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