972 Kettle Creek RdPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128503
Date Issued:11/17/2014
Permit Category:ePermit
Site Address: 972 Kettle Creek Rd
Lot:3 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Rick D Anderson
972 Kettle Creek Rd
Eagan MN 55123
(651) 231-6239
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
?
CITY OF EA GAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ' Receipt #
Tobeusedfor r;>i'G/GF1, Est.Value Date 19
SiteAddress 472 LiETT'Lf. CRcEK
Lot Block 1) SeGSub. SEXINCTflN SQ 7TH OFFICE USE ONLY
Pareel No occupancy i'- 3 b-1 FEES
. PD
Zoning
¢ Name KEYI.AND H(k9E5 (,4cmaqConst V-?l Bldg.Permit 600•00
W
;
Address 14450 BURidSVTLLE PKWY
(Allowable)
v-N
h
S
45.5a
0
•
3URNc.?Y I1.LE 894-2
City Phone 63?
+v of srories
- urc
arge
00
00
(yQ+ PlanFeview .
?9th
o Name SAl`iE Depth 50 ,
sac
ary
300.00
? Z
0
04 Address S.F.TOtal - , 575.00
0
¢ City Phone S.F. Footprints - SAC.MCWCC
$C
04
°
water Conn ?
.
.
On Site Sewage _
W w Name On Sde Well - Water Meler ??0•?
W
_'
Addf2S5
MWCC System
xx
30
00
Xy? Acct. Deposit .
aW Gty Phone cirywaier
S/W Permif
20.00
PFV Required _
I hereby. acknowlege that I have read this application and state that the Booster Pump - SIW Surcharge 1.00
information is correct and agree to comply with all applicable Slate of
d 2?8
?
Minnes
ta Statutes and City of Eagan Ordinances. 7reatment PI •
Signature of Permitee APPROVALS Road Unit 3140.130
KFl'i,:\ND' HV7fE?'
A Building Permit is issued to:
Planner
-
parkDed.
' on the express condition that all work shall be done in accordance wilh all Council
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Bidg. pry. _ Copies
'L , 9CL; . 50
Building Official Variance - TOTAL
CASH RECEIPT
`CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_ ?. '-
DATE
11ECEIVEO
FPOM
?f
AMOUNT $
& DOLLARS?-„
? CASH p CHECK
?K
?--
FUND OBJEC7 AMOUNT ?
?x
1 1
-..d I
?
Thank You -
BY I
C WhttrPaYers CaPY
Ya,???Copy
viok-FOe copy
I SEWER & WATER PERMIT ?
CITY OF EAGAN
3830 Pilot Knob Rd. c?
P.O. Box 21199
Eagan, MN 55121
?
r ,
SITE ADDRESS
LOT?- _BLOCK - - SEC/SUB
OFFICE USE ONLY
PERMIT DATE 7121 18v
WATER PERMIT # _ 0' L SEWER PERMIT #
METER # B.P. RECEIPT # % 1200
READER #t B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
'I-40, PERMIT REQUESTED
T.h?SEWER --?WATER -TAPS
- COMM/IND - RESIDENTIAL
APPLICANT:
ADDRESS: _
CITY, STATE '
PHONE:
ADDRESS:_
CITY, STATE
PHONE: -
?-r•?
owNER:
ADDRESS: ?
CITY, STATE ZIP
PHONE:
?, NEW
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
.P'
= df ?' ?
?
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS -1j
APPLICANT:
ADDRESS:_
CITY, STATE
OFFICE USE ONLY
PERMIT DATE -?12? 15`1
WATER PERMIT # SEWER PERMIT #
METER 1113 6 B.P. RECEIPT#
ER # ? tO 3 ? 7 B.P. RECEIPT DATE ii 9
ETER SIZE _ o ?
ISSUE DATE 5- ?? '8? - PRV _ BOOSTER PUMP
PERMIT REQUESTED
PHONE:
PLUMBER:..t--
ADDRESS:
iZIP - - '?
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
;-,ViSEWER WATER -TAPS
_ COMM/IND = RESIDENTIAL
XNEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES: j ,
,
.. ? ?`
Si E WHEN M R ISSUED
PLEASE ALLOW TWO WOHKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. ??
For Offke Use On
ly:
MECNANICAL PERMIT /
h J
PERMIT # ,o
_?.. '
CITY OF EAfiAN RECEIPT #
31130 PILOT KNOB ROAD, EAGAN, MN 55122
'
DATE:
CONTRACT PRICE . ? •?-<
: ? ? PHONE: 454-8100
Site Address gM
TypE WORK DESCRIPTION
Lot Block Sec/Sub ,
Res ??- New
:4 - . ,rr{ <<_
'? -L Mu1t Add-on
m Name .
Comm. Repair
?
c Address
-
City Phone
Other
FEES
? Name '? "' " '` ' '• RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry ''V' ^• Phone "= (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
'
GAS OUTIETS (MINIMUIII - 1 PER PERMI
T) - 1.50 EA.
TYPE OF WORK COMMIIND FEE -19'o OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heeter M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Air Cond
7 M BTU REMODELS - 12.00
. MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping OutleTS # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
? PERMIT FEE: f ?. • ? " , ; ? ''
?
S/C:
. S?' , ' J
ITTE?/ / _
?i Lr1 1(f r
?
TOTAL: '•'" ?'' '
y
FOR: CITY OF EAGAN
L
. . .. , ..
? a CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for' "F [?r /GAK Est. Value 49 1, 090
SiteAddress 't7` !'FTTLL ChEEk
Lot Block ? Sec/Sub.?EMtiCTu?t SQ %Tii
Parcel No.
w Name `°'Y?? 1??ES
o Address +`' ,?'' ?t ``.HN4VFl.? .: ----------
City "`' ?'' -. Phone
Address
Receipt #
pq.....?
N. 1621.2p
.,
7 911-
Phone
1-05 Name
??? -, Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ` -
A Building Permit is issued to: ^° "+''"'tt
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 Oflicial
OFFIC E USE ONLY
Occupancy R"j K' 1 FEES
Zoning pD
(Actual) Const V-V Bldg. Permit 6W•00
(Allowable) Y-r
Surcharge 45.50
# ot Stories
Length 8 ' Plan Review 300.00
500 100
00
Depth SAC. Ciry 1
S.F.Total - SAC,MCWCC 575•00
S.F. Footprints - ig?.?
On Site Sewage _ Water Conn
On Site Well Water Meter 90•00
MWCC System xx
30.00
City Water xS Acct. Deposit
PRVRequired - SiWPermit 20•00
Booster Pump - SiW Surcharge 1•00
228.00
Treatment Pt
APPROVALS RoadUnit 340•00
Planner - park Ded.
Council -
Bldg. Off Copies
2 ,,9a9. 50
Variance - TOTAL
Permit No. Permtt Holder Date Telephone #
WATER
?SEWER •
PLUMBING
H.V.A.C.
ELECTRIC ' ??? ??0 0 ? ?? i bC? L`t 1 ?`' -'? ?', '? ?O 6 ?'?, O•?
Inspeetlon Date Insp. Comments
Fwtings I
Foundation
Framin9
Roofing
Rough Plbg.
Rough Hlg. ?& i
Isul. / ?4 ?Q . . .
Fireplace
Final Htg.
Final Plbg. 5, 7-- ?
Const Meter Plbg. Inspector- Notify Plumber
Engr./Plan
Bldg. Final ?z f!
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
....
,
?..??.
(Itrfifirair nf COrrupttnry
Citp of (Eagan
Er}rttrtntrut u# luilDing Ittspertimt
This Certificate rssued pursuant to the requrremenu af Secdon 306 of the Unijorm Building
Code cenifying that at the time of issuance this structure was in compliance with the vanous
ordinances ojrhe City regulating building construction or use. For the following:
ux cuuJnuoo SF VX7GAR Bidg. Porntil No. 16212
OccWeory TYPe R3/MI zon* usu;n PD rya Cm-,L VN
Building- '?•AND Ha-ES Ad? I4450 BIIRNSVII.i.fi PIdJY, B?VII7.F
awiahng naa? 972 KErIIE CREW ROAD ?hty 13, S2, IEMIGIaV SVRE 71i
n„e: MAY 24, 1989
B Offi ?
POST IN A CONSPICUOUS PLACE
. , .. s . .:.?? "A ? ..... • . ... . x_- _.... .?e??..._.... ,
PERMI
PLUMBING PERMIT RECEII
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address Qe
Lot Block ?- Sec/Sub _
-r
City
Name `f.{?.h.,.!'/?*u?•._._..
c Address '
p Ciry Phone
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 PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
?
BLDG. TYPE WORK DESCRIPTION
Res. ^ New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
d0. FIXTURES TOTAL
?-Water Closet - $3.00
-Bath Tubs - $3.00 S '-
?. ? "
?-Lavatory - $3.00
Shower - $3.00
LKitchen Sink - $3.00
-Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
1 Water Heater - $1,50
Whirlpool - $3.00
Z
Gas Piping OuNets - $1.50
(MINIMUM - 1 PER PERMIT) ;
-Softener - $5.00 j
-Well - $10.00 ?
Private Disp. - $10.00
?Fough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: 3 ?7
• 5 G
CONTRACT PRICE:
, Site Address
PERMIT # '
MECHANICAL PERMIT RECEIPT # '
CITY OF EAGAN DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100 For Office Use Only:
.-
m Name ?-: ? 3 , •` ? '_
m Addf&ss ,`' ; S F?Jn 1 r.• a"c)1
c City Phone
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
Name `-'
., FEES
RES
HVAC 0
100 M BTU
,
$24
00
; Address .
-
-
ADDITIONAL 50 M BTU - .
6.00
O City -- Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PEit PERMI 1
50 EA
TYPE OF WORK
w (
-
n -
COMM/IND FEE - 19'o OF CONTRACT FEE .
.
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLJES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM R STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ' i BEYOND $1,000) ?
Other ?
FEE: ?
SIGNATURE OF PERMITTEE
S/C: I
? '?
TOTAL• FOR: CITY OF EAGAN ?
- r? • u i
? 8 578 8
Requesl Date Fire No.
4- 6- 8 9 h-in InspecUOn
uired?
? Ready Now Will Notiry Inspector
Yes ? No When Ready?
IX licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Raule No.) Ciry
972 Kettle Creek Road Eagan
Section No. Township Name or No. Range No. Counry
Dakota.
Occupant(PRINT) Phone No.
Key Land Homes 894-2636
Power Supplier AUtlress
Dakota Electric Farmington, MN 55024
Electncal Coniractor (Company Name) Contractor5 License No.
Midland Electric Inc. 041610
Meiling Address (COnhactor or Owner Making Instailalion)
14055 Grand Ave So, Suite F, Burnsville, MN 55337
Authorizetl Si naWre (COntractoUOwner Making Insfallation Phone Number
_?. ?? 892-6688
MINNESOTA STATE BOAflD OF ELECTRICITY ? THIS INSPEGTION REQUEST WILL NOT
Griggs•Mldway Bltlg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1827 UniversiTy Ave., Si. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
_..oi FOR ELECTRICAI WSPECTION
. ? Sea instructions tor completing this fortn on back of yellow copy.
? 85788- "X" Be%w Work Covered by This Request
?? &00007-07
w F
e Add Rep. TypeofBuiiding AppliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speCify) Contractorg Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 411 0 to 100 Amps
Transformers Above 200 _ Amps °' 1?Amps
SignS Inspector5 Use Only: ?a( 0? TAL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical tnspector, hereby
c
rtif
th
t th
b
i
ti
h Rough-in o 7
? ac
y
e
a
e a
ove
nspec
on
as
been made. F;mi
, oate?-^
OFFICE USE ONLY
This request void 18 months from .
BLDG. PERMIT NO. -
(_ 0 A- I 1-??) I c cJ2 4t
01-3210
. 01-3422
013445
01-3446
U 01-2155
? 75-3860
a \ 20-2275
v
. 20-3865
?
? 20-3868
? Y 20-3716
? 20-2252
?
T 20-3713
u
- 20-3743
79-3866
28-3855
Bldg. Permit
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.
TOTAI
1 ?-? - 2 1 c,
C[ z G--
3 I ,? oc.
°i C1
5 75
S Cl• ?1 ?S
?.
?, C-, r,
t ? CO
I c:?b z%c
SIISC
BLDG. PERMIT NO.
C•cJ2 Z.??-i I r?c itd?, ?`•'I
,
01-3210 Bid Permit (-c t) C C?C =
9•
. 01-3422 Plan Check
01-3445 Surch./Adm.
J! 01-3446 SACJAdm.
J 01-2155 Surcharge
? 75-3860 Road Unit
? za2275
20
3865 sAc
W
t
C
4- - er
onn.
a
' •i
? 20-3868 WaterTrmt.
20-3716 Water Meter
?
20-2252 Acct. Dep.
?
v 20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
v c> rc
93
? 7J
C!
.?2c;
5: c c?
??j'D Uc •.
I C CX?
BUILDING PERMIT
To be used for SF DWG/GAR
Fqf vAiijP $91,000
Site Address 972 KETTLE CREEK RD
Lot 3 Block 2 Sec/Sub. LEXINGTON SO 7TH
Parcel No.
W Name ?YLAND HOMES
o Address 14450 BURNSVILLE PKWY
City BURNSVILLE phone 894-2636
o Name SAME I
;i¢ Address
? City Phone
?
W wQName
I-w
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree ro comply with all applicable State ot
Minnesota Statutes and City of E Or?lnances.
Signature of Permitee ?
A Building Permit is issued to: ?
on the express condition that all work shall be one in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
11T? 16212
C l ? Cr
Date MARCH 20 , 1989
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD
(Actuaq Const V-N Bldg. Permit 600.00
(Allowable) V-N surcharge 45.50
# of srories - '
300
00
Length 60 ' Plan Review .
Depth 50 ? SAC, City 100.00
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints -
580
00
On SRe Sewage _ Water Conn .
On Site well - Water Meter 90.00
MwCC system _CX 30
00
Ciry Water $$ Acct. Deposit .
PRV Required S.M! Permit 20.00
Booster Pump - S/W Surcharge i_ nn
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner - Park Ded.
Council -_ ,
BIdg.Ott. _ Copies
2
909
50
Variance - TO7aL ,
.
??-
.
? 459764?- ?.
, 2e
Request Date Fire N.
b ugh-in In pe ion
equired?
Ready Now ? Will Notify Inspector
? Yes No When Reatly?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo address (Street. Box or Route No.)
la City
9_AT?n
Section No- TOwnship Name or No. qarge No. Cour/fy? ?_ ??
??n .1?LlJ
OCCUpant IPRINT?/'\ ?
i..!
v?? ? Pho ? ? -
Power Supplier Address
Elearic I Contractor (Qomp ny Name)
` Contractor's License No.
M ilin
B AtltlreS (Coniracbr r Owner Making Installalion) I? w
?. P6 . ? rn rl 5s OGJ
Au h d Sianature 1 n cl I n aking Ins211ation) Phone Number
MINNESOTA STATE BOARO OF ELECTRIqT1U THIS INSPECTION REQUEST WILL NOT
Grlgga-Mltlway 91dg. - Room 5-173 BE ACCEPTEO BY THE STA7E 80AR0
7821 University Ave., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0B00 ENCLOSED.
REQUEST FOR ELECTRICL INSPECTION
? See inswcnons !ov completing ihis form on back of yellow copy.
C? . 4E9 7 6 "X" Below Work Covered by This Request
r?
Ea-aoooi-a?
? 990
tt?'?
p ??;;
ew Add TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
1 Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
0ther
(speclfy) Contrector5 Femarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance5ize Fee # Clrcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 700 _ Amps
SignS inspeaor's use Onry: TOTAL
Irrigation Booms ?J oo
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee o COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecior, hereby
f Rough-in Date
certi
y that the above inspection has
been made. Final Date ^
J "4 ?
OFFICE USE ONLY
This request void 18 months irom
D3 -7`) (?
?-----------------
i i
j Permit
? Permit Pee: 4
j Date Received: j
I I
I Staff: I
L J
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATIOIV
Date: () Site Address: QJ4 i Q l_,??V4-
Tenant:
Suite #:
RESIDENT/OWNER Name: c.L Ainj'erzscu Phone:
Address / City / Zip:
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: ?12?Ctr Ot=\ ? 0 (-CK3C
Construction Cost P?6 • BU Multi-Family Building: (Yes_/ NoX
CONTRACTOR Name: License #: 901?)199 -I ?vl
Address: _ JG91 I i If Morial T'CVP N.
City: ?S?H??(?•n E;r State: 1??tV Zip:
Phone: GJI " L139 • "i 3?0 Contact Person: K[X(?en
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category i Workshee[ • New Energy Code Worksheet
Category Submitted Submitted
(4 submission typB) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Nd7f Plans arEd suppQrt?r?g rfG?,?{ri?r?#s tha0 j±o?r 5ub!?%r??8r? csYrrsrdereda s E?' pu(?ee+?`ortr??rP? ?Rffins
theorma?4onmar.ctha?
'n
-Jpu?lro44s,?hi*wtwo?r/?p??f?? o .
? ?
{x
y?-
y
wQ.?.?. 10 w
1 `4 -
? •?.. f'^t,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of ihe City of
Eagan; that I understand this is not a permit, but only an application ior a permit, and work is not to start without a permit; that the work will he in
accordance with the approved plan in the case o( work which requires a review and approval of lans.
X???? i ?e r?l??an X ' ? E d ?--
ApplicanYs Printed Name Applicant s Signature
Page 1 of 3
2004 RESIDEIVTIAL BTJII.,DING PER11'IIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
70 °G
New Construction Reauirements RemodeVRepair Reauirements ?
3 registered site surveys showing sq. ft of lot, sq. fL af house; and ail roofed areas 2 cop?es of plan
(2045 mauimum lot coverage ailowed) 1 set of Energy Caiculations fw heated addiflons
2 cop'?es of pian showirg beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks
1 set of Eneigy Ca?ulations Addition -"mdicafe if on-sde septic sysfem , -
3 copies of Tree Preservation Plan H lot platted after 711193
Rim Joist Detal Optiona selection sheel (bldgs with 3 or less units
Date
Site Address 4?"
CMAJ ILf-
Construction Cost 30),D-
UniUSte #
Description of Work c_(Ztc-ES
Multi-Family B(dg _ YkN Fireplace(s) _ 0 _ 2
Property Owner P` W Telephooe #G;?]) C0?-OcoJ
r- ? r
Contractor ?? lL? ???.J? ?
?
Address , 76-5b
State
Zip S?? S 7 City /J V?(g
Telephone #(°I?.-)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A N I 1uf ?
Minnesota Rules 7670 Cateeorv 1 MiT
7 ZOO4
Energy Code C
ategory • Residential Ventilation Category 1 Worksheet rksheet
(?I submission type) Submitted • Energy Envelope Calculations Submifled
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 aclrnowledge 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 pemut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved pl in the case work which requires a review and
approval of plans.
4, 0 w
Applicant's Printed Name Appl ant's Signa e
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 5F'Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
CopieS
ather
Total
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?
? 30 Accessory Bldg
? 31 Ext. AR - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
"Demolition (Entire Bidg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ FinaVC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ AidGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetrucdon ReauiremeMs
• 3 registered sfte surveys showing sq. k. of bt, sq. ft of house; and II roofed areas
(20% maximum Wt wverage allowed)
• 2 copies of pian showing beam 8 window saes; poured iound design, etc.)
• 1 set ol Energy Cakulations
• 3 copies of Tree Preservation Plan if bt platted atter 7l1/93
• Rim Joist Detail Options Selection sheet (bldgs wMh 3 ar lass unds)
DATE 511 (o I ba
SITE ADDRESS q ? °?
TYPE OF WORK
APPLICANT I
STREET ADDRESS
TELEPHONE #V)l -610
PHONE #
LU?_STATE ???ZIP l-?
FAx # M1' 2
PROPERNOWNER / I( dacYIn TELEPHONE# L6 "1A ? " b0
------------------------------------- ------------- ----------- ---------------- ----- -------------
COMPLETE THIS SECTION FOR NNEWN RESIDENTIAL BUILDINGS OPILY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672
su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Eneryy Code Workshest Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanlcal Contractor: _
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.40
--------- --------- -------------------------- ------------ -------------------------------- - TMT-
I hereby acknowledge that I have read this application, state that the information i rr"?C
with all applicable State of Minnesota Statutes and City of Eagan Or 'Rances.
Signature of Applicant
OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
t
IS- "`_?
RamodeVReoatr ReauiremeMs
• 2 copies of plan
• t set of Eoergy CaVCUlatons tor heated additans
• i site survey for eMerbradditbns & decks
• Indicate ii home seroed by septic System for additions
VALUATION GW)
Qd MULTI-FAMILY BLDG _ Y ? N
FIREPLACE(S) _ 0 _ 1 _ 2
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONl.Y
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool [3 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) Q 31 Eut. Att - Multi
? 03 01 of _ plex O 09 07-plex d 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Perrnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Building inspector
?
• . : GY
' 1989 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLIHG5 ?
INCLUDE 2 SETS OF PLANS, 3 C TIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BIIILDING PERMIT IS I33UED.
MUI.TIPLE DWELLINGS RENTAL IINITS FOR SALE ONITS # OF UNIT3
ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH $4DG. DEPT.? 1 SET OF ENERGY
CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
To Be Used For:
Site Address
Lot ? Block Zi
Pareel/j
Owner
Address /
& STRUCTURAL PLANS,
5ET OF ENERGY CALCULATIONS
tion: J/ 000 Date:
A ?
%P- . OFFICE OSE ONLY
City/Zip Code
Phone
?
Contraetor
Address
City/Zip Code
Phone
Areh. /Engr.
Address
City/Zip Code
Phone #
Oecupancy 2-? 3 4-/
Zoning P,D
Actual Const
Allowable I//
# of stories
Length ?
d)epth SO_
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV required _
Booster Pump _
APPROY6LS
Planner
Council
Bldg. Off. is
Varianee
Council
FEI'sS
Bldg. Permit L-v
Surcharge --L?So
Plan Review 300
SAC, City p0
SAC, MWCC S9S
Water Conn S (}
Water Meter
Aeet. Deposit 3 O
S/W Permit 2 O
S/W Surcharge /
Treatment P1. 22
Road Unit 3y0
Park Ded.
Copies
TOTAL.
NOTE: Sewer & Water Permit fees and accouat deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber Yias applied For a permit at City Hall.
Y`. , • .
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MAR-68-'89 WED 15:53 ID:SAhiES R HILL INC TEL N0:612 884-9518 #305 P04
Q79 KF'I'71 F f`i7GG{! LiAA11
aoaI I _ uoo
SURVEYOR'S CERT1FlCATE
KETTLE CREEK
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75.00 S 47°45'00"E
?I ?% /--N I i n ??r-
By G? L_ L_ I`I V ?.7 I\J I V ?1 la( l?-\ I? L_
Date i-I l-\LiLi i i
EAGAN ENGItdTEERI?.VC DEPT
EAGAN
R E V I E W ED
8Y ? ?
DATE 3 5
'f- DENOTES PROPOSED SURFACE DRAINAGE
Q DENOTES IRON MONUMENT SET SCALE: 1 fNCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED QARA(3E FLOOR - 8$6 $ FEET
XOOO.U DENOTES EXiSTING ELEVATION PROPOSEb LOWEST FLOOFI - FEET
(000.0) DENOTES PROPOSEO ELEVATION PROPOSED TOP OF BLOCK - FEET
N1IE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS tS A TRUE AND CqARECT
REPHESEN7ATION OF A SURVEY pF THE BOUNDARlES OF:
lot 3,'Black 2,LEXiNGTON SpUARE 7TH ADDITION, cccordinq !o the recorded plai lhereof, DakotoCounty. Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURYEYED BY ME OR UNDER MY DIRECT SUPERVIS14N 7HIS 9TM DAY OF MARCFt , ,1999.
P94W5ED c;WAGES SNOwr.i W£RE_
'ffvcEU Faonl -n+E. 4wA0wy PL?N
fOR LJExIN'A POr1 soyqRE 5TH ANO
'ITH A001'(10W5 FREpARscO e+`i
PfOAiEER fAt[?I??EtRl?ll? A?aD LA?i
OnrED
SIGNED: JAy4f???LL, INC.
BY: ?//??G????'?iC..G
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LECENSE NUMBER;2294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTQN, MN. 56431 • 612-884-3029
KEYLANp HOMES
Roao
?
? 75.00 S 47°45'00" E
i Q
'1 ?-_------- ?
i ti
i{
M v
01
9 1 00
ki
! ?1
Q i
FROPOSED S
? c
DRIVEWAY K
(886 5) I? ?
oaaace N ;?
? \ \N i
ROP SED\
\ HOU3\ ?
e
?
%
O ''
?
O
in
e
N ?
z
'.[I
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i ? LOT 3 ? "-
g I? 7aa,oinrAcF e u77ur G I
EASEMENT PER PLAT S
---------! /I
- K) ?
' • • 11 11 ?? ? ' '
EXTERIOR ENVELOPE_AVERl?GE. COMFI1TA:fION
OWNER : nnTr : _ I
SITE ADDRESS: PF;ONE:
CONTRACTOR: r? PLAN # 2? 3? u
Determine working square footage of each
1. Total exposed wall area..... oy,Zs sy. ft. x .11 = z,oci,
2. Total roof/ceiling area..... lz-?'1}S- sq. ft. x.026 =
Tctal exposed wall area above.floor=_
...... l ,Z
a.
' Total wall window area .....................................
............
3?S
b. Total door area .......................................
......
c. Total sliding glass door area .............................. r
d Total fireplace wall area ........................................ ?
.
...................
e 10%) (?
'$
e Total .........
wall framing area (averag
.
.......... '?? ?
-
f. Total rim joist area ...................................
•• ? S 61 '7°
g. net wall area a6ove floor............... ••••••- ••••* ••• .•
h. wall area above floor .....................................
...................
l
i. oor..................
wall area above f
?
J•
frame wall area at. Toundation ....................................
•
Tota i exposed foundation ai°ea= -7 o7, i r
k. Total foundation window area .......................
1. Total net foundation area above grade .............. 717,r-`
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. x ]lul,_
b. X Iz?l(.P
c.X ltull ?21.
r.._ X n U ii ,,,,,.... _ ...-- . .
d. . .
e. 14crS X ltuit , oCa? = II? I?
f. ? s??? S' X i,ui, , a3? = s?sy
g. I f0I Z.. Xllu„ , b37 = S"Sk
h. X liuii _
X ltuti _
i. -
X "U" -
j. -
r.. x l,u„ _-
1. 1'7,"1S- x l,u,l l0t
3 . .................................Total = 1-77,
If item f3 is the !
as, or 1 ess than i 1
#1, you have met ti
intent of SBC 6006
,r __
Total exnosed roof/ccilinq area
. ? .
?,. --o::al skyl5.ght area ............................ ?q
:;. ='Oi.dl TOOc/CCi 1 { Rg .-f.rtJil131CJ dre2 (aVCS'dgC' 10%) ; I 7-u
c. _otel net insulatc3 rocf/cezling rirea...
Determi^e "U" value fo): each roof/ceiling segnent . •
rn X
r.. f ?'7 ?r a -L" <O?-`f _ _ ? ? 0? , •. . .
0. X lfUll
........ ................. .. ?tal
'= to`a2 c= -4 is the same as, or less i_han #E2, you have met the intenL- oP .
5"7C 'S'Ji:S ;c) 1 • '
e?lternate BuiZding Enve7.ope Desiqn
_o _tiiSze t^e total er.velope'system method, the values established by the sar•i of "
itAms =3 and -'_ shall not be greater than the suin of,itens i1 and n2. . '
+ 2. 3z19(00 7-yZ?y3 . ...
3. + 4. ??,-,?y? = Zn3'?? : : .
PrArr # tZ ? 3 S I i
* LINF.FIL FEET EXPOSID WALL
sLOCx - Z z.-r- 7- + 7 c, -r Z ? -r 4- ZCo 'r- 4? + ? ?# l3 ; ?"f z cp = 1S?S, ?-
KNEE: Z. eo?? ? + Zc? - g?
w.o..
FULL. 1: ??.'f'?tZlro 4-- 7-57, 5'4- 134., t f3. 'f Cs+-l- ko+jZ,,57+ ZGo =! S'8.,s-
FiJLL 2:
FIREPLACE:
* SQUARE FEET E}POSID WAL,L AREA '
BLOCK: t S`S , ds- x .5 KNEE: 56 0 x 5
W.O.. x 8 =
FtJL,L 1: .!g' x 8= t Z??
F'IJLL 2: X g =
FIREPLACE: X =
RIM: ? g` tS S x 1= 1$` FS 5?".
TOTAL
* SQUARE £Ef.T EXPOSID CEILING ? ?. cA'1
* W t Nl C6\V S
dQ ?- ?-<•?,?,n-t?.?? 5-? ?
ill---Z Co?..
t-233?
sH 7
1 - 73y7 ?'7,S-i
-7 ,lb _ Z3 •3 1-1
t? A i?,?? Lc??
4.0
?4 Ll v G? L:: I
I ? Z. C.P
* DOORS 1 g. -S`a
x p Z?
PATIO DOORS
1 - G °-
? BASIlMIId'f UNTTS
CONSTRUCTZON ` R-VALUZ,
l. INTE.RIOR AIR FILM 0.6&
2. SIStt . .
3. 4• 1Vll^L '
U = .02
V
! ?
I ? U 1 I-?FAT FLX)<<i,
'Lip
rTG. # S
FRAME
l. INTE,TtIOR AIR FIilm 0:61
3.
4. - AL
U = 0.024
CONSTRUCTIOtd
AT FLQW, IJP
. , :/,.t,.,? ,
VF.NTED
EIG. # E
?
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•
'
r
V ?
?,
,
,,??
?,?,??
• ?., ? ? .,,.y
.?r ? ' ??....=/?'?'
?J
? '
i
!
?
,i.
.
?
?
. .?•._•1
I-FEAT FLOW
UP
1, INSIDE ATR FILM 0.61
2.
3.
4.
5 . .' " ?AL
U _
FRAME
-------
1. INSIDE AIR FI124 • 0.61
2.
3.
u. . .
5. OUT TO'L'A.L
U
INSIDE AIR FILM
2.
3.
0.61
4.
5. 'TO lAL
U =
NOTE : USE ADDITIO-NAL SHEETS ZF tT-?RF ?G S IS
NEEDED FOR DETAILS PND CA-?-'CJL?'--- •
"TG. ; 7
° I - ROOF_CEILING
'f NON-V?'TED
' 'WALL SECTIONS
NOTE'USE 10$ OF OPAQUE WALL ARF,A FOR
FRAME CONSTRUCTION
? O.
?
_ Q
--
?
SIC j ?
41
WALL ; ;
FIG. #l TOPVIEW OF
FRAME WALL
i;
i?
.?
c;
FIG. #2
.?
/ ? u• o
? ?!? u•^
i A• ?p,
. ?
t-- ?
/
_...(T) ..?
-?
_ .__... ?
=-- /ii
SLAB ON GRADE
si
.?
~-
iy
. ? yq tU p -` i r tl
,f r
FIG. #
? I 6,s
t
--,
1 V L
I`? ? ° ``' ?•?
-Z-eio
,1. INT'ERIOR AIR FIIM
2.
3. D
S Y? SOFT WOO (a . 8 7
4. ?
?•.yc
5.
? I b Z
6. R AIR I .l
To'raL 14,79
V
l. INTERIOR AIR FTIM 0.68
2. '/z ".,yp s• 4 s
3 .. ? ? L-
4. 814 I-'c4ei,wn?
'z-
6. EXTERIOR AIR rILM
TOTAL Zca 9
. Z
.
?
? m y - ,03?
1. INTII2IOR AIR FIIM 0.68
2.
3.
4.
5. ? , toZ
6. I 0.1
TOTAL Z8.3Co
R-VALUE
a L-&=Ir?
l. INTERIOR AIR FILM 0.68
2• Z$
3.
4. ?
5.
6. EXIEKOR AIR F LM 0.17
TOTAL -Z - i 3
t__k -, • 1 `f'
?
--• ?1tr- _t ?i j •
f r ? ? {il
FIG. #4 :
NOTE: INDICA TYYE
OF INSUTATION
i
VALa,-DEPTH AND PLACII-ff'NT
V ? ?J- ?i 1 ? k'z..`F?4t
HtJll LVJJ CALCULATIUNS ? ?? DEPARTMF.NT OF 8UlLDINGS
N
eri s A.S..V.E. ?
Weat h slr
? P _ Guide Construction I?lo. ; lnsulation
???adKS Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
'cs-No ? Yes-No 19_ I I I T- -f
,1.1 1-oyc/1 Room(Lengih /(o Width
Windowi and D„?...a A.._
No. 1Cldth
nf pane IIiIRht
0( pTDP Kn. of
IiKhtn I.Ineal /t.
o( crw.k Ares
?q Il.
•
Coef. Btu
Inbhration
Glae>
Fap. wall / x
q(o
N
et exp, wal) 5 a t? !
?n1,-?•ail Rim - 1 7
Ceiling 1 q
Floor_,
j Y- Fl .1 L I I f.i?& Rmmlltnolti /'7 U/;deh E!y "oiaht
Windows a d Doore-Crackage and Arca
No. wldth
oI pane Ilelpht
,ot Pnne No. of
IIRhI¦ I.Ineal ft.
of craek Arca
eq. 11.
t) o Go N4, rl Y. 11
Coef. Btu
Infiltration ?fl dt JD(o 6
Clsaa
Exp, wall
Net eap. wall 1(,
'?nt7"Nwa?{+ ?'1l1: / 'f %. L;a 7
Ceiling " J( /0
-r-laaw
? vtal piu. ? r. 1,? q
Required aq. [t. E.D.R. or sq. ina. W.A. Leader area
'_ ?•?/(r¢• l?kFj t'Room Length /(o Width / y Height
Wmdowe An? nnnra_?`rneL... --.1 A_
No. Width
of Da"e He16A[
of oane No. o[
Ilghts ?Llneal fl.
of cnck Area
eQ. [t.
1 ? (a 1 /1,5
? 6 -!J c) H.(1 l4,
tI I I ,J )0121
Coef. Btu
In6lttation 44 q, y d(i PL
Glaa?
Exp. wall t 1 1 Ill, 1144 x 334 u / (R,?C)
Net exp. wall
'?
Int-yvnll re, rv . s t.1 ro 20q
Ceiling (o J _ 4
F4eer--
Total Btu.
Required sq, ft. E.D.R. or aq. ins. W.A. Leeder area
_?•? 1•1 Velyna noum IL-en¢th fU Width ci H.iehl 4
?Windowe e nd Doora-Cracksge and Area
No. Wldth
of Da"• Heltht
o[ Dans Ne. et
Il. ?t¦ Wnael ft.
of erack Area
p, ft.
?iG ?,• ? ?
Coef. Btu
Inhltration .l.l .7 s73
fap. wall t: ! U .? -
Net exp. welill
fnt wal !/ f1 =
I eiliag 0 J( ; (3 ? ") G7
`tL'r'7? ?70 ,oe.1 Biu. 3??a
.,.a? I;:« ?
?r , r;I > ? jr j; 1? p , , ..1 i ,• ':' !! ? r?,lri ar•n _ _. _
r, _ ... +
Required sq. ft. E.D.R. or aq. ine. W.A. l.eader aren
r?n "?•? CSA?AS-NAliRoom ( L.ength /11 Width / fe Height OZ
Windows and Doors--Crackaae snd Area
No. WfAlh
of pan• Hefght
o[ Dane No. of
Ilghls Llneal fL
of crack Mea.
W. It.
d ao ' f? r
Coef. Btu
In5ltration 5° , (
Glaas np „7 „
Exp. wsll '" !
Net e:p. wsll
l-liah-wiaN 116 16 ?o (s
9
Ceiling It) I 1(, -? !1- 3 )a,
--F4eer
TotalBw. ? (.
Required sq. ft. E.D.R. or eq. ins. W.A. Leader sres
??4l.1 , A- -%-Ar Rcom ! Length / (e Width Heeg6t
Windows end Doors-Crsckage snd Area
No. WldLh
et pans Ne1gTt
of pane No. of
6 ghu LIneaI tt.
of eraek Area
sa• !t•
Coef. Btu
fn6ltration ?t (70p
Glass
Ezp. wsll i(,
Net exp. well CI, ? 1DD
-"'WQW p f - t 10 ?
Ceiling /: 11 16
1 ota! 131u.
?''? ?+ii rd •-?. 1?. 1_ I?.f?. in-. V,' .
1 ?p .A. [..adcr ,FcOL
___..._..--
,?
HEAT LOSS CALCUL,ATIONS DEPARTMF.M' OF BUILDiNGS
11
Weathrntrips
A•S.H.V.E, Construclion No. '
Guide
dow? Daors 11 Re(erence Out. Wa11 lnt. Wall Ceiling Roof Floor
-No •) Yes-No 11 19_
'Ij'Sesk ?l RoomjLength j3.(,, Width Neight
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61q g1`? Permit Application (?, ? QT FCity Of Eagan Ii
I RESIDENTIAL BUILDINf?;_1675-5674
3830 Pilot Knob Road, Eagan ff ZC03 ?)
Tetephone # 651-675-5675 FAX # New Conshuclion Reauirements RemaleVReoair Onlv
3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 oopies of plan -- _ Cert of Survey Recd
(209'o rtiaximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addibons _ Tree Pres Plan Recd
2 copies oi plan showing beam & window sizes; poured found design, etc. 1 site survey tor addi6ons & decks Tree Pres Not Reqd
t sel of Energy Calculations Add'rtion - indicate il on-site sepG'c system _ On-site Septic System
3 copies of Tree Preservation Plan if lot plaried after 711193
Rim Joist Dehaii 0p6ons selection sheet (bklgs wiUi 3 or less units
Date e9A
SiteAddress 1!6,g 7'T'[, Construction Cost ??e 4?0
Unit/Ste #
Description of Work S/l)JN&? -3 L, ki?!° ?QOLI.s
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner d eICI? Telephone # & n zaa" zj?,ke) 9
Contractor
Address
State G 6/)*ff
Zip City I
Telephone # (??p '?.:;
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenBal Vendlatian Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the infoicnation 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 Mti
Statutes; I understand this is not a permit, but only an application for a pernut, and yvork is.not to.start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name A licanY i re
OFFICE USE ONLY `
Sub Types '
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex , ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS .
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment PIanY - - - -
License Search . _ _ _ . _ - •
Copies
Other
Total
Building Insoector
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178573
Date Issued:08/24/2022
Permit Category:ePermit
Site Address: 972 Kettle Creek Rd
Lot:3 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-030
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ricky D & Cheryl R Anderson
972 Kettle Creek Rd
Eagan MN 55123
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature