4552 Kirkwood CirCITY OF EAGAN
3795 Mle! Knob Rood Eeyan, MN SS122
iHONE: 154-8100
BUILDiNG PERMIT
Site Address
Lot Blotk $ec/Sub.
Parcel .# '
W Nome
; Address
Receipt #
Date
19
Erect p Occupancy
111ter Q Zoning
Repair ? fire Zone
Enlorpe p Type of Const.
Move ? # Stories
Demolish ? Length
6rade fl Depth S q. Ft.-
Nome
Address
Nnme _
Address
I hereby ackrrowledge thot I have read this applicotion and state that
the informotion is correct ond ogree to comply with oll opplicoble
State of Minnesoto Statutes ond City of Eagon Ordirances.
Asseument
Woter 8 Sew.
Polite
Fire
Eny.
Plonnor
Countil
Bldg. Off.
APC
Permit
SurcFrorge
Plon check
SAG
Water Conn.
Water Meter
Rood Unit
Total
Sipnature of Permittea I
A Building Permit is issued to: on the express conditlon thai
oll work sholl be done in accordance with all opplicable Stote of Minnesota Statutes ond City of Eapan Ordinances.
Buildinp Official
Permit No. Permit Holdar
cxwc? Misc. Permit No. Holder
Plumbing a1- L&C -
H.V.A.C. aQ $
n
Wdl
Water
Disp.
$ower '
EaMric
T749 (o3
InspeMion Dats Insp. Other
3
HVAC
Inwlation ?
Final Plbp.
Final NVAC ?
Final
Water Describe LoeMion:
VYell
Sswar ,
Pr. Disp.
Receipt . ME AL PERMIT Permit No.
CITY OP EAGAN
Fee
fill in numbered spaces S/C '
Type or Print /egibly
Tot.
1. Date 2. Installation Cost '
3. JobAddress Lot!=;_Bik. Tract
?
4. Owner
5. Contractor . i 4 Phone
' I
6. Address
7. City , State i i Zip
I
8. Building Type: Residential Commercial ? Institutional ? I
9. Work Description: New E1 Add ? Alter ? Repair ?
1 10. Describe
1 17.
Fuel Type
No. Equipment 8TU - M. Ea.
Forced Air , .. ? , No. Evuinment CFM
Air Handling:
Mfg.
_
Boilers 7
-
Mfg,
_?- Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt
y L Z
MECHANICAL PERMIT
CITY OF EAGAN
I fill in numbered spaces
Type or Print /egibly
Permit No.
Fee ?
S/C
Tot. ?-
1. Date --? ? V- E? 2. Installation Cost
K,KK,?:.c 3. Job Address <- i R c L c i,?<? .,•J Lot 81k. Tract ?- -
?
--- ?
4. Owner
5. Contractor ? Phone
6. Address K I RR' wxoo -rj ? I R(.L. E
7. City tz F) GAK1 State miuU. Zip
8. BuildingType: flesidential Commercial ? Institutional ?
9. Work Description: New ? AddV Alter ? Repair ?
10. Describe '-.?CC7?Ccrac 4%TdYC- FuelType !•.? , c,a/
11.
No. Eauipment BTU - M. Ea.
Forced Air No. Eauipment CFM
Ai
H
Mfg. _ r
andling:
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all onances and codes governing this type of work.
Signed :
for
Rough Inspections: Date ? Inc-A
Date This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
AMOUNT $
& DOLLARS
+oo
E] CASH ? CHECK
FOR 5-3 4? ??
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Cities Digital Qualitv 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.
jR8C81pt. ` ?•
7. Date
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legib/y
2 Installation Cost
Permit No.
Fee
S/C '
Tot
3. Job Address ?'t'r,r, ,)c- Q,' Lot J Bik. ? Tract
4. Owner
5. Contractor
6. Address _
7. City
Phone
State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
I 10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs $eptic Tank
_ Lavatory Softner
Shower Well
_ Kitchen Sink
Urinal/Bidet Other
_ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
AdditionSHES MAR EAST FIRST ADDN. Lot 5 eik 3 Parcel 10 17150 050 03
<
Owner ?1= ). Street State Eagan, MN 55122
i? ; ri)•,:. ?;cjCw6o
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ny ? 1982 2622.14 514,43, 5 2097, 72 A011255 7-13-82
STREET RESTOR.
GRADING
SAN SEW TRUNK j/ 168.00 A011255 7-13-$2
y,SEWER LATERAL % 2037.12 11 1?
WATERMAIN
*WATER LATERAL
WATER AREA Q 168.00 A011255 7-13-82
STORM SEW TRK 210.66 A011255 7-13-82
;tSTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 #29532 4-8-82
WATER CONN. 420.00
BUILDING PER. 7169
SAC n n
PARK
I
CITY OP EAGAN .7CACR ZcRVn.C rcKmes
3795 Plle! Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: Bui ? r
Address:
Site Address: ? : .
Plumber:
1 agru ro eempy wM6 the Ciry of Eagan Connection Charge: ," ?
Ordiaanew. AccouM Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dote of Irup.: ToTal:
Insp.: Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, M'N $5122 DATE:
Zonina: No. of Units:
Owner: 'n ;e .'Or:..
Address:
Site Address: ..._ i iTii,790u C2,-c_.c
Plumber.
AAeter No.: Connection Chorge: '
Size: Account Deposit:
Rcwder No.: Permit Fee:
I egres to wmplr wMh the Ciry of Eagen Surcharge:
Ordinaneq. +
Misa Chorges:
Total:
BY Dote Paid:
Date of Insp.: ?nso,;
,
BUILDING PERMIT
Te 6e used }or SF
N? 7169
ReceiPt #
Date ARjZ11 g
Site Address `'F»c av.inVAnVu
Lot 5 Block 3 See/Sub.CheS MlrEaElt LSt
Parcel # 10 17150 080 03
? Name
? Address 16025 Oak Shore Ih~ive,
,.._. &urnsville eL___ 435-5854
p Nome aner
Zu
Address
r:*„ atin„P
Name
Address
1 hereby acknowledge that I have read this opplicotion ond stote that
the inlormotion is correct und cgree to tomply with all opplicoble
Stote of Minnesota Stotutes and City of Eogan Ordinances.
$ignoture of Permittee
CIT' OF EAGAN
3795 Pilot Knab Raod Eegan, MN 55122
PHONB: 454-8100
Erect ? Occupancy R-3
Alter ? Zoning R 1
Repofr ? Fire Zone NA
Enlarge ? Type of Const. ? -
Move ? # Stories
Demolish p Length-46-
Grode ? Depth?.3Q.-Sq. Ft.-
Approvals Fees
Assessment
Water 8 Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Ofif.
APC
Permit J`+-). w
Surcharge 35.00
-
Plan check 1.71..50
SqC 5 5_00
Water Conn.420.?
Water Meter 1;n (Y)
Road Unit 740DO-
Toral 1794.50
A Building Permit is issued to: -13 on the express tondition Ihm
ell work sholi be done in accordance with all app{ bleSto Minnesota 5 tes ond City oF Eagon Ordinonces.
Building Official ? ?CL?
? . ???
., ? ? }?? CITY OF EAGAN Include 2 sets of plans,
+ c?J ? 1 site plan w/el.evations &
?_--- Bi72LDING PERMIT APPLICATION 1 set of energy calculations.
o -
To Be Used For f?t,?,F' Valuation ?2e Date
site Address: 4La.50 k,2 l< w o o
Lot _5-' slorac 3_ Sec./sub. (,F/sC -gn,an j,+57Erect ?
Parcel #: 1 k`7 I S? L So c) ? 1??ter
Repair
Owner: Enlarge _
Nbve
Address: Demolish
OFFICE USE ONLY
Occupancy "..3
Zoning -
Fire Zone
Type of Const.
# Stories ?
Front
Grade Depth !jp Tt.
City/Zip Code:
Phone # : APPROVALS FEF'S
Contractor: f-icG.9,3 4;'?rrrj; 3u(Ld£rcS
Address: _ t(„6.2S c1A/5 Slfvrt r?.?rri?? F
City/zip Cade: -ar17-t13 v; c.C.E 55?;37
Phone #: ..? ;3 5= 5? j c/
Arch./Ehg.:
Address:
City/2ip Code:
Assessments Perniit y
ya
Water/Sewer _
Surcharge
Police Plan Check / 1), ,.,5 O
Fire SAC
?
Eng. Water Conn.
-
-
Planner Water.Meter /
Council Road Unit ;? 4e d r
Bldg. Off.
APC
Phone #:
?sc?
=AL ? q
REQUEST FOR ELECTRICAL INSPECTtON EB-00007-03
w:
-?a 9 6:?- ?::,? instruclions for comple,[' is form on back oi yellow copy. Q
X'" Below Work Covered by Thrs Reyuest? ? f7Sb
Nev, Add Rep. Type of euilding Applinnpas Wired Equipment Wfred
Home
1 ange
1 Temporary Service
. Duplex Water Heater Lightiny Fixtures
? Apt. Buildiny Dryer Hectric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Dulk Milk Tanlc
Farm Other Saecifvl ii,F, (SUer,ifv)
ther SUF1i(y p(her Other
(:ompute lilsper.tia) Fee Below
4 Pee Service Entrance Size q Fee Feaders/Suhfeeders d Fee- Circuits
0 m100 qm s 0 to 30 qm s 0 to 30 Am s
,,:.. 101 to 200 qmps 31 to 100 Amps 31 to 100 Am ps
Above 200_qinps Above 100_Am s Above 100_Amps
Tran orm Remote Control Circ. v Partial/Other Fee
ig ? • a Special lnspection 1
$ TOTAL FEE ? J7)
Rnmarbc f, .n ..
Rouph-in f ?j/
? I theElectrical
?
7?- lspector, here6y
71
Final ... , ,
nate certifythut thea6ove
.
! C/
pection has been
i
m
d
a
e.
This request void
18 nionlhs from '
- /o
E
-
'
? 79 9 ?"3
=
Ls, 3 3,c- .+-t a?9s(o ?
qq, sc)
RequP. st Uate rN
?
Y?
O Ffre No. Houfth-in Inspection
Requi?ed' ??
?Heady Now?vill NutlfY. InSPec-
?r Wh
R
- Ves en
eady
?ucensetl hlec[ncal Contractor I here6y request inspec.tion of above
? l?npr electrical work installed at: .
Street Address, Box or Rou? No., _1 City / .
vccupnt rHiNI1 /'\
?
?i. _y PhoneNo.
P03LVuPPI'er ? '/ n/
11
? Address
4?
? ` t
Electri ontractor(C
ompauy_Namc) j . Contract r"s Llcense Nn.
-
? ? ?
U
-77
Mailing Address (Contracwr or ner Makin
- g Instailan p)
t
C
i ( 3
? /
i,_
-T
Authoriz Signature (Contractoi wner aki g fnst iali n Phone Number 7 J`l
??- -3lh.?
MINNE44tTq STATE BOARD OF EL TR1C TY . THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bld9. - Hoom N-791 BE ACCEPTED BV 7HE STqTE BOARD
1821 University Ave., St..Paul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS
Pn.,.a 16121 297.2777 . ENCLOSED.
960 ia
Lc, ?;, c..tit<?' _ C??' ??LaSq(
?a?oo
Request D2te Fire No. Rou47h-fn Inspection
Required!
[:]Ready Nuw Q Will Notify Inspec-
?Yes ?No tor When ReaJy
Lir.ensed Electrical Conlrac[or . I hereby request inspection of above
Owner elecirical work installed aY.
Siree[ A ress, x or Roi e No' • CIt
'??
ection o. Township Neme or No. Range No. Caun
Occuuent (PRINT) ? Phone Nn.
Po --r upP i r ? Address -
r
E ecc ical.C tractor om Y N e) Co actor"s Licen>e No.
3 v
Mailfng AdJres
s (Contr t r or Owner Makin9 In ail tion)
? -
?Lla
Au t(h orize gna re.(oritracto w e M ing Installation) Phomber
S.l ??
MINNES ST eOARO OF ELECTRI VITY THIS INSPECTION REQUEST WILI NOT
Griggs-Midway Bidg-. - Room-N-191 gE ACCEPTED BV THE STATE BOARD
1821 UniversitV Ave., 5t. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnne 16121 297.2111 . ENCLOSED.
4-"W?elow 0
Work
REQUEST FaR ELECTRICAL INSPECTION
' See in5tructionS for completing lhis torm on 6ack of yellOw copy
Covered by This Request
ee-ooooi-oa
>Jc
T l W J 1
e Add Rep. Type uf Buildiny Appliances Wired quipment Wired
Home Range en orary Service
Duplex Water He2ter ? i tiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace No Unloader
Industrial Bld,y. Air Conditioner Bulk Milk Tank
Farm otner specifv Other(SUer.,(y)
Other SUecify Other Other
l.0/TIpI/L@ IRSp@CilOfl f@B HglOW
# -Fee Service EntranceSize # Pea Feeders/Svbfexders H Fee Circuits
0
to t 00 Am s
O to 30 Am s
O tn 30 Am s
101 to 200 Amps 31 to 100 Arnps 31 to 100 qm n
Above 200 Amps Above 100_Am s Above 100_Amps
Transiormers RemoteControl Circ. Partial,'Ot
Signs Special Inspection g
5 T
Remarks ? OTAL F E?,6
Rpugh- in Da[e
I, the Electrical
Inspettor, hereby
th
tit
t th
b
Finnl '
r?
?'
?? ? cer
y
a
e a
ove
s 'on hes 6pen
d
Y e.
ThiS reULlest void V
18 monlhs hom
(9jerttf irtttr of C?rru??nr? ,
_ Citp of (tagan
???ttrfinent uf ?uilding ,?ns}?rrlimt
7hir Ctrtif icatt inutd parsuanf to the rcqrdremcntt o f Stction 306 o f 113e Uniform Building
Cade urtif7ing that at the timr of intwnn tbit strtuture wat in tompliann tuith the variour
ordinanas o f the City rrgulating bnilding conrtruction o? use. For the f ollowing:
vm ch,ae=? SF DWG/GAR &4 Peffrdt N,. 7169
OwHwmrTYw R3 7YPCuo.umuon Vn. pwzo,,• NA zonioBDitukt ?- --
?. •?? / ?.? BP:
June 29 1982 -
rsr iw w rnwneuau? ru<i . .. . . .
t
ur.ou+us.n.
.a1
741975
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagaa MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
, New Con'strucUan Reauiremenls
3`,regLSteied site surveys shaxing sq. ft of bt, sq. ft of house; and all roofed areas
(29%rtiaitimum Iot coverage aAaxed)
^T copies of plen showing beam & windav sizes; poured found design, etc
1 W of Energy Cakwla6ons
3.co{ries of Tree Preserva6on Plan if lot plaUed efter 111 f93
Rim Joist Detail Options selection sheet (buildings wilh 3 or less units)
14finnegasco mechanical ventilation fortn
Rernode,VReoair Reauirements
2 apies M plan showing tuotings, beams, joists
1 set of Energy Calculations for heahed additions
1 site survey ior additions 8 decks
Adddion - inJcate i(on-sife septic system
1?i'-6r-
Ofice Use OnN
Cert of Survey Recd _ Y_ N
Tree Pres Pian Recd _ Y_ N,
Tree Pres Required _ Y_ N
On-srte Septic System _ Y_ N
DateQLt? /cJ_/ ConstructionCost ??,tu)
Site Address UoiUSte #
Description of Work ` A k(?, 3? ' &kx i ?)1 ? • `<_ll ? ? ?] ? c?,lR?, 1 ? W U-\
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner t ,? ? C!.In e-, ` e `A-\A? Telephone # 4.51 ) " q?J'
Contractoo??^??? Y ?.
Address N City m.
State mm Zip'`?'J?pTelephooe#djo\a) ?45
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential Ventilation Category t Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master plan?
_ Y _ N if yes, date and address of master plan:
Licensed Plumber r r '?.s ? IF
Mechanical Contractor 2 ?nns
Sewer/Water Contractor
Telephone #(
Telephone # ( ?
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge 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 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 reyuires a review and
approval of plans.
ApplicanYs Printed Name
Applic t's Signatur
PERMIT # ? rU,
RECEIPT DATE: (n ^)-o vt
WSID£NTIAL PLUM$INf PEftMTT APPLICATION
crrY oF EAsM
S$SO PQ.OT KN08 fiD
Kk6lkN. MR 551E2
651-6$1-4675
Please complete for: > single family dwellings JU'\' 2 0 2001 ?? ?:
;?, townhomes and condos when permits are required for each unit O,,Q
> backflow preventer for irrigation system
SITE ADDRESS: -*4 C`' ? WC)CJ '
OWNER NAME: : TELEPHv^NE #: C? 5 l` U S- O
(AREACODE)
INSTALLER NAME: I1^? '?LEPHONE #: ?G? -" ? ? ?-LD? I f
STREET ADDRESS: _q -?j R G I? Q?? S T CJ (/aREA CODE)
CITY: STATE: YY) / V ZIP: 0 (0
Place a check mark next to the aermit work tvue
New residentiai dwelling unit under construction and not owner/occupied $ 90.00
v Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• water tu? id
Nature of w,:-:;: 40_4. ,
Seaiic Sysiem, newirefurbished - $ 225.V0
• includes County & Consulting Inspectar fees
• requires MPC license
State Surcha.-,
.Ie
$ .50
Total $????
Reminder.- Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby ar.knowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordin es. It
is the appiicanCs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ' normal
operational and maintenance activities to the facilities consWCted under this permit within City property/righ o ay/easement.
SIGNATURE OF PERMITTEE
Updated 1/01
-- 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?43C" 1
3 CITY OF EAGAN C
3 ` 3830 PILCT KNOB RD - 55122
ST6? ?? ??e- 651-681-4675
Nevr ConslrucHon Reauirements Remodel/Reoalr ReautremeMa
D 3 reglslered sNe surveys showing sq. R. of lot, aq. R. of house
ond QII roofed areas (30% mmcimum loi eoveroae allowed)
? 2 copies of plans (show beam d, window sizes; poured tnd. design; efc.)
? i set of energy calcutaHons
? 3 copies of hee presenalion plan N lot plalted aHer 7/1/93
DATE: `7 ' ol (D ' l %
2 coples of plan
1 set of energy calculaNons }or heated addiNons
1 sRe suney tor exfedor addiNons S decks
CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: Li
LOT: ?j BLOCK: ? SUBD./P.I.D. #: C' L V Y?-G /? Nome: C rn .t?,'rlfitzl Phone #: 3 j
PROPERTY Last First
OWNER Street Address: S K
?-! S a . f
City Stafe: MA) Zip: cS^c?! o? ?
Company: LA A L'k,v, F,-/-t"nA Phone #• f j g g / - &-`;,) "3"?
(area code)
CONTRACTOR ?io 9
Street Address: license # 4 c9 3 °) Exp.
City ? .?.?.i?. State: Zip: SrS' ? ? `
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stree4 Address: Registraflon #:
City Stote: Zip:
Sewer 3 water Ifcensed plumber (reaulred for new construcHon onlv):
PenalFy applies when address change and tot change is requested once permit is issued.
i hereby acknowledge that I have read this appllcation, sfcte that the informafion is correct, and agree to ccmply wHh all opplicabl
Sfate of Minnesota Statotes and CiFy of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitsJFascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
Valuation: $
% SAC
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139756
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 4552 Kirkwood Cir
Lot:5 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Wesley S Jacobson
4552 Kirkwood Cir
Eagan MN 55123
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150832
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 4552 Kirkwood Cir
Lot:5 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brennan Wickman
4552 Kirkwood Cir
Eagan MN 55123
(507) 250-5431
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature
efil /4
For Office Use J�"
-62- 77
; Permit#: / CCE AGA N .
y► "�C Permit Fee: / 7 00
(';EIVED
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 1 0 2018
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
build nginspections(u-}cityofeagan.cam
A 2018 RESIDENTIALrBUILDING PERMIT APPLICATION
Date: ��1 O (2b I� Site Address: "'I S�Z 1�C+f t/..Ui c>6c1 C t(AZ, Unit#:
Name: 6 C&Y)f Ck(\ W r C k Oil C:,I\ Phone: c-0 7-z TO-S-4 3(
Resident/
Owner Address/City/Zip: t4 k"v v (3-6�
Applicant is: . Owner Contractor
Description of wor : v( ( &,- ����� /4)(''/1P
Type of Work I Q
Construction Cost:(` r 2. 7 Multi-Family Building: (Yes /No ' )
Company: Contact:
Contractor
Address: City:
II State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor:_ Phone:
Fire Suppression Contractor:_ Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified es non-.ublic if ou.rovide s®ecific reasons that would ®emit the Ci to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/sybscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in thecase of work which requires a review and approval of plans.
x ref)iltkV\ CA Li .wlatc\ x___//31-46u-44,1A4,-....___(74_511--/.....-(--e--
App cant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE ` cc, /5/a 77
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) — Exterior Alteration(Multi)
Multi )Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool _ Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION I
Valuation -f �49 0 . Occupancy MCES System
Plan Review ! I Code Edition A, I it) SAC Units
(25%_ 100% x) Zoning 0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1/6 Width
REQUIRED INSPECTIONS
_ Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required .
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC—Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
__ Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: IL , Building Inspector
RESIDENTIAL FEES
Base Fee iSurcharge0/:--616
Plan Review6-',73mi
MCES SAC
City SAC
Utility Connection Charge / (�
S&W Permit&Surcharge 9 -19 V X / ,) Li/ a s
Treatment Plant
Copies
TOTAL
Page 2 of 3
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