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984 Kettle Creek RdNo. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. '01-2155 Surcharge 75-3860 Road Unit Y 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CASH CITY OF 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE 19 ? r r i ma" r [ Ld ?, (7':;y„'•?'L?,I..r??.(? ? AMOUNT & DOLLARS . iw ? CASH 'p CHECK . +; ? I, BY ; ... Whito--Payers CopY C Yelbw-POSfing Copy Pink-File Copy Thank You L , SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # ? SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT `-BLOCK =SEC/SUB APPLICANT: SEWER -? WATER - TAPS ADDRESS: ' COMM/IND -? RESIDENTIAL CITY, STATE r','??`a i. PHONE ; i r ZIP - ' ; : ?NEW - EXISTING PLUMBFR- ADDRESS: " j` I AGREE TO COMPLY WITH CITY OF i CITY, STATE EAGAN ORDINANCES: PHONE: 3 r • ! OWNER ? ADDRESS. . SIGNATURE WHEN METER ISSUED CITY, S'fATE -<; ` `a e' ZIP S.? •: .-' PHONE: 7 r'' , 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 I, Eagan, MN 55121 ' SITE /,DDRESS - LOT () BLOCK ? APPLICANT: ADDRESS:_E? CITY, STATE 2? PHONE: A P OFFICE USE ONLY PERMIT DATE 7/ 11.1 i?:9 WATER PERMIT # 10520 SEWER PERMIT # . METER # 4 B.P. RECEIPT # R# 0 29 B.P. RECEIPTDATE 7?1G/84 METER SIZE ? ISSUE DATE ?? - PRV _ BOOSTER PUMP CY iY? n d r I , ? e , J a ziP r L m ; v, ? J L PERMR REQUESTED T /I ?SEWER _,1WATER -TAPS ; -COMM/IND "-_-'rRESIDENTIAL EW - EXISTING IC;" ?y - , lc( - .S ? ? 01 ;l ?( `2 SIG r, .7.Zy PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ADDRESS: P!" YqC t: I AGREE TO COMPLY WITH CITY OF - ' ? CITY, STATE-?''?"" I? n c, d PHONE: r? ? OWNER: ?V '=?« ? ADDRESS• CITY, STATE ` ?? PHONE: _ ?? ' 4 1- C ? EACaAN ORDINqNCES: + / - ? rVY `' `?,°?-r_,?* ??r'rt.., y. •t.?n i ,? , TURE WN N MET R ISSUED ZIP ?.? ( ?,. CITY OF EAGAN ?-- ?' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ?e BUILDING PERMIT Receipt # -' ??' •^ Tobeusedfor ?-•?=?-•>H> Est.Value U Date J'itLY S0o ,191i9 Site Address `''?'?,;: Lot ' Block Sec/Sub. 1-t_ATA'GTOT' y!'UApF OFFICEUSEONLY il Parcel No. Occupancy FEES I Zoning W Name -??'Y cw"t r (Actual) Const ?'? BIdg.Permit ? O Addf2SS (Allowable) Vn 4s' ?1 Surcharge City - Phone ?` l1-• l 1 l i # of Stories - 313 Ofl Ua Plan Review . ? Length 100.00 1 o Name Depth r4) I SAQCity ?4 AddfESS- S.F.Total - S?S.?' ? City Phone S.F.Foolprints - SAC,MCWCC Water Conn 580. CF( I On Site Sewage - F W N8m2 On Site Well W t M t '=+? •???? i? Addr2SS ' MWCCSystem - a•''? er er a e aw Clfy Phone Ciry.Water XX__ Acct. Deposit NJ P i PRV Required - erm t S, I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Trealment PI Sgnature of Permitee APPROVALS Road Unit i;?_.i.,__.:i-• ::ii`? i.i'"??;;" A Building Permit is issued to: Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bid9Off. Copies Building OHicial Variance - TOTAL ' Permit No. Permit Holdar Date Telephone # WAIER ? ? . n d?C?0 SEWER PLUM8ING H.V.A.C. ??) G CC,? LC t LC-d'?.F ??3 O 7 ELECTRIC 9/c S? g co Inspection Dete Insp. Comments Footings I ?(, 6 y U S Foundation y -- /., Framing ] (?/?'CK - Roofing ?o/SfS - :f i/- Rough Plbg. c/c Rough Htg. 7 Isul. Freplace Final Htg. ? Q Final Plbg. Const. Meler Plbg. Inspector- Notify Plumber Engr.IPlan Bldg. Final Deck Ftg. Deck Final /LCzQ S?,Yzf' Well L-.p'/I/1 Gti G Pr. Disp. 1 y ir (Itrtifiratr nf Mrru,paury titp of (eagan PppwrbnPttf Df lkt[jdiltg Jt[R}1Pttitlt[ This Certifrcate issued pursuant to the requirementr of Section 306 of the Unijorm Building Code cenijying that at ihe ume of issuance this strucJure was in compliance with the vanous ordinances of the City regulating building construction or use. For the following.• Use Clexufiration.Q'' DVC/Q'y? Bldg. Rrmii No. IF)76H o-,w.wy Tra ?t3/M 1 m,„„e asa;a PD/R 1 rra consc VN Owrcr of Bwlding OOL'XE CITY CONST. „dd= 6970 15 I ST ST W, APPLE VAL7EY ,m;yL6, B21 UXM'1TN 9QUARE TIIi B,aang aae? 984 KETiTE wREQC %X71AD L, ??? p„,: AIK?IIST 28. 1989 6 --? Building 056W POST IN A CONSPICUOUS PIACE Cities Diai itv 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. CONTRACT PRICE: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address ?r Lot Block Sec/Sub ? Name S Address c City Phone Name ; Address p City Phane FEES COMM/IND FEE - 196 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) i SIGNATURE OF PERMITTEE BLDG. TYPE WORK DESCRIPTION `j Res. New Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES T TAL _Water Closet - $3.00 S Bath Tubs - $3.00 -% Lavatory - $3.00 I Shower - $3.00 - •- T Kitchen Sink - $3.00 " Urinal/Bidet - $3.00 Laundry Tray - $3.00 ? Floor Drains - $1.50 ( Water Heater - $1 50 i ? Whirlpool - $3.00 - - Gas Piping Outlets - $1.50 T (MINIMUM - 1 PER PERMIn -Softener - $5.00 _Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FEE: STATE S/C: CITY OF EAGAN CONTRACT PRICE: Site Address Lot Bloc PERMIT # MECHANICAL PERMIT RECEIPT # y? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: y PHONE: 454-8100 For Office Use Only: Sec/Sub BLDG. TYPE WORK DESC?IPTION Res. Y New Mult Add-on Comm. Repair Other ? m Name co Address c Ciry Qz? Phone . - Name ?--?- ? r , ' ! ?" • c Address ?t?-? \ ?,' ? S .? ? City :.jt.':" iJ. ? ?Phone TYPE OF WORK ForCed Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # ? aner FEES ? RES. HVAC 0-100 M BTU -$24.00 ? ADDITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW ; COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - . .50 (AOD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. 'SIGNATURE OF PERMITTEE 1 J J FOR: CITY OF EAGAN FEE: S/C. TOTAL• ? CiTY OF EAGAN 167a??. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . , ? ?J' C•? BUILDING PERMIT Receipt # ? To be used for Est. Value Date J4'Ly ft SiteAddress ?84 KF.i"T1c t:R_tiEY,. c^.A Lot b Block 2 SeclSubLLKINC.TbN 30 7?H Parcel No. W Name ??GE CTZ°Y CONSTIRUCTL.)ie 3 Address 6970 151ST aT W ° City APP1.E VAI.LEY Phone 431-121 1 ? Name SAME OV „a Address ? City Phone U¢ w w Name r ?? Address a W City Phone I hereby acknowlege 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. Signalure of Pertnitee A Building Permit is issued to: i??1?i.E?::F: CI'CY CON:?T 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 OFFICE USE ONLY Occupancy ?-3 FEES Zoning PU fi-1 (Aduap Const Bldg. Permit 15 •?G (Allowable) Surcharge # ol stwies Len9th ? Plan Review AO 1 Depth - SAGCity S.F. Total - SAG MCWCC S.F. Footprints - On Sile Sewage _ Water Conn On Site Well - Water Meter MWCC System YX. ?Lx Acct Deposit Ciry Water PRV Required _ S/W Permit Booster Pump - S?NJ Surcharge Trealmenl PI APPROVALS Road Unit Planner - park Ded. Council - BIdg.Off. _ Copies ? ?? ??` Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING 6( H.V.A.C. ELECTFIC Inapection Uate Insp. Comments FOOlings I ? (o g S Foundation FrBming Rooting Rough Plbg. - - . : ? Rough Htg. Iwl. Fireplaca Fnal Htg. Fnal Pibg. ConsL Meter Plbg. Inspector - Nolity Plumber Ergr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. DATE: 984 cu:TrLE c?EK Roau, a.69 Ba, LEKnNMN sQ 7TH ? 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. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: _ ? = Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. ? COMMER`CkL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bi8 Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WI\RliING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. ? - REQUIRED BY LAW. CON4,dCT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 7111/mQ 1 RE: 9a4 EU3TdL.E CHPiB[i L20AD. L69 P32. P.ERINCsi"U[7 SQ 7t4a $u 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. 8E SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following a' reasons: ? _ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMER61AL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARYING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC. ; f - REQUIRED BY LAW. CON#ACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN NO 16 751 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipi # ' G ,.? ? ?? To be used for FOUNDATION Est. Value Date JULY 6 Site Address 984 KETTLE CREEK RD Lot 6 Block 2 Sec/Sub.LEXINGTON SO 7TH Parcel No. W Name COLLEGE CITY CONSTRUCTION o Address 6970 151ST ST W City APPLE VALLEY phone 431-1211 o I Name SAME ?¢ Address ,- City Phone 1-¢ yVj W Name ? ?? Address aw City Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued ro: COLLEGE CITY CONST on the express condition that ail work shall be done in accordance with all applicable State of Minnesola Sptatutes and City of Eagan Ordinances. Building Official -?1131 f ?J I i? OFFICE USE ONLY Occupancy R-3 M=1 PEES Zoning PD R=1 (Actual) Const V-N Bldg. Permit 15.00 (Allowable) V=N Surcharge # of stories - Len9th 62' Plan Review Depth 50' SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage - Water Conn On Site Well - Water Meter MWCC System xx City Water XX Accl Deposit PRV Required - SIW Permit Booster Pump - SM! Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Cauncil BIdg.Off. _ Copies 15.00 Variance - TOTAL - •- CITY OF EAGAN N? 16768 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-810 0 A BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $97, 000 Date JULY 10, , 1989 Site Address 984 KETTLE CREEK RD Lot 6 Block 2 Sec/Sub. LEXINGTON SQUARE OFFICE USE ONLY Parcel No. 7TH occupancy R-3 M-1 FEES PD R-1 Zoning w Name COLLEGE CITY CONST (Actuaq Const Vj)-- Bldg. Permit $ 626.00 o Address 6970 151ST ST W (Allowable) V? 48.50 Surcharge City APPLE VALLEY phone 431-1211 # or stories - 313 00 62, Plan Review . Length 100 ?0 o Name SAI'7E Depth SAC City . = o Address s.F.Total , - 575.00 u¢ SAC,MCWCC ? City PhOne S.F. Footprinis - Water Conn 580.00 On Site Sewage _ F F W Name on Site Well - Water Merer 90. 00 = stem MWCC 30.00 a City ? Phone C 1yWae? ? A?l Deposit SIW P it 20.00 PRV Required erm _ I hereby acknowlege that I hav ead thi ppli tion and state that the Booster Pump - SNJ Surcharge 1.00 information is correct and ag to co all applicable State of ZZ$ 00 Minnesota Statutes and Ci y Eagan na s. Treatment PI . Signature of Perm ee APPROVALS Road Unit 340.00 A Building Permit is issued to: OLLEGE CITY COAIST Planner - park Ded. on the express condition that a work shall be done in accordance with all Council - applicable State of Minne Statute d City of Eagan Ordin es. gldy, pry. - Copies ? ? ? 951 . 50 $2 . ?L? Building Official Variance - TOTAL , nyro ?y q.???u ? 1 8 7 4z RequeM Date ?? J?? ' p Fire No. Ro - n Inspection q ? ? ??? ? Ready Now JL will Notiry Inspector R ?? Wh d ? / G x Yes ? No en ea y IX licensed contractor ? owner hereby request inspection oi above electrical work at: Joh Add2ss (Sireet, ? oor?FtaWe No. 9 ) ? ?? ? City 7 e IC a ?n- Seaion No. Township Name or No. Range No. Coun`1y?' Occupant (PRIfJn ? phone No. POwer Supplie ? Q" O ? Address ?? ) Y il C] ` CG ! Ls ? v Electrical tractor (Company Name) / Co actor's I.icense N?o,.` , , ? ? Mailing Adtlress (Conhador or O/wJ7E?) ? Maki nsialia?ion) 1 ? ? ?J . CJ F? dw'UJ?/S- ? ? ? AWhorized Signat ( IractorlOw r Meking 1 st lalion) Phone Numher - 7,7 i /!7 rl MINNESOTA STATE 80ARO OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BYTHE ST.4TE 80ARD 1821 University Ave., St. Paul, MN 55104' . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 . - ENCLOSED. S/i0/89 P 14874 REQUEST FOR ELECTRICAL INSPECTION !. See insiructions for compleling this torm an back of yellow wpy. "X" Below Work Covered by This Request ?^. ee-00001-07 w •Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor5 Remarks: Compute Inspection Fee Below: # Other Fee Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above Amps SIgf15 Inspector5 Use Only: ? ,.. TOTAL Irrigation Booms ? ? I Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rif th Rough-in oa?e . 1 ce y at the above inspectioo has been made. pinai ? oet 9 OFFICE USE ONLY This request wid 18 months fmm A"?? ? ` cx'?\ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°/a marimum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • i sel o( Energy Calculations • 3 copies of Tree Preservation Plan if lot platled aRer 711193 • Rim Joist Detail Opfions selec6on sheet (bidgs with 3 or less units) DATE O)?I V ? ??- SITE ADDRESS-1 TYPE OF WORK APPLICANT? STREET ADDRESS TELEPHONE #V PROPERTY OWNE _ FIREPLACE(5) _ 0 _ 1 _ 2 FAX # ?1- (A`1 d+- TELEPHONE#WDIr`1'?- 6&00 ------------------------------------------------------- --...................................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESO'1'A I2tiLES 7672 (d submission rype) • Residen[ial Ven[ilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing sys[em includes Mechanical Contractor: Vlechanic:il systein includes 5ewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone t O I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of EaganRldinances. L_ Signature of Appilcant Fee: $90.00 Fee: $70.00 ? .I111 012002 1U1 -------------------?_= ------ rrect, and ptSroe to c mpty -------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RemodellReoair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate it home served by septic sysfem for addifions .D5 VALUATION I ll/ ?MJ MULTI-FAMILY BLDG _ Y N j( ? ELL PHONE # Water Softencr _ `Vater Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 73 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 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 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]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 MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit - Mechanical Permit License Search Copies Other Total Building Inspector SIINGLE FAMILY DTdELLIAGS 1989 BUILDING PEEitiTT ?PPLICiTION CIT OF E?GAN _ •' ? r. j` MULTIPLE DiTELLINGS CO!"S4ERCIfrL if 2 3ETS OF PLiNS 2 3SPS OF PLAIiS 2 S6*P5 OF 1RCHIiECTUT,AI. 3 BEGISTERED SITE 30A9EYS SEGISTBRED 3ITE 30RVETS - dr STROG?URtL PLANS 1 SET OF ENERGY CALCS. (CHECB iiITH BLDG DIY.) i SET OF SPECIFIC9TIAHS 1 3LR OF F.RERGT CiLC3. 1 SET GF F•IiERGT CALCS. ' MOI.TIPLB Di1ELLIHGS REN!'6L UNITS F08 SALE DAITS * OF DNITS NOTE: IDDAES3F5 POa CORNER LOTS - CDATRrCTOR/fl0ME0iiNER M3T DF.SIGNATE TiHICH tDDaES?' IS DESIRED. 80 CHINGFS TiiII.L BE AI.1.OiiED ONCE BOILDING PERMZT IS ISSIIED.. SEbTER 8 NITER PERMIT FEES 1ND ACCOUHT DEP06IT FEE3 i1II.L B8 INCLIIDED iiITH THE HQILDINl3 PERMIT FEE. PAOCESSIIiG TIME FOR SEWER AND 1iATEA PfiEiIiIT3 IS TWO DAYS ONCE e PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIFS fiHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS HEQUESTED. LOT CAANGE I3 REQUESTED ONCE PEAMIT IS ISSUED. JUN ? 0 1989 To Be Used For:- X+i L4L Valuation:Dates , . Site Address '7$ y ??-1,r- Lot ? Block---1- Parcel /Subzc°?A OtimerVn? / 1? c -,7L---I Addresslkfo ??s f ,n , / ! City/Zip Codei!egy?7 Phone Contractorzl_'?-? Address City/Zip Code Phone llrch./Engr.--?q }'n c7I L o17 Address 97,OOO- Oecupancy R 3 m - I Zoning - i Actual Const v-- Allowable - f af stories I,ength Depth S.F. Total Footprint S.F. On aite sewage On aite well MWCC System ? City water ? PRV required _ ._? Bidg. Permit 6.1 fo,Gb Sureharge YS,So Plan Aeniew 3%3,00 SAC, Citp I oD . o0 SAC, MWCC 515,00 Nater Conn s80,00 ilater Meter 9 0, ao Acct. Deposit 3()•0o S/N Permit ?'o.oo S/W Surcharge 1. ao Treatment P1. 2-? ,L>o Road Unit 340.00 Park Ded. Copies 3IIBTOTAI. Penalty TOTAL Couneil I Bldg. Off. Variance ? r City/Zip Code Phone 0 SQ VALUAT?OQ ?.?.. .?, ?.. ZZ xZ?{? w IS - ") ?b x ti? r 1 l?? '6 X ? - ?y i zGo x N bLk.S? ? zY,<< _ zx 2? ? ? ?? o 7- a ?- ? ? 3?' ?? X S° = (?e6ozaU Pb?? ? ??vv __--- 9 c.3(.o . , . , ` ,? •. , FM?"i. v+' ; EX7EaI0R ENVELOPE'AVERAGE "U" COt4PU1N ION owrrEa C L SITE ADDRESS ?? • ?°? ? CONTRAC70R ?o?? EG??r-? ?? DATE PNONE - Determine working square footage of each. ZOt 9 sq. _1? ° 1. 7ota1 exposed Mrall area ....., ft. x 2. Total roof/ceiling area ...... t'??33 sq. ft. x y0Zl?_ ° 7oLa1 er.posed wall area above floor = 2o I a. Total wall %aindow area ............. ..•••••••••••• -----5? b. Total door area ... .......... 1 t. Total sllding glass door area ................... ?o_ d. Total fireplace wall area................ .••••••• ) IS e. Total wall framing area (average lOX ............ r 4Z f. Total net wall area above floor ...............:. g 7ota1, rim joist area ............................ • Total-ezposed foundation area 04_ . o . 7al l het foundation nareaaabove*grade . i ..... ...:... Oetcrmine "U" value of each wall segment. Z 5? x a "?" •3?- ` --?-- . _ b. x "U" 0 --.?-.r- c: ?0 'X "UN , 3 4-b • _ lr_,., d _ X . „Uw ? 0 X e. Mu° .Oq2 - a ??- f.? 13°I 2 X "U" •° a 3 `-?-- 9 (31 x . S,uN . o . h O x MuM -- i. 90 X "u" .O ` 3 .....................................Total ZZZ ? A.1,a b If item 13 is the same as, or less tlian item g1. you have met the in.tent of SBC 6006(c)2. Total..exposed roof/ceil ing area a 133.3 J. Total skylight area ............................. _?- k. Tota1 raof/ceiling framing area (average 10x?.., ??•?., 1. Total net insulated roof/ceiling area...........___ ? LG 4• petermine "U" value for each roof/ceiling segment. J? -- x Muu _ 4 - . •--?-_ k. l? x«ut, ,64, ? S4:51 , x uun 0 271 . Z(o,7rF5 4 ..................................7ota1 ? ?I.y a/ lf total of 14 is the same as, or less than *2, you have met the intent of SOC 6006(c)), Alternate Bullding Envelope Design To utilize the total envelope system method, the values established by the swn af ltems 03 and 14 shall not be greater than the sum of items #1 and 02. 1. + 2. . 09 -" ? 3. ? q. , IWD l..l. Vl(luL'` A1fAFT313...* .. ? ? `WINDOW ARE-A : TYF'r, o+` W)nlaoW: 6/8" %NSut? GtiASS 7Wg WlNDOKJ vulrs f{Art Bxi'tI TiareP a9oJ c qyv ??y 4? dssiywto .?A OcAI4N [s.icI VA L0w4- of INC?wD?w?i A?rt fILM 5,..-. I 4 TAAA?? ? FouNAA7I ONWINpoW AR.ZA: ^ TYPE oil W„aoor? : rNC vv,NOow u,,#rs N4 ??. 9cs,.I rrsrcp PoR'a= v,.wc, rawY A ?9 ?s Os •1??' w&•v? Aew M4Y ir A6lIjNLO A 04,stqr4CA"4,7 yAu+t 00 •Jt«• A1l 1/?? ? II s??.J foar?44 t Foor?yG «?.---- 434 ?c.>' L1AIlJq (?1-A55 Wo P. 'Al2iLlA: fiYPLOP DoORt _ 5/8 I"S u L ,e ?-. 5&_jA#44Q 4 1.,195 I?04RS N^kt Oi11,04 tl.s?I-fi FoR"R: yA?.Kry TNCY AiL w.1 WArsp ADov& 4,)o m?y B• nssoyHOI-p A PJij6NGsAft) yA1.14[, Ato iarlS ? ' Fa?t>4?-'s uqs . v'%a : 11 n DaoR /JRE A: 7YP r. Q P WUR i jrN ea.rAr• TczU pGOQ UNi'73 HAYC btiw TcsrtO Awd srouNp ro NAV& 4 "4 6R"_YA4?44 o) 1. 4N4 Aix 01I6MSt • / Z 9 FMTA4 L NA ? 5PEC,AL5 ; ryP? : ? wRM E•1 Pe,nt-q%. ? \ ^lY 1/ %.A. r. .•?? .n•.v•.....: ?-.. ?:+•- Vr ?y , ?,?•:?L?i?7tdp, c....._eft ` I ? RiM J'o,5-r Arcc.^: "R' - VALuE •rO? _I nlttRlOR AI4 PIL N o I usu LArioN (R•/9 ) 22 5q [A j I NCi uOLT-, RI'TE. . .?7 LAP l, B 8 ??h.?? soF rwoo0 E,trEic. io R A iR. P14-01 24.39 Tcr AL' q'.o5' IiAI-af ??,? . ? i? . ? 24 . _ ? TOtnox r^c,1L FouN p q-r IoN WALL. AREn C/?DoVL y0t,^09.3 . R•, VALu. E ? ,lol ?WrI!R,oR alEz he-.% .1315 $ov ? 11.0 i? Z,c 4- 1 S ;:Q ai?+& G (R. • 1 ExTI.CioR, ANZ IiLrA 12,e3 1-ornL JALu.? No, • ) / 1 Z l, 3., 1?n33_? rOTAL R=TA4&L ? lar.N ai iarVrij% DKtc t 91WutD,.._ f'C -XlVC)' " "Pp (.UE. a FYKVY Z:%'jS' vr ..?A'4:? -----?- , . . . ? F'PAM ,Nq ARL "FiN• VALL1t , `?TNrEKiaR ovR Fii.p?l ' Z Cvvv.saf4 w????o?? a • /.r ? J p? ?,SoMttivoivo ' Z ? Z Z SHt?rH?N4 l ' Q TV ....?..._.. S ,o i ?jC, ! Z ? ' ? .?...., vA f %3e bARRItR. AIX. r,L.M 0,93 pTAW AL.u?r. ? ? 1/`-t • ! ? o.e? :? TorAL rOOrAac ...?...?.?.??.?..?....? I NSLLI.ATLa ARtA- BGTW[aN "STLADS "R" • VAL-w L. jUTlQIOR ^iA. r#LM . .45 " 4YP'µM W?+.4aoqeo -I, 9,0 ,?'I INS?.I?MT ION (R-1I7 ) : •,to. SHf.* 7N/N4--PUILT¢?'? i . tZ S 1 G 1 N Q ?P - j,lrI.a.jqx AIR MI.M. Z Z. p T A 1, Wati. V?l L?? ?- '?s, • V?.+, v ! 2?„ 2.96 • ? ToTAj. roorAcA, NLi I.yaI%.Ri [)ArLS 3014Nt0_. 1989 HUILDIRG PERMIT APPLICATION CITY OF EIGAN 1(0151 SINGLE FAMILY DWELLIAGS lOLYIPLE Di1ELLINGS COI'!'iEACIAL 2 BETS OF PLANS 2 3ETS OF PWIHS 2 5ETS OF lRCH17EL"fUf;AL 3 AEGISlERED SITE 3DRYEYS 8E(3IST6RED SI?E 30R9ETS - i STEUCTOAAL PLAN3 1 SET OF LHEAGY CALCS. (CHEC[ MITH BLD(3 DIV.) 1 SET OF $PECIFICATIQNS 1 3E! OF EREBGT ClLC3. 1 SET OF EpERG2 CALC3. RULTIPLE DiIELL2NGS RENTAL ONTTS FOH S,LE ORITS f OF DBITS NOT&s 1DDAFSSES FOA CORNER LOTS - COATRlCTOA/HO1+EOi1NER !lDST D?'.SIGNATE itHICB IDDRFSS IS DESIRED. 110 CAAN(3FS iTILL BE II.1.Oi1ED ONCE BUILDING PEHMST IS IS3t1ED.. SENER 6 iiITEA PERMIT FEES J1QD lCCOIINT DEPOSIT TfiE3 i1ILL 138 IIaCLIIDED WITH ?HE BUILDItia PERMIT E'EE. PROCFSSING TIME FOR 3fiWEA lAD WATEA PERHITS I3 TNO DAIS 0NCE A PERHIT H?S BEEIi COMPLETED IHDICiTIAG A LICEHSED PLII!'BEH. FENALTY APPLIES WHEN: PERMIT IS NOT FAID FOR IN SAME CfONTI] IT IS REQUESTED. LOT CHANGE iS REQUESTED ONCE FERMIT IS ISSUED. To Be Site FOuN1JA,T10N PE-RM1 i Used For: A'?)J Valuation -, Address L 11 d?- OFFIi Lot ? Block--;4 Parcel /Subzl:'_ ?e ; ;n]? Owner jc?? Address)6S ,?: City/Zip CodeL,7gy/) Phone Contractorzl-?: Address Citp/Zip Code Phone Arch./Engr.?c; ?0If C,-, c J Address City/Zip Code J U N ? (1 1989 Date: (j -9 ' Jr' 7 oceupancy R-3 m Zoning Actual Const V - AlloWable ! of atories Length (o2 Depth 50 S.F. Total Footprint S.F. Dn aite aewage On aite xell tl4iCC System ? City vater r/ PAn required _ Booster Pump _ iPPROVALS Planner Couneil Bldg. Off. Variance FEFS Bldg. PermiE Sureharge Plan RenieW SAC, Citq SACO HWCC Water Conn ilater Heber Acet. Depoeit S/1i Permit S/N Sureharge Zreatment P1. Eioad Unit Fark Ded. Copies SQB'IOTAI. Penalty TOTAL 15, o0 )5.-° ?l . Phone t ? ,?? ? ? ? i i ??:? ??; 2422 Enterprise Drive Mendota Heights. MN 55120 ? PIONEER LANOSI/NVEbOAS0 GVIIENG'NEfRS ? eng * eering .. LANO PLMdNEMS. LAND5CwP6 ARnCHtTEC15 (612) 681-1914 Certificate of Survey for: CoLLEGE CI7'Y CDIVSTieUGriON ? rc:p8? 7 ? • d?z ? •'' s F NaRrH ? ? ??? t•'p 0 Bg3. 56 ? •, / ?Y ? ?O ? ?? ?'P vRpI(EW o ? . \y +6,° o ? ? 1.ko lj° B \ ? ?o 8a3.7s\ ??/ti'?eo?o \'?,,;?' e? /``\?? ?/SO•° ?BI ?s? . p . ? / ro y?v g?G ?go ?? / / • ' 8B? 27 °0 ?v ? • O B8 ?°\ti ? 3.41& s ,5r> ?rs 0p oo„ \ ,, ? ? p + Y4?A`?...F ri. 5?s ?'?' ?"'? . ? 900.o Denotts exisfind flQVatioR PROPosED Nous6 fLEVAT1oNS • soo•o Denotes proposed Flevatiort 1 owed Floor E/tvolion =68_ _ pcndtes Dramo?e ? UEili y E'osemcn f 7-0 o?'Block Elevafian _ ea % -- Denotes Draino?e Row Arrow P t o Denofes monumen f ra?roje S/a6 Elevafion ? 864.43 Beal-giock shown Ure assumeal 2 , LEYINTON Sr??AaE 7T#"ADDInOIV LOT6 . pqKarA MuNTy, MINNE,SOTA SuB.rECT TO EASEMENTS OF RECORD I henby certify that t1+is is a true end conea rsDI"esenution of & furvey ol the bourdfries of tM abwe dewibed d^d: a^d d dW kicas" Of Oll buildinys, tMrson, Md sIi vicfbla enaosdhmenef. ii any, (rom a on aid wnd. 1As w^'eved bY "o thisillAday of-?}-? ?? • Scale = 1 30' ? ? . r?#1: S'Z P- B9 HJg EL • ROBERT B. SIKICH L.S. REG. NO. I1491 ggo Q ¢ ,03 RESIDENTIAL BUILDING Permit Applicatiou City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 t -,o.0 1) New Construction Reouirements RemodeVRepair Reauirements Oflice 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 Recd Y_ N (20°k maximum lot coverage allowed) 1 set o( Energy Calculations for heated addi6ons Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Reqd Y_ N 1 set of Energy Calculations Addition • indicate i(on-sde septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711l93 Rim Joisl Detail OpGons seleciion sheet (bldgs with 3 or less unifs Date _#/l'q / 63 : Construcrion Cost 16 6&, GG Site Address w4 cf ee-)? Ox. Unit/Ste # Description of Work eS4 ?C C? Q< /-i rNrJ1GCL CtS V Multi-Family Bldg _ Y? N Fireplace(s) _ 0? 1 _ 2 Property Owner DGL V e- / Vc,GC'. t Telephone # (65? ) 9?7" J `7'c5 `i' Contractor MASTER 0A5 F'TTERS lNC. Adaress 2263 NU. MCK.NIG 1HU. 5DTT City State ' F ' Zip Telephone # 7'19 - KP7-7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 • Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (q submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted I iave you pr2viousiy corsiructed a k?uilding in Eagan witn a sirr?ilar? plan? _ Y _ N If sc, 25% plan review fee applies. Licensed Plumber Telephone #( ) Mechanical Contractor Telephone (D ?) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the inforA2`tsonzis::cccsnqgzUPaT&-kccurate; 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. j7a,4 ? a.?? 6"Lj, ?U Applican 's Printed Name Applic 's SignatUre ??' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newheplacement) _ Insulation _ 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 Permit # ? D Receipt Date: ? 1;1 t CITY OF EAGAN 2004 SEWER/WATER REPAIR OR DISCONNECT PERMIT Date - ) - o L? Sewer ? Water 4?? 1?;-() Fee: $50.50 Address/area to be repaired ieLI kp f'f /c C?ee ,? 9,j Description Owner: SG? ndrLi n ct ?2 e ? Telephone: Street Address: ke,?41e Cre-a- k 2,,J Zip Code: 55 Ia2 PO /0 Ir0 Installer: ???,,, ??}?P? f/} Telephone: C?-? (azea code) Address: 99 e?i {4 /9 (it NL..) -? U'J(f aCZ) City &e? d (`r`c,l 4-on rig ?t/ Zip Code: Applicant's Printed Name icant's ignat e L:?U FEB u? 2004 i , L?- .._?... 1 oa6 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date :9 / 22 / 05 SiteAddress 9p4 KF. TTT,E (_RF-py?Ril Unit# PropertyOwner DAVE & SANnY NA(:F.T, Telephone#(651 ) 994-145-4 Cantractor RONe°S MFGHANTCAL TNC StreetAddress 12 010 OTD RRT('K YARn $n City SHnunRFF State MN Zip 55179 _ Telephone #( 952 )4a S_ R5R F Bond #/: Expires: The Applicant is _ Owner x_ Contractar _ Other Add-on or alteration to existing dwelling unit $ 30.00 V furnace _Additional VfReplacement air exchanger ? air conditioner _New ?Replacement other State Surcharge $ .50 Total ? .?J • LD I hereby apply for a Residential Mechanical 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 Mechanical Codes; 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. ? -- __ ?. ?t. 41,i4_ ? I? C! L 1 r?.a. , ?rnCZnder ? Applicant's Printed Name Applicant's Signa e 20 7_ 00` ? , I, ; ??' y =----=_ - = i . _-? 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings whcn sepazate permits are not required Cor each dwelling unit Date Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The Applicant is _ Owner _ Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove'*see be/ow fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector Pe1'm'It Fees: $70.50 Underground hnk installation/removal S50.50 Minimum (in:ludes State Surohxrge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 Mechanical Codes; that [ 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 wifl be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature ApproVed By: , Inspector Date: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 \ New Constructlon Reauirementa RemodeUReoair ReauiremeMs • 3 registered sfte surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan (20% maximum lat coverage allowed) . 1 set of Energy CalculaGons for heated addilions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exlerior additions & decks • 1 sel of Energy CalculaUons • Indicate iF home sened by septic system for additions • 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Joist Detafl Options selection sheet (bldgs with 3 or less units) DATE ? /d?e; / VALUATION ??- JOB SITE ADDRESS qi`'f I'?y ?I2 Crr--? )5?WAIJ Mn IP MULTI-FAMILY BUILDING, HOW MANY U ITS? PROPERTY OWNER ?-4M TYPE Of WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT a L .-.. . ? ` PHONE#%S2 -,F56 ADDRESS -7 7 C( l .9- ? ZIPCODE PAGER # CELL PHONE # 2?.53 J FAX # ('2 h4 a) ,?. i-G, NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) . - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted . MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater ^ No. of R.I. Baths No. of Baths Mechantcal Contractor: Phone # Mechanical Systcm Includes: ? Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of appiication. I hereby acknowledge that I have read this appiication, state that the inforrr with all applicable State of Minnesota Statutes and City of Eagan Ordinan Sfgnature of Applica Certificates of Survey Received _ Tree Preservation Plan Received _ ? is crree#, - ree to c ply ? ot Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 5F Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addiHon) Plumbing Foundarion Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ 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 ? 07 05-plex ? 13 16-plex ? 08 06-plex O 16 Fireplace O 09 07-plex ? 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. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bidg only) - Give PCA handout to applicant Occupancy MClES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered _ FinallC.O. _ Fina]/No C.O. HVAC City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 984 Kettle Creek Rd Lot: 6 Block: 2 Addition: Lexington Square 7th PID:10- 45081- 060 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Sandra K Nagel 984 Kettle Creek Rd Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA082926 05/07/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA168902 Date Issued:05/07/2021 Permit Category:ePermit Site Address: 984 Kettle Creek Rd Lot:6 Block: 2 Addition: Lexington Square 7th PID:10-45081-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Ansony & Redeemed Sieh 984 Kettle Creek Rd Eagan MN 55123 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature