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