1074 Kenneth St
Jun 08 10 04:23p Ashley 7632718715 p.1
Use BLUE or BLACK Ink
For Office Use
City of Eagn ~ PermR
I y~ I
Permit Fee: V -go, 0 3830 Pilot Knob Road
Eagan MN 55122 i Date Received: j
Phone: (651) 675-56T5 t
Fax: (651) 675-5654 j Ste'
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' O(P 0 ZJ 0 Site Address ~d y 1 ~7~7/7
Tenant: I J 1,~ tT011 suite 4P
RESIDENT / OWNER Dame: r" D Phone: 9- ^ IS f - t/CZ3
Address i city z;p: O 71-/ &1g,,~,^4i,C' 55-1.2-1
Applicant is: Owner b4contractor
TYPE OF WORK Description of work: ) fQ'.~' J C R-Ac 6M C_;_1 i
WbWW_1
Construction Cost: Bu SS
7000. 00 IV~Iti-Family Building : (Yes / No
CONTRACTOR Name: RO4f ! tzsi ar'f M1.~ License SZ 0
Address. 3.,2 l YZ_ wet 1,, Lr ' 5j'f . Po ow"?, 7city: m n-h Lg
State: 14 1 V Zip: S S (v Phone: a 7 1- 1+ r/b o
Contact: Email: l f }r3rh
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 & Wager Contractor: Phone:
NOTE. Plans and supporting documerrts that you submit are considered to be public information. Portions of
the information may be classified as non-public Ff you provide speclffc reasons that would permit the City to
conclude that the are trade secrets.
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. mvw.gopherstateonecall.oro
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 wilt be in
accordance with the approved plan in the case of work which requires a review and approval of p
h! rrPl x
A-rffiliaahft Prinfa Names O irant'n Alonatesm
CITY OF EAGAN Remarks
Addition McKee Addition #E Lot 12 eik Z Parcel 10 47750 120 02
Owner,ImLS 'a' ?u? F??''cC?,d.) Streec 1074 Kenneth St. Stace Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STFEETRESTOR.PaVlII 1969 $311.50 $31.15 10 PAID
GRADING
SAN SEW TRUNK p 1968 $100.00 $3.33 30 PAID
• SEWER I.ATERAL 1968 2
WATERMAIN
WATERLATERAL& SEW 1968 $850.00 $42.50 20 PAID
WATER AREA
STORM SEW TRK 1984 403.00 26.87 15
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, i ,
8UILDING PER.
SAC $200.00 1631 8-13-69
PAfl K --
CITY OF E AGAN
8795 Pibt Ksob Roed Eagan, MN 55722 N2 4930
PFIONls 454-8100
BUILDING PERMIT Receipt #
To be ussd ior "t?•.•' :' • far!• -r t? £st. Value Date 19 78
Site Addreu 7 '70eth Ered ? Occupancy Z
Lot BI«k ° ? Sec/Sub. Alter p Zoning
Parcel # 4"` ?'4'' "`? Repoir ? Fire Zone _
Enlarge [2 Type of Const.
W
Name ;;r? ''F3ao'it1
-
Move ?
# Stories ?
; Address • Demolish ? Front ft.
b ..
~ Gmde ? Depth ft.
Ci Phone
?
0 Nome Approvals Faes
ir-
oU Address
v
NCmO .. .. - • • ?+•va u.,?
.arl ?+ve.
Address .,,. Yau r
I hereby ocknowledge that I have read this application and state thot
the information is corred and agree to comply with oll opplicoble
State of Minnesota Statutes and City of Eagun Ordinances.
Signature of Permittee
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. aff. 8/4/78
APC
Permit
Surcharge
Plun check
SAC
Woter Conn.
Water Meter
Total *?= A Building Permit is issued to: on the express condition that
all work shall be done in occordance with oll applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
r.mk # oate is..a P«mm«
Plumbing -
Mechanica11A1 r(6R'1.
INSPECTIONS DATE INSP• RougMln Find
Footings Date Insp. Date Irwp.
Foundotion -,(f Plumbing
Frame/ins. i ' f Mechanical
Final
J
Remorks:
CiTY OF EAGAN
9795 Pikt Koob Road Eapan, MN 55123
PHONL: 154-9100
BUILDING PERMIT
Slte Address
lot
Parcel # -
Fs
Bixk Sec/Sub.
W Nome
; Addrcss ?
Name- '
Receipt #
Ered Ej Occupancy
Alter ? Zoning
Repoir ? Firc Zone
Enlarge ? Type of Const.
Move p # Srories
Demolish p Length
Grade ? Depth Sq. Ft.-
Approvals Fees
?? Address Assessment
~ Cit Phone Water 8 Sew.
N Police
eme
Firo
j Address Erp,
G Phone Plonner
Coundl
I hereby ackrwwledge that I have reod this opplication and stote that Bldy. Off.
the information is torrect ond ogree to comply with all applicable
Sfote of Minnesoto Stotutes and City of Eogon Ordinonces. APC
Permit
$urtharge
Plan check
SAG
Water Conn.
Water Meter
Rood Unit
TMOI
Sipnature of Permittee I
A Building Permit is issued to: on the express condition Ihni
all work sholl be done in acwrdance with all opplicable State of Minnesoto Statutes ond City of Eoyon Ordinances.
Idirg Officioi
Parmit No. Permit Holder Miac. Parmit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
SeYVa?
ENetric ??-7 Ci `J 1\-E r 1? -3'4Z
Impedion Date Insp. Other
Footingc
Foundation
Freminp
Rouyh Plhq. '
Rouph HVA '
Inwlatfon
Final Plbp.
Finel HVAC
Final
Weter Dexribe Locrtion:
YYell
Sewar
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 651-4675
INSPECTION RECORD -
?°ntr°' "°: 0209
T?
?
PERMIT TYPE: k ' p
Permit Number. p?W' 21?
Date Issued:
SITE ADDRESS:
1.H14
Nl:KEF I i,T
L0t's xa
M:INNF fH ST
APPLICANT:
fbliN IUH1N L%1tK1'UkS
t E+1'.' ) PHl 39d9
PEPMITSUBTYPE:
TYPE OF WORK: NFW
6LM
J
IM
I NI°MqRK`:! 3NcIt1UES 5I0INb
Pormft No. Permit Holder Data Telophone •
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Incpectlon Date Inap. Commenri
Footlngsl
Foundefion
Framing
Roofing
Rough Plbg.
Rough Htg.
laul.
FlmpiaOB i - ( APb ?.v?S
Firiai wg.
Orsat Test
Flnal PI6g. Plbg. Inepeclor- Notlfy Plumber
Const. Meter
Engr./Ptan
Bldg. Flnal
Deck Ftg-
y.?.
Deck Finel
Well
Pr. Disp.
INSPECTION RECORD ?
CITY OF EAGAN PERMIT TYPE:
I 3830 Pilot Knob Road Permit Number. "•' `' ??i ?' I
Eagan, Minnesota 55123 Date Issued: 6+ •' J N•? /?i `A
II (612) 681-4675
I SITE ADDRESS:
il
.. ; ,
I? PERMIT SUBTYPE:
t1;AM(Nh
lN illi?
APPLICANT:
,. ,. .. ,
TYPE OF WORK:
?., . I: !;?.:! . i??ol? ,??tli'dri I hi•,Itl 1
t Ii'lf4?
!kl MAtat'.,:. A'?I f'Pikit{I I'i I'Mi 1 I'. Irl iIlilF,l If 1 ul, AN'i 1'tltMltll4li U{2 t I ft IF;10 Af 11UI.t
Permft No. Permk Holder Date - Telephone 7f
SNV
PLUMBING
HVAC
ELECTRIC ? ??J I G 9? `? O?
ELECTf11C
Inapection Dab Insp. Comments
Footings I
Foundetion
Framing
Roofing
Rough Ptbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
orsat rest
Flnal Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
EQGAN TOWNSHIP
BUILDING PERMIT Iq ° 2309
Ownes -?-,??°`-c"`--'-'?---?--------•-°°-----•° Eagan Township
----------- ---,?/ S .
Address (Presen3) ...... -`'-`-='"-`.<"_"..... ------------ --------- Town Hall
Builder ....._..,J4?r
4a?-e??..-?-°--------------------°°--°----
-- Dale ..... ?70
...........•••.......••••--•••••••••.•-..
Address ........... ....................... _..........................................................
DESCRIPTION
Stories To Be Used For F:ont Depth Heighi Est. Cos! Permit Fee Remarka
I oT A-ts. ?= I ?02, ? I
LOCATION
Slreet, Roed or olhes Descripiion of Loealion I Lo! Block Addision os Tsae!
This pesmit does aot authorise !he uae of atreets, soads, alieys o: sSdewalka nor does !t give !he owner or his agent
the zight to creale any siYuation which is a nuisanee or whieh presenls a hasard, !o !he health, sefatp, eonvenience and
general welfare to anyone ix? !he communi2y.
THIS PERMIT MUST BE KEPT ON HE PREMISE WHILE THE WORK IS IN PROGRESS.
Thia is to eeriify. !hal------- ------ ?--_--?............ has permissioa !o erect a..... ... .......... .. ....••••-•_-••......••--_u oa
!he above described rema sub'ect to !he ? p
p ? provigions of !he Suildiag Ordinaaee for gan T wnship adopled April 11,
1855.
......................... .. ..?.:'..-•?..'.••••••-..........._.. Per -°°-....-=°----........ (1..._..........:••••••••••:......••-•-..
Chair?45an of T?wn Board Suiidin Ix?s ector ?(g
.t5'
CITIf OP EAGAN
4795 Vila Knob Road Eagae, MN 55124 N° 4930
PHONE: 4548100 ?//?
BUILDING PERMIT APPLICATION Receipt .#
To be uaed for KitChen 8 f am. rm.Est. Vaiue 10,000 Dete 19 78
Site Address 1074 KeMeth Erect p Occupancy I
Lot 12 Block 2 sec/sub. McKee 1 Alter ? Zoning Rl .
Parcei .{p 10 47750 120 02
Cd Name Jaanes C. Peterson
; Address 1074 Kennth
-
b 4- 23
aga?n
Ci Pnone
Neme 5ffii(!E
Z?
o Address
?
u
~ Ci Phone
?W Ncme Bill MCCrum
?z 845 Earl Ave.
x? Address
7-8878
• aU
a W Ctw P?ne
Repoir ? Fire Zone
Enlarge Type af Const. V
Move ? # Stortes 1
Demolish ? Front 14 ft.
Grode ? Depth 19 ft.
ppproval= Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
! hereby acknowledge that I have read this application ond stote that gld9, pff, 8 4 7a
the information is correct ond agree to compiy wiYh oll applicable APG
State of Minnesota Statute and City of Engan Or ances.
Signature of Permittee
A Building Permit is issued o:
oll work shcll be done in acrn qrlce wit oll plicable State of MigLne:
_
Permit 33.00
Surcharge 5.00
Plan check
SAC
Water Conn.
Warer Meter
Totcl 38-nQ
on the express condition that
Stotutes and City of Eagan Ordinances.
Building Officiol
? .
BUILDING PERMIT
7201
7?
Receipt #
To M uaed fer S'WIM POOL &FRM Est. Value $6, a oo Date A prZ], 26 -, ! 9$2_
Site Address 1074 Kermeth Street Erect M Occupancy R-3
Lot 12 Block 2 Sec/Sub. ?bMe 1St Alter ? Zoning R-1
l
P # 10 47750 120 02 Repoir ? Fire Zone NA
arce
E
l C
J?S Peterson n
arge ? onst.
Type of
ce Name Move p # Srories
z Address 1074 Nermetli St,, Demolish ? Length 16
ci g an 55121 phone 454-4023 6rode ? Depth 32 Sq. Ft.-
? Nome VallPw - pnnla T?C Approvals Fees
o ,
~ 651 Cliff Road.
?? Address
P r;.., &misville oti,...e R94-14R(1
Name _
Address
I hereby acknowledge that I have read this applicotion ond stote that
the iniormotion is correct and agree to comply with all opplicobte
$tote of Minnewto Statutes and City of Eagan Ordinonces.
Signoture of Permittee
A Building Permit is issued to: V311e PQdiS '
all work sholl be done in accordonce with al pplicoble e of '
Building Officiol
CIT' OF EAGAN
3795 Pilof Knob Raad Eagan, MN 55122
PHONE: 454-8100
Assessment Permit 5 .
Woter & Sew. Surcharge 00
Police Plon check 28.25
Fire SAC
Eng. Water Conn.
Plonner Water Meter
Cauncil Road Unit
Bldg. Off.
APC Total $R_.
on the express condition Ihat
PeeefdStututes and City of Eagon Ordinances.
4. ' <
CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
BiJILDING PERMIT APPLICATION 1 set of energy calculations.
5404,
'Po Be Used For o oL- J- FEne-
Site Address 10'4 Ke?,nrA
IAt /Z BloCk Z SeC./Sub.
Parcel #: 10 '-O `7 Sc) 1
Owner: J?mu P???d#3
c?S'
L Valuation Date ? Z3 /X Z
5T • ' OF'FICE USE ONLY
M`Ku.. ? e??`Erect occupancy /P 3
2 CU fj ? Alter ? Zoning /
Repair Fire Zone
, Enlarge Type of Const.
tor'es
M
Address: lu1 ?{ Ks„nC,.? Sj. °ve # s i
City/zip code: fnr,kr r'Y10 S?j21
? r
Ptzor-ie #: K4 - n?3
Contractor: ost5 J.,e .
Address:
City/Zip Code: u4..10 ULu 4 M?'.?5337
Phone #: taj -,qyo
Arch./Eng..
Address:
City/Zip Code:
Phone #:
?? ?I-zo ?
Deirolish Front /,6 ft•
Grade Depth ,3g ft.
APPROVALS FEES
Assessmerits Pe,rmi.t 5 G
T4ater/Sewer Surcharge z ?
Police Plan Check$z r?
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
?S7 ? ? S
ToTAL
REQUEST FOR ELECTRICA?SPECTION
T x«
See instructions for cnmpleti s torm on back ot yellow cnpy.
-.:_ 7? 687!
"'X" Be/oM Work Covered by Thrs Request
EB-00001-03
aq g? ?l
e Add Rep. Type ol Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial F31dy. Fumace Silo l)nloader
InduStrial Bldy. Air Conditioner Bulk Milk Tank
F8rn1 Other per,ity Olht:r (SUerify)
t er Specify Other ? ? Other _
Compute 1'nsuection Fee 8elow st.-An ,!`) C7
4 Fee ServiCe EntrenceSize # Fee Feaders/Subfexders 4 Fee - Circuits '
0to 100 Am s 0 to 30 Am )5 0 to 30 Am ps
101 to 200 Amps 31 to 100 Arnps 31 to 100 Am s
Above 200 Amps Above 100_Amps Above 100_AmPs
Trans(ormers Remote Control Cira 5 •!5C> Partiaf:'Other e'
Signs Special hispection 'S
$
' bY-
T
Remarks ?
?Q? OTAL FE •
Rough- in Dale
. I, the Electrical
? InspeCtor, herRby
tit
th
l th
b
F1Oal ` t.. .
??e ?2 C
^' / cer
y
a
e a
ovo
' ction has been
madB.
This request void
18 months frnm
This request void ?I?
18 months from
?' 71.6 8 T
?'I V4
Rr.quest Dale
-3a- ??- Rre No.
- Rough-in Insuection
Hequired7 .
?ye, ?No
E] Ready Now?Will Notify Inspec-
r-tor When Reudy
? LicenseA Elecirical Contractor
?Owner
1 hereby request inspaction nt above
electrical work installed at:
S2fP.P.i Ad(IfP.55, BOX OI ROU[P. NO. (;1}y
7
ecuun o. Township Name or No. Range No. County
1
Ocwpant (PRINT)
,/a*9? e s C ef-??so Phune No.
Power SuOPlier
/vs p Address
Elec rical Contractor ICompany Namr.l Contractor's Lir.ense No.
.Mailin9 Address (Contrar.tor or Owner Making instailationl
- Ir l?
-'50
Au[horized Signature [Contract Own Makin Installationl Phone Number .
pnNNESO7q STqTE BOAHD OF ELECTRICITY .. 7HIS INSPECTION REQUEST.WILI NO7
Gf iggs-Midway Bidg. - Room N-191 ' BE ACCEP7ED BY THE STqTE BOARD
1821 UniversityAVe., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnnu 16121297-2177 ENCLOSED.
Clf (40 s7P7_
2 23 y6::50_0
R uest Dat
?z? Flre N. Ro •In I tlon Required
(Vou must call In3yec rw R reatly) Inspection Other T an ough-In
? Reatly Now Will Notity Inspector
? ? Ves No Date Read
IMicensed contractor ?owner hereby request inspection of above electrical work at:
Job Adtlress (51reet, Box or Route No.) Ciry
? 44
Section No. 7ownship Name or No. iiange No. County
Occupant P
tFUDW RM ?
Ph?5 -/4 r ? 0 2- ?
Power Supplier
Sp Atltlress
3iis ??l-)-71-re li
?
Eiecirical Co ttractor (Company Name)
?r, Gk-
?cm P 4 Conlreclor s License No.
_
Mailing Address (ConVactor or Owner Making Insiallation)
?lcu"i?e IV .???1y9
Authorized Sgnat e oMrec r wner MaWn Inslall on) Phone Number
. ???9y?4/ `
MINNESOTA STA7E BOARD OF ELECTHICITY F 7HIS INSPECTION REQUEST WILL NOT
Griggs-MiUway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARO
1821 Univereiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(672)692-0800 . ENCLOSED.
U 0? 9023 REOUEST FOR ELECTRICAL INSPECTION
oo. See instructions for compleling this form on back of yellow copy.
"X" Below Work Covered by This Request
E`B-0OOO1-09?
?
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Spec'ity)
Farm Air Conditioner
Olher (speciry) Comracror's Remarks: WLre iy? /? /n ) n ?u ' QQ ?,? P
_
--
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,OZ) 0 to 100 Amps .(Z
Transformers Above 200 Amps Above 100 _Am s
SI nS inspecror's Use Only: TOTAL
Irrigation Booms SJ • ? 55 ?
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEU WITHIN 1 qNTHyS:j '
1
I, the Electrical Inspector, hereby Dete
Rough-in V _ 53
certify that the above inspection has
been made. Final ?e 2 ?
j-?? ?(?/
OFFICE USE ONLV
This request void 18 months irom
? ? c) 13
2004 RESIDENTIAL BTJII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4?, d
New Construction Reauirements RemodeVRepa'v RequiremenTs
3 registered site surveys showing sq. R of bt sq. R of house; and all roofed areas 2 copies of plan a
(20% maximum bt coverage allowed) 1 set of Eneigy Calcufa6ons for heated additions
2 copies af plan showing beam & window sizes; poured found design, etc. 1 site survey for addifions & decks
1 set of Energy Calculations Addi6on - indicate if on-slfe septic system e
3 copies of Tree Preservation Plan d bt platted afler 7/1f93
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units
Date Construction Cost ??? ^
Site Address ZU ?q A,,,' N?L' UnibSte #
Description of Work M/L 6,45 f/''??V-l
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 1_ 2
Property Owner J ? VA c Telephone # ( (p? ) y ? ? ?j L3
Contractor
Address 3j5jD I ?j _ City ??l ?tk,
State On tj Zip 155M Telephone # (4911? Z) Eiii '07 S'b
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # ( )
I hereby apply for a Residential Building Permit and aclnowledge 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 pernut, but only an application for a permit, d work is not to start without a
pemut; that the work will be in accordance with the app%Applican in c of k which requires a review and
approval of plans. .
?v
?
Applicant's Printed Name s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-piex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or_ N? 25 Miscellaneou5
Work Types
? 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs 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 _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building inspector
CITY USE ONLY
LOT I? BL PERM[T #:
SUBD. I V I C?? ecj RECEIPT #:
RECEIPTDATE:
2000 MECHANICAL PERMIT (RESIDENTI.AL)
Date: !n / I I U0
Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTLT
• Gas outlets (minimum of one required @$3.Q0 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you aze remodeliniz, adding to, or re suin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New -LZ41teration
urnace
_ Air exchanger
Reminder: Call for inspections
_ Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
SITE ADDRESS: ?QN KP n n e4 Ir, 5I
OWNERNAME: _:)?vl Vl PHONE 115 - Da
- -, j 1„ _ , (AgEACODE)
INSTALLER NAME: PHONE #: :7 & 3_-
5Bepthel, ert Sheet Metai, Inc. (AREA CODE)
STREET ADDRESS: West Main St. PO Box 90
MN 55005 ?
CITY:
CITY OF EAGAN
3630 PILOT I4dOB RD
EP,GAN MIl+i 55122
651-681-4675
STATE: ZIP:
,?-
I.- ?.. ,
SIGNATURE OE P RMI ?
_-,°?
BY: =- -- ----
L BL
SUBD.
APPROVED BY:
cmr use oNLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (C0M4ERCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MIl+1 55122
651-681-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DAT'E:
WORK TYPE: New construction Insta(1 U.G. Tank
_ Interior Impmvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removallinstallation = minimwn fee
Contract price: $ x 1%_$ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL
SITE ADDRESS:
$
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS QNLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
IN5PECTION RECORD Control No. 0209
CITY OF EAGAN PERMIT TYPE: auzLoTNG
3830 Pilot Knob Road Permit Number: 000229
Eagan, Minnesota 55123 Date Issued: 0 4/ 13 / 9 2
(612) 681-4675
SITEADDRESS: LoT: 12 sLoc?c: 2 APPLICANT:
1874 KENNETH ST TWIN TOWN EXTERZOR5
pICKEE 1ST (612) 881-3449
PERIK SUBTYPE:
TYPE OF WORK:
NEw
REMARKS: IMCLUDES 3IDING
PERMIT
CITY OF'Ep?GAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
1074 KENNETH ST
LOl': 12 9LOCK: 2
MCKEE 1ST
?
;.: .
REMARKS: C: L'i
INCLUDES SIDING
FEE SUMMARY:
PERMIT TYPE:
Permit Number:
Date Issued:
?? ??
? 16-
?... .._,
?s a? c
"W?.
€?
6UILDING
000229
@4J13/92
Base Fee $25.00 LICENSE SEARCH $5.00
Surcharge $.50 COPIES $2.00
Subtotal $25.50 Total Fee $32.50
CON7W'INCT9W-Tl EXTERIORS - ApP1z18$13949 0005 2?4WP??E?i50N JUDY
9381 BRYANT AVE S 1074 KEPIPIETH ST
BLOOMINGTON MN 55428 EAGAN MN 55123
(612) 881-9949 (612)454-4023
?
I hereby acknowledge that l' haue.read th?ts application enst stata that"the'
inFormation is corrett.and agree tv camply..with al1.agplitabie Stete of Mn.
Statutes and City nf%? agan Sirdinan?ces.
ru, A.ea_ I t1l11
15SUED Y: IGNAT RE
Control No. 0209
PERMIT #
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
i29 681-4675
APR 0 8 RECD
SINGLE & MULTI-FAMItY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date / _? Yaluation of work
Site Address• ??? ,e?? ?? ? •
STREET STE t
Tenant Name•
LOT t 2 BLOCK Z SUBD. ?yiG??e.e IST A AD'N , P.I.O. /
Descri tion of work:
The applicant is: 0 ner Contractor ? Other (oes«ibe)
Name 4r17' G? ? Phone
Property LAST FIRST
Owner ?0
74,
Address
- ?
STREET ' STE !
tity State Zip L5,5 1,:;73
Company ? %/
7 _
9 w / `,f_5 lhone /
C011t1'BCtOr Address G,?? ? License #5Ln? Exp.30AA
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State 2ip
Sewer & watEr licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re this application and state that the information is
correct and agree to comply wi a 1 plicable Statq of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: - J?r?m, S. l?a zGrd
v• • •vr v vr v?r¦
B UILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory O 10 5wim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
O 04 Multi-fam. T.H. 9 OS Deck ? 12 Comn./Ind.
WORK TYPE
14 31 New
O 32 Addition
? 33 Alterations
13 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
O 99 Undefined
Const. (Actual) Basement sq. ft.
(Al.lowable) lst F1. sq. ft.
UBC Occupancy R-3 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Foatprlnt Sq. ft.
Length Iz• On-site well
Depth r2, On-site sewage
APPROVALS
Planning Building y--??-gzDS
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing
? Wallboard 1Z Final ? Oraintile
? Insulation
O Fireplace
Permit Fee p°
Surcharge , Sa
Plan Review
License
MWCC SAC
I? City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
? Trails Ded.
Copies
Other
I Total:
vetuattm: s
-- . ,
C?13 %bl.',.'? Fac.
14AAga•iqp1 tural
O 15 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC 76
SAC Units
SITE P:L?AN
PROPERTY LINES
? NORTH
7 EXISTING H?USE '
FRONT YARD yf
C K
?
?
J
, STREET SCAL.E T? FIT
•?? aESMEwcE Foa,
TWIN TOWN EXTERIOR
? ??O ???C?" DAuANAJOBRD B?B HEIDENREICH
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT:
1074 KENNETH ST
MCKEE 15T
PERMIT SUBTYPE:
5F (MISC.)
suILazNG
@25105
02/09/96
12 B L Q G K: Z APPLICANT:
MCQUISTAN CONST CO INC
(612) 948-0884
TYPE OF WORK:
flLTERATION
DESCRZPTION (MAC SOUND INSUL)
INSPECTION
FRAMZNG .. .
ROUGH ZN PLBG .A
R4UGH TM HTG FINAL
REMARKS: A SEPARATE PERMI7 TS REQUTRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
F
L
INSPECTION RECORD
PERMIT TYPE
Permit Number:
Date Issued:
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47750-120-02
PERMIT
1074 KENNE7H ST
LOT: 12 BIOCK: 2
MCKEE 1ST
PERMIT TYPE:
Permit Number:
Date Issued:
B U I L pING'?
025105
02/09/95
DESCRIPTION:
""": SOUND INSUL)
'ype 5F (MISC.)
ie ALTERATIQN
-?.
i
?
,
?
?
4,?? ? ?;;???-;?:;
, --j.??
REMARKS:
A SEPARflTE PERMTT IS REQUTRED FQR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATTON $12,000
Base Fee $135.00
Plan Review $87.75
Surcharge $6.00
Total Fee $228.75
CONTRACTOR: - Applicant - sT. LzC, OWNER:
MCQUISTAN CONST CO INC 19480884 0009304 PETER50N JUDY
11551 ZTON RCl 1074 KENNETH ST
BLOOMYNGTON MN 55437 EflGAN MN 55121
(612) 948-0884 (612)454-4023
I Mereby acknowledge that I have read this applination and staCs that the
infarmatian is correct and agree to comply with all appla.cable 5tate of Mn.
Statutes and City afi Eagan Ordinan.ces.
L ?
APP ,EYTIPERMITEE SIGNATUFE ISS` ED13Y?CaNA?E ?-
I
' CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1;1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reguirements
?
?
?
?
3 registered ske surveys
2 copies of plans (inGude beam & window sizes; poured fid. design; etc.)
1 energy calculations
1 tree p2servaUon plan ff lot platted after 7/1/93
required: _ Yes _ No
DATE: o?- oZ - I S
_Y, , r.
f-
? 2 copies of plan
? 2 ske sunreys (exterior additions 8 decks)
? 1 energy calculaGons for heated additions
CONSTRUCTION COST: jj la ? ? ?
DESCRIPTION OF WORK: /"/ •/r • L• .a 0-4,0414' c?i?-dau?
STREET ADDRESS: 7-5oe i?? ?
LOT ? BLOCK SUBD./P.I.D.#: YYIr. ao,
PROPERTY Name: Phone #: '?4, `fdZ 3
OWNER T FpIST
Street Address
City: State: ? . Zip:
CONTRACTOR COmpany: VC <<m44i-L ? A7rer• Phone #:
Street Address: !/SSi Zao?r .?? License #:
City: RA&M z-52?37
ARCHITECT! Company: M/? C Phone #ENGINEER
Name: Registration #•
Street Address*
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State: Zip:.
Penalry applies when address change and lot
1 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
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling o 07 4-plex ? 12 Multi (Misc.) ?
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o
? 04 SF Porch ? 09 12-plex o 14 Fireplace ?
,?,d 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
0 31 New aC33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
"%
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 Bldg
Census Unit o
Engineering Variance
Permit Fee Valuation: $ /2-?0400
?
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.
Trails Ded. •
Other
Copies ,
Total:
% SAC
SAC Units
CITY USE ONLY
BL ? RECEIPT
SU . ?r DATE:?°2'?
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on fumace
? Add-on air conditioning Fireplace conversion (to existing fireptace)
Date: I - a"b - 9 5
0
? 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 9D
SITE ADDRESS: ?b7'4 J?e?'\olc_+h -
OWNER NAME: JlAdu t'°??rSQn PHONE 402,
INSTALLER NAME: CtwY? P 4.
STREET ADDRESS: `? ?-? z- ?? ?P?' ? •
CITY: N ou,n?) , STATE:A A/ ZIP: s. ?
PHONE #: ( ?PI2.) ?/ ???- ?5??? /, e d
CITY USE ONLY
L } BL RECEIPT #:
SUBD. DATE:
^ 1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
• multi-family buildings when separate permits are not required
' for each dwelling unit.
DA"fE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
C{TY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
_?i2??'6
BUILDI[dG RF.RMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuiations.
To be used for .1
?
Valuation
Site Address;
?,.. ?
Lot Block See. Sub.
?owmer %rr- o ? • r.L.-
Aflclress '/ :G'7 t! .14_
&1-? i?,+.-
Contractor
Address
F?•r?? ?n.u._ ? s? a I
?-
Arch. /Eng. gyj i)-7?
Address '5f y s-
Parcel Nuraber
v .?
/G' 5/7 7S ? t:?- 0
Telephone 4/0 -a 3
Telephone
Telephone
OFFICr USE
Erect
Alter
Repair
Enlarge x
Nove
flenolish
Grade
Occupancy ?
Zoning
Fize Zone
Type o£ Const.
# of 5tories ?
Front
Depth -----------
OFFICE USE
fJate of Approval & Iaitial
Assessment
Water/Sewer
Police
Fire
Eng.
Plant?er
Council
Bldg, Off.
A.P.C.
FEES
Permit
aian Check
SAC
lqater (:onn.
67ater Meter
TOTAL
SITE PLAN
r I
A?CRR_ Oi6o0ER TY LWE ?
'
? s
3'
I °
?
,
Feec
R
?
a
?e r,r
L1NE
ol
i ?
/
UMt?
r
?
I
LoT ? BLoc k ? I
STREET AADRESS .lP ?Y- G?
I
??n1T„t?ROi?Ff_LT1( _LIP1G I
, ELV. 100
? ? .
?
?1 ? . M•r ??? . ...-...?.. ?. ?. . ?
EAGF:N iOWNSHiP
3795 P£lot Knob Roud
St. Paul, Minnesota 55111
Telephone 454-5242
PERt-?!T FOR WATER SERVICE CONNEGTION
Date• f??
Billing Name;
f?wner:
.?
Plummber:
AV
Connection ( Meter
Number• 31 7 /P "? /`? C..?-• --.7
Site Address:
Billing Address
Meter No.6818574
Connection Chg. 30.00 pd. 8/11/69
lmmxxgkgx Aec .35gpbait 15.00 pd 8/1
Pexmit Fee 7~? 15 paid 8/6/69
Meter P.eading111.Q0 MeCer Dep.
Meter Sealed: Yes` Add'1 Chg.
NO lTotal Chg.
Suilrling is a: /
Residenee
tiultiple Ra, Units
Commercial
Lndustrial
Other
Tnspected by
Date
Remarks:
Bq:
Chief Inspector
In consideration o£ the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minuesota.
By:
NYENZEL PLBG. & HTG. IN(.
--3.9§5-?kIAW1NLF Rnan
ST. PAULt tvtlNN. 55111
Please notify the above office whea ready for inspection and connection.
EAGAN TOtdNSHIP
3795 Pilot Kitob Road
5t, Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NUMBER 448 /
, tlt,? .
OWNER• Address 1'G ?
PLUMBER TYpE OF PIPE
DESCRIPTION OF BUIIDING
Industriall Comnerciall Residentta3'l Multiple Dwelling I No, of units
Location of Connections:
Connection Charge 200.00 pd. 8 11/69
Aect. Dep.
Permit Fee ?• g 00p?? 0699
SCreet Repairs
ToCal
Iaspeeted bj+:
DaCe
Remarks:
By. Chief Inspector
In consideratiose of the issue and delivery ta me of the above pezmit, I
hereby agree to do the proposed worEc in accordance with the rules and
regulatioas of Eagan Toc•Ittship, Dakota-CounCy, Minnesota
Sy
WENZEL PLPC-:. INC.
ST. EBUL,, fVjl?wi, )5111
Please notifq when ready Eor.inspection aud connection and before any portion
of the work is covered.
(Z)
.
?
?-
?/ pv,s(fop-
?
??
?
?
i
?
,? ,T
MASTER CARD
• LOCATION
OWNER
STRUCTURE AND
LAND USED AS
NIj ,
Permit
No.
Issued Issued To
Contracfor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
- I
?j
?
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION SEPTIC
CESSPOOL
FRAMING ? 'Lo, ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
-
?
aWC7 W Aofo" 4F P' e
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be 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 ACCEPTABLY COMPLETED
COMMENTS:
BUILDING INSPECTOR
TE
E
?
LJ
? 23
C O U N T Y v j
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
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 ColberUWayne Schwanz (EM)
RE: Well Permit #: 04-1-1230020
Municipality: Eagan
Fax #: (651) 675-5694
Well Type: Domestic
Environmental Specialist: Luehrs
The Water and Land Management Section of the Dakota Couuty Environmental Management Department has
received the following permit application for the well described. If you require further review of the application or
if you tiave any questions or concerns about it, contact the Environmental Specialist listed above or our office at
(952) 891-7557. If there is no response from your office witliin 24 HOURS (excluding weekeiids 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 applicant's observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Thein VJell Company
11l2/2004
Time:
Time:
Property Owner:
Well Owner:
Judy Peterson
Judy Peterson
WELL LOCATION:
PLS Coordinates: 1/4, NW 1/4, NW 1/4, 3W 1/4, Sec 02 Town 027 Range 23
Street Address: 1074 Kenneth ST
PIN Number: 104775012002
WELL INFORMATION:
Diameter•
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
File Et.#it I[iew lotals Appllcaticans H?eIp
...a._. ??_.?.. ..,....,... . ??._.........?m .?.. .e.??._. ... ,,m. . .;. .. ?e.. ....
; E
r, ,.
COniYGctXo1i I CQmf3iBtYtS I
Eagen Buildir?g ? Ea?gan ?leu?elopme? ? P?rmit?€ ?
t?wner ? Eagan Assees1Se1es ? Eagan Froperty ?Eagan Zonin?
Paresl ID 1 t1?7?5Q1 ?002
Address 1074 KEtdNETN ST
MIrRCF ST
Own$r 2
CMwnet 3
Owner &
. . . , , .??. ?
aI 5?j!
Parcet data updated.4ugust 27,2304
wns ttA 1074 KENNE"CH 57
Zoos RESIDENTIAL PLUMBING PeRnnir aPPLicAYioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existinn rP?irlAntini r4mouinno
nrv _innnFS
? ivi ?
Date ?? e Z? q? 1074 KENNETH STREET
EAGAN, MN 55121
(651)454-4023
Site Street Address Unit #
Property Owner Tefephone # ( )
Contractor NorbI b-m PLuYnb( 1'Z G] Telephone# ((plZ)
Address 2P05 C?ct;r-fiAd ftv. So. city M rDiS _ Statefyl lU ZipFfLCb?
The Applicant is: _ Owner V Contractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license includes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add piumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing onfv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5l8" meter is required)
Other:
/ i
,
Water Softener
Y Water Heater $ 15.00
/
_ rew V replacement
Lawn Irrigation _RPZ _PVB Jnew _repair _,rebuild $ 30.00
State Surcharge $ .50
Total $ i ? 5v
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I
understand this is not a permit, but only an application for a p . work is ot o start without a permit and work will be in
?
accordance with the approved plan in the event a plan is req red t qe r°vi d an approved. D2
e?rec? L. n? o r, lor?,
ApplicanPs Prin d Name Appli nPs Signature FEB 0 3 2006
,
----7 ?al /
2007 RESIDENTIAL BUILDING PERMiT APPL[CATTON
City Of Eagan
3830 Pilot Knob Road, Eagaa MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConSWcGon Reauiremenls
3 registered site surveys showing sq. ft. of IM, sq. ft. N house; and all roofed areas
(20% maximum lot coversge allowed)
1 Soils Report if proposed building is to be pWced on d'aturbed sal
2 copies of plan showing beam & windav sizes; poured found design, etc.
t set of Energy Calculatlons
3 copies of Tree Preservatiat Plan if lal platted after 711193
Rim Joist Detail Op6ais selecbon shcet (buildings with 3 or less unils)
Minnegasco niecharucal ventilatian tam
>
RemodeVReoair Reauiremenis
2 copies of plan showing foofings, beams, joists
1 sel of Energy Calculatlons tor heated addi6ons
1 site survey for additions & decks
Addition - ind'cate it onsite sep6'c sysfem
Plans aPe consic9ered paaksloc iaafforovoat6on unless voaa sta4e QFsey a.re trac9e secPe@ and the reason.
Date Z
7 / (p / Q
Construction Cost 1'?".? d'? ??
Site Address L0 1 ??r y? ?1 C.-r"1? ftyz? , S;41 Unit/Ste #
'? F-- G S "?J 12,
Description of Work ?e- ?04?--
Multi-Family BMg _ Y X N
/ Fireplace(s) 0 _ 1 _ 2
Property Owner Telephone #(?i
Contractor ?wY L ?i
Address L1 5 City I V
5tate ? Zip Telephone # _V) (a ta_
COMPLETE THIS AREA ONLY IF GONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
. Residential Ventilation Category 1 Woricsheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelape Celculations Su6mitted
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
Telephone #(
Telephone # (
Telephone # (
?? - (9 o
Office Use Onlv
Cert of Survey Recd _ Y _ N
Sais Report _ Y _ N
Tree Pres Plan Recd _ Y _ N.
Tree Pres Required _ Y _ N
On-site Sep6c System _ Y _ N
I hereby apply for a Residentia( Building Permit and acknowledge that the information is complete and accurate;
that the wark wiil be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 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 ap plan in the case of w hich requires a review and
approvat of pians. , ""?
-; ) ?.? I .e [?1 ? ?-
Applicant's Printed Name Appl c t's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160726
Date Issued:04/08/2020
Permit Category:ePermit
Site Address: 1074 Kenneth St
Lot:12 Block: 2 Addition: Mckee
PID:10-47750-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Judy Peterson
1074 Kenneth St
Eagan MN 55121
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature