3880 Kennet Cir
Wertificate af CccupancV ,.. -
CM4 o? ???
Zeowrtment of e»fthes anotethm
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structwie was in compiiance with the various
ordinances of the City regulating building construction or use. For the following:
SF ac 056
Usc Ciassificadon: BIdE. Pemrit Na
0-PancY TyPe THE 0 ?x,g Districx 1I1?K ?
Owoer of Building Address FRIDIZY
s s
BujWa$ Address •• t"wity
o-,te- 03/18/93
,
Bunaiog ot??ial
POST IN A CONSPICUOUS PU1CE
w.1 ., \y S
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
t ?t ?..; + 1 1 P1 I'11 I t i I<
i ?' •1 ?d i t' ? ; A'. +R??
PERMIT SUBTYPE:
i ! ?1,
ON
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
iii 0i.K :
([i 1:' i ti I 1 -? N 3 N 4 -
TYPE OF WORK:
rd 1. W
r,+tii? cs?MC;
8?1'??,F>
INSPECTION TYPE DA • D•
r r?;i?1 A t???r? i? u;: ?
I r i ?! 1 1?,? I
itEF1ARK';i REf:U'[PT 11
b W Pi 1114RFI2 VAL! EY 1'1.$6
PsrmR No. Permit Fblder Uate TeNplwne f
S/1N
PLUMBING
HVAC
ELECTRIC 501 ? I
ELECTRIC ,3 3 ?2,0 07-D
InapstKfon Date Insp. Commenfs
Footings 1 ?Wfs ?
Foundation ?s
Framing - -2
Roofing
R°"g?' P'ng. L 3-9
Rough Htg.
Isul.
Freplace
Finel Htg.
Orsat Test 3--?? f 3 ds
Fnal Plbg. Plbg. Inspei.'tor - NMify Plumber
Const. Meter
EngrJPlan
Bldg. Final 3 ?? s 3 p s
Deck Ftg.
Dedc Finel
Well
Pr. Disp.
/-9? A,I ? ? ?
K 70733///?/f-?-
??J? 7? . ?. ?? ?•' ? nd 11`/?"?
Fn ?,ct. , - c?.L ? 3
Repuesl0effi ?
3 FreNO. Roug?-in
qpQ??? {?
s spection
C No
' Reatly Nowll Notiy Ins
0
n ea
tly?
I icensed contractor ,rJ owner hereby request inspection o( above elec al wor?-
Joo PdtlMss ISIreeL 8a or R u?e No.? ,
38'80 C
$ection No. Townsbip Name or No. Range No. CoylR?(
1?..1
OccuOa IPRWT) Phone No.
Power?p II ?
(? Atltlress
Electnc CQnh ctor (COmpan e)
? ConVactor5 Lic9nse No.
C/-? oo38I
Mailin Atlaress iCOnuactor or pw r Making InstallaLOn)
Authorizetl Sgnature iCOnVact wn r king Inslallation
• PM1One N mber
?3-3hv
MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPEGTION FEQUEST WILL NOT
GrlgBe-MiAway BIEg. - Room S173 BE ACCEPTEO BV THE STATE BOARD
1821 Unlveraity Ave., St. Peul. MN 55106 UNLESS PFOPEfl INSPECTION FEE IS
Vfione (612) 602-0800 ENCLOSED.
r REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
7 0 7 3 3• See insimmions for comOleHng Mis form on Oack ol yellow copy. ?
'X" Be/ow Work Covered by This Request
e atl Re0. TypeofBUilding AppliancesWired Eipment
)( Home Range Service
Duplex Water Heater ating
Apt Building Dryer
Comm./Industrial Furnace
Farm Air Conditioner
Other(syecity) Contractor5 Remarks:
Compute /nspection Fee Below:
# Other Fee 8 ServiceEntranceSize Fee # CircuitslFaeders Fee
Swimming Pool ? 0 to 100 As
Translormers Above 200_Amps Above 100-Amps !
SignS nspaor's Use Only? TOTAL
Irriqalion eooms ?UTi7` 7Sr' J y' 7
i
Special Inspection (o ? W
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECT D IF NOT
Other Fee COMPLETEO WITHIN 18 MONT
I, ihe Electrical Inspector, hereby Ro°9n-'" ? oete ??
certify that the above inspection has
been made. oai _16
OFFICE USE ?NLY
T?is ?equest void 18 monihs Imm
Address 3880 KmiT CLm Zip 5512 3
Lot 22 BIk 3 $Ub r.rn7Fnmav PASS 3Rn
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F[NAL INSPECITON.
Date: 03/ 18/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Petmanent.gas
SodJSeeded grass
TraiUcmutb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside Iawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
, 8
,/ZZ /
?09L ?
_3
Repuest Date
q rte No. Ro -in I spedion
Re9ut¢q2
?eatlY Now ? Will Nolity InsPector
?^?
_
} G YBS [ NO WhBn Reatly9
Iicensed contractor E3 owner here6y request inspection of above electrical work at: .
Job AUtlress Sheet. Boz w Roule No.)
388? ? Ciry
Section No. Township Nama or No. qange No. Co r?
b \
G.l n
Occup I(PRINT) phone No.
Power 5 her AtlEress
' ?
ElecVic
mpan Name7 ConVactor5 Llcense No.
? C OD 38/
Maiiin9 Atlaress ICOnhaclor or ner MaNing (nstaltalion)
Autho zetl S19naWre iConVac rI Ow r king Inslal
?- on)
?ac Phone NumCer ?
4?3-3 io
MINNESOTA STIITE BOAFD OF£LECTRICITY
Grigga-MlEway BIEg. - Room 5173 U
1821 Unlvenity Ave., $t Paul. MN 55100
Plwne (612) 662-0800
THIS INSPECTION FEQUEST WILL NOT
BE ACGEPTED BV THE STATE BOAPD
UNLESS PROPER INSPECTION FEE IS
ENGLOSED.
REQUEST_FOR ELECTRICAL INSPECTION ee-aooo,.oe
K 55218 SePinshuctions for compieting this lorm on back of yellow copy
"X" Below Work Covered by This Request ew Adtl Rep: Typeofeuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Building Dryer Other,(Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Otner(syeciry) Contractor's Remarks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEnirance5ize Fee # Circuiis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps P.bove 100 _ Amps
Signs Inspeclor's Use Only: TOTAL Sv
' Irrigation Booms ?J - / s -
Special Inspection
Alarm/Communication TMIS INSTALLATION MAY BE ORDER ISCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby RO°9n-,n oata
certiry that the above inspection has
been made. Final Date `?43
J
OFFICE USE ?NLY
This request voi0 18 months from
CITY USE ONLY
PERMIT #: 0731 RECEIPT DATE: g 1O ?O I
RUID£PTIlkL MECELlRICAI. PERMIT APHICATION
crrYog Ettsax
3930 Pn.or xivos gn
E?st?x euNssi 22
ssi?8i-?s?5
Please complete f r: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? bl
SITE ADDRESS: ? ?
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
„_.,-flpir' P. ini^, n,?i...... , (AREA CODE)
ZT
STREET ADDRESS: i e ccnr? no?•a
L `1?_4-?3=3
C ITY: STATE: ZIP:
r
TELEPHONE #: L<? I("?-?
:1 - ?K? (S
(AREA CODE)
Dlara a ehae4 marlr lIPY} Yfl 4ha narmii wnr4 tvne
New residential dwelling unit under consVuctionand not ownedoccupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other / /
Nature of work:
?/J 1(t CP q I4?
_
- --I
State Surchar e
$ .50
iu n
Total AUG i'i 2001
$
Reminder: Call jor inspections:
>
upaaieu uvi
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMERCIikL MECRANICi4I. PE"1T APPLICATiOft
CiTY oF EA8l41v
3$30 PILOT KAOB fiD
EAsM,M1v 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PAONE #: -
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE: _ New construcrion
_ Interior Improvement
_ Processed Piping
Specify Nahue
PHONE #: -
(AREA CODE)
STATE: ZIP:
_ Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, cal! 651-6814675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% oF contract price OR $50.00 minimum fee, wluchever is greater.
Underground tank removaUinstallauon = minimum fee
Conhact price: $ x 1%= $
State surcharge
TOTAL
$
(Base Fee)
caiculate at $.50 for each $1,000 Base Fee
SIGNATURE OF PERMITTEE
LTpdated 1/01
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1- 07: 0 0 22 SLOCK: 0008
3R80 KENiVET CT.R THF ROTTLWNIJ CO INC
(:pVENl"RY PFlSS 3Ri7 (67.2) 571-0304
PERMIT SUBTYPE:
sr- owc
TYPE OF WORK:
nFw
BuI LorNc
0CA:1.95f
12/'3!92
INSPECTION
FOOTT.NG .. .
FI?flM1N(3 .,
TNSULAI'SON F1NAL
PI:RFI'I..flCE
REMARKS: f2ECC:I.F'i #
5& W PL.UMBER - VALI.f:Y F'I_BG
?
PERMIT
,-_ GL3'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS:
F'.I. i4, s 10-:1.P,402-2: P,
PERMIT TYPE: 8 u i L o z n! c;
Permit Number: 001956
Date Issued: ?1, Z/ 2 3/ 92
3830 KL-"i+lh!F ' 7 C.7:(Y
LQT: 0022 BIOf:K: 0003
COVENTRY PflSS 3RfJ
DESCRIPTION:
Buil.din-a Pei-n'ii:t Type SF DWt,
6i!il(ling We.i°;: l".ype IVEw
UBCOccwp inc.y R-3 M-7.
ConstrucL' i.on l"ype. V--N
Zoning R-1
Bui7.ding length 48
Bui.td3ng Width 37
r ?;S`t ? -?-J,' ,-:' • ,' -?
L' ..
REMARKS:
RECEIp, 41 ? aarbo
FEE SUMMARY:
s & w i-IumaEa - vrai.I-ev NLwr,
vraL urarzoN
Li a s"e I' e' e
P.Lari ReviEwSurcharge
SAC
SAf, =s
5AC Units
Subtotal
;! 2 e a l`/ Yl
$4;-eE90
$8:L.50
27470.@47
lyGi
i
$1.9?9.50
$123 000
tnzsce1.1..A racous ? !,eL?0 .???,
ToT,81 1=?t ?$ ?3,560.f90
CONTRACTOR: - nppl?.car,c -sr. Lzt:OWNER:
THE ROl"T'LUNO CO :LNC 1.5710309 0001335 7HE R0T7LUND CU INC
57_01 E R7:VEi2 Rll 520?1 F R:[VEft RD
FRTDLEY MN 55421 FRTULE'Y MN 55?27.
(612) 571-0304 (612)571-0304
T hereby acknowledqe that I have read this applirat'ion and state triat the
inPorination is oorrert and agrea to r.amply with a11 applicable State of Mn.
L Stetu es and Cit.y of kaGan Ordinances» J
APPLICANT/PER EE SIGNATURE ISSUED Y. SIG RE
PERMIT k
REACTIVATE
, . N'
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION $3,64 0. 00
,,;??•r? ?1_7?
P ?n
INGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
r calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date IZ / Ilo / c12 Valuation of work ? li'IZ?OG?U
Site Address:_ 3$ a0 Yt.p*&+ .ircje_
STREET SUITE 0
Tenant Name: (commercial only) T???Qo??uN? ?.O•.?NC..
IAT Z Z' BLOCR 3 SUSD. ??T
A I.D. M
GeU
k5tE
Descri tion of work: ST ?LF6?0
The appl i cant i s: Owner IgCantractor ? OthET' (Descr3be)
Name Tlie. Ro}+I tAA Gp•=Nc,, pho,;e 5 7/-e 3 e4
Property LAST F[RST
Owner pddress 620t G• 2;u..r ?e(• -yo+
STREET STE !
city Fzr;af/ey state M11 zip A!h 534Z4
Company So?wrt_ Phone
COntreCtOr Address License # k'3"3S Exp _S
City State Zip
Company Phone
Architect/
Engineer Name Registration A
Address
City State Zip
Sewer 3 water licensed plumber (PIvNnbIMQ . Processing time for
sewer & water permits is two days once ar a has een appr e.
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: ?d a 64Xi't
e
OFFICE USE ONLY
BUILDING PERMIT TYP E
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging 13 16 Basement Finish
0 02 5F Dwg. O 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Pub1lc.Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INF ORMATION
tonst. (Actual) V- N Basement sq. ft, MWCC System YEs
(Allowable) N lst F1. sq. ft. City Water YE S
UBC bccupancy _l 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft. fire Sprinkl er
Length ? On-site well Census Code !o I
Depth On-site sewage SAC Code v/
APPROVALS
Planning Building Assessments
Engine@ring Variance
REQUIRED INSPECTIONS
? Site
? Mallboard
? Footing
0 Final
El Framing
0 Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Nater Meter
Acct. Deposit
S/N Permit
S/YI Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.iLmtion: g ! 23, Doo ^
GrARA6Er 2oycz2-44on16:'lpyo
asM-r;
IS K2a %3 °?? .
10$NK/5= f6?26o
?ST?onR; 1351ti17= IoBy
ztiG: 12
ztop Fon ? 9 G k 53 S$13?0$ ?
RSY K S3= "11,,?52
122,`14a
SAC % ?DD
SAC Units ?_
?
* PiQNrsER t
* engineering L""'
2¢21 Entarprtse Dfivc
Mendo4a 14e7ghts. MN 55120
'fit21 881-1974•Fax 681-9488
sZ$ HiyhWay 10 Np'theoat
Blalne, MN $5434
.:612) 793-1880•Fax 7a3-7883
Certificate of Survey for. Th@ ROttIU d C t71 C] InC.
House Address: Kenn t Circi Ea a MN
Modet Name: airwa
25
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999 .*ls
140-nn
N 893
N
000
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0 f.li
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a
m
. 900.0 Danotes Existinq Elevation PROPOSED HOUSE ELEVATION
.<@j? Qenotes ProPosed Elevation Loweat Fioor Elevation:881.65
_.._ _ Denotes Drainage & Utility Easement Top of Block Elevation: 899.76
- Denotas Drainage Flow Dtrection -
--o-- Denotes Monument Garage Stab Elevot(on:889.43
--El-- Denotes Qf#set Hub Seorings shown are assumed
LOT 22, BLOCK 3 COVENTRY PASS 3RD A[
DAKOTA C4L.iNTY, kfNNESOTA
1 haaby eartiW th+t Mis eurvay, Dlan 0r rePwt wn+ pnpand bY me or UM!' my direet wpmisWn and that 1 am duly Regislered Land Survryw
vndercl+epwioftheStateofMlnnesata.ptstlthrs1LM1.diYOf. tX-r-. AA.79?..y
n
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ee?.
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s 21
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140.00 ?a e?x
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2&33
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37.33 --
-
Scale: 1'^ _a3Q1"A,
BROM 314GTRTMERIATQ DEPT
C`Icc ? . -
LOT BIIRVEY CHECICLIBT FOR REBIDENTIAL .
? BDILDI3iG PERKIT 11P?LZC71T20
pROPERTY .??n*r.= 3
?
Dat• ot survaps
?NT B
? TANDARna
0 0
0 •
• Registered Land surveyor eignature and company
Building permit Applicant
13 Legal description
V Address
0 00 •
• North arrow and bar scale
House type (rambler, walkout, split w/o, split antry,
lookout, etc.)
n 0
a • Directional drainage arrows with slope/gradient =.
