The URL can be used to link to this page

4567 Kirkwood CirCASH RECEIPT 2 CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? -4, DATE 19 _ weceIveo PROM AMOUNT $ I & DOLLARS I oo FICASH ? CHECK iOR ! FUND CODE AtA OUNT Thank You ? I/ ? ... BY V White-Payers Copy Veliow-Posting CopY Pink-File Copy . CITY OF EAGAN 3795 Pilet Knob Raod Eagan, MN 55122 . ' PHONE: 454-8100 BUILDING PERMIT Receipt # Te M wed fer Est. Valu e Dote , 19 Slte Addrcu E t a rec ? cupanc,. Lot Block Sec/Sub. Alter ? Zoninp Parul # Repolr ? F(re Zone Enlorya ? Type of Const. ac Name Mo e # St i W v ? or es ; Iuldress Demolish ? Length b Ci phorie Grode ? Depth Sq. Ft.- g Name Appro vals Faes ? Address 1 hereby acknowledge thot 1 have reod this application and state that the informotion is Correct and agree to wmply with all opplicoble Stote of Minnesoto Starutes and City of Eagon Ordinarxes. Sipnoture of Pertnittee A Building Permit.is issued to: oll work sholi be done in xcordance with oll applicoble State of Minn Buiidinq Officiol Assessment Permit Water & Sew. Surchorge Police Plan check Fire SAC Erq. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC Totol on the express conditlon thni wta Statutes ond City ot Eapnn Ordinances. Permit No. Parmit Holder Miu. Permit No. Holder - Plumbin9 H.V.A.C. Well Water Disp. S?vrer EMetric Inapaetion Date Insp. Other Footingt Foundetion Framinp Rou9h Fl6p. Rouph HVAC InwlMion Finel Plbq ? Final HVAC 20 Final Webr Dosaibe Location: VVell Sewar Pr. Dhp. CITY OF EAGAN .? p ? ? ? 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 • PHON E: 454-8100 BUILDING P.ERMIT Receipt# - To be used for Est. Value ? Date ,19 Site Address Lot Block _ Parcel No. Sec/Sub. ? OFFICE USE DNLY z On Ske Sswage Occupancy MWCC System Zoning On Site Well _ (Actual) Const ¢ Name City Water W PRV Required = Address o cir., oti,,..e - •Booster Pump ¢p Name ?Q Address m City Phone ? a yVj W Name _ F W Address u aW City_ I hereby acknowledge tha[ 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 ot Eagan Ordinances. Signature ot Permittee „ A Building Permit is issued ta 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 _ _ (Allowable) # of Storles Length Depth S.F. Total Footprint S.F. APPROVALS FEES I'. ?-? Engc/Assess. Permit Planner Surcharge • J/ Council Plan Review Bldg. Off. SAC, Ciry Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatmeni P1 Parks ?4 ? TOTAL Permit No. Permit Holder Date Telephone fF Plumbing H.V.A.C. Electric Softener Inspaetion Date Inap. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OP EAGAN ? Fee L Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot J Blk. -- Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? I 10. Describe I 11. Add ? Alter ? Repair ? Fuel Type No. ; Eouipment 8TU - M. Ea. Forced Air No. Equiament CFM Ai H Mfg, _ r andling: Boilers - Mfg. - Mech. Exhaust Unit Heater Mfg. Othe _ Air Cond. r Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to cromply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt PWMBING PERMIT Parmit No. CITY OF EAGAN Fee Fill in numbered spaces S/C •'' ,, Type or Printlegibly Tot. •, ? 1. Date 2, Installation Cost i 3. Job Address '00P CIr"': Lot i Blk. Tract (- V 1 ` ? ?- 4. Owner 1'3 5. Contractor iuIii T'.,•i;:i. , Phone 1'12 6. Address 7. City SWte 2ip `, ` 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank I Lavatory Softner Shower Wel l ' Kitchen Sink Urinal/Bidet Other I 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 ordirwnoe"nd codes governing this type of work. Signed : --- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OP EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ta:•e, i<?.• Eagan, Minnesota 55122-1897 Date Issued: • (612) 681-4675 SITE ADDRESS: APPLICANT: ?, . i . i ? i ? V. ? i PERMIT SUBTYPE: TYPE OF WORK: p! I I I INSPECTION . ?. . DA • ?. , .r;:. DA Pertnit No. Permit Holdx Date 7elephons If ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ?/?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Aoad Permit Number: Ea an, Minnesota 55122-1897 ? 9 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: ,., j PERMIT SUBTYPE: TYPE OF WORK: A 1 T(' t2 p T 10 N I'SF Rbt1F /riltl 7E Rti /MT.?'if Permit No. Pertnit Holder Uate 7elephone # ELECTRIC PLUMBING HVAC Inapection Dete Inap. Commants FOOTINGS FOUND FRAMING ROOFING HOUGH PLUMBING PL6G AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL H7G ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? CITY OF EAGAN Remarks I Addition ES MAR EAST FIRST ADDN. ? t 1 glk 3 parcel 10 17150 010 03 ? Owner Street 4,567 ircle scare- Eagan, MN 55122 (•/,_!: /)'' : 1091 v;,.i...,,,,.a Drive Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? 82 2622.14 524.43 2097.72 A011525 10-12-82 STREET RESTOR. GRADING SANSEWTRUNK 168.00 A011525 10-12-82 *.SEWER LATERAL J!"( 2037.12 11 ir WATERMAIN *WATER LATERAL 1981 WATERAREA 168.00 A011525 10-12-$2 STORMSEWTRK 10.66 A011525 10-12-$2 i *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT - ROAD UNIT # WATER CONN. 42O it SUILDING PEF. 7363 SAC PARK I CITY OF EAGAN 3795 Pilot Knob Roed PERMIT NO.: Eogan, MN 55142 DATE: Zoning: rI No. of Units: ? Owner: _•'??1=' ,.. - - :;,, rt:r Address: Site Address: '' ^iz??*or= Plumber: Meter No.: Connection Charge: Size: AccourM Deposit: Reader No.: Permit Fee: 1 agros to eomply wifh fha City of Eogan Surcharge: Ordinanca, Mfu. CFwrges: - Totol: BY Date Paid: Date of Insp.: lnm,; CITY OF EAGAN SEVNER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: F.agan, MN 55122 DATE: Zoning: No, of Unitr. Owner: ' -* riic!: io? Address: Site Address: Plumber. I a9ree M wmpir wlth the Citr of Eagan Connection Charge: . Ordinenees. ActourM Deposit: Permlt Fee: Surcharge: BY Misc. CFarges: Dote of Insp.; Total: Insp.: pu}e Poid: t . 1 's BUILDING PERMIT CITY OF EAGAN 9795 Pilof Knnb Rood Eagen, MN 55111 PHONB: 454-8100 Receipt # Site Address 4567 KirJca00d Circle Lor 1 Blxk 3 Sec/Sub. Che6 MSL ESSt 18t Parcel # 10 17150 010 03 W Name Tegp? M Ai71 pr fbnst?,o Tnn_. Z Address 14115 Guthx'ie Ave. 9 _ Twwl- 17w11 ACII1G9 °C I Name C1wneT 0 ?? Address ? r-:... e?--- Ncme _ Addreu 1 hereby acknowledge that I hove read this application and state that the informofion is correct and ogree to tomply with oll applicable State of Minnewto Statutes and City of Ea9an Ordirwnces. Signature of Permittee A Building Permif Is issued ro: Ja$i ofl work shall be done in occordorxe with oll N° 7363 Ered [j Occuponcy R-3 Alter ? Zoning R-I Repair Q Fire Zone MA Enlarge ? Type of Const. V Move Q # Storias Demolish ? Length 52 Grade ? Depth 38 Sq. Ft.- ADProval! Foes Assessment _ Water 8 Sew. Police Fire Eng. Planner - Council _ Bldg. Off. - APC Permit Zv 1 . vv surchorge 29•00 Plon check 153.50 5AC 525.00 Woter Gonn. 420.00 Woter Meter 60.00 Road Unit 240.00 Tot,, $1734.50 I on the express condition thm ond City of Eagan Ordinonces. Building Officiol CITY OF EAGAN N0- 14 6 5 4 3830 Pilot Knob Road, P.O. Box 21 •199; Eagan, MN 55121 PHONE:454-ST00 BUILDING PERMIT Receipt# To be used for FIREPLACE Est. Value $1, 000 Date MARCH 3 19 88 Sife Address_ Lot 1 Block Parcel No. 3 Sec/Sub. CHES MAR EAST 1S' I Name NANCY JOHNSON I = Address SAME ii. 0 City Phone 452-6362 o Name HEAT-N-GLO FIREPLACES ou Address 3850 W HWY 13 City B'VILLE Phone 890-0758 UW Name W W ? _z., Address Q w City Phone I hereby acknowledge that I have read this application and state that the information is correcl and a e to comply with all applicable State of Minnesota Statutes and Ci Ea?ap_OrdjpaTices. Signature of Permittee A Building Permit is issued to:. HEAT-N-GLO _FIREPLACES on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5t utes and City of an Ortli ances. Building Official 4567 KIRKWOOD CIR OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well (ACtual) Const Ciry Water _ (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total footprint S.F. APPROVALS FEES Engr.lAssess. Permit $24.00 Planner _ Surcharge ?$0- Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL $24.50 ?.. ? ? . ? ? =nciuae z ser:? og p?. ? crrx oF EPMN 1 sibs p?an wJmlevatian? & N _ ,? set o! ?9Y caalc?.ati°e?r': : S? ? w 1 C-?at' BUISDINC: PERN¢T APPLIA? ( Zb He Used For -New--? Valuat3on 440dgEF Date 3/18/82` SitE Addreg3: 4567 Kirkwood CiECIe •. owIQa U5L CHLY ??- Bip? ?_ ?, ?, Ch e s Ma r 1 s t ELeCt QOGt1ja1Cy. -- t19 r_ . ? S d O/C' C)3 A1?S Z011i ? P?1 #: _ (D I I ?,? ; .. ?pair Fire zoa?e ? °- . . EM],arge T+pe oi Oonst. -owner; Joseph M Miller Const. Inc. 14115 Gu th r i e Ave . S o. D?Ip1 81 ?- ?t ??• A le Valle MN. 55124 ? CltS7/ZlP ?.1C1E: PP Y ptcm #; 454--4753 Contractpr; Same Add=+ess: - - City/Zip Coae: . Phor* #: Arch. /ftg. . Address: aty/Zip Cade: Phom #: P,seeamnanta ?7„_. 307 WBtreT/SEWBY' Poiioe Plan Cl?ec?c l?s ?3 ?=- Fire SAC fV8t@L C011d1. -51-94 Pianner water Meber tlai 1?1-` Council Iiad [fiit g5i0 -' Bldg. Off. • APC - (`7 Aq *t 'S CJ 18-^`e99-#tomld 7/0 L l? P 3, C, A-t -? 3;e $'l1 ff2 64 34 3a ?so Request Date Q ?e7? ? L? a Fire No. . Rouuh-fn InSVection fleq i?ed? Ies ?Nu Ready Now ?Will NotifV Inspec- tor When Ready 11 Licensed Electrical Contractor I hereby requestinspection of a6ove Owner electricai work installed at: , Stree} Atldress. Box o ou[ No. - / r / ? ?( 1 ¢ ? City ?4 ? o1 / ?1 Ao0 ? 7 l8 8n ection u. Township Name or No. qange No. Coun[y 4 0 D74 OccupantlPRIN7A1/ I - Phone No. Pow r Supplier ,a?'e?a ?ec?aiG Addres ?Cta??sf op Electrical Con[r r(Co pany Name) E/ee?ntc Contractor's License No. y?6 ?o-a Mailing Address (Contracto or Owner Making li tailation) 44V G/?d 4 /???? 5? S3o3 ` d3?' W 6. SO / 9thoriz d Signature (Contrec O ner Making Installation) Phone Number 175"3 -13 ;2 ? M"SOTp STATEBOAHD OF EIRCTRICITV I THIS INSPECTION REQUEST WILL NOT Gri?_Midway Bldg. - floom N-797 - - - BE ACGEPTED BY THE STATE BOAflD 182?iversitv Ave., St. Peul, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phor?{z1 297.2111 ENCLOSED. REQUEST FaR ELECTRICAL INSPECTION ,i-.? ER-00007-03 ? w_ o See instructions for completing this form on back of vallow copv. ? ?t?J, ??. ""X'" Below Work Covered by This Request 3d ? l est ew Add flep, Type oi Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otner Snecr v ocner (specitvi ther Specify Othcr - Other - ompute lnspecrion Fee Below Fee Service EntranceSize k Fee Feeders/Subfeeders N Fee Circuits B Otol00Am s Oto30Am s e?• 0to30Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Artu)s Transiormers Remote Control Cira Partial,"Oi e Signs Speciai lnspection S?,A TOTAL FEEJac flemarks Rough-in ? ? Date ? ..? I, the Electricel Inspector, hr,reby tit th t th b Final ? D,ita n ?(???Q-? cer a y e a ove ' spection has b9en made.. - This request void 18 mon[hs from ?rdifiratr vf (Orrupaury Citp of (eagan Depttrfmmf nf Build'mg Jnsprriimt Tbit Ccrti ficatt itrxed purauant to the rrquirmrnu o f Section 306 of t!x Uni form Buildiag Codc crrti f ping tbat at the time o f ittuame tbis rtructurr was in compliance with thr vasiout ordinuncet of rix City rcgularing 6uilding conn.uaion or rur. For ihc follauing: v.wnimtlm SF DWG/GAR Bld&ftm* Na 7363 0-w-trTYw R3 Trwcoustm? V rm zon. NA zooaw+u;?t Rl Qw„(&A,ft Joseph M. Miller ,,,4,n,14115 Guthrie Ave., Apple V eeaums,?aa?4567 K3rkwood Circ. L.,;ryr t.H o k 3,Ches Mar East By; lst `x•'?"? ??, o,.: September 17, 1982 rwr ?r ? cwwcuan ruu .. . .a? __ __ u-wow us.n. s S ? ? 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 7 set o( Energy CalculaUOns • 3 copies of Tree Preservation Plan if lot platted afler 7/1193 • Rim Joist Delail Options selectlon sheet (bldgs vnth 3 or less units) DATE RemodeUReoair Reauirements • 2 copies of plan . 1 sel of Energy Calculations tor heated additions • t site survey for exterior adddions & decks • Indicate if home served by seplic system for additions VALUATION s?Zq R?-f ?jq SITE ADDRESS , ?&7 ,`'t 1#66CI9"0190 CleGLF,7 MULTI-FAMILY BLDG _Y XN TYPE OF WORK ? 4006" FIREPLACE(S) _ 0)01 _ 2 APPUCANT 12711A-C- STREETADDRESS -STfr f??%Jn98d[-.dT AW,v CITY C-'T? STATE/1100I1' 5???340 TELEPHONE # S - S"CELL PHONE lof2?j?-'??AX #!0l21 8'??3?'4GG PROPERTY OWNER ?& TELEPHONE # 6S? 9V#- &Zc?9 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'1'A RULLS 7670 CATEGORY 1 MINNI:SOTA RtiI.I;,S' 7672 (4 submission type) • ResidenGal VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: _?__ Plumbino system includes: Mechanical Contractor: _ Mechaiiical system includes: Sewer/Water Contractor: Water SoFtener Water Heater _ lVo. of Baths Air Conditioning Hcat Recovery Systcm $70.00 I hereby acknowledge that I have read this application, state that the informaiion is-c-oRe?,-.j agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appflcant -------- -------- ------- --------- -------------------- ---------- -°------------ ----- OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 _ Phone # Lawn Sprinkler No. oF R.I. Baths Phone # Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dweliing ? 03 01 of _ plex ? 04 02-plex 0 05 03-plex O 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex 0 16 Fireplace O 09 07-plex ? 17 Garage ? 10 08-plex O 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi 0 33 Ext. Alt - SF ? 36 MuIU O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. 0 42 Demolish (Foundation) E3 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 W'indows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retauung Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry sAc Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ,. , . ,..?tr,t?{.?n???h+h',.?n??Ck..?t,..(•,?C:?,$C?<.,.:$Xc...?3nk:.??...v,.}?.?..?t;$???'C::d:6 C;?'1'V i:)G' t.::AGi^-ii'd C..SH:1:fRe ,c: 1"E_'r?fi'Lf.P#A... i?!L;, -?? . ? ..., ,.?. i.'a1-iE.^. 04/1t'./98 'T':I:ME?:; i;5°:I.4:ct':1 :::r..,;; N!i-1Mrr f'tP,1._1PH H('d+li;?:1;, t_taNS:;Y' 3r''i.0 900_. 4567 I`71't!:Wpt:iD C; 87.25 205 900:t 4567 i;:r.+,;KWC1f113 ts 2.00 Tntr_7l RF.:t:`e'i.prl: xtmCiunrl;-. 89.25 C:=i089r,ea(.) 11Sf:::Ft .T.r1= :'A1,! ';Ci?.f:J;C`?C3?C?'?);,;?? i' ?',i?f?r?i?]it}?.,,/,.i?)F.?r.'•;:"i;1?.`IF„?.,';5?'.i?)?'Yti.4SjC ,??.i:ir'..'i?i?i . ?. ` C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ??. REROOF/qUTTERS/MISC B'iaiifi`n11 (APermit Type SF (MISC. ) k Type JBuil'dangr',C?4r ALTERATION ? Cen-sus Ca€Se 434 ALT. RESIDENTTAL z F T ?P?'?+A r c r Fp ? t &i vrr?f.+t f5a«.' .. rM ;' 6A3. tf?'? 4567 KIRKWOOD CIR LOT: 1 BLOCK: 3 CHES MAR EAST 1ST P.I.N.: 10-17150-016-03 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee ? PERMIT PERMIT TYPE: Permit Number: Date Issued: ?D ??'4? ? '€i:e VaLuaTZON $87.25 $2.00 $89.25 $4,000 BUTLDING 931783 04/17/98 CONTRACTOR: - Applicant - s-r. Lzc .OWNER: HANSON CONST, RALPH 14602467 0003720 0'BRIEN DRVID 3392 232ND ST E 4567 KTRKWOOD CIR HAMPTON mN 55031 EAGAN MN (612) 460-2467 (612)454-5057 Z hereby acknowledge that I havetjread? th???appIicat??n an?i st?te th?t ttr? ? irsvn aZ°scsrrrect vt M`l IF. 33Y) IIS 7 b1T? i 3? M h11 St'at'uCeantl',Gitjr 'of Ea?ga>n ?3r"di??ric?ss F ??Y-pZ li T a1tIbG % 9 "R Y £y ....... ? . _.? . .....vi..e.. . _ _. ?- .. . . _? _. ..... .. os . .5a- .. .... .. ... ...:... ,. s.. ._.... . _k+,. x . _.....?tr.= . ? - iw ... x.... .,_ .? _?.ev _ . ,. APPLICANT/PERMITEE SIGNATURE ? ;ISSU' D Y: GNAT RE ? a ? ? ? 7 g3 1998 BUILDING PERMIT APpLICATION (RESIDENTIAL) $ff. CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Conshuction Requirements Remodel/Renair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 sita surveys (exterior additions & dedcs) 4 1 energy ealculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan 'rf lot platted after 711/93 required: _ Yes _ No DATE: y /?/9,P ?^., , CONSTRUCTION COST; v a",'oc7,\' DESCRIPTION OF WORK: 4or 6,Cyc ce-p/cLec 2 S4t(-c4? STREET ADDRESS: #456 '7 YiehGU p-ep/ .[' .Rltt > LOT: I BLOCK: ? SUBD./P.I.D. #: `?.? C(1?-(9ti? eA-y(f PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: __aa,4j(,01 / Phone #: Last irst Street Address:A?6_7 ?J?&l(/rx? 6 ?jo&? City AA ?,Gy'l / State: M/(/ Zip: --61-•- Va3-? a? ComPanY:?Q.?,?2?'c `?`t?-c-?OYI (-9-Y/S'fYLI G?'C (lI'L. Phone #: lj??d '? V(V Sueet Address: License # City State:Zip: J6-3/ Company: Street City Phone #: Registration State: Zip: Sewer & water licensed plumber (new construdion oniy): and lot change is requested once permit is issued. Penalty applies when address chang f hereby acknowtedge that I have read this application and state that the information is coRect and agree to compiy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ; Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received ,_ Yes _ No _ Not Required 11-.. - OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling 0 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex Ell-,Q5 SF Misc. ? 10 = plex WORK TYPE ? 31 New 9,33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ?- Permit Fee 5 Valuation: $ Surcharge • 6-0 Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1! Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies --? Total: % SAC SAC Units .,.?.. ...? . ,. -? ? CITY Or EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-17150-010-03 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4567 KIRKWOOD CIR LOT: 1 BLOCK: 3 CHES MflR EAST 1S7 Bitildiriy?,,Permit Type DECK ;Build,ing Work 7ype NEW , REMARKS: FEE SUMMARY: 6ase Fee $30.00 5urcharge $.50 Subtotal $30.50 ?? ,. . 01 ]ry Y'?wa? m.[x..tg Yy?r?6[r°":.i?aYC' 4s Cd*0 BUILDING 025792 06/14f95 GOPIES $2.5.0 7ota1 Fee $33.00 CONTRACTOR: OWNER: - Applicant - 0'BRIEN MARLA 4567 KIRKWOOD CZR EHGflN MN 55123 (612)452-7141 ? : . . I he`retiy acknvwledge that T have r"ea..d this application and state"that the • informati-on is ?corr-e:ct an;d agree to CQmply .w°it?i all `applica.iale5ta`te, ofM?. ,; ? . , r °- , - 8tatutes and Gity of Eagan Ordinances. ' ?..? , '... . ? (1?,? ? . n ` APPLICANT/PERMITE SIGNATURE ISSUECF BY.'`'IGN6TURE r? w INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P'I.N.: 10-17150-010-03 APPLICANT: LOT: 1 BLOCif: 3 4567 KTRKWOOD CIR 0'BRIEN MARLA CHES MAR EAST iST (612) 452-7141 PERMIT SUBTYPE: DECK TYPE OF WORK: _-??- - -- --=-'-'- - - -- - -- - NEW BuzLozNG 025792 06/14/95 ? 151911995 CITY OF EAGAN 3830 PILOT KNf)B RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ?-- ? 3 registered site surveys ? 2 copies cf pian ? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 dedcs) ? 7 Rnergy calcutations ? 1 ene:,ry calculations for heated additions ? 3 copfes M tree preservaHon plan if lot platted after 7/1l93 requlred: _ Yes _ No DATE: CONSTRUCTION CAST: DESCRIPTION OF WORK: STREET ADDRESS: qs Co 1 VN? ? KU,Xo CYl? G c, CQw t- LOT ? BLOCK SUBD./P.I.D. #: ?6?'r-S hzi"' PROPERTY Name: C `R('NQ'1 cacz-bPho e OWNER usr FIRbT Street Address, ? S? I ?? ? rcnP CD City: taeo' State: ?t? _ Zip: E'S' A A3 CONTRAeTOR Company: !&;Qa vb ("1?10 Phone #: Street Address: License #* City: State: Zip• ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #• Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 1 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: ?or")Cx- 0 18r . OFFICE USE ONLY REC? ENGD Certificates of Survey Received _ Yes _ No jU N 0 51995 Tree Preservation Plan Received Yes No ---------------- OFFICE l3SE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Dupiex n 02 SF Dwelling a 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 05/-45 Dec:k ? 36 Move ? 37 Demolitian Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. -- - sq. ft. sq. ft. 1=ootprint sq. ft. Planning Building ix?; y?p ai ..Oq ? ? ? yYr. . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water ? Fire Sprinklered PRV Booster Pump Census Code. ey"lly SAC Code O ? Census Bldg ? Census Unit Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMJS SJRC City SAC ? Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other CoPies ? s"D Total: % SAC SAC Units _15 Guthrie Ave. ? ..pp1,e.,V&lley, Mn. 55124 ? DELMAR H. SCHWANZ LANOSURVEVOR RpizterM UnAVr Uwa of The Stale of Minn*so[a 2978- 146TH STREET W. - BOX M ROSEMOUI?T, 119IidWESOTA 66OB8 ? SURVEYORS CERTIFICAYE y?Ks Sg?r/ PHONE 872 4237789 \ 3 ? ? II I ,?p 924..7 `. ? ^ TvP m 7oP ??? ?3/, o I a? ? ?? q2q. I ?1 qti ' ? V NJ 4 foe-61~O r J ? LOT 7•0 9.A I i o ??ive- -C)o ? o ? ANU ? uT1417' Y 4-1e U ? 93z.1 ToP - _ ? - _ ? _ ?9Zf E? IZ-542.33 ? 'ST ?/lzKc..?dnD a?, --} -----r Proposed garage floo: 31,4 . Proposed top oP foundation 93? . I qz9.1 Denoteo Qxiating elevation Proposed basement floor 12112,g . Q Denotes proposed elevatlon I hereb,y certify th<rt this is a'true and correct repreaentation of Lot 1, Block 3, CHFS MAR EAST r]RST ADDiTION , according to the recorded plat thereof, Dakota County, Minnesota. Also ahowing the location of a propoeed houae as ataked thereon. Dated: Narch 10, 1982 PLPV --/1 MINNESO7A FlEG(St}tATION NO.8625 ? ? . . .: .. . : .. ? ? ...,. .:::i?'?.. .. . w? ..?.: . ..r?+?., . .. . ? . . ? .. . . 3 ' . . . , . . 1'r? f n 1 ^` . -- -' - . _. --- . .._. ----- ---- ? ?: ?.. -----. . . ---- -? ----? ---- -- - 19$8 BUILDING PERMIT APPLICATION - CITY OF EAGAN ? y C SINGLE FAMILY DWELLINGS 4 Q J Ll- INCLUDE 2 SE'PS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS HENTAL UNITS FOR SALE UNITS 4k OF UNITS INCLUDE 2 Sf"PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL IVCLUDE 2 SLTS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFTCATIONS AND 1 SET OF ENERGY CALCULATIONS - w ?? - To Be Used For: Valuation: /OQ?/ L? d Date: 3--g-66 Site Address Lot f B1oc Parcel/Suh _ iZ" Owner ? y Z? Address `?SL(? -z?Il City/Zip Code 6wm)Phone ?/52 Z> Contractor Address City/Zip Code Phone 2??? ` ? ! ? - Arch./Engr. Address City/2ip Code OEFICE USE ONLY On site aewage_ :*IWCC system _ On site well _ City water _ PRV required _ Hooster Pump _ Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. APPROVALS Engr/Assess Planner Council Bldg. Off. Varianee FEES Permit Surcharge Plan Aeview SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Phone # Cities Di ital ualitv 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. . ,xi?.:..?•?,_ _ . ..,?,.? ....... . .........:,,.o. .. ..... ...,.e_ .,..?._ ..a'..,. , Qert?ificate for:, Joe Niiller Conat-; 2'4115 Guthrie Ave. ' Apple V?lley, Mn. 55124 ' DELMAR H. SCHWANZ LANOSURVEVOR . -- Reqistalatl Untlar Laws Of TM Stata oi Minneso4 2978 - 145TH STREET W. - BOX M ROSEMOUN'T, MINNESOTA 86089 PNONE 812 423-1789 SURVEYOR'S CERTIFICATE 3 -? , ? 9Z71 924.7 ? I I,¢oN ? m ?° ? ?l ? ?{ q2°I 1 N o ti, ?? 33 ? ?o ? SCACE• /= 30 ? ? ? v ??f?d0 p ( \ 00 f? 7.o ,O 2 0? Q I ? , i ? ?? v baee .?R ?? 4 m .. , - IZI ? g A29rNi76? L 22. j _ ' 1 ` 93a o Ar?uT)' E.45Ei+?c'.vr ? o . y q?• o 'li -_ 93z.r ? ° 9io.al -4-L T4A - ToIV l q - - sXoN ?-- o s.iw'Z? J 1Z?.? 7 -? %, so.oo ? 78. 3; Proposed garage floor 3/,D . Propoeed top of foundation 93?- • qzq•i Denotea existing elevation Propoaed basement floor (D Denotes proposed elevation I hereby certify that this is a true and correct representation of Lot 1, Block 3, CHFS MAR EAST FIRST ADDITION , according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as ataked thereon. Dated : March 10, 1982 TAI' P f --J ? MINNESOTA REGISf14ATION NO:8625 ? .:.: . , R s-?? :F???`? . •. ,,?,?*,??„;:: j 1 _ ? ±....._ ..._.. , r . . .- , s; i4 . ?' " . .? 3035 e>;TLRxoa ryvr•.LUrr nvcRnc;E coMruTnT=oN • ? •:i , . nnTs OWWERs ...e ..a t t e. - j ^ PItONE z 454-4753 itt rlc ..a r a,.A7 e SITE ADUttt]SS: 45(jZ ' -- WNTWIC'NR: _-10E M11-6-pr : , Determinc working square footagje of each = . • ? °?C?.- $9. !t. 7- •? ?=-?--.~" 1. 7btal. cx?sed wall urea...... f , OS • ,?_Q 2. Tcel,zoo!/asilinq area ...... ? a4• ft.'x 7btal exposed wall area abova floaz al?,?._ ' ? a. Tntnl•wall window area............... ............r.... ............. ,,, ?.... , ? ?•. .otal >]ear. nreA ..................... •""•.•• c. Tota2 slidima giatia douz area .....••••. •••..•••• , ..? ?•..• d. Total firenlar,e wal,. area ........................ o. Totul wall fraininy area (averaqc 10?? .. . . . .. . . . ... Y••• • !4 ( .... f. Total rim joisL• arr.a ........••••••••••••••........ g, .kf.?f wt:l.l xx?!a :bovo Lloor ........... .. h w;il l area auove floor.................... ?' • • • • . •--• i. wnll area above f.loor................... 9.4 ... j' wsll area ubovc: flcor .........................• -- ----- t v • ? 9bta1 exix>se3 foundation area = . : .... .. . ?.... ? ..4.... k. ',btal fwu:datian window area ..............•••. 1. 2ota1 net four.dation area abave qrade ........... De.icrmine "U" value of each wall seyfinent w?ll section) ? (?,,3. windcw, door, each separaCe t? X a?]n a a . ?• -. 3V??,?.__ X 11UV. c. 40 X . ..u„ _..?.-.- d , - Y nUo ...., .. r - ?? g . • J'TO X ??vll 1 ? ' x loUll -04' ° ___-A_, f . ?__ _ g. 1 330 ? Y. ^V?l .044- _ _--.•a?-i-?.?-- ?1. ? nUff ? 1• , x uVto -- ° ----- ' i . x i,u„ - ° --_.--- - X uV.: 3 . _ ?°_°?. . h .;un ;q1 - - " ?. ?_ . ? It' itcia #3 is thc 3amn s or 1e89 than itcm pl, Yo' IILVR q1Qt tllc? intent Of 5UC 6005 (c) 2. oxtarfor Cnvelopc Avera9e "U" Computal•ion - Total exposed roof/ceiling area . ..... m. Total skyliyht area ........... .re • lOL) ... ??- n, Totdl roof/ceilinq framing'area'(?zvera?••??•••• o. Total nEt insulated roof/cc.iling area . Deternlino "U" value for cach roof/cei?irq Se9ment M. X nV„ ?.. • ? ..--?"- ?.?...-.?---- Q X nVa iOZ?) a 2._1 ?: . .. n. •-- ?1 X ???,? 02'3 • 7-.?.?=-- ? o. 4 ........................... Total m Z .9?. I vg eat tlu+ fntent ?DL If total of 44 is the same as, or Icsss ?han N2. Y? ? i SbC 6006 (c? 1. , Alternatc fluilding rnvclope Desiqn i, o ntilize the total envelopo 'system method, the valUlle6 astablisheQ by t?ts s'sm of T ;i ? itrtms i13 and $4 shall not be greater than the 6um of te? ?1 ? ?2' + 1. 324•4 + 4 3. 2l"7.'S . 2 _ i . 1 pLA e..i 6? 30SP5 t .? , •, 4 , ? . . f 1 . ?P?sEo ??LL, ? ??WEAL,, B?G k,,,' ; Zlv? 325-?-.2 Ge 3$+ I o= 138 ? ?/ , , ?? ? 1 1 -? Z (a •+ 3 b {2Cv-+'7 + 4 = 1 I Qr 141 VULI_ I? ? FuLI.Z- ? ` ' ; ?? M • ?''t', ??1?45i ¦ s?. SLoGI em.,, CUt,l..l ?D %lA l..L AR-eA ; = 5??o ? ? = --t I t?as = I t 28 ' k ? " _.... " + FuUL 2t ^ Fe P - .? ' Y, $ 11 05?.? GEil.141? ¦ ? c?.,Ft . ? x p It jDO°Q.,,S t? ? wDWrs It 31b Zo 58 zq3(n I'r+-? i ? ? '*S Za ?8 .Zq4 $ ? t ? ? 32- ? g ? ?ATtO DP'S ? ?g i ? ?' Z? (p° 'fo V iJ I4-5 L11 120 ??, . ._ - , PIPFF- . • ,. WpT/CCILZ.IG R-Valacl$ ? , • , j' ,.. ? -_.....,.-.-? ? ' • ? ?,,.?? ?ai•;t•??._tl"" ?__ ..? • • ' ,, , 0.51 Intcriurl'??a?l < 3 r 3. n ? r , " (1 xx?orl.a 4 • i ? 'l+pt?4l. I ? ( , w ? • , +` /?}} ? ? ??!? ???i?1.,,.. ?? ? . ?. ,IWa n , .......?- .?_••?, ? . ;?: ? , i,;,..• , OfY? ' . Z?`\?? ^ •• . . . • . .,t • ':.. ' ? . ? _ • . ?? , ? ' ? ' . ?M?? ??' •iT?.lilla 'C.6).'.. • . • 1? TnteriaY? ?; - ? geat flow ? Z. ?, . ? ?'? • „?„?.. ?p . • tACtd • r?? , 4. , • ' ? Exta?e;, ''!r'iW??.??d ?`'?' • • . . . ? • , s'?• Ig? ? • ., , • • .' , i?l"?= ??? Y . . • , .. • ?,, . , , •;?? ? ,,. . . .. i. ?, ` ? • . . I ? i. ? ' . ' ' ?• " . coa. Jr?Ai?!Jcxr fi]o, , , . 3 - . 1 • ' , ., F? . 4. .'att fll:e , . ?• 5. ,IDutJ:-, , ?D 1 . ,: , ? . • , . . . `. . ?c .C • filw . ' 1. . . 2. ??nted 3 Ilov up.. 4. EeGL ' . ?' j • ? • 5. • . . •. ".• ? '. . ,6.. ' .. . ,..r : . . • , . . - .. • . i .»..rr+? . . .. • . . o.+ss . ..n .. --• .,_. -• 5 • ? ? Y ,? ?, ....... ? ? ? . 3 •? . . . •?1???? Z. . , • . j ..r !1? 3. 1 • • • ' ? ? ,•? ; ;?:r:'?'•? 4- e +?ir filn+ 0. a .. ??? ??,•=-. .: . 5, wes? Tor,l ??',??-",'•,±Y•; •t: •" -• • •'• • . ' .:,'• . ?? ? . • • ? • - '. • • • ? 1 Z . • .• . sa sdditior?a1 sheetss if morc cpace , . : . ? •?•'. ' . • ' ..'. . . . potcI aAd cslcujatians. . • . ??vm= • .' , , ?SOC1ed, tos dntp ' ` ! ? ?•' . • . ? ' . . . • ? •' i'.f ' ?Eat . • • .. tLoV uP . . . . . . . . •' . ? ...?.. . , • • R ? ,. ?• ? ,: _ A , ? . ,., ? ?i ., a` ?.•n.I1, r?t'?'i'?"'?" • !:? 1'I'1' : ,. J? l. a..11: ll:.,• ?,?.Z ? :.1. ? , . .?7?'?1 I?i: ..._._. ??..;r::• c•v?:tr„?.! :••n ..__ -•-•-_.._... ??..... ? _.... . . (?? `--i-, _... 1 . .. ;_?, ,. • I . i ?': "? ? ? ?`} ' . '."\ ? tc " •- . ..__{? W.^,.t. ? , • -? ( --- '- -- c? . ., . • ? FIr,. 11 TOl>VI t:w cn• FItAt71i 14l?1.f. . ' _........•»--(? rzc. ra ..A' .._...(? ,?, u_•?,, ??----------vJ NY • • I ?? ? ?•? • ? ? .'' ? ? ol ? i; ' I. ? ??.???- ? •?O _,• ,,?_ •, ;: _? .-,; ? ,,, . • '• --... .. ._. ._ . ?,? ? . , ; ?? ' ? ?' 'µ I ?t . ' ? •?, .?_. ,. _ 1 ?• •.: ' ? , • r. r • _ ?,,, ?, .'. • ?...:?t ._.. '•_ ._- .._L? _ , ' • ,?;,? \?. L. p?i, , ??• , •0? •a-.__._. ___?.. ? • ? .,,.rK•,,?c . I ?.? { I?,Y, •R ' A , • ? . ? - ... , ''' ?i; ?" • • / '...?/' ? .•_..1? •• . • ' I ' t , ,. . l l. A. s. fi. i. z. 3. 4. 5. 6. 1. 2. 3. ti: E, . , .. . ?. IJ"!' ?yZ CsYPPa'_7.p 3??:????4:i i?????• ?.?1=M? ?,r,? ? .?.... .?_. .Sl?il?-?G......._..... __, ' -- Tt-V,i luQ . ~ i: }:xL?.iG! ??1'. ?liT =• v.i4 . .+-..'?+:?.....:?._..? Tat `i. Z7 )ner.rinr fitm_._. 0:68 _,L'? '' k?P•c7?.?s- - .? Z iex er"?i To al'; , , . 7nturior_ALr ftlM._.? I ` Tfi=f? ?!1?sw? . - ?--- ?? ? rxy? x ?.r ------------ - ..zq 3lv . ,; l) _ .. b4l l. t•?Lc?.'i.c±r, jS.r _t i1m.._...?__ _...._.._. ?? : ;. LIZ.?51?? ~-...._...___..r..._LL Z11> 4. ...»?---"r'» . . ._.«..... ? - - . . G, iixherf.or 'Ai r i lm .?.?? .......? . ....?.?n? r st_nu r?ti ttnnnw - -•-• . ? . .... _?• -- -?--??;• ? ?? .`:, ?, ir? ? 0 ? ? ... ? . ? ' n ?- . •' , ; _ ..-- . - -- ? ? • ?. • ' • . , ?? •' ??r?,1F?? , ' . ' ?' , • ` ? . /ll •..: .. ? .. ,s . '' 1(I.?- . • '. ' ,. MI~ ? • • W /r? • , ? ? /?I . ' r ; e[<:. Aa ,?i ? • :? ? ?. ?.. ? tf?r?•r. 7u?{i?:'?tr ty?ie? ???t" valw:, droEh t1n(1 - i y i?t.ct:?•r:n4 v' Inr:ulatltrn. . , Use BLUE or BLACK Ink r————————————————"-� I For Office Use � � � Permit#: � �� ( (� j Clt� 0� ��Il ; . .��-� ; ' Permit Fee: C�� 3830 Pilot Knob Road Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION t5�'��,o s5� A � Date: Site Address: , Unit#: �� , �;; ` \ ��: Name: Phone: �O�� '� ��]T c✓fl �� -' ,� ` ;�p ° Address/City/Zip: 5 �C��i f �� .� �� ;�� ,� r;;' Applicant is: Owner � Contractor s Description of work: �Q.Iri��f,(_ R,1Q.. 1A/'j l� ��S y�_ f�l�,�,�. �l��i'� N��. T�;��`'��'�C�. � ��- � � ��' r 1,�� Construction Cost: �C�� Multi-Family Buiiding: (Yes /No � � �n�, —�-- �� Company: �� L�-f. Contact: �2-�1�-�.� SI�'l i� ' � 'y� ��z�� ' Address: y1 l) l �� tC ty� �u-�"✓l SU � ��Q � ��1"�+G��iI�" ��= �,'�� State:�Y�zip: 5�� Phone:�'n��.'�3--O�mai�: � �.i°"��(��1p�1�1At acvc,-� � : ej_..�- ��;; License#: �� Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THI$ 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: �T��C�`��7p�� r��f�`��r��rb��e;��` '��'�t'�� /��riP�'r��raf a�r��'a�`��►��s�'�1��r� �'�ro�,��e�t��c�►�� x�� °� � �� , z � v J�� r � � �' ��.. .�� .- �"�� u� , �.�. . .,. . .. ,._„ . .�� .� r.��;. :�� c ��. 9�a` _ : Y _. . ,,,,, .�� 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.popherstateonecall.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 the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. . ,� ____.__ __.,... x�� ` ' �i�1�'�'� X Applic�nt�s Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r________________� I For Office Use � I ,I �' � Permit#: � �� 4 � City of ��a� ,/� J �� Permit Fee: �t! 7 ` �� 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax:(651)675-5694 � Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ti Date: �'�C�"'(� Site Address: `� lill Unit#• , � �� , � � � � Phone:�� g � Name: f �`��"##� C� , f ��* �� Address/City/Zip: ��{��y_ � �0� �1✓� ; ��,�- ' c � , c �� ;:. .� : Applicant is: Owner Contractor � � s �`� � Description of work: �l`��1-4- ��C�4--If� Tjip�Q#'11#��c f�f: Construction Cost: �� Multi-Family Building: (Yes /No �� y�� Company: q„��/ ��^ L� Contact: "1�W 1 G��.L��Lt r�, �f - �4 � �Vl '� �11� C � ; �� , Address: � �(:� W (� ��F'�— ��3� � t:Q �"�1�1�� r State°-�Zip:�� Phone: (�1��`� ail: � �s�� / e�t�, ? License#: � l�I��`r'�� Lead Certificate#: �..n�� _-,''. v 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: �!TL�, �� '��d��r '��` � ��+��es��1 � � �c�� 1��►��s O# � � � �� ►��'�ae�s��rd��1��#`� �r�r�� 1��\� � ; �� ro, � � , � �r fr „ �,� �,��_ �� :.�.�,.,..r , . ,. .n..:, �...;., �t��,: � ±�� J`� , :. _� �... �, .. ., :_ a�. ,�.>._.. ��. � � _ �. .. .� _:. � .,,.�.,�. F �" -.� 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.goaherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be c leted within 180 days of permit issu nce. X�%� �� } ��t�C r�� X Applicant s Printed Name Appli nt's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135628 Date Issued:03/28/2016 Permit Category:ePermit Site Address: 4567 Kirkwood Cir Lot:1 Block: 3 Addition: Ches Mar East 1st PID:10-17150-03-010 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 - Allen L Pruis 4567 Kirkwood Cir Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174537 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4567 Kirkwood Cir Lot:1 Block: 3 Addition: Ches Mar East 1st PID:10-17150-03-010 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Allen L & Nancy K Pruis 4567 Kirkwood Cir Saint Paul MN 55123--190 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature