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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 ?.? ?nniYr. .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