983 Kettle Creek RdBUILDING PERMIT
To be used for ';f- J.?f: /GAR
Est.Value ;1Q7+0W
Receipt #
Date OCIt;is. ci
,19 3i
SiteAddress 983 K ETTLc Ci.F:fiK YD
Lot ? 5 Block 3 Sec/Sub. L't'XI?' ?SQVARE
H A [)
Parcel No.
x Name 1'kit: itOTTLt`ND CQ IyC
z Address ?'•il. NUX 35'i
0 City ?'^: Sk.U Phone 571-004
¢
.O Naf ne ? A:-t.
o?
a
U Address '
? City ' Phone
?Q
WVW
y?
Name
?
_g
Address
o=
a w City Phone
I hereby acknowledge that I have read this application and state thal the
information,is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinandes: '
- ! ?
Signature of,Permittee
A Building Ptrmit is issued to: i.i?iTTL?I`?U LO ??rL
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
OFFICE USE ONLY
On Ske Sewage _ OcCUpanCy
MWCC System '- Zoning y 1
On Site Well (Actual) Const Fin
Ciry Water r (Allowable) i n
PRV Required * of Stories
Booster Pump Length ts4
Depth `if' • 3
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ? 524.50
Planner Surcharge 53•50
Council Plan Review 262. 5
BIdg.Off. SAC,City 100•0t)
Variance SAC,MWCC 515•00
water Conn. 525.00
Water Meter o7' ,` L
Road Unit 30 5• vu
Trealment P1 t dt% • iJC!
Parks
TOTAL
1 4?0 3.It I
BLDG.
,
- ?- ?
01- 210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
PERMIT N0. ",? /K3
?ldg: P. '?mi
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit f
SAC ;
Water Conn. ?
Water Trmt.
Water Meter ?
Acct. Dep. ?
Water Permi
Sewer Permi
Sewer Conn. '
Park Ded.
TOTAL
CASH RECEIPT
CITY. OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? DATE 19
RECEIVeo FROM
AMOUNT $ I
6 DOLLARS
1 oe
? CASH Q CHECK
POX ' -
AUND COOE - HMOUNT
Thank You
BY
White-PaYert CoPV
Yellow-Postinp Co(
Pink-File CoPV ji
-?.
? ---
., - (Itrtifiratp o# (Orrupanry
?Citp of Cagan
Erpttrtmrnf u# Building Jnsprrtiun
This Certifrcate issued pursuant to the requirnmenu ojSecdon 306 of the Unifarm Building
Code certrfying lhat at the time of rssuance this structure was in compliance with the various
ordlnances of the City regulating building construction or use. For the follo wing.•
osecI.sairraion Blag.remiiiNo.
OocuWocy Type Zoning District ;..? Type Canst
owoero[9uamng rizLJT?'r% ( >"? nmrcs
BuiidingAddrrss 'r•?=?..+ Lonlity
Dab:
Building Officvi
POST IN A CONSPICUOUS PL4CE
• . MECHANICAL PERMIT ?? 9? !
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: i ;. PHONE: 454-8100
, Site Address
Lot ?. Block ,' i-. .•
--- Sec/Sub gLDG, Typ4 WORK DESfIPTION
Res. New
'
m Name ? ' Mult Add-on
m Address
' Comm. Repair
City
Phone Omer
PEES
t
, y
^
Name
?
RES. HVAC 0-100 M BTU -$24.00
c AddreSS `• -
- ADDITIONAL 50 M BTU - 6.00
?r O CitY Phone ' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS O
T
TS
MIN
M
M
U
LE
(
I
U
- 1 PER PERMII) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 136 OF CONTRACT FEE
ForCed Air M BTU 1 cC.. APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler
U
i M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
n
t Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent STATE SURCHARGE PER PERMIT - .50
. CFM $ PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1 00)
Other R
FEE:
.. , --
R S/C: 'v SIGNA URE OF PERMITTEE
. TOTAL•
FOR: CITY OF EAGAN
; CONTRACT PRICE: ;'_ c, &n
. .. r ,
PERMIT q
PWMBING PERMIT RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address, u
Lot -- Block :i3 Sec/Sub
.; ?
d Name
? Address 4„
1,0
c ,
Ciry Phone ' -
? Name
3 Address
O City Phone
FEES
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20
00
.
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNZURE OF PERMITTEE
rt
BLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
RES. PLBG. ONLY - COMPLETE
NO. FIXTURES
-.K_Water Closet - $300
_,j??Bath Tubs - $3.00
040_-Lavatory - $3.00
-/_Shower - $3.00
-/LKi?chen Sink - $3.00
-Urinal/Bidet - $3.00
-Well -:
_Private
..,. ?;.
FOR: CITY OF EAGAN
- $1.50
- 51.50
3.00
?utlets - $1.50
I - 1 PER PERMI
00
gs - $1.50
FEE:
STATE:
GRAND
TOTAL_
S J f C
?
z,co
^?.?o
3,00
/, So
?
. . .?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for "AR
Est. Value
Receipt #
Date -?f:-?'?i:ii .: i
14345
19
6YLTTI.B ;.RREK itD
Lot 'Block Sec/Sub. '
Parcel No. a Name ?
W
z Address
° City Phone
a
.o Name
? i Address
P City Phone
f¢
V W Name
W ?y
H
_ g Address
u
a Z City Phone
W
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
OFFICE USE ONLY
On Site Sewege Occupancy ^ Y
MWCC System ' Zoning
On Site Well (Actual) Conat
City Watar _ (Allowable) ?a ?•
PRV Required * of Stories
Booster Pump Length
'
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES '
Engr./Assess. Permit +' `>•-4. SU I
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC j
Water Conn.
`i'iA`
WaterMeter
fo5'kA'?
RoadUnit
Treatment Pt l'ju • oc ?
Parks I
'. ?
TOTAL
,-
Permit No. Permit Holdsr Date Telaphona iR
Plumbing
H.V.A.C. y'??
Electric ? ?-•,J?? % , ?r: , f . // S/,??'! ? rf ?>v
!??I ? - <". ,:n?._._ •C? -}'. ia/-, ?? /?
Softener
Inspection Date Insp. Comments
Footings I F
Footings II
Foundation •/ p ?
Framing
Roofing
Rough Plbg. I?
Rough Htg. s.l
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pc Dfsp:
CITY OF EAGAN Permit No: Date:
3830"Pilot Kriob Road Meter No: 4i-4- 6 Size: 5?8 ?i?ec 1117
P.O. Boz 21199 Reader No: Q?P 7 76-9 O Date: g' 87
Eagan, MN 55121
Owner. kuttlund Company
SiteAddress: 9Q b'ettle f;r?eY: ^.oa;i T,?'' n3 t.px;nr „ c(. 7j-i
Plumber. Jallev
Conn. Chg: :??> t l! ,c3 vVISUAV
Acct Dep: " s '
Permit Fee: ?
Surcharge: L
Tr. Plant
Meter.
Misc: _
?g. 1
ot Units:
UfflItfBS
*tgppmply with the City of Eagan
In nces.
• * C ?-
PER
CITY OF EAGAN Permit No: 1"- Date:
"?
3830 Pi101 KnOb Road 8/P NO: ]"'' ?
P.O. Box 21199 Date:
Eagan, MN SbJ21
Owner. `1'3 ttS••r:: :?r;_-, p;
SiteAddress: ,'>? ;1et[I,! ^,;:en road L25
MWCC: ?& -I.UvPIU ,.1
, Zoning•
City Chg: ' - No. oi Units: ?
Acct. Deu: 15.OOpd
Permit Fee: • 4/?`?"Y
Surcharge: ' "'L 7
Misc.:
I agree to comply with the City o( Eagan
Ordinances.
SEWER SERVICE PERMIT
Gonn. Chg: 2 5.00,? Zoning: _tl
Acct. Dep: 25. QOnd No. of Units: ?
Permit Fee: 10 OOod `
Surcharge: • 50nd
Tr. Plant
1E0 OOnci I agree to comply with ihe City of Eagan
-
Meter. - A7 rvt A Ordinances.
Misc.: By
VUATER SERVICE PERMIT
----___ :
- - ---- -
-?
CITY OF EAGAN Permit No: Date f l-4--87 `
3830 Pilot Knob Road : ?_ i'
Meter No: Size:
P.O. Box 21199 Reader No:
Eagan,lNN 55931 Date: ?_ '
CITY OF EAGAN (y°_ 14 3 4 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERM17 PHON E: 454-8100 Receipt# I ---I 3c-?Fj-3
To be used for SF DWG/GAR Est. Value $107,000 Date OCTOBER 23 19 87
Site Address 983 KETTLE CREEK RD
Lot 25 Block 3 Sec/Sub. LEXINGTON SQliARE
7TH ADD
Parcel No.
a Name THE ROTTLUND CO INC
= Address P•0. BOX 383
° City O55E0 Phone 571-0304
,o Name SAME
? a Address
m
P
City
Phone
¢
U
wW
W
Name
_? Address
U =
e W
City
Phone
I here6y acknowledge that I ve read this application and state that the
information is correct and a e to com ly wit all applicable State of
Minnesota Statutes and City Eaga Or inanc s.. ?
.
Signature of Permittee `' ` .? !. A Building Permit is issued to:THE_ROTTLUND CO INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesojq Statutes and City-of Eagan Ordinances.
Building Official
?
OFFICE USE ONLY
On Site Sewage _ Occupancy R3
MWCCSystem X Zoning R1
On Site Well (Acfual) Const Vn
City Water X (Allowable) VTl
PRV Required # of Stories
Booster Pump Length 44
Depth 48.3
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./nssess. Permit 524.50
Planner Surcharge 53.50
Council Plan Review 262.25
81dg.Off. SAC.City 100.00
variance SnC, MWCC 525.00
W ater Conn. 525.00
Water Meter 67.00
Road Unit 305.00
Treatment Pt 180.00
Parks
TOTAL $2,542.25
This requesi void
18 nwnths trOm
0 7 4 4 16 z.9,ia4. -76,'Z' st,to-'c-f
Flequest Date ` Fire No. Rouuh-in Ihsper.tion
f e ireA? E]Ready Now ill Notify. Insaec-
Yes ?No or When Ready
LJ LicenSed Hectricai Contractor I hereby request inspection of above
? Owner elacirical work installed at:
r
Sl ess, Box or Route o. C
?t1/`
So
Li
ecuon o. Township Name or o. qange No. Cou
+01,
Oc nt (P I T) Phone No.
Pow SuUDlier
v ? Address
EI ical Contractor ICompany e) ? M:,,L,oa.n No.
Mai ling,QdJresS (C ractorpr O r Makinp Inilation) ? ??
l 1 /? ?. (? 1 \
?? U ? ?
A orized S nature (Conttactor wncr Making Installa[ion)
rns Phone Number
MINNESOTq S7AYf 00AND OF ELECTRICITV L THIS INSPECTION NEQUEST WILL NOT
Griggg-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOANO
1821 Universitv Ave.. St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION . ess?-oooot-os
1 See instructions lor compleling this form on back of yellow copy.
Iv% r 7 4 41 -lj 'X' Below Work Covered by This Reqiiesf
INejiY Add ReD• Type o1"BuildinB Appliancns riired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electrie Heatm
? Comrnercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FBfm Othe, Specify 01har (Spi9r,ify)
ther, SGeeify Other 01her
Comnute lnsoectron Fee Below
# SerVice EntrenCeSi2e H T Fee fenders/Suhleeders # Cireuits
Oto200Am s 0 to30Am s t?30An s
Above 200 qmps 31 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 1D0_Amps Above 100_Amps
Transtormers Irrigatfon Booms Partial-"Other Fee
Signs Special Inspection $
TOTAL E
pe?narks V? ?
RouBh-in Da iP ihe Elec '
Inspector, here6y
certifY that 1he a6ove
Final 'le.?"{.? (i inspection has been
?'?! f made.
Thiarequestvoid78monthsfrom :_!- wlWyl?,,(,m
This request void -7 q p ?15
%
18 mmnths irom
? °638$1
Request Date Fire No. Ro h-in Ins?e.tion
R- wred?
?Ready Now
ill Notity. Inspec-
( ? -' Yes ?No tor When ReuUy
? Licensed Electrical Coniracror
? Owner I heraby request inSDection ot ebove
electrical wark installed at:
Stre Address, Box or Route No.
of Cit
ao a
ecUOl o. Township Name or No. Range No. Cnunty
Oc,e0uant P INT)
/ Phone No.
Po r $upplier
' Address
Electrical CoMractor {Company •mel . Con ra tnr?s Lic?nse No,
19,
Mai?DA dress IContracror or Ooyner
-I
d?r{ aking Instailation)
t
/V ????
Au vrieed Sienatuie Contractor/Owner Makino Installati'an)
5 Phnoe Number
57j?b - &D0
MINNE501A SIATE BOARD OF ELECTRICITY 1 THIS INSPEGTION REQUEST WILL NOT
Griggs-Midway Bidg. - Noom N-791 eE ACCEPTED 8Y 7HE STATE BOARD
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON Ea-oooot-os
? , See instructions lor completing this form on back of Vellow copy. S
IUJ 638-81 "X" 8elow Work Covered by This Request
.inv Ad-d ReD. Tvoe of BuilAing Applinncea Wired Equipment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 6uilding Dryer Electric Heatinq
Commercial Bldy. Fumace Silo Unloade.r
Industrial Bidg. Air Conditioner Bulk Milk Tank
Fafm OthHr SpP.ci y Othqr (Sprr_i(y)
i P.! SuCCI(Y O(h(!f OthL',
Comoute Insoeciian Fee Eelow
p Fee ServiceEMreneeSize ft Fee Fexders/Su6fendere p Fr.e Circuits
0 to200qm s 0 to30Am s 0 to30An us
Above 200 qmps 31 to 700 Amps 31 to 100'Am •
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms Partial."Other Fee
Signs Special Inspection SI
TOTAL F
Remarks
Roueh-in Date I, tha Electr
Inspector, hereby
certify [hai the a6ove
Final Da
??? ? nspeclion has been
? made.
Thla request vold 18 montha irom
/ 17
R? 3 4
9 r7/.? j ? °°
Repuest Date ire No. Rou - Inpsection Requiretl
(VO u5t Cell in9pe r when reatly) Inspection OMer Than Rough-In
? qeady Now ? WIII No[ify In50edor
_ _ 4 ? Ves No Date Reatly
I Xlicensed contr c or ? owner hereby request inspection of above electrical work at:
19
Job AddreSS (Street. B o u o.
?l 8 City
Section Na Township Name or No. Range No. Co ry
Oq?
Occup tIPRINTI
uSs ??o F> Phone No.
POwer Supplier AUdre55
Electrical Contractor (Company Name)
K ' .TH r- Contrador's License No.
C'ACW
Mailing 4tltlress ICPN{ractor or Owner
Maki Installation)
8?
b 1 ??n -.01 IJQ?
Aulhorizetl o Icto?O ner king Installation) Phon r
` -
.y?
MINAESOlA STATE BOARD OP ELECTRICITY THIS INSPECTION REWEST WILL NOT
Griggs-Midwey Bldg. - qoom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPEC710N FEE IS
Phone (612) 642-0800 ENCLOSED.
G G/C REQUEST FOR ELECTRICAL INSPECTION F%ea-oooo,-oe
/ ? See inslmclions for completing thi5 fOrm on back of yellow copy. ?:01o?/ ??5
: 3,4 2 7 ,
'X" Below Work Covered by This Request ?,?•??
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load ManagemBnt
Comm./Industrial Furnace Other (Speciiy)
Farm Air Condilioner
Other (specify) Conlractor's Remar?ks:? /?
RsQ,.?Jo??/K.?/t KWtpW1,Af9
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 Amps
Signs , Inspector§ Use Only: TO
TAL
' Irrigation Booms J
Vf `° 1
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORD ED DI
SCONNECTED IF NOT
Other Fee ?
COMPLETED WITHIN NTH . `
1. the Electrical Inspector, hereby
if
h Rough-in s Dete
y t
cert
at the above inspection has
been made. F,nai oace
? -
OFFICE USE ONLV ?
ThiS request void 18 monlhs from
/ ((3,9Wts
,
1987 BOILDING PERMIT gPPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLiTDE 2 SETS OF PLANS, 3 CERTIFICATES OF S[TROfiYj 1 SET OF ENERGY CALCQLATIOAS
'i
DiOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOWNER MUST DESIGAIATE WHICH ADDRESS
I5 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSQED.
MfILTIPLE Db1ELLINGS - RESIDENTIAL RENTAL UR12T5 FOR S9LE UNIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SiIRVEY - CHECK FTlTH BLDG. DEPT.V
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
En OCT 21 199
To Be Used For: ?Miijlcv? Th.iezu Valuation ?-° Date : l4 -/z ^
Site Address 793 r
Lot as` Block 3
Pareel/Sub
Owner
Address p0. ?OX 3?'.?
City/Zip Code 5"S32
Phone
Contractor
Address
City/Zip Code
Phone
Arch. /Engr. ?,9m gs-
Address
City/Zip Code
Phone #
10n, DOa- oFF:
On Site Sewage`
MWCC System ?
On Site Well _
City Water
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off lo Z3
APC
Variance
Oecupaney R- ?
Zoning ?-
Type of Const
(Actual) ,f-N
(Allowable) V-N
4P of Stories
Length 41,pp?
Depth yg,33,
S.F. Total
Footprint S.F.
FEE.S
Permit 3211,6o
Surcharge 53,50
Plan Review 262.25
SAC, City 1OD.p'p
SAC, MWCC 525•00
Water Conn 525.00
Water Meter 6'7,00
Road Unit 3051
Treatment P1
o
180,0
Parks
Copies
TOTAL
o? d\
GA?v . . _ .
Z z x z z=V8y xi2 = SSo g
HousE
3?x2?=?i?4SxI oz= loo
?o?sgy
L
. .
,
?
.
* * *4
't PIONE
* engine
* *?
?
2422 Enterprise Drive
Mendota Heights, MN 55120
ng _nND P?ANNERS ' L4Ni?5C4PE AHCH!1EC? S
.•
LAVp SUAVCVORS• Pv'l ENGINEF k5
(612) 681-1914
Certificate of Survey for: T14E ROT T L UND (...0•
?
882•? NORfFI
---? S?
i °
0
0
i
,
? ???0. ?'??B E/ 884,9 . 8 ?
, •o.
• %s
( B82•S, ??o ., 6) b? ` N?%?e OQO??
X
?? .z.?ss ,a ?,?,1, ,o ?•
? ?•?OO ?0.LJ??, - NUB
-9a
rt 900.0 Denofes existin, Elevation PaOPosEO MousE EcEVAr7oNs
• soo-o Denotes Proposed Elevation r
( owest Floo Eltvafion = 81?8. 40
- -- - - - - Dcnotes Drainoge 1 Ufili ? Easemen }
--?- Denofes Drainvje F/ow Arrorv Top ot Bloc1? flevafian = SB6. 5?
?
o Gara Denofes monumenf 51a6 Elevafion a 886 • I
,?
Bearin s shOwn Ore assumed
LOT25., ?ock3, LEYlivooiv SQuA47f 7T# ADDI FION
DAKOTq C17UN?'Y) MUNNE,507A Su$1FCj TO EASEMENTS OF QECORD
1 hereby cenity. thet this ia e crve arM coneci reprecentation o} e aurvey ol che bounda.ie? ot rhe ¦ ibed le e of tAe locetion nof atl
buildinga, tfiereon, end all visible ermoacl+menn, i1 any, trom or on said lond_ As wrveYed bY ?[his61Y of D. 19?? 1.
?.??-?,A,/?
(70BERT B. SIK Cf+ L5. EG. NO. 1 891
? 7I04. )2 • _
?T
, --
- y. ?`-? E`?-I ? ?-`?' `Y ?
..ti1 `r1 • i -(-1 A ? ? "1 \ '
' EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION '
OWNER LO
STTE ADDRESS M-E -(ATC'?..?K?p `
CONTRACTOR SANk t;;7' DATE PFiONF,
. Determine working square footage of each.
1. Total exposed wall area ...... 2-497 sq. ft, x./?? ° z 7??1-7
2. Total roof/ceiling area .:.... / U 3Z sq. ft. "x' #02(i ?, '6 3
Total exposed wall area above floor = -2 ?is?
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 10%) ................ 1°(1
f. Total net wall area above floor ..................... 17?5
g. Total rim joisC area ....... ....................... 2
Total exposed foundation area = (0 Z
h. Total foundation window area .......... ....•?,••.••1• ?
....•••.••?? 5?3 ..
i. Total net foundation area above grade ....
Determine "U" value of each wall segment.
B. ]( flUff etJ. t?C a ?DZe??
b. 5-? X 'fUll .07 = 3.01 z
C x lfUll
d. - g IfUll - . s . . .--- .
--,-----
e. / 9/ X tiUit , oS 7 ???? 6 Z
f. 171s X i,U„ eo41z =-7.2 oa3
1 p,
6 L C? ! X IIUtI IV T? a /?I J?o
h. ?J g "U" ? SL/
l. ? 3 n V
T'll.
11u
p0/ ?
03
' 3 ............................. .... ..... Tota1 °..2.1(4>? ?
If item li 3 is the same as, or less than iCem (11, you have meC the intent
of SSC 6006(c)2. '
.
Total exposed roof/ceiling area = / U 3 Z
Total gross roof/ceiling area Z
j. Total skylight area ........................ 6
k. Total roof/ceiling framing area ............ 6 Z
l. Total net insulated roof/ceiling area ...... q6 y
Determine "U" value for each roof/ceiling aegment.
J. (o x foUll .?e6'f
k. 6 2 xIfull 1627
=/bG?
1. '-/(`t g „Ull o2S
4 ..................................... Total = Z B-`/.(,
?
If total of 114 is the same as, or less than 02, you have met the intent of
SSC.6006(c)1. .
To utilize the total envelope system method, the values established by the
sum of items ll3 and 1f4 shall not be greater than the sum of items #1 and !{2.
1. 277a17
3. 2/LlegSs
+ 2.
_ + 4. Z?'Y1
30qaOd
z ,y 3,2
?
9
t;lu?.'F.:?_U2e 10,
oi opaque wa],J, area for ?
„ ixame const.ruction
Construction
R-Value
. ? ., n
• -?J
Interior air? fiLn 0.68
.2. - j T3 R D o y 5--
? 3. .1u(= s-rvUS ' (ooifS".. .
?ASIC 9. 2S/32 S/-rT? 2„GC? .
[aAL.L 5. S/Ol?liL+ Ut?E/e- FECz' l a 2 ?o
6: Fxteriar air film 0.17 •
• ' . ? . • . Total
FIG. IE1 TOPVIEW OF
v? 'aO?Z ' •
?. . .. __ . .. :' FRAtM i7ALL ? . .
. ' .?( 1. Interi,or ai.r film 0.68
' ' • ? ? ' • • ?? \ 2.
I?>Cz D o `? S
.. I , r 3. FvL L ?Ge.IA e- / ?.
L: ' 1,415 e,4 b p
9. 2 S?3L 5h'T? 2?O? '
1?TG. ?r`2 .. ..
• ..?? I?_.._.._Q .. 5. V?e ? ELT J e 2(?
•. '?1I.?? -?' ? 6. Exterior air film 0.17
• , ? ? !.?.,.---...._? Total 2 3, 6 Z . .
; ! ?-- -...o_....-__...... 0/ ?
?i?l I • 1, Interior air film 0. G8
_......?.r? ? . ? .
'
',tiaral -? 2. ? /tiSVL . ?'? ??000
''
?''l•?., ?? T-: ??x?-'-.-?.'r• ???----?------Q 3, ' 2 X_ I2?f .i`•/l .
,
------------------
? :?;;??? ..., •? • - ?, . G-
. ?. .
4.? 2 S?3 .2 S h-I T'fa-
' ?+. , ' !? ' p • .. . Z eo??o_
• ???,,;. ' ' , ' 5. aV(S=i< ?r-4tL-7z7- . ? 6•2 ?
? , • . • -6. Exterior air film
).17
':7,?LTIC1?.?. ??_I ? _r? y_t+ .',_?? . 3 t • . ' Tota]. 25.05
.?o L7-U .
I • ?I?1?..?1 ? ' ?•,.? ???,-\ \ -?? ? . ? •
• ` ?F , U
. ?
? •?
ts • f'?_ ?
?J '• ? •
ry,. .
. '.. . . : r
Z(O/1fn `1. Interior air film '. 0.68
2.
3. 2?1 Fu2 R i N C>
9. co.n- c, 13 COC(c_ /QZ.$
5. '
6. Exterior air film 0.17
Total /3,/3
, , . f .. ?/ , O•7 ?
r . , 4
' • ` r`
r.- ?r?f-.?- k • , • ? ,.? , . r,.
..?? . ?
•?-'- ,? ? . ?-
???.__
v . . ,. J'
? ? ` ' • , ,
:. 113
. .
.
f? ?,. .
. %
',ROOI'/CEILTNG
_. ? . . I • , ?I , i . i : . ?? i ' , .
.. • , ?? - -' . . ..j¢.?" I , I? ;' _.. . ' .
. • . , .,, ?i .a.;. . ? ? , I ..? _' .' ' : - , , ' ' .
ConstrucL•ion ' ? R_Valae
3 (} .• ';, r, 1, ? Interioz azr film 0.61.
'
z.
3.
9, Exterior air film (still 0 ?
:• :. •?r l_'___-_?. . . -'° 7CotaJ. 3C'f1 I ,1 / '? \;.! ? • ? , , •. i . . .
' ? ' . , , '• ' ' ' • . • 1 • V = eUzS
. . • . . , ' • , ? . ' .
VenEed tieat fLow•' ? ' • ' • " ? ? , •
• ? i up ?. ' r. ? i '? ' • , . .•? . ''? ?. . . .
. I . , i ?. ? ? . . .
. . , • ? - ? ? : ? .. . , ? i? . . ?• ? . • ' ? . ,• .
FTG. 05: ' • . ? . '.
• . ? ?• ' • . . ? . .
' , : .? • .. ? ,• , • • •? t•?'t?ir?-.J?- • .. ' ? • .
. . . I ? , ? : , . ' - . - .. . • • .
1. Interior air film ?. 0.61
Z•'r.2. C?,YT? V?S V>_ ID ?
- ? oS S
r . ?^'"?""" "P?? • 3. /,vSuL ovE2 r/TU55 ' 3?f ?`) - • .
i ' 4,, Exterior air film sti ? ?
/ ? . n ?? . • . .
?. •? , . Total• 36,?Y
? . • . . ,. , .
?; , .?? ,:._. . . . , . .
Heac flo4i vp • ? . ? •vented , ' , ? , ? , • '
I •. ? ?, 1 . . , '' ? ?
. ., , , i •
• . I ' ?'.. ?? . t '
, ' . .?=G. 116....i,. • ? ?,? '. ' ? • • , . ' ? . . . ! II
' ? .. . . . , .
. ? , 3 ?,}? : ? ?y 5? ? ' . . • , _ . . . ? . '
1. Inside air film 0. G]. .
? • ` '? O t???t!?'+-'- ,. 7• ? .
3.
? CM1!CJ?-? • . w .
D .? ?1??J-?I?••?? ? ? ? ? ? •-- • # • . , •, . • .
?:.. •:•.. i •? • • .
S. Outsxde air f.tlui 0.17
? To ta].
'}- ? , I • .. ;\' ,
. . I : '.t.l'
?, ;. ??• NOiI-?ITEn , .' ; Notc: : Use adda,tioi)al sheets •if •more cpaco
? (_ `• ?
,. ' needed for dei:ails and calculal:ians. ?
• ? Heut ? ' • . . . . . .
? . , • 'flow up . - ', '. ';• , •• ._• . .
? •, • . . , , , :
' Pr.r,_ ?A7 i • . . • , c? ? . . .
,
LOTd-5 BLOCK -1 SUBD.
RECEIPT # ?550 DATE 9 ? 1?,
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 19P,
Commercial
Residential (boulevards)
X _ Existing residential
GPM
GPM
Area/address to be irrigated: -9 W3 Ve-N'(O C2??t- a
Installer: Owner)& Plumber ?
a,
Street address: ?9'3 4 fi-(
City, state & zip code: (?:?cz-,-, f?iV ,S'71 2 Z Phone #: (152- -/e? /
Owner Name• c 05y7f-S
Street address: jkl-?O- li(o-- C_a-Q /Le
City, state & zip code: /vW 121- A Phone #: ?111- /Q/
Irrigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that I have read this application, state that the information 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 activities to the facilities constructed under this permit within City
propertylright-of-way/easement.
r'
pplicant's signature Title
Approved by:
PRV ? Yes ? No New service
Meter Size --, & Cost
Fees due: C'? ' Calculated
Date:
? Yes 6:12?
- /-7
PROCEDURE FOR IRRIGATION SYSTEMS -1996
An irrigation permit J.1 required - please contact Protective Inspections at 681-4675.
1977
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if hew service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 ner connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons.per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
APFLKCAT10N FOR PERMIT
SEWER AND/OR WATER CONNECTION
? N07E: PA]2MFNf OF FEE AT TIME OF x
* APPLICATION DOES NDT CON- *
S'PI1V1E APPRC7VAI, OF PIItMIIT. ?
*
; iNSrmriav oF sEWEt nrID/oR vm.xOt +
;.
* I[1STAIdATIONS WIId, NC7P BE SCIDULID t
* (!NIiL PERLIIT HAS BFES] APPROVID. ?
*i!*t**i*t4frYr*f?#R##1fi#tZf#4tt#*R#f*it
oF eagan ,
? -
(PLEA.SE PRZNT
1) PROPE2TY ADDRFSS:...-..
LF7GAL DFSCRIPTION: .
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COhMERC2AL/RETAIL/OFFICE
Q INDLSTRIAL
INSTITUTIONAI;/GOVERNMENT
2)
R-1 SINGLE FAMILY
? R-2 DLPLEX ('itao [9nits)
? R-3 TOWNHOUSE (Three.+ Uaits) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( L'nits)
3) ?NAME:
ADDRESS: _
CITY, STATE, ZIP:
PHONE:
MASTER LICENSE #
.'tuiClp2rs Llc2rise:
1 Active
Expired
Not recorded
Sta Initia
4)
,"• • NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
:
5) s ' ' ? '?• ? • o .i ??
Q CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATEl2 ? 0'i'FISFFt
6) ***************************************************************************************************
* THE GOLD COPY OF 7HE PEE2MIT WILL BE SENTr DIRDCTLY TO PUSLIC WORKS TO FACILITATE ME!'ER PICK-UP.
PLEASE ALIAW 4W0 WOFU(ING DAYS FOR PROCFSSING. SOMEONE FROM THi CITY WILL ODNrALT YOL IF THERE
* ARE ANY PROBLEh1S.
--------------------------------------------
._ ._ ._.._.._-.._--_ ._ ...-_.._-.._----...'
.FOR -CITY USE ONLY
PERMIT # ISSUED
wz?J
Pd w/Bldg. Permit
$ T?J
e
e
•-- - -
FEES:
$ l Q_?'D SEWER PERMIT (INCLUDE SLRCHARGE)
$ ? Q r WATER PERMIT (INCLUDE StiRCHARGE )
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ (J'a ACCOUNT DEPOSIT - SEWER
$ $ ACCOtiNT DEPOSIT - WATER
$ $ WAC
$
$ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNIi WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ J -19 7` CJ-v $ TOTAL
_,
RECEIP #
. - C) J
- RE EIPT
DOES UTILITY CO NNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
r__j YES IF YES, THEN A"PERMIT FOR WORK iVITHIN PLBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
El NO DIVISION. LIST AS A CONDITION.
SUBJ ECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : l??/ ?,
RESIDENTIAL BTJII.DING
Permit Application
City Of Eagan -
3830 Pilot Knob Road, Eagan Mn 55122
C? ? Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWction Reouirements RemodeUReoair ReauirenenGs Office Use Onlv
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cert of Survey Reod
(20% maximum lot croverage allowed) 7 set ot Energy Calculations for heated additlons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey ior additlons 8 decks _ Tree Pres Not Reqd
1 set of Energy Calculatlons Addnon - indicate if on-site sepGc system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Oefail Options selec6on sheet (bldgs with 3 or less uniLs
Date 10 / _03 00
Construction Cost o oc d ?
Site Address OJ L'tie- Ci'2e- U Unit/Ste #
Description ot Work -rte_ 03, ?-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone#( )
Contractor -?S
Address 1? 7?,S l2? 'RVt i
Pl y ww .??
v , City
State Y"v'\r'-__ Zip SC YY'? Telephone #/12_)3Z8-
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone #
Telephone
I hereby apply for a Residential Building Permit and acknowledge that the informa?onis complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
jO,r_ ? Z(C f»-Gl_
ApplicanYs Printed Natne ican s ignature
OFFICE USE ONLY
Sub 7ypes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 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 (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndadon) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolitlon (Entire Bldg) - 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 bidg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _
_ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Cities Diaital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
C I T Y O F E A A i? *'-?0''= pA?? OF FFE AT TIME OF *
* APPLICATIori DOs NM cor1SriTUTE *
? * APPROVAL OF PM;tb=. ?
APPLICATION FOR PERMIT *??? oF s? ?/oR r?,? *
INS7ALTarrrONS WII:i, NOT BE SCHED-
SEWER AND/OR WATER CONNECTION * ? ?M Pml"ff T HAS 'BEm ?
. x APPxOVID.
i . ...
, P ease Print)
? 1) PROPERTY ADDRESS : f 4LC= d`e a--/C 'c!/
LEGAL DESCRIPTION: L n? 0?5 BL,K S42 7/'?
-(Lot Block Subdivision or ax Parcel ID )
IF EXISTIfIG STRL'CIZ.iRE. DATE OF ORIGINAL BL'ILDING PERMZT ISSUANCE: . ?
(Nbn ear) _
ADDRESMnPOSID LSE: I
CZTY, STATE. ZIP: R-1? LE FAMILY
PHONE: Q? MASTE{t LfdMT0E# ?tlts)
i L
' 4? roU ? I?i• ` {, •
NANIE:_?0
- ADDRFSS: , . ,
?
CITY. STATE, 22P:)SS?
PHONE:
0. ?. . ? .
? COIVDIF]CPION 1O CITY SEWER ? CONNDLTION TO CITY WATER ?
? OnIER
6) ?? •??'"? [? PLEA.SE HOLD APPROVID ?
PMMIT FOR PICK-UP BY ONE OF ABpVE ?
PLEASE MAIL APPROVID PERMIT To 1, e!) 3, 4, ABpVE . - _- - - - ? --
7) (Circle one) ? ? y •,u s'arar-r: ?^ ?-:..Kil /!,'v7O --?'> ?
• P •.?• y .. _... _._ • ? • I . •• ?:i 5.iy• ..,' -'-'- --- ?
City ?? Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Tenant:
v_em._?.,_s._s- ?
? Fcr Grifir lisw ?
? Permit
? Permit Fee:
I
? Dat liWV44? 1? 1 y I nR ~ j
? f I
I Sta ? ? ?
L -- ---------- ?
6008 AYAE6eH/•1dY0CAL PGRYtlIIT IY???ICQTIO
Site Address:
?!1'7
Suita i!•
RESIDENT / OWNER Name: ? ?A n 0/,P. Phone: ?.5Lo k- c.?t) cl (r ?'j
Address / City / Zip:
CONTRACTOR
t
i
Name: v • License #:
?.'?: 1 \._I.:S
t
; 'A + Address
Jl
y .y City: State: Zip:
Phone:--( S a?, ?'1 ? UO U(?
?1
Contact Person:
-?.-Q-?--
TYPE OF WORK _ New X Replac ment _ Additional _ Alteration Demolition
Description of work: J
NOTEs`Both roof mounted and g%und moun " mechanica/ eguipmenE ls requireal to
be screened by City Code. P,lease confact the Mechaiucal Inspector or one of the
P/anners for 1nPormatlon on e'rinitted sc"reenin rnetiioals.
PERMIT TYPE RESIDENTlAL COMMERCIAL
? Furnace _ New Construction _ Interior Improvement
Air Conditloner _ Install Piping _ Processed
Air Exchanger _ Gas Exterior HVAC Unit
* HVAC units must be screened
_ Heat Pump Under / Above ground Tank ? Install / Remove)
_ Other *' When installing/removing tank(s), call for inspection hy Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Flf@ 1'@p81f (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge)
-?)
?? S
$
v TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 7%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Perrnit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
I harahv ar4nrnulcrl..o H,?t nkt, ;..a....,.??::' ___'_`' .... . _
? --?- --- ...,-,...-..??? ???r,?? pP ?? a?-?.IIP «, tila< <iid worK wm oe m comormance wim me orainances a ecTles o e Gity ot 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 b in accordace with the approved
plan in th of work which a review and a roval of lans. ,
j?
X 0- 0 X
ApplicanYs Printed Name Appiicant ignature
FOR OFFICE USE Reviewed By: Date: I
Required Inspec4lons: _Under Ground - Rough in _Air Test _Gas Service Test _In-floor Heat _Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162210
Date Issued:07/02/2020
Permit Category:ePermit
Site Address: 983 Kettle Creek Rd
Lot:25 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-250
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 -
Kristin A Rosicky
983 Kettle Creek Rd
Eagan MN 55123
(612) 396-9365
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162210
Date Issued:07/02/2020
Permit Category:ePermit
Site Address: 983 Kettle Creek Rd
Lot:25 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-250
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 -
Kristin A Rosicky
983 Kettle Creek Rd
Eagan MN 55123
(612) 396-9365
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178781
Date Issued:09/01/2022
Permit Category:ePermit
Site Address: 983 Kettle Creek Rd
Lot:25 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-250
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristin A Rosicky
983 Kettle Creek Rd
Eagan MN 55123
(612) 396-9365
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature