1000 Kettle Creek RdJIIG MUUICJJ .+?. ?w aai
Lot 10 Block Z Sec/Sub. LBXINiLON SQ 7
Parcel No.
W Name RxCEfARD KRBYER
3 Address 1000 BETTLE CRBEK xD
0 Clt EAGAN
y Phone 688-9534
Name
Address
Phone
Name _
Address
Cliy _
1 hereby acknowlege that I have read ihis application and stale that the
informalion is correcl and agree to compl _ with all applicable State oi
Minnesota Statutes antl City of agan Ord,iA?ances. i
Signature of Permitee '?----
A Building Permit is issued to: RICHARD KREYER
on the express condition that all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official `
Occupancy
Zoning
(Actual) Const
# of Stones
lengih
Depth
S.F. Tolal
S.F. Foolprinls
On Site Sewaga
On Site Well
MWCC System
ciry water
PfiV Fequired
Booster Pump
APPROVALS
OFFICE USE OlJLY
Bldg. Permit 35.00
-
- Surcharge 1.00
Plan Review
- SAQ City
- SAC,MCWCC
Water Conn
- Water Meter
Acct. Deposit
Planner _
Council
BIdg.Off. _
Variance _
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copias
TOTAL 36.00
FEES
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTAIC ov
?
Inspection Date Insp. Comments
Footings I
Foundation
Framing ?? a,
Ftoofing
Rough Plbg. 7- 3 ?
Rough Htg. -?
Isul.
Firepiace
Final Htg.
Orstat Test . "
Fin21 Plbg. PI6g. Inspector - Notify Plumber
Const Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN .
3830 Pilot Knob Roed, P.O. Box 21-199, Eegen, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for "'•(' Est. Value $76,Ot
Receipt
Date ,19 60
Site Address lUU(J ?'ETTLe. CR£EY. kD
Lot "' Block 1 Sec/Sub. L''"1e'?,"'tjN `f! 7"PF;
Parcel No.
IName "UVIN (;F.(?NGE BC14pE'•,,. ? I
z Address F() IiUX 42:'
0 City d'i<Inff'TOt+ Phone 3 3'- -.i034
. o Name c
o Q Ad[Vess
U
P City Phone
?Q
?W
Name
_ 0 Address
Q W City Phone
I hereby acjcnowledge that I have read this application and state that the
information is correct and agree?to comply with afl applicable State of
Minnesota Sfatutes and City of Eagan Ordinar7cs's.
• ?,., _ _ ??
Signature of Per?ittee '
. t ?-
A Building Permit is issue{l?.:_ '`Ar J' 1??"s:;ii{s? BL'LLUiskS
on the Axpress condition fhat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Ske Sewage Occupancy +`- 3 i1-1
MWCC System ^ Zoning f'u 9-1
On Site Well T (Actual) Const v-tll
City Water (Allowable) v-N
PRV Required # of Stories
BoosterPump Length
Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
478`00
Engr./ASSess. Permit
Planner Surcharge 38.00
239
00 ?
Council Plan Review •
BIdg.Off. SAC,City 1W.00
550
00
Variance SAC, MWCC .
Water Conn. 55U.00
Water Meter 67.00
RoadUnit 32 5.00 'i
204'00
7reatment Pl i
Parks
Z
??1?aU
TOTAL '
I
_,.__.i; , . m;-^-..m..yE;. _a•? ., . . . ?,.,rr.._ .. .. . . . ... .
? ??. CASH RECEIPT ?
• ? CITY OF EAGAN ?-"
• 3830 PILOT KNOB ROAD ;
EAGAN, MINNESOTA 55122
DATE 1g
WOErvID
Rqu ?
r AMOUNT $ .. . . _ _ . . .
& DOLLARS
iro
? CASH D CHECK .
FOR
,
?
av I .-i r t 'L' (-
White-Payers CopY
. . c ? t x Yellow-POSli^9 CoPY
Pink-File Copy
Thank You
. .....
. • , . . . . . .. . . . .. .. . ... . ... ._ . . .. /L, v' ?? ?'.
PERMIT #
.' , MECHANICAL PERMIT RECEIPT #'
CITY OF EAGAN
/ 3830 PIL OT KNOB ROAD, EAGAN, MN 55722 DATE:
CONTRACT PRICEi PHONE: 454-8100
Site A d ess 0 0
? f a -?
77 -
BLDG. TYPg WORK DESCRIPTION
Lot / ?_?_ Blo?
" ?- Sec/Sub Res. '? New ?
?y
, : ?r.: 1_
"
?
? Name . F ?; 1lJ` `f
n0 i1t Gclp Mult Add-on
R °; `"> > a C'
Address
-t
'? G
''
`` Comm. Repair
Other
c ltl;-
City'i rc:
/
Phone
N -t /` .4
. ?M , FEES
m ame , aES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 PER PERi1Al
1
GAS OUTLETS
MINIMUM
50 EA
?
.
-
n -
.
(
TYPE OF WORK
F
? COMM/IND FEE - 1% OF CONTRACT FEE I
APT. BLDGS. - COMM. RATE APPLIES
orced Air M BTU
Boiler
' M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater .M BTU REMODELS - 12.00 '
Air Cond. -'? M BTU $ MINIMUM COMMERCIAL FEE - 20.00 I
Vent ? CFM STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES ?
> Gas Piping Outlets #
? ?• BEYOND $1,000) I
Other r
T q .? r . .
FEE:
`
S/C: SIGNATURE OF PERMITTEE
TOTAL•
.
FOR: CITY OF EAGAN
? _ 1
CONTRACT PRICE:
Site Address
Lot _ BIOCIZ SeGSub
d Name :?,_ •.?r.?_ , ? -i; t _.? ?-•?s lr.r, I r.'
m Address 122C; 'X F: t?Nt7+? :.n1 hJ
c City? Phone
Name
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
._ _. } /.
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: 7
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
BLDG. TY?E WORK DES CRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
?0. FIXTURES I TqTAL
Water Closet - $3.00
TBath Tubs - $3.00 S "
3 ' -"-
2 Lavatory - $3.00 L Ca-
?Shower - $3.00
Kitchen Sink - $3.00 -? *
Urinal/Bidet - $3.00
4?Laundry Tray - $3.00 ?-
?-
?Floor Drains - $1.50 r ?
Water Heater - $7.50 ?
Whiripool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
_SoRener - $5.00
-Well - $10.00
Private Disp. - $10.00
Z__ -?-
Rough Openings - $1.50
FEE: 3 C.. C-._
STATE S/C:
GRAND TOTAL: .: r' .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE• 454-8100
fri 7r., 7
BUILDING PERMIT Receipt#
To be used for Est. Value T'' Date ,19
?
Site Addregs . rd5-` . ! ' k
Lot ° Block' Sec/Sub.' '-:,`?"!Y)h SiQ; 71.
Parcel No.
a Name , . !;IC
l W
; = Address
?
0 City' Phone '
o Name
? Q Address i- ? City Phone
Name
Address
C ity _
Phone
I hereby acknowledge that I have read this application and state that the
information is correcf and agree to comply with all applicable State ot
Minnesota Statutes and City ot Eagan Ordinances.
Signature ot Permittee
Ai iLGF:MS
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFIC E USE ONLY
On Site Sewege Occupancy
MWCC System _ Zoning
On Site Well _ (Actual) Const -
City Water (Allowable)
PRV Required ? of Stories
Boaster Pump Length ?A ?
DePth
S.F. Total
Footprint S.F.
APPROVALS FEES
? ' -
Engr./Assess. Permit ?
Planner Surcharge
..
Council Plan Review -
Bldg. Off. SAC, City
Variance SAC, MWCC
'
water Conn.
Water Meter
Road Unit
Treatment P1 -'
Parks
TOTAL '
Permit No. Permit Holder Date Talephone #
Ptumbing
H.V.AC. G)C711?"J 0 I
Electric
Softener
Inapection Date Insp. COmments
Footings I 6
Footings II
Foundation
Framing
Roofing
Rough Pibg. _
.
Rough Htg. 7 ?y
Isul.
Fireplace
Final Htg.
Finai Plbg.
,
Bldg. Final
Cert. Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
tgrr#i#irttte n# COrrupanry
titp of Cagan
11r{Wrtmrttt of guaing jmpertimi
This Cenificate rssued pursuant w the requiremenu of Section 306 of the Unrform Building
Code cenifying that at the fime of issuance thrs structxre was in compliance with the various
ordinances of the City regulatrng building construction or use. For the following.,
ux ciasick.non ?r `7hG/GAEt mae. temiit rro. '
Oc-pancy Type R3;n'11 ZoninBDistW TYPC CD(dL .. 4T]
owocroteufuuy `iAb:li CMv`r •`_:':??k;;;.. _v .Add? N.O. BQ.X 428, F'PTNCE'IGN
L!^, B2, M.ttwr:a:'WT "IM
Bwlding Addrtcs . . ' Loqlity
Dete: .!'il.l' 28? 1988
euamng officw
POST IN A CONSPICUOUS PLACE
BUILDING
To be used fo
?; .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
_?9000
1989
' 1004 ICZTTU CUSK RD
Site Address
3
Lot 10 Block Z Sec/Sub. IM ? S?Ql1 RS OFFICE USE ONLY 1
PdfC@I NO. Occupancy _ . . FEFS
W
Name Rt'CHARD aJAME KORM Zoning
(A
t
l
t
C
Tb
OA
Bld
P
i
' o AddreSS i?0 ?TT? +?E? ? c
ua
)
ons
(Allowable) .
_
erm
g.
l
- Surchar e •?
9
CitY gAC"" Phone 6W9534 +r ot stones -
Plan R
i
Length ev
ew
_
=F Name ? Depth - SAG City
o`
U
Address
S.F. rotal
SAC, MCWCC
? C11y PhOfle S.F. Footprinls _
? On Site Sewage _ Waler Conn
Fw Name On Site Well - Waler Meter
?? AddfBSS MWCC Syslem
¢ z
<W
City PhOne
Ciry Water Accl Deposit
_
PRV Required - S/VJ Permit
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of Booster Pump - S!W Surcharge
Minnesota Statutes and City of Edgan Ordinapces. Treaimenl PI
Signature of Permitee ? APPROVALS qoad Unit
A Building Permil is issued to: RICHM OR JAM KREnR Plannar - park Ded.
on Ihe express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies
?6??
Building Off icial Variance - TOTAL
17Z10
?
Permit No. Permit Holder Dats Tekphone f!
WATER
SEWEF
PLUM8ING
H.V.A.C.
ELECTRIC
Inapection Date Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Freplace
Final Htg.
Fnat Plbg.
Const. Metar Plbg. Inspector - Notity Plumber
Ergr./Pian
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Owner._
Site Address:
Plumber._
Permit No:
Meter No: 4/4 D ? k
Reader No:
GeorQe Bldrs.
h
Conn. Chg: Zoning: -
Acct Dep: IVo. oi Units:
Permit Fee:
ton S
Surcharge: • 50" ? 1 agree to comply with ihe City of
Tr. Plant -`-`F.017a- Ordina
Meler. / '. ,
CITY OF EA.?'aAN Permit N
3830 Pilof Knob Road B/P No:
P.O. Bax 21199
Eagan, MN 55121
r,r
Owner:-_ _
Site Adtlress: -
Plumber:
1r3RY Date:
8460 Date:
Date: "
Size: cc
Date: -<?
Eosd I.lt? B2 T..ex
7Ctt
MWCC: SSQ ??? Zoning.
City Chg: I010o0nel No. of Units:
Acct. Dep: -5' 00!- d I agree io comply with the CitY oi Ea9an
Permit Fee: Ordinances.
Surcharge: i.
Misc.:
SEWER By
SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan,
Permit Na - %--
Meter No:
Reader No:
?
F_q9 n? ?
Date:
Size: ?
i
Date:
Conn. Chg: 550.00p3 Zoning:
Acct Dep: 15.00Ld No. of Units: ?
Permit Fee: 10. COpu j
Surcharge: • 5opd I agree to comply with Ihe City of Eagan ?
Tr. Plant 204• OOrA Ordinances.
Meter. F7.00e4 I
Misc.: By
WAT
- - _ _-- j
ER SERVICE PERMIT
J
BLDG. F'ERMIT NO.
At AO - C?
001-3210 Bldg. Permit 117 0 pc
01-3422 Plan Check o Q
?01-3445 Surch./Adm.
01-3446 SAGAdm. ? c
01-2155 Surcharge ?
75-3860 Road Unit pv
20-2275 SAC ^u
20-3865 Water Conn. L? 00
20-3868 Water Trmt. Qn
20-3716 Water Meter 697 Ov
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
CITY OF EAGAN N!_° 1515 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? , `?fE ! _0 0
BUILDING PERMIT PHONE: 454-8100 Receipt # Lt?
Tobeusedfor SF DWG Est.Value $76,000 Date JliNE 9 ?g88
Site Address _
Lot 10 Block
Parcel No.
00 KETTLE CREEK RD
2 Sec/Sub. LEXINGTON SQ 7TH
¢ Name MARVIN GEORGE BUILDERS, INC
z
? Address P 0 BOX 428
City PRINCETON Phone 332-3034
,o Name SAME
? Q Address
? City Phone
?Q
?w
W w
Name
f
_?
Address
UZ
¢ W
a
City Phone
I hereby acknowledge that I hav read this applic n and state that the
information is correct and ee o comply wi ?I applicable State of
Minnesota Statutes and City of gan Ordc6s.
Signature of Permittee
A Building Permit is issued to: MARVIN GEO d Bli ILDERS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOfficial &,IG.IPf ''Th?T
OFFICE USE ONLY
On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning PD R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump _ Length 51'
Depth 52'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 478.00
Planner Surcharge 38.00
Council Plan Review 239.00
Bldg. Off. SAC, City 100.00
Variance SAC, MwCC 550.00
water Conn. 550.00
Water Meter 67.00
Road Unit 325.00 .
Treatment P1 204.00
Parks
TOTAL 2,551.f)0
,S//o}?/ ;EQUSEST?FORoEL ECTRI?CA?LbNSPECTIpON ??8 Es•ooo01-07
Csj 33624 ' Y`X° Below Work Covered by This Request ???? ?/?$ ?
ew
AdF1
Rep. ,?-
TypeofBuiiding
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contractor's Remar / /
?St11L? rf1"SK?
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 Amps Amps
SignS Inspedor's Use Only:
-. I TO
s m
Irrigation Booms ? ??
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ERE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electrical Inspector, hereby
it Rouyn-in oata
^
cert
y that ihe above inspection has
been made. Final Date
/ 2-
OFFICE USE ONLY -
ThiS request voitl 18 moMhs trom
..?-)O' / Vi ? c 10:W6 y
@'33624 o.,?a
Request Date Fire No. Rough-i spedion
Req r .
? Reatly Now y?Jill Notity Inspector
?? ??
I es ? N. Nhen Ready?
I Ci licensed contractor owner hereby request inspection ot above electrical work at:
Job Address (Street, Box or Routa No.) Ciry
/VOO ?
Section No. TownsH Name or No. Range No. County
Oaupant (PRINT) /
? Phone No-
Power Supptier Atldress .
Electncal Conhacror (COmpany Name) ContrectorS License No.
Mading Atltlress (Coniractor or Owner Making Installatlon)
J
lAuthorized
e Ico CtOr/0 n Makin I allation) Phone Number
_ "2'^----- --- a F-S' L --
MINNEtO7A STATE BOAfiD OF ELECTRICITYO THIS IN5PEC710N fiEQUEST N11LL NOT
Griggs-Mltlwey Bldg. - Room 5-173 BE ACCEPTED 8Y THE STA7E BOARD
1821 Univerylty Ave., SL Paul, MN 55704 UNLESS PROPER INSPEC710N FEE IS
Phone(612) 642-0800 ENClOSED.
CITY OF EAGAN N2 17210
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # MU70
To be used for FlREPLACE Est. Value $1, 000
Site Address 1000 KETTLE CREEK RD
Lot 10 Block 2 SeclSub.LEXINGTON SOUARF
Parcel No. /TR
W IName RICHARD & JANE KREYER
3 Address 1000 KETTLE CREEK RD
° City EAGAN Phone 688-9534
,a Name RAMF
$? Address
? City Phone
ww Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agre to comply with all a piicable State of
Minnesota Statutes and City ga Ordin s.
Signature of Permitee
A Building Permii is issued to: RICHARD OR JANE KREYER
On the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes,and City ol Eagan Ordinances.
Building Official
1989
OFFICE USE ONLY
Occupancy _ FEFS
Zoning _
(ACtual? Const _ Bldg. Permit 9F nn
(Allowable) -
Surcharge .50
# of Slories -
Length _ Pian Review
Depth - SAC, Cily
S.F. Total -
SAG MCWCC
S.F. Foatprints -
On Site Sewage _ Waler Conn
On Site Well - Waler Meter
MWCC System _
City Waler _ Acct. Deposit
PRV Required - S/W Permit
Booster Pump - 5/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Council
BIdg.Otf. _ Copies
Variance - TOTAL 26.50
CITY OF EAGAN Nfl 1894;0
3830 Pilot Knob Road, P.O: Box 21-199, Eagan, MN 55121
: PHONE: 454-8100
BUILDING P ERMIT Receipt #
To be used for BASEMENT FINISH Est: Value 11,500 Date APR 24 , ?gQL
Site Address 1000 KETTLE CREEK RD
Lot 10
Bl Z
ock
LEXINGTON SQ 7TH
Sec/Sub.
OFFICE USE ONLY
Parcel No; occuPancy - FeEs
Zoning _
w Name RICHARD KREYER (Acwaq Coost _ Bldg. Permit 35.00
;
? AddreSS 1000 KETTLE CREEK RD (Allowable) -
5urcharge 1. 00
City EAGAN Phone 688-9534 # ot Swries _
Length _ Plan Review
o NdfTl@ SAMF. Depth SAC
Cit
9 - ,
y
¢ Address S.F. Total -
SAC, MCWCC
'- City Phone S.F. Faatprints -
F On Site Sewage _ Water Conn
w W Name on Site weu
F w _
Water Meter
?? AddfeSS MWCCSyslem -
A
D
i
a W City Phone City Water _ cct.
epos
t
I here6y acknowlege that I have read fhis application and state that the
inbrmation is correct and agree to compl with all applicable State of
Minnesota Statutes and City o ag Or ' nces.
Signature of Permitee
A euilding Permit is issued to: RICHARD d EYER
on the express condition lhat all work shall be done in accordance with all
applicable State ot Minnesota Statules and City of Eagan Ordinances.
Building Official
PRV Required - SNJ Permit
Booster Pump - S/W Surcharge
7reatment PI
APPROVAL5 Road Unil
Planner - park Ded.
Council
BIdg.Off. _ Copies
variance - TO7AL 36.00
? ,
This request void /_ ?
18 mqnlhs from ?l/ /?7 ty?' CJ ?
E 42 42 /
Reques[ Date rte No. RouPh-i nsVer,tion
Reqwr ?
E]Rcady Nuw m Will Notify, Inspec-
?- ;t/J -?fy CRYes ?No «r When Ready
? Licensed Elecvical Contractor i here6y repuest inspection oi ahove
Owner electrical work installed at:
Street AAdress, Box or Route No. City
000 K4 f a? ? IQo? 4f
ecuon o. TownShip Name or No. Range No. Cowity
Lo T- / ?GK ?2 Lf ..?ra? ? u? O1C` o
Occupant IPRINTI Phone No.
i¢26 fv7tfrE ?c 3rz - 3G ?V
Power upplier Address
A-Ko Tle/C- ? iN/sJG?
Elecirical Cnntractor (Company Name) Contrar.lor*s License No.
.?1R-s ? f.?eern /?
Mafling?AdJress (Contractor or Owner Making Instaila[ion)
02 G
Aulhprized Sipnature (Con[raclor/Ownef Makfng Inst lation) Phone Numbr.r
MINNESOTA STATE BOAND OF ELEC/TRICITV THIS INSPECTION REQUES7 WILL NOT
Griggs-Midwav Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOAR?
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-OSOO ENCLOSED.
f/$? REQUEST FOR ELECTRICAL INSPECTION . EB-ooooi-os
N'
SBe instructipns fOr COmpleting IhiS fOfm on hACk oi yellow Copy.
E` 4242 -` "X" Below Work Covered by Thrs Request
New HAd Rep. Type ot Buflding ApDlionces Wired Equipment Wired
Home Fange Temporery Service
Duplex Water Heater Lightiny Fixtures
Apt Building Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiner Peci v Olner Isno6rYi .
thPr SUecify Othar Olhcr
Compute lnspeciron Fee Below
p Fee SBrviceEMrenceSize R Fee FeHders/Subfeeders N Pea Circuits
? 0 to 200 qmps 0 to 30 Am s Z/ - 0 to 30 Am s
Above 200 qinpy 31 to 100 An,ps p 31 to 100 A s
Swinuning Pool Above 100_Am s Above 100_Amps
Transformers Irriyation Booms Partial."Other Fee
Signs Special Inspection g
S6 TOT
Rem?rks ?? ?f
Rough•in e.?) fe
??? I, the cal
?J• n5pector, hereby
certify that the above
Final inspection hes been
made.
•hia renuxt vniA 1R mnnlhs troT
RESIDENTIAL
BUILDING PERMIT APPLICATION
, CITY OF EAGAN
? 3830 PILOT KNCB RD - 55722
651-687-4675
New ConsVuction Reaufremi n? ?
\
• 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas
(20°k maximum lol coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 sel oi Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted ailer 711193
• Rim Joist Detail Oplions selection sheet (bidgs with 3 or less units)
DATE VALUATION 2 5 v U v
JOB SITE ADDRESS /000 P? GJ'C??IC ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 'R.,e.(r? rA cSICI ?20.Gt?.
TYPE OF WORK
APPLICANT
ADDRESS _y
PAGER #
. ..
E# (05I-3060-1[61S'IA FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener
Water Healc;r
No. of liaths
FIREPLACE(S) _ 0 K 1 _ 2
_ PHONE#1QSI-(pF7-9d 3
ZIP CODE
Phone #
P'ee: $90.00
'3 , T 4 -j , L ?o
RemodellReoairReauirements CQ??
'. 2 copies of plan _0?
• t set of Energy Calculations for healed additions
• t site survey (or exterior additions & decks
• Indicate if home served hy septic system for additions
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning ree: $70.00
HeaC Recovery System
Phone # ' ' _
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inforrr
with all applicable State of Minnesota Statutes and City of Eagan Ordi
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex 0 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
.
? 30 Accessory Bldg
?
? 31 Ext. Alt - M;Ati
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
71% 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation vl9U O MC/ES S
stem
ccupancy y
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.
? Footings (addition) Plumbing
ti( Foundarion ? HVAC
Drain Tile Other
Roof _ Ice & Water Final Ftgs _ Air/Gas Tests
Pool _ Final
Framing _
_ _
Siding _ Stucco _ Stone
?
Fireplace ? R.I. }(Air Te
? -
st ?Final Windows (newheplacement)
C`
-Y Insulation
r _
Retaining Wall
v a 0L-V?- ApProved BY ? Buildin9 InsPector
J\ LA- ?+P 1?v ?j / ,
Base Fee a S' / c
Surcharge ? oC) LI ?J (a???
Plan Review
MC/ES SAC I. PP?, ?/ I x?? l Iov ?
Vl
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search tP
Copies '
Other
Total Lq (--{ ? ??
Mike 40. A 2% variance to the maximum 20% building coverage standard in residential
zoning districts for Rick Skluzacek for the construction of a 224 sq ft addition on
property located at 1000 Kettle Creek Rd (Lot 12, Block 2, Lexington Square 7th
Addition) in the northwest quarter af Section 23 was approved.
Job Site Address: D?V ftowi. ?• AV
'ENERGY CODE WORKSHE T F4R
city oF eagan ONE & TWO FAMILY DWELLINGS
ili
[.`iSTRC`CTIONS: Compitce'PShs [, If and ll[. Clrarly mark pians with: insulation R-values: window and sl.-% li-ht U-values; size and
Rpe ot equipment: equipmant concruls: and location ot interior air barriar, vapor recarder and windwash baRiers. hlore detaited
inFormation can be found in the .tilinnesora Energv Cude Sunrnrary Sheeu availabic trom the Minnesota Departmenr oF Public Sarvice.
Part I. BUILDING ENVELOPE
CheCk Op[lOn uSed: ]k "Cookboo&" Method (complzte worksheet below) ? N1nCheck method (aaach report)
? Building Component method (attach calculations) 0 S} scems Analysis mechod (attach analysis)
=`Cookbook" Worksheet
INSTRI.'CfIONS
Scep I. Check item(s) that design meets on Abfinimum Requiremenu
list to the ri3ht Must meet aIl items to use Cookbook option.
5tep 2. Indicate proposed wall rype on table below.
Scep 3. Indicate Window U-value and source.
Scep 4. V erify tocal window (including area of all foundation win-
dows) & door area is equal or less than allowable percentage
MINIMUM REQUIREiNIENTS .
for "Cookboo(:^ O tionl
O Heacing svstem efficiencv: Nlinimum 90% AFUE
O Entry Doors: 11/: ' solid wood or maximum U-value of 0.40
O Skviighu: None ermiaed
O Ceiling Insulation: Minimum R-38
? Rim Joist Insulation: Minimum R-10
0 Floors over unconditioned s aces: yiinimum R-30
? Foundation windows: '/•." insulated galass in wood or vinyl
frame or maximum ti-value of 0.51
TABLE FOR DETERPYfPNING NfAXIVNM WIlVDOW A.`1D DOOR AREA
bfa.cimum Allowable 7ota1 Window andDoor
Area as a Percen e of E sed Wall
14% 16% -?
18% 20% 22% 24% 26% 28%
WaIt Type R-5 trp to R-20 Foimdation Insbl. : Maximum Av e Window U-value exce t foundation windows a 5.6 sf ): ' -:_•
? 2s4, R-li insulation, <R-5 sheathing 0.#7 0.36 0.30 026 0.23 0.20 0.18 0.16 RIS 0.14
? 2x?1. R-l3 insulation. a R-5 sheathing 039 0.37 0.37 037 035 0.3t 0.28 025 6.? OZ2
'? 2x4, R-l3 insulacion. 4 R-7 sheathin 037 0.37 037 0.37 O..i7 034 0.32 0.23 . 626 0.24.-
? 2x6, R-19 insulation, < R-5 sheathing 037 037 : 037 0.37 0.34 0.31 0.28 025 -' 023 . 0.21
-
? 2x6, R-19 insulation, G R-5 sheathing 039 037 Q37 0.37 037 0.37 O..i3 O..iO 023 036.
? 2x6, R-31 insulation, < R-5 sheathin 037 0.37 `" 037 037 037 0.33 030 0.27 0.25 023 '
ZI 2x6, R-21 insutation, b R-5 sheathin 0.37 0.37. 0.37 0.37 0.37 0.37 0.35 0.31 0:29 ` 03T-?
Wal1 T e with R-] 0 Foimdation Insularion : Maximum Avcta e Window U-value e:cce E foimdarion windows t* 3:6 sfl: :? >"-'?
O 2x4, R-13 insulation. < R-5 sheachin 037 " 037 ? .033 028 0.25 022 0.20 0.18 ? -`0.17.; : O:tS =
O 2x4, R-13 insutation, 4 R-5 sheathin 0.31-1 = 0_37?, =037 037 :037 >. 033 0.30 ?• 027::= '0.25 z -0:23'?
? 2x4, R-l3 insulation, 8 R-7 sheathin 037:° -0.37 •A? -037.' 0:37 0.37 0.36 • 033 = 0:30 •: -027` -025 r
2x6, R-19 insulation, <R-S sheathin 0.37 : 037 : 0.37 037 037 032 029 027 024
0 2x6, R-19 insulation, 4 R-5 shaathin 0.32 0.37 0.37 0.37 0.37 0.37 0.35 032 0.29 0.27L-
O 2x6, R-2 t insulation, < R-5 sheathin 0.37 0.37 037 037 037 0.35 031 0.29 0.26 024'*
J 2x6, R-21 insulation, 4 R-5 shaathin 037 0.37 037 037 0.37 037 0_s6 0.33 0.30 028 ?
Wall T e with R419 Foimdation Insulation : Maximuin Avera e Window U-value exc t foundation windows p 5.6 sf):
? 2x4, R-13 insulation, < R-5 sheathin 0.31 0.37 0.34 029 0.26 023 0.21 0.19 - : 0.17 0.I6
• 2x4, R-13 insulation, 8 R-5 sheathin 0.37 0.32 0.37 037 037 034 031 028 0.26 024 '
0 2x4. R-13 insulation, b R-7 sheathin 0.37 037 0.37 037 0.37 037 0.34 00.31 0.28 024 >
ZI 2x6, R-t9 insulacion, < R-5 sheathin 0.37 . 037 0.37 0.37 037 034 0.30 4.28 025 0.73" •
2x6. R-19 insulation, 4 R-5 sheathin 0.37 637 0.37 0.37 0.37 0.37 036 033 030 028=
Q 2x6. R-21 insulation, <R-S sheathin 037 0.37 0.37 0.37 0.37 036 032 0.29 0.27 025-:
O 2x6, R-21 insulation. 4 R-5 shtathin 0.37 0.37 0.37 037 0.37 0.37 037 0.34 031 0.29
Window U-value: Source: rlFRC ? Code Default T'able (see Part 7670.0700)
,ao X 3. za = Ad" % <
61'" window & door area gross exposed wall area DESIGN ALLOWABLE (from tabte above)
6'?`? Y?4 N V1 f .
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•.:_.' {? ??? ? ?', ? F :? ,.
? I.OT SURVEYS COMPANY, INC¦ IN B NOE NO *352-22? ?
- [.ANn SURVEYORS scALE i" : i: 29',..? .
? 0 - OENOTES I RON
REGISTERED UNDEA LAW9 OF STATE OF MINNEBOTA `
7801 • 78rd Avenue North 680•809$
MARVIN GEORGE BUILDERS blinneapollm, Mianaota 66426 Job H 88-55
a Denates Wood Flub Set J3qrrrgaro ??rfif?eute Address: 1000 Kettle Creek Rd:
For Excavation Only
-?-^ Denotes Surface Draznage Type of Building -. Spl?it I:evel ;.f ;?•-
??oa Denotes Proposed Elevation
Denotes Existing Elevation Lu4 area?
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Garagi.Floor
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Lowest "Most Floor??3 ??? x?? ?
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Lot 10, elock 2, LEXINGTON SQUARE 7171 AllI)T7'ION
YM 0nhr 008ertNnil shown wro h*om plots ol roco?d a Inlormatlon provlded by
clhnt.
t { f.? ?
Mlr IMmby oMifr tM11hls 1s u kua and corrocl roptbseMStlon of a survey ol lhs
i.
poundeftt of (M obws desclbsd land md IAe locitlon of aII bulldinps u?d vls•
iMO wciowMnsnts, II any, from a on uld Iand
BurwrM by us thb 27t i doYol Mav 19 _$8 Signed
nd A. Pr nch
. Mlnn,
p t Y
R760
??
SINGLE FAMILY IIWELLINGS
2 3ETS OF PLANS
3 EEGISTERED STTE SIIRVEYS
t SET OF ENEEGY CALCS.
1989 BIIILDIHG PERMIT APPLICATION
CITY OF E6GAN
fq2al
MOLTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SQRVEYS -
(CHECB wITH BLDG DIV.)
1 SEP OF ENERGY GALCS.
CONMERCI9L
2 SETS OF ARCHIYECTURAL
& STxDCTQRAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS EENTAL ONZTS FOR 3ALE IINTTS # OF IINITS
80TEs ADDRESSES FOa CORNEA LOTS - CORTRACTOR/HONEOWNER MQST DESIGNATE idHICH ADDRF55
IS DESIRED. NO CHANGES wILL BE ALLDiJED dNCE BOILDING PERMIT IS ISSIIED..
SEWER & ii9TER PERMIT FEES AND 6CCOONT DEP0.SIT FEES WILL BE INCLUDED WITH T8E BUILDING
PERMTT FEE. PROCESSING TIME FOA SEWER AND WITER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COP4PLETED INDIC9TING A LICENSED PLUMIDER.
FENALTY APPLIFS FiBEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQQESTED ONCE PERMIT IS ISSUED.
?
To Be Used For: C"jre-P 6tC ? Valuation: /
1?0'5f Date:
Site Address
Lot Block ?
Parcel/Sub J?44t? iRhi,'1Ir1
Owner ?.e ?
Address IGGO I?eii 12 Cfre)e ?oc.P
City/Zip Code
Phone
Contraetor N e t?-
Addt'ess JeUO iec,rle lrecil d
City/Zip Code
Phone Cr ,?? ? !??
Arch./Engr.
Occupancy
Zoning
Aetual Const
Allowable
1k of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City 4rater _
PRV required _
Booster Pump _
APPROOALS
Planner
Council
Bldg. Off.
Varianee
Address
City/Zip Code
FEES
Bldg. Permit ?-
Surcharge
Plan fteview
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL
Phone #
/
1991 BUILDING PERMIT APPLICATION
-n1 ?Y G ?
?
SINGLE FAMILY DWELLINGS (?LTIPLE DWEL INGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
? 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING F PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF M TH IN WHICH REQUEST IS MADE.
LOT HANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A FE
PERMIT MUST SHOW A LICENSED PLIIMBER, 11?
To Se Used For• ?
. ?CJeMrN ?f'?hrS?` Valuation:
Site Address 4e,nr ;vA S ,,Fv?c-- '7rl?
Lot 0 Block 2
Parcel/Sub
` (] I;
Owner aG nditJ' /5 f C-?/if?
Address fpoc) /le/!/e C?rfl dCc/
City/Zip Code Ldq ar-
v
Phone (o 5 ?( - y5-3 r-/
Contractor Qwne,'?-
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
U
DatellN?"j " 2 4 i ?' 1
OFFICE USE
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
i.Oa
3;?? iCfC7
Phone #
z agrees that all work shall be done in accordance with
(Signature of ntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
<
,
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
???5pl
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS- - CONTRACTOR/AOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS.DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNIT3 _
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRIICTURAL PLANS,
1 5ET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Single Family Valuation: '? Date: 5/25/88
l
Site Address 1000 Kettle Creek Road
Lot ) 0 Blockcl_
Pareel/Sub Lexington Sw.-4 Addition
Owner Marvin George Builders,_Inc.
Address P.O. Box 428
City/Zip Code Princeton, MN 55371
Phone 332-3034
Contractor Same as owner
Address
City/Zip Code
Phone
Arch./Engr. q mP os,
Address
City/Zip Code
Phone #
/
K -31ml -
On site sewage , Occupancy ,
MWCC system ? Zoning pa,
'I?-?__
On site well Actual Const V/Y
City water ? Allowable
PRV required # of stories
Booster Pump Lepgth J /
,
Depth 3?2
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge ?
Couneil Plan Aeview
City
/11SAC
7'":?7tl Z 35
/04
Bldg. Off. t
p
Variance SAC, MWCC
Water Conn 5 So
Water Meter ?
Road Unit S Z5
Treatment Pl 2p
Parks
Copies
TOTAL
\
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LOT SUFiVEYS COMPANY, INC. F B. N0. 395i27
I.AND $URVEYORS SCALE 1"_ 20'
• 0 - DENOTES I RON
REGISTERED UNDE[t LAWS OF STATE OF MINNE$O'TA
7601- 73rd Avenue North 660•3093
MARVIN GEORGE BUILDERS
a Denotes Wood Hub Set
For Excavation Only
-90011it- Denotes Surface Drainage
ED Denotes Proposed Elevation
noo,ln Denotes Fxisting Elevation
„b0
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Minneapolte, Minneeota 66428
ouraryara (irrtl#katt
Job li 88-55
Address: 1000 Kettle Creek Rd.
Type of Building - Split Level
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Lot 10, Block 29 LIXINGTON SQUARE 7TH ADDITION
Ths oMy easemenfe shown ars hrom plats ot rocord or Infortnetlon provided by
cIIsM.
Wb hersby certlry thal ihle ls t; tnle and correct rop,xaentation oT a aurvey of the
boundutes of fM abwe deecibed land and Ihe Iocation of all buildlnpa and vla-
iDle wCroaClnnents, If my, from a on eaid land.
8unsysd by us thla 27th ?y ol _ Mav 19 88 $i??d .?
axrn ii?v F
A. PrNCh, Mtnn. Reg. No.
4?
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lp;
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Top of Block
885, 7
Garage Floor
885.2
Lowest Most Floor
e:?Tg2.2
rca+yo' {JViv..
.
EXTERIOR' ENVELOPE 7,NARt+IAL TRANSMITTANCE
N
STANDARD WORKSHEET
Site Address /OM -440 C1-Pik k Z Owner
Contractor_M Ar(m I I Ca(= Dk :7c N OM - 5 Phone Date
Huilding Type (Y, ) "A1" Residential LL "A2"c 3 stories k 1 "B" C
Assembly (Describe type frow Table 3 or Mea (A) U-Yalue • U x A
show calculations on Page 2) (Sq Ft)
Insulated Area 1 13(7 5 . D 220 2 5.-OC09
o F'ramin Area ' 127. Z 9 3,y2 3
? Sk 1 ts T e 2 L/
? Other (describe)
a?
U •
t Totals I 2-75 ?**?'• ? J. ?; 9
2 Aver e U-Value (UxA )/ (A) from Line 7
3 F.e uired U-Va? ue (from table) **??*? .(? 7 ?rs+?*#*
Tnsulated Area L13 S7
Fraaing Area 3 53
Windo:+s, 'lwpe I.. Z.4 ?3Z7 zQi r 1,07S,7
Doors. T' Pe
Rim Joist Area ?nU 2- %
,4 Firep22ce 4fa11 ' - ' -
a Foundation Wall (above rade) I C? , CoLo
? Foundation ?Jindous T e - - - '
Other (describe)
X
? rr
h .
4 Totals ?I U. 3333 +?+**+? ,?,? .„ 5/
5 Avera e U-Value, (UxA)/(A) from Line 4 ?***** l? G ?***??`
6 Re uired U-Value (from table) ?**?*• I? *?'?**"
if line 2 is greater than Line 3, or Line 5 greater than Liae 6, eomplete
? the Eolloving to determine reduction of UXA needed to meat code.
0
IS
T
Area (Line 1) + Area (Line 4),•' + _
v
?
8
U x A(Line 1) + UxA (Line 4), +
-
a?
o a Area (Line 1) x U-Value(Line 3)' r.
.4
>
10
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Hudget, Line 9+ Line 10
.,
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Actual (Line 8) - Budget(Line 11)
e o
reduce Line E to be less
If line 12 is greater than 0, adJu9t asseabli
than or equal to Line 11
s
,
I
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Interior f-Valua /
ter or -V ue i
Total Aaae 1 Thermal Res tance 5 3h•;
lAsseZly U-Value Enter oa P. 1 . 2 U55
e
n8gembiv1 RIM JOIST
daterial (describe)-- Thi-ckness R-V ue
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Interior f-Valua $
xterior -Value ,!
ot Assembl Thermal Resistanca y, -20
sse lv U-Value nter on P¢. 1 n 41
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otal Assembl Thezmal Resistance rocal Assembl "rnertnal xesistancn
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EXTERIOR ENVELOPE NORKSHEET M G
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
,,.,....x.....,. .................x_.= _
?
,*kNOTE: PASMEM OF FEE AT TIME OF ,*t
; aPPLIcMoN noES Mm coN- ;
? STITSIPL APPRGVJfI. OF PERMIT. ,*.
• .
* iNsrEVMaa oF s? ?/OR WmM ?
* itisrnraaTiotas wua. Nar as srE-+nr.Fn ?
,*k IINCIL PIItMLT HHS BSFSI pppRQVfD. ?
iiti`*t#}*f**t*t##i*liifti?#ltii*i***4i
ity oF eagan
(PLEASE PRINT
i) PzoPmTY ADDREss: . . . .?? . `ce.-tf/-e:
I.EGAL DESQ2IPTIONS . . . _ _ ?? . 3
I,ot Block S division or Tax Parcel ID )
IF EXISTING STRCCTURE, DATE OF ORIGINAL BIJILDING PERMIT ISST-IANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q CONIlhEf2CIAL/RETAIL/OFFICE I vR-1 SINGLE FAMILY
Q INDI-ISTRIAL ? R-2 DL'PLEX (3Wo Lnits)
Q INSTITUTIONAL/GOVERNMENT ? R-3 TOWNiODSE (Three + L?nits )( Units )
Q R-4 APARTMENT/CO[dDOMINIDM ( . Onits)
. .
2) ,°• , NAME:
ADDRESS:
CITY, STATE, ZIP:
PxorrE: 3 3 -.?-3o3t1
3) • : ?• NAME:
ADDRESS:
CITY, STATE, ZIP
• /`"!.? !t C ruu? ?`1cJ
PHONE: Y93- ;Z c-17?4 MASTER LICENSE # {l?m20(o ? ,_,
For City Lse
Plumber Li.cense;
I Active
Expired
Not recorded
Sta Initia
4)
rAME: S.s??, z ?9s C?aJ
ADDRESS:
CITY, STATE, ZIP:
PHONE:
i°'INDIQ,"dVP Ih:WHI(M4,PERMI4'!,.IST, BEINGPRE=_]E_TFn,
Eg'CONNECTION TO CITY SEWEE2 ?CONNECTION TO CITY WATER a QTfM
6) 11MMITEN-M:r¦ &--2y gey
***************************************************************************************************?
* .?
* TEIE GOID COPY OF THE PERNIIT WILL SE SENT DIRDCIZY TO PUBL,IC WURKS To FACILITATE MEIER PICK-UP. *
* PLEASE AT.L,OW TLVO WORKING DAYS FOR PROCFSSING. SOMEJONE FROM Tfm CITY WILL CONPACT YOi? IF TFIEE2E *
* ARE ANY PROBLEMS. *
*
********************************************************#*******************************t**t******i
_ ?OR CITY USE ONLY PERMIT # ISSUED "
? ?
' ?
73?
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLiDE SLRCHARGE)
$ $ WATER PERMIT (INCLLiDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ Crz? ACCOONT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ ?05 D? $ sAc
$ $ TRUNK WATER AS5ES5MENT
$ $ TRUNIi SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S
)
L)
p
- $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ `7I $ L ? TOTAL
RECE PT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK 64ITHIN POBLIC
Q
NO ROADWAY" MCST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS A CONDI
ION
. T
.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : .?p f Z 9 ?Z a 1;`
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # ?`-
DATE : o? I
?;?
.?E?f'?`?'?;:, PLEASE COMPLETE UPPER PORTION ONLY
aM1:,.
..
,: ? :.< ..:
.
.
...:. FOR SINGLE FAMILY DWELLINGS &
.
_
.
...
.
.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------
------------------------
WORK DESCRIPTION --------------------------- ----------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ?jS/+?• ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CL05ET 3.00
BATH TUB 3.00
/ / LAVATORY 3.00
OWNER NAME: rC.l?. C _ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
p
SITE ADDRESS: /D O v cX- _ HOT TUB/SPA 3.00
? WATER HEATER 3.00
IAT: / 0 BLOCK SUBD. 7 _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
/
?X_
?Gv ROUGH OPENINGS 1.50
/P//
ADDRESS: I
_ CrL _ OTHER
WATER SOFTENER 5.00
CITY: ?d!? GZIP: PRIVATE DISP. 15.00
PHONE rY' 1?5 - 3?/ U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
SIGNATURE
E
TOTAL
S As
.50
S /S. 5v
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
___-_- ___--- _______________________
FEES
18 OF CONTRACT FEE. ,
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMiJM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
7N So"?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
i:
New crostructlon Pewkaner5
3 ragster siEe swveys shoWin9 sQ. ft o11a, s9. R of Irouse; and e8 roofed mm
(20%mmunpnn Idcoveragealbvied)
2 oopies of plan shawug beam 8 window siaes; Parted fauW desi9q elc.
1 set of Encergy CalculaUms
3 copies of Tree PreservaGon Plan if lot platted after 711193
Rim Jast Deqil Options selecGon sheet (buiWings vdth 3 or less uniLs)
jNinnegasco mechanical ventilation form
RemodeJlReoair Remmemants
2 oopies of Plan slqwrti9 foolin% bms, Josts
1 set of Energy Calpdatiaas fw IeatBd addidais
1 sile suiw.y fa adQfions 8 dedcs
Ad?on - in?le ifm,a'?e sepGc sy?rre
!% -7 (). o0
OfiCe lke Ordv
Catd5lnreyRecd _Y _N
Trae Res PIan Recd _Y _ N.
Tree Pres RaWdr¢d _ Y_ N
OrrsiteSWU System _Y _N
ba
te Constroction Cost
Site,vAddress f a 6 6 ?21t'?Q,
: .1F 2?? ? tl UnidSte #
. ?
. E a ar `rnn ss
DestriptionofWork ?Q, 1('00-?-
Multi-FamilyBldg _ Y? N Fireplace(s) ?0 2
Property Owner ? ? NAWI sxs\ k7 G cii? Telephone # ( 4sl ) lot?7- / ? ,?lo
Contractor S Rj ty 74 f.A,? L?A. X"'?\ C
Ce3Y
Address / IpQ'?? -
City
State }^(\Y\, Zip Telephone #(9$2) S l- 105-9
COMPLETE THIS AREA ONLY IF
Er?ergy Code Calegory - Minnesota Rules 7670 Cateeorv 1
(J submissia? type) ' ResideMlal Verrolation Category 1 Worksheet
Submitted
• EFiergy Envelope Calculations Submiried
A NEW BUILDING
Minoesota Rules 7672
. New Energy Code Worksheet
Submitted
In ihe 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 Telephone #(
Mechanical Contractor nD? D Telephone #(
Sewer/Water Coniractor JUL 2 770 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 plao in the case of work which requires a review and
approval of plans.
5 ,V?7C
Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167243
Date Issued:03/04/2021
Permit Category:ePermit
Site Address: 1000 Kettle Creek Rd
Lot:10 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-100
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, 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 -
Richard A & Rebecca Skluzacek
1000 Kettle Creek Rd
Saint Paul MN 55123--156
(651) 271-8122
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175121
Date Issued:03/15/2022
Permit Category:ePermit
Site Address: 1000 Kettle Creek Rd
Lot:10 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-100
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Richard A & Rebecca Skluzacek
1000 Kettle Creek Rd
Saint Paul MN 55123--156
Trusted Builders LLC
20399 Pondview Cir
Rogers MN 55374
(763) 807-9820
Applicant/Permitee: Signature Issued By: Signature