1008 Kettle Creek Rd
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21
-199, Eagan, MN 55121 ,.. ,-.
_
PH ONE: 454•8100 ,
BItILDI[dG PERMIT Feceipt#
To be used for SF Di7G/GAR Est. Value V3915i)!' Date P10V L ? ,19
Site Address ' 1008 KF:'I"LE C&EEK :'.fi OFFICE USE ONLY
I.E3:ING'LO*: aQG' T'
Lot Block 2 Sec/Sub
???-- On Site Sewage _ Occupancy r-3 '`-1
.
t; MWCCSystem A. Zoning PD $-1 .
'
Parcel No. ?-?
On Site Well _ (ACtuap Const i
a Name KEYLA'T? HOM City Water X (Allowable) V -N 7
?
= Addr s 1"50 KAN$VILI.E pnnr PRV Required _ # of Stories ?
o City }3ilkildSVII.I.fi phone 894-2636 BoosterPump _ Length 421 ;
Depth
;
501
¢0 Name `iEl:'_ S.F.Total ?
o a Address Footprint S.F. !
UP City Phone APPROVALS FEES
?
u ¢
W w
Name
Engc/Assess.
Permit ?:fsb.0(J i
?
'iC? '
3b
Address Planner Surcharge .
3?3 . i
¢Z
W City Phon@ Council Plan Review l?
l?a ,
a Bldg. Olf. SAC, City .
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ?56•6? ?
,
information is correct and agree to comply with all applicable State of Water Conn. 530.00 i
Minnesota Statutes and City of Eagan Ordiqances. Water Meter 0•00
Signature of Permittee ' - - RoadUnit 1•?? -
A Building Permit is issued to:__.. Treatment Pt +(-)4. W
on the express condition that all woik shall be done in accordance with all ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks n i
Building Official TOTAL
i
i
°• )0
SEWER & WATER PERMIT
CITY OF EAGAAI
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
r
OFFICE USE ONLY
PERMIT DATE 1 % 12 / ' 9
WATER PERMIT # 10292 SEWER PERMIT #?`• -' ?
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE 11 / 1?a i`'
METERSIZE re^c-int ,?40k.;?3
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS 1008 KETTLE CREEK Rli PERMIT REQUESTED
LOT BLOCK SEClSUB LEXINGTOP] SQUA'2E ?TN
,• .,APPLICANT: 't','YLAND ?OMES - SEWER - WATER - TAPS
ADDRESS: i '>45t1 SURI4SL'I;.,r., . F°°,.;
'-l'2NSVILLE 55337 -COMM/IND -RESIDENTIAL
CITY, STATE ZiP
PHONE: -`'4-2536 _NEW -EXISTING
PLUMBER: 'LYM(?UTH
ADDRESS: 9290 -A'?RAR Y r•N N I AGREE TO COMPLY WITH CITY OF
CITY, STATE MAPLF GROVG ZIP ? 5`1EAGAN ORDINANCES:
PHONE: •")3-2474
OWNER: .r'.YLAN93 HOMES
ADORESS:_
CITY, STATE
ZIP
PHONE: $94-2635
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # 'SEWER PERMIT # ! F ``•'
METER # ? ;2, 8 7 -4 B.P. RECEIPT #
ER # B.P. RECEIPT DATE
METERSIZE r . . . 047''.
ISSUE DATE PRV - BOOSTER PUMP
SITE ADDRESS 1u08 KET".'LF CI'EH.K RD PERMrT REQUESTED
LOT_BLOCK ? SEC/SUB L°X,tiG'i0`: ?CiJASE ,
APPLICANT: !,'_FI?i.AND tiOMT S x SEWER - WATER _ TAPS
ADDRESS: 14450 Y11::id:;Vl1.LE PkWi }
I;JPNS?'iLI.E 5- . -COMANIND -RESIDENTIAL
CITY, STATE ZIp
PHONE: +-2636 NEW - EXISTING
PLUMBER: I..7401UT8 PLUMBING I\"
ADDRESS: 9k90 '•A??!ARY t I AGREE TO COMPLY WITH CITY OF
CITY,STATE V14PL'_' `-'t`-',/g ZIp EAGANORDINANCES:
PHONE: 03-9414
OWNER: ? L' ?`,'40 HOMES
ADDRESS: SIGNA RE WHEN ME E ISSUED
CITY, STATE ZIP ?
PHONE: ??
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
? ? . . . ?. ..
PERMITt{
1 i i G S-MECHANICAL PERMIT '' // ?
R
CEIPT
y??` i '
CITY O #
E
F EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Z-1?
CONTRACT PRICE: /S -70. ? PHONE: 454-8100
Site Addr ss
BLDG. TYPE WORK DESCRIPTION
Lot ? ..?? Bloclu Sec/Sub
Res. New
Name 7A, IC Mult. Add-on •.-- _
01
?c
Address ? ?SS S? !.?
??C''?CJ • Comm. Repair
c City Phone aher
Name '?`?L ?? '?
?•S? v FEES
RES. HVAC 0-100 M BTU -$24.00
c Address 2 ADDITIONAL 50 M BTU - 6.00
p City Phone 6-??7'? ?7 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFtNIIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ' M BTU $: :•• MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: ' ' _. •
S/C: SI6NATURE'OF PE MITTEE
TOTAL• ??
FOR: CITY OF EAGAN
( /s/" & N c.
?/??/r???'?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be uSedYor `F Est. Value .03+?%Go Date tiOV 110
Site Address _
Lot Block
Parcel No.
a Name .... , ?..: ? ,..,?,?.,
= Address +'* G BUFt%'?VILL.r 'Y
0 City bt9r " LU Phone
a
o Name
? i Address
=? City Phone
1- ¢
U
W
W Name
, Address
i W City 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 to:-.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesola Statutes and City of Eagan Ordinances.
BuildingOfficial_._------ -..-
,19 7t
A 'UYT.i.= CFtEEK AD
? Sec/Sub. LEuNGTOII SQWlRK
OFFICE USE ONLY
On Site Sewage Occupancy R-3 t'-1
MWCC System X Zoning PD R-1
On Site Well (Actual) Const V"14
Ciry Water p (Allowable) V-#
PRV Required # ot Stories ?
Booster Pump Length 42 '
Depth ;no .
S.F. Total
Footprint S.F.
APPROVALS FEES ?6Q.cQ .
Engr./Assess. Permit
Planner Surcharge O
'
-?
?
Council PlanReview `?
???
BIdg.Off. SAC,City 100 0 Cc,
Variance SAC, MWCC ?'SO.a'
1,150.00
'
water Conn. E'7•M
WaterMeter 325•C*
RoadUni[ -
Treatment P1 io
4•00 :
Parks
1
50
531
TOTAL ?
•
,
????? ?
- Permit No. Permlt Holder D
ate Telephone
PTumbing 4
r
H:v.ac.
Wp.(z, b ; 2- F -
Electric ,, ?
?
t.
J /3 / oa
Softener
Inspection Date Insp. Comments
Footings I ;
Faotings II
Foundation
Framing
%? -,
Roofing
Rough Plbg.
i - `•(
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. ?
Bldg. Final
Cert. occ. 71i ? AG 1 1
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
a_.- . ,
(Errti#iratr nf (IDrrupttrirg
Citp of Cagan
fPpMi'hitPrit pf w1tiIDt1v JItB#iPtYlOil
This Cerriftcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordirtnnces of the Cuy regu/adng buildtng construction or use. For the following.•
uxa,.kfi..WoSF DWG/GAR &dg, F.,,m;,Na, 15856
o-Upsar Tra R3 /*M I zming nwriet PD/R I rya cAaa. Vh
a?orewiahng KEYI11M HM Addnw; 14450 B'VIIiE PK[dY, B'VIIdE
Building Add?ess 1008
KE m _ Rpm [mlityL 12 ? ? , LEMMM SQUARE 7TR
o., FEBMAR4 17, 1969
Building O cial
hr-
POST IN A CONSPICUOUS PLACE
,?..?.? .. . .. ?.?,,,,... __.__
PERMIT #
• PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7
TRACT PRlCE: PHONE: 454-8100
Site
Name
m Address L - 'J 3 -2?? •0-?
c City Phone ` 1JJh
Name
3 Address
p City Phone `% 41
FEES
COMM/IND FEE - 1% 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
(AOD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
OF
BLDG. TYPE WORK DESCRIPTION
Res. u New ?
Mult. Add-on
Comm. Fiepair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N9. FIXTURES TOTAL
Water Closet - $3.00 $ 75 ' e, r'
-/Bath Tubs - $3.00 > " C °
I_Lavatory - $3.00 j
_Shower - $3.00
-LKitchen Sink - $3.00 3 • OC
_Urinal/Bidet - $3.00
/ Laundry Tray - $3.00
/ Floor Drains - $1.50
_/-Water Heater - $1.50
_Whirlpool - $3.00
t_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-Softener - $5.00
-Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
?FEE:
STATE S/C:
,,....... _,._.• - . `'
- PERMIT #
MECHANICALPERMIT
. • CITY OF EAGAN RECEIPT tt
3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE:
r_nuTwerT ooiro. 1 ts .. n`?° ...,....?_ -. _.__ r
Site Address ?
L
?
? V (
? ,?,j-
BLDG.TYPE WC
ot
-
- Blo,ck Sec/S ub "PcI
Res. Nei
? Mult. Adi
Name O
-°'
?,v
c
Addre s ? 4 I?d P N
City ?f',of (..iky
? I
Phone'",
'
??- I`,, Comm. Re?
Other
" FEES
Name
?
L N AUa,. RES. HVAC 0-100 M BTU
3 Address 4 "
l 3 0 i1C. k4l ADDITIONAL 50 M BTU
O City `-?Urr.z:J 11C Phone ? yxG INCLUDESA/CON
C
O STRUCTION)
GAS OUTLETS (MINIMUM - 1 PEF
TYPE OF WORK
? COMM/IND FEE - 1% OF CONTR/
Forced Air M BTU , APT. BLDGS. - COMM. RATE APf
TOWNHOUSE R CONDOS - RES.
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - Al
Unit Heater M BTU $ RI
MINIMUM COMMERCIAL FEE
Air Cond. M BTU $ STATE SURCHARGE PER PERMIT
Vent
P
?G
? CFM $
V) (ADD $.50 S/C IF PERMIT PRICE C.
as
iping Outlets #
' $ BEYOND $1,000)
FOther
FEE:
$
S/C: y?} SIGNATUFE OF PERMITTEE
TOTAL: x.s
FOR: CITY OF EAGAN
.?
- $24.00
- 6.00 '
- 1.50 EA. ?
APPLIES
-ON &
=LS - 12.00
- 20.00
- .50
DATE: aANUARY 13 * 1989
RE,n ^tf08 EtETT1,L' CBESK RD. 0 L129 HB, I.EX$NGTaN SQUARE 7TH
w? 101 K&+ ., L13', B2, LSXINGTON SQUAt1E 7?Fi
XX , Your Sewer & Water Permit for the above properry has been completed. It will be held at the
Public Wqrks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL RfiBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- YouP leweu & Water Permit for the above property cannot be completed for the following
reasons:
??
- Youc 9ewer & Water Permit for the above property has been completed, but the meter cannot
,. be`issued or occupancy allowed until further notice.
10? t
- COMMELiCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
?
Secretary, Building Inspections Dept.
• , y \ ;.' ' 1? l
CASH RECEIPT ?. ?
CITY OF EAGAN "
3830 PILOT KNOB ROAD •
- EAGAN, MINNESOTA 55122 ?
DATE cA
flELEIp O ? ?..I ~ `I ? ?4„Y..? y;,. ? ?'. 'i V 4Y., *.1
AMOUNT $ 's-/
,
I
& DOLLARS
?m
? CASH CHECK
fpi
???? .??? ?- ? ,?.i ??? ?` t f? ? I •?.! ?? I
\
J-?:?? 1 ' ''( \
?FC.
?
Whito--Payers Copy
Yellow--POSting Copy
Pink-File Capy
Thank You
eY
BLDG. PERMIT NO. ? J
?-f- I a i31o cK z "NS?C, -`I + h
01-3210 Bldg. Permit . c-X--)
01-3422 Plan Check X)
? 0143445 Surch./Adm. i .
01-3446 SAC/Adm. jo
01-2155 Surcharge
?
U 75-3860 Road Unit
? 20-2275 SAC
? 20-3865 Water Conn. ? ?b (y)
20-3868 Water Trmt. 0
?c 20-3716 Water Meter
?Q 20-2252 Acct. Dep.
Q 20-3713 Water Permit
LJ
~
20-3743
Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15856
PHON E: 454-8100
BUILDING PERMIT Receipt# 6?'1U-4 L-2
To be used €or SF DWG/GAR Est. Value $73, 000 Date NOV 10 ,19_.$$-
Site Address 1008 KETTLE CREEK RD
Lot 12 Block 2 Sec/Sub. LEXINGTON SQUARE
?
Parcel No.
a Name KEYLAND HOMES I
= Address 14450 BURNSVILLE PKWY
? City BURNSVILLE phone 894-2636
p Name _
? Q Address
? City_
U y?
W y?
?_
x?
UZ
Q W
Name _
Address
C,Ity_
Building Official OFFICE USE ONLY
I hereby acknowledge that I have read this application and state that the
informafion is correct and to comply with aIl applicable State of
Minnesota Statutes and Ci o a?an O i ances.
Signature of Permittee
A Building Permit is issued to:__ .-KE:Y_A-ND H ME_5-
on ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
On Site Sewage _ Occupancy R-3 M-1
MWCC System X_ Zoning PD R-1
On Site Well (Actuaq Const V-N
City Water lL (Allowable) V-N
PRV Required __ # of Stories
Booster Pump _
APPROVALS
Engc/ASSess.._
P!anner _
Council _
BIdg.Off. _
Variance
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
$f1C, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
4?1
5n,
466.00
36.50
233.00
100.00
550.00
550.00
67.00
325.00
2p4_00
YJS31.50
5;0 ?19 S
? 8 5739?,ia
Request Date ire No. Ro n Inspectio
l
I Retl? ? Ready Now [X
1- 1 1- 84
?
?r
W
hen
Ready7
Yes ? No
I Cklicensed contractor ? owner hereby request inspection of ahove electrical work at:
Job Address (Street, Boz or Route No.) Ciry
1008 Kettle Creek Road Eagan
Sedion No. Township Name or No.
Rarge No.
Counry
I Dakota
OccupaM (PqINT)
Key Land Homes Phpne No.
894-2636
Power Suppliar Atldress
Dakota Electric Farmington, MN
Elacirical Coniractor (Company Name) Comrectora License No.
Midland Electric Inc. 041610
Mailing Address (Contractor or Owner Making Installation)
14055 Grand Avenue So, Suite E Burnsville MN 55337
Authorized Slanatum (ConVactorlOwner Making Installation) Phone Number
? 892-6688
MINNESO7A STATE BOARD OF ELECTRICfTV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Hoom &173 " BE ACCEPTED BY THE STATE BOARD
1827 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing ihis fortn on baCk of yellow copy.
? 739 '7C' Below Work Cavered by This Request
?'• ee-ooom-m
cjD ?/ 9 5
av? I
e Add Fep. TweofE3ui!iing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heaiing
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (specify) Contraclor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps o_ Amps
SignS Inspector's Use Onry: TOTAL
Irtigation Booms ??
Special Inspection
Alarm/Communication
Other Fee f
I, the Electrical Inspector, hereby
tif
h
h Rough-tn , 1.0 oace??? ,
O (
cer
y t
at t
e above inspection has
been made. Fnal
? at
o- 2k
OFFICE USE ONLY
This request void 18 moMhs irom
0/i/sy 5'asoc
? 90024
/ s 00
";e /
1
l .
Request Date Fire No. Roug -i Inspedion `
'
R
D Ready Now ?y Will Notify Inspector
5/ 2 5/ 89 o res
?No When Ready?
I C$licensed contractor p owner hereby request inspection of above electrical work at:
Job Addreas (SVeet, Boz or Route No.) Ciry
E
agan
Sec[ion No.
I
Township Neme or No.
Range Na. -
-
Counry
I DAkota
Occupant(PRINT) Phone No. '
Paul Johnson 687-0278
Power Supplier Address
Elecirical Conlractor (Company Name) Coniractor5 License No.
Hilite Electric Inc 040445
Mailing Address (Contractor or Owner Making Installalion)
Aulho r?iaWre ?Contr r r,M ing Installation) Phona Number
MINbiARA &ATEHOAAO6FELECTRICITY f THIS INSPECTION REQUEST WILL NO7
Griggs-MlAway BIAg. - fioom 5-173 BE ACCEP7ED BV THE STATE BOARD
1821 Universiry Ave., St Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phorre (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?- ee-ooom-o7
? See insiructions :s`r camplelilR,7 this form on back of yeliow copy. 9,;)1!5r05?
R 9 0 0 2 4 `X" Belaw Work Covered by This Request
ew Add flep. ' Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' X Air Conditioner
Olher (specify) Conirectork Remarks:
Compute Inspection Fee eelow: J o b # 2 0 6 3 8
# O[her Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 100 Amps . ? ?
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspeaor? Use Only: TOTAL
Irrigation Booms 15 .
Special Inspection ?
AlarmlCommunication (? '
Other Fee
I, the Electrical Inspector, hereby
i
h Rough-in Date
cert
t
at the above ins ection has
? p
been made.
Final .'•
Dat .i
OFFICE USE ONLY ° - .
ThiS request void 78 months hom
.?.:w
nr 'FF 33G5
SURVEYOR'S CERTIFICATE
KETTLE
0
N
S 47°4600°E - - ?
o ?x
-- -15 g ?
I r°n W
g
rt ,
Z
n
N
,r)
, ?-r
?
PROPOSED
?
S?
/
ROAD
O
?
N
N
i - - -? i -
12 ?
? (LOT?
r---?-DRAINAGE & UfILITY I
? EASEMENT PER FLAT 1
\ 'n n ?
? 5`-- - -? -jg 1#
Csas.? -_ 7 5.00 S 47045'0dlE - $8 s
R ?,
?"-
??i
: -?i.?_ ?e
? i--?
C _ _._ s.
E?GAiq ENG?????ING DEPT
?--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - S87. o FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - ggy, Z FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = gg 7. y FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 12, Block 2, LEXINGTON SQUARE 7TH ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3Rp DAY OF NOVEMBER , 1988.
PROPOSED GRADEs 5kowN w6R£ 7t1KEN SIGNED: JA?kE? ? LL, INC.
FFLOM 7NE GRADI&IG PLIxN wR LExiNG-roN
SQIAAAE 76tH ADDrtWN, PREPnREQ BY ? 4
PIoNEER Fn?GrN?ERlnk? G?. BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
?
O
0
m
`
p
O y
E W n ? D
oz W -{ 0 p m 7C Z
O
m
?
?
?
KEYLAND HOMES
CREEK
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
a
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauirementa
. 3 registered site surveys showing sq. R. of l04 sq. ft. of house; and all roofed areas
(20°h maximum bt coverage allowed)
• 2 copies of plan shawirg heam & window s¢es; poured found design, etc.)
• 1 set ot Energy Ca4culalions
• 3 copies of Tree Preservation Plan if Iat platted after 717193
• Rim Joist Detail Optiorts selecGon sheet (61dgs with 3 or less units)
DATE 4Ia4 l oa
RemodellReuair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate iF home served 6y sepfic system for additions
16V-0-1
VALUATION ?a9a . ?a 6as- as)
SITE ADDRESS Kk4l-e `_Y--e._4?. R'ric-C1 MULTI-fAMILY BLDG _Y Y,N
TYPE Of WORK L.Pl,L r 0?? ' I2e-PIC._cg... j< ocl? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT T' (UY- tS rp G?..
o1r'r
STREETADDRESS &501 L-L/nd.a_Qz_ Ut)..e, 6?lda CITY T? STATErnn ZIP SS?
TELEPHONE # -'tjR -FicA`h -a ovo CELL PHONE # (Qf ?? -,ta1 - -Foco FAX # Co lo? - Srad -?0C)C-1
PROPERTY OWNER PQA.I JOI't n5no TELEPHONE # Cosl SS6(p
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MI $
'?A ?1?F 5-7?' 2I 1
(q submission type) . Residential Ventilation Category 1 Worksheet Submitted . n?ev,Cod? ?Voql?Sq?et I
• Energy Envelope Calculations Submitted YK b ? LUU
S?
Plumbing Contractor: Phone # By
Plumbing system includes: _ Water SoFtener _ Lawn Sprinkler I'cc: $90.00
Water Heater No. oF R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mcchanical syscem includes: _ Air Conditioning ree: $70.00
_ Heat Recovery Systcm
Sewer/Water Contractor:
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 City of Eagan Ordinances.
Signature of Applfcant
OFI+ICE USI? ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plez ? 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 (Bidg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Gensus Code Zoning City tfJater
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) _ FinaVC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Ice & Water _
Roof 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 & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1988 BUILDING PERMIT APPLICATION -.CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURUEY, 1 SET OE ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, NOY a(? ?ga
1 SET OF SPECIFICATIONS AND 1 5ET OF ENERGY CALCULATIONS
- -
To Be Used For?d '' - a?? -i Valuation: ?
Dat e : G-• ? ._.%?
?
Site Address
Lot B1ock
.?..?
,.L-?-;?;
' Pareel%?y:b-
Owner
?3, oo?
On site sewage
MWCC system
On site well
City water
PRV required OFFICE USE ONLY
Occupaney
Y Zoning
Aetual Const
Allowable
4? of stories
p ?,tI
?
/-N_
V h?
Booster Pump _ Length
?
Address Depth
S.F. Total
City/Zip Code L.t---a,.-?.s Footprint S.F.
Phone APPROVALS FEES
? -
Contraetor ?- ?,.`'?-
Engr/Assess
Permit
464 o.da
Planner Surcriarge 56,50
Address Council Plan Review .oo
Bldg. Off. TI ?1 ?n SAC, City JOO.oo
City/Zip Code Variance SAC, MWCC SSO.oo
Water Conn 5gZa,00
Phone Water Meter 67, a o
- Road Unit y,c,p o
Areh./Engr. Treatment Pl-Z av
Parks
Address Copies
?
` .,?,? a; ?;? ,???,, ? ,
? TOTAL cp, '
' •
?
City/Zip Code,-
'?
Phone
0
I/A L L( ,4 ^?' ? r7 t??(
6,4
??
4 y o
(I o)
X 1y=
ZbX yC? =
/6x Z =
1 oy 0
Z?
-_.--
la6o x G2?
4
• ? ?
(obZ o
':? s-72o
Fy i. 1
S04'.1
ZX7 yYef ?
r) Z L/ 2 l?
- ,.
. ..
? \ ` 1 \ ? J 4 • V ? ?
? ? '•
. ,•. ,?? ? EX_ .RIOR [tJVLL011e, nvritnGr °u° caru>urnTtuN ?
_ ?. - ?` ? . _ . . . .. .. . . . . . . .
+ • ?i - ^ .r ? ?
.?3 a
OwNER: nnrr;
- - ---?--- ------7.?_ Lq_8?S
SITE ADDRESS;_j e>°r PIIONL:_
CONTRAC70R:??? ??? ?7N??b,0J6
Deterioine woi•king square footaqe of each
• ; -
l. Total exposed wall area....._??(1,V_Js??, ft, x.11 v
2. Total roof/ceiliny area..... I-?-- (Z p sy, fl, x.02G ??
- --
Total exposed wall <irea ailn vc I'loor=_
a. Total wall window area....................................... ?
b. Total door area.............
,...............
c. Total sliding ylass door arPa .................................... 0-
d. Total fireplace wall area........... ............... ??? .?
............ ?.
e. Total wall framing are,a (average lOp) ......................... T 14-
f. Total rim joist area...............
.............. .
g. net wall area above floor ............... .. . .
h. ' wall area above floor................... .................. "-?? 1?
i. wall area above floor.... H'? ...............................
3. frame wall area at foundal:iou.." .................. .............
,
Total exposed foundation area=_,L0(Q
Y„ Total foundation window area.......................
.?
1. 7ota1 net foundation area above grade .............
" Determine "u" value of each wall seyment
(e.g, window, door, eacii sep(irate wall secl:ion)
a .?? X U„
' 7-1 '
, -
b. x „u„` , 31
;
C. X
-?52.- ,
,
- q?-= - fq•?
d. x „u„
e• 17?? _._ x „u„_
f.-.133?_ x „u„
.
x „u„ .OS
h. X oluti _
i. X iiull _
J X sl
ff
.
- u
_
•
k. X „ull _
• 1 ? ------+i7 ?O-_? X n U u _ . ?2$ 3_-_
36 .................................YOtdl
?
,
?
,.I
? I
if item 13 is the san:!
as, or.less than item '
SI . you havr, met, the
Intent of SOC.G006 ?c !
•; ,
,,. .
.
' ,•; . , i ??
. li lnvelopo Avecnge Colopul-aL•ion . Page 2 of 4
,: . , •
. /F• • ..
Tol•al expo:;ed roo[/ceilin9 area = 1?? •. ,
--i
i
m. 7btuZ sl:yli.ylit nren ............. ... ?-
n. 7'otal roof/ceilinry •Framinq area (,1vQragc:•lOL) ... ?04_ .
. o. 'fotnl not insulnted roo.E/ceilin(j +irea,,,,..,,,,, qA??
?---"s`--
• • Uetermine "U" value for each roof/cQiling segment °
x glu° "
n, J rjQg $Vs
{?L?` • ?
X .,u., OL ._? . . '
4 . .............. ......... ToLal u Z.I.Z
I(: lotaL'of ;14 isl-he same as, or less I:hnn 112, you have mel• l•he inCEnt of
Slir_.600fi t
,c) 1. .
r
, Alternate ouilding Cnvel.ope Desiryn '!b uL•i.lize the tota], envelone'sy,l•ein method, l-lie values esl•ablished by ChQ sam of i.L•ems 113 and 119 ;;hall not 6e grettter L•h1n Uie
?sun of items Itl and 112. 2. Z,'t ° _ Z3?.S • . ,. .
3.
+ 4. . , . '
x
. ' i
..: ?
, , .
?
. , . . .
?
• - , ' .:,
.. . ? ;;:
. .. . F
' .
:
, .
?
`,
?;
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, ' , ,,?••r ?,t ?uf evutiu^ wAll nrcn for
fi'rlpt i:anrlrucl iun c'c,?ir;trn?:t (r?i? I;-V;?lu•r •
/ / --- ,.?-- . ? ... . -.. .. ?? . .. . ... . . ,
f L= ; . °-"--1!J l. llill?. i???•._l?.!.. ? !.?n? ... .----..... .._ .
.? ?C?Y .P._.
I si? ??,? ,?_?-.-(J? 4• . ?.???...........:.?....?--?..,?,.... ? o
I ALL . _.._ ? 6. ?. 17?
, • _ ---?
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? . . . u=.og
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I '. J • . • 4
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; ? • ??_ G. Ex t:??rioti_iir. l'ilc? . .?.1'/
FIG. 12 • ' --' - -
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. ;'-- . ? 1. li?l?r? it•,r`?il,i? 1'ilm U_GI{
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ir
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.' ?:'.i'.i. ???._ .._'. .?` • i ' placen??nG of {n:iul.il'[nn.
_ I . ? ..? •v . v+q?r'Irry W Y"6'7?(q?'fOw? ;
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. .
.'? Zgq4 (e6 ? 40
U L)i +5
,
I . . __
?.. .'%? METLINC
-- . • ? • •
. ?
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cc 119 tlt ir cio?? , n-VeI t?o
1. , Intcrior Air film O.G1 j
. .
B p sR
?T(10
(l-??1J ?IlII1I???? 4• Extcri.or yir filia?(still O.G1
vL?r? ?_ , To ta-. rz 4 s 80
•:?.
r . ?7 •
`u?L02 ' ' ? .' ? '•ti ??• ?_. ?.
. ' , • . ' . . . . ? Lr.
. ' . • ' S' '
. . Fll/'1+?'i 6%
tnted Heat f.Lov ? l. znCarlor nir [il?n ' 0.61
• ? , uP • • 3: - ;? ?_._I?D
--.I !?.5_ul. . 3g. 3? •
I.xLcric)r ir iiln (sil? .i ?
. . , . ._...._._._ -- --
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, ?-zc.
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A?!!`??V?/?:V1:?'1 ?l!`. ti?v • : ?oA, spr„?Cr/ av^_, . ?.•• . ? !
1_ Inslde air £ilin 0.61
?
J? .• ? , , 2" . .
. , _ .
S. ail•sidc air. Fi.lin ? 0.17
z?ora?
i
U,00;10
?
LcD l. Inside air film . 0:61 ;
2. '
}:eat llou vp • s•ven[ed • ' 3- ? ' • ' ?
' • . S.
06.: , .. . ,. '• ', „ . ' 5. Outsidc 5iz filtn 0.17 .. . • ' ' .__.. _ _ ..._ _ ? . . . . ? ? . TOtaJ. ?
. •, ,
3 • ? r ? v . ]._ 'Insidc,air film .:. • • _.N.0.61
? " ' ..?•??'?='?='??'? Z. - ? ' - - !
? ?1 15.?--_ : .:...'. . ? ? • . .
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?,:,•?. . ?' .?•-:,; ,,.. ;,•....,..••_? f ? . 4. '
•u?„'?:,?'`?`f? /_? 5. Out?:l.rjc air fiLn 0.17 i
7Cok.a1 • ?.
1 „ /. . , , . . ?•
, , , ? •?•.
. ? , ,';,; • ? • . , , .• ?- • .,'
' . . ' . . ,
Note: Uso additional sheets if morc 'spaco i: ?
„?y•? , ?•• •, ; ' ? ? necdcd for Jetails and calcu!ations. ,
. RcaC
. ' . ti • tlov u ? . • ' ? • , . .? . . : ?? .
+ p • '? . . '
. ? . ? . ?' .. • , `?''
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, : • •' '?'
-??JT?J?!.??.?y?T?r . • ? , ? ... ?..
.??. WCat?ltfltflpS i
? Cwde _.:
Wic«:ows Doors Referente Out: Wal1;'
o es o` 19.,.._'' >^?
? •? ?SFS?=ISi? Room l..englh • "W
.
,1 N idch ".,.
Window? and Doon-Crockage'and Area i+ •'NO. of psna of pane ?RhU of ef? k ??
Q? j?
, 14 a , . :a
4 I y
(n6ltration
Gtass i
Fsp.wail
Net exp: wall . ?
? Ceiling t p ?
?
! 01dl Bltl.
Required aq. ft. ED.R, or sq. me. W,A. I,eader ares
•I F.O' p "' Room l.ength ' "' <Width `
` W?? nclows lind Ubors.-Crackage and Ares :
' IAth HeIfM ? No. o Lle•tl [!. Mu ?
N0. ' ot Da"* of pan? Ilobts et eraek pft
In6ltteGon `
Claa ?.."
P. wall
A?L
N
et e:p. we11
?ntr?tlh ??? • "? .
Cri6ng
Total Btu.
ft. E.D.R. or tq. ins. W.A. L,eadet erea
?1 A Room I L.ena?h ". I t`?r' \il:A6 °>< ?
Windowt an7 Doom ncktge and Ate
No. , st ? ?t ne :? t?llfe?r. , Iltha et cra¢k .
, Q
• ? ! d?
In6llratron ' , .>' ?4 ? ? Y'; ;
?
3 .? ..
ht ?Widlh /j -
and Aera
•
e
+?i.-h+,til. E'r ZR ?;?'^3?" ?^rtk¢?l? Il'aa"
! aY k'};f `w i . ? ••
+?.?+rirf?PL f .. .
s
R' CotE. " Dil'
;In6ltratwn
/.l ' i
`Wasf
a?Net ezp.
53?t 1;Cl1l1?Ig `s`ws77 Yc ttt+:° r
r`
5?.6 ` "?EOT?+ f n .
TOtdl BlY.f
,.?.._..,.,? . Required sq Et. ED.R."or sq ins: WA L.eeder eres
%-"
ie?g6t
..? Eiaom 1 L.ength "a,` : Width ` 4-"Height
s ?
Windowi'and Doon=+-Craekage snd Ana
?w.?t^' Wldl :E NiA! An?
? of ae." e! w? 1 hb o[cr?e [G < _+?.?'?,s?`?;?ts++??. ?a??? ? ? :'T' ad+ ?e? • r3jpSjr ?f'„T,?.." .,Ffrt ?5`f ; a *., , ? ?.T???`€u.?? . _
et
gF
?'...Btu
-?.......?...r.?x ,,,. ' '' G
Coef.
. : ?
s?
F.ap. wall q
.?
qll
Net e:p. waU ,??i''? .
„ .loe'+valF .` ,
?+rR ? ClaIAg
. ?.?ww?: -? ?n•l 7r„ $?C:,'?y."""q?t? :ks wr4 . r.,,;?-.
Total !'q/" .
?3 (p
=Required`p,.LD.R.?or.y.
....?
r
ieight? r*: J Fl. ,? »; &C-,b?? l.engths' ?-44 ?Wideh Hnght
Windom'and boon:?•Craekage?and Atea'''*'
Idlh ;?NiAt,?. % a ot , Inetl G; . Ana ?"--
?,?!?,,fi?,,?? se e,a air n* ; 1{tsU
waiim?
?. 4s?,? ?+ .xsi ?'Yia• ? r Y^? r?, f;.?,,...;..
,,{y? . .:_ .
'F+???'$.v' BiS
1
+?•:?7.07, ....., ?.. ./ ?A
r- :;: . ? ••.: £ :. f °X W?S ` V??h???YSIC "e}c'?j??'y? Y?*a'
C.?p.'wa0
. L .. `ya •?.i '{ytUn:?r t.? Y ??`ka? ?"i?
: .. A
Net exp. Mnll
.NN esp. waU 0"?;
g
Ceilin
r r?Ceilieg
P_ {4-_- Es.. ??t?f?? ?y ? r ?
. i ?.. ? ?Y? ?4?'FS??? YtS.'.
: Totel Btu. F' 1.'4 Y.
.,. • ' .'?' S'rTotal ? 4} b????.?YV4'er4'^ • rN. j
Repuired tq. tLE.D R. or'w mti W.A. Leader m4 ?A= W^.
N?'.t?? '• • ? . M1• . . ? .
??`?
57, `IZ'7 A."u1
, ;
Leader arca ' ,
?
:.., •.. _ s:,?;z?•IIA . . . L?r#ir....?:.:?:i;."iV.:'?.? ?.>., . I?"``
.?ln
• r ???,-?H ?x?GYI?t?? '.? ,
ll ?
U
W , ? 1.,. T j Ya ... _ ' p ?(v 5?a?.
" 'z'r ,u ; How A ?1l?
( h .? 4 4
? Floor n KindL'. . PP
qRoof
CeJIng++?
t Wall
I
a
ut
?nwa Ite(ereace
' .
?
?
,.
n
f
Y I
'
?
?
: • P? n.? "„P4?••
?rt
Y?19 ?
Y
??
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?r
• • .? , ' ?
t6 ' Widthy,°
Len
o
•l
? ` Room I:ength'?? Width ?-'Height
g
m
} o
.
Windowe and Doore=-Cr6ekageiand Area'z? W?ndonn and'Doots=-Craekage?snd Area
G..: -IJih . He1R?l,? ? No, of. ,Llntal•I4? kAl'ea?
\Y
? i="?G2?#???•,
? n H?ItAI+? ryHtl.`Of i Ala1 II Afla
?'4?$j'??[Yt Idlh LI
?v
y
atCrlkck p ft.
ntOSn! of.p?ae I?Rhu, efeMek .ft-. yM
b,
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Filtratioo` ? ?.a, ?wa??, ??s!',s
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APFLICATION FQR PERMIT
?NOTE: PA1MENf OF FEE AT TIME OF
* APPLICATlON DOFS NOT CON- .*k
r
* SPINPE APPRGVAL OF PFTtFIIT. ;
x
i *
S E W ER A N D/ O R W AT E R C ON N E CT 10 N INSewn°r' oF 5Evm "nm/°'i w'Tm *.
* INISTALSATIONS WILL N(7f BE SCEDULED
t
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dtv . lrit **k tYr1 iF*rt Frt+f 4 y' }r** f#'t+e #k*itt t k**!ft
7M
oF ear
,an
1) PROPERTY ADDRESS:
i•FY:A7, DFSCRIP`I'ION;
(PLEASE PRINT
IF EXISTING STRtiC'TORE, DATE OF ORIGINAL BUILDIM P,jRMIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q CONA9II2CIAL/RETAIL/OFFICE
? INDL'STRIAL
? INSTIT[ITIONAL/GOVERNMENT
SINGLE FAMILY
? R-2 DOPLEX (3tao Llnits)
? R-3 TOWNHO[.'SE (Three + Onits)
Q R-4 APARTMENT/CODIDOMINIUM
( Lnits)
( . L'nits)
2) , " • NAME:
ADDRESS:
CITY, STATE, ZIP: v;?l/c /'f'7sj SS.337
PHONE: o?u G
3) ' i :DA NAME:
P/
ADDRESS : 902 qO z ?4 ? .?tti c, ? s • /i1- -
CITY, STATE, ZIP: /f'J.v1p 1z
-?
PHONE: 7?z MASTER LICENSE #/?/?6S
For City Use
?lurnber LicTe.nse:
Ij Active
Expired
Not recorded
Sta In? itia?
4)
NAME: Jq?se L. ? ? ?
ADDRESS:
CITY, STATE, 2IP:
PHONE:
5) 'AMIRMUS •'.r90e STORM SEWER PERMIT - CQNTACT ENGINEERING
CaCONNECTION TO CITY SEWER +?- -CONLVECTION TO CITY WATER CJ TAPS
6) w.e..? J' f z ' e?
****************?******************************************************************?****************
*
*'TfE GOLD COPY OF THE PERMIT WILL SE SE[aP DIRECPLY TO PUSLIC WORKS 2O FACILITATE WfBR PICK-DP. *
* PLEA.SE AL.LAW TW0 WORKING DAYS FOR PROCESSING. SOMEUNE FROM THi CITY WILL CONfACT YOU IF THERE *
* ARE ANY PROBLEMS. • k
?**************+********************************************,r,r,r*****,?************************,r*****;
FOR CITY USE ONLY
PERMIT # ISSUED
5
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER PERMIT (INCLLiDE St'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ - $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNIi SEWER
$ $ LATERAL BENEFIT/TRt'NK WATER
$ $ WATER TREATMENT FLANT SCRCHARGE
$ $ OTHER:
$ $ TOTAL
- ? SCI
RECEIPT ? ? ?/, 7 /9
RECEI
PT _
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PIIBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
ED NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ? ?TITLE:
DATE :
-?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178232
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 1008 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Paul Timothy Johnson
1008 Kettle Creek Rd
Eagan MN 55123--156
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178443
Date Issued:08/17/2022
Permit Category:ePermit
Site Address: 1008 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-120
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Paul Timothy Johnson
1008 Kettle Creek Rd
Eagan MN 55123--156
Applicant/Permitee: Signature Issued By: Signature