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1007 Kettle Creek Rdf . . , , : .. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-81 00 ' BUILDING PERMIT Receipt# Tobeusedfor S`? ?'WG/GAR Est.Value ?=+?.'?3n Date APRIi• 14 ,19 88 ' SiteAddress 1007 Kll"PTLT; CF:FEL kC; OFFICE USE ONLY Li>'1 HCTt1N SQ 1T1? Lot 19 Block I Sec/Sub on Site Sewage Occupancy ?"? . MWCC System X Zoning pD R-1 Parcel No. On Site Well (ACtual) Const {/_? x Name E'ETRn Cl'ST'Ot4 itQMES Citywater X (Allowable) V-N z Addre9S P0 BOXX 1049 PRV Required # of Srories o City BC°RMSV ILLF, Phone 454-9383 Booster Pump Length 47 1 Depth 461 'o 1 Nam?. SAIQE S.F. Total . ? a Address Footprint S.F. ?O City Phone APPROVALS FEES ¢ ?W Name En r/ASSess. 9' Permit 4y4•?'V 4U UC) ?= _? Address Planner Surcharge i . ?v7?? Q W City Phone Council Plan Rev ew 00 I00 Bldg. Off. SAC, City • I hereby acknoyvledge that I have read this application and state that the Variance SAC, MWCC S50•00 information is cqrrect and agree to comply with all applicable State of WaterConn. 550•00 Minnesota Statutes and City ot Eagan Ordinances. Water Meter 61.00 $ignature of Permittee Road Unit 325.02 A'6ilding Permit is issued [o: METEO eUS7'Oh1 NO?lE$ Treatment P1 204•00 on the express condition that all work shall be done in accordance with all appliu*able State of Minnesota Statutes and City of Eagan Ordinances. Parks ? ` ?? Building Official TOTAL ? ? ' CASH RECEIPT CITY OF EAGAN o • 3830-PILQT I<NOB ROAD , ' EAGAN, MINNESOTA 55122 ? ?cErvEV •1 I i ( ? AMOUNT 8 DOLLARS ? CASH f]KCHECK FM -- 1. -. ? 7 . I BY 1__:!' ; r • i. r ? r.. .r.. .4 „? White-PaYers CoPY Yellow--Postin9 CoPY Pink-File Copy Thank You ? BLDG. ??,l4-' : ( (L 1 i01-3210 01-3422 01-3445 01-3446 01-2155 37/r3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 ? pb?3855 PERMIT N0. 41 Bldg. Permi Plan Check C)G Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. tiater Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL ? BUILDIP{G PEiiMIT CITY OF 3830 Pilot Knob Road, P.O. B PHONE: j Esl. Value Siie Address 1001 KET'iL6 CRESK ROAU Lot 19 Block 3 Sec/Sub. 1Ex2NGTON SQUARL PefCel NO. 7T41 lLDD. Occupancy w Name ? ???? Zoning (nctuaq consc Address (Allowahle) o City Phone 454-6365 ;kotstorles a Name sAN Length Depth = $Q Address s.F.TOtal r City PhOne S.F. Footprints Name On Site Sewage On Sile Well 1H 95 AddfBSS MWCC Syslem 4102 City Phone Ciry Water I hereby acknowlege that I have read this application and state that Ihe infarmation is correct and agree lo1complytuyith all apolicable State o( PRV Required Booster Pump OFFICE USE ONLY - FEES - BIdg.Permit ? 25.00 - s n •50 18 L6- Signalure of Permitee APPRQVALS A Building Permit is issued to: ??K HANDN Planner - on the express condition that all work shall be done in accordance wilh all Council applicable State of Minnesofe Statutes and City of.Eagan Ordinances. Bidg. O(f. _ Building Official y ? a Variance _ urc arge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Acct. Deposit S/W Permit SNJ Surcharge Treatment PI Road Unil Park Ded. Copies TOTAL ? ..S' Permit No. Permit Holder Date 7elaphone # WATER SEWER PLUM8ING ' H.V.A.C. ELECTRIC Inspection Date Insp. Commmts Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Ptbg. Inspector - Notify Plumber Const. Meter . Engr./Plan Bldg. Final DeckFt9 ?d ?`'-r E' ,m•. Dedc Finai . L •-5 ?S' Well Pr. Disp. ..?. ? d. PERMIT # MECHANICAL PERMIT //1 Z CITY OF EAGAN RECEIPT # 3 ?'? ?? ' 830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 7 T ~' PHONE: 454-8100 Site Address rgt'c'/< ` v gLDG, TypE WORK DESCRIPTION Lot ' B lock ? Sec/Sub Res. ? New ' ' Name ?.?, ?/c i?? , "' r? L Mult. Add-on -' ? °-' ?a Address es AJ. S, Comm. Repair j c City 3 7+ Phone Other ? Name FEES ; RES HVAC 0-100 M BTU $24 00 ! . - . ; AddreSS `?Y 7,r' ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW 41 CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PER IAIT 1 50 EA - ( i ) - . . TYPE OF WORK COMM/IND FEE - 14'o OF CONTR.4CT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES , Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I Unit Heater M BTU REMODELS - 12.00 Air Cond. ? yx- 7' M BTU MINIMUM COMMEFCIAL FEE - 20.00 j Vent CFM ? STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # . BEYOND $1,000) Other ? ? I FEE: ? ? ?' 1 S/C: ?I¢ E l?T TOTAL: ? _ FOR: CI OF EAGAN ? CITY OF EAGAN ? ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# Tabe,used fo/ Est. Value Date Site Add! ss OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupency MWCC System r Zoning Parcei No. " On Site Well (Actuel)Cons t a Name . . City Water x (Alloweble) - W = Address PRV Required # of Stories City Phone BoosterPump Lengih Depth ¢O . Name S.F. Total o Q Address Footprint S.F . 04 City Phone AppROVALS FEES ¢ ? W Name En9rlAssess. Permit ?x - = Address Planner Surcharge `W City Phone Council Plan Review Bidg. Off. SAC, City I hereby acknowledge that 1 have read this application and state that the i Variance SAC, MWCC in ormation is correct and agree to comply with all applicable State of WaterConn. Minnesota Siatu[es end City of Eagan Ordinances. Water Meter ' Signature of Permittee Road Unit . A 8uilding Permk is issued to: 7reatment P1 on the express condition that all workshall be done in accordance with all Parks applicable State o( Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Parmit No. Permlt Holdsr Data TalepAone ik Plumbin9 HV.AC. Electric ?, z/ 6? Sottener Inspection Dats Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. - ?. Q Rough Htg. ?/`$` Q ISUI. Fireplace Final Htg. Final Plbg. ? Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pc Disp. i,. w i (Ipr#ifiratp uf (Orrixpttnry Citp of eagan lgP}taI'bITPt[t Of RitMiM IriH}1PrfiAit This Certifecate rssued pursuant to the requiremenu of Section 306 of the Uniform Building Code certiJying tkat at the time of issuance this structure was in compliance with the various ordinances of the City regulating building corrstruction or use. For rhe following: Usc ClteAiteGOn ,+e "{(?iAR BNg. Rrmit No. 14829 Occuparcy Type R 3 Zoning Wtrict ? ?: ; Type Cooel. ;?Cl OwettotBuil?6 CUSiAddraa;1..r:. FiQ:: P???'f". ewiaing aeaas Lmity .. E • TF, : jJ(` ?... aaw: _ BuikUna Cdidv POST IN A CONSPICUOUS PLACE ., '? . CONTRACT PRICE: i Site Address Lot 1 ?? . 8 k ? ?- Name Jx'w l co Address . c Ciy,; -..'oJUi17 I ? Name ? T?'U ? c Address L) I p C i ty FEES M/IND FEE - 1% OF CONTRACT FEE BLDGS - COMM RATE APPLIES NHOUSE 8 CONDO - RES. RATE APPLIES vIUM - RESIDENTIAL FEE - $12.00 NUM - COMM/IND FEE - $20.00 FE SURCHARGE PER PERMIT - 50 $.50 S/C IF PERMIT PRICE GOES CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT q "?- RECEIPT N y DATE: BLDG. TYPE WORK DESCRIPTION Res. " New ? M u It. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Water Closet - $3.00 $ ' Bath Tubs - $3.00 - - -? Lavatory - $3.00 -Shower - $3.00 i Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 3• oz) ?Floor Drains - $1.50 ? Water Heater - $1,50 Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 ' (MINIMUM - 1 PER PERMIT) -Sokener - $5.00 -Well - $10.00 -.,_Private Disp. - $10.00 --2 Rough Openings - $1.50 FEE: STATE S/C: . " GRAND TOTAL: - Sec/Sub LcQ, cL / ?iJ ? Phone Phone f ... CONTRACT PRICE: Q? Nan ?§ Add c City ? Name _ c Address p City 4? MECHANICAL PERMIT 5 CITY OFEAGAN RECEIPT # / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?y LF TYPE OF WORK Forced Air ? M BTU Boiler M BTU Unit Heater M BTU Air Cond. _ M BTU Vent. CFM Gas Piping Outlets # Other FEE: S/C: TOTAL: - .? ' BLDG. TYPE WORK DES RIPTION ! z Res. #_ New , Mult. ' Add-on y; • Comm. Repair r - Other ? 1 FEES .,? HVAC 0 RES 100 M 8TU 2 . - -$ 4.00 ADDITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) ? GAS OUTLETS MINIMUM 7 PER PERMI ( - n - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES , MINIMUM RESIDENTIAL FEE ALL ADD ON & - - ? REMODELS - 12.00 ? MINIMUM COMMEflCIAL FEE - 20.00 { STATE SURCFiAFtGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES i_ . BEYOND $1,000) 5 SIGNATURE OF PERMITTEE / '. . FOR: CITY OF EAGAN I _?.??.._.._ ? ._..?..u__... ?? ...._. ?r_.....e. ... .. . ... . . . ... . . _...... .._A._.'... _ _.._ .._.... ... . ._.._ CITY OF EAGAN Permit Na Date: I ' '- 1'? 3830 Pitot Knob Road Meter No: P.O. Box 21799 -! Size: j? C ROC ( Reader No: a IEDate: _Lo ? ? /-8 g Eagan, MN 55121 Owner. ?,rro Custom iione5: SiteAddress: '- "' °ett1e Cree'. ^oad L1° B? TexinFtoi, Plumber. .aia/d?f??{ onst. Conn.Chg: '=•r)Ond •`•..---- Acct Dep: '; . g?;2 aiggilig " IC,p?? Permit Fee: ` ?{QN - - Tr`TeM Surcharge: • 5'% ' ?ith the City ol Eagan Tr. Plant OMeter. Misc.: By WATER SERVIC T CITI( OF EAGAN Permit No: 3830 Pilot Knob Road Date: P.O:box21199 _ B/P No: Date: Fagan, MN 55121 x Owner. :fa:res Site Address:'""'`"' KetEle Creek T, eain ;ton !7n 7*_h ? Plumber._ Te4her 7xCIoi-Rprn r,.,.,.. MWCC: ? 40n,, City Chg: QOpd Zoning• No. ot Units: Acct Dep: - • Permit Fee: ?` I agree to comply wifh the CBy of Eapan Surcharge: O?dinances. Misc.: BY SEWER SERVICE PERMIT w*-vv-? CITY OF EqdAN Permit Na 'i`;-*'/ 4 3830 ?Ilot Knob Road M Date: P.O. Box 21199 ?er No: Size: Eagan, MN 55121 Reader No: Date: Owner. =t'ro Custox, ?;o;aes SiteAddress "1".J '7 Conn.Chg: _ So.OOpd Acct Dep: Zoning: ; ? l 1?. Otl c? ` Permit Fee: No. of Units: ? y- - Surcharge: . S;' Tr. Plant '.:-4 .^{`p :? ? a9?ee to comply wlth the Clty oi Eagae Meter. _ F 7 ?? ? Ordinances. Misc.: By WATER SERVICE PERMIT BUILDING PERMIT To be useddor DECK Est. Value $1, 000 Site Address 1007 KETTLE CREEK ROAD Lot 12_ Block 3 Sec/Sub. LEXINGTON SQUAR] Parcel No. 7TH ADD. W Name 141RK HANSEN 3 Address SAMF ° City Phone 454-4565 o IName SA F I g¢ Address citY Phone wW Name ? Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree t co ply ith all ap licable State of Minnesota StaWtes and Ci E n din es. Signature of Permilee ? A Building Permit is issued to: MARK HANSON on the express condition that all work shall be done in accordance with all applicable State of Minnes Statutes and City Eagan Ordinances. Building Official ? CiTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454,8100 Occupancy Zoning (ACtual) Const (Allowable) # of Stories Lenglh Depth S.F. Tolal S.F. Footprints On Site Sewage On Site well MWCC System Ciry water PRV Required Booster Pump APPROVALS Pianner Council Bldg. Off. Variance Receipt # c I3 ??? Date JUNE 7 ?9 91 N° 19199 OFFICE USE ONLY 18 16 Bldg. Permit Surcharge Plan Review SAQ City SAC,MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unil Park Ded. Copies TOTAL FEES $ 25.00 .50 y z5.50 CITY OF EAGAN N_ 14 8 2 9 3830 Pilot Knob Road, P.Q. Box 21-199; Eagan, MN 55 121 PH ONE: 454-8100 0 --A 81 1 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $80, 000 Date APRIL 14 ,19 88 Site Address 1007 KETTLE CREEK RD OFFICE USE ONLY LEXINGTON SQ 7TH Lot 19 elock 3 Sec/Sub Or, Site Sewage _ occupancy R-3 . MWCC Systam X Zoning PD R-1 Parcel No. V-N On Site Well _ (ACtuap Const a Name METRO CUSTOM HOMES Ciry Water X (Allowable) V-N 3 Address P 0 BOXX 1049 PRV Required # of Stories 0 City BURNSVILLE Phone 454-9383 BoosterPump Length ?+7; oePtn 46 °CO . Name SAME S.F.Total ? Q Address Footprint S.F. P City Phone APPROVALS FEES ?Q VW W Name Engr.//+ssess. Permit 494.00 4 W Planner Surcharge 0.00 _? ¢ Address Council PlanReview 247.00 W a City Phone Bldg.Off. SAC,City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agre lo comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and City of an O? 'nances. t Water Meter 67.00 Signature of Permittee {,? Road Unit 4 7 S_(1(1 A Building Permit is issued to: METRO CUSTOM HOMES Treatment P1 204.00 ontheexpresscondition[hatallworkshallbedoneinaccordancewithall Parks ? applicable State of Minnesota Statutes and City of Eagan Ordinances. 2,577.00 ? ??. BuildingOflicial 911L1fL ? TOTAL ? i This request void 18 mon(hs from I d ? E 27551 ly.? / `f Rnquest Uate .. ? Fire No. R h-in Inspec on Re uired7 Ready Now ? Will Notify, Inspec- 7d 1 ? ? Yes o [or When Ready ,§gLLicensed Electrical Contractor I hereby request inspection of above '? Owner electrical work installed at: Street AdAress, Box or Route No. Citv ic?o K?rr?r c.RE?? ?vr? ?(c 4Q ecuon o. Township Name or No. Range No. County Occupent (PRINT) Phone No. Power Supplier Address Electrical Contractor (C om pany Name) Contractor's License No. . G ) /Uc.. Mailing AdJress (CoMractor or Owner aking Instailation) ?3 gtoQl?? Autho ? ed ? ignatu e( ntr or?? ner Making Installation) Phone Number { J.•j?/ ? * J?1-2 ? 1 MINNESOTA STpTE BOAPD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Poom N-197 eE ACCEPTED BV THE STqTE BOAHD 1821 Universitv Ave.. St. Peul. MN 55104 UNLESS PNOPEH INSPECTION FEE IS o? ,...e ie`1o1 An?_nnnn ENCLOSED. ,211 REQUEST FOR ELECTRICAL INSPECTION w es-ooo i-os ? ? See instructions for completing this form on hxck o1 Yellow copy. E ?`7 5"J 1 -'"X" Below Work Covered by This Request Add Rep. Type oi Buflding AOPliances Wired EquiVment WireA Home Range Temporary Service Duplex Water Heater LiyhNny Fixtures Apt. Building Dryer Electrie HeaUn Commercial Bldg. . Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr.r Peu Y Oiher (Sper.ify) t .;r SUCCify Other Othcr Comnute Inspection Fee Below M Fae Service En[ranceSize B Fee Fexders/Subleeders ? Fee. Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 qmps 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100__Am s Ahove 100_Amps Transiormers irrigation Boorns ? Partial•jOther Fee Signs Special Inspection $ tQ 51 TOTAL FEE Rem3rks , I the Electrical InsDector, here6y certify •hnt the above Final //-j2 /I ? Q?l1e inspection has 6een • _ /1 ?me Thia request void 78 moMhs Irom V1' -- ' ' - 1/v /? •vit' \ C? REQUEST FOR ELECTRICAL INSPECTlON . Ee-oooo/i?-os O , See instructions ior completing Ihis torm on 6ack of Yellow coPy. 9 ?• 9 414 6"x" Be,oW Wark Covered by This Request - N&w !J,dj fteP.j - TVpe o1 Building Appliancea Wired Equiunienc Wired Home Fange e porary Service Dupiex Water Heater ightin,y Fixtures Apt. Building Dryer Electric HeaUn Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm oinr, Pec? v tner (sne,irv) t er Sueufy Other Other omuute lnspection Fee p Fee SarviceEntrence5ize p Pee Feeders/Subleaders # Fr.e Circuits 0 to200Am 5 0 to30Am s 0 to30Am Above 200 qm ps 31 to 100 Amps 31 to 100 A s Swinvnfng Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms Partial•Other Fee Signs Special Inspection T07AL Nemarks ?_ i1 _ I ? _ O ] ?n.A147-4i?fIL iyi?nzr?r? - - tri N? i61) RouBh-in Date 1, the EleCtrical Inspector, hereby c rtify that above Final D ? ien n # de. rhisrequesfvoldl8monthafrom {/Ci, l?t// This requesl void 18 months (rom ? D ?4146 Request Ua?e ///^^^,?' .. /? ? Fire No. Roug.-n I p cti Requ ???/ ?ROady Nuw Myafn Notify, Inspec- ? 49 s ?Nn tor When ReodY <-ensed Electrical Contractor ? Own 1 hereby request inspection of above ey electrical work installed at: Streec Ad?ss,Box or ou No City je?ptn N or No. Rang? Co O cuV4it (PRINT C?. a b? Phone No. - 3?3 ower upplier Addres EleGrical Contractor (Company Name) ENDRrrk Lr ? Coniractol SenN T 457 - ? Mailinq l??ess ICon'ct vq_?Mhking Instailationl 1 ?¢ ? a PEt1T1v0 . - A t n uFb}((?pLEyor(OWner a? -Installation! 1'YL NifN851.2 , d?d Phnne Numher MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPEC710N REQUEST WILI NOT Griggs-Midwgy. Blde• - Room N-191 gE ACCEPTEO BY THE STATE BOAND 1827 Uni.versitv Ave., St. Pnul. MN 55104 ..:,x UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 •, . , ENCLOSED. E 101?0 REQUEST FOR ELECTRICAL INSPECTION . ee-oooot-os , See inslructions for completing this form on 6ack of yellow copy. "X" Below Work Cove/ed by This Request 9ep. Type of Builtling Apptiancee WvOd - EquiUmenl WireA , Home Range 7emporary Service Duplex Water Heater ightin,y Fixtwes Apt. Buildinq Dryer Eleciric HeaLn Commercial Bldg. umace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm Oin?., Sveeiry Oihe:, Isprcifvl t er Specify Other Othcr C;007UUiB IIISDBCtIOn ('E2 BBIOW N Fee Service Entranca5ize 8 Fee Fexders/Subteeders k Fee Circuitg 0 to200qm s 0 to30qm s Utn30Am s Above 200 qm??s? 31 to 100 Amps ? 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial.' ee Signs Special Inspection Hemarks ?? A4 FEEX S /i -? / D' le Rough-in r ? I, he E10ctric n sp ereby CartHy lhat the ahove Pinel A? r • insDectlon hes 6een mede. Thls repuest voiA 18 montha trom This request void 18 monchs from ? F i.ni ??fl - 1. V i V V e_J / / - M76R:? - 8' Fire N, ugh-n Inspe,fon quired? ?Aeady Now otifY Inspec- es o lor When Ready N'Ccensed Electrical Contractor I hereby request inspection of abova ? Owner electrical work instnlled at: Street Address, Bax or ute No. City 16 a 25 Q,1-A) ection o. I To wns ip Name or No. Ran9e No. . I Coulity D ? I r.cuuant (PRINT) Phone No. Pow Suppli r • Addrets Electrical Contracmr (Company Name) Contrar,t r?s License No. KMRICK ELFCTRIC D Ma i I i ng, ?*aglp?pyQyrry?M?k inq!1RffiA i le [ i on 1 ! j ?}?J 1V 1V lJ1?11 L1'?LV L? ut a r y! IlatioN hone Number 'MINNESO7p STATE BOAflD OF ELECTqICITY THIS INSPEC710N REQUE57 WIIL NOT +Gri99a-Mi1dway9ldg:'- Hoom NA91 BE ACCEPTED HV THE STATE 90ARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave.. St. Paul. MN 55109 Phone (612) 642-0800 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION ?--- CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657•687-4675 New ConsWCtlon Reaulrements • 3 registered sRe surveys showing sq, ft of bt, sq. ft. of house; and ag roofed areas (20% ma)imum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured tound design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservatbn Plan H lot plafled atter 7/1/93 . Rim Joist Detail Options selection sheet (bldgs wNh 3 or less uniGs) DATE -1 . a-5 RemodellReoair Reaulrements . 2 copies of plan • 1 set of Energy CalcaYations for heaied adOlons • lsitesurveyforexterioraddilions&decks . Indicate if home served by septic syslem for additbns VALUATION 7. ;? 3 6, SITE ADDRESS leO 7 MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT /4 1j/)E1? E?x ??- STREET ADDRESS /?c 07 xiT') CITY S 1 i 4C_STATE IW-i ZIP SS/O TELEPHONE #?s? G y7_6 277 CELL PHONE # FAX #61 S /? ?940 ' S/ o9' PROPERTYOWNER DrSO-7 TELEPHONE#&S1- _Ij ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR ?NEW? RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 0 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcuiations Submitted Plumbing Conhactor: Pluxnbing system includes: Mechanical Conhactor: _ Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System D)7 ?1 ? I F-0 MAY 3 1 Zuul # I hereby acknowledge that I have read this application, stqte thot me information is correct, with all applicable State of Minnesota Statutes and City of Eagan Ord(nan Z/? ?? Signature of Applicant g OFFICE LISE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths 00 to comply Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY d 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04piex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage 0 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mufti ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding d 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ?' 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDaors ? 34 Replacement 'demotkion (Entire Bldg orNy) - 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 Bidgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final ? Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing ` Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test ` Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By 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 Building Inspector ??! ° 1991 BLELDIIFPEIT LIC ON <S?CITY OF EAGAN ? SIAIGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMR4ERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WZTH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIOI+TS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CH.ANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Site Address I OU ? Vr??e C.?-,ek IF- . Lot I t Block 3 I ? Parcel/Sub -, Owner 1° ICLV k av?5ark. Address ??0r7 k'P11f (?rrrk 2c? City/Zip Code C cL ? m Phone q`` tractor Address City/Zip Ca Phone Arch./Engr. Address City/Zip/16,0 Date: ? q OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length 0$ ' Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ YRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. =-Q/ Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Z'5' 0° , sa ? Sa Phone # I// A/I 1&) 4??- agrees that all work sha11 be done in accordance with ( ig ature of C n ctor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Oo oZ- ti L4?l? kk_. METieo ?dsTo,vi f Ic;e`7 l?t? # /32?.DI ROBE CpHtUt71140 E4413I1MAS URVEYOIiS plAt{HEAS ond IAND ; ENGiNEE[?ING P? 7/ COMPRNY, INt. ..1000 EAST 1461l1 STREET, BURNSYILLE, YINHESOTJI 55337 PH 432--3000 CCrLZ}`Z C czz C •[.? Z??al 1Cn: GOT /9, BGOGK 3, LEXiNGToAI SQ??,P,5 77;q 4ODiT1o1 • DAKOTA GDUNTY, M/NNESOTA r8 . ? DRA/NA6E RND Ur?u7Y EAgF?v??vr h s ' S ? o < ?- ? , ? n -. . ? ? • ?-oi 0 FRONT BViCO///6 i/ b A y ? / STBAI^K L/NE' ? 'G?' ?'PO,a 6 % S 5C.4LE : /" _ .30 > h° •o / ? 51?.?R ??R3aS_J ?9 8 'a0 ? 8 61s,?" , po OEND?S EX16Tin16 E[EVAT/onJ ?' p \ 4s L• ? ? p ? ??P ?as j?? c8s?? ;a ? j 2? ?8as,s) pEnro?TE'S Pe0RO4Eo .4rIoN \ti ? R? ?'s \ ? ? .; \ .r? /NDICA7E S O/2ECT/oN oF QS ?j $uRFACE 17R41Ns16E ? 885, 603 = F!N19NE19 CARAGE FLWi2 ? ? \o ? • -t EcEVa77101V a .. `\3\ I herebY cartif that thia ia,a t:ue and carrect repreeentitian of a tract of land assho+m'and deacribed hereon.• An praparad by me on this /?/_ day ot ?Q?,eic , 19 8 8 . • 1? /' xinns lles. No. /`= U oa •uuT 4 9 4 rt u Ll Li + r?,?J • UU? ? ?5?.7 Uu r (i?j•U1)+ .,'l'j °IJJt 1U'4`UUk •7 e j'/'j . U U *;: , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ???% 1, -? SINGLE FAMILY DWELLINGS on f2aj INCLUDE 2 5ET5 OF PLANSp 3 CERTIFICATES OF SURVEYp 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS I5 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT 25 ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLiTDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAIERCIAL INCLUDE 2 SETS OF AACHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ? Site Address Lot ? Block -35 Parcel/Sub f?????r, Owner A4D cI/ ??Od? rJ GYI ? 5 Address )?,? 1 1Q cf-q City/Zip Code ,, Phone ' % ? 7 - '' . ) `i : Contractor ?2 az??p _ Address City/Zip Code. Phone Arch./Engr. Address City/Zip Code Phone # orr. Ac? On site sewage_ MWCC system ,t/ On site well City water ? PRV required ? Hooster Pump _ APPROVALS Date: Lilli'l Y Oecupancy R"3 Zoning R-I Actual Const -?J Allowable Y-NI # of stories Length y7, Depth ? S.F. Total Footprint S.F. FEES Permit 4IQ4I,OD Engr/Assess Planner Couneil Bldg. Off. 7 4/3 Variance Surcharge iD Plan Review 202,00 SAC, City 100100 SACO MWCC rOo Water Conn 550 ,6O Water Meter 67160 Road Unit 32j°? OO Treatment Pl 2044o0 Parks Copies TOTAL ? , vALV?w,-noht ?...?.. - G?4? A?E 22XZZ= ?{gyK; ? ?1?U= ?JL1 y 72 XIy= ??b$ ''?2+'?IT ?- z y K 34 = 8(=y 12.1 )e Zo = zy0 60 y ?fSZ 7?1? = IU`T76 H ausE r35m-T z x r ?-1 = Z ?f a 114Z x uk, s'str4?_,. '?19 9gZ ? , _,<, AOBE ENGiNEf R1NG COMPRNY, INt. ?1000 EJ.ST 14Stlf STREETs Ivor,eo ?'vSraM yo.?s # ?3Z7,D1 CON5UlT1H[S ENt31HEfRS • g?? loo PiBNHEHS nnd LANp ?1lBVEY08S PA&C 7/ BuRH5Y1LLEI YtNHE30SJ1 55337 PH 432-3000 Cer.F iE'Z cu?`e S?c.?[rY?? j.aqal .?e.r?7?{ ?zcn; L07' /9, BGaCK 3, LEX/n/GTOA/ SQrl.4k? 7TH ADOiTIo?, • DAKOTA CDUNTY, M/NNESDTA r8 ?. > DRA/NA6E AND UT/L/7}' EAS6vlEniT --- 30'FRaNT Bui(.D/NG S&TBqCK L1NE ?"8 lsJ ? ?h s -, ° 0 ? ? ( p0 ??? `Q c \ ' x•s:O.? ? `? - \ C? 13 0 •' / s?`ys 1 ? ?e , 'S3 0\ \ ?i` `?`O \R J\ X ?. •0 22 , s> 8 0 0 1 ? ?es ao o ? ?gs SCACE : /" - 30, 83 ?No oo??>,J J/ ? T-94l7 DENOTES EX1571N6 R6YATlOtI! ?p r ?00 1?ay,?= ? (? a ?p ? ?s f Y ? \ ?o ? ? ? l`z50?y up " ' ?-?? ? c885,s? XVorES PROPoSED ELgVA710,v ? ? ?? ; \ ?? /NDIG9T?5 D//ZECT/DN OF 5'URF4CE DRA/A/f16E V BBS, 83 = F//t//3Y4670 494104GE FGODR EcEYATioN ?-.. I har:bY cartif that thia in a t:ue and correct repreaentation of a tract ot land aisho+m'and deacribed hernon.• Ae praparnd by use on thia /r /= day o! ?P,e?c , 19 Sg . • ? ' Hinn. ltes. Ho• = _ ?.? L E CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ----------------------------------- P ease Pra.nt ' 1) PROPERTY ADDRESS : E C D ,c ?' iL l! o . ? LEGAL DESCRIPTION: rOTE: PAnMErr oF FEE AT TIM oF AAPT.TcATIorr DoEs Nom cONSrrTUTE APPROVAL OF PERMLT. nuspECTIoN oF sEaat Arro/OR waTEt INSTALLATIONS WILL NdT BE SCHID-- UIJM t)NPIL PERMLT HAS BFEN APPF20VID. 7` ff . lLOr/Btock/Subdivision or Tax Parcel ID IF EXISTING S'PRC'CMME, DATE OF ORIGZNAI, B[JILDING PERNLIT ISSC'ANC.E: . PRFSEDTI' 7ANING/PROPOSID t'SE: (Nbn ear) .. Q CONPMCIAL/REPAII,/OFFICE ? R-1 SINGLE FAMILY Q INIDL'STRIAL ? R-2 DL'PLEX (Ztao Lnits) n INSTIZL?TIONAL/GpVERnNEN'p ? R-3 TOWNiOUSE (Three + Units )( Units ) . [? R-4 APARTMEN'P/CONIDOMINIUNl ( Units ) 2) ? n - N1?NE: 21- x C - ?1 2 ? ADDRESS : 0_ qs L O?'=,.? ?? CITYr STATE, ZIP:_ LI PxorE: 3) i: ?• N11N?: f? L?.C5?,2(, For City CTSe .. - Plumbers License: ADDRESS: d o N Active CITY, STATE, ZIP: P_ E?cpired !'y F] a i?. _?' sl?? • Not recorded PHONE: ? 9 MASTER LICENSE# -34 `j / l vl ?I Staff ETitial 4) •• •_.? ?,.?'?? ??I NAME=??1?'r-2} ?LORS . ADDRESS: CITY, STATE, ZIP: PHONE: C/ 3 d1,3 '5) ?? a' ' ?• : a • • - ?? ? CONNF.CTION T0 CITY SEWEE2 1'?1 CONNECTION TO CITY WATER Q OTHER '. ? 6) ?? •• ? PLF.ASE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABdVE -- ---- -- [] PLF.ASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABpVE . . _ n .. ? ' . tC]xCle nnel . ? SIG[?4L?RE: ?. :'FOR -CITY USE ONLY ` PERMIT # TSSDED J ? Pd w/Bldg. Permit FEES: $ $_ I0,5-2 SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?? - 52) WATER PERMIT (INCLUDE SURCHARGE ) $ ?i 7GC> $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ t,5?rJZ ACCOLNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNR SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ L/7LG'o $ ?U U . d TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ED YES 'IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION ISSUED By THE ENGINEERING . LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIOIVS: APPROVED BY: TITLE: DATE : For Office Use sj City of Eaau Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 C C:. I Fax: (651) 675-5694 1 Staff: i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C '-ee~ ,-6"('4 Date: r5o` c Site Address: I or J e l 3 t C lc Tenant: K&iJ, OL Suite RESIDENT l OWNER Name: [-CN U Sc.~N Phone: Address / City / Zip: W~ CG€-Ti' G 1v Applicant is: Owner ati Contractor TYPE OF WORK Description of work: ''1Tbfvh"~ ' Construction Cost: S X)o Multi-Family Building: (Yes / No CONTRACTOR Name: L 'T License* Address: -7L3- Z-Z City: Y State: Zip: cLS Phone: 'E" Sl_ 4'14 3 3) Contact Person: rJ -P6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet T • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr al o ans. T )b-Laq X Applicant's Printed Name Lt - pplicant s Signature 9 Page 1 of 3 MAY 2009 ~ \cr DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex Deck ? 'Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: kIi /n/ _ A Valuation Occupancy MCES System Plan Review Code Edition 007 SAC Units (25% 100% Zoning City Water Census Code i-1 3q Stories Booster Pump Units Square Feet PRV # of # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: `Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee 0 Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2of3 1C0`7 11 & r 9,eU CIO sroM yo s -7 ~~O13E /3Z.D1 CONSULTINO PIANHEAS and0 AHD S9URVEYOAS ~'D~ loo NGINEEfCOMPnNV, INC. _ 0Q0 EAST 1461 STAEE7, BUAHSVILLE, UINHE50TA 55337 PH 432-3000 LOT BLOCK 3, LEX/NGTOAJ SQU141 7TN AOD/T/D/ DAKOTA COUNTY, M/NNESDTA EAICIAN 11I E ARA/NA66 AND 1 0NS IVISION UT/L /7y EA5,5mc/VT 3~% ' -~-l\ osoo T ~'~4 FRONT BU,LDiNG , " b^ o \ 5 ~'o i PO 6 CHAS / ~a ~eR~ S SCALE : P, 3o, pa 06AIOTFS EX/ST/N6 EL6VAT/ON PP ~gss CBS ~6~0 do (885,6) P6VOMS PROPOSED EI.FVATION p$\ \ k ' \ /ND/CA7T S D/RECY/OAj OF / SURFACE ORA/,V4G F ~a V 885. A3 F/N/. D &4R46 1E FLOOR a C hereby certify that this is a true and correct representation of a tract of Land as shown' and described hereon.. As prepared by me an this day of P,e~L 19 S 8 , 1 ,inn. Ras. 41 øü ÿ þ ý ÿþþýüûúüúûü ùýýþþüèçý åþñü éð ìë ÿþ üûúùø ü ÷ ö õ ô øü ÷ ö óü þ þ ø ò ñü ò ðüû ï ý ÿ ø ýîí þ ììëì ïÿ ò îç ø ò íæèëèìëë õù ü ð þ å æèè ôóóò ñð øø Þ à þ÷ Ü ðâ éÿòû ä éÜ ö ç òþïõìÿ þ ïõ îí ð ûù ô þ ð ð ä ð øø ð ð ã ò þ òøùôð øø û ãï ü öùãÿ þ â è øø ß ò þ ü ü ùþ ü PERMIT City of Eagan Permit Type:Building Permit Number:EA164431 Date Issued:09/29/2020 Permit Category:ePermit Site Address: 1007 Kettle Creek Rd Lot:19 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kenneth L Olson 1007 Kettle Creek Rd Eagan MN 55123 (651) 208-9731 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature