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1003 Kettle Creek Rd?p CASH RECEIPT . -CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 Dare ts RECEIVED FROM AMOUNT $ & DOLLARS 1 oo ? CASH CHECK FOR FUND COOE AMOUNT Thank You BY White-Payers Copy r-Yellow-Posting CopY Pink-File Copy CITY OF EAGAN 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for `'r UWG/GA;`, Est. Value $69+000 SiteAddress lvt;: riE'iLP: Cl:EEK CiU Lot Block j Sec/Sub. LEX7NCTON SQl?AHE Parcel No. a Name hETRU ;;t' ?TOM MOMES z Addreas P.O. BOi: 1 J49 ? City . b'VILLf: Phone 454-.143r. i o Na(ne_ o Q Address U /- (?iltY_ yVj W Name_ ? Address aW CitY- 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Permittee ? - _ A Building Permit is issued to: MLrTRO CLSTI Y'i HONSS INC 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 Receipt # Date ?1ti:th:i;?:3 iu 19 +iJ OFFICE USE ONLY On Site Sewage _ Occupency K j MWCC System A Zoning ti I On Site Well (Actual) Const Yri City Water ? (Alloweble) Vn PRV Required # of Stories Booster Pump Length 55 Depth 36 S.F. Total Fooiprint S.F. APPROVALS FEES Engr./Assess. Permit 2 395.00 Flanner surcharge 34.50 Council Plan Review ? 197.50 BIdg.Off. SAGCity .1001_00 Variance SAC, MWCC 52504 Water Conn. 525.00 water rvteter 67 . i;:; Road Unit 305. UU 160.00 Treatment P1 Parks TOTAL `4,329 .Ul. . .. $LDG. ('"? C:•". ..,.. . . .,. ._ ±..,/. ., f. ..` P,ERMIT N0. -j"?`? ? I? :?;_/?. :Ci,?-,?-??v? .._ ._ ... J . Q /G' o? ?01 3?710 Bld?y Permit 01-3422 ? Plan Check ? ,.. 01-3445 Surch./Adm. ? • 01-3446 SAC/Adm. 01-2155 Surcharge 77-3860 Road Unit J C'?- oc 20-2275 SAC ?,• I EC 20-3865 Water Conn. . 20-3868 Water Trmt. 20-3716 4;ater Meter 1 20-2252 Acct. Dep. ? 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ? -? 11-3855 Park Ded. TOTAL %? ? CASH RECEIPT ?CITY OF EAGAN 3830 PILOT KNOB'ROAD EAGAN, MINNESOTA 55122 DATE 19 wecerveo FROM AMOUNT 'y" t & DOLLARS +oo ? CASH [JCHECK FOR ? ? _ ... ? ?..? ' ? .? (.??? .._ . - ? ? sv !-?.k. /tCJ c White-Payers Copy Yellow-Posting CopV Pink-File Copy Thank You ff ? MECHANICAL PERMIT PERMIT # I CITY OF EAGAN RECEIPT ti ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address Lot Block ?--- Sec/Sub ,?. gLp(',, TypE Res. -? WORK DES,C PTION New J m --- Name ? ?. Mutt. Add-on ' m Address Comm. Repair c Ciry Phone Other ? Name _ c Address 0 City ? TYPE OF WORK Forced Air M BTU Boiler M BTU - Unit Heater M 8TU Air Cond. M BTU Vent CFM Gas Piping Outlets # T Other FEE: S/C: TOTAL• FEES ,i RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 i (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. i COMM/IND FEE - 1% OF CONTRACT FEE ? APT. BLDGS. - COMM. RATE APPLIES j TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMDDELS ? - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ,L-('; f A . ? _ TURE OF PERMITTEE FOR: CITY OF EAGAN Site PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Sec/Sub u.'?C BLDG. TYPE WORK DESCRIPTION Res. ' New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: O. FIXTURES TOTAL ?Waler Closet - $3.00 $ ?Bath Tubs - $3.00 1-Lavatory - $3.00 Shower - $3.00 _ ZKitchen Sink - $3.00 -Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ?- I_Floor Drains - $1.50 -t-Water Heater - $1 50 _Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn _Softener - $5.00 _Well - $10.00 _Private Disp. - $10.00 Rough Openings - $1.50 y Name A Address c Cily Phone "` - Name ; Address p Ciry ' Phone FEES COKA/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 - $20.04 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES /f?;?•?f ?j?.. ???r? i ??- ?? FOR: CITY OF EAGAN FEE: - ?' STATE S/C: GRAND TOTAL• ?? =? • ? ;..:> (Irrti#iratr o# Orrupttnry titp of (Cagan Eepttrtment uf Builbing iwrrtimt This Certificare rssued pursuant 1o the requiremenu of Section 306 of the Unijorm Building Code certifyrng that at the dme of issuance lhis structure was in compliance with !he various ordinances of the City regulatixg burlding constructron or use. For the foUowing.• 11xClauifiation - Bldg. Rrmil No. . . . ?7. _ ; OccaWocY TS'Pe Zonine Diurict _ Tme Const. Owma ? A? L2ll, B , LEXIN e?wi? naa.m lOC?3 KP,TTL., ?1.ty Date: Buflding IXCx;ial POST IN A CONSPICUOUS PLACE ? 'REACTIVA`PED FOR DECK 5/12/89 CITY OF EAGAN PATRICK CONNELIft30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 688-0473 PHON E: 454•8100 BUILDING'PERMIT Receipt # To be uaed for Est. Value Date ,19 Site Address OFF{C E USE ONLY Lot Block Sec/Sub On Ske Sewage _ Occupancy ` . Parcel No. MWCC System Zoning ` On Site Well _ (ACtual) Const City Water (Allowable) a Name W 3 Address PRV Required # of Stories p City Phone BoosterPump Length Depth , p Name S.F.Total o ? Address Footprint S.F. u? City _ Phone APPROVALS FEES I ¢ yVj W Name En r/ASSess. 9 ' Permit _= . Address Planner Surcharge ? Q W City Phone Council PlanReview •? 81dg. Off. SAC, City -t I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC ' f information is correct and agree to comply with all applicable State of Water Conn. ' Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all workshall he done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oflicial TOTAL I I Permit No. I Permit Holder I Date I 7elephona # I Plumbin9 H.V.AC. ?F 95 J` ._. ? S?C? ? EIeCtIiC `??CL ?F Softener Inspectlon Dats Insp. Comm9nts Footings I %?. Footings II Framin9 ? /• ,?? /yL?i/? G! 9 ol?is Roofing Rough Plbg. Rough Htg. Z-2-A ? Isul. Fireplace Final Htg. Final Plbg. Z y: f? Bldg. Final !otz Cert.Occ. Q Temp. LP Deck Ftg. Iy Deck Final Ve i Well Pr. Disp. CITY OF EAGAN Permit Na Date: 3830 Pibt Knob Road Meter No: Size: P.Q: Box 21199 Reader No: /d ??T_ Date: Eagan, MN 55121 Owner. ? -etro Custem i::omes SiteAddress: ' 13 ':2t*`'e Creek '_'.oac? 7,0?' 3' Lesin,to• ,,.` Plumber. :cr;t 1 -4',er s•r Conn. Chg: ' `? - ?,,•?? ?'??? Acct. Dep: Nq, pf Uprts , (,1E,-f'? 2,8i8 PermitFee: Surcharge: `- ???,: PFiteNl "theCltyotEagan Tr. Plant c?-ALA' d t? "? Y ? ? Meter - ?( , ) ? . ? " lC g Misc.: BY , 'v +'vr ^-v ? WATER SERVICE PERMIT =;y? CITY OF EAGAN Permit No: Date: 3830 Pllot Knob Road B/P No: Date: P.O. Box 21199 Eagan, MN §5fi21 Owner. Cu'-?rr)y :?.,a.2s SiteAddress: '°t?l.t Creek Kai L21? ?? i,px S? Plumber: MWCC: . City Chg: Acct Dep: ' v' ";;f j'; _ Permit Fee: I agree to comply with the CNy of Eagan . .;, ?;;. . Ordinances. Surcharge: Misc.: gy CITY OF EAGAN Permit No: 3830 Pilot Knob Road Meter No: P.O. Box 21199 , Reader No: Eagan, MN 59127 SiteAddress: LLL2 -??"'E VLCCh . Plumber ' `1 : er7 Const. / --'re', Conn. Chg: Acct. Dep: i ? 002d Permit Fee: !''' • 0012d Surcharge: • 5'-%; ' Tr. Plant Meter. Misc.: Zoning• No. of Units: Date: 1 Size: - Date: Zoning: No. of Units: ? I agree to comply wlth the City of Eagan Ordinancea. By SERVICE PERMIT CITY OF EAGAN N_ 14 5 2 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 c a?, C)!a BUILDING PERMIT Receipt # N To be used for SF DWG/GAR Est. Value $69,000 Date DECEMBER 28 ,19 87 Site Address 1003 KETTLE CREEK RD Lot 20 Block 3 Sec/Sub. LEXINGTON SQtiARE Parcel No. o? Name METRO CGSTOM HOMES INC z Address P•0. BOX 1049 i 0 City B'VILLE Phone 454-9383 ¢ Name_ 0 ? Q Address ? City_ r W W Name_ FW Address U a W CItY _ I hereby aCknowledge that I have read this application and state that the information is correct and agree to comply with all applicahle State of Minnesota Statutes and Cty f Eagan Ordinces??:9? Signature of Permittee i-?a1 x?• Tal, Q A 6uilding Permit is issued to:_MFTRO CGSTOM_H-OME$ IP1C on the express condition that all work shall be done in accordance with all applicable Stale of Minnesota tutes and City o Eagan Ordinances. Building Official ? OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCC System X Zoning R1 On Site Well (ACtuap Const Vtt City Water X (Allowable) Vri PRV Required # of Stories Booster Pump _ Length 55 Depth 38 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit $ 395.00 Planner Surcharge 34.50 Council Pian Review 197.50 Bldg. Off. SAC, City 100.00 variance SAC, MWCC 525.00 Water Conn. 525.00 Water Meter 67.00 305 00 Road Unit . 180.00 Treatment P1 Parks TOTAL $2,329.00 1-06 ???/?REQUEST FOR ELECTRICAL INSPECTION es/•0,000 I? See instructions for completing Ihis lorm on beck o( vellow coCV. D -, g06 4 6 "X" Below Work Covered by 7his Request a'/ /? 3 Now, Add Rep. Type of Building ApPlioacea Wired EquiVmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heahn Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other peci v 01he, Isuer.ifyl t 9r SPeeify Other Other omnute Insnection Fee Below _ p Fee Service EntranCaSize q Fee Fenders/Subfeeders # Fe?r Circuits 0to200qm s 0to30qm s 0tn30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Trensformers Irrigation Booms Partial- Other F e Rerrtarks Signs Speciallnspection . ? TO L FEE ) ?? ? 1. the FFeciiFeif? ? Inspector, hereby Ihat the abOVe Dat- 'nsVeclion has been ; de. 18 monthstrom 7.O? nj ya.JV /7 This re4uest void 18 wnths irom 31F ? ? ?//? ? , lC 0` - 80646 4o Re.quest ate Fire No. RoU h in Inspecij?n R ed? EIReady Now ill Notify Inspec- Yes ,o r When , dy Lensed leclrical Contrec[or ' i. I here y. requeat i paction of ove ' '? Cj U 7 ] Owner electrir.al wr..k i ?.oiied n ab ..? % / Stree[ AdAress, Box or Route No. City B / t nTownship Name or No. Range No. d:Z Count ? ? Or.cupnm (PRINT) P N Il !> a," ° A?yf Power Supplier AAdress A"11ior Electrical Ctr tor IC any Na 1 Contrac,lor's License No. Mailing AAdress (Contrac[or or Owner Maki ng Instailation) o ? l? .?.1?33 7 Au orized SignaWre (Contractor/Owner M?king Ins[allatiun) Phone Number ql[ uVAHO OF ELECTRICITV Inib INSPEC710N REQUEST WILL NOT riggs•Midway Bldg. - Hoom N-191 BE ACCEPTEE) eY THE STq7E BOARD 1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone16121642-0800 ENCLOSED. y S 41 • ? 2 1987 BQILDING PEAMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEO(iNER MQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES G1ILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED. MQLTIPLE DiaELLINGS - RFSIDIIJTIAL RENTAL IIPdITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIE9EY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CON?MRCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Single Fami Valuation: -54-,tC7- Date: 12/23/87 Site Address 1003 Kettle Creek Road Lot 20 Block 3 Pareel/Sub Lexington Square-7th Addition Owner Metro Custom Homes, Inc. Address P.O. Box 1049 City/Zip Code Burnsville, MN 55337 Phone 454-9383 Contractor Metro Custom Homes, Inc. Address P.O. Box 1049 City/Zip Code Burnsville, MN 55337 Phone 454-9383 Arch./Engr. Metro Custom Homes, Inc. Address P.O. Box 1049 City/Zip Code Burnsville, MPT 55337 Phone # 454-9383 617 / COACa ' OFFICE USE ONLY On Site Sewage` Oceupancy ?- 3 MWCC System t,? Zoning ? On Site Well Type of Const City Water ? (Actual) y -N (Allowahle) V-N # of Stories Length S5-'` Depth 3f3' S.F. Total Footprint S.F. FE'ES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 12 Z4, APC Variance Permit s, bt? Sureharge ,50 Plan Review jq?, SAC, City ioo,oo SAC, MWCC 25<00 Water Conn 52$ ,ta0 Water Meter 6 vv Road Unit 305 , oO Treatment Pl 145 D, ov Parks Copies TOTAL ? VA-LuArIoW GA RAC,t Z Z X't..y = S Z? 12Nc 3 (3G) N X ? iz. = (? ? ?--- Sr?o x?z = G83 yo tPGMENT' Zs x38= q?-D x I y= 13 3ou ot.tSt Zs"i --`a 9S? ??101 = ?Z IZn3 __ 4x?rL ? G 6X1? : fdZ ?---- . 11?G ? ?v= y?GG y ---- ? G ? ?°y i ~ ? • • , A mMo CuSTOM hWES PICENGINCERING aoeE COHSUITIHff EHOIHEfAS PtANHE4iS ond LAHD iURVEYOQS COMPANY, INC, i IOCO E3?57 (461h STAEE7, QUAHSYILLE, YINHE94iA 95337 ' PH 432-3000 C4SVr,?Z?'z ?Ca? .?e-?cT P?Zart• LOT 20, BLOCK 3, LEX/N6TO?t! SQVARE 7T14 . ADD/T14V, PAKaTA CDUNTY, M/NNESoTA DR.4/NA6E ANO UT/L/TY EASFJVIE/VT ?h 2 ?n < C' O? n` '? \ . ;,% ati h• /k 1o ? ? ? ? Q;?O?o ??• ?o ?y ?o N L •? ` a.? oD \ o ?h 0 V/ v 9G4LE : /" = 30' GVM*?D pENOTES EX/ST/N6 ELEVsIT/OA1 ?BSb.o) pE/VOTES PROPoSEd ELEY•4TlO/l! ..w-- /NV/G47ES D/RECT/oA! OF 5119F4CE DR9/il/?96E 886.33 = Fi'N/SHED 64RA6E FGOOR' EGEVAT/o/V AMA/T ?RUlCV/NE'i '? -SET?CX L/NE " I hersby cart3fy that thia ia a t:ue and carrect rnprnsentatiott ot a lract oi laad a: sho+m'tnd deacribed herscn» As prsparsd by mn on this zZ?.v,rday of . .I9 B7 . ? --- • . - - ? ??? = inn. kea. No.??'o ? ?,.?; ?-N ? CITY OF EAGAN APPLICATION FOR PERMIT .. SEWER AND/OR WATER CONNECTION NOTE: PAYMEW OF FEE AT TINE pF ApPxscATxoN noFS NOr ooNSTITUM APPROVAL OF PFRNIIT. . _ _.. Tytyt?tytye?t?t?t?taaxxxx,e?+ex?e?emxxxxx,r,exxxyr:,ryr P ease Print 1) PROPERTY ADDRESS: 3 LEGAL DESCRIPTION: La T _ Lot Block Subdivision or Tax Parce IF EXISTING STRt'C'I[JRE, DATE C FRFSEbTr ZONING/PROPOSID LtSE: q ca41EacIAz/xErAxL/0FF 2cE Q IPID[1STRIAL ? INSTITVTIONAL/GOVERN[+g,Nr IF ORIGINAL F Q ? ? ? C'II,DING PII2MIT ISSUANCE: . " (Mon Year) R-1 SINGLE FAMILY R-2 DL?PLEX (ZWO C?nits) R-3 TOWNE30USE (Three + Units )( L?nits ) R-4 APARTMEVT/CONDOMIIVILIN ( Units ) 2) ? NA[tE: O2ESU-eA ADDRESS: / a SA ?O r1-e /J CAJ sJ Gp- . -• CZTY. STATE, ZIP: /-? f?t?. (J?,??.? ?c y,//i'?,, f• SS/?'? PHONE: -$ 7 2 s 3) u c?• NAP'IE: DL-odE.(L6 CayjsT---- ADDRFSS: [ 4f6 a J--f/ rf C' Y - ? ' CITY, STATE. ZIP: - LE yJIvia -_Cs'/.) y PHONE: ??7-- 90?9 MASTII2 LICENSE# 3C 9/ A? q 4) •a • i?- NAME: ,?z-=ao ADDRFSS: CITY, STATE, ZIP: PHONE: tfS `/ - 9 3t'? • Plumbers License: ? Active F,xpired Not recorded St?f Initial •5) u v a• • ?• : a • • ?? ED CONNECTION T0 CITY SE.'WER C57 CONNEC.TION TO CITY WATER Q (YTFM '. - 6) ?? •'•?' (? PLEASE HOLD APPROVID PERMZT EC)R PICK-UP BY ONE OF ABOVE PLF.ASE MAIL APPRdVID PERMIT Zb 1. 2. 31 4. ABOVE - _ _ ' • ICi rrl a `.ncl . ' ' -. ' . nvsPnMocv oF sDM Arro/at UkIM r.ram'rONS WIIU NOT BE SCHFD- ULID i]NPII, PII2NIIT HAS BEQN APPROVID. , .FOR -CITY USE ONLY PERMIT # ISSUED f .7i 7? Pd w/Bldg. Permit FEES: . $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ A WATER PERMIT (INCLUDE SURCHARGE) $ /O 7` $ WATER METER/COPPERHORN/OIITSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ U jj ACCOUNT DEPOSIT - WATER $_ $ WAC $ S SAC $ $ TRONK WATER ASSESSME[VT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES -IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION I . L ST AS A CONDITION, SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY; ?pZt1?b TITLE: DATE : , ? ` r ?--...,,1989 BQILDING PERMIT APPLICATION - CITY OF EAGAN i SINGLE FAMILY DWELLINGS (14 ? 21 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSFS FOR CORNER LOTS - CONTR9CTOR/HOMEOWNSR MOST DFSIGN9TE WHICH ADDRESS IS DFSIRED. RO CHANGES WILL BE ALLOWED ONCE BtTILDING PERMIT I3 IS30ED. MOLTIPLE DWELLINGS RENTAL ONITS FO& SALE iINITS # OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIIKERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSp 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To He Used For: ? Valuation: IODc? vate: Site Address /Oa3 ,e-e4 ?x/ ?? Lot ?o Block 3 Parcel/Sub Owner ' Address !cn .c? City/Zip Code ? ? a S3-j0 3 Phone Contraetor -e Address City/Zip Code Phone Ar ch . /EnBr• Address City/Zip Code Phone # Oceupancy Zoning Actual Const Allowable Ai of stories Length 'u l Depth 12 S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City water , PRV requi^ed --- Booster Pump ? F'ETs.S Bldg. Permit Z. a0 Surcharge r?7 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies TOTAL Ot. 140 APPROVAIS Planner Council Bldg. Off. ? S?o Varianee NOTE: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building permit fee. Processing time for sewer and water permits is two days once a licenaed plumber has applied for a permit at City Hall. A?E7110 CusToM h? t - ? /D83. o/ ? :?OBE cDNiUL7tH0 ENO1HEfl1S • ?,C ?f¢ ??lGINEE?iIMG PLAHHEAS end LAHD ivAYEYo1fS p,?E 53 COMPfiNY, INC, ?I000 EA57 1461h 57AEET, RURNSVILLE ? YIHHESGTx 5e337 PHH 4432-3000 C4ff rZ z?i ccie Zagal .?,'•s?L?,?o?iart: LOT ZO, BGOCK 3, LEX//V6TOit! S441ARE . ADwT/LYv, DAKoTA CGYJ/UTY, M/NNESoTA ? DRA/NA&E ANO ?'??; ? FJ??lEMT uTJU7'Y E46 Z15e rn <o??-`,? dD . 1,00 . `° ?,R`?, ?-F,), •?+' ? ?°o e6,e ?p rr / ? c ? .: ti 7TN SucE : r = 3a' I ; : i GB?f? pENOTES EX/ST/N6 - EGEVAT/oA/ ?886.n) pENOTES Pk'OPoSED ELEY•4TlO/V ?? /ND/G4TES D/RECT/oN OF SURFACE DR41NA6E 8$6. 33 _ fIN/SHED eARA6E FGODR ELEVAT/O/V z _--- - = F?? - ?'? ? ? `'-• ? , .? -- 30. ?oNT SBvi[D/N6 ? . -SETBACK LfNE ' .. I heriby cartify that this ie a t:ue and ccrzect t'sPmsentition o!D ,aaacof f land a: ?thoxti tnd deacribed hersan.. Aa prsparnd by 7ne on thi? _? Y. 19 81 Hinn. 1?•t • ?0•?"0 . .. ;?.'?- _ Use BLUE-or BLACK:Ink r----- I For Office Use I I -7 I Citjj of Ea ACID ; Permit#: V I~ I J I Permit Fee: f I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received:lIy~ °)v1 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: n I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: / 1 L as ~lq Phone: E2 RESIDENT / OWNER Address / City / Zip: / &~Hle~ Applicant is: Owner X Contractor TYPE OF WORK Description of work: ~C-_,r U o Construction Cost: 0o, Multi-Family Building: (Yes / No ) Company: P 00 ina LC Contact: CONTRACTOR Address: .L 33 ~t"GtvlL City: S~ P State: Zip: 5 ~ Phone: -5' I 3) - Cj ~ License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the 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 Sta uildin us pleted within 180 days of permit issuance. ' X -22 0 ~)7 V . Lp pell, X Applicant's Printed/Name Applicant's Sr ture Page 1 of 3 PERMIT City Of Eagari `Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA129788 Eagan,1v1r1 55122 � '; Date Issued: 03/13/2015 (651)675-5675 � � (� (�� www.ci.eagan.mn.us Q �� Site Address: 1003 Kettle Creek Rd Lot: 20 Block: 3 Addition: Lexington Square 7th PID: 10-45081-03-200 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: - Occupancy: Zoning: Square Feet: COmments: �a Lastine 651-276-7686 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 ' Contractor: Owner: - Applicant - Anna R Lastine 1003 Kettle Creek Rd Eagan MN 55123 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. ApplicantlPermitee: Signature Issued By: Signature