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1040 Kettle Creek Rd' CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . DATE 19 , . RECEIVED • -? FROM AMOUNT $ 9 DOLLARS ?oo ? CASH Q?WECK ROR ` ' FUND CODE pMOUNT .?? l.- . ? Thank You BY .? / White-Payers Copy Yellow-Posting COpy Pink-File Copy BLDG. PERMIT N0. /017% 01-3210 . Bldg. P?rmit 01-3472 Plan Check 01-3445 Surch./Adm. ' 01-3446 SAC/Adm. 01-2155 Surcharge ; 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter ? 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL , • e-? CASH RECEIPT k ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DpTE • 19 Recflveo FROM AMOUNT $ I & DOLLAR! 100 ? CASH ? CHECK BY dh ' White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You - ?' n_ ?... .. _ i;?,F CITY OF EAGAN ry fl 12714 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? - -r BUILDING PERMIT PHONE: 454-8100 RP.CBIf11 M SF BWG/GAR 562000 19 86 _ Erect L'T Occupancy R3 UARBemodel ? 2oning pD Repair ? Type of Const?T*+ ? Addition ? No. Stories N Move ? Length 40 - Demolish ? Depth a d - Int. Impr. ? Sq. Ft - Instali ? Permit is issued to: all work Building state that th e able State oi CITY Assessment Water & Sew. Police Fire Eng. Planner .._..__:? APC Var. Date Permit Y ''?' • ?? Surcharge 31.00 Plan Review 159. 50 SAC 575.00 Water Conn. 500. UO Water Meter 63 . 50 Road Unit 290.00 Tr. Pi. 156.00 Parks Copies T.,??? on the express conditian that City ot Eagan Ordinances. I I Permit No. I Psrmit Moldar I Date I TNaphone # I /D ? Plbg. Htq. Htg. Plby. Final OCC. Disp. CONTRACT PRICE Site Addres8 Lot V Block ? Name ? Address ? fA city ? Name Address ?i p City Phone 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) OF FOR: CITY OF EAGAN e BLDG.TYPE Res. - Mult Comm. Other WORK DESCRIPTION New Add-on Repair NO FIXTURES = TOTAL ' Water Closet - $3.00 $ -L.-Bath Tubs - $3.00 . ?Lavatory - $3.00 Shower - $3.00 ZKkchen Sink - $3.00 Urinal/Bidet - $3.00 T = Laundry rey - $3.00 ?Floor Drains - $1.50 ?Water Heater - $1.50 _TWhirlpool - $3.00 , Gas Pipmg Outlets - $1.50 -Soitener - $5.00 -Well - $10.00 _?Private Disp. - $10.00 -,..:_Rough Openings - $1.50„ FEE• ! STATE S/C: GRAND TOTAL ' i PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE Sec/Sub PERMIT # ' MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: I CONTRACT PRICE I Site Address Lot 1 Block ? Sec/Sub m Name i rv- w Address 1 ? c City Phone ? Name Address • V j3nK ` O City ' ?-?- Phone ? f TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ?v M BTU M BTU M BTU M BTU -? CFM FEE: o& S/C: TOTAL• oS BIDG. TYPE WORK DESCRIPTION Res. ?-' New ? 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 - 196 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) 0 ti- r ?`? - j SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ? -? PERMIT # MECHANICAL PERMIT RECEIPT # CONTRACT PRICE: Ske Address ' Lot Bloc ? Name m Addre c City _ CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Only: sLoG. Trve WORK DESCRIPTION Sec/Sub Res. New Mult. Add-on Comm. Repair Other - Phone ' ? Name 3 Address p City Phone ' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. M BTU M BTU M BTU M BTU CFM Gas Piping Oudets # Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCIUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT) - 1 50 EA - ( . . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 - MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) ? FEE SI I EE S/C: `? TOTAL• FOR: CITY OF EAGAN ?-/ If /,r`'z AZI ??? CITY OF EAGAN Remarks Addition LEXINGTON SQUARE Lot 9 aIk 3 Parcel 10 45075 090 03 Owner Street 1040 KETTLE CREEK ROAD State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 4AY 1 254.53 C009739 10-12-84 EWERLATERAL 173.65 C010084 1-28-8$ WATERMAIN 1986 68.33 4.56 15 68.33 C010084 1-28-85 WATER LATERAL WATER AREA 1986 286.43 19.10 1 286.43 C010084 1-28-85 STORMSEW TRK - 1986 501.29 33.42 15 501.29 C010084 1-28-85 STORMSEWLAT ? 1986 513.81 34.25 15 513.81 C010084 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAC AN a WATER SERVICE PERMIT 3830 PUot'Knob Road P.O, Box 21199 PEFiMIT NO.: 223-3 Eagen, MN 55121 DATE: 11 24 86 2oning: No. of Units: } Owner. z? • Address: Site Addess: Plumber: Meter No.: ,14 ? ftr?iott? - 5 e ?/a,./?,.,.u . ?,_.._....?? . _ ,... . I agree to comply with the CIftlfrEagah ? Ordinances. ? U? ?fi?isc. Charges: 156. ?j tal: 63• r ? By ate Paid: Dat of Insp.: Insp., CITY OF EAGAN SEWER SERVlCE PERMR 3830 Pilot Krab Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DA7'E: _ ZO^i^D: No. of Unih: Ownsr: Addrcu: - $ih Address: Plumber. I M? h- mpb whL !M Clyr of mo,es Cannxtion Charpe: O?NNwM AowLmt Deposit: PermM Fee: Bv Surcharye: Misc. Chorqes: Date of Irnp.: Totol: Irup.: Dah Pald: a'?T????'. ?I!F • 'C%:W!!ww-? CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: j 11'1 ? Eagan, MN 55121 DATE: } } 26.R6 Zoning: u Owner. Ge}} 6#E No. of Units: 3- 6 t ? ege r ess !. iite Addess: • 040 r_t-, _ G___ 'lumber:??y ?.}ara??#ttc; Aeter No.: iize: ieader No.: agree to compiy wkh the City of Eagan )Minances. Sy late of Insp.: _ Connection Charge: _ Account Deposit: 15, _ Permit Fee: Surcharge: . Misa Charges: 156.9??Vd , ToteL' .,:orQ _ Date Paid: - Insp.: CITY OF EAGAN 1?' p + 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'V' 12714 ? I//) BUILDINGPERMIT PHONE:454-8100 Receipt # ? To be used for 5F DWG/GAR Est. Value $ 62 , 000 Date OCTOBER 2 19 $_6 SiteAddress 1040 KETTLE CREEK RD Erect C? Occupancy R3 Lot9-Block 3 Sec/Sub. LEXINGTON SQUARSemodel ? Zoning PD Parcel No. Repair ? Type of Const. Vn Addition ? No. Stories ? Name COLLEGE CITY CONSTRUCTION Move ? Length 40 3 Address BOX 309, HWY 3 SO Demolish ? Depth dd ° NORTHF 645-6648 ?nt ?mpr. ? Sq. Ft. City ?I?b?i'? Install ? a SAME Aoorovals Fees = o Name ? Q Address ~ City Phone F W Name ? ? Address a W City Phone Iherebyacknowledgethatlhave adthis plication and state that the information is correct and agr to com "pplicable State of Minnesota Statutes and Ci Eagan nan s. Signature of Permitt A Building Permit is is ed to: LEGE CITY CONSTRI all work shall be do in accordance with all appJ' bl 'State of Minnesc? Building Ofiicial _ ? - % ° Assessment Water 8 Sew. Police Fire Eng. Planner Council BIdg.Off.10/1/86 APC Var. Date ION Permit 319 . 0 0 Surcharge 31.00 Plan Review 159 . 50 SAC 575.00 Water Conn. 500 . 00 Water Meter 63 . 50 Road Unit 290.00 Tr. Pi. 156.00 Parks Copies Total $2,094.00 on the express condition thei nd City of Eagan Ordinances. p 04749,ti??a «L_ R st Date re o. Rou i Raa ? Inspeclion p yys p Np ? Ready Now ? Will NWify Inspector When Ready? i icensed contractor ? owner hereby request inspection of above electrical work at: Job ddr s(St t, ppx or ut o.) Cit? A? Section No. Township me or No. Range No. Counry Occyyant (PRINn ? 5 (/ [ lt n . / .. ,L _. Phone No. . Pawer SuPPlier Address ? Electncal ConVacWr (Canpeny Name) ContraqorS ense No. M 9 14540 PENN??`fi EANE ANhorPL.r kring t tl PFwne Number MINNESO7A STATE BOARD OF ELECTHICI7Y . THIS INSPECTION REpUEST WILL NOT Griggs-Mltlway Bldg. - Room 5-773 BE ACCEPTED BY THE STATE BOARD 1821 Unlversity qve, St Paul, MN 55104 UNLESS PROPER INSPEGTION FEE IS Phone (672) 642-0800 ENCLOSED. .31CV7I,F9 REQUEST FOR ELECTRICAL INSPECTION 10- $ee instructiQns tor cnmpleling [his torm On back ot yellow copy. P 0 4 7 4 9 'X" Below Work Covered by This Request EB-00001-07 , c;/7/ ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace , Farm Air Conditioner Other (specily) Contrector5 Remarks: r Compute lnspection Fee 8efow: ? # - Other Fee # Service tranceSize F e # Circuits/Feeders Fee Swimming Paol 0 to 200 Amps - 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps SIgfIS Inspector5 Use Onty: ?? T TAL S Irrigation Booms / Special Inspection ? Alarm/Communication Other Fee I, the Electrical Inspector, hereby tif th t th b Rou9n-in oate cer y a e a ove inspection has been made. F;,?? OFFlCE USE ONLY This requesl void 18 manths from REQUEST FOR ELECTRICAL INSPECTION W See instructions tor completing this form on beck o1 Yellow eopy. C s -6 8? "X" Below Work Covered by Thrs Requesf New AAd flep. Type oi BuildinB Aanliances riirad Equipmen Home K Range Temporary Se Duplex Water Heater Lightin,y Fixt Apt. Buildinfl Dryer ' Electric He2 Commercial Bldg. urnace Silo Unloade Industrial Bldg. Air Corxlitioner Bulk Milk Ta Farm tner pea v iner lspocir? .. /... t ar Ueci y .......?:.... L?.. O../..... thor , Other W i red vice ' 7f r Fee Service EntranceSize r q Fee Feeders/Subfeede.s # Fee Circuits 0 to200Am s 0 to30Am s ? 0 to30Am s Above 200 qmps 31 to 100 Amps Sa'O 31 to 100 A rnps Swimmin Pool Above 100_Amps Above 100_Am ' Transtormers Irrigation Booms -%i Partial.'Other Fee $ TOTAL ?E flem3 rks r ? Nough-in Date 1, the EI ct al ? t - J nspector, hereby certi(y thet the abova Finel ' D tinsOeetion hes been e ?aa. This requeat void Ll Licensetl Electncal ContrACtor 1 hereby request insoeclion of ebove ? Owner electrical work installed et: Street Address, Boxj of? Houte(y/ o. Cit ? l/ / l? ?f ?e, d ection o. 1 1 Township Name or o. ange No. Count AkO ? K Occu ent IPF11N 1 Phone No. Power Suppli / ? / Address ? [ ? G A' 14 ? , Electrir I Contractor (Company Name) o ractor's Licp}onse No. ?'7?' Mailing AdJress lCo ac[or or?f' ner Makinp tnstailation) - ?' ?i? ??" ? ?V ?DI7Y/? LG-'Q C-V Authorized Si re 1 ntracto Ow efdaking Installation) Phone Number MINNESOTA " STAi BOAND OF EiECTNICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARO Griggs-Midway Bldg. - Room N-191 . UNLESS PflOPEH INSPECTION FEE IS 1821 Universitv Ave.. St. Poul, MN 56104 ENCLOSED. ? oti.,.,e iai?iaaznann TAis request void /, 18 months from -j ? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN O?-? 3830 PIlOT 651-681 6 5? ?N 55122 I ! l3. 7S New Conshuctlon HeauiremeMS RemodeVReoair Requirements • 3 regislered site surveys showing sq. ft. oi Wt, sq. tt. ot house; and all roofed areas • 2 coples ot plan (20% maximum bt coverage allowed) • 1 set of Energy Calcuiations for heated additions . 2 copies of plan showing beam & window sizas; poured tound design, etc.) • 1 sfte survey tor axterior additans 8 decks . 1 set of Energy Calculations • Indicaie A home served by septic system for additions • 3 copies of Tree Preservation Plan I lol platted aftar 711193 . Rim ,bist Detail Options selection sheet (pldgs with 9 or less units) DATE 641a LO,2- VALUATION f4. 'Jr OC7 SITE ADDRESS D ?'ef`M. MULTI-FANiIIY BLDG _ Y X N TYPE OF WORK_ 6-A,Qa _ Q#voc o&-a FIREPLACE(S) _ O _ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE CELL PHONE # n,. STATE M. 21P ?J? # %;148F-fy(1/V PROPERTY OWNER TELEPHONE # lUS/- DA, 60 ---------------------- ------------- --------------- ------------------ -------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIATNESOTA RUI,ES 7670 CATEGORY 1 MINNESOTA RUL.ES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelopa Calculations Submitted Plumbtng Contractor: __- Plumbing system includes: Mechanical Contractor: Mechanical system includes: Air Conditioning Heat Recovery System Phone # Fee: $90.00 . Fee: $70.00 Sewer/Wpter Contractor: Phone ny Er?__p I i`' I? I I I--- ? ' ---------------------------------------- ------------- ------------------------------------ _?.l.W__1 q _1QQ?_----------- I hereby acknowledge that I have read this application, state that the informatlon isjcorrect, and agree to compiy with all applicable State of Minnesota Statutes and Gty of Eagan Ordinan ' Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 41D2 _ Water Softener ? _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY O 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 a2-plex ? 05 03-plex ? 06 04-plex 13 07 05-plex ? 13 i 6-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Yor_N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mutti ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolkion (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant • Plumbing Permit Mechanical Permit License Search Copies Other Total Buiiding {nspector ? ?wt ' ? o? , •- ; ?rfi ?`a . 1' J., R'+ . ? $w? 4 ? ??v . ? Rr .. m a x . e ,? 4 dt p K? •? ? 9 !'?^..? ! k 1986 $IIILDING PERHIT gPLICAT'ION - CI1rY OF EAG9N NOTE: ALL CONTRACiORS MUST BB LICENSED TiITH THE CITY OF FAGAI?1?? ?i «? " . - SINGLE FAPIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY,'`1SET OF ENERGY CALCULATIONS HOLTIPLE DiIELLINGS - RESIDENTI9L BENTAL DYSITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRYEY - CHECg flITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPMRCIAL INCLUDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, dpe $2 9000 LANDSCAPE SOND =?-- °l - - ?_ 9 To Be Used F? ?L Valuation: Date: Site Address ) Lot 9 Block 3 20 Aw7 Parcel/Sub ??4 n?rO J 5 QVA2u Owner l cK_";57Art=, L Address Lx 4,WY 3 5QoL1 City/Zip Code Phone Contractor $avVF-_? Address City/Zip Code Phone Arch.IEngr. Z)lvNZ` pS Oi,JNS-'Z2e Ereet Oceupancy xs Remodel Zoning Repair _ Type of Const ? Addition # of Stories _ Move Length 40'0 Demolish Depth ? ^ Int.Impr. _ Sq Ft ' Install APPAOVALS FEES Assessments Permit ':T1? Water/Sewer Sureharge Police Plan Review Fire SAC Is 2S- Engr Water Conn s1501) Planner Water Meter aM 5-0 Council Road Unit ? Bldg Off -- Treatment P1 APC Parks Varianee Copies Address City/Zip Code Phone # TUTAL , NO'PE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATEiiHICH ADDRES3 IS DESIRED. NO CHANGES iIILL BE 6LLOflED ONCE BOILDING PERMIT I5 ISSUED. "LA1.4*4 4o s g?.o x Sbz 556$0 y ? '=.d ? A *4 ? 'Z e 4 SCOD , z ,? ? • a ? ? ?s ? 7$? ?- _.._-.- ??..? .?.- _. ?_- .F, a --?,... . ? OVINER ?. . . ? . 1 . ' SITE AUURESS • CONTMGTOR COI ":E CITY COjVSTRUCTION ' ",` DATE": ''t `PHON6 ?(507) . ;, , . .• ? • • . r . . :: ,.;, , ;.;; . peterni9ne working square'footage of each. , 1. Total exposed wall area?s.sa, ' 17?-8) • , 5q. ft:tx ?'• ? ° / ?,. . .2. Total roof/celling area 960 ` sq. ft. ?x,r_.__4?( •' •Total exposed wall area abave ilonr = J? 2 E:' ,..,. ,. .., . . ., a. Total wall window area ........................... I?'?I.?!?`i b. 7otat door area ..................?.....?...,.... ' J. i'•^ , t• ?? , , c. Total sliding glass door area ?:.....'...:......,.' c? `. • d. Tatal fireplace wall area...................:.... c:- .? e. Total Wal) framing area (average 10??...:.......'. 1 -7 Z.L?-1. f. Total net wall area abave floor `:.....::.`::....o . g. Total rim joist area :............?.............. B15 --Y?b ' . ? . ' . .. ? . . . . . ? 1: 11. ? . . . % 4 ? .,. . , ! . .. 4 ;1 ? ? . ? ? . . • ? 1'otal• ezposed toundatlon' area' 85.,37b .? • , '..? ..............?? _ - . . , h. Tbtal foundat9on window'area'.,' ' 0 ? 1. Toa1 net foundatlon area abovg!.grade ........:... '8?.37b . . ,. Determine "U'value of each wall segment.. ? . . a. I4-I , 669' X ;lull ,34.(o ti . ??. . . , . . b, 36. bG7 ' z "U" . I? a 4 .61 . . .. , C. 0 . z . Stun , . . d• O A . v pU„ ' e. 172.80 ' z pU" , 09Z Q I5,697 . .?,.? ._.- • . f. 11-9 I. 4-88 _ X?tu,q' , o?I-3 p r? q, 13 s. 31 ? x "u". 404- • _ 3, ? .? . h. 0 X "U" . ? . .-- . i. 8 S. 37 6 X"U" .079 3 ....................................0 7 ota1 . If item 13 is the same as, or less than.item I 1? you {?ave met tlie intent of SaC 6006(c)2. • .. , EXTFaIOR.ENVELOPE AJERAGE."U" C011P''IATION , , r'... ,COLM'IDIA ek ' • ?? ? ? ? ? ?' , ° . ?:??,. ,•?,:,: ?;:;?.'.; f???;g ;? . : . ,.. . ? ? 70tal..expased roof/ceiling area 9G0 `? , • . . , . .. ..;°, c;,,. .. J. Total skyllght area...:......... ??.:.:.........:: ?,,.+ p? .•?`? k. Total roof/ceiling framinq area (average:lOX)..., . 91a; o. .• 1.. -Tatal net :insulated root/ceiling gd ? • . , Determine,`U" vdlue.for each toof/ceiling segment. , . ,. , . _,. ,. ,? .. ......,. , . ?u , • . . ? . 0 . . X u 4 A c ? . ? • - - , . • . k. 96 x?„???' ?. 17 A- . . ? . 8b4., o0 XOu;l ZZ ' p MooS ? • ? , a i' '?'?tr?:: ? ?'?'? ? ?t;,i a+'. ?:.J:d•v , 4.........?.........:.'....::....':'.",. ?1'otal d '3,, 9 I•Z. ' If total of 14 is the same as', dr' less`,than' 12t ?you' have' mA`the intent of, SdC.6006(c)l. . .. . . . ,.. ? .. .,..... .yt:??.iS ?kr?'. ,?:;s?,?:'io} ic,::•?'8 <3? , Alternate"Bul?ld `? `? • , ,?,`?,? ` ','° ?`, ? , ?? 1ng ,Envelope,`6estgn n . Td uNlize the total en4elope sy'stem method,. the 1? ° values esta?lil?ished by the' sum af ltems 13 and 14 shall. not ter„ tl?an the., sum of ltems Ol and 01. . . . 1. + a , . • :? ??! . :., s. ',G , .;2 , s, : '? i 30 ? . q? - ? , ' •, • ' ??....?' ??J. Id) ??j.:w_. 11? rll?ly!'A?y?)?,at? ' . ? • . . . ?? ' , i . ? • . . f . ' .. . ? i j.?.. . . `r?'' ?.' ... . ? 1 . .. ? ` i ? ,. ? . •!1' . •?/ : • .?.? w nMr.? ? ../ , ...'. ? ' ? ? ? . . , . . e ., . ? 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ToT AL Pc+orA46 FL - zNS14 I.A.Tta ARtA. 15 [.?WLLN TN4L xoisTs •R• - v.,t."L ?I ...... 5,?..._. 3l?? s o Z 16I ?zureaIoR Alit P'iLPM 4- A-.?-.o JNsu.t-A7ooN CR? ? •r QYPSl1M WAW-0oqi0 ?.: VAPOR DARRILfL INTLRloR JuR fi4M A-5.3 To71 L Vo?LLLrsa T9T,%6 roOT44d. 0A b i 1 011S'7b R'i pAtrl...r._.._ siqwro ?71L'J05 T RI - LAN D C O. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR : COLLEGE CITY KETTLE CREEK ?.---- - - ROAD . 0 ? A=6030'00" ? 78.94 v o 0 5 ?m W Ils.o . 20.0 - - - I - ? : 0 o N - W ?. ,•. ? ? • • zo. o i ? ,y? o { ?? 0 0 r O N I I O ;;+ 0 Z 40. o o m ? LOUR AINAGE N TILITYEASEMENT ? j5 " `-`- ? . S 83 ,94 ° 20800" E PROPERTY DESCRIPTION LOT-9-, BLOCK3 LEXINGTON SQUARE aeordinq to the recorded plat thereof DAKOTA Caunty? Minne:ota LEGEND o DENOTES IRON MONUMEMT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATIDN DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION N t. , J ,. . II 1 s PROPOSED (3ARA6E FLOQR ELEVATION • -? PROPOSED FIFtST FLOOR ELEVATION = '16._ PROPOSEO BASEMENT FLOOR ° ELEVATION NOTE * VERIFY ALL F1.00R HEIGHTS WITH • FINAL HOUSE PLANS , r 1 henby certity that thls survsy,plan or report was prepared br ms or undsr mr direct supervlelon and that 1 am a duly Raqistered Land Sor4eror under th• Laws of the Stute of Minnesota. I" ¦ 3 0' Bradley wenson, . Mn. Rsq. No.15233 Dafe'- 912yiA6 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *********f******#****i*******#**#f** * . *!aOTR: PA7MM".'NT OF k'F.E AT TIME QF ? * APPricATioN noFS Norr coNsriTuTE * APPROVAL OF PF•RN1IT. : * INSPFXTION OF SEWER ANID/OR FIIOM ; * It1STA TmONS WIILNOT BE SCHED- > * ULID UNTrIL PII2NIIT HAS BEE:Di ? * APPROVID. 1) PROPERTY ADDRESS : 1 ?j CJ ?e k kd LEGAL DESCRIPTION: •- . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRCCIS]RE. DATE OF ORIGINAL BLILDING PII2MZT ISSL'ANCE: ; - PRFSEW 7ANING/PROPOSID LSE: ( •Nbn Year) C) CONMEItCIAL/f2E'PAIL/OFFICE C] IPIDUSTRIAL n INSTITL'TIONAL/GOVERNMETTr 2) ? R-1 SINGLE FAMILY ? R-2 DL'PLEX (Two Lnits) ? R-3 rMWN-IOLSE (Three + Units) ( Lnits) R-4 APAR2TENT/CODIDUMIIVIUM ( ?Units ) xAME: L-,- e.au l'; ? ADDRESS: -- CITY, STATE, ZIP: PHONE: • 3) ' u i: ?• NAME: ADDRFSS: ? CITY. STATE, ZIP: PHONE: 9- MASTII2 LICETISE# [] Active H Fxpired Not recorded Initial Nd1ME: _ ADDRFSS: CITY, STATE, ZIP: d PHONE: . -5) ? v? ? a• • ?• : ? • ?? - ?. ?-EONNECTION T0 CITY SEWFI2 ? Cp?ION TO CITY WATTE?22 ? arrE?R 6) ? -• r &, PI,EA,gE HOLD APPROVID PERMIT FOR PICK-L BY QNE OF ABCJVE PLEP,SE MAIL APPROVID PERMIT TO 1 4, ABOVE . n? c one ) / 1 C?Le,r.lo 7) r r• u- - LA_.C ?' I! f ln ? __? le?-.-? /.?1 ._ 1 M G; C!? 4? FOR CITY USE ONLY PERMIT # ISSL'ED ez- Pd w/Bldg. Permit S S s ? 3 - 5-v . FEES: $ /D - $ s SEWER PERMIT (INCLUDE SLRCHARGE) WATER PERMIT (INCLUDE SC'RCHARGE) .. WATER METER/COPPERHORN/OCTSIDE READER :$ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ le5- e U-7b ACCOUNT DEPOSIT - SEWER $ $ ?S??G9 Q ACCOC'NT DEPOSIT - WATER $ ?j (? C? • D-Z) $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ S LATERAL BENEFIT/TRL'NK WATER S WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 12- rj TOTAZ . ? RECEIPT/l o RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC?BLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ? TITLE: ? `.. DATE: I Z CO /d' b '? I ? 5?eb zoos RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN OITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. iI t?`1 ??5.50 Date l 1 ?)3 l0 L ^? ?? Site Street Address ID7v KPee ?-f ?-°? )'CGl Unit # Property Owner r 0 Telephone # ( I:f'il )`{ Contractor p, ?S Telephone # (iCfii ) 3 (oS" ? 7>`l'0 Address ??-o l.?? ?C1 City State )(W , 2ip6S1a3 The Applicant is: _ Owner -7Z'Mntractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dweiling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater ai the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) ? Other: 1 2006 g Water Softener Water Heater JUt. ? $ 15.00 replacement _ new -k Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 1 ? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that i understand this is not a permit, but only an application for a permit, work is not to startwithout a permit and work will be in accordance with the approved plan in the event a plan is required t be reviewed and approved. ApplicanYs Printed Name ApplicanYs Signature _ d" ??? ô þýü ÿþþ ý ý ü ûþþüðèî äéýûñ ó ß ä ÿ ÿþú û ú øõë ú ù ø ú øõë áõëÞùï ùà óóðù òý ûñ ïù îïííï ñ ï ïìê ýõõùýüê ê ïý þ ùìê êùê ì ïé ñ õýêï íïì çæçååì åìóå ùû û í ýèçæçì äìä èüì ø÷ úöõ ùù ÷ øõÝûýã æí ó ÷ óæ Þ ùùè þýãá öä ôåäó í õýííî íùùííê ï ý ïù õíùù û êãû êþýð ì ùùë ïûý ûý PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108825 Date Issued:01/15/2013 Permit Category:ePermit Site Address: 1040 Kettle Creek Rd Lot:9 Block: 3 Addition: Lexington Square PID:10-45075-03-090 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Ashley Orman 130 Plymouth Ave N 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 - Mark Kohn 1040 Kettle Creek Rd Eagan MN 55123 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118219 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 1040 Kettle Creek Rd Lot:9 Block: 3 Addition: Lexington Square PID:10-45075-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark Kohn 1040 Kettle Creek Rd Eagan MN 55123 Great Lakes Window & Siding 14690 Galaxie Ave Apple Valley MN 55124 (952) 891-3400 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink - For Office Use I 'I-01 Permit#: /q City of Eaaall REC IV7O Permit Fee: `�� '1: 3830 Pilot Knob Road MAR. 2 9 2017 Eagan MN 55122 Date Received: 3`' ✓�� Phone: (651)675-5675 Fax: (651)675-5694 Staff: J 2017 RESIDENTIAL BUILDING,� PERMIT APPLICATION I� Date:j/2 9/ 17 Site Address: /0410 nelly/e `CY C'X (c Unit#: Name: ht } Tim l✓1^fZ Phone: ‘/2 7,41 /I9 Resident!•:iiiii,g matoiowitotociAddress/City/Zip: Applicant is: Owner 1/ Contractor df-- / t J Description of work: Oer►1U CJS)$�/1)9 12 1 d- reivd d + <rA 11 .i o<av/ fA ,57-OfiYf Construction Cost: Z4. Multi-Famil yuilding:(Yes /No _) Company: - o •i lid , C Contact: Ty/ Address: 1227 Ni7�ll�P f /frt. S City: 13V s vJ 11' Genn**. r r ,u�� ) State: /JW` Zip: 555`33 7 Phone: `)6Z 7.36'3J4?Email: Tq kr- ��d'��eG • coin License#: pG 5700 15 Lead Certificate#: (/ If the project is exempt from lead certification, please explain why: R06, 1'3 0 - 1h 00 l q7T. 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: Fire Suppression Contractor: Phone: NOTE: Flans Wig-do n Mt * b ft a si ered b , ic,in .- r the. n►f+ ia n may tie c fied as non-publicif you pride sp €c reason;tha + ri gty elude that they ane :. . _ _' 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. Y T.Lpt r �[e+or,ecail.or i 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 Code must be completed within 180 days of permit issuance. x Thief L✓l�1- x r � Appli is Printed Name Applic tafi s Signature PP 9 Page 1 of 3 2 ( c - iLl/g0 �01 ' �� a6'� DO NOT WRITE BELOW THIS LINE ' • SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi ?C Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES /C 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 Valuation 3k.3p,-" Occupancy .712(-- / MCES System Plan Review Code Edition on l'1 2oi5 SAC Units (25%_100% )o) Zoning PJB City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V f 5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X. Footings(Deck) Final/C.O. Required Footings(Addition) ?C Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: Tb yv. &I:lam,la , Building Inspector RESIDENTIAL FEES Base Fee i) Pek. d-- STAT 2 2y2 59• ?T Surcharge 1<"4i 5. o0 59• '?- Plan Review MCES SAC City SAC 19 PD% o 7-•:' Gx%5:% Al /7p.-� 4-57,4;?, Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 4.0 TOTAL Page 2 of 3 TRI -LAND CO. • SURVEYING SITE PLAN FOR : SERVICES COLLEGE CITY 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 iri.e.der n *e.a4Q, Dy04-4.1- le CaE K 1.< - KETTLE CREEK ROAD -- _ _________rt- • 0 h A=6°30'00" "' ?8.94 . t\12 20 5 r— -_. -- - -ie. M ils.o I W 20.0 �. ..� —... _. a GO'''. 0 W hi C3 0 VI , v�y% 0 0 �� • o1 N 1 40.0 0 I 11111 /1 ! ill r DecK- ( /a' Z d) 3_31-/'1 • DRAINAGE 4 N N UTILITY EASEMENT to 2 " .S 83.94 �y i °20'0 E PROPERTY DESCRIPTION LOTS., BLOCK._ 1' 0301 N 3 0! LEXINGTON SQUARE according to the recorded plat thereof DAKOTA County,Minnesota 1IlIJ J ( • . WI' LEGENQ ! ,. S a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION■ I-) a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 96 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT e.--- DENOTES DRAINAGE ELEVAT(DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS • r I hereby certify that this survey,plan or • 2 report was prepared by me or under my Runs/ +� �*r r - direct supervision and that I am a duly Bradley wen Sans .Mn. Req. No. I5235 Registered Land Surveyor under the Laws of the State of Minnesota. . Date: 9 I a i 1 P 6 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150585 Date Issued:07/16/2018 Permit Category:ePermit Site Address: 1040 Kettle Creek Rd Lot:9 Block: 3 Addition: Lexington Square PID:10-45075-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Tony Wirz 1040 Kettle Creek Rd Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169057 Date Issued:05/13/2021 Permit Category:ePermit Site Address: 1040 Kettle Creek Rd Lot:9 Block: 3 Addition: Lexington Square PID:10-45075-03-090 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Jacob Mark Sandquist 1040 Kettle Creek Rd Eagan MN 55123 (651) 239-2630 Limitless Exteriors 844 140th Lane NW Andover MN 55304 (763) 238-1632 Applicant/Permitee: Signature Issued By: Signature