1049 Kenneth StGAS WQRK ORDE.R . . . . . . _
1082 Payne Ave. STANDARD 410 W. Lake St.
St. Paul, MN 55101 9 Minneapolis, MN 55408
651 /772-2449 b H EAT I N GO 612/824-2656
& AIR CONDITIONING
. A Blue Dot: Service Co. EQUIPMENT INFORMATION
LAST Yl1 P , (C FIRST_
ADDRESS/Q Kon n,41? CITY
HM PH ?,s i-- LI c,q _47F? WK PH
TECH -" DATE r 1 J
TYPE
MAKE
MODEL p y4 f? p y?p/
SERIAL ? L
IINPUT 57,6 ov
? ORSAT TEST RECORQ
C02 °/6 METERED INPUT S7 t`?UCCfh CHIMNEY TYPE ,4 U/t z-, c•
02 .? % LIMIT SETTING ° FLUE SIZE in.
CO ? % PILOT OUTAGE S•-•?SeC CONNECTOR SIZE .3 in.
NET ST ACK TEMP (? ° TOTAL CHIMNEY INPUT btuh
N
f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
41fJ I 1 i.F f N(i
H.'Hll0
41qje5/9Fi
I SITE ADDRESS: N :10 a t/1)0 ct r, O 411
t h1 , f, [st r?rF
F NNf f H ', 1
i?1 4 'KEF
i PERMIT SUBTYPE:
, APPLICANT:
( F. 1. .' 1 ttli 4- tf I rt 1
TYPE OF WORK:
Ai ir:RnI I t,ff
r MAr. St?lINtt I HsiA 1
nr srR 111 i 1 11N
INSPECTION D. . D.
I??i???ll 1 t+ 1; t?, t? Pxrl l I
, ?
Permit No. Permlt Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
InepecNon Dete Insp. Comments
FOOTINC,S
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
BLDG FINAL
C'-
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
CITY OF EAGAN
Addition McKee Addition #1 Lot 5 Bik 1 Parcel 10 47750 050 Ol
Owner,? ?'?I? Street 1049 Kenneth St. State Eagan, MN 55121
- . I w cs'L
Improvement Date Amount Annuat Years Payment Receipt Date
STREET SURF,
t STREET RESTOR. paVlii 1969 864.37 86.43 10
GRADING
}J??SAN 5EW TRUNK 1968 100.00 3.33 30 60.04 A07512 3/14/79
# SEWERLATERAL 1968 ZO
WATERMAIN
WATERLATERAL& SEW 1968 $850.00 $42.50 20 340.00 A07512 3 14 79
WATER AREA
STORM 5EW TRK 1984 403.00 26 . 87 15 403.00 C003352 8-4-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $200.00 461 10-27-67
BUILDING PER.
sAC 200.00 461 10-27-67
PARK
CITY OF EAGAN
3795 Pilof Knob Road
Eagan, Minnesofa 55122
Phona: 454-8100
A.T_R CO*tDITIONIr'r; pERMiT
Date: `r'-1 18, 1977
`' VSite Address:
1049 Kenneth St.
Lot ? Blxk Z_ Sub/Sec. H4 -I -
' l rail -Mac3c
Nome
g Address `'49 Kenneth St. I
?
? n•; -
City n Phone:
Name Standard EIeatinq & Air Cond.
?
Address1`') '•yest I?ake St.
e
Q
(3 . r
City r1J Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Statutes and City of Eagan Ordinances.
Receipt No.:
Single
Residential
No.
New/Alter./Repair alternation
Cost of Installotion
Permit Fee
SurcFarge .50
?n
Totol '
done in occordonce with all applicoble Stote of
Building Off(cial
BU"ING PERMIT
CITY OF EAGAN 10537
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
RHONE: 4548100 ?
Receipt ?j .
Sits Addren i'? •" `-' -,< L" : :;' ' Erect 13 Occupancy
lot p 81ock Sec/Sub. Remodel ff Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
_ Move ? Length
d Name ' -- T '
W
Demolish
?
Oepth
? Address ?r+ Int Impr. ? Sq, Ft.
City Phone Install ?
Name
s? Addrem
City Phone
Addrass
City Phone
1 hercby ocknowledqe thut I how rood this epplication and stote that
tM inlormotion is oorrett and ogree to tomply wifh oll opplicablo
Stote of Minnesota Stotutes ond City of Eaqan Ordinonus.
Sipnofwe of Permittae
H Buildiny Pennit Is fuwd ro:
oll work sholl be done in otca
Buildinq Offidal
Stote of
Assessment Permit :3 r'
wcte. a sew. su?cnarge
Police Plan Review
Fin SAC
Enq. Water Conn.
Ptonner Water Meter
Countil Road Unit
Bldg. Off. 7 . _. ? _ Tc PI.
APC Parka
Var. Date CopieS
(`. Il
Total
on tt1e expross tOrldition Ihat
soto Statutes ond City o} Eapon O?dinoncea.
t
with
Pomit No. Pamk HoWw Dab TeIephone ?
Piumbinp
H.VA.C.
ENctric
Sottww
Inpeetion Data Insp. Other
Footlnqa I
Footings II
Foundation
Framing
Roofinp
Rouyh Pibg.
Rough Htg.
Insul.
Fireplace
Ftnal Htg.
Final Plbp.
Final 41?=
Cerf/Occ.
Watsr aaibe Loeation:
Wetl
Sewsr
Pr. Dlsp.
CITY OF EAGAN
3795 PYef Kwob Raod Eoyoe, MN 55122 '
PHONE: 434•8100
BUILDING PERMIT Receipt #
Te 6a r?A fer c" v.,1- • n_._ ...
SiM Address
Erect
?
Occuponcy
Lot Block Sec/Sub. /11ter ? Zoning
Parcel # Repol? ? Firc 2one
E
nlarpe ? Type o# Const.
W Na^1O Move p # Stories
; /lddross Demolish Q Length
b
Ci Phone
Grnde
p
Depth Sq. Ft.
o Nome
W?
' Address
H r..., n?---
Name
llddrcss
Assessment _
Woter & Sew.
Police
Fire
EnW
Planner
Councf I
Permit
Surchorye
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
I hereby ocknowledge thot 1 hove reod this applicotion ond state thot ?ldg. Off.
the inlormotion is correct ond ogree To comply with all applicoble
State of Minnesota Stotutes ond City of Eogon Ordinonces. APC Totol
5ipnoture of Pertnittee
/1 Building Permit Is issued to: on tha exprcss conditbn thm
all work shell be done in acoordance with oll appliwble Stote of Minnesoto Statutes and Ciry of Ea9on Ordinances.
Buildirq Officiol
Permit No. Permit Holdar Miac. Parmit No. Hoider
Plumbiny
H.V.A.C.
Wall
Water
Disp.
S?wer
•
Electric
Irapection Date Insp. Other
Footingt
Foundatioo
Framinp
Rouph Plbp.
Rouyh HVA
Inwlation
Final Plba
Final HVAC
Final
Wabr poseribe Location:
Vlhll
Sewar .
Pr. D'ap.
r- I I `?T -7 ° CTTY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
To Be Used For vaiuation o o Date tl 1 13.1 '1 1
site Aaaress: 1 o y q 1 ??`W? oFFIce usE orLY
Lot ? slocx ( sec./sub. kck,- F f=Erect. i occupancy - 1
D C> ? Altex Zoning
Parcel #: g"1 -75O C7 x.-;c
Repair Fire Zone
Owner•
` `f' 4 Enlarge 4ype of Const.
CAfLb 1 %3 c 1CDT
Adclress : I D `A 9 1 C?"
City/Zip Code: & pj cS-S? I? l
Phone #: L.l Sy & -I q v
Contractor: (?J,
Address: a?a? C z b
City/Zip Code: AI)N
Phone # : ?) 0?' ( ' (o 3 D D
Arch./En5• = af}2 , ?
Address: 02?4 ? o G acoc?
Cade: ? tn ? S UIAl
Phone #: '7 a r- m 8 v a
Move # Stories
Deniolish Front
Grade Depth
APP%)VALS FEE•S
Assessments Pexmit
Water/Scw-r Surcharge 2 %
Police Plan Checlc
Fire SAC
glq. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
ZUTAL
CITY OF EAGAN N° 10 5 3 7
3630 PiIM Knob Road, P O B 21 199 E n MN 55127
- . ox • . aga.
PHONE: 454-8100 ?
BUILDING PERMIT Retelpf #
Te M uwd fer SCREEN PORCH Ee. Value $600 pO1e JIILY 10 19 85
SiteAddrea 1049 KENNETH ST Erect Ex Otcupancy
Lot 5 Blxk 1 S.a/Suh. MCKEE ST Remodel 13 Zoning
Percel No Repair ? Type of Conct.
. Addltion ? No. Stories
Name VIRGIL MACR Move ? Length
W Demollsh ? Depth
? Add
Addms SAME Int Impr. ? Sq. Ft.
cisy Pnone 454-4799 Instan ?
,g Name
SAME
ApOrovala
iNs
?u
Addms
? City -
?W
W Neme _
v? Addms
?W CISy _
Aaussment
Water 8 Sew.
Police
Firo
Erq.
Pl011I1lf
Council
PBmi( J11. JU
Suroharge .50
Plan Review
SAC
Weter Conn
Water Meter
Road Unit
Tr. PI.
Perks
Copias
I hereby ackrowledgs that I hove read fhis epplicotion ond atate thcf gldg. Off. 7/9/A5
the inlormofian is mrcect anQ ogree to comPly with all applicabls A?
Srote of Minnewro Statutes
/ // ` pnd Gry p! Eagan Ordir?pnces. -
Var. Date
Siqrwtum of
w eu+ieuny Pemdr is issuee ro: VIRGI
dl work sholl be done in ocmrdante witY? of??
Bufldinp Official «k
I Total
_ on Tha expreY canditlon 1hot
ond Ciry ofi Eaaan Ordinonces.
CITY OF EAGAN
. 3795 Pilaf Knob Roed Eegan, MN 55122 N9 70
1 1
B
I PHOHE: 454-8100
UILD
NG PERMIT Receipt #
ro ee wee se. GARAGE Est. Value $4598.00 pate November 12 1981
sire nddrcu 1049 Kenneth Street Erect ? acuvancr M-1
Lae_5 BI«k_L Sec/Sub. MeKee lst Alrer ? Zoning R-1
poreel 10 47750 050 Ol Repotr ? Flre Zone MA
E T
C Vn
nlarge ? ype af
onst.
W Carol Stocker
Ncme Move ? # Stories
; Address 1049 Kenneth St.reet DeR,onsh ? Length Z?
U
Ci _Eagan 55121 phone. 45
4-6990 Grode ?
Depth 22
Sq. Ft.-
? T
4
N
3 Approrala Fees o
nay].g
i nn
ame C
ty
stSSS Add.e,s`s_l 2400 E. 26th Street
? /'Iw. IVIII l C_ BL--- ?I /71 -AQnn
Name Sparls
Address
I hereby ockrawledge that I hove re is a;
the information Is carrect and a ee t co
$tate o4 Minnesota Stotutes a f
Signature of Pertnittee
A Building Permil is issueA to:
all work sholl be done in accordonce wirh oll
Build{ng Officiol
and store that
all opolicoble
Sfate
Assessment -
Woter 8 $ew.
Police -
Fire
En9.
Plonner -
Council _
Bldg. Off. _
APC
Permit -
Surthorge -
Plan check _
SAC -
Water Conn.
Woter Meter
Rood Unit-
Taoi $53.00
_ on fhe express condition thm
City of Eupan Ordinances.
., .. .._.
crrv ur r::AGAra
CASH:I:IIF,c , TIEFtM.T.NAL. N[]a 83
liATE:; 09/05i96 lrMl':: 00014
zD ".
n!r,Mr? iaOnECnr.E znc
300 `jGiOi 1049 KI:NNE'iH FiT i.E,c .?5
?_155 90I11 7.043 I:FNNIi_TFI Si :S.Of.)
3L AO 9001 . 10E',0 4iE.E.I-f-_ 5T ibc`..'r.35
205 9001 WEr0 KFf_.Fi:. S7 5.00
;'tc.'.i.D 9001 049 I.F:Ii::F'E. f;'1' I.h9a'i5
215; 9001 049 t:F:E.FF_ S'I' 4.50
'Foi:a:l 1;eeeypt, Amourii; : 408.7t)
f.F.'O6398i
l1SE:R :I:Li: NANCY
PERMIT
? CITY OF EAGAN ,
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 7 0
(612) 681-4675 Date Issued: 0 9/ 0 5/ 9 6
SITE ADDRESS: 1049 KENNETH ST
LOT: 5 BLOCK: 1
MCKEE
P.I.N.: 10-47750-050-01
DESCRIPTION:
- (MAC SOUND INSUL)
6'u?i?ltt?t?g,, Permit Type SF (MISC. )
BuildinghWork Type ALTERATION
Census Code?__ 434 ALT. RESIDENTIAL
-
'2evi s
f iq
4
k ? F.I? F? gdi? PIlf?KJ
C3
REMARKS:
FEE SUMMARY:
VHLUA7ION
$10,000
Base Fee
Surcharge
7ota1 Fee
$162.25
$5.00
$167.25
CONTRACTOR: - Applicant - sT. LIC.OWNER:
HOMECARE INC 18844187 0002116 MACK VIRGIL
9301 BRYANT S 215 1049 KENNETW S7
BLOOMINGTON MN 55420 EA6AN MN 55121
(612) 889-4187 (622)454-4799
I hereby acknowledgs that I have read this applieation end state that the
infiormation is correct and agree tbcomR]?y wYth a11 applicablvState of Mn;? Statutes and City of E"agan 6rclinanees. ' J
APPLICANT/PERMITEE SIGNATURE ISED o: SI j TURE ?
? 14folCITY OF EAG.MN 3830 PILOT KNOB RD - 55122 996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construdion Reauirements Rm el/Reoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copias ol plans (include beam 8 wlndow sizes; poured fnd. design; alc.) ? 2 site surveys (exterior addRions & decks)
? 1 energy caleulalions ? 1 energy caleulationa for healed additions
? 3 copies of tree preservalion plan if lol pleNed a8er 711193
required: _ Yes _ No
DATE: AuQUSt 29. 1996 CONSTRUCTIONCOST: $9,215.00
DESCRIPTION OF WORK: MAC Sound Insulation Project C° ?37
STREET ADDRESS: 1049 Kenneth Street
LOT ? BLOCK SUBD./P.I.D. #: k 'l
PROPERTY Name: Mack Virgil PhOne #: 456-4799
OWNER ""'*
Street Address: 1049 xenneth Street
City: Eagan State: MN Zip: 55121
CONTRACTOR ComPanY: HOMECARE, INC. phone #: 884-4187
Street Address: 9301 Bryant Avenue so. License #: 2116
CitY. Bloomington State: MN ZiP: 55420
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City:
State:
Zip:
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: a 44,2 OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
?E C;?LS? V ?LJ
SEP 0
-?,
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
?? 4 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
?' 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 31 New e33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowabie) Main level 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. <I3,/
Depth Footprint sq. R. SAC Code v I
Census Bidg I
Census Unit v
APPROVALS
Planning Building lwe Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS 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: $ 102 vo0- ?
% SAC
SAC Units
vo
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED IdITH THE CITY OF EAGAN
To Be Used For: Scp,Pe „a cL- Valuation:
Site Address: 1.p49 rnNPT?_
Lot: ? Block ? Sect/Sub a'`CrZ!i
Parcel Ii
Owner M p,G K
Address O P P
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
a0? Date:
OFFICE USE ONLY
Erect r--? Oecupancy
Remodel
Repair
Enlarge
Move
Demolish
Grade
Zoning
Type of Const
11 of Stories
Length
Depth
Sq Ft
City/Zip Code ---------
Phone APPROVALS
Contractor
Lf!? ."14.
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner ldater Meter
Council Road Unit
Bldg Of?Parks
APC Treatment P1
Variance
TOTAL
?
?
??
?,
'f
?
EAGM TOWNSHIP
3795 Pilot Knob P.oad
SC. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• Oct. 27, 1967 POMBER 38
OWPtER: virgil Mack Address 1049 genneth
PLUMBER Kroppelniclfl Typg pg pipg Ext. Heavy Cast iron
DESCRIPTIOPI OF BUIIAING
Industrial` Commercial Residential Multiple Dwelling Na. of units
I X
Location of Connectiona:
Connection Charge $200.00 Pd. 10/27
Permit Fee 7.50 "
SCreet Repairs
Totai $207.50
Inapected by:
Date _
Remarks•
By
Chief Inspector
Iu concs3eration of the issue and delivery to me of the above perwit, I
hereby agree Co do the prngosed work in accordan.^.e with the rules ar.d
regulations of Eagan Toi-niship, Dakota CounCy, Ydinnesota
47
Pl@R.S!? r.oti.fy wb.en ready for inspection and cor.nscC±en an1 befare amy por."3.cn
o£ the wmrk is covered.
E?GFN T(OT.d;TSHIP
' 3745 Pi1oY. K;?.ob Rosd
St. Paul, i4ie±aasota 55111
Telepho:e 454-5242
PERMIT FOR WATER SERVICE CO1VIvECTI4N
Date: Oct. 27, 1967
Number: 20
Billing Name: qirgil Mack Site Address: 1049 %enneth
Owaer: above
Plimber: KTOppelni.cki Pmbg.
Connection
Billing Addresa above
Mxter No. Permit Fee 7•50
MeCer Readinp?_ P1eCer Dep. 15.00
MeCer Sealed: Yea Add'1 Chg.
NO iTotal Chg. 222.50
Building is a:
Residence X
Mul.tiple 80.
Comnercia 1
Ir,.daserial
Other
Inspected bq
Date
Remarks:
Ry:
Chief Inspector
In consideration of the issue and delivery to me of the abova perc4t, I
heTE+by agree to do the proposed i-york in accordance with tlie rules and
regulatione of Eagan ToTimship, Dakota ?Couaty/, Minneso,ta.
10/2']
1
n
Please notify the above office when ready for inspection and connectioa.
W h¢ePER SEi Uwc¢5 kAME... CR??I ?T?'?--"
oe D?.•+F.??_?e??:: ? ?l ? AoDRE55 ?? ?C.C/!L?
C?TY ?N M?
Jo6 N_
/?..?
W
S
?I ? •?
?
I
? $ears
' Sears, Rcebuck and Co.
! 2400 Easl 26[h Sueet
' Minneapola. Minnesaa 55406
T
ix8 HIP -t;- Fun`E
240 ? Si`AL TAfi SR LLILLFS.
?sa wsv.e•.r
?/2? Piv?P?4?-_3 Nttr' .
2a4 ¢wPTEP.i. 24? O• c,.
1
'_Lx4 F7.L?A.?
2Y LC. SOP YL1?TE ?
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FeL18 it U-oCi
ovcru&o-. naer-
,Z MwR16bAe) sieiu&,
16& FE4T nal
Lv4 T1WT lL?dt?-
STQAD A?1CM?E:: E1Lni?.'.
?Y4-0' o.C.
trrsweE "'f
THICI?E J. 5LF0
Q EDGES
SECT?oN
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V?r?iZ t,?c?
?"O 9 Kenneth.__]2?CQS_t %
Eagan, h?ir?:neso-ta--777121
October 6, !980
The Hornorable Dea Blcniquist,. liayor
City of Ea;a.n
379/5 Pi)_ot I_r{ob Road
??agan, I:`inUlesota 55122
De2s b_ayor :ii.LCL1Cgi13.St:.
Tn the last dec2de, the population of Eagan has increased
sibnificantly and the co:Pmunity has growm neasurably. 6?ith -
this nei?r t;ro??ath, co:?munii,?* prot?;ras?s nust ee ini ?ia?ed to raeet ihe
needs of the popul_atione Althcugh at present, the over 55
population of Eagan r.nay seeiiz insignificant ?arhen compaxed to
the city as a v!hele, there e;,i11, in yeaxs to ecme, be aE;rea?er
portion of the ropul.ation reaching this age group. As a serlior
citizen and longtime resicient of Eaoan, Z ieel the_re is a
developinf; need £or a senior citioen center and cregran i'or this vegment
oz our poptiil.atiion. "
At the pxeseiat tirne, seniors v;ho resicie in i;aoan and tieish to
become involved in an or?a-qized seniors program Y?ave cn7.y one
opzion ayaii'-.ble to L-hem, the Friendship Club of Apple Vatley.
Are tnere any plans lor the const-ruction or development of a senior
citizen cerrter or program for ressidencs o7' Eagan ir. -'che very near
Luture? Ii so, are senior citizens included ir_ ;,he r;lanning process
rai i,h regard $o b:co;.,rams ard ac tivities tl.ey i'eel are necessary to
make the ?'rograms raeaningfvl for thern7: If there is rlet a rroposal
for our city, I.°:ould aMireciate !:cior?iug why.
In recent yea-=s a?i emphasis has been placed cn the need ior senior
E1 t1.Z2I1 ].TLtEY'c^-.Ct10i1 V11 tx'? 26-l_1@].T peEY'w and i,f1C-'T0 1S 3 ri8lu &;°73rE21e;,S Of
'Uhe needs ei seniors in rural and urban cornmuni cies. Tile t1ii:.e lias
come ior ct?m ci ty to establish a z;:eetii? ;•lace and detrelop a
If?Ga.Y.l1??? t?!'pr.._Ei,.ii '?;O :5:E8"E '?i.11E ?1C-e(?.S Of $}7.2. SEi?i OY' C1'i:i2eZ1S >ri ClLY"
CO.?l'.ttiCll.i;yr. . _ . . . .
I lookiorti?ard to hea-rii2g froaa yol;
Sincere:Ly, V? ?ll K. Tv.ack
Auth. No
Account. -
Owner
S_ / /?ckce/?-
HOUSE HEAT TFSTING DEPARTMENT
Folio_
TEST RECORD Dat" ZI
S? Apt. Town_E el Yenr Built-_____
Heat I,oes Eatimate MCF,
Meter 5et
Inaulation: Wal1A-
CF/DD- _
Date -_
Weatheratrip: D?oors?y Windows Date
SOLD BY??Ll?/ Inetalled by- Date Inatalled?IL7
v „
Electrical Work by Gas Line by
Reset by
TYPE OF HEAT ? i G. D. ??? C/?on?v_-- MAKE CO
ModeL A SerialY! 7A / Vb Input- Ui goo _
Conversion: Makeof
Firepot Coil
Controle: Thermoeta '?' Heating Plug 4Y?A- Valve ,- LimitZxl, iZ-'. Relay-R-25-M-
Trane.: Make Model _. Sec. VV. A.
Alot Type Make 44 Model
Liner: Kind ?- _ Size____ Riser: Size- _ Length Ells
Reg
L W. Cut
,i
Vent: Size V r,S- Lengths D.
Filtera: CL Rep. Size Number
Chimney: Location -? Pi
Flue Size ? Conc
---?----
Pressure ? /0 - Smoke Bomb-
L
Test Tag
/
it 'V61 Pilot Timing L'n ??• Wiring ?".
Low Water CO Inet. CarrL 6?
3tack Temp- a?`? ? - Fan Setting 10 G -/' ? Controlg je .
Fuee 3ize Gov. Seai
Percent COY Limit Setting 'Z' 0 Vent
s?
Salt Cap Sea eter S' 7 ,
Percent 02Drsft
Meter Seal
Percent CO v Door
Meter Sta+a _
TE3TED BY !?""
Conatruction?el 04--_- Flue-
SpN
Write Oreat Reading for other Sectione on ather aide.
a
? C?i` ^aV OF c/? i?g?i }?
i? n
3795 PILOT KNOB ROAD. P.O. BOX 27199
E4GAN. MINNESOTA 55121
PFIONE: (612) 454-8100
L)A_^'E: June 19, 1484
PE`P11i'TCi ASSE$SlE17T SFARC?I
BEA BLOM9UISi
Movo
TFpMAS EGAN
JAMES A. SMIiH
JERRV iHpMqS
TMEODORE WACNTER
Counrn Memoers
THOMAS NEDGES
City nomnsnaia
EUGENE VAN OVERBEKE
ON G?
RE: McKee Addition /11, Lot 5, Slock 1
1049 Kenneth Street, Eagan, MN
Parcel 1k10 47750 050 Ol
Recuestecl by: Dakota County Abstract Co.
1250 Highway 55
Hastings, MN 55033
I(MULi'1' TFTAT ACCOF2DTCG 'SO 'iHE =RDS OF' SAID 0-FO2CE, '_T73F: FOL7ATln-. l"'sROVy'^^x:*'TS
ARE CC:fPEf-'lPLATID OR PE^IDIf:G AE:ER HAVLYG BEE:+1 APPROVID, P,DPD ARE P'O[4 PT = ?'ROGSS
OF PLAN[QING OR CQ^LpLE!'IO77_
te ccst
NONE
["?P.:
Neither the City of Fagzn nor its e-rployees guarantees the accuracy of the above in-
formation which was req¢ested by the person or persons indicatecl. *br does the City
or its gnployees assimie any liability for the coaectness thereof. In considPSation
for the supolyinq of the indicated in£oxznation in the above form, and for all other
consideration of any nature whatsoever, ary c7.aim aga.inst the City oz its EimloyEES
risinq there fran is hereby Pxpressly waiveci. I,evie3 assessnents to be pELid to the
COUNTY TREASURII2 AT H.aSTINGS, NAi. 55033 or CI"'Y OF EAGAr?.
Vesy trLLlY Yours.
???ti ?
sPECIAr. nss=mrr nxvIsiota
1HE tONE OAK TREE...THE SYMBOI OF STRENGiH ANO GROWfH IN OURtOMMUNIIY
CITY USE ONLY
PE[LMIT #: RECEIPT DATE:
RESIDENTtlEL M£CHlkNICAI. PEitMTT ihPPLICATION
crrYoFEAsm
3$30 PII.OT KNOB RD
EA&AN b1N 55122
631-6$1-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date: ?C7 b
?
SITE ADDRESS: /D V-9
OWNER NAME:
TELEPHONE #: & 5 / S - (4 -7?(
(AREA CODE)
At?R?Jt.?3 F:'SiiC'.9 ?`?9 e?°I ?"s.9{? OD?
INSTALLER NAME: TELEPHONE #:
" d ?+ •° (AREA CODE)
0GS-£"34^a3a"3
STREET ADDRESS:
CITY:
STATE:
Dl?rn ? r6n,1, m.rL nnv4 Tn Thc nnrmii wnr4 tvnn
ZIP:
New resider:: al dwelling unit under constructionand not ownerloccupied $ 70.00
X Add-on, modification_or alteration to existinq dwelling unit
• fuPnace re.place-m.en? $ 50.00
• air exchanger
• air conditioner
• other /
Nature of work: ' c N'?[ olCf.LO/
State Surchar e $ .50
Totai g $
Reminder: Call for inspections.
tLi p L LUUI
l?l
updatrd voi
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIAL 1KECHANICi4I. PFIM1T APPLICATION
CTfY OF EAfiAN
8$30 PILOT KNOB fiD
FA&RN, b1N 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New consuvction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Pracessed Piping
SpecifyNature of Work
When installing/removing underground tank, cal[ 65I-681-4675 for inspection by Fire Marsha[ and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground [ank removallinstallation = minimum fee
%
Contract price: $ x 1%_$ (Base Fee)
State surchaige calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNANRE OF PERMITTEE
Updated I/01
11:56 NOV 29, 2005
FR: THERESR SCHOSTRG #27902 PRGE: 1/1
i/ J
? L_
C O U N T
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.691.7586 - www.co.dakota.mn.us
,SEFIt wq
MUNICIPAL NOTICE OF WELL4PERMiT APPLICATION
DATE: November 29, 2005
TO: Tom ColberUWayne Schwanz (Elv)
RE: WellPermit#: 05-H243467
Municipality: Eagan
Bergerson-Caswell, Inc.
11J28/2005
The Water and Land Managenent Section of the Dakota Counry Environmental Management Departrnent has received the
following pernvt applicadon for the well described. If you require furtkier review of the application or if you have any
questions or concems about it, contact the Environmenral Specialist listed above or our office at (952) 891-7557. 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 perntit. Please note that pemut issuance is always conditioned on the permit applicanYs
observance of and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
.Anticipated Grouting Date:
Property Owner:
W ell Owner:
W ELL LOCATION:
Fax #: (651) 675-5694
Well Type: Domestic
Environmental Specialist: Demuth
Time:
Time:
Virgil K Mack
BP Pmducts, North America, Inc
PLS Coordinates: 1/4, NE 1/4, NW 1/4, SW
Street Address: 1049 Kenneth ST
PIN Number: 104775005001
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
1/4, Sec 02 Town 027 Range 23
COMMENTS:
r, M: IN?;
0 FW Name; vIRGIL IC MACK
M Oarier nMress 1: 1049 NBJi`ffTH
L?7 OWMr NlY? 2:
? C1ty StaYB: S41M P4tA NW
0 Zb: 551211913
? Zone Code: R-1
? ZmeOest: Revtl[ntaSFq'e
0 Landka mtla: LD
0 LarcAhe Dazc: Low oeivt. fba vrts/8ve7
- ? Vear ?: 193
O tz? Va4e: 42eoo
BuJ[Yrig Value: 133700
i I . .. ? Tatal v": 17,
E-3 Sa1g Yea: 0 m
7 sae ntmm: a
0 sie vawe; o
O Sale Ta: 0
ONetTU: ?.%
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1049 Kenneth St
Lot: 5 Block: 1 Addition: McKee
PID:10- 47750- 050 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Horizon Home Improvement
13205 Sheffield Ct
Burnsville MN 55337
(612) 816 -9809
ctures are not acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Owner:
Jerrie Penn
10400 Jay St NW
Coon Rapids MN 55433
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA079393
08/21/2007
ePermit
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