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1004 Kettle Creek Rd. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-191 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value 7' ' ---?--?- ---?---?---?-?• , 142 '6 ; Eagan, MN 55121 Receipt # Date 19 ' Site AddresS/j ?. Lot ' Block Parcel No. GRKLK 1tD Sec/Sub. ; `:YIlIfT08 Srr , a Name ill = Address ° City . Phone a o Name ?Q Address P City Phone Name_ Address Phone 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. Signature of Permittee - A Building Permit is issued ta ' 'L•- ?-'-' i ?"iL 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 OFFICE USE ONLY On SRe Sewage Occupancy MWCC System Zoning On Site Well (Actuap Const City Water (Allowable) PRV Required # of Stories Booster Pump Length 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 I . Permit No. Psrmit Holder Telephons a 9 Plumbin - ? 7 H.V.AC. 9A, Electric Softener Inapectlon Datt Inap. Comments Footings I ?OA L1i? Footings II Foundation Framing 14,6 Roofing 7 Rough Plbg. ? Rough Htg. IsuL ? Fireplace FinalHtg. 4 -// 4?eTl Te :o SeeewJ Final Plbg. Pwar a 81dg. Final Cert. Oca Vv ` 12. / 5-?7-Pp Temp. LP Deck Ftg. Deck Final Well Pr. Disp. e? PRICE: PERMIT # A =-' -%-- PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address i . . Lot t , Block __ Sec/Sub ? rvame .J., I I. - ? m Address ui,_ - : - c City phone ? Name Ru Al - 3 Address t', - o Ciy Phone FEES COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 hERMITTEE c BLDG. TYPE WORK DESCRIPTION Res. `{ New N Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ 1- ? Bath Tubs - $3.00 ? _-3 Lavatory - $3.00 t I Shower - $3.00 ' Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ! Floor Drains - $1.50 ! Water Heater - $1.50 _Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM - 7 PER PERMIn -Sottener - $5.00 _Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FOR: CITY OF EAGAN FEE: STATE S/C: GRAND TOTAI: ;- CT PRICE: Site Address Lot ? name _ m Address c City ? MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 28"Lv ,p? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ???- I J "7 PHONE: 454-8100 Sec/Sub Phone BLDG. TYPE WORK DESCRIPTION Res. 4- New Muit Add-on Comm. Repair Other , I Name r-!NI:i( 3 Address O citY `"e' i? Phone _ TYPE OF WORK ) Forced Air BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU _Vent CFM Gas Piping Outlets # j ` Other FEE: r f ` S/C: ; roraL FEES 3 RES HVAC 0 100 M BTU ? . - -$24.00 ADDITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE ? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ? REMODELS - 12.00 i MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT ? - .50 - (ADD $.50 S/C IF PERMIT PRICE GOES ` ' -} BEYOND $1,000) .? SIGNATURE OF PERMITTEE arr oF EaGa,N / -?, • (Itrti#irtttt o# COrrupttnry Citp of eagan Eppal'bt[PttY U# B1TDiri J IItS#iPttiDt[ This Cenifrcate issued pursuant w the requrremenu ojSectlon 306 of the Uniform Building Code ceniJying that at rhe dme ojissuance this structure was in compliance with the vanous ordinances oJ the City regulating building construcrion or use. For the following: Use Clsuifintian R Y?/GA}: Bidg. Porntit No. -- O=P_Y ?'P? R3 7o¢iog Divtric[ SZ: Type Const. o?oreudaing i i' I?1'II?111U Ci0 I.? Add? P.Q. MX 383. OS: _<^;, BuildiogAddres - ('ld.?ut; fn(1Ti Iaceliry ._i 1. ?, LE292M: -.:Q ,'.'?i Dete: ?:?:f9A1?72 ?ri* 19"?i' 7 BuActing Officie1-*-'-. POST IN A CONSPICUOUS PLACE Cities Digital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. MECHANICAL PERMIT RECEI CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PRICE: PHONE: 454-8100 FOr Of Block - Sec/Sub - Name Address City Phone Name , c Address I p City Phone _ TYPE OF WORK Forced Air M BTU Boiler M BTU Vent. Gas Piping Outlets # M BTU M BTU CFM FEE S/C: TOTAL: BLDG.TYPE fies. Muft. Comm. Other 'ce Use Only: WORK DESCRIPTION New Add-on Repair FEES 7 FiES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 DES A/C ON NEW C ONSTRUCTION) GAS OUTLETS (MINIMUM - 1 VER PERMIT) - 1 50 EA COMM/IND FEE - 1% OF CONTRACT FEE . . APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SUFCHARGE PER PERMIT - .50 - (ADD $ 50 S/C IF PEflM1T PR1CE GOES . BEYOND $1,000) SIGNATURE OF PERMITTEE ? FOR: CITY OF EAGAN CASH RECEIPT 'IN ?. . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' DATE 19 RECEIVED . . ? ., j FROM AMOUNT $ .. . . ? I ,. & DOLLARS 1 oo ? CASH ? CHECK FOH . . . ? . • . ? I i ?- j ? • / ? ?. ? ' A'?./??.??. ?/ ? :t?l? ?4?„ ! / ?II Fl1ND CODE pMOUNT ` , ..:? ' ' . . . Thank You BY White-Payers Copy Yellow-Posting CopY Pink-File CopV BLDG. Ok-3210 01-3422 C}I-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 PERMIT ?NO. Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. 4hq1'? I?4 ,}•?,-?j ?? J G w 1C»JoC TOTAL -"' CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD v . . EAGAN, MINNESOTA 55122 DATE I -? 19 neceIveq,. J - FROeY ? AMOUNT $ I ? 8 OOLLAR$ 1 oo ? CASH CHECK BY White-Payers Copy Yellow-POSting Copy Pink-File Copy Thank You . ? - . CITY OF EAGAN : ,'?'? :; ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E 45d-Si OA BUILDING PERMIT To be used for ?: ? "^?r? 1?" ?+?: Est. Value ?107,001 Site Address E ???! ?'? ?_,_?T'f GF CY2?aK iiD Lot ' { Block ° Sec/Sub. ?Ex,1NGTGir` JVUAIi?: Parcel No. ???3 `?? c Name ?ff1E !?4'i'iL:?r:U C{3 1P?',:?, W = Address ??•?• ?'?• }?`? ° City °'i'"?_ Phone ?7 i-i:3U4 ? Name? ??"?- o - ? Q Address? ? City Phone yVjW Name_ F W _? Address u aW City_ I hereby acknowledge tMat I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciby of Eagan Ordinances. Signature of Permittee ? ' ? ? ? A Building Permit is issued fo: ?i 4h kCl T: `"??'?. Clt 1 N(' on the ezpreSS condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. . Building ORicial ? ? ? Receipt # i Date ?'?TCBF.k s f , ? ..? S t9' 7 OFFICE USE ONLY On Siie Sewage _ Occupancy "? j MWCC System ? Zoning n t On Site Well (Actuai)Const U<'? CityWater 4 (Allowab?e) ??r? PRV Required # ot Stories Booster Pump Length 4 i Depth 4?' 3 S.F. Total Footprint S.F. APPROVALS FEES Engc/Assess. Permit $ 52G.5U ? Planner Surcharge _? ? ??'? Council Plan Review 2bt • ?; ?'. BIdg.Off. SAC,City I:iU.O(j 9 I Variance SAC,MWCC ?lS•?n I ' WaterConn. ?25•UO .1 Water Meter 6 7.(K1 ? RoadUnit li%5-OO , Treatment P1 1 Y?1' ? ?? Parks TOTAL ? •. , J???2 . ? `; INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: La r t .t i 1884 kE7'7tf, CREfK RU LFKINHTON SOiIARF P'iH PERAfIT,.§UBTYPE: RI?MAkKSa IdkCkIR1 * PERMIT TYPE: Permit Number: Date Issued: BioCK: ,. QPPLICANT: JpSEhH Gi1N3T J (642) 464-6002 RY???I cr7+??4 ?f d x gz? 12 _ . ' .,' , . ,- • , s ? . .: . .. ? - ------------- TYPE OF WORK: Control No. 0705 HUtt.pYMB 000044 t/6/2K/!l2 M F LJ PermR Nc. PermH HoWer Date TNephoMe & SJW PLUMBING HVAC ELECTRIC ELECTRIC inspsction Date Insp. Commema Footings I . Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Firepiece Flnal Htg. Orset Test Final Plbg. Plbg. Inspec[or - Noii(y Plum6er Const. Meter EngrJPlan Btdg. Final Declc Ftg. .Zs ?9 (?-?B sr,v??c od? trc,? -- Zs&rs ? Qc H tL - ?to/F2 .v ? Deck Final ? 02 C p' rr - 619D s i sa.ra+•r+i OW N rT t?ci /?. C r0 rAX weu Pr. Disp. CITY OF EAGAN Permit No: 3830 Pilot Knob Foad Meter No: 5 3 P.O. Box 24189 Reader No: Eagan, MN 55121 Date: oC SIZ@: 41-Y" Date: - ---- AJ Owner. ottluud !'ompa:tv Site Address 1`104 I'ettle Cret:1: "ccd ?.11 "2 Lexin?tan .. ? r Plumber `.a._j_o.,, ?'1un1ii. Conn.Chg: '!:WAQ???Goning: Acct Dep: Permit Fee: t9 fpriT..igB??S MiR(i?its: ' surcnar e: _ ECF MONE• GA$ EtC. 9 T I agree to comply with the Clty of Eagan Tr. Plant ? - ? ' ' Vn?? Meter. _ ? (Z _ Misc.: By (?pre WATER SERVICE PER T ' OF EAGAN Permit No: Date: Pilot Knob Road Meter No: giZe; Box 21198 Reader No: Date: in, MN 55127 Address: 82 . nn. Chg: 523:04nd Zoning: ot Dep: ' 15. 0ppd No. of Units: rmit Fee: ' 0. O?Jad rcharge: '- 5 0o1 I agree to comply with the Citp of Eagan Plant UUnd Ordinancea. ter. , ey WATER SERVICE PERMIT CITY OF EAGAN Permit No: 3830 Pilot Knob Road B/p No: 7S'96; P.O. Box 27199 Eagan, NIN 55121 r• Owror ?.:tt-1...._i n_- Site Address: Plumber.- MWCC: City Chg: Fee: 10-8-37 Date: Date: i'- No. of Units: R1 1 agree to comply with the City o} Ordinances. Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN N°_ 14 2 4 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 B I I .,-1 ? ?) ( ; - 7 U LD NG PERMIT Receipt # -c To be used for SF DWG/GAR Est. Value $107 , 000 Date OCTOBER 5 19 87 Site Address 1004 KETTLE CREEK RD OFFICE USE ONLY 11, 2 LEXINGTON SQliARE Lot Block Sec/Sub On Site Sewage Occupancy R3 . 7Tx ADD MWCCSystem X Zoning R1 Parcel No. Vn On Site Well (Actual)Const THE ROTTLOND CO INC Ciry Water X (Allowable) Vn a Name ; Address Z' • 0. BOX 383 PRV Required _ # ot Stories 44 p City OSSEO phone 571-0304 BoosterPump _ Length Depth 48.3 , o Name SAME S.F. Total o Q AddreSS Footprint S.F. u I" City Phone AppROVALS FEES W W Name Engc/Assess. Permit $?•?0 ?= ? Address Planner Surcharge 53.50 262 25 ? W City Phone Council Plan Review . a Bldg. Off. SAQ City 100.00 I hereby acknowledge that I have read this applica[ion and state that the variance SAC, MWCC 525_00 intormation is correct and ree to comply ith all applicable State of Water Conn. 525.00 Minnesota Statutes and Cit f Eag n di ?Is Water Meter 67.00 Signature of Permittee Road LJnit 3.0$-00 A Building Permit is issued to:_.511$_$QTTI.liI91LCQ.INC Treatment P1 180.00 on the express condition that all work shall be done in accordancewith all applicable State of MinnQSOta Statutes an/ity qf Eagan Ordinances. ? parks 542 . 25 $2 Building Official ?`?-? ? TOTAL , { S , °7 REQUEST FOR ELECTRICAL INSPECTION . 4ee7-0p00v0U1-96 00.. 10 See instructions tor completing this form on back of yellow copV• 0 ' 638 99 "X'_ Below Work Covered by This Request hkm AAd ReD. TYDe oi Buildin9 APPliancea Wired Equipment Wlred Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric HeaUn Commercial Bldy. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bidk Milk Tank Farm omer Soecnrv ou,er ISpecifyl t er Specify Other Othcr Compute lnspection Fee Below M Fe '? ServicaEntrance5ize q Fee Fexders/Subleeders # F Circuits 0 to200 Am s 0 to30Am s 0 to30An s Above 200 Amps. 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Amps Transformers Irrigation Booms artial-'Other Fee Signs Speciai Inspection S? ) E'7 T07AL F ? ' Rerr?rks ?7 Il . ? „ Aough-in ? D ??e I, cne Electncnl `???? Inspeclor, here6y certify that the a6ove Finel r Date spaction hes been ede. inm romu?ct.niA 79 months Irom ' ? ?6 3 8 9 9,??? ire No. " ouph-in'In ection Inspec- Requ t Date , i eqwred? ' C] Ready Nuw?Will NotitY. ? Y . Y`5 O Np tur When Ready ? LiCensed Electrical Contractor , I hereby request inspection of a6ove oiovr.icai wnrk installed at: L-i Vwum Street Address, 8ox r Route No. ecUOn o. Township Name or No. ange No. Cit y Countv W a 2- Occ G nt (PRINT) - Phane No. :L Po,yaer SupDlier Address 10-6 Z ?? ? " "-'"?? Elect I CoMractor IComUany Neme ? s L C??ntrac r , icens Nu. ? -- z_ , Mailiny Address (Contracto( or Owne Mak? Instailation?) ? ,? / / ?l ? ? -- AutNyize,d Sienature (Con ractodOwne! , aking lostallatiunl Phone Number ? ? rwc WCOFCTI(1N REQUEST WILL NOT MINNESOTp STA'4 80AHD OF ELECTRICITY ` BE ACCEPTED 8V 7HE STATE BOARD GrigBS-Midwav Bldg. - Room N•191 UNLESS PROPEN INSPECTION FEE IS 1821 Universitv Ave.. St. Paul, MN 55104 ENCLOSED. Phune (612) 642-0800 Requesl Date - /?` ? Fire No. Ro in Inspedioh Reqmred? (?/ /IA Ready Now G Will Notify Inspector h R tl ? ?? { ? Yes No en y W ea IX licensed contractor ? owner hereby request inspection ot above e lectrical work at: Job Address (Sireet, Box or o e No.) City ?' a,n Section No. Township Name or No. Pange No. County 4 ? T/? ?, 0. Occupant (PRINT) ? nvuc S `6 Phone No. - zS" 79 6 . ? 0 Power Supplier ' ` Address Eledrical CoMrector (Company Name) ? L ' CoMractor§ License No. rj /C 4-- !eX,'j O o Mailing Address (Gontrac[or or Owner Making Installation) S7 St lll r's3?4- , v Authorized S' ture (ConhectorlOwner Making Installaiion) Phone Number J2 oG 7 , --- 4 1 S MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mldway Bldg. - Room 5773 BE ACCEPTED BV THE STATE BOARD 1821 Universfty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phore (612) 642-0800 ENCLOSED. ' 7J/9/99 REQUEST FOR ELECTRICAL INSPECTION ffft ee-00001-07 N IP. See ins,pictions for completing this brm on back of yellow copy. 9i/ y? f7 ? A ? EI A ? 1 14 -A- rreiow worK coverea oy rnis rrequesr e Add Rep7 --? Typeof8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Conirecto05 Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A Amps SIgnS Inspectora Use Onry: , G T TA L Irrigation Booms ? Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-in Date certity thatthe above inspection has been made. Final ) oar? OFFICE USE ONLY This request void 18 monlhs from RESIDENTIAL as BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB RD, EAGAN MN 55122 651-681-4675 ti ()72 , ? New ConsVuction ReauiremeMs • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°k mauimum lot couerage allowed) • 2 copies of plan showing beam 6 window s¢es; poured found design, etc.) • 1 sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detatl Options selection sheet (hldgs with 3 or less uniGs) DATE RemodeVReoair Reauirements • 2 cropies of plan • 1 sel of Enertgy Calculalions for healed additions • 1 site survey for exterior additions & decks • Indicate ii home served by septic syslem for additions VALUATION 41vf Z?o SITE ADDRESS I00<1?C7T? l? &O MULTI-fAMILY BLDG Y t/FI TYPE OF WORK FIREPLACE(S) _Q 1_ 2 APPLICANT STREET ADDRESS Idol? 6-T7ZC_ 64FZJ?- A0 CITY &_44"r*I/ STATEiry1/1J ZIP 5S7l__5 TELEPHONE #65/-4Sq/Z93 CELL PHONE # Ca57-4gZ-5r4?L FAX # PROPERTY OWNER _?L?1- ?i9YnE1?- 4?NS TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNES01'A RtiL.LS 7672 (d submission type) . Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CaiculaGons Submitted Plumbing Contractor: _--------- -_- _-__. Plumbing system includes: Water Softener _ Water Heater ? No. of Baths _ Phone # Lmvn Sprinkler No. of R.I. Baths Fee: $90.00 Mechanical Contractor: Phone # Mechaniril system includcs: Air Conditioning n r 1 Heat Recovery SysCem r Sewer/Water Contractor. Phone # L4 I hereby acknowledge that I have read this application, state that the information is c I°rbE ,?-_acn?a9r?=ro comply with all applicable State of Minnesota Statutes and City of Eagan O?rdin7ances. //?? Signature of Applicant lX/?GLLL ? ?1i?ainti0 ?- ----------------- - ---- -- - ----- - ------------- - ----- - ----- - ----- - - - ----------- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 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 ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 70-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 0 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair >? 33 Alteration ? 37 Demolish (81dg)* O 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy L7 °Pd, MC/ES System Census Code Zoning City Water SAC Units (7? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) bin Foundation ? AC - Drain Tile r Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ Air Test _ Fina] _ Windows (new/replacement) ? Insulation _ Retauang Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By ) (? , Building Inspector --- - --- - --------------- ---- - ----- - - - - - ------------- ?.? / (,:: P - , ??,, `??? 4 /07- RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT K OB RD, EAGAN MN 85122 651-681-4675 New Conslruction Reaulremeni¢ • 3 registered sle surveys showing sq, ft. of bt, sq. fl, of house; arM gII roofed areas (20% maximum lot coverage albwed) • 2 copies ot plan sawing 6eam 6 window sizes; poured lound design, etc.) • 1 set of Energy CalculaHons • 3 copies of Tres Preservation Plan If bt platled a(ter 711/93 . Rim ,bist Deteil Optbns selection sheet (bldgs with 3 or less uniGS) DATE SITE ADDRESS NPE OF WORK_ APPLICANT? STREET ADDRESS TELEPHONE # N IIULTI-FAMILY BLDG FIREPLACE(S) PROPERTY OWNER Cafy',-,, frtyum's TELEPHONE #( -f ? ( 3 COMPLETE THIS SECTION FOR nNEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?',?iP,Eg 7'?6]72? (? submission type) • _ ResidenHal Ventilation Category 7 Worksheet Submitted • Ne er?AY dti rl?J?pe? 5? • Energy Envelope Calculations Submitted LUl1 L Plumbing ContrqCtor. Phone # By Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractoc Phone # ---------- -------------- ------------------ --------- --------- --------- -------- ---------------------------- -------------- --- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and C'rry of Eagan dlnances. Signafure ofApplicant OFFICE U5E ONLY ? ?S- - D-i ? Y RemodellReoair Reauaements . 2 copies of plan • 1 sei of Energy Calculations for heated add'dions • 1 SNe survey for exterbr addilions & decks . Indicate'rf home served by septic system for additions VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation I3VAC - Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ather Total PERMIT# _l /J I Please complete for: SITE ADDRESS: ? OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: STATE: M ` v ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other. _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ?water heater $ 15.00 State Surcharge $ .50 T t l $ / ?- S O a , I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notify the properry owner that the City of Eagan assumes no Ifabili for any damages caused by City during its normal operational and maintenance activities to the facilities constructed under this permit within City p e/ri ht-of-way/easement. - / SIGNATURE PERMITTE ! 1/02 RECEIPT DATE: ry v 0-L 8008 M1D£NTIAL PLUM$INfi PERM1T APPLICATION crrY oF EAsm sgso Paor Kvos ftn D - ?eAx, huv $5122 ? FEg 0 -7''z00? 651-6$1-4675 single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system ? ? TELEPHONE #` (AREA CODE) TELEPHO #: 951. `Y C -V ? (A /i'U!1/.C?( ? C??v `-'? (AREA GODE) ??f CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0705 PERMIT TYPE: suzLoiNG Permit Number: 000644 Date Issued: 0 6/ 2 5/ 9 2 SITEADDRESS: LOT: li aLocK: 2 APPLICANT: 1004 KET7LE CREEK RO JOSEPH CONST J LEXINGTOtV SQUARE 7TH (612) 454-5002 PERIVbITCIUBTYPE: REpIARKS: RECEIPT N TYPE OF WORK: NEW ? : ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: $25.00 $.50 $6.00 $30.50 BUILDING 00@844 06f25/92 DESCRIPTION: , s Y o- ti REMARKS: RECEIPT # FEE SUMMARY: - Base Fee Surcharge lic. Search Fee Subtotal COYOTM?Tg?sT J 4380 19ALMQ CIR EAGAM MN (612) 454-5002 PERMIT TYPE: Permit Number: Date Issued: 1004 KETTLE CREEK RD LOT: 11 BLOCK: 2 LEXIN670N SQUARE 7TH COPY $.50 Total Fee $31.00 pplicant - sT. 1. 14545002 60060 55123 k I Ftereby aakrtawledgethat I. h infarmaCion is cortle?t 4ind ag Statutes and +Gi"Sy `of Eagan Etr PERMIT ` WNER: PIRKL KEN 1004 KETTLE CREEK RD EAfiAN MN (612)452-6137 Control No. 070C .J APPLICANT/PERMITEE 9K;r7cTURE Y- ISWED BY: SIGNATURE PERMIT,? REACTIVATE ?q CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 . APPLICATIO r?+ .. ? '?"-'j-?x??? +C "? 8, J Uw .16 RECo SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered s.ite surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of.architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date v^z6 Yaluation af work oZ00' Site Address: /b0 ? ,?Errcr-, ?',?cE,r ep STREET SUITE ! ant N ame: (commercial only) F BLOCK cri tion of work: The applicant is: ? Owner ArIcontractor O Other (Describe) Name , .'j Phone 0?rZ= 6137 Property LAST FIRST Owner Address /0 0 ;/ STREET STE # C i ty State Z i p.s.!5-/ 2'L- Company SEPN ?o ti s?- Phone Contractor Address ?3J'`0 ?C,?rd License # a Zo Exp.3 3/ City ?? C?-? State ? ?qip S.r1Z3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber Processing time f.or. sewer & water permits is two days once area has been approved. I hereby acknowledge thet I have read this application and state that the information is correct and agree to comply with 11 ap licable,State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ce-a ? +' 1 t ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 1 31 New O 32 Addition ? 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? lO.Multi. Add'1. 10 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace -Ed15 Deck t ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) ? lst F1. sq. ft. UBC Occupancy 7_71 5_ Znd F1. sq. ft. Zoning Sq. Ft. total #? of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building ',?? i?•(?-g? Engineering Variance REGIUIRED INSPECTIONS O Site Footing O Framing ? Wallboard ? Final ? Draintile ? Insulation O Fireplace Permit fee ? L-1 vetuac;«,: 5urcharge 5-n view ' ' ense MW City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies , o Other Total: SAC % SAC Units S ? lb Basement Finish ? 17 5wim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC 5ystem City Water PRV Required _ Booster Pump Fire Sprinkler Census Code ? SAC Code Assessments $I y , * * lA':D SVRV EYOfR - C+%^l f NGIY[( FS 2422 Enterprice Orive Mendota Heighu, MN 55120 * eng* eering.. L •PIO?IANhEWO •LAN:lS_AP[ fP=N'1fC75 ? 1612) 681"1p1a ? lf * ` J " T Certificate of Survey for: Zr1 C K QTTL V fv !./ t.-VA7PA/Y T .'OOx ? NORTN . ?e - ;?' \1 \\ QO00 ?? i 0^q 0` ? x, tL° \ i? ^ s 1 \? O ? ? ? A , ? ? us? ? ? /• ?/ \ . r 900.0 DPnofts exisFinj EIPV4lion PROPOSfO YOUSE ELFVATIONS. • soo.o Denoles Prvposed FlPVOtr'on -------DcnotesDramagelUfi/i?Fos?tn} lowcsf F/ovrE/tvo??on = e??,? --?- Denofes Draino&'Flow Arrow Top opBiock E/evofion =s8b.3 o Denoles monum en f Garcife 57ab Elevafion s 995,9 Beor,n s shown vre assumed LOT11,98LOCA12I LEYIAICTOAtSQvAl7E 7TwAmmav DAKOTq aCaDUNTy, M1Nev,fs0Tq SUBJE['T TO fASFMENTS OF l?fCOQp , 1 Ae'uhv eertity ihoe Mis ba c.ue anA oa.ev rprosenntwn ot a survey or The youndsriec ot Me abovs dqierl6wA 4nd. tne iamo ton W iti buiidsnps. tMrwn, and all vuibk encrOSCAmen", i1 onY. trom a on oW Iond. As wrveYed CV me thq 2StiWr of - A.O. z Sayle:1 mch: - AGBEpT B. SoKiG?+L.S. REG. NO. •P91 S7ioa, e, 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? l ?? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ments -New Construcllon ReaWremenh RemodeUReoair Reauire ? 3 replatered slte wrveya showing sq. fL of lot. aq. B. ot housa 2 copies of plan and g rooled areaa L20% maxlmum bt coveraae allowedf 1 sef of energy cadculallons for heafed adc6NOne D 2 eopiea of plans (show be= & wlndow sixea; poured fnd. deslyn; etc.) 1 slte wrvey lor exfedor addiBOna & decks D 1 set of eneryy ectlcWoHona D 3 caplea of pre DsenaHon p? H lot plallad pAer 7/1/43 ?'?"? o? 7a' Q D DATE: 6 CONSTRUCTION C05i: 4 DESGRIPTION OF WORK: ? cS% S?d?l?7t STREET ADDRESS: IOT: ` t BLOCK: 9 SUBD./P.I.D. #: Name: 'Tar?5 C?f'1 S ?,O ? T Phone #: i? ?? ' IA !?..3 PROPERI'Y losf Flrst OWNER Sheef Address:IOb''(" -L ? ,0 CI`Q.PA ?, . cnr or?state: 11A11-- zip: Company. d,il) /w40- aAD. Phone #: /aZ (area code) COMRACTOR street Address: /(/ 4. ucense # D39aZf?xp. cny ro o/r,? stote: CI? zip: ?.. ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: RegtshaHon #: CNy State: Z1P: Sewerlwater licensed plumber !if installina sawer/waterl: Phone #: ( I hereby acknowledge that I have read fhis applicafion, alafe Nx1 the infomnafion is conect, and agrea to comply wHh atl appUcable State of Minnesota Statutes and City of Eagan Ordinances. Signature Of Certificates of Suroey Received _ Tree Preservation Plan Received _ OFjF1CE USE ONLY Yes `? No ' Yes _ No v Not Required ,)u . 1 u ?.,..._ ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 '' Foundation ? 07 05-plex 02 0 SF Dwelling ? 08 O6-plex O 03 01 of _ plex ? 09 07-plex O 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex 0 06 04-Plex O 12 12-Plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext Alt - Mutti ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait-SF 0 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 19 Lower level ? 24 Storm Damage Pibg _Y or_ N 0 25 MISC8112n@OUS ? 20 Pool O 30 Accessory Bldg. 0 36 Move Bldg. 0 43 Reroaf ? 37 Demolish (Bldg)' 'B( 44 Siding 0 38 Demolish (Interior) ? 45 Fire Repair or ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS 13 Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 14, 2'7,2,e0 SAG Units % SAC . ?t M a • { ? ' • 1987 SQILDING PEAMIT Y?ICTICG' - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIOHS NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOUiNER MDST DESIGNATS iIHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. M[ILTIPLE DWELLINGS - RFSIDENTIAL RENTAL II?iITS FOR SALE IINITS INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK GTITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS rnMMFur.rnr_ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 5ET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: e1??yi Valuation: °a Date: Site Address Lot ti Block 2, r Pareel/Sub L=JiN-,Dt9 Owner TOE l t+1C . Address City/Zip Code (7?SE?rj 553lp9 Phone Contractor Address City/Zip Code Phone Arch./Engr. Sprm,r_ Address City/Zip Code Phone # /0700(7 ' or- ? On Site Sewage_ MWCC System On Site Well _ City Water APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off +o z APC Variance USE Occupancy P'-3 Zoning {Z-? Type of Const (Aetual) V- N (Allowable) V-N # of Stories Length y N,ov Depth ? S.F. Total Footprint S.F. FSES Permit 5 ,SD 5ureharge 53.50 Plan Review 262.2S SAC, City D.O SAC, MWCC $2 O0 Water Conn o O Water Meter ,00 Road Unit 305.00 Treatment Pl 1 O.op Parks Copies TOTIi. r.. 9 R RRGE' 2zx2z = 48yxl2- < s668 2Cx3g= /oGSv4 , * * ** * PIONEEI ? engineer * *i? ? Ln.;D SUAVEYfitx • ri\'Il fNviv[TI•5 .. La!IpPL.4NNE 1•lA4i'EFN_H'TFC '?. 2422 Enterprise Drive Mendota Helghts, MN 55120 (612) 681-1914 Certificate of Survey for: I nc 100MUN?- ?bMVQ/Y r . ? ? V NoRrN ?o ?v? O i ? 1 d, 1 Q N v 3go 1/6a . ? . 9.Ps pO \ / , : 900.0 Denotes exisfin? fleVqfion PkOPOSED YouSE ELEVATI4NS • 9ao•a Denotes Proposed Elevcrtron Lowesf Floor flevofion =978, -' ------ Dcnofes Drainaje i Ufili y Easemen } _--._ Denofes Draina?e'Flow Arrorv ToP o? BloclC Fjevaf?'on Gara 51a6 Elevation , o Denoles rr,onumenf ,? Bear?n s shown pre ossumev? Lor 1r, Lock 2, LEx1/VG'TON SQvwcc 7"TwAmirim DAKOTq COUNTyI MJNNESOTA SuBJFCT TO EASFMENTS OF RfCOQp I hercby cerc;fy that tnis is a vue and wrrcct representatton nf a survey of the bnundaries ot rhe abo?r?e ?a?rseribM land?,c?l, the tocat.,, n1 ,? Wiid,ngy, theieon, a:,d ail v¢,ble encrpachmenes, d unv, f.om or rn sa:d land. As su,.4'vf<'• bv me'hs en? d3v Of?d? .. A U, ty ? I _ ? ,S?CCy Ie : 1 inch - ,3, 0 Q? -,.. -- -.-?: HtnTE LGt-C:.'?'f _i] r; _ _? • - n.. . .- Replaces - Section T-C Page May 1, 1982 ' -" • March 18, 1983 j " ENGINEERED GARAGE HEADGR- ,., 1G' 6 X 22 in Stock ' .?-----? ? NOTE: rU1XIriUht ALLOWABLE TIE-IN SPAN 2410" ROOF TRUSSES (650 LBS TOTAL PER LINEAL FOOT) . r?- AUTOMATED BUILDlNG COMPONENTS, INC. ? Millwork Division Component Plants ti Kitchen Division WI ?`'' - Excelsior, MN MN Ch t k k Chanhassen, MN , e, e e Lorng La r-'7??? 612/4?4-1111 6121937-9060 612I473-7376 715/9244867 ?- ,?;, . ,? -?-?-???-A EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER ? C? TT LV ?/ D L O. SITE ADDRESS ??-7TLJ!?F- [WL CONTRACTOR DAT? 9,:?{-e2 PHONC Determine working square footage of each. 1. Total exposed wall area ...... 2- Lf?7 sq. ft, x.//? = 277, 2. Total roof/ceiling area ...... sq. ft. x' s02-(o Total exposed wall area above floor a. Total wall window area ............................. b. Total door area .................................... c. Total sliding glass door area ....... ............. '-' d. Total fireplace wall area ... ...................... - e. Total wall framing area (average 10%) ............... f. Total net Waii area above floor .................... 17/5 ., `/ g. Total rim joisC area ..... ................. .... 2-f- Total exposed foundation area 2- h. Total foundaCion window area ........... ..........••,• q i. Total net foundation area aUove grade ....... ,. ? S' 3 - Determina "U" value of each wall segment. a. g liUlt a S S? p2 oO6 b. X lfull ,D7 = 3e?rZ ? - X ItUff ? _ ---. d. - g flU,t - _ . . . , . e. X ifUlt . 44?s 7 = ? fa, 6 Z f. 1715 X .,pU„ >oYz = ??003 ' g, 2 P? X IIuII a h. / X 'rll 11U u JV ? i, s 3 X llU,l oa?? _?, U3 3 ......................................Tota1 If item 1{ 3 is the same as, or less than item #1, you have meC the intent of SBC 6006(c)2. . . Total exposed roof/ceiling area = / U 3 Z Total gross roof/ceiling area = /G 3 Z j. Total skylight area ................ ...... 6 k. Total roof/ceiling framing area ............ 6 Z 1. Total net insulated roof/ceiling area ...... 96 v Determine "U" value for each roof/ceiling segment. j, ?o x "u" a4 7`q = 2e6`f k. x IfUlt 6Q27 = /667 1. `74- x"v" , D 2 S = 2?o/ U 4 ..................................... Total = 2 Bey (. If total of #4 is the same as, or less thatt 112, you have met the intent of SBC,6006(c)1. To utilize the total envelope system method, the values established by the sum of items ll3 and 114 shall not be greater than the sum of items #l and 412. 1. 3 27701-7 + 2. Z?, ?3 + 4. '3dyaa? 7- 0,q / J= 2?3,2 I tlU7. ?: ??e •10? of opaque wa].1 area £or • ,. fzame construction EASTC wAZ,x., • FIG. ?f 1 G. j,2 (. ? scr, C = p5era1 ._ n_iy :?,1TT L7, ? - . , L r. e,. . .• ?r e ?..II ? ?I,'.... ? • L-._. _._ 1'Uy c :1 UL 4 Const ruction ,. r. . ? , R-Value 1. Interior air?film ' , .2. P'C3 R D 0.68 5- ' .3. -2 X?, sTCivS ' lac$5.. . , 9. 2 5-/3 2 51-I , '. 5. ; 6: Exterior air film 0.17 , Total (?? 0 04 `7 : . I\ 1. Interior air film 0.68 •`? _ 2. I/L"c" 7'/-? 13? D o Y J" .. 3. a. z s/3i srfr?- z 06;, • ." ' S. 'dj? 6. • Exterior air film -- 0.17 •, .' ' To tal Z 31 6 Z. l, i Interior air f ilm ----------------------- 0.68 . 2, ' .'. I?pOO; . '2 x- Jz'r.ril /a.?s8 . ! 4. 2 5 -/3 . Z S F-I ( . ?V?/z/g'2 . Exterior air film 0.17 • Total 2 5,.0 S C??.?• ,? • . ? . . • ?-. .O`'`U . Snterior air film . '6 : . • ' 0. 68 ? ,. 2• ?-// ,?•tiSvC fI) ??'?r? 2A Fu2 2 i 4. /2 13 Ce2C (L 5. 6. Exterior air film 0.17 motal /30/3 . . . . • .. (/-_ e O' 7 ? ' ? ' ? • a , . - r •? ? 4 -. ? . • ?,S?:r=: ? ????-T- ? • ? , . . ,? ?. ' V . trr ?= ?? ` .. . •,? ? , , . . `- FIG; Qr ?_...,F...?: ? Y . ? . .?. , , . ... __.__. 01 TorvzEtr oF : • FMic trnLL ' . ,. if3 . . • I • ' d ? ` e ?_ ? .. . 'xoor/cExLZNC „ .< . • ? +? , ? • . '! ' _' • • ? 1?I ?' w , ? ? . ? ?'j'•? ? ? ' ,"ConstrucL•ion ' ? . , ? , Ruvalue ?i?• 3 f; . ; 1. ' znteri.oz air fiTm , . ? 0.61. ?!?; ,,?,.-^,?' I, -'? • 2. 5/0 " C?Y'P "13 iLD o Sg ?. s. 9 Exterzor aia: film (still 0.61 ? 9'ota V'7r- 1T 3?roeo . 1 ' • r ? ' \J \",/ ' •y ' ' I . ' , U' eUZs' . . . , . . , , , . , ..; ' . ? . ' , , • VenEed Heat fLow•' •? ' . ? '. • • ' . up , ; ? , • , . '? ? . • . . . • ? , • • ? . ? . . i . .. ?. ? ? • ? ' . , , . . . • ; ? . i? , ? , ,'. . • , , , . . . .. ' . ? • ? ? . . ?' . ? . . . . ? • , . t.?t-,?--?'- ; . , , • i ' , ' , , . 1. Tnterior ai.r film . 0.6J. ?-n„' ?:'•" v-r :,?+.s ?:?n%el'___':ti.tiL'?t e`-`_,?n c?r n ?.e `e? 2. = SS .;- - • -r-.."."T7, 3. ov?2 rr2u5S ' 3?f ?1?- ' 4., Ehterior air film sti ? ?;' •i ? ' .. - ? ? Total• 3 61'7 Y ??,1?i? ? ? ? _ C?r ? . . , . ?. . . ? . ? . . . . . , . ; . . ? ?....?: . .. .? ? ? ? 1 2 ? 3 ?- . ? • •? ? , . ?_ • , ., • . . . , . . . .. , • , .?? _. . . . . N,ecc floai up • ? , ? -venCed . . . , ' ? ? • . . ? •. ? ? .•., . ?, , ? ? , ? . FIG. Il6....?. . . :.' , ; . ? • ' . ' ? ' , I .. . : . .__.. _?_ , ? ,..,'._... . . • • • • _ . , , 1 _ - ; . ' i . 3 ?} ' . 5 v _ • ?. . . • . ? 1. Inside ai.r film 0.61 . • ? .' , .. ?.? 2, ? . ' ? q ' ,,?n? .e.?,,sg,:?°•'1..? ?".' --. ' • • OM1?.QJa ???.1.:1'?.,..'. .?. ? ' ? . i ? a t ?. . \'1?,? ? ?.? ? ...? • a ? • ? S. Outsi.de air film 0,17 ? Total ? • J ? i Z , ., ? ,: ` ' , ?. ' ' . . \ . . ?I ' . ? ? '?? .? . :. "'• , . . :" ? . Hott-VL2r"TED. Notc: • Use addi.ti.o»a}. sheets •if more cpaco ?.s. ,,. • ? , ?'• :, ' • i;eeQed for del-ail.s and calculal•ians. i • • Heut • e . • • , . , • ?flow up . ? ? ' . ' ' .. _. . . ? .. • • '„ . . . . . , ' ; ' fiT?• ?? i : . , ? .. t? ? . . . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *lOTE: PA]av0iVT OF FEE AT TIME OF APPLIcATIox noFS Nar coNSTxTUTE APPROVAL OF PERMIT. nasPDCTtorr oF sBM Arro/ox WATEt rMrAr.r.AmIONS WIIL NOT BE SCHED- UIED UNFIL PEFtMIT AAS BEFI?] APPR()VM. • -:xwwwxwwwxwwwwwww..nRwwwwwwwwwm..wwww P ease Print ::1) PROPERTY ADDRESS : 100a tqtcu 2.) ." LEGAL DESCRIPTION: 11 a LzY 5 ? ?. _ Lot Block Subdivision or Tax Parcel ID ) . IF EXISTING S'PRC'CMME. DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: . . •- PRESENT ZONING/PROPOSEd LSE: Lrbn Year) q COP'T'ERCIAL/RETAIL/OFFICE Q IPIDCTSTRIAI, n IN5T22LTMPZONAL/GOVERIZENT 2) M R-1 SINGLE FAMILY El R-,2 DC?PLEX (Z'wo Units) ' g .. CD R-3 TOWNiOUSE (Three + Units ) p R-4 APARTMEN'P/CONIDOMINIUNI , NAME:_ VGlle7 PHONE: `{ 9 a -? ? L ( Units) ADDRESS: ? t U c,a cc ?c L ? - CZTy, STATE, ZIP: sa_ a???? h_ $ 53 f] -- ( Units) 3) • i: ?• For City Use , NAME° Plumbers License: ADDRESS: Active = . '. " CITY, STATE.-ZIP: Fxpired . .' Not recorded PHONE: MASTER LICENSE# Staff UTtial 4) •• • i?• . NAME: Ru??„. d co .. . _ ADDRESS: L'?? ? 3 B ? • . QTY, STATE, ZIP: cj PHO?a'' •5) ?? i ? a: • ?+• : a • 34 - ? ? CONWCTION TO CITY SEWII2 ? CONNF]CPION 7O CITY WATER ? OTEER r, r• • 6) ?? • iE3 PLEASE HOLD APPROVFD PEE2MIT E'OR PICK-UP BY ONE OF ABflVE ? ?Zf PLEA3E MAIL APPROVID PIItMiT 70 1, 2 3, 4, ABOVE _ n, • (Cixcle one) TOR :CITY USE 4NLY PERMIT # ISSUED . ., Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ rt?"-?v WATER PERMIT (INCLLDE SURCHARGE) $ $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP - $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE S - $ OTHER: 7- C?D $ 5 I - TOTAL -'?i . 7 .: - .. :7,yD Ct l RECEIPT RECEIPT ' DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MLST SE DIVISION LIST A ISSUED BY THE ENGINEERING S A CONDITION . . SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ; 6-L TITLE: / ? 7 DATE: /Gi/s; 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellRenairReauiremen(s Otfice Use OnN 3 registered site surveys showing sq. ft of bt, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) i set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _ N, 2 copies of plan shawing beam & window sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addition - indicate if on-sife septic sysfem On-site Septlc System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 711193 Rim Joist Defail Options selection sheet (bldgs with 3 or iess units Date Construction Cost #JWUY Site Address `d()g ?L? (.? ??e? iC, ?j 0.? '`- Unit/Ste # Description of Work ?iJS7 1L(, 645 F G???qGi? Multi-Family Bldg _ Y_ N FSreplace(s) _ 0 D _ 2 Property Owner /???"!IG/ l? //` iG Telephone #(??-7 ) 5'?'Z Contractor ??C-lS?3, L?)t &- 14£ (-l Address ,30SD (0 , &`1 lJ City 6C6? State ? Zip ?qi3) 7 Telephone # (`?'2) ?r7-a ?d ) S'T? COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 (? submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N tf so, 25% plan review Telephone # ( Telephone # ( Telephone # ( MAY U ? 2p?? I hereby apply for a Residential Building Permit and acknowledge that thLe formaf is complete ate; that the work will be in conformance with the ordinances and codes of City o E agand the Stte o Statutes; I understand this is not a permit, but only an application for a pit, and _, ?s-?et ts_ ut a permit; that the work will be in accordance with the approved plan in the case of work yvqiich requires a review and approval ofpl N C L Applicant's rinted Name Applicant's ignature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30. Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump ` # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final _ Framing Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant ' License Search Copies Other Total 44111'City atbin 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 VF APR 7 5 7011 Use BLUE or BLACK Ink Permit #: _ / 76/62 Permit Fee: '/ 5 -0 Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: L-( -2_43 - ` t Site Address: in C) L-( K-� l Cs -cc \\-- Tenant: '-) Suite #: J RESIDENT / OWNER Name: '-ter * 1 C..._ ( o EN Phone: 65 j , fir, Z- B?GZ Address / City / Zip: L G 0 `f )(--q.... , ) , C_ . _ ,. .. 5 f CONTRACTORName: License #: Address: 411 Street Sufte A. City: I o1.5 East State: Zip: MifirtaapOlia. MN 5 3425 Contact: (1 21 72MaP9 TYPE OF WORK PERMIT TYPE New '4,4 Replacement Additional Alteration Demolition Description of work: J c,. Oz. --Ct.) r c� l.ai m d 'C- Mt- I tit) v t -k ockr) RESIDENTIAL Fumace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 55_ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit =$ TOTAL FEE 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.gooherstate• ecall.orca I hereby acknowledge that this information is complete and accurate; that the work will Eagan; that I understand this is not a permit, but only an application for a permit, and work with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name ordinances and codes of the City of it; that the work will be in accordance Ap • icant's Si nature Date: Cllyof Eaaall 3830 Pilot Knob Road Eagan MN 53122 Phone: (851) 873-3675 Fax: (351) 675=5694 Use BLUE or BLACK Ink Q Permit #: 1 (� O Permit Fee: 1S9 0 'O Date Received: I- 1 Le Cscart: 7 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Sits Address: /9O �l��f% C L ,<G, • Tenant: • Sults*: RESIDENT l OWNER CONTRACTOR Name: Addroes / City /Zip: ff tet' Phone: ?a 9'y. Narfie;,MILBERT COMPANY INC.dba CULUGAN WATER Address: 1801 50TM ST EAST City. .: INVER GROVE:11G1S• State: • MN Zip: 55.077• Phone: 65,1 ;.45I-2241 Contact: BILL.MILBE'•J . Email: TYPE OF WORK New Replacement Repair Rebuild _ Modify Space __ Work IrhR.O.W. Deacrl t!On of vlorti:, PERMIT TYPE RESIDENTIAL • Water Heater • Lawn trrigatIO (RPZ I_ PVB) Septic Syatern • • • New • . _Abandonment• • Water Softener Add Plumbing Fixtures L_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater eli , Softener (Includes $5.00 State Surcharge) • $35.00 Lawn Irrigation (InclJdes 35.00 State Surcharge) $55.00 Add Plumbing Flxtutes, Septic System Pbandonment, Water Turnaround* (includes 55.00 State Surcharge) "Water Turnaround (add $166.00 Ka 5/6" meter Is required) • *105.00 Septic System } p yet I ($10.00 per as built) (includes County fee and $5.00 Stats Surcharge) $95.00 Fire Repair (replace (umep out appliances, ductworlc, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 b receive locates of underground utilities. www 000heratateonecell.orr ' I hereby acknowledge Stet this intimation Is complete and accurate; that iM work will be In cbnfonnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit. but onty'an apptkatton'for ■ permit, and work not to start without a mmih that the work' MN be In aecordanc?e w$ the approved Ian In the7 d work which requires a nNew and a • • I • r • Applicant's Printed Name Or •gip"l�ffs� A. • 4'f W!'t1