964 Kettle Creek Rd
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SEDGWICK HEATING & AIR CONDITIONING CO. ?
HOUSE HEATING TEST RECORD
C'
ADDRESS CITY -' '-
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY_
Electrical Work By Gas Line By _
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UN
GAS DESIGN
MAKE "
Model
Serial
INPUT
CONTROLS
THERMOSTAT Heat Plug
Valve - , ?
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model 17°
Pilot Timing - , %
L.W. Cut Off
Pressure • Percent COZ ?
Input CFH Percent OZ
Stack Temp. ' Percent CO
MAKE OF BURNER
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
HTR._ OTHER_
CONVERSION
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Draft
Wiring _
Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester
Form 235
f
CITY OF EAGAN PERMIT TYPE: . " : ' " i '''
3830 Pilot Knob Road Permit Number. H s!' •
15 agan, Minnesota 55122-1897 Date Issued: 08j A'/`? H
( 12)681-4675
,I SITE A DRESS:
? . . !
t . . . ,. .'..iI
PERMIT SUBTYPE:
t'RFf•K hb
7TN
,o, W - er
RL APPLICANT:
f1fK?
,. ? . , . . • ?,?! ?
? , , . .
- ; i ; J. i7M
TYPE OF WORK:
At rr.aArlnN
RkPI Ar;p ';kY1.1E,N7c,
INSPECTION .• • .•
i •? ?
I;? - '+Aj?Y5: RkPI AC.E ExTSTTNh SkYI )f,i{TS
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
( O vLvyU/
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUC7IVITY
TEST
HVDROSTATIC
7EST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
r ...??.-..-?.?. ?.? _.?.
? INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-4675
? SITE ADDRESS: I ? ?
i
?-1.., ? I I ! ? ; ?.kh! k. kfl
APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
Nt !J
? INSPECTION D. • D•
II
I
Y
I
?
i
i
r??
Permit No. Permlt Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
InspecNon Data Insp. Comments
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 FTG
i
DECK FINAL Z;?0
?T .
,
? e , • ..•
i ? . - .
(g.ertifiratr u# (Orrupanry
titp of (Eagan
19e.par#atettf u# liuild'mg lttaprrtimt
Tkis Certifuate issued pursuant to the requirements of Section 306 oJthe Unijorm Building
Code cenifying that at the ame of issuance tkis structure war in compliance with the various
ordinances oj rhe City regulating buildirtg rnnstructron or use. For the follo wing.•
uxcwyeatm SF DiG/W; 147?3
R3 ;7) Bmg. Ftnma No. ?
?nnr Tra zo?g asn;c?
o? or ew? ?fARVIN C?E B(DRS, INC ". '_, . G._ BQX 4Type 28, c.. PRBCEMN
ewl&ne aaa? . ..- _ ?. , a ...,..,_? . .,..,., wosty
Building 015tas1 aoe: _
,l[7I.Y 12. 1988
POST IN A CONSPICUOUS PLACE
BUILDING PERMIT
To be used for ? / CAR
Site Address
Lot Block
Parcel No.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Est. Value t 70+000
Receipt
19
Sec/Sub.
c Name
W
; Address
° City phone
a o Name
?u Address
P City phone
yVj W Name
_zZ5 Address
a W City Phone
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 Statu[es and City of Eagan Ordinances.
SignaWre of Permittee A Building Permit is issued to:._ on the express condition that allwork shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE
On Site Sewage _ USE ONLY
Occupancy ?i
MWCC Syatem _ Zoning
On Site Well _ (Actuap Const
City Water _ (Allowable) I
PRV Required _ # of Stodea I
Booster Pumo _-- tength
Depth '
?
? 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. Psrmlt Holder D Telephone *
Pl?ambing ?
J !
H.V.A.C.
.
C/' /L?
•?
?
ece
Electric
Softener
InsDection Dats Insp. COmm9nt8
Footings I ? ??1
Footings II
Foundation
Framing ?j ?
Roofing
Rough Plbg.
Rough Htg. ?? f?s ff *6
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pc Disp.
?
_
CITY OF EAGAN Permit No: Date: ?-
3830 PNot Knob Road B/p No: - '' Date:
P:O. Box 21199
Ea{jan, MN 55121
Owner: r
SiteAddress: r.' ! .
Plumber. ` _. _.
Before igging ca { toca uErtrttes
MWCC: -rrrnn.n r? rnrnin n?on' a•
ni
: •__-• ._R?r
.._ ---_•'•._ 1a1? Cf . City Chg: N. of nits:
Acct. Dep: R.EQ?I IRE ?o comply with the City of Eagan
Permit Fee:
Surcharge: Ordinaoces.
; Misc.: By
SEWER SERVICE PERMIT
CITY OF E.AGAN Permit No: Date:
3830 PiF7t Knob Road Meter No: ? ??4 - Size: ? ocK
P.O. Box 21199 Reader No6 ??4?I Date:
Eagan, MN 55121
Owner marvin C'eoree 31drS
1"^ T<--in?? ?n ? l
Site Address: 9E71: '' I .7 -
Conn. Chg: Lonmg: ?-'?
ing cal¢,Jdcg? ?n t?:`??'
dia
Acct DeP: rp
g
GAj Lj4.
PermitFee:
Surcharge: eJ/
o
?
? ly with the City of Eagan
Tr. Plant
Meter. ,
, ,
a"..°°
- ?
Misc.: BY
WATER SERVICE PER ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNCB RD • 55122
651-681-4675
New Construction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. k. o( lot, sq. R. of house; and all rooted areas • 2 copies of plan
(20°/a maximum lot coverdge allowed) . 1 sel of Energy Calcula6ons for heated addilions
• 2 copies ot pian showing beam & window sizes; poured found design, elc.) . 1 sile survey for exterior additions & decks
• 1 set of Energy Calculations
• 3 copies of Tree PreservaGon Plan if Iot platted after 711193
• Rim Joist Detail OpUons seleclion sheet (bldgs wiih 3 or less units)
DATE Q(:?4), i?? ( VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS kAf f ""l? ?''Vi2.P61 kdad-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WO
APPLICANT
. ?? w
tEPLACE(S) _0 /,/1 _2 _3
PHONE #
ADDRESS LS$??G (,P)Nlv ??/2 r?far n .Sl1r Wo, M/P, ZIPCODE
PAGER # l J
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Soltener Lavni Sprinkler rce: $90.00
Water Hcater No. of R.I. Baths
? iVo. of Baths
Mechanical Contractor: r-iV`nf (J?e, 1 Yh P?r ?
1v(echanical System Includes: Air Condip ning
Hea[ Rccovery System
5ewer/Water Contractor.
Phone # 2S2:iE9(J" ?2:? 1_
Fce: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant a ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
?
Updaled 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck D 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 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. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Retoof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bidg oniy) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of 81dgs 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
Roof Ice & W ater Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Siucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?yyc
p 6 533,C/??
Request Date Fire No. ug?n Inspection
equired?
Ready Now ? Will Notily Inspector
R
Wh
d
?
Ves
o en
ea
y
? licensed contractor D owner hereby reques[ inspection of above electrical work at:
Job Aderess (SireeL Box or Route No.) City
6qlcGM6 aM
Section No. Townshio Name or No. Range No. County
OccupantlPRINTi
Pa
?t' Phone No-
,
?ov?a n
POwer Supplier Addres5
Eleclncal Coniractor (COmpany Name)
/'°1e-JToe Goniractof's License No.
CAoZ-7-114
Mailing AtlCress (Confrac!or or Owner Making Installatiom
1605' 'Z'lih .,f"
Amhonzetl Sigrature !ComractonOwner Ma;aing Instanation) Phone Number
C'.k.A.rr? -./ -7 -z_ i- 646 C?
MINNESOTA STATE BOAHD OF ELECTRIGTY THIS INSPECTION PEOUEST WILL NOT
Griggs-Mitlway Bldg. - Room S473 BE AGCEP7E0 BV THE STATE BOARD
1821 Universlty Ave., St. Paul. MN 55106 G UNLESS PROPERWSPECTION FEE IS
Phone (612) 692-0800 ENCLOSED. .
REQUEST FOR ELECTRICAL lNSPECTION Oes-ooom-oe
? See insiructions for completing this form on back of yellow copy.
-"X` Below Work Covered bv This Re4uest °'Q=??•??
ew
Add
Rep. ?
TypeotBuilding
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplex Water Neater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Afr Conditioner
Omer (specifyi Convactor's Ramarks:
Compute Inspection Fee Below.
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr's Use Onry:
? TOTAL
'
Irrigation Booms ,d z0 5
v
Special Inspection 6
AlarmlCommunication THIS INSTALLATION MAY BE RDISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rouqn-in Date
certify that the above inspection has
been made. Final ? 0ai ':F ^
OFFICE USE ONLY
This request voia 18 months irorm.
. ?, CITY OF EAGAN . No- 14 7 9 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ?a??
BUILDING PERMIT Receipt#
Tobeusedfor SF nWG/GAR Est.Value $70)000 Date APRIL 6, 19 88
Site Address 964 KETTLE CREEK RD OFFICE USE ONIY
R3
LEXINGTON SQUARE
Lot 1 elock z Sec/Sub On Site Sewa
9e Occupancy
_
.
7TH ADD. MwCC System X Zoning VD
Parcel No.
On Site Well _ (Actual) Const
m Name Mt1RVIN GEORGE BLDRS INC Citywater X (Allowable) Vn
W Address P• 0. BOX 428 PRV Required # of Stories
? City PRINCETON Phone 332-3034 BoosterPumP Lenstn 43.6
Depth 49.5
¢
o Name 9AMF. S.F.Tofal
.
.
o ? Address Footprint S.F.
ua
x
P
City Phone
APPROVALS
FEES
¢
?
En r /Assess.
9
Permit
? 454.00
w Name 00
35
?= Planner Surcharge .
x. Address
Council
Plan Review 227.00
Q W City PhOnB
Bldg. Off.
SAC, City 100.00
I hereby acknowledge that I have rea s application nd state that the Variance SAC, M WCC 550 . 00
intormation is correct and agree to o ply with all plicable State of Water Conn. 550.00
Minnesota Statutes and Ci y of Eag n ances.
Water Meter
67.00
Signature of Permittee - Road Unit _325,0
A Building Permit is issue to: ?IN????i? Treatment P1 ---204..,00
ontheexpressconditionthatallworkshallbedoneinaccor ance??-wiail
Parks
applicable State of Minneso Statutes and CiAoi Eagan OIrdinances. 512
00
?2
Building Official TOTAL _
,
?? _?J
rZTY OF cF1GAN
CASI-IIGRe S Th.R.MINAL NOe E,`)E,
U!-1TE;; 0800/3E3 TIMk.e 14:06:04
IU ;
NFaMEa T7M pRRAFIAhiSON CONST
3210 9001 964 KETTL_E rRl, 6205
2155 9001 364 F:F_TTLE CRN. 1. Cl0
To+,a7. Receipt Amaun+,;; 63o25
CR(796094.
USF_'fi 7D: NpNCY
FERMIT
CITY OF EAGAN
3830-Pilot Knob Road
Eag'an, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.Nos 10-45081-016-02
DESCRIPTIQN:
PERMIT TYPE:
Permit Number:
Date Issued:
964 KETTLE CREEK RIJ
LOT: 1 BLOCK: 2
LEXING70N SQUARE 7TH
F2EpLACE SIfYLTGMT5
ermit Type SF (MISG.)
f?rk Type ALTERATION
434 ALT. RE5TDENTIAL
? a&^se aa A-m4s +?i = a e i3r?;? smm?t v imisa???2
?s3m & ?' _ ii x `?= a ?
sF 3, e NI ti? ?d 3z c?
?*e6 sb Sti . =1 y'.z i?t ti a t I &s v?`
W! aF s?
ra-•
REMARKS:
REPLACE EXT57TNG SKYLTGHTS.
FEE SUMMARY:
VALUfl7ZON
Base Fee $62.25
Surcharge $1.00
Tatal Fee $63.25
$2,000
BUILpING
032805
0s/07/9s
CONTRACTOR: - Applicant - s1`. Lrc. OWNER:
ABRAHAMSON CONST, TIM 16459775 0009174 LOVICH RON
2180 CAR1'ER flVE 964 KET7LE CREEK i2D
ST PAUL MN 55108 EAGRN MN 55122
(612) 645-9775 (651)688-0206
APPLICANT/PERMITEE SIGNATURE
UED BY: SIGNATURE
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAH
?• a??? 3830 PII.OT KNOB RD - 55122 -?
681-4675
New Construdion Reauirements RemodeURepair Requirements
? 3 regiatered site surveys ? 2 copies of plen
? 2 oopies of plans (include beam 8 window s¢es; poured fid. design; etc.) ? 2 sHe surveys (exterior additions & deGcs)
? 1 energy ralalations ? 1 energy calculations tor heated additions
• 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: T,AJ/? - S CONSTRUCTION COST;
?
DESCRIPTION OF WORK: ??'t,L-C xe!?kl.s17I?6 ??u??i3 ?/1ll?t•d(.? -l/t/o 5!oe
STRk£'f ADDRESS: ! ? 7 ???? 60e "/G ?a40
BLOCK: SUBD./P.I.D. #:
<7
PROPERTY
OWNER
Name:_ 1G'4/116441 ?fLl?
Last Firot
Steet Address: 9??
Phone ?? U - ?;2Q 6
City State: /-1W Zip:
Company: /,VC- Phone
CONTRACTOR
Street Address: ? L'cense # ? l --7Z T ?
City State: Zip: 13-s?<?90
ARCHII'ECT/
ENGINEER Company: Phone
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is c ree to om ly with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica :
OFFICE USE ONLY
D?
Certificates of Survey Received _ Yes _ No ? ?_5
Tree Preservation Plan Received _ Yes _ No _ Not Req
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
? OS SF Misc. ? 10 = ptex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft, PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
(7U
?
?
Permit Fee Valuation: $?-C)C) v•?
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treafinent PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT
CITY?OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu z Lo I N G
Eagan, Minnesota 55122-1897 Permit Number: 027448
(612) 681-4675 Date Issued: @ 5 f g 3 /g g
SITE ADDRESS:
964 KETTLE CREEK F2D
LOT: 1 BLOGK: 2
lEXSNGTQN SQUARE 7TH
P.I.N.: 10-45081-010--02
DESCRIPTION:
DECK
NEW
434 RLT. RESIQEN"fIAL
T t:' Yr' ?i2tA 2& 81> ?
t?i wst?*e;N' Mst&rd??3k.`
ag?as w?3?a?? N ?3!f`le
6t L' gH ci?i
Bt?Na ?e ?k ?mfl •t& ?ede wr si ?
?u??¢
REMA'RKS:
FEE SUMMARY:
Base Fes
Surcharge
Subtotal
(±VIV I tiAC: I UFi:
$45.06 COPSES $1.00
$.50 Total Fee $46.50
$45.50
VYYIVCI'f: - nppa.acari1? -
LpVICH RpN
964 KE7TL,E CREEK F2D
EAGAN MN 55123
(612)688-0296
?.,,-°? `? Iw , o a ?
APPLICANT/PERM E SIGNATURE ISSUED BSI T R
y '' ClTY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeUReoair Reauirements
?kffD
Ca-4-Q.e?P- 57Z
i 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam 6 window sizes; poured tnd. design; ete.) ? 2 sfte surveys (exterior additions 8 decks)
? 1 energy calculations ? t energy calculatlons for heated additions
? 3 oopies oi hee preservation plan it lot piatted efter 711193
required: _ Yes _ No
DATE: T/a7IN CONSTRUCTlON COST:
DESCR{PTION OF WORK:
STREET AODRESS: ? ? ? ?\t?- t r r K- La" T-C--i ` i
LOT ? BLOCK o'- SUBD./P.I.D. #: D rOv O D 042
,
L
PROPERTY Name: ?1/iGln Rod Phone #: brp-0ol-olo
OWNER FTRST
Street Address•? Cr? ??
city: L?0.qGLf?-- State: 8? Zip: SS/ ?
coNTRACTOR Company: ' Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address,
City:
State:
Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledgs that I have read this application and state that the information is correct and a e to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances. /?
^?? -'? `
Signature of Applicant:
OFFICE USE ONLY RECEIV
Certificates of Survey Received _ Yes No
-- ??
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
, «e '? i??,- ' ',?
?.ta.. a
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory o 20 Public Facility
? 04 SF Porch a 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex "?15 Deck
WORK TYPE
y,'-31 New o 33 Alterations ? 36 Move
a 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Canst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length Depth
APPROVAIS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered ,
PRV
Booster Pump
Census Code. `-3
SAC Code °l
Census Bldg ?L
Census Unit 6
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trai4s Ded.
Other
Copies ?-
Total:
Valuation: $
% SAC
SAC Units
r
LOT SURVEYS COMPANY, INC.
LAND SURVEYOR3
REGI$TERED UNDER LAW9 OF STATE OF MINNESOTA
7601- 73cd Avenue North 660-3093
MARVIN GEORGE BIILDERS INC. Minneapolie, Minneeota 65428
ti Denotes Wood Hub Set
For Excavation Only
--mw- Denotes Surface Drainage
E3 Denotes Proposed Elevation
o°e.c, Denotes Fxisting Elevation
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Lot 1, Block 2, LFXINGTpV SQUARE 7TH ADDITION
The only eaeemente ehown me trom plata of recorcf w Iniortnatlon provided by
client.
Wb hereby certlfy that thla la s true and comect repreaentatlon oi,a survey of the
boundarlea ol the above deac?ibed land and the Iocation ot all buildir?ps end vle• (
,Ible encroechmenta, II any, from or on eald land.
5urveyedbyuathie 29th dayot March 19 gg Signed
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Type of Building - Split level
Job Address - 964 Kettle Creek Road
Job Noi 88-21
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INVOICE NO. 21758
F. B. NO. 378-34
SCALE I" 7"20'
0 - OENOTES I RON
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ri Top of Block
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Garage Floor
BSS.S
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Lowest Most Floor
885
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A. Pretch, Minn. Fiey
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° 1988 BU LDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHZCH ADDRESS
IS.DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANSp CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
APR 1 ?
To Be Used For: Single Family Valuation: 0, O 0 O' Date.:
Site Address 964 Kettle Creek Rd. _-
Lot 1 Block 2
Pareel/Sub LexinQton Sq 7th Additinn _
Owner Patrick J. Leonarda M r;ra..an _-
Address 1385 St. John's Drive
t
City/Zip Code Woodbury, MN 55125
Phone (612) 436-1616
ContractorMarvin George RuilriPr"? TnG
Address P O Box 428
City/Zip Code Princeton, MN 55371
Phone (612) 332-3034
Areh./Engr. Same as contractor
Address
City/Zip Code
On site sewage_ Oecupaney R' 3
MWCC system Zoning PD, R-1 _
On site well Aetual Const V-N
City water Allowable V?IJ
PRV required lk of stories
Tir
Booster Pump _ Length 43-?
Depth 4?5T
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr/Assess Permit y5400
Planner Surcharge 5,0O
Council Plan Review a,2 ,00
Bldg. Off. I?S SACp City /00000
Variance SAC, MWCC
0
5D, 0
Water Conn ,SSD,00
Water Meter (29 , CO -
Road Unit
0
32.57,0
Treatment Pl aoti.oo
Parks
Copies
I TOTAL 51a.a6
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Phone #
VAU-KAT1oN
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LOT SURVEYS COMPANY, INC.
LAND SURVEYORS
REGISTERED UNDER LAWS OF $TATE OF MINNESOTA
7601- 73rd Avenue North 660•5093
MARVIN GEORGE SUILDERS INC.
TI Denotes Wood Hub Set
For Excavation Only
-s-- Denotes Surface Drainage
E) Denotes Proposed Elevation
oeo.o Denotes Existing Elevation
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Minneapolis, Minnesota 65428
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Type of Building - Split level
Job Address - 964 Kettle Creek Road
INVOICE NO. 21758
F. B. NO. 378-34
SCALE I" '2°20'
0- DENOTES I RON
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0
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Top of Block
889, o
Garage Floor
B88•S
Lowest Most Floor
885. S ,
Lot 1, Block 2, LIXINGI'CN SQUARE 7TH ADDITION
The only easementa ehown are from plats of record a Information provfded by
cHent.
We hereby certHy that thfa la a true and correct representatlon of a survey of the
boundariea oi the above deacribed land and the locatfon of all bulldinye and vis- (
lble encruachmenta, if any, from or on aaid land. Signed
Surveyed by ue thla 29th dayo} March 19 88
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A. Pratch, Minn. Re
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MINNESOTA STATE BUILDING CODE DIVI5ION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER MYYRU1.N GP0 1? G 6- pCJI', 14pP-3
SITE ADDRESS Lgf' ? a LOck L efclNGmm?SQtAArA6& A-obo
CONTRACTOR/1/jtl RUTN (oo(jr.bC 601IcIPP5 DATE PHONE
Determine working square footaRe of each:
1. Total exposed wall area..... 1`73? sq, ft. x ,/ 1 = a, sa
2. Total roof/ceiling area..... 9 a 60 sq. ft. x,o a(o _ =Li,o g
Total exposed wall area above floor = 1g ? a
Determine "U" value of each wall seement:
a. g slUt? &
b. L)? g itUit ?? _ !•?PV?
c. ya X ..U,.
d. s g Itull
e. 130? g„U„ ? 09
f. ?3 a$ X,.U„ ,oy = ??.3a
a. Total wall window area . . : : : : : : : : : : : : : ?
b. Total door area. . . . . .
c. Totai sliding glass door area. . . . . . . . . . . .
d. Total fireplace wall area . . . . . . . . . . . . . .
e. Total wall framing area (average 10Y). .......
f. Total net wall area above floor. . . . . . . . . . . _ /? 3 _QS
g. Total rim joist area . . . . . . . . . . . . . . . .
Total exposed foundation area = C? 9
h. Total foundation window area . . . . . . . . . . . . '°-
i. Total net foundation area above grade. .......?
.? •
. ..
I• g,• ` 1 1 X ItUte , by ? a Y. O V/
ll. ?- X 11u T*11 •-?• ?-?
=
X flUtt . a0Cf
? lQ
3. TOTAL . . . . . . . . . . . . . . _ I loC.o, c0 J
If item 4i3 is the,same as, or less than item U1, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = (CJ _
J. Total skylight area . . . . . . . . . . . . . . . .
k. Total roof/ceiling framing area (Average 10%) ...
1. Total net insulated roof/ceiling area . . . . . . .
Determine "U" value for each roof/ceiling segment:
I 3 3 ° ? r .--.1
?
A V Itllll l
U /\
k. C1 a XflUt,oa(40
I . cD X „U„ ,o(;)a
4. TOTAL . . . . . . . . . . . . . . _ 20-7
If total of item /14 is the same as, or less than item l12, you have met the intent of
SBC 6006(01.
A1[ernate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of items
1/3 and I14 shall not be greater than the sum of items lll and 1/2.
+
3. ! W!I JO J + 4.
/,.,/A til,eJ 67'!50: C/4>?? -"`c-7/ F71 ? i
fiEAr Loss cALcuLnrionrs HEATING & AIR CONDITIONING CO. • ??+ir?r??A??o?is, tair?rd.
Weelhsralllps A.S.H.V.E. , Cor,etructlon No. Inzulotiun
1ltindows Doors Guide put. Wal? Int. Well Cellinp fbol Floo? Kind How AGpliod
Raf er encs
Yes-No Yes-No 19?^ • .
1• ' /F? ??? lenplh Sl0 WIJth q7?p Nelphl ? F1. ?y''?l? Noan Lendlh / WIJin g Ilnipi?l8
Ylindows and Doors-Creckape end Area Wltidows and Doors-Cruckape and Area
?d?h H??phl
No. Nn. ol line¦I h. A liirh ma h t Nq. n( l-nenl h. a,an
?•n W N
L Ma 1 i a. 1t, . Noal ?n o1 ene nphlr ot cie k in. fl.
..
Coel 0tu Coal Btu
Inliltretion 17 ,77 77 .?? Intlliretlai c/7
Gles?
EKp. wall
Net erp, well
?Y?LL
' lnl. well
Cellina
Floa • ?O
lotel Btu.
fleQUired sq, Il. E.U.R. or sq. Ine. W.A. LeoJur mea
? FI.DiA/ /? Roan lenpth c-/ Width
Yiindows and Ooars-Crackage and Area
No. _WT'j'h_ ?J"_aM Nn,vl l??n? li. r Min
Helght
Gleas
EKp, well
Not aHp, wall . ?
Int. wall
Cellln0
Floa
Tolal Blu,
ftequired 6q. It. E.O.R. or Bq. InC. W.A. LoaJor oruo
P1. 0l Poan LOngth /r Witlth
Windows and Doors-Crackape and Aroa
W?dih Il1nphl No. ul l"?enl N. A,en
Nool ena ol nn• tt nll ol crerM On- If
Haiuht a
Cua; a,u -- t ? I ?oo;-ij ,U
Inllltrellqn /"3 Infihrelion /d?'?
Giess Glass f{o ? ffco
Exp. well Emp. well
Net exp, well 17(, /Qj& ' Nel eHp, well ?DO ?p /0)00
Inl. WDII Inl, WAII ?
CBllinp _ CBIIInB lo'PL 76o
Floa Floor ?
Totel Btu. iiff?p/15 Tota) Olu. Q1
Requited sq. 16 E.O.R. or sq. ins. W.A. LooJer oieo (loyuirod sq. It. E.U.R. or sU. ins. W.A. Lcadoi arua
/FI. Z/v/t/? Hoom lenglh Wldth /A7 Ha{plit FI.cf?Lp ? Ilown Longth /";7 Width Floipht ?
Windows and Uoars-Crackage nnd Area Windows and Doars-Ciackago ond Area
Np. W?A?h Il??pn?
01 nna F No W??pb
UI l??.p??l
ul ne Nnal
I4pblm ol crnrk 4rn
u.
s/k' le- -q -7
.
i i - L Cool B,u (:U„fl Btu
IrililUalion
Glese 37
??-? /Z?q
L
??d? Infillrntfon I
Glase
?D
EKp. wall FMp. wn11 ?
Nel awp. wall 62 Nal emp, well
Inl. wall Int. well
Ceil+nu Ctliling
F ioui -.
r iipl,t 5
I vial Blu. 5?33 ,???l iji,,. . ?_
Ita(iuiiuJ cti. 11. E.o.ll. ui su. iuy. 1i,q. l?dJat uipji • rL•iquii.rl v.j. rt. l,Ud:. w su. ins. 'rJr1. LvaJw ata