1033 McKee St
Use BLUE or BLACK Ink
For Office Use I
I 1
City of Eanon Permit 0\ 2~ 1::~~ I
6 I I
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received: ?
I
Phone: (651) 675-5675 j Staff:
I
Fax: (651) 675-5694 I - - -
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite M
RESIDENT / OWNER Name: J /dl (t R~ Phone:
Address / City / Zip:
CONTRACTOR Name: CZ V m License(#: /07 /W
Address: Z ~c ✓e City: ~oT ff~ sly tx n C
State: hX Zip: -5 50 S 4 Phone: -74 3 - 3 (00 o ,0 9
Contact: Email:
TYPE OF WORK New aplacement _Repair -Rebuild _ModifySpace -Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PV13) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
CITY OF EAGAN
Addition
Lot 1 aIk 1 Parcel 10
21
Improvement Date ' Amount Annual Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 $ 100.00 30 P d
* SEWER LATERAL
WATERMAIN
* WATERLATERAL 1968 970.00 48.50 20 P3id
WATER AREA
STORM SEW TRK 1984 399.00 26.60 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 859 7-15-68
BUILDING PER.
sAC 200.00 859 -1 -68
PARK
i CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ? `{ ? ,+ ? • iii,
PERMIT SUBTYPE:
TYPE OF WORK:
EI1I It I!iNt;
0s?1 7 OK
(17 1+'cp /9N
INSPECTION .A . .A
I M ARKri
R0nF pUE Tll `i fOFtF! 0AMAS!` .
7
"', "' ` ?` •? ' , APPLICANT:
i ?? ? t, {_ ? ? ,
J
¦?
Permit Holder Date Telephone #
PLUMBING
HVAC
inspection Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
O
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTI V ITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FlNAL
?a.
QN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
:C4RD
PERMIT TYPE:
Permit Number:
Date Issued:
,1 1?,H«
q; Iir.C.ri
on l;-) /nF
SITE ADDRESS: i ,?Y :
?+,', : I•1 ? t f 1 .!
? PERMIT $UBTYPE:
TYPE OF WORK:
,,r . iI i 1 1II+I
AI TFRAf lON
MAC S041N1.1 c014TRi11
INSPECTION D • D
f rMAt
I
[ Ht`MAhra', : tif IJAfra f E Pf ktM l i"`, kE lltl l
F
L
RTt At OR F'f ItMH1T1it 410E4t
APPLICANT:
I t r,i
Permit No. Permft Holder Date Telephone N
ELECTRIC 11 cLC?. 9 Q
PLUMBING
HVAC cti?c?s-? P/'-,f
InapecNon Date Insp. Commenta
FOOTINGS
FOUND
FRAMiNG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE5T
BLDG FINAL ?O
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
` GTY OF EAGAN pERMIT TYPE: '41 ' I
3830 Pilot Knob Road Permit Number. "?' ? t? ???'•
? Eagan, Minnesota 55122-1897 pate Issued:
(612) 681-4675
SITE ADQRESS: ' `' '' " ' `} I '' " ` APPLlCANT:
• ?+ ? t;l ii? I- t
?a±ra ? .?,?f:
PERMIT SUBTYPE: TYPE QF INORK: ?
il
' INSPECTION DA • DA
?
?
I ?
_
Permit No. Pertnit Holder Date Telephone #
FLECTAIC
PLUMBING
HVAC
Inepection Date Inep. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
Alfl Tiz-ST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FffiEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DFCK FINAL
? ---?
FOR II?I IIII?II II I?IIIIIIIII IIIII IIII?III II MEn?esWa State B a dEof ERIOA yINSPECTION ?? '?,•
* 0 3 1 9 94 g 6* 1821 Unrversdy Ave., Ri? ?s Paul, MN 55104 ?-
Phone (612) 842-0800 ?.
Home Duplez 'Apt Bldg. hei. ' New Addn
Commercial Indushial Form Remod Re a?r
Alr Cond. Fitg. Equip. Water Htr. I Load Mgm}. Other
D er Ran e Elec. Heat Temp . Service
"X" above Mre wori: covered by this requesf Enter remarks in rhis space and on the batk of the whife ropy only.
&L2u?c. -tJt?r?-Q?C-Ci
?
Calculate Inspeciion Fee - This Inspecfion Request wdl not be aaepfed withoul the correcf fee;
Other Fee ¥ Service EMrance $ire Fee # Circuih/Feeders Fee
Mobile Home Pork Stall 0 fo 200 Amps 0 to 100 Amps
Sireef Lig./TmHic Sig Above 200 Amps A6ove 100 Amps
Transformer/Generafor INSPECTOR'SUSEONLY TOTALd
Sign/Oulline Ltg. Ximr. . G-?' ) ?? .62)
Alarm/Remote Conhol ?
Swimmmg Pool
<en Vhai e i mroi bnaeo? de.«?bad he?a? e? ?ha dares .aka
y h?
"
Irrigotion Boom Ro?h-In Dore
ecial Ins
edion
S ,
p
p
Investigative Fee
Finol
_ nU
D,
THIS INSTALLATION MAY BE ORDERED ISCO ECTE IF T C *PLETEU WITHIN 1 THS.
3119 - (?_^ Q ?
J`'p? OFFICFyUSFAO `LY? is requeel vaid 18 months /mm validaNon date pnnt d in?? ?j5
8/Pfj/
PLEASE PRINT OH TYPE
Reqvasl Dok
?
? Roogh-in inspMion reqwrad2 ? Yes 5tle Inspedion Olher Than Rough-In[3 Ready Now Will Call
R
d
D
y
_ (Yo u must mll the inspecror when read y) ea
y
ate
I, ?.licensed conimdor [] owner hereby request mspedion of the obove electncal work at-
m6 ,wd2:: (simed, ea:, o, aome Ho )
o.a 3 l<
:S'?- • oN
/,-G?-i? rP c,da
Se tion No Township Name orNo. Ronge N. Flre N.
Counp yJ? ? U-L/
Oc? rr n !`??pq
?2-?-t- e Phone Na
Power $vpplier Aildresz
EI ?al Comrocror (Company Nome) Comracm 4ansp N Mosler 4c N. (Plont Eled Only)
M ling AEdress (GonVatlor or Owner Pe
Cn/ rmin g I Ilonon)A/ ?/ [? ??(,?/ ? y"1
JV? J^' /%??
lwlhon oror P I IIaM1 nl Phone hh
FYELLOWCOPV
EB-OOO01A-10 6/95 i' STATEB011HDCOPY-SEEINSTRUCiIONSONBIICK
EAGAN TOVVNS H i P
BU9LDINC PERMIT
Owne[ ........................ ------....-----------------'-------'------------------'
Address (P?ni) ........ ....t*.- ..- ---------------I -.---
Buildez
/ §ft?
?jAddress ---.?--.DESCRIPTION
N° 82
Eagan Township
Town Hall
Dafe
5tories To Be tlsed For Froni Depih Heigh! Esi. Cosf Per
_ Remarks
I P
_
` // LOC
ATION 1
Sireei, Road or ofher Deseripfion of Loaaiion I Lof Elo AddiLion ox Traci
1"e3?7tl (? Z 4e 1 I MJ . ;)
,
This pexmif does nof sufhotiae Yhe use of siceels, roads, alleps or sidewalks nor doea it give !he owner os his agen2
!he righ! 2o areaie any situaiion which is a nuisance or which presenls a hazard to !he healih, safeYy, convanience and
genexal welfare !o anyoae in !he communilp.
THIS PEAMIT MUST SE E EI?HSE WHILE THE WOAK IS IN PAOGRESS. ,
This is 1o ceriify, fha1-- -'--- ---- . ..?. .?. ???.....has permission to erec! a---'--..........?..... - - - - - . -'----..._upoa
!he above d?escrirem se ub"ea! e provisions of !he Building Ordinance for Eagan ?Townsh" adopfed Apsil 11,
1955. 4,
!J'/.Ff! ... ...._'..._... Per ..... ............... .----------- _._------------------------------------------------------- ........
of T oard Building Inspeeiox
EAGAN TOWNSHIP
BUILDING PERMIT
own.: ... ....-._G......??`^-?......_.L..??c-.'-- •
Addzess (Pzesent) ..LA?..3 ---'-?"`s--....?.:.--?-------....-
Builder ....._..
Address ......
DESCRIPTION
N° 2092
Eagan Township
Town Hall
Dete ..... ?1..?1?.? .. .................
To Be Used For Front Depih HeighS Esi. Cost permi! Fee Remazka
LOCATION " '
street, noaa os o:ner l7eseripiion o= Locanon I Los I mocx I AQGIIIOII O! 1'SBCI
I / I ! I ;?Le' ,0A. a
This permit does not aufhorize !he use of sfreels, roads, alleys or sidewalks nos does it give !he owner os his agen!
!he righiYO ereale anp sifuafion which is a nuisanee or which presenls a hazard !o !he healih, safeiy, conveaienee and
general welfaxe !o anpone in !he communifp.
TfiIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is Sa eerlify, . . . . . . ........has permission !o erecS a..... -° ...°------. ..... .....................-----.upoa
!he above described premise subjec? ! fo hdprovisions of !he Suilding Ordinence tor LoKgan To aship adop2ed April 11.
1955.
•--'-'...........a,N.k.:!.^.'....?:..--"'-'-'---'............ Per ...._. ..'.'.§ u...--'-tl..>..!'c.4?.........--.-? .`:=".`? ..............._............
l/ Ch sman of Town 8oerd f Suildin Ins ector
ct /3,
.rl.
7
?fv?D 0
0
/c 33
/ -/ - mck - Q-
10/13i92 12:36 DFYCOTA COLPJTY-I&ESTERN SE]iV. CTR. Bo1
prdlnanCe No. 114:
WELI. AND WATER SUPPLY MANAQEMENT
MUNICIPAL NOTICE OF WELL PERMIT APPLIGATION
DAKOTA COUNTY ENVIRONMENTAL MANAGLMENT DEPARTMENT
WATER AIVp LAND MANAGEMENT SECTIQN '
14958 Galaxie Avenue West, Apple Valley, MN 65124
Telephone (612) 891-7011 - Facsimile (612) 891-7031 '
DATE: TIME:
TO: ?M Co I
FROM: Aft'
PM SENT; Fex& nnan„_, aner
?
-7ao 8
.r??r..t.
REFERENCE:
WELL PERMIT N0.
N071CE: The Water end Land Manegemeni Section of the Dakote Counry Environmentel
Mene9ernent Depertment has received the following permit appllcetlonis) for the well{s}
described. If you require further review of this appllcation(s) or If you heve eny questions or
Concerne dbout lt, contect the Environmental 3pucielist listed abCV9 or out office et teiBphone
(612) 891-7011. It there is no response from your oitlce within 24 hours (excludinp weekands
end holidays), Water and Land Mannyeriient steff will essume that you have no objections
lssuance of tha permft(s). P{eese note that permit issuence is slways condltloned on the parmit
epplicant's obsorvence af end curtipliarrce with nll spplicabla faws and codes. A copy of tha
well permit(s) wili be forwarded to your oiffce when completod.
Mqws ti?ac?`rook e?i` losx MGI? S`f'? ?"'`?
DESCRIPTON; Vina4 L,?Crpix ? lo?f/ ?'laiY.o.e s?fse*?''?'/301 " "-
LOCA710N OF'?W?LLtSj ADDRESS
PUHLIC LAND SURVEY COORDINATES:.OFNE OFNVaFWOF SECTION a. ,T, A? N., R;423 W.,
MUNICIPALfTY; _ ?s+?..?• PROPERTY ID NO.
W0.L CONTRACTOR: S WP.CI lki I( r7.r LICENSE NO.
APPLICATtON RECEIVEP SUBCON7RACTEU 70:
PERMIT TYPE: NEW CONSTRUCTIDN NECONS7RUC7'ION REPAIR(ue Ponwt aequtred)
•
PERMANENT SEAUNG2X-- A J?UA+L MAINTENANCE: TEMPORARY CAPPING_ RECLAIMED•U5E_
REOISTEREp•U6E pRIMARY USE OF WE1.1(S)
,
CA$IN6 DIAMETER INGHES; LENGTH FEET; WELL DEPTN aI. w?evt F6E7;
ADUIFER _ ?-; COMPLE7E0: OPEN HpLE ____ SCFiCENHD ;
ANTICIPATED DRILLING15EALING DA'fElit Knownl:_
COMMENTS;
R-96% ' 612 691 7031 ' 10-13-92 12:31PM P001 tt151
t
EAGEiPI TOkN^uHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&7ER SERVYCE COIVNECTION
DATE: July 16, 1968 NCIMBER 203 .
OWNEP.: Gerber Hatteberg P.ddress 1033 MeKee /- / J?'?vs •€;?-
PLUM$ER A11 State Plbg. TYPE OF PIPE Ext. HeaW cast iron
DESCRIPTION OF BUIIA ING
Industrial[ Coffierciall Residential I Multiple Dwelliag I No. of units
%
Location of Cottnections:
Connection Charge 8200.00 Pd. 7/15/68
Permit Fee 7•50 "
Street Repaixs
Totai 207•50 "
Inspected by:
Date
Remarka•
By. Ck:ief Iaspector
In conaideratioa of the issue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•inship, Daicota County, P4innesota
Sy
All State Plba.
Minneaoolis Minn.
Please notify when ready for inspection and cocmection and before any porticn
of the work is covered.
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERk9IT FOR WATER SERVICE CONNECTION
Date: July 16, 1968 Number: 108
Billing Name: Gerber Hatteberg Site Address: 1033 ivicKee 1-1 ? C,r<- •?
Owner:
Pltmi3er: All State Plbg.
Connection
Meter
Meter No. IPexmit Fee 7•50 _"
Meter Reading Meter Dep. 15.00 "
Meter Sealed: Yes lAdd'1 Chg.
NO ' Total Chg. 2.22 50 11
Buildiag is a:
Residence X
Iiultiple Ho,
Commercial
Iadustrial
Other
Billing Addresa
In consideration of the issue and delivexy 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, Mianesota.
By:
Inspected by
Date
Remarka:
By:
Chief Inspector
All 8tate Plbg., Minrieapolis, 1Kinn.
7/15/6£
Please notify the above office «hen ready for inspection and connection.
CITY USE ONLY
? ? g? ' RECEIPT #. X?1'8
SUBD. DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN 3(9 4 4
3830 PILOT KNOB RD
EAGAN, MN 55722 l°d l,
(612) 681-4675 CA..4? P /-?- L,
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction '>-?- Add-on fumace
Add-on air conJiuonii ig tidd-on air exchanger, i.e. Vanee system, ytc.
Date: 9 L/ - / (I
? 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 140.
?
SITE ADDRESS-
-?
OWNER NAME:
INSTALLER NAME-
FFFS
PHONE
STREETADDRESS: /,:n --L:-?.?"?."` Cv./U?
CITy: STATE:ZIP:
PHONE #: (612)
CITY USE ONLY
L BL
SUBD.
?.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commerciaUndusfial buiidings.
? mufti-family buildings when separate permits are = required
for each dweliing unit.
DATE:
WORK TYPE:
r_. . . ... Cc1NTRACT PRIC:E: . ._?.?.:?
_ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee QC 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State suroharge of $.50 per $1,000 of pg= fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
cn-Y:
4 PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMtTTEE CITY INSPECTOR
C[TY USE ONLY
LOT ? BL t PERMIT #: _I O5 LI S
SUBD. ?' lfil?RPi ?. r? RECEIPT #: /d7 j7j
RECE[PTDATE: y?a5-oc?
2000 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT I470B RD
EAGAN tMI 55122
y laN 100 651-681-4675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
$ 30.00
6.00
• Gas outlets (minimum of one required Q$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodelins, addi to• or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
A New _ Alteration
_ Repair _ Other
Fumace
Air exchanger
Reminder: Cal1 for inspections
SITE ADDRESS:
Air conditioning
4- Other Fan ex o.oS1- ?
Fee $ 30.00
State Surchazge .50
Total $ 30.50
V
OWNERNAME: /'')nr( j ?'lp rv,(,,?,SOn `I` )2 f?' PHONE #: /wo 5 1 - y 5 v -
,'
STALLER NAME: 6 I PHONE #:
IN -
( ODE) ^
STREET ADDRESS: e y
CITY: STATE: mZIP: '5665V
S[ NATURE OF PERMI ?
L BL
SUBD.
cirr use oNLv
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERbIIT (COP4ERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIIQ 55122
651-681-4675
Please complete for: all commercialrindustriai buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORK 1'YPE: _ New conswcaan Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Wben insta!ling/removing anderground tank, ca!! 651-681-4675 jor inspec[ion by fue marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimnm fee, whichever is greater.
Underground tank removaVinstallaNon = minimum fee
Conlract price: $ x 1%= $ (Base Fee)
State sureharge calculate at E.50 for each $1,000 Base Fee
TOTAL s
SIT'E ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL17•
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
ClTY:
PHONE#: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47751-010-01
PERMITTYPE: B?Jyg6NG
Permit Number:
Date Issued: 0 7/z 9/g$
1033 MCKEE ST
L07: 1 BLOCK: 1
MCKEE 2ND
DESCRIPTION:
- REROOF
Buildir`g, Permit Type
?3uilding Wo?rk Type
CeneuS Code `
..
STORM DAMAGE
REPAIR
434 ALT. RESIDEN7TAL
??G?i ??: .?,?.? _• .,, '.., ....?? • ._ .___`?. _• .?! ...,
REMARKS:
REROOF DUE 70 STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: -
RIGHT WAY ROOFING
1200 E. 79TH ST
BLOOMINGTON MN
(612) 853-0049
Applicant - 87. LIC OWNER:
18530049 0003999 MChIAHON JEFF
1033 MCKEE ST
55425 EflGAN MN 55121
(651)454-7246
I 'L
I hereby acknowledge that S have read this application and state that Che
information is carrect and agree to ctrmply with all applicable State of Mn.
Statutes.and Cityof Eagan Ordinances.
APPLICANTlPERMITEE SIGNATUfiE
SUED BY: SIGNAT RE
1998 BUILDING
New Construdion Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
RemodeUReoair Reauirements
? 3 registered site surveys
? 2 copies oT plans (inGude beam 8 window s¢es; poured tnd. design; etc.)
? 7 energy calwlations
• 3 copies of trea preservation plan H bt platted aRer 7/7/93
required: _,Yes _ No
DATE:
OF MRK: I CSL -
ADDRESS:
LOT: ? BLOCK: _I SUBD./P.I.D. #:
PROPERTY
OWNER
Name:
Street
Last
? 2 copies of plan
• 2 site surveys (exterior adtldions 8 decks)
? 1 energy celwlations for heated additions
CONSTRUCTION COST; ?? ? • W
Vv? c- k-c. -e.
Phone #: "? ? ? -ru,I Z2
Ciry ' State: Zip: J ?
r
Company: Phone #: ? 5-S - Coq(
CONTRAC'fOR /'?
Street Address: VO E - License #(../on 3 ?(?C
C /
City Stare:- Pnf\- Zip:,5 J425
ARCHIT'ECT/
ENGINEER
Name:
Street
City
Sewer 8 water licensed plumber (new construction onty):
and iot change is requested onCe permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this appliption and state that the in rmation is correct nd agree comply with all applicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pfan Received Yes No
Phone #:
Registration
State: Zip:
? -
U?! " ._ ? V
_ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New ? 33 Alterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
O 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pemiit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47751-010-01
?1033
-, MAC SOUNO
B9b?ildin,j,Permit Type
Bui:;l,ding Work Type
Censu,s Code,'\ 41, _,
!
..? ?
L07:
MCKEE
C/Z.o lv3 6 93
BUILDING
028656
08/29/96
DESCRIPTION:
CONTROI
SF (MISC.)
ALTERATION
434 ALT. RESIDENTIAL
l?j?;'
J ?
REMARKS:
SEPARATE PERMITS REQUIRED FOR ANY ELEC7RICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
$15,0@0
CONTRACTOR: - flpplicant - sT. Lzc.OWNER:
SOCON CONST INC 17846910 0008934 MCMAWON JEFF
9901 XYLITE ST NE 1033 MCKEE ST
BLAINE MN 55449 EAGAN MN 55121
(612) 764-6910 (612)454-7246
IL
T hereby a¢knowledge Chat Z have re.ad this appliaat3an and state that the
infarmation is correct and=agree to compl-y with,a,ll applicable State uf Mn.
Statutes and City af Eagan Qrdi,nanoss.
PLICANT/PERMITEE SIGNATURE ISSUE Y. SI NATURE
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
MCKEE ST
1 BLOCK: 1
ZND
VALUATION
$224.75
$112.38
$7.50
$344.63
• - ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAI)
681-4675
? 3 registered sHe surveys
? 2 copies of plans (indude beam & window s@es; poured fid. design; etc.)
? 1 ene1gy cekulaliona
? 3 copies ot Iree preservation plan H lot plalted after 7/7J93
requfred: _ Yes No
DATE: CC
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodeUReoair Reauirements
cosT: 141416n
? 2 copies of plan
? 2 sfte surveys (exterior addkione & dedcs)
? 7 energy calculations tor heated additions
L6T ?, BLOCK ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: ?CmGhOY? ?? Phone #: 4 12l
,... . ?s.
StreetAddress: ?V +ni.Nw 5i
City; ?w m State: m Zip:55Q?
Company: Phone#:
Street Address: 0 I?? S?• N l License #: l34 -
City:??q???? _ State: n? Zip:55 l
ARCHITECTI Company:
ENGINEER
Name:
Phone
Registration #:
Street Address,
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
5tate:
3V c/, ?3
Zip:
Penalty applies when address change and lot
I here6y acknowledge that I have read this application and state that the infortnaHon is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY P, rF r,??
Certificates of Survey Received _ Yes _ No ? : ?, ?a?
Tree PreservaUon Plan Received _ Yes _ No ,, ______
OFFICE USE ONLY
BUILDING PERMIT TYPE
0A 1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
ef 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New .e? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Alfowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 43,4
Depth Footprint sq. ft. SAC Code ol
Census Bidg
Census Unit
APPROVALS
Planning Building /Vl Engineering Variance
Permit Fee Valuation: $ 1 000•
5urcharge
Plan Review
License
MCNYS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% 5AC
SAC Units
s + •
w , y
Xi:?ci?C'r:m,r$?u;? YY,c i,?:k;X?:4<Ma:u?Xt;,c$;Y.'k:yrg: ,? M?ctn>k>f:%c ttY,¢:?i?Y?x<
rrTY f:iF 1=C-i(:flt.!
Cf?''31•I]:li:i° [, T!ii'F.i4.[MPiI.. tQO;, 3.'_0
LiA'1""^ 00/i:t/3L-: 'T.T.iSi-^ 152'i')a47
TD,;
P'Ai1Ec 11-1I''Ii::hY t1 M{.: t4AI-U]N
3t=i.a 900:1 i.(:133 t4r.,F:l:e' ;:>T M.7;
205 [iC;(]:I. 1033 i`fC?U1=1i S1- 3„50
fO'I::ai. ;;c+pe:I.pi; Aiflo:2Y1$a L"ct8W
;ht.l64242
USP:f: 1Lia NAN!CY
Y.RY:;F?:?:sn!Ky(Y,t.'?SYF:MYiC7K:YYFY,<?FYF.Y,4>X M'SR?'K?iY>X'M?7n:(#?F?'C>KYfi7k7K
CITY O`F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMlTTYPE:
surLorNG
Permit Num6er: 0 2 8 8 3 5
Date Issued: 0 9 J 13 / 9 6
1033 MCKEE ST
LOT: 1 BLOCKc 1
MCKEE 2ND
P.I.N.: 10--47751-010-01
DESCRIPTION:
(sxnsNG)
ermit Type SF (MISC.)
q,X?k Type ALTERATION
434 ALT. RESIqENT3AL
N - ?
? JMC ZfbP i .
F
REMARKS:
PERMIT
'C?IS * pv ,RLL q3?iv
W
?5
,?, 4m ?^.N
? N
FEE SUMMARY:
vaLuarxnN $7,00e
Base Fee $124.75
5urcharge $3.50
Total Fee $128.25
COMTRACTOR: OWNER: - Applicant -
MCMAHOIV JEFFREY
1033 MCKEE ST
EAGAN MN 55121
(612)454-7246
f v I ttershy ,ack.rrcawl?d?e
?i.tif or'fneti o-n..i5
? statute? ana' PLICANTlPERMITEE SIGNATURE
'? '? ' • ? ? b. ? S '': ?
FB0d`lii5 c71'{?'d S?At6
tti ?C',antpl,? ?W?C[[ ??2 ap{33j'CaEi,?a @;.RKA, ?
1 •
a F 1
ISSUED V 51 NATl1RE ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
im5 g,996 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
681-4675
irements RemodeUReoair Reauiremen
? 3 regislered aRe surveys ? 2 eopies oF plan
? 2 eopies o1 plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 sile surveys (exlerior add'Rions 6 decks)
? 1 energy calculatione ? 1 energy calculations for heated eddilions
? 3 copies of trep preservation plan M IW pletted efter 711193
required: _ Yes _ No
DATE: CONSTRUCTIONCOST: (n?0?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK SUBD
/P
I
D #: ? ?? ?D•
.
.
.
.
PROPERTY Name: h an Phone #:
OWNER '"°' "°n
Street Address Zh ?S Vy\'-Ke c -51,
City: FA??it 5tate: .Mvj zip: 55 l? 1
coNTRe?croR Company: ' Phone
Street Address: License #:
City: State: Zip:
ARCHITECT/ Comparly: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested ance permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is Corcect and agree to comply with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of 5urvey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILD ING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
a 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscelfaneous
n 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
n 31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
5q. ft.
sq. ft.
sq. fl.
sq. ft.
Footprint sq. ft.
Building
Engineering
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% 5AC
SAC Units
a 0 1:: -- Xj -
City of Eat(IIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
------------------
;
j Permit ?G I
? Permit Fee: ! ?
j Date Received: j
I ?
I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S v? Site Address: lJ
Tenant:
Suite #:
ne:
6 CV\U` Ph
RESIDENT / OWNER o
Name:
Address / Ciry ! Zip: I
Applicantis: _Owner Contractor
TYPE OF WORK Description of work: V
Construction Cost: cJ GC,<:? ' C)V Multi-Family Building: (Yes No I
CONTRACTOR Name: \S,? ii? u! License k:
Address: ?0
City. !NL State: Zip:
? J
n:
d P
t
r
?
?
7 ?
3
C
on
e
so
a
Phone:
,
-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submined
In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master planl
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contrector: Phone:
.,.,a
h1pTE:?Plans ?nd sapporhng documenis t/?? you subm?tare conslderei! ta be public Informafon. Portions_of
may be cLassth?sd AsQPrt ptrbl{c,li,you pr4vld8 speaft?c/easoos tfiat wqu/d per , mit t1rB C!ty to _a
the inlQrmatroq
,
I hereby acknowledge ihat ihis informati is complete and accurate; that the work will be in conformance wi[h tha ordinances and codes ot the City of
Eagan; ihat I understand this is not a ermit, but only an application tor a permit, and work is not [o start without a permit; that the work will be in
accordance wilh Ihe approved plan in t e?ase ot work which requires a review and approval of plans. <- ?
X I ? X
pP ?? ApplicanYs Signature Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143853
Date Issued:06/29/2017
Permit Category:ePermit
Site Address: 1033 Mckee St
Lot:1 Block: 1 Addition: Mckee 2nd
PID:10-47751-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffrey M Mcmahon
1033 Mckee St
Eagan MN 55121
Glacier Homes Llc
508 Park Court
Circle Pines MN 55014
(763) 843-0830
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156037
Date Issued:06/13/2019
Permit Category:ePermit
Site Address: 1033 Mckee St
Lot:1 Block: 1 Addition: Mckee 2nd
PID:10-47751-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey M Mcmahon
1033 Mckee St
Eagan MN 55121
(651) 324-0848
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature