1850 Kathryn CirCITY OF EAGAN Remarks
Addition Art Rahr?First Addition - Lot ? aik I Parcel #10 11900 090 01
Owner eaLiL n' Street 1850 IC2lthxyTl C1Z'Cle state Eagan, MN 55122
Improvement " Date Amount Annual Years Payment Receipt Date
STREETSURF. ? ' i •
STREET RESTOR.
.,4 Z
O
/ -/3 /
GFiADING ?
I ? 46 7-9 14
SAN SEW TRUNK /i
? SEWER LATERAL 7 _
* 5-Z:v</.Vg c- 0 2,l I- 3-81
WATERMAIN
* WATER LATERAL
WATER AREA
STORMSEWTRK 013 3q5.y ?-v0-7 2- ?- (0-1?-?
* STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK 280.00 20704 912180
? CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ I
ThankYou
??--
21518
Ar DOLLARS
Ioo
E] CASF1 Q CHECK
?y
BY
Whita-Payers Copy I
Yellow-Posting Copy
Pink-File CopV
.
BUILDING PERMIT
To be used for DXX Est. Value Sl r
SiteAddress 1350 MT H &YN CI k
Lot 9 Block I Sec/Sub. ai?7' RAhTV 1ST
Parcel No.
W Name PA'i?.F.CK *3 MURpHY
3 Address ?bg0 KAT t:o}•p C??
0 City "GAN Phone 452-4644
o Name aAr'r
,
?a Address
¢ City Phone
W?
W
Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is cor?ect and agree to compiy with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: ?AV=ICK ri MJRPFY
on the express condition Ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Ottici8l
CITY OF EAGAN ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
. . ?. ,
OFFICE USE ONLY
Occupancy
Zoning
(Actual) Const
(Allowable)
# ot Storles
Length
Depth
S.F. Total
SF. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
variance
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCG
Water Conn
Water Meter
Acct. Deposit
SNV Permit
S,'W 5urcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
26,00
.'tG
[o0 7Y
Permit No. Permit Holder Date Telephone #
WATER
SEINER
PLUMBING
H.V.A.C.
ELECTRtC
Inapectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. ? ? ? 7-"?O t?o Q 21*1e- D
Deck Final
Well &T 72-1
Pr. Disp.
cIrr oF EAGAN
.'?. 3795 Pilot Keob Road Eogan, MN S5122 ? N2 6307
PHONE: 454.$100
BUILDING PERMIT Receipt #
To be orsd for Est. Value Date , 19
Site Address Er
ct ? onc
Occu
e p
y
Lot Blxk Sec/Sub. Alter ? Zoning
Porcel .# Repair p Fire Zone
E
l T
f C
n
arge ? ype o
onst.
W Nome Move ? # Stories
Z
3 Address Demolish ? FronY ft.
° Ci Phone Grude ? Depth ft.
o o Name Approvots Fees
?
?a Address
?
? r;...
Name _
Address
Assessment _
Water & Sew.
Police
Fire
a"' ? City Phone Planrier _
Council _
I hereby ncknowledge thnt I have read this application end state that gidg. Off.
the informotion is torrect ond agree to wmply with ull upplicoble
State of Minrkesota 5tatutes and City of Eagon Ordirwnces. APC -
Permit
Surcharge
Plnn check
SAC
Water Conn.
Water Meter
Road Unit
Totol
Signoture of Permittee . I
A Building Permit is issued to: on the express condition that
oll work sholl be done in ncwrdance with all applicabfe Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Officicl
Permk # Date hwod PennMfw
Plumbin9
Mechanicol a d 7 ? -
INSPECTIONS ATE INSP.
Rough-In
final
Footings D Inso. Date I
Foundotion Plumbing 1419/
Frame/ins.
Mechonical
? ;
Finol
Remarks:
? ? ? ??
- , cInr oF EAGaN
' . 3795 Pilot Knob Road
Fagon, Minnesato 55122
?O' Phone: 454-8100
PERMIT
Date: ? i
Site Address:
Lot Biock Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
ReceipY No.:
Single I
Residential
Mufti Res., Comm./Ind. I
Name New/Alter./Repoir
.
3 Address Cost of Installation
O
City ?`•'= Phone: Permit Fee
Name Surcharge
?
'g
? Address
V
City Phone: Total This Permit is issued on the express condition thot oll work shcll be done in cccordance with cll oppliarble Stote of
Minnesota Stotutes ond City of Eagan Ordinances. ,
1
? Building Official
No. - "'2
CITY OF EAGAN
3795 Pilot Knob Roed
Eo9on, Minnesots 55122
Phone: 454-8100
PEkMIT
Date:
Site Address:
Lot
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
5ingle
Residenfial
Block Sub/Sec. r''t'n}`r 1 I Multi
Nome New /Alter./ Repair
.
? Address Cost of Insfallation
City Phone: Permit Fee
Name Surchorge
.
?
? Address
City Phone: Tofol
This Permit is issued on the express condition that oll work shall be done in actordcnce with all applicoble Stote of
Minnesota Statutes and City of Eogun Ordinances.
8uilding Officiol
CITY " vAN
3795 Pilot Kno6 Road
Ea9cn, MN 55122
Tonirkg:
Owner:
Address: ?
Site Address:
Plumber:
Meter No.:
c:-
Reader No.:
I ogree fo eanplp with fhe City of Eagon
Ordinances.
R?
Dote of Insp.:
CITV __ _.,GAN SEWER SERVICE PERMIT
3793 Pilof Knob Road PERMIT NO.:
Eagon, MN 55142 DATE:
Zoning: No. of Units:
Owner: '
Address:
Site Address: ' Plumber:
I agree to eomplp wilh the City of Eagan Connection Charge: '`- Ordinanees. Account Deposit:
Bv
Dote of Insp.:
WATER SERVICE PERMIT
PERMiT NO.:
DATE:
No, of Units:
Connection Chorge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totul:
Date Paid:
Permit Fee:
Surcharge:
Misc. CFarges:
Totol:
Date Pald:
-%:, e
r
BUILDING PERMIT
To be used tor DECK
Est. Value $1,000
' N° 16391
L IJ1--) C?
' 2 . /984-
Site Address 1850 KATHRYN CIR
Lot 9 Block 1 Sec/Sub. ART RAHN 1ST
Parcel No.
w Name PATRICK M MURPHY
z
3: Address 1850 KATHRYN CIR
0 City EAGAN Phone 452-4644
o Name S?
g? Address
i- City Phone
Address
Nuflllz- Name
City Phone
I hereby acknowlege tha[I have read this applicafion antl state that[he
mformation is correct and agree to comply wrth all app6cable State ol
Minnesota Statutes and of Eaga Ordinances
Signature Of Permdee ?
ABwldingPermrtisissuedro: rA-rxtUK M MuHNHY
on the express condihon that all work shall be done in accordance with all
app6cable State of.M(?in?ne??s?ota- ?Statutes and City of Eagan Ordinances.
Building ONiaal ; 7AL??L1??T? ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Occupancy
Zoning
(ACluap Const
(Allowable)
k of stones
Length
Depth
S.F. Total
S.F. Footprmts
On Sile Sewage
on site wen
MWCC System
City Warer
PRV Reqmred
6ooster Pump
APPHOVALS
Planner
Council
Bldg. Of(
Vanance
OFFICE USE ONLY
Bldg Permtl
Surcharge
Plan Review
SAQ City
SAC,MCWCC
Water Conn
Water Meter
Acd. Deposit
S/W Permil
SiW Sumharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
26.00
_ Sn
26.50
CITY 6F EAGAN
3795 Pilot Knob Road Eagan, MN 'f51?3? ,
PHONE: 454-6100
BUILDING PERMIT APPLICATION
N° 6307
Receipt # °
To be uced for SF DWG/GAR Est. Value 39,000 Dote 10-21 , 1980
Site Address 1850 KathT'Vri C1T . - Erect [N Occuponcy R3 .
Lot_') ? Block_I Sec/Sub. Art R&Ylt1 1 Alter ? Zoning Rl
Parcel # Repair ? Fire Zone 3
E
l T
f C
t
v
n
arge ? ype o
ons
.
rc Name Tnlla£epYy Riii'Ir1os S Move ? # Stories
3 Address 13816 Aolvoke LTI . Demolish ?
- N.
Pront -__48
° ,-.... A-ople Valles e,Mn 454-6$73 Graae fl Depth ?(' n.
p Name _
?
?? Address
? !'iw
Nome _
Address
I hereby ocknowledge thut I have reod this application ond stote thot
the informotion is CArtect and agree to comply with oll applicoble
State of Minnewto $tatutes and City of Eagan Ordinances.
Signature of Permittee -
A Buiiding Permit is issued to:
all work shall be done in ncca
Building Official
Tollefson Builders
all aoolieable Stote of
AssessmAQr I n-17_f2 Permit i13.. nf1
Wafer & Sew. Surcharge 19 5(1
Police Plan check 56 50
Fire SAC -595 00
Eng. WaterConn.3Q,SL)Q
Pionner WaterMeter.$Q.,.QQ
Council Road Unit 185?P00
Off
Bldg
.
.
APC
Total 1 ,264.00
_ on the express condition that
ond City of Eagon Ordinances.
we wmo eowac?ry
Griggs Midway Bldg. - Room N191
.--tillillMniversiry Ave., St. Paul, Minn. 55704 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK-i'rtL19` WOItK COVERED BY THIS REQUEST
T 25631
a?a' 2
Type of Building New Add. Rep. Cheek Appliances Wired Foi Check Equipment Wired Foi
Home iR ? ? Range + 00 Temporary Wiring ?
Duptex ? ? ? Water Heater ? Lighting F'ixtures oc
Apt Bldg. ? ? ? Dtyei ? Electric Heating ?
Commemial Bldg. ? ? ? Fumace OK2 • O Sdo UNoader ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List L
ist
Other ? ? ? Q
Heiels?ls0,D1S .xX4. 07 p
Reheis?
COMPUTE INSPECTION FEE BELOW
Senice Entiance Size: n Fce Fcedeis&Subfeeders: # Fce C'ucuiW: # Fee
0 io I00 Am s. 0 to 30 Am eres 0 to 30 Am eres •
101 to 200 Amps. , • 31 to 100 Am res 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Am s.
TTansfo:meis Remote Control Circ. Partial oc othei fee •
Si ns ;i Special Ins ection Minimum fee $5.00
Remar Jeff D.
1 TOTALFEE &-,00 36•50
1, the I?IjctriEa(lnigMo`r, ?iereby cectt?dliat tl?da}a6ve fnspection has been made`?
Uc?. Gf// ,x.
-
(Rough m) Date Lf-?? 1
(Final) / ? ? Date d'/
This request void / ' ?
18 months from
l his tequest void 00 `/
] 8 months from A( 7
-:i
Date of this Request_ 4#3r+l 981 Fire No. T25?p+?
?+ 31
I, as30 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1650 KathTyn Circle CityFagan
Section Township Range County Dakota
Which is occupied by TollefeoA x
(Name of Ot<upant)
Is a roughin inspection required on this job? No ? YeM Ready Now ? Will Call gx
Power Supplier Dakota Cty. Address
Phxmington
Electrical Contractor O.B. Thompaoa Eleotria Co. Contractor's License No0602
(COmpany Name)
Mailing Address 12201 Mtka Blvd. j Mtka 55343,
. ..... .......
? •- • "
Authorized Signature
(Elactrical Contractor?or Owner Makins This Installatlonl
??j ??j ? ?+??? This inspection request will nat 6e accepted by ffie
?/n? 1J ? E,?il ?E, State Board unless proper inspection fee is encloud.
.. . -:. .. .
"Ter#ifixtt??e o#,?(?rr'u?ttnry,. ? :;-
?
Cftp uf tlEagan
Ervttrtmrnt af lguilbittg 3ttsperiiim:
7hu Certifirate issued Purauant to the requiremenu of Scrtion 306 af tbe Uni form Building:
Code crrtif ying that at the time of irruann thit rtrurture wat in rompliance with the variour '
ordinancu o f the Cuy regnlarittg building wnttruction or ute. For tbe following:
U. cl?dfintl. Sinele Family Hwa(Cmraae Bms.ft.1 N. . 6307 '
aap.u.yTypeR3 rypcov.uonV FirtZa 3 ZarvR Dismct -.R.I ' .
'o.,re.oteumi, T017.Pfson A1tiTe_ nae. 13816 HOlqQka Ta__.Ann1a?_y
?
_??J«Ile. ? a?? ?Z
BuilLingOtGdal ?Dyw AugIIR'f??TQ, 1986
?ci--
.
1989 BIIILDING PfiRMIT APPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I"?'? 1'
w1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: 9DDRE4SES FOR CORNER LOTS - CONTAACTOR/HOMEOiiNEE M115T DESIGNATE WHICH ADDRESS
IS DESIRED. AO CHANGES flILL BE ALLOIiED ODiCE BIIILDING PERMIT IS ISSITED.
MOLTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS f OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.r 1 SET OF ENERGY
CALCULATIONS
COMAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
? (?iD- ! q,U) ?
?vv
To Be Used For:
Site Address Ika o
& STROCTURAL PLANS, 'APR 2 g 1989
SET OF ENERGY CALCULATIDNS
Valuation:? Date:
Lot A9 Block Q/
Pareel/Sub 1117L Ro 4
Owner -4:,r2/ n ic-r- !}'l Yl/lvp P
,
Address MIN") rkuk)
City/Zip Code C4 6,41iJ -f -S
Phone Y
Contractor
City/Zip Co
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Oecupaney FSfiS
Zoning
Aetual Const Bldg. Permit
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site-sewage_ S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
_
City water Road Unit
_
PRV required _ Park Ded.
Booster Pump _ Copies
TOTAL
APPROVALS
Planner _
Couneil
Bldg. Off.
Varianee
2_L7_o
NOTE: Sever & Water Permit Pees and aceount deposit fees xill be ineluded in the building
permit fee. Processing time For sewer and water permits is two days onoe a licenaed
plumber has applied for a permit at City fiall.
f -? -- -
o•*
2h•uu+
o- sut
2 6 •so*
Cities DiRi
itv Control
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BEA BLOMOUIST
MAYOF
THOMASEGAN
MARK PARRANTO
JAME$ A. SMITM
TMEODORE WACHTER
COUNQI MEMBEPS
May 7, 1981
A?7R C{ARL [?? qy?T?bI?,I,?E?{FS?O?Nc
y?/y?L?: ?]Ll1Y DU111LiliL4J
13816 HOLYOKE IN
p,pPT.F. VALSEY NNI 55124
.s
CITY OF EAGAN
.? .
3]86 PILOT KNOB ROAD
EAGAN. MINNESOTA '
y '?i . 35f22 '%'_
yMONE ana-eiao
?.. ' "
n.q ? (
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?prLt
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..? a4.. _
RE: L0t=9= B1ock=l,-Ar£-Rahn-lst-Ar3dition --Pinal-Grac]ing - %
Dear Mr. Tollefsan:
TMOMASHEDGES
CITY ROMINISiFAiOP
EUGENEVAN OVERBEKE
CITY CIEPI(
An onsite inspection of the final gradin4 of this lot being von-gtructed bY Your finn
indicates that the north lot line is rot bein4 9raded to provide for the required
erergency storm sewer overflaa along the north line of Lot 9. This means that a
specific drainage svmle should be oonstructed to i?? ?t any Pluggage of the
catch basins resulting in storm water build-uP in the street will drain westerly
along the north proPertY line without creatin9 anY drminage Problans to your struc-
ture.
If this graclinq is rrot performed to pravide for this anexzJencY drazna4e overflaa,
the City no longer asstmies any responsibilities due to your notiflcati°n of the re-
quirecl corrective action prior to any prdblen axurrin4-
if you iiave any questyons regarrli ng this letter, please feel free to oontact Ne as
soon as possible for further clarification•
Sincerely,
/ GiH72c?..o
s A. Colbert, P.E.
Director of Public Works
TAC/jac
cc - Dale Peterson, Chief Building Official
TME LONE OAK TREE ... THE SYMBOL OF STRENGTN AND GROWTH IN OUR COMMUNITV.
CITy CF FAC,AN Include 2 sets of plans,
1 site plan w/elevatians s
BUIIDING PEfWT APPLICATION 1 set of erezyy calculatiais.
'!b He Used Fbr-?J,0- o? Valuation a O Date 55?7 /•? =??
Site Address SU v` ' OFFZCE USE ONLY
Int ?BlOCk SeC./Sub EYect OCC.'upanc.y 2F 3
Paroe]. N:
Owner: -
Addrnsa:
City/Zip dode:
Phone A:
QontYdCtA
Address:
City/Zip
Phone 9:
Ardt./EYx3.. _
Address:
, City/Zip Code:
- Phrne k:
f ?
Alter Zoning
Repair Fire Zone 3
Enlarge _ Zype of Const. ?
Nbve # Stories
Dennlish Front y g ft.
Grade Depth 3 v ft.
APPRNAiB F'EES
pSSeSSmE?fitS PQS7Rlt ' f 13.60
water/SewPS surcharge i q, 'sv
Polioe Plan Check Sc . 6a
4-yFire SAC r 2 s, o 0
gnq, Wates Conn. 34s'. a0
planr?er water Meter Go 00
Couuticil Road Unit
Bldg. Off.
APC
nrrrw
ities Di i.. t?al _Q?uality Control
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?olleEooa QuildsrA Inc. ? O_e/ Or.111S9_1 I
183-66A
F. C. JACKSON
LAND SURVEYOR
RtGIfT6RlD UNC6q LAW! 0/ tTAT6 OP YINNtWTA
LIG[NO[D NY ORDINANC[ Ow CITY W YINNAApOL1S
361E EAfT 587H STREET 55417
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S10NL^ -'-r- - --
F. C. JA?K80N. MiHNno7or s7?wt?. No. 3600
i /
( ,?'
40•• of Ea
Date:
3630 Pitot Knob Road
Eagan MN 55122
Phone: (851) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
o% I
Stall:
J
2012 RESIDENTIAL �PLUMBING PERMIT APPLICATION _ / _ s -r.21
Site Address: /5643 a Iii ''t G'l. E/�`M
Tenant:
RST #i
Suite 6:
Name: _ P4 Al VR Ng . EJ r � �: 9 ? ? V 705/6
Address 1 city 1 z. -/550 kl��tzd.CGP ' %.-6Ya,-r/ 5-5-4201
Name:
6 l/V,, PLL 4'' v License ti; ~/ asci T6-.),
Address: e, �` City: < / / AV LL4'►.1,
State; Zip: Phone: •
Jhn�}Vi,9 * Ac�L,Cok-1
Email: r ,
contact: %4(-
_ New ) Replacement Repair Rebuild Modify Space Work In R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (RPZ / _ PUB)
Septt System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
_ Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum, Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
560.00 Lawn Irrigation (includes 55.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svatent Abandonment, Water Turnaround' (includes 55.00 State Surcharge)
'Water Turnaround (add 5189.04 if a 518" meter Is required)
$10540 Seotic System New (510.00 per as built) (includes County fee and 55.00 State Surcharge)
TOTAL FEES $
CALL BEFOIN YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage.
Can 48 hours before you intend to dig to receive locates of underground utilities. www, QODberetateonecall.orA
1 hereby acknowredge that this Information is complete and accurate: that Me wont will be In con
Eagan; that I understand this a not a permit, but only an application for permit, and work is
accordance with the approved plan in the case of work which requires 8 review and approval of ,' : s.
Applicants Printed Name
ce with the ordlnanoes and codes of the Cky of
to start without a permit that the work will be In
App% 's Signa re
NOV/21/2012/WED 03:44 PM City of Eagan
41,11`1City at8tan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Pax: (651) 675-5694
FAX No. 651-975-5694 P. 001/001
Re:dGfa 76
��
USD RI ;IR r.r RI er.I( I'7k
For Offic
Permit #:
Permit Fee:
Date Received:
Staff:
logh�
322,31
2012 RESIDENTIAL BUILDING PERMIT APPLICTION CA`,_
Site Address: /8ra" rl ;"14eCIA" 4 ird de
RESIDENT /
OWNER
Name: P4-7- Al-L?le'Pd y E5444 e--, Phone; g3? -19Y-20%
Address / City / Zip: /B ,,_
'S c 1> 1 vet/ L /r ISG/ ,4/ - 5.$m ;
Applicant is: / Owner Contractor
'HYPE OF WORK
r O ec g / a'' N c W / s;c r L6
f i�! ,
_--r-- :.
Description of work•' "
Construction Cost: Multi -Family Building (Yes _/ No ) 1 t
:.CONTRACTOR
Company: N �� 574 -&dam Contact ..r7 / 3cP ? /!
Address: City:
State: Zip: Phone:
License #: ' Lead Certificate it:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Inform tion)
($
T's uk.\-\— 0___
In the last 12 months,
_Yes _No If
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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?
yes, date and address of master plan:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of •
the lnfonnatlon 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.aopheratateonepali.orq
hereby acknowledge that thls 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 Eta uilding Co = must be . - • pleted within 100
days ot; ermit issuance.
lam'
Applicant's Printed N me
95 441412sti
x
Applicant's Signature
/9 -el A ---P
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace
Single Family Garage
_ Multi _ Deck
_ 01 of _ Plex Lower Level
Accessory Building
_ Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New — Interior Improvement
_ Addition _ Move Building
Alteration_ Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
#of Units
# of Buildings
Type of Construction
/o c'ct7
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water
Framing
Fireplace: Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Final
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Siding
Reroof
Windows
_ Egress Window
IC-41kr�n c,r
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
_ Final / C.O. Required
44 Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
_ Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Air Test _Final ' Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
X91
iis 4r,
GI/ /trot► ye
P4c,t/./ /p
Page 2 of 3
1b Z
MNCLE 0 2012 P010
STATE OF MINNESOTA FIRST JUDICIAL DISTRICT
DISTRICT COURT
.................
COUNTY OF DAKOTA
Estate of
Patrick M. Murphy, a/k/a Patrick Michael
Murphy,
Decedent
Court File No. 19 -H4 -PR -12- 335—
LETTERS
35
LETTERS OF
GENERAL ADMINISTRATION
l ISMIQM
1. The Decedent died on April 26, 2012.
2. Peggy DeMarsh has been appointed Personal Representative of Decedent's Estate in
[✓f an informal unsupervised
0 a formal unsupervised
0 a formal supervised
administration and is now qualified to act as Personal Representative of the Estate and has authority to
administer the Estate according to law.
Dated: (D (0 1d
(COURT SEAL)
STATE OF MINNESOTA, COUNTY OF DAKOTA
Certified to be a true and correct copy of the
original on file a d of record in my office and
that said Le �• .,. i,.'s'e and effect as
of the • to h , �� en r- rked.
DatedI
CourtA�*4�IrI r�
Ey
Minn. Stat. 524.3-601
..115/iffkall "NNW
• egl
P010
t
Dom
trey'
13
Letters E] Testamentary
General Administration
CERTIFICATION OF VITAL RECORD,
;-",cr•
CERTIFICATE OF DEATH
DECEDENT
NAME PRIOR TO
FIRST MARRIAGE
ALSO KNOWN AS
PATRICK MICHAEL MURPHY
SOCIAL SECURITY NUMBER 473 - 58 - 1928 __-
SEX MALE.
BORN MAY 03, 1950 -
PLACE OF BIRTH SAINT PAUL
STATE FILE NUMBER 2012 -MN -013114
MINNESOTA
DATE OF DEATH APRIL 26,2012 (DATE FOUND)
PLACE OF DEATH EAGAN DAKOTA. MINNESOTA
MARITAL STATUS
SPOUSE
RESIDENCE
PARENT
PARENT
FUNERAL HOME
DISPOSITION
NEVER MARRIED
EAGAN DAKOTA MINNESOTA
MARION ,GIBBS
MICIIAELI-E0 MURPHY
CREMATION SOCIETY OF MINNESOTA
CREMATION
CAUSE OF DEATH•
IMMEDIATE
UNDERLYING
OTHER CONTRIBUTING
CONDITIONS
NATURAL CAUSES
- _ -
HYPERCHOLESTEItOL E1.11A, PRIOR CIGARETTE SMOKING
=
MANNER NATURAL.
MEDICAL EXAMINER, IIINDSEY CIHOMAS, M.D.
CORONER OR PHYSICIAN MN REGIONAL PAEDICAL 'EXAMINER'S OFFICE, 1175 NININGER ROAD, HASTINGS,
THIS RECORD HAS NOT BEEN AMENDED ' •
THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF THE STATE REGISTRAR.
MR&C Certificate ID
7657561
1t HutJII
000852382
27A-000852382
FILED: MAY 01, 2012
$70.404,
STEVE ELKINS
STATE REGISTRAR
ISSUED: MAY 17, 2012 HENNEPIN COUNTY SERVICE CENTER -GC
THIS CERTIFICATION IS VALID ONLY WHEN REPRODUCED ON WATERMARKED SECURITY PAPER
WITH A RAISED BORDER AND RAISED STATE SEAL OF MINNESOTA.
MulvkAMAAAAA4.11.1.1......1.0.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168349
Date Issued:04/19/2021
Permit Category:ePermit
Site Address: 1850 Kathryn Cir
Lot:9 Block: 1 Addition: Art Rahn
PID:10-11900-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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:
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 -
Alfredo Reza
1850 Kathryn Cir
Eagan MN 55122
(651) 769-3740
Archer Exteriors
820 N Concord St Ste 106
South St. Paul MN 55075
(651) 493-4156
Applicant/Permitee: Signature Issued By: Signature