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1070 Kenneth StCITY OF EAGAN Remarks Addition McKee Addition #1 Lot 11 aik 2 Parcel ld 47750 110 02 Owner?N 4- ED( ' r:? [1f??r Street 1070 Kenneth St. State Eagan, NIN 55121 Improvement DD Amount Annual Years Payment Receipt Date STREET SURF. ? 1 STREET RESTOR.pavin i 3 .50 31.15 10 -- GRADING Hp 5AN SEW TRUNK 1968 100. 00 3.33 30 48706 A014840 11-14-84 * SEWER LATERAL 1968 20 WATERMAIIV VATERLATERAL & SEW 1968 850.00 42.50 20 85.00 A014840 11-14-84 WATER AREA STORM SEW TRK JL? 1984 403.06 26.87 15 349.28 A014840 11-14-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $200.00 559 12-18-6? BUILDING PER, SAC $200.00 559 12-18-67 PAR K ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: s i rl} ( t ? PERMIT SUBTYPE: PERMIT TYPE: ? 1+ 11++ IP+G Permit Number: Date Issued: APPLICANT: ? ? ? ?• ? ; ? ? . ? ?,: f; I ? ??rJ ? t?if', 1 i i ' .. TYPE OF WORK: A I I 1(tH I I 4iN Mni •.rilIMli t N'.I II !+I '.i {c 11' f 1 lopt tt11M f hit+ li(,il 1 ra 14 1 t, I:I i ttt;1{ IN 1'1 (;ti I f p7 f i I ?' tr: N/ii+/ ', !1 '.t't'n(./s 1 f 1 1 1; M 1 1 l'. 1r1 011 1 RI 11 1 ntt (?NY I-IIiM{t I rao, 111- I 1 11 I It / i fit 1-40 ii l t ? 1 -+? . . .. .. L.? ? ? ? ? ?.. .. . . . . ?' . . . .. . ... . J Permit No. Permit Holder Date Telephone li ELECTRIC PLUMBING HVAC InspecNon DaN Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIA TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG /CSx ORSAT TEST BLDG FINAL BSMT R.I. ? BSMT FINAL DECK FTG DECK FlNAL ??? 7 CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnasota 55122 Phone: 454-6100 HEATM PERMIT Dcte: g-79 Site Address: 1070 R+e?uleth Street ?.1. > Lot Block 5ub/Sec. McKee Pst Ackin. Name Pay L. «tAeL'sCn e° Address 1074 Kermeth ''t'y-,F-?t :1 City Phone: Nome tOdri.ciUsM Fi'tc1. & . Address 0 City Phone: This Permit is issued on the express condition thot oll work sholl be Minnesoto Statutes ond City of Eagon Ordinances. OCMBib'TIM M REQ[TIIm No. 1493 Receipt No.: 15- 0?i1 Single I Residentiol X Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation 'C? "C" (' - Permit Fee A*''"?'' - ., .)J Surcharge Toto l - done in occordance with oll applicable Stote of Building Officiol K 8780 106 5s( '- 7 a3/9a- ir .Q ? ? I`3 `r-I Fe0uesl Date - I -^ R Fre No. RougM1-in Inspection Reqviretl? ? Yes No ? ReaOy Now?Will NotBylnspector W?en Reatly? IX,censed contractor 7) owner here6y request inspection of above electrical work aC Job PaOress (Sveet. Boa or qoute No.) ? 1 ? 1 ? 1?C1' City ? Ll Section o, TownsM1iO Name or No. Range No. ly I'j vbIW Oc (PRINT) Pbone No. ??•??' 1 `/ Power upplier Atldress 5 ??s usp 1 _ 3wv Krliw e 1 kto-Lb rf- u - Eleqnwl Conlractor IGompany Namel nVecbr'S Cica se No. ?d- (Unrihern E?ec'h^?c LR , CR Ol 3?1 Mailing Adtlress (COnrc r Owner Maki g ns ano a - ?Q? G??v ss ?a1 c?? Author¢e [raciorr0 er Mabng Installationj Phone Number S - Q , MINNESOTA STATE BOl HD OG ELECTRICITY Griggs-Mitlway Bltlg. - Foom 5-173 1821 Universlty Ave., SL Paul. MN 55104 hone(612) 642-0800 THIS INSPECTION REQUEST WILL NOT 6E NGCEPTEO BY THE STATE BOARD UNLESS PFOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? 18780 See insVUCtions lor completing Ihis forrn on back of yellow copy. ll? K "X" Below Work Covered by This Feques! Ee-00001.08 ,?? ?,/U?o99la ew Add Rep. TypeolBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Waler Heater Electric Heating Apt 8uilding Dryer Other (Speci ) Comm./Indusirial Furnace Farm Air Conditioner Other Ispeciryl conhactor's Remarks Iq()Amp ;Zr'uilire - ?\RA K' Compute Mspection Fee 8elow.' # Other Fee # ServiceEniranceSize Fea # Circuits/Feetlers Fae Swimming Pool 0 to 200 Amps '-? 0 to 100 Amps ? Transformers Above 200 _ Amps Above 700 _ Amps SlgftS Inspector's Use Only: 't TOTAL Irrigalion Booms r ,S Special Inspection Alarm/Communication THIS INSTALLATION MAV 6E O ERED DIS TECTED IF NOT Other Fee COMPLETED WITHIN 18 MO 1. the Electrical Inspector, hereby Rouyn-m certify that the above inspection has been made. • ?l OFFICE USE ;NLV Tnis requesl voia 18 mon[hs Imm 4 WELL PERIVIIT DAKOTA COUNTY el WHEREAS, the PERMITTEE/DBA: ADDRESS: ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Galaxie Avenue, Apple Valley, MN 55124 (612) 891-7011 Permit No. 94-9284 IInique # H55425 NON-TRANSFERABLE Johnson and Sons DrilZing ISSUED TO: 27580 5815 Lower 182nd St REVIEWED BY:Luehrs Farmington, MN 55024 has submitted a permit application, has paid the sum of $111.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to seal the Well described herein: An abandoned well with a casing diameter of 4 inches, depth of 135 and completed in unconsolidated sediments, will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement grouted and terminated at least two feet below grade. THE WELL IS LOCATED IN THE MLTNICIPAI,ITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 1070 Kenneth Avenue Merle Anderson Merle Anderson 4500 35th Street SW 4500 35th Stree*_ SW Waverly, MN 55390 Waverly, MN 55390 NOW, THEREFORE, Johnson and Sons Drilling authorized to seal the well described and of one year from the date of this permit. subject to all provisions of Dakota Count Wells and Borings Code and any conditions side of this permit. is hereby permitted and located above for a period Sealing of this well is ? Ordinance 114, the Minnesota attached on the reverse Given under my hand wednesday, October 19, 1994 A Environmental Supervisor Managemen ? oz# [ooa natz:z0 es-s[-ot teoLtsazts ? ?OU? ?t? 1ayn+? xse=x MUNICIPAL NOTICE OF WELL PERMIT APYLICATION DAROTA COUNTX ENVIRbNMENTAL MANAG&MENT DEPARTASEN'I' WATER AND LAND MANAGEMBNT SECTION 14955 Galaxie Avenue Weat, Apple Valley, A9N 55124 Tel (612) 891-7011 Fax (612) 891-7031 DATE: OctabBr 19, 94 To; Tom Colbert/Wayne Schwana Bax #: (612) 681-4612 P'ROM: Water and Land Management RE: Well Permit 94-9284 Municipality : gagaa Well Type: Sealing Reviewer : Luehrs NOTICE: The WaCer and Land Management Section of the Dakota County Snvironmental Management Departmerit haa received the following permit appl.ication for the well described. If you require futher review af the applicatian or if you have any questions or concerna about it, contact the Environmental Specialist Iisted above or our offiee at (612) 841-7011. If there is no reaponse from your oEPice within 24 HOURS (excluding weekenda and holidaye), we wzll assume that you have no objecCiona to the issuance of the permit. Please noCe that permiC issuance ie alwaya conditioned on the permit applicantls obaervance of and compliance with all applicable laws and codea. A copy of the well permit wxl], be forwarded to yaur offi.ce when completed. WELL CONTRACTOR INFORMATIpN: Johnson and 5ong Drillin9 Application Received: 10/19/94 Anticipated Drilling/Sealing Date if known: 10/31/94 Time: . I,OCATION OF WELL: PL3 Coordinates 3(, nw W, ow ',f, nw X, 5ec 2, Town 27 , Range 23 Well Location 1070 Rennath Avenue Property Owner Merle Anderaon Well Owner Merle Andera0n PID Number - - - WELL INPOFiMA.T10N: Diameter 4105 Casing depth 135 Total depth 135 3WL 105 Aquifer unconaolidated sediments COMMENTS: 390d IEOLT68ZZ9:Htlj 3SM-00 tllO>ItiQ:QI SE:bI 76, 6T/OT baaaa?aa??aaaa?aaa?aaaaaaaaaa PROPERTY DATA SYSTEM ° SPECIAL ASSESSMENT P&I INQUIRY °CURR 335 ° ° PROPERTY ID S/A# °NEXT ° ° 10-47751-110-02 102979 DESCRIPTION ORIG.ASSESSMT ST 733 2500.00 INTEREST lst YEAR CURRENT RATE INT MOS PAYMENT# 6.5000 14 Q agaaaaaaaaaaaaaa?aaaaaaa? D E F Type Year Method Int.Rate DATE TOTAL YEARS ° LEVIED PRINCIPAL YEARS REMAING ° 11/02/1998 2500.00 15 15 ° PAYOFF AAAff CIASED &AA£ TAX FORF ° AMOUNT Date Reason DATE ° 2500.00 ; R R A L S aaaaaaaaaaaaaaaaa?aa?a?aaa ° Principal Tnt.Due Total Due ° ° aaaa?aaaasaaa?aaaaaaaaaaa P& I S C H E D II L E?a?'e??'a'e?'a?'a'????a??a5aa?fi?a'a ° ° Year Amount Year Amount Year Amount Year Amount ° ° 1 356.24 2 318.32 3 307.50 4 296.66 ° ° 5 285.82 6 275.00 7 264.16 S 253.32 ° ° 9 242.50 10 231.66 11 220.84 12 210.00 ° ° 13 199.16 14 188.34 15 177.60 16 ° ° 17 18 19 20 ° ° 21 22 23 24 ° ° 25 26 27 28 ° Type PID and S/A NBR, press ENTER; or F1, F2, FS ?3a?d ? r .z .' ? P t? n C/ G i ?'?? E ,•2`" : ? /`ac '''i ve vO CC ? •?rr?'.C_C_C'C.('f'f CCCC:_C'c c^,C-,r;;-;0 1 ? ? E ? ?. :?. ? ??_ . ?.Yt ? ?. .?.., ~? ? ??_. ? • l..?.r.l' ? V 7 ????.? ? ? 1?(:( _C 'C` _r c':C c? G c. C C'_.C: E; .?. .:c_ •0 0 0 c; •? 1 10 _r:.r _e O('l :f?-; ) 0 0 13 0= ? ? A 0 -P,;.S'j?,.C_?(?«;f? ? ? 0 ?r? ? ? 1 0£088b8 :2138WfiN 1N3W(13O([ - 99it5LZZ !N39W(IN 1Ntl2121tlM 00'O84 °1Nf10Wtl QNf1A38 1tl101 00'084 °1NOOWV ONOd32! 43WItl13 321HAW W 3NOP 00-058Z-ZZ-Zo. '83AtldXVl , 9NIlIj lVNI9Ib0 1661/1£/ZI - 166I/I0/i0 '90I83d JNIIIJ QNf1J321 Xtll A1213d0?Id :210J ' 8661/LI/60 4N(lj3?J A0 NOI1tl3IJIlON 3fiN3A321 J0 1N3W1Jtld3Q - tl1053PiNIW =10 31tl1S £89600000 ci-?-c-o ??:? ?• 10 110 c-c0,0- • 0 lu..0LOA) 0• ? 0 4 ,.? C=f_:=C G_C •:0 _0--oyG'?_(? 0"0 - 0;€''_0 • • 0._i-. -C_ C`G C- C `E`C_G 0 a _C_(% ..0`C _t`- `0 0 _!D r'.? 0_ ) 0 N • 04 _ ( L G-G =F" c =C _ V O E'' C ?_G.-:?y( 0 • ? "c.: C E; :C .f3 ??C ? P _C_._C=e ? C: (; 0 0_17)__13?: ) 0 • 4 0 0 f T 0 0-1-i?'.el. 0 0 0 0 cwcj .c.-Pc-_c_ 0 0 ? J? ? ??.- ? ? ?"r r?? % ? ?,,?'`i ?a `p ? ? Y ???' , d? . ,??..c.e?M?z/ ? ? V 1?? ?p?,?4?-?? ? FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT SHOWN IN BOX 5 MAY BE TAXABLE INCOME. O 1997 • SEE THE REVERSE FOR MORE I FORMATION Box 1. Narne Box 2. Beneficiary's Social Security Number JUNE M MYHRE 472-22-2850 Box 3. Benefts Paid in 1997 Box 4. Benefi[s Repaid to SSA in 1997 8ox 5. Net Benefts }or 1997 l8ox 3 mmus 8o.c a) fi9,477.6Q NOR1E V9,477,60 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN 80X 4 Paid by check or di.rect deposit E8,952.00 Medicare premiums paid for ou Total Additions f4,477?6a60 NONE /4 ? 8ox 6. Voluntary Federal Income Tau Withheid tl?? / NONE "-' ? /`,' ?? ?? Box 7. Address JUNC M HYHRE 2876 S LEXINGTON EAGAN MN 55121-1424 ?--9i°?'?'c"' C/ Box 8. Claim Number (Use lbis number if you need to contact SSA) 472-22-2850A ' Form SSA-1099-SM (1 -96) DO NOT RETURN THIS FORM TO SSA OR IRS Social SecuriLy RdreiRistration Mid-America Program Service Center 601 East TweLftli Street kansas CiLy, NO 64106-2859 OFFICIAL BUSINESS PENALTY FOFi PRIVATE USE, $300 019flPG4E01050195345 c FIRST-CLASS MAIL Mpp POSTAGE AND FEES PAID 1 SOCIAL SECURITY ADMINISTFATION PERMIT NO. 0-11 kiFiFFkkiEkAkf.f.Rkfe AUTOCR x* C446 JuwE n nrNaE 2876 5 L[XINGiON EAGAN MN 55121-1424 II LIi I II Li I I I f i Jt Ii i JII t I II,II ( LI It (I II I III I I II fI( I I JJI city oF eagen THOMAS EGAN Mayor December 1, 1998 PATRICIA AWADA BEA BLOM9UIST SANDRA A. MASIN THEODORE WACHTER CouncilMembe¢ MS. JUf12 M. MyIl(6 - THOMASHEDGES 2876 S. Lexington Avenue CiryAdminishofor Eagan MN 55121-1424 E.J VANOVERBEKE , CiN Clerk Re: Senior Citizen Deferment - Parcel 10-47751-110-02 fProiect 7331 Dear Ms. Myhre: In official action of the Eagan City Council at its regular meeting held on November 30, 1998 your application for a senior citizen deferment was approved. We will process the necessary paperwork to Dakota County so your subsequent tax statements take the deferment into consideration. The deferment will remain in effect as long as the required eligibility conditions are met. I have enclosed a copy of the appropriate section of the Eagan City Code that outlines those conditions. I have also enclosed the original copies of the documents you provided with your application. Please call me at 681-4616 or Special Assessment Clerk, Deanna Kivi, at 681-4634, if you have any questions about the defermeni or anything else related to this action. Sincerely, E.J. VanOverbeke, CPA Finance Director/City Clerk cc: Deanna Kivi, Special Assessment Clerk MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (651) 681-4600 FA%: (651) 681-4612 TDD' (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH W OUR COMMUNITY Equal Opportunify Employer MAINTENANCE FAdLITV 3501 COACHMAN POtM EAGAN. MINNESOTA 55122 PHONE (651) 681-4300 FFU(:(651)681-4360 TDD? (651) 454-8535 ,. tiPPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX ON SPECIAL ASSESShiENTS FOR SENIOR CITIZENS' HOMESTEAD LAWS 1974, CHAPT'ER 206 STATE OF MINNESOTA) COUNIY Oc DAKOTA ) • ?i? ?", `?_ 19? 7G: County Auditor, Dakota County, Minnesota DATE I, the undersigned, declare under penalties of perjury: That I reside at (p ' ,-_) 5z&, /-0 /t That I am not less than 65 years o e a that the date o my rt is f1--i, ThatAI am the owner of the property le,gal ?described as: l(J _ _ ?7 75/- //D , Property Identification No?UV 7,57.11-6D2-. That my interest in the ownership of the above property was aquired on4 ? 19?and is as follows: • 1. Sole ownership (Enter Yes, if applicable) ?? . .. .. .. .., , .. .. _ 3. OTHER undivided interest fSnecifvl i.,?_ inac on .lanuary Z, 1s?_or June 1, 191f(I owned and occupied the above property as my homestead and such occupancy hegan on_ Q,.c Q,r, _ / 19___/p c? _U That the installments for im,provements on the SP CIAL ASSESSMENTS duly adopted in ordin- ance by the(?Z; OF AS OF 19 which have been a?.jlocated against the subject pro rty would create undue personai hard- ship on my behalf and I respectfully request that payment be delayed and that such in- stallments be so deferred for the years 19?to ? SIGNED: 0WNER SPOUSE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ?. ? I, ? Clerk of the OF Ea- aa0 IN County, State of Minnesota, do hereb ertify that th application of S4„? rvt. yV\v irL above named, has been dvly reviewed and that ' in ac=cr ance with t?fl: minutes of official record in said chambers was duly : APPROVED K --ENiEg as of (V oos\aa,,, 30 1$ • inac in accordance with approvai granLed, the SPECiwi, nSStSSMEhiS Yisted beiow on the affiants subject property levied for annual collection in the amounts and for the years shown be so deferred with interest at the annaal rate shown tmtil such time as it is deemed the applicant no longer qualifies or the property loses its eligibility. ASSESShfENT D/P N0. 7'OTAL AMOUNT YEARS INTEREST RA7'E StraPt P731 2979 $2,500 15 ' 6.5$ DATED yQ.te ?rav I 19 2-5- (over) ??- ? Q.t, city oF eagnn / , 0, 5 SC?,-, ? ? /0,n /(Z,- a , C i-..r-9y THOMAS EGAN MaVOr PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Councii Members December 8, 1998 Attention: Pat Brown Recorder's Office Dakota County Government Center 1590 Hwy 55 Hastings MN 55033 Dear Pat, THOMAS HEDGES Ciry Adminishator E. J. VAN O`?ERBEKE CiN Clerk ?Ptease-racocd_the enclosed Senior Citizen's Deferment document on Par.cer#10= ;, 47759-410=02. Please retum to me a copy of these recorded document. Thank you for your help and please call if you have any questions. Sincerely, k c? 1,-rt a-. Deanna Kivi Special Assessment Clerk Enclosure MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (651) 681d600 FAX: (651) 681-4612 TDD? (551) 454-8535 THE LONE OAK TREE THE SYMBOL Of STRENGTH AND GRONRH IN OUR COMMUNITY Equal Opportunity Employer MAINTENANCE FAdLITY 3501 COACHMAN POINi EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FAX.(651)681-4360 TDD: (651) 454-8535 EAGFN TOWNSHZP 3795 Pilot Knob Road St. Paul, Mianesota 55111 Telephone 454-5242 PERZ9IT FOR WATER SERVICE CONNECTION Date: December 18 1s 96g7 Number: 58 Billing Name: Ras Anderson Site Address: 1070 Kenneth Street Owner• Same Billing Addres9 Same Plumber: All State Meter Meter No, 'Permit Fee 7.54 _ Meter Reading I Meter Dep. 315.00 Meter Sealed: Yes_ 'Add'1 Chg. NO ITotal Chg. Buildiag is a: Reaidence , Multiple go, Commercial Induetrial Other Inspected by Date Remarka; Bq: Chief 7aspector In conaideration of the isaue and delivery to me of the above permit, hereby agree to do tte proposed caozk in accordaace with the rules and regulations of Eagan Township, Dako I Please aotify the above office when ready for inspection and connection. Pd. Pd. Pd. EAGE;N T3'afiSHiP 3795 Pilot Kttob Road St. Paul, Minnesota 55111 Telephone 454-5242 PE?2MIT FOR SE41ER SERVICE CO:d:7cC:i0:I DATE: December 18,, 196Z7 01.7-N£R: Rag Anderson NUMBER 95 Address 1070 Kenneth Street Ck?PLL'M.BER All State Typg pg pipg Cast Iron DESCRIPTION OF BUILDING IndustrialI Co;mr.err.ialI Residential I Multiple Ihaellir.g I No. of ur.its LocaCion of Conr.ections: Connection Charge $200.00 Pd. Permit Fee $7.50 Pd. SCreet Repairs Total _ inspected by: Date Remarks: By. Chief Ir.npect•or In consider3tion of the issuP ar.d delSvery to me of the abose p^!^?:.'•.L-, I hereby agr<:e to do th_ prcposed work in accordance with the r+iles a.^.d regulations o€ Eupa Tocroskip, Dakota County, Minnesota Sy c. PleEsa ,llC'iY,j.Fy 17hnn xeFdy for fr..sFecf.ion and co,n,c4.3on ar.1 `a??.=cre any poru'_on c"r' t'he oJ? rk 3.s cev.r?d. INSPECTION RECOKD _ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILOSNG 025168 04/18/95 SITE ADDRESS: LOT: 1070 KENNETH ST MCKEE PERMIT SUBTYPE: SF (MISC.) APPLICANT: 11 BLOCK: 2 DZVERSIFIED AMERICAN CONST (612) 929-7982 TYPE OF WORK: AL7ERATION DESCRIPTION MAC 50UND INSULATSON INSPECTION FRflMING „ • ROUGH IN PL6G .A ROUGM IN H7G PZNAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WpRK ?? . CITY OF EAGAN 3830 Pilot Knob Road ' Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 10-47750--110-02 DESCRIPTION: ti. PERMIT 1070 KENNETH ST L07: 11 BLOCK: 2 MGKEE PERMIT TYPE Permit Number: Date Issued: MAC SOUND INSULATION rmit Type SF (MISC.) r,_k Type ALTERA7ION ?pw A p @ A I M ai e 9 l S k }T1 c ?i?{Y .iw9f a^'?£ v <. ? Y ? •?i ?. ?" °? . ? (?Qvl7 efil o4re 025168 04/18/95 ?if t ? 4? ?F i-''."?t. W? 4 w ? . a REMARKS: A SEPARATE PERMI7 I5 REQUIRED FQR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION Sase Fee Surcharge Lic. Search Fee Total Fae $81.00 $3.00 $5.00 $69.00 $6,000 CONTRACTOR: - Applicant - 5r. l.zC, OWNER: OIVERSIFIED AMERICAN CONST 19247982 20017349 ANDERSON MERIE 5115 EXCELSTOR 8LV0 107 1070 KENNETH S7 ST LOUIS pARK MN 55416 EAGAN MN 55121 (612) 929-7982 . (612)932-8146 9r " ? j • 'G CITY OF EAGAN 19iA BUILDING PERIVIIT APPLICATION 681-4675 -W.P.o ,A .2-.2d SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surve calcs. =? 3j? COMMERCIAL j j 2 sets of architectural & structural pla 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 or 3) lot change is requested once permit is issued. Date o Valuation of work 4' ,5,7 76 0. 0 a 5ite Address: f0 20 Y(?i,?.a&Z ? STR:ET :UITE # Tenant Name: (commercial only) LOT ? BLOCR ? SUBD. P.I.D. # C'?& Descri tion of work: The applicant is: ? Owner 64 Contractor ? Othet' coesoribe> Name Phone Property LAST FIRST Owner qddress STREET STE # City State Zip Company ? Phone Contractor Address ,T ,e )&/v License # W/ Exp. CitV StdtP Z1p T? Company Phone Architectl Engineer Name Registration # Address ' City State Zip ' Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable ate of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 5F Addition ? 04 SF Porch CZ05 SF Misc. WORK TYPE O 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ;2(33 Alterations ? 34 Repair 0 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move GENJFRnL !NFO4MATlO!M Const. (Actual) (Allowable) UBC Occupancy Zoning ,? of Stories length Depth APPROVALS Planning Engineering REG1UfRED INSPECTIONS D.Site O Walltroard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing O Final ? Framing ? Draintile _12y_ ? ? ? ? Insulation ? Fireplace Permit Fee 5urcharge Plar R2view License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units vatuec;a,_ g z?, 042;;, 6 ?...?...? , , ? 16 Basement Finish 11 17 Swim Pool ? 18 Camm.(Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 659-681•4675 New Construaion Reauirements • 3 registered sfle surveys showing sq.1t of lot, sq. k. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing 6eam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan'rf lot plalled after 717193 • Rim Jaist Detail Optians seleclion sheef (bldgs with 3 or less units) DATE l I ??I b"?' JOB SITE fv7 c) - RemadellReoair Requirements . 2 copies of plan • 1 set of Energy Calculatiom for heated additions . 1 site survey tor extenor additlons & decks . Indicate if home served 6y seplic system for additions SlVALUATION ?g? ? - IF MULTI-FAMILY BUILDING, HOW PROPERTY OWN TYPE OF WO UNITS? ? FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT yprthstar Home Improvement Inc. ADDRESS "Simpty the BesY' rto79ziinA1- na.,.. PAGER # Molsc6161 maw # (952) 929•1888 PHONE# ZIP CODE FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submittedf --?1 - Energy Envelope Calculations Submitted ?67? , MINNESOTA RULES 7672 ' r - P2 ? - New Energy Code Worksheet Submitted Plumbing Contractor: Phone _- Plumbing System Includcs: Water Softener Lawn Sprinkler $90.00 Water Healer No. of K.I. Baths No. of'I3aths Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Air Condilioning _ Hcat Recovery 5ystem Phone # P'ee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with aIl applicable State of Minnesota Statutes and City of Eagan Ordi ce Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? Ot 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. (A-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Sidina Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total J57.)6 Building Inspector l n CITY U5E ONLY L l l BLn o`? RECEIPT#: SUBD. RECEIPT DATE: 1998 PLUNMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, NA1 55122 (612) 661-4675 Please complete for: ? single family dwellings D townhomes and condos when pertnits are required for each unit D backflow preventer for underground sprinkler system ------------- ---------------- ? ? ? FIXTURES ------------- EACH -------------- -------------------- ---- # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = ?Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = water Softener ' for dwellings under construdion 5.00 X = Water Softener ' foi existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler 'forexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = STATE SURCHARGE .50 TOTAL ZD.eo --------------------------- • -- • ---------------------- ---------... - ---------- --------- --- --- ---------------------------- ------------------- 1 hereby adcnowledge that I have reaC this apnlicatlon, state that the inkrtnation is corted, and agree to compry wiMi all applicable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damagas caused by the Ciry during its normal operational and maiMenance activ8ies to the facilities constructed under this permft witbin City propertylright-of-way/easemant. SITE ADDRE55: I 0?1? CWVl.f i/1 ?T . OWNER NAME: INSTALLER NAME: TELEPHONE#: ?L) Erickson Plumbing Heatlnp Coolinp, lnc. STREET ADDRESS: 5212 Isenti Street NE CITY: STATE: ZIP: SIGNATURE JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 1o?j 2007RESIDENTIAL BITILDING pERrnT nrrLicariort , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-475-5694 NewCdstludm Reauiremenk 3 mgisfe2d sde surveys sfioxiig sq, ft, o(lot, sq. ft of house; and a11 roofed areas (TO°k maximum IM trovxage allowed) 1 So15 Report d pmposed huldng is lo be placed on disturbed wil 2 capies of plan shovnng beam d window sizes; paured found desgn, etc. 1 set of Energy Calculatians 3 wpies M Tree Presmetion Plan if Iot pleGed after 711193 Rim Joist Detal Optiwis sekction shee9 (buiNtings xrith 3 or less unils) MnnegasW madakalventilatlonform Date V , Construction Cost Site Address • UniUSte # Description of Work ??? W?- Mald-Family Bldg ? Y Fireplace( 0 _ 1 _ 2 Property Owner Telephone #((Is? (0 T Z Contractor G Addross City NICAU State Zip ,j{t{i 7l T ? Telephone #(?? )(0l03 FRuCO RemodeVReoair Reauirements; 2 mpies oi plan showing faotings, beanu, jasls 1 set W Energy Calculations Fw heated addiUons 1 site wrvey for addifions & decks Ad&nn - indcafe il ar-sile septic system Oifice Use OnN CertofSurveyRecd _Y _N ShcsRepor[ _Y _N Trfle Pres Plan Racd _ Y _ K TreeResRequired _Y _N Onsite Septlc SysOem _Y _ N Plans are considered ublic information unless ou state the are trade secreY and the reason. COMPLETE THIS AREA ONLY IF CON$TRUCTING A NEW BUILDIN6 - Minnesota Rules 7670 Cateory l Minnesota Rules 7672 Enefgy Code CategOry , Residerriial Ventilation Category t Worksheet • New Enerpy Code Worksheet (J submissian type) Submitted Submittetl • Energy Envelope Calculetlons Submitted In the last 12 monihs, has the City of Eagan issued a permit for a simiiar plan based on a masTer plan? _ Y _ N If yes, daTe and oddress of masier plan: Licensed Plumber Telephone #{ ? Mechanicai Contractor Telephone # Sewer/Water Contractor Telephone # ( ? I hereby apply for a Residential Building Petmit 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 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 jke,aRproved plan in the case of wgkvhs?' h requires a review and appro al of plans. t Ap 1' ans Printed Name Signature r t ? DO NOT WRITE BELOW THIS LINE Sub Types ? Ot Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OB 06-plex ? 16 Firepface E3 27 Porch (3-sea.) 0 31 Ext. Att - Multi 0 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (saeen/gazeboipergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex O 12 12-plex ? 25 Miscellaneous WONC TVDBS ? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 AddRion ? 36 Move Buikfing ? 42 Demolish Founda6on ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/0oors ? 34 Replacement •Osmoliqon (EMfre BIAg) • Gtve PCA handoutM appNcanrt DescHutlon: wamr oam.ps _ ves Valuation Occupancy MCES System Plan Revlew 100% or 25°l0 Census Code Zoning City Water SAC Units Smries Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheettock _ Footings(deck) FineVC.O. _ Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Poo( Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Larh _Brick _ Fireplace _ M. _ Air Test _ Final _ Windows _ Insulazion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search , Copies Other Total Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 ------------------------------------------ ? Case Number: 09-004313 ? , , FORECLOSURE / PROPERTYDAMAGE REPORT Date: 3/6/2009 Complaint Taken By: Terry Zelenka Type of Building: Single Family Home Name: Address: 1070 Kenneth Street Legal Description: Phone Number: Complaint: Water off X Gas Off X Water Off Electrical Off X Home is Unoccupied Action Taken: Inspection Comments: Home has had a Sheriff's Sale. The property appears to have a good exterior condition and has no apparent water damage to date. Entered in PIMS 3/11109 Signature: ? v? G:1Building InspectionslFORMS PERMIT City of Eagan Permit Type:Building Permit Number:EA123562 Date Issued:06/11/2014 Permit Category:ePermit Site Address: 1070 Kenneth St Lot:11 Block: 2 Addition: Mckee PID:10-47750-02-110 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Gregg Biske Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Sokun Kith 1070 Kenneth St Eagan MN 55121 Rooster Exteriors Inc 986 Inwood Ave N Oakdale MN 55128 (612) 382-4057 Applicant/Permitee: Signature Issued By: Signature