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
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Snterior air film .
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? 0.61.
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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