1069 Kenneth StINSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
? , . .. .i, t i ; i
Hl
PERMIT SUBTYPE:
f; 111 IF' 1 N1 )
lt111 1 U I NH
0.;6q 1 H
ar. / 1, 113 7
TYPE OF WORK:
I<1; 1`AIR
{FtO(li-lNG)
q, -g? r-A
A:? ... ??t "Oa?.'pi ?Sf..:...
,.. . ._.„ ..
-----------------------------------
Permlt No. Pertnk Holder Date Telephona #
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLdG FINAL
BSMT R.I.
BSMT FIiVAL
DECK FTG
DECK FINAL
a•-?--r?
aN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADORESS:
Nitft
PERMIT SUBTYPE:
. , rq 4.
TYPE OF 1NORK:
n F?: ?R r r• I r n a
EIU 1( tt 1 NEi
02?iar> 1
at3/2'w/96
A[ TFitAllOM
DlAC .'-;0i1NU f UNTaO1.
INSPECTION DA . DA
?;??(fl,?{ 1 I) if I?? t I P!;'V1
RfKAftt$t `.Et'AVAlf' f'f};Pl11', i7l-Q111kfl1 iOP nNY 0 1 rc.iV] (A( I1lt ?'tIIpIFtINO W(1RK
?
E' b +
iCQRD
PERMIT TYPE:
Permit Number:
Date Issued:
t 0 H 1 r.ir. t. APPLICANT:
Permit No. Permit Holder Date Telephone 11
ELECTRIC f aq `
PLUMBING
HVAC ?, Cf B 3 ? ?S
Inapectlon Deta Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
9SMT FINAL
DECK FTG
DECK RNAL - - -
? - -
?? I
CITY OF EAGAN Remarks
Addition McKee Addition #1 Lot 10 sik 1 Parcel 10 47750 100 Ol
ownerEJ. k0L screat 1069 Renneth St. State Eagan, MN 55121
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SUR F.
STREET RESTOR. PavinLy. 1969 $311.50 $31.15 10 PAID
GRADING
SAN SEW TRUNK 1968 $100.00 $3. 33 30 PAID
t SEWER LATERAL 1968 20
WATERMAIN
WATERLATERAL& SEW 1968 $850.00 $42.50 20 127.50 A014351 8-3-84
WATER AREA
STORM SEW TRK 504 1984 403.00 26.87 IS --
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $200.00
$S9
12-1 - ?
BUILDING PER. 25 10.00 2817 5-4-76
sAC $200.00 55 - -
PaR K
EAGAN TOWN5H1P
BUILDIIVG PERMIT
Ownex -------------'---
Address (Presen!) :..------ _-------
Builder _-._---- ------- ------ ._
Addxess ....._..__..--.
DESCRIPTION
N° 1461
Eagan Township
Town FIall
Dafe ...??.I.1f.l14G--..
Siories To Be Used For Fzonf Depih Hei3h7 Esf. CosS ii Fee
Perm Remarks
s
LOCATION
SfreeS. Road or ofher DescripYion of Location i, Loi I Block I Addilian or Traci
This pexmif does nof auihorise the use of sireefs, roads. alleys or sidewalks nor does it give the owner oc his ageni
the righf io ereafe anp situaiion which is a auisance or which presenis a haaard to the health, safeiy, convenience and
general welfare !o anyone in the communiiy.
THIS PEAMIT MUST BE KEPT N THE PREMISE WHILE THE WORK IS IN PAOGRE55.
This is !o ceslify, ihal-- ?'t ----?...... .----------------------- has pesmissioa !o erec! --_---- - -------- upon
the above described premise subject !o the pxovisions of the Building Ordinance tor Eagen? owi($hip ad6pSed April 11,
1955. ?/J .-} :--?-4.?---, .-"'------- Per ..---- -?----4? ?--.°?G-e uciL,c?J
Chairman o Tf nwn Board ` Suildin9Ins ecfar
4 - A$.
ry
EAGAN TOWfiISHIP
PERMIT
Ownei
Address
Builder
Address
N° 52
Eegan Township
Town Hall
Date - --"-?--- -- ?-?. - v..-4?
Sfories - To Be Used For Fron1
y
? Depfh Heighf EsS. Cos3
? Permif Fee Remarks
-
?
This permii does nof aulhorize the usa of sireeYS, roads, alleys oz sidewelks nor does it give the owner os his ageni
the righlfo creaSe any siiuaiion which is a nuisance or whiah presents a Hazard !o the heallh, satefy, aonvenienee and
general welfare io anyone in the communifp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is Yo eezfify. 1haf----------------------------------- _....."".._.............has permission !o ereef a------------------------------------------------------ ....... upon
the above described premise subjeci io the provisions of the Building Ordinanc or Eag ' adopled April 11.
1955.
1-1 '..__._......._.._........._ ..................._..._....._......._......_.._...... Per ..._ _...
' . ". . p ? . ....__ ................
Chairman of Town Board ? Buil ' ?r
r.i•
CITY of EAGAN N2 3925
?/ BUILDING PERMIT
3795 1
Owaer .../?.. ....?4..?..?(.x.•-.-......1?.?1.Ar.`..'.? .. ................. .. g gan,Mi nesota 55122
Addzeu (P=esenl) ......??.?.F.• ........... .. . . . . .. ..-... 454•8100
? - ??/',/ A ry?i7/
....
Hullder .... .. . ... . .......... .:f? . .. . . ........ .... ... Dala y?^t "'. .....
/ ... .. .. .. .........
1 ft ?!/ v
Addreu ...(7..? .?.?..1 ...... ..... . . ... . .. ...... .?.... . .... .
Slories To Be Used For ? F:ont Deplh Heiqh! Eat. Coa! Perml! F e Aemaeke
I
This permit does aot aulhorise the use of cfreels, zoada, alleys or sidewalks aor does it give tne oaaer o= au ageas
the xight to creafe any siiuation which is a nuisance or which presenic a hasa:d !o the heallh, eafelq, conveaieacs and
general weltare !o anpone ia the communify.
THIS PERMIT MUST 8 KEP ON TH I3 W E THE WORK IS r?t,?.ptit-OGR? SI -
This is !o cexliEY, lhai..???. ...d?...?77?...has parmissioa fo aeevi_?....................... ............ _npon
the above desczibed pre ' e ubjeci So the pxovisions of all appl' e fos fhe Cilp a
........?...... - -!C!^=----...°--........ Per .??f.f......r....°--•..................
..
M or BuRdlnp Impaetor
IIII I II II II 1 H I II I II I I II I I III MEn?esota StatOe BoardEoCf ERI`CA ? NSPECTION d.E
1821 Unwerstty Ave., Rm. S-?/28,St.,c ? MN 55104 ??"-
* 0 3 1 9 9 5 0 2* vpone (n;2) sa2-0eoo 8'
i a?z
ome Duplex Apt.8ldg. Other: New Addn
Commercial Induskial Farm Remod Re air
Air Cond. Htg. Equip. Waler Hfr. Load Mgm}. Other:
D er Ran e Elec. Heat Tem . Service
"X" obove the work covered by }bis request Enfer remarks in this space and on fhe back of the white copy only.
b?'" /1l(!,
,Ue-u1 IUD 411,1f`2r46?CQ
Calculate Inspection Fee - 7his Inspection Requesf will not be a<cepted without fhe <orteci fee:
Olher Fee ,# Servioe EMronce Sae Fee # Circuils/Feeders Fee
Mobile Home Pa`k Stall 0 to 200 Amps 5? G?D 0}a 100 Amps
Sireef Lfg./fraffic Sig. Above 200 Amps Above Amps
Transformer/Generator OTAL
INSPECTOR'SUSEON
Sign/Outline lig. Xfmc L 55..SJ
Alarm/Remata Confrol - ?
r
:
$wimming Pool .'w emin on 1he dales ?Mled
I hereb ceni ihm I ins e ' n si h?
th.14d
Irrigation Boom p,o,h-ih oare
Special Inspecfion ?
InvesTigative Fee Final
? ?k
THIS INS7ALLATION MAY BE ORDEREU DISCONNECTED IF N OMPLETED WITHIN 7 MONTHS.
319 - 95 O ? ?FFl USE NLY This requml.oid 18 monihs fmm volidmlon dofe pnnned in Ihis b..
PLEASE PRINT OR TYPE
Requesf Date . Ro.gh-in inspeeion req"imd2 ? Yes ? No
Y
ll
h
h
d Inzpeeion Other Than Rovgh-In: 0 Ready Now Will Gall
k R
d
?
D
J ou muxr m
e inspedor w
(
I
en rea
y) a
eo
y:
I, Wlicensed conhador Q owner hereby request inspeciion of Ihe abave eleciricol work at:
lob Ad/y'? ss,(rStreat Box, or?t k N. ?
d
9 ? ?V Ciry
?
?
/
L'J
? ? /Cf-/ ? J! • T7ri v
/^- J..J ?
!
Secfion Na. Township Name or No. Ranqe No. Fire No. Counry
Occupanl ?
? ?'%P CLl2 a?? Phone No
?:P? S
Powe, $vpplier Mdms
Eletlnml Contm?/ ?Camp?any?y Nam?e) Convo?cror ?Lla[nse No
?? ? Masrer lic. Na. (Plant Elect Only)
(/?"
Moilin
Fddrees (Canhacmr or:O.mer PaAo ing InsM?otion)
`
?? ,:a ? ?
`? ? ,
? l-l%
/V
T
NI
AuMo' onhanoror ner 11 PhoneNo.
EB-OOODTA-10 6/95 11 STATEBOAROCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
PERMIT c&O &369
CITY OF EAGAN BUILDING
3830 Pilot Knob Road . PERMIT TYPE: '028661
Eagan, Minnesota 55122-1897 Permit Number: •
(612) 681-4675 Date Issued: 0 S/ 2 9/ 9 6
SITE'ADDRESS:
1069 KENNETH ST
LOT: 10 BLOCK: 1
MCKEE
P.I.N.: 10-47750-100-01
DESCRIPTION:
MAC SOUND
BtSild?-n-g , Permit Type
'?uilding?Work Type
'Census Cade"*
,.
CONTROL
5F (MISC.)
ALTERATION
434 ALT. RESIDENTIAL
t e ,v_
fr s
, ?ri` { ;r:2, r ;.;-4?3 lsas?.: ri£'?' .i;`; •?%
_
REMARKS:
SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUA7IpN $16,000
Base'Fee $237.25
Plan Review $118.63
Surcharge $8.00
Total Fee $363.88
CONTRACTOR: - APPlicant - ST. LIC.OWNER:
SOCON CONST INC 17846410 0008934 BUCHANAN ALBERT
9901 XYLITE ST NE 1069 KENNETH ST
BLAINE MN 55449 EAGAN MN 55121
(612) 784-6910 (612)688-7574
• I hereby acknawledge that I have read this application and state that the
information is correct and ag:hee ta comply with aIl appJ:icable State of Mn.
Stat:utes and City af Eag;an Ordinanaes..
L ?
APP ICANT/PERMITEE SIGNATURE ISSUED B: 51 ATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
RemodaVReoair Reauirements
? 3 registered eRe surveys
? 2 copies ol plans (includa beam 8 window sizes; poured fnd. design; elc.)
? t energy cakulelbns
? 3 eopiea of tree preservatfon plan H IM plaNed a8er 7/1193
required: _ Yes No
DATE: CC
DESCRIPTION OF WORK:
STREET ADDRESS:
cl-?
LOT / v
BLOCiC
J ? 3 - &?,f
? 2 eopies of plan
? 2 site surveys (exterior addRions & decks)
? 1 energy ealculations tor healed addilions
CoST: I 5, q 30 -
lobq ?enne?h ?? "
PROPERTY Name: tU hQnD TC'11?r1 Phone #:
OWNER ""' ""•'
Street Address• ?bbq KPnn? S?
City: VAM,M State: ffb_ Zip: SN It
CONTRACTOR Company: Phone #:19'r °`1ID
Street Address: `1 "I bI ft, I Nt License #: O O D O'13q
?
City: State: Mu_ Zip-5 4
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address•
Ciry: State: Zip:
Sewer 8 water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I herehy acknowledge that I have read this applicatian and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OPFICE USE ONLY ???EWED
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
?01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
d 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition o OB 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
a 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New m' 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main levet sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code. ?_
Depth Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit ?
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge'
Treatment Pi.
Road Unit
Park Ded..
Traiis Ded.
Other
Copies
Total:
Valuation: $ 1 ?- oo• ?
°h SAC
SAC Units
CITY USE ONLY 3 5
L _L BL ?_ RECEIPT #:
SUBD. ? LV? DATE: I 9 1k
1996 MECHANICAL PERMIT (RESIDENTIAL) V"Vl.cl
CITY OF EAGAN Q S o-?
3830 PILOT KNOB RD
EAGAN, MN 55122 g l a 5?? 1,
(612) 681-4675 ?. •?> P?j Q_
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL - SL
SITE ADDRESS: /L'(0 I / ? : )c. -
OWNER NAME: Al(Je-'t 6U-e-/-u4lQ,-) PHONE #: 6? /757?k/
INSTALLER NAME:
STREET ADDRESS: aK /A T???( SZ? /U ?CITY: STATE: ZIP:
PHONE #: --I ?? ?
?C.?I I
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 "
(672) 6814675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are a2t required
for each dwelling unit.
CATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee Qr 1°/a of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Qermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
cin:
PHONE #:
TELEPHONE #:
STATE:
ZIP:
SIGNATURE:
SIGNATURE OF PERMITfEE CITY INSPECTOR
EAGLaN TOWNSHIP
3795 Pilot Rnob F.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT POR SE4JER SERVICE CONNECTiON
DATE: Decemker 18, 196_7 NUMBER 96
OWNER: F1ovd W. Rotae Address 1069 Kenneth Street `'' `
/U° I r'"E. - ?PLUM7BER All State TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industriall Commerciall Residential Multiple Dwelling No, of units
z
Location of Connections;
Connection Charge $200000 Pd.
Permit Fee 97.50 Pd.
Street Repairs
Total
Inspected by:
Date
Remarks:
Ey
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rales and
regulations of Eagan Toeiaship, Dakota County, Minnesota
gy a?X?
Please r.oti£y o7hen ready for inspection and covnecti_on ar.d befnxe any portion
of tha wcrk is covexed.
l U- 1 I'1 G)c . 1
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMiT FOR WATER SERVICE CONNECTION
Date: December 18, 19ff
Billing Name: PToyi_,,W..&otte
Owner: 6ame
Plumber: aii . .a e
Meter
Meter No. Pexmit Fee ffi7-50 _At
Meter Reading Meter Dep. $15.00 /V
MeYer Sealed: Yes- [Add'1 Chg.
NO iTotal Chg.
Building is a;
Residence x
Multiple Ao.
Commercial
Industrial
Other
Inspected by
Date
Remarks:
By:
Chief InspecYOr
In conaideration of the issue and delivery to me of the above permit,
hereby agree to do tlm proposed work in accordattce with the rules and
regulations of Eagan Township, Dako*p rnnnto_ Minneseta_
Number: 0# 'i'1
Site Address: U69 Kenneth Street
Billing Addreas Same
I
Please notify the above office when ready for inspection and connection.
MASTER CARD
Permit
No.
Issued Issued To
Coniracfor Owner
BUILDING
PLUMBING ?i
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARV SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD fT.
FINAL
ELECT(iICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD ?
PLUM8ING
WEIL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON{OMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REIIVSPECTION REQUIRED
DATE OF REINSPECTION
CERTI FICATION -1 certify chat I have carefulty inspected the above in which I have no incerest present or prospective, and that I have reported herein
all significant conditions otserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILOING
DATE
BZ# IOOd Wtlb4:01 fi6-ZO-60 If0LI68Zi9
%56-x
MUNICIPAL NOTICS OF WELL P$AMIT APBLYCATION
DAxOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAG£MENT BECTION
14955 Galaxie Avenue West, Apple Valley, M 55124
Tel (612) 891-7011 Fax (612) 841-7031
DATE: September 02, 94
TO: Tom Colbert/Wayne Schwanz
Fax #: (612) 691-4612
F'I20M: A/ater and Land Management
RFa: Well Permit #: 96-9238
Municipality : Eagart
well Type: Sealing
Reviewer : Farr
NOTICE:
The Water and Land Management Section o# Che Dakota CounCy Environmental
Management Department hae received the following permit application for
the wall deacribed. If you require futher review of the application or
if you have any questions ox concerns about it, contact the Environmental
Specialist listed above or our office at (612) 891-7011•. If there is no
responae from your oEEice within 24 HOURS (excluding weekends and
h4lidays), we Will asaume that you have no objectiona to the issuanCE oE
the permit. Please note that permit issuance ia always conditioned on
the permit applicant's observance of and canpliance with all applicable
lawa and codes. A copy of the well parmit will be £orwarded to your
of£ice when completed.
4JELL CON'TRACTOR TNFDRMATION:
Alt Well Repair
Application Received: 08/30/94
Anticipated Drilling/3eal.ing Date if known: 09/02J94 Time: 11:00
LpCATION OF WELL:
PLS CoordinaCes %, u, %, #, Sea 2, Town 27 , Range 23
Well Location 1059 Kenneth 9t
Prop erty Owner A1 Buchanan
Well Owner A1 Suchanan
PID Number - - -
WELL INPORMATION:
Aiameter 4
Caeing depth 200
Total depth
SWL
AquiPer unconaolidated sadiments
COMMfiNTS:
391Jd TEOLT68ZT9: Htlj 0Sf1-03 tl10>IGCI: 4I L9:0T Y6. 30/60
6oD?S
2007RESIDENTIAL BIIILDING rmwarrucnaoix
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion ReauiremenLs
3 registered site surveys showirg sq. ft of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
t Soiis Report if proposed building is to he placed on disturbed soil
2 copies of plan showing 6eam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 wpies of Tree Preservation Plan if lot plaried after 7l1/93
Rim Joist Dehail Options selection sheet (buildiigs wAh 3 or less units)
Minnegasco mechanicalvenlilationform
RemodeVReoair Reauiremenfs
2 copies of plan showing footings, beams, joists
1 set of Energy Calculafions for heated addifions
1 site survey for additions & decks
Add'Rion - indicate ilon-site septic system
o.0a
G (ti-pc l?
?'2?.?b 6--
Office Use Onlv
Cert o(SurveyRecd _Y ,_N
Soils Report ;. _Y _ N
TreePresPlanRecd _Y N_
Tree Pres Required _ Y_ N
On-siteSepGC?System Y N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date --?-/
Site Address ! ??p / J
q ?hHC7?? 57?. Construction Cost 3? D.SS
UniUSte #
Description of Work 9L- I"tvoor riouSC /SRkCQP z159 -
Multi-Facoily Bldg
_ Y_ N J
Ftireplace(s) _ 0 _ 1 _ 2
Proper[y Owner {{j 64 'g? 54 bQC4 iqa y Telephone # (65'1 ) (togS 7S7y
Contractor md u2S? oe?
S'
?`?i? tf L?!?[2'OG.LS --Z'hC'
Address 313 ?
state ,
__
,'e ?7-evsah A)u y City C?nahQl ?e
zip ,SS31(o Telephone #?'j(,3 )?2 7 2676
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submit[ed
In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
T hPrehv annlv fnr a RPSiriPntial Rnilriina Permit anri acknnwlPr3vP
is comnlete and accurat
•
e,
, .. , --o- -- -- _ _ ? _
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Telephone #(
Telephone #(
Telephone #(
Fa?ck L. I'lAe k ?,&ez e;?, lril?
Applicant's Printed Name pplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0. 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration 0. ,37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 RBplacement , 'Demolition (Entire Bldg) - Give PCA handout to applicant
Descfipti011: WaterDamage_ Yes
Valuation Occupancy ' tNCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units ,' . Stories Booster PuMp '
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
. •
Type of Const Width ,
REQUIRED INSPECTION9
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.L _ Air Test _ Final _ Windows
_
Insulafion Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
par C ff ce Use
Perill:mit �/ 15__
C) I-
-+
P
City atan � a €rmit Fee 122- 1.,tt:r -(---:,
M s
3830 Pilot Knob Road13 ,
Eagan MN 55122 Date Received, t
Phone: (651)6754675 staff: I
Fax: (651)675.5694 t
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
03/06/2017Date: 1069 Site Address: 1969 Kenneth Street w ail :
Name: AI Sandy Buchanan Phone` 651-688-7574
Resident)
1069 Kenneth Street / Eagan / 55121'
Owner Address I City/Zip:
Applicant is: Owner X Contractor
1 Bathroom Remodel
r e of Work Description of work,
TMulti-Family Building: (Yes i No X )
Construction Cast: y ,,..t
Minnesota RI s oGaily /Mama
Company: Contact _
Contractor Address:
5010 Hwy 169 New Hope
MN 55428952-935-9669 Cally@minnesotarusco.co
State: Zip: _ Phone' marl,
CR002173 NAT21315-2
License tt: Lead'Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A EW 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 8,Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�
NOTE;Plana and supporting documents that you submit are considered to be public:;information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
W conclude that the are trade secrets.
CALL BEFORE YO DIG, Cat Gopher State One Cali at 1651)4540002 for protection against underground utility damage Coil 46 hours
before you intend to dig to receive iodates of underground utilities. th *.*h.r ..n.
I hereby acknowledge that this information is complete and accurate:that the work will be in conformance with the ordinances and codes of tile 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
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.
;ally � :
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
- /i/)b
jv __ '-/ ti..,6-4-- -- Ow NOT WRITE BELOW THIS LINE
. -
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
xSingle Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Flex Lower Level Pool Accessory Building
WORK TYPES A it,T7i rtf;on 1,06,4
New II Interior Improvement Siding Demolish Building*
Demolish Interior
Addition Move Building Reroof
• Alteration Fire Repair Windows Demolish Foundation
*
_ --
Replace Repair Egress Window Water Damage
Retaining Wall *Deification of entire building-give PCA handout to applicant
_ ..,.
DESCRIPTION
Valuation 00 117 -i (1„,..,
Occupancy 4.04,41,---se- MCES System
Plan Review Code Edition 4/wit?f r SAC Units
_ ,.
(25% , 100% X ) Zoning City Water
.. .,_ ...., .
Census Code Stories Booster Pump
....., ,....
#of Units Square FeetPRV
# of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
.... ,
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O.Required
............. __........
Foundation Foundation Before Backfill )c HVAC Gas Service Test Gas Line Air Test
_
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing (... 30 Minutes 1 Hour Drain Tile
...,..........
/ Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
yInsulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: .Rough In Final
Braced Wails Erosion Control
\i,\ Shower Pan Other:
efr"-le,
Reviewed By: , Building Inspector
RESIDENTIAL FEES ............
Base Fee
1 1 4 II
Surcharge /1
Plan Review4.4)
tr ,,,,,-
MCES SAC It 17 I('
City SAC
Utility Connection Charge
i/1/1 /-‘1\41
(
)
S&W Permit& Surcharge 1 0 C470
.1---/
Treatment Plant
Copies
TOTAL
Page 2 of 3
!"
#$%&'()' *+*,
-./$%'"&0-1 23/4$,+
-./$%'53/4-.1 67879AA
<*%-'!==3->1?9@?O@:?7A
-./$%'#*%-+(.&1- -./$%
B$%-'6>>.-==1''7?;O''V-,,-%J'B%''
8'"# $% &&8)**+ + , &&F$%22
567 8'9V::;'9'898''&
=12
<-=D.$0%$(,1
>?@&-AB2 C21+*2, +0#
D E%&-AB2 )# 2E0 + ,
721$E+B + , R+O ?E21
F2 2E&>+G2F2 2E&-AB2F0,?H0$ ?E2E>2E+0#&I?/@2EC2/ 2&I?/@2E +,2&>+G2
5#2012&$0##&"?+#*+,4&6,1B2$ + ,1&0 &JK;8L&K:;9;K:;& &1$.2*?#2&0&H+,0#&+,1B2$ + ,M
#(//-,%=1
N0E@ ,&/ , O+*2&*2 2$ E1&0E2&E2P?+E2*&Q+ .+,&8'&H22 & H&0##&1#22B+,4&E /& B2,+,41&+,&E21+*2, +0#&. /21&JF+,,21 0&> 0 2&
"?+#*+,4&N *2LM
5 &9&52E/+ &R22&J/+1$2##0,2 ?1LU;<M''&'!'8MV'!:
E--'B3//*.&1
>?E$.0E429R+O2*U8M''&<''8MW8<;
"(%*21
F;?G??'
#(,%.*D%(.1HI,-.1
9&&)BB#+$0, &&9
72,&F0E%&5#?/@+,4)#@2E &Y&"?$.0,0,
!VV;&\]?0+#&3+##&C*8'K<&a2,,2 .&>
F0B#2&\\E X2&FI&&;;(8898;((Y040,&FI&&;;8W8
J:K(L&V8K9<<WVJK;8L&K!!9:;:V
6&.2E2@A&0$%, Q#2*42& .0 &6&.0X2&E20*& .+1&0BB#+$0 + ,&0,*&1 0 2& .0 & .2&+,H E/0 + ,&+1&$ EE2$ &0,*&04E22& &$ /B#A&Q+ .&0##&0BB#+$0@#2&> 0 2&
H&F+,,21 0&> 0 ? 21&0,*&N+ A& H&Y040,&ZE*+,0,$21M
)BB#+$0, T52E/+ 22 &>+4,0 ?E2611?2*&"A &>+4,0 ?E2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166966
Date Issued:02/16/2021
Permit Category:ePermit
Site Address: 1069 Kenneth St
Lot:10 Block: 1 Addition: Mckee
PID:10-47750-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Albert E & Sandra J Buchanan
1069 Kenneth St
Saint Paul MN 55121--141
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166968
Date Issued:02/16/2021
Permit Category:ePermit
Site Address: 1069 Kenneth St
Lot:10 Block: 1 Addition: Mckee
PID:10-47750-01-100
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 -
Albert E & Sandra J Buchanan
1069 Kenneth St
Saint Paul MN 55121--141
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature