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1066 Kenneth StCITY OF EAGAN Remarks Addition McKee Addition #1 Lot 10 Blk 2 Parcel 10 47750 100 02 Ownerk6mQ0 4-1 flLCiti,Fr Street 7066 Kenneth St. ! State EaQan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. PgViri ( 1969 $311.50 $31.15 10 PAID GRADING SAN SEW TRUNK Np 1968 $100.00 $3. 33 30 PAID * SEWER LATERAL 1968 WATERMAIN * WATERLATERAL & SEW 1968 $850.00 $42.50 20 PAID WATER AREA STORM SEW TRK 1984 403.00 26.87 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 1008 8-28-75 BUILDING PER. sac $425.00 1008 - - PARK I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: >> ?..• d ?? Date Issued: SITE ADDRESS: i ;?f,•,? I PERMIT SUBTYPE: ? ,. APPLICANT: , ?I?Qm P 1? PR , , , , ? ?, Im ? n ? . TYPE OF WORK: :. t Fley I ,. ko,f.11rS Ito INSPECTION D • D ?. , ? :I•I??i? '? ?? 11 . i 1 71;, ( Psrmk No. Pertnk Holdw Date Telephorw # ELECTRIC PLUMBING HVAC InspscUon DeU Insp. Comments FOOTINGS FOUND . FRAMING ROOFING ROUGH PLUMBING PLBQ AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL rqor- 4 3-/13/ s INSPECTIDN RECORD . , I CITY OF EAGAN PERMIT TYPE: '•" 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: • ?' `'' (612) 681-4675 ? SITE ADDRESS: ' PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: ,,? ic???? i??M , j;; , ; 4 t i ?:, I j NfAfSIIIfHt1 CH`+11liww INSPECTION DA • DA (MAirr.:;: R!,tl'nkAli i'I krn i 1 1 I ? I;f i)II i I;1 1o Ii+k IIiU % I'I 1)?qf3114o+ 01? C i h t' t'l7 "(1' A1 WDIt! Permn No. Permn Holaw Des ra.ph«?.: ELECTRIC PLUMBING HVAC Inapection Deh Insp. Commants FOOTINGS 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 F1NAL BSMT R.I. BSMT FINAL DECK Ff0 DECK FINAL ??4l7j?: f-At. ' . CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21 •198, Eagan, MN 55121 PHO N E: 454-8100 BUI'LD111iG PERMIT Receipt To bfl used for Est Value Date Site Address ? Lot ` Block ` Sec/Sub. ' Parcel Na a Name ; Address ° City Phone °L Name .o ? ?} Address ? City Phone Address City Phone OFFI CE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ActuaQ (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit T? Water/Sewer _ Surcharge ? Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Councfl _ Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thatthefnformetianiscorrectandagreetocomplywithallappiicable APC _ TreatmentPt State o1 Minnesota Statutes and City of Eagan Ordinancea. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesata Statutes and City of Eagan Ordinances. Building Official Permit No. Permft Holdtr Dete Tslsphone ?t Plumbing H.V.A.C. Electric Softener Inspection Oate Insp. Comments Footings I Footings il Foundation Framing Roofing Rough Plbg. Rough Ntg. Isul. Fireplace Final Htg. Final Plbg. Bidg. Final i z4,EW Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. BUILDING PERMIT $3,500. N2 4763 Receipt # 9763 5ite Address 117; fi i;.inne th Erect ? Occupancy I Lot Block 2 Set/Sub. ftKer. Alter ? Zoning Parcel # Repoir ? Fire Zone -' Enlarge ? Type of Const. v ? Name ??aitnail Schirmer Move ? # Stories Z Addres s Keaneth Demolish ? Front 13• 5 fr. ? Cihr : iP, d " Phnnn 454-1270 Grode ? Depth 10• 5 ft. 0? Name ?'#"`r 0 Z o?v Address u ?- rr.., Pti.,.,e Nome Fees Assessment _ Wuter & Sew. Pol ice Fire Eng. Planner Council Permit Surcharge - Plan check - SAC Wnter Conn. Woter Meter I hereby ocknowledge thot I hove read this opplicotion nnd state that gldg. Off. the information is correct and agree to comply with all applicable ApC Totol 17. ??.y State of Minnesoto Stotutes ond Ciry of Eagan Ordinonce$. Signature of Permittee - ` - --J A Building Permit is issued to: :lorman Sc'r,irrrier on the express condition thot all work shall be done in accordence with ell applirnble State of Minnescto Statutes ond City of Eagon Ordinonces. Bullding Officiol 3795 Pilot Kaab Read Eagaw, MN 55122 PHONE: 454-8100 Pennk # paM hn+d hrwMfM Plumbing Mechonical INSPECTIONS DATE INSP. Rouqh-In Final Footings Dote Insp. Date Imp. Foundation Plumbing Frame/ins. Mechanioal Finul ? Remarks: EAGAN TOWNSHIP BUILDING PERMIT owne: --._???,.?,...J.._•wr,...uJ '----'---'-°------_..--_.----...---' Address (Present) Suilder Addsass ...... ---------'- DESCAIPTION N° 1358 Eagan Township Town Hall Dale _Y/ . ' ....... -......... 6fo:ies -- To Be Used Fox Froni Deplh Heigh! Es1. Cosi ?Permi2 Fee Remarks ?^' W ?- .47 v ? ? ?? --- ? f-e-o- LOCATION Sireef, Aoad o: ofher Desaripiion of Locaiion I Lo! Sloek Addition or TracS I /o .2 7? /---e-e. ( This permit does not auYhorize the use of sixeels, roads, alleys os sidewalks aor does i3 give the owner or his agenf the rigLlfo ereaSe any situation whieh is a nuisanee or which preseals a hazard to the healih, safely, convenienee and geaeral welfare fo anpone in the communify. THIS PERMIT MUST BE KEPT QN THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to oerlify, that_? f.---.al*u.tim..?J....-----'--._.._..hes permission !o erecf a'-"'---" ------------------ R-?-................. upon !6e above described premise subjecf So the provisions of the Svilding Ordinaace for an Town ?ip adopted,April 11, 1955. .._........_"". ---- -------------- . ............... ........ ' """' .._.......'?'??:4i?..c.c?a.r....'?? ..-"------... Per u Chairman of Tnwn Board ...."" Buildin'._ g+I._n"s"Pec""i...or............ """'_".. 4 8, ksuFFIT, FACIA, SIDING) CITY OF EAGAN N2 13970 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127 PHON E: 454-8100 BUILDING PERMIT Receipt# -nP0c Tobe:usedfor REMODELING Est.Value $5,500 Date JULY 24 1y87 Site Address 1066 KENNETH ST Lot 10 Block Z Sec/Sub. MCKEE Parcel No. 1ST ;IName DELORIS SCHINMER I = Address SANE ? City Phone 454-1270 c o Name MINNESOTA EXTERIORS ?a Address 295 HWY 55 ? Ciry k1AMEL phone 478-6001 City 1 hereby acknowle0ge that I have read this application and state that the information is cortect and egree to compty with all applicable State of Minnesota,Statu es and Ci y gan Ordinances. Signature of Pe}miiSe A Buiiding Permit is issu all work shall be done in Building Official EXTERIORS all avPlig@bhState of OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const Ciry Water _ (ACtuaq (Altowable) # ot Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments WateUSewer Police Fire Engr. Planner Council BId9. O(t. APC variance FEES _ Permit _ Surcharge _ Plan Review _ SAC,City _ SAC, MWCC _ WaterConn. _ WaterMeter _ Road Unit _ Treatmant P1 _ Parks Copies TOTAL on the express conditlon that i City oi Eagan Ordinances $65.50 3. 0 6$???- cIrr oF EAc,AN 9795 Pitot Kno6 Road Eogan, MN 55122 N2 4763 .. PHOME: 4548700 BUILDING PERMIT APPLICATION Receipt 9763 , $3,500. Te bo used for Addn to House Est. Value pate April 25, 1928 Site Address 1066 Kenneth Erect p Occupancy I Lot 10 gl«k 2 Sec/Sub. McKee qlter p Zoning Rl Parcel # Repair ? Fire Zone 3 E l f C t V T n arge 0 ons . ype o z Ncme Narman SChixm2i Move ? #Srories = ? Addrea 1066 Kenneih Demolish ? Front 13•5 ft, city EagaII Phwe 454-1270 Grade ? Depth 10.5 h, ? ti„_e Same Avvo.rob_ _ Feea o0 ? u1 ? Address Name Assessment Woter 8 Sew. Police fire Eng. Planner f:ountil Permit LJ.VV _ Surcharge 2.00 Plan check SAC Water Conn. Water Meter I hereby ocknowledge that I have read this application and state that Bldg. Off. the Infortnction is correct and agree to compiy ith oll oppltcable 1?.00 State of MinnewM ? tes,g d ity of Eagcr inance;. APC Total u Slgnature of Permi A Building Permit is issued to:> NOiR18tl SChiimCi on the express condition that ail work shall be done in aco¢rAance w?th alJkopli2sltle State of Minnesota Statutes and City o4 Eagan Ordinances Buliding Officiol This request void 18 months fiom Date of this Request p ? v L O I, asA Licensed Electrical Contractor OOwner; do hereby request inspection of the above electri- c a l winng ins t a lle d a t: L I(> t3 7, rn c. K¢Q_ Q.cfi.c(_r), Street Address or Route No: 1010(2 hsvn4ulk /7,/VK- city-%q.&W.- Section Township Range County Oa=, Which is occupied by HMAnW,n ? U. n, Is a roughin inspection required on this job? No ? Yes% Ready Now ? Will CaI1,PQ ? PowerSupplier N,?,Q, Address s' ?_677[ ,. Electrical Contractor2krA RUm2?.'t Contractor's License No-T-OW (7 V(COmpanyNCAe) u Mailing Address Authorized ot Owner Making Thls InStallatlon) dja-r"- PhoneNory??"'??yy aking This Installatlon) SWE BOARD eOPv linnesota State Board of Electricity , ity Ave., St;Paul, Minn. 55104-Phone 645-7703 tUEST FOR ELECTRICAL INSPECTION ? _LOW WORK COVERED BY THIS REQUEST lasc?"""a.?e"' p 3620 T of Buiiding New Add. Rep. Check Appliancea W'ued For Check lgquipment Wited Fo: Home Duplex Apt. Bldg. Commemial Eldg. lndustrial Bldg. Farm ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Range Water Heater Dtyer . Fumace A'v Conditionei List ? ? ? ? ? Tempoxary Wicing ? Lighting Fixtures ? Electric Heating ? Silo Unloader ? Bulk Milk Tank ? L ist > Other ? ? ? o Nerers p } Neie S) COMPUTE INSPECTION FEE BEL Selvice En[cance Size: it Fee F' s S ee C'¢cuib: # Fee 0 to 100 Am s. 0 30 AgpezeVk 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Ampeies 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformecs Remote Control Cuc. Paitiai or other fee Signs Special Ins tion Minimum f Remarks n TOTAL EE Jy.Sd O.OG I, the Electrical Inspector, hereby cert?at e i$spec 'on has been m (Rough-in) _ Date (Final) -Date /u •-'f- 7"f This request void 18 months from nkLacE oF EncaM WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1813 Eagan,MN 55122 DATE: 8?28/75 Zoning: Rlll No. of Units: 1 Owner: Norman E. Schirmer Address: 20) -?-L 19-2m4e ?( Site Address: 1066 Kenneth St.L10 B12 Plum6er. Same WATER TO BE TURNED OFF AT CURB Me[er No.: 241U.783 Connection Charge: 380.00 Size: 5/8 RO-C-k Account Deposir. Reader No.: 634556 ^ Permit Fee: 10.00 1 ogree fo complr wit6 the Village of Eagon Surcharge: • 50 t` Ordinonces. er Misa Charges: 60-. 00 met Tocal: 10.65 copperh By Uate Paid: Date uf Insp.: Insp.: YILLAOE OF EAOAN SEWER SERVICE PERMIT 3595Pi'.oN(nobRoad PERMITNO.: 2572 Eapan, MN 551I2 DATE: 8/28/75 Zoning: Rl11 No. of Units: 1 Owner: Norman E. 8c3cnixx Schirmer Address: site Addrese: 1066 xenneth St. Plumber: same ? I agraa fo eemply wkh The Villoge oi Eagan Connection Chazge Ordinonsam. AccOUnt Deposit: _ Permit Fee: Surcharge: By: Misc. Chazges: _ Date of Insp.: Total: Insp.: Date Paid: 15 00 5 6 I??? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 Please comple[e for: single family dweliings & townhomes/condos when permits are required for each unit Date 06) / 3?) / 8)0??S Site Address /D (f1 V S/ - Unit # Property Owner p( I L_? / r `m (1/]CX Telephone # (&S1 ) / l/S ^ 1D"1CO Contractor (>/ ? StreetAddress (6 ((JJ /7? 31- (_0 ' State Zip d ?p 0 City ?-?- /Y?oJ)'fy Telephone # ( (C x ) ? ?? ? O ? Bond k: Expires: The Applicant is _ Owner _?_Contractoe _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? ?- air conditioner _New ?Replacement other State Surcharge $ 50 Total $ w' S ? I hereby apply for a Residential Mechanical Permit and acknowledge that the,ini be in conformance with the ordinances and codes of the Ciry of Eagan arid'with ?permit, ut onfy an application for a permit, and work is not to start witho t a Kappyov d pla e case nwrich re irw and approval oFpla/ / ApplicariYs Printed Name Appli 1 is complete and accurate; that the work will ;hanical Codes; that I understand this is not a that the work,will be in accordance with the JUL 14 2005 3y 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. commercial/indushial buildings - multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenaot Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bood Expires: The Applicant is _ Owner _ Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove `*see befow Interiorlmprovement _ InstallPiping _ Processed _Gas Nature of Work: **When installing/removing untlerground tank, call for inspection by Frre Marshal and Plumbing lnspector Pel'miY Fees: $70.50 Underground tank ins[allation/removal $50.50 Minimum (includes Sffih Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If e?rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $ 1,000 ermit fee $ Total Fee [ hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes oF the City of Eagan and with the Mechanical Codes; 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 aceordance with the approved plan in the case oF work which requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signature Approved By: Inspector CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: Lor : 1066 KENNETH S7 MCKEE PERMIT SUBTYPE: sF ( Misc.) INSPECTION RECORD PERMIT TYPE Permit Number: ? Date Issued: 10 s Lo c K: 2 APPLICANT: SONCON CpNST INC (612) 784-6910 TYPE OF WORK: DESCRIPTION BuzLozwc 025197 03/08/95 ALTERATTON MAC SOUND INSULA7ION INSPECTION MIN6 D. RQ . UGH IN PLBG D. GH IN HTG FT NflL MARKS: A 5EPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK ? PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ckjfT943 PERMITTYPE: BuzLornG Permit Number: 025197 Date Issued: 0 3/ 0 8 J 9 5 SITE ADDRESS: 1066 KENNETH ST LO7e 10 BLOCK: 2 MCKEE P.I.N.: 10-47750-100-02 DESCRIPTION: INSULATION 5F (MISC.} AL7ERRTION r r .. -r ^,. _.. _ ?? t. . .. . . .t ,.. MAC SOUND Building P`e,C_mit Type Bui?lding Work?,Type ? =r , REMARKS: A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $8,000 Base Fee $99.00 Surcharge $4.00 Total Fee $103.00 CONTRACTOR: ONCON CONST INC 901 XYLITE LAINE 612) 784-6910 - Applicant - 5T. LIC 17546910 0008934 ST NE MN 55449 OWNER: S HIRMER DELpRTS 1 66 KENNE7H ST E GAN MN 55121 ( 12)454-4040 C I hereby acknowledqe that I have read th3s application and state that the informatian is correct and agree to comply with all applicable 5tate of Mn. 3tatutes and Gity oP Eagan Qrdinances. ' L. . _ APPL ANT/PEPMITEE SIGNATUFE ISSUED BY: E31GNATURE J CITY OF EAGAN 191 3830 PILOT KNOB RD - 55122 /!?? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Pf !J'<?t -` -?1 ?v 681-4675 New Construction Reauirements ? 3 regiatered site surveys ? 2 copies of plan ? 2 copias of plans (include beam & window sizes; poured ind. design; etc.) ? 2 ske surveys (exterior additions 8 decks) ? 1 energy plculations ? 1 energy calculationa for heated edditions ? 1 Vee presarvation pian 'rf lot plalted after 7/1/93 required: _ Yes _ No DATE: 2-1q/9 5- CONSTRUCTION COST: ?-7,50G DESCRIPTION OF WORK: Co., J-rc i STREET ADDRESS: / p 6Co Ki?Y.t Fk 5 '1'- -12;? E ( , 3 LOT 10_ BLOCK I SUBD./P.I.D. #: PROPERTY Name: D t to' ; 5 Phone #: q S q - /'Z -7o OWNER '"°T "°_• Street Address- 10(' (e s?" City: ?-j ,- o State: Zip; S s i z/ CONTRACTOR Company: Soc v N C o.ti 5a• Phone #: 5treet Address: 9 9 0( k, l,ti License #: ° ap ? 9 3 t? City: f3 l&: N L ARCHITECT/ Company: G?- ?- Phone #- LyL 2 3'? 7 ENGINEER Name: ?1 , --? 1Z)s ? ?4f+5? •? Registration #• Street Address- (o -3 / y 54 ?-`'L 5 City: S, z/d State: M'v Zip: 5 5 y 2 3 Sewer & water licensed plumber. . Penalty applies when address change and lot change are requested once permit is issued. 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: ??d, OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 0 02 SF Dweiling o 07 4-plex ? 12 Multi (Misc.) ? 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 0?'05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE 0 31 New o§?-33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance ? -L ? Permit Fee Surcharge Plan Review License MCNUS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: .P' a Valuation: $ B, 000 - .r. ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit % SAC SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025249 03/20/95 SITE ADDRESS: LOT: 1066 KENNETH ST MCKEE 1ST PERMIT SUBTYPE: SF (MISC.) APPLICANT: 10 BLOCK: 2 CITYWIDE HOMEi?n?zanT (612) 529-2489 TYPE OF WORK: REPAIR DESCRIPTION (ROOFING) INSPECTION FRAMING D. . ROUGH IN PLBG ., ROUGH IN HTG FINAL ? L ? : J " ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT C))'o 5'7 PERMIT TYPE: Permit Number: Date Issued: BUILDZN6 025249 03J20/95 SITE ADDRESS: 1066 KENNETH ST LOT: 10 BLQCK: 2 MCKEE 1ST P.I.N.: 10-47750-100-02 DESCRIPTION: .:?.?.,?. (ROOFINB) Bliilding`-Rermit Type SF (MZSC. ) Building Wa>rk Type REPAIR .? l ? ,,? ?..y • , ? .,. ';. 'i`E) c??4 y 4 :f z ?"'&+ f E ?s ,3y. ? tl 1 6l \ f?.c?? .t3..? nr1 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $54.06 $1.50 $55.50 $3,000 CONTRACTOR: n pplicant - sT. Lrc. OWNER: CITYWIDE HOME ?j'?pP -?i'W?"4#9 15292489 0003013 SCHIRMER DELORES 1005 W BROADWAI 1066 KENNETH 5T MINNEAPOLIS MN 55411 EAGAN MN 55121 (612) 529-2489 (612)454-1276 I hereby aaknowledge th-et I have-read this r 3ntoYmati:on is,correct and agree to comply L 5tatutes and City ot Eagan Ordi.nances. APPLICANT/PERMI7EE SIGNATURE a.pp3.ication and eGate that th:e with sll applicable State af Mn. Am ? l17"l.? issu o EJY. 'Qaru REALTIVATE _ PERMIT i cinr oF EaGaN 1993'BUILDlNG PERMIT APPLICATION ? 681-4675 3so 1 ssiaz SINGLE & MULTI-FAMILY 2 sets of plans, 3 reqistered site surveys, l capy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed ar 3) lat change is requested once permit is issued. Date ?I / ? / q Yaluation of work Site Address: Wa ? STREET SUITE M Tenant Name: (commercial only) ?-/,'uNrn? nr? IAT BIACK SIIBD. P.I.D. N ' I? G ? Descri tion of work: The appl i cant i s: ? Owner ? Contractor ? Other (Describe) Name ;5 Phone LIS'I- J274 Property LASi FIRST Owner -m- 1n6? y ? ? C pddress u Z4 . -" STREET STE N City ? State ??-?- Zfp JS/2? Company ? Phone Contractor Address 10D ? License #? Exp.? City _h*Lj. State ? Zip S y 1/ Company Phone Architect/ Engineer Name Registration d Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been appraved. 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: OFFICE USE ONLY BUILDING PERMITTYPE C ? OI Foundation ? 06 Duplex O 11 Apt./Lodging E3 16 sement F?s?,,. ,15-02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc. ? 17 Swim Poo1 ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility 0 21 Miscelianeaus WOR K TYPE W31 New R? ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) (Allawable) UBL Occupancy 2oning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst fl. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 0 Footing ? Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Oraintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Capies Other Total: vatutia,: $ :?, Ci( "J ? 5-5 f a SAC % SAC Units 13 )j 7987 BQIIrDING PERMIT APPLICATIOH - CITY OF EAGAN SINGI,E FAMILY DWELLINGS INCLqDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SBT OF ENERGY CALCOI.6TIOHS _ _ 0 NOTEz ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNA2E WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCB BOILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS - RFSIDENTIAL, RENTAL iTP7ITS FOR SALE UNISS INCLUDE 2 SETS OF PLANS, CE&TIFICATE OF SURVSY - CHEC$ WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS . t;GMMERCTAL INCLUDE 2 SETS OF ARCHITECTURAI 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND CICDi r To Be Used For: & STRUCTURAL PLANS, SET OF i f 7ACIP) Valuation: Site Address jD66 APrrneli, Si - Lot /6 Block C9_1 Parcel/Sub Owner /01- ,' s Sc li/fa,? y- 9ddress (o (. 6 lZe9.a,2o<G f i City/Zip Code ??5 ?,,.., yy? N, ?...?_ Phone g?~y -(Z O _ Contractor _-?\? 1,.n : Address a s City/Zip Code 5 S3 q?o Phone ? I -?'' Areh./Engr. Address City/Zip Code vate: 7120187 On Site Sewage_ MWCC System _ On Site Well _ City Water APPR(7V AT_S Assessments , Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) +F of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL l05- = 3. ? , Phone # CITY USE ONLY LOT ? BL ? PERMIT #: SUBD. ?hfl.P ? RECEIPT #: ? 0 ??_5 RECEIPT DATE: ?--3 - O-o 2000 MECHANICAL PERMIT (RESIDENTIAL) DBte: I );?b 1 op Complete this section onlv if you aze instal(ing HVAC in a single fatnily dwelling, townhome or condo under conslruction and not owner/occupied. • HVAC: 0-100MBTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you are remodelin2, adding to, or reaairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, a(teration, or repair. Z New _ Alteration V/ Furnace _ Air exchanger _ Repair _ Other Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: ,? ? OWNERNAME: ?CJTt) ? /Ajj? l,Q?ebi IP_Z PHONE#:(??_-?,ss? U INSTALLERNAME: txpp ,--? :59)2Pl MeACf,I, Y?ic?_ PHONE #: V13 ? 301 ( CODE) STREET.ADDRESS: 20 W Moic S? P(? hRX %h 0 CI1'Y: 6P4j`le- I STATE: AN ZIP: 6,5 CC) ? CITY OF EAGAN 3830 PILOT IINOB RD EA6AN MA7 55122 651-681-4675 /9 /G?A? , " iTitl11- - SIGNATURE OF PI!RMITTF- L _ BL _ SUBD. APPROVED BY: INSPECTOR PERMIT #: _ RECEIPT#: _ RECEIPT DATE: 2000 MECHANICAL PERMIT (CObIIERCIAL) CITY OF EAGAN 3830 PILOT IINOB RD EPaGAN, AN 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: _ New construction _ Install U.G. Tank _ Iuterior Improvement _ Remove U.G. Tank _ Processed Pipiug When instal[inghemoving underground taak, call 651-681-4675 for inspectian by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL SITE ADDRESS: S OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: - (AREA CODE) STATE: ZIP: CITY USE ONLY SIGNANRE OF PERMITTEE CITY OF EAGAN JS TERMINAL NO: 708 04/14/00 TIME: 12:01:07 ID: NAME: PEDRO GARABILEZ 3210 9001 1066 KENNETH ST 60.00 2155 9001 1066 KENNETH ST 0.50 Total Receipt Amount: 60.50, CR126381 USER ID: JAN ?.?..ia...as.i.aaa..asaa?.aa.aaaaa.t,t+++i++ti#t* 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 'L I. 1 t 1 3830 PILOT IQVOB RD - 55122 „C I ?C v O 851-681-4875 ? - ? New ca,:m,anon Reaulremenh n a regisrered We wneys uv.nng ay. n. a ro+, sq. e. w nowe antl go rooled areas (2076 ma)dmum loi coveroae atbwedl > 2 caplea of plans (ahow betan a wlntlow slzes; poured tntl. dealgn; ofc.) > 1 set of enarpy calcuianons > J coplea of hee preservallon plan il lot pkited ofler 7/1 /93 DATE: ?? --7 ?O DESCRIPTION O WORK: Ear-es5 Wi4w on U;rS+SJe STREETADDRESS: Lvrvw ??14Lt?-Trv LOT: (0_ BLOCK: I SUBD./P.I.D. M: 2 coptes of plan 1 sel of energy cacWaNa+s ror heated adcdMOna 1 site survey la exteAw addltlons 8 decki COST: PROPERTY OWNER COMRACTOR ARCHITECT/ ENGINEER a%? Name: Phone Laaf Flrsl Sheet Compony: City 94Art? Stafe: ?? • uP: Sheet C11y Stafe: Comparry: Name: Telephone Y: ( ) Sheei City State: License # Exp. Zip: Lp: Sewerlwater licensed plumber (ff installina sewar/waterl: Phone #: I hereby acknowledqe 1ha} 11wve read Ihis applicaNon, sfafe ttat fhe of Minnesofa Stalufea and Cify of Eagan Ordinances. . Signature of Applkant OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No and agreejo comply wHh all appiicable StatE MAR 2 8 2000 _ Not Required Phone M: (area code) Reglstra8on 9: ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (&sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 01 of plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) _ p 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Starm Damage ? 05 03-piex ? 11 10-plex Plbg _Y or-KlFi ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding ;NC 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowsJDoors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o ? # of Stories S4• ft• No. of Units 0 Length S4• ft• No. of Buildings _ i Width _ Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Ston e APPROVALS SG V i Planning B Enginee uilding ring ance ar ? 31 Ext. Alt - Mufti ? 33 Ext. AR - SF ? 36 Mufti L-/3 v ? Permit Fee 6 0.S U Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: X 0 . S U Valuation: $ 1 ? U U SAC Units % SAC ? nAl"b ?J nATE l ' A 5 / 9 . BUILDING PERMIT APPLICATION Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of enargy calculationa. 7b be used for Valuation r3500 "-T ) Site Flddrest; 1f0t-/q/l P 7-/t A?0 ? "Pe Lot Block z Sec. Sub, Parcel Number Oomer '499u?9r Address /O ., Telephone 7.S"/' ? 7<0 Contraator Address _ Arch. /Eng. Address Ez'ect Alter Fepair Enlarqe ? Move nemolish Grade _ Telephone Telephone OF'FICE USE Occupancy Zoning / ? Fire Zone Type of Const. # of Stories J Front Depth OFFICE USE Date of Approval & Initial Assessment tdater/Sewer Police Fire Eng. Planner oouncil Rldg. Off. A.P.C. FEES '- r, v Perntit ?J 00, Surcharqe Z-- Plan Check SAC Nldter Cbnn. t9ater Meter TOTAI, 3 I I THE 6. B. MCDONOUGM CO. ?? EXCHA SGAL6; 1 INCN?FCET 742 B1953EUNIVERS TYGAVENUE, ST. PAUL 561045402 91PHO ES (646 6858 'w PLAT OF SURVEY O?.,PROPERTY OF?1C/,/?'/?1E?r - ?066 ?Pr/r7Ffia ?? OESCRIBEO A8 FOLLOWS_--l?LO?.???.`.tiy__,/1 Y/4?? ?NNfTI/ dST. ---- --- 70 --- --- r_?__.?. ;h ? in z 96 2 I ; ry• S. F. H. I ? /00. ?3. 0 h. L31 ? i • ?. __-, , I ? CERTIFICATE OF ?ACATION OF BUILDING I hereLy certify that cn .J :& 19 6,T I made a survey of the location of the Lui!:iing(s) on the above described property and that the locntion of eaid building(A( is -correc,on e nbove plat. , s F_..- ! E.B.MCDO~ UGH.`REGISI PAUL.J. ANE, " JOFIh4_?.RYAN, " CERTIFICATE OF SURVEY I hereby certify that on _?"?? I surveyed the property described n6ovc and tliat the above sentatiqn o id •urveg. plat ie a correct rep=I?/ ? i? ? ERED SURYEYOR No. 1990 Nc 4449 , .• No.4489 (i Hetlmen $chvldt Cn. At ? Xa,. !o e,-6 aiu,?? C/ . • ?j ryA?? ? ? -e? - 1 v 6 G 0 --- 90--- , ? a ? jo:a ? v l-5.'r.N v' N ? i ( f t ( 1 4' 1 ? ? r ? f . ? \oF Permit #: Kj? 119Gy ??# 11NI Receipt Date: L ? o , CITY OF EAGAN 2001 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES ? exisTiNC RESIDENTIAL PROPeRnr I.J ? (g Address ? C-) (o (, C--f V? yA -e_4- Property Owner Telephone # Plumber ?jl(r,UG?CWIu??t-L? 't't,t1Vln?Olv?Y') r Sewer Lateral ch e@$22.85/ff Trunk @ $92 necfion a' d City SAC \Z tj Base SAC a V?w Date paid Receipt # Account deposit Septic abandonment Sewer permit & surchazge Total $ 100.00 1,150.00 15.00 50.50 50.50 $ I&?? ?? 16' a y 3 11 ? OFFICE USE O_N?LYl ? 3ao' Gon 1. Gs.l ? _ PR'k uirw 1? ('p li ? 51 _ Ciry ? County RA-W Permit Water Lateral charge @ $23.05/ff Trunk @ $965/connection P d w Water supply & to e Date paid 8' ag ? Receipt # to'J Treatment plant Water meter "Inspections req'd prior to issuing Account deposit ater permit & surcharge pd mbing permit required LT'Otal Sewer and Water Se lateral charge @ $22.85/ff Water chazge @ $23.05/ff Sewer trwnk 925/connection Water trunk @ $ connection City SAC 100.00 Base SAC 1,150.00 Date paid Receipt Water supply & storage 860.00 Date paid Receipt # Treahnentplant 516.00 Watet meter "Inspections req'd prior to issuing 115.00 Account deposit 0.00 Sepric abandonment 5 . 0 Sewer and water permit & surchazge 100.5 Plumbing permit required Total g V$ Pd 1" ? 516.00 --I43:96--- I5.00 /5 7S' p $ S3/ cc: Carolyn Krecty Finance Depxrtment PERMIT# ?4 1:?? G I RECEIPTDATE: b` -?- C. V I MIDENTIAL PLUM$iftfl PEiiM1T APPLICATION cr[Yog EAsm saso Pu or Kxos Rn EA&A1V, MA 5518E 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OW NER NAME: :Vec?r o Gctrcz-VI I'c -t--- TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: STREETADDRESS: 3-/'/Z Pe-NAJSId/r/AVVt i (AREA COOE) CITY: !'r_?1.Me2cJ STATE: f" In) ZIP: SSiIZ3 Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • erturn3[ a nd? Nature of work: Septic System, new/refur6ished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 U Total ? JUN 2 6 2 .5 01$ i Reminder: Be sure to schedule inspections of alterations, i.e. water ` ters, water softeners,I tc. I herebyacknowledge that I have read this application, state ihat ihe information is correct, and ag?e?,? yomply_wlihall-appliCable.Gilyof Eagan ordinances. It is the applicanl's responsibility W notify the property owner that the City of Eagan assumes no liabillty for any damages caused by the Ciry during its normal operational and mainlenance actlvities to fhe facilities consWCted under this permit within City propertylright-of-way/easement. SIGNATURE OF PERMITTEE Updated 1101 .; Al? D& c 0 U N,? ...- ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUPlDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55724 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: November 3, 2004 TO: Tom ColbertrWayne Schwanz (EM) RE: Well Permit #: 04-11230023 Municipality: Eagan Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the applicatiou or if you have any questions or concerns about iY, contact the Environmental Specialist listed above or our offica 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 permit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Thein Well Company 11/2/2004 Time: Time: Date Application Received: Anticipated Drilling Date: Anticipated Graating Date: Property Owner: Well Owner: WELL LOCATION: Lonnie D Renaud Lonnie D Renaud PLS Coordinates: 1/4, NW 1/4, NW 1/4, SW 1/4, Sec 02 Town 027 Range 23 Street Address: 1066 Kenneth ST PIN Number: 104775010002 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: EO8 ?t )[iBw ToQ?s 6p(?lICaClot3S . ... _ .? . . _? ____ tiel{2 .........? n,_. .._. _W..A. .._.?,,.... ?. ? . ,._ ,. `urM _ .. it F ? ?,.. s,. . i?c' Y .,? ^? Connectiorr I CQmrsrettLs I Fagan Building I Eegan Develapmerrt ? Permiks tttamer ? Eagen RssessSeles I Eagan Aroper#y I Eagan Patcel l[7 ' ?0r17750?OQ02 Address 1[366 kENNE7N ?T CJwner 1 Owrer 2 Owrrer 3 Owner 4 Patce# daka uptfiated,4uguSt 27. 2004 . q ? s i Aik k RENAUD SR LQNNiE Q 1066 KENNETH EA.?AIV MN 55121-1 A12 lJICKEk.87 MCKE y ? ?. .. . . . ?., ? v,pArrh 14ri itA 1066 _ lCEiVP1ETH 57' ( 0 3-7 Z zoo7RESIDENTIAL BUII.DING rERmrr arri,icnTTOx City Of Eagan 3830 Pibt Knob Raad, Eagao MN 55122 Telephone # 651fi75-5675 FAX # 651-675-5694 rk. casL,d'mn qZm6eno* 3 MOBWmd sle smverisim8 SV-4 db1.59-R dhoime: aida0 mrleA am (201G m?m lot mawaAO"GI 1 SaisRryWH pnpoed.W7doqaio 6e{iared mdsheLedsd 2 mpies d{in sno"been & ador =eS Pftvr9 fmd desWk et t setdEwwCalpAafus 3 wpiesdTree Pteseva5m Ran if latOaftad a1m 714M3 f3mJadDe4dqKassAedmsheet oxdmngs.dh 3arlm urils) wuu.gna madmuralvadabDnfmn 0/O. 0? RXnodVRmalOemienads Omm IheAW 2cwieSdWmamr"4o59 s,6emnesAsb CeFdSm?.7Reod _Y _N 1sAafEnagyCluRa6oo6farlc8kdaN5uc SaiSPopOt _Y _I/ 7sdesapeytraAousflde[ks FEePfetpbn PlOd _Y _N hlAW-"eI 68msiesepfc4Wan TmEF6esRepied _T _N OnsileSep6c9yskm _Y _N PlaI1S 8P@ COf1S1d@CCd ublic information unless OU 5tat@ QpiB are trade secret and the reason. DafelJ' 1 l?._?!_ C? Coestrsetio nCost (D,50C .Od Site AAUnem UaiUSie IF liYl (1/? ? ? new.:pmon orwork VC- rc.c ii? Molti-Famdy Bldg XY _ PI Fireplsa(s) _ 0 _ 1 ?. 2 PrapertY Ow aer ????t?l ?,? m rn?? C? Tekphom #(105? ) Cl(' CE> I G I ?o Contractor Addren ? C-) 1 0 ?.17 CQ-/r-h.R-I-1'1 Ci1y G? r?tl sdre Zi p SSI2Z- rer,?u[ic5?1 `5 1?! lp COMPLETE TMIS AREA ONLY IF A MEllW BWEDIN6 EnwW Code Categm - Mmmsoa Rules 7670 CgMarv 1 _ Mmoesula Rules 7672 (J ? type) •ReadertW venffiamn camegory I vwwmhed . Ne. F,ayy coee vvutslieet Slbno76ea 9IDmftd - Ene9q' E^vrJODe Calmdabons SadunOW In the lasi 12 monlhs, hcis the Cdy of Eagm iswed a permiY fw awrtkv pian based on a rrastex pkn? _ Y _ N if yes. date ond adc4es of rroster plan: LiCensed Plumber Mechanical Confractor SewerlWater Contracfar ap?r[y far a Residentiai r aud Telephone #( 7elephone #( Telephone #{ Uie enforniation is crnnplefe ani accurat that the waek wii[ be in conformance with the ord'mances and codes of the City oF Fagan and the State of MN Statutes, [ understand tfiis is naf a permit, bat anty an application for a permit, and work is not to start wit6out a permit; that the work wilt be in acecarcfanee wiih the approved pfan in [he case of work which requires a review and approvai of plans. ? . r, miiiiv 4?s sr.ieii i4aS75e i3' a`ipgTi.i3u3_, DO NOT WR1TE BELOW THIS LINE Tvom ? 01 Foundation ? 02 SF Dwelling 13 03 Ot of _ plex ? 04 02-Plex ? D5 03-plax ? 06 04-plex work Tvoes ? 31 New ? 32 Addition O 33 Alteration ? 34 ReplacemeM ? 07 05-piex ? 08 O6-plex ? 09 07-plex ? 10 08-plex 0 11 10.plex ? 12 12-p1ex ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 DerJc ? 19 Lower Level ? 20 Pool d 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ect. Att - Muki 0 22 PorchlAddn.(4-sea.) ? 33 Ext.Att -SF ? 23 Porch (saeenlgazebo/pergola) ? 36 MuIU Misc. O 24 Stortn Damage ? 25 Miscellaneous ? 35 Int lmprovement ? 38 Demalish Intenor ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (EMire BId9) ' Give PCA hantlOUt W appOWfft De8CflptiOfl: WaterOamage,Yes Valuation Plan Review Census Code SAC units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning City Water Stories Boaster Pump Sq, Ft. PRV Length Fire Sprinklered Wtdth _ Footings(new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framwg - _ Fireplace _ R.I. _ Air Test _ Final Insutakion REQUII2ED INSPECTIONS ? Sheetrock , Final/C.O. FinaVNo C.O. ? HVAC J Other , Pool _ Ftgs A'vlGas Tests Final _ Siding _ Stucco Lath _ $tone Lath _Brick _ Windows ! Retaining Wa6 ApProved By: . Building fnspector Base Fee Surcharge Pian Review MGES SAC City SAC Utility Connecbon Charge S8W Pertnft & Surcharge Treatment Pfarn License Search Copies Other Total 100% or 25°,6 PERMIT City of Eagan Permit Type:Building Permit Number:EA156975 Date Issued:07/29/2019 Permit Category:ePermit Site Address: 1066 Kenneth St Lot:10 Block: 2 Addition: Mckee PID:10-47750-02-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Sherri L Hammond 1066 Kenneth St Eagan MN 55121 (651) 276-8454 Kat Construction Llc 8833 79th St Annandale MN 55302 (320) 266-3455 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158776 Date Issued:10/31/2019 Permit Category:ePermit Site Address: 1066 Kenneth St Lot:10 Block: 2 Addition: Mckee PID:10-47750-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Sherri L Hammond 1066 Kenneth St Eagan MN 55121 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159101 Date Issued:11/21/2019 Permit Category:ePermit Site Address: 1066 Kenneth St Lot:10 Block: 2 Addition: Mckee PID:10-47750-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Sherri L Hammond 1066 Kenneth St Eagan MN 55121 (507) 304-3428 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature For Office Use C 4 0 APR 21 2020 Permit#: 63 1 ; 9 - E AN _., Permit Fee: /ate 6 ei 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: buildinginspections( cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/20/2020 Site Address: 1066 Kenneth St Unit#: Name: Tracie Brezina Phone: (507)304-3428 Resident/ 1066 Kenneth St Eagan MN 55121 Owner Address/City/Zip: g Applicant is: Owner i✓ Contractor ,Sa�36x 48 Type of Work Description of work: SuJ4 �'{`"Casew, e�vrff '444.0( 1f " t J!t �� ,,, / 1,4^e.( - t. Construction Cost: it 2. 100'Oto Multi-Family Building: (Yes /No Company: Egress Window Guy Contact: Dan Ruegemer Contractor Address: 3410 Kilmer Ln N City: Plymouth State: MN Zip: 55441 Phone: 763-544-2775 Email: DanR@egresswindowguy,com License#: BC665399 Lead Certificate#: NAT-123125-2 If the project is exempt from lead certification, please explain why: v 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: Nclassified as non-•ubTE:Plans and iic iff supportingdocuments rovide •tecat ificre sons that wouldu submit are •ermitered to be the Cit public o conclude thatPortions he f are trade secrets.ation may be 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.citvofeaoan.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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 Daniel Ruegemer x Applicant's Printed Name Applicant's Signature �/M� DO NOT WRITE BELOW THIS LINE /D& C 6 -nit E4-l1 Sf` / ./ v l SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex . Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair - Egress Window Water Damage Retaining Wall `Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation r7,JJ0 Occupancy 1 MCES System Plan Review Code Edition SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required _ Type of Construction 1-, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) �; Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final t Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Wails Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166230 Date Issued:12/21/2020 Permit Category:ePermit Site Address: 1066 Kenneth St Lot:10 Block: 2 Addition: Mckee PID:10-47750-02-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Tracie Brezina 1066 Kenneth St Eagan MN 55121 Your Home Improvement Company 23823 67th Ave St Cloud MN 56301 (320) 230-9182 Applicant/Permitee: Signature Issued By: Signature