1073 McKee StCITY OF EAGAN Remarks
Addition McKee @2 Lot 11 Bik ? Paroel 10 47751 110 01
Owner ? ?'? '"Sfreet 1073 MeKee St. State Eagan.MN_5K121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1
SEWER LATERAL
WATEFMAIN
* WATERLATERAL 930.00 6 O 20 Paid
WATER AREA
STORMSEW TRK (CO 1984 379.00 25.27 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200 OO
BUILDING PER.
5AC 200.00 )11,8 1 n-24-67
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?lriU?,1?
SITE ADDRESS:
? I?1?.; I I f?li
PERMIT SUBTYPE:
,. ,
TYPE OF WORK:
i,; ,F . 11 . , ..t,
nl I I itnI iliN
(MHI ti01INli I>12116kAM )
INSPECTION .A • ..
? ??ilt?l! I IJ 14 1 ?' I 1 Id:i I
I trf MAfit.= A1.f 1'A1:Alf I't ttMf i I'. NI 011 tlcl I? f ltk Ahi"' f I Fe 1 i71 4 AI t?k b, l itlqfcitaio I.1i I Irk
I
101; 11 APPLICANT:
( f.> F S • ( "l FI
i Y Ilii i M Iw I 1
L?
Permk No. Permft Holder Dets Telephone M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspection Dab Insp. Comments
Footings I
Foundatian
Framing
Roofing
Rough Plbg.
Fiaugh htt9. )Iv vv
Isul.
Fireplace
Flnal Htg.
Orsat Test
Fne! Plbg. Plbg. Inspec2or- Noti(y Plumber
COnst. Meter
EngrlPlan
Bldg. Flnal
Deck Ftg.
Oeck Final
Weil
Pr. Disp.
. i.
CITY of EAGAN N2 3397
BUILDING PERMIT
?-y? _ _ _ -Gi ....... 3785 Pilo! Knob Aoad
Owaa: ......I..vf .......... ..............
4 .:.... ............
'2
•° °"??• ''y,? Eagan, Minneso2a 55122
Addrew (Preseni) ..l ?.7 ........l..vu:.....??.....?..-....._--._......°-------.... 454-8100
Suildes ......._.G?....e.1c................ .`--.._Ni^.:.`.:.:.'?.?.°.....:.`....................... - / 9
Y ........ Dats ...............................................
Addxees ....................... 7 fL
?.....?.-:..J.....................
DESCRIPTION
Sioriss To Be Uaed For Fron! DepSh Heighf Eel. Coa! Permi! Fsa Aamarks
-
- ?- --
a,t
,
F % , 17 ?
4?w=e ?
V
Slreef, Road or oiher Desesipiion of Localion I Lof Sloek AAdilion os Traet
This permit does aot auShorise the use of sfraefs, roads, alleya or sidewalks aor does i! Biva the oaraer ot hia agsnt
the righ2 !o creale any aituation whie6 is a nuisanee or which presents a hazard !o !he healih, satelp, eoaveniencs aad
geaeral welfaxe !o anpone in the eommunilp.
THIS PERMIT MUST BE KEPT ON E PAEMISE WHILE THE WORK IS IN PROGRESS.
This is !o eerlify. 3hal.....]{. :..??....?.............has permisalon !o ereet a....... - ------'?--.... '.._............................... _upoe
the above described premise subjeci io the provisions of all appliaable Ordinanees for the i!p o? f 2a
Gd e ._ Per ........ -
-......-.'-_--............................................................................
....--'---'....... ....
. ..
? ----- .......... ........... ......................... BuildinQ InsDaclo?
Ma or ?
EA[3AN TOV!/i'1 S F-! I P
BUILDIPVG PERMIT
Ownex
Address
Address
..................... ...................
--R.......'..`.? ....... '... "?!_. ' .....'._...._
?a?-?--?t?.?e.wa?
N° 59
Eagan Township
Town Hall
Dala I4 y 1P
itgA
. - .............
SSaries To Be Used For Froni Depih Heighf Esf. Cosf Permil Fee Aemarks
/ ??? ?g?
LOCATION
SlaOeI, Roed`br oIhei Deseiipi3On of LoC8I30n I Lo! P•loCk AddlfLOn oi 7'taCf
X3 ?tA-t// -,e ,f?A /l
This pexmit does not authoxise the use of slreels, roads, alleys or sidewalks nox does it give the owner ox his agent
the right !o creafe any siluation which is a nuisance or which presents a haaard to the healih, sefely, convenience and
genaral welfare Yo anyone in the communiip.
THIS PERMIT MUST 8 PT ON T?i??jyg R,E,MISE WHILE THE WOAK IS IN PAOGRESS ?
!4 ?
This is 3o cerlify. !ha! ._._. ?.'.?...../._._iKCS._.--------------- _has pe:mission Yo ereci a.."_...__?... ...."'.upon
the above described premise sY fo the provisions of the Building Ordinance for Eagan Township adop April 11.
1955.
"--- - - - ---,.-----9To ra, Per .... .........--....----------....------"-----------'-'-....------.. .......
Chaizman w ? Building Inspeefor
7
10:10 SEP 21, 2604
C-"V H???
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: September 21, 2004
TO: Tom Colberf/Wayne Schwanz (EM)
RE: Well Permit #: 04-11227558
Municipality: Eagan
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
74955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.897.7588 • www.co.dakota.mn.us
FR: THERESA SCHOSTR6 #6142 PAGE: 1i1
Fax #: (651) 675-5694
Well Type: Domestic
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environtttental Management Deparhnent has received the
following permit applicafion for the well described. If you require further review of the applicarion or if you have any
questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. ff there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the pemut. Please note that permit issuance is always condi6oned on the pernut appGcant's
observance of and compliance with all applicable state, counry, and municipal laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Thein Well Company
9/9/2004
Time:
Time:
Property Owner
Well Owner:
Ronald J Anderson
Ronald J Anderson
WELL LOCATION:
PLS Coordinates: 1/4, SW 1/4, NW 1!4, SW 1/4, Sec 02 Town 027 Range 23
Street Address: 1073 Mckee ST
PIN Num6er: 104775111001
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
L k BL CITY USE ONLY
??1- i?
!`A c K St p ? v?u?
SUBD.
RECEIPT #:
I ?)J U a (4
RECEIPT OATE:
PERMIT #
1999 PLIJM$I1VF PEiMIT (fiESIDwN17AL)
CffYOF BElfiAD1
3930 flILOT KNOB iiD
£AfilkP, MN 55122
(651) 691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
Yn GL (-- So\-&"
EACH III
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet " minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ D.oU
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 -> --> ----> $ .50
rotal _.> --> ---> ----> $ 30. 5 .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- - ---- • -------------------------------------------------- to------• ? --- -----------------------------------
-that tthe -infortnation is cortect, and agree comply with all applicable City of Eagan ordinances.
- tlon,• state-
I hereby acknowledge that I have- read•this applica-
It is the applicanYS responsibiliry to notify the property owner that the City of EaBan assumes no liability for any damages caused by the City during its
normai operatlonal and maintenance activities to the facilities consVUCled under this permit within City property/right-of-wayleasement.
SITE ADDRESS: ( ? ?? ??4? kaGG.(1 MN SS (2.I
OWNER NAME: : I.Q.tAX )2 f. Rpm ld ftl?ae YS011 TELEPHONE #: I a" Lq S - r, 3S
(AREA CODE)
INSTALLER NAME: fA,l1 hFC(',j &f(`L?I?QS MeC{1Gi11[J. ZY1L TELEPHONE #: ID I a' TSC7 '90:?O
(AREA CODE)
STREETADDRESS: c3S.Z?I ?'?` F?11 NL"
CITY: t AdlY1p STATE: lYl1.? ZIP:
SIGNATURE OF PERMITTEE ?
IN5PECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r:
1073 MCKEE ST
MCKEE 2ND PERMIT SUBTYPE:
SF (MISC.)
PERMITTYPE: BuxLoirvG
PermitNumber: 025046
Date Issued: 0 2/ 0 6/ 9 5
a z B L p C K: I APPLICANT: _
JOHNStlN CONST, LYNNE MARIE
(612) 553-1983
TYPE OF WORK:
ALTERATION
DESCRIPTION (MAC SOUND PROGRAM)
INSPECTION
FRAMING .. .
ROUGH IN PLBG .A
ROU6H IN WTG FINAL
REMARKS: A SEPARATE PERMIT I5 REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
I ?
L
?
- ?- ? PERMIT
j, CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
cRS0 q3
PERMITTYPE: euzLozNs
Permit Number: 0 2 5 0 4 6
Date Issued: 0 Z/ 0 6/ 9 5
SITE ADDRESS:
1073 MCKEE S7
LOT: 11 BLtlCK: 1
MCKEE 2ND
P.I.N.: 10-47751-110-01
DESCRIPTION:
\
0??
(MAC SOUND PROGRAM)
BPildingLPermit Type 5F (MISC.)
Building W`o.rk Type ALTERA7ION
?-
t/
?;
REMARKS:
fl SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $$.000
Base Fee $99.00
Surcharge $4.00
Tbtal Fee $103.00
CONTRACTOR: - Applicant - sT. LIC. OWNER:
JOHNSON CONST, LYNNE MARIE 155319$3 20012133 ANOERSON RONALD
6272 YUCCA LN N 1073 MCKEE ST
MAPLE GROVE MN 55311 EAGflN MN 55121
(612) 553-,1983 (612)827-5491
I hereby acknowledge that I have read this
information is correct and agree to oomply
Statutes and City of Eagan Ordinances.
?
/ `
?«-.. 2. t
APPLICANT/PERMIT E SIGNATU
application and state that the
with all applicable Stat'e of Mn.
o(d r rr?
ISSU D , 51 TUR
CITY OF EAGAN E0036
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construchon Reauirements RemodeURepeir Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies o1 plans (include heam & window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior additions & decks)
? 1 energy wleulations ? 1 energy calculations for heated additions
? 1 hee preservation plan if lot Dlatted eRer 7/1/83
required: _ Yes _ No
DATE: .Tanuary 15, 1995 CONSTRUCTION COST: $7,587.00
DESCRIPTION OF WORK: Misc. Alterations - MAC SOUND PROGRAM
STREET ADDRESS: 1073 McKee Street
LOT BLOCK SUBD. ' 1 P.I.D. #
PROPER7Y Name:
OWNER
CONTRACTOR
FRb,
Phone #:
Street Address-
City: State: Zip:
COmp8n}/:LYNNE MARIE JOHNSON CONSTRUCTION, INphOne #: 553-1983
Str82t AddrBSS: 6272 Yucca Lane North LIC2IIS@ #: 20012133
Clty: MaPle Grove, MN 55311
ARCHITECTI Company:
ENGINEER
Name:
Street Address:
City:
Sewer 8 water licensed plumber: _
are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances. .--
Signature of
OFFICE USE ONLY
State:
Zip:
Penalty applies 'rf address change or lot change
is correct and agree to comply with all
Lerberg
Phone #-
Registration
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
?
CITY OF EAGAN
3830 PILOT KNOB ROAO
EAGAN, MN 55122
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New ? 33 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
Engineering
MGWS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
LOT II BL
CITY USE ONLY
SLJBD. ;MC Ic P. 2,A
RECEIP'T #: / ? a, ? (p
RECEIPT DATE:. -dS-OO
MECHANICAL PERMIT #
Zbb C? i'ECH!lbTICAL PEfiMiT (MIDENTIAIa
crrYoF gwsnx
ssso Paor xxos Etn
E?sau auMssi YE
jbS )DD (e51)681-4675
Date:
Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo un er
construction and not owner /occupied.
? H'JAC: 0-Iot7 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
.50
$
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteraHon, or repair.
?z New
-2v/- Furnace
_ Au exchanger
SITE ADDRESS: /D
OWNER NAME:
INSTALLER NAME:
_ Air condiNoning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
PHONE #:
C PHONE #:
,
STREET ADDRESS: dSC3 lAl , Ivli2y -_L.? ?/?. ?L?'/? ?'
CITY: ey' e_ l STATE: IVN ZIP: . . Q(? ?
r
I aA
J SI NATITRE OF PE EE
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
L BL
SUBD.
CITY USE ONLY
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHANICEkL PERMIT (COMMEtCIlkL)
CI1'YOF EAfim
3$30 P1LOT KNOB itD
EA?sAtv, Mx 551 QQ
(651)6$1-4675
Please complete for: all commerciairindustrial buildings
multi-family build!ngs when separate permits are = required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: _`IVew construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Minimum Fee)
'*NOT'E: When insblling/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price Q$ $30.00 miaimum fee, wluchever is greaur.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
---------------------°---------
SITE ADDRESS:
($.50 per $1,000 of mTniit fee due on all pecmits.)
OWNER NAME: . . PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
J,
ADDRESS: ' PHONE #: -
(AREA CODE)
CITY: STATE:
ZIP:
\
SIGNATURE OF PERMITTEE
EAGAN TOWNSAIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242 ,
PERMIT FOR SEWER SERVICE CONNECTION `.
DATE: Oct. 24# 1967 NUMBER
. :a
OWPTER: Nozmazl E. Petereon Addreas 1073 Mciee St.
PLUMBER Cenz 8c 1yan TYPE OF PIPE Ext. Eieaw Cest iron .
DESCRIPTION OF BUIIAING
Industriall Commercial? Reaidential I Multiple Dwelling No, of units
x `
Location of Connectiona:
Connection Charge , S200.00 Pd. 10/24
Permit Fee
Sereet Repairs
Total
? Y
Inspected by: ?
Date
Remarka•
Sy
Chief Iuspector
In conei3eration of the issue and delivery to me of the above pexnit, I
hereby agree to do the proncsed work in accordan^.e with the rules ar.d
regulations of Eagan Toc•mship, Dakota County, Minnesota
Sy
p1PasP _n,nr.i.fy when ready for inspectioa and car.nectien aad beiore an,i port'.ca
of che wnrY is covered.
i
i',
t -
.
A r
/'4'i?''
EAGAN TOWNSHIP 1
3795 Pilot Kaob Road
St. Paul, Minnesota 55111
Telephone 454-5242 '
PERMIT FOR S&JER SERVICE CONNECTION
?.
naxE: ecc. 249 1967 NvMSEx 3/ ..
OWNER: Normnn L'. Peterson Address 1073 t?cAve Rt.
PLUMBER Genz fe ftyeu TYPE OF PIPE ESet. fteavy'Cost izron _
DESCRIPTION OF BUI1.d)ING
Industrial` Commercial Residential Multiple DwellYng No. of units
- -- I-- -
Location of Connections:
Street Repaira
Toeal
a
?
?-{ '-
Inspected by:
Date ??(5--/6
?
Rema rka •
,
Connection Charge W0900 Pd. 10/24
Permit Fee °f.Su rY? "??%
sy
Chief Ic.spector
In conei.3eration of the issue and delivery to me of the above perrit, I
hereby agree to do the preucsed work ia accordan^e with the rules and
regulatioas of Bagan Tot•iaship, Dakota County, Minnesota
By
?
d .{
?'•,
,
`
ii
? l
1?.
p7.saae- .snr.i.fy whPn ready for inspectioa and connection and before any go:.4.c2
os zh. 4mrk 3s covered.
i\
I
L
sacF.x zowtasxzr
3795 Pilot Knob xoad
St. Paul, Minnesota 55111
Telephone 454-5242
PERI9IT FOR WATER SL+RVICE CONNECTION
Date: Nov. 13, 1967
Billing Name: Normaai Peterson
Owner:
Pltmber: Genz & Ryan
Coanection
Number•
Site Address: 1073 MeKee St.
Billing Address
Meter Size Connection Chg. 9200.00 Pd 10/24
Meter No. Pexmit Fee 7•50 , Pd 11/13
Meter Readiag Meter Dep. 15,00 Pd 10/24
Meter Sealed: Yes_ 'Add'1 Chg.
NO lTotal Chg. $222.50
Inspected by
Building is a:
Residence X
Multiple Ao, Uni
Commercia 1
Industrial
Other
Date
Remarks:
By• Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in acc dance wit the rules and
regulations of Eagan Township, Dako Byt • ta Cou , Min?s
?
__
Plea:;e notify the above office when ready for inspection and connection.
I'?? /? ? _ ` (' c,?--.. ? ? _ a•""-?- ",?''"2? J ?
. .? //
? Os-^-°,?- .?.-+-C ?o . , ,Cl,?i..J •-aa??.?. i.? ( .S?-<._,-^?-, : ^'"--
?,?`." ,?"•`"'? ? ,-. ... ?.-r .a .- F ?.?_, ( ?..._..,_? . s.? .19
??- ? ?... f?? ?, - -?---- ?-? ?-- C ?-) .
_. `?`J'a?. C'.o-L°-??? ? ??,1.d?.?.???. -1t3D oe,?.? Q.?e - ?9a-.--L•.?
/,,,- , - . ., . '.. . . ,. _ . . .
.2 7
/ . .? -- :_ ... .'- .. .. ' . . .,
J i?n -n
.L . ?`Id•-.4.n c?,?. _ _ _ . . _,_,; _. . ? .?..:..?_? ?.?
. .,
??.l?l.ea-c_C,?- ?v.,,.,,<i ? 3 3 8.5 ?L-?*? 'la.<-:?.. ! _ S?-?J' .
,
-3'I.ut ? • . '',. . . _ _ . ..... ... -. ....? . .. ...` _.
... ?....... ?? -?.--o.. .
. . . i ? ? . , ? .
.. . ? , . . ' ? • , , . /
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'
EAGFSd TJWi:Sl3TP
3795 Pilot fi:xoh Roa3
St. Paul, Minr..esofia 55111
Telephoae 454-5242
PERMIT FOR WATER SERVICE CON1:ECTION
Date: Oct: 24, 1967
Billfng Name• Noroaa E. Petexcon
Owaer:
ebove
Plimber: Genz 8c $;ISn
Numberi 1 a--
Site Addresa: 1Vi3 ?'.oKee St. HC/c. Z.
Billing Address%?! k1bove
j
Meter Size Connection,Chg. UKrd. 10/24
N.eter No, fPermit Fee ?. 7'S?
?
Meter Reading Afeter Dep. 15.00 Pd. 10A
MeCer Sealed: Yes_ ; Add'1 Chg.
T_otal Chg.
Building is a:
Residenr_e g
Multiple No,
Comaercia 1
Ir.dus tria 1
Oiher
Inspected by ?W:
Date ?7 '
Remarks: 1' % I
ByChief Inspector ?
In cor.sideration of the ieaue and deliverq to me of the a6cve pezx:it, I
hereb;7 agree to do ttr. proposed iaoxk in accordance wit':i tUe rules an3
reg.:iatiols of Eagan Towaship, Dakota Caunty, Nianeso:.a.
By:
Plea;3e notify the above office when ready for inspecCion and conaection.
`..
,.
,
i
1
? ?,??, . e
l.?
?????.
??.: ?
I??? ? qF3s 7
Cv
TOTAL AMOUNT II I I I II
cnoss 'T.voLv, rvc sTwre xosr. p?Y _ _
A
EARNINGS PER T% W•F•
D E o u c T I o N 5
TOWNSHIP OF EAGAN
PLEASE MTACH BEFORE CASHING
THIS IS A SiA1EMENT OF PAVMENi AND
' EARNINGS AND OEDIICTIONS
4
r?- ?i
,,- ?
I
EAGF.tI TOW:'.SHIP 3795 Pilot P:tob Ros3 ?
St. Paul, Minresots 557.11
Telephone 454-5242 +''•
PERMIT FOR WATER SERVICE COND:ECTION
Date: Oet. 2Q9 1267
Silling Name• &orcian E. Peteraon
Owztet:
above
P1-mber• Genz & Ryan
Number• 1? t 1
5ite Address: FQ73 McKee St.
?.\
Billiag Address I above
. smn_nn Pd. 10/24
MT.eter No, Permi.t Fe
Meter Reading ; Pieter D<a. •. 15.00 Pd. 10/2
?
Meter Sealed: Yea-' Add'1 Chg._
., .
DIp Total Chg.
Inspected by?
.,
D8t0 ???(? l •
Building is a: Remarks:
Resideace g
Multiple So, IInits
Comercia 1
Ia.dustrial Hy: _
Chief Inspeccor
Other '
?
?
In cor.sideration of the iesve aad delivery to me of the abcve peric:ir., I
hareb•; ngree to do the proposed c•rork in accordance with tfle rules and 1
regslatioas of Eagan Township, Dakoi.a Cou*.sty, Neinizesata,
B3:
i '
Plea3e aotify Che sbove office when ready for inspection and con,-?ecCian.
MASTER CAftD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING 339 ? - + ,r o%&,m
CXepeoce-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOT I NG SEPTIC
FOUNDATION CESSPOOL
FRAMING . ?' E FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
STRUCTURE AND
LAND USED AS y??
CUMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOIATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE Of INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
REI
DATE OF REINSPECTION
CERTI FICATI ON - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinancas of the Town of Eagan, approvetl plans and specifications, and any specific require-
ments for off-site imprwements relating to tha prOperty inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
UILOING INSPEGTOR
ll? z.
?c??E znc-L
20NING - NOTIFICATTON OF ZNTENT
Foster Family ftomes
Day Care Homes
or
? -7 9 S QZ
screee
DAK 544
0
FAOM: Dalcota County Social Servicea
357 9th Anenue North
So. St. Paul MN 55075
APPLICANT:
5? i-? /
Number of Natural. Children uader 18 in home: 0 I(J)3 4 5f' (circle aumber)
IVumber of Foster Children included in licease:? 1 2 3 6 5 6 7
circle number)
Number of Natural Preachool Children in Aoma: 02 3 4 5
" (c rc2e number)
Number of Day Care Criildrea inclnded in Iicease: 0 1 2 3 Q5 6 7 8 9 10
(c3rcle number)
DATE OF NOTIFICATION: 9 ' 12 /-1 - O-3
r/ s ;? 3 3 7
T _-- - - ,
?
Normaw EPefeKson
/ p'73
`rI r- ke e
r r ,
-4t
/?'! C I< e E Sf, -- '