Proposed/existing sew
d
0
• er an
water services
Street name
0 0 • Driveway
ELF4ATIONB
13 0
• sgt-. stin
Sewer service
? 11
0 •
• Lot corners
Top of curb at the driveway
?? • Elevations of any existing adjacent homes
Proooaed
0 •
Garaqe floor
0 p D , First fioor
? O ? ? Lowest exposed elevation (walkout/window)
? O
V ? Property corners
Front and rear of home at the foundation
D ? YONDING A FAB (if anpli...w+e.
D 0' 0 •
• Easement line
NwL
? ? ? • HwL
? 1 - Pond # desiqnation
?
?i Emergency overflow Elevation
? DIISENBIONS •
D 0 • Lot lines
13
00 •
• Right-of-way and street width (to back of curb)
Proposed home dimensions includin an
overhangs qreater than Z1g Y Proposed decks,
?b ?
• structures re irin , Porches, etc. (i.e. all
n
Show all easements of r o=a
?a any City utilities within
those
? Q O ? easements
Setbacks of proposed st cture and setback of adjacent
existing homes
? 0 /13 • Retaining w i ents, if any
- Revi ewed: 1-21
October 1992
'_ N e te
/
?
F!C7'F.1i1OR t:Nver,rn•r: nvr:rnr,t< °u" c.wru•rn•riOa
. oWrnER
- SITE ADDRE55
,
CONTRICTOR _P07zj..U N0 Gp DATF.
PIiONE
?etermin vorkini; squnre footar;e of cach.
l. Total exposed wall area .. S- -17 5 ¢,b sq. ft. x o.li = 2?2, 3Z
• 2. Total roof/ceiling area „ fL7! a sq. ft. x 6,026 _ Z$ G
s -
Tot21 exposed ca'tl area nbove floor = G aj plq? 0
a. Total wall vindow area .......
.......... 13 b
c b.
.
Total door area .......................
. ?
..........
-?-
c. .
Total 5liding glnss door a ...
d. rea ...........
Total fireplece wall area .......... r-
y4?? ?
e. Total wall framing area (average 10AI) ... ....
f. Total net wall area above floor .
..... ......
....... l
9
B• Total rim Joist area ............... . 0
..........? .?jG.
Total exposed foundntion araa Z4 p ?
h. Total founde:ion vin3ov a:ea .....•.
.
' i. .....
Total net faundation area above grade ... ..........
..........
? . Deter,r,ine "U" calue o; eech wall ses;ment.
. . g. I82115 Yp, 42 = 7C,0. 7]
b. - 39 .?/ z,.U„ 0,l36
.? , C. !729, q7 xo,¢Z
d. - X
e•. 46.5 / X.IlU„ d. p8q - 1 G.7,&
f. X.,?,.
. e. X ..t,,,
h. X [J, 57
X .,U,l
3
. . . .............................. 'rot.::] - 22.I-l,
..
If item 19 is the sazne as, or Lesa !.ti:Ln iLem Nl, yo ' av?-m t the intent
oF 5BC 6006(c)2.
Total exposed roof/ceilinG nrez
? . ?
, TOtal gross roof/ceilinr; are:t J. Total skylieht area ..........................
k. Total roof/ceiling framing area . .............. /?-
1. ToLal net insulated roof/ceilinF area ......
Deter.eine "U" value for czch rocif/cei I int; seF,?aent.
, X nUn
?
k: l o `I x ltUll a.oz --7
?
1. 98 I X„u., o. 0 2 Z - zr.s8 k . ............................... :. Total = rttLeIf total oP N4 is the same as, or less than N2, you Ra ntent of
ssc 6006(c)i.
, To utilize the total envelope system method, the values establi:hed by the
stmm of items B3 and dL shall not be greater, thxn the sum of iten:s Bl and X2.
1. + 2, -
' 3'. + 6. - •
.
Q .
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.
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_-j;) .=UP?l.U? GAI.Gta!-ATIt?? ?GaNT?.
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=G?J?1P?.''u =(0,12 x o.0?9) f(o,sb x o.043> = o• °?7 _
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*******?***** ?*?*********?********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 996
DATE: 04/05/00 TIME: 11:14:00
ID:
NAME: KIM OR GREG DEMBSKY
3210 9001 3880 KENNET CIR 60.00
2155 9001 3880 KENNET CIR 0.50
Total Receipt Amount: 60.50
CR125610
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacaN
? 3830 PILOT KNOB RD - 55122 o
l? 851-681•4875
w
? 3 regisfered site wrveys dawMy fq, ft o( bf, aq. tl. of Imuse
and gu rooletl areat (20X, rrCUamum lot eovemae albwedl
> 2 coples ot plarn (slww beam & wlnCOw sLes; poured fntl. tleslgn: etc.)
> 1 ae+ a eneryy emeulanona
> a coplea a nee pre,pnanon pwn n Ia plattea arter 7/1ro3
DATE:
DESCRIPTION OF WORK: . I
Name: ,o l0? c J cz ?/e4 P,ona #:
? ( -/)
,t fl?-
--?
STREET ADDRESS: -azkD .CC?Nive7 C? / ?C ?
LOT: 22-- BLOCK: 2 SUBD./P.I.D.O:
PROPERN
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sheet
CBy State: ?N Zlp:
7
/
Company: Phone lf:
(area code)
Sheet Address: llcense # Exp.
Clty
Telephone g: ( )
C_ O,AK-X-Q4 4 _ ?(
Remodet/Reoalr Raauiremenh
U 0
2 copfes ol plan
1 sef d energy wlculaHOns la heafetl ad<9HOns
1 sNe wney tor extedor additlona d decks
CONSIRUCTION COST: 4. Rtoo
State: Ztp:
Name:
Sireei Address: RegkhaNon i:
Cify
State:
Sewerhvater licensed plumber (H fnatallirm sewerlwaterl: Phone #:
1 hereby acknowledge lhaf 1 have read this applkaHon, afate lhaf Ihe InfortraHon is cort?t, and
of Minnesota Stalufes and CHy of Eagan Ordinanc0a //A
?
Signafure oi Applicanh
OfFICE USE ONLY
Certlflcates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
_ No
_ No _ Not Required
Ir-
Zlp:
re ro co ply with an ppacaWe state
tdPR - 4 ?
S`"
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 23<-18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor _N ? 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory BWg.
woR?c nrPe
)2?- 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code () i
No. of Units u
No. of Buildings 1
ConsL (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 6ct. Alt - Mutti
O 33 Ext. Ait - SF
? 36 MuIH
y3y
Permit Fee A 66,5 U
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.
Trails Ded.
Other
Copies
Total: -06 d
Valuation: $ I ?2 UG. `?
SAC Units
% SAC
PLAT MAP FileNO. 8710215
- 3880 Kennet
7625 Metro
5512
House Address: Kennet Circle. Eagan. MN
Model Name: Fairwav
f ?
1
( I I
? 21 ?
25 25
I ?• .'_ S 89'38'44" W I
140.00 a?zs
I
{ ?o.oo
?
? ____ ------
f ? ?? - ? -1
rn i ?o
I Z ?
z ? ? 1 I
_o? ??e.y gg4 •D 0e.1 I
I m n.za
U' N
? ,
K mei ? I ? ,c I ' oOa
? W p w?
22
O? 5?
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I B
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m
I
x
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= I
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? ?-----°-?9'-----?------ --?
I I 70.00 ° 37.33
?a
$? $98 .41s 9z.R? 8c?:? ?
8s?
140.00
I ` I N 89'36'44° E
I ? I
? I I By r
L
?--
? ,
r
XAAAN INCIINEF.RINQ DEPT `
1 ; ^
, aoo.o Denotes
,490 Denotes Existtng Elevation PROPOSED HOUSE E EVL ATION
Proposed E{evotion
Denotes Lowest Floor Elevation:881.e5
Drainage dc Utiltty Easement
Oenotes To of Block Elevation? 889.76
Drainage Flow Direction P
-o- Denofes Monument Garage Slab Elevatton:689.43
-p? Denates Offset Hub Bearings shown are assurned
LOT 22, BLOCK .3_,.. COVERIEV' PASS 3RD AC
onxarA CauNrx utNFlESO7n
MacAppraiserl"' Real Esfale Appreisal Sofhvare by Bredtord and Robbins (800) 622-8727.
!'ITy (11= EI-tCAN
CA.Ca'H1`E:Fi.; )E 1-['Fti`!'a.N'AL ME ' 729
DATC: 10i0I99 T;;'A':'a 406:44 el
,NeIM!=;: MAVCC?, T?v_r,;,
:!2;.n 90ni. 3980 Wt:Er. C:IR A7.E5
2119 ;xrlli' 39317 I:LNNi"'T i:T.F: h.{:iC
n'an 9C7!? k ^f38q K(?NNE1' C::[fi
?
7at;il Ptcr_e3,,i: 'lmnUni:r . ;?CIc.25::`
r_qti.fll9i.
US=R SDe JAN '
?t?Y.#:%YF?Y•kK:.h3,+'k''<*?nS:?;?KYX?!*ae?:H?d^X..%kY??k?t?"A'.W%?**?k?'YC7k ?
. . .. . :.?., .
1999 BUILDINC PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Consfructlon ReaulremeMs
D 3 reglstered sile suneys showing sq. (f. of lot, sq. R. of house
and all roofed areaa (20% maximum lol eovercae allowed)
? 2 copies of plans (show beam R window shes; poured Md. design: efc.)
> 1 set of energy calculatlons
* 3 copies of hee preaervaNon pian M lof plaHed affer 7/1/93
DATE: I t
DESCRIPTION OF
STREET ADDRESS:
LOT: ??- BLOCK: _-1-) SUBD./P.I.D.
PROPERTY
OWNER
-`- ??OD U?
.?- o^?/1 Z&
--sV
Name: Phone #:
last Fhsf
StreetAddress: StTIl?-/ t
City State: Zip:
Company:??///Jr??/?lC? C?Od/ S l Phone #: -y
(area code)
CONTRACTOR
Sfreet Addren: '11111,72C2 ticense # - 2-Exp.
ARCHITECT/
ENGINEER
ciri state: np: S;5-3CZ/-
Company:.
Telephone #: area code (
(RESIDENTIAL)
?'
7-11,---I 5
Remodel/Reoair ReouhemeMs
2 copief of plan
1 set W energy ealculallons lor heated addlNons
1 sHe survey for extedor addRlons S decb
Name:
Shee't Address: Regishation #:
City
Sewer & water Ileensed plumber (reauired for new canstructlon onN):
State:
Penalty applies when Address ehange and lof change is requested once permN Is issued.
Zip:
I hereby acknowledge that 1 hwe read lhis applicatbn, state thaf the inform tlon Is co ect, an agre to mply wffh all applkabl
State of Minnesota Statutes and CHy of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes
No
f{r j
Tree Preservation Plan Received _ Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 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 ? 22 Porch/Addn. (4sea.
? 03 1 of
plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 _
2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level )2?4 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/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 WindowslDoors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demoiish (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
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
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.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
CLAIM VOUCHER- REFiIND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Maverick Construction
ADDRESS: 11227 River Road NE
Hanover, MN 55341
LOCATION: 3880 Kennet Circle P.I.D./LEGAL: Lot 22 B13 Coventry Pass 3rd
RECEIPT#/DATE: 118191/10.15-99 VAWATIOPT: $9,000.00
REASON FOR REFUND: Overpayroeot -excludes roof PERMIT ti: 38295
TYPE OF REFUND:
Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 S
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MGWS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
Water Treatment 3868-9220 S
Surchazge 2155-9001 $
Utiliry Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 $
Other 2250-9001 $ 130.50
TOTAL s
I declaze under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
October 15, 1999
9 DATE
?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTITRES EACH TOTAL
? SHOWER 3.00 _1 '
WAT'ER CLASET 3.00 "1-
a BA'?'H TUB 3.00 1.?
i LAVATORY 3.00 6A -
? KITCHEN SINK 3.00 3 -
? LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3 -
? FL.OOR DRAIN 3.00 ? -
t GAS PIPING OLJTLET •ndwmum - i 3.00 ?-
? ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVAT'E DISP. • oaLay. uc. 15.00
U.G. SPRINKLER • no? ? ?t. 3.00
ALTERATIONS • ta ?t;ng 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
srrE a,DDxEss: -M ? o ?0_ ?j &J? ? C;e-6 e
PHONE #: ( - )
SIGNATUREr-OF PERMITTEE
PLUMBING PERbIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CTTY: 7K)u\A',j STATE: Y?.? ZIP CODE: S?? ??
PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMI'LETE FOR ALL COMMERCIAI,/INDUSTRIAL BUII,DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLWG UNIT.
_ NEW CONSTRUCI'ION
ADD ON
REPAIR
WORK DESCRIPTiON:
CONTRACT PRICE:
FEE: 1% OF CONTRACI' FEE
,,;'. ,:; FEE.
STATE SURCHARGE: $SO FOR EACH $1,000 OF ..:... ;.<:.?>..,.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SI1'E ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
WSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
? 30??3
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNIT.
NEW COr:ST:tUcI'IC:?d
ADD-ON A/C
ADD-ON FURNACE
DAT'E - C93
FEES
HVAC: 0-100 M BTL1 $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) -_? ?c/
ADD-ON/REMODEL (ExisTTNG CoNSTavcrioN) $ 15.00
STATE SURCHARGE .50
TOTAL Q? do
SI"fE ADDizBSS: ("'rcICi
OWNER NAME: t`C?I La"f? TELEPHONE #: I-a?&J
INSTALLER: FINK K& • in
ADDRESS: ? ? AYe. N0. •
C1TY:
STATE: ZIP CODE:
TELEPHONE #: ,?42 - I I lo"
1993 MECHANICAL PERMIT (RESIDENI7AI.)
C1TY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMIT (CObIIMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIVIERCL4L/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTFiER MULTT-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE:
1% OF q3NTRAC'I" FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
STTE
FEES
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF Pf4tM1`I' FEE.
$
OWNER NAME: TELEPHONE #:
R:ar il1 • } rY . '..r???
TENANT NAME: (IMPROVEMENTS ONLl)
.s>r . .?' .. .
INSTALLER: r :r "i-
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CTTY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144068
Date Issued:07/11/2017
Permit Category:ePermit
Site Address: 3880 Kennet Cir
Lot:22 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-220
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 -
Greg A Dembsky
3880 Kennet Cir
Eagan MN 55123
(651) 253-3668
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168463
Date Issued:04/22/2021
Permit Category:ePermit
Site Address: 3880 Kennet Cir
Lot:22 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Greg A & Kimberly J Dembsky
3880 Kennet Cir
Saint Paul MN 55123--395
(651) 253-3668
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169559
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 3880 Kennet Cir
Lot:22 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Greg A & Kimberly J Dembsky
3880 Kennet Cir
Saint Paul MN 55123--395
(651) 253-3668
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175745
Date Issued:04/13/2022
Permit Category:ePermit
Site Address: 3880 Kennet Cir
Lot:22 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Greg A & Kimberly J Dembsky
3880 Kennet Cir
Saint Paul MN 55123--395
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178222
Date Issued:08/05/2022
Permit Category:ePermit
Site Address: 3880 Kennet Cir
Lot:22 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-220
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Greg A & Kimberly J Dembsky
3880 Kennet Cir
Saint Paul MN 55123--395
(651) 253-3668
Capital Construction Llc
501 W Travelers Trail
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature