1847 Kathryn CirCITY OF EAGAN Remarks
Addition Art Rahn First Addition Lot 7 eik 1 Parcel #10 11900 070 01
ownerTE?iq C' UicL hdFr:f)i) screet 1847 Kathryn Circle state Eagan, MN 55122
Improvement D Amour+t Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ' i 342.42 C007121
GRADING
1 1483.45 C007121
5AN SEW TRUNK ii
SEWERLATERAL StUt?5 1981 204.24 13.62 15 190.63 A 09782 2 22 80
* Ul ra 1982 5204.48 o07 zi 4-23-81
WATERMAI N ., ?
* WATER LATERAL 1982
WATER AREA '•
STORM SEW TRK (p () 982 345.40 C007I21 -23-81
* STORM SEW LAT 1982 S
CURB & GUTTER
SIDEWAI.K
STREET LIGHT
Rd. UNIT 185.00 2120 10/3180
WATER C(?NlV. 305.00 21207 10 3 80
BUILDING PER. 6260
SAC
PARK 280 O
ities DiRital Oualitv Control
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• CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
11
19
Receiveo
FROM
AMOUNT $ I
? CASH ? CHECK
DOLLARS
fo0
FOR
ThankYou
??-- .
BY
Wfiite-Payers Copy /
Yellow-Posting CopyV
Pink-File Copy
CITY OF EAGAN
3795 Pllot Knob Roed Eogen, MN 55122 Ng 6260
PHONE: 45 4-8100 - ?
BUILDING PERMIT Receipt # -
To be used for Est. Value Date , 19
Site Address Erect 0 Octupancy
Lot Block Sec/Sub. Alter ? Zoning
Porcel # Repair ? Fire Zone
Enlarge ? Type of Const.
eWC Name Move O # Stories
; Address Demolish ? Front ft.
b
Ci
Phone
__
Grade ?
Depth
ft.
?
0
Zu
u?
Water & Sew.
Police
Firo
Eng.
Planner
Council
Fees
Nome _
Address
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
I hereby ocknowledge tiat I have reod this application ond state that gldg. Off.
tfie information is correct and ogree to wmply with all applicable APC Total
State of Minnesota Statutes ond Clty of Engon Ordinonces.
Slynature of Permittee
A Building Permit is issued to: on the express condition that
oll work shcll be done in occordonce with all opplicuble State of Minnesoto Statutes and City of Eagan Ordinances.
Building Offitiol
PernM # Date IRwd hrwlMN
Plumbin9 n a -2L
Mechonicol zt?
xD
INSPECTIONS DATE INSP. Raug"n Finol
Footings ? Date Irnp. pate Irup.
Foundation Plumbin9
Frame/ins. Mechanical
Final /Z• 7•$O
Remarks:
. . cirY oF E?"N
" - 3795 Pilot Knob Road
Eagan, Minnesofa 55122
No. Phone: 454-8100
PERMIT
Qate: 10-
Site Address: ?, `'h?n Cl
Lot Block 5ub/Sec.
.AZ`t RahI1 1
Neme Terry C. And@Tevn-TQ11@feOn Blc3re.
.
3 Address
O
City Phone:
Name ?
?
? Address . L
c
0
V
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Stotutes and City of Eagon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTION5
Receipt No.:
Single I
Residential
' Mufti Res., Comm./Ind. (
New/Alter. / Repair
Cost of Instollation
Permit Fee
$urchnrae _
Total
done in occordance with nll opplicable State af
Building Official
No.
cIrY oF EAGAN
3795 Pllot Knob Rood
Ea9an, Minnesoto 55122
Phewe: 464-5100
PERMIT
Date: X
, . ,. ?
Site Address: . .
Lot Biock Sub/5et.
rt Rahn 1
Nome ol.lPfson uilderi
. ^ ?
? Address
City Phone:
Name
?
? Addreu
e
0
Ciry Phone:
This Permit is issued on rhe express condition that all work shall be
Minnesoto Stotutes ond City of Eogon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New/Alter, / Repair
Cost of Instollotion
Permit Fee
Surchar9e
Tota I
done in accordance with all applicable Stote of
Buildin9 Officiol
INSPECTION REC4RD ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675 T,j i 0 h i .^
SITE ADDRESS: I APPLICANT:
, , .. i W: ri 1a.1?? 4!!
PE13MIT SUBTYQE:
TYPE OF WORK:
{)Fri:i2T('1111N kFk(11
f 1 N1)
?
L
-1'
I
??
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
?Tf 7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
WATER SERVICE PERMIT
ITY OF EAGAN
795 Pt6 Knob Road PERMIT NO.:
MN 55122
w DATE:
gq
.
? oning: No. of Units:
ne r
-
,
ress:
-
ite Address:
lumber;
eter No.: Connection Chorge:
1Ze; Account Deposit:
eader No.: Permit Fee:
agrea to eomply with tha Ciry of Eagae Surcharge:
rdinanoes. Misc. Chorges:
Totol:
Dote Paid:
Oate of Insp.:
aF EA"N SEWER SERVICE PERMIT
Alot Knob Rood PERMIT NO.:
, MN 55122 DATE:
No. of Units:
Address: ?' i ? _ ' , -•
ograe fo oomply with the City of Ea9oe
By
Dute of I nsp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Mist. Charges:
Totul:
Date Poid:
CITY OF EAGAN
3795 %lot Knob Road Eagan, MN 55723
PHONE: 454-8100 `
BUILDING PERMIT APPLICATION
Te 6e uaed ior SF DWG/GAR Est. Value 51
Sire Address 1847 Kathryn Cir.
7 Art Rehn lst
1
Lot B(ock
Sec/Sub.
Parce l #
a Name Terry C. Anderson
z
Address
P
Ci
Phone
p Name Tollefson Builders
z? 13816 Holyoke Ln
??
Address .
? A l
687
V
ll
I
_ pp
l
3
e
a
ey, '
454-
c one
?w Name
rZ
_ ? Address
I hereby ocknowledge thot I have read this a'pplication ond state that
the information is correct and agree to comply with all applicable
Stute of Minnesota Stotutes and City of Eagan Ordinances.
Receipt #
N° 6260
d
Erect 12 Occupancy R3
Alter ? Zoning ?
Repair ? Ffre Zone 3
Enlorge ? Type of Consi. V
More ? # Stories
46
Demolish ? Front ft.
Grade ? Depth 48 ft.
ppprorola Fees
Woter & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bidg. Off. _
APC -
Permit 1G.G.UU
Surcharge 25.50
Plan check 71.00
Sp,C 525.00
Water Conn.305. 00
Water Meter 60.00
Rood Unit 185.00
Total l. 4? 4_ 5f)
Signoture of Permittee I
A Building Permit is issued to: Tol l afenn Riii l rlarc on the exprew condition that
all work sholl be done in accordqrpe with all QpplicobLe State of Minnesota Statutes and City of Eagan Ordinonces.
Buildfng Official
.-
1C?MW CF PAGAN
BUILDING PEFS'IIT APPLICATION
17
Z+o He [ised _ Valuation ??d`/,ddes Date
f
Si.te Addness /el?? CFFICE USE ONII,Y
Lat /' slock / sec./sub.Qtt.?aa_, idt?ect 7?4, ppcvpancy 4_3
Parcel #:
Orn'ier:
Address:
City/Zip Code:
PYkone #:
(7ontractc
P,cldxess:
City/Zip
Phone #:
Arch./F3ng. .
Addzess:
City/Zip Code:
Phaie #:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of esuer9y calculations.
Alter
Pepair Fi.re 7Ane
Ehlarge _ Zype of Const.
Hbve # Stories
Darolish Front y(o ft.
Grade pegth yg ft.
APP%7VP,IS EEES
Assessments ? Permit ?
Water/SeArer Suirharge ?
Police Plan Check
? Fire SPC
Fng. Water Conn.
_ ?
Planrnr Water Metex bd
Council Fdoad Unit
Bldg. Off.
APC
'0
7t7TAL /. ,7/_
???3y
???
?53,?
?
_T'j,syW110.'voia 7A ? ?o
18 months from
Date of this Request 9-26-1980 Fire No. S 82120
1, asfi Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
??1, ---- ?
Street Address or Route No. 1847 Kathzjn Circle City Egan
Section Township
Range County Dakota
Which is occupied by Telie€saxt
(Name oi Octupant)
Is a roughin inspection required on this job? No ? YesXN Ready Nowg Will Call 13
Power Supplier Da,kota CtY. Address FarminRton
ElectricalContractor O.B. Thompson ElectricCo.
(COmpany Name)
Mailing Address 12201 Mtka Blvd., P.4tka
Contractor's License Nd:'0602
Authorized Signature Phone No.
(Electrical Contrector or Owner Makin9 This Installation)
??U ?? p O?U ?? QQp? This inspection request will not be eccepted by the
State Board unless praper inspection fee is andosed.
minnesota State 6oartl ot Electncity
Griggs Midway Bldg. - floom N191 ??..
"'??nwersity Avo., St. Paul, Minn. 55104 - Phome 297•2111 I ^
. REQUEST FOR ELECTRICAL INSPECTION
'CHECK BELOW WORK COVERED BY THIS REQUEST
EB-00001-02
82120
Type of Buildirtg New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fot
Home ? ? ? Range ? Temporary Wiring 3OAII(?
Duplex ? ? ? Wa[er Heater ? Lighting Fixtuces ?]
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? A"u Conditioner ? Bulk Milk Tank ?
Faxm List ) L
ist
Other
?
?
? p
}
Hehels) p
Nere?S?
COMPUTE INSPECTION FEE BELOW Temporary Service
Service EntcanCe Size: x Fee Feeders&.Subfeedess: # Fee Cirwits: # Fce
0 tu 100 Am s. 0 to 30 Am tres 0 to 30 Am e[es
101 to 200 Amps. 31 to 100 Am eres ? 31 to 100 Am eres
Above 200_Amps. Above 100 Amps.
J
? Above 100 Amps.
T[ansformers Remo[eControlCirc. _ Partialorotherfee
Si ns Speciat Inspection Minimum fee .00
Remazks TOTAL F E - ° U $.50
pou? E ca s ?e r, hereby certify that the above inspection has been made.
?Date
?'
(rlnei/ i,Z_^i no Uat¢_ l-5?
T'his request void
18 months from
minnesota state eoard oi eiectricity „
Griggs Midway Bldg. - Room N797 <7 EII-00001-02
-*'1001 University Ave., St. Paul. Minn. 55704 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION n l
CHECK BELOW WORK COVERED BY THIS REQUEST ?? 82177
Type ot Building New Add. Rep. Chmk Appliances W'ved Foi Check Equipment Wired Foi
Home )m ? ? Range Rli.4,00 TemporaryWi[ing CD
Duplex ? ? ? Water Heater ? Lighting Futures luC
Apt.Bldg. ? ? ? Dryer ? E]ectricHeating ?
Commercial Bldg. 0 ? ? 2•0o
Furnace ? Silo Unloader ?
Industrial Bldg. C3 ? ? Air Conditioner ? Bulk Milk Tank ?
Fatm ? ? ? List Li5[
Othet ? ? ? p
Heie?s? p
Hereerg?
COMPUTE INSPECTION FEE BELOW
Seivice Entranca Sue: # Fce Feedeis&Subfaeders: it Fee Circuits: ?k Fee
0 to 100 Am s1 , ? 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres
Above 200_Amps, Above 100 Amps. Above lOQ_Amps.
Transformecs 1 1 RemotaControlCvc. Partialorotherfee .
S' ns 1 1 S cial lns ection Minimum fee S
Remarks? Jeff D. O
TOTALFE ? ,S
34.00
I, the Electdcal'1ns0ec4oreby c Chat e ? ? ion has been ma?
(Rou'gll•in)?UDate /a-Va'"k
(Final) Date c, -.r ' 91"
This request void
18 months from
This.,,.W.c voia
18 monUts from
Date of this Request 10"9-1980 Fire No. S 82177
I, aMLicensed Electrical Contractor COwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 18¢7 Katl, om n; rcle City La ?an
Section Township
Range County
Dek o ta
Which is occupied by Tollefson
(Nama ot Occupant)
Is a roughin inspection required on this job? No ? Yem Ready Now ? Will Call]U
Power Supplier Dakota Ctv. Addresa Farmington
Electrical Contractor n_A_ mnmm?,,,,,, Fi ectris Co Contractor's License NA40609
(COmDany Name)
Mailing Address 12201 Patka Bl,yd. . Mtl U3
(Elect cal ontrocto ? OwneS a In?Thls inrtellation)
?
Authorized Signature ?/ Phone No. 933•2524
/? 5? (Elecblcal ContracEor ?or+ Owner M17aklnq Thls Installatlan) the
SV°"" E R0° "nD °op" St ?te Boerd unless pr pe inspeetioo fae is encl ed.
V
r , •
° (grxfifirtttt of (Orrupttnrg ? Citp of eagan Dc.pttrtmrrci nf Builbing Jnsper#imt
Thu CMificate rnued Qussrutnt fo tht nqurrerrsenu of Section 306 of ibe Uni form Bnilding
Code artijring thnt at tix trmc of ittftantt tbir ttretlurc wat rn tompliana unth tht vatiotu
a.drnances of rin Ciry ngulating building ronn.ucrion or um. For rhe (o!louvag:
v.c?&.rim SF DWG/GAR 6260
OMP°n' TYP p -L_7YPCmwctian v Piroz 3 Zomiya+nM . Rl
aw«Mdkd Tollefson Bldrs. A,d. 13816 Holyoke Ln,Apple I
By 12-10-80 -
.?.. ,
,... , .... .
?••• . • IV? M ? mMY?WWf Ml.G[ ?• r 1 ?• 1•• ` ^ ?
?4 " ` LL TxOIM u 5 9
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion ReouiremenGS RemodeVReoair Reuuirements
3 registered site surveys showirg sq, ft, of lot, sq ft. ot house; and all roofed areas 2 copies of plan
(20%mazimum lot coverage allowed) 1 set of Energy Calculations for heated addihons
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additlons & decks
i set of Energy Calcula6ons Add'Aion - indicafe iFOn-sife septic system
3 copies of Tree Preservation Plan if lot platted after 7!1/93
Rim Joist Detail Options selection shcet (bldgs with 3 or less units
?9 to. 1J
Otfice Use OnN
Ced of Survey Recd
Tree P2s Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
t-I 6,15,
Date 7 /-JC)_ / O 1 Construction Cost ?o. 0 C) R?
SiteAddress ?g4? m 1.1y(L? linif/Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( 6 ?I ) ?T O S " ? ? (0 ?
c
Contractor Vvitm
Address 6 City _/YL /
State ^ r1
?j
Zip n ( Telephone # ( [j ) 7 p L{ - cF-b `t
• COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) ' Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( ) _
Telephone # (
Telephone #(
I hereby apply for a Residenhal Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 pernut, 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. '
_?o\j Zc,E% Sog
Appli ant's Printed Name AppliUan(j 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 6ct. 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Audition ? 36 tvlove 8idg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplaCement 'Demolltion (Entire Bldg) - Give PCA handout to appliwnt
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 I NSPECTIONS
_ Footings (new bldg) FinaUC.0.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC ,
_ Drain Tile Other ,
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framiug Siding Stucco 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
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
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PERMIT
8 ?ITY OF EAGAN
30?Pirot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLozNG
Permit Number: 0 3 3 A 0 7
Date Issued: 0 g /2 3/9$
SITEADDRESS: 1847 KATHRYN CIR
LOT: 7 BLOCK: 1
ART RAHN
P.I.N.: 10-11900-070-01
DESCRIPTION: R E R o oF
B4,i?ldiprg,,Permit Type
Briillding'Glark Type
Census Code''-
f _ ? -
;
,t
?,•-
...
.? ? i4. „,-•'
?t`, p`\ _.t]? • ;':; ' __ i,--`-.ii,-'?- " _"
REMARKS:
FEE SUMMARY:
STORM tiAMA6E
REPAIR
434 ALT. RESIDENTIflL
[?? p ('Tp - RPPlicant - sT. Llc. OWNER:
P(UffETRVf?LITE'?tXTERIORS INC 14539177 20098419 PALLEMPATI WARI
7 SIGNAI HILLS 1847 KATHRYN CIR
W ST PAUL MN 55118 EAGAN MN
(612) 453-9177 (651)905-1161
I I
Z hareby aeknowledge that X have read thi.s appllcatiah and staCe that t.he
infio'rmation is correct and agree to comply with all epplicable 5tate of Mn.
Statutes and City of Eagan Drdinanoes.
APPLICANT/PEPMITEE SIGNATURE
?3& ED BY: SIGNATURE" ?
:?i 3 ?°7
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PB.OT KNOB RD - 55122
681-4675
New Construdion Requiraments
? 3 registered site surveys
? 2 copias af plans (include beam 8 window sizes; poured fid. desgn; etc.)
? t energy calcuWtions
? 3 copies of tree preservation plan if lot plattad after 771193
required: _ Yes _ No
DATE: ':Z,- L4 % 25-
DESCRIPTION OF WORK:
RemodeUReoair Reauirements
? - ?3-???
? 2 rApies ot plan
? 2 site surveys (e#erior additions & decks)
? 1 energy calwlations for heated atlditions
CONSTRUCTION COST; 1•S-2)
I
STREET ADDRESS: l n?? C\ O-L & a y Ili C-C k-CL--(P- _
LOT: 7_ BLOCK: ?J_ SUBD./P.I.D. #: A.1'' Ivt'?
all-ew?pa-- /
Name: fl4? LL, Dek 'C'"[`'t? t Phone #: C, `
PROPERTY Lazt . I Firsc T
owivER Street Address: 1$-C.(7 y(' r Ar ytc)
ciry?'n? Olt,--- szip: sS-l
,
Company: /"D ? C-vt Phone #: Gq:?-?
CONTRACTOR
StreetAddress: St ? ??-S License#
City f` -1-- Pn? Stare• '--?- Zip: ?l ? CS
ARCHITECT/
ENGINEER Company: Phone #:
Name: Aegistrazion #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Penalry applies when address chan
to comply with all applicaf
Tree Preservation Plan Received _, Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-piex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New 0 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Ptanning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
l.icense
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
I CITY USE ONLY
L BL
sueo f?ahn
RECEIPT #: I .;1 7 ya5
RECEIPT DATE: ?I' as' uU
PERMIT # q115 I N
2000 PLLTM$INfi PEiMiT (RUIDENTlAL)
Cfl'Y OF E1?filkN
9950 PILOT KFOB RD
EASAN, AtN 5518E
651-681-4675
Please complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system ,
cerW
#
TOTAL
r1AI VRCJ
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x =
= $
$
Gas i in outlet ' minimum - t 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x $
Lavato 3.00 X = $
Se tic S stem newrreturmsned ` raqulres MPC lie. 75.00 x = $ ?
Se tiC S Stem a6andonment 30.00 X - $
RPZ new installation/repaidrebuild 30.04 _ X
Rou h o enin 1.50 X
° $
$
Shower 3.00 x - $ ?
Under round s rinkler if awellin is under construction 3.00 x = $
Under round s rinkler if ezisunq dweuin 30.00 x = $ ?
Watercloset 3.00 x = $ 0-00
Waterheater 3.00 x = $
Water softener If dwelling under construetlon 5.00 x = $
W ater softener if existmg ewenin9 30.00 x _ $
Waterturnaround 30.00 x ---
> > 50
$
State Surchar e .50 --> ----
? --
> .
50
§ 0
Total -> -> ---- --- .
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
..--•-•--------------------------------•--------------....--••-------------------------
I he2by acknowledge that I have•-° read this application, stale that the inorma6on is correcC and agree to comply with all applipble City of Eagan ordinances.
--•---•••--------••---------- . i
It is the applicant's responsibiliry W notify tlhe property owner that the Ciry ot Eagan assumes no liability for any damages nused by the City during it5 nortnal
operalional and mainFenanceacti •-'?'-.s' '?° ``ni6?"'%`.°"°e.. .??n +el?aqrmit within City property/right•of•way/easemenl.
I
SITE ADDRESSi PALLEMPATI, HIMA
OWNER NAME: 1847 KATHRYN CIRCLE
EAGAN, MN 55122
(651) 905-1161
INSTALLER NAME:
STREET ADDRESS: ypaRl Au pWMBINA CA•? ea?
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
' (AREA CODE)
DBA VENT?892? 8n-40:f9 ?I??,?
CITY: $T ZIP: -
9dT41
MINNEAPOLI8, MN 55408
SIG E OF PERMITTEE
??ka??kX:?k?k*M?kcX?X?k??hMktM?XY?%:?K?M%X?KM,K?r?k???Y? W?k?C?k
CIi'Y OI= Er-1CAh!
C;ASNTFR: JS 7.F..RMTNAL N0: 73R
DA7f_'g 0302199 TfMG: 09:2607
IU;
NAHE: I; UFSIGNF_'R5
3210 9001 1847 t.ATHr'YN C7 181.85
205 91701 1847 I:A7FIRYN CI 5.00
_qw
Tn+,al. I'•eCC>ip1; An,ount^ 186,25
Cfi:I.U(3628
1.1.5Ek SD: :iAN
>;c;?m?F?k•x, X??k??k?#*Xt#??X?krF*?k'??c,k?kM:s??k??tr.x? ?k>c?W?k??K#
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN a?-
?? 5830 P 851-G81-q6 5- 55122
New ConshucNon Reaulremenh
D 3 regbtered s8e surveys showing sq. ft. ot lot, sq. R. W house
and ?II rooled areas (20%mmcimum lot eoveraae allowed)
D 2 caples ol plans (show beam t window shes; poured fnd. design; efc.)
D 1 set of energy calculaHons
D 3 coples of hee pre:ervalbn plan tl lot plaHSd afler 7/1 /93
DATE:
?
DESCRIPTION OF WORK:
RemodeUReoakReauiremenh
2 copies oi plan
1 sef of energy talculaHons lor heafed addMlons
1sile survey for exlerior addHtons a decks
CONSTRUCTION COST: ?33AI ?
STREET ADDRESS: 1`6 'Y7 /') .v7 neN e,v ?-
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: 1iL0Wr. *W? Ip??/,--M ph-lTr? Phone #: 4S1 TO$ -16
PROPERTY Last F?rst
OWNER
Sheet Address: «'? ? &Yf'?[kX.t1 C?
CiFy P-JS,r+l State: .?C Al Zip:
Company: Phone #: ? trl?
(area code)
CONTRACTOR
Sheet Addrezs:-y ?/0 w Gu4? 1-3 llcense # 2o 13%4 0 Exp. '3?????n
City '"9094?lUJ It State: 11,4 /V/'_ zip:
ARCHITECT/
ENGINEER Company:,
Telephone #: area code ( )
Name:
Sfreet Address: Regislration 1F:
City State: Z1p:
Sewer 6 water Ilcensed plumber [reaulred tor new conslrucHon onlvl:
PenalFy applles when address change and bt ehange Is requesfed once permR Is Issued.
' ' hereby acknowledge thaf I have read this applicaFion, atate that the InforrtwHon Is cortect, and agree to comply wMh all applicabl
Sfafe W Minnesota Sfatutes and City of Eagan Ordinances.
? Signature of Appllcant/
OFFICE USE ONLY ?I I Il L''?
Certificates of Survey Received _ Yes _ No `
/Tree Preservation Plan Received _ Yes _ No _ Not Required . - 1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 &plex ? 13 16-plex O 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
{
% SAC
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-----------------i
? For Oflice Use
j Permit#:
? Permit Fee: ?
? Date Received.
I SIaN:
I
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Y) ? Site Address:
Tenant:
Suite #:
WNER , Phone:
N
G Pc
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RESIDENT/O ame:
,
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?
Address / City / Zip: CAk? ? 1,
1 A
ntractor
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s: _
TYPE OF WORK Description o( work: r f' ro0-P
Construction Costi Z.? Z? \?) Multi-Famity Building: (Yes _/ No _y_j
CONTRACTOR Name: JT-- /A,?m. )f !1 ?,'?`GP License H:
?
Address:
??AP?A}n 2y
?p
?tY?4 Zip: ? rj () lq
-S State:
Ci
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.
ty:
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Phone: ? V)-?ri 4( ? ?663 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . pesidential Ventilation Category 7 Worksheet • New Energy Code Worksheet
CatBgOry Submitted Submitted
(4 subm155ion type) • Energy Envelope Calculations Submitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contraclor. Phone:
NOTE: Plans and supporting documents fhat you submit are consideied to be public informaHon. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conc/ude that the are trade secrets.
I hereby acknowledge Ihat ihis iaformalion is complete and accurete; ihat the work will be in contormance with the ordinances and codes ol the City of
Eagan; Ihat I understand ihis is not a permit, but only an applicauon for a permfl, and work is not to start without a permil, that the work will be in
accordance with the approved plan in ihe case oi work which requires a review and approval of plans.
x DkVIA w(.ItA?? x n(j, "UVry&
Applicant's Printed N e Applicant's Signature J --
Page 1 ot 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113216
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 1847 Kathryn Cir
Lot:7 Block: 1 Addition: Art Rahn
PID:10-11900-01-070
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Kim Moore
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 -
Doug Skoy
1847 Kathryn Cir
Eagan MN 55122
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AUG 1 0 2016
Use BLUE or BLACK Ink
r �
For Office Usekz
Permit #: 1 3 5 3(.pp��
)
Permit Fee: /774- 6 2
Date Received: /6 /6
Staff: 1571
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
6 Name: "Vs. f.....1.f.....11 Es .5 ko� Phone: ,451 ad* - 3 b gg
I Address / City / Zip: J'7,.. -Lr./ C : 1—n •e-
Applicant is: T Owner Contractor 7
T e of Work
Yp
Description of work: /�2LJ ,Gly , p �e..rd-S A-- ' + 1 -IL., S + .�T/!(itL
Construction Cost: 15 0 Multi -Family Building: (Yes / No )
Contractor
Company: Contact:
Address: City:
E
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x l/e't'q 1 Cis iZ, �jr�
Applicant's Printed Name
LiA -4.6 C:2
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
/D530 '
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of _ Plex Lower Level
WORK TYPES
New
Addition
Alteration
It Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% 1! )
Census Code
# of Units
# of Buildings
Type of Construction
J
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
P
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73
Page 2 of 3
7.11 Lefton Builders Inc.
. it Yvan- •
ai! **sr` 'rptar),3411
•
.0 ; IIS ‘be,
. y .
r
S te-it to
•
R1$Y.G'ARTWY THAT TVIII MIROVI IS A TIKAILA$b OCORRICT PIAT eV* OW{V*Y 1/0
:At 7„!1a+tk l,:trt Uha Vast Addition,
Dakota County ,'Kinatsdta.
rap , .1 or :*tem.:101::
IL'rt t v. 1064
aIL: NG
*U RVSYSD by ,MMt Tli ibta. Y ! .l d
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170220
Date Issued:06/23/2021
Permit Category:ePermit
Site Address: 1847 Kathryn Cir
Lot:7 Block: 1 Addition: Art Rahn
PID:10-11900-01-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Doug Skoy
1847 Kathryn Cir
Saint Paul MN 55122--174
(651) 238-4096
Mad City Home Improvement
5020 Voges Road
Madison WI 53718
(651) 500-0514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179692
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 1847 Kathryn Cir
Lot:7 Block: 1 Addition: Art Rahn
PID:10-11900-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Doug Skoy
1847 Kathryn Cir
Saint Paul MN 55122--174
(651) 483-3386
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179799
Date Issued:10/20/2022
Permit Category:ePermit
Site Address: 1847 Kathryn Cir
Lot:7 Block: 1 Addition: Art Rahn
PID:10-11900-01-070
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Doug Skoy
1847 Kathryn Cir
Saint Paul MN 55122--174
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature