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1061 Kenneth StCITY OF EAGAN 3799 Pilot Knob Road Eogon, MN 55122 N2 5793 ' • ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Da te , 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone E t T f C nlcrge ? ype o ons . W Nome Move ? #k Stories 3 Address `'? -- Demclish p Front tt. 0 r:«., m ...... Grnde f-l DeDth ft. w o Nome ?rr•?-?•? , ?? Address Assessment ~ Ci Phone Water & Sew. Nnme Pol Ice FW Fire ?? Address Eng. <'Z" Ci Phone Pfanner Council Permit Surcharge ? Plan check 5AC Water Conn. Woter Meter Road Unit I hereby acknowledge thut I have read this appiication ond state that Bldg. Off. - the information is correct and ogree to comply with all applicable , State of Minnesoto 5tatutes ond City of Eagon Ordinonces. ApC Totul Signature of Permittee A Building Permit is issued to: on the express condition thot all work shall be done in accordance with ail applica6le State of Minnesoto Stotutes and City of Eagan Ordinances. Building Official Panet! # Date tuaad PenniMos Plumbing Mechonical INSPECTIONS DATE INSP. Rough- I n Fi nol Footings ? Date Insp. Date Insp. Foundation Plumbing Frame/ins. ?s Methanical Finoi Remarks: CITY OF EAGAN Remarks Addition McKee Addition 4k1 Lot 8 eik 1 Parcel 10 47750 080 01 Owner,?M V&J /U. a- LJo!'w-H?- Street 1061 Kenneth St . State Eagan, MN 55121 UNroh Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, paviII 1969 $311. 50 $31. 15 10 PAID GRADING SAN SEW TRUNK 1968 $100.00 $3. 33 30 PAID * SEWER LATERAL 1968 ZO WATERMAI N WATERLATERAL ? S 1968 850.00 42.50 PAID WATER AREA - - 3 STORM SEW TRK gp 1984 303.00 26.87 15 262.60 CO10000 1-16-85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $200.00 769 5-23-68 9UILDING PER. -1-75 SAC 769 5-23-68 PARK -?.,? , ._... a.....?___.._? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' APPLICANT: ? r ? hr?ai ?:? •. ? ? PERMIT SUBTYPE: •,??t ?iN ? i?14', 1 1 141 %Ftd f.•1 141 TYPE OF WORK: Ai E i r:nl i uN i,i r; i?> r I nr4 c MAi "tttirail F•Vn111:r,M„ INSPECTION .. . ., MnHr'; n',f I1At:ni1 Pr Pwi i i•, i-lr (IIir?{r n? 4W nNY fii l ii+iIni Oil I'i iiMillwrl IIOkI F L b ? k T ? ., •q ? ?? ? t. ?- ?? ,b ? PermR No. Permk Holder Date Telaphons k ELECTRIC PLUMBING C 9 f? ?.? NTS HVAC Inspaetlon Data Insp. CommeMs FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PlBG AIFi TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL l BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? r ?< • .o? O41 5 ? • ? - - ?- - ------- _. - ? Of, I ?' ?bAhJC p ?, 1\ ? - ? ? , ? ! CITY OF.EAGAN include 2 sets of plans,. 1 site plan w/elevations ?1? & , BUILDING PERNIIT APPLICATION 1 set of energy calculations. Zb Be Used Fbr ! TC Valuation onn Date site pdaress. -ZQ OFFICE USE ONLY Iot Y Bloclc ? Sec./Sub. ? A& ?-' . . Fsect Occupancy Paroel #: Alter Zoning ? Repair_ Fire Zone Owner: Ehlan3e Y Type of Const. Address _ I"?Te # Stories Dsrolish Front Ls" ft. CitY/Zi Grade Depth ? ft. Phone # Contractor: Acldress: City/Zip Code: Phone #: Arch./Eng., Address: City/Zip Code: Phone #: APPR(7VAIS FEES Assessments Pezmit q, a"a laater/Se,aer Surcharge Police Plan Check Fire SAC Eng. watex Conn. Planner Water Meter Council Road Uiv.t Bldg. Off. APC nYPAL ?7 / tJ "? / S ?;,, -e??Y ac-? ; /0 7 ga ( ??7 ? _ BUILiSING PERMIT APPLICATION sire Address 1061 Kenneth Street Lot $ Block 1 Sec/sun. McKee lSt Porcel # w Nome Stephen Unruh _ 3 Address 1061 Kenneth Street ? - °---_ ..., .,-. .,?.... p Name _ r ?u Address Name I hereby acknowledge ihot I hove read this opplication ond state thot the information is torrect and ag ee to ompfy with all applicoble State of Minnesota Statutes inances. Signature of Pertnittee A Building Permit is issued to: Sj'P DT11II all work shall be done in accordance?vrSfN a li le te o i CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN55124 PHONE: 454-6100 Receipt # N4 5793 Erect ? Occupanty RA Alter ? Zoning Rl Repoir ? Fire Zone 3 Enlorge Type of Const. U Move ? # 5tories Demolish ? Front 15 ft. Grode - ? Depth $ fr. AODrwals Fen Assessment Permit 9 Water & Sew. • 00 SurchargJ Police Plan check Pire SAC Eng. Woter Conn. Planner Water Meter Council Road Unit Off Bldg . . APC 1?. 00 Total 15% lot Cov ra e g e on t he express condition that som.Statutes and City of Eagon Ordinances. Buiiding Offlciul CITY of EAGAN BUILDING PERMIT Owne: ...-IJ...?`'t :.......G?'?:.`.h:??:.?? .............................. Address (Psecen!) ...I.. Are..L.......<--C-`":`??°° ..............---..-°........ Suilder Address ..;. N°_ 3600 3795 Piloi Knob Road Eagan, Minnesota 55122 454-8100 ?-- 7.? Dals ....................................... _....... Bforiea To Ba Uced Far Fron! Depth Hsighi Est. Coct armi! Fsa Remarlu cO-V o-e Sireei, 8oaa or otnas ueseripnon ox Loeaxion I i.ox aioes naaixion or -rsaes This permit does no2 authorise the use of sizeels, roada, alleys or eidewalks nor does it give the owaer os hfs sgen! !6e righ22o ereate any sifuation whieh is a nuisance or which presenle a haserd !o the heallh, safelp, eoavenisaes aad geaeral waltere !o anpone in the eommunify. THIS P£AMIT MUST BE IfEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS. ? This is !o cerfify, !hal....?1?l,_.??? ........:................hae permleeion !o ereat s.... '--........Gl..`..?.....C7.:e.::....._upon the above described premise subjeat fo the pro•nsions of al] appliaable Ordinancas fox the Cifp of Eagan. ................. ........ _.l......_aa-e.. ............... ................... Per .............---------.•°CZR..:...:.:?........................... Mar r ?'--- - --'Buitd9np Inapeelos . ? EAGAN l'OW NSHI P UiLDING PERMlT oW?a= p?i!c± Address (pxeser, $uilder Address DESCRIPTION A1? 150 Eagan Township Town Hall .............. Sioriesl To Be Used £or Froni DepYh Heighi Esi. CosS _I----- Pexmi! Fee --- Ramazks I TION 1 or 4ae This permit does fiof aulhorise the use of slreeYs, roads, alleys or sidewalks nor does it give the owner or his agenS the righf !o creale any siSuafion which is a nuisance or which presenis a hazard io the healSh, safely, convenieace and general welfare to anyone in the communily. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRE55. This is So eerlify, Shaf---------------------------------------------------------------- as pe:mission io ereef a--------------------------------------------------- ...._..._.upon the above described p i e subje ? visions of the Building Ordinanee for Eagan Township edopied Apri1 31, 1955. " ------------------ ?---?` j- ` y . . . ---.... Per . .. ' . .._'_._ ' --------- _------------------ -------------- ... Buildin ......9'. I . ns ...'P..... ecior .......... ._....__....... hairman of Town B M.nnnsoca acace ooara or necmciry Griggs Midwey Bldg. - Room N791 g EB-00001-02 iversity Ave., St. Paul. Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL'INSPECTION ? CHECK BELOW WORK COVERED BY THIS REQUEST S 6 6 5 3 0 Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment W'ved Foi Home ? ? Range ? Temporary W'ving Duplex ? ? Water Heater ? Lighung Fixtuces ? Apt. dldg. ? ? ? Dryer ? Electcic Heating ? Commercial Bldg. 0 ? 0 Furnace ? Sdo Unloader ? Industrial Bldg. ? o o Air Conditioner ? Bulk Milk Tank ? Faim ? ? ? List List Oth er ? ? ? Otheis? Here ) O[hers? Here COMPUTE INSPECTION FEE BELOW Semice Entrance Size: u Fee Feedeis&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eces 00 ]Ol ta 200 Amps. 1 1 31 to 100 Amperes 31 to 100 Am eies Above 200_Amps. 1 1 Above 100 Amps. Above 100 Amps. 'Irxnsfocmers 1 1 Remote Control Circ. Partial or other fee Signs S ecial Ins ection Minimum Cee $5. Remazks TOTAL FE g ? ? f,50 I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough-in) , _ Date _ I_ _ (Final) This request void 18 months Crom l This request void o?C?(¢A, j S 18 months from Date of this Request ?.??.L Fire No. ? "0? J O I, as ? Licensed Elect ' Cont tor Dwner, do here6y request inspection of the above electri- cal wiring installed at: Street Address or Route No. ?? ?????h S:?I• City- (I Section Township Range County Whioh is occupied by - I ' ` -(NameofOccuDant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier Address Electrical Contractor Contractor's License No. (Company Name) Mailing Address (Elec Ical Cont?rac r or Owner In9 ThIs Installatlon?) Authorized Signature Phone No?? - ?r+ ?l?p??? (Electrl Cantractor ?or O e pMpaking This Installatlon) ????? ?'t???yThisinspectionrequestwillnatbeacceptedhythe r? 15 ? State Board unless prapar inspeetion fee is endosed. 0? °d'§-o Requesl Oate /-? Fire No. ougbln Insp ' n Requiretl Inspection Other T n ough-In (Pou must celFinspecl r w n reatly) ? Reatly Now WIII Notdy Inspeclm ?I) N ? Yes o Oate Featl IIlcensed contractor ?ownar hereby request inspection of above electrical work at: Job Atltlress (SVeet, Box or Raute NaJ '1061 ne? ?. Cily flC7/bV Seclion No. Township me or No. Range No. Caun`jy?Jl .!/??-^„ ? Occup t(PRINT) 1 ?? ? PhonW5 a 90 ?- ?' Power Supp r _ S Address Eleariqal ConVaclor (Compeny Name) ConVactor's License No Mailing AaOress (COnttaclor or Owner Makin Installation? N ? ,???e . MN .??uy9 Autho- S- aWre(CONracto wnerMkn ? ;lntallalion) c ? ? PhoneNUmber - , ?7? MIN SOTp STqTE RD OF EIECTRICITV Griggs-Mltlway Bldg. oam 5428 II II I I I I II II I I I I I I 1` I 1 I I !1 'I THIS INSPECTION REpUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 1821 Univeraity Ave., SL Paul, MN 55104 Phonef6121642-OB00 I I UNLESS PROPER INSPECTION FEE IS ENGLOSED. ?rl^ 47;? 3 REQUEST FOR ELECTRICAL INSPECTION ee-00001-09 ? jll? See inslmclions lo. completing ihis lorm on back of yellow copy. 1 5 ? 4?D3 50 "X" Below Work Covered by This Request ?? New Add Rep. Typa.of Building Appliances Wired . Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm.llndustrial urnace Other (Specify) Farm ir Contlitioner Other (speclly) Conhacror's Ramarxs: NEW /x p.A?p Wue Rlk Co1MITIONtZ s4FevtcC Compute Inspecfion Fee Below: RECpNNCCT )=U2NRCt # Other Fee # 5ervice Entrance Size Fee # Circuits/Feeders Pee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps -Amps SI nS Inspedors llse Only. OG TOTAL Irrigation Booms Special Ins ection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WI7HIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rough-in oate ceRify that iha above inspeclion has 6een made. Faat o ;2.y?•7 OFFlCE USE ONLY This reQUest voitl 18 monlhs Irom V CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT cp'400 BUILDING 026523 05/12/95 1061 KENNETH 5T LOT: 8 BLDCKs 1 MCKEE 157 P.I.N.: 10-47750-080-01 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: (MAC 50UN0 PR06RAM) rmit Type SF (MISC.) Y?,Type AITERATION ?•r-? Ya E ? ? 9?b ' a s ??i ?d ?? ??` s'?rv t 1"? m at? ? REMARKS: A SEPARATE PERMIT IS REQUIREp FOR ANY ELECTRICflL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surchargs 7ota1 Fee $171.00 $111.15 $8.00 $296.15 $16,000 CONTRACTOR: - nppiicant - 5T. LIC. QWNER: SOCON CONST INC 17846910 0006934 UNRUH STEPHEN 9901 XYLITE ST NE 1061 KENNETH ST BLAINE MN 55449 EAGAN MN 55121 (612) 784-6910 (612)451-2877 I fi"ereby aakn-owisdge tkrat I have reacf Vrzs aPPlic{otiort an,d sltat* tKat + infarmation. is -oarreet and'i agree ta `comply atth'a?.?, ?PPlacah,ks St?t€;°cs` ?.... Statute?s ahdC3ty qf lEaqan, 0 e4In?npes_ , _ . , . _. ?i..? - q?-? n?tan ?,u?;?.l 1?T? - APPLICANT/PERMITEE SIGNATURE 'I 5S l. ED S TUREE-t, CITY OF EAGAN MIS 3830 PILOT KNOB RD - 55122 995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 $d.10•L-? oiu R?f ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additlons 8 decks) ? 1 energy qk:ulations ? 7 energy calculations for heatad edditions E69 ? 1 tree preservation plan 'rf lot platted after 7/1l93 required: _ Yes _ No DATE: March 15, 1995 CONSTRUCTIONCOST: 1 15.500 DESCRIPTION OF WORK: Sound Control STREET ADDRESS: 1061 Keneth St. Eagan LOT I BLOCK _I SUBD./P.I.D. #: --14 MN 55121 451-2877(Day) PROPERTY Name: stepnen & Dorothy Unruh PF10(12#:454-$290(Eve) OWNER * """ StreetAddress- 7067 xenetr, st. Clfy: Eapan St8t2: MN Zjp; 55121 CONTRACTOR Company: socon COnstruction inc. Phone#: 784-6910 StreetAddress: 9910 Xylite St. N.E. LICEnS@#' 0008934 Clry: Mpls, Minn 55449 ARCHITECTI Company: CEE Phone #- 348-9337 ENGINEER Name: Jim Reinertson Registration #- 20504 StreetAddress• 6314 Standish Ave. 50. City: u; nhf i P1 d State: nnx Zjp: 55423 Sewer & water ticensed 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 cortect and agree to comply with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree PreservaGon Plan Received Yes No C??JV UD APR 2 7 1995 --------------- BUILDING PEI2MIT TYPE OFFICE U5E ONLY ... ?,,..w• .. .. °...:,r-F«.. ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling a 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ,.fiir- 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New c?-33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Qccupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC Ciry sAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge TreatmeM PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance /vi o00 ? ys y PJ -? 0 % SAC SAC Units L S_ gL ?- CITY USE ONLY RECEIPT #: IIO3-TD SU6t??1:?4- DATE: 619155 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace __VZ Add-on air conditionina ? Fireplace conversion (to existing fireplace) Date: j -C?17, -3 - / .S? FEEg ? 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 Q$3.00 each) ? State Surcharge .50 TOTAL A-4-0-6z SITE OWNER nLJ ZLh " 3e PHONE #: S - cu9d INSTALLER NAME: Z-R-1Ce66M )0// C", STREET ADDRESS: N' CITY: STATE:AI/V ZIP: SS*-V19 PHONE #: (61A) 'Jg..?` SIV PERMITTF-E cinr use oNLv L BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buiidings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ?$25.00 minimum fee gr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of Rermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR 1 L BL CITY USE ONLY SUBD. V'V\, C RECEIPT #: ? 1 0( V , -,-)- ?? RECEIPT DATE: UL t b -" PERMIT # ?)? 1 ? ?- 1999 PLt1M$INH P£RMiT (PtESID£N17W crrYoF E,e?snx 3830 PaoT KNos RD EAfiRN. MN 55122 (651)6$1-4875 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 Saih iub "a 3.00 x $ Floor drain 3.00 x = $ Gas i in outlet " minimum - t 3.00 x = $ Hot tub/s a 3.00 x - $ Kitchen sink 3.00 x - $ Laund tra 3.00 x - $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x - $ 30,06 Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x - $ Private Dis osal S stem abandonment 30.00 x - $ RPZ new installationlre air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x - $ Under round s rinkler if dwellin is under construction 3.00 x ' $ Under round s rinkler if existin dwellin 30.00 x - $ Water closet 3.00 x - $ Water heater 3.00 x - $ Water softener if dwellin under construction 5.00 x - $ Water softener if existin dweltin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 -> ----> ----> $ •50 Total _> --? ---? ----? $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------'-?`-- Tq±o...... j?Or_-----mP?=-----?a4.?rt-----hon---!-',rcz1?r.cLm------------------------- I hereby adcnowledge that I have read this appliption, state tlhat ihe infortnation is cortect, and agree to comply with applicable Gty of Eagan ordinances. tt is the appliWnfs responsibility to notify the property owner that the City of Eagan assumes no Iiability for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under Nis pertnit within Ciry pmpertyMght-ot-wayleasement. SITE ADDRESS: OWNERNAME:: ?7f'C7I-I'k1 ? 5khVI6 11hd'lA.h TELEPHONE#: S(' i4SU- 2)2-go , (AREA CODE) INSTALLER NAME: IInl?(A i TsfakS ft-Lb TELEPHONE #: ta l a -? 50-1?03U STREET ADDRESS: 3SZJI Rslbl? piyi QC (AREA CODE) CITY: BkQ.tYw S ATE: M N ZIP: S I IGNATURE OF PERMlTTEE EAGfiN TOWN^aHIP 3795 P31ot Knob P.oad St. Pau1, t3inneoota 55211 Telephone 454-5242 PEaIIT I'OR SEWER SERVICE CONNECTION DATE• ]vav 2-3,- 1968 QG7NER• Mari yq ra lr r PLUMBER ll {a,e Plba. NUMBER 175 ?-- Address 1061 Kenneth St. {?C?, ?- TYPE OF PIPE cast iron AESCRIPTION OF BUIIdIING IndustriaZ! Commerciall Residential ` Mult3ple Dwelling I No. o£ units x Location of Connections; Connection Charge $200,00 Pd 5/23/68 Permit Fee 7.50 " Street Repairs Total 207.50 " Inspected by• Date Remarks• By Chief Ynspector Iu consideratioa of the issue and delivery to me of the above permiC, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan To[mship, Dakota Caunty, Minnesota By Al1 State Plbg., Minneapolis, Minn. Please notify when ready for inspection and connecYion and before any porCion of the iaork is cavered. EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minneaota 55111 Telephone 454-5242 PEMT FOR WATER StRVICE CONNECTION Date:__ May 23, 1968 , Billing Name: Maryls Croeker Owner: Plumber:_ All State Plbg, Connect Meter No. 'PermiC Fee 7.50 i' Meter Readix?g Meter Dep. 15.00 Meter Sealed: Yea Add'1 Chg. NO 'Total Chg. 222.50 " Buildiag is a: Resideace X Multiple HIo, Units Commercia 1 Industrial Other Enspected by Date Remarks: Hy: Chief Inapector In conaideration of the issue and delivery to me oF the above permit, I hereby agree to do ttm proposed work in accordance with the rules and regulationa of Sagan Towttship, Dakota Couaty, Minnesota, By' 1?' l Statc 8lbg 1&?na1 Number: ? S-Y Site Addreas: }061 Kenneth St. R-1 k'L, T Billing Address . 5/23/68 Please notify the above office when ready for inspection aud connection. MASTER CARD LOCATION OWNER STRUCTURE AND ? / / LAND USED AS N r1 ?? -- Permif No. Issued Issued To Coniractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER Items Appraved (Initial) Date Remarks Distance From Well "rOOTING SEPTIC FOUNDATION CESSPOOL FRAMING Io ?6? 7 TILE FIELD FT. FINAL ELECTRICAL HEA7ING DEPTH Of WELL GAS INSTALLqTION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on 8ack COMMEN75: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMI7 NO. . DATE OF IN5PECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEP7ABLE SUBS7iTU710NS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. f7EMfZED AND DESCRIBED AS FOLLOWS: NON-COMPLfANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REIHSPECTION REQUIRED DATE OF REINSPECTION CERTI FICATION -1 certify that I have carefully inspected the above in which I heve no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site impravements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED 9LIILOING INSPECTOR COMAAENTS: OATE -? C, :?? '?? C? 1007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651fi75-5694 New Canstructlon Reouirements 3 repistemd siEe surveys showing sq. R M IoL sq. ft. M house; md go rooFetl areas (20%ma)dmum lot covffage albwed) 1 Soils Repart 'rf propospA building is to 6e placed on dislwhed mil 2 copies of plan shorring beam & rrindow sizes; paired found desgn, etc. 1 set of Eneryy Calculatlms 3 copies of Tree Preservation Plen rf lol platled afler 717/93 Rim Joisl Delail Options sr,lec6on sheet (Wddings with 3 or less unils) Nmcegasro machanical ven0latlon form 90-0? RemodeVRenair Reouiremems Office Use Onlv 2 wpies oF plan showing faofings, beams.lasLS Cert d SurveY Recd _Y _ N i sel M Eneigy Uala6ons for healed addNOiu Sdis Report _ Y _ N i si[e wrvey Por additions & decks 7ree Pres Plan Retd _ Y _ N, Addtion-incicateiforrsdesep6caystem TreePresRequired _Y _N On-sdeSepOCSystem _Y _N Plans are considered ublic informa4ion unless ou sta4e the are trade secret and the reason. Date V l 21 -Q-7- Site Address ? ol tG j7 h cY, M Construction Cost QAh_ UnitlSte # Eii Deseripdon o[ Work rl {?d Multi-Family Bldg _ Y N Fireplace(s) 0 _ 1 _ 2 - Proper[y Owner 11, _ C ?Telephone 0 to i ContraMor Address 600 State City Zip C? Telephone # ca ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 9670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Resitlential Ventllafion Caffigory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submittetl Submittetl • Energy Envelope Calculations Su6mitled In ihe la# 12 monThs, has the City oF Eagan issued a permiT for a similar pian based on a master p1anZ _ Y _ N If yes, date and oddress of master plan: Licensed Plumber Telephone #( ? Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone #( ? I herebv apply for a Residential Building Permit and acknowledge that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; I understand this is not a permit, but only an application for a perntit, and work is not to start without a permit; that the wo e in accordance with the approved plan in the case of work which requires a review and a roval of pl IL a A 1 t's Pri ted N e Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF O 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screenlgazebo/per9ola) O 36 MuIG Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish lnterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Nteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors O 34 Replacement 'Demolltlon (Entlre Bltlg) - Giva PCA handoutto applicant DBSCIIDti0I1: Watar Damage _ Yes Vafuation Occupancy MCES System Plan Review 1009'0 or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs T Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings(deck) _ Footings(addition) Foundation Drain Tile Roof Ice& Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIItED INSPECTIONS _ Sheetrock Final/C.O. Final/No C.O. HVAC Other _ Pool Ftgs AidGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES 5AC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total