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1065 McKee StCITY OF EAGAN iiemarks Addition MOKee 2 Lot 9 sik 1 Parcel- 1047751 090 01 ownerv h4't ??-?--street 1O65 McKee St, state Eagan,Mv 55121 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1269 7. Q 3.7 10 Pa,j,d STREET RESTOR. GRADING ? SAN 5EW TRUNK 1968 l * SEWERLATERAL 1968 WATERMAIN * WATER LATERAL WATER AREA STORM 5EW TFK 1984 379.00 25.27 15 379.00 C008644 10-18-83 STORM SEW LAT CURB 8i GUTTER SIOEWALK STREET LIGHT WATER CONN. 200-00 391 1 0-7- 7 BUILDING PER. sAC 200.00 391 10-7- 7 PARK 1 :4 - ?: . .....?..._F.-?? INSPECTIQN RECORD CITY OF EAGAN PERIUIIT TYPE: "11 I 1 11 1 N" ? 3830 Pilot Knob Road Permit Number: ? Ea an, Minnesota 55122-1897 9 Date Issued: ! (612) 681-4675 SITE ADDRESS: APPLICANT: I ., • . M? At !. i AIA1 !i??{+Ii '• ? riI i i t r'li l- 37T:+ , PERMIT SUBTYPE: TYPE OF WORK: ?+i Tf'f?A 11t'1N (MAV `'0I111M1) INSPECTION ,/,Ii i D• • DA ?!Wilst r? -j ? Permit Nv. Permit Ffolder Date Telephone # ELECTRIC PLUMBING HVAC O y' - S Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PlUM91NG PLBG AIR TEST ROUGH HEATING GAS SVC TEST . INSUL GYP BOARD FIREPIJACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL "G fG BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?/1CO?q 3830 PILOT KNOB RD - 55122 651-681-4675 Naw Conetruelion Reauirements • 3 registered sde surveys showing sq. ft. of l04 sq. R of hause; and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured found desgn, etc.) • t set of Energy Calculations • 3 copies af Tree Preservatwn Plan'rf lot platted after 711/93 • Rim Joisl Detail Op6ons selection sheet (bldgs with 3 or less units) " 71,15 RemodeVReoairReauirements Pa11 ?,ti-v I • 2 wpies of plan • 1 set of Energy CalculaGOns for heated addBions ? . 1 site surrey tor extefwr additions & decks . IMicate if home aerved by septic system tor additions DATE ?`? ? -62 / VALUATION (EXCLIIDING LAND) JOB SITE ADDRESS 106 S WCl< Pe ,S?- Fag q•. ?'}'f `I 5-51Z I IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Vf--5 TYPE OF WORK T 1G ,'ti5? , APPLICANT c. ADDRESS I06,:r 17?2?_kPe S PAGER # CELL FIREPLACE(S) Z? _1 _2 _3 PHONE # # 612 - e?83_- k Zyi F,vc # Phone # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6m Q? - Energy Envelope Calculations Submitted ,? (?' MINNESOTA RULES 7672 - r? ?' LI D - New Energy Code Worksheet Submitted By ' Plumbing Contractor. Phone #: Plum6ing System Includes: _ Water Softener I.awn SPrink1er Fee: $. _ Water Heater No. of R.I. 13aths No. of Baths Mechanical Conhactor: Mechanical System Includes Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery Systcm Fee: $70.00 Phone # CODE 5S/2,C All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and all applicable State of Minnesota Statutes and City of Eagan Ordinanc,Qs. 1117 , Signature of Applicant Certificates of Survey Received Tree Preservation to comply with Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New 7( 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bidgs Type of Const 3-evw'as y 3 q ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn,(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length W idth Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing? Fireplace _ R.I. ` Air Test _ Final Insulatioa Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex 3Q 8 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N REQUIRED INSPECTIONS FinaUC.O. -x FinaUNo C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By?? , Building Inspector ------------------------ ? EAGAIoI T01NN SHI P BLJILDIiVG PERMIT Owner ..................... ..-.... ?----------------------------- Address (Presenl) -------------------- ----- .._--------- __..._..._._.._ ................._. Builder -..:7'a?--------'---------- u?x Address _!-----?----`?-"--- ----- -------- -------- DESCRIPTION N° 61 Eagan Townshfp Town Daie _. fi?'?--.-.....@..1--_-a Siories To Be Used For Froni Depih Heighf Esi. Cos4 PermiS Fee Remarks Siree3, Road or okher Descrip4ion of Localion I Lof I Elock I Addifion or Traci / .??? W?A ; O?- / . / Y /C? ? --ZT- This permi4 does not authorise the use of streefs, roads, alleys or'sidewalks nor does it give the owner or his ageni the righf !o creale any siiuakion which is a nuisance or which presenls a hazard !o !he heallh, safely, convenience and general welfare !a anyone in the commssnity. TfiIS PERMIT MUST BE KEPT ON T PREMISE WHILE THE WORK IS IIV PROGAES .• ihai.. .. . ?_ permfssion !o erect a ............. .. . ..... ... .. upon This is !o ceriify, - -- - -- -- hm ? the above described p;ya?ge subject to the provisions ot the Building Ordinance for Eagan Township ad?ed April 11. 1955 . ? ` -------.---° --I._- {----- --- -- --- -- ------------__.. Per _ -- -----------__ ----....... ._.----------- '- ----- - - - - Chairma t own Baasd Suildi - ng Inspecior -- -- - -- A? ??0Z7 EAGAN TOWNSHIP BUILDING PERMIT , Ownex ....."".? .................. _...................... .---------------- °----'- _' Addtesa (Pzeseni) ..._...------- -... ? ------- - - - ? Buildez Address ...... DESCRIPTION N° 1527 £agan Township Towa Hall Dale ........---° ....................... Siories To Be Used For Froni Depfh Heigh! Esl. Cos! Permi! Fee Remasks ' "??L..-t ??t "A.c+-;<?<_?' -?i /l _ - G-z, l? ,?.? .y{??.i?_.:Q._./ ?,-- LOCATION Sfreei, Road or ofher Descrip2ion of Locafion I Lo! Slock ddifion or Trac! 44 f ?/ ?? ?• ? ?f.Zn.,z.J 'w w?? , _.- C?. This permif does not aufhorize the use of sireefs, roads, alleps or sidewalks nor does it give the owner or his agen! the righ!!o eteate aay siluation which is a nuisanee os which pzesenls a haaard !o the healih, safefy, convenience and general welfare !o anyone in the eommunify. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. a.:.7.?:`.:!:?.=_'".rZ:4=•.- "••?'...vpoa ?? ? -- Thia is So cerlifp. ...................... has Permission !o a:eei- ._" the ebove described premise subjec! !o the provisions of the Building Ordinaace for Eagan Townip adop! April 11, 1955. ct .............. ..._..... Per ....... ................... ...._..---.........._._...----' ........................ .. . ..c4 - "'-•'-."-_-"__-•.' Chairman of Tnwn Board Building Inspe1for REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-os Sea mstruolions for oomple0ng Ihis form on back oi yellow copy Q 1 519 "X" Below Work Covered by This Request Nevu Add Rep Type of Bwlding Appliances` Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electnc Heating Api. 8uilding Dryer Load Management Comm./Industrial Furnace Other (Speci? ) Farm Av Conditioner OtM1ar (specify) Conlraploi s qemaiks' W IcsD ?P s?ti„ ?c? Compute Nspechan Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 1 0 to 200 Amps PQdJO v D to 100 Am s Sea. Transformers Above 200_Amps Above-'FO Amps SignS Inspeaar's Vse Onry ? OTAL Irrigation Booms ? ? ?Q. ? Special Inspection Alarm/Communication THIS INSTALLATION Y B_ ED DISCONNECTEU IF NOT Other Fee COMPLETED WIT MONTHS. I, the Electrical Inspector, here6y d f Rou9n-in ce i y that the above inspection has been made. F??ai i OFFICE USE ONLY TNS request vaid 16 manfis!rom ? /0 5' S'?r ? ?? lo ?7/?-- o 091 519 9!9/?/?-A`l'"9... a?° ?a? °° Request Date ( ? 110 Fre o Rough-In Insp n uiretl (Vou must ca0 mspect?or, ?w7en reatly) ? Yes ?.p?p Inspection Otner Tnan Rough-In 0 Ready Now /ill No1Ry Inspector Dafe Peedy IKlicensed contractor ? owner hereby request inspection of above electrical work at: Joh Address (SVeet ear or Route No ) 10605 McKee- Sf. Cny K('a Seclmn No Township Name or No Range No Count OwupaN(PRIN? BrusoE , Phon P qU herP Address Eladncal ConVactcr(COmpany Name) ?I c,561J Conlraclor's Lirense o ? Mailing Atltlrese (COnVaclor or Owner Making Iristalletion) 'L 's+- N F_ lc ? _uu. AWhonzed Sign'fure (COnVactor/ er Mxkm Insdallatmn) Phone rNum?ber C 93-4 MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gtlggs-Mltlwey 81tlg. - Roam 5428 BE ACCEPTED BY THE STATE BOARO 1841 Universtly Ave., Si Peul, MN 55106 UNLESS PROPEF INSPECTION PEE IS Phone (612) 642-0800 ENCLOSED N JV?? IO?S 7yfc/c?e S? ? ?,,r h ss? z( ? yy? -r - - , i 1?ec?L ', 1?- ?) v cA s C- i ; ??O P- 79 /. . ? ? ? ? ? , ? ?- W?- b e S ?- ' 'n / -l' L BL CITY USE OMLY RECEIPT#: c/?..c?"?- I _c?s??z? SUB DATE: / /9/SCO 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 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 °Pv • 66 SITE ADDRESS: ??6's- mcye,";' `?'? ' OWNER PHONE INSTALLER NAME: /? r1CkSUYL-1 1" /7 Q_/ STREET ADDRESS: 9Z??211 75al-? '-"' ' ' " "Z " CITY: STATE:/g/v ZIP: 615`tqq PHONE #: ((p/?) `??3- `7`S 75 C/` 6 cirY use oNLv L BL SUBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 68114675 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 DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee gr_ 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of pgrmit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL 81?E ADQRESS: OWNER NAME: TENANT NAME: (innaROVeMeNTS oNLr) INSTALLER:. ADDRESS:_ CITY: PHONE #: SIGNATURE TELEPHONE #: SfGNATURE OF PERMITTEE STATE: ZIP: CiTY INSPECTOR 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) G??O CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4875 ?U New Canstnicllan ReaWremenh ?j'?? "' > J repiatereC slle wrveys ahowiny sq. It of M. sQ. N. of houee antl go roofed areac (20% rtxudmum lol coveraae al6owedl n 2 caplea of plana (ahow beam & wlndow alxes; poured Ind. (lesign; etc.) > 1 tel of enerpy caleulaHOnS s 9 eopiea o1 hae preservation plan H lot plaltetl olter 7/1/93 DATE: ? ? ???1'• U J Sheet Address: Llcense # EXP• DESCRIPTION OF WORK: STREET ADDRESS: S'z LOT: ? BLOCK: ? SUBD./P.I.D. Y: KC (? i Name: Pnone tlf: 6°.S J aRoPErm wst R? OWNER Sheei Address: CNy State: Zip: Company: Phone A: (area code) COMRACTOR ARCHITECT/ ENGINEER City 2 copiea of plan i sef of an6rgy cdcula110n3 tor heated CddlHOnf 1 sife wrvey for exterlor additlona & decks CONSTRUCTION CO5T: ?o ,4P00c7 • State: Company: Name: Telephone i: ( ) Sfreet Address: Reglstratlon i?: ay State: Sewerlwater licensed plumber fif installim sewerlwaterl: Pho^e#: 1 hereby ackiwwledpe tthat 1 have read this applicaMon, slafe lhat 1he ot Minnesota Staiufes and CHy of Eagan Ordinances. Signature of Applieant OFFICE JMONLY Certificates of Survey Received Yes _ No ' Tree Preservation Pfan Received _ Yes - No _ Not Required Zip: Zip: aB appicable State OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-pleu 0 19 Lower Level O 24 Storm Damage ? 05 03-plex ? 11 70-plex Pib9 Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bldg. 0 43 Reroof ? 32 Addition 0 37 Demolish (Bidg)' ? 44 Siding p 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolitlon permit GENERAL INFORMAl10N SAC Code # of Stories SQ• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actuai) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water , Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ' Surcharge Plan Review License MC/ES SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trdils Ded. Other Copies Total: ? 31 ExL Alt = Muiti ? 33 Ext. Alt - SF ? 36 Mufti SAC Units 9'o SAC Y,':'%h'`'/r:l(ri«;::AIWt C'I:'tY tll" f_.;',r.AN CAf:.i:li_.R;: :I9 7F.RM0dFlL. N(:l; 84 . ?Al"!".a 09i19/96 '1lPiE:;; '.4:4204 a-:LraM c;uS; r,M fanr^= s.cN,_ 32:f0 9001 1065 HCKEi:' s; :99.75 342i' l3tlQ'I :L(.165 Mf;l•:Ei.i: 5'i 99..88 i"'.5`,.'; i?!]O:t 1.O65 ti{]4:1-!? '_T 600 'ro±a.L R•_aei.r.?t Amca,;?;?.: ';06.1.3 CFii]ii:?E.;;> ? I 1 ;r R 'I:TI a JfiP: Y::`.:?',:?k:v';%kA.?:>Y.'?CA:1}:Y,<aY?F?3nYF ?K?Y:k)nk?:k:K(%F??k??F)i:%KW 7K,1'(?Y?'X<X( c _ _ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bu z Lo z N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 7 8 (612) 681-4675 Date Issued: 0 9/ 19 / 9 6 SITE ADDRESS: 1065 MCKEE 5T LOT: 9 BLOCKa 1 MCKEE 2Nn p.I.N.: 10-47751-090-01 DESCRIPTION: (MRC 5qUND INSUI) ermit Type 5F (MISC.) `Eark Type ALTERA7ION ?- 439 ALT. RESIDENTIAL e ? i zu?x e . ' _ ? ?i6e s `a ?y ?3 Ga.i a? ? +. ? ? g?`? ??S 16 U , `3`t. ? '?u.; ml ;!3 3ta REMARKS: FEE SUMMARY: VAIUATION Base Fee Plan Review Surcharge Total Fee $199.75 $99.88 $6.50 $306.13 $13,000 CONTRACTOR: - Applicant - sr. LTC OWNER: BLOM CUSTOM HOMES 18913773 0001110 BRUSOE .70HN 8675 135TH 5T W 1065 MCKEE ST APPLE VALLEY MN 55124 EAGAN MN 55121 (612) 891-3773 (612)452-1046 T hereby ??t?naw?edg? ??ia?`?,Z MTaVe ?`ead thz? ?qpla?17Lr:?arti ?rrd sta'Ea ?that ttw, ` irrfarrrra?iur? anc??c?re??taeP, Pl?,uitY? a?l??j?}7•1i??k?2r?:-S??t? ci? ?n - $'Ccl'Cl:f,t -.65"` ._.,(. i ._... ,. ai ._ _ .: : . ?N1o R,o?r,? I ? I SL?EO 81?: IG TUR CITY OF EAGAN ilb 3830 PILOT KNOB RD - 55122 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoair Reauirements ? ? ? 3 registered aite surveys 2 copies of pfans (InGuda beam & window sizes; poured (nd. design; elc.) t errergy calculalions 3 copies of lree preservaHan plan if lol plalted aRer 711l93 required: _ Yes _ No DATE: -= DESCRIPTION OF WORK: CONSTRUCTION COST: A' ? Zc-g Z ov" 0 STREET ADDRESS: 6- Ze2U z?? S ? LOT BLOCK SUBD./P.I.D. #: ? PROPERTY Name: TJfS ? SO,f Phone #: OWNER "ST Street Address* /L/)os City: State: v? Zip: CONTRACTOR Company: Street Address: City: BLOM CUSTOM HOMES, INC. A675 1-35TH ST W_ APPLE VALLEY, MN 55124 State: _ Name: Phone #: g9/- 3= License #: 1,40 Phone llmv 1s co.id 9-G Zip: Registration Street Address• City: Sewer 8 water iicensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informZrrect ' and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: N" OFFICE USE ONLY ? EC2??/ ED ?? Certificates of Survey Received _ Yes _ No !;U - 2 Tree Preservation Plan Received - Yes _ No ARCHITECT! Company: ENGINEER ? 2 copies of plan ? 2 sile surveys (exterior addilions 8 decks) ? 7 energy calculations tor healed additions OFFICE USE ONLY L'4,, BUILD ING PERAAIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous );' 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New e33 Alterations ? 36 Move ?• 32 Addition ? 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 lb40-- MC/WS System ? City Water ? Fire Sprinklered PRV Booster Pump Census Code. y3?1 SAC Code 01 Census Bldg I Census Unit O Erigineering Variance Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge TreatmeM PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ ?3,n00. - % SAC SAC Units j-n?a 9-? EAUN TOW:ISAIP ` 3795 Pilot K.-aob Road St. Paal, Minnesota 55111 Telepnone 454-5242 PERMT FOR WATER SCRVICE CONNECTION Date• Number• Billing Name: l?.Site Address• }71C,?L P Owaer: FlA I c.A.' .5"7-rtLK Pltmber: ?LeL-1, Billing Address "%s/t7 .3 , l. Ct'? QstnC Suilding is a; Residence L--'- Multiple r•o, Uni Commercia 1 Ir,dua tria 1 Other Meter No. Permit Fee +j, 5o ^[ t%g Meter Reading,__ Meter Dep. /? • °`O Ae '113 Meter Sealed: Yea_ lAdd'I Chg. NO I Total Chg. ??? J-d Inspected by Date A'?a-??? Remarks: BY: Chief Zxispector In consideration of the isaue and delivery to me of the above perniC, I hereby agree to do tte proposed ivoric in accordance with the rules and regulations of Eagan Township, Dakota Co , Minnesot?,. sy: -Y e Pleese notify the above office whan ready for inspection and cozuiection. ?r" 4 . ,..i ?.? I' EAGEIN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWSR SERVICE CONNECTION DATE: GAc::. NUMBER I? ,.. OWNER: &,LcF-A' 57FtGK Address C. X8 v?. 37. L1/41o.vsr PI:JMBE1t L?- ? 4 TYPE OF PIPES,/ G. DESCRIPTION OF BUILDING Industriall Commerciall Residential Multiple Dwelling I No. cf units 11? Location of Connections: ?? 7za Connection Charge -2oo," 1'D lDl9/67 Permit Fee 7,so P' /-Ilfq Street Repairs Total Inspected by:'N DaYe 102aS?z _ Remarka• G ? By CUief I:ispector In coxir.:leration of Yhe isaue and delivery to me of the above per--it; Z hereby agrae to do the proncsed woric ia accordan.^.e n*ith the rules and regulations of Eagan Toemship, DakoCa Cou ty, t4i n?es a SY _.? plsase rnnY.f.i`j when ready for inspectioa and cor.necti.ca aad before any port:t.cs os ch= wcr.k is covered. OCT. -O1' 98 (THU) 14:35 DAKOTA CO ENV MGT TEL:612-891-7588 oai ? ? Munlcipal Notice of Well permrt Application Dakota County Envimnmental Managemeni Depadment Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 T'el (612) 891-7011 Fax (612) 891-7031 DATE: Octoher 1, 1998 ?O: Tom Colbert/Wayne 5chwanz Fax #: (612) 681-4612 FROM: Water ivtd Land Menagament RE: Well Pemiit #: 98-H141953 Municipality: Eagan weu rype: seaw Envuonmentel SpecielisY Ricttea The Water and Land Management Section oftho Daknta County Environmental Management Depaztrneat has roceived the fallowing pemtit application for the well described. !f you ra]ulre ftnrtlter reviaw of the application or if you Bave any questians or concerns about ik contact the Environmeneal Specialiat listrd abova or our office at (612) 891-7011. If there is no response from your affiea within 24 HOiJ125 (wcelud'mg weelcends and holidays), we will assuma that you have no objadions m the issuanca of tha permit Pleese nata tliat pennit issuanee is slways canditionad an the permit appticturt's ohservance of and complience with all applica6[a stdte, county, and municipal laws and codes. Well Contractor: Kcys Well Orilling Date applicstion recaived: September 30,1998 Aatieipated Drilling Dete: Time: Airticipated Grouting Date: Octa6er 2, 1998 Tune: 130PM Property Owner: lohn & Cerol Brusoe Well Owner: ]ohn & Carol Brusoe WETJI. LOCATION: PLS Coordinates: 1/4, s.w 1/4, nw 1/4, sw 1/4, Sec 2, Toovn 27, Range 23 Street address 1065 McKee St PiN Number: 10-47751-090-01 WEY.LINFC}RMATION: Diametrr: 4 Casing depth: 138 Totel depth: 142 Sietic Wattr Level: ] 07 Aquifar: UepGOnsolideud Sediments COMMENTS: R-96% 1 612 891 7588 10-01-98 02:45PM Y001 #50 4,11/1' City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /1 Z Permit #: 1107 3 6, Permit Fee: Date Received: (Y 41'I 3 Staff: �� __ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (T 04-2013 Site Address: O (o S Re 1 ee. Unit #: Name: {,-01(/Y f I e i' S d1e Address / City / Zip: 1041 _ Q6e. Applicant is: \lb Owner ?(4 Contractor Phone: Description of work: To Ref -00f 't. IJV S Q r d DefacirA 'T 5.to Construction Cost: LP cOOO Multi -Family Building: (Yes / No j` ) Company: Address: 1 kc r\ 1 u --e_ qL &Q l' t State: Zip: 551S-7 G Phone: Contact: `-\ `ACU Suire2 City: & S i 1J tf73c11 License #: B C (-12 1+8 (. b Lead Certificate #: NA' r 12 D Gy I 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior wort( authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p it iss e. Applicant's Printed Name x Applicant's Signature Page 1 of 3