of Ins . - Inep.: / ? ? \ .' eDetached ? Attached CEMENT TICKET WESTERN $ide?V Xxo-;V/X a/ Apron Address ??-5e /)-e7n? ?J Name Telephon `???30ffice Permit Obtained By?i(!? Date Promised ?`?? Salesman Cement Man ?40krooW Cement From Fill From krl?wiremesh ? 1/2" Rods cp,i Conduit Pipe A-4Off's' r c Overhead Door Size $ervice Door Location Q ` Old Garage Removal Old Cement Removal By Driveway $ize ? ? ?y? Blox Size and Location ??,G? `? Waferproo Excavation Grade - Flat Backfill PLAN DETAIL 3iv(- Date Gradua Steep Slope Slope ?, m 1'M' .IT, , ,d?N% , ? ? ,- ---> I ? -t ;?5po " -7 y CITY USE ONLY ?j L ?_ BL ? RECEIPT #: 6 5? / SUBD. DATE: 19111?19& 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: q - IA-q (, ? Minimum Fee: Add-on/Remodel (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 v2C. s-e SITE ADDRESS: /04S Jt OWNER NAME: I?%`Y4 Yo <2l2 PHONE INSTALLER STREETADDRESS: CITY: STATE:? ZIP: ??4ZI9 PHONE #: cirr use oNLv 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 commercial/industrial buildings. ? multi-family buildings when separate permits are IIQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee Qr 1% of contract price, whichever is greater. p Processed piping - $25.00 1 State surcharge of $.50 per $1,000 of px-mit fee due on all permits. GONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER:. ADDRESS:_ CITY: TELEPHONE #: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR :,'::;`k',%i??k:%n:'b'?:X;?'7n??:lY;kW.?%?Yf•>k'M, 'X. Y.F.?k?ti ?'M?k??F?Ck;Yn????.NCi;:h'< C:f.'t'Y r;F EA[,APd GF;S?,rF:Rs u' 7'l=.f;MtiVA'... N Os (;?u B,,}"fFi:,: 09/1.7/96 7:[ftlii:^ 00.`:);;37 !D '„ NAtil-,! I;:F'V'I:t+• TFIDMf'P5ON I-ICIi,&i;S :Ctdr, 3217 9001 2785 f':l:1..!1T h;RlpYi i?i37.25 3422 S?il(.i:l. 274S5 P.[L.I]I KPlC)fi i43.63 'r.205 `;ri(]i 2783 FqI._Cl7 IMpB i.t).(](3 3F`i.[i 9001 :i..r.148 Y34:r1?R7Gt S 28705 3422 '.)f!fi:l. 04e2 Br:-rTr:rr..r::: 9 143.63 205 90u0;. i.rJ42 Lil=Air6i:[C;li S L(:l.p[? 321i7 9001 1037 BE_i-i1F=.TCf1 E; 274„75 3422 9001 10r37 BEnrN,7Cr: 9 07.:38 2:!.53 `.iiCifl:l. W.ii [ilEFlTfiICl.iC F; 9.,50 3210 :idi:lp:l. i.045 KE:h??+!i-:TFI :5r 24.9.75 ''.F'064539 >k:k .f;0Nr;!:Nt.lE: U9e'F, :I:I?; PJpNq'y M%R (:ph!77:N1..1!i' 9r.yriiK9F.X;1F ?fiYF.'M 'M'?(•?F.'},'.yFyF?X.:.:f:Y;#?R?km?JK?kM' ri??.'?F u:J:'M? 'M":k?K7k CC1P.T.[N_!f:. C7.?Y 01FAC:l-itd C.iA',iiF4:l:l::l:° s T'1=FtMINA1... NO. F'S D.t,'i'E:; 0::7f i?/':3fi, ':f.Ml.ii: r iW029 i il ;; Nr-;Mt . r:t::an:N r'i-iOMPSaN HraMl_?:; :i:Nt: 3422 9001 045 I:I:P1NI-'iii 57 W,.88 2155 'at:It]:t. 1045 K,_:N*3i=:iFl S"r %.";0 "fb':.-.-?l, f"rc::al=:i.pl; r"dnr;un'tl: I,,F,'':F,.'.'i2 ivI;:11645: i`:) U:;E;; Iri„ NAncv ,.,?„?y??rY(• Y:'„'9F.?F'K:m%k:t::?M y?:s:,??:.Y':Yr%k:Y.'??,K'#.?k?"kB:?F? m.?'..?r"..`kig* PERMIT CITY Of -EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 , Date Issued: -?C BUILDIN6 ` 028834 09/17/96 SITE ADDRESS: 1045 KENNETH ST LOT: 4 BLOCK: 1 MCKEE P.I.N.: 10-47750-040--01 DESCRIPTION: MAC SOUND INSULATION ng Permit Type SF (MISC.) Work Type ALTERATTON G,dde 434 ALT. RESIDENTIAL i q ? IP.t % 5!5f 3t s "r"y ? g ? 11 xi € 1 "?F ?s?" ?a&t^?'iklii: 9s"% REMARKS: SEPARATE PERMITS REQUIRED FOR ANY EI.ECTRTCAL QR PLUM6ING WORK FEE SUMMARY: VFlLUATION 6a58 F26 Plan Review Surcharge Ttltel FEe $249.75 $124.88 $8.50 $383.13 CONTRACTOR: KEVIN THOMPSON HOMES 14769087 P 0 BOX 794 WAYZATA MN 55391 I ` "Z' , h e? • `in:'f?s ? _. ?.. . ? -j??- APPLICANT/PERMITEE SIGNATURE $17,000 OWNER: - Applicant - KQPP 7ERRY 1045 KENNETH ST EAGAN MN (612)687-7000 ?- . ??Y ?.1 1?? CI"fY OF EAGAN 3830 PILOT KNOB RD - 55122 1 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Constmellon Reauirements RemedeVReoair Reauirements ? 3 registered aife surveys 4 2 eopies of plan ? 2 copies o/ plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 sile surveys (exterior addkions 8 decks) ? 1 energy wiwlalions ? 1 energy ealculatione (or heated addilions ? 7 copies of tree prexrvation plan 'rf lot platled after 7/7l93 required: _ Yes No DATE: - ? CONSTRUCTION COST: ?Z ?q ' //4 ?D DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK -?e SUBD.lP.I.D. #: PROPERTY owNeR CONTRACTOR ARCHiTECT! ENGINEER Name: /",, 0 Street CityState:,//)?Nv Wt . ) \ I fMYi State: Phone #: City: State• Jj 4 Z}'p: ??,? ? s? ? ??y?"+,?? 3? n?on?? ? %? ?? Company: , -y Street Address: License #: d Company: Name: Phone #: Registration Street Address- City: Sewer & water licensed plumber: change are requested once pertnit is issued. 6-87- -7jvd Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informatio is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances.? Signature of Applicant: OFFICE USE ONLY ???ENED Certificates of Survey Received _ Yes No 9 96 -------------- Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish p' 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/R em. ? 17 Swim Pool 0 03 SF Addition o OS 8-plex ? 13 Garage/Acces sory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE n 31 New X'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System ' - (Allowable) Main level sq. ft. T City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. R. Booster Pump length sq. ft. Census Code. Ll3H Depth Footprint sq. ft. SAC Code O1 Census Bldg ? Census Unit o APPROVALS Planning Building nA5 Engineering Variance Permit Fee Valuation: $ i 7 FOno, -? Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit SMI Permit 5/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units ., BUILDI13G PiRN1IT APPLICATIO?I Date: `7 O'_/7 LOTZi_ BLOCK ! ADDITI0:7 1 q , ET= Pb1RCEL & SECTIU3 FIUFSBER IF UiIPLk12°PED ADllRESS OF PARCEL I045 I ? FT.?I.i ?`C rl 20020G OCCUPANCY ? ? • USE G-c-C ESMiATED COS7 JYCJOO •Zp 0?^PlE2 ?e 21.-) r! IJ ?F Z TELEPHOAIE N0. y ' 7 S?3 T ?. ADilRESS ? C) t-I C T\ E h;` 1.? E'7iJ COSdTR2tCTOR ?',i.\Ct1qqI;EQ 0 A7S--j TELEPFiOIVE 100. Lt 57-Z?13S rDn' REss 1t406 L?- ,v7 S7 - K1 erJ ao-t < t 11 t- i crNTs , X4r.?[dotes Include site plan, building plans, and energy calculations with this application JL. Signed OPFICE USE se VALUI1TIOi7 SAC t?MER COc2:7EC^IOiI W71TEH ?-;ETER BUZLDING PERI•iIi FEE o? SURCIiARGE FEE ? PL:ra3 CFXCIt Ft;: ? PAEtK DEDICIaTIM,! FEE OT. ::R TOTFL* APPROVb1LS: ASSESS',+IE;:T CLERK BUILDIIJG D POLICE DEPT. WA^ER & SEPtiR DSPT. FI*tE DrPT. PARK DSPT. ? 0 Z 4 T ? )L ? 0 N W > w J ? V Lo' ?o I \ .? I ? '_ o" t- 1_ _., 'loG''Ac'eoov F..y./ST.?G u? iti,pow O \ ?12 ? I?tyWOOD 5? a: • 2.xSf -?Io?? Oi? S` ` ??L./ ???N? a • 0 31? .SorST n? ? L( H V? INS?cp??on.? y,a`: i ed ?y? 5?.,?Fa?„ ? \ ? ?7 zb" FonT?N(? Me ? Mes• f????NA?DEL ? DO P?R? I oy s Ker? N?ri+ ?, o„ C. ar., 1-t5'-1- 7583 y5? r7 = ?_oT y, 3Lock c.-EE ,4A=1. i Ven'f'?L.u? I ?(o p FwsN ???61e c CcnA2 SNAlqES zv3Z co?jpo.Sµ. 2titi S-IAs 16"% 3yz"v,cX iR5,10,ou '/ L / SHEET2ocu til. 55 //8' 4 i , i I ?? I,II ? I ?Kr7r,Ny . ; o q' ?'(??cHsnl ii?' ? I? ?I Io D O Clec?nua , C'emoval oY S?oo?LS?c1e??a1?C, Z,4 b-?`^`?` U?C?P!''A?.?1MQ'/l.?> i'(1Su?Ct`?oy1? I??eCio2 . ??e e ? -- I Clbc?.f , ?JT?2r'S ? V???t'v(1 ?'F?.oo?coJPe?NG ? ? ZY (o RAPTc 25 I b?? 0.?. y I v6 •.w„ 32ac??c ?z•? o,?. 7i.Y(o U:ILirJG ?oq51'S Vz ?L? WOrJL? ?HFHfHINb ?351T- ??s??NA?T SH?r?fGIES IS-li'F FE?-T pf+PcZ, , ?aue.L'1L?nc? iNSv?47i onJ - 13aTrs a ? ?'. Z.YIZ NEAOL-P,'_? '_----- 4wc 1?` \ ? 0????na?Tr a.I.ttHS ? -- _ II+I? ? - u - Ke--MoV2 WA4l...- - - - ? I ?? d I I j? 0 0 00 k J K ?L ? ? w• S?- G.'? 128?68 ?H• H?-Ivs" ? ?- 24-2,o O,N. H•C.Ew,?yC , 1`?u?15 ??rH iNS. R?DWOOD ?L. ?. $C2e6?.1 JTnop 0 TA NGN7S 2,93 S r?unx?¢ t - es 'ms, enneA . ? ?... EAGAN TOWNSffiP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SES+IBR SERVICE CONNECTION December 29, 1972 DATE: 7Julv 10. 1973) NUMBER 1372 OWNER: Cloud M. Wildenauer Addzese 1045 Kenneth St. y-1 PLUMBERWeierke Trenching &Exc, TypE OF PIPE heavy cast iron DESCRIPTION OF BUIIA ING Industrial Commerciall Residential Multiple Dwelling No. of units Location of Connections: Conaection Charge 260.00 pd 1/10/73. Permit Fee 10.00 pd 12/29/72 P Street Repairs Total Inspected by: Date Remarka: Bq Chief Inspector In consideration of the issue arni delivery to me of the above permit, I hereby agree to do the proposed work in accordaace with the rules aad regulations of Sagan Tormship, Dakota County, Minneaota By Weierke Trenching & Ecc. Please notify when ready for inspectlon and connection and before any porCion of the work is covered. MASTER CARD LOCATION Mek / OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OTHER I OTHER I Items Approved (Initiai) Date Remarks Distance From Well =ooTiruc ? /b-3•71 SEPTIC FOUNDATION CESSPOOL FRAMING y- ?p - TILE FIELD FT. FINAL ELECTRICAL DEPTH HEA7ING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - Violations Noted on Back COMMENTS: L 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. ? NON-COMPLIANCE. BUIIDER WILI COMPLY WITHOUT DELAY. OF INSPECTION NON-COMPIIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. .1 DESCRIBED AS FOLlOWS: ? REINSPECTION REQUIRED DATE Of REINSPECTION REVEALED CERTIFICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and tha[ I have reported herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific reQUire- ments for off-site improvements relating to the propertV inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOft OOW 23 MASTER CARD LOCATION OWNER ."? STRUCTURE AND LAND USED AS Permi} I No. Issued Issued To Coniractor Owner BUIIDING PLUMBING 383 ? sl ?OZ? 7?0 ??s.?? vJ V' ?,??.,yg [a - CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OiHER I OTHER I Items Approved (Initial) Date Remarks ' Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 21 Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OP OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED NSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that I have carefully inspected the above in which 1 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 require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED UILDING INSPECTOR DATE ? 23 -11775 U 04f0 o+ oRDLvaNcE No. iia: WELL CONSTRUCfION AND ABANDONMENT Permit No. OOF WELL PERMIT 90-9138 `? DAgOTA COUNTY PUBLIC IEALTH DEPARnlENT - ENVIRONMENTAL HEALTH SERVICES SECf10N ? WATER QUALITY hIANAGEMENT UNTT 33 E Wentworth Ave, West SL Paul, MN 55118 Telephone:(612)450-2607 WlEREAB, the BERMITTEE/DSA: Associated Well Drillers, Inc. ADDRESSS 13160 Pioneer Trail Eden Prairie, MN 55344 has submitted a permit application, has paid the sum of one hundred ($100) 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 obtaininq this permit to permanently seal the well(s) descri.bed herein: An abandoned well(s) with a casing diameter of 4 inches and depth(s) of 144 feet will be permanently sealed. The well(s) 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 on the property of: Owner: Andrew Fiernandez Well Location (if different): Address: 1045 Kenneth St., Eagan, MN 55121 Telephone: NOW, THEREFORE, Associated Well Drilling Co., Inc. is hereby permitted and authorized to permanently seal the well(s) described and located above for the period August 1990 to Auqust 1991 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 23rd day of Au t, 9 0. NON-TRANSFERABLS ENVYRON!•NTWHEALTH SPECIALIST n /X6177 aYi ATTEST x-a' ?• ?•w??.?? ENVIRONMENTAL HEALT? SUPERVISOR PUBLIC HEALTIi DIRECTOR For Office Use I Permit 1 C! G City of Eaaau Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: ' Phone: (651) 675-5675 I1 Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ja 7 Site Address: Tenant: l' t A NL J4~' `l'~`54 .V 2-4 Suite RESIDENT / OWNER Name: /114"1 )L SaN ' 4 54 AZ41-Phone: d 5-1- 6(3 - ov 6°1'0 Address / City / Zip: Applicant is: Ownerontractor TYPE OF WORK Description of work: y Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 4sQ / /I4CCt'SS / S License 028 J'4 Address: "A'-,9. 61 x aYa (f City: .Ti+V a tr Gko J L° 4t• State:' Zip: 550-2z- Phone. Contact Person: C X1.4 S 'tc' ~`t tt r...0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) . Energy Envelope Calculations Submitted 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, d e and address of master plan: o Licensed Plumber: t /4 Phone: S I ~Wa _ gel .00 G S/- V 5 2 8781 Mechanical Contractor: 431AJeP__ Phone: Sewer & Water Contractor: /V A 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 they are trade secrets. 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. X (~_441- Ile5 P. EhAuN X Applicant's Printed Name V Applicant's Signature Page 1 of 3 ~~~~0~009 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Porch (3-Season) _ Storm Damage 7X Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/GazebolPergola) Exterior Alteration (Multi) _ 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foditdiation; Replace Repair Egress Window Water Damage Retaining Wall • ' *Demolition of entire building - give PCA handout to applicant DESER}PTION°"~' •t ::ti t,' r• s•:° 1? Valuation >Occupancy~t /1 MCES System Plan Review Code Edition r SAC Units (25%_ 100%Zoning 'q, ty Water Census Code Stories Booster Pump # of Units " Squara Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) SheetrAck Foot ttgs t;k) "-Fina6JC10 Repuiyq0`,' Footings (Addition) Final I NoC.O. Required Foundation 4 r, HVAC" Drain Tile Other: Roof: _Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath Stone Lath Brick Fireplace: _Rough In Air Test -Final Windows 4-1 Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDE 1 AhL FEES=, .4.41: +a . Base pee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Lf i Treatment Plant Copies , *.at,:. TOTAL Page 2 of 3 07/23/2009 22:56 6514577116 BINDER PAGE 02/02 ermlt P City of Eaftall Permit Fee: Q 3830 Pilot Knob Road Eagan MN 55122 Data Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION Date: -7 Site Address: l O L € hN Y1 ApAh 5~ . Tenant- ii Suite Name: a CS QI"Phone: RESIDENT 1 OWNER Address /City ! ip: tid u e. ~Cnp~ v~ t^V ` ~7t Yti 5 CONTRACTOR Name, Z1,'Y/._ License , ` - Address: 2ZZ all , • . N City: O S+. State: mfu zip: Phone: (QSj lUSQ_J$- Contact Person: &42=.?) Ira L•ri TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: Mile , o uV.( PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace Now Construction - Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas -Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / - Remove) " When fnstalling/rernoving tank(s), call for inspection by Fire kol' Other Marshal and Plumbing inspector RESIDE'NT'IAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X 1% $50,50 MInlmuj'i (includes State Surcharge) $ Permit Fee - If Permit Fgg is less than $1,000, surcharge is $.50. Pe If EM fm Is > $1,000, surcharge increases by $,50 for each State Surcharge $1,000 Permit Fee (i.e- a $1,001-$2,uoo Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this Information is complete and accurate: that the work will be in conformance with the ordinei es 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 star without a perm It; that the work will be in accordance with tt# approved plan In the case of work which requires a revia and approval of plans. x CLk X Applicant's Printed Name Applicant's Signature F76YRrJC~ic'l~' R' t1k ct in tFbth Under around dtrO h frI ,off 7esit _ a Sar (rye At, ,r,el; y wc, Eatibr; tWAC,S@Vir{ )htio`~t 41 Jul .15 09 03:44p Jim Murr Plumbing, Inc. 651-457-4.256 p.2 ur=v 74J f9CJb NO. 660 901 City of Capp 3830 Pilot Knob Road Permil l=ee: Dole- e : Eagan MN S$122 Phone: (651) 675-5675 Fax: (651) 675-5694 Q L-------------- -I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: "7' Site Address: 6,15 suite 0: RESIDENTIOWNER Name: Ojatiaf Phone 5r 9~l ~i p Address1City/Zip (0`15 nne - CONTRACTOR Name. Ti", 1Y% Address: 'T Sc) ~iti. rah . City: State: M iJ Zip: 55055 Phone; (=51 - Y 5') -1 31Contaet Person: V rnVi Ot U~ 1 ~Afi TYPE OF WORK i New 1eplacenaent _ Repair w Rebuild ` Modify Speee _ W" in R.O.W. Desert Lion of work: 2IIM.&A PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation ?/Add Plumbing Fli es RPZ PV8) Main - Lower Level) Septic System Water Tumeround -NOW - Abandonment RESIDENTIAL FEES; $60.50 Nk Lnum Water Heater. Water Softener, or Water Heater and SeItener (lndudas 5.50 State Surcharge) $30.50 Lawn Irrigation (induces $.50 State Surcharge) $50.50 Add Plumbing Fioctures, Septic System Abandonn Water Turnaround- (irxiudes $.50 Slate Surcharge) 'Water Turnaround $185 00 if a 518' meter is required) $1004" Septic System New ($10.00 per as built) (includes County fee and $ 50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (inaudes 5.50 Stale Surcharge) TOTAL FEES S I hereby adcnowedga that the irdormation 16 eomple110 and I wmo. that the ' lr ~l ba in confcmianee wilrh the or~mawces ono come of the City of EaMm: that i u~erststd his is slot a pennit, but only an appMaalian far a pernhit end work a nee to atxordaf~ce with approhrad plan in am case of wart wA1Cn requires a raaiew and approval of plans. start "mum a perishit; oral tna a0m "w be X nn Mvt( Applicarwe Printed Name Appt#Can a Signature FOR OFFICE USE Re+ war or. Date. Required Inspeatlotto: T Under Ground ~Rtw6t>`ifr Air Tes#.. Gas Test itted PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153196 Date Issued:11/29/2018 Permit Category:ePermit Site Address: 1045 Kenneth St Lot:4 Block: 1 Addition: Mckee PID:10-47750-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Luz M Baltazar 1045 Kenneth St Eagan MN 55121 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature r For Office Use � � � • R • Permit#: • • • R .„, EAGAN Permit Fee: / f -Sty Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: bu ildindinspectionsecitvofeadan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Addre s: Unit#: Name: i 4 I a 0 AI ` G , Phone& SI YC S / 7 Resident/ Owner Address/City/Zip: /C y 1- /6-J-2/7--6- Applicant 6f7/7- —Applicant is: Owner Contractor Type of Work Description of work: P1.—Q0 Construction Cost: Multi-Family Building: (Yes /No ) • Company:/v / ):yroi-tvz/L. l 1/ Contact: Contractor Address: City: State Zip: Phone: Email: 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 Gy to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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. 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.aopherstateonecall.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 p it; that the work will be in accordance with • e approved plan i - cas- .f ork which requires a review and approv-.f pla,-. f s. • Applica 's P inted me App"w-n s Set atur