1053 McKee StCITY OF EAGAN Remarks
Addition McKee 2 Lot 6 Rlk 1 Parcel 10 47751 060 ol
Owner Street 1053 McKee St_ State Fag?_?ry] ?
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSUFiF. ?J 1970 1 1 10
STREET RESTOR,
GRADING
SAN SEW TRUNK J U 'I 100OO 3.33 O
* SEWER LATERAL
d
WATERMAIN
* WATER LATERAL 1968 930.00 E) O 20
WATER AREA
STORM SEW TRK 1984 379.00 25.27 15 7
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 503 11 -15-67
BUILDING PER.
5AC 2QQ•QQ
PARK
r--- INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road . Permit Number: ,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
S{TE ADDRESS: ; APPLICANT:
? H 1 t, t f t a H1
; F f :' N I ? ( t, l.' 1::?: ?I +J ! F3 t
` PERMIT SUBTYPE:
I t
TYPE OF WORK:
1?? ,+ I...11 !? i?,: ? ktr:? ?ili(•?t? ? ?.?ii.I:r?.D17
INSPECTION D• • DA
I .4:k:?,: A ,f l''A?:11 li7 {'f i?MT? 1`: Etf i3l1 rNf f, 1-1311 )ANY t`I! t 1PiCA1 iitt 1'l l)MlttNit IJro
?
Permit No. Permft Holder Date Telephone #
ELECTRIC p??3a?a ??/ '70
PLUMBING
HVAC a
Inspecdon bow Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
RaUGH
PlUM81NG
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
tN5t1L
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
eLDG FINAL
J?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Site Addres:
Lot
T N
ame
. r . . -•..
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 dATE: -`-,
CE: PHONE: 454-8100 Far Office Use ' f' 6
BLDG. TYPE ' WORK DESCRIPTIOIiI
31ock f : ec/Sub Res. IVew `"?'?•-``y,"?tE
MUIt Add-On r
Comm. Repair
Oth2f
FEES
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other ,
FEE:
61
Y
S/C:
RES
HVAC 0-1 QO M 8TU -$24
00
.
.
ADDITIONAL 50 M BTU - 6.00
` (RES. HVAC INCLUDES A!C ON NEW
GONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1
.
.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL AOD-ON &
REMODELS - 12.00
EAGAN °rOVO/NS H I P x? 155
/BLJ9LDING PERMIT
Ownex ...._?_.?....eF?riL.e---------- .
Address ?Prespgni) --- ?. ...?t.__..??_ ..------
Builder --.?!?:?'.?isr.-?'.c'u'.--? -•-_... .......'_........'.........
, ? . . ..--..
Address ----- ------- ------- -.._n__..... _.-------........._.
DESCRIPTION
Eagan Township
Town Hall
?Q .... Daf -- -`---_ ... ....... ...............
Siories To Be Used For Froni Depfh He9gh! Esf. CosY Permi! Fee Remarks
Sireet. Road or oiher Descripiion of Location I Lo! I Black I AAdition or 1'raci _
/e- 0 ;6 77A Q l?? I (o I I _ M? - C)--
This permit does not authorize the use of sireeis, roads, alleys or sidewalks nor does ii give the owner or his ageni
the xighi fo creaSe any situa3ion which is a nuisance or which presenis a hazard fo the healih, safefy, eonvenience and
general weifare fo anyone in the eommunify.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to ceriify, ihal---------------------------------------------------------------- has permission io eseci a-------- ------------------------------ .---------- ............. upon
fhe above described premise subject io the provisions of the Building Ordinance for Eagan Township adopfed April 11,
1955.
i ?
t ?
.............. ? - - °.,& .---?.-- ..,Y'.: . .. ...."......---.. Per ...--- -----...........----------"--°-- "---------------'--` ---------.....---'
Chairman of Town rd Building Inspector
EAGAN TOWNS!-IIP
BIJiLDIiVG PERMIT
Owne: ----------------------------------- -----.........------°------------.....----"--
Address (Presen!) .-------......-----------....------...--------------------
8uilder..`.. .?-'k;^--`?!-?--r`.C.----. "'--------
Address "?-V-?.i'.V.._ ???.... JK-. ftud
DESCRIPTION
N° 64
Eagan Township
Town Hak
Dafe v-G--... ././.. 77? ....
Siories To Be Used For Froni Depih Heighf Esi. Cos! Permi! Fee Aemarks
/ Aue_? --?_-
LOCATI6N
ox
/o .s' 3`hr cl?:L Sk I& I/ I NCIc(?e ?
This permif does noi aufharise the use of slreels, roads, alleys or sidewalks nor does it give the owner or his ageni
the righl io creaie any situaSion which is a nvisance os whicb psesenis a haaard !o the heallk, safelp, eonvenience and
general welfare io anyone in the communifp.
THIS PEAMIT MUST BE„IgPT ON TH/g P EMISE WHILE THE WORK IS IN PROGR . `
This is io ceriify. !hal..e.?.?.,.?C/....?-------------------- -haspermission !o ereci a......._... -'_.--------'-_..--._-- upon
--------------------
!he above described premyqc.qybjec! !o the provisions of the Building Ordinance for Eagan Township opied April 11,
1955.? rf' ?
............... .l.--._%
Per _ .. ..........._-......................................................................... ...... -
Chairman o n Board 8uilding Inspecior
?
CITY OF EAGAN 15978
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ?T 1? 9 BUILDING PERMIT PHONE:454-8100 Receipt x / 0/ p/_
O 0 ?C/
To be used for
Est. Value
Date I]F.CF.MRF.R 19 ,19a$_
Site Address 1053 MCKEE STRFET Lot 6 Block 1 Sec/Sub. MCKEE 2ND ADDN.
Parcel No
a Name CONWAY CONSTRUCTION
3 Address 1327 MARTHALER LANE
0 City W. ST.PAUL phone 457-5431
? Name_
.o
?a Address
¢ Cify_
a
w Name_
= Address
?
w CitY_
I hereby acknowledge that I have reatl this apphcabon an0 state ihat fhe
mbrmation is correct and agr o compty with all apphcable State ot
Minnesota Statutes and y o an Ortlin s
Signature of Permittee Cit 'llA
A Building Permit is issued m_C_ _ 'LC0NSTRU(I1:TnD?
ontheezpressconditionlh4i,allworkshall6edoneinacwrdancewithall
appLCable Slate of Minne?GGt? Statute nd Cit o?f /E'a?9an OrOinances.
Bwidin9 Offiaal____??y? 7?????-y? '/'
? ' /
OFFICE USE ONLY
On Site Sewage - Occupancy
MWCC System _ Zoning
On Site Well _ (AC[uaqConst
City Water _ (Allowa6le)
PRV Reqwred _ # of Stories
Booster Pump _ Length
Depth
S F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 66.00
Planner Surcharge z •_?_
Council Plan Review
Bldg. Off. _ SAQ City
Vanance _ SAC,MWCC
Waler Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL ?,68.56
Q? ?
-c- NEQUEST FOR ELECTRICAL INSPECTION
1
? ea-ooooi-os
6?/
5
1? See -nstnidmns for completinq this form on back of yellow copy
1
"X" Below Work Covered 6v This Reauest
(?
?1.2 ?0
Ne Add " ?,Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt Building Dryer Load Management
Comm./Industnal Furnace Other (Specify)
Farm Air Conditioner
Olher(spealy) Conllaqor's Remarks?)/?
?///'T?' ?(
?/?
Compute fnspection Fee Below:
# Other
Swimming Paol
Transformers
Signs Fee # Service Entrance Srze Fee # Circuits/Feeders Fee
0 to 200 Amps D ta 700 Amps
Above 200_qmps e 100 _Amps
IIISPBCtOi 5 US¢ OOIy TOTAL
Irrigahon Booms
S ecial Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ISC
Other Fee e ONNECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
cetlify Ihat ihe above inspedion has ROO9n-'" oate
been made.
OFFICE USE ONLY
This request void 18 monihs irom
??5?
EKz>
O
6 -262 ?
S
?
?
? N
,
?v/?
Requ si Date Frte No. ougRln i e<li n Reqwretl
(YOU must cali inspecror hen reatly) Inspedron OtherThan Fough-In
eatly Now ? Wtll NoUty Inspector
? Ves O Date Featl
I ic nsed contractor ? owner here6y request inspection of above electrwal work at:
Jab Atltlress (Street, Bou ar fioute No ) Qly
.1
" ?'- ?
Seceon No. Township Name or No Range No Cou
&
OccupZ,PRINT) '
/ r Ph/one? No
/i Cr*
Power Supplier ptldress
ElecMcal ConVaclor (Company Name) ConVaCOts License No
Mailing AdOress (COnVacior or Owner M Installation)
(
F G
r/
G4? s"?Y?
2Y
e
0
4
.
i
4
Authonzetl Si ure (COntracfor/Dwner Mawng Installamn) Phone Num
ber
/
/
MIN SOTA STATE BOAND OF EIECTRIGITY
I
I
I
I THIS INSPECTION REOUEST WILL NOT
G' ge-Midway Bldg. - Noom 5-128 I II I I ? II II ( I I ( I II I I BE ACGEPTED BV THE $TATE BOARD
1821 Univarsity Ave., St Paul, MN 55100 UNlESS PROPER INSPECTION FEE IS
PM1nne 16121 642-0801) ? ? u ENCLOSED.
This request void
18 months Imm
E 43424/1, Al ???'>Y. °Z'
Bequest Uate Fve'NO. RouPh-in Insoer,uon
ReqmretlI
?Reatly Nuw Will NoUfy InsVec-
Ip?- - ?Ves , ? mr When qendy
Lfcensed Electncal Contrac[o? ?
1 hereby epuesl ins0ectio0 of aEOVe
Owne, electncal wark 4nstalied ai.
Sireet Atldress, Boa ar Noule No, C,ty
Oj3 1 - e. a,
ectwn o. iownshiv Name or No. ange No. oun
o4a-
OccuDant (PpINT) Phone No.
Ja_r ec2
Power Supplier Adtlress
SI (10 () 0 /•lJ`ri?
Ele n cal C n lr act m (COm ny Name) Conhactor's License N.
.
.
e -
G
?..?
Mail A ?e ICon[ractor or Owner M i '(gV/1Ins[aflationl
glou- ?Q
Autho iz wre (C ractor w r Makin nstai tioN Phone Nvmper/ `?
? /G..?!/
MINNESOTq 5 ATE B RD OF ELECTflICITY
Griqge-Midway Bld Room N-197
1821 Univereitv A ., SL Paul. MN 65104
V6nne IF191 919. O
IS INSPECTION REQUEST WILL NOT
B ACCEPTED BY THE STATE BOAND
UNLESS PXOPEB INSPECTION FEE IS
ENCLOSED.
REi W,EST FOH ELECTRICAL INSPECTlON ee-ooooi-os
t..._ ?' ?'See instrucbons for comoleling this form on back ot vellow copy.
p y 9Da'//
E 'Y 424 "X" 8elow Work Covered by This Reques!
Ad<t R.P. Type ol Bwltlmg Apphoncea Wved EnwpmentWveA
Home Ranye Temporary Service
DuplHS Water Heater Lighnny Fixtures
Apt 8uilding Dryer Bectnc He2tin
Commeraal Bldy. Fumace Silo Unluader
Industnal Bldg. Air Conditioner Butk Milk iank
Farm O+ner oer., v omer lsunc,iy1
? e. uauty iher O?hur
Comuute lnspection Fee Belaw
M Fae ServiceEntrancaSixe fi Fea Feeders/SObfeeders N Fee Cvcwts
1 ° 0 to 200 qm s 0 io 30 qm s 0 to 30 t1m s
A6ove 200 qmps 31 to 700 Amps 31 to 100 Am -
Swinuning Pool A6ove 100-Amps Above 100_Ampa
Transformers Irrigation Booms Partial'Other Fee 1
Si gns Spec ia l I nspectron
$
?
'
TOT FEE
Aemarks r`
j
•? ?.
? ?
1 1
Finai
I, the Eriixrtr?`ral
inspector, hBreby
certity thaf the abova
jfispection has been
rnia reyuest voie
o.a?.ouxa ua,
WELL AND WATER SUPPLY MANAGEMENT
WELL PERMIT
AKOTA COUNTY ENVIItONMENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAGEMENT SECTION
16953 Gdarie Avmue, Apple Vallry, A4d 55124
Tdcphooc (61I) 891•7011
Permit No.
93-9139
WHEREAS, the NON-TRANSFERABLE
PERMITTEE/DBA: Keys Well Drilling ISSUED TO: 62012
ADDRESS: 413 N. Lexington Prky REVIEWED BY:Swenson
St. Paul, MN 55104
has submitted a permit application, has paid the sum of $108.00
dollars to the County of Dakota as required by Ordinance Number 114 and
has complied with all of the requirements of said Ordinance necessary
for obtaining this permit to construct the Well described herein:
An abandoned well with a casing diameter of 4 inches, depth of 155 feet,
and completed in Unconsolidated Sediments, will be permanently sealed.
The well shall be cleaned of equipment and debris, disinfected, neat
cement pressure grouted and terminated at least two feet below grade.
THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS:
WELL LOCATION PROPERTY OWNER & ADDRESS WELL QWNER & ADDRESS
1053 McKee Street Patricia Jaracz Patricia Jaracz
1053 McKee Street 1053 McKee Street
Eagan, MN 55121 Eagan, MN 55121
NOW, THEREFORE, Keys Well Drillinq is hereby permitted and
authorized to construct the well described and located above for a period
of one year from the date of this permit. Construction af this well is
subject to all provisions of Dakota County Ordinance 114, the Minnesota
Water Well Construction Code and any conditions attached on the reverse
side of this permit.
Given under my hand Monday, June 21, 1993
ATTEST (,:
ENVIRONMENTAL SUPERVISOR ENVIRON?RTAL MANAGEMENT DZRECTOR
0&/23/93 ee: za oaKara cMNTv-wEStEw sEau. crR.
MUNICIPAL NOTICS OF iiBLL p1SRMZT APPLICATIOH
DAICOTA C4UNTY ENVIRONMSN'PAL MANAGEMENT DSPARTMSNT
9PATER AHD LAND MANAfiS[QSNT SSCTION
14955 GalaXle AVenua West, Appia Vs11sy, 1AN 55124
Te1 (612) 691-7011 Fax (612) 891-7031
eea f?0tti
????
?,.ao, I?r?1,C
AATEs June 21, 1993
TO: Tom Colbert/iPayne Sahwanz
Fax 1: (612) 681-4612
T+itOtds water and LanQ Management
RE: Weil Permit #: 93-9139
Municipaiity : 8agan
Weil Type: SeAlinq
Revieeoer : 8menson
NDTICE:
The VPater and Land Management Section of the Dakota Caunty Snv3rvnmeatal
Managemsnt Department has received the Yollowing permiC application for
the well described. If you require Euther review of the appllCatfotl or
if you have any queetione or cancerns abaut it, contact the Emrironmenta
Spaciaiist iisted above or.our offioa at (sla) 891-7011. If there is nv
reaponse from your ofEice witriirt 24 HOVRS (Gxaludirng weakands and
hoi3aays) we wi.il aseume that you have no objections to the issnanca of
Lt1e peL'?0.t?. PleaBa nota that permit issuance is alwaye aondittorted on
Lhe perm3t applfcant'a observanae o4 and crnnp liance w3th all appllceble
].awe and codee. A copy of tha weil permit wiil be tarwarded ta your
ofPice when ooropleted.
SPELL CUNTRACTOR INFORNA'1'ION:
Reys Wall Drilling
Applicatipri 14ep91Yedt 06 1811993
1?,nticipaxed Dri.111ng/Bea?ing uate ff lrnown: Time:
7ACATIOtd OF WELL:
PLS Coordinatea NW 41 mQ %I 6W kt SBC 2t TOKti 27 , Rarlge 23
WB11 Location 1063 MaICea SEreet
Praperty Ownrx Patrioia Jeraaa '
We11 Ownar Patricia Saraas
PZD Number - - -
wEr,z. zrtaoMnT3orr:
biataetax 4
caging depth
motaI depth 155
SWL ldl
Aqu3fer vnconsoli.dated sediments
COMMENTB:
R-94% 612 891 7031 06-23-93 08:25AM P002 #43
06/23/93 08:24 DA4(OTp CdJNTY-WESTERN SERU. CTR. 002
MONICIPAL NOTICB OF OiELL P15RMIT AE'1"r+ICRTION
DAKOTA COUNTY ENVIRONMSNTAL MANAGBMENT DSPARTMENT
WATER AND LAND MANAGSM6NT fiECTSON
14955 GalaxS.e eVanua t9eet, appie Vallay, 1QtP 55124
Tel (612) 891-7011 Fax (eiz) s91-7031
? oaJ
DATEt June 21, 1993
TO: Tom Colbert/Wayne Schwanz
Fax #: (612) 681-4612
moM: Water and Land Management
RE: i4211 Pex'mit 93-9139
Municipaiity : Eaqan
we11 Typa: seallnq
ReY1.eV0eT : swenson
NOTICE:
The Water and Land Management 8ection of the Dakota County Snvirpnmental
ManagamenC DepaYtment has received T.he following permit application for
C.he well described. IE you sequire Euther review of the appllCation ox
it you have any queetions or concerns abaut iti contact Che Enviranmenta
Spacialist iisted above or.our offiae at (612) 891-7011. It thera is no
rsaponse from your offiCe Within 24 HOU[t8 (exCluding vaekends and
hol3aays) we wi.ll asaume that you have no objeotions to the lssuanca of
the permft. Please note that parmit iesuance is alwap.s conditioned on
the permit applicant's observance of and comp lianCe w3th all applicablg
].aws and codes. A copy of tha weli permit will be iorwarded ta yaur
oPfiae when oompletad.
WELL CONTRACTOR INFORMATIoN:
Keya Weli Drilling
Appiiaatipn Reaeivedt 06 18/1993
anticipated Driiling/Bea?ing nate if known: Time:
LOCATION OF i9TLL:
PLS Coordinates NW ki NW ho 6W ;jo hf SBC 2 , T047t1 27 , Range 23
Well Location 1063 MaKee Sbreet
praperty 4wner Patrioia Jarrioa
Well Owner Patricia r7araca
PTD Number - - -
WBLL IN8012MAT30N:
Diametex 4
Caging depth
Total depth 155
SWL SOS
AquiPar ZJnconsolid$ted Sedimente
COMMENTB:
R=94°a 612 891 7031 06-23-93 08:25nM P002 #43
***?***********?**?********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 776
DATE: 09/13/00 TIME: 11:46:04
ID:
NAME: ERICKSON PLUMBING HEATING
3212 9001 1053 MCKEE ST 30.00
2155 9001 1053 MCKEE ST 0.50
Total Receipt Amount: 30.50
CR137262
USER ID: JAN
CITY USE ONLY
`B? RECEIPT #:
SUBD. ?l??ei ZYi? RECEIPT DATE:
PERMIT# 2
2000 PLUMBIN6 PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, tRd 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
CIYTI IQFC
EACH N
TOTAL
Alterations to existiny dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas pipin outlet " minimum - 1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
S2ptiC S stem newlrefurbished 'requires MPC lic.
Septic System abandonment 75.00
30.00 X
x =
= $
$
RPZ new installationlrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
UndOf fOUnd 5pflnkler if dweiling is under construction 3.00 x = $
Underground s rinkler if existing dwelling 30.00 7C = $
Water closet 3.00 x = $
Water heater 3.00 x = S
Water softener if dwelling under consWction 5.00 x = $
Water softener it existina dwening 30.00 x = $
Water turnaround 30.00 x $
State Surcharge
TOt81 .50
-> ->
-> -->
-> -->
---> $ .50
0 _ S
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------- ----- ------------------------------, -----------------------------------•- ------- --- ----------- -- • -- ----- ----- --------------- --
I hereby acknowiedge that 1 have read this application state that - theinfortna5on is correct, and agree to compy with all applicable City of Eagan ordinances.
It is the applipnt's responsibility to notify the property owner that the City of Eagan assumes no Iiability for any damages caused by the Ciry during its
normal operational and maintenance adivities to the facilities constructed under this perm@ within City property/right-of-wayleasement. N,
SITE ADDRESS:
OWNER NAME:: P.tTV?CJ?Q- !?M-ra c2z V TELEPHONE#:`?`?'
REA CODE)
INSTALLER NAME: t i (L G?CS?YI 'PN C. TELEPHONE #:
_ , (AREA CODE)
STREET ADDRESS:
cirv:
ziP: 43-S i
PERMITTEE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDIN6
025503
05j16J45
SITEADDRESS:p'I•N.: 1e-47751-060-01 pppLICANT:
LOT: 6 BLOCK: 1
1053 MCKEE 5T HOMECARE SNC
P1CKEE 2ND (612) 884-4187
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIPTION
ALTERATION
(MAC 50UN0 PROGRAM)
INSPECTION
FRAMING i, .
ROUGM IN PLBG D.
OU6H IN HTG FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47761-060-91
PERMIT
1053 MCKEE ST
LOT: 6 BLOCK: 1
MCKEE 2ND
PERMIT TYPE
Permit Number:
Date issued:
u-4iI .??
6?1 !?VIVG
@25503
05/16/95
DESCRIPTION:
(MAC SOUND PROGRAM)
Bp-l1c[fhg.,R?erm3t Type SF (MTSC.)
8?ilding,ldir'rX Type ALTERATION
??r.5•tv.,f.:?.:`,'j'f? ?d "-?'?; ;. • ,G.s
?4.-`pi :a?C_• : .trv!k't `.
Fl J ???
k?:iS '`zqw
4w '?'& ; f zs
e;i;S ? sw a ??a ?':%?"
??F>
?
REMARKS:
A SEPARATE PERMIT IS REQUIREp FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $7,000
Base Fee
Surcharge
lic. 5earch Fee
Total Fee
$90.00
$3.50
$5.00
$98.50
CONTRACTOR: - Appiicant - 57. I.IC. OWNER:
HOMECARE INC 18844187 0002116 JARACZ EMIL
9301 BRYANT S 215 1053 MCKEE ST
BLOOMINGTON MN 55420 EAGAN MN 55121
(612) 884-4187 (612)454-7877
. ? ' ' .
I hereby aaknauledge thAt -1" MevQ read. th3s -?p,plitatr,tstt -afid sCate 'tii.sC Che
information_ is.correct ahd.a,gree.t4, .c4mpIyEs 10°.Stotol- of #9n Statutes and, CiCy af Ea?afr Ur^da
?1ru?n R a; ? ? .
NT)P I SIGNATURE ISSUt: bYU61UNATUFtEf
im CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
03995 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-4675
New Construction Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies oT plans (inWude beam & window sizes; poured fid. desgn; etc.) ? 2 sRe surveys (exterior addkions 8 decks)
? 1 energy plalations ? 1 energy celculations for heated addXions
? 1 tree preservetion plan 'rf IM platted aRer 717/93
required: _ Yes _ No
DATE: S-- 2 - 5?? CONSTRUCTION COST:
DESCRIPTION OF WORK:
State:
STREET ADDRESS: /0S 2r,,kpi ST" • `-?
LOT _6 BLOCK I_ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ? A?vac Phone #: ? -7 7
V5T iIP9i
Street Address <?_(>
City:
Company:
State: Zip:
I`?`a?r Er-?+.,?? -T???- • Phone #: ?v- 7`?g 7
Street Address: 7?nL L>/`y?.??? ???nse #:
?
Name:
Street Address• -
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
G7
Registration #:
Zip:
Penalty applies when address change and lot
I hereby acknawledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No
[??(??f6?
M AY 1 6 1995
Company: Phone #:
OFFICE USE ONLY -A*c •, ? .?p ? '`?i?
,
BUILDING PERMiT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 Muiti (additional) ? 15 Deck
WORK TYPE
? 31 New ? 33 Afterations o 36 Move
0 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.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MCNVS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
PermR Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% 5AC
SAC Units
kW;L .>;s0,8<'K??Y,s,v,tY:;:
czTV pr- r: AcAN
,r„A,q!-I:lc.f:r. JS hCiL 138
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.re 5?? / v? /r ?IJIC1/?r'I t Y Y .5r? I.LtILV "(.Ja?.:
IJAiG..
T1' : Y
j\{tiV C7 M. JY''RAf.r
?[ltl:l. i iJt-'; '!r!;E:E S''' j E31„F;
2'.15 9001 053 i'IC4:,E'::. r7 `i,f.itl
r
itik.al fi.f.'-4:`:?'1}"ii; F11YK]s..TSi','u 05.0
rW'r'l.6`i
UiirM Il'• ..IF1N
' 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
Cinr oF eacnN
3830 PILOT KNOB RD - 55722
651•681•4675
New ConshucHon ReauhemeMs Remodel/Reoaii Rea??ir115i?iS ? a? ??
? 3 regisfered sXe surveys showing sq. fl. of lot, sq. H. ol house
and II rooled areat (20% mazlmum bt coveraae ailowed)
D 2 copies ol plans (show beam d window sixes; poured Ind. deaign; e1c.)
D t set ol energy calculations
? 3 copies of hee preservaHon plan B bt plalfed alfer 7/1/93
DATE: 91" ZI -"
DESCRIPTION OF WORK:
Sheet
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D.
Name: Phone #: e??% / /
PROPERTY Lor
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
2 copies d plan
1 set of energy calculations for heated addXbns
1 sMe suney for exlerior addiNOna R dxb '
CONSTRUCTION COST:
rn
ciy state: zep:
Company: Phone #:
(area code)
Sheet Addreu: - Ucense #
City
State:
Company: Nome:
Telephone #: area code (
Shee't
Ctty
Sewer 3 waler Ilcensed plumber (teaulred for new constructlon onN1:
State:
Pehaly applies when address change and lot chnnge Is requested once permH Is luued.
Zip:
Zip:
I hereby acknowledge thaf I have read thls appllcaflon, state thaf the InformaMon Is e rrect, and agree 4o comply wifh all applicabl
State of MlnnesoTa Statutes and Clty of Eagan Ordinances. ?
Sfgnature of Applicnet
OFFICE USE ONLY
RegisiraNon #:
Certificates of Survey Received _ Yes _ No 3
T2e Preservatiori Pian Received _' Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1of_plex ? 08 6-plex ? 1316-plex ? 18 Deck ? 23 Porch(screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stortn Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition O 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual) 5--n! Basement sq. ft. Census Code 30
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy 4-;5 'u-/ sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories I sq. ft. MC/ES System
Length ? sq. ft. City Water
Width Footprint sq. ft. ? Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engi neering Variance
Permit Fee ? FS I. Valuation:
?
$ ? D
Surcharge !Z . O
Plan Review
License
14- x
?7Z
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit }
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
'7S r7
1
W
O
?
7
. ?...__ J9..? S?r...,.i .
g -Zy.58
CITY USE ONLY
L CP BL _L RECEIPT
DATE:_
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on fumace
? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
rAo,? a,Z- 1'14T61cE & 6,4jv4.47, P,--p.
Date: 5' Ao ' 9s
FEES
? 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 ' S'O
SITE ADDRESS: 10 `Il?e
OWNER NAME: 4 P6'?'R i C r'A 3-0 Q a c 7- PHONE #: `?-? y? 7f177
INSTALLER NAME: MtlgSN A?b KR C't4dt;j c
STREET ADDRESS: (RZyB (.ArcEL9?0 ?c No
CITY: kdox/y'l Pff'e Ic STATE:M "/ ZIP: SSS?LB
PHONE Z) 536- obb-?
L'X?A
5T 1TE
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: o $25.00 minimum fee gl 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: _
CI7Y:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
u l c?.?-fl 3830 PILOT KNOB RD - 55122
651-681-4875
New Canshuctlon ReoulremeMa
?
a s repiste?etl alre aurveya arwwinp sq. n. of Iot, a4. 8. oi h use ?1 G (JD `. ? z coPlea or' .
and ga rooled areaa (2096 rmxlmum bt covemae allowadl
Y 2 copiea of plans (ahow beam & wintlpw a{zes; poured (ntl. dealgn; atc.) 1 slfe=4jy'fore0eAOr!ad'dlBona & decka., -
n 1 set of enargy calculallons a 3 coples ol hee preservaMOn plan H loF platfed aHer 7/1 /93 -
DAiE: \C?yacs?o CONSTRUCTION COST: aa,L?j•Ci7
DESCRIPfIONOFWORK:
STREET ADDRESS: m3 --
LOT: BLOCK: ? SUBD./P.I.D. M: k.t_ _
Name: ?.:?c 1? 50D Phone S: LaN-1o`6h'CrOlooZ.
PROPERTY Lao T Fint
OWNER i _
Sheet
3
City State: Zip: 'rJ5\a1
Phone #: rllo3 --A'F)`-1-laq\C7
(area code)
CONTRACTOR
SheetAddress: F11uC> °P llcense #iCmCRiq3?1- Exp.3•31-a1
cny 311? . state: np: 5'D
ARCHITECT/?
ENGINEER Company: Name:
rTa,--'? Telephone A: ( )
Street Address: ftegishaiion if:
Cliy
SYate:
Sewerlwater licensed plumber (if installina sewer/water): Phone #:
Lp:
I hereby acknowledge IFwf I have read fMis applkaHon, slate ttwt ihe Intortnation is correct, and agree to compry wHh all pppIcable State
of Mfnnesota Stahrtes and Clty of Eagan Ordinances.
Signafure of Applicanl:
OFFICE USE ONLY
CertiBcates of Survey Received _ Yes _ No '
JUL I I
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 07 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-piex
? 03 01 of _ ptex ? 09 07-piex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-Plex ? 12 12-piex
WORK TYPE
? 31 New
O ?32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21
? 17 Garage ? 22
? 18 Deck ? 23
? 19 Lower Level ? 24
Plhg _Y or _ N ? 25
? 20 Pool ? 30
Porch (3-sea.)
Porch/Addn. (4-sea.)
PorCh (screened) ,
Storm Damage
Miscellaneous
Accessory Bldg.
0 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (FoundaGon) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GERIERAL lNFORMAT4ON
SAC Code 01
No. of Units _0
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Parmit Fee S
Suroharge l _ L:;u
Ptan Review ^2?
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: ? I .
sq.ft.
sq.ft:
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
valuation: $ 0 6 0. °G
? 31 Ext. Alt - Mufti
? 33 Ext. Aft - SF
? 36 MuRi
y3y
SAC Units
% SAC
EAGAN TaWNSH2P
3795 Pilot Knob P.oad
St. Paul, Minnesota 5.5111
Telephone 454-5242
PE:iMiT FOR S&7ER SERVICE CO1V:7ECTIOH
DATE: Nov. 15, 1967
OWPIER; Niek L. Schlosser
PLU"IBFR All State Plb?.
AlUC'ffiER 62
Address 1053 McKee
TYPE OF PIPE Ext. Heaw cast iron
DESCRIPTION OF $UILDING
Ind.ustrial? Ca.omercial
Residential I I•Yultiple Dwelling
X
Location of Connections:
Conaection Charge $200.00 Pd 11/15
Permit Fee 7.50 "
Street Repairs
Tota 1 $207, 5p
Inspected by:
Date
Remarks•
By
Chief Incpector
Zn consida_ration of the issue and delivery to me of the above pem?,t, I ^
hereby agree to do the propcsed work in accordance with the rules an3
reaulatfons of Eagan Tocinship, Dakota County, Minnesota
.
PLiasp r.a-ify •,;hen ready for inspeczion and cornacYion ar.d before any port'_ea
o'r tha w:rk is cc±va.red.
No, of uniCs
EAGFN TOWNSAIP
3795 Pilot Knob Road
5t. Paul, MinneaoCa 55111
Telephone 454-5242
PEluaT FOR WATER SL+RVICE CONNECTTON
Date: Nov. 15, 1967
Billing Name; -Nick L. Schlosser
Owner• above
Pl+aw3er: A11 State Plbg.
Number: 36
Site Address: 1053 McKee
Billing Address above
S
Meter No, {Permit Fee 7•5? _
Meter Reading lMeter Dep. 15•00
Meter Sealed: Yes- IAdd'1 Chg.
IQO ' 1bta1 Chg._ $222.50
Building is a:
Residence :C
Multiple Ho, Units
Commerc ia 1
Industrial
Other
Inspected by
Date
Remarks:
Sy:
Chief T.nspector
Pd 11/15
n
In consideration of the issue and delivery to me of the above permit, i
hereby agree to do the proposed work in accordance with Che rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Flease notify the above office when ready for inepection and connection.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123603
Date Issued:06/11/2014
Permit Category:ePermit
Site Address: 1053 Mckee St
Lot:6 Block: 1 Addition: Mckee 2nd
PID:10-47751-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Darin C Gutzmer
1053 Mckee St
Eagan MN 55121
(651) 308-4007
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166289
Date Issued:12/28/2020
Permit Category:ePermit
Site Address: 1053 Mckee St
Lot:6 Block: 1 Addition: Mckee 2nd
PID:10-47751-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Kelsey Hrdlichka
1053 Mckee St
Eagan MN 55121
(612) 702-5812
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature