4304 Kirsten Ct
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CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
454
8100
PHONE
lUILDING PERMIT -
:
Receipf
TO be wWd fer Est. Value Dote
Site Addreu Erect ? Occupe
Lot Bixk ?eclSub Remodel ? 2oning
. Repair ? Type o-
Parcel No. Enlarge ? No. Stc
, . _ ,. Move ? Length
? Name
Z
, . 7 ,
Oemolfsh ?
Depth
? Address Grede ? Sq. Ft.
City _
Phone , l
Install 0
g? I Name
? Addresa
u
1- Citv Phone
Name
Address . ,- .. . . . .
City Phone
1 hercby ockrawfedga that I how reod this
fha inlormation is torrect and ogree to c
Srota of Minnssoro Stotutes and,Citypf
A Building Pemiit Is issued ro:
all work shall ba dons in accordonce with
Buildlnq Of/icial
and stote that
ofl appticabla
e State of
Assessment
Woter 8 Sew.
Polica
Fin
Enp.
Plonner
Council
?
81dg. Off .
APC
Var. Date
r,
19
<. i
Permit ??? Q I
SurcFwrya ?r
Plan Review , • J
.? .=v
SAC
Wofer Conn. 0
Woter Meter 0
Road Unit
i
I Tatal n b ?
on ths expron Conditlon 1hat
Stotutes ond City of Eaqan Ordinances.
v
Psrmit No. Pnmk Holdsr Dgto
Plumbing x' ?,
H.v.n.c. ]
- ?r -
Electric
.
Softsnsr
Inapection Data In3p. Othsr
FooYinqs 77 7
Foundation
Framinq
Roofing sA
Rouqh Plbp.
Rouph HVAC
ti?m?.??o?
Final Plbp. 8 ?.
Finsl HVAC
Final
Grt/Oce.
WaMr a?ibe LOCatiOn:
YYall
Sewar
Pr, Disp.
,
y CITY OF EAGAN
? 64f3,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454- 8100
BUILDING PERMIT Receipt #
To be used for - Est. Value ^ 1>!` .,! Date 194
Site Address
Lot 12 Block ' SeciSub. OFFICE USE ONLY
Parcel No. occuPancy - Fees
Zoning -
.. W Name (Actuaq Const - Bldg. Permit ? 6 - ?'•!''
;
= 4304
Address '
(Allowable) -
. 5[s
o Surcharge
City =-AGAAK Phone '=?- 0 #ofsrories -
2
11 Plan Review
-
Len9th
F NelTle Depth ? SAG City
Z
o"
a Address S.F. Total
-
? SAC, MCWCC
? City Phone S.F. Footprints _
Water Conn
On Site Sewage -
?
F W
Name
On Site Well -
Wat
Mete
er
r
AddfESS MWCCSystem -
¢=
a W
City PhOne
City Water - Acct. Deposit
P
'
PRV Required - ermit
S
W
? I hereby acknowlege that I have read this application and state that the 8ooster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State ot
?
Minnesota Statutes and City ot Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
?
A 8uilding Permit is issued to: -
Planner park Ded.
i on the express condition that all work shall be done in accordance with all Council
. applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official Variance - TOTAL 46. 50
Permit No. Permk Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
InspeMion Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
RpUgh Hlg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Notity Plumber
Engr.IPlan
Bldg. Final .
Deck Ft9.
Deck Final
Well
Pr. Disp.
.: ?
;
CITY OF EAGAN 142 18707 ?
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -? ;C,;
? PHONE; 454-8100 " , :? ? _ ' ' ? j •
lUILDING PERMIT Receipt #
r HASEMlil1'F FT.KISH j i, S00
To be uaed tor Est. Value
Site ,41rss ???N 4304 Lot Block Sec/Sub.
Parcel No.
W Name
o Address
City Phone
F Name 8?
Z
o? Address
U¢
?
City Phone
Ow Name
?w
? ;
Address
<w City Phone
I hereby acknowlege that I hav d this app' ion and state lhat Ihe
inlormahon is correct and a comply all applicable State of
Minnesota Slawtes and Ciry n? in es.
Signature of Permitee
ARarar axauv
A Building Permit is issued to.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy,
- FEES ?
Zoning - js.?
(Adual) Const - Bldg. Permil
(Allowable) - Surcharge 1.00
a
# of Stories` - - . 7
lengM _ Plan Review .?
Depth - SAG Ciry
S.F. Total - SAC, MCWCC ?
S.F. Footprints - ?
On Site Sewage _ Water Conn
?
On Site Well - Water Meler {
MWCC System - JJ
cl. Deposit
Ac
ry Water
Ci _
PRV Required _ S/W Permil
Booster Pump - S/W Surcharge
Treatment PI ?
APPROVALS Road Unit
Planner
il
C - park Ded. 1
ounc
BIdg.OH. _ Copies ? ,
• ?
Variance - TOTAL
PermR No. Permk Holdar Drie Telephone M
WATER
SEWER
PLUMBING ? ? 8 9? ,5 'DIPS
97
H.V.A.C.
ELECTRIC
Inspaction Date Insp. Comments
Footirgs I
fourda6on
Framing
Roofiris ' c -;; i - -
RoughPlbg.
Hagh Htfl.
kul.
Freplace
Fnal Htg.
Fnal Plbg.
Const. Mgtgr Plbg. Inspector - Notify Plumber
Ergr./Plan .
BWg. Fnal
Deck Flg.
Dedc Fnal
WeU
P,. Disp.
Cities DiRital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
a r I .
Reaipt =T
MECHANICAL PERMIT
Permit No.
' CITY OF EAGAN
Fw
fill in numbered spaces S/C
Typa or Printlegibly T
ot.
1. Date ? 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contrector Phone
6. Address
7. City _
8. Building Type: Residential (D
9. Work Description: New ?
5tate
Zip
Commercial O Institutional ?
Add O Alter ? Repair ?
I 10. Describe Fuel Type
I 11.
No, suipment BTU - M. Ea.
Forced Air No. Equioment CFM
Mfg. • _ Air Handling:
Boilers
-
Mfg. - Mech. Exhaust
Unit Heater
_ Mfg, h
O
Air Cond. t
er
Mfg,
Gas, Pi ping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rw+Yh Finil
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Recaipt ? - ?
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fss w
pill in numbered spaces S/C
Type or Prini legibly Tot.
r. ?
1. Date 2. Installation Cost
3. Job Address .- ' Lot Blk. Trect
4. Owner
5. Contractor' Phone ?
i
6. Address i
7. City State Zip j
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repajr ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
i
f i
Ce
l /D
ld
Bath tubs ra
n
sspoo
e
$e
ti
T
k
_ Lavatory p
an
c
ft
S
_
Shower ner
o
W
ll
_ Kitchen Sink e
Urinal/Bidet h
O
_
Laundry Tray er
t
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : -
for
Rouph Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
TY OF EAGAN
30 Pilot Knoh Road -----? ?-?-•? " 7509
0. Box 21199 PERMIT NO.: -??
gan, iN 55121 DATE:
nirp: No. of Untts: I
?JJro?: TJVY q116LCt! ?+1. L1G Dl JLLAOCL L
;te I1W
???-r , 7 ease Hech
?v- 7» DMI
.
.,m to wo.py wk6 Nu Ciryr e1 laso¦ Connxtton c]wrpe: 425. OOpd
hilmoneN. AccoxM pepo4it; Pa
Permit F": . d pd
Sureho?w: .59 pd
Y Miae. Chorpss:
tte of Insp.: Totol:
ap.: DoM Pald:
30 Pilot Knob R
0. Box 21199
gan, N 55121
WATER SERVICE PERMIT
PERMIT NO.:
OATE: '
_ No. of Units:
$Ita Address: R1 i..nanP 'J
Pl
umbar.
Mator No.: Cmnection CFarge:
Size: Acoount Deposit:
Readsr No.: Permit Fee: ?
1 pm M eesolp wMM Nw Cify of Eayew Surchcrye: ?
?
? ?
OrJiNeoM. Mlsc. Chorpes: „
.
° - :
Taal: ,
8Y Dafe Poid:
Date of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob t3oad
'
° ,
F
.
r Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZoninD: No. of Units: ;
Owner, t e,-snn
Addross:
Sita Addron: ? ? ?? •:i ,.,, t'' T'? ; ?
Plunbsr:
Meter No.: 3 L 7 Connactlon Chorys:
Slze: Aooount Dqposlt: '
Reoder No.: 'o 3/yi a !V - PemrM Fee:
1 p? 1e eomolp wih Iir CiFY ef G"¦ Surdharye:
OrNMeer. Misc. Chorpes: .
Totol: 6'i.':)fInd me_TeT
Dots Poid:
Date of Insp.:
Insp.:
31S
CITY OF EAGAN Remarks
Addition SiTNSET 2nd ADDITION Lot 12 Blk 1 Parcel 10 72986 120 01
Owner
s<reet 4304 Kirsten Court scace Ea2an, MN
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STR EET R ESTOR.
GRADING
SAN SEW TRUNK 1981 196.67 9.83 20 aid unde ori inal ar el
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA S& 1981 196.67 9.83 20 aid unde ori inal ar el
STORM SEW TRK 90,3 1985 668.45 44.56 15 668 45 C00 434
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT '
Rnad Unit $280.00 51637 5 13 85
WATER CONN. 500.00 of 11
BUILOING PER.
In2ii
sac 525.00
PARK
. I
CITY OF EAGAN 2
1
8? 0 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 A,i
?
r
PHONE:454-8100 /0 ??
v
-1
BUILDING PERMIT Receipt # L?
To be used for BASEMENT FINISH Est. Value $1, 500 Date FEB 12 , 1g 91
Site Address 4304 KIRSTEN CT
Lot 12 Block 1 SeGSub. SUNSET 2ND OFFICE USE ONLY
PdfCBI N0. Occupancy - FEES
Zoning -
W Name CARSTEN BYRLEV (ACtuaq Const - eldg. Permit 35,00
? AddreSS 4304 KIRSTEN CT (Allowable) - 1.00
Surchar
e
o City EAGAN Phone 454-0815 a ot siodes - g
Plan Review
Length _
o Name SAME Dep[h - SAC, City
,
?4 Address S.F. Total - MC
CC
? City Phone S.F. Footprints - SAC,
W
Water Conn
On Site Sewage -
W W Name On Site Well - Water Meter
Z
??
Addf@SS MWCC S slem
Acct. Deposit
a W City Phone City Water -
S!W Permit
PRV Required _
I hereby acknowlege that I have ad this appli tion and state that the
,Ip Booster Pump - SIW Surcharge
information is correct and agr e o comply all appiicable State of
Minnesota Slatutes and City an Ordin es. Treaimenl PI
Signature ol Permitee APPROVALS Road Unit
A Building Permit is issued t CARS EN BYELEV Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gidy, pry. _ Copies
8uilding Otticial ? D.l I? ?! 14XL Variance - TOTAL 36.00
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN rT9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
Receipt # ?
Est.Value $1,000
16461
Site Address 4304 KIRSTEN CT
Lot 12 Block 1 Sec/Sub. SUNSET 2ND
OFFICE USE ONLY
PdfCBl N0. Occupancy - FEES
Zoning -
W Name CARSTEN BYRLEV (Actuaq Const - Bldg. Permit 26. (1(1
Address 4304 KIRSTEN CT (Allowable) • 5O
-
o City EAGAN Phone 726-1660 # of stories Surcharge
-
3' Plan Review
Len9th 2
Name SAME Depth SAC
City
_?
"
? Address S.F. Total ,
-
Q SAC,MCWCC
? City Phone S.F. Footprints -
Water Conn '
On Site Sewage _
w Name On Site Well - Water Mete
F
_?
Addf@ss
MWCC System r
-
¢z
a W
City Phone
Ciry Water Accl. Deposit
_
PRV Required _ S/W Permit
I hereby acknowlege that I have re this applic n and state that the Booster Pump - SiW Surcharge
information is correct and agree omply w all applicable State of
Minnesola Statutes and City of E rdi an s. Trealment PI
Signature Of Permitee APPROVAIS Road Unit
A Building Permit is issued to: '[2t•rV Planner - park Ded.
on the express condition Ihat work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. Off. Copies
BuildingOflicial-???1!'?I
%
Variance
- TOTAL 26.50
CITY OF EAGAN N 0- 10 21 1
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
4 PHONE:454-8100
BUILDING PERMIT Receipt #
Te be uad iw SF DWG/GAR Est. Value $ 5 6, 0 0 0 Date MA V 1 3
SiteAddreu 4304 KIRSTEN CT Erecc 50 Occupancy R3
Lot 12 eloek 1 Sec/Sub. SUNSET 2ND Remodel ? Zoning R1
Repair ? Type of Const. jj
Pareel No.
Enlarge ? No. Stories
MADY HALVERSON Move Cl Len9th 42
W Name Demolish ? Depth 46
? A?resg 4949 POPPY LN Grede ? Sq. Ft.
City EDINA phone 929-4314 Install O
Name SAME
Address
? City Phone
Name MINNETONKA DESIGN
Addresg 337 WATER ST
City EXCELSIOR pnone 474-5991
Assessment
Water E Sew.
Polica
Fire
Enq.
Planner
Councll
Permit '" Jvi.vv
Surchcrge 28.00
Plan Review 0
5 0- 5.
1
?
y
SAC
Woter Conn. S 0 0. 0 0
worerMerer 63.00
Road Unit 280. n0
1 hereby ucknowladge that 1 h reod this epplicotion end stote thot gldg. Off. 5/10/85 T: P. 132 . 00
the inlormation is correct a ogree to ly with al l opplicable A? Total $1 , 9 7 9. 5 0
Stota of Minnewto Stotutea City of a rdirances.
Var. Dete
Sipnotum of Permittae
A Building Perenit Is issued ro: 'MfiDY HALVERSON on ths axpmss eondition that
dl work sholl be dona in otcordance with oll ppplimble StoteA-fM*ne;ota Srotutes end Ciry of Eopan Ordimntes
Buildirp Offidol
REQUEST FOR ELECTRICAL INVECTION EB-o°°°'-oa /
See instrmtions for compieti.g this form on 6ack o1 Yellow copy.
=a, 2879 1 "X" Below W?rKi;•pvered by This Request ?S
Add Rep. Tyoe ot Buildina Y ApplienCes ryirsd Equipment Wired
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Etectric Heatin
Commercial 81dy. Furnace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Mflk Tank
c_ (lihar . oec. v Othcr 15ucr.itvl
I Uihar IJUecil
cnarNnn Faa F!o/nw
p Fee ServiceEntranceSize k Fee Feeders/Subfeeders 37 .'?j e Circuits
0 to200Ams 0 to30A / 0 to30Ams
Above 200 qin??y 31 to 100 Amps 37 to 100 Arnps
Swimming Pool Above 100_Amps Above 100_Amps
Transformer5 Irrigation Boorus Partial•'Other-E e
aigns apeaai inspecnon $?? S TOTALFEE
Aemarks Q
RouBh-in Date 1, the Electricai
• ? Inspector, hereby
?rt?fy that the abova
Final ?iet irepection has been
thia request vo+e
Tbis request void
months from J ?
A-q .?---
l ?o?a J
Request Date 'fire No. Rough-in Insyec[ion
? Reaw ? []Readv Now ? Will Notiiv. InsDec-
l y?? es ?No tor When ReadV
RrLicensed Electncal Contractor 1 hereby request inspection of above
? Owner electriGal wwk imWlled at:
Street Address, Box or Foute No.
.? a /?? s I`e
CI,-r City
)!?'a a4
ecbon o. ownshiD Name or No. Range No. County
Occupant(PRINT)
?
1 Phone No.
e ,
VP? sa n
a4 7 .s
Power Sup ief
?
0
IC Address
?
?
cz
-
,
a ?
ct?d•-r
a
Electrical C ntrac r lCo a Na 1 Con actor's License No.
q-D 8? 4
Mailing Address (CoMractor or Owner Makine lnstailation)
Z
'l
?
z
- wP ? Q?'
/
Authorized Si tu (Co ractor/ wner Makin Installation) Phone Number n
( ???
MINNESO STATE BOARD OF ELECTtiICITY THIS INSPEC710M pEQUEST WILL NOT
Griggs dway Bldg. - Room N-191 BE ACCEPTED BY TME STATE 80ABD
7821 University Ave., St, Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 EPoCIOSEO.
?'???
Il ll p
JlJ°i412
REQUEST FOR ELECTRICAL INSPECTION
? See instructio?i-rw^4;beting this form on 6ack ol yellow copy.
"JC" Below Work Covered by This Request
4. 11? EB ooa, 08
?,??+??? Cr/a05 3
y5 ?y.
ew ltad ReF. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Speciiy)
Comm./Industrial ' Furnace
Farm Air Conditioner
O[her (Speciy) Contrectof5 Remerks:---? I ,
??S rn{. n i51?
Campufe Inspection Fee Below:
# Other Fee # Service EntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 1 Amps
Signs Inspector5 Use Ony: ? TO AL ?f,'p
Irrigation 8ooms ?-
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby ROUgh-in oate
certify that the above inspection has
been made. Final , Date c
OFFlCE USE ONLV .
This request mid 18 monlhs from
? C_iaos s
a 8412 .2 ?- C?9 ;? o00
Requesl Date //
!1 O CT
;
7? 6 7 ire No. Rough-in Inspection
R uiretl?
? Ready No WAI Notity Inspector
rl
h
R
9
. yes ? No en
ea
y
I? licensed contractor X owner hereby request inspection ot above electrical work at: -.
Job Atltlress (Streel, 6ax or Route NoJ
1I oy 1 S iFN
COV RT Ciry .
F?IaAN
Section No. Township Name or No. . Range No. Cwmty ?791f j?
V7 I/
Occupant(PRINT)
caRs-'S N
Sy LA v Phona No.
ysy oj?/ g
-
P r r Supplier
1(0iw E '2 G
l dress
swAd
R
/N, zzv1I
Elecbical Conlreclor (Company Name) . . Contracla§ License No.
Mailing Atltlress ( ontractor or Owner Mgking installation)
Authorizetl i ?Conlr r/O.vnBr Making Installation) Plione Number . "1 Y
MINNE& E BOARD OF ELECTRICITY • THIS INSPECTION REQUEST WILL NOT
GNggs-MI Idg. - Room 5773 BE ACCEPTED BYTHE STATE BOARD
18Y1 Unlve Ave., SL Poul, MN 55104 . UNLESS PROPER INSPECTION FEE IS
Phons (612) 647-0800 ENCLOSED. .
. HOUSE HEATING TEST RECORD ?ce 7 33 ?
?
ADDRESS
a
APT. FLOOR
ITY SUBURB_
-??
OCCUPANT OWNE?
HEAT LOSS ATE HT . IN?T
SOLD BY
?^
?? ?
CJ
CJ' INSTALLED BY
Eleetrical Work B _,?fu, Cy G
y us Line By -
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTOT
•?
?
° GAS DESIGN ?, ? ??
LG9jS+VEIjS'(ON
_-
MAKE -
-
MAKE OF BURNER f
Model ? X1, - Model
Serial S S
- Q\\l. ?10 Max. BTU Rating ?'?
INPUT MAKE OF FURNACE
Model ' .i _ .
1 CONTROLS
THERMO AT
Heat Piug
Vent Siza
?
Valve ? KIND OF LINER
t SIZE NONE
LP,
Limit ? Draft H
d R
l
oo egu
aror
Limit SeNing Filters $ize )(umber
Fan $etting Chimney Location In i ?Ou sida
Pilot Type Chimnay Consiruetio•+ f.+- -V
Pilot Make
Pilot Model
0 $moke Bom6 Wiring ?
1
Pilot Timing Draft t-"' T
t T
es
ag
L.W. Cut Off Door Pressure Lighting lns*-
Pressure_. -S ? Percenf C02 ?
? i`/Z Date Tested - -
Inpot CFH $?Percent O
2
Company Testing
? l
?
Stack Temp. Percent C0 Name of Tester __
Form 235
PERMIT # ST'.'o 3 1 ?
RECEIPT DATE:
EOOQ RES1DENTIAL PLUMBINC? PERMIT APPLICATION
CITY OF EAfiAN
S$SO PILOT I{NO$ gD
EikSM. i?uv 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
b; -°---.?----•__.z__:.?......:,.._e..?e.,,
CHATHAM,JENAE
4304 KIRSTIN COURT
SITE ADDRESS: EaGqrv, MN 55123
(651) 454-6369
OWNER NAME: : TELEPHONE #:
? (AREA CODE)
INSTALLERNAME: NOf"b?bYV? FIU.V1ti6i" TELEPHONE#: 6OIZ"227' `fd33
STREET ADDRESS: Z?l O$ Cac0r'f e.Id ??„h"g, SO bl1'11 (AREACODE)
CITY: rv1(J IS. STATE: M? Zip; 55L40$
_ SEPTIC 5YSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
'
• MODIFICA'TION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING!
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacE;menUadditional: water softener X water heater $ 15.00
State Surcharge $ .50
Total 1 $ I S .50
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicabie Cityof Eagan ordinances. It
is the applicanYs responsiblllty to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal
operational and maintenance activities to the facilities constructed under this permit withln City propertylright-of-way/easement.
SIGNATU E PERMITTEE 1102
/
.
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURUEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 6 , ? '- Date:. 5 e- /85
, 5l?,or>0 • °`?
Site Address: 4304 1 c i p 57 -'__X) ?zi-, OFFICE USE ONLY
Lot : Sc>iUSF't
1 r? Block -- Sect/Sub ?c
tlp?u
Parcel #
owner OASTEA
Address
Erect ? Occupancy R-3
Remodel Zoning ?-?
Repair Type of Const Q
Enlarge # of Stories
Move Length 4 2
Demolish _ Depth
Crade Sq Ft
City/Zip Code
Phone
Contractor NAVY
Address LAju(T
City/Zip Code45593.5
Phone 2 29=¢3111
Address ?--.a'7
City/Zip Code
Phone # 4:M
APPROVAi_S
Assessments Permit
Water/Sewer Sureharge
Police Plan Review ?50•s'
Fire 5AC 525. °-°
Engr Water Conn 5cDo.
Planner Water Meter (a3.°°
Council Road Unit 2¢,p.
Bldg Off /D Parks
APC Treatment P1 ?3 Z °=
Uariance
O
A q
T
T
L
I?4ao ,
?
s q- " I ?I 44?
Eq-. ? I z3 (2
. < < = 532 4
??444
?
?
(?i?•G? `
?
%RTIFICATE OF SISVEY
FOR:
o?
o ?7L?.17
/?•N. Ittc•t) /? ?
/?/9CK/rJ02 v" DAZ
C.b.
N107°q1G'OS'E /30.00 (9sc.a) s?a
.
?
q? .
Is*4N _.._._ . ?. '
4_ O aZ,067 S .:_ ..•9?.4) ?
11 k ? z8•a?
e
(?$ io Jb? v•?i I
?
0
N
34•8i ?ytg.l? C4
h ?fz!-e) _? n; •
''s_Z yi
V-4 •37 \ CF?t6•p)
I S a7'S'Q'/2 /4rB• 77 I
! I
r LrGe,?.? • ?
I
O /IO// ?J70//!l?JJd/JT P.20Oitr6O ELEl?i9T?oN,$'
?uI zi Pedw00Se ?G?u4i?e4 loas-ay? 9z!
I hereby certify that this survey, prepared by me or under my direct super-
? vision, is a true and correct representation of the boundaries of the above
described land and of the location of all buildings, if any thereon, and all
Honsen
Thorp & visible encroachments, if any, from or on said land and that I sm a duly
Pellinen? I?. registered land surveyor under State of Minnesota Statutes Section 326.02
to 326.16.
Conwlting Enginem - Land Surveyors - Site Plannars `Llf
. 7408 Mitchell Rond, Edan Pniris, MN 55344 e121934.-e163 Date: s-? ?gs Registration No. 1343 7 298 5th Ave. N.E., Humhinton, MN 55350 812l587-0789 4sb7 p• ' Z J? Z ' /"'? °fD Job No.
Book - Page Scale
Paye 1 of 4
., . ,
" EXTERIOft ENVELOPE AVFRAGE "U" COMPUTATION
--
owNeR:OWSTEt1 nnrr
SITE ADORESS: Q,::?Oq ki*R;?T?w Cv". PfIONE:
CONTRAC70R: "y - Z7.L????
Determine working square footage of each
1. Total exposed wall area..... `-1 2?;VS ?s sq. ft. x.11 = ( 6jCC2 ,:A2•?'"j
2. Total roof/ceiling area..... ?'j ?p r4 sq. ft. x.026 e2
Total exposed wall area above floor=A(„?'??
a. Total wall window area ................................. ?s
b. Total .........
door area ..:.......................... ,
?
c. Total sliding glass door area ............................. ?
d. Totat fireplace wall area ............ . . ................
e.
Total ......
....
wall framing area (average 10%) ........................
1
? ,?-
7
f. Total ....
rim joist area ........................................... _
6
p
g. net ..
wall area above floor .......................... ?
h• wall area above floor ..................................
?•
j.
rame ...
wali area above floor ................... . ...
..............
wall area at foundation ...................................
Total exposed foundation area=
k. Total, foundation window area ....................... -?°
1. Total net foundation area above grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. 4X
b. X lluii_
X liuli
d. X lluii =asp
@. I \(/ 2Y1 1 9 X llull •` ??_?• `-=??f 1 "Rf
f. ? 4*40- X iiuti
--T--? < t
9•?? X iiull-?,??-__°
h. X aiuii _
i. X ttuit _
j. X llut,
k, X tiuti _
X "u" 114! 3 . .................................Total = `? (40
?
If item #3 is the same
as, or less than item
you have met,the
intent of SBC ?
640 ;id
?
A:g?
. iss h ?m. 'rt, t.
? ?.?K ?
00 *
301o +
28, +
150-5+
_250 }
500 ^ +
630 +
280= +
132 ° +
1s979-5*
. ;:
0 LwEAL
?L.OG k. ? 12 + ? c.P ?-
i?.klaE
W.0-
PLA Q #
FT o Ec.pos? O W,4 C. L.
I:U L L Cl - C 2+4- -1- ai. b* t5+ ?,4 -?- 3 t, + 3 (.o = A 3?
F U l. lr Z. 'f? -
,
5w. P-r, SKPosEa wA L.L AzEA
3L_dG6? ?. ?? ?C
x S
w.O. k e> ?
, f:vLLl
?
u l
U Z , --
' ,
k
-
8
-
--
?
F4 p, , . -
_
m--
Ri
;
?,.
To -f-A L_
= t°1 t:) 'S
I
;
? w Dws
1?
t-ff4_ _
? Y,.,5
GEI LIUq ?p-°1 Lp6
D0025 t?3
554
,
? . _ ..__._?.
L?
prior Envelopc Average "U" Computation
?? .
, Total exposed roof./ceiling area
M. Zbtal skyli.'ght area ............................ ' e2*
n. Total roof/ceiling framing area (averaqe 10%)...
o. Total net insulated roof/ceilinq area...........
. Determine
M. X
n. X
o. tX
4 ........................
valuc for each roof/cciling segment
Tbta7. _ sos
1.U„
aUa
,,Ulf
Page 2 of 4
; If total of #4 is the same as, or less t_han #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To ufiilize the total enyelope'system method, the values established by the s:un of
i_tems #3 and #4 shall not be greater than the sum of items #1 and #2.
+ 2. ? 1 i?? _?•????
3. 44 C? + 4.
?
.;[i; of al?a??ur; wall nren [or
? [ram' r.on:,tructiun
szc
?A LL
F`T(:. RI
. FIt11i1E IQA[,1,
' ? • • _?J) .
FIC. p2
/
.
_-------(? ? ? , ,
1St• A C ??( ??; ? i?- - --??---- ? -(?
s5czal ' • ' -0
?»-----
• h?, , r) ', o • I
?.._?...??-in
.?
)liICld ??•?' '?'? ?°?n.? __.__...?.___.{,'' a
.
4 u -,???Tnd? .
P&llo :pn
Con::,?trur.-l ir,i? Ic^Vilu.:
2. 3. ?,b'?,? ?n?:hcs :,?[r. ••„?..j -i ??
?g4?L .o
4,
?T
? 1? 4
?t???-- --- -? - -- -- ---- - .
6. Er.tcriur ntc
To L,?1 R6 ??..?3
lKSV6.
1. Intrrlnr air `.ilm 0.611
_. --------- - -... . _ .. ____...-- -------° --
z. !v?(?p??D--......__-----..----- ?4S
3. ?C
4. ?Jl?.4T ._. _ . _-- -_------ - ??'?•
NEXWro wt aS?? s.o
6. or. air tilI.I-.._._._._._.....
-•--------,i'ot:al ILE
v C ipa4
1.
T . 1 t rio?_air
' G?. . ... . .
! ----?
? ?
3.
4.
5. ---.---__.__
6. Extr.rior nir f.ilm
otC ?A, .4
Vj' .?0
1. Inttni_ot a!r (ili:?
--..------- - -- ?-------
2 . •-.-...._ _ -- ? -- ---- - - - ? - - - °---.. _..
s. _..t?:._?.s??c•.. _a?K_, _..._.._.?,.?g
n. ._. __.._..---...... .. .?........_....__
s. _----- --- -----------??-----..__.
U.ll
G. I::<1.ffiue iii• I'1 91 1
..--.??oL.,l-??
Oc . 47
sr,nH ort (,'ttnuB
.?
. ,
? . : ?.
?
u ?' I' ? • ?:`
.
, . t^
(
l r ??r
G. i3
. 7-
-
/VYItl ? • ' • ' !(( ?
• ,
? ? • , . ' • ?: !rl
FLG. 04 Ift ? • =? .•-
^
7
Ilu?i•L: indicatc ty!;c, "k" valut:, clenth end
' placcment of instil.,ition,
? R007/CEILING
Constructi.on . R-Valkic
Intcrior aix film , . .0.61 '
3. ,J,t15Uc.. ? 44.OZ?
Extcrior air filn (still) 0.
?. y Tot?. ? s o
- 4 ?
• ' . . ? ? Ff?+rt a: ? ? . . ?
floGr ? 1- Interior air film ? 0.61
°nted Heat Z.
un
` 38. 3S
• ' • 4. Extcrior zir tiln (st)Ll
. ? . ._. ----- Total
rIG. $5 ? • • .
. . . . . . .y . . . . . ? ? - . oZ4.. .
. . . ` .
' _ ? • ? ' C OA, 'y1'&- ? C T/ ?,i??. •
._ .i-r'.v?:'??1:?. ??`_..J.^?s?n?t%cas..
Tnside air filin 0.61
?_ , - r---?' . , 3.
± ?. .
• . a.
o.?.7
jQK7- S. O utside air. filrn
I l I i i 1??'?ilU`????? ?? .. _ Total
' L ? • ?.E'?9?'v ? ? '
? 2 3 4 1. Tnsidc air filu 0.61
- Z. . .
Fea= ilow op • , a j•vented 3.
. . . A.
. • •? _ • 5. Outsidc air film 0.17
• , _FSG. @5. . -• ' • . ? • • - • Total
- .. .. . . _ -- . - ? -• - - - ' . ', .
• `3 c} .? , ... ' ' 0.61
I v "v 1_ Ynside air film
• • ? ' ? .,..1'?? ::'ar?=? 2' .
_ ' ' ????,! t1.°?-:"' • - 3. ' '
?"??_-t?,'•ij-r??~?•?l J ' S. ostsidc air filtn 0.17
•r:- ! ? TOtal
.? I (J . ? . , .. - ... • ,.
. . . , ..' . . - . •
, ??I_???? .• . : Yiotes Uses additionaZ sheets if morc spaca i:
" • , • . neec3ecl for cletails and calculatians.
..., - ? . , ?
. ?eat ' • • .
- • ; . • flov up • - ? , ' '.
' FIr_ #? ., . .. r• .. • .' . V
, ? ? ' ? .
'
Y7A1,1, SBC7'IONB
, _.._.
r of r?iwiua wsad 1 nren fni•
? trnm.c•cousrruci fun
` -------Q
PIC. N1 TOl'VIF:tJ OF
I FINt1E 1qAf,1,
A L fA ?
hr;al
?l. 1? ..
? •,%,
?TlCla ?•`
i .
/
y : ?-. _?.y l•
???, n •Q .._? ?._,_,_,_ ??
n • ' ' ?'_ . ?--?.
-?1;? l?, . ?''/• .
I
!',I(µo 'l'wn
l. i r
4, :eG#L..?ttT.lz .. _...... Z?oCm
r?• °?1D.11.?.fa...._ .... ..... _......... ..?Z,
6. F:xftvrir,r nlr (ilm r- U.l"]
vt= lo. $r'?
1. Int:rr i(1 r a ir ' i Iro U.G11
1.
?
3. _ta"
Ir?sc,l._... _._._ ----------------1_L_o_.
6.
U = • ?'?
1. )ntcri?,r ni.c tilrn
----•-------..._._ .. ._ (?.Gtl
z. ---------. -_.--..
3. .3..t?r..k9._._?,??.w. ?_lb{.._.____. --•--?-+.?
..
Ta L:,1?_ 21,'`?Z
U - - ?g
??4CK
1, In I ?<)t nir fil,•?
. _ . .
_ ..
. _. __......_
,
2. _
. .. _. _. .
.
?. ..?~ .9{?Q-. _ __ .. ...5..q
.
_
_ ..._
5. -- ---. _--------- ---•--------
G. 0.17
._ ---- -- -• - - ... _ .._-?,Pol;i l ? ? : ?? ??
,
..
V= I?
s?.nit ari (;iNUt.
, '
. i,
' •
.
'
u
•
.
''.
?
b ?'?' , • ``,?
, • r
f A?' ,-,..
?
r
j ( /lr
?. 03
U ' ` d
. ?
_ ?+? ' -- • ' .. x .
" If ( -?- . , • ' .
?, r ?C• i? . _ '
? 1(I
? ? • ? ' ? j ?:. ?,? .
F1c;. t14 1(? 15-
?_ ? ? - • ??? il ! ?
ce
? pl.icenont o( irc;nl.)Cion.
.
.?
.
w .
SINGLE F9MILY D1iELLINGS
2 3ETS OF PLANS
3 REl3I5TERED SITE SQA9EYS
1 SET OF EAERGY CALCS.
1989 BIIILDIAG PERMIT APPLICATION
CITY OF EAGAN
I Yq 'I
I+IDLTIPLE DWELLINGS
2 3ETS OF PLANS
REGISTBNED SITE 3IIEVET3 -
(CHECg iiI'PH BLDG DIY. )
1 SET OF EIIERGY CALC3.
10Od,
lNLTIPLE DWELLINGS RENTAL QNITS FOR 3ALB UBTTS t OF DNITS
1TOTEt 1DDRES3FS FOA COBNER LOTS - CO19TliAC!'OA/HOMEOWNER MDST DESIGNATE iiHICH ADDRFSS
IS DFSIAED. NO Cx9tiGES WILL BE ALLOiIED ONCE BUILDIAG PERHIT I3 ISSQED..
SE1iER & fiATER PERMIT FEES AND ACCOUNT DEP03TT FEES WILL BB INCLQDED iiITH THE BOILDINQ
PERMIT FEE. PROCESSING TIME FOR SEWEA dND iiATER PEEMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICITING A LICENSED PLtIlBER.
PENALTY APPLIFS E3fEAts PERP3IT IS NOT PAYD FOR %@I S@ME MONTH IT IS REQUESTED.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSIIED.
To He Osed For: Valuation:
site Aadress ?3dy P94;EN Gi
Date:
Lot /2 Block /
Parcel/Sub ;i(ihSef ?pe( q''Gl',krk.
Owner & YE liE1/
Aadress L130 1( 'e/2Siz /I/ Li
City/Zip Code ?4 Awi , RN ,i S 1Z3
Phone iSY. 06'/S - y/c..?lz 7&. 166n
contractor SRrh-,0-
Address
Citq/Zip Code
Phone
greh./Engr.
Address
City/Zip Code
Oecupancy
Zoning
Actual Const
Allowable
+1 of stories
Length 23 T-
Depth
S.F. Total
Footprint S.F.
On site aewage
On aite well _
MWCC System _
City vater _
PFV required _
Booster Pump _
IAPPROVALS
Planner
Council
Bldg. Off.
Variance
_ • ?
(OMMERCIk1.
2 SETS OF AACHI?ECTURAL
8 STBDCTQRAL PLANS
1 SET OF 3PECIFICATIONS
1 SET OF ElIERGI CALCS.
FEF.S
Bldg. Permit 46,049
Sureharge
Plan Review !
SAC, City I
SAC, MWCC
iTater Conn
Water Meter
Acet. Deposit
S/W Permit
S/ii 5urcharge
Treatment Pl.
Aoad Unit
Park Ded.
Copies
3IIBTOTAL
Penalty
TOT9L 116 J?D
Phone 0
..'
? CFRTIFICATE OF SUpVEY
.
.
FoR•
cJ'e,?s.r<?
11,
?1•N. I?tc•t)
?.e.
?
?
b?
/7i9C?'?l02 aF'
(?y?.?l
•
«•
/3o.ao (?aa1?
???• 1
(;L.o.I) NP!•4G'OS"E
LL1) ? ? ?' ?y•7!
si:, "L. _--
./ 1 .,°-.
?
W a
h
y ?
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a N
O
s+
1
,
r
i
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w
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8e.467 ; ' • '„?.el
?1 ?? _ ? •L 7 .
a?
-7-°y a p K
I J6 ? a
, ?o ; M
0
N
N p4•?f ;1
_ -/b.Z7
5 a7•scr"iz"E
??a ow'o
67Ze•?)
xZ3'
?bcr si?_
o /Mrr Ao'o.yvill?yl? \
FUi Ue -
?tti
+L? pri,ooJeo??/?-.c?•.r
PHPe1iel 0-6 <rWow le
s???, ds?•,....??
/¢8- 77
w
*?y
*
?
V
V
0
.
?
?r:s•?)
?
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i
?.ee?sva-o Ea??i.v?•o•vs
Gav.s?G ?st
i hereby cerrify that thts survey, prepared by me or under my dlrect super•
T?Ha?P nsen ? vislon, Is e true and conect representatlon o/ the boundariee of ehe abova
detcribed lend snd of 1he location of ail buildings, 11 sny thereon, end sll
vlsibla encroachments, if any, from or on seid land end that I am a duly
registered land surveyor under State of Minnesota Statutes Section 328.02
Pellinen, InC, to 328.18.
Conwltln0 EnylnNn - Lwd Survwyat - Sits Plannen
7408 MitcMll RpW, Edon PreirN, MN S6JN eivea4--eiea Date: Registntion No. /'??7
7986thAw.N.E.,Hutehlnqn,MN663604121587-4189 JobNo.A?'W 51 Book- Page 2 7-Z'' Scale ??''3?
,.?
. ,
i
1)
(PLEASE PRIHT)
PROPER'S'Y ADDRESS: .,
n? r_rrar, DE.gCF2IPTICN; Ic2 I ?' ? ? ?r' ?Ic?'7nJ
(Lot/Block/Sul?iuisian: oY TaY Paxcel I.D. Nwr?r)
? ?CI : _ _. •;, $"_T';?i.'?` ?:c=' ?-, , ,. -
_ _' . ?- .^:,`r ?rr;?.- _,?J L.'? i= ;17' ? .....---• . . .
_ ... ...;
PRESE4T iII?X;/PT2C)POSED USE: (,'?r •? `e`-;
R-1 ' SINGM FAMILY - -
. ' ErR-2 DUPLE}S MAD UNITS)
,-C! R-'3';TOWDII3GUSE (Z'HEZEE + Wi ITS) ( 'UNY'TS)
? .R-4 APAR71`4ENP%C6NDCSMnIIZM ( IJNITS) . ? CavIIKEI2CIAL/REI'ATI?OFFICE -
? ' IDII7USTRIAL
.. CT INSTITUTIONAL/GOK?NT
.. .
2) APPI,ICANT ?} (PLEASE PRINT).
IQAA'iE:
ADDRESS:
CITY, STATE, ZIP:
PHOi.'? :
7)' SI?ATF7RE:C
? ,. . ? .
? PL.EA.SE FiOLD APPRWED PERMIT. FOR PICK-UP BY ONE OF ABWE ,.
G?-PI:F1tSE MAIL APPROVED-PERNIIT-TQ l, 2, g3., 4 ABWE --
? (Circleone) - --
? . :;... . . . ., _ .. .. . , .. . . - _
, ; . . 3 . . .. ; ,:, , .
?
{ DATE :
. . .. .. .. .. .. . . .
. ?,. .. _ ..,, ?
.
F O R C I T Y U S E O N L Y
? . ? .?;,,?.r•.? ?rri,> ,,?
. PERMTT A ISSUED
4
. .
. . . !'..'i f i .^'r.. ' . , .. . . .. .
.. .. . .
'
t . .
FEES : $
r?? .J ? , . . . .
. . ... .. .
. ;:; •.. . ., . : .:
SEWER nrRMIT (IbICLliDE SUP
CEIP
RG
.
.
E)..
WATER PERD4TT (INCLUDE SURC[IARGE
)
$ C-• ?. ?'WATER METER/COPPERHORN/OUTSIDE REP
D£
.
R
a 'WATER TAP (INCLUDE COP
PORATION STOP)
,
? $EWER TAP
$ ACCOUNT DEpOSIT - SEWER
$ ? S _;:_6 ACCQLJNT DEPOS TT `WATER
WAC .
;g,?? .
. $ TRUNK.WATER ASSE55MENT '
? TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ 1 ?,? .?. '• OTHER
.. . ., _ .. „ .,. .
$ TOTAT, . , , _.. . .. _ . .
$ ??uGj ?.: • ?p,p.?OUNT. PAID%RECEIPT #: 3t/3
DOES UTILZTY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY?
. . . . ..
C_] IF YES, THEN 'A ""PERMIT FpR WORK WITHTN .
PUBLIC:ROADWAY-" MUST.BE TSSUED BY THE
NO ENGYN14ERING.DIVISION. LIST AS A CQdvBI- - -
TION... ...
SUBJECT TO TiiE FOLLOWING CONDITIONS:
-- .. _.. ? . _ .._ , .
APPROVED BY:
TTTLE_
?-
DATE
. . ;
?mkow NW-60 sk w.sa wtw rt ai ie oF3e! qq:mw liE pM A! I?klSN Mrt? ?
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD ,/
EAGAN, MN 55122 PERMIT # Y'? 7
PHONE: (612) 454-8100 RECEIPT # `J
: 02 8 9
DATE
PLEASE COMPLETE UPPER PORTION ONLY FOR
,...:...:::.
, SINGLE FAMILY DWELLINGS &
. . .
TOWNHOMES/CONDOS WIiEN PERMITS ARE REQUIRED FOR
EACH UNIT.
--
------------------------
WORK DESCRIPTION ------------------------------ -------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST 5ow.?, ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
--r
CRR
av z
r V LAVATORY 3.00
51
-,-
OWNER NAME:
_
N KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
SITE ADDRESS: y-3Uy 1(1iPS7EN CD1J12% -
_ HOT TUB/SPA 3,00
WATER HEATER 3.00
LOT: 12- BLOCK ? SUBD. SONSEi ZNa fld41 7dN _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: C912S;F-/V 0yJ?L6 (MINIMiJM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER
WATER SOFTENER 5.00
CITY: ?????
ZIp; .RIVSS'123 _ PRIVATE DISP. 15.00
•- - U.G. SPRINKLER 3.00
PHONE #: Y`f y 0?"5 '__j n
SUBTOTAL
ST. SURCHARGE
IGNATURE +'??ERMITTEE
OlI aQcLi 12 _ n. ToTaL
S 15 °%
.50
S ?s. sv
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: BLOCK SUBD.
:NSTALLER:
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
1991 ; ?.
11991oq
BUILllING PE IT AP CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS HULTIPLE DWELLINGS COMMERCIAL
2 SETS PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGI ED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 1?A.S'F1V?'CN% Valuation:
site eddress yloy lfif?s%FN CDUQ%
Lot 12- Block I
Parcel/Sub ,SU/Y)SET- 2NM Adli /ON
Owner 6q1QS zFN SyRL F v
Address 430y /I /RSi E/1J COU 49?1-
City/Zip Code fAllV 5S12 3
Phone N.Sy Og/ j
Contractor S ?7m E
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
?-• Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. =o-4/
Variance
FEES
Bldg. PermitSK
Surcharge /.?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ,1I1.OO
Phone #
agrees that all work shall be done in accordance with
(Signatu f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
,?, Ar?'
' . NEAT LOSS CALCULATIONS
Wcatheratrips ' A. Guid.- ? con+tniction No
Windowa Doors Reference Out. WaU InL Wsl) Ceiling ' Roof
Yes-No I Yea-No 19_ "
Fl.? . G Room LenqtA Width/j- Height FI.
? Windowa and Doon-Crackage and Area ?I T W
?
+; .
,J}
?
?.
,
NO. WIJth
of D??e Helant
o( pane Naaf
Ilg hl• Llnul ft.
ot Crttk Ar<t
e0. «' -
` ?
Coef. gtu
lnfiltration
Glaas
Exp. wall e
Net exp, wall
Int. wall
Ceiling- j,. ff ].-
Flvor ?
i ndowa a nd Uoort -a.ratxa ge qna nrcq ?.
' No.? wiatn
ot0alo ? H.irni
o[Dens ? do. ot
IIght•
otc?RC4
0.«.
. -?
?` ?'=.. ?"13 -y •
Coef. Btu . '
In6ltration
. Qi5f . ? - .
E:p, wall ? •
Net e:p. wall
Int. -+all
Ceiling
Floor
Total Btu. Total Btu.
' Requircd sq. ft. E.D.R. or sq. ine. W.A. Leader area ?? • Required sq. Ft. E.D.R. or sq. ins. W.A. I..eader area /
;i F1.1 Room I Length Width Height PiZ, FI.I • Room I l.ength y. Width // ? ? ...
ai Windowe snd Doorr-Crackaae and Area ? mdows and Doors--Cnckage and Aree
.
- No. WICIh
of psne .Hrl/h{ -
of pan• -NO.ot
Ilfhtr Llnaalh.
of craek Area
E0. [t.
. ,, .
EE2
i.
Coef. Btu
Infiltration
Glaes
`
fsp. wall
Trki?
Net eYp. wall . t 4 ,S' ,
Int. wall '
?. Cciling V
? Floor -
W
. .
...
• Na. R'ICIh
ot Dsne HH[ht
ol p, ns No. ot
Ilfhb Llnesl ft.
ot c?acN
" Are?
• [t. . .
.. . "
Y
- f. .
lnfiltrotion
Glass
Exp. weU - i" ,
Net.exp. wall --¢ ^ ?
Int. wall
Ceiling
Floor
Total Btu. v' 7 Total Btu. 7
Required sq. ft: E.D.R. or sq. ini. W.A. Leader area / ReQuired sq. ft:'E.D.R. or sq. ini. W.A. Leader eres / _
FL "• Room Length Width Height Fl,1 Room I L.ength Q` Width Height ?
Windewa and Doors-Creclcaae'and Area II ' VJ:.,.1 ..nel ricamira--.Craaleave and Arca
? Total Btu. ? Totsl Btu: '
; Required sq. ft. E.D.R. or sq. ins. W.A. Leader ares Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. r • Room I Length Width Height I? Room I L.ength C Width Height
Windows and Doors-Crackage and Arra ; Windows andDoors-Crackage and Area
WIdIR HdQht Nu. ol Llneal [t. . Are? I " - WIOth Nd{Rt 'NO. of LIMa1 tl. Area No. ot pan• o! Dan• Ilghb of crack sQ. tt. . . . ..NO. '. of Dano -.ot pRns Ilihq o[ cnek' p, tt: .. ^?
I
, ?'
Coef. Btu Coef. Btu
In6ltration
Glao
? Fap. wall? ?
j Net exp. wall
? fnt-wrH-!
s? .
?. ? Ceiling
Floor
Total Btu.
? Required sq. ft. E.
No. wiaen
of DAn• N.irni
o! Dana No. oe
?cIlb em..i n.
ot ttack wre.
sp. ll..
I
j
?. Coef. Btu ;
Infiltratio o
Glast -g
, cp. wall ? F
F?
Net exp. wall Z.
Int. wall
Ceili
ng
Y
d
oor
}?l
. /y
,
,? „:?In?ttratwn:
.Gl
t ? r
?'` ?' `,Nat exP. well ..?
r,J jnt. wa??' w46 ?.?L ..
No. - 9viein
e[ Daua HNShi
of DaM No. o[
?gt1cs Lin••l n.
o[ eraet wng
M. [t. . .
.
? ,!/'_ .. ? ?. ? . ' '
p
<.,
?. Coef. &u ,
Infder ae,oa":/ ?` '
GIAU .'3za
Esp: wail - ?
Net exp: wall
lnt. wsll
Ceili
ng Y
Floor
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120052
Date Issued:01/14/2014
Permit Category:ePermit
Site Address: 4304 Kirsten Ct
Lot:12 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jenae N Chatham
4304 Kirsten Ct
Eagan MN 55123
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:EA130490
Date Issued:04/28/2015
Permit Category:ePermit
Site Address: 4304 Kirsten Ct
Lot:12 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jenae N Chatham
4304 Kirsten Ct
Eagan MN 55123
(651) 454-6369
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130997
Date Issued:05/27/2015
Permit Category:ePermit
Site Address: 4304 Kirsten Ct
Lot:12 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jenae N Chatham
4304 Kirsten Ct
Eagan MN 55123
(651) 454-6369
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161534
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 4304 Kirsten Ct
Lot:12 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jenae N Chatham
4304 Kirsten Ct
Eagan MN 55123
(612) 247-0737
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature