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1061 McKee St? CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SlTE ADDRESS: , !If l l : .'t11! PERMIT SUBTYPE: ; 'rt i . . TYPE OF WORK: 1;.t I 1, I i I io;ia icu i i iT r r?+a Q?,'F?C?'i_{ 0H !:'1:t 196 A}. 1V F?RT 1 itN NAf- ';01INC+F'ftO4lF LNC, INSPECTION TYPE D. ON TYPE D. ! ra ts ? ?, r 1 Rlr;i ? PERMIT TYPE; Permit Number Date Issued: ft fit cyc ? . ? APPLICANT: S E? I.' ) ft 4i 3{ E7 :."ri .i Permit No. Permit Nolder Date Tetephone ? -.c . _ ? ELECTRIC .„ NvA c,._ ? ' _ - -?v-- -- -. --?---- -. f2tt3rotsttae HVAC Inspectlon Date Insp. Comments FOOTINGS FaUNO FRAMING ROOFINCi ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST • FINAL PLBG FINAL HTG ORSAT TEST BLdG FINAL BSMT R.I , BSMT FlNAL DECK FTG DECK FlNAL cirr oF Er?GAN 3793 Pilof Kno6 Rood Eagan, MN 55122 PHONEt 454-8100 BUILDIPIG PERMIT Rece+pt # Ts bi uaad fee Est. Valuc Site Address Lot Block Sec/Sub. Fcrcet # oc Name -LTM Z ' ' t /lddress . . , o Name _ F Address F i-:... Name _ Address I hereby ocknowledge that I hove reod this npplicotion and state that the inlormotion is correct end agree to comply with oll applicnble State of Minnewto Stotutes and City of Eogan Ordinances. Siflnoture of Permittee N ° Erect Occupancy Alter ? Zoning Repoir ? Ffre 2one Enlarge Q Type of Cor?st. Move ? # $tories Demolish ? Length . Assessment Woter 8 Sew. Pol ice Fire Erq. Planner Council 81dy. Off. APC ? ?? Fees Permi Surchorge - Plan check _ SAC Water Conn. Wnter Meter Rood Unit - Totol A Building Permit is issued to: on the express condition tFxrt all work shall be done in accordaexe with all applicable Stote of Minnesota Stotutes ond City of Eayan Ordinonces. Buildirq Official Permit No. Permit Holder Misc. Permit No. Holder Plumhing H.V.A.C. WNI Water Disp. S?wer Electric Inapection Dats Insp. Other Footings ' Foundation Framiny Rouyh Plbg. Rouph HVAC Inwlatton Final Plb¢ Final HVAC Final Water Describe Location: 1Ne11 ' Sewer . Pr. Disp. CITY OF EAGAN Ik ? Parcel 10 47751 080 01 stace Eagan,MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 $ 100.00 3.33 O Pd * SEWER LATERAL WATERMAIN ,t WATER LATERAL 168 930.00 6. O 20 Pi WATER AREA STORM SEW TRK Wfp 1984 379.00 25.27 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 510 - 11-17-67 BUILDING PER. sac 240,00 3957 -- PARK CITY OF EAGAN 3795 'ilot Knob Road Eoyan, MN 55122 PHONE•• 46448100 ? f? ? ? BUIiDING PERMIT Recelpt # ? '• ' Te b4 wnd for DECK Est. Value $li.OC. GO Date _-'`? r 3Y 17 , 1 ' Site Addrcss 1061 LNSeK ee S[reet Erett ;g Occupancy Lot 8 81ock I Sec/Sub. McKee 2nd qlter ? Zoning parcel # 10 47751 080 Ol Repoir ? Firc Zone E l T f C n orya ? ype o onst. oe Nome DSAny G. Hanson Move p # Stories W ; i llddress 1061 Mc Kee Str?et Demotish ? Length_1? _? r:... Faaan 55121 M,,..... 454-171R Grode f1 Depth-__$q, Ft. o Name _ ? Address F f i*v I hereby acknowledge that I have read this opplication and state , the informetion is wrrect ond egree to comply with all applia Stote of Minnesoro Stotutes and City of Eagon Qldinor%T., Sipnoturo of Permittes L•?uc. A Building Permit Is issued to: DanA'.Y C. Flanson oll work shall be done in accordanca with oll opplicable State of Buildinp Offitiol ? Assessment _ Wofer S Sew. Police Fira Enp. Plonner Council Bldg. Off, _ APe Pertnit 20.50 Surchcrpe 1•00 Plan check SAC Water Conn. Woter Meter Road Unit Totol r ? 1_ 5(1 on the exprcss condiNon ihm and City of Eaflan Ordir?orxes. Permit No. Permit Holder Misc. Psrmit No. Holder Plumbinp H.V.A.C. Well Weter Disp. S?wer Eiectric Irnpection Daft Insp. Other Faotings _a Foundation Framinp Rough Plbp. Rough HVA Inwlstion Final Plbp, Final HVAC Final 4 ? Waor Describs Locstion: YWII ? Sewer Pr. D'ap. . ? ? ` _ ?.?, ?A-N",,?.? {/ cs-zo) CITY OF EAGAN Znclude 2 sets of plans, q y 1 site plan w/elevations & BUI7DING PERNNRTT APPLICATION 1 set of energy calculations. 'lb Be Used For 6'/7?? ? (TL- Valuat1ion Date site Address: jp(a( Atcn E :::;A-rE,ET IAt ??'_ Block SeC./Sub. (VlcLe 9uD O'Erect kl_ Parcel #: 1U ?`?'7 S 1 0? Cj ) Alter Repair Owner: ? ??t 4 l- H A tQ[lA) ? e- Address: -J ?? Dennlish _ City/Zip Code: L,d(9'AN IyJN Grade Phone #: C?/ S y- 3 71? APPR(7UAIS F'g'S Contractor: t'i J?i e. 1/FYN Vn_ Assessments Address: City/Zip Code: Phone #: Arch./Ehg. _ Address: City/Zip Code: Phone #: Water/Sewer Police Fire Ehg. Planner Water Mete.r Council RQad Unit Bldg. Off. AFC ir-.4,7_ TOTAL O U ry?-lV OFFICE USE ONLY Occuganey Fire Zone tIA- 'Iype of Oonst. ? # Stories Front ?y ft. Depth ft. Pexmit G`D 62 Surcharge '-- Plan Check SAC Water Conn. ?? 3? ? ??d i6 ?'-?n ?s>?6 /5 ? 6 CITY OF EAGAN Include 2 sets of plans, 0 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of en2YCJy ralculations. Zb Be Used For Valuation Date Site Pddress: 57. T OFFICE USE OIa,Y Lot g Block Sec./Sub.Mc E Parcel #: I6 L y??? l Oc6a D? -?0OMmer: .4?I ?1 ?{ ?- f-??.JS U(/ AaarPSS: /04o-iyl c Ke P S? City/Zip Cnde: g?/fi(yf{ ^J 5 S/C? I Phone #: ?f 5-c4 ' 3 -71.P' Contractor: T Address: City/Zip Code: Phone #: Arch./Ehg.: Address: City/Zip Code: Phone #: Erect 4- Occupancy Alter Zoning Repair Fire Zone Enlarge Type of Const. Nbve # Stories Denalish Front (3 ft. Grade Depth 1 ft. APPROVALS FEFS Assessrents Water/Scwer Police Fire Eng • Planner Council Bldg. Off. P.PC Permit aL') t S? Surcharge Plan Check SAC Water Conn. Water Meter Road Unit Wrpa, *':2-I t SO EAGAN TOVi/N S i-I I P BUILDIiVG PERMIT Ownex ..... ....`------'----------------------------------------'- Address (Present) .------------------------------------------ -------------------------------- . Builder ?-?o--_C?F..C• `^'?-- -- - . -- ....- -'.............. `?.... ---- ...... c - .. Address ?.?---v?-......?(1?!L:T.------- - ------------------ -.1i:Y?. ? DESCRIPTION N° 62 Eagan Township Town Hall Dale 0-----/,?,..r4 .-.... -: SSOSies To Be Used For Fron! Depih Heighi I EsS. Cost • Permi! Fee Remarks / k "? This permit does not aulhorize the use of sireefs, roads, alleys or sidewalks the righ! !o creale eny sifssafion which is a nuisance or whieh presenls a hasard general welfare Ya anpone in the communify. THIS PERMIT MUST BE PT ON THE ?I EMQISE WHILE THE WORK IS IN This is Yo eerfify, lhai...{..?.?_.?-.?../`?[ ..................has pexmission !o erec the above d cri6e remise s 7ecf !o the provisions of the Building Ordinanc 1955. // ./ .. Per ....... --------....... ''---- C -- -ha---irm--...a.n(- of T oar-- _...... - --- . ....... d ? ? nor does it give the owner os his agenf !o the healYh, safeiy, convenience and PROGRESS ! a...._......'... .. _..' .... ...... .. ....... ------- upon e far Eagan Township adopfed Apsil 11, Building Inspecior CITY OF EAGAN N? 7Z92 3795 Pibf Nnob Raod Ggan, MN 55122 - PHOHl: 454-8700 34AG, BUILDING PERMIT Receipt # Te be wsd Fer GARAGE Est. Value 5,000 Dote 5-24 1912 Site Address 1061 MCKe2 S't Erect X$ Occuponcy R3 Lot $ Bloek 1 Sec/Sub. MCKE'E 2rid Alter ? Zoning Rl Porul # 10-47751-080-01 Repair ? Fire Zom NA E T f C V nlorge ? onst. ype o rc Nome DaRxbv C Hansori Move p # Storles = Address 1061 MCKeE St Demolish ? Length 24 ? Ci Phona 454-3718 Grade ? Depth 24 Sq. Ft.- ? Name KP-it'1 Dal7R1 ADVrovala Faes u5 Hddresf ? r.., Nome _ Addrexi 1 hereby acknowledge that I hove reod this npplication ond stote that fhe inlormation is corrett and agree to Camply with oll applicoble State of Minnesoto $totutes and Gity of Eagan Ordirwnces. Signoture of Permittee - A Building Pertnit Iz issued to: all xrork sholt be done in ocm Bufldfng Offlciol ? Assessment Water 8 Sew. Police Fire Enq. Plonner Council Bidg. Off. 5-20-82 APC Permit 7V.7V $urcFwrge 2•50 Plan check SAC Water Conn. Woter Meter Rood Unit roroi 53.00 on tha express conditim thnf with utyq imble_Sfare of Minnesofo Statutes ond City of Eogon Ordinonces. cirr oF E+cnN No $ 6 3795 P(IM Knob Rmd Eegen, MN 53131 • PHONF: 454-8100 BUILDING" PERMIT rteceipt # 25-92 To 6a wad fer DECK Esr. Volue $1200.00 pate May 17 , 1 q 83 Stte Addreu 1061 McKee Street Erect ?C Occuponq Lot $ Blxk 1 Sec/Sub. McKee 2nd qlrer ? Zoning Parcel # 10 47751 080 Ol Repoir p Pire Zone Enlarge ? Type of Const. ? Name Danny C. Hanson Move ? # Scor+es Z Addreu 1061 McKee Street pe„pii,i, p Length 13 ? c; Eagan 55121 phom 454-3718 Grade ? Depth 13 Sq. Ft.- Nome Ownex Avvovols Feea ? ?o u Address ? r;... Nome _ Addross I hereby acknowledge that I ha ad this apDlication and state thaf the inlormalion is wrrect und ogree to comply with all opply'coble $fote of Minnewto Statytes a QiN af Eagon Ofdfnancq5. / Assessment _ Water 8 Sew. Police - Fira Ena. Planner _ Council - Bldg. Off. _ APC Permit - SutCFarge - Plan check _ SAC - Water Conn. Woter Meter Road Unit - Totol 921 - 50 Sipnofurc of Permitted r r y.vr ?-- I A Building Permit is issued ro: Dan C. Hanson on ehe express wrditlon thar olt work sholl be done in accordance with oll ' licabl Sfore o4/M' es ta_Stctutes and City of Eogan Ordinancea Buildinq OfHcial PERMIT # RECEIPT DATE: I"- C) l USIDENTlAL PLUM$INfi PMMiT APPLICATIOft crrY oF Eas" SSSO PILOT KNOB RD £AfiAN, MA 55122 851-691-4675 Please complete for: ? single family dwellings ? townhomes and condos when perrnits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: I'NP I t' lLY1?. St n w?14? OWNER NAME: : 6-990-- l0_?? TELEPHONE 1,2!??.!?4 ?- (AREA CODE) INSTALLER NAME: TELEPHONE -t&., -;??? STREETADDRESS: 11'r-4 I G17 `? ( v? (l? CG (AREACODE) CITY: STATE: ZIP: Dl.ro . rhne4 m?r4 nnr+ Yn }hn nermi4 wnr4 fvna New residential dwelling unit under construction and not owner/occupied $ 90.00 L,"? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ . lawn irrigation system . water turnaround , Nature of work: Septic System, new/refurbished - $ 225.00 • includes County 8 Consulting Inspector fees • requires MPC license State Surcharge $ 50 s c5b ?' ? Total - - , Reminder: 8e sure to schedule inspectfons ot alteretlons, i.e. wacer nea[ers, waier I hereby acknowledge that I have read this applicatioq state that the information is correct, and agree to complywith all a is the applirant's responsibility to notify fhe property owner that the City of Eagan assumes no liability for any damages operational and maintenance aclivities to [he facilities wnsVUCted under this pertnipwiMrin'City.Qroperty/rightof-way/e; SIGNATURE OF d by the City durin its n r I nt.JAN 2 3 2?101 Updated VOt 1'd?XnX?k1X%X?:YF?k?>XR<X+?X<St?:7%?ka¢in`?k?kkt1?X(Y,CY,<:?F%C?kkC?%??k'M wXt CIl'Y nr Enc1N CASNIE:fi: 5 7f:Rfi7NF1L NfJ: ?4 DAT'.F:.a 08/2E3/96 7'tMli:. 1.5n09:13 ,D • i,AMEs Bfi!:ILSMA I}GS:[GN CsUTI_D INC ?21.0 7001 jOb; BFAI'hiL"G Et c43.75 3422 9001 J.065 }3EATliICE S 124.88 c0..` 9001 :L(J65 E{EA'1R.ICE 5 f3.50 3210 9001 I.f156 i'fCKF'f ST 224.75 34i'2 9001 056 MCKF:E Sl 1.,11i'n8 205 9001 1056 P1CKf:1_ Si 7.50 3210 9001 i.(lE,i. Mf;K[:E ST 199ni'S 3422 9001 iCi61 MCt;F.I: ST 99.88 ri.`;`; 9001 i.L161 MCF:1=L'-" ST 6.50 'T'ai:;l Ficr..eipi; Arriarn+„ 2.033.E33 CFi(:1634' i, iJSL.G: SDa NANCY PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028531 (612) 681-4675 Date Issued: 0 8/ 2 8/ 9 6 SITE ADDRESS: ' 1@61 MCKEE ST LOT: 8 BLOCK: 1 • MCKEE 2ND p.I.N.: 10-47751- 080-01 DESCRIPTION: ?-? MAC SOUNDPROOFING B'ui.lding - Permit Type SP (MISC.) `Huilding"Rark Type ALTERATION ,/ -Census Code `. 434 ALT. RESIDENTIAL ' ? ?? a r?P ?t f; -. ? ??`} ?? ft i• , i _? .. u?_?{ ? E .i»{^ fr? l ?•4 1' t.? REMARKS: FEE SUMMARY: VALUA7ION $13,000 Base Fee $199.75 Plan Review $99.88 Surcharge $6.50 Total Fee $306.13 CONTRACTOR: - BROL5MA CONST, J 506 MZSSION RD BLOOMINGTON MN (612) 888-0283 Applicant - S7. LI 18880283 000571 55420 OWNER: MATRAS PETE 1061 MCKEE ST EAGAN MN (612)454-2894 I I hereby acknowledge that i have read fFiis information is correct and agree to comply StaGute.s and City of fagam Ordinancas. - LICA /PER applieatian andstate that rf5t with all applicable State of Mn•. I?lA AI ED B'Y:ISIG NAT I\?'R CITY OF EAGAN 3 ? 3830 PiLOT KNOB RD - 55122 lJ J( 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-46T5 New Construction Reoulrcments RemedelJRepair Reeuirements ? 3 redistered eke aurveye ? 2 copiea of plan ? 2 copke of plana (indude 6eam 3 wirMow sizes; poured fid. deslgn; elc.) ? 2 aNe surveys (exterior additions & decks) ? t energy calculationre ? 1 energy ealtulations for heated addilions t 8 copies oi free preserveHon plan H bt platted afler 7/7/83 requlred: _ Yea _ No DATE: . I\uo?-tA -7 ? I?°tG CONSTRUCTION COST: 12I 98<<? _ DESCRIPTION OF WORY STREET ADDRESS: LOT 0 BLOCK PROPERTY Name: Mcjr us Pt'fc Phone #: y5q' z85q OWNER ""' MS' Street Address /13(01 M?A-'e S? (pQA - Ciry: State: Mb.j_ Zip• 5 5 l 2 j CoNTRncTOtt Company: Rr=. ls mc?4 ' Phone #: B88 - 0283 StreetAddress: 50Co P'1;SS?o? V10J License#• City: 'Q \a ) 10? State: M N Zip• ?5 4 2 C? ARCHRECTf Company: Phone #- ENGINEER Name: Registration M Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot i hereby acknowledge that I have read this applicaBon and state that the infortnation is correct and agree to comply with all applicable State of Minnesota SWtutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No A U ;1 Tree Preservation Pfan Received _ Yes _ No -- --- ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscelianeous V 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations o 36 Move 0 32 Addition 34 Repair o 37 Demolition GENERAL INFORMATION Const (Actual) Basement sq. ft. MC/WS System ? (Ailowable) Main level sq. ft. City Water UBC Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. 8ooster Pump Length sq. ft. Census Code. H a Depth Footprint sq. ft. 5AC Code c?+ Census Bldg ? Census Unit o APPROVALS Planning Building dL?T?d Engineering Variance Permit Fee Valuation: $ i3? ,oo0. - Surcharge Plan Review License MCNVS SAC Cky SAC Waier Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % 5AC SAC Units N1 ?'L ° EAGFN TOWNSHIP 3795 Pilot Knob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERI•'!IT FOR WATER SERVICE CONNECTION Date: Nov. 17, 1967 ' Number: 40/ Billing Name: Richard Blaha Site Addreas: 1061 Mcgee Owner• above Pltanbez• Genz & $yan Connection Meter Billing Address Meter No, I Permit Fee 7.50_ Meter Reading_ Meter Dep. 15.00 Meter Sealed: Yes_ Add'1 Chg. $9924ft NO I1bta1 Chg. $222.50 Inspected by Date .? Building ia a: Remarke: T ? c- , Residence X h? Multipie II'o, Units Co-amercial , ? Induatrial Bq: Chief 7napector Other In consideration of the issue aad delfvery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Township, Dakota Coun , Minnesota .-?--? ?.? ? nr-'?? 11A7 11 ft Please notify the above affice when ready for inspection aad conaection. EAGAN TOWNSHIP 3795 Pilot Rnob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTZON DATE: August 19, 1971 NUMBER 849 ly4 G ;-. c-?)- OWNER•Richard Blaha Addxess 1061 McKee Street, Eagan 55121 PLUMBER Wenzel Plvmbing S Heating Iflt`PB OF PIPE Cast Iron DESCRIPTION OF BUILUING Industriali Commercial' Residential I Multiple Dwelling I No. of units Location of Connections: Connection Charge 240.00 pd 8/19/71 Account Deposit 10.00 ?d 8/23J71 Permit Fee s.50 pd 8/23/71 Street Repairs Total Inspected by: Date Remarks: By Chief InspecCOr In consideration of the issue acd delivery to me of the above pexmi.t, I hereby agree to do the proposed work in'accordance with the rules and regulationa of Sagan Toc•mship, Dakota CounCy, Minaesota By Weazel Plumbing d Heating Inc. 1955 Shannee Road, Eagan 55122 Pleaee notifq when ready for inspection and connection and before any portion of the work ia covered. y ,t -?? '3J? ?g a EAGE:N TOWNSHIP 3795 Pi1ot Knob Road St. Paul, Minnesota 51111 Telephoae 454-5242 PE:iHiT FOR S&7ER SERVICE CONP7cCTI0N DATE: Nov. 17, 1967 OWNER• Richard Blaha. PLUPSBER Genz & Rvan NS1NMER 66 Address 1061 MeKee ??° ! P(,`{ ,;? TYPE OF PIPE E?t Heaw cgt irnn DESCRIPTION OF,BUILDING Industriall Cocmtterciall Residential I MultipZe Dwelliug I No. of units % LocaCion of Connections: C .? 1 n .? ? ' n { ?- ?v 11? f Connection Charge Permit Fee 7.50 Pd. 11/15 Street Repairs Tota 1 Inspected by: Date Aemarks: ? By Chief Incpector In consideration of the issuP and delivery to me of the above per.r,:'.t, I hereby agree to do the preposed work in accordance with he rules and regulations of Eagan Toc-mship, Dakota Co t, Minn? By, ?----? Pleaea rot;.fy rhen ready for inspecCion and connec`..ion ar.3 bePoze any portzez os tha orcrk is ccwarad. STNSUFt-PAULTITLE----- - -" - -?-? - ? - - -' - IEGAL DESCRIPTION 11JT8 j'CCC,e/ ?r?D PLAT DRAWING (THlS IS NOT A SUHYEY) INSPEC7fON DATE UAKOTA COUNTY ERANCH OFFIC( r HST BURtJSVILI_E STATE BANK BUILDIN( 310 VJES7 BURNSVILLE PAIiKWAV, SUITE 27' BURNSVILLE,MINNESOTA5533' FILE NO. ???7/ f? ,1??lfoAv ? ;; . Tl.n : ?.._.o.... .??..... __ .?.?. d?....,...? ._... h_?...? __ .. ... _? __? . _ . ? ........ __ _[ .? . ... ,. . ' .i _._ _?...._,? ,.. ., . . i _ . . _ ?? _ ? 94UYJ . .... ..? ...... .. . ....___..... was-w.W.?,.._. .. &STY"AULTITLE DAKOTACOUNTVBRANCHOFFICE ,MST BURNSVIII_E STA7E eANK BUILDING 310 WEST BURNSVILLE PARKWAY, SUITE 270 BURNSVILLE,MINNESOTA55337 INSURANCECORPORATION------------------- ----- -------------- PLAT DRAWING (TH1S !S NOT A SURYEY) INSPECTION DATE FILE N0. LEGAL OESCRIPTION / _?? _?? The , ?,?vemen?s shcwn on ihis drawTng ore bo.Ed on o visual ond rape¢ ? ?ecbon o! the properties ond ore charted os to opnro<imote loco?ion. The la• d??-=^sions ore taken Lom ihe remrtied plot of +he. monty records. Th:s droviino Is sho++n for in(ormorional purposes only ond does not ron5titute o Iwb?lity ey the cnmpany. 41.° City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 093 Date Received: Staff: OS? (04-03 l-) a 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: tib-0�O( Site Address: It tQ1 MC. Unit#: Name: h let nfl I in ? S v en Address / City / Zip l C-44/ I Phone: x(061 Applicant is: Owner?(' Contractor Description of work: 1 e-egcvftom() and k-. f, GG,rar, Construction Cost: LOr5W Multi -Family Building: (Yes / No tY ) Company: U R(4'11.1 L Le_ Contact: k"c L Address: C t (( Q f V't City: ` '� Pair State: MN Zip: S Phone: (4) License #: Pe- coi& 3c 3 Lead Certificate #: 2(p 9(4 S- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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.gopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of pe it issuan x Applicant's Print x Applicant's Signature Page 1 of 3 r , ; Use BLUE or BLACK Ink �-----------------� � For Offlce Use i tf �I, �, n /� ��1�- � C�4� Ol iJ��WI I Pertnit�: —�— � RECEIVED j P��F�, ��� bb � 3830 Pilot Knob Rosd � ` Eagan MN 55122 JUN 2 7 �m6 I Date Received: � I I Phone:(651)675-5675 1 � Fax:(651)675-8694 � Staff: � I �------------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:��Z�' LVl4" $ite Address:_�VtfJ� �I'`�.�-�.� C�,����5-� � '� Unit#• Name: � V Phone:4� Residerrt/ � Qyyng� Address/City/Zip: Applicant is: �Owner Contractor � � Typ@ Of WOYk �cription of work: Cl-�'��7 p1.D � � Construction Cost: I�V •� Multi-Family Building:(Yes /No� Company: Contact: COt1fi�aCtO� Address: C�. State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification,piease explain why: (see Page 3 for addi' al ir�formation) ��'�� -C COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In th�last 12 months,has the City of Eagan issued a peRnit for a similar plan baasd on a master pian? _Yes �No If yes,date and address of master plan: Licenssd Plumber: Phone: AAechanical Contrac�r: Phone: Sewer 8�Water Contractor: p�ne_ NOTE:P/ans and supportirrg docume»�that you submit a�e considered to be pubHc lrniorr�at�an. Partions of' d�e�rr�om�aflon may be class/fisd as ban publfc�f you provfde speclflc r�rasons that w»uld permit tlre Ghy to canctuais that the are trade secnets. CALL BEFORE YOU DIG. Call 6opher State One Call at(651)484-0002 for protecNon against underground utility damage. Caq 48 hours before you ir�tend to dig to rec�hre locates of underground utilities. www.qooherstateonecall orp I hereby acknowledge that this information is complete and acxurate;ihat the work will be in coMortnance with the ordinances and oodes of the City of Eagan;fhat I und�stand this is not a permit, but onry an applicaUon for a permit, and work is not to start without a permit;that the work will De in accordance with the approved plan in the case of work which requires a rev�w and approval of plans. ExteNor work authoMzed by a buflding perm(t issued in accoMance witl�the Minn�ota State Building Code must be completed wlthin 180 days of pamNt lasuance. X �d�n Qv( x ApplicanYs Printed Name Appiicant' ' nature Pa�1 of 3 . , . ,. l o(� l ��1� f� /� y�'1� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exberior Alfieration(Singie Family) �Single Family _ Garage � Porch(4-Season) _ Exterior Altsration(Multi) _ Muki _ Deck _ Porch(ScreeNGazebo/Pergola) _ M'rscelianeous _ 01 of_Plex _ Lower�evel _ Pool _ Accessory Building WORK TYPES _ New _ Inberior improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window , Water Damage _ Retaining Wali •Demolition of entlre building-gfve PCA handout to applicaM uESCwPrioN !1 Valuation V�� Occupancy MCES System Plan Review Code Edition ��(�� SAC Units (25%_100%� Zoning _��� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTION3 Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water �Final Pool:_Footings Air/Gas Tests _Final '�( Framing Drain Tile T` Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insularion � Windows ��,�r,f�, Sheathing Retaining Wall:�Footings____Backfill�Finai Sheetrock Radon Control Fire Walis Erosion Control Braced Walis �,,,.. Other: Reviewed By: � �� ,Building Inspector RESIDENTIAL FEES Base Fee �`�'�� Surcharge , ���`�,`�" Plan Review MCES SAC �� ��'� , � �� City SAC � � Utility Connection Charge � �„� � � � S8W Permit 8�Surcharge �+����'�� �'��� `� Treatment Plant �r ��_�.������`������� . � Copies � TOTAL � �i� � � �� ��y� �'��� Page 2 of 3 1 I ' � �� � Use BLUE or BLACK Ink ------------- � For Office Use � /��9/� � ► , C�}� O� n���n � Permit#: 1 4 L uu I �� � � � Permit Fee: I 3830 Pilot Knob Road � �/1 �,� i Eagan MN 55122 � i o�Reoei`�d: 5 / i Phone: (651)675-5675 ► � � Staif: Fax:(651)675-5684 �-------- --------i 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION �/�5 Date:�..XJ���' Sfts Address: �O�CJ I � ,,,�C--�[M��� Tenant: Suite#: R@SId8f1tJOMR1e� Name: Phone:�I '�9'���tJ ` Address/City/Zip: Name: License#: Cpnt�dG�O� Address: City: State: Zip: Phone: Contad: Email: Type Of WOf'k ~New �Replacement _Repair _Rebuild _Modify Space _Wo�lc in R.O.W. Description of work: RESiDENTIAL Water Heater Water Softener I.awn lnigation�RPZ/,PVB) Permit Type ✓Add Plumbing Fixtures(_Main/ ✓Lower Level) Septic System — New Water Tumaround Abandonment RESIDENTIAL FEES: �60.00 Water Heater,Water Softener,or Water Heater and Softener(inciudes$5.00 State Surcharge) S60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Sentic System Abandonment,Water Tumaround"(inGudes$5.00 State Surcharge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 SeptiC System New($10.00 per as built}(inGudes County fee and$5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Ca11 Gopher Sta�e One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you inter►d to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this ir�formation�complete and acaarate;that the work will be in confortnance with the ordinanoes and crodes of the City of Eagan;that I understand this is not a pertnit, but only an application for a permtt,and work is not to start without a permit;that the work will be in accordance with the approved ptan in the case of work which requires a review and approval of plans. X J��n� ���qe�- X Applicant's Printed Name � Applica Slgnature FOR OFFICE USE Reviewed By: ' �te: Required Inspections; Under Ground Rough-In Air Test Gas Test ` Final Meter Relat�ed Itemsc Meter Size Radio Read ' Staff: Use BLUE or BLACK Ink . r————————————————� I For Office Use � 1t f n I � �� � � 1 Cl6 Ol �� �11 � Permit#: � ,�-.---_ � � � E. I 3830 Pilot Knob Road I Permit Fee: � � ► Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 j Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ail commercial applications. Date: Site Address: �O l Tenant: N< Suite#: = ��� �� '/ / n �� \ Name: D / Phone: (D�'����Z�'7� ��z����i£������� �i��' � ��, , Address/City/Zip: � C , „ ,��� �r - �-�.��� � ,,,, `� ��� , ���� � Name: �se#: z�,� ���.� � ` �\� � ��� Address City: `� �r���1"��`"'��M��� � � " �� �:� State:�_Zip: Phone: y -� ��1�, �� ���;� Y���� � Contact: , EmaiL ' ��� �*�� ���� � �\� �� y��� New �Replacement Additional Alteration Demolition � (�, ��,. � '1�'��e p'�Wprtc���y Description of work:l-���� t'Ua '��� �It�T � � r, � �� ti�� ;� „� � � � � � �t�f�r4u��€�a��l c,�rr+� �ru�rlt�d t� �al equ�ptn�rtE;� �c�M��r C�Y � �11 ?:' ,.. `��", i:. �����`�� . :���.. ....• ',�""il�?��r���@'dS@''C�11 �� � �=::......'dr`I�C���M'13�`�� \�4k"M11��� '� ;,�z , �t�2TlEl,�li7�4�8� �.. �.,, � -.. ,,,,y, . v. � , �wa �: � �- ..�� `@ �� ' RESIDENTIAL COMMERCIAL �� ����� ��� � � � �� �' Furnace New Construction Interior Improvement ;��� �� �� ,��� Air Cq�nditioner Install Piping Processed � z° j ��� �F �",��"� _Air Exchanger Gas Exterior HVAC Unit �� �:���, y� ��� � Heat Pump _Under/Above ground Tank �Install/_Remove) � � �k ";� ` ���< Other ��.. RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �.y� $100.00 Residential New(includes$5.00 State Surcharge) _$ 'W TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge* '*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 milllion, please call for Surcharge _$ TOTAL FEE I hereby acknowledge that this informationl is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that f understand this is not a permit'y but onty an application for a permit,and work i not to start without a permit;that the work will be in accordance with th approved lan in the case of work which requires a review and approval of plans. - x X Applicant's e , Applicant's Si :i������r��a �s��� ,�� � ���� � � -�0 �,�v a�� � �� �����,�� �� 3 � �r � � ��', �� �����u �5°,� � ,� �, �,'6kC�,�l�d�ii��.�*' �#'�S�� � ���h£� ,� �° ��� � "��Ar�f�iN�#d$� . �� �"d�'s� :��s� � � :r. {pK y��c+� !r y�p /1 .�y y� Y, /��'c � � MA iV� �\ :: : \ r`:�.:��� a �F` ��FE;�F�Y����' �.' �7��b �\� .,,:'f�.�G y� ,_: �,� �IYY��\SvZ\...��.��\� �t���� ..L�..l�y�':�F��V;L�i;/E�� � � � ,.� .... . :\�bc„� ��� S \ .. . , , ,: ,,�� „ ,. m.,.:„ ,. ,��\\ ..... ,�.., . . . . „„ - ..., ��