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971 Kettle Creek RdFUND OBJECT AMOUNT ? C. ?-- ^ . ?' , 1 ? Thank You . ? . . BY ?„. ?.. ? Whlte-Payers CoPY Vellow-POSting Copy ? .,.x qj ;wl?;.,? Pink-File CoPY CITY OF EAGAN I 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 ' PHO N E: 454•8100 BUILDING PERMIT Receipt# Tobeusedau S`?/SAR Est.Value $11800UC Date NA&Ct! E3 ,19 "o` Site Address " KET'fLE CR14EK ED OFFICE USE ONLY LEXINGTOI3 $t) 7'j'}l Lot b 81ock 1 Sec/Sub On Site Sewage Occupancy K`3 . MWCC System k Zoning PL) ff`Z Parcel No. V-K On Site Well (Actuaq Const a Name ROTTLU.ND CO City Water Z (Allowable) ?-? W Address 80X 383 PRV Required # of Stories ; ° City (?,?iSEO Phone 571-0304 Booster Pum P Length 58?-?" Depth , o hame ?AME S.F.Total ? Q Address Footprint S.F. 0? City Phone pppROVALS FEES ? s u W Name Engr./Assess. Permit 632.1iU ?9 ? ?Z _ ? Address Planner Surcharge - • 316 00 ¢ W , City Phone Council Plan Review . 100 a BIdg.Off. SAC,City •00 I herebyacknowledge that I have read this application and state that the f Variance SAC, MWCC 55{1•(10 550 00 in ormation is corrt3ct and agree to comply with all applicable State of WaterConn. • Minnesota Statutes and City of Eagan Ordipahces, `, , 1 ?' Water Meter 0700 • Signature of Permittee ? ? ?? _ ? Road Unit 325•00 A Building Permit is issued to: f"uT?LUND CO Treatment P1 104+0o on the exgress condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2o8031.00 Building Official TOTAL Pe i 01-3210 ?,'Bld g. ?3 1-3422 Plan Check `01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge l . -1-7-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 k'ater Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 19-3855 Park Ded. TOTAL 1 ? CASH RECEIPT CITY-OF EAGAN 3830 PILOT KNOB ROAD i ' EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ -- ' & DOLLARS ? CASH DCHECK raa 1 i ! 'l ? ?. A BY ?'_ •? White--Payers CoPY d? i ( , . . . • Yelbw--POStlng Copy . . Pink-FileCopy - {. Thank You Site Lot. - . aD ? I C PERMIT # L MECHANICAL PERMIT RECEIPT # = CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: RACT PRICE: PHONE: 454-8100 Name Addre, City ? Name City Phone TYPE OF WORK Forced Air M BTU ' 8oiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFlvl Gas Piping Outlets # ? Other FEE:1.: r-•- ?'- S/C: - t TOTAL• 0 .... BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 AODITIONAL 50 M BTU - 6.00 (RES. HVAC INGLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA. COMM/IND FEE - 136 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONOOS - RES. RATE APPLIES ? MINIMUM RESIOENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SI? F I . ,: ? FOR: CITY OF EAGAN t'SV_" s PERMIT # PLUM8ING PERMIT RECEIPT # CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: INTRACT PRICE: PHONE: 454-8100 I ,I Site Address 2 k S <° Lot Block Sec/Sub ? Name ? Il L?- , ? n?.',+ ?o . i. C ; a? m Address '• ?In ?" J `/"` ?-?- c Ciry Phone Name 4 3 Address ?7 ' p City . !? r? . Phone / FEES COMM/IND FEE - 14'o 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 PER PERMIT - .50 (ADD $.50 S!C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN l BIDG. TYPE WORK DESCRIPTION Res. New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ' NO. FIXTURES TOTAL _Water Closet - $100 $ Bath Tubs - $3.00 -Lavatory - $3.00 -Shower - $3.00 _Ki!chen Sink - $3.00 _Urinal/Bidet - $3.00 -Laundry Tray - $3.00 _Floor Drains - $1.50 _Water Heater - $1.50 _Whirlpool - $100 ? _Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) . -? ? Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FEE: STATES/C: - .(. GRAND TOTAL• CITY OF EAGAN • __ ?.r.. 3830 Pilot Knob Road, P.O. Box 21 •199; Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for 1 Est. Value 4k,' Date 1A 7A a '19 - • 6 Parcel No. Sec/Sub. ' ?CkON SQ 7TH m Name = Address ° City Phone i71-0304 a o Name ? i Address P City Phone Address 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 SRatutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: ('0 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 On Ske Sewage Occupancy MWCC System _ Zoning On Site Well (Actual) Conat Ciry Water ? (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Totel Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAQ City Variance SAC, MWCC Water Conn. Weter Meter Road Unit Treatment P1 Parks ' TOTAL • Permit No. Permit Holdsr Date Telephone 7F Plumbing y ; H.V.AC. J EleCtriC 11)y 8y ° 7 ° oel Softener Inspection Dats Inap. Comm6nta Footings I Footings II Foundation Framing ?s p s Roofing Rough Plbg. Rough Htg. ? + Isul. " jap ?? 5 - ?/of Ca ??fe Fireplace Final Htg. z&• p S Final Plbg. -- Bldg. Final -2(-4p Q S' Cert Occ. Temp. LP ? ? Deck Ftg. Deck Final Well Pr. Disp. Y' • ` • I . (gtrtt#iratr n# tOrrupanry ' Citp of Cagan Ep}181'f1ltPltt IIf lWlbtM Jtt8}1PtliQlt This Certificate issued pursuant to the requirements of Secrion 306 of the Unrform Building Code certiJying that at the time of rssuance this structure was in comp/iance with the vanous ordinances of the City regulaang building constnection or use. For the jallowing: Ux Qaeifintion SF DkU/GAR. Bldg. Permit No. !'I! f j; j pccupsocy Type R3 Zoning Diatricl FD RI Typc Comt li` c Owocr M Bwldiog ?YTMM •ro• pylrum BCDa 383. OSSM gwl?dinspddms ? i 711 `'uI;FY MNT) LowGn, T.F, Bi, 1+EMNMON SM?vl? Dete: g.? ^,? _ Bwlding Officiel " .. ? ? _. POST IN A CONSPICUOUS PLACE Cities Di?i itv Contro_ The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. F •. CONTRACT PRICE: Site Address ? Name m Address c City PERMIT ik MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ aWnNF• ese.91ne BLDG. 7E WORK DfSCRIP7 _ Sec/Sub pes. New Mult Add-on Comm. Repair Phone Other ? Name 3 Address -. \ O City Phone- TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. VenC Gas Piping Outlets # Other I ` , J( ) M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• 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 IAII MINIMUM 1 PER PEN 1 50 EA ( - i ) - . . COMM/IND FEE - 19'o OF CONTRACT FEE -? L APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - FES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 $ (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) Q SIGNATURE OF PERMITTEE ? FOR: CITY OF EAGAN ? I ? ?-.. 1 • J , ? . . CONTRACT PRICE Site Address In Lot L Block PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT M d' - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?PHONE: 454-8100 k c N i: , ' 11 BLDG TYP WORK DE RIPTION ? Sec/Sub Name ? . ? ? ' m Address C CI? { Phone i Name ''. ; Address ? p Ciry Phone ' I FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPUES I MINIMUM - RESIDENTIAL FEE - $12.00 I MINIMUM - COMM/IND FEE - $20.00 I STATE SURCHARGE PER PERMIT - .50 i (ADD $.50 S/C IF PERMIT PRICE GOES i SIGNATURE OF PERMITTEE ' FOR: CITY OF EAGAN 'LY Res. New ? M ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES ??iAL ?Water Closet - $3.00 $ Bath Tubs - $3.00 ?Lavatory - $3.00 ? Shower - $3.00 ? Kitchen Sink - $3.00 3 ' Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ? -?- ? Water Heater - $1.50 ? _Whirlpool - $3.00 -T? 1 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMtT) _Sottener - $5.00 -Weil - $10.00 Private Disp. - $10.00 ?- AnRough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• ' ' CITY OF EAGAM Permit Na 1 Date: _,--r---? - < ? Date: 3830,Piloi Knob Road B/P No: P.O. Boz 21199 Eagan; MN 55121 Owner. Site Address: - , •gy ?-• .. _,' ? -.1 ., Plumber: _ ? Zonin MWCC: 9 - ' ' ` • 'F No. of Units: City Chg: Acct. Dep: I agree to comply wNh the CHy of Ea9an Permit Fee: Ordinances. Surcharge: y',?. Misc.: BY SEWER SERVICE PERMIT CITY OF EAGAN 3830 PNot Knob Road P.O. Box 27139 Eagan, MN 55121 Owner. - J` PermR No: Meter No: Reader No: Dete: Size: Datec in.Ch9: 5 50.00Dd Zoning: ;t Dep: 15 .^Cpd No. of Unitx ` mit Fee: 10• 00ve, • 50n^ I agree to comply with the CRy ol Eagan charge: Plant 214 0(?'d Ordinancea. ter. /,7 nn .; - :r • BY , CITY oF 9RGM Permit No: , ` •, 3830 PlTot Knob Rosd Date: B/P Na P.O. Box 21799 Date: F.ayan, MN 55121 ' Owner. C:oinpany SiteAddress: " ?'ett e ree , oa _ ex. ne on , 7 : Plumber. ey ? _ MWCC: , 'r?.i Gbnina- ` City Chg: ;, ?cL Derr fidre digaing ??tR[t4t5?? Permlt Fee: 0*"Weomply wNh the Gty ol Eapan surcnarge: Misc.: By SEWER SERVICE PERMIT ?- _ . . CITY OF FAGAN Permit No: ' , Date: I - 3830filot Knob Road Meter No: !?{O 1 S? 7 7 u Date: P.O. Box 21199 Size: 5 8?' o? Reader No:11 PYS'Z 65 S--10-g"p Eagan, MN 55121 -?-? Date: _ Owner. '-c<<1wid Company SiteAddress: %71 t;ettie Creel:. iZoaci L6""31 Lexin<•to, ;t.t Plumber 'lallev P?ttmhirasl _ onn. Chg: 5_50._ ?_ )?? !?,??'?s` _ cct Dep: 1 ` . ^0 d • ? C2 -".? ' Permit Fee: L'J E [ 0? S' ? Surcharge: ? Tr. Plant 2 :)4, n r?tO cOmply with the Cfly of Eagan Meter. ? Ordlnancea. Misc.: ' By "z? .? e? WATER SERVICE PERM ?-- - - ---------- - - --? -CITY OF EAG AN . Nc- 14 7 0 8 3830 Pilot Knob Road, P.O. Box 21 -199; Eagan, MN 55121 PHONE: 454-8 100 ? ? I S5 BUILDING PERMIT Receipt # To be used for SF/GAR Est Value $118, 00 0 Date MARCH 23 ,79 88 Site Address 971 KETTLE CREEK RD OFFICE USE ONLY _ LEXINGTON SQ 7TH Lot - 6 Block 1 Sec/Sub on Site Sewage occupancy R-3 . MWCC System X zoning PD R-1 Parcel No. V-N On Site Well (Actual) Const ¢ Name ROTTLUND CO City Wafer X (Allowable) V-N W Address BOX 383 PRV Required # of Stories 3 ° City OSSEO Phone 571-0304 Boosier Pump _ Length 58' -0" _ Deptn 48,-4„ , p Name SAME S.F.Total z? ? Q Address Footprint S.F. ? City Phone APPROVALS FEES U¢ W Name Engr./Assess. Permit 632.00 59 0 ? = Planner Surcharge . 0 z- Address Council Plan Review 316.00 a W City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge ihat I have ad this application and state that the Variance SAC, MWCC 550.00 intormation is correct and agree compty with all applicable St e of WaterConn. 550.00 Minnesota Statutes and City f E an Or i a ces Water Meter 67.00 Signature of Permittee Road Unit _321._DO- A Building Permit is issue to: ROTTLi7ND CO Treatment P1 204.00 on the express condition thai all work shall be done in accordancewith all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 $?3 00 Building Official? ` o ir? IJip l, TOTAL ? . This request void /_ (j/O d 18 mon[hs from ?L C7 >> ? 14382 ?Zf /j 7 ;iiv 0-0 Ruest Uate Fire No, ough-in Insper,fion equired? eady Nuw [] WiII Nntify InSDec- 6 ?- ?yys ?o ror When Ready Licensed Electrical Contracivr I herebv request inspection of above Owner electrical work installed at Stieet Address, Bo or Route No.v • Cilv G ecUOn o. Township Name or No. Range No. Cour y OccuGent (PRINT) s MAXK ?J Phone No, ??S - 50 Power Supplier Address . Elecirical Contr tor ICompany Na e) Conlrar.tor's License No. y-b i ing Address (Contmct or O r Maki ?, F a Instailation) , A .t ho r' e Signature (Contract r? wner ing In talla[ion) P nne umb-r._r ? MINNESA STA7E ?G RD OF ELECTRICI7Y THIS INSPEC710N NEQUEST WILL NOT Griggs- idway 81dg. - Room N-191 8E ACCEPTED BY THE STqTE BOARD 1827 Universitv Ave.. St. Paul. MN 55104 UNLESS PqDPEH INSPECTION FEE IS ahnnn ie191 F42-tutnn ENCLOSED. ?' ?.4382 REQUEST FOR ELECTRICAL INSPECTION .r. EB-oooot-o,s cL 1 See iostructions for completing this form on back of yellow copy. ? "X" Below Work Covered by This Request Add Rep. Type ot 8uilding Appliantea Wired EquiUment Wired Home Fange Temporary Service Duplex Water Heater Li,yhting Fixtures Apt. Building Dryer - Electrii; Heatin Commercial Bldg. Furnace Siio Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ochr, Speci v .ihe, (Spr.rify) ther Suecify Other Othc, uO/I7pUt@ IIISpCCtlO/7 hCB H8/OW p Fee ServiceEntlBnceSize !t Fee Feeders/Subienders k FAe Circuits 0 to 200 Am ps 0[0 30 Am s 0 to 30 Am os Above 200 qmp5 31 to 100 Amps 31 to 100 Am s Swinuning Pool Above 100-Amps Above 700_Amps Transiormers Irrigation Boorcs Partial. Other Fee Signs Special Inspection $ TOTA Rerrr?rks Q? l i v-ni Rough-in Dale . 1, the ctrical Inspeclor, ereby ceAity Ihat tha abovB Final 1ei r-to J' inspection has heen d me e. Thia request voitl 18 monihs from Thts request void 18 months (rom L D j Req st Date ire No, h-in Ins cti ?. , . ired? ?ReadY Now ill Nolify Inspec- ?es ?Nu tor When qeady U i-lcensea cieccncai contractor I here6y request insDection ot above ? Owner el@thir.wl wnrk inelwllnd at Str t Address, eox or Route N. ? City. . ec ?on o. Township Name or No. Range No. County Oc G- nt (PR ) Phone No, Po upplier Address EI ' lr al Con r ICompany Nam Contractor's Lice e No. ? M ili g q ress ICon c.tor or O er king Instailati nl ? Au rized Si9nature fCon tor/Ownee Mak' g Insl'allation Phonber MINNESOTA STqTE B'OARD Of ELECTqICITY ' THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOAAD 7821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTlON EB-007007-06 ? See instructions for compieting this lorm on hack ot yellow cOFV• . SWd/.2- 911$ g 2 "x" Below Work Covered by Thrs Request Vetw, Add RBD. TYpB o1 6ufldin9 AoDliancee WifBd EqulUment Wired Home Range Temporary Service Duplex Water Heater ill Lightin,y Fixtures Apt. Building Dryer Electric Heatiri Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Afr Conditioner Bulk Milk Tank Farm Other peci y 01her(5prr.rty) t er Speci y Other Other 0I77p[i(B 1f15pCCtlOn fBC N F Service Entrance Size N Fee Fenders/Subteeders i7 Circuits U to 200 Am s 0 to 30 Am s ? 0 to 30 An! s Above 200 qmp5 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms Partial,"Ot r Fee Signs Specialinspection TOT Remarks ? Q 1l / Rough-in DJ'y, 1, the ' P '? Inspector, hereby cerlify thnt the above Final t/tZ• ( '??e rL in9pection he5 been d ma e. This requesi void 18 months Irom (///, (Vlw(/j.4? This repuesi void /?` (y 18 mon(hs from ?' i//h/O 6 (??? ?v7?oo? G Requggg st D te Ire o. ouph-inI n clion e ired? ?Ready Now ill Notify, InsPec- ? ?es ?No tor When (ieady ? Ucensed Elec[ifcal Contractor 1 hereby request insDection oi ahove ? Owner electrical work installed at: S t AAdress. Box or Rou No. Y y ection o. Township Name or No. Range No. County Oc pant ( INT) Phone No. Po r Supplier Address EI -[rical Contractor ICompany Nam C r- tor's Lice e No, Mai png Atldr Uy? 1COnt`=ac r Ow ar r1 lll,.J ? V . g Instailation) J Au rized Signature (Contr r/ ner Makin Insta latinn) ? 5 Ph um r - MINNESOTA STATE BOAHD OF ELECTRIGTY J THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - floom N-191 BE ACCEPTED 8Y THE STATE BOARD 1827 Universitv qve._ St. Pnul, MN 55100 UNLESS PNOPEfl INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON . Ea-ooooi-os 0 See instructions tor compleling this form on back o1 Vellow copy. *? ES L g 8 0- "X" Below Work Covered by lhis Request AAd Rep. Type of Building Appliancea Wired EquiVmeN Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Buildfng Dryer Electric Heatin Commercial 81dy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Mf Ik Tank Farm Oehe, Snecify Other lSneniyl t v.r SVeci y OthCr Oth,r Com,oute Insnection Fee Below M ' SBrviceEniranceSize fl Fee Feeders/5ubfeeders N Circuits U to 200 Am s 0 to 30 Am s 0 to 30 A Above 200 q„?ps 37 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s 4 Above 10 Transformers Irrigation Boon?s Partial-`O Signs Special Inspection ?'7. T L FE RertNrks / ?/T r // Hough-in ? Date L I,the t ' l p inspector, hareby certil lhat the a6 Final = j] `?? ove Y inspettion has been • ? mede. Thia request void 18 montha hom . a a 2005 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reouirements 3 registered site surveys showing sq, ft. of lot, sq. ft. ot house; and all rooted areas (20°k maximum lot coverage 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 if lot platted after 711193 Rim Jolst Detail Options seledion sheet (buildings wilh 3 or less units) RemodeVReoair ReauiremenGs OiTice Use Onlv 2 copies o( plan Cert of Survey Recd _ Y_ N 1 set of Energy Calculations for heated additions Tree Pres'Plan Recd Y_ N 1 site survey for additions & decks Tree Pres Required Y_N Add'rtion - indicate i1 onsite septic system On-site Septic System _ Y_ N Date Construction Cost p(,"1 D?pZ - Site Address Unit/Ste # Description of Work' _?Q40 (I ri I LkI? o, 1 o_/9 ; n , a /u : S4')(\QA ?c Multi-Family Bidg 'j _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Tetephone #? 1) tLl p p `? J ?-'? Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 c<<7' State 651-264-4777 _ Telephone # ( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv l Minnesota Rules 7672 EneEgy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitled 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 of work which_requires-a-x iew and appr al of plans. il '1411,11 rA R, ?i , 5 D Applicant's Printed Name Ap icanYs Signature `L' ?•'.? OFFIC-E USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg O 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) O 36 Mulii Misc. ? 05: 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06; 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work 7ypes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32:Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33.Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34: ReplaCement •Demolition (Entire Bldg) • G ive PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Uriits Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS Final/C.O. Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/E$ SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other: Total ??• ?•• s",'` ?u" tb . ?v rne. r o? D! 1'4$6U !(j_S[?j:11'hL 33p? @!YUlSK?YlSIY - , re ?.l ??,?. 3836 PiIaE KnoliRoaci Eagan, MN 55122 To Whom It Maq Gntcern: . EIder 7ones 1s authorit?,ed to ptzIl buiIding permits for Renewal by Avdersea pteasc alIow Eldcr ]oncs to provide this 'oriricc for tis in ?. bcyond 616101; watit a 'YTtis enthari2atibn is vaIid foi- any . date ?`cnewal by _ to theClty Andersea msna?r eaARssly revokss it tn wiift I rcquest this suthof&atian bc aczepted'expedi@otts] our building PCanit,, nnY fuxtficr. Plca.sc caIt mc iF ythctc arc ? delay in rhe processing of r cvntacted at ?b3 502-4706. Y qaesttona_, I can be Your imm9diatc attcation to pis mattcr #s Qxinredarm. Siucoialy, .d Ymrnnd-R &-Rm ?israLlativn Maz?ag?r Rcnowal by Andcrscn Corporativn C'c.: Kara_fudex7nne,e - i C?H D . g?rMATL wr ? _..._?OnftYlttt'hp,n,ZD09 `e .L fHlvU Received Ti'me Jat. 7. 1:01PId' RESIDENTIAL b?'t ??25 BUILDING PERMIT APPLICATION Cpc)f 12$'.2h CITY OF EAGAN ?. p ?, f?, ?„? 3830 PILOT KNOB RD, EAGAN MN 551Y1 c?i?`r`E?".` 651-681-4675 Now Construction Reauiremants • 3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and ?II rooled areas (200/o maximum bt coverage albwed) • 2 Copies oi plan showing beam & window sizes; poured found design, etc.) • lsetofEnergyCalculations • 3 copies of Tree Preservation Plan 'rf bt platted afler 7/1193 • Rim Joisl Delail Optbns selection sheet (bklgs wAh 3 or less unNS) DATE .'r? 1 1? I Q a+ SITE ADDRESS NPE OF APPLICANT STREET ADDRESS IM f(1(',?L)" " TELEPHONE # I??p?iQf"1LOCELL PHONE # Ujs,? STATE OUlJ[IP %? FAX # PROPERTY OWNER Q.IrK.'}? IV TELEPHONE #69I "W'tem COMPLETE THIS SECTION FOR ••NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted FA_ y?o? t Submitted . Energy Envelope Calculations Submitted 8 200 Plumbing Contractor: Phone Plumbing system includes: Water Softener Lawn Spri .00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # ----------------------- ------------------------------------------------- ---------- ---------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wfth all applicable State of Minnesota Statutes and Cify of Eagan Ordinances._ Signature of Applicanf James Geisen, Prea OFFICE USE ONLY MULTI-FAMILY BLDG _ Y 36N d-.,iFIREPLACE(S) _ 0 _ 1 _ 2 RemodeVReoair ReaulremeMS . 2 copies of plan . 1 set of Energy CalcWations for heaied addftions • 1 site survey for exterior additbns & decks . Indicate if home serred by septic system for addBions VALUATION utM a o1 LbO Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 + i . s . . ' ? ' . • - ; ' , OFFIC E USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - 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 Poroh (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 •Windows/Doors ? 34 Replacement "Demolkion (Entire Bldg only.).- GivePCA handout to applicant . . s- .. . . . . Valuation ?Occwparicy.. ?_??': , ; • MClES,Systsm', ' Census Code Zoning City Water SAC Units Stories • . , ,. . Boaster Rump Nbr. of Units ` ' " . ? < <' ' • Sq. Ft. ' PRV • . ?' ' P • Nbr.,of•Bldgs. , . . Length Fire•Sp[inkleYed . • . Type of Const Width . _ , . 'I S ?' • N i REQUIRED GTION • • SP _ Footings (new bldg) _ Fina7/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test -Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/E5 SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building inspector CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ********************************? *TOTP3: PAYMtIU OF FEE AT TIME pF APPMcAMoN DoFS Nar cONsriTM APPROVAL OF PEEiNIIT. nvsPnMoN aF sEVM ANo/aR MM TN+'TAT T.ATTQjQ$ WTT.7. N()j` $g S(HED.- ULM UNTIL PEEiMIT HAS BM APPROVFD. "1fJfi[]fi'i][Zi[i[iCJf]fifF]fFFRRacS--azacf---taciF , Please Print) 1) PROPERTY ADDRESS : `1 2? I •- `l I ??c e ?+l'c 1C LEGAL DESCRIPTION: (9 ( lt.? 5 ? z'? '" Lot Block Subdivisi n or Tax Parcel ID ) . , . IF EXISTING STRL'CMRE, DATE OF ORIGINAL BLILDING PEf2MIT ISSL'ANCE: . ' •- PRESENT ZONING/PROPOSID LSE: (Nbn e ar ) - ? CONY'+ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY . . Q IbIDC'STRIAL ? R-? DLPLEX (Two Lnits) n INSTIZL)TIONAL/GOVMZ1ENT ? R-3 TDWNHOC?SE (Three + Units )( Onits ) . p R-4 APAR'TIIENT/CONIDOMIDIIUM ( Units ) 2) NAM' I 1c~O INC ADDRES5= 610 GREEK LAiVE CiTr, srATE, zIP: JORDAN, MN 5'357-- PHOm: W`t $) • u a ?• - . ?' Vn Ir! rY n61IRA6IN,G GO_11?IA Nvrs AMRES5= 610 CR EK LANE • CiTY, srATE, zIr: . JORDAN, MN PHONE: Q ci ') - ak a- 1 rAsTER LicErrsE# L - a( cJ 7 r-Lu«urers License: ? Active ?. Expired Not recorded Staff Mitial 4) •• • i?+• - . tvAME: _ P.DDRESS: ? o x ? u l ; CITY, STATE, ZIP: U S PHONE: 5 -1 5) i? a: •?• : a • s? x? ? CONNECrION TU CITY SEWEf2 ? CpNNECrION Z+0 CITY WATgt Q OTHER : 6) ? • r q PLEASE HOLD APPROVFD PERMIT FpR PICK-UP BY ONE OF ABOVE --_`- --: --. PLEASE MAIL APPROVID PERMIT TO 1. 2. 3r 4. ABOVE , . ( l?' (Circle one) ? 7) r. r' • - `????' ln???? Jz - '??' 411y /v k :fOR CITY USE ONLY PERMIT # ISSUED ?38 A. Pd w/Bldg. Permit FEES: $ $ la s?a $ $ /D - S1' $ ? 7, cF-D $ $ $ $ $ $ $ $ $ $ O-Z $ $ $ $ $ , S $ $ $ $ $ $ ozo (-( ` 0-0 $ RECEIPT RECEIPT .. . $ _ $ ,. $ S SEWER PERMIT (INCLLDE SLRCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WA.TER TAP (INCLC'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOLNT DEPOSIT - WATER WAC SAC TRLIVK WATER ASSESSMENT TRUNK•SEWER ASSESSMENT LATERAL BENEFIT/TRLNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE . OTHER: TOTAL DOES UTILITY CONNECTION REQLIRE EXCAVAT20N IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: V ? ` . l t 0 ° El hJJ ^1)Ui' 1i) ?l'n-uU r U'UU'F 55U•UU? fi'! ° U ti r .?•,??i°iiiJ; 9 UU:J+ j•?)?,i;. U • Y • 1988 BUILDING PERMIT APPLICATION - CITY OF E6GAN #l 470? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYp 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH 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 PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OE ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS iN-''?• . "' ., ., .. To Be Usgd??r: Valuation: Date: G? Site Address -9-i-Ilk9- {f je C- reg? Lot (v Bloek I_ Parcel/Sub Owner T(nf- IrI?C.- Address _ ?•L`?.__?x_ "5`?''? City/Zip Code Phone S? t- a Contraetor Address ?re City/Zip Code ?E?e. Phone Arch./Engr. Address City/Zip Code c?e Phone # E?e. II ... ? YDGb'` On site sewage_ MWCC system ? On site well City water i/ PRV required _ Booster Pump _ Occupancy R-3 Zoning P'D, 2-1 Actual Const v-N Allowable V-N # of stories Length S$'- D" Depth yA '-yii S.F. Total Footprint S.F. FEES Engr/Assess Planner ? Council B1dg. Off. Variai:ce Permit ov &321 Surcharge .SR, o Plan Review 6, , pp SAC, City O 16010 SAC, MFICC " , DD Water Conn 50.0 Water Meter (?7, OD Road Unit 325.00 Treatment P1 O AD Parks Copies TOTAL ? VALUA-C 101-,? GARAGE ____--- ZZU22- 4,99 X??I=(,'??? UA1?6E hnLXI°F ??X38 = 988)< 937 IZVL1Li l Si F%--oorZ 1????'r = 9 ? ? I ?tXG27 = [5 2 ,? '1 = ? `I io?7 X 49= yq?33 2 ? ?l.ao,Z zG,c3?= 9?Yx 4q= y?W! Z ? ?---- 1178?5 ?!? J+t???• ta ' k t ,' yF. i ? ? ? n• ?.. 1 ?t Lk! ? *a f i. { • yk? wt ? t?'+'., M ° • • , ' ?• " ? , 2422 Enteipriss Orive +, _ ?(?NE q `. _ . f ... 4ND lW w .VEY -:,Ofeg 6 f C?v."IL?i l Mendota Heipht3. , MN 55120 ,?k ?? •? [? NC.F 1? - . r. a `?? ? ' engineering ra `.. LI1M4 ?LArNVSR3? INNd$CrPC ApCNI?€!R9 ? . IQ 1 Cp1 d .. i ., p ,j .;• ?? ?'?'::. , ? y ' 1 }. _ e di. ?? . P ?F." ? j ?' cy?Y? \V a..) •h?'ti?? ? r?? ?.. `Certiticate of 5urvey fo?: orR E?ROTTL C/ND C0.•', ? ' , y .. V.i . ao 8iK _ NoRrH ? ??, •4r.? ? , " \ '90 o?s'', ?'.I . ? . . dBS.e6 .. ? , MM • . '? /s .. ? . • .. . 0° y?o ?O• / . ? n,o' / . ' •9? ,,' ? ?c . ?r J ? ? "4.1 4 7 ', . .? : . ,. . ,?.? _ ..' . . . . T r " "?F 4 Jr ? v , , . *ta v E ti1 M? I r• ? ,/? ???, I .. ,.' . . ?-A ' EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION OWNER ?oTT?vtiD LO. SITE ADDRESS L0T I_???( CONTRACTOK S?Nt ':-7- DATB PFIONE S ? Determine working square footage of each. 1. Total exposed wall area ...... Z`f ?t 7 sq. ft. x •/ ?? = z 77' r7 2. Total roof/ceiling area ...... sq. ft, x rQ)b ° 26,, `G 3 Total exposed wall area above flooY a. Total wa11 window area ..................... ..... ?16 b. Total door area ........ .......................••.•• 5 U" c. Total sliding glass door area ....... ............. .............. Total fireplace wall azea .......................... e. Total wall framing area (average 10%) ................ lcl? f. Total net wall area abwe floor ......... ......... 17/S g. Total rim 3oist area ..... ....................... 2-E?`/ Total exposed foundation area = G -2- h. Total foundation window area .......... .......,.....t• q . i. Total net foundation area above grade .,............,. 53 Determine "U" value of each wall segment. a. X itU?i e,5 10200G b. X flUff .07 = 3.?t 2 C. - x Ituto ...--. d. ? g lfUll - . _ "'- • e. l g/ x IIUII , OS5 7 = ?(a ?? Z f. 171s X. "U„ so 5?? _?? oa 3 ? g, 2 ? e.4 X „U„ 6V h. ?J X ivUll 3 x itUi, 6)3 3 ................................. ..... Tota1 . =.-2.-SIT If item # 3 is the same as, or less than item #1, you have meC the intent of SBC 6006(c)2. ' . . Total exposed roof/ceiling area = / U 3 Z- Total gross roof/ceiling area = /G 3 Z j. Total skylighC area ................ ,..... 6 k. Total roof/ceil3ng framing area ............ 6 2 1. Total net insulated roof/ceiling area ...... 96 q Determine "Q" value fox each roof/i X ifUll k. ( 2 xlfUlt 6 Q 2-7 x„u" ? o z S 4 ..................................... Total :eiling segment. 2°6y _ /a G 7 _ ?2 qoiU = 2g.L/ ( If total of #4 is the same as, or less than t}Z, you have met the intent of SBC 6006(01. . To utilize the total envelope system method, the values esCablished by the sum of items 413 and #4 shall not be greater than the sum of iCems #1 and 112. 1. z 77of-7 + z 2?,?'S3 = 3ovoa? s. 2/v.`?? + k. 7- 0-y/ = 2 y3,z? ' • ??.?. SI.?Yl?... ?uyu ? 01 4 11U?n: f;^e 10% oL• opaque wall area for . irame construction • ' ' IIALL Construction ` {??'?•- ? R-Value ^. 1. Interior airf film 0.68 .2. 'L"G ->-Y P. f3 R 17 ? 4 S 3 ' .? 3. ?2uE, s-rvPS • &a$S-.. . 9. 2 5/3 2 s H rU 2 .GG ? 5. -f/t>l.tiGr Ut?C/< FECr l a 2? 6: Exterior air film 0.17 • •' 11 JI? . •. Total PIG. il1 TOPVIEfJ OF . • ?= QOg? • ' • FI2Atir iJnLL . ' 1. Interi.or ai.x film ? : l s?rc: P5era1 ?. _'? ? l !-m.TI i.T. - • , , •, o ? •. f?? ' . , . • 0.68 . . , . 2. V?"?..r? I3? D a v,S, .. 3. ?UG L ?Gt/.?l e L' ' /AiSG?G / ?'/, bU ?------ ?=- ' 4. Z S 3L 51-?'TCr 2?pG • S. 5/ d/.(iG- o W E.t .F. EL-r-' / o Z 6 6. ESCterior air film 0.17 ..._?? • ' To ta]. 2 3, 6 Z' Interior air f ilm 0.68, 2. ??---------Q , ,' s. ' 2 X tz?r r ?t ` ,. ? ? - ts8. . i .? ..l 4. ! 2??3.Z S t-1'i-Cr 2 m0?? . ' ? 5. S/d/?? ?V-?l<=?2.7,- • • . . . 6. Exterior air film 0.17 Tota7. Z $.a 5?- -?:......_, r ? ?• . •. - ,? , . , ?? .O`tU ?n?? ?$? , , • ' ' : 1. Interior air film 0.68 2. ?-// ./•tiSV?; . . . . .. 3. zxl ru2 2 r N ? . 9. IZ ??Cp/riCr ?COC?? ?aZ.? . 5. ? . 6. Exterior air film 0.17 3 • ' ' rotal 13,1 ? . . . ? ' .. v 74?i ? ' . ? .• I ,n ?. . . .r ? f" . . ?. rL r ? . ? ??/ .?,-? ??? ?^ ' ?• ? ? . • ??6. y ? ? 1 (!{ .? •' ? , . , _. / I 1 ? . . . . . ?r? k ? ,? a : ??? . ? , ?. ? ` ? • t' i? r ? ? Y .? . - .., . II 3 I?: ? ? •? , c? . I • ? C • ? e? ? ?. ....? _ . ,: ? i . ; , .. '.Roor/cErLxNC . I • ' I ' i, ' • ? , . . ? ? . ., . . ? ,' Consi:zucL•ion : ? 12-Vnlue • i 1, ? Tnterior air film ? ? ; 0.67.. • ? ? . . vY n?? ?o 05 g 3. Exterior aia: film (stil]. , 0.61 9f .? , Y'i1(T Toi:al 3?foe50. ; • • ? ? . /`\,' ' ?:/ ? ,. ..• . , ? ' ' ? . ? . •. , , V = a025 . . ? . • ? . . • ? • . . . , . . , , . , . . . . ,, . , ,: • , .. . ? Venced Heat f1ow.' • ? ' . ' ' • • up ? .? ? , , ' ' ' ? . • ? ? ' ' . . • . ? ? ? , , • . . ? ? . . •. • . , . ., • ' ? I . ? i. ? ? . • . . . ? i . ' , , . . . i . FIG. ?S' ?. ? . , . . . ? ' ? . " ?? 4?_ ' ' • . . . • ? . . . , . . . . 1 ' , ? . . . ' . . 1. Interior. ai.r film 0.61 z. S/?.C?Y1? 1?.?20 eSS . ? 3. i.vsvL ovE2 rrtusS ?W- ' '. 9.,. Exterior air film sti , '. •. . . . , Total• 3(or?? . . . . , . • , ., , , :. . ? , . . . . .? . 1 Neac flow up • ? , ( .•vented. . , . ? ? • . ' , ' . ' I ' , ? ,. , ? ? .• ?. • . . . .' ' •,• . i • , ,FIG. ??6....?.. ? •, ? '.'-? .. .' . . . ? . ? .. . : . °-.. _}_ . ,-. . . . _ • . ., • . , . 1. Ins3.de ai_r film 0.61 ? o?r.t.;,^,,.? _? • 2. . i . ' ? oM1? t,}???n? .:.5.°s:g'?`•. 3. • ? • ? . ,.. ? ...?, '•?,'?-r; -4'?? : :? . a 4. 5. Outszde air filin ' 0.1.7 ' Tota1 ,? • ' ? i Z ? ., : ' ' : . 1. . . . . . ' ? ? I ,? , . '...C' , , ? ? • . . : • . Not•e: Use add3.t3.oilaZ sheets •if more cpaco ?.s ? ? ? ??• ' • • needed Eor cletails an8 calcnlaL•ians. i .. ' . ` }{eaC '.. ' • . ? . . . • • , • , • ?f low up , - . • . : ' • .. _. . ' ?. ., • . . . . , • ' fiTr,. ?t? ? : . , •? . r' . . . . , 2007 RESIDENTIAL PLUMBING PeRnniT aPPLicarioN ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s ?!V7 Date?l ! _ Site Street Address i&ffle U w?-- Unit # Property Owner Telephone #((?') bU? b , Champion Contractor 651-365-1340 Telephone # ( ) Address . 100 CitY State Zip The Applicant is: _ Owner & Occupant V-1"Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbing re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. /f you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic Syste.n Abandonment _Water Turnaround (add $136.00 if a 518" meter is required) Other: Water Softener ? ? VWater Heater _ new Vreplacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild - $ 30_00 -- - State Surcharge $ '50 FOT 14 2007 Total $ 5? -? - h I hereby apply fur a Residential Plumbing Permit and acknowled hat the information is c mplete and accurate, that t e work will be in conformance with the ordinances and codes e- 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 approved. ??..? App inYsJ. -Printed Nam ApplicanYs Signature ? -7773Y MD PERMIT City of Eagan Permit Type:Building Permit Number:EA106837 Date Issued:09/12/2012 Permit Category:ePermit Site Address: 971 Kettle Creek Rd Lot:6 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-060 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors-New/Replacement Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Nancy J Anderson 971 Kettle Creek Rd Eagan MN 55123 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140095 Date Issued:11/23/2016 Permit Category:ePermit Site Address: 971 Kettle Creek Rd Lot:6 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-060 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - 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 - Nancy J Anderson 971 Kettle Creek Rd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164640 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 971 Kettle Creek Rd Lot:6 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Manojit & Vijayeeta Bhattacharyya 971 Kettle Creek Rd Eagan MN 55123 (469) 321-5735 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174280 Date Issued:01/13/2022 Permit Category:ePermit Site Address: 971 Kettle Creek Rd Lot:6 Block: 1 Addition: Lexington Square 7th PID:10-45081-01-060 Use: Description: Sub Type:Residential Work Type:New Description:Air Exchanger Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Manojit & Vijayeeta Bhattacharyya 971 Kettle Creek Rd Eagan MN 55123 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature