1815 Kathryn Cir
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office. Use
I I
City of Ea
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 a r I Date Received:
Phone: (651) 675-5675 (i
Staff:
Fax: (651) 675-5694 L _ _ _ _ _
~3
INFLOW & NFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water e p~- aVa/ r<a
Date: ~ IJO Site Address: re,
Tenant: Suite M
Name: Phone:
RESIDENT / OWNER
Address / City / Zip:..
Name: ,r/g • t G cg License M
Address: ~Y4 l~ a C City: e*_""G6VX
CONTRACTOR /~~,w, /p~ ~ ~ c G
State: 1, Zip: Phone: K l - [ 1 C !'j" r7
Contact: 014-V-P-- Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
'a' do /
Description of work: r- Q.- _9
%
DESCRIPTION `
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 w be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x f'~G x
Applicant's Printed Name Applica s gnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA094216
Date Issued: 06/01/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1815 Kathryn Cir
Lot: 1 Block: 1 Addition: Art Rahn
PID:10-11900-010-01
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 openings, 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:
Pella Windows & Doors Turnkey Sales Douglas C SwN-ter
1300 25th Ave N =100 181 hathrvn Cir
Plymouth SIN 55447 Eagan SIN 55122
(763) 74-1400
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
CITY OF EAGAN Aemarks ??txa?-e •- ?% ;7? S /a,?s?' - ? ?..c? ?,c. ? _
Addition Art Rahn Pirst Addition Lot 1 Qik 1 Parcel #10 11900 -DI0 O1
owner Street 1815 Kathryn Circle State Eagan, MN 55122
/,.,a ,?f ssi.2 D
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? ? , , ., , •' A
STREET RESTOR, 6 273.94 a-24-82
GRADING '?7 "
!m .?t 1483.45 2
SAN SEW TRUNK ? +t
SEWERLATERAL N 2?9 .5 8-24-82
*S(?w La G/O _48. 40. _5. -
WATERMAIN
*WATER LATERAL IQR?
WATER AREA y "
STORM SEW TRK 0/3 1982 69 08 27 _ 2
*S70RM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STFEET LIGHT
WATER CONN.
eUILDING PER.
SAC
PARK 2
-1416 J,,6ki, h '71
mw??a,?
? ?
• CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ I
DOLLARS
1 oo
? CASH ? CHECK
n'
f
J
?
J?
Thank You '
c ?: I - - B Y
White-Peyers Copy
Yellow-Posting Copy /
Pink-File CoPy ??
.
BUILDING PERMR
T- L- ...I s..
Site Address
crnr oF EAc,AN
3795 Pilot Kaob Roed Eagan, MN 55127 . N2 6318
PHONE: 454-8100
lot Bixk Sec/Sub.
Parcel # ,
oc Nome -
W
? Address '
o .,. .?.
0: Name
?F
?' Address
Name
Receipt
Erect ? Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move p # Stories
Demolish ? Front ft.
Grode ? Depth h.
Aoorovols Fees
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Counci I
Permit
Surcharge
Plun check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknawledge thot I have read this application and state thnt Bldg. Off.
the informotion is correct ond agree to tomply with cll opplicable APC Totol
State of Minnesota Stotutes and City of Eagon Ordinances.
Sipnature of Permiltee
A Building Permlt is issued to: on the express condition ihot
oll worlc shafl be done in accordance with oll opplicable Stote of Minnesoto 5tatutes and Ciy of Eagan Ordinonces.
Building Officiol
rusR * pab I,d Pnwkf+M
Plumbing Q 93 2 -7v
Mechanical X( y( .3
6- -A4
INSPECTIONS DATE INSP.
Rough-I n
Final
Footings ?6 S Dote Insp. Date Irop.
Foundatlon Piumbing
Frame/ins. -j-tv &.Ll-fb Mechanical
Firwl _
Remarks: I/1,l;4/r0 9 1 I1?
Ori ?+;.^ 1 ? r for /R,f o ( A&PA?c *?ot P?!4
No.
CITY OF EAGAN
8795 Piloe Knob Roed
Eagew, Minwesota 55122
P6one: 454-8100
PERMIT
Dnte:
Site /lddress: ":T^?` ?ij•
Lot - Block Sub/Sec. As't ^.'-1-=
Name 4 teven PSITa.*1"' J
? Address
?
City Phone:
Ncme
.
? Address
e
s
City Phone:
This Permit is issued on the express condifion that oll work shall be
Minnesota Stotutes and City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAIN
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repoir `
Cost of Instollotion
Permit Fee
Surchorge
Totol
done in occordante with oll npplitoble State of
Buildinfl Official
. ciTr oF EAGaN
3795 Pilot Knob Read
No. Eogan, Minnesoto 55122
Phene: 454-8100
PERMIT
Date:
Site Address:
il-3-so
1815 KatYryn Cir
1
Lot ?? Block Sub/Set.
ATt PahI
`,,aven .T. n?~,rarr_.o
Name
?.`i 1j'?'.r?. `i±.•r.>
3 Address ?
O
.. - . _ . . . i. .. ,
City Phone:
Name
.
?
? Address J
e
City Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto Stotutes and City of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
-.,_r,<32
Receipt No.:
Single .
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Instcllation
Permit Fee
Surchorge
Tota I
done in occordance with oll appliccble Stote of
Building Officiol
ITY OF EAGAN SEWER SERVICE PERMIT
795 Pilot Knob Rood PERMIT NO.: . gan, MN 55122 DATE:
oning; No. of Units:
ne r:
ddress: -
ite Address:
lumber:
1 agree to eomply with fbe City of Eagan Connection Charge:
Ordlnunces. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of insp.: Total:
Insp.: Date Paid:
CITY Uf EAGAN
:'795 Pilot Knob Roud
Eagnn, MN 55122
Zoning:
Owner.
Address:
Site Address:
Plumber: -
Meter No.: '
Size: . .
Reader No.:
1 agree to wmply with the City of Eagan
Ordinanees.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DA.TE: No. of Units:
- Connection Charge:
- Actount Deposit;
_ Permit• Fee:
Surchorge:
Misc. Charges
Total:
- Date Paid:
- Insp.
CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
BUILDING PERMII'P APPLICATION
A-4
To Be Used For
Site Pddress:
Lot _1 Block
Parcel #: /O
Owner:
Pddress:
City/Zip Code:
Sec./Sub
Erect t?-
Alter
Repair
Enlarge
Nbve
Detrolish
Grade
OFFICE USE ONII.Y
pccupancy - 3
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
pepth ft.
Phone #: APPRC7VAL5 FEES
.3?--
Contractor: In C Flssessments Pesmit ? /
Pt3dress: d!k Water/Sec?r ?urcharge
Police Plan Check
City/Zip
Phone #:
P.rch.
Pddress:
Cocle; Fire
ys9 Qi4 y ?g•
Planner
Council
??' ° Bldg. Off. M-zy-f0
APC
City/Zip Code:
PYore #:
Valuation 4,3 zo/%y Date
SAC
Water Conn.
Water Meter
Road Unit
TdPAL I ?D
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 453-8100 BUILDING PERMIT APPLICATION ReceiDt #
To be used fer SF DWG/GAR Est. Value 43,000 Date -
5ite Address 1815 Kathr.Yli C'1r, _
Lol 1 Block 1 Sec/Sub. Art R3hri
Parcel # 10 11900 010 0l
W Name 5t.PVen J. Pa_rr nto
; Address 3908 Sibley Mem. Hwv.
° - -- ----- '-' -'--
o INom. J. E. Parranto Inc.
v? Address 3908 Sibley Mem. Hwy.
i r.., Faaar_ 55199 0?,..,e LSL,_LlL.9
Nome
Addrea
N4 6318
0?453 7
10-23 ,0 80
Erect ['¢ Occupancy h 5 '
Alter ? Zoning Rl
Repair ? Fire Zone 3
Eniarge p Tyce of Const. V
Move ? # Stories
5
=
Demolish ? 4
Front
ft.
-
Grode ? Depth 26
h.
Approrals Fees
Assessr,Unt l0-21-80 Permit 123.00
Water & Sew. Surcharge 21 - 50
Police Plan check hl .50
Fire SAC 525_00
Eng. Water Conn. 305. 00
Planner Woter Meter 6n _ nn
Council Road Unit 185 - (1C1
I hereby acknowledge that I have reod this appiication and state thot Bldg. Off.
the infortnation is correct and agree to wmply with all opplicable 1,2$1.00
State af Minnesoto Stotutes City o(f?pan Ordirwnces. APC Total
Signature of Permittee ey?
A Building Permit Is issued to: tl J. E. Parranto IriC, on the express condition that
olI work shali be done in accordance fvith all aooljaable $tate of Minnesoto Stotutes ond City of Eagon Ordinances.
Building Officiol
minnesota state 6oartl of Elechicity
?
Griggs Midway Bldg. - Room N791 EB-00001-02
18«7 University Ave., St. Paul, Minn.•55104 - Phone 297-2111 _J ?
CHEC REQUEST
OW WORKOCO ELECTRICAL
TH 5 REQ EST'ON ? e 2863
Type oi Bu uug New 60d. Rep. Check Appliances W'ved For Check Equipment W¢ed For
Home ? ? Range ? Tempoxazy Wiring ?
/
Duplex ? ? ? Water Heater ? Lighling Pixtums ,
-,
tld^
Apt. Bldg. ? ? ? Dryei ? Electtic Heating ?
Commercial Bldg. ? ? ? Fumace Silo Unloader ?
Industnal Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? List List )
Other
?
?
? p
Heiefs? p y
Heie?sl
Cf1MPIiTF iNRPFCTI0N FFF RFilIW :f-)) F.-.3
Service Entrance Size: x Fee Feedets&Sub `?rs: , Circuita: # Fce
0 to 100 Am s. 0 to 30 Am `eres o 30 Am eres
101 to 200 Amps. 31 to 100 Amperes to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Tiansformers Remote Control Circ. Partial oc other fee
Signs Special inspection Minimum fee $5.00
Remarks
TOTAL FEE ?O
I, the Electrical Inspector, hereby cer at a ve5nsp on has bee m e?/g/• ?o?
(Rough-in) ? ? Date ?
(Final) - - - //-7 Date
This request void
18 months from
This cequest void
d 8 months &om
Date oof yt s Request_ 3 97. Fire No. T 2863
I, as Lb'C,icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: z /I
Street Address or Route No.
C/7,
Section
Range County
Which is oceupied by
Is a roughin inspection required n this job? No ?
Power Supplier
Electrical Contract?
(COmpany Name)
Mailing Address ?-(If7???y
(?rif c ctor a
Authorized Signature ?
(Electrical o actor or Owner Ma
SUM
Yes05?? Ready Now 0 Will Calle?
This inspection request will not 6e accepted hy the
State Baard unless proper inspection he is eaclased.
L? BL ? CITY USE ONLY RECEIPT #: I0c?1,5,;7-
SUBD. l?N l9 /? RECEIPT DATE: ? a6 9 9
1999 PLUMBuNs PERMrr (REsinENTUcL)
Cffl'OF E4fiAN
3$80 PILOT KNOB i{D
f.A6AN, MN 55122
(851) 6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------°°------------ ------------------------- ----
FIXTURES ---------------
EACH ---------- ------------ ---
#_ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
3.00 x
=
C
Water He 3.00 x
oor Drain 3.00 x =
Gas Piping Outlet ' minimum-1 3.00 x =
Rough Openings 1.50 x =
WBtBf SoftenBf " for dwellings under construction 5.00 X =
Water Softener * for existing dwelling 30.00 x =
U.G. Sprinkier ' for dwelling under const. 3.00 =
U.G.Sprinkler " for existing dwelling 30.00 =
Altet'atioRS ` to existing residence 30.00 =
Water Tum Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems " nbandonment 30.00 =
RPZ (new installation/repair) 30.00 =
,
STATE SURCHARGE .50
Reminder: Call 681 d6T5 for inspectlons of water heaters,
water softeners, alterations, etc.
TOTAL
S a
tz?v -
-
--------•--------°----------------------------------------------- • • ------------------------------------------ - -- • -------- - - - --- - - -
I hereby acknowledge ihat I have read this applicatlon, state that the infortnadon is correct, and agree to comply with all applipble Ciry of Eagan ordinances.
It is the applipnt's responsibility lo notiTy the property amer that the City of Eagan assumes no liabiliry for any damages raused by the City during Ils normal
aperational and maintenance activities to the fadlities constructed under Ihis permit within Ciry propertylright-of-way/easement.
SITE 4DDRESS:
r-' -
/ ? s++ }
OWNER NAME: l`
INSTALLER NAM i p-?l e /"l 1-1,Nr djwl.I h C?? TELEPHONE #: LS??I -`JG N
?
STREET ADDRESS: 3r Tq Co IGY``jdU
CfTY: ,`S f' d4 r YI STATE: ZIP: I-
SIGNATURE OF P
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
SCNL? ?,o' PLR Wcti
?m-r / W/f< / 0 r7--
/rls? C'4.
REQUEST FOR UTILTTY IMPROVEMENTS
I/We hereby request of the Board of Supervieors, Eagan Township,
` Minnesota, utility improvements on and over property owned by me/us as
follows: (Mention type of improvement, e.g. water, sanitary gewer, etc.)
STREET IMPROPIIMENT, POR IMPROYE1,M#62
The location of said utility improvementa shall be generally as follows;
Ken Applebaum Addition, Section 20
I/We heraby waive notice of any and all hearings neceasary for the
inatallation of said improvements and further consent to airy assesaments
necessarily levied by the Townahip of Eagan for such improvements.
I/We further agree to grant to the Township of Hagan any easementa neces-
sary for the installation of such improvements.
It is further understood that this requeat ahall be reviewed by the Board
of Supervisora of Eagan Toi•mship or its agent and I/we will be given reasonable
notice as to whether this request ia possible under present utility planning
as to timing, location, etc.
Dated: November 2. 1971
Request accepted by _ fsc - Date /IZ Z1'71
Eagan Township
Request referred to Town Engineer; Date
Copies: L. Townehip
2. Town Engineer
3. Applicant
i ?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Conslnudion Reauiremenfs RemodelrReoair Reauiraments Offece Use OnN
3 registered sHe surveys showirg sq. ft of lot, sq. R of house; and all roofed areas 2 topies of plan _ Cert of Survey Recd
(20% maximum lot mverage allowed) 1 set of Energy Calagtions for heated additions Tree Pres Plan Recd
2 mpies of plan shovnng 6eam & window sius; poured faund desgn, etc. 7 sile survey for addifbm 8 dedcs Tree P2s Not Reqd
1 sel of Energy Cakulatlons Addition - indkate if on-site septic system _ On3ite Septic System
3 copies of Tree Preservation Plan'rf lot platted after 7/7193
RimJoislDemilOptionsseledionsheet (bldgswAh3orlessunits
Date 0 1 / 13 V3 Construction Cost
Site Address Unitlste #
Description of Work Q ai LNI?s axsf? a TccsS
, 1
2?`? D v f -?
0
l
Fi
Multi-Family Bldg _ Y_ N _
_
ace(s) _
rep
Property Owner Telephone #({psl)
Contractor RENEWAL BY ANDERSEN
1920 COUNTI' ROAD "C" WEST ;iTy
Address ROSEVILLE, MN 55113
State 651-264-4777 e # ( )
LICENSP k20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minn sota Rules 7672
Energy Code Category , Residential Ventilatlon Category1 Wo (heet • N4 Energy Code Waksheet
(J submission type) Submitted Su mitted
. Energy Envelope Calalations Submitted ? . ? ??.] J?,•' I;?
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_ Telephone #(
Telephone #(
_ Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Y?aso, `6e,r6o N,::)
Applicant's Printed Name
ApplicanYs Signature
OWICTrUSE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-pfex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Aft - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding .
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUnda6on), ?- 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroot ? 46 Windows/Doors
? 34 Replacement 'Demolitton (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units ' Sq. Ft. PRV ?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings(addition) plumbing
_ Foundation HVAC
_ Drain Tile Odher
Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final
_ Framing Siding Slucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
""•°,.?°•,? .u? s?.?? rm ?o? O!1 ?4400?x,??r?e. nranuntmtstv
re al .
.? .
runat zoo] .
3?836 Pilot Haob Road
E&M MN 55122
To VVhom It May Costoern;
ffider Iones ie au&orized to p1 bufldiag petmits Por Re+newal by Mdersen. pleaee sitrnv
Stder Joncs to provide this wvicc for na in Sagan. 'tNs marhorizatian ia valid far any
date bcyond 6/6/01: uadi a R'bnewat by Anaersen mana= exprudy revalms ic in wiiang
to the City-
rNubu? this au8iorizaflon be ac.cepted-axpadtdonaly, es to not detay in the pivewsi,hg af
our ?S Pmmift mAy furd=. Plcaac cail mc if thcto ttoe euy qneattone..I aaa he
contacbed at 763-502-4906_ . ,
,
?:
, . .,
Your immqdiatc attentiou to 9ils mattca is
Sinoetolyl
ond R. Rau
asWlation Managor
Ranewal by A,ntlmen CorporaUcm
C'r.: TC»rn_F]de.r 7nnea
WMY H D ? .? °-
o""°°?°° ?tl.aa. n ? zom
WuW
Received Tiine Jun. 7 . 1,07PM
2005 RESIDENTIAL BUILDING PERMI'f APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1-7O pD
New Construction Reauirements RemodeUReoair Reauiremenls Otfua Use Onlv
3 feglstered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% maximum lot coverege allowed) 7 set of Energy Calculations fw heale0 additions Tree Pres Plan Reod
' _Y _ N.
2 copies of plan sMwing beam & window sizes; poured found desgn, atc. 1 sde survey for addifions 8 decks ,, -
Tree Pres Required _ Y_ N
isetofEnergyCalculations Addifion-indicatei/onsitesep5csysfem On-sneSepticSystem _Y _N
3 copies of Tree Preservation Plan H lot platted aRer 711193
Rim Joist Defall Options selectlon sheel (buildings witlh 3 or less uniGs)
i?
Date ?6/ ?
Construction Cost
SiteAddress ? ?1f' i'] ?
ZIrle UniUSte#
(
j F
"
`
14
i B
Description of Work Qenl-
??C
' lT
G.4 e
0.l
Qt,4 C `
?
'
?
Multi-Family Bldg _ Y N Fireplace(s) 0
Property Owner ?[`?G?p Y- J ?Cf' r Telephone #(G'.?? ) -3 S'QS
Contractor L-Q Ke
ut P!aS p ?n Dd ef%4
9
,
Address City/.??F? v' ?r1 ?'z g foh
State Zip 55`? fl Telephane #(??) ?8R ? 5'S"SC7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I Minnesota ftules 7672
Enefgy Code Category , Residential Ventilation Caiegory 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations 5ubmitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Coniractor
Sewer/W ater Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 wili be in accordance with the approved plan in the case of work which requires a review and
approva] of plans. i
""
Applicant's P mted Name Applicant's ig e
OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Uamolitlon (Endre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110752
Date Issued:05/28/2013
Permit Category:ePermit
Site Address: 1815 Kathryn Cir
Lot:1 Block: 1 Addition: Art Rahn
PID:10-11900-01-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Becker
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Douglas C Swyter
1815 Kathryn Cir
Eagan MN 55122
Twin City Fireplace
6916 Washburn Ave S
Richfield MN 55423
(612) 282-2684
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114262
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 1815 Kathryn Cir
Lot:1 Block: 1 Addition: Art Rahn
PID:10-11900-01-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
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 -
Douglas C Swyter
1815 Kathryn Cir
Eagan MN 55122
(651) 206-7581
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:EA130060
Date Issued:04/01/2015
Permit Category:ePermit
Site Address: 1815 Kathryn Cir
Lot:1 Block: 1 Addition: Art Rahn
PID:10-11900-01-010
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:
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.
Applicant: Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Douglas C Swyter
1815 Kathryn Cir
Eagan MN 55122
(651) 206-7581
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131660
Date Issued:07/01/2015
Permit Category:ePermit
Site Address: 1815 Kathryn Cir
Lot:1 Block: 1 Addition: Art Rahn
PID:10-11900-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Douglas C Swyter
1815 Kathryn Cir
Eagan MN 55122
(651) 454-3585
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176162
Date Issued:05/04/2022
Permit Category:ePermit
Site Address: 1815 Kathryn Cir
Lot:1 Block: 1 Addition: Art Rahn
PID:10-11900-01-010
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert T Bradshaw
1815 Kathryn Cir
Eagan MN 55122
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature