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1838 Kathryn CirCITY OF EAGAN Addition ATt Rahn First Additiciri- - Lot 1.9 _eik ? Parcel-#.],n> >?lp.() ??n 03 Owner I`.( ? I M? krif,i4 Street 1838 KathTyn CiZ'cle State ESgSn, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. • ? ' ` STREETRESTOR. r 1982 342.42 68.48 ? 5 342.42 C007123 -24-81 GRADING street im . ?IZ 1982 1483.45 269.69 S 1483.45 C007123 4-24-8 - SAN SEW TRUNK SEWER LATERAL * sewer lat •i 1982 5204.48 1040.00 5 5204.48 C007123 4-24-81 WATERMAIN * WATERLATERAL 19$2 S WATER AREA " STORM SEW TRK (i f 1982 345.40 69.08 5 345.40 C007123 4-24-81 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Roa 185.00 7917-1 12/2/90 WATER CONN. 3O QO BUILDING PER. SAC PAR K 2 O • ' L11 T -CTt?- CAW11V N! 6407 9795 Pilot Knob Rood Eagnn, MN 55122 PHONE: 464-8100 BUILDING PERMIT Receipt -- To re aod for Est. Value Date , 19 Site Address Erect ? Occupancy Lot Block Set/Sub. ' Alter p Zoning Pamel #. Repair ? Fire Zone - Enlcrge ? Type of Const. W Name Move ? # Srories 3 q??? ` Demolish ? Front ft. ? r.«,, ok.,..e Grade ? Depth ft. o Nome _ Z ou ? Address V Name _ Address I hereby acknowfedye that I have read this application ond stute That the information is Corrett and agree to comply with ull applicable Stote of Minnesota SYatutes cnd City of Eagon Ordinances. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Fees Permit Surchorge Plan check 5AC Woter Conn. Water Meter Road Unit Total Slynature of Permittee I A Buflding Permit is issued to: on the express condition that ell work shall be done in eccordonce with oll appliceble State of Minnesoto Stotutes and City of Eagan Ordinnnces. Building Officfal Pomit Deh Mwed POnn1110e Plumbing c/M e 7 S Z Mechcnical aaa ? - - ?? ?i T INSPECTIONS DATE INSP. Rough-In Finol Footin95 /C.- 3ci - 6 p Date Insp. Date Insp. Foundation Plumbing ? Frome/ins. / /111, Methonicaf ? Final ! Remcrks: ??- ?. a. 0 3 ? ?.? aP -?-? --, ?"' ' . ,? q s .7i"'---? ? No. arr oF EAcwN 3795 Pilot Knob Rood Eo9an, Minuesoto 55122 P6one: 454-8100 PERMIT Dote: I2-1R-4'0 Site Nddress: (-1'? ° I Lot Block Sub/Set. x't Ra11I1 1. INSPECTOR NOTIFICATIDN REQUIRED BY LAW FQR ALL INSPECTIONS Receipt No.: Single I Residentiol Mufti Res., Comm./Ind. I Nome New/Alter. / Repai r . ; Address Cost of Installation O City Phone: Permit fee ` Name Surchorge ? Address ' City Phone: Total This Permit is issued on fhe express condition that oll work shall be done in accordance with cll applicable Stote of Minnewta Stofutes ond City of Eagon Ordinances. Buildinq - cirr oF EAGAN 3795 Pilot Knob Read Eogae, Minnasota 55122 No. Pbone: 451-8100 PERMIT Dote: -- ' .l Site/lddress: r? Lot Block Nome . ? Addreu ? - Sub/Sec. "-+ -??i•? l. - . .? Tr, City - Vc'3lltv, ' ,n. Phone: . * INSPECTOR NOTIFICATION REaUIRED BY LAW FOR ALL INSPECTIDNS Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Instollation Permit Fee 10. l'1i) Nome Surcharge . ? ? Address s 0 V , .. City Phone: Tota l This Permit is issued on the express condition that oll work sholl be done in occordance with oll applitable Stote of Minnesotu Statutes ond City of Eogan Ordinonces. Buildinfl Official ' No. ?1 CITY OF EAGAN 3795 Pilot Knob Rood Eayoa, Mlnnesofa 55122 Phone: 451-8100 PERMIT ? ?? ? INSPECTOR NOTIFICATION REQU1 R 'BY LA1N FOR ALSPE'CTIONS Date: t Receipt N . $ingl I Site Address: identiol Lot Block ,Sub/Sec. " Z Muiti Res., Comm./Ind. I Name New/Alter./Repoir ? . ? Address Cost of Instollction Fee City ' Phone: ' 7Surcharge . Name T ? Address s City Phone: . I Total This Permit is issued on the express condition thot oll work sholl be done in occordance with all opplicable State of Minnesota Statutes ond City of Eogan Ordinonces. Building Official CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPE n t M?= 47.'1h! ??Vi ON RECQRD PERMIT TYPE: Permit Number: Date Issued: ? SITE ADDRESS: i : . ,., ?;? , r•i r,7k ? Ii?WRIi'4 I'?? PERMIT SUBTYPE: ,. .,. ti k r? r? ru t?:, ? .. ! • , :? ?. 1 ? .1 TYPE OF WORK: 1- r ; !: ' i-.qs tu•.r ?-!I Ar,r) r t t tiN 18'? li' 1E3'>q, ? Permit No. Permit Holder Date Telaphone # S!W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Inap. Comments Footingsl ? Foundation Framing , Roofing Rough Pibg. Rough Ntg. Isul. F{replace Flnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. WATER SERVICE PERMIT CITY OF EAGAN Sryo Pilot Knob Road PERMIT NO.: Eopon, MN 55122 DATE: Zoning: No. of Units: Owner , Add ress: Site Address: Plumber: t N M Connection Charge: o.: er e Size: Account Deposit: Reader No.: Permit Fee: of Eo on with the Cit 1 t f Surchorge: y g agree o comp y prdinonces, Misc. CFarges: Total: gy Date Paid: - Dote of I nsp : I nsp.: . CITY aF EAGAN 3193 Pilot Knob Road Eagan, MN 55122 Zoning: Owner. Address: Site Address: Plumber: 1 eyree fo oompFp wi1h 16e City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: gy Misc. Charges: Dote of Insp.: Totol: SEVIIER SERVICE PERMIT PERMIT NO.: , DATE: _ No. of Units: ¦ Insp.: Dote Pcld: CITY OF EAGAN 3795 Pitot Knob Road Eagan, MN 55122 PHONE: 444-6100 ' BUILDING PERMIT APPLICATION N° 6407 Receipt # ?? To be umd fe. SF DWG/GAR Est. Value 37,000 pate 12-2 , 79280 sire Address 183$ Kathryn Cir, n Erect ? occupancY R3_ Lot 12 Block 1 Set/Sub. ATt R8Yll7 ZSt • Alter ? Zoning R] Parcel # 10 11900 120 Ol Repair ? Fire Zone _ 3 Enlorge ? Type of Const. ?7 z Nome Tollefson Builders Inc. ,Hove ? # Sror'jes 3 pddmn 13816 HOlyoke I,x1. Demolish ? Front - 48 ft. o . Apple Valley,Ivji; 454- 73 Grode ? Depth 36 ft, ,one c A--.- -1. Cee. p Nome ? same Su Address Ciiv Phone Name _ Address I hereby acknowledpe that I have read this applicotion and stote that the informofion is correcf ond agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Pertnittee A Bullding Permit ls issued to: - all work shall be done in accordance Building Officlal /( Water & Sew. Poiice - Fi re Eng. Plonner - 'Cauncil _ Btdg. Off. _ APC Permit lvo.vu SurcFwrye 18.50 Ptan check 54.00 snc 525.00 Water Conn. ?3 5.00 Water Meter 60.00 Rood Unit 185.00 rotol 1, 255 . 50 Tollefson Builders Iric, on the express condition thnt h all applioelple State of Minne*ota Statutes and Ciry of Eagen Ordinances. s 5?? 9 ? k r ?- -',l i? ? i, Requesl Date /('1 57 / ?• \ Fire N. Rough?n Ina Lo n fle9u 1 D Rae?' NO?MLI ec1W en 7 V ? No n ReeM'+ I,'] licensed contractor OM?owner hereby request inspection of above electrical work at Jo ss ISVeef. Boa or Route No.d) C??O Y'Y?r U?r. Ciry Setli No Towns?iD Name w No Pange NO Caunly Occ T, Phone No osG? PowerSupDlier Atltlress Elecincal Co ractor (COmpany Name) CoMractor5 License No. wne?r Maieng Aotl?ss iconvacror or Owner aking Insianation, Autnonzetl Signaiure ICOmraclon0 ? ak?ng Insl ?i Phone NumOer INNESOTA $TATE BOAND O ElE ?? THIS INSPECTION FEQUEST WILL NOT Hype-MlEway Bltlg. - H ? BE ACCEPTED BV THE STATE BOARD o 1821 Ilnlversky Ava.. St Pe . MN 55101 UNLE55 PROPER INSPECTION FEE IS PMiw (613) BC2-080p ENCLOSED. ,5/?'I REQUEST FOR ELECTRICAL INSPECTION r ??.?° T T ? See instmciwns lor completing this form on back ol yellow copy a 45059 ^X ?,qe/ow Work Covered by This Request ew 'Atld 1`1e(5. TypeolBmltling AppLancesWired EqwpmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt Building Dryer Other-(Specify) Comm /Intlustnal Furnace Farm Air Conditioner Olhertspecify) Conhador5 Remerks Compute Inspecfion Fee Below: Q ra gL # Other Fee # ServiceEntranceSize Fee # Ciroues/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transtormers Above 200 - Amps Above 10Q Amps Signs mspecmr§ use oniy. 1 ? 707AL S -dc, Irngation Booms 36 ? Special Inspedion Alarm/COmmunication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 11119111"111 I, the Electrical Inspector, hereby Ro,n-m oate certify that the abOVe mspection has 6een made. oete OFFICE USE ONW This repuest roitl 18 months from This reyuest void n2? 18 months from DatEaf'thisRequest 1-5-1981 FireNo. 1- 3891 I, as Ekl.icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1838 Kathrvn Circle City ?ao2n Section Township Range County Dakota Which is occupied by Tollefson (Name of Occupanl) Is a roughin inspection required on this job? No ? Yes ?dc Ready Now O Will Call Dc PowerSupplier Dekota Ctv. Address Farmington Electrical Contractor 0, B. Thomoson Eleetric Co. Contractor's License NoA40602 (COmpany Name) MailingAddress 12207,sIX4ka Bl$d., Mtka 5534? Authorized Signa[uie ' ? _:, (Electrlcal Gontractor or Owner 933-252i ({ ???? ?Q (,,,/r?i??? ?? ?I ? t?7 ? This inspection request will not be accepted 6y the S(?? State Board unless proper inspection fee is enclosed. mmnesoca acace noara or neccncrty Griggs Midway Bldg. - Room N797 ? I EB-00001.02 1821 t iniversiry Ave.. St. Paul. Minn. 55704 - Phona 297.2111 ? Q REQUEST CHECK BELOW WORKOCO EREDTBY' THIS REQU ST INSPECTION ? T 3 g g 7? T?:pe bf ilding New Add. Rep. Check Appliances W'ved For Check Equipment Wired For Home 32 ? ? Range ? • Temporary Wving ? Duplex ? ? ? WateiHeater ? LightingFixtures ? ApL Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace Rjc2 • 00 Silo Unloadei 0 Industrial Bldg. ? ? ? Au Conditioner ? 4 oo Bulk Milk Tank ? Fatm Llsc . List O[her ? ? ? Peier$? Hereecs? ? COMPUTE INSPECTION FEE BELOW Setvice Entrance Size: x Fee 1 Feeders&Subfeeders: n Fee C¢cuits: # F. 0 m 100 Am s. 1 0 to 30 Am eres 0 to 30 Am etes ]Ol [0 200 Amps. 10.0(A l 31 to 100 Am res 31 to 100 Am e[es Above 200_Amps. 1 1 Above 100 Amps. A6ove 100 Am s. Transfotme[s RemoteControlC?rc. Partialor otherfee Signs Special Inspection Minimum fee $ . Remarks /-1 ? Jeff D. TOTALFE ?'? 3a.5o Y I, the Electrical Ins r i t the ve insp€p?icn' ha`s bee , made. (Rougn-in) c% Ln'/- 13-8/ (Final) U / r Date y-? ? y- f?? This request void 18 months from (Itrfifirtttp nf (Orrupttnrij Citp of eagan Dppurimru2 nf Builhittg Inspediim Tbir CMi firats iclued Purtua?nt to tlx nquirtmrntr of Sution 306 0f tbt Uniform BHilding Coda astifying that ar tlx tinu of ittaaKC tbit rtrnrturr wat in tompliarat witb thr variouJ ordinarue.r of tJxCity regulruing buifding ronnrrution or wm. For thr folloudng: tw c?Um SF DWG/GAR BId&PemmeNO. 6407 o.wasTrv- R3 ivwc? V FinZams 3 z? wM« Rl O? OfTolle£son B1drs.Ing,,. 13816 HolYOke,Apple Vall?Add, 1838 Kathryn Cir. L12,B1,Art Rahn 1 - 40,.--bL 3-13-81 guiWng0lGdY U /• ra+ ?x ? men?uw? ruc? .ss PERMIT CITY OF EAGAN 7, '" ??3 3830 Pilot Knob Road PERMIT TYPE: ! a u z Lo z rr? Eagan, Minnesota 55123 PermitNumber: • 020730 (612) 681-4675 Date Issued: 9 4/ 2 3/ 9 3 SITE ADDRESS: P.I.N.: 10-11900-120-01 18'x 11' 18'x 42' Building,Permit Type GARA6E/ACCES50RY Building Work Type ADDITION UBC Occupancy_ M-1 Construction Type V-N DESCRIPTION: / i 1838 KATHRYN CIR LOT: 12 BLOCK: 1 ART RAMN 1ST ??'?A« ,? :•,t, r-_?'. ; ?= . --;i _?? REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $171.00 $111.15 $8.00 $290.15 $16,000 CONTRACTOR: OWNER: - Applicant - KRI5NIK JOSEPH 1$38 KATHRYN CIR EAGAN MN 55122 (612)452-3134 I hereby acknawledge thet I have read this appliaation and state that the information is correct and aqree to comply with all applicable StaCe of Mn. Statutes and City of Eagan Ordinances. ? ?- - ? - - Y ? na n 1R.?.1 APP ICANT/PEF I EE S NATURE ISSFUED B: SI NATUR REACTIVATE RECENED CITY OF EAGAN PERMIT t -?' . ApR 2 1 1993 1993 BUILDING PERMIT APPLICATION ?? ----------- 681-4675 S:NGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of mooth- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ? '?y o` Site Address: -y;-) STREET SU'TE N ienant Name: (ccr,urercial on7y) _ s.oT si.ocx stran. Art f?dd*f P.I.D. M/O ilqoa lad / Descri tion of work: (?Lrc?qe (?ddi4ni The applicant is: XOwner ? Contractor ? Other (Deaeribe) Phone 31 f ? ? A , Oj efr p-lri?? Name Property LAST FIRST Owner pddress 17 ?/ 4tiAri oi ?/A- 57REET STE / City State Zip '5J /?-? Company Phone Contractor Address License # Exp. City State Zip Company Pnone Architect/ Englneer Name Registration N Address City State ZiP Sewer & water licensed plumber . Processing tlme for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication and state that the infarmation is correct and agree to comply with a applica e State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY ? BUILDING PERMIT TYPE .. - „ -? ??? ?. '? ? Ol Foundation ? 06 Ouplex ? 11 Apt./Lodging E3 1,¢:?s ryBnt,E.i ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. g ? 17 Swim Pool O 03 SF Addition ? 08 S-Plex ?13 Garage/Accessory O 18 Comm./Ind. O 04 SF Porch D 09 12-Plex /? 14 fireplace ? 19 Comn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Fatility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ? /32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATlON f,onst. (Actual) v-N Basement Sq, ft. w4LC System (Allowable) - lst F1. sq. ft. City Mater UBC Occupancy N1_I 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump B of Stories Footprint Sq. ft. Fire Sprinkler Length 19xd On-site well Census Code ?r.r3g Depth IgXy 2 On-site sewage SAC Code APPROVALS Planoing Building Assessments Engineering Variance REQUIRED IN SPECTIONS ' O Site Footing ? Framing E3 Insulation O Nallboard iF-Final ? Draintile ? Fireplace Permit fee I?7 I, 00 YalLatim: $ l 6 OUd Surcharge Plan Review license MWCC SAC 2 WaterSConn. ?' ??I X r 6= l 526q Water Meter Acct. Deposit S/W Permit S/Y Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ?qp i SAC % SAC Units 4 ; . 4 >,5 ;'..:..: • s G ?1 ?es /?a 3A• , . : Z Yo kt _ ?? ?.? y? , _ `. '•'. ,; . ?''?sts ??sT ssTw srw?RS5?11 0.' . V - • O r t `, ?.., _? --\` k O•N, ~ t n\ I rO'If" ? -?- - -?`_ i - ! --- ?T? ? ... . ?1.: ? J?y •.:^.4'- :.?"?? " ? w :`?.:y,3-. ;'?.s ??° . ' •,;3 ?? - w arrw S l ? ? 5r' ! P --_Li - 2?' Pr.?or.ed G?rf/eer/OI,. ? Ir J ? \ y , Lot 12,11ack 1.Art Uho FlrOt Addicion, Wkoca CouetY.MLnMSOta. ?pt. ? n, 1980_ As W11Y[Y[O /r Of ??talud Oct. lOth. 1980 C J CR?• Mowd : , .. . ? . , - . -,. . . . ? ? . ... _ . '... _. 1 Ntlt[1M Ct11TtIY TMAT TM[ IINV[ If A TAUL AND ORRlR pAT Olr A 6YINWV Op CITY nf' E'Aj3AN' Znclude 2 sets of plans. ? 1 site p2an w; elevatians 6 HUIIt31NG PEFaffT AFPLI:ATION 1 szL- o£ energy calculatians. ? 7aco nars n1 ?m ee usea rio valuar,ion -, 6c Site Address CFFICF USE ONLY Lot ? alocx r sec.isub, i?. Erect Oocupan?7r ?3 Pnroel o/ Ow[?er: AddIC.'88: CYh+/Zip Oode: PhOne N: 1-^ ? . Addxess: lz.?L City/Zip Oode: Phone N : ? ArAddxess .. - City/Zip Code: Ptwne #: Alter Zorurg ?II Repair Fire Zone Eaarge ^ 7ype of Const. MOve # SYDT'.].f5 Derrolish Front yb' ft. Grade Depth 3 ¢ ft. APPIX7t7A IB ¢ a FEES •- -, - ASSe53I1271L4 U.? ZydP2L.Rlt / 6 $, 00 Wdtei/Setaer Surchar9e p - Pblice Plan Check _o Fire SAC (3a 'c..on IIn4. Wates' Conn. 20S eo Plarupx Water Metes G e oe Council Ro<id Unit I 9'5? oe; Bldg. Off• AFC ( . 5 Cr '1C7PAL /i ? .7 S ?'}im4w4dp? "hr76. ?y,?'.rg ?. ' .v'. F?-x-?Ti.' ?" A`? C n "'4 w t.. r"- t? '?k",„1pT+4 ?' a ..1!#Y? ::?.?7' ? `P 1 1?+9 r Js s, , v, Y' B <v tAIRi C/ OTAft S C ? ?. 'r ! ?? . F O?' ` w. .nr. ssTM sraserS5417 , ?,?. YP ? ? ??IRhtpOC'f IGta{SJB?t ? ? .. ? . ?J ' 1 k ?.Y/.s/ I Z,2, f"in r+l 4f }11 . ,- ? ^` i? `I +"O•il '1 ' ? ?? ,`' 'h= . ? ' ' , ?2?'?, Pro?er.ed Gar f?OOr w ? r? i ! \ , ?• `x/ ~ 11 ? ??: r : - --- -- --- - - - - -_ -_ . .. ? . ? ` - ?;. I N[RqY C[IITI?1' TMAT TN[ AWV[ 16 A TAU[ AND OOIIRtR RAT O? A 6URV[Y 0/ I.ot 12,91ock 1,Art Raha Fisst Addition, , Uakota CoanCy,Minneaots. . ...r o? Pt• -.o. 1980 -/ - n , w6 suiavr/m n ra rwIS 18th. ? 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Y'.?', • ?y',?'.; ., • .... • . : j„ `?'' . ± • . -'!' ., i" , . _ `ri ?Y,:?'?c?,.•. . . . . . 7.e,- ,t:?`?Y 5.?,'•. :?. ?...'" . •'. ?_ • ` ? .' ° ' . , ti ? ? . e ? ? "i!+?p{(4.,'. . Y ..? ,. . r ? ,.. . .; y. .:.. '. , .+ ,• ? '.i'.-. _ . . . ? , . - ? . . .-,. , . ..t.??_ ? z ?...'._/•. INSt/Ld tL P ff!?___ WaUS, .11(35 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OF Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons[rudion Reaui2menls RemodellReoairReauirements Office Use OnN 3 regisle2d sde surveys showing sq. R of lot sq. R of house; and 11I roofad arees 2 wpies of plan CeR of Survey Recd _ Y_ N (20%maximumlolcoveragea0ovred) 7setofEneyyCalculationsforheatedadditions TreePresPlanRecd _Y _N, 2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 sile survey for addNOns & decks Tree P2s Required _Y _ N lsetofEnergyCalculations Addition-ind'rcatellonsResepfksystem OnaKeSepGcSystem _Y_N 3 copws of Tree PreservaGon PWn if lot plelled after 711193 Rim Joist DetaO Options selection sheet (buiMings with 3 or less uni[s) Date -/a-l 1? l QS SiteAddress ?i i-rrl Construction Cost ?J.eP a" UnidSte # Description o[ Work "J 1 Y10?1 I Y!X ? Multi-Family Bldg _ Y-)< N Fireplace(s) )?, 0 _ 1 _ 2 Property Owner 61 jSATII ?-V I S.YU E Telephone #( I!S ?) N5? - c3 I,3? Contracror Address State City Zip Telephooe # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission ype) Submitted SubmiKed . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Tetephone # ( 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. Applicant's Printed Name ? A,piJicanfs Signature OFFICE USE ONLY Sub Types ? 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 EM. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex 13 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscetlaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement •Uemolitlon (Entlre Bldg) - Give PCA handout to applicant Valuatfon Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone Brick _ Fireplace _ R.I. _ Air Test _ _ Final _ _ Windows _ Insulation _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building inspector m-F '"I -4:3p City of EaEaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ , j Permit#: ? Permit Fee: ? Date Received: j I ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: Tenant: _1?m J,5Q,4l , V) S,V ? C. , J Suite #: RESIDENT/OWNER Name: o7?(A'S73rJ .V?/?I"i/N J_- Phone: Address / City / Zip: A'CP f?? /ni-1 55-12 Applicant is: 1?__ Owner _ Contractor ? TYPE OF WORK Description of work: l?l;jc?t Construction Cost Multi-Family Building: (Yes No Y CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Vemilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Su6mitted (4 submission typB) • Energy Envelope Calculations 5ubmitted 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 8 Water Contractor: Phone: consPtiered ta ke publlc;rriforenatlpn.' Portions of 1; ".: NOTE. P,tans.and.sup`porting d ocuments that yqu s?t6mR ar0 , , the Iniormatlon-i»ay be classttied, as 'noir-pu6flc N you provWe spec/iic re8sons fha?t wof?/d permit the City tD . ,, ao?iclude that the are trede secrets '_ ^' I here6y acknowledge that this information is complete antl accuiate; that the work will be in conformance mth the ordinances and codes of ihe City of Eagan; that I understand this is not a permit, bul only an application for a permit, antl work is not to Start without a permit; that the work will be in accordance wiih Ihe approved plan in the rase of work which requires a review and appr f plans. X 5u5l?w, / f`Is/1.1.C I't ? ApplicanYs Printed Name A ' a Ys Signature Page 1 of 3 ô ÿ ÿþþ ýü ü ûþþýôýïî ú ï ÿþ÷ þýüû ö þýüû ÷ ýüû Ýþ øß ö þ õôõðþû ü ó òþ ñ ÷ï ê ùùî ÿ îêé î èëë ï þê ç û þ þ î éîþîê ëö ù ù û ù ë ö îé òþ ü í ù îüïî ë äââëâëõâ öû þ ï äëë æ þ ôÿë õúó ÷ñð ûû û ø î é þ Üã âÜùù âôâã ï üö ð áÞ èåôçõâ ï ü í ï ï ê ï ûû ï ïù î îûüíï ûû ùá þ öüù ð ë ûû ì î þ þü þ PERMIT City of Eagan Permit Type:Building Permit Number:EA117766 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 1838 Kathryn Cir Lot:12 Block: 1 Addition: Art Rahn PID:10-11900-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Alex Petrashov 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 - Susan J Krisnik 1838 Kathryn Cir Eagan MN 55122 Spotless & Seamless Exteriors 8715 Jefferson Highway North Osseo MN 55369 (763) 428-1111 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA135466 Date Issued: 03/16/2016 of ER 1n Permit Category: ePermit Site Address: 1838 Kathryn Cir Lot: 12 Block: 1 Addition: Art Rahn PID: 10-11900-01-120 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Fireplace(new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 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 within 10 feet of all sleeping room openings in residential homes(Minnesota State Fee Summary: BL-Base Fee$3K $88.50 0801.4085 Valuation: 3,000.00 Surcharge-Based on Valuation$3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Fireside Hearth&Home Susan J Krisnik 2700 Fairview Ave N 1838 Kathryn Cir Roseville MN 55113 Eagan MN 55122 (952)985-6675 1 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:Mechanical Permit Number:EA163425 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 1838 Kathryn Cir Lot:12 Block: 1 Addition: Art Rahn PID:10-11900-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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, Mark Anderson at (952) 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 - Susan Tste J Krisnik 1838 Kathryn Cir Eagan MN 55122 Marsh Heating & Air Conditioning 6248 Lakeland Ave N Brooklyn Park MN 55428 (763) 536-0667 Applicant/Permitee: Signature Issued By: Signature