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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