1028 Kettle Creek RdCITY OF EAGAN Remarks ? / -) . ,
Addition LEXINGTON SQUARE Lot 12 Blk 3 Parcel 10 45075 120 03
owner Street 1028 Kettle Creek Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 254.53 C009742 10-12-84
?ERLATERAL 1996 173-65 11-59 15 173.65 C010087 1-28-85
-
WATERMAIN 1986 68-1 4-56 15 68.33 C0100$7 1-2$-$5
WATER LATERAL
WATER AREA 2$6.43 C0100$7 1-28-8$
STORMSEW TRK 1986 501.2 33 - 49 19 501.29 C010087 1-28-85
STORMSEWLAT 1986 513.81 34.25 513.81 C010087 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN..
BUILDING PER.
SAC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
tlif iI uiry(,
O.•a ?aa
Os/1t,/yN
PermR No. Permit Holder Date Telephone ft
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dete Insp. Comments
Footings I
Foundation
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notity Plumber
Const Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp. -
4S 9
b?,?mER ) wv-arr
AWrIYE4ET .-.-'Y.', BA.,,?i¢nIr 1/2/87 CITY OF EAGAN
3830 Pilot Knob Road, P.O. BMI--"9, Eagan, MN 55121 •? •
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for :- i, s/ 1 ?r?it Est. Value $ Fi ?<<°'' Date r?'r':i? I L 1]. ? .19 `' 6
SiteAddress ' 162ii KG'12'i,L CkEEK RD Erect a Occupancy Rj
Lot J•? Block 3 $?c%Sub. i,f,XINGTO;W tiQ Remodel ? Zoning BL
Parcel No. Repair ? Type of Const ?
Addition ? No. Stories
s Name "i' TR0 CUSTnid HOMES Move ? Length
= i>U;? 104? Demolish ? Depth-?r
; Address ' Int Impr. ? Sq. Ft
° C .:::4.--?pFfdr?" 454-`;383 Install ?
= o I Name
0 i Address
c
?Q
F W Name
_z
? ? Address
i W City Phone
I hereby acknowledge that I ha%
information is correct and agre
Minnesota Statutes and City W
Signature of Permittee?
A Building Permit is issued to:
all work shall be done in accordance with all applic
Building Official
Assessment.
Water & Sew
Police
Fire
m and state thatthe gldg. Off. 4 2? 8?
applicable State of
APC
Vac Date
Permit ? 340.00
Surcharg? 4' 50
Plan Review 170.00
sAC 575.00
Water Conn. !)00. UU
Water Meter 63 . 5?
Road Unit 290.00
Tr. Pi. 156. 00
Parks
Copies
" ` , 12 y • U U
Total
on the express condition that
of Minnesota Statutes and City of Eagan Ordinances.
?
I I PsrmH No. A Pem* HoldW I DMe I TN"phons If 1
Date
Plbp.
Final
Oee.
?
Dlsp.
?- .._ .. _
_ . .. , .. .._ PERMIT
MECHANlBAL PFjiMIT RECEIPT #
cirr oF E?cnN -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE:454-8100
Site Addr /?" ` ? ?;
Lot ? Block ?-
' ..
? Name
a?
Address
' c City /_?'- p
Name
?
c Address L
p3 City ! r p
? TYPE OF WORK
Forced Air C
Boiler
? Unk Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
?' 0 0
M BTU `
M BTU $-
M BTU $
M BTU $_
?
CFM :E =1
BLpG. TYPE WORK DESCRIPTION
?i .?iNew .?
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE: '" -
S/C: SIGNATURE OF PERMITTEE
TOTAL• ?' ? FOF: CITY OF EAGAN
I CONTRAC
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECE?PT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PRICE: PHONE: 454-8700
Site Address .1c -? "" /111 '?_ rrc t. < i< K_ fi:?'fl
II Lot Block ? Sec/Sub
m Name
? Addr /?/•S ? K.C4v>F?- !
c City ?5 PhOne yz 373 G
?jCJ(c
? Nam6 /T Lli ?'u?i7'??i • ???+ts5
3 Address_
O City f="'GPhone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
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
BLDG. TYPE WORK DESCRIPTION
? x
Res.
New
Mult Add-on
Comm. Repair
Other
N FIXTURES T TAL
Water Closet - $3.00
? Bath Tubs - $3.00 °O
=Lavatory - $9.00 . co
Shower - $3.00
?-Kitchen Sink - $3.00
. ° °
Urinal/Bidet - $3.00
TLaundry Tray - $3.00
?
?-Floor Drains - $1.50 /, Sc
-
--L--Water Heater - $1.50 ?
Whirlpool - $3.00
?-Gas Piping Outlets - $1.50
-So(tener - $5.00
_Well - $10.00
Private Disp. - $70.00
= --- lrl?
Rough Openings - $1.50
FEE
STATE S/C:
FOR: CITY OF EAGAN
GRAND TOTAL•
PERMIT # ??-
• . PWMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address ,
Lot ^
`.:
? Name _
m Address
c Cily _
Phone
? Name
3 Address a
O Ciry Phone -1
FEES
COMM/IND FEE - 145 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 TAAITTE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Block Sec/Sub Res. New
` Mult Add-on
? Comm. Repair
' -? Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? _vLWater Closet - $3.00 S
_Bath Tubs - $3.00 ±1?=as
I Lavatory - $3.00 ?
I %,-' Shower - $3.00
-Ki?chen Sink - $3.00
? ?-/ Urinal/Bidet - $3.00 ?
_Laundry Tray - 53.00
_Floor Drains - $1.50
_Water Heater - $1.50
Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-SoRener - $5.00
-Well - $10.00
_Private Disp. - $10.00
__?,_Rough Openings - $1.50
FEE: J-= STATE S/C:
GRAND TOTAL:
?
:?.. . . .: ?.. . .. ..:?? ... . ... -#_?. . .. .... .... .
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
Site Rddrqss '? U
Lot Block j Sec/Sub.
Parcel Na
c Name '
W .. f. .
z Address '
City Phone
} o Name
? i Address -
? City Phone
y? W Name
=o Address
? W City Phone
1 hereby acknowledge that I have read this application and state
that the informaHon is conect and agree to comply with all applicable
State W Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ 7ype of Conet
City Water _ (Actual)
(Alloweble)
* Of StOrIlB
Lenpth
DeDth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WateUSewer _ Surcherge
Police Plan Heview
Fire _ SAQ City
Engc _ SAC, MWCC
Planner _ WaterConn.
Councfl _ Weter Meter
Bldg. Ott. _ Roed Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
on the expresa condition that
of Minnesota Statutes and City of Eagan OrdinanCes.
Permit No. Permit Noldor Date Telsphons X
Plumbing
H.V.A.C.
Electric
Softener
Inspactlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg. s ?
Well
Pr. Disp.
CITY OF EAGAN WATER SERVICE PERMIT
3$30 Pilot Knob Road NO.: P. 0. Rcx 21199 pERMIT <.
Eagan, MN 55121 DATE:
Zoning: i"'- No. of Units: y
CAvner Vet1'O .:St05]
Addron:
Sita Address: 1.')2. kettle ('rt:a'•.
%umber: "a.tti:
Meter No.: 3, 70 93 ,__
size:
Reader No • b
1 prN to eo=Plp wNh tlaghe-M
Or?l
ti?
By
Dotc of Insp.:
7' A1--86
Lexineton Sq
15.
Mlx. Charyes: ' . .,',,,
Total:
Date Pold:
I nep.:
CITY UF EAGAN SEWER SERVICE PERMIT
3630 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirp: No. of Units:
ner:
O -
w
Address:
Site Address:
Plumber:
1 pne N aasoyr wkA tM Cilf d[apn
Ordimeaa.
By
Date of Insp.:
Conraction Charye:
AccouM Deposit: _
Permif Fae:
Surtharps:
Miu. CFw?pes:
Total:
Dats Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMiT NO.:
Eagan, MIN 55127 DATE:
Zoninp: - No. of Units:
wn
r
C
V
.
Address:
$Ita Address:
Plunber.
AAeter No.: ConnecHan Charge:
Sixe: Account Deposit:
it Fee:
P
??r No,; erm
1 ym ie canyl-r wMh tM Ciry ef Ee"o Surcharpe:
OrllMnar. AAisc. CFwryes:
Taol:
Poid:
D
t
gy o
e
Dota of Insp.: Inap.:
I
M
CITY OF EAGAN N2 118 31
3830 Piloi Knob Road, P.O. Box 21-199, Eagan, M N 551
PHONE: 454-8100 ? j? f/
BUILDING PERMIT Receipt#
Tobeusedfor SF DWG/GAR Est.Value $69,000 Date APRIL 21, 19 86
1028 KETTLE CREEK RD
Site Address Erect IN R3
Occupancy
Lot '12 Block 3 Sec/Sub. LEXINGTON SQ Remodel ? ,
Zoning R1
Repair ?
Parcel No Type of Const. V
.
Addition ? No. Stories
¢ Name METRO CUSTOM HOMES Move ? Length- 5?2
= P.O. BOX 1049 Demolish ? Depth-42_
o Address Int. Impr. ? Sq. Ft
City BURNSV4&LV 454-9383 Instali ? •
=
0 U
-c Address
Assessment
? Ciry Phone Water & Sew.
Police
F = Name Fire
ox ? Address Eng.
a W City Phone Planner
Council
Iherebyacknowledgethatlhavere appli tionandstatethaithe
4/21/8
E
information is correct and agr o co Bidg off
ly all applicable State of
Minnesota Statutes and Ciry ?es. APC
Var. Date
Signature of Permitte o Name SAME Approvals Fees
Permit ' o
-
Surcharge 3T.
5 0
Plan Review 17 0. 0 0
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
Road Unit 290 . 00
Tr. PI. 156.00
Parks
Copie
T„«,,, . 2 9. 0 0
" ? " MRT O CUSTO HOEMS A,Building Permit is issued to: on the express condition that
alt,work shall be done in accordance h all ppl'c le e of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN NO- 13 3 8 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# 72 I claZ(a
To be used for DECK Est. Value $4, 025 Date MARCH 26 ,107
SiteAddress' 1028 KETTLE CREEK RD
Lot 12 Block 3 Sec/Sub. LEXINGTON
Parcel No. SQCTARE 1ST
3lName MITCH LEINTZ I
Address SAME
0 City Phone 456-0592
m
Name AMRE
0
oQ Address 3700 ANNAPOLIS LN
? City PLYMOUTH phone 553-0020
t~i ?
?yW
W Name_
_g Address
U
aW City_
I hereby acknowledge tFiat I have read this application and state
that the information is correct and agree tocomplywith all applicable
State of Minnesota Statutes anof Eagan Ordiria
Signature of Permittee
A 8uilding Permit is issued to: AMRE?
all work shall be done in accordance with all applicable
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
nssessments _ Permit $58.50
Water/Sewer _ Surcharge 7_5fl
Police _ Plan Review
Fire _ SAG City
Engc _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. O(f. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
M
_ on the express condition that
and City oi Eagan Ordinancea
Building Official
11,21g 7 REQUEST FOR ELECTRICAL INSPECTION t^ 1Y EB 9 ? -00007-04
,.: 22
1 See ins4r..ctions4or comvleting this fotm on back of Yellow copy.
44 3 8 O "%". BeJow Work Covered by This Request
New IAddl Rep. Type o1 BuildinB Appliancea Wired EquiVment WIreA
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrii; Heatili
Commercial Bldg. Fumace Silo Unloader
Industrial Bidy. Air Conditioner Bulk Milk Tank
Farm otner peciPV tner tsnecltv)
spection
p Fee Service EnlrenceSize q Fee Feeders/Subfeeders N Fee Circuits
0 ro200Ams 0 to30Ams 0 to30Am)s
Above 200 qmps 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partial-'Oiher Fee
I Signs I.I ISpecial Inspection 1$ ,.- 11 TOTAL F En
fiemarks ' .?yt.?ti `I?f?v .
Final
1, the EOFeicical`
InspeCtor, here6y
certify that the above
-1spection has been
fhfs repuest
This request void //-2/?"7
18 months from
C 4 4 3 8 0I'r> S czbn n?7f' ,C/?.,???I1?r?i%r.?-c?2 .?O?c?. ?G'• OG'
Request Date Fire No. RouPh-in Inspection:./ &I
I Required? DReady Nuw ? W.II Nntify, Inspec-
[ I?
? pZ. ?
Yes ? No
tor When Ready
,?? yLicensed Electrical Conlractor I here6y request insoection of above
? Vwner electrical work installed at:
Street AddreSS, Box or Route No. City
oa e e.ek. RoQ 5x a.n
ecuon o. . Township Name or No. Range o. County
Q +
Occupant (PRINT) Phone No.
& d' O,YI Le? 45 (o - ?u
Power Supplier Address
P.G? 1 G
Electrical Contractor (Company Name) Contrer,tor's License No.
Mailing Address (Comractor or Owner in
Mak
g InstailatfoN
1Dal? Vk4k `?JT?+Q.W ?
f
IWC?j
Authorized Signature (Contractor/Owner Making InstallatioN - Phone Number
? 456 '"_05 r
MINIYESOTA S740BOAk OF ELE?RICITV THIS INSPECTION NEQUEST WILL NOT
GriBes-Midway Bld9. - floom N-191 ' BE ACCEPTED BY THE STqTE BOAND 1821 UnivarsifY Ave., St. Paul, MN 55104 UNLE55 PflOPEfl INSPECTION FEE IS
Phonw 16121297-2111 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTlON ,r- es-ooooi-oa
Il, See instruetions for comoletin9 this form on hack of Yellow copy.
-1&93 5 "X" BeJow Work Covered by 7his Reques[ ? 3 Cj ?C)
HAJ ReD. Type of Building ApOliancea Wifed Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtines
Apt. Building Dryer Electrie Heatin
Commercial 81dg. Fumace Silo Unloader,
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm th7 peci y Other (Sner,ify)
t er SpCCi y OIhCr Othur
Compute lnspecrion Fee 8elow
p Fee ServiceEntrenceSize b Fee Fexders/Subteeders b Fr,e Circuits
0[0 200 Am s 0 to 30 Am s a OV () to 30 Am s
Above 200 qmpy 31 to 100 qmps 31 to 100 A 5
Swinvning Pool Above 700-Amps Above 100_Amps
Transtormers Irrigation Booms , Partial,`Other Fee
Signs Special Inspection S ?`h TOTA
Remnrks
.7?? EE.?
RouBh-in Dnte
?
?
,
the ectri
r -A
\ PeCtor, ereby
that th
cartif
ab
Final ?
Date y
e
ove
nspection has been
TMerequestvolAlBmonlhsfrom ;V ''`r ?''`/ `?'/"-'tsGJ
This requesl void
18 mon[hs from
C 16835
0 3G(PC)
S,?? 43.cl -
Request Date
,? Fire No. Rough-in In pectipji
Re ired?
Yes ? No ?L
?ReadY)Now 17f1Wiil Notify Inspec-
[or When Ready
4 Licensed Electrical Contracmr I bereby request inspection of e6ove
? Owner . elactrical work installed at: ,
Street Address, 8ox or Rou1e No. Gity .
ecuon o. Township Name or No. Range No. Cou?ty -
?
a
Occu/p?ap? t(PR/I?N?TI /J
v I Pi-T{?6 Phone No.
Power Supplier
LGL!'?O! W ?/eC???l.d Addr ss
CII?/rC??C TU? 1 .
Elec ncal ontract r(Company Namel
rC??G1?tc? ???TCC? Contractor's License No.
?l( lo -?--
Maibina AdJress IContrector or Owner M king Installation)
I367 BeYr r? e, ?cl. .
Autho ized Signature (Contrac or/Owner Maki Insl-allation) Phone Number
MINNESOTA STATE BOARD CTF ELEC7RICITY THIS INSPEC710N REQUEST WILL NO7
Griggs-Midway Bldg. - Hoom N-191 BE ACCEPTED BV THE STpTE BOARD
1827 UniversityAve., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 297-2117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? Ee-ooooi-on
7 0 See instrumions for completing this form on back ot yellow copy. //
??i/
?CJ /
?;?2,g? ? ""X"' Below Work Covered by This Request
Now AAd flep. Type ot Builtling Appliances Wired Equipmenl Wired
Home Range Temporary Service
Duplex - Water Heater Lighting Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Fumace Silo Unloader.
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm ochF, peci v . the, (sw:mry)
t er Specify Other Othc,
Compute lnspectlon Fee Below
M Fee Service Entrance5ize k Fee Feeders/Suhfee.ders- il Fee Grcu,ts
U to 200 qm 5 0 to 30 Am s 0 tn 30 Am s
Above 200 qmp5 31 to 100 Arnps 31 to 100 A s
Swinuning Pool Above IOD?Amps Above 100_AmPs
TransTOrmers - Irrigation Booms PartiaL'Other Fee
Signs Speciallnspection S
T07A
?
Rermrks
. 4a S? L f
??
t P
Rough-in Date
I,the Elact
Inspector., hereby
certil
that th
h
Pinal 1
O.H?l
4 y
e a
ove
nsDection fias been
-. ? ?? made.
Thie requesl roiC 18 mont from
This request void U/a ? ???
78 months (rom v C -8875
Request Date -' Fire No. Rough-in In$¢ection
' !Ip/ Req fred? ?Rea Now Q Will Notitv, Inspec•
??es ? No cor When Ready
? Licensed Electrical Coniractor I heraby request inspection of ebove
? Owner electrical work installed at:
Street Address, Box or Route No.
/oa ? ?e-t-E-1 ? Cit
,.a Gt
ection o. Township Name or No. flange No. Couiity
OccuuantlPRINTI
s-? m AOJ'1le Phon No.
Power SuDPIi¢r Addres5
67e?4vie, r I n h
Electrical oniwc or (COmDany Name) Comractor's License No,
/_? ? C1 ?Q
Mailing AdJress (Contractor or Ow r Making Instail ion)
%3? 7 B
? ?
! E
Q ?h
err
a
Author' ed S,
gnature on ractor/Ow a aking Installation)
Phone Number
MINNESOTq STATE BOAHU OF EECTpICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Midwey 91dg. - Noom N-791 BE ACCEPTED 6V THE STATE BOARD
1821 University Ave., 5t. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
pn- IR121297_2111 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
h CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ?-
New Construction Reauirements RemodellRepair Requirements
• 3 registered sde surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% marimum lot coverage allowed) . 1 set of Energy Calculations for heated addilions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sile survey for exterior additions & decks
• 1 set of Energy Calculations . Indicale if fwme served 6y septic system for additions
• 3 copies ot Tree Preservafion Plan i( lot platted after 711193
• Rim Joisf Delail Options selection sheet (bldgs with 3 or less units)
DATE 'S ^ Z(4 - 0 Z VALUATION J.D Lol9 -O .671'1
SITE ADDRESS LJ( cA MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK 5cafo,?E C[L u"s?-I- ?'1rnJSP cE- Gc?.ro-q? FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODELING, 1Ku
APPLICANT 4100 EXCELSIOA a vn
ST. LOUIS PARK, MN 55416
STREET ADDRESS _ iD ??? CITY STATE ZIP
TELEPHONE # CQIZ-Di{G CELL PHONE #
FAX #
PROPERTYOWNER TELEPHONE#
.......... -------------- ---------------------------------------------- -------------------------
COMPLETE THIS SECTION FOR "NEW°" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY 1 MINN
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system indudes
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
-------------------------------------------------------------------------------------------------------°--°-------°-°-
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 Ordin nces.
Signature of Applicant
--°-------- °-------------------------------------------------------- °-------- ------ --....---------------....°--°-------------------------- °----------- ---------°
OFFICE USE ONLY
_ Phone #
Iawn Sprinklcr
No. of R.I. Ba1hs
MAY 2 4?002
-5
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
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 13 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
5AC 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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ p]umbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framillg _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
6ase 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
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 12 BLOCK: 3
1928 KETTLE CREEK RD CUS70M HANDYMAN
LEXINGTON SQUARE (612) 552-1599
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
024344
08/15/9A
INSPECTION .. • .•
FOQTINGS FINAI.
, .
I .
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
CU01.G11
BUYLDTNG
024344
08/15/94
PERMIT TYPE:
Permit Number:
Date Issued:
1028 KETTLE CREEK RD
LQT: 12 BLOGK: 3
LEXTNGTOM SQUARE
P.I.N.: 10-45075-120-63
DESCRIPTION:
, -_
B`uilding=Permit Typs DECK
, ;8uilding Wa-r_k Type NEW
?
\\
1
rt
\
\
t
\ r_.
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.50
Surcharge .50 Total Fee $32.00
Subtotal $30.50
?
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
CUS70M HANDYMAN 15521599 0007765 LEINTZ MI7CH
1317 50UTHVIEW BlVO 1028 KETTLE CREEK RD
S ST PAUL MN 55075 EAGAN MN
(612) 552-1599
? ..
T hereby acknowledge that I have read this application and state that the
informatinn is correct artd agree to camply with all appiicable State of Mn.
Statutes end City of Eagan Ordinances.
. . S . . . . _ . . _ . . .. _....:. . . . . .
7? ?vr
APPLI NT/PERTAITE SIGNATURE
ll??
D IS BY: SIGNATURE
I
a • , >
45 4
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_02. Oo
;Ls rjJ 4, -1 -o
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s , o energy
calcs. mu`, 0 8 1994
COMMERCIAL 2 sets of architectural & structu 1 plans, 1 set of
specifications, i copy of energy c -'
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: /0 ZS A,?e 7`7-L? 0 "N et?
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. #
Descri tion of work:" e L
The appl icant i s: El Owner Contractor ? Other (Describe)
Name Li-°T z M,X',k) Phone
Property LAST FIR T
Owner Address /O ??,??rLe C'keeA- Rl)
STREET STE
City State Zip
c O' 9
Company Z/'/ S? ?&I&L) 4? ? Phone
Contractor Address 7 S. (S^)lCrZ4> ??License #a6a776S_ Exp.9?1_
City Alo_ -Gr ? State Zip .f ,j?d 7r
Company 1/1 ?Phone
Architect/
Engineer Name Registration #
Address "
City 5tate Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved. .
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 Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0,15 Deck
WORK TYPE
,EI-31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?Footing
?'Final
0 Framing
? Draintile
?
-?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veluac;on: S
' ..j ' ' ? • ?
.: W •??,, -- "?
.....
,? ?• .
•i A
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
'AnO 13F. COHSULTIHO EH(31NEEftS
ENGiNEERING PIRHl1EA5 cnd LAHD fUHVEYOflS
id COMpANYi INC.
-1000 EAST 146Ch 57ftEET, BURNSVILLE, itINHE=OTA 5:337 Pti 412-3D00
Cer-?z?`z Cu?e? y
??Q? .?C.1cr?P?iort •
NORTH
?-.:.,4LE : j" = 30'
LO7 12, BGOCK 3, LEX/NG-T0M SQ(MKE,
DAKOTA COUti17Y, M1MNESOTA
? 64/
30' FRONT EUILDIA16
SE7',01?CK L /NE
sq5', ? .
l;>e Q;6o
O 95? .?? C
:. >>
:c'.ti'CTE5 EX/STiN6 Ei-??VA:ION
a
? ? ?a /(?7? •`? . '?.? /
i?.5) i._r:VO7'E4- PR?P•.?S?i,C LEVATION
i1,lGIC,4Tc5 DIR?=?7'IG;'v' OF v`/ ? _`.. F ?AC ? OR,qIN/a6j 9
Q5
? ?O•7 ? / 3a $
;•,o = ; : NI Sr/?C EARAoc c ' / ? ?°
FLO k ,,
?
--=V'QT/?iV /r8q y? S<.?? ?'F'
la
DkqINA6G qnlL $ /
UTILITY E.-iSEMENT / Aj (814
(Ss3.?) ? <, `"? ? ? I
?843•3 ?n ?- r? ?
5 2Z. a3 ? ? ? /S•
S ?3• 3c h V
Roqo
///(b4s . ?
?v
0 ? .
.
. ?
?
y
0/o00'C ??7%y'y2?5i
o -,Lc,
I he:eby cartify that this in a t:ue and correct rnpreeentation of a tracL of
land as aheun' and described hernon.• Aa praparnd by me on this /or-71 d:y oC
A?? ? , 19 SG . ,
Ninn. l?es. Ho.
Bk. 3 P ?5. 1?6
I
.,
:
-L 1986 BOILDING PEffiM APPLICATION - CI'PY OF EAGAN
NOTE: ALL CONTRACTOES MUST BE LICENSED fiITH THE CITY OF SAGAN
SINGLE FAMIILy DWELLIAGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
M[JI.TIPLE DWELLING3 - RESIDffiNTIAL RENTAL IIBITS FOB SALS ODiITS
INCLUDE Z SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg fiITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COMMRCIAt:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
/?
To Be Used For: 5rh l1 6 Valuation:-?? ?e? Date: /// ??
Site Address /0dtketPCr?? OFFICE USE ONLY
Lot ??. Bloek 3 Ereet Occupaney
Remodel Zoning
ParcellSub L2&'hqfrn, S?vaAe???}o?,f dti. Repair _ Type of Const ?
7- Addition # of Stories
Owner CMone _ Length ?
' Demolish Depth
Address P(J, ??y?7 Int.2mpr. _ Sq Ft
Install
CitY/ZiP Code &)nsvA, AW
Phone 21" APPROVAIS FEES
Contraetor lslan?- Assessments Permit
Address
City/7,ip Code
Phone
Areh./Engr. 5'
Address
City/Zip Code
Phone #
Water/Sewer Sureharge 351150
Police Plan Review
1
Fire SAC ?
Engr Water Conn
Planner Water Meter C?3 ?°
Council Road Unit Z??O
Bldg Off Treatment Pl
APC Parks
Varianee Copies
TUTAL
_ C)
NOTE: ADDRE55ES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEH MDST DESIGNATE UTHICH ADDRESS
IS DESIRSD. NO CHANGES WTI.L SE ALLOWLD ONCE BQILDING PERMIT IS ISSIIED.
56 ? 2 Z s ?-:5 8 =
Ie, x o L -
.?
??9/?
N aoBE
ENGiNEEf?tNG "OHSULTINO EHOINEEAS
Volis
piANNERS ond LAHD
COMPANy, INt.
C)ILS
1000 EAST 1461h STREE7, BURNSVILLF,YIHHE:OTA 5S337 PH 4:!2'3000
L'e7".jZ5tZ CGL??,?
L76-`44I -LJC.JCr?f??9_ ion; LO7 121 B?oCK 3, LEX/NG-TO?U SQL'AR&?
DAKOTA COUNTY, MIMlVESOTA
- i%
' ' ? (Q 4j ? ,Y?TTC?
ti
? R
NORTH
_.:.4LF 30' .. 9
30` Fr?oNT BUiLD1A16
SETBACK L/NE
0
?• -
?? ?\0
:c.VCTES EX117-1N6 ELEVA 1`/Oh,' `gg?•-
? oa /? o a . q?? / ,
39?.5} i.'Er:VoTcS P90P0:5c0 E"LEVATION Q(b
i `
0 rb
?-- J;JGlC,4 i c'S DIRC=cTIGr'v OF 0 v
?.:P,FACE DRAIN/?6? ? ? ? °°? ^ - ?
?a,a = ,=:NlSHED 6AEA0ZE FLOGR
?J
--?V„TJD1u
L OT /2
DRAINA6E ANG
UTlLfTY EASEMENT
CS93'3 `^ ?? ?- ?? ?
5 ] a 22. p3 \ ` /S
ST 00 "
S '?'3 3 h V
6?O s ,
I he^tby certify that thia ia a t:ue and correct rsprzeentation of a trtct of
Itnd ts shown' and described hereon.• Aa prapared by me on thit d:y of
?? ? , 19 SG .
2iinn. Res. Ho.
4
1
SINGLE FAMILY DWELLINGS
? '0 sowwo
ING PERMIT APPLICATION - CITY OF EAGAN
INCLITDE 2 SEPS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COENEH LOTS - CONTR6CTOR/HOMEO'iiNER MQST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CA9NGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSiJED.
M[JLTIPLE DWELLINGS - RESIDENTIAL RENT9L URIITS FOR SALE ilAiITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATZONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 00eCi ` Valuation: Date: ? d?G, --q?)
Site Address / 6 2 S k-DWa tAOOJC I?hP OFFICE QSE ONLY ;
Lot Bloek 3 On Site Sewage
MWCC System
Parcel/Sub so . ? On Site Well
?_ (1 C\_ ? a , City Water _
M o???? ,?? 2/n.?,
Owner '-
67
Address 'JI (''n n ?;; ??qp
City/Zip Code &Cec4c,Qa.ir, (Y1/y?, 155(1)"3
Phone Y S? o 5 9 ?- APPROQALS
Contraetor A m ?C Assessments
Water/Sewer
Address 3'?on Police
Fixe
City/Zip CodeVb-„Y1WRg ?(4t( ? Engr
Planner
Phone S.S 3 p n? ? Council
Bldg Off
Arch./Engr. APC
Variance
Address
City/Zip Code
Phone #
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit ?',SD
Surcharge ?• S"Z!
Plan Review
SAC, City
SACt MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ???
**********************?********t***?
? .
C I TY O F E A A i?i *??? ?F? ? TR?E oF :
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
*
. * INSPDCPION OF SEWft ADID/OR WATF12 '
7Q
, . * INSTILL.ATTON.S V7IILIVuT SE ScHED- -
SEWER AND/OR WATER CONNECTION ?ULM UNM PERMIT HAS BEM
. . * APritwW. ?
?
rt
* '.
_._. *********************#:***:**:****+?
, P ease Print)
1) PROPERTY ADDRESS: 77-Z 4??_ K
LEGAL DESCRIPTION:
Lot B ock Su division or Tax Parcel ID )
ZF E}QSTING STRCt'IL'RE, DATE OF ORIGINAL BC?ILDZNG PERMiT ISSL'ANCE: '
(Nbn Year)
PRESENP ZONING/PROPOSID LSE:
? CMERCIALA?ETAIL/CFFICE ? R-1 SINGLE FAMILY
[7 IAIDC'STRIAL ? R-2 DC'PLEX (Two C?nits)
Q INSTITTJTIONAL/GpUgRNMEN'r R-3 'InWNHOT-ISE (Three + Units )( Units )
. ? R-4 APARTMENT/CONIDUUNIINIUNI ( Units )
2) q
ADDRESS:
CITY, STATE, ZIP: A}?
PHONE:
3) • u ?: ?• n For City [?se
?=11??,_i J//?.}j ezc:S C__? - Plwobers License:
ADDRESS: Active
? 2Fbcpired
CIT'Y, STATE, ZIP:` Not recorded
PHONE:-- S?Z3 -? J C? MASTER LICENSE# g'taf Itial
/?? •a• • ? ?.?i?l?l: .
NAME: . , ?
ADDRFSS: .
CITY. STATE, ZIP:
PHONE: -
.5) i :? v ? ?• • ?• : ?t • ?? - ??
CONIVEC.?TION M CITY SEWM ? CpNNECPION M CITY WATII2 OTfER ' -
6) ? - r r ? pLEA,gE HOLD APPROVED PERMIT F'QR PICK-OP BY ONE OF AHOVE
? PLEASE Mj?lL ApPRGVID PERMIT TO 1, 2, 6 4, ABOVE
, .
// - (Circle one)
r r• p. -
F4R CITY USE ONLY PERMIT # ISSOED
77!? rf ? z, ?6
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SLTRCHARGE )
$ $ //1- .??
, .
WATER PERMIT ( INCLLDE SC'RCHARGE )
$ CG,?i ??J $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ 157, G? ACCOUNT DEPOSIT - SEWER
$ $ /S^ C-U ACCOt'NT DEPOSIT - WATER
$ 0-"6 $ WAC . .
$ J 7.?C? Gi $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNR SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF Y ES, THEN A" PERMIT FOR WORK SVITHIN PLBLIC
Q
NO ROAD
DIVI WAY" MUST BE
SION
LIST ISSUED BY THE ENGINEERING
AS
CONDI
. A
TION.
SUBJECT TO THE FOLLOWING C'ONDITIONS:
TITLE:
DATE : Z/? ?
,
city oF
3830 PIIOT KNOB ROAD, P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100
DATE: p,pril 21, 1986
- - ""--ZAL ASSESSMENT
UNIVERSAL TITLE INS CO
14500 BURNIiAVEN DR #159
BURNSVILLE MN 55337
RE: Lexington 5quare
rAt lz slock 3
1028 Kettle Creek Road
8EA BlOM9UIST
Mdyq
7HOMAS EGAN
JAMES A. SMITH
VIC ELLISON
iHEODORE WACHTER .
Council Memben
THOMAS HEDGES '
City Atlminisirator
EUGENE VAN OVERBEKE
City Clerk
Enclosed herein is the search which you requested made on the above described.
property.
Kind of Improvement Years Beginning Original Amount Balance Due
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion. _
Kind of Improvement Approx3mate Date of Completion Approximate Cost
NONE .
WAIVER:
Neither the City of Eagan nor its employees guarantees the aecuracy of the
above information whieh was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, NIN 55121.
Vgry Truly y6urs ,
MA ASSESSMENT VISION
THE LONE O TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
7c?-175 h
2oos RESIDENTIAL PC.UMBING PERMIT aPPLIcArIoN
CtTY OF EAG,4N
3830 PELQT KNQB Rt3AD, EAGAN MN 55122
851-fs75-56Z5
Please complete far modifications #o exssting residential c#weitings.
%S. Sn
?
Date ? t ! D ?
n ?
A, tJreit #
S9te 8treet Address r ??. i (???1? C C h
?
PropertyOwner & "BcuL l ?0VN b Telephone# (4x5I) 46 "Dfdf
Contractor 1'jr?C4- 16?""v?^°i ,. L??-. Telephone #(?iSf) ??3" 7(?11
Address D.?16- r). ???, S'r v City ?- ?.r M i StaEe Zip -?-?
The Applicani is: _ Owner ,& Contractor _4ther
2 sets of
$ 100.00
Per as-buili $ 10A0
fee
Atterations to existing dweHing ? $ 5E1.00
_ Add plumbing fucFures. This fee inGudes [nstalla#ion of a water softener andlor water ?
heater at the same time. If you are insfa!ling ontv a water softener endfor vvafer !
heater, do not compiete this section; move to the next section and check the ?
apptiance(s) you are installing. i
_ Septie System Abandanment ?
_1NaterTumaraund (add $130.00 if a 5/8" msEer is required) ?
_ Qther: j
Water Softener ? Wafer Heafer ? $ 15.00
_ new ? reptacetrtent ;
_ L.awn lrrigation _12PZ _PVB _new _repair `reBu?ld ? S 30.00
State Surcharge ! $ .50
Total ? y IS',
# hereby apply far a Residentia! Plumbing Perrnit and aeknowledge that the tnfarmation is camplete ancf aceurate; that the
work will be in conformance with the ordinanees and codes of the Gity of Eagan and the p)umbing codes; that t
understand #his is nnt a pecrrZif, but aniy an applicaiion far a perm3t, work is not to start without a permit and weork wiD# be in
accordance with the approved plan in the event a pian is required to jZe reviewed and approved.
Al c, P k `t ct.5 e-+? _-A-1? * '
Appiicani's Printed Name Applicant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1028 Kettle Creek Rd
Lot: 12 Block: 3 Addition: Lexington Square
PID:10- 45075- 120 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Paul K Plumb
1028 Kettle Creek Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA083015
05/13/2008
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129992
Date Issued:03/30/2015
Permit Category:ePermit
Site Address: 1028 Kettle Creek Rd
Lot:12 Block: 3 Addition: Lexington Square
PID:10-45075-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Paul K Plumb
1028 Kettle Creek Rd
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144240
Date Issued:07/18/2017
Permit Category:ePermit
Site Address: 1028 Kettle Creek Rd
Lot:12 Block: 3 Addition: Lexington Square
PID:10-45075-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Paul K Plumb
1028 Kettle Creek Rd
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163574
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 1028 Kettle Creek Rd
Lot:12 Block: 3 Addition: Lexington Square
PID:10-45075-03-120
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.
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 -
Paul K Plumb
1028 Kettle Creek Rd
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169698
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 1028 Kettle Creek Rd
Lot:12 Block: 3 Addition: Lexington Square
PID:10-45075-03-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 K & Rebecca A Plumb
1028 Kettle Creek Rd
Eagan MN 55123--151
(651) 210-6766
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature