996 Kettle Creek Rd"r CASH RECEIPT
• ?CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE ?
19 . ?
weceiveo ? FRpN
AMOUNT $
& DOLLAR$
1 oo
C3CASH Dt CHECK
POR
L- ?
FUND COOE qMOUNT
Thank You
BY
:i 9593
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN 144Z7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be used for SF DwG/ ,'Ait Est. Value Date ,19
Site Address "J96 Ki'TTLE CkF.EK AU OFFICE USE ONLY
LEXINGTVi S:JV9i:i
Lot ' Block 2 Sec/Sub On Site Sewage Occupancy
!t. 3
.
7TH ADD MWCC System Zoning
Parcel N o.
On Site Well (ACtual) Const
a Name 'A;•"fw ito:..E5 tNC City Water N (Allowable) tin
= Addre?s ?• V• ?Ux ???y PRV Required _ # of Stories
o
City ii`VZLLE Phone 454-9'd;
BoosterPump
Length 4`'
~ ?
Depth
, p Name Sk•:E S.F. Total
o Q Address Footprint S.F.
U
?w
City Phone
APPROVALS
FEES
Vj
y W
Name Engr./Assess. Permit
? 381.1?
= Z
Address
' Planner Surcharge 32.50
?Z Council Pian Review lyV. 50
¢w
a Cit Phone
Y
BIdg.Off.
SAC,City
lUU. ?
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC .. 525.00
525
00
informafion is correct and agree to comply with all applicable State of Water Conn. .
Minnesota Statutes and City of Eagan Ordinances. j Water Meter dl •00
Signature of Permittee f- I `' !I Road Unit 3US.(()
A Building Permit is issued to: '"i'.1 Fo'' 0 i` xu,'! Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of MinnesOta Statutes and City of Eagan Ordinances. parks
l?
`
Building OfficiaL TOTAL
DG.
BL PERMIT N0.
, X,
01-3210 Bldg. Permit OU ?
01-3422 Plan Check
01-3445 Surch./Adm.
?
01-3446 SAC/Adm.
01-2155 Surcharge
C
17-3860 Road Unit .i/' .._
-?`-' -? C1:...? .
+
20-2275 SAC
20-3865 Water Conn. ? CI---
20-3868 Water Trmt.
?-'
20-3716 b:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded, j
TOTAL
• ` `? CASH RECEIPT
:
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
?
DATE 19
eeceIveo FROM ?? L?--C ?.t' C-/ l ! %? .?
i ?
AMOUNT $
& OOLLARS
too
? CASH CHECK
Fow
-???l Ll? C_? ?'?G ? /? ? • ! `? 'l?
7° - n
BY
White-Payers Copy
Vellow-POSting Copy
Pink-File Copy
Thank You
-------------
INSPECTION RECORD C°ntr°l "°. 0932
CITY OF EAGAN PERMIT TYPE: NU T! 1I1 MM
3830 Pilot Knob Road Permit Number: s 1# 1: 3`i
Eagan, Minnesota 55123 Date Issued: 0N/1 1/97
(612) 681-4675
SITE ADDRESS: i_ o r x 9 R L U4 K; a APPLICANT:
995 K£1TLE CREEK RD HANSON .7OM
LE1(IN87QN SQUARE 7TM (512) 681-9127
PERV[T p UBTYPE: TYPE OF WORK:
New
? INSPECTiON ., . .A
? fi}tl1 )Nri iINAt
I
I
I
I
RFMAkKS: RFr.EIpT N I
I n _F?,_ ?v+l?-a?? i F , . . .. ... ... , n v.. ',S :i, . . : ?- s L ,....? . . ?'?:.? . . ' ..,.??!Y?*: ?..?x Y'a
Patmfl No. Permtt Holder Dats Telephone #
S11N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Dete Inap. Commente
Footings I
FaurWafion
Framing
Rooflng
Rough Pobg.
Rough Hlg.
IsW.
Ffrepiace
Final Htg.
Orset Test
Final Plbg. Pibg. Inspect6r - NotHy Plumber
Conffi. Me[er
EngrJPlen
Bldp. Final
Dedc Ftg. ! z
Deck Final
.7
?
Well
Pr. Oiap.
:
(gertifiratr o# (Orrupttnry
titp of Cagan
EPpa1`tlliPttf Af g1tlLbtttg JWPlflDtt
This Certificate issued pursuant m the requiremenu of Secdon 306 of the Uniform Building
Code certifying rhat at the kme of issuance this srructure was rn compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Uu (7sssi6nUOn SF Dr?(aAR &dg. Rrmit No. I4A6:
Oocupency Type F3 Tnning Diwia Type Comt ?ir' _
o..w orew7aing ''?A: "'c? GUSTtM Kl°(ES IPK; Add. P.O. EM 11Y+95 E'JFNSVIIF.E
'..`9 B2• .?..?s" ?.{,Wh'.
BWIdioBAddres e): Lowity
oacs: 'r'£`1'RqAI(Y 23, i???:
Bunding Offiael . .
POST IN A CONSPICUOUS PUCE
CITY OF EAGAN ; '
` • 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, M N 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
7o be usled fot Est. Value Date s ` ,19
Site Address OFFICE USE ONLY
Lot Block ' Sec/Sub. ` '? • On Site Sewage Occupancy
MWCC System _ Zoning
Parcel No. A
t
C
t
On Site Well ons
c
uaq
_ ( .
Cirywater (Allowable)
a Name
W PRV Required # of Stories
= Address
'
0 City PhOne Booster Pump Length
Depth
0 Name - S.F.Total
.
? Q Addfess Footprint S.F.
P City Phone AppROVALS FEES
?a EngrJASSess. Permit
?y W Name -? ?
.
Planner Surcharge .
_?
u = Address Council Plan Review
i W City Phone
Bldg. Off.
SAC, Ciry t.
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee -- - Road Unit
A Building Permit is issued ta ? - ' Treatment P7
on the express condition that all work shall be done in accordance with all
Parks I
applicable State of Minnesota Statutes and City of Eagan Ordinances. _ i
Building Official TOTAL
. _ ... . . . .. . . -- . 1
Permlt No. Psrmit Holder Date Telsphone it
Plumbing ?6?-c?'?
?
H.V.AC. '? i?/?';?
Electric
?C_.
Softener
Inspection Data Insp. COmm9nt8
Footings l
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. 19 ?
Fireplace
4BIdg.Finall
?,,' _
D
eck Ftg.
Deck Final
Well
Pr. Disp.
, PERMIT N
• • MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address <r! 1 . ; _ : r , ,.
? BLDG. TYPE WORK DE RIPTION
LotBlock Sec/Sub Res. New ?
Name . ? Mult Add-on it'
Comm. Repair
m Address ` , ?'? - '
c City Phone ?• _ F' Other
' FEES I
i ? Name ? RES. HVAC 0-100 M BTU -$24.00
I
Address ADDITIONAL 50 M BTU -6.00
{
_
O ??b Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPt OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ?
Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPUES ?
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent.
CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: / l ,CsL /.Z- j7. // /I?'? .•?-l/Y
-
S/C: F?
?
&l a SIGNATURE OF PERMITT?EE
-r
_
TOTAL:
FOR: CITY OF EAGAN
i u 1.--
? PERMIT#
: PLUMBING PERMIT RECEIPT # L C d-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
NTRACT PRICE: PHONE: 454-8100
Site
? rvame
, ,-
m Address
c City I , Phone
I Name
c Address ' 'y' %C'
0 Cj(yY'!<tsi lf ii P
? FEES
i COMM/IND FEE - 196 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
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DE$CRIPTION
Res. X New K:
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Np. FIXTURES TOTAL
? Water Closet - $3.00 $
1_Bath Tubs - $3.00 _
t Lavatory - $100 `
Shower - $3.00
?Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
1 Laundry Tray - $3.00 3
?Floor Drains - $1.50 ' > -
1-Water Heater - $1.50 /
Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?• ?(MINIMUM - 1 PER PERMIn
-Softener - $5.00
-Well - $10.00
Private Disp. - $10.00 T-
=Rough Openings - $1.50
FEE:
srare sic: `
GRAND TOTAL: ? `? • ? ?'
; .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 •
SPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITEADDRESS: ' ra 1 0 n" Wit ky' I c•i t
i ill •, til,fll.?
1 ? . I 311 4 1 14 Ij llr??:?
PERMIT SUBTYPE:
, , ,{
APPLICANT:
TYPE OF WORK:
?jj
a5(fi qa
INSPECTION .. . DA
I ??. A•.11 nt;rs lt I ' I t;M i t 1' . I:r nI i1 1.1 1 ) I ,it. nr+Y r1 I I ntI ;1 4`11 Mr t I 1I tV t, t nl I.I1fi1,f
? ?? ?,- ;\?00 ?
Permit No. Permk Noldsr Date Telephare #
ELECTRIC ?K 09
PLUMBING
HVAC
Inspactlon Daa Msp. Commanb
FOOTINGS
FOUND
FRAMING
!!
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG F1NAL
BSMT R.I.
BSMT FINAL
OECK FfG
DECK FINAL
CITY OF EAGAN Permit No: I-? 7
Date:
3830 Pilot Knob Road Meter No:.1 ? G N? Size: IFW7
P.O. Box 21189 Reader No: ??? Date: a-
Eagan, KAN 55121
Owner. "?'tro Cuatom nomes
SiteAddress: '9G Kettle Creek Road L9 32 Lexington Sq 7th
Plumber i%resher ixc/01-Berr? Const.
Conn. Chg: 525.11i Fd Y?`:'?e?''?ti?'oring•. ^i
Acct. Dep: 5 'l 11 1%q,l?t 1
Permit Fee: ??? • ?? C.
Surcharge: - r ply with the City of Eagan
Tr. Plant 13 ' ??
Meter.
Misc.: ' By ?i.?
?u?ii,,?P/kF1V?A?ER SERVICE PERMIT
p
? ?.
CITY OF EAG AN Permit N o: -- Date:
f 3830 Pilotl'Co ob Road BiP No: 79527 Date:
' P.O. Boa 2179 9
k Eagark MN 55 121
?
Owner. :UstilT - '?cm<?s
? SiteAddress• et?le Creek L°
t Plumber: eg?T xC/ Ol-Rer+> t'or s*
t
? MWCC: _
525.QOpd
Zoning:
City Chg: 1J').0['pd No. of Units: ?
Acct. Dep: I' • 0nPd
Permit Fee: ?,^, , ?0P,? I agree to comply with the City ot Eagan
? Surcharge:
50pd
'
Ordinances.
Misc.: gY
?,.. SEWER SERVICE PERMIT
.<,,,..a._ . -._. .
CITY OF EACAN Permft No: Dat? I ?'- ?"87
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date
Eagan,"MN 55121
Owner. r=' ,ro t"l:stov
Site Address: 99E KEktle Creek £wad L9 B2 Lexinnton Sn 7th
Plumber. r'Leaher Exc/Ql-Ilerr; Const.
Conn.Ch
9? ?).00d
P
Zoning:
Acct Dep: 15 .1dpd No. of Units: 1
Permit Fee: Z') • OOpd
Surcharge: • 50pd I agree to comply with the City of Eagan
Tr. Plant- 1c 0.ODpd Ordinances.
Meter. - AZ.^an4
Misc.: ? gy
?-- --- WATER S ERVICE PERMIT
! ?:,_
CITY OF EAGAN N° 14 4 6 7
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt # r ?
To be used fo'r 5F DWG/GAR Est. Value $65, 000 D8te DECEMBER 19 87
Site Addre$s 996 KETTLE CREEK RD
Lot 9 Block 2 Sec/Sub. LEXINGTON SQtiARE
7TH ADD
Parcel No.
a Name METRO CliSTOM HOMES INC
z Address P.O. BOX 1049
o City B'VILLE phone 454-9383
o Name SAME
?Q Address
?m City Phone
yVj W Name
?
_g
Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ol
Minnesota Statutes and City of Eagan Ordinanc .
Signature of Permittee ` .
A Building Permit is issued to: METRb CUSTO MES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesq=a Statutes and CAy of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy R3
MWCC System X Zoning R1
On Site Well _ (Actual) Const Vn
City Water X (Allowable) Vn
PRV Required _ # of Stories
41
Booster Pump Length
47
Depth
S.F.Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ? 381.00
Planner Surcharge 32.50
Council Plan Review 190.50
Bldg. O8. SAC, City 100.00
Variance SAC, MWCC 525.00
water Conn. 525.00
water Meter 67.00
Road Unit 305.00
180.00
Treatment Pt
Parks
306.00
$2
TOTAL ,
REQUEST FOR ELECTRICAL INSPEC710N ee-ooooi-os
See instructions tor completiig this form on 6nck of yeltow coFV
$t 6199 "X" Below Work Covered by This Requesl
New HAd flep. Type ol BuilOing AOClianCea Wired EquiVmenl Wired
Home Range Temporary Service
Duplex Water Neater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial 61dg. Air Conditioner Bulk Milk Tank
Farm ther pe?, y UthnrlSper.iFYl
1 Pf SVeLI(y O1hCf Qlfll:f
Comoute lnsoection Fee Below
p Fee Service EntraneeSize H Fee Pexders/Su6leeders # Fen Circuits
0 to200 Am s 0 to30Am s 0 to30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A raps
Swimming Pool Above 100_Amps Above 100_AmPS
Transtormers Irrigation Boorris PartiaL'Other e
Signs Special Inspection S TOTA PEE
d'
flemar J L Z OO `?g,Qf,
r
/.f?f?? ?Elif/t-ti'GC?? T'A n r. rrJ l AR? /
Rough-in D.a 1e I, the Elet rical
inspeCtor, hereby
certity that the above
Final /177 ' Oate inspeelion hes been
i -/?
? mede.
Thhrequestvold78monlhsfrom " 1? ? W-S`v
This 'equest void
18 mon[hs from
D 8 0629
nequest D te Fire No.
7 ?7
1 ?? Rnugh-in Inspi&ction
(iequireA? /
?Yes ?Np ? ?
?ReadY Now ? Will No1rfY. InsPec-
??f p tor When Rea ?y
Licensed Electrical Contrac[or /' r ='?
1 hereby requBSt inspectioh'of ebov
? Owner e
electrical work installed at: ,C? GJ
Street CA?djdress, Box or Route No. City jI
ecuon o. Tow ship Name or No. Range No. owit
OccuVam (PpINT) Photie No.
Power Supplier
??JJ
?
? ?
Address
?
L.
i Ldr+
?-i? ssa ?-
Electrical Co a mr (Co Pany Na el Contrar.tor?s License No.
Mailing Address (Contrac[or or Owner MakinB Inst ailation)
o2S U- Lu. 'el?. s3
.4u orized Sfgnature Contractor/Owner Making Installatlon) Phone Number
I NNESOTA y(qTE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD
1821 Universicv Ave.. St. Paul. MN 56704 UNLESS PqOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REDUEST FOW-LECTRICAL INSPECTION 40;i?'j%L ea-oooai-os
51a ce /Fs jp? See insimctions for completing this form on 6ack of yellow copy.
!! .- "X" 8elow Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
-24 Home Range Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner L1 i
Other (specify) Contreclor's Remarks:
Compute Inspection Fee BeJow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Am s
Transformers Above 200 Am s Above 100 -Amps
Slgfis Inspector's Use Only: TOTAL
Irrigation Booms
? l
?4 ?t
u f 5V
O
Special Inspection
Alarm/Communication THIS INSTALLATION MA ORDERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOWN
I, the Eiectrical Inspector, hereby
it
h
h Rough-in . Dat%
Ff??
cert
y t
at t
e above inspection has
been made. FinTi ? a«7 // L:
?
OFFICE USE ONLY
This request void 18 manths from
?
0
009 ?
? 0
?? ???
Request Date
5_ I?
q
a Fire No. R gh.ln ins - e ed
(VOU i call inspecto vhen reatly)
mu Inspeclion Other Than Rough-In
? Reatly Now [] Will Notiry Inspeclor
?o Yes ? No Date Read
I? licensed contractor X owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) Ciry
L Krlfic r R ?z ???
Section No. Tou+nship Name or No. Range No- County
?> Ko1?
OccupaN (PRINT) Phone No.
o r? 1?Y15 y, ? t2 ? 1 9 aa -7
Power Supplier Adtlress
G
Electrical Comractor (Company Name)
1 ContractoYS License No,
Mailing Adtlress (Contractor or Owner Making Insiallation)
-
gqto K f
v cr j
Authoriz Signature (ContractonOwner Making Insiallation) Phone Number
(0 1 L ? d `,
G Room
1
h21 UnM'Zjs QZAv?oSt. PauSMN $ S10aICITY IIIII 11111111111111111111111111111111 IIII ENO 06EDOPER INSP GTIONFEE pT
?
, 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
? City OfEagan '
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ? ?
New Conslruction Reouirements RemodeVReoair Reauirements ?f Office Use Onlv ? l
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set oi Energy Calculalions for heated addiGons Tree Pres Plan Recd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions 8 decks Tfee Pres Required Y _N
1 set o( Energy Calculations Addition - indicate if on-site septic system On-site SepGc System _Y _ N
3 copies of Tree Preservation Plan'rf lot platted atter 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date Construction Cost ?C_N5 ? UW
SiteAddress Unit/Ste #
? L Nf1,TM) 5& q ",f Tl?' c`? L L c"!c:
Description of Wor
?8 1ti() Yl
?
Multi-Family Bldg _ Y x N Fireplace(s) _ 01 _ 2
Property Owner .??? Q el Telephone # (6`31 ) 65' )"5 3?2-__?
I Contractor SPl p
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewec/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 the Staie 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 re uires a review and
approval of plans. (? ? r(? ? fl M f? 1-1
I I I I l? IJ Ll 15 1111
?4con V-K
Applicant's Printed Name Appli an s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwel ling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03! 01 of _ plex ? 09 07-plex ? 17 Garage -! 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31. New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
41?1. 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alieration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy ? MCES System
Census Code Zoning P? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. 0 PRV
# of Bldgs Length ? Fire Sprinklered
Type of Const Width
?
_ Footings (new bldg)
Footings (deck)
?y Footings (addition)
?C Foundation
Drain Tile
Roof Ice & Water Final
Framing
?j Fireplace R.I. y, Air Test ? Final
? :Insulation
REQUIRED INSPECTIONS
_ FinaUC.O.
? Final/No C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcherge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Nop °
?? 46
dg
?
.
aoBE
ENGINEER1NG
, COMPANY, INC,
? __ 1004 MT 146m 57AEE7,
j '9%/IIi o CuSTDiN /?E5
_Beev_ 8a PA6E l.5
°?3•°1
CaNSUtT1HO EHC3IHEfAS . ? ?' '
pIAHHEHS nnd LAHD iURVEYOl1S
qURHSViLLE, u1HHENTa 5?337 P!i 432-30013
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SETSqCk Gi
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I heriby cartify that thia ia a t.ue and csrrect repraaentation cf a tr:ct of
lind as shovn' snd deacribed heracn.- Aa prnpQrsd by me on this 30-W dsy of ? F'
A 6) VfangBL
!!ts ? No. / Bs : .:
Permit Number
Checked By/Date
Generated by REScheck Package Generator
Compliance Certificate
Energy Code:
Location:
Construction Type:
Window-lo-Wall Ratio:
Heating Degree Days:
Report Date:
Date of Plans: 4120105
Project Information:
996 Kettle Creek Rd.
Project Notes:
1995 MEC
Eagan, Minnesota
Single Family
0.08
7981
Builder Information:
Jon Hanson
Jon Hanson
996 Kettle Creek Rd
651-681-9227
Statemenf of Compliance: The proposed building design described hera is consistent with the building plans, specifications, and
other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC
requirements in the REScheck Package Generator and to comply wilh the mandatory requirements listed in the RESchecK
Inspection Checklist.
IAMn
Bttilderl?esigner Company Name Date
\. ?
Page 1
Generated by REScheck Package Generator
REScheck Inspection Checklist
Ceilings:
? Ceiling:, R-44.0 cavity insulation
Comments:
Above•Grade Walls:
? Wall: , R-19.0 cavity insulation
Comments:
Basement Walls:
? Basement: , 8.0' hd5.0' bg/8.0' insul, R-119 cavity insulation
Comments.
Windows:
? Window: , U-factor: 0.450
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes _ No
Comments:
Doors:
? Door: , U-factor: 0.350
Comments: Front door exempt
Floors:
? Floor:, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
? Fumace: : 88 AFUE or higher
Make and Model Number:
? Air Conditioner: : 10 SEER or higher
Make and Model Number:
Afr Leakage:
? Joints, penetralions, and all other such openings in the building envelope that are sources of air leakage must be sealed.
? Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from
combustible materials. If non-IC rated, the fixture musl be installed wilh a 3" clearance from insulation.
Vapor Retarder:
? Required on Ihe warm-in-winter side of all non-vented framed ceilings, walls, and Floors.
MaMrials Identification:
? Materials and equipment must be identified so ihat compliance can be determined.
? Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
? Insulation R-values, glazing U-factors, and healing equipment efficiency must be ciearly marked on the building plans or
specifications.
Duct Insulation:
Page 2
? Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0.
Duct Constructlon:
? All ducts must be sealed with maslic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape
is not permitted.
? The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
? Thermostats are required for each separate HVAC syslem. A manual or automatic means to partially restrict or shut oH the
heating and/or cooling input to each zone or floor shall be provided.
Circulating Hot Water Systems:
? Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
? All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
? HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2.
Page 3
Table 1: Minimum Insulation Thickness for Circulating Hoi Wafer Pipes
Insulation Thickness in Inches by Plpe 5izes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water
Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: M/n/mum Insu/ation Th/ckness for HVAC Plpes. Hot Wafer Pipes
Insulation Thickness in Inches by Pipe Slzes
Fluid Temp.
Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4"
Heating Systems
Low Pressurelfemperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 720-200 0.5 1.0 1.0 1.5
Steam Condensale (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Belaw 40 1.0 1.0 1.5 1.5
NOTES TO FIELD: (Building Department Use Only)
Page 4
RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN 2-?
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
New Construction Reauirements
• 3 registered sfte surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 wirMow sizes; poured fourW design, etc.)
• 1 set of Energy Calculations
• 3 copies oI Tree Preservation Plan ii lot platted after 711193
• Rim Joirt Detail Options selection sheet (hldgs with 3 or less units)
RemodeUReoair Reauirertmnts
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions 8 decks
• Indicate K home served hy septic system for additions
DATE
VALUATION ?z? 7 • 7 ?
SITE ADDRESS MULTI-FAMILY BLDG -Y vN
, -
TYPE OF WORK 7Z;0e-D,C- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Taylor Brock Corporation
STREET ADDRESS 3501 Lyndale Avenue South, Suite 102CITy Mpls STATE MN ZIP 55408
TELEPHONE # 952.888.2000 CELL PHONE # 612.221.4000 FAX # 612.822.7000
Mn State License # 20175079
PROPERTY OWNER?i1/fa;1/,6 TELEPHONE # 9s
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M L
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted ? tt
• E nergy Envelope Calculations Submitted F:d
002
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener Iawn Sprinkler e: 90.00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning P'ee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
------- ................................................................................. ----°----------------------------
i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with qll applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
/l/i?'?GCE/y
7".4S!?
OFFICE USE ONLY
Certificates of Survey Received ! Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 45 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 8idg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handaut 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 Sprirtklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footings (new b(dg) : _ Final/C.O.
_ Footings (deck) - _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Fina!
_ FramingT ' T Siding Stucco Stone
Fireplace
R.I. Air Test _ Final _ Windows (new/replacement)
_
_
_
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
5urcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
v INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025692
05/26/95
SITE ADDRESS: P •I•N.: 1e-45081-090-02
LOT: 9 BLOCK:
996 KETTLE CREEK RD
LEXINGTON SQUARE 7TH
PERMIT SUBTYPE:
BASEMENT FINTSH
2
APPLICANT:
HAN50N
(612) 832-6532
TYPE OF WORK:
JON
ALTERHTION
INSPECTION .. . .A
FRAMING INSULATION
ROUGH ZN PLBG FTNAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
,.
?
? - ?
?,
?
o_
,? , r? , •,
.
,. .. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
c,e o ?/asa -7L----
BUILDING
025692
65/26/95
SITE ADDRESS:
996 KE7l"LE CREEK Rp
LQT: 9 BLOGK: 2
LEXINGTQN SQUARE 7TH
P.I.N.: 10-45681-090-02
DESCRIPTION:
BASEMEPd7 FZNI5M
ALTERATI4N
?
Cfe* ??,, ? ??
a? V<s ?? . ?? ? ?
a{:.. '?°,» %"? wtcr t?> ?? ?? s? it
REMARKS:
A SEPARflTE PEiiMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$35.00
t.59
$95.50
CONTRACTOR: OWNER: _ Appiicant -
WANSON JON
996 KE7TLE CREEK RD
EAGAN MN 55123
(612)832-6532
& rn k? '&c Rbpa d i &
APPLICANT/PERMITEE SIGN TURE ISSUED B: G T13
)6412 CITY OF EAGAN ?Y{ D
3830 PILOT KNOB RD - 55122 '?-'
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
dew Construotion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 wirnlow sizes; poured fid. design; etc.) ? 2 site surveys (exterior additiona 6 decks)
? 1 energy ealculations ? 1 energy caiculations for heated additions
? 3 copies of tree preservation plan N bt platted after 7H193 '
required: ,,,_, Yes _ No
DATE: 5 Ia 'J 1 qS CONSTRUCTION COST: L5O06
DESCRIPTION OF WORK: el)bEMI?7k?
STREET ADDRESS: 131 - LV) f- f 1-1 t C%- QA
LOT ? BLOCK ? SUBD./P.I.D.
N Z- 6 S 3- 4vk
PROPERTY Name: ?C?r5?an ?'b n Phone #: aa?
owNeR ?r FM6T
Street Address•11 L ket-11C c? )??
city: state:lh r-\ zip:
CONTRACTOR Company: sF 19 Phone #:
Street Address;
City:
ARCHITECT/ Company:
ENGINEER
Name:
License #-
State:
Zip:
Phone #•
Registration #-
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalry appiies when address cfiange and lot
t 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.
Signature of Applicant: ?..vv)?d? ?
OFFICE USE ONLY v RE(? ENED
Certificates of Survey Received _ Yes _ No MAY 2 3 1995
Tree Preservation Plan Received Yes No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OFFICE USE ONLY " ' . .;,? :_-
?
? ? •' ?.:,
BUILDING PERMIT TYPE
o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex •? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
?33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GEwERAL INFORMATION
Const. (Actual) Basement sq. ft. fim cSb
(Allowabte) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building Engineering
MC1WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Y
?
?
D
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNY Permit .
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
IN5PECTION RECORD Control No. 0932
CITY OF EAGAN PERMIT TYPE: BUI LOING
3830 Pilot Knob Road Permit Number: 001239
Eagan, Minnesota 55123 Date Issued: 08 / i l/ 92
(612) 681-4675
SITE ADDRESS: APPLICANT:
Lpr ; 9 e Lo c K: 2
996 KETTLE CREEK RD HANSON JON
LEXINGTON SQUARE 7TH (612) 651-9227
PERMIT SUBTYPE;
QECK
TYPE OF WORK:
NEW
REpIARKS: RECEYPT 11
? ?, _ _
? . PERMIT F F
--? CtTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0932
suzLoiNG
001239
gs/ii/9z
SITE ADDRESS:
996 KETTLE CREEK RD
IOT: 3 BLQCK: 2
IEXINGTON SQUARE 7TH
DESCRIPTION:
Z?? _
s" i
%Z
b m Y
?p(??({u
.. . w*d P?7?i 0}v#? ?.w
REMARKS:
RECEIPT #
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $26,50
CONTRACTOR:
OWNER: - Applicant -
HANSOM JON
996 KETTLE CREEK RD
EAGAN MPI
(612)681-9227
I hereby aoknawledge that I ha*re' reaci this appl,icaticxnand 5tate - that the
infrarmatian is cotrect artc# agrea ta Go*#'ly with s31 plico-li Statof Mn.
.
. Statutss and City af E,?9a?a „Or?t#i?anees.:. ?
? v:.
APPLICANTlPER ITEE SIG ATURE I UEO Y: IGNATURE
PERMIT # ,
REACTIVA,E
039
CITY 'F EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION
AUG 0 ' RECO I?
,
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,.l 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 Yaluation of work
Site Address:_qclb Ket-y"(e Cr Pj
STREET SU1TE *
Tenant Name: (commercial only)
AT
t
7-
BLOCR
SUBD
N
oescription
of work: -b C C
The applicant is: [,3 Owner ? Contractor ? Other (Describe)
Name _14W500 ` N Phone (,61r172 '"7
Property LA5T FlRST We- 8*20z.. ???•z.
Owner Address _ qqb Le? ? ? PIJ
STREET STE *
City ? %aY1 ' State ?`Z'1e\ Z i p
Company Phone
Contractor Address licer:se # Exp.
Gity State Zip
Architect/ Company ? Phone
Engineer Name Registration #
Address
City State Zip
Sewer b water licensed plumber . Processing time for
sewer 6 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant; \j
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
31 we •
0 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allawable) lst Fl. sq. ft.
UBC Occupancy 2-3 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq..ft.
Length On-site well
Depth 14 On-site sewage
APPROVALS
Plannirig Building
Engineering Variance
REDUIRED INSPECTIONS
.
? Site ? Footing
? Nallboard O Final
? 35 Tenant Finish
? 36 Move
? framing
? Draintile
12 Ll
.rJ Insulation
? Fireplace
Permi t Fee s, if, v.iwc;Q,: g
Surcharge
Plan Review
License -'
MWCC SAC
City SAC
Nater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
SAC %
SAC Units
0 11 Apt./Lodging
? 12 Mult1. Misc.
0 13 Garage/Accessory
? 1 Fireplace
15 Deck.
? lb Basement Finish
? 17 Swim Poal
? 18 Comm./Ind. ? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? • _. __--_.?_
< AMo CusTe.?+ „FS
Ei 4 8 E
'?A?GtNEEA1NG C PIANHEfls nda AHO ??i1RYEYOflS S? 1?%,
. COMPRNY, ING.
----?tooo us: 146m
nAF=-T? 4URHSY4LLE. YINHESO7J1 55337 p!1 ?32-?000
??? Z?L CtZze ?I?+L7?'?'7/-?
?iC YL LoT- R 8t+o<..?? z
1 , t..EX r.J?4Ta+.l '' ADD I?+1
DA?wr.a caJ.?,^r , /f'1 i 'J,JLe'? ?kZE 7? l
h
?
30' F,QoNT BuIGO/N6
?
/U02T?? S ?c y ?
sr?e ?
1 g / `'? °o
CP
i 7 a•? .
L
b 1.a V
/^ ? e o yP
40?
0
Y
??? ? r\ a?4\? ? ? IY
144E AND y ? ? ?y ';? / • ? : s
T>' )n
Lo q
ie
d.
t s
°b-. ? ? ?./ • .
C'-o LOt07ES EX/Qj'/NG E4El49T/Oil/
h? f 8L'A5MWME5 R;0M5ED EGEVAT/GW
lNjDiG97ES DiRF1'7AW o.C
'?? 'PF'4cE ?iPAA?9eE
gB3.83 =F/N/,Se(?'.I? 6M19057 FLXR t?r,Ey<iT/oN
!by eaMify that thia in a t:ue and carrzet repraaentitida ot a tr:ct of
t• shcwn' and deacribed herson.. Aa preParsd by ma on this ` 3o day o!
?_. .I9 S? .. ?•
. . i?
. . : c ".
A
? L BL cInr use oNLY RECEIPT #: o'023
o
SUBD. ?. _ DATE:
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
IdO. TOTAL
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet * minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations " to existing
Water Tum Around
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
x
x
x
x
x
x
x
x
x
x
x
x
= 2b?S0
.50
SITE ADDRESS: ?? ? ?etfle' Cr IZd
OWNER NAME:
INSTALLER NAME:``Un
STREET ADDRESS: 9q L k_CML G 0 %?_,
CITY: Yl STATE_ ZIP:
PHONE #: (f, 12
) bg ? ? ???
?
TTURE OF PERMITTEE
OFFICE USE ONLY
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 commerciaVindustrial buildings.
? multi-family buildings when separate permits are pQi required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WaRK TYPE: _ NEW CONSTRUCTION ADD ON REPAtR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°10
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CfTY: STATE: ZI P:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER S(ZE: " DATE: INSPECTOR:
?********#*******************#*****#
% ? *
. C I TY O F E A G A i? ?*?': PA]Q?7M?f? OF F?E AT TIME pF *
. ? ??rPr?c?? Dor? rxrr ?? *
*
? * APPROVAL OF PF?tNIIT. ?
?
APPLICATION FOR PERMIT ?
. ?. nvsrncriort oF s? ?rro/? wA? *
' , ? • , ? ,?*, ??r.raT30NS WII.L N?UT ? SCE?- *
SEWER AND/OR WATER CONNECTION ? ? ?? ?T ? ? *
? , . * APPxC1VID. • *
* '?'
* w
* *
*
. _.. *,t,t,t***,t,r*************,t,t*,t?t,r**,t:**,t,r
Please Print
? 1) PROPERTY ADDRESS : cLc? (? ? F.r ,?;? r F c? i? IL ? •••
LEGAL DESCRIPTION: _ ? c? L ? >? ?_ r=-Yc?".?G rv,,., ?:a,.. ,? , f ??i ?`? .'
. (Lot/Block/Subdivision or Tax
IF EXISTIIVG STRL'CZ[]RE, DATE OF ORIGINAL BL?ILDING PERMIT ISSC'ANCE: ?. "
(Nbn Year ..
PRFSEPTP 7ANING/PROPOSID L'SE:
Q CONYNE[tCIAL/REPAIL/OFFICE ? R-1 SINGLE FAMILY .
Q IT?IDt'STRIAL ? R-2 DLPLEX (? Lnits)
? INSTIT?!TIONAL/GOVII2I?IlyENT ?( R-3 ZL?WNHOUSE ( Three + Units )( Dnits )
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NAME: U?FSr??:? ?- X?-7"F?rE'r;? 16
ADDRESS: j D.{" ? ??? "r_ 11 v.? r;.> ?/,?_ ,` -
CITY. STATE. ZIP: ?; ???
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PHONE: ;+-? -? :1 - ('? 7 1
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CITY, STATE, ZIP: ?i4 r'!'i_ t= (J?? i i_F- ?. ?%j ,?' •?S`c-/;?;;_rl
PHONE:??.7 - jh i' MASTII2 LIC.ENSE#
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CITY, STATE, ZIP: ? ? c.? ?r ,?, r v : ? ;.,?' ?? nr • ?
PHONE: ? S y ? I?i :I'. 5
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? CONNE(,'TION TD CITY SEWII2 ?CONi?IDCrION TO CITY WATER ??; -?
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PLEII.SE HOLD APPR pERMIT FOR PICK-UP BY ONE OF A&]VE
? L APPROVED PEE2MiT TO 1. ? 3. 4. AEOVE
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FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ ? 7$ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 6` Z ,j - 0-0 $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRtiNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ /? ? 7 ' ?l? $ ,??' ?Z? TOTAL
7,? z 7
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RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES 'IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION. LIST ISSUED BY THE ENGINEERI[VG
AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED BY: Z?7??
TITLE:
DATE : ??/ ? Z-f 7
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1987 BUILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SOEVEY, 1 SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiiNER MQST DESIG,NATE WHICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RFSIDENTIAL. RENTAL iTf9ITS FOR SALE [JNiTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRIIEY - CHECK WITH BLDG. DEPT.,
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
To Be Used For: Single Family Valuation: -5e;@66- Date: 11-30-87
Site Address 996 Kettle Creek Road
Lot 9 B1oek 2
Parcel/Sub Lexington Square-7th Addition
Owner Metro Custom Homes, Inc.
Address P.O. Box 1049
City/Zip Code Burnsville, MN 55337
Phone 454-9383
Contractor Metro Custom Homes, Inc.
Address P.O. Box 1049
City/Zip Code Burnsville, MN 55337
Phone 454-9383
Arch./Engr. Metro Custom Homes, Inc.
Address P.O. Box 1049
City/Zip Code Burnsville, MN 55337
Phone # 1+51+-9383
G S OO C7 OFF]
On Site Sewage
MWCC System P/
On Site Well
City Water JC
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off /eI2 I
APC
Variance
Occupancy _ R-3
Zoning JZ-i
Type of Const
(Actual) V-N
(Allowable)
# of Stories
Length
Depth ?J? i
S.F. Total
Footprint S.F.
FEF.S
Permit 381100
Surcharge 2-, U
Plan Review /go,
SAC, City 100100
SAC, MWCC 521;`;00
Water Conn 5200
Water Meter G ;pD
Road Unit C?5, Do
Treatment P1 DD
Parks
Copies
TOTAL
L
VALuATeoH
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3ASEMEPJT'
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FROPE CpHSUL71H6 EH(31HEfRS . S66ao• l6%3.0)
ENGtNEfR1NG PtAHHEAS ond LAHD iURVEYO!!S
, COMPRNY, INt.
1000 E715T 1461ft 57AEET, RURHSVILL£, YIHHESDTA 55337 P!? 432-3016p
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uriuTY E4s&YraIT'-----2
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883.83 =F/N/,wEz) 64mXE .FGxg ;?Ed<1T,loN
I her.by cas-Lify that thia in a t."ue and csrrzct repraaentition ot a trs? ai ...
Iand as shcwn' and dcacribed hersan« Aa prsparsd by me on thf's 3a? dsY
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136709
Date Issued:05/25/2016
Permit Category:ePermit
Site Address: 996 Kettle Creek Rd
Lot:9 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Jon M Hanson
996 Kettle Creek Rd
Eagan MN 55123
(651) 408-3941
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165427
Date Issued:11/02/2020
Permit Category:ePermit
Site Address: 996 Kettle Creek Rd
Lot:9 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-090
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 -
Jon M & Cynthia L Hanson
996 Kettle Creek Rd
Saint Paul MN 55123--156
(763) 807-9820
Trusted Builders LLC
20399 Pondview Cir
Rogers MN 55374
(763) 807-9820
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171475
Date Issued:08/18/2021
Permit Category:ePermit
Site Address: 996 Kettle Creek Rd
Lot:9 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Jon M & Cynthia L Hanson
996 Kettle Creek Rd
Saint Paul MN 55123--156
Trusted Builders Llc
20399 Pondview Cir
Rogers MN 55374
(763) 807-9820
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177311
Date Issued:06/24/2022
Permit Category:ePermit
Site Address: 996 Kettle Creek Rd
Lot:9 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-090
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Jon M & Cynthia L Hanson
996 Kettle Creek Rd
Saint Paul MN 55123--156
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature