951 Kettle Creek Rd.?
f `
CASH RECEIPT
? CITY OF EAGAN
3830 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
DATE 19
BECEWEO ? ? '
flIOIA
AMOUNT $ ? ; .
8 DOLLARS
im
? CASH CHECK
. ? ?
. [ ?
FUND OBJECT AMOUNT
. ? I 14 ?
--
Thank You
BY
I L- ?i-
White-Payers Gopy
Yellow-Pwting Copy
Pink-File Copy
CITY OF EAGAN
3830 PilOt Kn0b R08d, P.O. BOX 21-199, Eagan, MN 55121
PHONE: 454-8100 , C
BUILDING PERMIT Receipt#
To be used for D WG/ GtA.R Est. Value $789OCO Date CrCTOBEK 20 ,19
Site Address 951 i:ti?T1.L CREEK F:i; OFFICE USE ONLY
LOt j BIoCk 1 SeC/Sub. LEXINC70N SQ M On Site Sewage _ Occupancy
? i
MWCC System ? Zoning
Parcel No. V` <<
On Site Well _ (Actuaq Const
a Name -??L4.EiiF CIT'Y COSd37RUCTYI?i? City Water X (Allowable) U-?-N
= Address 5970 151ST ST S? PRV Required # of Stories
3
0
City APPLk VALLEYPhone 431-1212
BoasterPump -
Lengih
SO'
Depth
, a Name SAFIE S.F. Total
o? Address FootprintS.F.
ua
41
City Phone
APPROVALS
FEES
?
W
¢
' Name Engr.lAssess._ Permit
;;
•
-3?
? z
?g
Address Planner Surcharge j
243•UCl
Q W City Phone Council Plan Review ? i
GD
Bldg. Off. SAC, City "
•
I hereby acknowledge that I have read Ihis application and state that the Variance SAC. M WCC
information is correct and agree to comply with all applicable S[ate of WaterConn. ?5?'•00 j
Minnesota Statutes and City of Eagan Ordinances.
I
67
00
Water Meter .
?
Signafureof Permittee ---- Road Unit 32 '+UD ?
+:,r Ci'i'i
A Building Permit is issued to: <:C1Ll,t:
Treatment Pt
204•
, on the express condition that all work shall be done in accordance with all ?
applicable State of Minnesota S[atutes and City of Eagan Ordinances. parks
` "
Building Official __ TOTAL
DG. PERMIT NO.
Y'i
01-3210 Bldg. Permit
01-3422 Plan Check - r - i'
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. 0
01-2155 Surcharge
79-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. `'? ` r " ?` •
20-3716 Water Meter 4?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
793866 Sewer Conn.
28-3855 Park Ded.
?
?
TOTAL
? CASH_RECEIPT '
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE i? 19 s?
,
AMOUNT
r
& DOLLARS
,a
? CASIT YY'CHECK
White-Payers Copy
Velbw-Poslin9 CoPY
Pink-File Copy
Thank You
BY
6/20/89 CITY OF EAGAN
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,
BUILDING PERMIT Receipt # ;
?
To be used for Est. Value s7F•0CU Date ,19 •° ? J
SiteAddress 41 ---"L'TLc: G.;c:::K j;3i
Lot Block I Sec/Sub. 1--X1I01i"E'04 SQ 9T7i
Parcel No.
a Name :t7LU41' G?'CY Cctt+t'sTf.i;CTIQN
= Address `ol 70 151 ? T ST w
? City VAL1Je."Phone 431-1211
p Name :'Aet1
? Q Address
? City Phone
yVj W Name
? I
Address
?=
aW City Phone
I hereby acknowledge that I have read this application and state ihat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
SignatureoiPermittee
A Building Permit is issued to:
on the expresscondition that all work shall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFIC E USE ONLY
On Site Sewage _ Occupancy F-3 ?.
MWCC System Zoning } j1 g-
On Site Well _ (Actuaq Const V-1'E
Ciry Water X (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth 481
S.F. Total
Footprint S.F.
APPROVALS FEES
406'00
Engr./Assess._ Permit 39•00
Planner Surcharge 243•00 ?
Council Plan Review
BIdg.Ofl. _ SAC,City °30•00 i
Variance SAC, MWCC S$41,00 I
WaterConn. 5 ?J•1)0 '
watertvteter 67,00 ?
Road Unit .$23•00
Treatment P1 204•00 J
Parks ?
TOTAL 2•564•00
:i
Permit No. Psrmit Holder Dete Telephons 7f
Plumbing `
,
zz7/?j
?
// 9 ?
-
H.V.AC. j dC
Electric
Softener
Inspection oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. W-/G 'a
Rough Htg.
Isul. ?
Fireplace
Final Htg. ?
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final ?/
ll
rr.
Disp.
._ T . ,.... .. .
• . .4? ^
,
6 (ger#if irtttr o# COrrupttnry
titp of (eagan
DP}1N1fii1Mtf IIf l1tYlbt1tg JttB}1P1'flpIt
This Certifrcate issued pursuant to the requirements of Section 306 of !he Uniform Building
Code ceniJying that at the nme ojissuance this structure was in compliance with the varrous
ordinances of the Cuy regulating building construction or use. For the following:
' UseClaaiSntion SF DiJG/GAR Bldg.ftrmit No. 15760
_ ?upamYT?qx R-3/M-1 zoo;ogoou;a PD/R-1 Tracanm. v-N
owmorBuraina MLLEGE CITY CONSTR.Add,ar6970 151Sf ST {i, APP1E VA11EY
swaingnda? 951 WCIIE aiEHC lM twxsryL1.B1,IFXIN(MN 9QLM 71H
p ' , Date. DECEMBER 289 1988
B dng Bicial
POST IN A CONSPICUOVS PLACE
PERMIT # %-?
'
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site A dress ' ? ?'' ?
? , " • Y
BLDG. TYPE WORK DESCRIPTION
Lot ? Block -T Sec/Sul ; Res. J New L
v '
s _
Mult Add-on
Name Repair
Comm
? Address .
Other
c City - , • . ? , Phone ?` "i k ) % '
FEES
? Name ? RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City ? Phone _
` ' (RES• HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
MINIMUM - 1 PER PEFiIAIn
GAS OUTLETS - 1
50 EA
( .
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air --- M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
UnR Heater M BTU R REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMEFCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - 50
Vent. CFM R
, (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? ' BEYOND $1,000)
Other $
FEE: '
S/C: -? SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
Cities
iizital
itv Control
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from the original page.
. . . PERMIT N ? ? ?`.? r •
. . PIUMBING PERMIT '?? '7 / /'.,'
CITY OF EAGAN RECEIPT #?-
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PflICE: PHONE: 454-8100
Site Address
Lot Block Sec/Suf?
y Name
? Address
c City Phone
Name
; Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN , I "'
BLDG. TYPE WORK DESCRIPTION
Res. New MuN. Add-on '
Comm. Repair
Other •
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: '
. NO. FIXTURES TOTAL
_Water Closet - $100 $
;
_Bath Tubs - $3.00 a
_Lavatory - $3.00
-Shower-53.00 {
-Kitchen Sink - $3.00 .
-Urinal/Bidet - $3.00
-Laundry Tray - $3.00
_Floor Drains - $1.50
-Water Heater - $1.50
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn .
-Softener - $5.00 -Well - $10.00 ?
_Private Disp. - $10.00
;Rough Openings - $1.50 ;
FEE:
STATE S/C:
-,
GRAND TOTAL•
CITX OF EAGAN Permft No: Date:
3630 Rilot Koob Road B/P No: Date:
P.O. Box 21199
Eagao, MN 55121 I ?
.?
Qwner:
Site Address:
Plu
MWCC: Zoning•
City Chg: No. of Units: `
? . . ,.:r
Acct. Dep: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
By
SEWER SERVICE PERMIT
n..- ;W„ ?- - .. :;,K,aw;..: . _µ ;.. ,..:;f?t ??<'s , ; tr-a. 7.:.?f -'•'?T"`"""'"°'' ^'?°?.?
CITY OF EAGAN Permit No: 10054 Date:
3830 Pilot Knob Road Meter No: Size:
'P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 .
Owner. C_itp Coast
SiteAddress: ^51 i ettle ?'re4"_ ; on:l 71 S 7t'
Plumber. ?tnr PluaiSin,-
Conn. Chg: ` ' ? • ?1()Pd Zoning:
Acct. Dep: '•oopd No. of Units: ?
Permit Fee: ? ` • f)Opa
Surcharge: •50 nd I agree to comply wiih the City ot Eagan
Tr. Plant • 00 Ordinances.
Meter. ?,? ????;
Misc.: gy
! WATER SER VICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 PIlot-Knob Road Meter No: l 3 Size: Orl?
P.O. Box 21199 Reader No: /? ? 99 ??S ?- Date: 'E 2
Eagan, MN 55121
Owner ro11e?e Citv Const .
SiteAddress: 051 'r'ettla Creek P, oad T:t nl. Sc ?th
Plumber. ?,tar i'lumbinr
Conn. Chg: j Zoning: "'
Acct. Dep: ,'•!; '' No. oi Units: i
Permit Fee:
Surcharge: • 5 Opd I agree to comply with the City ot Eagan
Tr. Plant ^1+ • GOg? Ordieancea.
Meter. F_,
Misc.: gy
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N?9 15760
PHON E: 454-8100
BUILDING PERMIT Receipt # b JT //
Tobeusedtor SF DWG/ GAR Est.Value $78,000 Date OCTOBER 20 19 88
Site Address 951 KETTLE CREEK RD
Lot 1 81ock 1 Sec/Sub. LEXINGTON SQ 7TH on site sewage
Parcel No.
a Name COLLEGE CITY CONSTRUCTION
= Address 6970 151ST ST W
0
City APPLE VALLEI'phone 431-1211
0 Name SAME
? I
? Q Address
? City Phone
c~i a
WW Name
_za Address
Q W City Phone
I hereby aCknowledge that I have read this application and state that the
information is correct and agrento comply with all applicable State of
Minnesota Statutes apad-Cof agan nances. /
Signature of Permitte ____
A Building Permit is iss ed to:_COLLE
EGF CISY_ __
on the express condition that all work shall be done in accordance with all
applicable Slate of innesotay?Statutes and Ciry of Eagan Ordinances.
Building OtficialL"1?
1
MWCC System
On Site Well
City Water
PRV Required
Booster Pump
APPROVALS
Engr./ASSess._
Planner _
Council _
BIdg.Off. _
Variance _
OFFICE USE ONLY
Occupancy R-3 M-1
X Zoning PD R-1
_ (ACtuaq Const V-N
X (Allowable) V-N
_ # of Stories
Length 50,
Depth 48'
S.F. Total
Footprint S.F.
FEES
Permit 486.00
Surcharge 39.00
Plan Review 243.00
sAC, aty 100.00
snC, rnwcc 550.00
WaterConn. _ 550.00
water Meter 67.00
Road Unit 325. D0
TreatmentPt 904_00
Parks
TOTAL zr564.00
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
See instructions lor ComOleting this lorm on beck o( yellow copy. ?'s?s,
8? ?
"X" Be1ow Work Covered by lhis Request
Nem Addl Hep. Type ot Building Appliancee Wired Equipmenl WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric; HeTtin
Commercial Bldy. Furnace Siio Unloader
Industrial Bldy. Air Conditioner Bulk Mflk Tenk
Farm Othei pecify Oiher ISnor:ilyl
t er Spec'rfy Other Otho"
ompute lnspeciron Fee Below
!1 FeB ServiceEntrenCaSize t! Fee Feeders/Subfexders # Fee Clrcuits
S 0 to 200 Am 5 0 to 30 Am s 0 to 30 Am s
Above 200 qmpy 37 to 100 Amps 4/ ' 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms r Partial."Othe -ee
. Signs Special Inspection
TOTA
V
Aemarks L F ,.(I?
? `?
n
)I
Roueh-in
ZE;Ziz
•
Date
/?/V ??
1, the Elec ical
In Dector, he y
t th
c rti/
lh
b
Final
Dale y
a
e a
ove
nspection has 6een
mede.
fhis requesl valtl 18 montts Irom
7his request void
18 months from OO U 0 JY? `C
E 13255
Request Date ire Rouph-in sVer,tion
Required. E]Ready Now?Will Notifv Inspec-
Yes ?No [or Wben Feady
(??Cicensed Elec[rical ConVactor 1 hereby reQUest inspaction of above
Z
? Owner electricel work inslalled et:
Street AAdress, BoK or Route No.
7
-
?
4 C't
/
:
e_ , e ! 515Z ?
-
77 1 -
ectron o. Township Name or No. Fiange No. Co/un}/y
OccuGant (PRI T) Phone No.
c ??? e?,I<T twcj _ .
Power SupPlier Address
Electncal Con
tra
ct
or 1Comp
any Namel .tnr's License No.
Contr
ar
?
?
? ? ?
/
Mailing Addre
ss (Contrac[o or Owner Makin nstailation)
"?
2 ?
iL .
.
Authorize " natur ont cior Owner Ma ng Inst ationl PhoNumber
MINNESOTA STATE BOARD OF ELECTRICITY ?/ TMIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 d/ BE ACCEP7ED BY THE STATE BOARD
7ffi1 Universitv Ave.. St. Pxul, MN 55104?? LINLESS PNOPEH INSPECTION FEE IS
Phone 16121 642-0800 ENCLOSED. _
PERMIT# T-IO ? l v RECEIPT DATE:
2002 RESIQEWIAL PLUMBINEi PER6+ikT APPL?CATION
C11'Y OF EAHAN
3830 Pu.oT xivos Rn
EAsAN, Mv 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 961 KG ffIC U ed+ PA•
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
953 qIOq -(OQq_r
(AREA CODE)
CITY: STATE: mIJ ZIP: 56014
_ SEPTIC SYSTEM, newJrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater $ 15.00
r,?
State Surcharge $ .50
Total
I herebyacknowledge that I have read this application, statethatthe information is correct, and agree to complywith all applicaVe City of Eagan ordinances. It
is the applicanYs responsibilityto notify the property owner that the City of Eagan assumes no liability r any dama es caused by WC uring its normal
operational and maintenance activities to the ?cilities constructed under this permit wthi pro e/r --w em nt.
SIGNATU OF PERMITT 1/02
AOI.tAIGlS K061[4P_&C,l TELEPHONE ?615? 1 - GS 75 3-7
(AREA CODE)
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
ii 3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4675
New Conahuction Reauirements
• 3 registered sfte surveys showing sq. fl. of bt, sq. tt. of house; and ?II rooted areas
(20% mv(mum lot coverege allowed)
• 2 copies ol plan shawing beam & window sizes; poured found design, ek.)
• 1 set af Energy Calculations
• 3 capies oi Tree Preservation Plan N bt platted after 711 /93
• Rim Joisi Detail Options selectbn Sheet (bldgs with 3 or less unRs)
DATE ? ?-
ir Reauiremerde ?- t ('
• 2 copies of plan
• 1 set of Energy Cakulatbns lor heated addltions
• 1 sfte survey for exterlor additions & decks
• Indicate if home served hy septic system for addilions
VALUATION C?Lr-)
SITE ADDRESS I ? LR c C' cek ? MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ?,C- r l?d? -? FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT / /, / 64 5
STREET ADDRESS /2 `7
7ELEPHONE # _
?
12 7_-4 /Ij CITY STATEIVIV ZIP
CELL PHONE # FAX #
PROPERTY OWNER 7r1i S%A_S' TELEPHONE #
----------------- --------------------- ------------------ ----------- ------................... ---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672
(4 submission type) • Residen[ial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phone #
Plumbing system inciudes: _ Water Softener _ Lawn Spruikler Fee $90.00
? Water Heater ? No. of R.I. Baths
No. of Baths
Mechanical Conhactor: ? ? ? e #
Mechanical system includes: Air Conditio rV Fee: $70.00
Heat Recove 1 6 7?02
Sewer/Water Contrdctor: Phon #
.,e?.--W.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinp es.
G .
Signafure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 5torm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Mufti
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Fina]/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
SINGLE FgMILY DTiiELLIAGS
1989 BUILDING YEHMTT APPLICATION
CITY OF EAGAN
Li 6 ti ? o
l?ILTIPLE DWELLINGS
?
COI$ERCIAL
Z 3ETS OF PL9NS 2 SETS OF PLLNS 2 SEfS OF 1RCHITECTURAL
3 AEGISTERED SITE BnRVEYS REGISTERED SITE SUFt0EY3 - i SYRDCTQRAL ?LANS
1 SB'f OF ENERGY CdLCS. (CHEC$ iTlY'H BLDG DI4. ) 1 3gf OF SPECIFICATIONS
I Sgr pg' C,LCS. t SET OF ENERGY CAI.CS.
MULTIPLE DiIELLINGS RENT9T. ONTTS FOa 3ALE DNITS # OF UNITS
80TEt iDDRFSSES FOR CORNEA LM - QONd'AlCfOAlHdMEOIiNSA liOST DESIGNA3E i1HICH ADDRESS
IS DFSIRED. 1QO CHA[IGFS iiILL BE ALLOiIED ONCE BUILDING PEAHIT I3 ISSIIED..
SEWER b NL1TsA PERMIT FEES lAD ACCOUNT DEPOSTT FEES WILL BE INCLODED Ti1ITH THE BDILDIN(}
PERMTT FEE. PHOCESSING TIM FQR SEWER AND wATEA PERHITS IS TAO DAYS ONCE e PEAMIT H11S
BEEA CAMPLETED INDIC9TIItG A LICENSED PLUlIDEA.
PENALTY ePPLIES WfiENs PERMYT IS NOT PAYD FOR YN SAME MONTH %T IS REQUESTED.
LOT CHiNGE IS AEQQESTED ONCE PERMIT IS ISSiJED.
To Se Used For: 'D e-- c-? Yaluation: "--' Date:
:>? te Address q tc / ner?'(Q OFFICE OSS ONLY
I.oa ? Block
Parcel/5ub . ') ADOa
Owner
Address ?--fS / -
City/Zip Code
.
,
r A-iY . 1Yt ? ,
lA.
Phone j? F/° -/ AT- e3 /
Contractor
Address
Citq/Zip Code
Phone
Areh. /Engr.
Address
City/Zip Code
Occupancy
Zoning
Aetual Const
Allowable
# of atories
Length
Depth 82,
S.F. Total
Footprint S.F.
On site sewage_
On s3te Well MiiCC System _
City water _
PRV required _
Booster Pump _
APPAOYAIS
Planner -
Couneil
Bldg. Off.
Variance
Bldg. Permit ?lc-
Surcharge
Plan Aeview
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aeet. Deposit
S/ii Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
(:opies
SDSTOTAL
Penalty
?OTAL
Phone #
2422 EnterpNse C*t've ??
Meexlota He0b, MN 85120 ,
1071881•1914
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c .? (
i
IJoTE _ -1b \ `? r
Thrs parfion °t Pprfy %s sdb1'ecf fo
t'ufcire /and lrdnsflr? and is excPpfed frow
r t1,' .?, _. .
?hig cer f ? ?cqf? o s?rve , ?
t t J` By ..__?
FAGAi'd EIvGiDEEJiTNG DEP7
<900.0 Oerlolr,; exisliq Ffevlul,c?r1 O?OPCSe'11 NCUsE EL,EVAt"IONS
benofes roos'?d EItvcrfion
Utnofes b?ncr e ?`Ulili? E?rsemer?t '?esI Flovr fleVation= 88d•?3
---;- Denvfes Draind?t Flaw Arraws . 7vp of vlack E/evofion: u4.33
GaMQ slab [levalion= 8 ,o
o /)enofes monumen f
BQarir?s shvwn aj•e assumed Sub.iect fo tasemenfs o,rrecord
`?' LDT 1_, BLOCk 1 LE'XlNa7'ON S'QUAaE 7TN p0v.
bAKoi'A CpuNtY ,MINNiF507"A ?
I hereby r.erilly thet thU eurvey, plen or rrport wes ? -pr-n?j r.red by me u r my dlrect euperviston and that 1 em duly Repislered Lend Survevor
under the lews ot ths StstA of Minneton, Oeled thle ???dev ol A.O. 19_a_
.?- .
' fi ? e?
1 ?nch , !? (? '
? 486•00+
? 39•00+
243•00+
1i 79b•00+
J? 2>>64•00*
?
ti
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 10611 0 µ
INCLU E 22?ETS OF PLANS, 3 CERTIFICATES OF SURVEY 1 S T OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGE3 WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COh4MEERCIAL
INCLUDE 2 SETS OF ARGHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICAPIONS AND 1 SET OF ENERGY CALCULATIONS
i
To Be Used For:
Valuatioa: 7 30a) r
Site Address
Lot ? Block J
n
Parcel/Sub L? Y ; r% t,? O
Owner ?! ? /o.f Ra ,? ; c? P ? ?
Address 7lybG. I/ eYnt./d ??e ?
City/Zip Code gf-a 6? ,r n
s1?1- '/o 7s' ss?a?
Phone
Contractort_ o//c g t L,? 7y C/-'V n fq
--rr Address
City/2ip Code
Fhone
Areh./Engr.SG irs egj C o n-?
Address
City/Zip Code
On site aewage_
MWCC system ?
On site well
City water ?
PRV required _
Booster Pump _
Date: /0-?8, ??
Occupaney Q-3 M-I
Zoning PP R-I
Actual Const V- N
Allowable V-N
# of stories
Length 50
Depth Ha;t
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 463G,
Planner Sureharge 134, po
Council Plan Review Z k3,tx0
Bldg. Off. .oll q SAC, City I oO,DO
Variance SAC, MWCC SSOi OD
Water Conn
c7
550, 0
Water Meter 69.00
Road Unit S. op
Treatment Pl zpU, 00
Parks
Copies
TOTAL
Phone li
vALuAT,oo
?+r A 4
• M ..!
ZoX2?.~ LIyO X ?4 = (01(o 0
-----.--
26XZ6; ?`?? X 13 Z S?Bs
lllt X ?-I %
z?7 r
124 j
ZI
IZ83 ? `I9 = 6Z6G?
?-
??lBiS
f
r
,
i? * * *
* PIONEER
* eng ?neering .
? ?c *
LAND9URVEYOR3• UVIL fNGINEER3
VO PLANNfR9 • LANUSCAP[ ARGHITEC
2422 Enterprise Drive _
Mendote Neights, MN 5512U
16121681-1914
Certiticate of Survey for. __ COI L E G E CjT.)l C
aNYT
Q ?
nIORTN
? g1?8
? 3°B •` ??g=4b90
s6?°s
?6SY'
,(? ??' °•? ? i ?'? ? ? ? ??g: b•?9 ?
.,
?
o
vsw
9
4=' / oi??•3j -ot,ti4 - ??? ,? g?gb
88a ? ?`• ? ta? - ? ? '4oa 5?': -?? I 'I
i
o o ?
62-.5
I
?
%J?? I'
. •' ?6,? ? MICi .? ? ?
?v
sX
?
r a
N,
?
v14:s
?
? .? ?\ ? - •- --I_ _?
T?rs porfion at ?ro?erfy ?s sc/b1'ecf fo 4''?'?.?. ?`?
t ufyre land Aranstl?r? and i5 elc??fe4/ from
Date
EACAa?? ENGIa°4:'E]EM?,TG DFPT.
g 900.0 G'ertuf-es exis#irr E/evo/icir1 PRUP0560 NousE ELEVqTI pNS
= 9ao.o _ Denofes proposd Elevativn Lowesi` Floor Elevafion ? se6133
Denofes Drainqlfe ?Ufilify Ec?semenf
-- DBnafes D?md?? Flaw Arrows . Top af elock E/evafion= 889.33
o Denofes monumen f GaMe Slab flevalion= 8.o
Beariri s shown are assumed Sub,iect fo tasemen15 of record
LoT 1, BLOCkI 1 LExINGT'oN SQUARE' 7rN 170D.
OAKOTA CpuNTY )MfNNE507"A ?
1 hereby r,artlfy that thie survay, plen or report we? pre nred by me un er my direct sapeprv?ision end that 1 am duly Hegietered Land Surveyor
under the lews of the Stete oi Mlnnesota. Oeted thie dey of A.D. 1931L
,?. . r'\
J? CQrle : 1 rnch a Q 0t?e? _ • z/_
p . 0 BEC7? 8. IKI H L5. O. NO. IA 91
O
f 5 •?• .. F.,w" .. .._ a. 1. ,f
` EXTERIOR ENVELOPE AYERAGE "U" C014PUTnfION
aamEa
S1TE AUDRESS
GON1kACT0fi t oGLEGE DATE /0 PNONE
Determine working square footage of each.
1. Total exposed riall
ZOl9
area ......_
5q.
ft.
x_?_
" 2zZ
2. Tatal roof/ceiling arca ...... sq. ft. x,oZL ° ' a•!?b
7ota1 er.posed wal l area above floor = 2019
a. Total wall window area ..............:............ ___2??_
b. Total door area .................................
c. Total sliding glass door area ................... -? 40
d. Total fireplace wall area........... ............ '?-
e. Total wall framing area (average 10?).. .:..... •••,,,_,I ??qZ
t. Tatal net wall area above floor .....•••-••••••?• `??1
g. 7ota1, rim foist area ....•••••••.••••••••••••••••
Total-ezposed foundation area = 01
' '• o
h. Total foundation window'area...:................. ?Q
1. Toal het foundation area above grade .......:.... ?
Determine'"U" value of each wall segment.
a._ 7 S-7 ,?- X "U" •''-?-?--- @ ---?---
b• X pU„ ? ? ?2? - a • b '
c: ?Q 'X 4UN , 34b .
?
d _ x "U"
._ -----
e. X "U" .09
° --i-
f. 13qZ X "U" .oA3__
. g, I 31 ? x Null .0_d:l ° ._. ? --
_
. h. O x MUN ? n?-
i . ?.? _ X „u" ' o a ?--r
_ _?
3 ........................:............Tota1 ?
]f item 13 is the same as, or less than ite i f?ave met the intent
of SBC 6006(02.
-. _ . .... . ._._..... ,
i
Total..expased roof/ceiling area a 133.3
J. Total skyliqht area ............................. _ --
k. Total roaf/ceiling framing area (average lOX).., ?1•?,, -
1. 7ota1 net.insulated roof/ceiling area........... _ ?lG q.
Qetermine "U" value for each toof/ceiling segment.
x MUn _. ? _.
k. l'? Q x MuN S';4V
1._ , I 1??} x MUn , 02Z
4 ..................................Tota1
If total of 14 1s the same ass or less than :2, you have met the intent of
SOC GOD6(c)1.
Alternate Bullding Envelope Deslgn
To utllize the total envelope system method, the values established by the
sum of items 13 and 14 shall not be greater than the sum of items il and 02.
1. . + 20 p .
:--_
a.
3• ? 40
K Nln L,c
. `,
ANA1.-f 5ia W .?.,--.
va1. uF.
?
?YYI NDoW AR?A :
71rPO op` W)NDQ1N i
6/J3"%NSYL &A3S
7ui wiffloow uuirs HAVt Bri?J Tit?'eP Ro4. "s4'LVAL-%4*, tWAY Akc ,ts 1.1614P
ABoJC qyv N?4y di 4ssiO4410 .1A 40rai4N (s.iR) VA&,.wc. a/ "R?• 2.8
IAC4ND?Nri AIR /ILMS r.,
1/ .
ootA A ,_
v?.... ?"/o•r?aL
FouNpArIW WjNpow AREA:
TYPE of lh'00400w :
TNF- vv.NOoW eI?sn N4ofE. BtW TLSrtD PoR'12? v,"•.•s, rHwY All9*s (jo''m& AO0vJ6 wup
MIr Yr As114NL0 I? VA1-44L 046 'RNM - Iu41.W00449
A14 #14M! ? .
= foP/A y1. + POOMqL ? ---
a
t4?: I I? M• I I ?
,SLIDIMq (?L.A56 Wo P, 'ARtiA% IYPL aI? DooRt
S?g INS?c.?G?-•
yI.IP1Nq 4 1.49A 000ltB NjP, YC fiLR?4 'f1.i'?LO FoR"R=YA1..4TW tY IuAiY?
AAakfI AdP A3.ioyNw-p A D/fICIJ4C•009) yAI•NL O1? 1?
AlO f1A-MS ? Fv+Ti4t-'s
Nys • V'?l? ? i/ '
DoOR /1RAA :
' TYP r. O P DooR 1
-rN eW-jkA^ T2u
pOCQ UNI'TS HAYE. 6LEN TCiTtO AWO Roue1o To NAVI. 44
'R%-YAItN• k Nfj AiA III.Mi #
/Z 9 FmrnA L r.4
SPeGlALs :
ryp& ;
wRM t•# M.,,-FU
, ? ? 11rvv w rr r.-ti ;n-n•.,?•.: ?•.r {s?• ur ;afy „G: •
. . ? ?
v
RiM J'o, s-r Alce.^:
? l,R' • VALue
.bI _I NTEFLIo& ,,14 M M
oooo? 19,0 _ I usU LAr?oN rR•/9 )
:. •"'`?!-'-?---- . 2,012 LnP
.,
I1h11 soF rwooo
• !j.E,(T6R Ia R q IR. r-11-*1
24.39 roTAL§q..?' vAi.wc
1 2_, =2= -
=TA6!Mr^yt
FOUnI O AT IoN WA1-1.. ARp% CADvvL yRwoJr.D
»R" vA L uE
.._.?=1NfER102 Arrz hL.•%
.85 ,?$ '' aaaeR r r,r oLoe4
zA 4I s?,RJFw l )
c R.
• ? ExTLkIoR, AM flL?h
w"rOTAI.JAUu.w
",4 . • ) / 2(o 3 .. ?e7y 1
roTAL "TAGL
Mr.NI 9-0 iahAwlb OKu I ,,,,`_, 904ueo _
, . • K -AfVd' U. "PA 6.1IE.
. ;
. ??
.J
SrUa / FRAM IN4 AR"L AN:
VA L &.L a
?
_.?`?TNrc?r?oR ?,R??H
?.?'S ? Z GVaf!!M WAL??On?a •
I
?,5? Sor r vVo.o
?b7 LAP S?ciNC, . Z _
-- ?,... vA,%,e aAaRI«.
rrtAloR. AiK. rOA-Nt
0 9?3o rn L I R..#; . JAL &? L.
? • I/'-? ? 1 ? ae? :,?
To rA L wor^4 C.
?1J5 LL4.A"rLo AR& A.- BfrWLaN' -Sruos
.,R•'- VAwu,l.
- , bl r11r[etoa A#A roLM
N
4YPsu,?n y,iAL441eneo
?l
•l.Ja_ iusutOOT io•.r -(a,19 )
?,..?SNL?TN/N4?U?I.TR1"tE ?
. ,b7 ??Z s? o iu4 lAP
vA p o ft.R., c ?..
• 12=60AML1OM AIR. M??•M.
jijkxO1 A L PJmou VALLA i-
?•tM.
roTAIO roorAc 1L
M L-4 IMv1b Rs
VAf't1 204u60_, .
.
K I?•`?Y ti3r? ... . {???i. ??I?IA??'?iY\?3 • VI??1/tt?u`r9Sj?'??.'f/!Y•'?r?+.rr-rw?
JoIs7l FRAMINI4 ARt h -
?R•• vq 1. LL 1:
.61 INTERioR AlR riLM
, 75 3? 5otrwoao •
052) 5 GrYPSwM WA«JoANO
YA'PaR G?KIMK.
( NTteR ioa. AlOl P116N
? `'-" t fOT AL "p;.J V4t.l.[
Y
A, a?
•R` - VAtUa
.121 IA/TEROOlj Aiit PILM
?JNlu.l.?TIAN CR•? ?
.S? ?(?yPS4M WA?DoqtO
INTERloIC AIR fILM
q-5.3 ToTA L •R•.t;,
VALLLE.
oux ?° M
'IbTAL lioof4G#•
ToT A1. peorAr, 9 .?
INSu4A.T90 ARIA _ acrW«N rNt rois,-s
o4A 117 1 01076lt.
p?tr? s??rd
APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTIQN
*. ..., --- _ .,.. ............
? NJPE: PAYNffNf OF FEE AT TIME OF ..
„
* APPLICATION DOFS NOT CON- .`t
? STI1[]IE APPRCdAL OF PIItNIIT. .*.
; inSPFrrroN oF sE,ax AND/ox wr.zEa ;
II15fHISATI02YS WII,L NOT BE SCkD[R.ID .*k
i*, [!KPIL PFIiDffT HAS BIISI APPROVID.
fr**xrttt#r+ttis*?r,t*?:t?tt?:rftitttt+*
lty oF ecicicin
lT?rL'TCC nnTnAn
1) PROPERTY ADDRESS:
Lk7GAL DESCEtIPTION;
IF EXISTING STRL'CT[)RE, DATE OF ORIGINAL BUILDING PMMIT ISSL?ANCE:
Nbn Year
PRESENT ZONING/PROPOSID USE:
Q COPM7EEtCIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
Q . INSTITC?TIONAL/GOVERNMENT
2) LVAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • : ?NAME: "o,in
ADoREss: 1 i) i q
I=L,-rR-1 SINGLE FAMILY
? R-2 DLPLEX ('1wo T-Inits)
? R-3 TOWNfiOtiSE (Three + L'nits) ( L'nits)
Q R-4 APARTMENT/COAIDOMINIL'M ( Units )
'„cl 1TL
CITY, STATE, ZIP: 11j, ? ? ?n d'5^1
y
PHONE: ? ?y y1 .y q . MasTER LzcEvsE #
? U
For
2ltmuDers j?icense:
? Active
Expired
Not recorde(f
st Ia nL=
s.?,?31?'? • .i? ?: ll
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
6)
***********************?x*************************************************************************,
* THE GOLD COPY OF Tf3E PERNIIT WILL BE SENP DIRF)Ci'LY TO PUBLIC WORKS 70 FACILITATE METII2 PIQC-IIP. ?
.*k PLF.ASE AL,LAW ZSaO WORKING DAYS E'OR PROCE55ING. SOMEONE FROM TfIE CITY WILL OONrAGT YOU IF TfIERE ;
* ARE ANY PROBLENIS. ?
>
?*************************************************************************************,r************;
E:l CONNECTION TO CITY SEWEFt t? 'CONNECTION TO CITY WATER F] OTf-Igt
FOR CITY USE ONLY
PERMIT # ISSUED "
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE)
?
?`U !J
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /??•Q`t ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ _ $ WAC
$ ? 5-O ' CJ U' $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT P
- LANT SURCHARGE
$ $ OTHER:
$ $ aZj TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED By:
TITLE:
DATE:
2004 RESIDENTIAL BUII..DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
--L'70 C) CJ
New ConsWclion Reauiremenis RemodeVReoair Reauiremenis OYfice Use t?nN
3 regislered site surveys showing sq. ft o( lot, sq. R of house; and all roofed areas 2 copies of plan Cartp(Sucvey ReW , Y N
(20% maximum lot coverage allowed) 1 sel of Energy CalculaUons for heated additions T?e P?res.=P,?a?,n Rgcn
2 oopies of plan showing beam 8 window sizes; poured found design, etc. 1 stte survey for additions 6 decks T? P2s Requii?tl ?:_ ? Y= N
1 set of Energy Caicula8ons AddiNon - indicate Non-srte septic system X04e1S0* s'stem r 1'?•.; ??
3 copies of Tree PreservaSon Plan if lot platled after7/1/93
Rim Joist Detail Op6ons selection sheet (bldgs wifh 3 or less units
tion Cost
Date Construc
Site Address 1
K'f. *? C`('e'?,L FOl • UniUSte #
Description of Work lCA V?11 S ??`-?M' S ' ^
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
P
t
O Telephone # u+91 -qS-3 ?-
wner
roper
y
RMA HOME SERVICES, INC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy.Ste. #200 _ City
State Atlanta, GA 30339
763-542-8826
ephone # ( )
BC-20268257
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submiried Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #? )
Mechanical Contractor
Sewer/Water Contractor
#(
eVUq Tq"?'ephone #(
I hereby apply for a Residential Building Permit and acknowledge-Ehat the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. . 1 .-,
Applicant's Printed Name Afplicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ F'ueplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
O 07 05-plex ? 13 16-plex ? 20 Pool
13 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 11 10-plex ? 19 Lower Level O 24 Stortn Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
:-? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
_ Occupancy MCES System
Zoning City Water
Stories Booster Pump
_ Sq. Ft. PRV
_ Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wal]
Building Inspector
Installed
Siding and Windows
LIMITED POWER.OF ATTORNEY .
CUUNI'Y OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sa?es loca+_Pd at 660 Menlelssahn Aver_ue North, Go'den Valley, T?IiV
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Pernut Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attemey are
limited solely to the express powers delineated herein and appty solely to the Work.
This Limi*ed Power of Aftomey shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN W11 "INESS WHEREQF this Limited Power of Attorney is exectitcd th:s
21st day of May, 2003
.
I?
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003. ?
?
Notary P ic in for the State of eorgia
NZy Commission Expires: January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 951 Kettle Creek Rd
Lot: 012 Block: 1 Addition: Lexington Square 7th
PID:10- 45081- 012 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Home Depot at Home Services, The
5169 Winnetka Avenue North
New Hope MN 55428
(763) 367 -9740
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
- Applicant -
Owner:
Douglas W Robideau
951 Kettle Creek Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$69.00 0801.4085
$1.00 9001.2195
Issued By: Signature
Building
EA074898
08/28/2006
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 951 Kettle Creek Rd
Lot: 12 Block: 1 Addition: Lexington Square 7th
PID:10- 45081- 012 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replace
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Permit expired without requ
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
ed inspections. Letter sent 2/03/09 CE
- Applicant -
$50.50
Owner:
Douglas W Robideau
951 Kettle Creek Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA079846
09/18/2007
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Jan 14 13 12:55p AA Garage Door 651-702-0838 p.1
411!ii City of Eaau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: tl ® 1
Permit Fee: 5 5
Date Received: (- I 1.4-
Staff: x�n
J
J 2013 RESIDENTIAL IBUILDIN�GPPERMIT APPLICATION
1 ILI)(9��3 Site Address: 951 1(6441e.r�-f & Rd Unit#:
i Name: LI 11 1 an Roo dti 0 Phone: Ci V J r( / -9S3
Resident!
Owner Address / City / Zip: 951 (i _t IC. Cto ` ad esia i1 f/J .5-s733
I Applicant is: Owner V Contractor
r 1
1 Description of work: Replace_ .exi S-fiJ hj oyeriu_Ad gaol Ue QIN(
Type of Work
I Construction Cost. �'7-� �/y�� 00 ✓ J Multi -Family Building: (Yes / No )
f
I
Company:V(�! � AA � ✓(:,/+ No ( L( . Contact Dtb V aSe id s
Address: 40 -1 '' Ne..., y. City: S4- t (/t4L/ PikT(
Contractor s
J 7422/
1 I State: /'► iJ Zip: 5S-0 71 Phone: CF'/ f �^ / �—
L NIKy�
License #: Lead Certificate #: SK
1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i ,i2 - l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
iIn the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes If yes, date and address of master plan:
_No
1
I Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
1 Sewer & Water Contractor: Phone:
I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
I conclude that the are trade secrets.
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.aopherstateonecall.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 Budding Code must be completed within 180
days of permit issuance.
x 1 (J1 liO.Senl-
Applicants Printed NAme
x &/
Tpipaolet
Applicant's Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150527
Date Issued:07/12/2018
Permit Category:ePermit
Site Address: 951 Kettle Creek Rd
Lot:012 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-012
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Derik George
951 Kettle Creek Rd
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature