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979 Kettle Creek Rd? CASH RECEIPT CITY OF. EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 necervro FROM AMOUNT $ I 8 DOLLARS 1 00 El CASH O'CHECN FOR BY ; . 5 1 i.? White-Payers Copy Yellow-POSting Copy Pink-File Copy Thank You BLDG. PERMIT N0. ` I. . _ . ... . _ .01-3210 B1dg.Permit 01-3422 Plan Check CC) /I 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? J0 01-2155 Surcharge I&-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. ?'?f ob 20-3716 4:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. A,1?3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Tobeusedfor ;;ingle-faxitity Est.Value $74,OpC Site Address 979 KQtt1N E: ? i r k r'd Lot "' Block 3 Sec/Sub."{'"ngton Sq 7tlt Parcel No. _ ? Name ' ai-v!n Blars, ls?c = Address '' U $0-% 4 ° City Fvinceteir Phone38%3-1201 :i<-_'u". a Narrie ?Q Address I.- City + Phone FW Name I = n Address g W City Phone I hereby acknowledge that I have read this application and that the information iscorrect a nd agree to comply with all appli State of Minnesota Statutes and Citv of Eaaan Ordinancas, Receipt # _ Date •aanuary fl ,1 guG OFFICE USE ONLY On Site Sewage OccuOancy MWCC System ? Zoning ? On Site Well Type of Const City Water ?• (ACtual) (Allowable) ' # of Stories ? Length 4 C. j j Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit 4 Water/Sewer _ Surcharge Police Plan Review 1. Fire _ SAC, City ? Engc SAC, MWCC Planner _ Wa[erConn. ? Council _ Water Meter Bldg. Off. Road Unit APC _ Treatment P1 ? Variance _ Parks _ Copies „ Signature of Permittee ? TOTaL A Building Permit is issued to:? on the expres: all work *all be done in accordance with all appiicable State ot Minnesota Statutes and City of Eagar Building Official that ? ? INSPECTION RECURD ? CITY OF EAGAN PERMIT TYPE: f 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55123 Date Issued: Control No. ? 5 $ g 1`t!)11 DT.NH RNlnt;? 0?/YW/92 (612) 681-4675 SITE ADDRESS: t q7: 26 e?. o, h. ,?, APPLICANT: `+J9 KETTLE CR?EK RD RU5?5 FIICHARO tEx SqWAidE 7 (?i12) 6q8?b1fiK PERI??T ?UBTYPE: TYPE OF WORK: ? FOnil NN f?EMARKSe REC?I?+T ? F1:NAt. I I ?3y,L r? °°???tc J??u?"xr s'°l:ev?+.?fijf?f? Y i ? x'd ? ; ? s '??i a n ? a.t \? ; ? _? ??YI£,?? 'v ? i?. ,i?q? .:1? ? :r. -.-. a. . . . .. ? , . i_. . . ? '' ? - ? ?'??,?? '?"rCd?.??? ? I °.n' , ? ? m • - t' ? q ? ? . i'i?4y ?`.?t -' . , . ' ? I -._ _-_ _ --_ ??_?-- ___--_ -_ -_--_-_ Psrmtt No. PermR Holdar Dete Telephone 11 S/VV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. CommoMs Footinga I Foundation Framing Roofing Rough Pibg. Rough Htg. laul. Firaplece Flnal Htg. OrsetTest Final Plbg. Plbg. In6pec[or - Notify Plumber Const. Meter EngrlPlan Bldg. Finel Deck Ftg. Deck Final Weli Pr. Disp. t ? .. (Ipx#iftratr nf (Orrupttnry titp of (Eagan lgrpartttrnt o# luilding Jtts.periinn Tkis Certificate rssued pursuant to the requrremenu of Section 306 of the Uniform Buildrng Code certifying lhat at the time ojissuance this structure was in compliance with the vanous ordinances of [he City regulating building construction or use. For [he following: Use Cldstifxauon ??? DW,i GAR Bidg. Po(mit No. Occupency Type R3 7aining District i, ` Type Const .q ;h't?IlV WOF.M Owoer of Building - Address - Building Addras •- ?TT.'`.;,' rt"'F'L' i: (';?t? I I.OdII[y o,t,: Bwlding Odciel,. -. POST IN A CONSPICUOUS PLACE ?- ' • PLUMBING PERMIT CITY OF EAGAN 1830 PILOT KNOB ROAD, EAGAN, MN 55122 4CT PRICE ,<?,Q PHONE: 454-8100 Site Address g 71 fl c ? Lot ,1,.(.? Block 3- Sec ? Name w Addres; o..?? c Ciry Phone 3 Address p City Phone FEES COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES . .. ..- . '? ? ..F' PERMIT # RECEIPT # 0 L'C"% n DATE: BLDG. TYPE WORK DESCRIPTION Res. 2f New X M uit. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NC). FIXTURES TOTAI - -Water Closet - $3.00 S "S, C C _?/_Bath Tubs - $3.00 3..r? C.% -./_Lavatory - $3.00 ? L) f` Shower-$3.00 -/-Ki!chen Sink - $3,00 ?• ?^ L -Urinal/Bidet - $3.00 __?_Laundry Tray - $3.00 3. Q p -i-Floor Drains - $1.50 ? r L' Y-Water Heater - S1.50 I• s-G _Whirlpool - $3.00 --/-Gas Piping Outlets - $1.50 G (MINIMUM - 1 PER PERMIr) -SoRener - $5.00 -Well - $10.00 Private Disp. - $10.00 -,..,P_Rough Openings - $1.50 FEE STATE S/C: I 5-t-' FOR: CITY OF EAGAN GRAND TOTAL: `;' ? ; 7.17;ys I CONTRACT PRICE: Site Address FW7 .. .. . .. . ?Y i-. i:. , ,' ? 