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
'
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fr?
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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
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