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3885 Kennet Cir. INSPECTION RECORD CIl'Y OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: Contral No. (612) 681-4675 SITE ADDRESS: ?.oTt 1.:3 Vs. M'.?; s APPLICANT: ?+8?5 KE1VNEY CiR rHf. RUTTluN-O c-o- INr GqVp'NYRY PA5s, 3Rp (61Z) 611-0304 PERVlT„?tVBTYPE: TYPE OF WORK: NEW oa 3? 04f0A! 1 , INSPECTION ., . .. , I ;i I ri r) 1 1 NI; FRAM 1 N& I NSUt AT f OMt 41A1 1. RlaAiM t' [ NAL ? tkf ?•lAt:f ? ?? ?_ , ? y ? ? ?„ rTX ` z- 4, ? n r1 -1 Pertnit No. Permit Holder Dete Telephone k sNV PLUMBING a._.a HVAC Zr ELECTRI ELECTR16 Inepecdon C)ate Inop. Commants Footfngs I 3I -?1 Founeation Framing Hooflng Rough Plbg. 41 RougM I-li9. Z7 lsul. Frapiace ??l Htg. g ., OrsaS Fest ? Final Pibg. , J errj l? Plbg. ln ector - Notify Plumber Const. Meter EngrJPian Bldg. Flnal .17 gl ? Declc Ftg. Dedc Finel weli Pr. Disp. ? ? e ? w I .-r . ?.. M r (gex#i#iratt n# (Orrupanry . . titp of Cagan 3orpatatr?.t a# luwftg jnwr#wtt M CaWfiaate issrMparsrroxt m Me requirementr ojSection 306 of !!re Uxijor?n BW1lding Code certillin8 thw at tlie time of issuance this sducture xws err coinpliaRCe wrrk llre vadorrs ordirwirc+es of 1he City reguladxg building cnnstruclion or use. For lJre fo!lowtng. u.e m:scmioo SF DGTIG/GAR 94 Permi: Nm 77 tu/mi -- - -. -•- - - VN ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SU13tYPE: I I r s I „I ? PECTION RECaRD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i TYPE OF WORK: ;'t , 1! 1 , .,li ?tii I i 0 1 Mt, 0.1 ::' 0 / gi o ?i 1" se !ci oi M: 1-i NFW t 11:1411 f: I UAkAMI !- ) Permlt No. Permit Holder Date THephone # S/W PLUMBWG HVAC ELECTRIC ELECTRIC Inspection Datp Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. , Fireplace M4 4 ? / Final Hig. Orsat Test Final Plbg. Plbg. Inspector- Noti(y Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT CIT1F'Of-EA'CaAN 3830 Pilot ISnob Rd. METER # Eagan, MN 55122-1897 CHIP # METER SIZE - DATE MAR 210. 1992 ISSUE DATE _ f• SITE ADDRESS 3885 KENNET CIR LOT 136LOCK 3 SEC/SUB COVENTRY PASS 3RD APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: VALLEY pLBG ADDRESS: 610 CREEK LN CITY, STATE JORDAN MN ZIP 55352 PHONE: 4 Z-2121 OWNER: THE BOTTLUHD CO INC ADDRESS: 5201 E RIVER RD CITY, STATE FRIDLEY MN ZiP 55421 PHONE: 571-0304 OFFICE USE ONLY PERMIT DATE 03/24/92 PERMIT # 12627 B.P. RECEIPT # C 417878 B.P. RECEIPT DATE 03 20 92 _ PRV - BOOSTER PUMP PERMIT REGIUESTED ? X SEWER x WATER _ TAPS j COMM/IND X NEW X RESIDENTIAL ; - EXISTING Lawn Sprinkler Meters are to be Installed :? Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55 1 22-1 897 t DATE MAR 20, 1992 . OFFiCE USE ONLY METER #?6,?Z 311 dL PERMIT DATE 03/24/92 CHIP # 6 3,20 Zcy/PERMIT # 12627 METER SIZESeA?SuS B.P. RECEIPT # C 017878 ISSUE DATE B.P_ RECEIPT OATE 03 20 92 _ PRV - BOOSTER PUMP SITE ADDRESS 3885 KENNET CIR LOT 13 BLOCK 3 SEClSUB COVENTRY PASS 3RD PERMIT REQUESTED x SEWER X WATER - TAPS APPLICANT: COMM/IND R RESIDENTIAL ? ADDRESS: - CITY, STATE ZIP X NEW - EXISTING . PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG Ahead of Domestic Meters on Water Line. AODRESS: 610 CREEK LN _ Credit WILL NOT be given for Deduct Meters. CITY, STATE JDRDAN MN ZIP 55352 PHONE: 492-2121 ; I AGREE TO COMPLY WITH CITY OF OWNER: THE ROTTLUND CO INC EAGAN ORDINANCES ADDRESS: 5201 E RIVER xD CITY, STATE FRIDLEY MN ZiP 55421 z- PHO : N?E 571-0304 S? NATURE WHEN MET SSUED ,. PLEASE AL OW TWO WORKINd DAYS F6R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ? ?' Address: Loc 13 Blk Sec/Sub Co ChfS 31 These items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage ?? Porch ? Basement finish ,/, Deck Please verify with tha builder the removal of roof teat caps from tha plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy DATE: MAR 24, 1992 RE: 3885 KENNET CIR (THE ROTTLUND CO INC) Your Sewer & Water Permit for the above propeAy has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer 8 Water Permit for the above properry has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 0 CASH RECEIPT '? . CITY OF EAGAN 3830 PILOT KNOB ROAD '. EAGAN, MINNESOTA 55122 2 ? onre ' -'?U Is .? ! i. ;: ` G ia [r' AMOUNT 5 ` ? 31 8 DOLLARS O CASH ECK ,m Thank You ? eY 017878 Pft--FkCWy n ?i?:. ? •?i'i5_ ?:1?/._c ? l ?r ,?, 13?? n s 7 7- 7y - L l3 K3 L,.r: I? S a?' 3 ?= iz 3 G.=•.?,, +? ?1r. s,?- J 35 894 Request Date Flre No. --in nspection ?? Reatly Now ? WIII Notify Inspector Cp 14-9-9 Z G Ves ? No N1han ReatlyY I,;;Ii(;ensed contractor ED owner hereby request inspection of above elecUical work at: Job Atltlress (SVeel. Box or Route No.) Cily 3 8 85 4. 0? Cciw2Q Secbon No. Township Name or No. Renge No. Counry A i? OccuOant RINT) ? Phone No. PowerSUp r n • Adtlress Eiecvicai nttacmr (COmpany Name) Comrector5 License No. 3 2`! Mailing Adtlress (COnVaclor or Owner Makinq Installation) TutM1Orizetl Signawr (COnVacron er aking Nslallation) P?one Number t? 3-3 MINNESOTA STATE BORflU OF ELECTPICITY ? THIS INSPECTION REOUEST WILL NOT Griggs-MlCway Bltlq. - Raam 5-113 BE ACCEPTED 8Y THE STATE 90ARD 1821 Universiry Ave., SL Vaul, MN 55106 UNLE55 PROPER INSPECiION FEE IS Phone(6/1) 66241800 ENCLOSED. ?'/1A40- ;1 35.894 REQUEST FOR ELECTRICAL INSPECTION ? See inslmctions lor complelinq this form on back al yellow copy. "X" Below Work-Covered by This Request ?g"???? ?os o°7 ew Adtl Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service • Duplex Wa[er Heater Electric Heating Apt Building Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner Olhar (syecvry) Contrector5 qemarks: Compute /nspection Fee Below: # Other Fee # ServiceEntrenceSize Fee # Circuits/Feetlers Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps TWnsformers Above 200 _ Amps Above 100 _ Amps SignS Inspecmr's use Only: TOTAL Irrigation Booms d ? 1 S S? Special Inspection G Alarm/COmmunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th 6 i i Rouqn;n oate cer y a ove e a nspect on has been made. F;,,at oate ,?1( OFFIGE USE ONLY This repuest voiC 18 montns hom ?i'?+?°'r? ?? `a ° j`??? d J 35900 ReQuast Date ? p? Z Fire No. oug -in Inspection ¢q tl? es 7- No ? Reatly N. QjWJI Nobty Inspeclor When ReatlY? I 0 icensed contractor ? owner hereby request inspection of above electrical work aC Job Atltlress (SVeet. Box or Route No.l 8g$ Ci?y Setlmn No.' Townshio Name or No. Ranga No. yKy ? Co?J Occup t(PRINT) koztl? Phorie No. PawerSup ler (`? QYf? . ?XPti AOtlress Elednca nteedor (COnpan N CqnhacMwk Licanse No. GI?Da3r6? Mailinq A tlress IConhaclor or O er Making Installation) Awlwrizetl Signature ICOnVac n n r Making In auonl VbWA - Phone Nomber Vb ? -38? d MINNESOTA STATE BOAFD OFELECTRICITV U TMIS INSPECTION fiEOUEST WILL NOT Gnggs-Mitlwey Bltlg. - Room S173 BE ACCEPTED BV THE STATE 80ARD 1821 Uaiversity pve.. SL Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS Vhane(612)601-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ^?t 35900 • See mstm<iions for wmpkting (his form on back ol yellow cnpy ??/O G QQ ?7 "X" Be/ow Work Covered by This Request e Aad Rep. - Typeo/euilding AppliencesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Other (Specify) Comm.llndusirial Furnace Farm Air Conditioner Olher (s{ucityl Convactor5 Remerks: Compute Inspection Fee 8elow: # . Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool ? 0 to 200 AmpS / 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector's Use Only: i TpTqL Irrigation Booms , l JD Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°°9n.m ? Date ?_ y certify that the above inspection has been made. F;,,,i OFFICE USE ]NLY ? This requesl void 18 monihs lmm y&'- Sy D,? RESIDENTIAL 03' ??&ae --1'" ? BUILDINC PERMIT APPLICATION p?jw A-e- CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 6a? OAWf',` ais1? NewConsWetian ReauiremeiAs • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all raofed areas (20% marzimum lot cover{qe alloxed) • 2 coPies of plan showing beam d window sizes; poured fouM design, etc.) . 1 set of Energy Calculations • 3 copies of Tree PreservaUon Plan if lot platted after 71133 • Rim Joiat Delail Opibns selection sheet (bldgs wiM 3 or less units) DATE D JOB SITE ADDRESS RemodallReoair ReauirameMs • 2 apies of plan • 1 set of Energy CakulaUons for heated addAions . 1 site survey far exterior additians 8 decks • Indicate'rf home served by septic syslem for addilbns VALUATION IF MULTI-FAMILY BUILDI PROPERTY OWNER_ TYPE OF WORK ? APPLICANT a ADDRESS • L PAGER # MANY UNITS? FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# 50-2- 20"'1-6363 ZIP CODE 5590. ? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing 3ysfem Includes: Mechanical Contractor: Mechanical Syslem Includes: Sewer/Water Contractor. _ tlir Conditioning Heat Recovery System ree: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicanf ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 CELL PHONE # _ Water Softencr _ _ Water Heater _ No. of Baths Phone Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demotish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire 81dg'only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ RI. _ Air Test _ Final _ Windows (new!replacement) _ Insularion _ Retaining Wall Approved By 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 Building Inspector CITY OF EAGAN 3830 Pitot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T: 3$85 KENNET CIR COVENTRY PASS 3RD is BLOCK: 3 APPLICANT: DAHM CON3T GO INC, K W (612) 457-0113 BUILDING 022079 09/28/93 -1 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: -i PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIP7ION (2ER0 CLEARANCE) PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 9?-z d ?S3 PERMITTYPE: auzLoiNe Permit Number: 0 2 2 0 7 9 Date Issued: 0 9/ 2 8/ 9 3 SITE ADDRESS: 3885 KENNE7 CIR LOT: 13 BLOCK: 3 COVEN7RY PASS 3R0 P.I.N.: 10-18402-130-03 DESCRIPTION: (ZERO CLEARANCE) Braildin4-,Permit Type FIREPLACE i Building Work Type NEW ? ..` ? -' 00? REMARKS: FEE SUMMARY: Base Fee $25.00 3urcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - S7. LIC. OWNER: DAHM CONST CO INC, K W 14570113 0002536 ClOU6H JQHN 2217 ROGERS CT 3885 KENNET CIR MENDOTA HTS MN 55120 EAGAN MN 55121 (612) 457-0113 (612)452-2817 I hereby acknow edge th I have read this applicatian and state that Che information i oorrect nd gree to comply wiCh ail applicable State of Mn. Statutes an ty of gan r inances. L ? ot?a ,?;?1 ? . APPLICANT/P MI7EE SIGNA E i55UED BY: SIG ATURE ! ------ / REACTIYATE _ PERM.IT #- ?21)014 CITY OF EAGAN 1993 BU!LDING PERMIT APPLICATION ? ?? 681-4675 SINGLE L MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural Q structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot change i,s requested once permit is issued. Oate Yaluation af work Site Address: -s SiREEi SU17F 0 Tenant Name: (commercial only) IAT SIACK ? SUBD. vu P.I.D. M Descri tion of work: ZCz20 ?U The applicant is: ? Owner i4WContractor ? Other (Dsscribe). Name C16v ?l JOh? Phone Property Owner LAST F1R5T ?? C ? qddress 12,NN ? STREET fTE 9 City G y`' State P_?? Zip SS 'a, Company k \-' C o 'v S Phone -7 - 0 COntreCtOr Address ? aI-7 ? s C} License # 0d Exp. Lity ?"f ?o FCA )A +5 5tate Zjp Ss 1'aQ Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read ' applicabi?n and state that the information is icable ?a e o Minnesota Statutes and City of h l i '7 y w t correct and agree to comp aW Eagan Ordinances. " 1 , /_? Signature of Applicant: 61? OFFICE U5E vNLY BUILDlNG PERMIT TYPE A ?s. e ,f? ' ? El 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ` [3 ' 16 Ba?Sement Finish ? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. W O 17' Sw1m Pool O 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind. ? 04 SF Porch ? 09 12-Plex `B 14 Flreplace 0 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility O 21 Miscellaneous WORK TYPE ? 31 New b,33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repair ?.36 Move GENERAL INF ORMATION Const. (Actual) Basement sq. ft. MWCC 5ystem _ Allowable) lst F1. sq. ft. City Water _ S UBL ccupancy 2nd F1. sq. ft. PRY Required _ Zoning Sq. ft. total Booster PumP _ # of Stories Footprint Sq. ft. Fire Sprinkler _ length On-site well Census Code _ Depth On-site sewage SAC Lode _ APPROVALS Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS ? Site ? Footing ? Framing 0 Insulation ? Mallboard 0 Final 0 Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAL City SAL Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.luecton: SAC % SAC Units INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lor : 13 3885 KENNET CIR COVENTRV PASS 3Rp PERMIT SUBTYPE: SF DWG PERMIT TYPE: Permit Number: Date Issued: BLOCK: 9 APPLICANT: THE ROTTLUND CO INC (612) 571-0304 TYPE OF WORK: NEW BUILDINO 000077 03/20/92 INSPECTION SI7E .. . FOOTING DA FRAMING INSULATION WALLBOARD FINAL FIREPLACE 1- 7 Control No. 0073 ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: 6UIlDING 000077 03/20/92 SITE ADDRESS: 3885 KENNET CIR LOT: 13 BLOCK: 3 COVENTRY PASS 3R0 DESCRIPTION: Buildirtg Permit Type SF DWG Building Work Type NEW UBC Occupancy., R-3 M-1 Construction Type VN Zoning VN Building Length 45 Building Width 44 REMA ? 7C U (i 3 j 7 3/2"o /57" FEE VALUATION Base Fee Plan Review Surcharge SAC sac % SAC Units Subtotal CONTRACTOR: - THE ROTTLUND CO INC 6201 E RIVER RD FRIDLEY MN (612) 571-0304 $590.00 $383.50 $44.50 $700.00 iee $1,718.00 $89,000 MISC FEES „ $1.610.60 Total Fee $3,328.50 npplicant - s r. OyyNER: 15710384 0001 35 ROTTLUND CO THE 5201 E RIYER RO 55421 FRIDLEY MN 55921 (612)571-0304 301 I I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate o'f Mn. 3tatutes City of Eagan Ordinances. ? o ze??APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE Control No. 0073 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 7 . ? . 681-4675 YUIR 1 9 Ro SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typin g of permit is requested, but not picked up by last working day of month in which re uest is made ar lot chan e is re uested once ermit is issued. Date 3' / l& / °( 2- Yaluation of work? Site Location: S?WSS_ revWe?4- STREET STE M Tenant Name:_?- `P,-?-µly+e( C? `Z? LOT BLOCK 3 SUBD.tfcA-w-r'4'-( Pass7u? P.I.D. # Descri tion of work: 14 The applicant is: Owner Contractor ? Other comcrtbe> Name '7-Te_ Phone S"71 -0jo1 Property LAST FIRST Owner Adaress ? 2° 1 STREET STE M City -4a?:PX A Ira State ?A?_' Zip S-r92j Company Phone Contractor Address License #' 000 133 37? City State Zip Campany Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber o' ? w.b,• ? Processing time for sewer $ water permits is two days once area has be approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: e2l OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation EN 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE 09 90 New ? 91 Addition ? 92 Alterations r-I 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL INFORMATION Occupancy Zoning ?j Const. (Actual) Vjy (Allowable) ? # of Stories Length ys Depth ? APPROVALS Planning Engineering REQUIRED INSPECTIONS ? 11 Res. Add./Porch ? 12 Comn./Ind. New O 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. O 96 Move ? 97 Demolish ? 99 Undefined Basement sq. ft. lst fl. sq. ft. 2nd fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ,Cd Site El Footing ? Wallboard q Final a Framing ? Draintile U Insulation ? Fireplace Permit Fee 590 Surcharge yY,s Plan Review 3g3.?S- License MWCC SAC 7p p City SAC /O o Water Conn. /o?s Water Meter Road Unit ? Treatment Pl. 3 ? R9dd--F11F*t 1¢4<{- jr 30 Pei°Ir'Bed- ? - 30 TMa'?.Tr"s-uea,?{, Copies Other Total: S2?.h0 SAC % SAC Units vatutc;on: $ ? J ?m o ° e? u rr ??'Z?/c 9Go 2 zmo /Zk S" = Go 1Z G? 2 ° zek /6 = ya ? S- /yo 13 16 Agricultural ? 17 Building Move ? 18 Demolitian O 20 Miscellaneaus 1 Z Za MWCC System V /zzo City Water PRY Required Booster Pump Fire Sprinkler Census Code /O SAC Code ? Assessments * PIONEEIi * ?ng AOer ** * * 2422 Enterprise Drlve Mendoto Heights, MN 55120 • aHL Er+aNEERs 1(612) 681-1914•Fax 681-9488 625 Highwoy 10 Northeast Blaina, MN 65434 612) 783-1880•Fox 783-1883 Certificate of sUrvey for: The Rottlund Compan,,(C1C. House Address: Kennet Circle. Eagan MN Model Name: Summit KENNET CIRCLE N ? S 00°23'16" E 00 (A 00 ? f0 C) ? ? 0 C) s ? 1 A i'r 0 oaivewar r- -- i_ 5.00 z033 N O ----? is 888.4 ----Tia.ooJ- I CARAOE0 I pl 12•33 I I 12.33 kl ? I? I ? PROPOSED HWSE 4 ? WAlNOUi I fs.oo 40.00 zaoo ? ? N 00°23'I6" W ? I I Ill . I ? ? I s ? I ?' ,.. I Y7.1'I' • L - - - - - - - - - - - ?1df, 85.00 N 00°23'16° w • 900.0 Denotes Existing Elevation AgDO Denotes Proposed Elevatton -- Denotes Drainage & Utility Easement - Denotes Droinage Flow Direction --o- Denotes Monument -s Denotes Offset Hub Bearings shown PROP05ED HOUSE ELEVATION Fourth Level Floor Elevation: g8 0.95 Third Level Floor Elevation:gg5.85 Top of Block Elevatlon:889.06 Garoge Slab Elevation:888.73 are assumed DETT LOT 13, BLOCK 3 COVENTRY PASS OAKOTA COUNTY, MINNESOTA 3 R D A D D I TI O N I hareby eertlly thst ehb wrwy, DIsn or raport wt, e prepered by me or under my dirxt eu Ieion eM thal 1 am duly Rapislered Lend Surveypr undar tha lews of tha Suta of Mlnnesou. Oated thN 1 S7?I dev or MAwt F1 q,p. ?g? / Scale: 1?^=30'Bet " -7 /--?,? ??,? R09ER B: 51 1 L.S. R G. NO. 14891 N U ? ? N,;;A E 0. ? ?. Oo 1 L . ? / ? ? . .? i ? ? 91194.28 -wrvb FY7'F.ItTOR i•:NVFLOI'F. A41•:I;A(;1•: "li" Ci)MT'ii'f!1'I'1011 oWN ER tCn7`rL-_c,uo co SITE ADDRESS CONTRACTOR DATF. PHONE Determin vorkini; squure footnr.;e of ench. 1. Total exposed wall aren .. I S Z b sq. ft. x 0.11 _ 20 loa8 • 2. Total roof/ceiling area ft. x e.,026 • - Total exposed wall area nbovc floar = 1? ZX s. c b. Total wall windov area . Total do .............. ...... ?(p ?,G'/ - }- • or area ..... a ,? c. Total slidin g glass door .... area .... . --_1 y d. e. Total fireplace wall nrea Total wall framing area ( ... ........ avera e lOz) ......... 3 .97 ...• 2- o f. Total net wall area nbove g ... floor ....... . ? Z 6. Total rim joist aren .... ....... ............ . ... ..... , , ..........? 2 ? Totsl exposed frnmdat ion araa h. Total foundation window a rea ...... ? • i. Total net foundation area hbove grade ... .......... (e , ; , • f Determine "U" value of each wall se gment. o.Q.2 ? 57 G7 x • - b. 8, ?1 X O. (3i?) ? C. X „u„ d, G• O X uun e.. ??4r '?? (p X.1lUll ?. QGpj q _ ? Z?g4 ; „ ,. r. I 2R9? zC? o?r? u X ; . g. 24?. 8 x..1,,, h. ..? x i. 02,4 x„u„ g,73 3. .... ......................... ..... .ror.,? = I70,2?- .. If item of SBC N3 is the same as, or lesa !.h:Ln iLe:m kl, 6006(c)2. you nzve met the intent A . 5V M A4 I"( ?`' '. Tot¢1 exposed roof/ceiling aren = ? 2 Total gross roof/ceilint; area = ?. Total skylisht area .......................... ? k. Total roof/ceiling framing aren ............... / . 1. Total net insulated roof/ceilinF area ........ . Determine "U" vulue for cncli ruof/ccilini; scgnent. ?.? X uUn ?? ? , , _ ` . k: X„u„ 1. x.,U., 0.027- = 24,(o 3 . . . _ r?. 4 . ...............................:. Total If total oP N4 is the same as, or less than N2, you have met the inLent of ? ssC 6006(c)1. . To utilize the total envelope system method, the values eatabli:hed by the sum of items N3 and 94 shall not be greeter.thKn the sum of items A1 and N2. ? ' 3•. + 4 . _ . . , . ?, .? o . ? _ . ... o ? _ GAI+Gt.LATIDW-,7 (60NT). rFAMr-- WPcLI. (R I NWl-A1IoN R - vAUaE 04'-?IDE AIFZ Fil,M .:o. (q.o ' o. 4S -. - ---o;c? o - u= ??' = a.o43 7FFftM9 WRU. C -6;rUD _ pl.,004• vle.W. C L C c C C `LoMPONLNTS hH?R'(H IN V . -? xv h?un (F?.kt?4) " . P--VALUL -- : ?Taf?.-._I I. u ? ?- s o, 089. F-lbiAL I=G?JNP>. ??ur= ?0.12 X O.ot?9> -f-?p,8b ?0.043? = O, O? :?. _ ._.... ?1N?__?o??(" .. - 1?29PoUfr.?'t?Ts :. S'li.:(tiI5u1.. ?":A? HV;k'(H I w4f . _ G:coG ---??•-° _ I•S= . 2.OL ....o;??.. ? O ? ? ? ? ? ? ? 30 C- CZ. -C?O.F'`Lf!iLr-; - -?_?-? -= - .?.. 5.-0. 1o.E ?.-.--?---_.. i ,/tA :L -L =O.D, i?. r: ? ; (D c ? O O 'Z?.?}-?'('rGNOt?R• N-T,- ftl (z - FILM • u.4 E- - -Za. Ca _ . _5 ._o. _. . : . - o. 4-5 - R= 35:?8 3 - 35.83 ? 2q-?tl?-F.iL;M. Q b.YP- r?o: O ??-r•-?f?- ??M - -o?i1. ... . .. . _ 0.45 _.????_-----=-.. ?v 3 -?FA?Fat?;..FfiAS?RsM1m?Fn:h???F ?F'Kd•nfii?.R:F+F?F?f.?F+Ri ?F.+F Fmrnmk crrv oi= e:acAN casttzER. ,,g rEeMrhAL Nn: nfa 03/22/00 1"SihE: 10 iit22: Tn_ o _ ur-.ME; pAN vacE.FV CaNMucriON. P pk.FlgytlCFi - T , 8??0 3(]01 433'L?r1L?!??; "t 3210 9001 ILENNET l:IFt - 215°i 3L1W 3F385 f•tENNl:f CIR ? . . L T?r.aY Feceipt Atr'ntjnt: C?'124Lii.5 USEF IB., tAO . ' tJ.5C) 60.G? 0. J=J : 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) • arv oF Er?caN ??tlo?1/c? n 3830 PILOT KPIOB RD - 55122 f? 651-681-4875 New ConshucHon Reaulremenh RemoCel/Reoair Reaulremenh wbo.?o cAa 31z11oo ? J reglstered dle awveys ahowing aq. fl, pf bt. a% rt. of house 2 coples of plan and gl rooletl areaa (7076 maxlmum lol covemae allawetl) 1 ael ol energy colculaHau tor heaftd addltions D 2 coplea ot plans (dww beam & wlntbw qxes; poured fnd. deslgn; etc.) 1 alfe wrvay 1or extedor atltlitlana A tlecks > 1 eal ol eneryy caleulaNOns ? 3 coples of hae preservallon plan tt IW platted aHer 7/1/99 DATE: ? ?D-(n n CONSTRUCTIONCOST: DESCRIPTION OF WORK: ?/,2)? Q(°l'?? STREET ADDRESS: 121?. LOT: I ? BLOCK: --?> SUBD./P.I.D. #: C G\) Name: T??'iy L? V?ih Phone #: pROpERry ?'-7 Flnf OWNER , I ?, • Sheet 3Y City .ct:E; State: /?Ul Gi/ , Zip: (?i?? y3??896y Company. S)CA (/???r/ I _,c?? Phone I: - - (area code) CONiRACTOR Sheet Address• LC!?? rz.??2J ucense aAv?riixpj?=?CDo cly E' state:. IW t) zlp: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Skeet Address: RegishaHon M: Ciy State: SeweNwater licensed plumber (H InsWllina sewarMraterl: Phone # Zip: 1 hereby acknowledge ttqf ( have read Ihis applicaNon, sfafe ihat Me informahon is and agree to comply wHh aA appiicable State of Minnesota Statutes and CHy o} Eagan Ordfnances. J????Gi%_/J n // ? Signature of Applican „ ? ? _ - ??? OFFICE USE ONLY Certificates of Survey Received ? Yes _ No ' 2 O Tree Preservation Plan Received _ Yes _ No e, Not Required ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES 13 16-plex 21 porcn (3-sea.) p 01 Foundation ? O 07 08 05-plex ? 06-pleX ? 17 Garage 0 22 po??Addn. (4-sea.) Porch (screened) ? 02 SF Dwelling ? 03 01 of _ plex ? 09 3s?,- 18 Deck 07-plex ?g L?er Level ? ? 23 24 Storm Damage ? 04 02-plex ? ? 10 11 08-Plex ? ply9 Y or _ N 10-Plex ? 25 30 Miscellaneous q?essory Bldg. ? 05 03-Plex ? pg 04-Plex ? 12 12-piex ? 20 Pool ? WORK TYPE '? 31 New ? 36 Move Bldg. ? ? 0 43 qq Reroof Siding w 32 Addition ? ? 37 38 Demolish (Bldg) Demolish (Interior) p 45 Fire Repair Windovus/Daors ? 33 Alteration 34 Repair ? 42 Demolish (Foundation) 0 46 t for demolition permit ? " Give PCA handout to applica n GENERAL INFORMATION _ sq. ft. SAC Code ? ?- Stories - ? - _ Sq, ft. of Units No Length Footprint sq. ft. . No. of Buildings (Actual) t ? W idth Basement sq. ft. _ _ - Census Code MCIES System . Cons (Ailowable) Main level sq. ft• _ City W ater UBC Occupency SQ' sq. ft. ? _ Booster Pump Zoning PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? ' Stucco/Stone qppROVALS guilding Planning permit Fee ?z---- jELI_ Engineering Variance Valuation: $ L z? Surcharge ?- Pian Review License - MC/ES SAC ?- City SAC ?--- Water Conn. - Water Meter - qcct. Deposit S/W Permit - SIW Surcharge - Treatment PI. - Park Ded. _---- Trails Ded. - Other Copies .--- Total: ? 31 Ext Alt - Mutti ? 33 Exi. Alt - SF ? 36 Mu1N v SAC Units - % SAC - . ? , , • ?T P?ON6Eq Qng neer d ** ?* 2422 Enterpr?ae Oriva Mendota Heighis. MN 5512D a+s . pNL ENqNEERS (812) 681 1914 Fox 881 9488 Lnqosc?w[ utaitfcrs 625 Hfghwoy 10 Nwlheast Biolne, MN 55434 Certificate of Surve for: 4•812) 783-1880•Fo. 7aa-iae; r The Rottlund ComPanv Inc House Address: Kennet Circle Ea on MN Model Name: Su_ mrrii{ KENNET CIRCLE u "?'_ S 00°23'i6" E N N ? _' rn? ? O 0 a ? I A 1, r L o DRIOEWAY - - - - - -' '. ?r_ -- - - - - Bee.e gl --- I ? IS F ?_ aea4 ? 20.33 - - I N . T 2aao OARAOE ° o 12.13 +L I 12.33 ? i ? s.o _ J I PROPOSED HOUSE 'w iKOUr` I I ??pq? V , 15.00 .o.oo -1- 25.00 C)D N0073'/8'W ? ?l? . ?Z. I 884.4 ? ? j't I ? I ? ? I ? I ? I L - - - - - - - - - - - uJ . . ..?. a• ? ? ..... j. ... .j ?_, .., _. 85.00 si nn?z'?c+ w . 3 l_3 Bz' ? CITY OF EAGAN PLUMBING PERMIT SUBD. (612) 681-4675 RBSID$NTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # / 0 5 S a ? DATE ?= -- SZ ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME : 71 Der?cl ?z ??7 G SITE ADDRESS: ? T Y ? ?P^??e C ,YLC ? r INSTALLER: ADDRESS: Z2?!/ oixY: 9-Ou&7-v : zir: 55?5 `Z PHONE # OF PERMITTEE STATE SURCHARGE .50 TOTAL: d c) PLEASE 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: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: COMPLETE THE FOLLAWING: N0. FIXTURES EA. TOTAL REPAIR/A-D ON 15.00 I sxowEx 3.00 3 - ? WATER CIASET 3.00 L ? saTx zua 3.00 3 - ? IAVATORY 3.00 ? ? KITCHEN SINK 3.00 ? LAUNDRY TRAY 3.00 ? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? I FIAOR DRAIN 3.00 ? GAS PIPING OUT. 3 (MINIMUM - 1) 3.00 - ? ROUGH OPENINGS 1.50 ?b _ OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 (SIGNATURE) CITY OF EAGAN FOR CZTY USE ONLY 3830 PILOT RNOB ROAD EAGAN MN 55122 PERMIT # , PHONE: (612) 454 8100 RECEIPT #? lI1?.C'F??.4'.A..7. ?P$ki?'? DATE: Z PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------?-------------------------------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 ?1 r7 ?? $ ? ?J f SITE ADDRESS: ?L0? .) fM.C 11 Y%T Li m I STATE SURCHARGE: .50 LOT:_Z3 BLOCK 3 SUBD. /2O TOTAL: $?J?J INSTALLER: FLARE T . A/G, ONC. ADDRESS: 003 Plvm011tI1 AYg No ( PERMI TEE cITY: Golden Valiey, MN?55427 PHONE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE YERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #; FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT #Z0/9 i tLtmxNG PM DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: SITE ADDRESS: LOT:4 BLOCK d- SUBD. INSTALLER: _ Ai/lOi-r eo ADDRESS: JO,O CITY: ZIP: _Tro Jf PHONE te: ? .? SIPN,kT[JRE OF PERMITTEE ---- ------ -------------------- 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. _ (MINIMI7M - 1) 3.00 ROUGH OPENINGS 1.50 y OTHER WATER SOFTENER _ 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S ST. SURCHARGE .50 / TOTAL: S 7DSTRIAL;' PLEASE COMPLETE THIS YORTION 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: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: 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 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA091743 Eagan, MN 55122 . Date Issued: 10/23/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3885 Kennet Cir Lot: 13 Block: 3 Addition: Coventry Pass 3rd PID 10-18402-130-03 Use Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Peggy J Clough 3670 Dodd Rd., #100 3885 Kennet Cir Eagan MN 55123 Eagan MN 55123 (651) 365-1340 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093627 Date Issued: 04/23/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3885 Kennet Cir Lot: 13 Block: 3 Addition: Coventrv Pass 3rd PID:10-18402-130-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Peggy J Clough 1920 County Road C West 3885 Kennet Cir Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use F^ r 9 Permit j Ron City of EaEd I Permit Fee: J~l 3830 Pilot Knob Road Eagan MN 55122 I Date Received: J` I I Phone: (651) 675-5675 ' I I Staff: Fax: (651) 675-5694 COD i 1116s- 2011 RESIDENTIAL BUILDING PERMIT APPLICATION6-ls-l Date: Site Address: A Unit #:g - Name: (~V l'„ I-► v~ Phone: RESIDENT / s OWNER Address /City /ZiP N£5A ^ t~sQC.AIs I~ r~ ~y, Applicant is: Owner Contractor "L'q Loo~ ~'~►r`r` TYPE OF WORK Description of work: Construction CosN t'3) o0z) Multi-Family Building: (Yes / No ) Company: ~l tt e; ki KOU5 &N d t yt.-t Contact: KAIX r tell l(_1t t4y4111 CONTRACTOR Address: __20to s fee ~ S~ N w City: NLj~-J ((/mLAh State: Zip: 'J 60'Ll Phone: (05L b4te' 4,412 License 2DU 3-23g4 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to that they are trade secrets. 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.gopherstateonecall.org 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. ( Applicant's Printed Name Applicant's Signature Page 1 of 3 D0b-N T RITE BELOW' THfS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage V Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex _Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition / RC O °7 SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 8 Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final _jL Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge X Z-Q 0 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169406 Date Issued:05/25/2021 Permit Category:ePermit Site Address: 3885 Kennet Cir Lot:13 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-130 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Peggy Jean Clough 3885 Kennet Cir Saint Paul MN 55123--395 (651) 431-1351 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature