1012 Kettle Creek Rd? CITY OF EAGAN
, es I
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHON E: 454-8 100
BUILDING PERM",T Receipt#
TobEuseG;or Sr Ti1JG1(:At: Est
Value Date DEC i' 19 l!"h
. ,
j
Site Address 1'L •.'?'T`t .F (; G-- 1< r't OFFICE USE ONLY
.:T??ti 5?'
Lot Block +Sec/Sub. 1 r ?7ti " ? 7TH On Site Sewage _ Occupancy
MWCC System _ Zoning F'- R- 1
Parcel No.
On Site Well
(Actual) Const ?
v- y
a Name KF.YL1ld+1D HQME;i City Water y (Allowable) ?1•-••
C
W
= . + ? , -
Address 14450 nUR"°5 V. S,_ r PRV Required # of Stories
C 0 City 'ii'SVILLE Phone 6!f4-7 6 .,6 BoosterPump _ Length h!2`
Depth 47'
_.
, p
Name S14c,
S.F. Total ?
E ? Q Address Footprint S.F.
! a
City Phone
APPROVALS
FEES ?
? Q
u W
Name
Engr./Assess.
Permit 5t, ?: . :>f.
`
' ?
? i address Planner Surcharge ?`' • '?:?
?
i W City phone Council Plan Review ?.0
,
Bldg
Ofl
SAC
City l
1'?? ?•`''{•
I hereby acknowledge that I have read this application and state that the .
.
Variance ,
SAC, MWCC ??'?? •?
information is correct and agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
- Water Meter
Signature of Permittee
- -
Road Unit
3? ' • -•
A Building Permit is issued to:___.__,_ Treatment Pt '
on the express condition that allwork shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. '
Building Official _
TOTAL
."?
,
PEGEIVEj1
FqOrA
0
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
. ??
19
AMOUNT I$-- ? I I
8 DOLLARS
im
fICASH OCHECK
.-- ?
Thank You
BY _
,1?1i ? lJ l Ci i' ?
wnne--aayws cooy
YelbvrPoating Copy
Pink-File Copy
BLDG. PERMIT NO. ,
01-3210 Bidg. Permit
? 01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
-i
1
01-2155
Surcharge
! 75-3860 Road Unit - ! -? ?
T 20-2275 SAC L, 4
20-3865 Water Conn.
20-3868 Water Trmt. -•- ( ' ? -
'S 20-3716 Water Meter
20-2252 Acct. Dep.
203713 Water Permit
20-3743 Sewer Permit
- 79-3866 Sewer Conn.
28-3855 Park Ded.
_
i 1, c
TOTAL + `1:j I
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199 ,
Eagan, MN 55121 ,
OFFICE USE ONLY
PERMITDATE 1/1.2 1 f9
2.
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT # P, -` j
READER # B.P. RECEIPT DATE 12 !+:. .'
METER SIZE ? t_
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS 1012 KETTI.E CRESK R:; PERMIT REOUESTED
' LOT-BLOCK '- SEC/SU6 t,F_X1NG?-'1?: SQUAR"
APPLICANT: `??''?'''n ???hA?=S =SEWER -WATER -TAPS
ADDRESS: -COMM/IND h RESIDENTIAL
CIN, STATE ;,?i?h;;V1LLE
n
' ZIP
PHONE: )-2636
- _ NEW - EXISTING
PLUMBER: '.',.*'OUT9 Pi,BC, ? ? ::
ADDRESS: 4`+0 ZACHARY LPd I AGREE TO COMPLY WITH CITY OF
CITY,STATE ?aFL" GROVE ZIP 5536 > EAGANORDINANCES:
PHONE: 2414
OWNER: P(?M"a
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199 -'
Eagan, MN 55121 e
OFFICE USE ONLY
PERMIT DATE 1 / 1 ? ! ' ,
WATER PERMIT #' = 2 r SEWER PERMIT #?IL'"
METER # B.P. RECEIPT # R9$ 53
Ab-fEADER B.P. RECEIPT DATE 11_ J 12 8t?
METERSIZE _ , ; c.:. _ :?'UL•7f`
ISSUE DATE a1- g-Zq _ PRV _ BOOSTER PUMP
SITE ADDRESS- 101 KFTTLE CRBEK RD PERMIT REQUESTED
LOT ?'• BLOCK ' SEC/SUB LF.XINGTON SQUARE 7TF±
APPLICANT: :rrYI.AND HOMES X SEWER -? WATER _TAPS
ADDRESS: 14450 BURNSVILLS PKWY 7.
CITY, STATE BURNSVILLE ZIP 55337 - COMM/IND _ RESIDENTIAL
PHONE: 894-2636 ?NEW - EXISTING
PLUMBER: ''LYMOUTH PLBG 1NG
ADDRESS: 9290 ZACHAR'i t,N N I AGREE TO COMPLY WITH CITY OF
CITY, STATE N!API,F GROVE ZIP 5 5? `(1 EAGAN ORDINANCES:
PHONE: "?z'-?474
OWNER: K-fiYLAND HOMES
ADDRESS: SIE WHEN METE
CITY, STATE ZIP
PHONE: 894-2636
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSWG. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. - ? `, _
- -?
CONTRACT PRICE
Site Address 101
?
Lot %" ' Block
t PERMIT # l
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # y?".' •~C- `
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Sec/Sub
? rvame p Pti &g?
?o Address
c City W'.g f '„-_ 4. Phone _
? Name erti
c Address
O CitY -41 IVPhone _
TYPE OF WORK
Forced Air -7? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets # ?._
Other
FEE:
S/C:
TOTAL•
i. TYPE WORK DESCRIPTION
-?_ New _NA(4?
Add-on
?. Repair
FEES
I?AES
C
. HVA
0-100 M BTU -$24.00
':ADDITIONAL 50 M BTU - 6
00
.
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
Vol GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
.,APT. BLDGS. - COMM. R.4TE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIA
L FEE - ALL ADD-ON 8
REMODELS - 12
00
.
MINIMUM COMMERCIAL FEE - 20.00
- "STATE SURCHARGE PER PERMIT - .50
ADD $
50 S/C IF PER
- (
.
MIT PRICE GOES
BEYOND $1,000)
?
? SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
• ._, .a__, CITY OF EAGAN
•- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 „
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est Value Date 19
SiteAddressL12 u7^.'i?: ti.i+rk:'t•' 1ZLi OFFICE USE ONLY
1`! Black .F;Xi.r`;G?G"' 7T;
Lot ti
< <
? _ Sec/Sub
OnSkeSewage _
Occupancy
. MWCC System = Zoning
Parcel No.
V
w
On Site Well (ACtual) Const -
a Name ?`??•"y?i?. `fny-,.LS CityWater X (Allowable)
w
Z ? ;?nrt;?
r??iLc ? g+?{?,?Y
Address iLf% _'?
PRV Required
# of Stories
0 City '-UE phOne 894^263o BoasterPump Length
Depth 471
¢
o Name S.F. Total
0 Q Address FootprintS.F.
P City Phone ApPROVALS FEES
`- ~i?j?•??
¢
WW Name Engr./ASSess. Permit 41
50
? =
.
Address Planner Surcharge '
253
00
?
Q W City Phone Council Plan Review .
1??0
JO
Bldg. Off. SAC, Ciry .
_
5r;0•00
'
I hereby acknowledge that I have read this application and state that the
i
f
i
i Variance
- SAC, MWCC
00
350
n
ormat
on
s correct and agree to comply with all applicable State of WaterConn. •
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67• r'O
Signature of Permittee Road Unit 325•00
A Building Permit is issued Treatment P1 204•00
on the express condition that all workshall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances. " L).},
??e -+? ?3?
5(
7
0
BuildingOfficiaL.--_---.-------- - -
TOTAL
''
.0
29
• Permit No. Permit Holdar Data Telsphone #
Plumbing 0`? 7
/3 ? -ar. - -
.V.AC. ,. ? Gur,, l /S ?1?
lU J,7.'1 ?.• t? -?pi i - ?a-8
Electri ?
c . „
`5'?3?" ?/.?/?'?
Softener IF
Inapection Date Insp. COrtIm8nt8
Footings I ;
Footings II
Foundation
: . ?
Framing /,'op
Roofing
Rough Plbg. Z.4""Y' r;9 L-
Rough Ht9•
Isul.
Fireplace
Final Htg.
Final Pibg. ?
Bldg. Final
Cert.Occ. Z
Temp. LP
Deck Ftg.
Deck Final
We11
Pr. Disp.
.•
a' ;r
(IPXtiftXatP Df OftlltpttnCy
Citp of (eagan
OPp211'YttlPttf pf g1tllhtllg JtlBpP1'11Dri
This CeniftcaJe issued pursuant to the requirements of Secrion 306 of the Uniform Building
Code cerrifying thar a[ the time of issuance this srructure was in compliance wuh the various
ordinances of the Ciry regulating building construcdon or use. For 1he follo wing:
Ux Clemificatian qP-1.MIM Blda. lbrmit No. 15961
occuwwr Trx R9All zoning ncm;a PDA> I- TYx cmn VN
oww ot euwaing KEYi" fK2?'S am? 14650 B' VIIE PKWY, $' V=
suila;ng nmreffi 10 12- t1cE.ETCr F rItF.FK RflAD Lm,,;tyL 13 . E2, I,UMMCkI 90UARE 71H
,
Darc: P'EW1ARY 239 1989
Building
POST IN A CONSPICUOUS PLACE
PERMIT #
CONTRACT PRICE:
Site Address
Lot Bbck <-
T r •, ?;
? Name <
d
m
Address '
c City Phone
Name
3 Address
O City Phone
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
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
,
,.
SIGNATURE OF PERMITTEE FOR CITY OF EAGAN
PIUMBING PERMIT RECEIPT M
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
E ? BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. 2; New ?
M ult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIXTURES TQTAL
? Water Closet - $3.00
It Bath Tubs - $3.00
-2--Lavatory - $3.00 -
-L-Shawer - $3.00
?Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
?Laundry Tray - $3.00
! Floor Drains - $1.50 `
! Water Heater - $1.50
_LWhirlpool - $3.00
?Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMM
-Softener - $5.00
-Well - $10.00
TPrivate Disp. - $10.00
=Rough Openings - $1.50
FEE
STATE S/C:
a
:
r
DATE
JATdUARY 13, 1989
??E,,,?„1l?D08 [CETT'I.II C?BK RD., L129 S29 LLXIAtGT()F? SQUAd? 7TH
'?' - 1012 ItSNII.E CBEEK RD., L139 B29 LEXING'[ON SQllARE 7TR
XX Your Sewer &Water Permit for the above property has been completed. It will be held at the
'Xblic Worka? Oarage (3501 Coachman Road) until the meier is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
1.,
- COMMERCIAL PROdECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by eill 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 Inspeaionstept.
t..
CITY OF EAGAN ?Tn 15961
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 r; ? ??-
BUILDING PERMIT Receipt# ?') 7 •?.? ?
To be used for SF DWG/GAR Est. Value $83, 000 Date DEC 13 ,19 88
Site Address 1 O1 2 KFT T.F (`R K Rn
Lot 13 Block 2 Sec/Sub. LEXINGTON SQ 7TH
Parcel No.
c Name KEYLAND HOMES
z Address 14450 BURNSVILLE PKWY
3
° City BURNSVILLE phone 894-2636
U I Name SAME
I
ou Address
i- City Phone
U¢
y? W Name
FW
i? Address
U
Q W City Phone
I hereby acknowledge Ihat I have read this applicatfon and state that the
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of-Gegan Ordi a es.
Signature ot Permittee ??=?J?/._ ?_
A Building Permit is issued to:_? ?_i -
on the express condition that all f?oik s all be done in ccordance with all
applicable State of./M?innesota S-ta.tIutes and City of Eagan Ordinances.
BuildingOfficial-.Ll.?,?l?1?G
?-
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem XZoning PD R-1
On Site Well _ (Actuaq Const V-N
Ciry Water ? (Allowable) Tl-
PRV Required _ # of Stories
Booster Pump _ Length 491
Depth 471
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess _ Permit 506.00
Planner Surcharge 41.50
Council Plan f7eview 253.00
Bidg.Off. SAQCity _ 100•00
Variance - SAC, MwCC 550.00
WaterConn. 550.00
Water Meter 67.00
Road Unit 325.0
O
Treatment P1 204.00
X'Imx coPy .50
rornL 2,597 .00
;Z 9 S
? 8 5738 1
Request Date ' ire No. h-in Inspectbn
uired? / y
O Reatly Now L?Wiil Notity Inspector
1-1 1- 8 9 Yes ? No H'hen Ready?
IXD ticensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) p{ry
1012 Kettle Creelc Road Eagan
Seciion No. Township Name or No. Range No. Counry
Dakota
Occupanl (PRIN7) Phone No.
Key Land Homes 894-2636
Power Supplier Atldress
Dakota Electric Farmington, MN
Eleclrical Comractor (COmpany Name) Con[ractor$ License No.
Midland Electric Inc. 041610
Mailinq Address (COMractor or Owner Making Insteliafion)
14055 Grand Avenue So, Suite E Burnsville MN 55337
ANhorizetl Si nature (Contractor/Owrrer Making Installation) Phone Number
' 892-6688
MINNESOTA STATE BOARD OF ELECTRICffY TNIS INSPECTION REQUEST WILL NOT
Griggs-Mldwey Bldg. - Hoom 5173 BE ACCEPTEO BY THE STATE BOARD
1821 University Ava., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION
? ll? See inslructlons for completing this form on back ol yellow Copy.
b85'73 p. 'X" Below Work Covered by This Aequest
G ee-ooom-o7
? ?ss
?
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (specify) CoMractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SigllS Inspectar's Use Only; jpTp?
Irrigation Booms ?U
?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final
? oa?y_ /J2,S
(
Da C tv
OFFICE USE ONLY
This request wid 18 months from
BUILDING PE M TTA PLICATION ?zs?
` CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVUCtbn ReaulremeMs
• 3 regislered sfte surveys showing sq. tt. oi b4 sq• ft. oi house; and la roofetl areas
(20°k maximum bt coverage aibwed)
• 2 copies of plan showing beam & window sizes; poured tound design, etc.)
• 1 set of Energy Calculatbns
• 3 copies of Tree Preservation Plan il bl piatted after 7/i/93
• Rim Joist Detall Options selection sheei (hldgs whh 3 or less units)
DATE (C?_( ( `"0 _Z--
SITE ADDRESS r O ( _L
_ Water Softener _
_ Water Heater _
No. of Baths
TYPE OF WORK "fPf&2!6L " /at{- G2my<.P FIREPLAGE(S) _ 0_ 1_ 2
SEtA ROOFING & REMODELING. '
APPLICANT 4100 EXCEL51pN
U. OUIS PARK, MN 5541s
STREET ADDRESS In Annnir%a., CIN STATE 21P
TELEPHONE #C¢C2-q2? - ?? CELL PHONE # FAX #
PROPER'iYOWNER CO-?Ck? TELEPHONE#Cll-
------ -------------------- -----------........ ----------- -------- -------------------------..... -
COMPLETE THIS SECTION FOR k•NEW?, RESIQENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission typej . Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical ContracMr. _
Mechanical system includes:
Sewer/Water Conhactor.
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
MULTI-FAMILY BLDG , Y _ N
Fee: $90.00
Phone #
Fee: $70.
o??r??
Phone #
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
i
OFFICE USE ONLY
HemodeUReoatr Reauiremems
• 2 copies of plan
. 1 set of Energy Caiculations tor heated addRions
• 1 Site survey for exterior addilions & decks
. Indicate ff home served by septic syslem for additions
ck -7 3fS_ , ?
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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 10-plex ? 19 Lower Level
? 12 12-plex Plbg Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
o so Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowsiDoors
? 34 Replacement *Demolition (Entire 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 5q. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
_ 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 (new/replacement)
_ Insularion _ 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
APFLICATION FOR PERMIT
SEW)ER AND/OR WATER CONNECTIQN
7
NO'1'E: PASMENT OF FEE AT TIME OF y
* APPLICATION DOFS NC7t CON-
? ?
• STIISTIE AppRGJ11L OF pERMIT.
* INSPF7CPIQN OF SES+1FIt f4NID/OR WA1'ER
,*t S4LTAI.LATIOKS WIIL NOP BE SCIDULM ;
* OLPPIL PII2[•ffT HAS SEF2] APPROVID. .,*t
-Cltv *l444i1##*******kir**i!*#****f4'R1"M*4#4*
oF aciqcon
( PLE7ISE PRINT
1) PROPERTY ADDRFSS:
i,FY:AT• DESCRIPTION;
IF EXISTING STRt'CTr-IRE, DATE OF ORIGINAL BfJILDING PMMIT ISSUANCE:
Mont Year
PRESENT ZONING/PRaPOSID USE:
? COIMERCIAL/RETAIL/OFFICE I?F2-1 SINGLE FAMILY
Q INDLSTRIAL F-=] R-2 DDPLEX ('IWo T-Inits)
Q INSTITUTIONAL/GOVERNIENT [::I.R-3 TOWNHOIISE (Three + Units) ( Dnits)
Q R-4 APARTMENT/CONDOMINILM ( Clnits)
Z) .. NAME: _ ?r? ???-6 ?utl?«s
ADDRESS: ,?Y?lS o a.s ur Ile /?71-kw4
CITY, STATE, ZIP: J'nA-' SS 33 7
PHGNE:
3) ' RUMEA NAME: ?fy sstou t%?i PlG ??c- -
ADnREss: 9az rn 2??.??? y ??-. .(/_ , ?
CITY, STATE, ZIP: /-01 l2" IC e'Z; tuL'-- I"..j
PHONE: -V9 g-,;Z tl 7C/ MASTER LIC.ENSE # A/2444,/O5?
,
For City Use
Plumber-s License:
? Active
1 Expired
Not recorded
Staf Initial
4)
NAME: W-5 j:?!)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s?' ?'?' •?a -' ?0 STORM SEWER PERMIT - CONTACT ENGINEERING
F77f'CONNECTION TO CITY SEWER []?rCONNECTION TO CITY WATER F] TAPS
6) 9,9
**********************************************************?****************************************?
*
* TfE GOLD COPY OF 7HE PFRMIT WILL BE SERP DIE2DCTI.Y TO PUBLIC WORKS 'IO FACILITATE MEPER PICK-LiP. *
* PLF,P,SE ALJAW 7inC) WORKING DAYS FOR PROC'FSSING. SpMEONE FR(3M THE CITY WILL CONTALT Y00 IF 1HERRE
* ARE ANY PROSLENIS. ?
?*******************************,r***************************************************************,r**y
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMELVT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
1S/ d Js ? I i'Z
R R PT #.
DOES DTILITY CONNECTTON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TTTLE:
DATE :
_?
A r
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1 6 q ? I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ITNITS 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,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS NOV $ O 1988
_ .. ? -
To Be Used For?.L_,X-I'"?
/d / ?
Site Address J
Lot /J Block ?
Parcel/S ,
Owner
Address
City/Zip Cod f(f/j
-??-
Phone 17:L C. 3 ?
Contraetor -
Address
City/Zip Code
Phone
Arch./Engr.
Addres
City/Z
. Date:
-
OFFICE USE ONLY -- --
?
o
r
OnU
sew
ag_ Occupancy lk-3 M-1
MWCC system Zoning t'PTA ?-1
On site well Aetual Const V- N
City water v Allowable V-/.t
PRV required _ # of stories
,Booster _ Length NZ
Depth 47
S.F. Total
Footprint S.F.
I APPROVALS
Engr/Assess
Planner
Council
Bldg. Off. 2A
Variance
FEES
Permit 50G.U(D
Surcharge Uh Sp
Plan Review ZS 3,0o
SACp City bal?
SAC, MWCC 550oon
Water Conn 5501o
Water Meter
Road Unit 2 5? 230
Treatment P1 $00000
Parks
Copies SO
TOTAI. c)59 -7 - 00
Phone # /?3?? ??' ?
• ? ? ?;,?'? v44 r/aN ?- - .
??? E
zZ.xZ0 r (-ILI 0
Z. x s = 00)
?----
??o x ?4= (,O Z.D
L2> asL Ms N r
3GX a(a = 9a?
147,z x ao = z9o
S X ? = C3;-
IIct6X13= 155?1?
L?s?r - 111?
?2xs- )n
S"yfo
A-.1
? ?o x ti`'r = ? ? 2.s'?
--•--_?
f32 ?61 S`
EXTERIOR ENVELOPE_fIVFR/1GC ."U"_ COMf'I1T11:fI0N. •
• .
OWNErt; DATf : ?-4--gfj .
SITE ADDRESS: Lo`? I'S 1%wom 2? ?YMN PNONE:
CONTRACTOR: K/6?I./WD AQ?A,? 1??Vd PLAN # IP,-- 3471 . .
Ar-sam. .
Determine working square foota9e of each
1. Total exposed wall area.:... 18g7•ZS sq. ft. x.11 = 'ZD'7•5q
2. Total roof/ceiling area..... // q S sq. ft, x.026
Total exposed wall area above.floor=__/(05S a. Total wall window area .............................:............. llg• s
b.? Total door area .......................... ...................... 3 7
c. Total sliding glass door area.................................... 4p
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ f4,$?-
f. Total rim joist area ...........................................:. /i-g.
g. net wall area above floor ..................................... 1 310. 8
h, wall area above floor .....................................
wall area above floor .....................................
j. frame wall area at foundation .......................... ......
i
Total exposed foundation area= 76--75
k. Total foundation window area ...................... --
1. Total net foundation area above grade .............. 75.7
. Determine "u" value of each wall segment `
(e.g. window, door, each separate wall section)
a. 119•S? X ituil .G}? = S(o.l(v
. b. 37 xu?? l1•84
c. 40 x,iu„
d. - X "U"
e . I4S• !05 X
X
g. / 310.8? x
h. X
l,u,i . o?q = lD? 04-
,
liuil 04
„ui, , d4 = 5Z.?3
iiuii _
i . X ttuit _
. ? , x ,iu„ _
k. X liuit _
1. 'TS7S X "U" = ' (?•ZI
?----
3 . .................................Total = I(o 2
If item #3 is the sart
as, or less than'item
#1, you have met the"
intent of SBC.fi006,(c
. :Y.•
?ape Average "U" ConputaL-ion Page 2 of 4
, ?..
?• Total exposed roof/ceiling area = J?g J
m. Total skylight area ............................
n. Total roof/ceilin, framing area (average 10£)... ?(-9•5?
o. Total net insulated roof/ceiling area........... fp'75.5
Determine "U" value for each roof/ceiling segment
M. X "U" _
n. a „U„ , 167--t_
o. X „U„ . oZ
a ........................... Total
'f total cf 7"T4 is the same as, or less than #2, ave met the intent of
SBr 5005 (c) 1.
Alternate Building Envelope Desiqn
To utilize the total envelope'system method, the values established by the s;un of
iterns #3 and #4 shall not be greater than the sum of items #l and #2.
. 1. . 1;? 0?.s1 + a. S1.07 = 3 - - _
3. + 4. a437 = 1??• 9 .
i
?:
Plarr # / 1(2-34-7'?
NF-AL nMT EXPosm wAta.,
BL,OCK' 36*46fi14+-5 S+?.s+ 8+ /S. S+ &c, _/51. S
aNEE:
w.o.. NA
FUU i: ?(?t4+4o-f-14+5.5+6.5'+4+2.5+4S+?S.Stz6 =/sg,?
fln..i., 2:
FIREPLACE:
RIM: I58 • ?
? sQuAM FM EXPosm wrLL AREA ; .
BLACK:
.5 = r75;7 S?
wNEE: '7X 5 = .?85
w.o.: X s = /(os3
FULL i: /58•Sx 8 = 12?8
FULL 2: x 6 =
FIREPLACE: X _
RIM: /58. Sx 1 - /S? • ?
TOTAL
I 88'7. ZS'
SQUARE Fg.T E}POSID CEILING
?'13?t 19?+ 5l t 12=
DOORS Zp
Sfl?-?,c48-I -1(o z$_?- /?
sne-24-? 4o-( - 13•3 7
l 9 x,?q- 3-1 - PATIO DOORS
? s,c47 - I I -?1 • 7 ?°- I- qo
3 5-,c4-7 -1 -/ I• 4 * aAsEMErrr cnJrrs
/9y1-357-3-I - 13.8
3Drt-?,D?C36 - I 1 - zU
l19S
ni
n
c
P.111o 'hill
_ ?r.c?•:ows
of vilw1m wall nrcn Ior
%-frmm? r.oiunf rvct lu n
...,..._...._.(?
---`??
? • ?
__-?
s ic _
-yc,al
)IT ICIi
,
?
. ,
toA_• ' •'
• , r• ` y ?
---_-._--- ?,
???----------.--p
?!i?np? •
r. - ? ''"?•,
Con:,Cruci ir,n h-V.ilu•'
--- -,?R,At?1-G ° -- - -•-...
m . .. .. ... ?_ . _ ti.?1:!!
c? i?,,:???_?__???
3. 30
a, 3/4"
5.
•S1DHJ?b•• -- - - ---- ----._- +
6. F.r.t.cric,r nlc (ilni ?• U.17
'PU1??1 Rs14 Ii?
J
v: .ob?l
1. inCerlnr a ir ' i lio U.(,Il
3. .3/ T?FF _1z ..-------------?!?Q-
a. . ____._..---_-----
5. vr?bt R1?? t,o
G. Ex cr1'oro?air Cilia.____.--.---..
]
--•-?---...._;Cul.a1^RC xZ?1
U ? Io4
1. t i.u r o r Cilm_. .^------•. 1.GR
a.
5. _?cD_l.N?s.-•--- ?- - ----•-._.?.?V'L
6, };xtr.rl.or e1r f.ilm il.).7
?"--`- ? - •,?ot a i ?,.: zr4 .4
us peEo
BI.K •
1. Inta1LOI a1r (ilr" 0_GR
2, ._?'`_?_21(?iP..__ lN.5U4,...._ . _.
..........L.Q.•_Db
' 3.
' 4. - - -- ..- ? ---- -
, -- --------
._.... ..__ _
5. . .__?__--.-• --• _. . ---------•--- - ------.__.
_-----
._..__.-------••--- -._..----_.._
?ro?:il? .--._
Rc 1rL??3
sr,nti nri GicnuF
? __?___._._.. ---, ---. -•---` .?,,.....?
? I((::.- , • ' ' ??
!'r ? ? ' d • . ' /ii7'-:..
iti ? . • , . . ' ifl '
,
? ? • • ? = !?f
.
FLG. 04 I!1 S. ? :> ?
"?• ? •-- - ?
Hr
du'[';: Indirat.i! tynd, 1!1" vnluu, denCh and
? nl,lcenent O( Irc:Ul.lti4n.
C. 13 v . ? o-
!
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414?
?:-..
CONSTRUCTION ' R-VAL,UE
1. INTERIOR AIR FIIM 0.65
2. 57P Gyp. . - -.t;R
3. INSULA
4.
.
U = .02
HFAT F'L)OW
uUP FIG. #5
FRl1ME
1. INTERIOR AIR FILM 0.61
z. .
3. x
4. 0-.GY-
T'OTAL
U = 0.024
CONSTRUCTIOtd
HFAT FLOW UP
VEN'I'ED
FIG. #6 .
NON-VENT'?,'D
HFAT FLOW
UP
1. INSIDE AIR F'IIM 0.61
2.
3.
4.
5. .U U.17
FRA
1,
ME
INSIDE AIR FILM TOT.AL
. U -
• 0.61 '
2.
3. ?
4. .. .
5. OUT
1,
INSIDE AIR FIIM . TVM
U
0.61
2. .
3.
4.
5. .
TOT'AL
U =
NOTE: USE ADDITIONAL SHEE.TS IF N0.ORE SPACE IS
NEEDED FOR DETAILS AND CAI,CtJIATIONS. ?
FIG. #7
tzLZNc
o l a. iGz4! z C.ve.C
ti ? ?. iul
a
w n
atto n
?
o
i v ,•, Doon -i Re(erencq Out ?Wall' InU-Ws11' ?±Cediag=;?; Roof ;; ' F'IoorP` <;?
. K?ind
,?` :
Now A
l
?
-:
.
.. pp
?e
.
'.I
tR - I oom Length,: oom
L.
eegth
s
Width
Nei
ht
Windows and Doon-Craekage and Aiea'?` ''?' •?"" g
1Vidlh Nti/Al .
Nu. OL
. Woeal ft
W
in
doM n and Dooro=-Craekege and Area
?. ,
of pina . ol panr . 1?1th1es : of crack' : WIdIA . NeIgM .
? :Na of Llneal tt." Ar??
of pans `
of pan*, '.tl A1?- of ermcY p It
.
Y
a5F?5T. 'Y?'fy'?
! yt" #a'v` r"i???Sy'?? ? r .R?'. c?
• Frt'
i?'!??? $IS ?
?" ? CN? .'
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f,t"
1
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a .
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.?K? Bwce
Coef.
Bw
:rlnGitrahon ?
asi .
/'?? .. .
Waa
p
II
c. wa P 14 ?„ '.??,?
f?l
? "?`
?
,
-t exp: wall = t ,????? y, ? ,.s?••" E
/(Xe
,?o: "', a
,? ?f? Fsp.•wall ?r
, ;y.
:?' >
',
....
. Net esp wall
? 1 V
?
+
'1?111 t s
?? trJ ? F 3 -
{ O t .? tr'/?Q *
CeilinH
"' '
?eer- ?.?
, .
u,
dal Btu v
-quired aq. ft. E.D.R. or iq wt
W
A
l
d
" j`
O?I BtY ? e, 7O
..
.
.
.ea
er ares
*
W
Sr
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Required sq. fG ED.R. of tq: ius. WA. L.cader area
.,-
J
Fi.?
. Room L
h' ' .
engt
; . 4, Width, { zra Height ?`?s
,
Windww end Doors--Cracka
e and A ,
Roow ( Lengtb .J Width » NngAt
? wmis
et pon? x.isMt
o[ xo. ve. g
Lm.. «
' ro?
., w... ,
.'?`"'' tWu?dow? and DoorrCrael?a ge;and Area ?. •?,? :
an$
r Iliht?' ofee?ek
w? J r i? ?Y fi .
4?,v
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? ?'?Nov
1 tq
o[
aoe.
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ot
=
No of
Llool tt,"
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CoeF. -
,iltration c
oir tu
4. s " ?; • Cl.a t
n
4 -
p. w.ll ? ?
?,
' ?• , /o
Es waq
,
W'
$`f
J1
.
1 e?. wall .
.
..
F.. _ ,? ..,. p , ..
r? /. D.?,..y,?, Net exp. wdl :?
•
?- , - ?
?
y
JU
I
iling
'
a-
X
.
..t
i aCen8
.... .
•tal Biu, . . . .
. : T
l B
:quired sq. tL ED.R. or
W
ias
WA L
d
r :?
ot?
tw
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.,
.ea
e
aroa ?• z?;
• ,. ?:s;;;??"?.?v r,k.??d s9. h. ED.R or tq. ms. QU.A. l.eader area
. `: Room L.en?tk•,. O a
,Qlid?h He?ht
Wi
ndows
Doon--Cnekage: and Arca
:
FI.
; ;•r,E Rooo? l l.easeh ?/ ?.'.: Width
'
12
Height
x.imn% 0.0 a.. a?- ' %?'r?,.Wi adowi:and DoorF-Cncka
e and Area
ot pam
of e?
pa •
IItAts ?
o[ et?ak wr..
'p tt
??T?- ?;°,? ?? i? 3?t :•?NO:` i"s
, ef lAtA
pe*
., • ?At
• Of
.:
Na o[
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L nnl LL
Aru ,
?, f z -µ• :
PaM
IIiAI*
et e?&ek p tL
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-
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..
Sltntioe ?.,.?i ,, a
?; Coef. ? Btu
.?, , y;, :?,in6leaeion
-khEg$+.r
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p.
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y
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?, ir .?. . F }Ir.l
n i. :Z.t?iu . , t .:.:'.a
_ 4d
: OF BUILDINGS ` ., . .
:A"?C055'TC?l1L?UT''flD`?PRTM_
- ---------------
eatherstrips A.S.H. .E. Construction No. ' lnsulalion .
Guide
vs I Doors 11 Re(erence Out. Wall lnt. Wall Ceiling ` Roof Floor Kind How Applied
?o Yes-No 19_
?• Room Length Width / HeiBht FI.1 Room Length Width Height
mdowe arrl Dooraffiackage jandjArea Windows and Doots--Craekage and Area
Are• HNrht No. ot Lled 14 Aa•
?q. IL . , No. of p?a• Of Cant ItRhi• ot enok s0. tl. •
Coef. Btu
r
ration O«i '
, a 4 0 ';.'?
wall zati
::p, wall I /
wa11 ?
ng
?. ..r
d Btu. y
uired sq. ft. E.D.R. or sq. ini. W.A. Leader aree
.? jgpWMM+Room1_Length ` Width Height
?_. 426 Vindews end Doen-Crecksae snd Ares
WIAth
of pans Height
o[ pane No. el Llnfal tl. Art? ,
IIgAb of erwk p. It. • ... .,.
a ? o ?
914 ?
2?q
Coef. St+
Ittstion ? %,__
P•N'sll
1 exp. well
Wsll
%
oor (p
tal Btu.
de
:quired aq. it. E.D.R. or sq. ins. W.A.
Btu
1n61tration
Glen
Net exp. wall
Int. wal{
Total Btu.
Required sq. Et.
Fl.I
Windovn an,
Infiltration
GIa•.
fsp. wall
Netit
Inl. wsll
E.D.R. or tq. ias. WA. Leader atee
Room I l.eeBd+ Width
I boon--Crsekage snd Ates
H.Iret No. ee Llne.l rt. wr..
e[ o?m tlf?tP eI enek q. Il.
Total Bm. '
Requircd sq h ED R or lq ins WA. Lesder arcs
- n o- l t....t6 Width Heiehl
FI I BAjpMg ?Rom ILength pD Width I y Height I I
Wiodowe and Uoor?-Vrac[a gc sna rtrca
i. Iain
of pane Height
et paM e. o
IIgMs IMa1 (G
et Cnek Atta
p. [4
,
Coef. 8tu
i6ltratioe
Jass `
: . wall } 1 1-1 ?
let exp. well 0
?rweH?
ei{+ne.
loor C I o ?yo
otal Btu.
tequircd sq. (G &D.R. or sq. ini. WA. Lesder area "
Windowt snd Door?--Cteckage and Area
Idl?
Na o! pnne Height
et pILeO Ne. o
IIgMs Llned tt.
of eracY Ana
84. !4
Coef. Btu
In6lttation
CJus
Esp, wall '
Net exp. wall
Inl. wsl)
Ceiling
Floor
II Total Bcu.
? Required sq. ft. E.D.R. or sa. ms. WA. Leader area .?
SURVEYOR'S CERTIFICATE
1
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KEYLAND HOMES
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* DENOTES IRON MONUMENT FOUND
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
X000.0 DENOTES EXISTING ELEVATION
.. (000.0) DENOTES PROPOSED ELEVATION
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SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - $$g,'7 FEET
PROPOSED LOWEST FLOOR - 8$5.9 FEET
PROPOSED TOP OF BLOCK - 8$4, I FEET
WE HEREBY CERTIFYTO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUFiVEY OF THE BOUNDARIES OF:
LOT 13, BLOCK 2t LEXINGTON SQUARE 7TH ADDITION, ACCORDING TO
THE RECORDED PLA7 THEREOF, OAI?TA COUNTY, MINNESOTA.
iT auES NOT PURrGRi 7v SHG'vV i??FRv?'EiiEtiTS Gn riJiRvACHMENiS, t=JCCEFT AS Si-iQ?VJN. RS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 23 RD DAY OF NOVEM9ER , 198&
PROPOSED GRADES SHOWN WERE TAKEN SIGNED: JA L, INC.
FROM THE GRAOINO 6 EROSION CONTROL •
PLAN FOR LEXINGTON SQUARE STH 9
TTH AODITION, PREPARED BY PIDNEER ?
ENGINEERING, LAST DATED 3- I-88 gY.
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
[-n ' n -n m0 wmO r= ? O
m O N -O m
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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%62 5?2-
aoos RESIDENTIA,L PLUMBlNG PERMIr APPLIcarIoN
CDTY OF EAGAN
3830 P3LOT e(IVOS ROAD, EAGAN iV1N 55122
559-676-5675 `
se camplete for modiffcations to existing resfdential dwellings.
/??(6-0
z ?'
5treet Address Z':?ucg /?r
Unit #k
erty Owner IC Telephone #
Teiephane
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or _-
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Staie Zip"
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_1A!
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s City W71LU__ 1 1
•
es
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Applicant is: _ Owner X Contracior _Other
9c System _ New _ Rerurbished Subm?t 2 sets of plans and MPC license ? Includes County fee
$ 100.Q0
Per as-buili I, $ 10.00
rations to existing dwelling $ 50.00
Add plumbing fixtures. This iee includes instaflation of a water softener and/or water
h2ater at tne same time. ff you are instalfing an1 a water softener ant!/or yvater
heafer, do not complete this section; move to ?he next sec:ion ar,d cneck the -
appliance(s) you are installina.
_Septic System Abandonment
Water Tumaround (add $130.00 ir a5/8" meter is required)
Oiher
i
_
Water Softener VVater Heater $ 15.00
_ new 14 reptacement
-
-
-
-- ?
Lawn trrigation _RPZ _PWB `new _repair _rebuitd $ 30.00
:e Surcharge i $ 50
reby apply for a Residential Plumbing Permit and acknowledge inat th2 in#ormaiion is complete and accurate; ihat the
K will be in conformance wi#h the ordinances and codes of the Ciiy of Eagan and the piumbing codes; thai !
erstand thfs is nat a permit, but only an applicaiion for a permit, work is not to s'tart. withoui a permit and work wil3 be in
?rdance h the approved in the event a plan is required to be r' wed and approv
ifica t's rinted Name Applica t's ignatu,e
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PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105569
Date Issued: 07/19/2012
Permit Category: ePermit
Site Address: 1012 Kettle Creek Rd
Lot: 13 Block: 2 Addition: Lexington Square 7th
PID: 10-45081-02-130
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Pronto Heating & Air Conditioning Cristina E Cecka
7588 Washington Avenue South 1012 Kettle Creek Rd
Eden Prairie MN 55344 Eagan MN 55123
(952) 835-7777
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
Fig----------i
Office
l
Q1
I
1 Perms 0. Z O
ba"T of Eajan
Permit Fee:
3830 Pilot Knob Read Date
Eagan MN 55122
Phone: (651) 675-5675 I Staff: YIC7 t
Fax: (651) 675-5699 L-------------- - _t
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address. l ' its/t nf t' t z
Tenant: suite
D
Resider7t/Owner Name: G del<-a. Phone: 7-
. y. ,g
Address / City / Zip: I 6~i w
Name: "Q Ila it t ~fl/ o/!4- License M
Address: J/tX f2 Ctty:
Contractor
Stater Zip: 1 Phone:
Contact: _o of, Emaif:
Type of Work New _Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W.
escriptionofwork: % D1/G N t /t4
RESIDENTIAL
Water mater
Water Softener
Permit Type Lawn Irrigation L_ R.PZ PV8)
X,0,dd Plumbing Futures C_ Main t -Xo+er Level)
Septa system
New _ Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) i
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $200.00 If a 578" meter Is required)
$115.00 Septic System New ($10.40 per as built) (includes County fee and $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 dlg to receive locates of underground utilittes, www.oopherstateonecall.org
I hereby acknowledge that thhs Irdarrnatton is complete and accurate; that the work will be in oontonnance with the ordirenoes and odes of the City of
Eagan; that I understand this Is not a permit, tot only an application for a penrA and work Is not to start without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Ap cant's Printed Name kanes Signature
FOR OFFICE USE Reviewed, By: Date:
Required Inspections: Under Ground Rough-in Air Test' Gas Test Final
Meter Related Items: Meter Size Radio Read Staf` ¢
Use BLUE or BLACK Ink
r----------------- t
I For Office Use
Q
Permit
I I
City of Ed~ I Permit Fee: 1 o(aC-( I
3830 Pilot Knob Road I Date Received: r
Eagan MN 55122 I I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:/ Site Address: L- OGl~' Unit
Name:/,S~/NL ~Y ~C~Q. Phone:
Resident/ S~ ' 7
.
Owner Address /City/Zip: d~ Z /<0///,0 zeek /?e/
Applicant is: __X<wner Contractor
Type of Work Description of work: /C%✓J~ 4 zgl✓~2 zeaz_ eo~p~
Construction Cost: 15_V Multi-Family Building: (Yes /No
. i Company:'Calm*►/ C-e&4- AV/Contact: A14VY ENG/~~lq~
Contractor I Address: Z. 195_ /JL~ A _ City:
State!/"A'0,00, Zip: Phone: _
License /3C Z O 063 7 -3 Lead Certificate #:,OVA 7-P 109/3
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co mus be completed ithin 180
days of permit issuance.
x 69ff /4r EiA1C1f/A1)-1 x
Applicant's Printed Name plicant's Signature
Page 1 of 3
Iola lre-#le Greer-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
ar
Valuation Occupancy MCES System
Plan Review Code Edition A60 ? SAC Units
(25%100%Z Zoning ~Q City Water
Census Code Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length -i Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) 4,4-' Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FE S 7/ 40 ~0
Base Fee "73 7,. err
Surcharge
Plan Review y7 9y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165796
Date Issued:11/19/2020
Permit Category:ePermit
Site Address: 1012 Kettle Creek Rd
Lot:13 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-130
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 -
Elizabeth M Mccaughtry
1012 Kettle Creek Rd
Eagan MN 55123
(651) 212-3829
Innovative Results Construction Llc
24842 Xeon St NW
Isanti MN 55040
(612) 999-4038
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175132
Date Issued:03/15/2022
Permit Category:ePermit
Site Address: 1012 Kettle Creek Rd
Lot:13 Block: 2 Addition: Lexington Square 7th
PID:10-45081-02-130
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Elizabeth M Mccaughtry
1012 Kettle Creek Rd
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature