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955 Kettle Creek Rd w X00 Use BLUE or BLACK Ink ai Otfi c Use j Q ~L I City of Eafl l I Permit ~5` I f 3830 Pilot Knob Road Permit Fee; I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j 'n 2011 MECHANICAL PERMIT APPLICATION Date: 182' 20 1 Site Address: nn !S9 KH e Cfa-L f~c~7~1 Tenant: PCI- 111C&tC/ffi Suite RESIDENT/ OWNER Name: T clT ICY c 6ra"M ° ~,,Phho,ne: Address / City / Zip: S( E /~--efl-le (f ej.r /~-UQ./ CONTRACTOR Name: I 1 U.1 ~r~ ~n.t License}#-:/~~ t~_~ C- C7 Address: iq 04 vc ~ 1 t ( ~ City: ' 0,S r 1 - ~ ~ Phone: I._ T3 - 4 11 g / State: ~ ~ Zip ~ p~(~ ~y to 'l't1~ Contact: `le{ ~ 1,p: He 1 a ~r' nEmail: t • C I ~ Vl~ti ° TYPE OF WORK New 4 Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL /J. 7 RESIDENTIAL New Construction Interior Improvement Install Piping Processed Air Conditioner - Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) Other when installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Jamie tfww x rre. Applicant's Printed Name Appjlaant' Ws Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test _Gas Service Test In-flc(r Heat - Final Exterior HVAC Screening Inspection INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ? APPLICANT: . ? . ( ! . . V. TYPE OF WORK: I ;i ? , i INSPECTION „ • 4.f DA 1. I1', ,. r1 . ?s .....,f f1 i li, i I', ', I II), i f 11 I.ti 1.!1. .. I. f;'1; .., t.t. .'I I °,-*il ilJ f. I:?i;; ?A ? Permit No. - Permlt Holder Date Telephone M ELECTRIC 5 -7? PLUM8ING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST . FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 ? (612) 681-4675 SITE ADDRESS: I , . . ?. , „ PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: .. 1. , ; 1; - o-a HU( ! I) IN(i d: s,*,6 4 03 foE, J97 t riI ),i1,r A! T{ NR t t ilN ( I AUNDRY kO(?N) INSPECTION D. • DA Ii : rR?S!t! ti: A 51'PAkAIt PI PP1I1 1S, ftf"t,llilkk' U Fi)1? AN`t EI f!',7ftlt;Af ON F'1 1JIMN1N11 Wl)PoK PermR No. Permit Holdar Date Telephone 11 ELECTRIC 5 , 3 5 97 '!?Pa ? PLUMBING HVAC Inapaction Date inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. -7 BSMT FINAL DECK FfG DECK FINAL ,? ..... ;.... r..: .._...... ...._-,-. . .y,?_.,, BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check ? 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit ? ' . - 20-2275 SAC `i 20-3865 Water Conn. 20-3868 lh/atpr Trmt. x 20-3716 Water Meter 20-2252 Acct. Dep. r 20-3713 Water Permit ? 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. , ? _ . ? i j _ ? TOTAL - ? CASM REC)LEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 /. DATE ?19 ?? l??-L(LC--!?//i% ? AMOUNT B DOLLARS ia ? CASH ? CHECK , fFUND I 6B.IECT, I ? AMOUNT Thank You •,`' sv C wnn.--Peve.s covr velww--Poswe Covr Vink-Flle Gopy r SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DAT?, 4/20/F?;' 3830 PIIOt KnOb Rd. WATER PERMIT # ? SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT #1603 Eagan,,MN 55121 READER # B.P. RECEIPT DATE 4 20 b?i METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP I SITE ADDRESS PERMIT REQUESTED LOT?BLOCK-L_SEC/SUB_L'di,?;fa» y f;-'.' f?lI, y ? ? t APPUCANT: 0!7 11? P Z - SEWER - WATER _ TAPS Cs' +P 1 ro UC ?iy LC ADDRESS: 14 E9 _ COMM/IND _ RESIDENTIAL CITY,STATE ZIP PHONE: % =` NEW _ EXISTING PLUMBER: M-qlflEt- 42r4-y"/ ??UHil?i N?l Ih G, ADDRESS: ?S~ ?./ /& I AGREE TO COMPLY WITH CITY OF CITY, S?fATE ri-, ZIp S:S EAGAN f)RDINANCES: _ ' PHONE: : OWNER: ,fix')e)? c . ADDRESS: ? U• Rrx rlJ?f'9 CITY, STATE r/YYS ,? _? ? r> SIGNATURE WHEN METER ISSUED ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY aF EAGAN PERMIT DAT? 3630 PIIOt KIIOb Rd. WATER PERMIT # `SEWER PERMIT # P.O. BOX 21199 METER ?V-2 y 7d? B.P. RECEIPT #E =- 1601 Eagan, MN 55121 qEApEp #To?/,S"d g B.P. RECEIPT DATE `+ 2'' £'}? METER SIZE ?f Qa a-l< ISSUE DATE (- - 2 4 -09 - PRV _ BOOSTER PUMP SITE ADDRESS 7?'6TAP&IP (rePik YeC? E9 LOT ? BLOCK _j__SEC/SUB -r- APPLICANT: MP ADDRESS: P0, sar CITY, STATE r+s b• / /? ZIP PHONE: PERMIT REQUESTED I AGREE TO COMPLY WITkI-C1TY OF EAGAW-6RDIhANC5S: ' _ _ ?. _f- r, ......... PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. - SEWER _ WATER - TAPS ' • MECHANICAL PERMIT • , CITY OF EAGAN RECEIPT # 3830 fILOT I({IQB ROAD, EAGAN, MN 55122 DATE: _ Site Address Lot Blocl y Sec/Sub gLpG, Ty WORK DESCRIPTION Res. New Mult. Add-on ? Name - ' , . ? -- Comm: Repair ; m c I? ? Addres .. ? - viher 1 City . Phone ' FEES { ? Name '' RES. HVAC 0-100 M BTU -$24.00 ? Addre ADDITIONAL 50 M BTU - 6.00 3 p , City Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) ? GAS OUTLETS MINIMUM 1 PER PERMI - ( n - 1.50 EA. TYPE OF WORK ? COMM/IND FEE - 145 OF CONTRACT FEE Forced Air ? M BTU ? APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU $ TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater N( BTU - g REMODELS - 12.00 Air Cond. M BTU ¢ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMI7 - 50 Vent. CFM ? ? (ADD $.50 S1C IF PERMIT PRICE GOES Gas Piping Outlets # • SEYOND $1,000) Other FEE: ? S/C: SIGNAT-URE OF PERMITYEE . TOTAL: , FOR: CITY OF EAGAN PERMIT # `r- PWMBING PERMIT CITY OF EAGAN RECEIPT #,/ -- Q'Q 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 0 / y Name I I r? #fJ`k'r61R' ?r m Address ?'i/Q,_____9? c Ciry k.e?,C 411tJ;-1?' Name C(y 3 Address iji/Y , ,O Ci1Y 4",-c!??`.•,/??' Phone I 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) BLDG. TYPE WORK DESCRIPTION Res. " New ? MuH. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI ?.,Wa1er Closet - $3.00 $ ?? • :?G _LBath Tubs - $3.00 .% • ? _.2-Lavatory - $3.00 f . ? ?-Shower - $3.00 ?. .? __J___Kitchen Sink - $3.00 _Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 3 Floor Drains - $1.50 ---/-Water Heater - $1.50 _Whirlpooi - $3.00 -L-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) -Softener - $5.00 -well - $10.00 Private Disp. - $10.00 ^ ? Rough Openings - $1.50 ? -" SIGNAT? E OF PERMITTEE ? FEE: STATE S/C: I FOR: CITY OF EAGAN GRAND TOTAL: -' I ,_ C--' . • (Irrfifiratr n# (Orrupanrg titp ot eagan' lgppnrblPtlt Of l1IlldTtlg J1i8pPft111t1 This Certificate issued pursuant to the requiremenu of Secdon 306 of the Uniform Building Code ceniJying that at rhe time of issuance this structure was in complrance with the varioxs ordinances of [he City regulating building construction or use. For the following: u, cwmsauoo SF 1JVIG1R emg. pe,.jt tao. 16316 oa„P,ncY tya R3/141 zooing aW;u PD/R) Tnx ConsL VN o,.ner or eua"o?? UIS1CM HQES INC. Addnw P.O. BC]}C 1049, B"VIIFE smlatng naar=955 KEME q C%lAD L .. ;tY L2, B I, IkXrCiLN 9QUATE 7IH ? J[M 30. M / Buil g Olfic POST IN A CONSPICUOUS PLACE S' '• / , t CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 To be (ised for `7 DWC/ri11R $950000 . '? ?> r4 .• +/ Fieceipt # ' Date APFK f 9 , t s`Site Address ' 15 .- LT1'12= C,'F?rgK RD w Block I SeciSub.Lr XFN678?V SQ 77'Ii OFFICE USE ONLY Lot Parcel No. occuPancy R °3 LU-1 FEES 11- , F"D at Name _ PETC.U ;? : !i. I ?sC .; 2oning (Actual) Const - Y-s Bldg. Permit ? ?;• -' o Addf@SS Z' () ?X 1`•,- . City WRt?SV;U'.? PhOfl@ 454-§3???? (Allowable) #ofStories ?-? ? ?? Surcharge `47• ? planReview •00 o Name Lengih Depth 4a , Ciy 1?' 0• ? SAC Z . vi Address S.F. Total - SAC, MCWCC ???' • 00 i- Clly Phone S.F. Footprints - WaterConn ?•?ii.(.7G OnSiteSewage Name On Site Well - Water Meter ???? •? [ii1c City Address Phone MWCC System ciry water ? y? 3u ? Acd. Deposit • 20.00 it SIW P PRV Required - erm I hereby acknowlege thal I have read this application and state that the Booster Pump - SiW Surcharge 1•01 infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ,? 2? ?? Signature of Permitee APPROVALS Road Unil 340• Zu-' A Building Permit is issued to: ?? ? F?E? Ct?:.`i'Jff FlOt1I:$. I*i Planner - park Ded. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Councfl gldg, pry Variance - - Copies TOTAL 2,938.50 • Permit No. Permit Holder Dete Telephone # WATER LZ5???? ?` ?u'?vccE?. •J?L' , SEWEA PLUMBING D 1j?g,5 7 0 ? %15 L H.V.A.C. IIO?J ^??v 5/0 ELECTRIC Inapeclion Date Ins . Comments Foolings I :i . .. Foundation Framing 3 ? QS Hoofin9 Rough Plbg. Rou9h Ht9. IsuL Z3 Fireplace S (f Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector- Plumber Engr./Plan Bldg. Final rJ? Deck Ftg. Deck Final Well Pr. Disp. ss $ ? ,? Dare: 4/20/89 RE: 955 KETTLE CREEtZ 4iD, L29 Bl, LEXIHGTOIV SQ 7TH xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: . ,? Your Sewer & Water Permit for the above property has beengompleted, but the meter cannot y be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Piease pay for metp at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - - REQUIRE"Y LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. " e Secretary, Building Inspections Dept. ?ti ?--- DATE: 4/20/89 - RE:955 KET`fLE: CRSBEt YtD, 1,2. Sl, LEXIP3GTON SQ ?'CH XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons Your Sewer & Water Permit for the above property has been,completed, but the meter cannot be issued or occupancy allowed until further notice. ?' b , - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNI7Y DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building InspecYions Dept. CITY OF EAGAN N9 16316 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8700 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $95, 000 Date APR 19 , 1g-89- Site Address 955 KETTLE CREEK RD Lot z Block 1 Sec/Sub. LEXINGTON SQ 7TH OFFICE USE ONLY PHfCBI NO. Occupancy R-3-1i--1 FEES P 1 D R - Zoning w Name METRO CIISTOM HOMES, INC (Actuap Const V-T1 Bldg. Permit 618.00 Address P 0 BOX 1049 (Allowable) V-N h 47 50 o City BURNSVILLE phone 454-9383 # otstories - Surc arge . 3 9 L 1 PlanReview 0 .00 Length _? . o Name S? Oepth 49' s,ac city 100.00 Z AddreSS S.F.Tolal - , 575 00 SAC,MCWCC . ? CIty Phone S.F. Footprints - Water Conn 9R(1 _ f)(1 On Sife Sewage _ r ww Name On Site Welt - Water Meter 90.00 _= AddfeSS MWCC System 00 30 Acct. Deposit • aw Cliy Phone City Water ._}? S!W P it 20.00 PRV Required _ erm I hereby acknowlege that I have read this application and state that the Booster Pump - &W Surcharge 1. _(1(1 information is correct and agree to complwith all applicable State of Minnesota Statutes and Ciry of Eagan Ord(na ces. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340 _ 00 A Building Permit is issued t: METRO ClTSTOM HOMF.S ? TN Planner - park Ded. on the express condition that ail work shall be done in accordance with all Councii - applicable State of Minnesota Statutes and City of Eagan Ordinances. 81dg. Off. _ Copies Building Of(icial i ?,p?'?,? ??? Variance - TOTAL 2,938.50 S' ? 1508 6 2,, , ?7 & 065 ' Reque + Fre No. P -in Insp ion Re iredl ?"/ ? Reatly Now yywni rvotify Inspector ? ? N. When Reedy? I censed contractor ? owner hereby request inspection of above electrical work at: • Joh ss (et, Bo2,or Ro e 5 TS'lezimIj City 4 AJ ? Section No. Township Name or No. Range No. Counry ^1# C/ Occu ? (PRINT) " M?S ?f 2D D o??om Phone o. -Q' 3 Pawer Suppl' /? . ies A n ??.E. I Atltlress Elec[rical Contractor (Company Name) Cqntraqw'. lIbense No. " 7 T d FQT' ; n 1tl?C11 fation 1Y540JCLilVT 1VE J 9 ? AuthAJ)pdat?f ?`ancr?7? ?ki la?' 6 124 ?JL ? d Phone NumGer MINNESOTA STATE BOAFiD OF ELEC7RICffY THIS INSPEC710N REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE ST.4TE BOAflD 1827 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS Phom (e12) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See inslructions (or completing Ihis form on back of yellow copy. P 15086 X" Belaw Work Covered by This Request .r« ea00001-07 " l?? 3?7 Cv e A Rep. Type of Buildiqg AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ? ' Apt. Building Dryop Other (Speciy) Comm./lndustrial urnace Farm Air Conditioner ' Other (specify) Conlraclor9 Remarks: Compute Inspection Fee Below: #• Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee . Swimming Pool 0 to 200 Amps D to 100 Amps Transtormers Above 200 _ Amps e 1. 0_ Amps SignS Inspector5 Use Only: / TOT L ? Irrigation Booms Special Inspection Alarm/Communication Other Fee ? I, the Electrical Inspector, hereby ii h Rough-in Date, ?? cert y t at the above inspection has been made. F;nai • ?? ?? OFFICE USE ONLV This request void 18 months trom ///.:: P - Y/ x 5` ? 04665,zw -131- 1 yavZ-5 9 Reque ate ? Fre o. Rough-in In ' n Requiretl? ? Yes ? ?o ? Raedy Now ? Will Notify Inspector When Ready? I ' nsed contractor ? owner hereby request inspection of above electrical work at: Jo ress Sheet. Box ar o.) ? ?? Ciry Section No. Township Name or No. Range No. Counry ant (P NT) ? / . i v T!J Pho o. s X24 Address Electncal Contractor (Company Name) KENDRICK ELF.CTRIC Contre or5 Li nse No. Mailing Adtl1s???? ?NOeKoLANE Authori o idg on Phone Num6er MINNESOTA STATE BOAfiD OF ELECTHICRY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5773 BE ACCEPTED BYTHE ST.4TE BOARD 1821 University Ave., Si. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION jf? See instruCtinns lor completing this form on back of yellow copy. P 04668 "X" Below Work Covered by This Request •-• es-oo001-07 U /C?CJoa New 'Add il- Rep. Type of Building AppliancesWired quipmentWired Home Range emporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speciy) Coniractor5 Pemarks: Compufe Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A _ Amps $IQnS Inspectork Use Onty: (? TOTAL ?d Irrigation Booms Special Inspection ? Alarm/Com mu nication Other Fee I, the Electrical Inspector, hereby th tif h b i Rough-in oate cer y at t ove inspect e a on has been made. F;,,M Date OFFlCE USE ONLY 7his request void 7H monlhs from J151 ??'J OFFICE USE ONLY lliis request void 18 months from volidation dote printed in this bo / r ?7? 7L I IIII II I?I II III II III II III II III II III II III II III I IIII??? ?? ?' ??? /? ? v ? * O 4 5 6 7 2 7 7* PLEASE PRINT OR TYPE ?O R ue Dale Rov bin ins ion r uired? g pecl eq ? Yes No (You musf call the inspector when reody). inspeclion Olher Than RougMn: ? Ready Now 0 Will Coll DaM Revdy: I, licensed conhactor 0 owner hereby request inspection of the above elechical work at: ) b?Pddress ISheet, Box, or Route No.) Ciy Zip Code $acfion No. Township Nome w No. Range No. Fire No. Cwnty Occu Ph N:"3 Ca L Power Supplier Address EI I Conhoc?or ICompany Name) ? ,e?-?4- Con actor Licanse No. C?? ?? 2-03 AAoster lic. No. (Planl Ele?t. Only) Moili ddress ? ottor or Owner Pe ing Ins afion ?? ?? ?_1? 4 z Signatare (C ctor af n Pedorming Installafion) ? i?y P one ' T t// y §707E BOARO COPY • SEE INSTRUCTIONS ON BACk OF YELLOW COPY ?1,519 7 456-727 ? REQUEST FOR ELECTRICAL INSPECTION 7t?? ? ° ? y Minnesota State Board of Elec[ricity 1821 University Ave., Rm. S-128, St. Paul, MN 55704 - Phone (612) 642-0800 ome Duplex Apt. Bld . Other: New Addn Commercial Industrial Farm emod Re air Air Cond. Hfg. Equip. Water Hh. Load Mgmt. Ofher. Dryer Ran e Elec. Heai Temp. Service "X° above t e wor covered by this request. Enter rema[(cs in this space and on the bnck of the white copy only. ` y?-°?z?-'?Q,?Js? ?'j ?'v ? •y, .4=? ?4t?.?-?z ???-x Calcula InspecFion Fee - This 1 spection Reqvest will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Cirwits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Street LTg./Traffic Sig. Above 200_Am s e 100_Amps Tmnsformer/Generator INSPECTOR'S USE ONLY ? TO L Sign/Oufline Lfg. Xfinr. ) e? Alarm/Remote Conhol Swimming Pool I h d h h d d b d Ifrigafion Boom ere certi af I ins cled echiml installotion escri6e erein on RougMn e ates shta I Datn Special Inspecfion ' Investigative Fee THIS INSTALLATION M AY BE O Final UgOe, ? . / 3 ., RnERED ?I . E . ED WiTHIN 18 MnNTHS. 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 . New Construction Reouirements 3 registered site surveys showing sq. ft. oi lot, sq. ft. of house; and all roofed areas (20°k maximum lot coverege allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan 'rf bt platted aiter 711193 Rim Joist DetalOptions seleclion sheet (builtlings with 3 or less units) RemodeVReoair Reaui2ments Office Use OnN 2 copies of plan Cert of Survey Recd Y, "_ N 1 set of Energy Calculations for heated additions Tree Pres Pian Recd Y_ N t site survey for additions 8 decks Tree Pres Required " _ Y_ N Additlan -(rMicate If on-site sepGc system On-site Septic System '_ Y_ N Date Construction Cost Site Address n IInit/5te # GN N Description of Work /`? hl.(, 6k (/9'" ?wa1 Bld lti Famil Y M N 1 2 0 Fire lace(s) g _ y _ u - _ p _ Property Owner Telephone (o[}f%- Contractor Address State Zip ?? ) - - Telephone # ( BrZJ /) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that 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 permit; that the work will be in accordance with the approved plan in the case work which requires a review and approval of plans. fti W4;?? 3ONO NW Applicant's Printed Name App 'cant's Signa OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea,) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plez ? 18 Deck ? 23 Porch (screen/gazeba) ? 36 MuRi Misc. ? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Misceilaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bidg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Fina[ _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Approved By: , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total , RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN Q 3830 PILOT KNOB RD • 55122 4 1? c) 9 ? 651-681-4675 New ConsWction Reauiraments RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas • 2 copies of plan (20% ma)(mum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showirg beam & window sizes; poured found design, etc.J . 1 site survey for erterior additions 8 decks • 1 set of Energy Calculations . Indirate H home served 6y septic system foradditions • 3 copies of Tree Preservation Plan H lot platted after 7l1193 • Rim Joist Detail Options selection sheet (bldgs x?th 3 or less unRs) DATE e! ' 21"-t o. VALUATION h,., ? JOB SITE ADDRESS &?5 ,/?C?''f'TKE &?,f?-y-''? 1'2l? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORKI??Df?E ?'XI (SU?C"L'tyUSTllLCj IIG&k1 FIREPLACE(S) _ 0_ 1_ 2 APPLICANTY 444?2 bVQ26&? db/1'S% ? //fl:?' PHONE#475QL-iMf7-70113 ADDRESS 1144 PJZ. . ANIJLL-F, /1'I nL ZIP CODE55337 PAGER # CEII PHONE "?L-49 FAX #1 4Y - b.W_ NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category (check one) MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet SuC - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: _ Pluxnbing 5ystem Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Spx•inkler Water HeaCer _ No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery SysCem Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informatio orrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagam m nce . Signature of Applica Certificates of Survey Received _ Tree Preservation Plan Received v Not Required _ Updated 2002 OFFlCE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dweiling ? 08 06-plex ? 16 Firepiace ? 29 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 (Bldg)* ? 43 Reroof ? 46' Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant cG // Valuation Occupancy MC/ES System Census Code Zoning CityI Water ' SAC Units -- Stories ' Booster Pump• Nbr. of Units • ?7- 5q. Ft. ` - PRV Nbr. of Bldgs - Length Fire Sprinklered Type of Const < 1? -AJ tlVidth REQUIRED INSPECTIONS Footings (new bldg) Fina7/C.O. ? Footings (deck) x Final/No C.O. _ Footings (addirion) _ Plumbing Foundarion 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) _ Insulafion _ Reta;n? WaII ------------- - --- - --------------------- ----- - --- --- Approved By v ---- -- - -- , Building Inspector --- - ----- - - - ----- - - -- Base Fee Surcharge Plan Review MGES SAC city sa,c Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search . Copies Other Totat ; as ?- ?cr„i COMpflNy, INC. \.. IUUU EA9T 1461h BTREET, dURN6Y14LE, MINNEBOTA 5633T PH 432-3UUU Certi ricate o'f Survey Legal Desci'Ij)L'IUII: LoT 2, BLOCK /, LEXlNGTON 54111,49E l7AK,07'A COUNTY *7/NNE$OTA 7 TN 14D0 7-/oA1I (esS-? ) DENOTCS EXISTING ELEVATION ' (889.7 ) UENU'fES PflOPOSEU ELEVAfION .-W INUICliCi'ES UIREC'I"ION Or SURPACE DRAINAGE B96.00 = FINISI•IEU UARAIaE rI.AUR ELEVA710N 884,. 98 = BASEMENT FLOOR ELEVATION B9o- 33 - TOP OF BLOCK ELEVATION SCALE : /r = .l0 , Q O ? A ) ?U ?v ? ? ? 2 S, 00 ??l o lO' I? M,eTRo CUSTDM CoNSUITINU ?Na N4EAS PLflNfiEflS nnd ?Rf1A iURU6YoR9 3a' F,QONT 9014O/A16 SET9qCK GiNE (BB7. 7> S 87 °¢4, 3¢ „ E ?gBB, , /43, bZ RAD/!}L- !o . , ; o o?• / , V lo / 1 ? v . J W p WWh ti?h ? o 0?2 O? q W m ? O \ Q 2 7) 22.ao $1,??,? 27. N 6A/Li6E I ? -3 00 n 3 ?j 4, h a? S o (p89• ?) v _8 0 SB9.?) ? h ' ? W A ? h . 41 N $??l ?o ? W N ap ?889, ? ?'88?7 ? h ?t h '? d q? 1? 0 IZ O O ? N ` 1 5 N 69a'S8o ??.- 6z.5o "?8' So, o0 ...L'Y?.,....,:5 . ..!_ . . "_'. . ._..i. 1 ORWNAGE A1V/J UT/LITY ?fiSEMENT `88B• (a8s. 9) ( Iieteby ceillfy iiit?l 11tis is u Itue usid cotrect reptessentatioii o1 alroct o( Innd as sliown end described henon, qs pleputeJ by me on iltie'??day of f?1''e?L ,?y 89 . 00 Minti, Rey. Plo. - 13?° : ', • . t + ,. ' . . n . _& ? . ? ? . + ??? - ? .. . _ . . . . ' i. ,?' s • ??{'/?n? ?, ? -?M1(;m?'1??5•??TN?R•?W'i+'i?M?YT?i '+M'+{???X?Z".•S+T??{?.?,.W?. ?y?.? ^!1'Y f,E(-jt,AN ?` - '.'?; ?iAt?,?yi?f'•???t'w (?ry:L, [? ?n?)^?J , ?(`.E? V . SJl9 i.? ?: ?i !i.{vfny?i ": Y 1?':{r. ; :1? i v 1?i n `.( 'i' - ? NfiM.",? 'i'AT?UCl{ T MQl..'1AI?` y ,. , . . 3214? 9061 X..=rR? ? . . ' ?ia2•"_l. ., . . ` .;o. -. . - ? - . 7 , , -. ? . . . U . . d , t C1n,14 ?Fo `Gt, ',i5;::f??t)X'?'?'?}'??/?.>6#3N°'?:iiu{??? ,:C?:.?'M.?.il'1?' 7"Y r't>(?'?'S;,vt>? , 6 E1 . --\`?7CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-45081-020-01 DESCRIPTION: PEIZIVIIT PERMIT TYPE: a u TLo y u G Permit Number: 0 2 9 5 6 A Date Issued: 0 3/ 0 5/ 9 7 955 KET7LE CREEK RD LOT: 2 BLOCK: 1 LEXSNGTON SQUARE 77M (LAUNDftY ROOM) 8Vildi€tq?,Permit Type BASEMENT FINISW ?ui°1d*1n=g`,w4,rk Type ALTERATION 434 AL7. RESIDENTIAL „.\ • ? , ?, " ? j.? °.?`,?; «x:.... 1 y .. 'iT`M ?Bd? ?«? ? ?.{;. '7 p' s?,..i 1° REMARKS: A SEPARATE PERMIT ZS REQUIRED FOR ANY ELECTRIGAL 4R PLUMBING WQRK FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: OWNER: - A p p 1 i c a n t - MCGRATH PATRICK 955 KETTLE CREEK RD ? EAGAN MN 55123 (612)452-6266 L _' I hereby, ackn`nwle'dci e that" T¢have: reati th.is ap?Yica`tion„and `state that the infarmation ireorrect 'arrd `,agree to c,omply w1,x h a11; ap-plicableState_ of Mn. ? , StaCutesr'-and G?;?y?_vfi<'° ??9ari 3'Ord:?nanc?s 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???e?? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?? f?? ? B81-4675 ?- N?v ?onstruction Reauirements gemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies of pian • 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 sRe surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservetion plan 'rf lot platted after 7H193 required: _ Yes ? No • DATE: 1--? 7- G 7 CONSTRUCTION COST: 3? ?' ?? DESCRIPTION OF WORK: STREET ADDRESS: LOT ?_ BLOCK '?G»?+r?t??n., ?o??, iy.. l?wst,?.s? ? S'r ?2 ? I?, C.?aa. ??1- ?,_ SUBD./P.I.D. #: ?????11 ?4rt?inha ??"? .? ? 4,r? -?l)o- Ct.br?L PROPERTY Name: n" ? ???-- b?"?^"?``??-- Phone #: ??? 62 ?6 k`,?- OWNER ? ? ? C?? ?1e??? ?"? StreetAddress. e- City: ? u? G--? State: 1?^ ;?s-? Zip: ? r? 1?' ? CONTRACTOR Company: S? f? Phone #: Street Address: License #: City: State: Zip: ARCHITECTf Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): and lot change are requested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this appfication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ?NLY , i ' ?'?*, J Certificates of Survey Received _ Yes No - ,? , .,;??,. ? ? Tree Preservation Plan Received _ Yes _ No _ Not Required ; , ;?• 4 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex n 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. 0 10 = plex WORK TYPE ? 31 New n 32 Addition 9/133 Alterations ? 34 Repair GENERAL INFORMATI4N Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ,. r . . ? ?. t?e?? Gy#.`°1R ? 11 . Apt.ILodging .? 16 Basement Finish ?' 12 Multi Repair/Rem. 0 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Faciliry a 14 Fireplace a 21 Miscellaneous 0 15 Deck . . ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. MC/WS System ? City Water Fire Sprinklered PRV Booster Pump Census Code. - 3 SAC Code o 1 Census Bldg ? Census Unit o Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other `; • I. Copies Total: °k SAC ° SAC Units 11964•D0+ 2j 933-70? 1989 BIIILDING PEHMIT APPL SINGLE FAMILY DWELLING3 INCLODE 2 SETS OF PLANSp3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS 80TEs ADD&FSSES FOR CORNER LOTS - COAT9ACTOA/HOMEOWAER lIUST DESIGNATE WHICH ADDaESS IS DFSIRED. NO CHANGES FIILL BE 6LLOWED ONCE BIIILDING PSAMIT I3 ISSUED. MOLTIPLE DWELLINGS RI'sNTAL DAITS FOa SgLS OBIT3 • OF QBITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3IIxOEY - CHECg iTlTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIlMERCIAL INCLtTDE 2 SETS OF ARCHITECTURAL & STROCTORAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - APR 14 1989 To Be Used For : Si h 9 Valuatioa: ? Date: '4 Site Address 7SS keZf :f Lree-,Ft'uQ4 Lot ? B2oek / Parcel/Sub Owner ?? utiY/o? ?, Zk Gi Address F/;)-U36r2(h)9'?9r City/Zip Code ,D(?Nr,,sv?`? 5"5337 lisj 000 ' OFFICE Q5E ONLY Occupaney R-3 M-I Zoning P p R-t Aetual Const V-N Allowable V-N # of stories Length -?L-.q Depth lq9 ' S.F. Total Footprint S.F. Phone ya` ? Contractor lYle,4e- (,:?s/-j,,,, Address rt?? ?`Q%9 City/Zip Code Phone y?`? 93fr?? Areh./Engr. Address City/Zip Code Phone # On site sewage_ On site well MWCC System City water PRV required _ Booster Pump ` FEI's3 ? Sldg. Permit 616,0 Sureharge 14 r?,50 Plan Review 325, a o SAC, City ! Oa)t>b SAC, MWCC 5r) S, o0 Water Conn 580,D? Water Meter qp, °ti Acet. Deposit o,ao S/W Permit 2oloo S/W Surcharge ? 1.00 Treatment P1. 756,on Road Unit 3ya,00 Park Ded. Copies TOTAL APPROV6LS Planner Council ? /??? Bldg. Off. e>11d 4/6 ?/ Variance HOTE: Sewer & Water Permit fees and acoount depoait fees will be included in the building permit fee. Processing time for sewer and irater permits is two daqa once a licensed plumber has applied for a permit at City Hall. VA L lA A?-C`i GARAC,E' .?- Z. k 22? L4 e u X?s E'jm T' ?------- `?uX?3 _ 71c rti= 5?2 2.g= ?(.9 x??= 13s3? NouSC ??1 X2o - Sy o .23'f2)e24= S6y ?o,c 12'= ?5u ? x 5 = 10 ---_--- !4'7Z. X 50= r?3?00 43?s 9 r 0 .my y ? ?. , r?osE ?. ? COMpANY, I(YC. CoNSUlTINU 4N(3 NEERd PIRNNkfIS nnd ?AND ?URVEY0R5 MET20 CvsTONt `,.?.?..?...?IUUU EA9T 1461h B7flEET, BUfIN6VIl.l.E, MINHE601A 663lT PM 43Z-3900 Certi-ricale o'f Suiavey Leyat Descr1pLIUtI : I-oT 2, 91-acK ! LEX1N6TON S4614RE 779 140,017-IoAI, DAIC07-A GOf1N7-Y itr/IN/\/ESOTA (es8-> ) DENOTCS EXISTING ELEVATION ' (889. ? ? UENO'('ES pIiOPOSEU ELEVAfION --INUtCATES DIfiEC'I"ION OF SURPACE DRAINAGE 890.00 = PItVISI•IEU GAnA(GE 1=1.laUR ELEVA710N 886. 98 = BASEMENT FLOOR ELEVATION B910, 33 = TOP OF BLOCK EI.EYATION $ CA LE 30' - ,, • 2 s, oo • 30' FRoNT 901401A16 SETmCK LiNE (BB7. Z) QYW.7 ?a= 7.n?%. °• 0 ?.1 n O l?/ o ? N A ? ?Yy1 ?r ?v i jv? :i ./ N ? ; \ o ? v lo l f \ I ?-r -?-- ?---' / ,,'j (888.8? S 87° ¢¢' 3¢"E `88A.8; o°, ?? RAD g?3. 6?Z 22.onZ? ,? -?? 27.00 8 N 6ARA6E . ,? h t.33 ?? o ? L s° ° 23 5e I Wq ? h 14 II?? ?? o ? ??? Nl aa ? IwT ?88?7 h h ?889.7 h ?n N a \? 1-•_ hp ? il/ 690 80 /6S C ? / ' , ! - _ ,. ???s.. 3m? $?e$o W O ^?i M4? p??0 e Q( N M 4 ZWy I I5 ? I I? 15 J? V ? v J ? `D '?Wh ti?h ? o. ? v ?W 0 O$y W m h ? ? ? O :Z! `888• 9.? ?888. 9? ?..°"1'v:sy$a? X+ne i.:.? i?•{ ?:eu ?1714G dJEPb 49R41N46E AN!> UT/L/TY C-flSEMENT 1 Iiereby certl(y lhat tliis is a true nnd correcl reptesenlalion of a lracl of Innd as shawn and deacribed h•raon, As prepated by me on I1119-?edeY of 14PRIL ,19 89 , / oa?P22A-? o0 Minn, Rey. Plo. _ RESIDENTIAL BU1Lll1NG Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reouirements Remodei/Repair Reauirements Of(ice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan Ced of Survey Recd (20°/a maximum lot coverage allowed) 1 set of Energy Calculatlons (or heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey tor additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate i/on-sife septic system _ On-site Sepfic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date? / ? ? / C?? / p onstruction Cost l / (>CJ ` C Site Address / Unit/Stc # C/-? ??7L3 ? Description of Work V ? Multi-Family Rldg Y ' N Fireplace(s) _ 0 _ 1 Z Pronerty Owner ?Jlje,,,, . ///e ? ?/?.? Telephone # ( ) Contractor ZC5-57?e/ U ?l?y ? '? AAdress 16 3s C.//?t4-44P A.r, City VP57 5-% State /2i// Zip .?f ''/ r Telephone # (6S7 ) 5l?>7 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateec (v submission type) • Residential Ventilation Categc Submitted • Energy Envelope Calculations Licensed Plumber Mechanical Contractor Sewer/Water Contractor NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet I Submitted hone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accu1'a10; that the work will be in conformance with the ordinances and codes of the City of Eagan and the Statc oI' MN Statutes; 1 understand this is not a permit, but only an application for a permit, and work is not to start wilhoul ii permit; that the work will be in accordance with the onr?yed plan in flie case of work which requires a revic??v ?in<I appr _o lans. ?m Applicant's Printed Naine Applicant's Signature ?(?,??li ?0????1 8 2003 l? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 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 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion 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 _ _ Retauung Wall 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 Building Inspector C 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please compiete for modifications to existing residential dwellings. ?? ?• S, ?' Date ? / ZZ ! OS Site Street Address I3S CV__`CTA'e cY'Ge6-- K-C) Unit # Property Owner ??_1ke Telephone# (.pS?) (0??B '"(6 ZcLip Contractor ? M&C)(? Telephone # 0; I ) 3&?: -) 20?0 Address S(Rn QcJ City fb-!?,CL-r) State MN Zip tZ? The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installinq onlv a water softener and/or water heater, do not compiete this section. Move to the next section and check the appliance(s) you are instafling. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Y Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ JS•So I hereby apply for a Residential Plumbing Permit and acknowledge that 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and app ed. 7? ^ ? ,. t ?? Applicant's Printed Name icant's Signature `?I il tN ???uQ5 ,u, LJ I?I J D -- ---------- ; City of EatcLn Permit # I Permit Fee: 3830 Pilot Knob Road I ? `Eagan MN 55122 ? Date Received: j `._ Phone: (651) 675-5675 i start: i Fax:(657)675-5694 I I -------------- --- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2-6 I Site Address: 77 ? Tenant: Suite #: RESIDENTlOWNER Name: avl"`r 041,4-1 1*G??0A-6 Ph? ?°??^?2?J r A--CTi `P CpL2-oh ? Address / City / Zip: f!r- Applicant is: _ Owner -0 Contractor TYPE OF WORK Description ofwork: T?? ? v,/- Construction Cost: ? 2 2-P • vD Multi-Family Building: (Yes _ / No ? inw r ' CONTRACTOR Name: ?NCm,..- --•s.wnwNE License Address: City: ??N Lt. 2015M State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 su6mission type) • Energy Envelope Calculations Submitted 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 8 Water Contractor: Phone: t ? NU7'?lansairtlsug?+?x?rhg?oqumt?r?3that?u?ubrnt ??ns€dsreaf?be°p?rbfi??€ar?rafrcih Aartic)ns?` 1 ths er?rrr?a?rc?n m?,y !?e cs?las r??ri?pu€A ?ra+??c??/yfs??or'?° reassms --- - ------ --- -- I hereby acknowledge that this information is complete and accurate; that the work will be in conforma ce 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 wor is not 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 I ns ? X o X %??----- Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151823 Date Issued:09/14/2018 Permit Category:ePermit Site Address: 955 Kettle Creek Rd Lot:2 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick T Mcgrath 955 Kettle Creek Rd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167294 Date Issued:03/08/2021 Permit Category:ePermit Site Address: 955 Kettle Creek Rd Lot:2 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-020 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Patrick T & Julie A Mcgrath 955 Kettle Creek Rd Saint Paul MN 55123--156 (651) 485-7380 Crest Exteriors 22382 Chippendale Farmington MN 55024 (651) 460-6181 Applicant/Permitee: Signature Issued By: Signature