'M ' # MECHANICAL"pER?I11T PERMIT CITY OF EAGAN RECEIPT # SOC? ?U 3830 PILOT KNOB RO/fD, EAGAN, MN 55122 DATE: /-? ? X PHONE: 454-8100 Sec/Sub ? Name ' SFnr,tnnrk m Address E91n 1t!rn1rt c Ciry MINNE-NpbQtf?e ? Name _ c Address O Cih' - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM r FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE . I FOR: CITY OF EAGAN CITY OF'EAGAN PermR No: Date: ? 3830 Pibt Knob Road Meter No: 0 7 7-P, Size; " oc P.O. Box 21199 Reader Na?? p c1 ? ?7 ?L Date: Eagan, MN 55121 T ? Owner. -%ir?i!i t?eorre ?;'r-. SiteAddress: "79 Kettle Crecl:. F;oui'. L:': B3 Lex S(i ?Ch Conn. Chg: 41;?gipn rall In?onjfibflpt Acct De p' ?MO•R?VOW a. Permit Fee: - ` Surcharge: D•??4 I1? FI7 Rya gLAWmpiy wffh the CNy ol Eagan Tr. Plant Ordlnances. Meter. ; ? Misc.: B WATER SERVICE PER T CITY OF EAGAN 3830 Pilot Kno6 Road P.O. 9ox 21199 Ei4an, MN 55121 Site Address: Plumber:_ Permit Na Date: B/P No: Date: I36 B3 Lez Sq 7tn MWCC: Zoning• City Chg: No. of Units: Acct Dep: I agree to comply wilh the City of Eagan Permit Fee: Ordinances. Surcharge: By SEWER SERVICE PERMIT I OF. EAGAN Permit No: Date: 1 Pllot Knob Road Meter No: Size: Boz 27199 Reader No: Date: an, MN 55121 I-21 nn.Chg: 550•00pd Zoning: ct De : P 15. 00nc: 1 No. of Units: rmitFee: iu.Olpe rcharge: • S0pd I agree to comply with the Cily ol d f)C 2 04 Plant- . p Ordinances. ?tBr. f7 (1[1p?j WATER SERVICE PERMIT • ? CASH RECEIPT ? • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 16 DATE v? 19 ? ? ?- R6CEIVED FROM AMOUNT O/ ? & DOLLARS FYND CODE A OUNT 6 _ v , . Thank You B N2 80678 White-PaYert CoPY - Yellow-Posting CopY Pink-File Coav ? . CITY OF EAGAN ' • 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 e ' PHONE:454-8100 BUILDING PERMIT Receipt? To be uSed for . . ., ? j ;• : 2 •; Est. Value % , . Date • "? ' A ,19 Site Ad?resd' ?. ' Lot Block 'Parcel No: _ [ ia i:.eE;.3 Sec/Sub. a Name W ; Address o City ,. : Phone .. . . , ? - .. °CO Name ? Q Address ? City Phone pj W Name W Address ? eZW City Phone OFFICE USE ONLY On Site Sewage T Occupancy MWCC System _ Zoning On Site Well _ Type of Const - City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit WateUSewer _ Surcharge Police Plan Review Fire _ SAG City Engr. SAC, MWCC Planner _ WaterConn. ' Council _ Water Meter E' I hereby acknowledge that I have read this application and state I Bldg. Off. _ Road Unit ? ? thattheinformationiscorrectandagreetocomplywithaliapplicable APC _ 7reatmentPl State oi Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL Z•536=?'6` ? A Building Permit is issued t"o:f on the express condition that ? all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official Psrmit No. Psrmit Holder Date Telephone * Plumbing 72777z 77 , H.V.A.C. ? Electric ,. I.- /ty Softener Inapectlon Dsto Insp. CommsnN Footings I Footings II Foundation Framing 2ita;- io..s- z- Roofing -+2- jy-gy' 10O Rough Plbg. Rough Htg. 5I s Pt Ai.c rE ? Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN N0_ 14 5 5 0 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# F-C)S fD(o Tobeusedfor SinQle-family Est.Value $74,000 Date January 12 1988 SiteAddress" 979 Kettle Creek Rd Lot 26 Block 3 Sec/Sub.Lexington Sq 7th Parcel No. _ c Name Marvin GeorQe Bldrs, Inc z Address P 0 Box 428 ? City Princeton Phone389-3201 332-3034 o Name_ 0 Q Address ,E City_ 1 m u¢ LyW W Name_ _ z,, Address U= aW CItY_ I hereby acknowledge that I have read this application and state thattheinformetioniscorrectandagreetocomplywithallappli ble State of Minnesota Statutes and City,of EagBn Ordinancss. j OFFICE USE ONLY On Site Sewage Occupency R-3 MWCC System X Zoning R-1 On Site well 7ype of Const V-N City Water X (Actual) (Allowable) V-N # of Staies Length _ ? Depth + SF. Total Footprint S.F. APPHOVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Veriance FEES _ Permit _ Surcharge _ Plan Revlew _ SAQ City _ SAC, MWCC _ Weter Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies Z35.6?- TOD-. MF- 550.00 55n_nn 67.00 39 5 _ (1(1 9o4_nn Signature of Permittee TOTAL 2_3 538..00_ A Building Permit is issued to. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official -I/ ? This request void //? ?/? n/ 78 nwnths frOm J D 829981,.o/. 1.e' '?ro yn? Request Uate Fire No. Rou? in InsDecttn He - ired? ?ReaAy Now ?Will Notify. Insper Yes ?No [or When Ready Licensed Electrical Conlractor 1 here6y request inspection of ehove ? Owner electrical work installed at: Streec Address, Box or Route No. CitY 9 ? f? TTL? d" Xge Ro,,f-D 4rXrrAhj ecuon o. Township Name or No. FanBe No. County D,gko7,* Occupunt(PRINT) Phone No. di.cJ .rAcoCxs 3 z - 30 Power Supplier Address ?DfiKa e iG Eleclrical Contractor ICompany Name) Coniractor's License No. ?hR-5 i?/L ?t.?GP7 2 Mailing Address (Contrar,[or or wner Making Instuilation) p ? 41 Authorized SiOnature (CoMractor/Owner Maki ng Installation) Phone Numher ?lga MINNESOTA STATE BOAflD OkJELECTRICITY THIS INSPECTION NEQUEST WILI NOT Griggs-Midwey Bldg. - floom N•191 BE ACCEPTED BY THE STATE BOARD 1827 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnr(6721642-0800 ENCLOSED. /?? REQUEST fOR ELECTRICAL INSPECTlON ee/-o-oGQoi-os 0 See instructions lor completin9 this form on beck of yellow CaFV. ?v /D?/ ?- t?3 q q R "X" Be/ow Work Covered by This Request M We; ? Ndd - ReP - ` TYPe of Builtlio9 APPliantel Wired EquiVment Wire.S Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Afr Conditioner - Bulk Milk Tank Farm Peci Y 79 Other OtherlSner.ifyl t er uecIfy ther Olher /`..m...na Incnurfinn Fan Hnl/lw p r Pee Service Entrente Si2e H Fee Feeders/Su6feeders # Fee Circuits 7 - j 7- 2 to200Am s 0 to30Am s 7.1 ' 2tn30Am s Above 200 Amps 31 to 100 Arnps ?d - 31 to 100 A s Swinrning Pool Above 100_Amps Above 100_Amps Transformers Irngation Booms 54, Partial. Other Fee Si ns 9 Special Inspection S S? TOT FEE Remarks . i ? _G( H i Roueh-in Date L? 1, th le al InSOeClor, hereby CBl?1fy ShAt t?10 AbOVB Final /? ( ?? r D:+te Y ?f inspection hes been ?da. This request vofd 18 montivs vom tv RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Constructlon ReaulremeMa RemodeUReQa(r peauirements /-•'L O • 3 registered site surveys showing sq. ft. 01 lot, sq. ft oi house; and,aJl roofed areas • 2 copies of plan (20°k maximum bt coverage albwed) • i set ot Energy Calculatbns for heated additbns • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 sRe survey for exterior addRions & decks • 1 set of Energy Calculations • Indicete if home served by septic system for addaans • 3 copies of Tree Preservation Plan 8 bt platted after 7/1/93 . Rim Joist DetaH Optbns selection sheat (bklgs with 3 or less units) ? DATE VALUATION SITE ADDRESS 1 1il ISeN?kle_ Cr Xx_(L kZ 6 _ MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Re- FIREPLACE(S) _ 0_ i_ 2 APPLICANT I ? k?-A r STREET ADDRESS 172(5? 12 1 nn)p r3 F CIN?.? GUn. TELEPHONE # CELL PHONE # [? l2,`6 YS- (o /Ot/ _ FAX # PROPERTY OWNER ZIP TELEPHONE # COMPLETE THIS SECTION FOR ?NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumtaing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes Sewer/Water Contractoe Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 ----------------------------------------- -------------- ------------------------------------------------------------------- I hereby acknowledge that I have read this appUcation, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinangps. Signature of Applicant OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # ?gV 8?1 MA Y 31 2 'p02 r Submitted Lawn SpriL&y- Fee: No. of R.I. Baths -?" MINNESOTA RULES 7672 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Faundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 0&piex ? 16 Fireplace ? 09 07-piex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level O 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 ACCessory eldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF O 36 Multi ? 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 Windows/Doors O 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES 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) _ Final/No 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 MG/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: L07: 26 eLocK: 3 APPLICANT: 979 KETTLE CREEK RD ROSS LEX 5QUARE 7 (612) 688-6186 PERMIT SUBTYPE: DECK TYPE OF WORK: REMARKS: RECEIPT N 1- Control No. 058g BUILDZNG . 000662 86/88/92 RICHARD NEW 7 __j ?CITY OF EAGAN 30 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT y PERMIT TYPE: Permit Number: Date Issued: 979 KETTLE CREEK RD LOT: 26.:. BLOCK:. 3. LEX SQUARE 7 I Control No. 0589 auiLo=wG 000662 86/08/92 DESCRIPTION: ?-BUildi:ng Permit 7ype Building"41Jork Type .Bui2ding-length .Bui.lding =WidCh:., . . h RECEIPT # ? r ..'e ? ? " ?7){ I `'.I .?.?? } k?f REMARKS: c.., O \ O? ?s LP 7--° FEE SUMMARY: Base Fee Surcharge Subtotal DECK. NEW _ 24 . 16 ;25.00 $.50 $25.50 COPY. $.50 - Total Fee $26.00 ... CONTRACTOR: ? OWNER: - Appliaant - ROSS RICHARD 979 KETTLE CREEK RD EAGAN MN (612)686-6186 I hereby acknoaledge that I heve read this application and state that the informatian is correct and agree to comp,ky witfi all applicab3e State of Mn. Statutee and City of Eagan Qrdinances. ? APP? RMITEE SIGNATURE ISSUED BY: SIGNATURE I PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 ??? YL'e WAY 2 8 REC ? ?fd SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, i 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 -? / 260 / ?. Valuation of work -2, > d D 0 '- 1 Reee 5ite Address: q7Q iCeTt4e l STREET STE 9 Tenant. Name: (commercial only) T 9 IP [ BLOCK SUBD. i? (r ? nnc?r?? P.I.D. 0 of work: Description eC The applicant is: Owner ? Contractor ? Other (Deseribe) Name aos5 Fick 4A o Phone 4?w Property LAST F,RST Owner ? Address 972 A?-r7lc < STREET / STE 0 d('(/'t st t ) Zip . a e c; ty - Company Phone COntfaCtOf Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City 5tate • 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'tfiis application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Appticant: ? Ga? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundatian ? 05 Apt. Bldg O 09 Basement Finish ? 02 SF Dwg. 006 Garage/Accessory ? 10 Swim Pool D 03 Two family ? 07 Fireplace E3 11 Res. Add. D 04 Multi-fam. T.H. V08 Deck 0 12 Res. Porch WORK TYPE ? ? 13 Comm/1nd New ? 14 Comm/Ind Add ? 15 Cortm/Ind Rem ? 16 Public Fac. ? 17 Agricultural 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (A1lowable) Ist F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories length Footprint Sq. ft. ' On-site well Fire Sprlnkler Census Code Aq? Qepth On-site sewage SAC Code APPROYALS . Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS O Site f$ Footing 0 Framing. ? Irisulation [3 Wallboard lg Final O Draintile ? Fireplace Permit Fee 25.00 , - ? v.iUecim: s 5urcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ' Treatment R. Road Unit Park Ded. Trails Ded. Cop i es Other Total : 5AC 96 SAC Units _ • - P1O NEE ? engineer * *? ? LA ND SVHyEYOAS • CIV-L ENGI'+EF r.5 LAMO PLAhNERS • LANpkAPC OR[HITECTS (612) 681-1914 Certificate of Survey for: M?PVI„ GWORGG BUtLaE RS \ Rg637 NaRTN .ti ? ? op ati o ? r 0. ? ??^? ? yR lo? ?N \ ? ? q> ?} \ a ? OA ?Q . yO ?ra @6t..? /? a ?r o t e / F y `? ? -? a x 900.0 Denofes exisfin?¢ ElPVatio? , 9oa.o Denofes proposed E(evatioR -------Qcnotes DroinagFf Uflll y Easemenf Denofes Draina?e?Fjow Arrow / ? p b,qV.iry,o npP 2. ? PRiOPC)SED Y0U5E ELEVATlONS ( owesf Floor Flevaf ion = 7"oP ot Btock Elevation o Denofes monumen f GaraSe Wafi Elevafion L 8S713 Bear9'L s shown vr'e assumed L oTzoc? LEYINGTON SQ,Qz 7Tq Amami DAKOTq COUN7yj M1NNE507A SuBJEC"T TO EASEMENTS OF 17FC01?D , 1 here6y certify that [his it a crue and wrrect represenbtion of s survey of the boundarieti of [he abova ?bed la?ynd', s? nd of tAe Incatioo of all twildings, therewi, and all visibie encroachments, if any, }rom a on taid land. As surveyed bv me 2hit?y otylli?_A.O. 19-LL_ ?.?, n iTZ/? .CQ+1C = 1 rncfl,J2 O ee /, _? ? R6GEiiT B. SIKIa.H L.S. RtG. NU. 11Ed1 2422 Enterprise Drive Mendota Heighu, MN 55120 APFLICJATION f=OR PERMIT SEWER AND/OR WATER CONNECTION * NOi'E: PA)9-= OF EEE AT TIME OF ? ? APPLICATIOL9 ppFS NOT CON- .'k t STI'NiE APPR('iVAL OF PEF2MIT. i t * INSPFS.RTON OF SEWEt 1NID/OR WATFR « I[15TAL7ATIONS WII,L NpT gE SCIDULID .*? ONrIL PERMIT HAS HEQd APPROVF9. *! **ft4tflf #kff *fii!*#*f1*irf i`4ltlrtYik4i*i* ity oF eclc?an (PLEASE PRINT 1) PROPERTY ADDRESS: LF]GAL DESCRIPTION; IF EXISTING STRCiCTORE, DATE OF ORIGINAL BLILDING PERNLiT ISSUANCE: Mont Year PRESENT ZONING/PROPOSEb LSE: Q COMMEF2CIAL/RETAIL/OFFICE I? R-1 SINGLE FAMILY ? INDT-ISTRIAL ? R-2 DLPLEX ('irao Lnits) ? INSTITUTIONAL/GOVERNMENT ? R-3 TOWNHOL?SE (Three + Units) ( Lnits) Q R-4 APARTMENT/CONIDOMINIUM ( Lnits ) 2) •"• • NAME: ADDRESS: CITY, STATE, ZIP: , PHONE: CI 2 ?.I For Ci.t_y Use ' '?; NAME ° Plumbers! L ense : ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE: - MASTER LICENSE # St Imtial 4) s •M e ?NAME: _ .121 r1 i? ?? ?7 eE; c° d r-g, e F,DDRESS : U CITY, STATE, ZIP: PHONE: 5) s ? ' a •a?- k u ..i ?!o -- ---__ ? CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER D OTfER 6) A1 /1Z4?-?r MIT / / e- ?S" *****************?**************?*******?******************************************************??**? * THE GOLD COPY OF THE PERMIT WILL BE SEDTP DIRECTLY TO PUffi.IC WORKS TO FACILITATE MEiER PICK-[.7P. * ,*k PLEASE ALLOW ZWO WpRKING DAYS F'OR PROCFSSING. SONIDONE FROM TM CITY WILL CDNTACT YOL IF M2E * * ARE ANY PROHI.IIM1S. * * ?,r***************,t,r********************************************?r,r**********************************? : F4R CITY USE ONLY PERMIT # ISSUED P-7 y ? -C Pd w/Bldg. Permit FEES: $ $ IU?J $ $ $ $ t c $ S $ $ (v S E-? , c?'J $ $ $ $ $ ? ??, Gr ?> $ ? ?rn r $ $ $ $ $ $ e SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SORCHARGE) WATER METER/COPPERHORN/OLTSIDE READER WATER TAP (ILVCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOt}NT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRONK SEWER ASSESSMENT LATERAL BENEFIT/TRLNR SEWER LATERAL BENEFIT/TRDNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ 1q ? ?' e,/? $ TOTAL ;yC? ?g 6??, 71 RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : % , - Iz ? / ?? ° • ? ? 47_9 u u i- ? ? ?? LIU ., 2.?i•UU+ ]D?n t;`iU•uU- ? i `i`_i iJ • U?? t ?'? 6 `/ • U U + ? ? '? `i • ?I ? ;- ?/?'? :?ll%w?UU 1 UU-, I V " ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ._„ SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEIICH ADDRESS IS DESIRED. NO CHANGES WILL $E ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL ;f'' IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: f&.fFj?f ?zj/C(// Valuation: Date: ?'J gg Site Address 22Z A?46v? A > Lot ? Block ? Parcel/Sub 7?"/ ,.lp,a, Owner Jff,Q?/1li? 6C-['.YtCef K5 - -?s/G. Addreas ;12l7_ ?X ?4913 City/Zip Code 'c/s??fjov /Ow- ?.?7/ Phone '36?F ?D/ Contractor Address Ls`oz City/Zip Code J?1J7L? Phone ?/?'f? Areh./Engr. ,r%wldc- Address City/Zip Code Phone # Tt' 000- OFFICE USE ONLY On aite sewage Occupancy R- 3 MWCC system ? Zoning ? On site well Actual Const V_N City water ? Allowable V-N PRV required 4k of atories Booster Pump Length 00 _ Depth y4,.33' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 470• a.0 Planner Surcharge 3% 00 Council Plan Review c'35.00 Bldg. Off.?S SAC, City /OD,DD Variance SAC, NIWCC 550.00 Water Conn $ ,UO Water Meter 1?r7, po Road Unit 2 .DO Treatment P1 av---00 Parks Copies TOTAL ? . L? V61uA-rIaN 1 A?AGE G ?6?22= 5'12' Z?sX ? e 2a7 HD?IS ssZ. xrZ-- ?(?Zy 2y x38 = 912 z3Y2x e = ?as Nu?y=?- !? 5?x5a= 670Ng ___.----- ? 3 6? Z .. * * * 4 PIONEER * engineering.. *4L** . CIv!L EtiGVEFRS LANO PLANNERS • LANDSCAPC AACMITECTS 2422 Enterprise Drive Mendota Heighu, MN 55120 (612) 681-1914 Certificate of Survey for. ' Y`Q RV I N GCORGG uiLpC rL-s ? Rg83.' NORrN ? \ \ F ? ? F :E , oP ol ?. DRr?s ? ? A? ? Op? ? ? i ? \ s?> s '4:\ py \ ? ,$ 3 'O \ a \ OA Q D °ar rcQ / ?, \ / / `• v / ?•?` , / ?? oO O ?. ? . b esas P?? ? op 4 ? ^DA? 1 / r 900.0 Der7ofPS eXisfin? ElPV4/'ion pROAOSED fIouSF ELEVA770NS . soo•o Denofes proposed E/evuflon Lowesf Floor E/evafion = --""'OcnotesDraina?e?Utili yEosemenf ?, -,.- Denofes Draina? f'jow Arrow Top ot Bloc?( Elevcrfion o D enofes mor?umenf G'arcx?e Sla$ Eleva?tion =?7/3 ecrrgi sfr own ore «ssumed L or? ock ?? , L EYliVa roiv S waE 7T# Aoov rION QAUOTq COrJNTY, /4f1NNE5 07A Su9JE[7 To EASFMEArTS OF REcOQa t Aereby certify that thif b a tnse and correct representation of a aurvey of the 6oundaries of che a6ova bed lo?nyd',?e??d at the Iccation of alt buildings, thereon, and atl visi6le encoachmenn, il any, from pr on said lard.-As surveyed 6y me this?y ofa,Lli?`L_A.D, 199,L. S?'Qrl? =1 inch, J?O ee . R08EiiT 6, SIKICH 2-ZL5. REG. N6, 14891 N)q RUf'l t? a MINNESOTA STATE BUILDING CODE DIVISION EXTERIOR ENVELOPE AVERAGE`"U" COMPUTATION OWNER / ? M?4 RV i N C-o SITE A17DRESS Lc B IC-;?G K 3. L cX/IVCr IC.%m S<Dt%A?? A.D*p,.r, CONTRACTORM?R??-1U DATE, PHONE Determine working squarp footaQ e of each: 1. Total. exposed wall area:..... sq. ft. x 2. Total roof/ceiling area:.... l(' qIR. sq. fC, x.Qpl. Total expose.d wa11 area above fioor a. Total wall window area . . . . . . . .. b: Total door area. . . . . . . . . . . . . . ?- c. Total sliding gLass door area. . . . . . . . . . . ? d. Total fireplace wall area. . . . .. . . . . . . . . . e. Total wall framing area (average 10Y): . . . . . : 7 (R- . f. Total net wall area above floar. .... . •. g. Total rim joist area. . . ... . . . . . . . . _=? . . Total exposed foundatibn area = h. Total foundation.window area . . . . . . . . . . . . - i. Total net found.ation area above grade. ..... .? Determine "U" value af ea-ch wall segment: a X itUtt . 3 ? = Sd. ?D?. . b. y? X „U„ C. X ,.U.. d. ----- X „U„ - e 1L („ f% ., XIfUll , U-` _ ? 1• I % . . f .- 11 IDQ? X flUn ...?? ?'' _... ° _..?' . :_f . 0. .. . _ . - . . . - .: . . Xt\ul1 :Oq Q y1 O O h. --- X tiUsi g llUil m(a 3_ TomAL.. . . . . . . . : . . . if item #3 is the;same as, or less than item #l, yau have met the intent of SSC 6006(c)2. , Total exposed roof/ceiling area j. Total skylight area . . , , , , -I k.. Total roof/ceiling framing area (Averagel0%) . 1. Total net insulat:e=d roof/ceiling ares .... Detersnine "U" value for each roof/ceiling segment-:. x k. X „U,, .oa?a X ,.U„ 4. TOTAL. . . . . • • If total of item !i4 is the saine as, or.less than item 412., you have met the iatenL of SBC 6006(c)1. Alternate $uilding Eavelope Design To utilize the total envelope system method; the values estahli,shed by the sum of i[ems , 1i:3 and #4 sha11 rtnt be greater 2han the sum of ftems #1 an8 #2_ 1. 1 g?. 7? + z. rJ? 3 )55, :R`7 + 4. ' ?' - r L r. ? BL CITY USE ONLY RECEIPT #: ? o?av SUBD. DATE: D S S 1995 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 FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 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 5 00 Private Disposal "' Dakota Cty. license 20.00 `" ' `` ' • - "'? ` - ' y U.G. Sprinkler " home under const. 3.00 , = Alterations " to existin9 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ,k•¢ ?-f?"Q,kl? ? OWNER WAM INSTALLER N STREET ADDRESS: 1001 164zR 1?,.Q ' CIN: S"S? STATE: 4) ZIP: PHONE #: ?? ? cin use oNLv L BL RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are a4# required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgrmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: - CITY: PHONE #: SIGNATURE: APPLICANT STE. # STATE: ZI P: CITY OF EAGAN HEAT LOSS CALCUlATIONS H EATING S AIR 9 /? q ou-tk. P CONDITIONING CO. Mi NEAPOL . MINIJ. weatNerclrips A.S,H.V,E. Construcllon No. Insulatfon Nt?ndowe p?8 Guide Relar n Out. Wall Int. Well Cslllnp Roof Floor Kirx! How Applied Yes-No Yaa-No e ca _'_ 19 • , • f FI. Og-,4P, Foom Lenptb /t:) Width Hslpht FI, Noan Lenplh WIdiM Neip??t Yiind ws and Doors-Crackape end Area Windowa and Doors-Crackape and Area OI n He.phl OI 0n0 NO. 01 li bl/ lineal IL ol lack Aron s. 11. . . . No• y/Id?h ol •n 11ui0h1 OI sne Nn. ol N Ms ??nOrl II. ol Alon , D 9 2? • Coel Btu Coel Btu InfillraHon 7 1;7 F4 InHItrallon Gisss 0 Glese - EKp. well Erp. well Net exp, wall Net eHp. well • InR wall " In1. wsli Calliop Celllnp . . Floor • 15 Floor . iotel Btu. to Tolal Btu. Requlted Sq. It. E.O.R. or sq. Ina. W.A. Leeder eree Requirad cq. I1. E.D.R. or sd. Ins. W.A. Leadei erea ? F1. d,qrdRoom Lenplh / Width ? Helght F1. Room Length Witlth Heiyht Plindows and Doors-Crackage and Area 4- /o . Windows end Doors-Creckage and Area • No. Widsn of ene lieiphl o) ana No. ol 1i hts. linasl h. ol r 4?en o. 11. . No' WuUb ol en Hwphl M nnY No. vf 1t hls lonaai h. ol Ci 4 Aren aq. 11. /5 ol / /L coat etu - coo+ otu InltUr atlon ? ? ? ,:2 Inl{Ilrelion Gless ? 'S5 Gless Exp. well Exp. well Net erp. wall 2p /o7Jrll Net exp. wall Int, wall ' Inl. well cansna 5 celiino . F lod s F low Totel Btu. total Btu. Hequfred 6q. It. E.D.R. or sQ. ins. W.A. Leeder areo . Required sq. It. E.D.R. or sq. ins. W.A. Lceder araa F1. L)ldl4jQ Room lenpih Wldth Helaht . FI. Room Length Wideh Hoipht Yiindows and Ooors-Crackage and Aree . Windows 0nd Doors-Crackape end Ar ea No. W?d?h ol an llolphl • ol ena No. ol U hls 1in101 11. el re A?an ?. tl. . No• h ul nn lU?plq ul nne Na. ol ii hts L?nee1 11. ol cre k 4ren •. p. a , , . . . . ' COe! B W CDei B tU i?,?+iuat?a+ w7 / 33 Inflhrntion ? - Glese Gleae Erp. wall EHp. wnll ' Net axp, well Nel exp. well ?Int. well Int. wnll - Ceiling l:ailinp . Flow p- rloqr .._ lutal BIU. . O 5 Totel 4tu. _ RequireJ 60. 11. E.D.N. oi Sa, ins. IY.A. LuuJej 9ouo rp.1• !L E.D.f;, us sy. ins. W.A. LunJur 0103 ,. . , . . . ? NEAT L05S CAICULATIONS HEATING &AIR CO11lDOT601UING CO. MINNEAPOLIS, MINtJ. Weelhsrstrlps A.S.H.V.E. COnstrpctlon No. Insu181ion . Window6 Doors Guide Referancs Oul. Wall Inl. Wall Calllnp Hoof Floor Kind Now Applied Ye;-No Yes-No __ 19 FL E,tfr-Room Lenglh 3&' Width Hslght FI.G? Poom Lenplh Wldth Heighl Ylindows end Ooors-CreCk&ge and Area Windows end Doors-Crackage and Area No. W?d?A ol ?n Na?phl ol ?n? No. ol li hu Lroesl 11. 1 r A?aO ?. h. . . No. WIdib ol m llneqbl ot Ina No, of N Ms lineM 11. ol rm Atan ¦a, l6 ?? ?G • C09f B(U COBl 01U Inliltreilon (t,1f s17 00 1n1111retion 2 Glass SV O0 , Glese 5p EKP. weil Eap. well Met exp. well ? 6 Nel eHp. wall Int, wall Int. Well Celliop Celllnp . . 01 ? c7v Floor Total 8tu. ? Floa ' . 5 ~Total Btu. //o HeQulred sq. It. E.D.R. or sq. Ina, W.A. Leeder area fiequired sq. ft. E.D.R. or e4. Ina. W.A. Leedar oree / F1. k V/tA Roam Lenpth ? Width / Heigh? ? FI. /n. e_ Roan Length ? Width Neidht Windows and Doors-Crackage nd Area Windows and Doors-Crackage and Area Ne, e??ine No.hii ol eal 1t, ota1L No• or??e?n@ oitinnr N? .hii or c?'tk tAra?i. (go /3 /,3 Coe( B tu Coo: B tu Inflltrel(on Gless 0 -71 1"7 f 3 Infiltrelion Glase // J'r0 J??JO Exp. well Exp. well Net eMp. welt Nel exp. well ?°?? Ini. Well Inl. wall ` Ceilinp ' F low 5 CelHng F l oa G 5 ? tolel Blu. ? Total Blu. ` Requlred eq. It. E.O.R. or sq. ins, W.A. Leeder areo pequiied eq. ft. E.D.R. or sd. ins. W.A. Leador aroa F1. Room Lenpth Wldlh Heipht . ? FI. fl?an Lenpth ? Width 7 Hoight ? Yiindows and Ooors-Crackage n Area Windows and Doors-Crackage end Area No. W???n ol an He?pni • 01 nne No. ul 11 hl• Ltnoul 16 of cro cit 4rsn s IL . ' No. wiqIN ul en 11r,,pl?l ul nnn Nn. nl h nu lrnsnl h. ol ua k Aten •. it. . . • Coel Btu Coel Btu . Inlilttalian a tf InliNtnNon I Glese Enp. wall J/ D JrSo Glass E«p. wnll . . ? +Hall N l ar Nel eMp. well ? D• e Int, well Int. wnll CeMng . ? /545 1f Ceilinp ' 70 Floor S 1utal 8w. Flax Totol i31u. c Zo C) ReouireJ sa. IL E.D.q. or 56. Ihs. W.A. LuE1cIN1 afeo .r.l. f l. [.U.r., w sy. ins. W.A. luad w olau Ask. STALE S A L E S SO L. U T I O N S- 0-195 South Diamond Lake Rd, Suite # 100 753-424-4576 Office Rotgei-5, MN 55374 63-425-8952 Fax. W License # BC4544 Leto- Cif Transmittal `o I~a~itd ng inspection Dep zrtzneat From 3em Fadden Date: No~ember 17. ~fx Re. %1t:Oidr - (janz residence Building permit h 9,P. EA09 211 979 Kettle Creek R.d, f agar, ',,l 5 1 Attu, Crai~~ ~t r aeEf~ l . Scriio Building Jrispector. nclo sed N'ou will find 2 copies of the detail shoving, the opening, for the window that -,.vas frz ted in to support the installation o the nets -virdo% s. The 0Utside fruiae measurements of the ,Neindox in question is 6',-x 9". Siding «as removed to allm framing, insulation WWI. flashin<-= to be done from the outside of the tiouse and to not disturb interior shcet rock. 11) fraini of the ;vjndov,° ~ as done I the same =nm r sh(,,.%,n in tie detait dray i-m4:, enclose . L and cum- plies «ith the rl-quirem r.=ts <is per '006 I RC Jerry adder 1.S.5. Gip eraborts lManager Alside Supply )0105 D'amond' ke,Rd Suite #6! Rcgers, MN 55574 763-424-575 Bus. -5952 Fay -n3-.A 25 _ EAGAN EVIEWED C, BY. DATE: I I It BUILDING INSPECTIONS DIVISION gam- i ` cj~ 17- i i° n r , } cry LA ol w 1 37 Y f ~f I f-I 2 :c Fr 4r is M 7 j rte, w~ ~ y Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use Permit#: q&g& c j City of Ea Da~ I 6-D Z/V b I Permit Fee: - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Ll -c* I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date:- H 1a (0 10 Site Address: -I 0 1~ A e.+4 -A x- C!/ CQk- ~-A Tenant: Suite M RESIDENT/OWNER Name: Z c V)_Nk_s mc c_t- yl~ Phone: oZ 'r? Address / City / Zip: 9 /"<j A A 1 tic ik 14 ~~L f~-I SS- l -1-3 Applicant is: Owner Contractor V TYPE OF WORK Description of work: P, 14 Ce. O~Lc.K Ck.'K.d. C> W4,✓ CL rot do Construction Cost: Soy Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an 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. x des Mc6uyE x Applicant's Printed Name Applica Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace Porch (3-Season) - Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES - New - Interior Improvement _ Siding - Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation - Replace - Repair - Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ma Valuation SOU Occupancy MCES System Plan Review Code Edition SAC Units (25%,100`x ) Zoning r-- City Water - Census Code 3 Stories Booster Pump # of Units Square Feet PRV # of Buildings T Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) .Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control / Erosion Control Reviewed By: t~ &14 CA- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 * 2422 Enterprise Drive * PIONEER LAND Mendota Heights, MN 55120 AHD tiuarvErORS • C+v•L EhGI•+Et Fry engineering.. LANOPLANNERS •LANDSCAPCARCHITECTS (612) 681.1'914 Certificate of Survey for: rMA PV I N GEQRGE BUILDERS NORTN . / j op g>. t ~ v f ~o~ ?6 0 0 ` o ni ~ ` `r. eck Sae 04 ,r 900.0 Denotes exi#in¢ Elevation PROPOSED HOV5E ELEVA77ONS : 900.0 Denotes Proposed Elevation I owest Floor Flevalion _ _ _ _ _ Denoles Drainage i Uf illy Easemen f r, Denoles Drain -"'Row Arrow Top of Bf°~~' Elevation o Denoles rnonumenf Garok Slob Elevalion - ee713 B earin s shown ore assam ed L oTao Orl-I ~,LEYIAIGTOAt.SQtIA,'.',..c7T#AoDiriojv DAKOTA COUA17Yf MINIVE501A SUBJFcT To EASF'MEAITS OF I'EC012D I I hereby certify that this It a true and correct representation of a survey of the boundaries of the above +bed fend, and of the Location of all t~uitdings, thereon, and all visible encroachments, it any, from or on said land. As surveyed by /me tthis-~y ofL~d_A.D. 1992-_ ,5-Cale- I fnch _ J2o ee l~fi ROBERT 8. SIKiGH t_S. REG. r+0. 14a-)l PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090211 Eagan, MN 55122 . Date Issued: 07/15/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 979 Kettle Creek Rd Lot: 26 Block: 3 Addition: Lexington Square 7th PID 10-45081-260-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: 10 windows & 1 patio door Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installationCarbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Pride Energy Solutions LLC James McGuirk 9254 Unity St NW 979 Kettle Creek Rd Coon Rapids MN 55433 Eagan MN 55123--151 (612) 385-9597 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use Permit City of EaRdfl I ~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 RECEIVED Date Received: p- IT (651) 675-5675 DEC 0 2 2011 i staff: Fax: (651) 675-5694 I I ` 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C y 0- (t 1,2 Date: Site Address: ` ~1Uniit M Name: -X PS t,~id Phone: &1tX"'`IC7o2-'°77V RESIDENT / ra3 OWNER Address / City / Zip: 979 Ke~Vf Gael ISO Ectjjq~ Applicant is: Owner Contractor Description of work: ~Cc-1'rlrL3A^n Ise nn6~e j r it /www, 1/°wt.& tllY ~G 1 TYPE OF WORK Construction Cost: tlobes4a-"~ Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: i State: Zip: Phone: J License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. i CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Jamr--%, Mc C~~l~ X Applicant's Printed Name Applic is Signature Page 1 of 3 ~-~rTILELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building ( A WORK TYPES AO~~ 6✓rt/t/ - New - Interior Improvement _ Siding - Demolish Building* - Addition - Move Building Reroof - Demolish Interior Alteratio - Fire Repair _ Windows - Demolish Foundation - Replace - Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy (I MCES System ~ Plan Review Code Edition IA44~ 14j j-I SAC Units (25% 100%\-[ Zoning City Water ) Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests -Final Framing Siding: `Stucco Lath -Stone Lath -Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC Gl~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink I-----------------, For Office Use I -s F' I Permit e non City of Ea V RECEIVED Permit Fee: 3830 Pilot Knob Road DEC I I Eagan MN 55122 Z 2011 I Date Received: I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 I _ - 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION I Date: Site Address: 9-71 )(z4lo "L d Tenant: rSuite RESIDENT I OWNER Name: n ~~C. 1~~5 r-6L;iy~k Phone: (a I,2- gW--77.2r Address/ City/ Zip: 79 f~d-Ve (G k~ "At SS1 a, 3 CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK -New _Replacement _Repair _Rebuild 4Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) ` Add Plumbing Fixtures Main / X Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an 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. X- Al AAVS r `LW1N x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA111809 Date Issued:07/12/2013 Permit Category:ePermit Site Address: 979 Kettle Creek Rd Lot:26 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-260 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:skylight Deanna Ulick Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - James Mcguirk 979 Kettle Creek Rd Eagan MN 55123--151 (612) 462-7728 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161837 Date Issued:06/15/2020 Permit Category:ePermit Site Address: 979 Kettle Creek Rd Lot:26 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Montgomery 979 Kettle Creek Rd Eagan MN 55123 (651) 270-5058 Majestic Custom Construction Inc 8800 Royal Ct NW Anoka MN 55303 (612) 419-2173 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161838 Date Issued:06/15/2020 Permit Category:ePermit Site Address: 979 Kettle Creek Rd Lot:26 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Montgomery 979 Kettle Creek Rd Eagan MN 55123 (651) 270-5058 Majestic Custom Construction Inc 8800 Royal Ct NW Anoka MN 55303 (612) 419-2173 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165843 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 979 Kettle Creek Rd Lot:26 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-260 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 - Michael D & Sarah J Montgomery 979 Kettle Creek Rd Eagan MN 55123 (651) 353-4783 Supreme Contracting 1130 70th St W Inver Grove Heights MN 55077 (651) 353-4783 Applicant/Permitee: Signature Issued By: Signature