976 Kettle Creek RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t. a Y: a HI.,yc r. :,> APPLICANT:
,,rf, hErr?.E c:AEcK Ra "%',L rt v Nuc?t.S xnr.
lf iiJN+iir,)q S4t1ANE 7TH (6I2) 890-14811
PERMIT SUBTYPE:
IytaIn ???POt
TYPE OF WORK:
UESCRtPI'IpN
Control No. 0524
H1.?1.1.[l.l'NM
9AAli57
g5/z6/92
N! W
I N--GRUUNp
INSPECTION ., . ..
Friui ?Nfi F'1NA1.
I
?
_,
_ . _ ? , n. _ u •
.. , ,.,? ... ..... . _?,,,, :-n?,?, ?'• ?.y?,t r .;.p_ r
Permft No. Parmit Holder Date Teleplane s
SlW
PLUM8ING
HVAC
ELECTR ,49 7'?O 9V- S
ELECTRIC 0/ / I? 'ya? ? c?? °a
Inapectfon Dab Insp. Commenb
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplflce
Final Hlg.
Orsat Test
Fnet Plbg. Pibg. Inspector - Notily Plumber
Const. Mater
EngrJPian
81dg. Finel
Deck Ftg.
Deck Finel
Well
Pr. Disp.
tV
s116
G'
CASH RECEIPT
, .
CITY OF EAGAN , y
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
FFIOM ? . I '-j-'3
AMOUNT $
? CASH
8 DOLLARS
im
? CHECK
, I
L;'.i
-' i ;.
?.
C °S?"•?f
.: LJ VJhita--PaY? ?PY
Vellww-POSG^C CoPY
Pink-File Copy
Thank You
BY
SEWER & WATER PERMIT
CITY OF EAGAN
? 3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
?
SITE ADDRESS :%J
?
LOT _?_4_13LOCK _
APPLICANT:
ADDRESS:
CITY, STATE
PHONE:
ADDRESS:_
CITY, STATE
PHONE: -
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: -
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT # ; ji,$'i
READER # B.P. RECEIPT DATE ' ?a
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
PERMIT REQUESTED
;--'SEC/SUB
2c. ? ? . •?i.y, _ ??-, -'?~ SEWER ; WATER -TAPS
-COMM/IND T?'RE5IDENTIAL
ZIP
NEW - EXISTING
?
I AGREE TO COMPLY WITH CITY OF
?- • " `+ ?' ZIP - --?. ?` E/IGAN ORDINANCES:
_ ,:s?t ; ?.- - r' i?jZl .c - SIGNATURE WHEN METER ISSUED
ZIP
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRES6
LOT BLOCK _.2_-,SEC/SUB ?
APPLICANT:
ADDRESS: ?
CITY, STATE
PHONE
PLUMBER• I > ('. z)
OFFICE USE ONLY
PERMITDATE 8I17/8G
WATER PERMIT # L' '08 SEWER PERMIT #
METER #4a y 7B.P. RECEIPT #-, "4"' 4
READER # - B.P. RECEIPT DATE P. ? L /+i
METER SIZE
. ISSUE DATE ?? ' ? 3 -B ? _ PRV - BOOSTER PUMP
PERMIT REQUESTED
SEWER .? WATER _ TAPS
COMM/IND _,??,RESIDENTIAL
ZIP
?NEW _ EXISTWG
ADDRESS: /_ _ ? ! `"' ' I A6REE TO COMPLY WfTH CITY,OF
CITY, STATE 1' Zip "; ' EAIGAN ORDINANCES ?
PHONE:
OWNER:
ADDRESS: ,
I ;J'? U EWHEN
ME SSUED
S
CITY, STATE ZIp I?l
1???
?
d
s
?
PHONE: ?
?x
X
6
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PEHMITS, CONTACT
ENGINEERING DEPT.
, . . ,.
CITY OF EAGAN 42 16935
; • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeused or SF ?/GAR Est. Value ;78s000 Date AUG 14 ,?g89
Site Addces . 976 KE'ITLE CRESR RD
4 ? lEXI*?C'7'C1TS S wR$ OFFICE USE ONLY
Lot Biock _ _. Se? Suh QU
PdfCel NQ ILK Occupancy R-3 11owl FEES
w Name _
o Address
PKWY
City °"A"°V++ALAQ Phone o?v-so?v
it: Name SAME
=U
gQ Address
i- City Phone
I hereby acknowlege that I have read this application and state thai the
information is correct and agree to comply with all applicable State of
Minnesota Slatutes and C,lty ol Eagan Ordinances.
.,
./' . , .?^
Signature of Permilet,.,! --.?!`.-:
A Building Permit is issued to: KM? s
on the express condilion that all work shall be don in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Olficial ?
Zoning PD A-1
(ACtual) Const V-N Bldg. Permil 54o•oo
(Allowable) V4 Surcharge 39•00
# ot Slories ? Plan Review 270•00
Lenglh 4 1???
Depth SAG City
S.F.7otal - SAC, MCWCC STS•OO '
S.f. foolprints - s?•?
On Site Sewage _ Water Conn
On Sile Well ? Water Meter ?*?
MWCC System
?
Acct. Deposit 30000
Ciry Water 20??
PRVRequired - S/WPermil
Boosler Pump - S/W Surchar9e 1100
APPROVALS
Planner
Council
Bldg. Off.
Variance
Treatment PI 2Z8*00
Road Unit 340'00
- Park Ded.
Copies
- TOTAL ao81j.00
Permit No. Permit Holder Date Telephone ff
WAIER
$EWER
PLUMBING 3 '?? /• ?
H.V.A.C.
ELECTRIC
Inspeetfon Date Insp. Commenis
Footings I
Foundation
Framing y ?
Roofing
Rough Plbg.
Rough Hfg. ? IZ Q
Isul.
Freplace 9.25 (.?.?
Fnat Ht9.
Final Plbg. U'
Const. Meter Plbg. Inspector- Noti(y P194-
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
(I.ertifirafr nf (Orrupanry
Citp of Cagan
lgrpttrtmrnf u# Iuild'mg lns,prrfimt
Thrs Certificate issued pursuanl ro the requirements of Section 306 of the Uniform Builrling
Code cerufying rhat at the time of issuance this sbucturn was in compliance with the various
ordinances of the City regutanng building construction or use. For the following.•
ux a&,Aiemaoa? uxlw eldg. Rmt;i No. 16935
oocuwocyType R3/M1 zon* asv;n PDM Typecomt. VN
OwnerotBuildingKEYLANID FIJ?FrS Addrea 14450 BU? FfW, MffWV=
ewmtnjnaa? 976 KEPIIE CREFR RflAD ???y Il+, B2, LElCQWIC?] 9Q[JARE 7IH
n8u: OCDOM 25. 1989
. `Buiidng Otficia rr '
POST W A CONSPICUOUS PL4CE
PERMIT #
?? c G
MECHANICAL PERMIT RECEIPT p
CITY OF EAGAN -7,
DATE:
3830 PILOT KNOB RO AD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
I Site Address `4 `' '? , " " ',' t BLDG. TYPE WORK DESCRIPTION
I Lot Block ?_ Sec/Sub
Res. New
+
Name
` Mult. Add-on
°-'
m
Addr s ?...
..r , ti. ?,:,
.
Comm. R
?u
c ? ,
City ??, L
r Phone Other
Name FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI
1
50 EA
-
n -
(
.
.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air
M BTU APT. BLDGS. - COMM. RATE APPLIES
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 STATE SURCHARGE PER PERMIT - .50
PERMIT PRICE GOES
D
/
Gas Piping Outlets # BEYOND $1
OOp)
Other
FEE: ` '? ? ? ?-' /•ti t?.?% ?.' ?%?! ???:,.,,,?
SIGNATURE OF PEFMITTEE
S/C:
?, TOTAL• ? FOR: CITY OF EAGAN
fa ,
, , . PLUMBING PERMIT For C
•' - CITY OF EAGAN PERMIT # _
CONTRACT 3830 PILOT KNOB ROAD, EAS'aAN, MN 55122 RECEIPT#
PRICE 976 k????pg(?m-ef*8100 DATE: _
Site Ad)?ress
Lot . - Bbck Sec,($ob
? Addr? va? c
"c City Phone
City Phone
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMSIM - COMM.IND./FEE $20.00
STATt SURCHARGE PERPEFiMIT .50
BLDG. T'?PE WORK RESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
O[her
RES. PLBG. QNLY - COMPLETE THE FOLLOWING:
Nq. FIXTURES TtL
40
Water Closet - $3.00 Q
-
$ ?-
_2„_ Bath Tubs - $3.00
? Lavatory - $3.00 ?-
?-
_L Shower - $3.00 '
-r-
_ Kitchen Sink - $3.00 '??
Urinal/Bidel - $3.00
Laundry Tray - $3.00
? Floor Drains - $1.50 .?-
-AI_ Water Heater - $1.50 '
_,e Whirlpool - $3.00
?
_ Gas Piping OuHets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_ Rough Openings - $1.50
FOR: CITY OF EAGAN
PERMIT FEE: ?!? • M`?
STATES S/C:
GRAND TOTAL: '"
DATE: 8l17/89
RE: k434 AOCKY LANE, L2. D4, CUT$'SP'S RYDGE.ist
Q? .
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public? Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. .
r .
_` Your Sewer &`Water Permit for the above property cannot be completed for the following
., Feasons:
417
.t:
_ Your Sewer & Water ermit forthe above property has been completed, but the meter cannot
be issued or occ6pa y allowed until further notice.
%
- COMMERGIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confd by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
??
WARPIING: BEFORE DIGGING, CALL LOCAL l)TiLITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
b
Secretary, Building Inspections Dept.
CITY OF EAGAN N2 16935
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # c
To be used for SF DWG/GAR Est. Value $78,000 Date AUG 14 , 1g89
Site Address 976 KETTLE CREEK RD
Lot •4 Block 2 Sec/Sub. LEXINGTON SQUARE
Parcel No. ITH
w Name KEYLAND HOMES
o Address 14450 BURNSVILLE PKWY
City BURNSVILLE phone 894-2636
o Name SAME
gQ Address
m
? City Phone
?
yVjW Name
R ; Address
5W City Phone
1 hereby acknowlege thal 1 have read this application and state tha[ the
information is correct and to comply with all applicable Slate of
Minnesola Statutes and y?p agan Ordip? ces.
Signature ol Permitee , U
A Building Permit is issued ro: KEY ND H S
on ihe express condition that all work shall be don in accordance with ail
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 1"L-.1 FEES
Zoning PD R=1
(Actual) Const v-N Bldg. Permit 540. 00
(Allawable) V=N Surcharge 39.00
aY or stories
48'
Plan Review
270. 00
Length
DePm 49' snc, cay 100.00
S.F.Total - SAC,MCWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn 580.00
On Site Well - Warer Meter 90. 00
MWCC System ?
XX
AccL Deposit
30. 00
City Water
PRV Required _ SNV Permit 20.00
Booster Pump - S/W Surcharge 1.00
Treatment PI 228. ?0
APPROVALS Road Unit 340. ?0
Planner - park Ded.
Council
BIdg.Off. _ Copies
Vanance - TOTAL 2,813. ?O
M z
J ? ,?
k? ? i 0 /°??la ? 7//
t,
Request Dale Fir No.
I Rough-in InspecY
Requiretl?
? Yes o
Ready Naw f:I Will NotHy Inspecto(,n
When a° O•?
ensed contractor Downer hereby request inspection ot above 4pal work a? ?
Jo
. 176 b Atldress (Sireet. Box or Rout o.)
C
Ciry ?
Section o. Township eme Or No. Renge No. u
Occupam (PR T) Phone No.
Power Supplier AtldreSS
Electrical Contractor (Company Name) Contrector5 C se No.
Mailing Adtlress on ractor or Owner Making Instanafionj
Authonzed Signature (Contract /Ovfer Maki 1 allalion) Pho?mber ?
U?
MINNESOTA STATE BOARD OF ELECTRCITY 7HIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bitlg. - Room &173 BE ACCEPTED eYTHE STATE BOARD
7821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(fi12) 602-0800 ENCLOSEO.
????? REQUEST FOR ELECTRICAL INSPECTION
? See,instmcnons for completing this form on back of yellow copy.
J???9,--,)` 'lo 7CjAJC" Berow Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specrfy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specily) Comractor§ Remarks: /
Compute lnspection Fee Below.•
# . Other Fee # Service Entrance Size Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A _ Amps
$19f15 Inspectw5 Use Only: TOTAL ?
Irrigation Booms
Special Inspeciion ..??
AlarmlCommunication TFIIS INSTALLATION MAY BE ORD ED ISCO D IF?gT
Other Fee COMPLETED WITHIN 18 HS. r
-?
I, the Electrical Inspector, hereby Rough-in ! 1
certify that the above inspection has
been made. Final a e ?r
OFFICE USE JNLY
This request void 18 months irom
/ o / /% ?'7 9_ ? 016, /
P 5 4 917 44?? ?-- ? - , 7'` ? c-o
Request Dffie Fire No. Rau Inspedlon
- ?!?
9- 6- 8 9 Re tif
ied? ? Ready Now pp wilt Notity Inspedor
" N
Ves ? No When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AdtlreSS (Stree(, Box or Route N0.) pity
976 Kettle Creek Road Eagan
Section No. Township Name or No. Range No. Counry
Dakota
OCCUpaM (PflINn Phone No.
Key Land Homes 894-2636
Power Supplier Adtlress
Dakota Electric Farmington, MN 55024
ElecVical GonUactor (COmpany Name) Contrector5 License No.
Midland Eleetric Inc. 041610
Meiling Atldress (COntraclor or Owner Making Installelion)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Authorized Si n ture (Coniractor/Owner Mekin s(allation) PFqne Number
8 9 2 - 6 6 8 8
MINNESOTA STATE BOARO OF ELECTRICT' ? THIS INSPECTION REQUE5T WILL NOT
Grigga-Nfdway BWg - Noom 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Unlversily Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pho^e (612) 642-08M ENCLOSED.
? HEQUEST FOR ELECTRICAL INSPECTION
'/W 10. Sqe insWcUqps for completing this form on back of yellow copy.
? 94q1 7 X" Below Work Covered by This Request
? EB-00001•07
9396,?
??S 9
ew RL"d Pstp.- TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specHy) Cqntrador5 Remarks:
Compute lnspection Fee Selow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Si9fIS Inspector's Use Only:
Irrigation Booms
? L-
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
i
h Rough-in
LOV
cert
fy that t
e above inspection has
been made. Final Da
Q ?
OFFICE USE ONLY
This request void 18 months from
1-7,2v94
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please coxnplete for: Single Family Dwellings
- Townhomes and Condos when pernrits are required for each unit
'50_ 5z)
Date
Site Address CY, ? Unit #
?
Property Owner
Telephone # ( )
Contractor
Address i/1n City
State Zip Telephone
The Applicant is _ Owner ? Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room addifions, excluding water softener and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" rrleter if needed -$121.00)
? Other.
_ RPZ _ new installation _ repair _ rebuild
$
30.00
_ Lawn irrigaGon system
Water softener Water heater
- -
$
15.00
_ replacement _ additional D ?
L?
La
5tate Surchar e
g
U
ApR
2007
$
.50
Total $-6...T .=?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemrit, but only an application for a pernvt, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
'i?? rG ?,?;?t s?
Applic t's Printed Name Apphcant's Signature
?-70-2 7
2007RESIDENTIAL BUILDING rERMiT Arrr,icaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
A<::?7i. -7/
New Construction Requirements Remodel/Repair Requirements officelUse Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joists Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y_ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for addilions & decks iree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found design, etc. Addi6on - indicata if on-site septic sysfem Tree Pres Required ? Y_ N
isetofEnergyCalculaGons OnsiteSepticSystem _Y _N
3 copies of Tree Preservation Plan if Iot ptatted after 711193 R? 3 2pp7
Rim Joist Detail Options selecfion sheet (buildings with 3 or less unils) MQ K
Minnegasco mechanical ven61a6on form G?Q d 3l? 7
Plans are considered oublic information unless vou state they are trade secret and the reasan.
Date 3 / ?3 / Q-1 Construction Cost ? i, c?a'
Site Address fo K? R,c Cree}C Unit/Ste # I
Description of Work 11:04ff's r //" Ya1r,S1?P ?IA
Multi-Family Bldg _ Y IN Fireplace(s) _ 0 2
Property Owner Telephone #(Vd?)
`1?y'
Contractor ??IYTfG,J r
Address n
d`?r! ?.f
C1Ty J4in
`
FSLCNGI.S
State f1'1.V Zip 556?O Telephone# ;.gA- ?-S'n l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan'
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that Ule inYormation is complete ana accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, aud work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Qc+rA y l. .^cAw4 ?
Applicant s Printed Name Applicant's Signature
DO NOT WRITE SELOW T'HIS LINE
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? OB 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/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 3$ Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Gi ve PCA handout to applicant
DeSCI'Ipt1011; Water Damage `Yes
Valuation 2 Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code ? Zoning City Water
5AC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof [ce & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUII2ED INSPECTIONS
_ Sheetrock
Final/C.O.
? FinallNo C.O.
?C HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
?
Approved By: , Building Inspector
-------- ------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC ?MFT- j
City SAC ri 1??
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant IV
?j,47i G C)(r5?j TW_'j
License Search
Copies
Other
Total
)( 5-?0 ,
RESIDENTTAL SUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
D 'K
? _P.
9 r) (,-? S
/z9/o3
New Construction Reauirements RemodeVReoair Reauirements O(fice Use OnN
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies ot plan CeR of Survey Recd _Y _ N
(20°k maximum lot coverage allowed) 1 set of Energy Calculadons for heated additlons Tree Pres PWn Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks Tree Pies Reqd _ Y_ N
1 set oi Energy Calcuhations Addition - indicate if on,site sep6c system On-site Septic System _Y _ N
3 copies of Tree Preservation Plan ii lot platted after 711193
Rim Joist Detail OpUons selection sheet (bldgs wiUi 3 or less unifs
Date
SiteAddress °ly& -k,a Construction Cost 6 C7o
UniUSte #
Description of Work :ArbP SreAson PO ,-c 1)
Multi-Family Bldg _ Y? N Fireplace(s) 0_ 1 _ 2
PropertyOwner _ ?-,r.?en r•,.,? ?'LN? ,lo Q,cl,GioY, Telephone#( )
Contractor WVA I ir_i
Address q1575 A/'.V`)
State IY1N/ City FrC,.e-,s
Zip SSv-70 Telephone#(61)-.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission rype) • Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculadons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # (
Telephone # ? D
Telephone #( f ?
I hereby apply for a Residential Building Pernut and acknowledge that the informa@?-' ?rate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Rr.K?_-I 7r,601 LV
Applicant's Printed Name ApplicanNs Signature
4.
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace IW 21 Porch (3-sea.)
0 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex 0 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
.12 ('/?A,/
??7 S
??cr,
0 31 New ? 35
? 32 Addifion ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation 6)° 0
CensusCode L(3q
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const V Y1
• ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
Footings (deck)
X Footings(addirion)
Foundatian
Drain Tile
Roof x Ice & Water X Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
i o.?- ;( i Z h S`?. v L)
Zco o? -
???-?
JUL-cl-'o'J Fkl ld:Uti 1L:JHIIE'o k H1LL 11IC 'iEL I40:612 854-9518
97(v KertL.g GILEEK. RoAu
,/SUR4'EYOR'S CERTiFICATE
?
,
• , ??,
. ?
? {.
. ?
?
? DENOTES PROPOSED SURFACE ORAINAQE
; O DEN07ES IRON MONUMENT SEf
• DENOTES IRON MONUMENT FOUIVD
X000.0 DENOTES EXISTINO ELEVAT{OPJ
(000.0) DEN07ES PROPOSED ELE1/ATION
.?
? av
`. 71, C,; rI- N EN
[Z
SCAIE: 1 INCH " 30 FEET
PROPOSED QARAQE FLOOR -F9f,, 1 FEET
PROPOSED LOWEST FLOOR -fSP, 3 FEET
PROPOSED TOP OF BLOCK -Mo.S FEET
WE HEREBY CERTIFY TO KE'(I.AN D FtoFAes THAT THIS IS A TRUE AND CORRECI'
REPRESENTATlQN OF A SURVEY OF THE BOUNOARIES OF: "
LO7 _i4 q BLOCK 21 LEXINGTON SQUARE 7TH ADDITION, ACCOROINa '1"O
THE RECOROED PLAT THEREOF, DAiqTA COUNTYtMlNNE80TA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR EMGROAGHMENTS, J:CEPT AS SHOWN. A3
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION tHIS 215'f OAY OF JUl_Y , 188Q.
PtiOPQ3E0 ORADiS Shp1VN WERE TAI<BN SIGNED: ,!A LL, IMG.
?UlOIy1 :7ME QRApINO 6 6R0SqN CONtROL
PLAH IPOR L4XIN0'TON lOYARQ 6TH A
T1'H ADOITIWtl i M61PMrD iY PIONEER BY:
SNOtNBLRIN3 , LA57 -DATED 3- I•ee HAROlO C. PETERSON, LAND SURVEYOR
MINNESOtA LICENSE NUMBER 12294
! F
Fn
10
0
D
D ?
m
'
m ? {
James R. Hill, inc,
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINaTON, MN. 56431 • 612-884-3029
4034 PJ2
4 ! 6v<
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Y_ N If so, 25% plan review
New ConsWclion Reauiremenis RemodeVRenair Reouirements ONice Use Oniv
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y_ N
(20°/a maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Read Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sfte survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Energy Calalations Add'rfion - irMicafe if on•site septic system On-site Sepfic System _ Y_ N
3 copies of Tree Presenation Plan 'rf lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 1 /-ad Construction C J??d V? ?
os
Site Address CA '?,J1?
? •
Unit/Ste #
Cl ?
-
Description of Work
?
? • 5
l?tJ • ?
? .
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #6s` ) 457V -*s s?JRU
Renewal By Andersen
Contractor 1920 County Road "C" West
Address Roseville, MN 55113 City
651-2644777 _
5tate LICENSE #20130983 phone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
0 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
/C? ? a?S
Telephone I5 J?_
Telephone _)_
s ; nnn
I hereby apply for a Residential Building Permit and acknowledge that the inf?ation is complete anp accurate;
that the work will be in conformance with the ordinances and codes of the City?Eagan and=th-c.?-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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. t /
Afplicant's Printed Name Applicarit's Signature
OIVFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 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 Types
? 31 New ?, 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
?
Nbr. of Units 4 '
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish (Interior) ? 44, . Siding ,
Move Bldg. 01 42 ' Demolish (Foundation) ?- 4? Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA,handout to applicant
^ i
-
,.
Occupancy .
MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PkV , - .
Length Fire Sprinklered
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
_ FinallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
••••...e.?.vv.?. atav tG.ov prib. !OJ t1Jl '4460 KL'[Vl:ll'?l2? %??ClUlSlS`J15IY
re ?.1 .-
?,?. .
..
. ?:
. Sune t 2ooy
(aw
Eapa
3 ?t b xOaa
EftgM i?N 5s122
To WEtotn It May Cotcern
Eldcr 1 nes to alItIlodZed to ptI tmiIding Permits for Renawat }ly AadezsezL Ptease atlow
date bcyoud 61610 1 tads scr"vicc for us in 8a?an. `MiR aua??n;nn is Yatia for $ny
to the city. r4?newa! by Anidmsen manam expreasly nevokes it in oarift
I requeat thi,y autlio:dzatian b, accepted,axpedidously. as tp not delay in dhe grvccssittg of
our bailding Porrnita any fuxtticr. Elcasc caFt mc lf thct? su+o nnp quescfona. _ I can ba
, contw-ted at 763-502-4706.
. . ?:
-Your imm5xiiatc aftation to this matier iS a 6.arrlt_ .
sinocA-aly,
vnd R &Raa
astalIarion Manager
Ranowal by Andcrscn Carporation
('r.: Ks?ra-F.ider Tnnee .
- - "?.?'•?4 ?•?a?..z
i
y C?ff VA-W
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Recaivd Tiroe Juo. 7. I:OIPM
RESIDENTIAL
BUILDING PERMIT APPLICATION
(?CITY OF EAGAN ?
3`e T 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon ReauirerneMs
• 3 regislered srte surveys showing sq. ft ot lot. Sq. ft ot house; and gJI roofed areas
(200/o maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.)
• 1 set of Energy Calculatbns
• 3 copies of Tree Preservatlon Plan 'rf bt platted after 111l93
• Rim Joist Delail Optbns setection sheet (bklgs wAh 3 or less unHs)
DATE S?I0O2
SITE ADD
TYPE OF
APPLICANT
STREETADDRESS lDb
TELEPHONE # (041%'`-'IbO CELL PHONE #
IULTI-FAMILY BLDG Y ? N
FIREPLACE(S) _ 0 _ 1 _ 2
W STATE" ZIP I^]
FAX# rc6J-Aa- 0405
PROPERTYOWNEIO?°I' 1, UlrU?.? feh ?- TELEPHONE#
------------------- ------------ ------------------ ----------------------------------------------
COMPLETE THIS SECTION FOR %%NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(+l submission type) . Residential Ventilation Category 1 Worksheet Submitted • Plew Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes
Mechankal Contractor:
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
---°---------------°---------
Phone #
Phone #
Fee: $90.00
-
REMAY ,
1 7 2002 D
2 D
cr., --------- ----------
I hereby acknowledge that I have read this application, state that the information is coV(;ct; and agree^? to ply
with ali applicable State of Minnesota Statutes and City of Eagan O inances. .
Signature of Applicant ?
?- --?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
_ Water Softener _
_ Water Heater _
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodeUReoair Reauirements
• 2 copies oi plan
• lsetotEnergyCalculatbnsforheatedadditions
• 1 site survey for exterior add'Abns 8 decks
. Indipte M home served by septb syslem tor additions
VALUATION CJJffD
,.
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 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 O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) -.Give PCA handout to applicant
• , • . •
Valuation Occupancy,' ' ' ` ', , , • ' KAC/ES Systerh?
Census Code Zoning City Water
SAC Units Stories EfoosterPump
of {Jriits
Nb'r Sq. Ft ' ?RV
.
. . . . .
Nbr. of)Bldgs Length Fire Sprinklered •
Type of Const W idth
• ., , . , ?, : . - ?
REQUIRED INSF)ECTIONS • ' '.'
_ 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 3tone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit •
Mechanical Permit License Search
Copies
Other
Total
.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
New Construction Reauirements RemodellReqair Reauirements
• 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies o( plan
(20% maximum lot coverage allowed) . 7 set of Energy Calculations for heated additions
• 2 copies of plan showirg beam 8 window sizes; poured found design, etc.) . t siie survey for exterior addilions & decks
• 1 set af Energy Calculalions . Indicate if home served by septic syslem for additions
• 3 copies of Tree Preservation Plan if lot platled after 711193
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or less units)
DATE c?? •?lrl?? • U c?. VAIUATION
SITE ADDRESS 9-+ U *12ft I?C'. _4-t00j MULTI-FAMILY BLDG _ Y N
TYPE OF WORK4,94OX-9 Ia FIREPLACE(S) _ 0_ 1_ 2
%R*tVSw-% 4cl?+ tl".J(:r •
APPLICANT ':b Fl`n1&D
STREET ADDRESS I9 Gto COurAta * I#Gk W2S+ CITY46.Se,th Iif, STATE mr IP S I I
TELEPHONE #?DS?•o?lo?I??'?'? CELL PHONE # FAX #
PROPERTYOWNERr]( Q(4?6 '_?echar-e„t, TELEPHONE#(tiSJ•y43G•Sc313b
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ N(1NN1:SO'('A Ri;LP:S 7670 CATLGORY 1 MINNF.SO'fA RULCS 7672
(d submission type) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing syslem includes:
Mechanical Contractor:
mcchaiiril systccn indudrs:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
ree: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the i formation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
Signoture of Applic
OFFICE USE ONLY
_ Water Softener
Wa[er Heater
_ No. oC Baths
_ Phone #
I-1«Ti Sprinklcr
\o. of R.I. Baths
Air C'onclitiouiiig
Hcat Recoveiy Systciil
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4102
C3FrICE USE ONLY
O 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscelianeous
? 31 New 0 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 WindowsJDoors
? 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 W idth
, REQUIRED INSPECTIONS
_ Footings (nev? bldg) _ FinaUC.O.. . , . .
_ Footings (deck) _ Fina]/No C.O.
Footings (addition) _ Plumbing
Foundation H4'AC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ AirlGas 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 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
..?....,....?.i .uv xA..ov rm rod
? 11 '4+kOF1 1tC1VL`SI'A4 .lSYl` ?PIUtSIC.ylSlY
re al
..??,,. -
Juna 7, 2001 City of Ham
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Cancern:
Elder 7ones is authorized to ptxll bnilcting penmits for Rs»awal by Andezsen. Please aliow
Elder Jones to proyidc this ser'vice for us in Fagmt. I'hia authcnizatian is valid far any
date beyond 6/6/01; until a Rbnawai by Andersen manaM expmessly reyakes it in wrlting
to the City_
I request this autliocization bc accepted expecHdously, es to not delay in che processing of
our building pcnmita any furthcr. Plcasc cail mc if thcto arc any questions. I can bn
contacted at 763-502-4706.
Your immqciiate attcntion to this mntter is apprectaced,
Sincemly,
ond R. Rau
tisrallation Manager
Renawal by Audarsen Cnrporatzon
C'c.: Km-F]rie.r Tnnea
G - 7-?tx?j
y (3if D
^iolmry PubuoA?AL
Mr m°" Erp,pa. 37, z04s
Wuuziuv
Received Time Jun. 7. 1 .O1PM
V61v!1'ZU1;1 1riU 1':JU t'A1 fDA DI1 4488 1Sr,1VWIAL 15)!ftAiVLt!(Dr;1V tEyUU1/UU"L
.
re° al
HY ANDSII56N'
June 7, 2001
City of Eagan
3836 PiIot Knob Road
Eagan,lVlN 55122
To Whom It May Cancarn:
Elder Jones is authorized to pull building pemuts for Renewal by Andezsen_ Please allow
E1der dones to pinvide this service for us in Eagan. This auchorization is vatid for any
date beyond 6/6/01; unti.l a Renewal by Andersen manager exprzssly revokes it in writing
ta the City.
I reqttest this antliorization be accepted expeditiously, as to not delay in the processing of
our buiiding pcrmixs sny {urthcr, plcasc call me if til.:re uc any questiuns. I cao Ue
contacted at 763-502-4706.
Your immcdiate attention to this mattcr is appreciaced.
Sincerely,
ymond R. Rau
nstallation Mazaager
Renewal by A,ndersen Carporatinn
Kara-F.]tier .Tnnec
?
V:GHADA
M EL C,,fiAAAL
?rY P?aic
Mir,neaota
omrm3cion ExDirea Jan. 9!, pp?
Received Time Jun. 1• 1:01PM
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 4 BLOCK: 2 APPLICANT:
976 KETTLE CREEK RD VALLEY POOLS INC
LEXIPIOTON SQUARE 7TH (612) 894-1480
?
Control No. o 5 12 4
BUILDING .,.
000557
06/28/92
?
PERMIT SUBTYPE: TYPE OF WORK:
SWIM POOL NEW
DESCRIPTION IN-GROUND
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
':3WIpI : P00L - _
NEW .
M-2 32
, .. 16
r?
Control No. 0524
euzLoiNc
00@557
@5/28/92
it
y i.
2
PERMIT
PER MIT..TYPE:
Permit Number:
Date Issued:
976 KE7TLE CREEK RD
LOT: 4 BLOCK: 2
LEXINGTON SQUARE 7TH''.,.
,-,,.. iN-sROUroo
%Building Permit Type
;.8uilding?Work Type
UBC Occupancy
8uilding E:ength
Building. Wid.th;u-?-. ..
.
REMARKS: C )19 0ba
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$126.00
$81.90
$5.50
$213.40
s??,se0
CONTRACTOR: - Applicant - ST. I.I pWNER:
VALLEY POALS INC 18941489 000442 PECHACEK GALEN
661 CLIFF RD 976 KET7LE CREEK RD
BURNSVILLE pN 55337 EAGAN pIM 55123
(612) 894-1480 (612)456-5380
I hereby acknowledge that I have read this'app.lication and state Cfi at the
information is correct and agree ta comply with all applicable State of Mn.
Statutes and Gity af Eaqan Or:dinert:ces.
L J
?
APR ICANT/PERMITEE SIGNAMRE ISS D BY: SIGNATURE
PERhIIT #
05
ciTr oF EAGaN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date
Valuation of work d? '
Site Address:
STREET STE 9
Tenant Name: ?T'
?
LOT ?
BLOC1f ? $ 7z:ti'.
SUBp ?
P
I
D
#?
.
?? ? .
.
.
Descri tion of work: ??N a 0 v
The applicant is: 0 Owner Contractor O Other (oeg«ibe)
Name Phone ? S"417 =??c?
PrOPeIty IAST FIRST
Owner )Ael??
&
pddress
(
STREET STE N
City State Zip
Company Phone -
C011tt'8Ct01' Address License Exp.
City State /?I% Zip •_? ?-?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all pplicable State of Minnesota Statutes and City of
,
Eagan Ordinances. .
-
-
Signature of Applicant:
?
; I VI'rlVt U,t VIVLT
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory jV1 Swim Poo
? 03 Two family ? 07 Fireplace es. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind.
WORK TYPE
IRRAddition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 MoVe
GENERAL INFORMATION
E3 37 Demolish
? 99 Undefined
?- v
.v. 7 •
? t,
?3' ubl??t Fac.
0 14 A ric?l tural
L' ....9 ? ..
3 15_Miscellaneous
Const. (Actual) Basement sq. ft. MWCC System ?
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy M-2 2nd F1. sq. ft., PRV Required
2oning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering _ Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard I? Final ? Drai.ntile ? Fireplace
Permit Fee ?2(gp,0 o Y,imt;Q,:
Surcharge ,So
Plan Review 819?
License
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total : 1I
f J l? au ? °_
SAC %
SAC Units
JLL-21-169 FRI 14:06 IDIJAhIES R H[LL INC TEL N0:612 884-9518
.
SURVEYOR'S CgRTIFICAT
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DENOTES pqpppSEp SURFACE ORIU OE
? O DENOTES IRON MONUMENT 8ET
• ' DENOTE8IRON MONUMENT FOUND
X000.0 DENOTES EXI8TINe ELEYATION
(0004) DENOTES PAOPOSED EI.EYATION
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8CI?LE:1 INCii in 3o FEET
PROP08ED GARAOE•FLOOR = IfirG, I FEET
PROPOSED LOW68T FLOOR m riPi 3 FEET
PROP08ED TOP OF BI.OCK m 114•S FEET
.WE HEiEBY-CERTIFY T0 Kt"(I.AN O N61460 THAT THIS IS A TRUE AND CORRECT
,AiPRF9ENTATION OF A SURVEY OF THE 80UNDARIES OF: '
LOT j4 9 OLOCK 2 1 L6xINOTON 90UARE TTN ADOITIONj ACCOROINO TO
TME RECOl10[0 M.AT TMtREOR, DAIQTA COUNTY, ININNE80TA.
(T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEQ 8Y ME OR UNOER MY DIRECT SUPERVISION THIS 21 s-r DAY OF _1111 v ,n.o
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CITY USE ONLY
BL ?q?.? 9
RECEIPT#:
SUBD. ? RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underg round sprinkler system
-------------------------------------------------------------
FIXTURES -----------------
EACH -------------------------------------------
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
rseih Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum-1 3.00 x =
Rough Openings 1.50 x
Water Softener ' for dweliings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Spfinklef ' for dwelling under const. 3.00
U.G. Spflnkl2f * for existing dwelling 20.00
Aiterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL -f ZG.So
-------------------------------------•----------------------------------------------•-----•------
I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activkies to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: T7?rTrm fZv,
OWNER NAME: EAL?? .&CdAafJC ?SG - 53 c)
INSTALLER NAME:
STREET ADDRESS:
an: s c
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r,J/C k)y
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998
TELEPHONE #: 7
W--
?/ 5.W-3
ZI P: -_,57?
SIGNATURE OF PERMITTEE
o•M
..? 540- uu+
? 39•00+
? 27U•Uu;
?'.
r?Y' 1 9or;4•pU?-
2, &13•GU-?
540°OU+
39•00+
27 u•oU +
1,l l1 4-U V'r
2, i31j•UU*
? 1989 BUILDING PERMTT APPLICATION
CITY OF EAGAN
RA45461
SINGLE FAMILY DiIELLIAGS lWLTIPLE D1iELLINGS
COlMRCIAL
2 BETS OF PLANS 2 3ETS OF PLANS 2 5ET5 OF lRCH13ECTURAL
3 AEGISTERED SITE SURDEYS REGISTBRED 32TE SURVEtS - 8 STBDCTIIRIL PLANS
1 3ET OF EAERGY CALCS. (CHECB iTIT9 BLD(3 DI9.) 1 SET OF $PECIFICATIONS
t SET OF ENERGT CALCS. 1 SET OF F.pEE1GI CALCS.
l1ULTIPLE DiIELLINGS EMAL UNTTS FOH SALS DNITS / OF DNITS
8OTEt iDDRESSF.S FOx CORNER LOTS -CONFAAL'i08l8QMEOM1iNER lMT DESIGAATE iiSICH iDDAFSS
IS DFSIRED. NO CAANGFS AII.L HE iLLOiTED DNCE BUILDII9G PERMIT IS I55DED..
3ENER 8 WlTER PEHMIT FEES 1RD iCCOUHT DEP03IT 1rEFS UTII.L Bfi INCLUDED iiIT6 TBE BUILDIHa
PER?iIT FEE. PEIOCESSING TIME FOR SEfiER AND iIITEA PERrlITS IS Ti10 DAYS ONCE A PERNJIT HA3
BEEN COMPLETED INDICATING A LICENSED PLUlBEA.
PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REp(TESTED.
LOT CHANGE IS REQQESTED ONCE PERMIT IS ISSUED.
To Be
Site Address
?UG p ? i989
Valuation: 78 O 00 Date: '
Lot ? Bloek Occupancy R'3 M-1
Zoning F'D P. l
Parcel/5ub Actiual Const V-N
Alloxable V-N
Owner # of stories
Length 4B'
Address Depth 114q'
y p S.F.Total
Cit /Zi Code FootPrint S.F.
Phone On site aewage
On site rell
Contraetor MWCC System ?
City srater ?
Address PRV required _
Booster Pump _
City/Zip Code
Phone
Areh./Engr.
Address -
City/Zip Code ?
Phone d -- (? ?
ALPPAOOALS
Planner
Council
Bldg. Off.
Yariance
F'EFS
Bldg. Permit
Surcharge
Plan RenieK
SAC, City
SACp MWCC
Water Conn
iiater Meter
Acct. Deposit
S/W Permit
3/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
SUBTOrfAL
Penalty
?OTAL
SqO,00
sq, ao
90,00
?at),ao
5,175
Sgo.OD
?10,D0
.oa
20 ?60
,oo
adB-o
3u?, o 0
11
V'A L u AT! D?1
r
Z2X2?; L1L1D X t5= 6C?oc?
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ri
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? ?135-6
TUL-21,-'89 FRI 14:05 ID:TAMES R HILL INC TEL N0:612 884-9518 #834 P02
SURVEYOR'S CERTIFICATE
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINdTOM, MN. 66431 • 612-884•3029
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-- DENOTES PROPOSED SURFACE DRAINAOE
; O pENOTES IRON MONUMENT SET SCAlE:1 INCH ? 30 FEET
•
X000.0 DENOTES IRON MONUMENT FOUND
DEIYOTES ?J(ISTINQ ELEYATIOF! PRdPOSEO C3ARAQE FLOOR -FK / FEET
(000.0)
DENOI'ES PROPOSED ELEVATiON PROPOSED LOWEST FLOOR -fS?, 3
PROPOSEO 70P QF 9LOCK -f8G.5 FEE?
FEET
WE HEREBY CERTIFY TO KEILAN pj*ow?es THAT THIS IS A TRUE ANO CORRECT
REPRESENTATfON OF A SURVEY 0F THE BOUNDARIES OF: "
LOT.i4:, BLOCK 2t LEXlNOTON 9QUARE TTH ADpITION, ACCORDING TO
THE RrLCOROED PL,AT TNEREOFiAAiWTA CpUNTY o MINNEgOTA.
IT DOES NQT PURP4R7 TO SHOW IMPRQVEMEN7S OR ElyCROACNMFNTS, EXCEP7 AS SHO4YN. AS
8URVEYED BY ME OR UNDER MY DIRECT SUPERVI510N THIS Z I ST OAY OF JULY ,1989.
PROPQStG ORADES SFIDYVN W$RE 7AKEN SiGNED: JA LL, INC.
r1?01yt >THE ORADINO d 6ROS10N CONTRCL
PLAN= 1^OR LlXINOTON lptiAR6 6TN d
7TH ADD11'IOH, PlIBPqRi[p pY PJONEER BY: P-z Z, d z
ENOIMBLR(N3, LAS7'DA1'ED S• 1•ee HAROLd C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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EXTERIOR ENV_CLOPE_AUfRAGE "ll"...COMFUTII:TTON ZX <o
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OWNER: nnrr:_
SITE ADDRESS: 1-cs`ry 'FLcxJtZ La.o+,,61-4?n--7-4• Ph;ONE:
w1 i,
`?+ $i69YY1
CONTRAC?OR: ?CU1 &PLAN #
-;2 el X ya
Determine working square foota9e of each _
ZZCa$
1. Tota] exposed wall area..... Z? p4I 2 , `5 sy. Pt. x.11 =
2. Total roof/ceiling area..... I O 9 Z sq, ft. x.026 = Z?' 3 9
Tctal exposed wall area above.floor=? t9Z 7
! V S,ca$
a. Total wall window area ............................••••••••••••••• - ?--? -
b Total door area.....................................
. :.......................
area
d
c. Total ...... ......
oor
sliding glass
•••••••••••,•••••• "••• ?
d. Total fireplace wall area......••.•••••••• 1
........................
e 10%)
era
( _ 1
Z?
3
e Total ....
g
av
wall framing area
. .......:.
. ?f
f. Total .
rim joist area ..................................
. 2
?O
9 net wall area a6ove floor. . . . . ..•...•••-•••.•••••••••••••••••
h. wall area above floor................ .....................
.
......................
.
fl
i_ oor ..............
wall area a6ove
j. rrame wall a, ea at ioundation...........
Total exposed foundation ai°ea= '72-1S-
•--
k. Total foundation window area .......................
1. Total net foundation area above grade .............. 7Z?S"-
Determine "u" value of each wall se9ment ?
(e.g. window, cloor, each separate wail section)
a. ?Lf S' X
b X
c. x
d. _ X
e. I$ 2. ir x
f `f T X
9. ?Lo `i 7?.? X
h.
i.
J.
k.
1.
X
]
,iuti z.
liu,i
liuii .-
liutl aC? 7 = IZ. Z-l
?
liuli 02
liull b -?l 7
[lull _
X "U"
X "U"
x lluii
X Hu„
3.. .................................ratal
---
=
If item x3 is the
a5, or 1e55 than
nl, you have met
intent of SBC 600
' Total exposed roof/ceiJ.ing area --
,
skylight z=ea ............... .............
..
n. Total roo_`/cei'ir., -framing area (;tveragc 10?) ; t? ? •
., o. _otal net i.^.sulate3 roof/ceiling arc:a... . :... .. • ? Z t? . .
. Determir.e "U" value for each roof/ceiling seyment .
X liull _ ' . ...
x -U., r0? _` = Z
x „U„
,
z Z? ,
- ........................... `IbLa1 = i , .
-4 is the s?:?ne as, or less t:haii 02, you have met the intent of -
' • )
Alter7ate $uilding Envelope Design
^o _tiliae t:^.e tota? e.^.velooe 'systaJn method, the values esteblished by the s:ua of '
=3 a--.d -L shall ,ot be qreater than the sum of items ;;1 and n2. .
25-3, 0-7
2.. 2. z ?f ? Ct7 "?S + 2. Z 8, ?y
3. ? , ? ? J J + 4. ef:-T' 2'"1 _ 7-6T,-c . .
w-
* LINEAL Ier EXPosm waL,
BIACK :t{ Z
1Q1EE : y Zt Zcs
w.o..
FIJLL 1: ? z + ? 4 ? `
z izta? y?
FtJL.L 2:
FIREPLACE:
RII•It:
* SQUARE FEE'I' EXf'OSID WALI. ARF.,A '
BLACK: x .5
=
KNEE: +33 x 5 = t? ? 5
w.o.. x 8 =
FvLL, 1: ??1 S x s= 11 u°
fULL2: X g=
FIREPLACE: x =
RIM: x 1-
Tam
^
Z_o L12
* SOUARE FEET FXPOSED CEILING ,pa?2
? \V l N GOtiYS ` DOORS
-Z LI $ z. Q ?
3
Z 3 3 S PATIO DOORS
1q p a
2
,
EiASIIMENT UNTTS
11 1 -2347
,1S?f7
Z3`f7
PIArr # S? -? zs
:\W: ?l.L1L13'IV
CONSTRUCTION ' R-VALiJF'
1. IMTERIOR AIR FIIM 0.6&
2. STP .
-GYF
_ . r. .? ?
3. 44.00
? 4. U.bi
TOTAL
VENr
U .02
+•--
? ?
FRAME
VE]1I"?? F?FAT FIX)1t; l. IMIERIOR AIR FIiM 0.61
? . Ljp 2. .58
3. X 38.35
4.
40.15
FIG. #5 -
U - 0.024
CONSTRUCTIOId
1. INSIDE AIR FILM 0.61
2. -
3.
4.
0.17
5. TOTAL
U =
j"AT FlAW UP
FIC. # E
? ,.? ?. +'•?•'_1,-=?
VEN'I'ED
„ .,, .
. . . .:?y , ? ? • ? ?--
FRAME
1. INSIDE AIR FILt4
- 0.61
2,
3.
4. .
5. OUT '
.
1, INSIDE AIR FILM TO'r'_A.L
U -
0.61
3. -
-
S. 0.17
TOTAL
U =
NOTE : USE ADDITIONAL SFIEETS IF MUURE SPP.C=' I5
NEEDED FOR DETAILS AND G4LCULAT_TOUS.
rTC. €7
- NON-VENTE.'D
HE:AT FtAW
UP
l-r:.?A? ?w.X
:
14E14T LOSS CALCULA7IONS DEPAR7MEN7" OF'BUILAINGS 777777 " c?n suaNSVu
Weathetstnps A? H V t,
Guide Conatruetion No ' Jnsulation
Windows ? Doon Refetence Out. Wall Int. Wall Cnting!° Roof ". Floot How Applied _
1'?S-No Yes-No 19_
li FLj K,} - gifF'?-,?Ftoam [.ength / Width / Height rj FI.
Windowe and Doors-Crackage and Area L-•-= I L'iUiYtci Room?l.englh f? Width /) Height ?
«•1,11), li i n Win dow: an Deers.-CrseleaoP .n.l A..A
No. nf Oane ofrp.ne IlRhln ef [rnck p? tt.
a ? i a?{ i9,8
?
Coef. Bw
Infiltra?ion
Glaas a !/A
6?? b J a
_ Fap. wall / +.1 3
Net exp, wall
?.u
6
Ceiling _ / r^'
A
,
-Flovr^ ? o
Total Blu.
Reqvired sq. It . E.D.R. or sq. ina. W.A. L.eader eree `
?s •1 !--'a Room Length Width Height ?
Windowa an d Doora-Creekage and Area
Wldth
Na of Dine Helsht No. ot Llneal (l,
ef Oona Iltht¦ of enek ArN
sq. tt.
.T' ?'? ' L 1 ? (• 7 Q
?tz?e 1) A CL, '3
lnfiltration
Glea:
Exp. wsll
hlet exp. wall
?M.weN ?
Ceiling 1 :
Floar,
Total Btu.
Required sq.
Dk^'
Windowa a
Cocf. ?tu
:.?..:._..
? :.?.
_......r..:
ft. E.D.R. or sq. iaa.-?W.A. ?sder erea
Room
Q
Infiltrstion
Clau
Exp.--?-- ??
Net exp. wsll
lat.-wall. ,
Ceiling I)
kleer
? w;a?h Heighc
and Ares
noat ft.
Atea ? -
+Fs .
eraek p.(l.
> ? r
5 (-a}
Coef. ' Btu
`r , g D
4' , D /DO
/
6 =r...+?'
71 L ,?? ..
Tolal Btu.
?4
or sq, im. W.A. („eader are?
2??
Wldlh
of pan• Apelghl ?
ot cana No. of
IIRhU Llneal Il.
o[ enek Are¦
w. tt.
qq,q
Coef. Bc,
In6ltntion'
7 t
7
Glsn' 77.
????
O
(c O
` ?P. wsll
Net exp. wall
' --fn?.?e1l- l, -,
Ceiling JAX t ?
I olel tstu. -
Required sq. ft. E.D.R. or sq. im. W.A. Leader erea
>} j,qtj Room ? Length 9 Width /?Height
Winaowf snd Deors-?'.¦eleae. And Ap.& ..e;!+.
No. Wldlh-
ol Dane Hd?AI
ot Oant No. ot
IItAts Llned IL
6[ erack Are•
sa. [l.
.
ef. t?
" 1n61tntion
Glaa ,
Esp. wsll
clylk
Net e:p. wsll ` 60
._Ist.aasll
Ceiling • ? ?
ah,
To1a1 Btw ' t E,
°' Required sq. It. E.D.R, or sq. ies. W.A. Leader ares
L._ Fl• /3'?AS?'R t" Room ( l.ength '/ L; Width i l Heinht
?+l
' IIIfION'! Slld DaON?-I.rarlrisw on.l d,u - . . -
.
Na W Idth
et Pan• HgIg M
? ef Oane c Ne. sf
- Ilf?t, Llnwl (t.
et eraek Ana
p. tL .
, ..
.. L'ir . ,
, Coef. Bt,
In6ltntioa
F?
cp. wall "
f Ie
Net e:p. wall ` - ?
Ceiling
..-EJoor--
Tole1 8tu.
Required sq. ft. ED R. or sQ. ins. W.A. Leader area
:t ,
:
? -------.... ___
- ue.rae? ? mtrv 1"UF° BUILDINGS "?"'?'?""`/"'? ,-'-"`?"°'•"-' "" ?1 Ir oF euaNSV? ?
W • 1 f??'? h ainps •....
Gu?de Construchon
Wmdows Doors Referenee Insulation Y Ow. Wall Inl. Wall Ceiling;' Roaf Floor i,kind
??`? a ? Yee-No 19? How Applied
ex}Room Lengih 0 Width , -
Windows and Doors-Crackage and Area ?? Height FI.? Room Length Width Neight
74j'111 lffiFht Nn. ol u„e,t n. ?.?, Windowa and Daors--Craekage and Area
No. ?? vaoe of pa?. u n?e nf cra,?k . .
(? R V fl.
. ? - . . ' !- .
Inbltralion Coef. " Btu
Class
Exp. wall a? O
•
e7qc
Net exp, wall
-Iwl.Well ?
c o ,
Ceiling 0
O
f4ver ?
Total Bta , y y
Na Wltlth
of paM - 11o16ht`
of panif No, of
/IRhI• Llnafil ft.
of crack wrea
sa. ft.
In6ltretion "
Glau _ Coef. Bt
' ExP. wsU .
' ` Net e:p. wall '
Int. wsll `
Ceiling
Floor
Reqmred aq. ft. E.D.R. or sq, ins. W.A. Leedet area _, Total Btu.
Required sq. ft. E.D.R. of sq. int. W.A. Leader erea
F1•1 ASdmv -+Room L.ength l! Width /a Neight
Windowe and ?
Doors--Craeksge and Ares •? Room I L.ength Width -Heighl
No. ;'p°,? ?°':.e ++o• ?t un?.i ce. w«. Windows end Doors-Gaekage and Area
D O?hl• otcnck pl fl. ,
q 9S116 . ,r
L
In6ltratioe COlf. BW
?
C,laat ? y
Exp. wall LI a 4-
a ?a?a? k ,o
Nel e:p. wall ? O
?n1.?wa14
G+Gag.
Tota) Btu. ?
Required sq. ft. E.D.R. or aq, in?. W.A. (,eader erea
FL ' Roam Length Width
Windowa and Doorr-Crsckage snd Area
?
;la??
:cp. wal)
Jet e:p, wall
nt. wsll.
'eiling
loor
'otal Btu.
?equi?ed .q, ft. E.D.R. or sq, u
No. wiain
01 yan• Heisnt
ef panO No. of
IlNhtt Llnul fL
et erack Area
p. tt.
E. t
Inbltralion
Glass
Eap. wall .?
` Net e:p. wall '
` Int. wa11 -
Ceiling
Floor
,vesl olu - . . .. .,
Required sq Ft. E.D.R. of tq. ins, W.A. Lesder ares
Height Room I Length Width Heigh
Wu?dows aed Doon-Crsckage and Aree
etyam tMMM 11??ht0 otenck An•
q. [l.
. . r..i, , - .
Coef. Btu CoeF. Bt
Infiltration
Total Btu ? , .
Leader arc? . Reqvired p'ft: ED.R. ot sq. im.°W.A.
, .., ,; .?..Y
Arca
Renewal By Andersen
3 SO-73rd iAve. NE
Fridley, MN 55432
763-502-4777
#Ml\T20130983
New Construction Reauirements
• 3 registered site suneys showing sq. tt. of lot, sq. ft of house; an?ll roofed areas
(20%maximum bt covemge albwed)
• 2 copies of plan strowing beam & window sizes; poured found design, etc.)
. 1 set of Energy Cakxtlations
• 3 copies o( Tree Preservatlon Phan H lot pladed after 711193
• Rim Joist Detail Options seleqion sM1eet (bldgs wAh 3 or less unils)
DATE
JOB SITE
RESIDENTIAL
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERC-0_\*7N 3
4a-drliaCat
TYPE OF WORK 4--t .00?_????t G?flit?jFIREPLACE(S) _ 0_ 1_ 2
APPLICANV?.e?? PHONE# C:3 .3US'&N?
ADDRESS ZIP CODE20
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - ResidenGal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Controctor: _
Mechanical System Includes:
Sewer/Water Conhactor:
_ Air Condirioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
Ali above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have reqd this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EaganiCn?ance
Signature of Applican 1?Lw r?
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
? Q)Z 651-687-4675 bl+?!
!?
_ Water Softener _
? Water Heater _
_ No. of Baths
RemodeVReoair Reau irements
. 2 copies ot plan
. 1 set of Energy CakxilaUons for heated additions
• 7 site survey for exterior addMons & decks
. Indicate i( home served by sep6c system tor additions
VALUaIoN a,?952'
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
". . . .
O 01 Founda6on ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Muiti
? 03 01 of _ piex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muiti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?,_45 Fire Repair
O 33 Alteration 0 37 Demolish (Bldg)* ? 43 Reroof 13 46 Wind"owslDoors
? 34 ReplacemeM *Demolition (Entire Bldg only) - Give PCA liandout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning 'City Water
,SAC Units . Stories Booster Pump' , '
Nbr. of Units .•• Sq. Ft. • PRV .
Nbr. ofBldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck)
Footings {addition)
Foundatioa
Drain Tile
Roof Ice & Water Final
Framing- -
Fireplace _ R.I. _ Air Test _ Final
Insulation
FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By , Building Inspector
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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149551
Date Issued:05/29/2018
Permit Category:ePermit
Site Address: 976 Kettle Creek Rd
Lot:4 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Galen R Pechacek
976 Kettle Creek Rd
Eagan MN 55123
(651) 261-6845
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157725
Date Issued:09/05/2019
Permit Category:ePermit
Site Address: 976 Kettle Creek Rd
Lot:4 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Galen R Pechacek
976 Kettle Creek Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
For Office UC, • �-.
r Permit!t: l:
� � � � qqt� y C 'L�
+��� ,, E �G f Permit Fee:
Date Received.
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
{651 675_56 75(TDD:(651)454-8535 FAX:{651)675-5694 Staff:
In inspeciof2st�GltYofeagan:Com
bind ti
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
� Unit#:
Bate: "., ^�rJ Site Address:
Name: Phone:
Reside .. Address City Zip: l D e i c 1� ...�y� / ti S/
•
w Applicant is: Owner s Contractor ,...w
Type of Worjk i1
1 Description of work: GAJ -4ri/(,`f dCt
Construction Cost CX) Multi-Family B/u��illding {Yes `I No T^ ) „
company.
om an #�j C Contact:14, Mµ 'te/
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Contractor Address: ► ��y�^ Ql�� City: .��'` V-Cr 6 i ,c [�
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State: Zip: 5$077 F'hones�j� Ern
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« • « �m is e�' srtifi+cation,please explain why:
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k , ECE THIS"AREA ONLY IF CONSTRUCTING A NEW BUDDING a
}" s ;? ,y gan issuutd a permit flit a similar plan based Non
a master plan?
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Phone:
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$ a a� i cm the C tyy+C r'Qpd tl ridinances by signing up for an email update on the City's
Minnes t 8#ate wilding Code must be completed within 180
1 ' �” bB , « • :'' otettlor a�einst undergroun77 d utility damage. Call 48 hours before you
d�r.�i ri i °t ' " ' i 1 n cionfor,,nat with the ordinances and codes of the City of
,,, !'i � '< d fEi a nd work is not fo startwithout a permit; that the work will be in
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164837
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 976 Kettle Creek Rd
Lot:4 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-040
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 -
Galen R & Mary Jo Pechacek
976 Kettle Creek Rd
Saint Paul MN 55123--156
(651) 261-6845
Twin City Roofing Construction Specialis
72 Ivy Ave W
St Paul MN 55117
(651) 636-9640
Applicant/Permitee: Signature Issued By: Signature