959 Kettle Creek Rd41
?1?
CASH RECEIPT
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
""s w°
?
AMOUNT $
& DOLLARS
iro
? CASH Ii CHECK
V /S. i?rt L..?,
FUND OBJECT AMOUNT
U 2
G /?d~
(? C
Thank You .?-
BY '?i: ?Lz?'
.. ' . Whfte--Payers Copy
Yelbw-Posfing Copy
Pink-Fle Copy
CITY OF EAGAN
:
r'
??
3830 Pilot Knob Road, P.O. 8ox 21 -199, Eagan, MN 551 21 ,
•
PHON E: 454-8 100 ?
BUILDING PERMIT Receipt# -'•i .?- ?
To be usedfor 5M' Est. Value Date ?•`-'? ?:`-: ? 5 ,tg
Site Address 959 s'a`-?•, T,? C?'s,?':', •'ci: OFFICE USE ONLY
_ ?.1
LExlY'rM???'` l J`ti 7?"y
Lot Biock i Sec/Sub On Site Sewage _ Occupancy
. MWCCSystem _ Zoning
Parcel No.
ki
V
On Site Well (Actuai) Const -
a Namc3 CityWater l_ (Allowable) VyN
= '?U7?1 151:T c>T +?'
Addres PRVRequired _ #of5tories
? ?
City'??'?'?-'? hone 431-1211 BaosterPump Length 54' ,
Depth 48 1
. ,
, p Name S.F.Total
o a Address Footprint S.F.
U
?w
City Phone
pppqOVALS
FEES
p W Name Engr./Assess. Permit ???•0?
? W
Address Planner Surcharge 41. U7
Q W City Phone Council Plan fieview 25y •0?+'
BIdg.Off. SAC,City 1W•00
I hereby acknowledge thst I have read this application and state that the Variance SAC, M WCC S50•100
information is correct and agree to comply with all applicable State of WaterConn. 550•00
Minnesota Statutes and City of Eagan Ordinances. 67
00
Signature of Permittee Water Meter
i .
?
s
A Buildi?:?'v?.,e.l.?:
ng Permit is issued to: A. \: I1y Road Un
t
Treatment Pt
ZQ4.o+?'
on the ezpress condition that allworkshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 2
°?il b?(7U
Building Oflicial
BLDG. PERMIT
I /
V 1'JG 1 V
01-3422
01-3445
Ot-3446
01-2155
75-3860
F.'
20-227$
`20-3865
?•.
20-3868
20-3716
n` 20-2252
20-3713
20-3743
79-3866
28-3855
0 ojuy. r,VIiiui
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
- ?
? l(--)O
TOTAL
CASH RECEIPT
?Ff CITY OF EAGAN
3830 PILOT KN03 ROAD
EAGAN, MINNESOTA 55122
i . i
? r ., ..
i j
DATE 19F,)
-
i . ,
?CE?° l.L?'"?? 1_ f tLl.?.i
AMOUNT I $? / 45) I & O
& DOLLARS
?ro
C7 CASH ?Y9 CHECK
? 1?? ?-i;, ?., J ?c.? ??J /? `fi C-',.?
elRbV/-Pmbng CWY
. Pink-File Copy
,. :
.:_...,?.,:?a1am.?a..a'.?.'.._?.._.:-? . . _ ._ .. ... .. .... . . .
Thank You L
?
,
.,
? ..__ .,
BUILDIN6
, To,bewSedlnr
Site Address
Lot Block
Parcel No.
W Name_
z Address_
; ti};*
° City -
a Name_
.o
? < Address _
? City
?Q
VW Name_
W y?
?
_g Address_
t?
i W Clfy
RD
1 Sec/Sub. •, r.;,-.,. ,,.. SQ 7TH
. . . ,. ; . ,. ?'7
_ Phone
_ Phone
_ Phone
I hereby acknowledge tha[ I have read this application and state that the
information is correc[ and agree to comply with all applicable State of
Minnesota Statufes and City o( Eagan Ordinances.
Signature of Permittee
.. .?.? \,,, y V
A Building Permit is issued to: - -''
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
CITY OF EAGAN ; 414 _J
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55111
PHON E: 454-8100
PERMIT Receipt #
Est. Value Date ,19
459
.Ci?r
On SRe Sewage Occupancy
MWCC System Zoning -
On Site Well _ (Actual) Const ` -'
City Water ? (Ailowable) '
PRV Required
? of Storles I
Booster Pump Length
DeDth ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit '
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL _
- Permit No. Permit Holder Date Telephone #
Plumbing ?I?)•-(? ? .cue ??CC`
H.v.d.c. ? C, ' ga 3
Electric
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing ?., e.G?1/IEGTIYi.s- ? Z3?'?'??
Roofing L
Rough Plbg.
Rough Htg. g? y/a? fg
isui. /4
Fireplace
Final Htg. 7l
Final Pibg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
t.r
(gPrtifiratr o# (Orrupttnry
Citp of (Eagan
Mppttl'iI11Pttf of Illltlbituj JItB#tPtflliit
77ris Certificate issued pursuant to 1he requerements of Section 306 of the Uniform Building
Code cenifyrng that ar the time of issuance thrs structure was rn complrance with the various
ordinances oJthe City regulating building construction or use. For the following:
u,,cwffimd,,S F DuG / GAR BUg. N,m;, No
oauwmr ryve R3il91 Zoning aau;a i'` I iya cowL Vn
Ownero(Building-=!M wX1 . MLIQ;ilddresa 6970 151SI ST W. AMTS
Bw7dingAddres 1':1 OUM P[1fD Lorylfry, a?, U?)K31L'JM SCAlA?,' Yj
natt: :TTI??f' w '281
Budding 06ctie1 .
POST IN A CONSPICUOUS PLACE
Cities Diszital
( Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? . . •t: . . . . ° . .. . . " .
. , PERMIT p
• - , PLUMBING PERMIT RECEIPT #
, . CITY OF EAGAN ?
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE PHONE: 454•8100 +
Site Addcpss
Lot -' Block ? Sec
I . - - ---
Name
!? ?o Address
Ciry Phone
4
Name
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION '
Res. ? New '
Mulc Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Nl? PIXTURES -, TOTAL
?Water Closet - $3.00
_Bath Tubs - $3.00
? Lavatory - $3A0 _
Shower - $3.00
=Kitchen Sink - $3.00 - e
Urinal/Bidet - $3.00
?Laundry Tray - $3.00 '
Floor Drains - $1.50
?Water Heater - $1.50 ?
_,^Whirlpool - $3.00
I Gas Piping Outlets - $1.50 +
(MINIMUM - 1 PER PERMIT) ?
_Softener - $5.00
-Welt - $10.00
_Private Disp. - $10.00
Rough Openings - $1.50 FEE
STATE S/C: I
GRAND TOTAL: I
i
17'
CONTRACT PRICE:
Site Address '' ' - '-- 44 I'u
Lot • - Block ?
. PERMIT #
MECHANICAL PERMIT C
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 EIPT q
RE
DATE:
PHONE: 454-8100
, y Name Address
c City Phone?
Name
c Address
3 ,e•
p City '- •._i . . . Phone`_-,
TYPE OF WORK
Forced Air " M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
li Gas Piping Outlets # ?
i Other
i
FEE:
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTI ON
?
., Res. New ,
Mult. Add-on ,i
Comm. Repair ?
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 rN
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 ;.
STATE SURCHARGE PER PERMIT ?
- .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ,
CITY OF EAGA N
1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 q
t'4 # s 1 c:. -s•
? PHONE: 681-4675 ?
BUILDINGyPERMIT Receipt #
7o be.used for EAS?ENE?N'[EP'?INISN Est. Value Date NOY 27 ,?g91 j
Site Addr6ss 959 KE1'TG$ CR=EK RD
Lot 3 Block 1 Sec/Sub. LJExiNGTW sQ 7 OFFICE USE ONLY
FEES
P2rCBI NO. Occupancy - js
?
Z
i .
Bldg. Pertnit
Na171@ ??? ???? on
ng
(nctuaq Const - Surcharge • 50
W ?? 959 KLrMLE CREEIC RD (alowable) - pyn Review
$
Cdy BAGAN !BI 7jp 55123
* ot Swries
L
th
-
Lkww
? Phone ?+52-9368 eng - SAC. Ci1y
¢ N2Rle Sme S.F. Total - SAC, MCWCC
0 S.F. Footprints -
?d?? Sit
wa
e
O
S waler Conn
? n
g
e
e _
Ojry Z'jP On Site Well Water Meler
?
Phone MWCC System =
nca
Dep05it
? City Waler _ .
Vcense # PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and stale that the Booster Pump - S/W Surcharge
information is conect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan
Ordiqences. 7reatment PI
` /
%f
Signature of Permitee APPROVALS
Road Unit
A Building Permit is issued to: BRm'? yER PWnner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gyg. pff. _ Copies
Building Official Variance - TOTAL 35.50
"Permit No. Permit Holder Date Telephons M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTAIC
Inspeation Date Inap. Comments
Footings I
Foundation
Framing
Roofing
flough Plbg. . <<'I f 6?f ? // "(i ,Q
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
? jl
CITY OF EAGAN Permit No: - Date: 8- 15
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner.
y
F'ett7,?P. .^,razk
Site Address: ?,S f'oa4 s" ! r i n?• `:,? 7rf,
Plumber: "cni Plar}yi.;l`:
MWCC: ~'U'??0P?1 Zoning- -,
City Chg: 01`r j No. of Units:
Acct. Dep:
+
Permit Fee: L
1 agree to comply with the City ot Eagan ;
Surcharge: Ordinances. ,
?
Misc.: gy ?
SEWER SERVICE PERMIT
C(TY OF EAGAN Permit No: ')`S°
3830 Pilot Knob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Date: S h.;;:.
Size:
Date:
aurcnarge: _w "y ?•?'? I agree to comply with the City of Eagan
Tr. Plant ? • On p,4. Ordinances.
Meter.
Misc.: gy
WATER SERVICE PERMIT
CITY @R EAGAN Permit No: "' `.' Date: `
3830 Pilot Knab Road Meter No: 0 Size:
P.O. Box 21199 Readef No: O Date:
Eagan, MN 55121
Owner.
Site Address:
Plumber.
Conn. Chg: 550.0 0pd Zoning:
Acct Dep: 15.0 0pd No. of Units: '
Permit Fee: ?C " p0;
Surcharge: •'? ??'?= t agree to comply with the City ol
Tr. Plant 204• 0? ?pa Ordinances.
Meter. ?-,7-0 t r+?, `
Misc: By'
WATER SERVICE PERMIT ?? PI b q..,
CITY OF EAGAN N2 15 414
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 551 21
PHON E: 454-8
BUILDING PERMIT 100 Receipt # 9144t
To be used far SF/GAR Est. Value $86, 000 Date AUGUST 5 ,19$8
Site Address 959 KETTLE CREEK RD OFFICE USE ONLY
Lot 3 Block 1 Sec/Sub. LEXINGTON SO 7TH On Site Sewage Occupancy R-3 M-1
MwCC System X Zoning PD R-1
Parcel No.
V
N
On Site Well _ (Actual) Const -
m Name COLLEGE CITY CONSTRUCTION Cirywater X_ (Allowabie) V-N
= Address 6970 151ST ST W PRV Required # of Stories
? CityAPPLE VALLEY phone 431-1211 Booster Pump _ Length 54'
oePm 48'
¢o
. Name SAME S.F. Total
o Q Address Footprint S.F.
U
¢
City Phone
AppROVALS
FEES
yVj W Name Engr./Assess. Permii 518.00
? W
Address Planner Surcharge 43.00
Q W City Phone Council Plan Review 259.00
Bldg
Off SAG City 100.00
I hereby acknowledge that I have read this application and state that the .
.
Variance SAC, MWCC 550.00
information is correct and agree to com ly with all applicable State of Water Conn. -55Q_._QQ
Minnesota S[atutes and Ci fy?
gan dinances.
?//
Water Meter
67
QQ
y
?L
Signature of Permittee /llr Road Unit ._
_3.2S_ 00
A Building Permit is issued to: COLLEGE CITY CONST Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
applicable State of
M
innesota Statutes and City of Eagan Ordinances. Parks
./
?
BuildingOfficiaL?.l.n,AC, V?Q,(t?? TOTAL 2.616.0,0
CITY OF EAGAN ?? ? 9924
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING.PERMIT PHONE: 681-4675 Receipt # CtiC• ??(.,3?r
FIREPLACE &
To be;u,sed for gASEMENT FINISH Est. Value Date NOV 27 , 1921?
Site Address 959 KETTLE CREEK RD
Lot 3 Block 1 SeGSub. LEXINGTON SQ 7T
Parcel No.
Name BRETT TROYER
? Address 959 KETTLE CREEK RD
o city EAGAN MN Zp 55123
Phone 452-9368
¢ NaRl6 SAMR
? Address
? citY ZP
Phone
8 ucense #
I hereby acknowlege lhat I have read lhis application and sfate ihat ihe
informalion is correct and agree to comply with all applicable State of
Minnesota Slatutes and Cit?i ol Ea/9?a?n/ fO?rdif?nces.
Signature of Permitee 7.(?'? /'
A Building Permit is issued to: BROYER
on [he express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
8uilding Official ,1 l[N?A 11?C1,?. l,l.T? Y
OFFICE USE ONLY
FEES
Occupancy -
Zoning -
(ACtuap Const -
(Allowable) -
# of Stories -
Length _
Deplh -
S.F. Total _
S.F. Footprints -
On Site Sewage _
On Site Well -
MWCC System -
City Water -
PRV Required -
Booster Pump _
APPROVALS
Plannar
Councit
Bldg. Off.
Variance
Bldg. Pertnit
Surcharge
Plan Review
Licerse
SAG City
SAC.MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmenl PI
Road Unit
Park Ded.
Copies
TOTAL
35.50
? ??s
0 66
ReQUeSt Oate . .
. . Fire No.. o -In Inpsection.flequiced
(Y must call inspeCtor when readyJ Inspedion Other Than ROUgh-In
? Ready Now ? Will Notlfy Inspeclor
? Ves ? No Date Ready
I E licensed contractor ? owner hereby request inspection of above electricaf work at:
dob Atltlress (Sireet Bw or Route No,)
C,? p?? City
e'?Rr
Section N "Township Range No, Counry ,??
?
OaupnPRINT III Phane NO.
Power Suppli
`44-e Adtlress
Eleciric Contractor (Company Neme)
FR/aN?E CLEG? 1NC Contiactor's License No
CAODW2
AlE
Mailing Aatlress fConvacmr or Owner Making Installation)- 2803 FLpRSDA LANE APPLE Vl MP155924
Authorizad Signe re iCOni onOwner Making stallation) Phone Num
r
be
1 1 p
?oy @p
?
'Po7 ?'aW W
MINNESOTA STAT ARO OF ELECTRICITY ' THIS INSPECTION REQUEST WIIL NOT
Grlggs-MiAway eldg. - Hoom 5-173 O P R , BE ACCEPTED BY THE STATE BOARD
1821 Unlversily Ave., St.-PZUI, MN'55104 '- --. UNLESS PROPER WSPECTION FEE IS
Phone (612) 642•0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
??? ? ? See i.stmctions for completing Mis torm on back U?ellow copy
'X".Below Work Covered b This Request
? 26 ?''$'
?
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
Apt. Buiiding Dryer Load Management
Comm./Industrial Furnace Other (SpeciTy)
Farm Air Conditioner
Other (specify) Contractork Remarks.
Compute Mspection Fee Below
# Other Fee # Service Entrance Size - Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps t
0 to 100 Amps
Transformers Above 200 _ Amps e 100 _ Amps
SignS Inspector's Use Only TOTAL
Irrigation Booms
!//f • C'? ?
Special Inspection L
?U
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
h
h Rough-in
? Date
y t
cer
at t
e above inspection has
been made. Final Dat
FOF,FICE USE DNLYrequest voitl 18 months from .
/g/ REQUEST FOR ELECTRICAL INSPECTION
L ? See ins[mclions tor completiny lhis brm on back of yellow copy.
9 A ???2 7 + "X" Below Work Covered bv This Reauest
E[B?-00Q00I1-?OBf
S„y?,? -ex
/T / / /
st s? ?
- - - - '
- - - - - - - - _
ew Add Rep. L TypeofBuilding_ AppliancesWired EquipmentWired
? I Home ? Range Temporary Service
? tDuplex rtWater Heater Electric Hea[ing
Apt. Building Dryer _ Other (Specify)
Comm./tndustrial Fumace
- ------------ ----
Farm _ArConditioner
iOther (suecry) Contractor's Remark ?
-1--_
Compute Inspeciion Fee Below:
#
Other
? Fee ?------
# ServiceEnlranceSize -r Fee
#
CircuitslFeeders
Fee
Swimming Pool ?to 200 Amps 0 to 700 Amps
Transformers ? Above 200 Amps A6ove 100 _ Amps
Signs - ? inspecto: s use Oniy. TOTAL 1`m
Irrigation Booms
Special Inspection
_
_ iAlarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
I Other Fee ___----A _ COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Rouyn-in
Date
certify that the above inspection has ,
Finai - ai
'
been made. • ?? - Q
OFFICE USE ONLY ?
ThiS requesi voitl 78 monihs Irom -
I
jJ/a/5;/ c1q9 19/
? 43382
Repuest Date
? /G/(? Fire A. R h-in Inspection
uiretl?
G Ready Now ?Will Notiiy Inspedor
/
?? 1 es !? No When Feady?
I= licensed contractor //Kowner hereby requesl inspection of above electrical work at:
Job Address ISireet Box or R ute No ) n
?5/ C.??l6 ?.I GC.?A -Az_>d4 CiTy
Section No. Township Name or No. Range No. Counly
an1(PRINT) ?
'
' Phone No.
?
o £ I-
Power Supplier Adtlress
Elecm I omractor iCompany Name) Comractor5 License No.
om Eo w n CK
Mai ing Aodress iCOntracto, or pwrer Making InstallatiDnl
/,9 6ove-
Authonzed Nre (ContracmdOwner y Installation) Phone Num6er
? G^'0?'1 -36i 7
MINNESOTA STATE BOAHD OF ELECTRyn Y THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway eldg. - Room S-173 , BE AGCEPTED BV 7HE STATE BOARD
1821 Universlty Ave_ St, Vaul, MN 55104 UNLESS.PROPER INSPECTION FEE IS
Phone(fi72) 842-0800 ENGLOSED.
5 38-404
REQUEST FOR ELECTRICAL INSPECTlON « ea-oooo os
II, See instructions tot completing this farm on 6ack ot yellow capy.
"X" Below Work Covered by This Request
N&N AAd flep. Tybe of 8uilding A iancns Wired Equipment Wired
Home ange Temporary Service
Duplex Water Heater Liphtiny Fixtures
Apt. Building yer Electric Heatin
Commercial Bldy. rc Silo Unloader
Industrial Bldy. ir Conditioner Bulk Milk Tank
Farm Other Soeci v C??,ei ISUmr.?rvl
t rr Specify s Other Olhcr
compute},nspection Fee BeJOw
M ee ServiceEn[renceSize h Fea Feeders/Subfeeder5 # Feo Circuits
.Ce) 0 to 20" Am s 0 to 30 Am s U to 30 Am s
Above 200 qm?5 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100__Amps Above 100_/amVs
Transformers Irrigation Boorr?s ? Partial.' e
L ? ?Signs I ? ISpecial Inspection ??6?
Rerrv?rks ? TO ' FE
w ?' P ? ? ? Q
Rough-in I, Elactr'
ec or, here6y
certif
thet che ab
v
Final
U^1e y
o
e
ins ection has been
? G
? da.
fhiereQUestvolAlBmonlhsfrom (???• W/CrvV?J
This request void /y??
18 nwnths Irom C?
E 38404 .t,6 ?i.??,,???„
VRequ Da}a?/
y Fi e No. Rough-in I pection
Re ired?
?es ?No ?/
?ReaAy Nnw.1{J Will Nolify. Inspec-
\ tor When Ready
ed EleClriCal Contractor 1 hereby request inspection of above
electrical work installed at:
Sireet AddresiBOx o R ute N/ ? ?
It- 9Sr1 C G ?° CitV? ?
'?"'
ecUOn o. Township Name or No. Range No. Count s
'Y e
OccuGant IPRI Phone Nn.
Power i plier O?? ?
R Address ?? ?
Elect i al Contraclor (Com any me) ,-/?
.?14 er?. ?je e? ?-r Con N.
?
Mailing AdJres (Contr r or Ownq Making Insta' tion) 71 ?
ro7Rdv?r¢ 7e' 11 o??D? "?
Authorize Si ature ontractor/O r M king InstallatioN Phu9? N ber
i _MINNESOTA STQTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Griggs-MiAwav Bldg. - floom N-191 BE ACCEPTE? BV THE STATE BOAflD
7821 Universitv Ave.. St. Peul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS
ow,...e ie,o% ano_nvnn ENCLOSEO.
sq RESIDENTIAL
r
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
687-681-4675
New Construction Reaulrements
• 3 registered stte surveys showing sq. fl. of lot, Sq. fl. of house; and all rooied areas
(20% maxfmum bt coverege allowed)
• 2 copies oi plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan i( bt platled after 711193
• Rim Joist Detail Options lection sheet (bidgs with 3 or less units)
DATE ? C!? 0
SITE ADD
TYPE OF
APPUCANT
STREET ADDRESS `11 `t'S
TELEPHONE #
LL PHONE #
ZIP s3ydp
PROPERTYOWNER`! 17_ i?T ?? G TELEPHONE#
----------------- ------------------------- --------------- -------- -------- --------------- -------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RUL.ES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshset Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
Air Conditioning
? Heat Recovery System
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan rd
Signature of Appllcant
OFFICE USE ONLY
? Water Softener
Water Heater
No. of Baths
? l?a/c? ?
rs7Q ;? S-
RemodeUHepair Requlrementa
• 2 copies of plan
• 1 set of Energy Calculations for heated addrtions
• 1 shesurveyforexlerioradd'aions8decks
• Indicate'rf home served by septic system foradditions
0. ./
VALUATION
Phone # ?T
_ Iawn Sprinkler No. of R.I. BaU?
AULTI-FAMILY BLDG Y _tPI
FIREPLACE(S) _ ? _ 1 _ 2
Phone #
Phone #
AUG 2 3 ?OOz
Fee:
is correct, and agree to compiy
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
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 96-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. AR - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Fountlation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Rermf ? 46 WindowslDoors
? 34 Replacement "Demolition (EMire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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) _ FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina1
? Framing _ Siding Stucco Stone
? Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation ? Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License 5earch
Copies
Other
Total
Building Inspector
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGA13, ASN 55122
PHONE: (612) 454-8100
M}flNr`?:;;?%!:m
FOR CITY USE ONLY
PERMIT #
RECEIPT # 0
DATE: '
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------°---- ---------------------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
FI N IS}-1 N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ? i SHOWER 3.00
REPAIR ? WATER CLOSET 3.00
BATH TUB 3.00
I LAVATORY 3.00
OWNER NAME: 13rE7T- TNb{?er- _ KITCHEN SINK 3.00
I.AUNDRY TRAY 3.00
SITE ADDRESS: ?Sg Iz?TT? Cr?e?? HOT TUB/SPA 3.00
???/ WATER HEATER 3.00
LOT:BLOCK ? SUBD. ,?,1XI/1titV .CILI ??, _ FLOOR DRAIN 3.00
' GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS• ? OTHER $ A1Z
WATER SOFTENER 5.00
CITY: 4?_?A) Ii1A.) 2IP: -5_?57 2- 3 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #: Gv r/
.t7 . . .., ?s ?
SUBTOTAL g UO
ST. SURCHARGE .50
SIGNATURE Ot;;PERMITTEE `S• Sb
TOTAL: S !
COMi?fEE€?IAL??D??'?l??AL? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTT-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
F'OR :
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
1991 BUI 9
ING PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUEtVEYS - & STRUCTURAL P311NS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES i1HEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MaNTH IN WHICfl REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT I5 ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHQW A LICENSED PLUMBER.
?iv..?P? acE t
To Be Used For: F'IN??? ?%5atifQ/I Valuation:
Site Address 6?6--el /Le7TLGe`rele ?
Lot ? Block
Parcel/Sub 1/V
Owner ,?rel-r TYDYe/'-'
Addzess qJr/ k-e If-LE eref Ic. )w
City/Zip Code &-A,*¢N 41 AV 3(23
Phone ?/ Z- - e157-` 5t 365,---
Contractor
Address
City/Zip Code
Phone
Arch./Engr. 5wke-
Address
City/Zip Code
Phone #
Date:
OFFICE iTSE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage,
On site well
MWCC System _
City water _
PRV _
Booster Pump _
FEES
Bldg. Permit 35, 00
Surcharge = go
PLan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TQTAL
APPROVALS
Planner
Council
Bldg. Off
Variance
Sewer/Water Licensed Contr.
agrees that all work shall be done in accordance with
(Signature of CIdntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
; ?.
' 516`U.JT
. 43•UU,+
- ' 25Uu+
". l ?`t1c?•l7U'' . - 3 i ?-'• o ? ?.
:4, . u.()_+
, .. . -. 23 9:?. u L) +
° •,::7,'/g;;.p?.?
2 ? S i'•i - {1
?•
?
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS Li 14
INCLU E 2 S TS OF PLANS?, ERTIFICATES OF SURVEY6 1?9ET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MOLTIPLE DWELLINGS RENTAL [JNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAtERCIAL 1
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OE ENERGY CALCULATIONS
UT AdV A 5.'Vt/
To Be Used For? , S rh , I Valuation:Date: 'ft? ?'! ' 8cf
Site Address D7 ?c?,fs c?r??/? ?eq
Lot 2 Block ?
Parcel/SubLcy,
Owner +e' C* -H
Address o/C? Cf Gf
City/Zip Code V! o?c rjP)
Phone
Contractor cv
Address 7 v
City/Z1p Code
Phone I)D-
Areh. /Engr. Sq ?+? e 41 Cv. ? n /?
Address
City/Zip Code
??? = - OFFICE USE ONLY
On site sewage Oceupancy R-3 M-I
MWCC system t/ Zoning p'D R-1
On site well Aetual Const V- N
City water i/ Allowable V-t4
PRV requ3red _ # of stories
Booster Pump _ Length ?
Depth ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 5/8,00
Planner 5urcharge 4Z,00
Council
Bldg. OPP. Plan Aeview
SAC, City Z q, ao
I0p,00
Varianee SAC, MWCC ,O
Water Conn 4:?U, C{7
Water Meter (J?.Oa
Road Unit 3
Treatment Pl D a?
Parks
Copies
TOTAL
Phone U
VA L lil AT 1 DKI
GAR.AtUE
Z2xZZ = 48y k J4=
E>sM r
Zf->xy6= I19(,
?6 X 7 = s ?
iZ5LXl3= 1??7?
I sr FLooR
12-'sr), -r = i zsZ
__--
1273
85yZ9
,
a
i I
88-127
T RI - LAN D C 0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
,
LEGAL DESCRIPTION: LoT-1,eLOCKI, LEXINGTON SQUARE 7TH
ACCORDING TO TH RECORDED PLAT
THEREOF DAKO?A COUNTY,MINNESOTA
N
1
SCALE : I"_30'
Tsc
886.52
(886.7 )
887.1 I+
0 x
? 25.
?
Y
?.ee6ba
w ? o
,.]-1 'tO d
? ?f
?
N
v ?1
U1
I Q J
?
J
? •-
? 25
W 1887.2
B87.
? T8C
4=0 aezi
SITE PLAN FOR:
COLLEGE CITY
889.03
B'(s)to REC.
? ,,,- ?.
I
.?
VACANT
s7sl- - -- --
? I
io1 1 1 1
w.v. 1
1
131'
N GpRAGE
DRIIVEWAY c.i
11.47
-6
15.5'0 - ? _-
i
?
?
pROPOSED-tt
NOUSE d
?
?
-? - - - -
S 87°44'34" E
13.31'Qs
Lo-r
' 3
ee7,r se ,
, g8g'63
88.02
(889.2)
,
886.14 x
?.
- (
I N
. ,_
888 x 62
I I
DRAINAGE $ UTILITY EASEMENTS ?
?T------? -
143.62 884.-!
20.Sf's
O (ssa.7)
VACANT
3:
ro
N
0
0
0
m
By ?
Dat
EAGAI?3 EI?GIl? ER?I?G AE?-
., ,
>
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
888.8 DENOTES EXISTING SPOT
ELE VATION
(aeas) DENOTES PROPOSED SPOT
ELEVATION
?- DENOTES , DRAINAGE DIRECTION
I hersby csrtify ihat this survey, plan or
report was prepored by me or under my
direct supervision and that I am a duty
Re9istered Land Surveyor under the
Laws of the State of Minnesota.
Bradley N:/?Swenson,
Dote I
e
Re9_ No. 13235
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 8 5'
PROPOSED FIRST FLOOR ELEVATION = S?' ?.YU• v
PROPOSED BASEMENT FLOOR 5?1 0
ELEVATION
NOTE * YERIFY ALL FLOOR HEtGHTS WITH
FINAL HOUSE PLANS
,
, •. ,
?. . , ..
EXTERIOR ENYELQPE AVERAGE "U" C011PU7AilON
r-
,r
S1TE ADURESS
LONTRAC70R DATE °88 PHONE
D4JNER J 5 r c
Uetermine working square footage of each.
1. Total exposed rrall area ...... Z019 sq, ft. x:1?, ° zzz
a
ili ?3 sq. ft. x02L
2. Tatal ng arc
roofJce ......
Total er,posed wall area abnve flour = 2o Iq
a. Total wall window area..............•••••••••••• 2?1-
b. Total door area ....... ........ ....•••••••••••••• . L_...?._._.
e. Total sliding glass door area ................... 40
d. Total fireplace wall area ........... ........... -- __,
e. Total wall iraming area (average 10%) ...:........
f. Total het wa11 area ebove floor ...............,..
g. 7ota1 rim joist area ............................ 13?
Total-ekposed toundation area = °(O
h. Total foundation window'area...:.......:.........
1. Toal net toundation area above grade .......::... _ 9 0 -
Determine"U" value of each wall segment.
A NUN
Y• X 11y 1111 I? L C7 R?
C: ?0 'X
? "UM
, ?j lo
d-
•
d. _... X
itu»
.._. ?
C. X "IIu .019 7i
f X "U" o A-3
g. x „?,? , 01? I a ?
-----
h• O ^
IIN
MV
a .
1 10 X uuIs .019 a
3 ........................:............Tota1 °
If item 03 is tlie same as, or less t}?an item 01, you have met the intent
of SaC 6006(c)2.
_ .. ...._.. ,
?
I , I ?.N ?J,f
total..exposed roof/ce111ng area a ! 3 3, 3
J . Total skyllqht area ............................. _ --
k. Totel roof/ceiling framing area (average lOX).,,
1. 7ota1 net insulated roof/celling area.......,.,, llqq.
Oetermine 'U" value for each roof/ceiling segment.
?• -- X MUO ¦ _
k• ? A x .d 4`
x Must ozz . z.(O,7rLzb
4 ..................................Tota1
n =510
If totat of 14 1s the same as$ or less than :2, you have met the intent of
SAC GOD6(c)),
Alternate Bu1lding Envelope Design
To utillze 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 pl and 02.
1. ? 20 R
3. . + q. ,
?
•?•'? •-.?
? IV1Q l?, YA L l1 C A N H 1. "j ZI J K- I'Lmbs
W/NDOW ?IR?.A :
TYPp ois W,N.VQ?-v :
6v, %NSVL dNASS
7ul wiNOOwu uutrs HAVt 9rrt/ THrA'P MoR. "jq'.V,4L.µ1&, rWAY Aec As 4ot110
A6oJ t qyo /w 4y 4 1 eos i eo y 4 A p [J/ 4 N ClAlL) VA1+N. L Of -f{-• 2•i3q
?
v . ?------"
IdC4NDiN4 A?II fILM 5 ,...
Uq? - i/a5? ? I/ . • °'.? ? _
oor A h
FoUNDA71oN wINDoW AJZrA: TyPL of
?
THE VV/NOOW u?lIIS /4AmFL QLW 7"LSrCD MlOR IR' VAL+4t., THLY ARt *s ?IrTR? AOOVL A1W
m4r, ar AaJjyNLuA GaslfjP401%rW yAWt o's •$O-v..r....._.- ?ut?.4oINy
Ai4 Fi4Ma . .
FoorAqt i
L4ji s 1/IS.. •(/ s?..._?? 1?oor?q4 ? - --
SLIDINq (?l.A56 D04it °A12irA: TYPL oP, DodR!
S/g /NSv!-, G'?-'•
S&-lP+a q c) l.q9D OOoRB Np? if c OiR?l t4sTto Foa"R=VAL..Kry TN[YAac " 9-19?sp
AAa?l AsiP rv1?1y 6? A,%,flyH^-q ./1 0111,1104Gf,l'O VA"64C ol?•R"• •?0`] ,uti????y
Al0 i1LrIS
1411 • v'ha : 11 ¦ ?s.' -? Fo.r:a?.'s
1.lDOR /j R.F. A ? rYPG CP WOR =
`rH e¢N+ ^ Tccv
poaQ UNi"Ys NAY& De.cN rcsrta •4?40 Mouya -ro NAV& A W
'R'.1/AuHlL Of =. J ?lNfj 11lA / I I.Mi t
.?Z9
FmTAfe L r.?
!5PIcJALs ;
rYP,L .9
FbizM [-i ?•A,nd-% D4CE• - g?NECF
..\ r1rv 4+ u. y r ?n-*. •M?.v•.+?•a: )•w t u° vr ?yy
I?iM ?oi5r ???.w:
„R' - VALue
,bl _914rEX109. .,?t r?LM
I9.0 I95 uLAr10 N (R•/9 )
-r-. ¢
1-Tv-
I .
.? ? (e'7 /..AP _ 5?D11•? C? _ ?Z
? ? 1? ? B 1'h'? so?twoop
? f,crER in R AiR. r-14..01
rcTA Loq...3' v.4r.u.it
?Ls . ? ia.? . ? 2! 4Q 4
'1'OM IMrAc,g,
FouN O A7 IoN WA'L L AREA CAboV` C4RwoX..*)
"R*p yALu.G
(Pl .._INfnRIOlL Al1Z hLP1
?..?SrS • $ ? d pNGR 1' 1-r pLocK
11, o ._ ?o A 4- 1 S F,Ri ww
(R• ?
EXTt-CIOR. Ala IILM
2,63 'j"OTAI. F?,4 VALLLE.
"y? D. 1/4-4, • 1/ z lo 3 IL
TOTAL Fc»TIrGR.
IbRn 9•1 14hv61% D09 i 9141utv ,
-1TA Ut.TE. 71+4'KL'Y t;ri5' t,f' 3`Y..A'C,? o??''? ?•,?+.-.a. . ..---- G,
. '-
Sru D I F'9,AM ,Mq Ak t 0% :
? Fi.., VA4L1a
?( LITNTeRioR OVR Mwi
1. % _.?S ? Z GVO,fl1M WA1.??0?1R q•
, SortrVooo
..._...,,? (o? LR P S 1 D 1 ?.1 C? . Z ?
?
VAN2e aAaRWe.
?IrrtmoR. AlK. Pi?.M
M4 •1/'W? . I ? o.e ;?
7o rAL PmrAC? c
.
?NSU.I•AT1.C) ARejk- BzrwcaN -Styos
•'R" vALu. [.
- , bl Tureelva ,AIR rii.M
q
• •'?'S Z- 4YPsu.M y,/A?.?..8tioA2o
if
-,19,0 (K,19 )
•0(0 ? SNI.aTNINfi $UILTfU-1'F-
.. 1101N4 ?P
vA v o a. IDA a.s. i cC
Af1. R. IdM J1 sA. M?-M.
Z, pf AL Alws, VALNV
^.t•uw. v 1 2• ?
1'oTAlo roorAa &
MLi lq&„+.w e)Are> 5141JILo_.
. ?
? M -AWa tirt?? ' ? 1.•?'4 '???1%i???'?i'??? ' VI"'????'?=r7Sa1'?L•7l?Y'i•".r?+r?r'?.?erry?itee-..
JOlST/ FR^MiNiti ARto\
•RQ• vA LUe
.....,..___ .b) INTERioR ^IR rILM
. 75 3L 5ctrwoco •
? '5- a .1ri.,4YoswM WALLaoA?O
22 - Y?'poR D???ItK
I N1'BR 100t, AIK I11.1A
?
.`'-" I'VOTAL "R::,, ?4!-lJl.[
?4r? : 1 / R-?+? • I /,? ?-7 . 1 4- a F?
?'oTAL paolAG& _ ---
TNSu4A67ta ARCa pctwt(N rHE rd,s-i--s
rR• w VAC44.
-- •bl IIUrtR?oR Ala fILr-t
,.,_?-Ld-.pl-L. ?1Nsu.w?T?aN CR•4?`- )
?r4}/PSl1 h1 1?AU Do?18.p
? V^POR o
.?n r% n,-. r?
I s I.7 . i N re. R W, AIR fW M
45,3 roTAL vALu.&
u«t : i/K.?,, a IIA-s,31v a°?f..
AM M 1 II/An(o It?-
'}dTqL foofA4e.
APFLICATION 1=0R PERMIT
SEWER ANQ/OR WATER CONNECTION
,
*, N07E: PAYI+gNf OF FEE AT TIME OF
;
; a.ePscra2aa oOFS Nar corr ?
STI'N18 APPRG?N, OF PF.RMLT. ?
t
* INSPDCPION OF SEWR ADID/OR WATF•R +
#*,.
* IPLTN.S.ATIONS WILL N(YP BE SCS•D(JLID ?
,*t [!Nl•IL PERDIIT HAS BF.ESI APPRCNID.
•*r,r+r,t+i+rtrteexx+.+x:*+*? rr?r+rw+rt* x?
lty oF eacitin
f PT.RLCR DRTATP
1) PROPERTY ADDRFSS:
LBGAL DFSQtIPTION
IF EXISTING STRC?CZY7RE, DATE OF ORIGINAL BUILDIIVG PERMIT ISSUANCE:
Mbnt Year
PRESENT ZONING/PROPOSID LSE:
Q .COMMEE2CIAL/RETAIL/OFFICE I'giR-1 SILVGLE FAMILY
Q INDL?STRIAL 1=1 R-2 DUPLEX ('itao Llnits )
? INSTITUTIONAL/GOVEUII'IENT ? R-3 TOWNHOL?SE (Three + units) ( Units)
Q R-4 APARTMENT/COPIDOMINILM ( C'nits )
2) , , . . NANE: C),n l[ d PCAV ?l=, O?
? - - -- -
ADDRESS: q ) - ts f sr
CITY, STATE, ZIP: ,
PxoNE: t1 e? 1 ?U, Ir_ ,
For City Use
`
3) ' NAME: Plumber cense:
ADDRESS: OU -?
I' ? Active
Expired
I
CITY, STATE, ZIP:
021
Not recordec
PHONE;ggPj (REy <) J ti) qMASTER LICENSE #JA,? 1-92 Staf Initia
??i3? r? • .i? ?;
4)
b]AME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s ? ' m •a?• • o .r ?e
CONNECTION TO CITY SE.'WER ED-'CONNF.CTION TO CITY WATER a O'BIEEt
6)
********************* **** **********.*****
* ******************************************************,r**y
* THE GOLD COPY OF THE PII2NIIT WILL BE SIINP DIRECPLY TO PCBLIC WORKS 7U FACILITATE METER PICK-IIP. y
* PI,EA.SE ALTAW 2WO WORKING DAYS FOR PROCESSING. SOAEONE FROM TfIE CITY WILL CON!'P,Cr YOL IF THME ;
* ARE ANY PROHL.ENIS. ;
?,t******,r*******,t* :r****,t****************** **,t**,t,t********************,t********,r*****,t***,t*,t,t*******;
FOR CITY USE ONLY "
PERMIT # ISSC'ED .
Pd w/Bldg. Permit FEES:
$ $ 110 SEWER PERMIT (INCLLiDE SORCHARGE)
$ $ WATER PERMIT (INCLDDE SORCHARGE)
rr'? 'o 0
$ $ WATER METER
- /COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (ILVCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S-1 0-0 ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ? S Z.? •l? ? $ WAC
$ $ S AC
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$- $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ rL? 7/ , /J D $ ? /• ?D TOTAL
? -Z? ?--- ?'w s 7
RECEIPT RCEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
----?.
PERMIT# -( 630O RECEIPT DATE:
RESIDENTIAL PLUMINSE PEP*K1T APPLICATION
criY oF EAeEM
s8so Pn.or tuvaB itn
R!lsu41i.M1Y 851 Es
631-6$1-4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system I
SITE ADDRESS:
N
/ / OWNERNAME:: Gl.A?G /l?lL.?,?TELEPHONE#:lo61 ?:70 ry
a
(AREACODE)
Ar44 INSTA LLER NAME: K?s TELEPHONE #: 6 ???/?
/,
Pe3
STREET A RESS: (AREA CODE)
CITY: STATE: ti ZIP:
Place a check mark next to the nermit work tvne
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
. new installationlrepair/rebuild of RPZ
. lawn irrigation system
• water turnaround
Nature of work-EP?l
Septic System, newlrefurbished - $ 225.00
• includes County & Consulting inspector fees
. requires MPC license
State Surcharge $ .50
T
1
t 5V
$
O
2 '
Reminder: Be sure to schealule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is the appiicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused y the City during its normal
operational and maintenance activities N the facilities constructed under this perrr?jUyithin City property?right-of-way?eas nt. f
2007RESIDENTIAL BUILDING rERMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of iot, s% ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculations
3 copies of Tree Preservation Plan if lot platted a8er 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
41?c Uo
RemodellReoair Reauirements Office Use Onlv
2 copies of pian showing footings, 6eams, joisLs CeR of Survey Rea.i _Y _ N
1 set of Energy Calculations for heated additlons Sails Report Y_ N
1 site survey for additions & decks Tres Pres Plan Recd - Y_ N,
Add'rtion - indicafe if onsife sepfic sysfem Tree Pres Required , Y_ N
On-site $eptic System _ _Y _ N
t'Ia11S 2P2 COt151fleP@C1 pUaIIC IIITOCCT12L1011 U1112SS y0U SYBL@ Lh@y at'@ 4PaCl@ S@CI'@L dllp tll@ CeaSOfl.
Date __ / _7?? / ?? Construction Cos ?]0?
Site Address er ? UniUSte #
Description of Work
Multi-Family Bldg _ Y _ N
Fireplace(s) _ 0 1 _ 2
Property Owner v /l/ f Telephone # 4?77
Contractor Zsf
Address P00 ? City _j???,
State Zip -r,t'0 7 J^ Telephone # (4 PI)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Erlergy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plpn:
Licensed Plumber a - Telephone # (
Mechanical Contractor Telephone # (
Sewer/Water Contractor 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 of work which requires a review and
appro? ofplans. ? ?m A`4-4441e`
Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work T es
31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
6b 18 Deck
O 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bidg
31 Ext. Alt - Multi
33 Eut. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCI'Iqtioll: Water Damage _ Yes
Valuation 3 • ioo
Plan Review 100% or 25%
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const
3
Occupancy 1? "r MCES System
Code Edition
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Sheetrock
_ FinaUC.O.
_ FinallNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding f Stucco Lath _ Stone Lath _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
88-127
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNES07A 55122
,
LEGA L DESCR I PT ION . LOT 3, BLOCK I , LEXINGT4N SQUARE 7TH
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
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'By
SITE PLAN FOR:
COLLEGE CITY
FFiG EN
DEPAT .
,
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090442
Eagan, MN 55122 . Date Issued: 08/03/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 959 Kettle Creek Rd
Lot: 3 Block: 1 Addition: Lexington Square 7th
PID 10-45081-030-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Duane Paetznick
1920 County Road C West 959 Kettle Creek Rd
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
J
Use BLUE or BLACK Ink
-----------i
For Office Use I
I I
I Permit
Ila
I Permit Fee: w
City of Eadfl C)
I I
3830 Pilot Knob Road I I
I Date Received:
Eagan MN 55122 I
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694 i - - - - - - - - - - - - - - - -
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: 2 Site Address:
Tenant: O~ Suite
i... _ Name: Y C~► ~ n
RESIDENT/ OWNER '
Address / City ! Zip:
Name: License
Address: City:
CONTRACTOR
State: Zip: Phone:
I
Contact: Email:
i
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK 7'~ Sump Pump Repair Repair
i
Other: Other:
Description of work: 3
DESCRIPTION
1v,... w
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 applica ' n r a permit, and work is not to start without a
val of plans.
' uires a review and appro
permit; that the work will be in accordance with the approved plan in the cZ;ii
x ar\
re
Applicant's Printed Name FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120751
Date Issued:02/28/2014
Permit Category:ePermit
Site Address: 959 Kettle Creek Rd
Lot:3 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Phil Holmin
3432 Denmark Ave #228
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Matthew C Freudenthal
959 Kettle Creek Rd
Eagan MN 55123
(612) 961-8868
Holmin Heating & Cooling Llc
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143127
Date Issued:06/02/2017
Permit Category:ePermit
Site Address: 959 Kettle Creek Rd
Lot:3 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Steven Squire
959 Kettle Creek Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167986
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 959 Kettle Creek Rd
Lot:3 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-030
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. 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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Steven & Carissa Squire
959 Kettle Creek Rd
Eagan MN 55123
(651) 341-7786
Supreme Contracting
1130 70th St W
Inver Grove Heights MN 55077
(651) 353-4783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169674
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 959 Kettle Creek Rd
Lot:3 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Steven & Carissa Squire
959 Kettle Creek Rd
Eagan MN 55123
(651) 341-7786
Supreme Contracting
1130 70th St W
Inver Grove Heights MN 55077
(651) 353-4783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178405
Date Issued:08/16/2022
Permit Category:ePermit
Site Address: 959 Kettle Creek Rd
Lot:3 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-030
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Steven & Carissa Squire
959 Kettle Creek Rd
Eagan MN 55123
(651) 341-7786
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature