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1077 McKee StCITY OF EAGAN Remarks Addition Mcuee 2 Lot 12 Blk Owneruv.j",?(r!?(11 aalll(L Street 1077 MCK@6 S't. Parcel 10 47751 120 Ol State F''agan.,MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, i? 1 ? ? 1 1 STREET RESTOR. GRADING SAN SEW TRUNK 1968 ?? ? 3.33 0 C? * SEWER LATERAL 1969 WATERMAIN * WATER LATERAL '? a 930.00 46, 50 2 WATER AREA STORM 5EW TRK 1984 [379.00 25.27 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 200.00 450 10-2 - PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , ,?, } ? , . ? PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: (i?k„'! i4i4 t,??!49 TYPE OF WORK: I+F `_:t-is I !' I 1 ?Ihl ?R?? i i U i r-?if 41.'?•4flty 4i.' /o h f':t!, AI IF.I4 Af ifiN ( Mro" •,11I11NO I:i1N i kUi ) INSPECTION ., . .A i; IiAkK ', , A F,F-PARN 11 I,I:Irt! I 1 I:, Rf: clli I0- 1:1 toK ANY 1I1 lipili1 Nci UR t ikk 1r r( ni 1.I0?:I Permit No. PermR Holder Date Telepfione # SNV PLUMBING HVAC ELECTRIC ELECTRIC a D Q?I ? y? ?dv Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. / Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./P1an Bldg. Finai Deck Ftg. Deck Final Well Pr. Disp. I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122 (612) 681-4675 SiTE ADDRESS: PERMIT SUBTYPE: ,I. I , INSPECTION RECORDT PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: .11 , i ? , 1 I -tl ? 3c rUrtni iIIN iMiti- '.41uNr, tN!,Il1 ) INSPECTION DA • DA ?i???• ?? 1 I: .i I'• i??:', t I 11rt MMKh':.: HN1:t'AkAlV 11{'4;M1i 1'; i<I.L?t11FF"I, 108 Aiy`i PI 1GMiJIihlii IrI; i! i t Ifilt A1 It14I0 Permit No. PermR Holder Dete Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Date insp. Comments Footings I Foundation Framing Rooflng Rough Plbg. Rough Htg. L.t<<Y -ar?c isul. Fireplace Final Htg. II Orsat Test ? Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Finel b Oeck Ftg. Deck Final Well Pr. Disp. EAGAN TOV!/NSI-IIP N° 1188 BUILDING PERMIT Owner Address Builder .4 ...... - ------- (present) ..... ??e.?IC.t tJ - - .._. Eagan Township Address ----- ... Town Hall DaYe ........arvr/-??.T ................. Sioriea To Be Used For Front Depih Heighi Esi. Cos! Permii Fee Remarks ? a?. Ay iA40 f s' z Siseet, Road or other nescnpnon on Location Los uloce e+aauion or irec: ='e, This permit does not auYhorize the use of sireels, roads, alleys or sidewalks nar does ii give the owner os his agen! the righi io creale any siiuaiion which is a nuisanee or which presenYs a hazard !o the healfh, safeip, eonvenience and general welfare !o anyone ?n the communiip. THIS PERMIT MUST BE K q1? N THE PREMISE HILE THE WORK IS IN PROGRESS. This is !o cexiify. Shat..._-.'/. .__._--------------- '-..--------------- has permission !o ereci a........""'---- ...'--'......_-- upon . ..---"......... . the above described premise subjecS !o the provisions of the 8uilding Ordinance for Eaga ownship dopied April 11, 1955. e/? ' ? . .??..k'l.? ._?_? ra,.. ?... Per uC? '--......_--._....----------. ------- ----"'-'-- .............'_?-'--.........--....................... Chairman of Tnwn Board, ,;._ Building Inspec3or ........ ? ................... ....- °--"--...---....... _..... _-.. _... --- EAC'e4N °TOWNSHIP BUILDIN63 PERMIT Ownex Address (PrLeseQ 2) ----------- --------------------------------- ------------ - 8uilder 9...Y.V.'.--------. ----`?? Address ??0-4-aQ ..... DESCRIPTION N° 58 Eagan Township Town Hall DaSe --- / / " .... ----....... _ ...............- Stories ? o?ed For FronS Depih Heigh3l EstOCost l ? Permi! Fee Remarks Sireei, Road ,* oiher Description o! Localion I Lof I Block I Addiiion or Tract C /ai ! This permii does noi aulhosise the use of sfreel5, xoads./alleys or sidewalks nor does iT give the owner ar his agent the righ3 !o create any sifuaiion which is a nuisance ar which presenSs e haaard !o the heal2h, safeYp, convenienea and geaeral welfare Yo anpone in the commuoiiy. TFIIS PERMIT MUST BE r?P?N TH REMISE WHILE THE WOAK IS IN PROGRESS. __. __ ... i. _....._upon This is fo eeriifp, fhai.!Y..?.? .. r. ......................has permission fo erect a.............. the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopfe April 11, 1955. ..'_"". . ........""".___.._.......__.... Per .-------------------------------------------------- _._'...___._.._.... Chairman of Town Boerd Building Inspecior ." ,??6022 RE?UEST FOR ELECTRICAL INSPECTION ? Sea inaVUCtions for compleling this form on Eack of yellow copy. "X" Below Work Covered by This Request B??'?1' E8-00001-09 a>??? ?s??: ?31? 90s ?.?? Ne Add Rep. Type of Building Appliancas Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Building Dryer load Management q l Comm./lndustrial Furnace Other 5 eci ) - Farm ir Conditioner Other (epaclfy) Conlr 0oYS Remarks ' eco-nnech -RarrNace,, WL+'e Ale, Campute Inspection Fee Below: new co 5eYV LGE'. # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S•Ol Amps .QD Trensformers Abave 200_Amps 0-Am s Abov el 51 fIS & 5 nepec ror's Use Oniq TOTAL IrrigationBooms S ecial Ins ection Alarm/COmmunication THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO FI¢. I, the Electriral Ins ector, hereb P Rou9n,in ?'=?30 •?il certity that the above nspection has been made. F'na? oate a OFFICE U9E ONLY ? This requeet voiC 18 months trom 0029022 ? ? ?po5 Rapuesl Dale Flre o. Roag Insp 1 Reqmretl (VOU must cell inapec en reetly) Ins ection Other Thn ough-In ? Reetl Now ?Will Noiiy Inspector ? y C) Ves o Date Rea IXicensed contractor ?owner heraby request inspection of above electrical work at: Job Atldress (Straet, Boa or Route No) ?? ? S ? Clty e-e- Y I Sectlon Na Townshlp Neme or No Range No Caunty Oc PRIN? b a.c_.k Phone No. Pawsr Supplier NSP Atltlress a re Pf. 1? . Eleclncel Contractor (Compeny Nema) Er-i c?s?? P?G ConVaClo(s License No Mailing Atltlress (COnlreclor or Owner Making Inelallatlon) 2? Is?? St. N.E. e MN ?? 9 AuthonzeC Si Con /Owner Ma g In ation Phone Number MINNESOTA STA7E BOAND OF ELECTNICfTY THIS INSPECTION FEQUEST WILL NOT Grlgge•Mltlway Bltlg. - Room 8-128 BE ACCEPTED BV THE STATE BDARO 1821 Univerelly Ave., St. Peul, MN 551 DO" UNLE55 PROPER INSPECTION FEE IS Phona (612) 642-0900 ENCLOSED. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lor: 1077 MCKEE ST MCKEE 2ND PERMIT SUBTYPE: SF (MISC.) INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 12 B L 0 C K: 1 APPLICANT: SQNCQN CONS7 INC (612) 784-6910 TYPE OF WORK: DESCRIPTION BUILDING 025080 02/06f95 ALTERATSON (MAC SOUND CONTROL) INSPECTION FRAMING .. . ROUGH IN PL66 .A OUGH IN HTG FINAL I REMARKS: A SEPARA7E PERMI7 IS REQUIRED FOR ANY PIUMBING QR ELECTRICAL WORK F L J J( CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612)681•4675 SITE ADDRESS: P.I.N.: 10-47751-120-01 DESCRIPTION: J. ??? nr' l??I?t, ? 40)1 2j'??,:? '.i PERMIT 1@77 MCKEE ST LOT: 12 BLOCK: 1 MCKEE 2ND PERMIT TYPE: Permit Number: Datelssued: (MAC SOUND CONTROL) Bu"ilding`?,Permit Type SF (MISC.) Building W?nrk Type ALTERATION ` ?'U- qo? G 9?14J45 BUIIDING 025080 02/06/95 REMARKS A SEPARATE PERMI7 I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge 7ota1 Fee $153.00 $99.45 $7.00 $259.45 $14,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: SONCON CONST TNC 17846910 0008934 FORMANACK ROBERT 9901 XYLITE ST NE 1077 MCKEE ST BLAINE MN 55449 EAGAN MN 55121 (612) 784-6910 (612)454-4766 I hereby acknowledge that I have read this appl3.cation and state that the information is correct and agree to comply with all applicable State of Pln. Statutes and City of Eagan Ordinances. L at? -8 _ -<-- APPLICAN7/PERMITEE SIGNA7URE I ,-A?a Klal-(? -? ISS? E Y:5 NATU CITY OF EAGAN 3830 PILOT KNOB RD - 55122 isolo 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ 681-4675 New Construction Reauirements Remodel4?enair Reauirements ? 3 registered site surveys ? 2 copies oT pian ? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 2 ske surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy wlculations for heated additions ? 1 tree preservffiion plan'rf lot platted after 711/93 required: Yes _ No DATE: I I"? I j`? 5 CONSTRUCTION COST: 410 DESCRIPTION OF WORK: '5"? ?l (-4? ,,,.-l r? I STREET ADDRESS: J0 -)'7 Ivkc.? ?? -j ? rt t? LOT BLOCK SUBD.lP.I.D. #: ?7r I?s2 -??1t? PROPERTY Name: r" Phone owNeR `. Street Address, 20 2 ? '""'x s\` ti z f City: ???, V--) State: /A'J Zip: CONTRACTOR Company: `) ? ? ? lk? Phone #: Street Address: License #:??b 9 3q Ciry: F?(a ? ?-'L ARCHITECTI ENGINEER GE E Phone#: 5 q? ?' 5 2 Company: Name: Registration #• 2? ? y Street Address 3i y 3L, CitY: K '. Q , z( d state: ,v1 NJ ? Zip: s5 y2 3 Sewer 8 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 applicadon and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,__-- Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JAIN 3 1 1995 Tree Preservation Plan Received - Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? X 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New X 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION ' 7 % t ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq, ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 5?3 Depth Footprint sq. ft. SAC Code o/ Census Bldg / Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ / 5; Gdd w % SAC 5AC Units CITY USE ONLY L BL _L RECEIPT #:-367 ? SUBD: ?9" . r>? DATE: ? 95 eAj, Q??. #ppagp??- 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit Add-on furnace New construction I/ ?.Add-on air conditioning Fireplace conversion (to existing fireplace) Date: 11 - ,?? - EL5 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) 3•00 ? State Surcharge .50 TOTAL SITE OWNER PHONE #: .1-5 766? INSTALLER NAME: E-f i lc(14 . STREET ADDRESS: q -2 2- :D5?( S?- CITY: I?I0j_YIP, STATE:ZIP: PHONE#:(???) STGRATQRE CITY USE ONLY L _ BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are n2# required for each dwelling unit. DATE: WORK TYPE CONTRACT PRICE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: .$25.00 minimum fee 2r 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of gomjt fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADnRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (iMPROVenneNTS oNLv) INSTALLER: ADDRESS: _ CITY: STATE: ZIP:. PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR I? L BL CITY USE ONLY RECEIPT #: ( SUBD. / Yll ?EP_ rl n RECEIPT DATE: PERMR# 2000 PLUIyIDING PERMIT (RESIDENTIAL) CZTY OF EAGAN 3830 PILOT IINOB RD EAGAN, 11[7 55122 ? -ro (' mAc 5oun(A T 651-681-4675 r(1SC,J0.'flOYt P(OyCQ-!Vv Please complete for. ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system i1XTURES ' EACH M TOTAL ARerations to existing dwelling - minimum fee Describe: ,"naZ WbL!- hp.ok* / $ 30.00 Bath tub $ 3.00 x = $ Floordrain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = r $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ SepGc System newirefurbisned • requlres MPC lia. 75.00 x = $ SEptic System abandonmant 30.00 x = $ RPZ new installatioNrepaidrebuiid 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under construc[ion 3.00 x = $ Under round sprinkler if existing dweliing 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under consWction 5.00 x = $ Water softener ii existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Suroharge .50 -> -> -> $ 50 rotal -> -> -> --> $ 3 C) Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc. - - - ---------------------------------------------•----------••-•------------•------------------------------...----------------------- I he2by acknowledge that I have read this application, state that the iMOimation is correct, and agree to compy w@h all applicable Ciry of Eagan ordinances. It fs the applicant's responsibility to not'rfy the property owner that the City of Eagan assumes no liahiliry for any damages caused by the City during its nortnal operational and maintenance aGivdies to the facili8es constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: /v 7-7 I}')c Ke e 6t - S 5 I °Z J OWNER NAME: : DQ f IC2i1 TELEPHONE #: ?? ?.S?I -?? bIo I^ C?- rn 0.? 0. a? (AREA CODE) fNSTALLER NAME: I p I11IP 1"f- h lAl ( TELEPHONE #: (012? ? 0?? 1 O c?C7 A ? STREET ADDRESS: a-S a-? ?2 lV G (AREA CODE) CITY: I.-NfkA942 STATE: ZIP: (?;5 D SiGNATURE OF PERMITTEE j}l - Z_ /Z - / EP.GFSJ 't:1W;'.SHIP 3795 Piloe Knab Road St. Panl, Mim;asota 55111 Telepho:e 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Oct. 24, 1967 Billing Alame; Robert J. Formanack Owner: above Plvmber• Genz & Ryan Suilding ie a: Residence__.2L_ Multi.ple Ao, Units, Commercia 1 Ir,dustrial Other In coasideration of the isaue ar.d delivery to me of the above perc:it, I hereby agree to do the proposed wOrk ia accardane,e with the ru2e?sand ,¢-? regulations of Eagan Township, Dakota Co?y?M2 n?s?aA?? _?//??7. y?' Number• 14 Sfte Address: 1077 PlcKee Billing Addreas above Meter No. Meter Reading Meter Sealed: Yes_ NO Pd l0/24 ? Permit Fee 7-3' Dleter Dep. ilc9 Pd 10%4 Add'1 Chg. I Total Chg. Inspectad by Datfl Remarka: ity: Chief 'tnspector Please aotify Che above office when ready for inspection and conaection. 1 2 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR S&dER SERVICE CONNECTION DATE: Oct. 24. 1967 OWNER: Robert J. Formanack PLUMBET,Z Genz & Ryan NLTiBER 33 Address 1077 McKee St. TYPE OF PIPE Ext. Heavy Cast iron DESCRIPTION OF BUILDING Industrial Comnercial Residential X Location of Conaectiona: Multiple Dwelling I No. of uaits Connection Charge $200.00 Pd 10/24 Permit Fee 7.5-O ., v Street Repairs Total ??c7• s'?? ??< Inspected by: Date _ Remarks• By Chief Inspector In conca9exation of the issue and delivery to me of the above p?rit, I hereby agrae Co do the prnposed wor?c in accordance v++ith tlie ruies an3? „ 7$? reg.?lations of Eagan To?•?nship, Dakota Co y, I?innes gy .e_ ?--?- F?eas? rnti.fy wh.en rAady for inspectic+a and cor,necL•i.er_ an3 hFfore aay pcr`._f.a:a o'r the viork is coverad. 10:30 SEP 21, 2004 Thein Well Company 9/9/2004 ? ,// Liirc 1 C O U N/? T ? /I )?urpv V V- ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.691.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: September 21, 2004 TO: Tom Colberf/Wayne Schwanz (EM) RE: WeIlPermit#: 04-1-1227559 Municipality: Eagan Robert Formanack Robert Forrnanack The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit appficarion for the well described. If you require further review of the application or if you have azry quesuons or concems about it, contact the Environmental Specialist listed abwe or our office at (952) 891-701 L ff there is no response from your office withixi 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the pemut. Please note that pemut issuance is always conditioned on [he perntit applicant's observance of and compliance cvith all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner Well Owner: W ELL LOCATION: PLS Coordinates: Street Address: PIN Number: FR: THERESR SCHOSTAG #6147 PRGE: 1i1 Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Rutten Time: Time: 1/4, SW 1/4, NW 1/4, SW 1/4, Sec 02 Town 027 Range 23 1077 Mckee ST 104775112001 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: File Edit K4ew Toals Applications telp Cnnnection I Commerrts I Eagan Building I Eagan Devetopmerrt ? Permits Owner I Eagen AssesslSales I Eagan Property I Eagan Parcallp 1104775112001 Addrass 7o MCKEE S7 Owner 1 FQRMIAMACK FIQBERT ? 1077 MCKEE _ EAGAN MN 55121 ._. .. _ _.?..._.__ _ W..?.,., Ownar2 FORMANACK DAflL E MC KEQS' 1077 E N ?. 1077 MCKEE EAGAN MhJ 55121 ? 4 OWttef 3 .,.......,,,?......?.,....?.?.?...?.. Owner 4 Parasl daka updated Augusk 27, 2004 . ? a I 11-20 NOV 14, 2005 , C O U N T Y ENVIRONMENTALMANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7586 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: November 14, 2005 TO: Tom ColberUWayne.Schwanz (EM) RE: W ell Permit #: 05-1-1243458 Municipality: Eagan FR: THERESA SCHOSTAG #27214 PRGE: 3i5 Fax #: (651) 675-5694 Well Type: Domesric Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmental Management Department has received the following pernut applicauon for [he well described. If you require fixi'ther review of the applicauon or if you have any questions or concems about it, contact the Environtnental Specialiat Gsted above or our office at (952) 891-7557. If 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 [he pemut. Please note that pemut issuance is always conditioned on the pemvt applicanYs observance of and compliance cvith all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Bergerson-Caswell, Inc. 11/10/2005 Tim e: Time: Property Owner: W ell Owner: WELL LOCATIO: PLS Coordinates: 1/4, SW 1/4, NW 1/4, Street Address: 1077 Mckee ST PIN Number. 104775112001 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static W ater Level: Aquifer: Patrick Camey BP Products, Nor[h America, Inc SW 1/4, Sec 02 Town 27 Range 23 COM114ENTS: Use BLUE or BLACK Ink �-----------------, � For Office Use � � �� I ��} �� n� �� 1 Permit#: � � Ir !.! � j O / � � Permit Fee: � 3830 Pilot Knob Road i � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � i Fax: (651) 675-5694 I Staff_ I ��____��J 2015 RESIDENTIAL PLUMBING PEF�MIT APPLICATION Date: a�` ~ � Site Address: �� ,�, y°� 5i'�` Tenant: Suite#: ,�h.9 NWiMF: .. � �-' ' (� (� . ��` . I�;� � �� u�q��`�" �� Name: I\D IDe�"� �Y'j'Y1CllsIGG� Phone: ��.��d��ff�G'�1Nn�� : �' d��n�K��-��,��.��°��u�rFs�� Address/City/Zip: � C �� S � ly= . /YI ✓C�f� �-- � b��'��!d, �9�!(� : � � � 'I ; �NN�� ; Name: �(ti ��h�V�Cc��J �� 2G.. License#: ��il�� r � �"��€ Address: NOSr.S Li/l� _City:��'Y�/YIGI�Dit d� �� ''� ; � �aa�,s—.�9-��a� :� i�H, �� '��' I'��`s'�C� � �� p�� l� /� � -�°a r��i��`: State:_��Zip: �� o� Phone:�'� O�f� S 4✓� � rr � '�rr'dw��l�� r��j�� C��19 Y/d L..O{'1�9 D l / �7/N"�' Y'� L� Contacfi 1 c.-° Email: Y'7 !e D vy-, ,;�s�, �� - � ��u��"� � � ��'�� ` New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. �� 4T�� — — — �;�� `�- . Description of work: ( � �'t CC u � tC,Y��,j ��i�m��a�'r�s �: �y��:: �''`aNi RESIDENTIAL -�E ` � � � �° u Water Heater � �p��. � _� Water Softener ��pi,�� 7,i�,�� Lawn Irrigation�RPZ/_PVB) ��I� ��`f�1l��' �� ,��i,;�,�� „�� Add F lumbing Fixtures�Main/_Lower Level) ��,��n�! � � �Septic System ,��= �� `� �� New Water Turnaround a�ti�i� � ��i��a — � n� �� ' = �Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(include:a$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround (add$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES$ 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. wNnro.qopherstateonecall.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 with ut 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. X l�� .�Q X—�� Applicant s Printed Name ApplicanY's Signature � ; �n�� r!� �,' ��' u �i iaam� . ii N�iv ui i y� '� i ll�� i�_��'�` � C ,tri� �.: �. �.�Po�„,'� �!�P'i n --. p ` � w�.'��l aJl yfp-,-- : �"`�i � �. �wx�;� �a�.: �I r� �'� �� i r.��,': a' ��: e�,' !1�`��r y 4 �)�N� k"k�i�'uN7�1i1� .�_ � 'I y�y)I ��i�G a ¢ui �� ,� i �y�� _: ��A�� -'-� �s�nu�� 3 !�uiIIPIIL �� ,�11➢! r�j � �IGd��,� : � !d H� � �� .. °'q� ��" � � ��i �� !�k � {��,.,er�u��r It��p��#ro � � t�d��r. un � u�l� tn � A�i�"�� Ga�� ' � �rrt� ' ��. '.•.- a.� �- ,i (.'?. I��' ':i�� :.-(�� iit,� �N��», : �{nrt�v�r`rn- �l�G��'. �t � z� �.:pk: xrc�Il., ' � 'v�' t� W �C(�� ,,vi�ly((�' ,y "`�i�� ,�a��' A� �,ii�flU�,y� v'dlr� �t��`� 7uVil�� all�lll� �: ,iiYJi�� -�II��.. �1��.��k��n'1�" ..�� . -. ��,,.1�, i�1�� q�l �=,= ��.�'ah��"a(�� r4,�. ,zi N.�s��i"" v;�kdfi ry �3�S j�� I Use BLUE or BLACK Ink ^----------------- � For Office Use � � ' j Permit#: � �� j Cit� of �a �� _ o� � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 ' � Date Received: j Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I � L��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � � O" / .J Site Address: /� '� !�� S�� Unit#: Name: � �� Phone: ��"'o��-�59a 8 Residentf 9 }� `�- Q --,Q/��Q �o�� Qyy�gr Address/City/Zip:_�� 1 U�`� �� ' �� ' ` � � �/✓l.s�J � � ' Applicant is: Owner �Contractor Tj/�@ O'�W01'1C Description of work.T�LIJ�H�� l�� Ql�� ,g+�L{� ��1� �JX�j��,�'� � fU�(P� R�'k>iP� ' Construction Cost: � Multi-Family Building: (Yes /No� Company:��)')')m`� C�A L ��»�7 Contact: I � O�4J ,� � Cat��flC�dG Address:o%T 7�f 0 ��(l`CC�� a City: ��'C �✓ L��Z State:�Zip:��a� Phone� ~ l/ �^ Email: QGtJ/C i1 S �Gpal��ho �,�YY1 License#: �cS9 ��` +A/�rLead Certificate#: If the project is exempt from lead certification, please explain why: 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 Piumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: ' Phone: NOTE:Plans and supporti�rg alocuments#hat you submit�re consicleretl tc�be publ��c lr�fr�rrn,�ti�a. Portion,�rtf ' the informa#fan may be c�assified as non public if you provide spec�c reasar�r tha�t woultl permft t�te City tc� conclude that#he are trade�gcr+�ts.; CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to receive loc�tes of underground utilities. www.qoaherstateonecall.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 wili be in accordance with the approved plan in the case of work which requires a review and approval of pians. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i l ��L� x / x Applican s Pnnted Name Applic nt's Signature I, Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For Office Use I i Permit#: __� � 1 �� I �l�j Of�l�A � � 3830 Pilot Knob Road � Permit Fee: �d • �� j Eagan MN 55122 I .,.. �` � �� I Date Received: � Phone:(651)675-5675 � � I Fax:(651)675-5694 � Staff:�,�°...�- � j JUN 2 910i5 �-----------------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6/23/15 SiteAddress: 1077 MCKEE ST, EAGAN, MN 55121 Tenant: Suite#: � � �� GG G �� '� � � ,,� Name: �Y PERNSTEINER Phone: 651-289-5908 ��SI��'1��LM/�E;1'� � ed – • � �y��E�� Address/City/Zip: SAME � e�� , ��Ga�y� _ ',;�� rvame: K&S Heating, Air Conditioning & Plbg LLC�icense#: MB5216 � � , ,G �F��aaz��o�, �� ._� Address: 4205 Hwy 14 W c�ry: Rochester ,�_ - = state: MN zip: 55901 Phone: 507-282-4328 ��r � �cN 3 ,, , � � �� , � �r ��'��'�� q4 �� .�� contact: Heidi Brown � Ema;i: hbrown@ksheating.com � � i h}�Nra��M yN�y, _ -�:;— :. � �i�� _ ,�� New Replacement Additional Alteration� Demolition � �f,� ��pg p�� Description of work �n�H��c �r ; ��u�� . � y�}��n� u��n�n,�h�g�� n, � � r� d r� r� ; r �4��C� ��'��OO�[TYtY�'��.,4ua�{'1t��TESEIfi1C�a��11��1��1'1��'1�� ,�5��111�Cl�`�5�1��'�Il�.��1�..�iiil'��}�/�i1� , � '� ' � a �r��d�r;� ��od��n��1��a;��'� J�r�'�i��fi��-i�o�m��i��'�Stt�rt�l�,te��eenin�ri��tlt�s��t�� . _ � ..�._��._�. �. , � , .�..� ,. , � �� __� ��- � � �� = �� RESIDENTIAL � � � COMMERCIAL, � � � � = �..� �` �` �� XX Fumace , ��!�y��°` ` �;_ New Construction Interior Improvement , _ _ _ wc� , s' '�°i � XX AirConditioner Install Piping � Processed ��C�l'tl�'�/��: — — — �i - ,�� ; ��y _Air Exchanger Gas � Exterior HVAC Unit � c� �u; ,�� — — 4�� _Heat Pump _Under/Above ground Tank �Install/_Remove) �.ti.°-� ,r a,��` Other � RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.0� 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$1 million, please call for Surcharge =� TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Rick Keehn X J,�`f Applicant's Printed Name ApplicanYs Signature "'��hCG��E_Ua�� - �_ — � _ �,�E �, � , � 3 . � � _ ��Cfi�i'�i��iN�tT��G�1Ci113.,= ��- _ ��s� — ��"+�;hpi�N��R�11p41N£L�$}�"_�= - _ ^��`°`��kda��r�l�i��»Q��B . _ ��lE ' =ilr �� FP��+�� —n�:� .. ., 3�y��Nl��jiyhNG _ .ss � _ ��a�n 19�f�V �;� ; " y��; =l�de�'r�round m��u�� E�ough�l��' AirTe�� Gaa��rsr��Z�� In-flo�rF1� �i�al�Gi�g�p�op��'yR�'��cr8�n� _- � �m��, _- � ��e... ��.F.-�� _ �ti�,�,