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3876 Kennet Ciri • . r -MYr W"Ifficate vf cccupanc? witv of Cpagatt Zoaratur of 15mu"s 3*4M*" This Certi.fcate issued pursuant to the requirements of the Uniform Building Code cenifying that at the time of issuance this structure was in com,pliance with the various oirlinances oJthe City regularing building construction or use. For the following: ux aassdkatxw- S F D W G sidg. Pemk rb. 1636 . WMI OccuP-y 7ype ?ng Disvict rpe CORSL 5201 { _ , Owoer of B ' ' Address ? s s B7 Address L.ocaliry oi/i2/qa ?: Boildins OHiciel POST IN A CONSPICUOUS PLACE INSPECTION REC4RD c°ntr°' "°. 1192 ' CIT'Y OF EAGAN PERMIT TYPE: Nu c a 0 1 Nit 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: i A/ i 6 J 92 (612) 681-4675 SITEADDRESS: 21 flci10(: I APPLICANT: 41+/6 1cENNE7 Cik f"r aorrtuNO r.o iac Ct)VENT'ttY PASS 3RU (617) 671-A3A4 PERMIT SUBTYPE: r 11141% IF TYPE OF WORK: kIFw ? Ri'trCAkK`.;s ?& W r:t?N(kACfUR -• VAI.i.UY PLeQ Permtt rio. Fermn Holdw wa rsMpnwie s SM/ PLUMBiNG ff J ??. ,??a. ?/a? HvAC ELECTRIC 89 ELECTRIC ow Inapectlon Dste Insp. Commertta Footinps ] ?D FOUndBtian G Freiming llJt? Roofing Pough Plb9- ?l. Rougli Hi9 7- lsul. / a ? A:z w Fi?eplece Fnel Htg. 9 Finel Pibg. ptbg. Inspeaa -NotIhr pumter Const. Meter EngrJPlan e,a9. FhW Deck Ftg. Deck Flnal weli Pc Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 , . SITE ADDRESS: ? i NPI1 i i. 1 i: ::i k I1 'f PERMIT SUBTYPE: 1iFqJ7ftxt, t rUN INSPECTION .• . .. . ?•?,?i NFpiARpvIAN REvt'WF(? E3Y .10F VOEI S CA1 t 44'? :'1140 f"tf lillRliTNt; rl [ c fRlcnl NF.RMTT AMD iNSPFCT fONS ? _ i PERMIT TYPE: Permit Number: Date Issued: , APPLICANT: tilt 1 1 I1 i NC 0 i;i1H Of /1 1 1QR NF41 ';r.REENfD PORCN TYPE OF WORK: Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS jT?,?? u FOUND FRAMING 7?5 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ?.a3'?'j/ ?G,? DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnwrr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAI_ ? Address: 3876 KaAW CIRp,E Lot 21 Blk 3 Sec/SubCOVENTRy pp,S5 3RD These items wece/were not completa at the time of the final inspection. Date: 01/12/93 Yes No Final grade (6" from slding) ? Parmanent stepa - garage Permanent steps - main entxy Permanent drivaway Permanent gas Sod/seeded grass i? Trail/curb damage Porch Basemant finiah ? Deck Yleasa verify vith the builder the remaval of roof eest caps from the plumbing system and the ahut-off of vater supply to tha outaide lawn faucat bafore freeze potential axiats. ? ?mn?ewa White - City copy Yellow - Reaident copy Pink - Contractor copy /o ao 9,n- 5 183 RE?UEST FOR ELECTRICAL INSPECTION ? Sae instrucuons tor c0?plefing !F,ia form on back of yellow cOpY X" Below Work Covered by This Request °TM?EB-00001-OB ? ?.. ew Ai1tl Rep. TypeoBuiltlinq AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt.Building Dryer O[her.(Specify) Comm./Indusirial Furnace Farm Air Conditioner Otbar ?sytti?y) Conhamors Femerks' Compute Inspection Fee Beiow: # Other Fee # ServiceEntrance5ize Pee # Circuits/Feetlers Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps ve 100 _ Amps $ign5 Inspector5 Use Onry'. TOTAL 5 O Irrigalion Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDER DIF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Eledrical Inspecror, hereby f R°`gh-'" oaie certi y that the above inspection has been matle. Fmai oate OFFICE USE JNLY Tnis request voitl 18 monihs tmm ?' ` ? - 8 1 1:;_?G r1?-,?0?? & ao F02 Request Oate Fire No. Ro n Inspection p ui '+ ? Reatly Now W II NoHty Inapecbr Wo-e., HeaaY? . n „ N, vas IY licensed contractor ? owner hereby request inspection of above PAtctrical work at: Job AtlOress fSireet Bov or Route No.? \ 001A Y?2X ? r - Ciry L Q, Seaion No. I Township Name or No. Range No. Coun t?-C\Q Oau nt IPqINT? l Phone No. \V. o S Pawer SupPiier CJ Atlaress EI Tal ConVacbr ?Company Name) Contractor5license No. ? i e -Q- r' c? 03 21 Matling Atleress iCOmroctor or owner Making Installalion) QY Y-c\\ Y? O nwnorrxed Signawre iConvacrori ei Making Instananmn)I S Plrone N ber MINNESOTR STRTE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT G.IB9aMitlway BWg. - qoom &173 BE ACCEPTED BY THE STATE BOARD 1841 Univenfly Ave., SL Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone(611)8aR-W00 ENCLOSEO. ?55 89a/3/?? i?rf ioa?3sy 9 R¢q st 0 te ' q? Fire No. F ugh-in Inspenion quy ed? ? ReaOy Now 95Will Notlly InspBCbb 0? , W FY?'es G No y? When R% Ilevicensetl contractor p owner hereby request inspection of above el rical work a ? Job Atlaress (SVeeL Box or Ro re No.) 8 76 Ciy Section No. Township Name or No. Range No. Caunty ^ O? `?% Occupa (PRINT) Phone No. Pow S plier ? Mtlress Eleclric o?fr ctoy ?COmpany N?^ e? CoNracmr5 License No. ?GK.ue, C o 0 3 8 f Maiung Atltlress iconnaclor or p er Mahing Installation? Aulhoritea $ignalure ICOnhaM Owne aMing Installalion Phone NumEer ------ ? ,? -38)0 4(.. MINNESOTR STRTE BOAflO DF ELECTflIqTY THIS INSPECTION FEQUEST WILL NOT GrlgqsMiEway Bldq. - Noom S173 BE ALCEPTED 8V THE STATE BOARD 1821 Unlversity Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phane (812) 6,12-0B0p ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ???; eaoooo,-oe a 518 9• See inxVUCbmns lor completing ihis form on back of yeilow copy "X" Below Work Covered by This Aequest ew Add Rep. Typeof8uiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Healing Apt Building Dryer Other-(Specity) Comm.llndusirial Furnace Farm Air Conditioner Ofher (syeciry) ConVeclor's RemaNS: Compufe Inspeciion Fee Below: ? # Other Fee # Service Entrance5ize Fee k Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps Transformers Above 200 _ Amps Above 10 _ Amps SignS Inspecmr's Use Onry: TOTAL Irri ation Booms T (Jr/? ? b ?- Special Inspection ?23 Aiarm/Communication THIS INSTALLATION MAY B ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TX ? I, the Electrical Inspector, hereby R°.y"-'" , oate/I ? ---- certify that the above inspection has been made. Final 42: "d ?'?c OFFICE USE ONLV ? Thi3 requesivoitl 18 monihs Irom -5c"l ? I RESIDENTIAL BUILDING PERMIT APpLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 New Conatructlon Peaulrements • 3 reglstered stte surveys showing sq. ft of Mt, sq. N. M house; and II roofetl areas (20% maxhnum bt coverage albwetl) . 2 copies af plan showing beam 8 wintlow sizes; poured fountl design, etc.) • 7 set of Energy Cakulations • 3 copias of Tree Preservation Plan tl lot plattetl elter 711/93 . Run Jold Detall Optbns selectbn sheet (bidgs wIh 3 or less unHS) DATE d? G d Z pemotleVHaualr Reaulremertls • 2 copias ot plan . 1 setof Energy Calculatbnsfor heated addilbns • lsttesurveyforexterioradtlAbns&decks • Intlirate if home seNed py saptic systam for addltlans VALUATION SITE ADDRESS C"r MULTI-FAMILY BLDG _Y XN TYPE OF WORK FIREPLACE(S) X 0_ 1_ 2 APPLICANT 4 ..,u- S?.-?--- STREET ADDRESS 357 ke Kw.....? C?-r CIN_ L-ge-.-? STATE th#'J 21P S'SI z:?, TELEPHONE#(a1?-6??-8(?s'? CELLPHONEp 1 L2-Z7z-113y FAX# 952-asa-(6 0 z5 PROPERTY OWNER C.?j., TELEPHONE # (n57''(m °al ' ScoSL --°-------° - •-------------------------------°--------------°------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIIVNESOTA RULFS 7670 CATEGORY 1 MLNNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheat Submitted • New Energy Code Worksheet SubmiKed • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Wafer Conhactor: Phone # _ Water Softener L.awn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Phone # Air Conditioning Heat Recovery System Phone N ? ' '7 . 0 lL, 6P -FE-$76.00-' I hereby acknowiedge that I have read this application, state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. ? ? Signature of Applicant l_$9Q;00 C' 20?2 L?I (? u ...... ------...... _......... --°.................... _._...._..r..r..._............._......_... ? OFFICE USE ONLY Certificates of Survey Received _ 7ree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory BWg ? 02 SF Dwelling ? 08 06-plex Q 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufli ? OS 03-plex ? 11 10-plex )" 18 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair )!f_ 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EMire Bldg only) - Give PCA handout to applicant Valuation D?D 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 Sprinkiered T Type of Const ?J_ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ?C FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile OtUer Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retaining Wall Approved By 7 Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total A 0--;r o 470 P? PERMIT# 5(01 ? RECEIPTDATE: 2002 ii£SIDEN'flAL f'LUMBING PERMTf Af'PLICATION cmr og EAsArr . Gj o, 5° 3830 ?noT ?cr?os xn EAIfiAN, MN 55182 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 3`(!)l OWNER NAME: TELEPHONE#' (057 (s, °bI -`5 (°Slz (AREA CODE) IN5TALLER NAME: 4v,?^' TELEPHONE#: (oSl (avI -2?U 54. f/ (AREA C(7DE) STREETADDRESS: 3`g?llo G'r CITY: 2r;!,r? STATE: W1oJ ZIP: 5-547-9 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00 includes $40.00 Counry fee Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or room additions, excluding water softeners and waier heaters. $ 50.00 r _ A6andonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installatioNrepaidrebuild I ?i <? :!1 G 7 1,?? 'i $ 30.00 ? < . lawn irrigation system _ r ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 TOtal $ I hereby acknowledge that 1 hava read this application, state thatthe information is conect, and agree to complywith all applicable Cityof Eagan ordinances. It is the appliwnt's responsibiliryto notify the property owner that the City of Eagan assumes no liabilityfor any damages caused by the Ciry during ds normal operational and maintenance activities to the kcilities eonstructed under this pertnit vithin G? property/n -of-way/easement. SIGNATURE OF PERMITTEE 1/02 INSPECTION RECORD Control No. 1192 CITY OF EAGAN PERMIT TYPE: BtJ IL D1 N G 3830 Pilot Knob Road Permit Number: 001636 Eagan, Minnesota 55123 Date Issued: 10 / 16 / 9 2 (612) 681-4675 SITE ADDRESS: Lo r o 21 e La r, K e s APPLICANT: 3876 KENNET CIR THE ROT7l.UND CO INC COVEN7RY PASS 3ftD (612) 571-0304 PERMIT SUBTYPE: SF DW6 TYPE OF WORK: NEW INSPECTION FOOTING D. . FRAMING ., INSULATIUN FINAL FIREPLACE REMARKS: S& W CONTRACTOR - VALLEY PLBG I ? 7 ?_? ? J PERMIT C°n °"°. 1192 ? C,ITY.OF EAGAN 3830 Pilot Knob Road PERAAIT TYPE: s uILD r N G Eagan, Minnesota 55123 Permit Number: 0 016 3 E (612) 681-4675 Date Issued: 10 / 16 ( 9 Z SITE ADDRESS: 381e KENNEr czR Lnra zi QLOCK; 3 COVENTRY PqSS 3R0 DESCRIPTION: ,-Buil.t3`ifi.g Permit 7ype SF DWG Builtling"Work Type NEW UBC Occupa'ncy R-3 M-1 Cdnstruction S'vpe V-N f Zerniri9 .R-1 BuYlding Length '=,S Building Wid:th 35 r _.. . . ..i l.? 'i t ?] t ?? i{ ? + :-`'....tP .. .2.... . , ? a'r' ..?.r? REMARKS: CUol I 5& W CONTRACTOR -- VFiLLEY PLBG FEE SUMMARY: 8ase Fee Plan Review Surcharqe SAC SAC 96 5flC WniLs Subtotal VALUAI`IUN $734,00 $477 . 10 $63.50 $700 . 00 100 $1,974.68 $127 .000 MI5CELLAiVE(JU5 $1.610.50 Total Fee $3,555.10 CQNTRACTOR: - App7.icant - sT, Lz pWNER: 7HE R07-TLUND C;0 INC 15710304 000133 7HG ROTTLUND CO INC szmi F azvER Rn szei E RrvER Ro FRIC1l.EY MN 55421 FRIDLEV MN 55421 (612) 571-0304 (612)571-0304 S hereby aeknowlsslge that I have read this applicatiart ar+d sta.te that the informat` is correct and agree to Comply with all applicable Stat2 caf Mn. Statut nd Gft of Eagan Qrdanances. L ? APPLIC ERMITEE SIGNATURE ISSUED : SIGNATUFE PERMIT N, IG3(r CITY OF EAGAN $ 5`ze? 5.F4 1992 BUILDING PERMIT APPLICATION 681-4675 CoAr( r0-)! ?°ol 3°?/ZI ? EcTO9 SINGLE 8 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, 1 copy of energy calcs. Penalty applies when typinq of permit is requested, but not picked up by last.rrarking day, of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work 135'000 Site Address:__ ' STREET STE 1 Tenant Name:_?? ?a??UNo c'o. -:t?He., LOT Z? BLOCK 1 SUgp. P.I.D. ! Descri tion of work: S4 le_F-uu-.,7 ? The applicant is: Owner Contractor 0 Other (Descrtbe) Name -T"l+e- ??o4anA C-o_ TUc, Phone 611 Property LAST FIRST Owner qddress 5 za? G. ver R.? ?rfl I , STREET ' STE # City ?r?rcPl e?l State & Zip 9Ci4?) Company Sr_1vtiQ_ Phone Contractor Address License [3W Exp'.''3t-9 City State Zip Company. Phone Architect/ Engtneer Name Registration # Address City State Zip Sewer & water licensed plumber ?le ?u wAbi? . Processing time for sewer & water permits is two days on e area has been approv . 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: `iS_T? urrmoc uat unLT BUILDING PERMIT TYPE 13 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish pf 02 Sf Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. O 08 Deck ? 12 Comn./Ind. WORK TYPE 31 New ? 34 Repair ? 37 Demolish ? 32 Addiiion ? 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move - GENERAL INFORMATION Lonst. ?Actual) Y- Pi Basement sq. ft. (A1 owable) V-N lst fl. sq. ft. UBC Occupancy .,3 M-I 2nd F1. sq. ft., Zoning IR-? Sq. Ft. total i of Stories Footprint Sq. ft. Length 3RE, : On-site well Depth 35 On-site sewage APPROVALS Planning Building ?S ;G 13 9L Engineering Variance REQUIRED INSPECTIONS ? Site ? Mallboard 0 Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permi t Fee v¦u.c;on: :12'1, Ooo " Surcharge Plan Review G AR?? 3??,x, _ cop License MWCC SAC - City SAC 5$0?16=929a Mater Conn . 0'8MT= t8 8y ' r7 Water Meter Acct. Oeposit '40 v ? 3 pO S/W Permit IS'r FLooRt 1084 XlSc 1?,260 S/W Surcharge - Treatment Pl I0 8 e{ Road Unit IxQr g . Park Ded. Trails Ded. Copies (102?53- ? Other Zno F't.a,2 Total: Z8x zg ; r)gy SAC % 1p0 SAG Un i ts ? IY2.x )3 =`? _ y Z 6l Z. goy x 53 ;-r°?? 12?, SSg ? 13 Pubilc Fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System Yss City Water `ff_s PRV Required Booster PumP Fire Sprinkler Census Code /oi SAC Code ol Assessments ,AAa ??? * PIONEeA ,? ?ng?ne?eri * * ? * 2422 Enterpfisa bri.e . Mendoto HefqAYs, ?sN 3$120 (612) B81-t9)4•fbx 681-94$8 625 Highway fO Norlheast 8taine. IAN 55434 '612) 783-1880•Fax 7&3-1883 Certificate of Survey for The ROttIUnC) COfY1pC3?'iy If1C Hause Address: Kennet Circle Eagon,_ WN Viodel Name: FQirwa .; L! ? .. i J1 u ly_ U La1 ? ?II Y ZS aE s 89•s6'44° w 140.00 .w.w n l.. 35,33 vl?i Z Q ni ? I ? I S 20 Y o f637 ? ? N ^ g , ? y 21 N ? L__ Js__ _ ? Q L 30,Q0 1 75,33 - ------ ra r7wm n n. < 73, ? ? I I 10 ? l 1 -----? N IINGIR??ERIRTC = soac Danotes Existtng EIsvotion x? Denetes Proposad Elevation PCpOS R HOtlSE cLEVAnON ? Denotes Drainage dc Utility Easemer,t Lowest Floor Elevatian; 882.15 -- Uenates broinage Flow birection - Tap of 8lock E#evation;894_26 ,-o-- Deno#es Monument Garoge Slqb LIevaiian:884.93 --a.- Denotes Offset Huh gearings shawn are assumed N ca O rn? o? rn ? rn LOT 21, BLOCK 3 COVENTRY PASS 13AK07A CQUNTY, MlNNFS07q 3RD ADDlTtOfV 1 heteby ueetiir tASt chy survey. Plpn or repwt Mm p`epynd bM me? or uMler mv di.ect wPe1'abn and that 1 wm tlNY Reyi?tred Lanr} SvneyQ undw the Live? ef ?s State ot Minngcol0. bsted thlf.fi_?r oF ?Lr AQ. iei?. ??afe: 1?=3D- ?oaEAra.s, 1 H .REG.N0.14S91 ? ' ? F:t7'euion 1•:NVF.(.Clrt. nvi•:rnr,r: '. u" ('t)MCII'Ph'f'lOri -?'-- - 04lN ER SITE ADDpESS 2 ?1 170 i , CONTRACTOR EpTZj.,(j pp GD DA,i,F PHOIVE Detetmin varkini; square footnr,e o1' ench. 1. Total exnosed va2), area .. ?- 'S5 *,5 SR ft X 0.11 • 2• Total roof/ceiling area .. /v 9D 6 .? ?G ? s??. ft. x NO2.6 s _ Total exposed vail area abovr. tioor = G 3 a4'O a. Total vall windou area c b. Total door area ........... ...................... ? c. Total slidin d Slass door area .. . . ... ... . .. . .. . . . . . ?Q. ?' d. Total fireplece vail nrea ............. e. Tota1 wall framing area (average lOP) ............. Y. Total net uell area above floor . / 8B• Total rim Joist area ...... .............. ' ? ? ......... ........... Total exposed fw:ndation arca h. Total foundetion vindov a:ea ....... ' i. Total net foundation zrea above grade ............. ? • Deterr.,ine "U" valce o: eech va11 ;eE;ment. . , a. lSZ,?g YU„ 0,42- = 7C,o.77 b. _ 3L -71 X ..• c. 59, 97 X,,,,,, p,?Z = Zs.lB d. - x x..,Ull d.Qbq = l ?/. 7,i& r. X .,U,. D_of 3 = 7 . s. X.,lj„ 5 ba h. X i 57 X„U„ . a. 14 = /lP. Zo . ? 3. ......3 ........................... iot.::] - 22,?F1( .. r ? ?I OK- If item N is the same as, or le3s '.h:"n .iteia H1, you nave met the intent of SBC 60o6(c)2. n • Total exposed rooC/ceilinf; area = 'D G v ? . ' Total gross roof/ceiling are:t J. Total skylieht area .......................... k. Total roof/ceiling framing area .............. /0'r 1. Total net insulated roof/ceilinF area ........ 26t Determine "U" vnlue for cnch rouf/cei 1 inj: seymcnt. X ll ult . k: loq X „ U„ 0.02? = 2;q ' 1. 98 / X„ u„ cv_oZ2. - Z?.Sb . r 4 . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . : . Tot al _ If ssc total oP A4 6oa6(c)i. is the same as, or less than N2, you have met the intent of , To utilize the total envelope syste= method, the values establi;hed by the stm of items N 3 arid 94 shall not be greater.thnn the sum of iten:s B1 snd N2. 1. ± 2. 3•. + L . _ . . ?, ?l . 0 s . . _ .... o , Urt l-UV GaI.G{.lLA'rID W5;7 6GoNT? -F:FAMr-- Wftl-?- G? ? I N?I.-I LA I??N_ . LaMPoN?NR l !1 ;J ? ? ? p-t.Gr?eiM AI(L FiI.M -?%l lNsu?A?i?N? FZ - VALU 5 Iq.o • -_-- ---?; Cc b - ?T?`i?„° 2 3 . o ( = U= = = 0_0?3 Rr?? -FFAM5 wAu. (& sTuFl - pl.?N. vitw. (Z cl? C U ? C LoMFoN?N {5 o_uT??cE R* RLru. ?..u ?Z h?DINL.. . hN'?AT}-i i N .1e. '1 XL?l h11.J0 (FWA?i p.G) ??-???• ?sD? 1?IC15 ?rip A?i. . - -? F--VALL15 _- 2.oV _ ,---- ,-".-_"G:??7 --__- _ ???;-=-? ?-! ? U= f ? o.oaq. ?L ? ?. =l??tP?. ??U =?0,12 X o.oa9? t?o,Sb x o.043? = 4. 0?#-7 0 O 0 ? ? 0 ? ? ? C n2kFO:?51}??._. r U ? ??Nl?--- - ?? j • _?1r_.?L,tii . -Z?J• Za G ? , --?_I •_..C{ .. ' _.. _.? .? y _ .. rr.? ?b?1r?????N . _. GDNtE??f?N G: _--- ? '?r??• ?? --y- ?./'r.?!J, 5: =r ; --- _ ]_- .._ - -??--.? -- - .-- ?,. ? ? ---- - ? .. • . i i --- ?''?-?-?_ --? ? -?? O c C_ O O I5- ? ?1L_7 F?=trc,-- --?`?- ?? ? vr. ;r--? ? _, -- F ' ? --- _. .=-o-?--=-_- -----a, J---- u 0, 027 ? a I?j?(I?-?1LM ?-- -G' ? ?------ --- .-O _c?1--- ??-c;?o. 3-- -_ -_ 0,022 ?,? ? M A R- 1 2- 9 2 T H U 1 S : S 1 F L A R E H T G_ Y H/ C_ P _ 02 ?. k 7?E7"AII_.C:D FCEI"=f)f?"I" E:17Fi C.N'1IR1:, F{I.11.}St.. f`'I'"E?p2A1"E:d f'C71" g Pp..'M"pE31"'eCl F3yC Rz:F.E .ri..urvD c::OMPAnrf Tzri LAUza!vER i-LARE Hr::ArINr; Jcab P3ainc: n Ec x Pl'Sa V..IFKE. (:3L_Afi3',: NE:711Tii cit)I.li'E•i . ,. li::'147 WM.::;i1 Nk't1rdW ::iic15W IiC7R"1.:. fL:YCFaI_ c}Rf::r'? t S : nt . _.._ ?r.''. i.'._. ....... .._....? l+. , - -...__..._..141 ...,...._....._. ._ _-- -,,,?.I _........__-? ..?u ._I'' , _ _°_--1'`=?: t 1,? ?'.??..I1?1.i ??f . iN1 L ? l .J F.+.l?1 ?J'(u? t + .??? I 11f?4 .? I V]0 L ? i?AI ?'?'1'.1. i ??..?? V! 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Pr e{aar'eci Fcare F+rE?par°or.l FlY 4 i'it7 f fil..l_IND isf)MPf1NY T':Ch'I I..llf.1X)k'.IF!'t FI..ARf= Fif_F3T7PJI3 ? ,.t i:S k5 IV;::I IYi4H C UESIGiV CE7lVl]T"(Il"1N:;'> for- (:ik.J 77:?l.7 ?1F't ssur?ru_F, 'vyI3'dTF-R [JY'y BuIb 92 We•k DLt1 !t 7:; Ut:3:l 3 y Rangk+ 2,2 I-Et't i. fi.Uc9 ?. 44 :1: i+IDEtC)fti 5;1_IhIMC:f't W T IVTF;k 7°:i 70 6'7' D"e:13.',ly 'wiVJif1g 3.0 E:::1e. va?LiorS 3--1 ."? Su? f; r.3ty LatFnY. 1=,:u:trnu^ t:C) 2`-f #?k*%k?#:*dt?.1k*?:P'SkX?F+N*?F??'W?'?g(????:WX;?Yf#*:?t**?t:k???:Y?%K?*wy?*???:k??;lt*?C?C?*R%Kat?*??!k?A?? SF?r,s.ible Rtacxm I•raat.inty i-kc;ating i:cxa:l.tng i:ual.in?;? N,c,fru•? f]'?.JH C:FVw1 k3`C'UF4 CFI'1 IC'rctwl Spli:e ^ 12,612 ^ 176 1,444 Y"'l3 [3esemeant 2U.364 1r15 °> `c41 i22 F'clyer- 4,216 59 1,5:4 77 k:].4CIM1ptI WB1 1:51 5 9 C%40 255 i_a.v.inp/DS.rrany 2.E:40 t::'.:I, `;,*yU 2121 F?edP'ClCim 1 'Z.ri 72 tlr! E36 4 ;;i ?.' Ea C:l"I Y aCa n3 :. ?;? 4 118 C, BedrC)Gfi1 :r_' 1 ,90E•7 27 1 y3iJ4 611 RG34.P'r 156 2 11 4 b?rJr°??urn :a 2;,290 :i;e' f ,md 71::f J:'_ ,Sr^..'i' 739 19,Jr3:'s 1,005 HE?L1'i:I:fVfi I7El.TA 'f" 61„0 C:C1CIf..ING F)E:L"!Fl T 13.0 I,.i7Y t:l i'_.61!:a`1!'J ?.? ,.??.?. ..f'r:.r?'. .. .__ F.F.,:. .!:; ,?, ?...-,,. T!:.i??..r1?C'J('iL i:i: r.r 6 ?.:r) DA-(r. S (il>M,<98 ..,,. r nsJ:f B SD;; :id=?'.Q 9000 , .°ici"- F.F?.fdP?'r? .'.?Fi ? .., ..;.,,- ....! c.?? 900i .::.__ . , i.:i.., 3876 _,,., !? "'a.u ?.f- - <:.. ??. ,.,, .. .. ' ?:- ..? ?.?? ?- A ..? 4 ?..:?f?1??.17i1a , ?l?;.1.?. •........ ?.., _.iaA.:.l?. :i ??..I...%.:-,r .J 0{)9349':, li`%i_;; _['?,. ;Ai" CITY OF EAGAN FERMIT 3830 P?IotKnob Road PERMIT TYPE: B U I L D I N G Eagan, MinneSOta 55122-1897 Permit Number: 032218 (612) 681-4675 Date Issued: 0 6 J 11 / 9 8 SITE ADDRESS: 3876 KENNET CIR LOT: 21 BLOCK: 3 COVENTRY PASS 3R0 P.I.N.: 10-18402-210-03 DESCRIPTION: SGREENED ?ti ?;'diVtg Permit Type ; uildin9"Work Type ` Census Code "• ;?. a ._? PORCH SF PORCH NEW 434 ALT. RESIDENTIAL r - . . . -. . _. . . ? . : - REMARKS: PLAN REVEWEO BY JOE VOELS CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: - Applicant - 37. LIC.pN/NER: HRCHADECK 15911111 0008594 MALONEY LARRY 1'2030 MAYFLOWER CTR 3876 KENNE7 CIR MINNETONKA MN 55305 EAGAN MN 55123 (,612) 721-2100 I hereby acknowledge that I have read this application and state that the infiocmaCion i.s eorreet and agree to camply with a.37, apRlicable 5tiate of Mn. 5tatutes anci City`-af 6agan Ordinances, ? . ? APPLI ANT/PERMITEE SIGNAT RE IS UED Y: SIG TURE ? 199$ BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 W,10 New Construetion Reauirements RemodeVReoair Reauirements q /t ? 3 registered site surveys ? 2 copies af plans (inGUde beam 8 window saes; poured fiE. design; etc.) ? 7 energy plwiations ? 3 eopies ot tree preservation plan R IM pWttad aRer 7/1/93 required: _ Ves _ No DATE: l I? ` 3 ? ? (? DESCRIPTION OF WORK: 2?eC 'JL STREETADDRESS: 3S> 7 (--o Kevl?he? -Y4 I 1 BLOCK: 'S SUBD./P.I.D. #: PROPERTY OWNER ? 2 copies of plan ? 2 ske suneys (exterior addRions & decks) ? 1 energy celwlations for heated addkions CqNSTRUCTION COST; I? Vom . .4-vl Name:____??? Phone 1!: Last Fvst Street Address: O Y {? city State: zP: 957Z2, Company: Phane #: S? !? I I r I CON7'RACTOR ". StreetAddress: l;[F---- License# O?7 City 4YI ([?1 v1C "7?? State: V v l? Zip: rMcn,sCµ ARCHIT'ECT/ \ ENGINEER Company: Phone #: Name: Registration #: Street Address: City SWte: Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appliqnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Penalry applies when address chang is correct and agree to comply with all applicabl I :;x ? y"?? _ /Ltg Tree Preservation Plan Received Yes No Not OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ,X?-04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ,,EK-32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? O 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other -- Copies Total: % s,ac SAC Units Engineering Variance y3y O/ Valuation: $ L?" e)-?- r%??y= i?? ? 3Q = s_25 94?) _- I MdNSGM ?/6 L PPp. ? RS?ff E CA1, c ?G Sr '/£rD ? LAAI S ? oA'r°S ?.S R ??i?'??t ??•t??? !?? ? * ?aV' ? ?. 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 4 T, > O? ? ?p A • ?S 9..G6 4 * * * ,* p G ,F. ?ng4 naer?i Certificote 2422 Enterpri30 Drive Mendotu Metgnts, Nk '120 fi12) 681-7914•POx 681-9488 625 Highway 10 Northeast Btaine. MN 55434 612) 783-1680•Fax 783-1883 ot survey for: The Rottfut-td Com an Inc. House Address: Kennet Circle Eagon, NN I+'lfldel Name: Fai__rwa,y v 25 ? ? ? U I W f LLJ ? Y ? ? 25 Q ED S 89'36'44° w 140.00 i.. ss.33 Z 0 Q N 4t 01 :?E 1 I ? 20 tS33 y O + N ? p ? O l 0 7.p ? ? c o ? d ) / 1 w I ?-^- L ? f # ?_.. s__ _...__ 4 -__- _ - L - =W7 L < 73, ? I +( r ? ? la --?-- N ! I ? ,- _ . ._._... ._ ? = sme Oenotes Existtng E:Iewiion "-?"O, Denctes Proposed Elevotion PROPOS fi0U5E rLcuA710N ? Denotes Qrainege dc Utility Easemer,f Lowest Flaor Elevation:882_76 Denotes Oroinage Flow Direction - Top of Block Eievation;890.26 --?- Denv;es Monument Garoge SIa4 Elevation:889.93 --E3- Denotes Offset Hu6 g --.- U) ca O W N O W o? rn ? m eormgs shown are ossumed LOT 21 , BLOCK 3 COVENTRY PASS OAKOTA COUNTY, MINNESOTA 3 R D A D D I Tf 0 N !h?+eSY oertfY tMt thy gur?:ey. pl" or Ryort yma qspynd bY ? or under mv d~t wPeMWun aM [f.at 1vm tlNV Reqlaterotl Lpnd SvrnYor uMw ihe liv,y a/ ii. State of Minn'yult. Pated thiSJ:?? daY ot. 4?yL-1" . . AO. 19? . ,. ? SCCIlL. ll" =30f`-et vacnr a. s? i? aea. ao. ?:evi CITY USE ONLY L BL ? RECEIPT #: 4,q6a SUBD. ?%oUeri.riw (?"t•? J? ^? DATE: `5 95 1995 MECHANICAL 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 New construction Add-on furnace _)0- Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ?/ ?- ? ? FFFS ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge .50 TOTAL ?;-b SITE OWNER INSTALLER NAME:_ STREET ADDRESS:_ CITY: PHONE #: ( fil6c..// Preferred Mechanical Services, Inc. 7643 Logan Avenue South Richfield, MN 55423 Bus:866-7611 Fax:866-0125 PHONE #: i I „ ZIP: f-? -7r1ft CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are pDt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: .$25.00 minimum fee QC 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on ali permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: vvJiVErc fvAnnE: TENANT NAME: (IMPROVennENTS oNLv) INSTALLER: ADDRESS:_ CfTY: PHONE #: SIGNATURE I ELtF'IiC7NE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY OF EAGAN 3830 PILOT KNOS ROAD EAGAN MN 55122 PHONE (612) 454-8100 . oaznim FOR CITY USE ONLY PERMIT # RECEIPT # ,?O DATE: o? a?- --------------- WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR OWNER NAME: Z,41goY AIAlO /`45Y SITE ADDRESS:??O76 Z?a 1JNET d" f? , LOT: BLOCK ? SUBD. ( / "'T/ ?'? ? / INSTALLER: I "L3Efe?' (f-p ADDRESS : / O o / PRj?) f CITY.So . 5`7 PA4v) ZIP: PHONE #f/l?_????? SPGNATURE OF DWELLINGS & COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMIIM - 1) 3.00 _ ROUGH OPENINGS 1.50 OTHER _ ? WATER SOFTENER 5.00 os? _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 i ?. { ? / TOTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACA UNIT. -------------------------------------------°--------- FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN LBL ? CITY OF EAGAN /1? ?d PLUMBING PERMIT SUBD.(_?? (:;wLL 3 (612) 681-4675 RSSIDSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOA SINGLE FAMILY DWELLINGS WHHN PERt4IT5 ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: IlcAh_-,' SITE ADDRESS:_ -3 ? l (Jo ?rti?c + INSTALLER: ?l{?,?s.l `1 ? 0J \ ?J ?? ? • ADDRESS : V? ( C] C? ?? ?< \ L_ ..? CITY: 1 v Z_?r • ZIP: S_ S 1 i Z PHONE #: 1--'L - ? ( 2 I C-1-t- SIGNATURE OF PERMITTEE STATE SiTRCHARGE .50 s TOTAL: S H -7 PLHASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: CONTRACT PRICE: 1% OF CDNTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIM[JM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CITY USE ONLY RECEIPT # DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 I SHOWER 3.00 3 - 3 WATER CLOSET 3.00 q -_ a BATH TOB 3.00 (s ' ? IAVATORY 3.00 `1 - ? KITCHEN SINK 3.00 3 - ? IAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3.00 T WATER HEATER 3.00 3- T FLOOR DRAIN 3.00 J- GAS PIPING OUT. ? (MINIMiTM - 1) 3.00 3 - 3 ROUGH OPENINGS 1.50 _ OTHER WATER SOETENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 _ W. TURNAROUND 15.00 CITY OF EAGAN CfTY OF EAGAN MECHAMCAL PERMIT RECIIPT # D? ?-- SUBD. (612) 681-4675 DATE i ?- RESIDEN77AL ' PLFASE COMPI,EfE UPPER PORTION ONLY FOR SINGLE FAMIIY DWELLiNG3. AISO, COMPI.EI'E FOR TORNHOMES/CONDOS R'HEN SEPARATE PERMTlS ABE REQUIRID FOA FACH DR'ELiaTG UNIT. OR'NER: U{? 3 7446M 1- FEES STlE ADDRFSS: 3f 7 •? ADD ON/REMODEL (E)QSTING CONSTRUC7'ION ONM $ 15.00 INSTALLER: HVAC: 4100 M BTU 24.00 PHONE #t: SYd- - ADDT170NAL 50 M BTU 6.OU ADDRESS: 423 1?3 6 417-2V C?E AJ GA5 OUTT.ETS • 11IINEMETM 1@ $3 FA. CTI'1': SURCHARGE A TOTAL: ? O?a2?.j-6 CONIA'IERCIAL PLFi?SE COMPLEPE THIS PORTION FOR ALL COMMERCIAIIINTDUSTRIAL BUII,DINGS ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MUI,TI.FAMII Y BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRID FOR FACH DR'ELLING UNIT. R'ORK DFSCRIP7YON: r CONTRACf PRICE: FEES 196 OF CONTRACf FEE STATE SURCHARGE LS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCFSSID PIPING - $25.00 $ lYIINIlVIUM TEE - $25.00 OWNER TOTAL: - $ ST!'E ADDRFSS: TENANT: 3UI1'E #t: INSTALLER: ADDRESS: CTIY: ZIP: PHONE #: CI7Y SIGNATURE: SIGNATURE. ' City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 _ Fax: (651) 675-5694 ------------------ ? ForOfficeUse ? j Permd 71. ?? / ? j ? Pertnit Fee: ? ? Date Received:? i stan: ,( 7- -i i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-7^bg- SiteAddress: 3?576 KcNNef `"z?y F raSlN, /4? yS/23 renanf• Sulte #: RESIDENT / OWNER Name: ? e v tA/ Sdre Ns?',V Phone: "I ' 0l - Address/City lZip: CrJC a.?'?/.? SSiz3 ° 3976p-.,,o4 Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: /14 '/ ror?-?-^?ro?- ?? ?x ?1f?tiS ev Construction Cost: Multi-Family Building: (Yes No V? cr g67q ?f _ ? CONTRACTOR License N: Name: I 2 I s+l- c 1' Address: ?D9a4 G1D'.n2N ?°< „?° . City: ?(ep J"d-n State: /`?N Zip:S'SY-3/ ` 3? ? c ? Contact Person: Phone: C? -? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope CalculationsSubmitted 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: NOTE: Plans and supporling documents fhat you submit are considered fo bepublrc,information. Portions of the fnlormahon may be class/fied as non-publi63f you provide specif/c reasons that would permi( the Clry to ? conclude that the 'are trade secrets. I hereby acknowledge ihat Ihis information is complete and accurate; that the work will be in confortnance with the ordinances and codes of Ihe Ciry ot Eagan; that I underetand this is not a permit, but only an application for a permit, and work is not to start without a permit; ihat Ihe work will 6e in accordance with the appro in the case ol work which requires a review and approval of plans. L' Gu, ? x x ApplicanPS rrin"me n? ? e?,/('p /?` APPlicanYs Si ure Page 1 of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`((;!;\[X'T/,,/'-+0 W3F3,'PY''UU8(!W3F3,'PY''UU8(! OXU8\]'"9U:!;U!OXU8\]'(8":;9X! 6'5/0/?1'3%&,N$/*F/'53'6'53./'0/3*'5+4'3AA$+%3+,'3,*'43/'53'5/'+,L0I3+,'+4'%00/%'3,*'3F0//''%IA$1'N+5'3$$'3AA$+%3?$/'=3/' L'P+,,/43'=3>/4'3,*'-+1'L'W3F3,'H0*+,3,%/4J )AA$+%3,K2/0I+// '=+F,3>0/644>/*'#1 '=+F,3>0/ PERMIT City of Eagan Permit Type:Building Permit Number:EA172988 Date Issued:10/25/2021 Permit Category:ePermit Site Address: 3876 Kennet Cir Lot:21 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-210 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Kevin D & Carla J Sorensen 3876 Kennet Cir Saint Paul MN 55123--395 (952) 292-1134 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature