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1041 Kettle Creek Rd Use BLUE or BLACK Ink F Or Office Use I Ila I City of Ea I Permit#: I I 515.00 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: 2 1 t I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: j - - - - - - - - - - - - - - - - - J 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: "1II Tenant: Suite RESIDENT / OWNER Name: Phone: f'DS~` 6"~S'r61~ Addres / City / Zip: O X;~ . CONTRACTOR Name: 4" A-41 jbjA- ~~e_ License 13gin ZS4 9 n ! City: L X_ Address: y State: j4(d4d__ Zip: ` ShZ7 -Phone: 1. 7 S~CSIr~ Contact: Email: f~K r TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ X1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.ciopherstateonecall.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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In _Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r----'------------ Foi Offlce Use City Ol EaRd Permit#: I lll I I Pe rmit Fee: 0 b 3830 Pilot Knob Road I I I Date Received: Eagan MN 55122 I I Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: n _ _ _ - - _ - - _ - 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:' Site Address: ,4+~1 ~L'rtd11~ A Tenant: C~ Suite M RESIDENT / OWNER Name: Phone: le^ fS"G7 Address / City / Zip: bS// CONTRACTOR Name: Aol. ~~4 License Address: !2.s:z City: .~C State: J*4yf_ Zip: Phone: Contact: Email: Ga►L TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: 114 ~ PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $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 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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final tr~ Use BLUE or BLACK Ink I For Offiee use©----------- I j Permit t_ I 3/ 1 city of Eajan I I Permit Fee: 1 3830 Pilot Knob Road / ES Eagan MN 66122 ~P j Date Received: I Phone: (651) 675-5675 RECEIVED / Fax: (651) 675-5694 1 Staff: I SEP 212010 2010 RESIDENTIAL BUILDING PERMIT APPUCATIQN Date: e?/9 20/0 Site Address: GY/ Aritf rLE C1eEE,E- PD C-fr44,V M11 6-5h23 Tenant: Suite RESIDENT OWNER Name: ;/otYRrNAN AFi dE'VA* Phone: !®S!-67s--~s6'7 Address/ City /Zip: /419/ BMW- CRCLtIrc IeD 6R1C7 .d, I AI SS I'Z5 Applicant is: __X_ Owner Contractor ICS/11P✓rrw ~ixH:)U , in/aaft ~ fl,4~ F+at tty'~o . TYPE OF WORK Description of work: A44W s+~c s, a4r~v ocpoie 1), .40jp a-jw_ S• 8Ap "01,L ~,~t itryb Construction Cost: eo Multi-Family Building: (Yes / No X_j CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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. Plants and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public it you provide specific reasons that would permit the City to conclude that the 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 worts 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. / ~oN Pf.( Nar~I~tiA G~~~ x Applicant's Printed Name App icant's Signature Page 1 of 2 } DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Stone 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 Wail "Demolition of entire building - give i'CA handout to applicant DESCRIPTION Valuation Occupancy ,Z'rGG MCES System Plan Review Code Edition SAC Units (25%„_ 100%,, Zoning RID City Water _ Census Code AiAl Stories Booster Pump # of Units - Square Feet PRV # of Buildings - Length Fire Sprinklers Type of Construction! Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connegpn Charge S&W Permit & Surcharge Treatment Plant os Copies ~J f 40 ~ TOTAL F lkv-/ Page 2 of 2 RESIDENTIAL q?(?55 BUILDINC PERMIT APPLICATION 'I ? CITY OF EAGAN ? I`T o?, ? S 3830 PILOT KNOB RD - 55122 651•681-4675 New Construction Reauirements RemodeUReoair Reauirements - • 3 registered site surveys showirg sq. R of bt, sq. fl. ot tause; and all roofed areas . 2 copies of plan (20% maximum bt coverage allowed) . 1 set of Energy CaiculaGons (or heated additions • 2 copies of plan showirg beam 8 vnndow sizes; poured fourM design, etc.) . 1 site survey for exterior addi4ons 8 decks • t sel of Energy Cala;a6ons • 3 copies of Tree Preservation Plan if bl platted after 7/1193 • Rim Joist Detail Options selec6on sheet (bldgs with 3 a less units) DATE .;JB SITE ADDRESS f U`t ! j IF MULTI-FAMILY BUIIDING, HOW MANY PROPERTY OWNER_??_ TYPE OF WORK ? VALUATION (EXCLUDING IANDJ 6(to- / S. Uz FIREPLACE(S) _0 _1 _2 _3 APPUCANT SELA ROOFINa & REMODELING, ini?" pHONE # 9?7,-SZ5 -fO C-/G? 419_8 C-"EGE661AR-B6'^. ADDRESS ST. LOUIS PARK, MN 55418 ZIPCODE PAGER # CELL PHONE # FAX # NIEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Venfilation Category 1 Worksheet Su - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: blechanical System Includes: Sewer/Water Contractoe _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicont Certifcates of Survey Received _ Tree Preservation PI Received _ Not Re uired _ Phone #: L1wn Sprinkler NO. of R.I. Baths Updated 1101 i.HSn rsttotiri = CITY OF EAGAN ? 3795 PILOT KNOB ROAD , EAGAN, MINNESOTA 55122 DATF. 19 G. wecerveo FROM AMOIDNT I $ . , I ? DOLLARS 1 oo ? FUND COGE AMOUNT t e-i ?a r'G Y Thank You ??- 63924 t White-Payers Copy Yellow-Posting Copy Pink-File Copy ? CASH R,CHECK CITY OF EAGAN Remarks Addition_ LEXINGTON SQUARE Lot 20 Bik Z Parcel 10 45075 200 02 Owner Street 1041 Kettle Creek Road State Eagan, MN 55123 Improvement Date Amount Annual Years Paymenc Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK A.SY 1985 254.53 16.97 15 254.53 C009729 10-12-84 SEWER LATERAL ben tYk 1986 173.69 11.98 19 ' WATERMAIN 1986 68.3 4.56 15 68.33 C010073 1-28-85 WATER LATERAL WATER AREA 7 1086 286-4 19-10 15 286.43 C010073 1-28-85 STORMSEW TRK 1986 501.29 33.42 501.29 C010073 1-28-85 STOFMSEWLAT 1986 513.81 34.25 15 513.81 C010073 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK PITY OF EAGAN id, P.O. Box 21-19! PHONE: 454-8100 To be used for 5F DWG/GAN Est. Value $82000 Receipt # SiteAddress 1041 KET`'L3i t".REk:K RD Erect Lot 2 0 Block Z Sec/Sub. LEXIPJGTON Sti1 Rema Repai Parcel No. W _ 3 ° Name i'.J. BO. Address City 2EiSf.0 Phone ¢ Z o y,141i; Name ? Q Address ~ City Phone a W W Name f ? ? Address i W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of ? ."'_.. Minnesota Statutes and City of Eagan Ord' , Signature of Permittee q_e. r A Building Permit is issued to: THE RO'rTLUND CO all work shall be done in accordance with all applicable State of Minnesc Building Official i ? ' -- CO EK Occupancy U ? Zoning ? Type ot Const?- ? No. Stories n ? ;...,..,. c. n Int. Impr. ? Sq. Ft. ? D4 Instau ? ? Aoorovals Fees I Assessment Permit $ 379.00 water & Sew. Surcharge 41. 00 Police Plan Review 189.50 Fire SAC 575.00 Planne Counci Bldg. O APC Var. Da Water Conn. 50 u • 00 Water Meter 63 . 50 RoadUnit 1`?0,?0'? ff. 5/14/8 Tr. PI. 156.00 ' P k e ar s Copies Total ' 0 U on the express con dition that and Ciry ot Eagan Ordinances. r I t I I PermR No. 1 Parmlt Holder 1 Dab 1 TNKphons N 1 Commenb Plbp. Ht9• H1p. Plby. ne,._ cs__I 11tr1lL1 ir, A n ,. 1. 1-4 -- -- - o -71- 1,. I I Doek Fty. 4-5.14'. 11 • ' n Doek Frmy. II /,?wCp1 11 Z_ idL A .) aaz/ DNp. « JC PERMIT q . ? . ' , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 5ite Address BLDG. TYPE WORK DESCRIPTION Lot -- % Block --? Sec/Sub, i % / G Res. New / FLA&aE IIV'P"$A'fRE Mult Add-on ? c _?JIc. Comm. Repair N Othe ? Name c Address , p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other ?_ / i R ? M BTU M BTU M BTU M BTU CFM FEE _ S/C: _ TOTAL: _ 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) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # c? , PLUMBING PERMIT RECEIPT # ??? Q Z ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: V G? K? CONTRACT PRICE; PHONE: 454-8100 ? I Site Address I '-' y' •_ tLli° Lot ? C) Block ? Sec/Sub ? Name ° 11' L I ' m Address U? L.? c City -? ?'`- - Phone y? 1 ? Name c Address L ? x 3 p Cjty FEES 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) BLDG. TYPE Res. Mult JI omer i A J"l1 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN WORK DESCRIPTION New y Add-on Repair FIXTURES TOTAL Water Closet - $3.00 - $ Bath Tubs - $3.00 ? =Lavatory - $3.00 L - __?_Shower - $3.00 3 7 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?- " Laundry Tray - $3.00 ? Floor Drains - $1.50 ? J`' ! Water Heater - $1.50 Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 _5oftener - $5.00 _Weli - $10.00 Private Disp. - $10.00 3-Rough Openings - $1.50 FEE 3 ? . C STATE S1C GRAND TOTAL• ' ? ` MECHANICAL PERMIT PERMIT # CITY OF EAGAN ?? / y" % ? RECEIPT # 1y F2 v n 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE f-? 11 4 7 NTRACT Pf1,1CE: PHONE: 454-8100 , Site Address Lot ni 7 y Nami ?o Addri c City _ Name _ c Address o City - BLDG.TYPE Block Sec/Sub R? / ? AIR COND. ? RTH AVE. S . Mult OLIS, MP! 55 Comm. Other I TYPE OF WORK Forced Air Boiler 9 Air Cond. Vent. Gas Piping Outlets # Other WORK DESCRIPTION New Add-on Repair FEES ' RES HVAC 0 10 M BT . - 0 U -$24.00 ADDITIONAL 50 M BTU - 6 00 Phone (RES. HVAC INCLUDES A/C ON NEW . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE M BTU M BT1J; ... R - APT. BLDGS. - COMM. R,4TE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MIIYIMUM RESIDEN-Tflkl FEe--- At-L ADD-ON 8 =- M BTU M BTU CFM REMODELS MINIMUM COMMERCIAL FEE . STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES - 12.00 - 20.00 - .50 BEYOND $1,000) i FEE: ? S/C: -SV SIGNATURE OF PERMITTEE i172G(? TOTAL: ?? su FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: pM,Mr. `luud /lddross: SiN Addrcss: Plumber. Mator No.: 5S/ Slu: 4721-1111foal Reode No.: D/N457' I Nme N wwplp Wilk Nw OIoMIIOM. By zh'?? Dote of Insp.: Compan ettle z-3/ 7-6 WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Road L20 B2 Lex 1 on??• . ? f?l1? TMOL• Date Paid: Inry.: CITY OF EAGAN SEN?ER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zo^i^0: No. of Units: Ownsr, ." ' ?s.1:? i;atnne i . Addrcu: Sita Address: Plumber: 1 Mrw M eew* wIM !M Ci1r of bps Adiwonen. I Iru 3830 Pilot Knob Road P. O. Box 21198 Eagsn, MN 55121 1 pM lo eMPIY wNb tM Cky Of lWN OAl? By Dote of Irnp.: By Dota of Insp.: ConnxNon C]wrpe: - - - - AccouM DepOSih PermR Fae: - Surcharpe: Misc. Cho?pes; Totol: Dats Poid: WATER SERVICE PERNUT PERMIT NO.: : DATE: No. of Units: Cannscilon Chorps: Acoount Depoait: _ Pertnit Feo: Surcharps: Miae. Charpas: - Total: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eaga n, M N 55121 N2 11968 PHONE: 454-8700 BUILDING PERMIT Receipt u To be used tor SF DWG/GAR Est value $ 8 2,0 0 0 Date M AY 16 Site Ad' ress 1041 KETTLE CREEK RD Erect ff Occupancy R3 Lof0 Block 2 Sec/Sub. LEXINGTON SQ Remodel ? Zoning R1 Parcel No Repair ? Type of Const. V . Addition ? No.Stories THE ROTTLUND CO Move ? Length 6n W z Name P.O. BOX 3 3 Demolish ? ? Depth 4. o Address I t i ? S F+ n . mpr. OSSEO 571-0304 ?it ? q. y phone Install SAME ? Name _ $ Address Q ? City Phone F W Name -z 0 Address 0 _ a "' City Phone Assessment Water & Sew. Police Fire Eng. Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 5/14/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of Eagan Or " Rea?'? • APC i Var. Date Signature of Permittee --` T OT Fees Permit $ 379.00 Surcharge 41.00 Plan Review 189 . 50 SAC 575.00 Water Conn. 500 . 00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies r..•..? $2 I19Y-00 A Building Permit is issued to: HE R TLUND CO on the express condition that all work shall 6e done in accordance with all,pqjCica* State of M' nesota tat?„tes and City of Eagan Ordinances. Building Official _? REQUEST FOR ELECTRICAL INSPECTION ea-oooot.oa . (f? ?? ?` U LJ I? See instructions for completing this torm on 6eck ol yellow capy. C 24343 "J(" Below Work Covered by 7his Request Add flep. Type of Building ApDliances Wired Equipmenl Wired Hpm= Range Temporary Service Duplex Water Heaier Lightin,y Fixtures ' Apt. 6uflding Dryer Electrie HeaUn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Peci Y Other lSPer.ifyl p Fee SBIViCeEntrBnCeSize' R Fee Feedets/Subfeeders 4 Fee Circuits a. U to 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 q,nF?y 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Amps Trensformers Irrigation Boorc?s Partial."Other Fe I Signs ? I ISpeciai Inspection 1 5(?? ?I70TAL U flemarks 7' ?A flough-in Dfl1e " I, the Ele Inspeclor, heraby ? certif that th b Final ? y e a ove nn s0ection has been - ^ ? de. fhis request voltl 18 montM from is';b?°n5 i?omld G ' d 3-1X0 . `G J q/ C2 4 3 4 3L-ao r?) ??q7- Request Date _? -? Fire No. Rouph-rn Inse ction R quired? es ?No /I ?R?dY Nuw' Will Notify Inspec- tor When Ready ? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed ar. Slr e2 Address. Box o oute No. j wam= Ciry ecvon o. Township Name or No. Range No. C nty O pant (P qINT) Phone No. wer Supplier - . Address - EI tncal Contractwr IComDa Name) :. r Contractor's Licepe No:. Malli/n1pp\?} dress (Contractor Owner Makinp Instailation) m , Author' d Sigpature (Contractor/Owner Making Installation) Phone Number sze? - ? C?b MINNESOTA STATE BOAflD OF ELEC7RICITY J THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Hoom N-791 BE ACCEPTED BY THE STATE BOAND 1827 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS Phona 16121297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON ee-oooot-os ' See instructioas for completing this form on hack ot yellow coDV. s- ' o D 1? 6 2 O ""X" Below Work Covered by This Request Nev4 Addj flep. Typ¢ ot 6uilding Appliancna Wired EquiUnienl Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electric Heawi Comrnercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank Fefm Other peci y Othor ISP,?r.ifyl t .r Spr.cify Othcr Other e inspection Fee Below « Fee ServiCe EntrenceSize H Fee Fee.ders/Subfeeders N Fex Circuits U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qmp5 31 to 100 Amps 31 to 100 A rnps Swimming Pool Above 100_Amps Above 100_AmpS Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspection -_- c -- Rerrarks / TOTAL Ffif 7 7 -, /0. / Rough-in Dnte 1, the Ele ? InSDector, hereby if h . Final . (?ia? j cert y t at the ahove inspection has been ? l ? made. fhis request vold 18 montha irom This rpquest void?/q?/p? 18 months irom ?? O D 18628 7.:5?7 7 nequesc uate ' Fire No: iR uuh-in Inspflction / ? ?/ equired? ?/ Ready Nuw Q Wfll Notifv. Insuec- (p - 3 -? / ?Yes XNo [or When ReadV i ?Licensed Electrical Contractor 1 hereby reques[ inspectioo of a6ova ? Owner electrical work installed at: Street Address, Box or Route No. ? City ?'° I o ?l I ? ecuon o. Township Name or No. Range o. Couo OccuuaM IPRINT! e.?- Phone No. sa -9 ?8$ ? Power Supplier Address Electrir.al Contractor (COmpany Name) C??ntrar,tor's License No. HARRISON ELECTRIC Inc 421867 Mailing Address (Contract or Owner M2king Instatlation) 44 g n Av nue No. Mpls., MN 55412 A. ori e u (C e Making Ins{9.lation) Phone Number 521-0520 MINNISOTA STqTE 90ARD Of ELECTRICITY THIS INSPECTION REQUE57 WILL WO7 Griggs-Midwey Bldg. - floom N-191 BE ACCEPTED BV THE STqTE BOARD 7821 Universitv Ave.. St. Paul, MN 55100 UNIESS PROPEfl INSPECTION FEE IS Phone,(612) 642-0800 ENCLOSED. N a v m ?n U) U) r ? 0 ? ti N lD m V ? ? kD ? H Q ? w J J 0 ? ? z 0 t? E ? ry LL d m nu 4 m m m m N i ? ? i m W LL i n APPLIANCE . PERFORMANGE TEST Attach io gas fine adjacent to regula[ar Heating Gontractor C0"t`oWN?g & AIc i Name of Tester Date j `f • ?b j. I - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - iaql JobAddress Heating Contractor _ CoRtrallad Air Name of Tester P I ? to.,CI-01 Date cy -- Percent OZ Percent COZ Percent CO Stack Temp. , City Of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - ----------------- ? For Office Use ? j Pertnft#: ? Pertnit Fee: _ tl ? -- - ? ? Date Received: I Staff: ? I ? J ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATIQN Date: DS bir-tOO Site Address: O E C'dr Tenant: Sulte #: RESIDENT / OWNER Name: ON Ji) &A1CEN(& Phone: ? S/ ' 6 7S -(05W Address / City / Zip: f0 fII A-E1T1C CX0CA-)zQ EAbi$?. MN ?SS/Z3 Applicant is: )t Owner Contractor TYPE OF WORK Description of work: D ECk 60KSTRt,.x,1teti Construction Cost: Multi-Family Building: (Yes No -)(i COIdTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy COde • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet CBtCgOry Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the Ciiy of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer & Wffier Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Port/ons of !he informaiPon may be classified as non-public !1 you provide specfHc reasons that would permlt the Clty to cortclude thaf the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in contormance 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 pertnit that the work will be in accordance with the approved plan in the case of work which requires a review and approvai of,? ans x?! Ol?(A7rFfflA? f/bGkE 11?6[f?" x! Applicant's Printed Name Appl anYs SI nature page 1 of 3 ? MAY 0 a ?" 7.008 ? . . DO NQT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Famlly ? 06-plex ? Fireptace ? Porch (3-season) ? Ext. Alt. - Muiti ? 01 ot _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex )9- Deck ? Porch (screen/gazeboJpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' Addiiion ? Move Building ? Reroof ? Demolish Interior ?? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Repiacement ? Egress Window ? Water Damage ' Demolition (entire buiiding) - give PCA handout to applicant DESCRIPTION: Valuation n UJ g Occupancy MCES System Plan Review Code EdNlon SAC Units (25%_ 100%? Zoning City Water Census Code Stories Booster Pump # of Unlts Square Feet PRV # of Bulldings Length Fire Sprinklers Type of Const. ? Width Footings (new bldg) Sheetrock ? Footings (deck) Flnal/C.O. Footings (addition) X Flnal/No C.O. Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pooi: _Footings _ Air/Gas Tests _Final 1c Framing _ Siding: _5tucco Lath _Stone Lath _Brick Flreplace:_R.I. _Air Test _Final Windows Insulation Retaining Wall Reviewed By: ------------------------------------ - Building Inspector ---------------------------- RESIDENTIAL FEES: Base Fee Surcharge (? 0-0 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permtt & Surcharge Treatment Plant Copies Total Page 2 of 3 --? f ? '- - N ItoINO Mun Of frca 571 6066 6975 Hqwvay No 65 N F Minwp,l??. MuwuY 56132 II /ZZ0.7 N('0//II d ? YY ?0. M? NwM+1 ? Tn?uY a I.nf Runqvy ?/rn? PWwiy lWrnn1, Mu? 6i]J7 Certilicats of Burv*q lor. )?OTTLUND CD. 5. 8?0°3o'oo"E. q5?? 79 3S \ ? ? i4j ? o VJ ?U,, a N 1 ., ? i I t ? ? v Qo p posEO ?o?st N d I g.o 37 3 c?v r fl?? N SO ` I I I 22.7 1 I .-, ; _ _ - _ _ ? J I •` ?T+ \O1; T .{ .i '. . 4 NoaTN S. 2& o00 S, g/ p? "F r q?.L W o? o ? N °o ? -_ _-- ---- -----?' 0 ? ? KETrZE C,PEEk ----- ...-- - . ----?9?=--_ I ; --------- Denolles Drainnje ? UfiIiy Easemen} . Boarings Sham arc Astumed. pRppQSEO ELEYATIONS o Derates Iron Mnnument. o perqtes 10'm Foundatlon Top ot Blotk a96- 0 Corner Stake. La+est Floor ??g - z oo.oDenotes Exlsting Elevatlon. fange Floor 895•b .nMIAtat Mryetinn .,f 1986 BOILDING PERNiLT APPL r - CITY OF EAGAN NOTE: ALL CONTRAC?OR5 M[JS? BE LICENSED iIITH THE CITY OF EAGAN SZNGLE F9NIILY DWELLINGS INCLUDE 2 SETS OF PLANS9 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DTiitEI.LINGS - RESIDENTIAL RENT9L DgITS FOH SALE DNITS INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SIIRVEY - CHECg i1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COHMRCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 8Zeoa' To Be IIsed For.'?j` a(1Q,_.Valuation: ? Date: 6-o `CJG Site Addressim? `AJ Lot o? Bloek Q Parcel/Sub Owner Address ?!(J. uoyC City/Zip Code D551E-'Q Phone Gj ~] (-Q?5? Contractor 51_,,,,_p Address City/Zip Code Phone `--'-- Arch./Engr. ?------. Address City/Zip Code -'--- Phone # Erect ? Oceupancy ? Remodel Zoning Repair Type of Const Addition # of Stories Move ? Length Demolish _ Depth Int.Impr. Sq Ft _ Install APPROVAIS FSES Assessments Permit Water/Sewer Surcharge Police Plan Review / ?6) Fire SAC Engr Water Conn Planner Water Meter i Council ? Road Unit Bldg Off Treatment Pl APC Parks Variance Copies iOTAL a / 9 cL . NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNER MQST DESIGNATE i1HICH 6DDRESS IS DSSIRED. HO CHANGFS iiILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED. 4 /?/? 2Z ? ? I ??? ?Z= ??? '?':?j?? ??? ?. I._ yy+'? *Yr` 4 )? a r -71 z?SIZ ' 1 /? s { ?¦NO?Maaw?No E IIIC- ?' , .. ?, 11N fi YwwW d'M?M OSaY Tniey 0 La./ RurieyW 0 !aM FMn" i . ' Csrtilicate ot 9urvey q5 4 I 4i L op oN ? d M.m orrw srieoee 8875 Nqfrrly No 05 N E Mmwpo4l. M+wvq4 SM32 . SoWh OIIKo YYOMIO /Z20.7 i?ic0?/If r/???(?0 ?u„a.d4, M?nn?wu 6 :or )?0T7-Z0" co. 4 S. 847030'00"46. NORTH 79• ,35 s i --------'---------"-l i ? i ? I ' i ? I ? y `'yc?t . i -- S20 -? , C), „?.. _.:• 9/ X ??•L v PXoPogEo Ilu oosE ? ? s.o 37.3 i s N fy?1? to ' ?' zz? l' .-.I:: ?',r. - - - - - ? . ;' ?o p ? _ I Ri ?' Il?y -- --- ---------J: P x9ss" . ? KETTLE CA0E67A( -??91/ w ? M. ? .:'?;,. --•------ Denofes Draindje ? Ufihy Eascmen? . . Bearings Sho?m are Assumed. pppp05ED ELEYATIONS o Denotes Iron Monanent. o penotes 10'm Foundation Top ot Block 896, o Corner Stake. Lowest Floor AA8-7- 9oo.oDenotes Existing Elevation. Garage Floor 0 95, 10 ,*---0enotes Dlrection of 5urface Dralnaye. LOT Zo , gLo%"r/-1LI Z LEXINGTONI SQUARE, . Sub?ecf fo drqrna? ? utilif? easernents J' DAKOTff COuNTr, MlNN• 1 Aorobr aorN/y fhat tAIs 1s • 1rr• ood coneif rMrosowseUew OI ••rrveV Of th• ?orwdidwlOll dtM wMipw Mwrlrs,/ Iswr, mwd d tAe Its4sNctw diq1rbuIldlqy ostow. aw4 dl v1sIbN i/ •ONY, Now w w . w11 Iawd. As wrvoYed ?y mo tAls OA}{/my d A.O. H-G . T? iY URBAN 9NOINt"I0, INC. SCQ'/L?; I,nc , ? ec .?,,?.....,--? - ? : , .?rrr/??r? x? - --- •V Nnt Publuhrd: All Ridn Rrorved 0 C(_ 147,7 C: 10 !_elCl .... F It }? Y ? ~ • . . EXTERIOR ENVELOPE AVERAGE "U" COIIYUTATION a.. °. :. OWNER f _ _ ? . '?,. _..?. .... ? ? t ) ?•.. ? .?.,.'? ?-- ?-? . SITE ADDRESS CONTRACTOR ? DATE S' PHONE '57I' 0301 Determine working square footage of each. ? . 1. Total exposed wall area ...... Z 1?? sq. ft. x./ 2. Total roof/ceiling area ...... sq. ft. x r?2(? _ ?,7 Total exposed wall area above floor = -3?o a. Total wall window area ............. ........ ... b. Total door area ........................ ......... c. Total sliding glass door area ....... _.... .. . -71 U d. Total fireplace wall area .......................... ? e. Total wall framing area (average 10%) ....... ....... 170 f. Total net wa11 area above floor . . . . . . .% ., . . . . . . . . . .. 7536-, g. Tota1 rim joist area ..... . ....................... 1450 2 Total eaLposed foundation area = `7 h. Total foundation window area ........ .,............. . i. Total net foundation area above grade .,........ ,.,.,. `'"B` - - Determine U" value of each wa12 segment. . 1f a. 15-G X liUn b. X nUn. e, c . ?- v XQUI, a? 6 = i?; Yo a. x ,fvll e. ,/ 7 U XItUtt , 07 7=/Y.7'? ' f• / .'?,3?aa g,ItUll oU`/2 s. / G 2. X„U,l pG?f ???.'+?d h. g iiUn ?..•. = t? i. X „U„ 3 ......................................Total If item # 3 is the same as, or less than item #l, you have met the intent of SBC 6006(c)2. ,. ? , . . ..,., . . Total exposed roof/ceiling area = Total gross roof/ceiling area j. Total skylight area ........................ ? k. Total roof/ceiling framing area ............ $ 1. Total net insulated roof/ceiling;area ...... 1 3 2? Determine "U" value for each roof/ceiling segment. . J. X IfUll e S/ ? = 21?e . ' k. XIlU„ X„U„ ?A 4 ..................................... Tota1 = ?)CU 2 If total of #4 is the same as, or less than 1i2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items It3 and #4 shall not be greater than the sum of items 411 and #2. 1. z? + 2. - 3. + 4. 3???2 = \?,?5? ? 'JTE:' Use',W%'oL opaque wall area for : fzame construction Asxc I9ALL ' FIG. Pl ?. . ....._ . .. ?' FS211i1E [?ALL . ? • • „ •?, . I • ,.:__...-? -rl i?xG. 2 ? . ?. _._ _. L.? . • ?. ? ? ? ? • ?."'? ?- .___ luyu J oi 4 Co nstrur,tion ' , ' ? r"•? ,. . • R-Value 1. Interior air?film 0.68 li, ' .3. .2x6,;, 5T!/05 .. 4. ..25/3z SHT,f, 2.DC4v. '. , 5, ?/GV.f?Cr U vCIG FEGT / a 2 f? : 6: Ecterior air film 0.17 • • Total v? a0oo -7 ' . , . . J.. Interior aix Eilm 0.68 ; , . 2. ----- r0 3. F(/[. L yGU/<) L L'/iLSLG /%??j . -----?? • . 9. 2 513Z sr?r? 2 06:, , ...-Q . . -. ' 5. si 6. Exterior air fil.m 0.17 Total 2 3, 6 Z. ?-....?..._.._..._CD `scf IICL'[1. 1 ?:? ?,• ??. ? ).' ;,? ?'•;•.?;?' .=: 17 -?----0 I i.? c• ;?; : • :??,., I ?:- . ?, ' . I,_"' •1 j , ?;;. , ??,?` "?.?I , , . • .. f `'?. ,;>?? ,• ?, ?y"'?'µ . , ? . . ? i T'?l?,ti?? • •. ' ' • I ..? ? r?.. • ;, :1TICr i ? . .. n ( - ----- 0 . . ??(..G? ' r I ? ? . ? . . ? 11 • . f-3.Y/Ip \ ;-^ ? i ?f?.....??, ? •. . .6 ; .. . .• ? r r " . r ? . • . ` c? . " A ??? ? • y '• ? . ??? ? ?? . ?? ' • w? ____. ; . i --- . „ ? 113 . Y r• „ o ' , (T , r ; . . l, Tntezior air film`, 0.G8 z. 3. ' 2 x .? tz'r .r A 4.. 2 5?3.Z S t-1 'r-fs- 2 m0? . 5. ¢ • 2 ei. 6. Exterior air film 0.17 Total 257,05 ? r . V = '• O 47- U l. Interior air film • 0.68 2. // c?0 3. 2?1 FU2 21 N C.? 9. I2 r?CC?wc ,/3 ?GC 1? `/.? 6 5. 6. Exterio: air Pilm 0.17 Total /3,/3 ? . 1 .o. . ,. r v ;O'7?n `. 71-t'? . • ? , ?. ? , . , •' , ? . ` a '. ., ! ?!? _? , (! 1 . •? . • • = J ? 1 • ' FTG. 114 .... ' ? . . ? ? • . . . l!i ? ' ` , ° ? ,.. ? , ..! .. _ . _ ..,. m.:a.'_.?_.::.,i.:;?.Lea.:,..... ,......... .. . .... .... .... .. ..........:... , . ..._ . ....c...., . . o...?, .:...? .._._?.?....??.._...`........ . .. .. ...... ._.... . , _... I Y . ' d Y ? . w ? •? '•RCAr/CEILING • i . , ?. . ?' , • ? . ? ? . . • ? ?+ . Const•rucl:ion ' R-Valne ! Interior axr film O,G].. ' 2. ` 5/R" C??rT? f3 RO o S$ , s. • . ?? ? '?(„ J- ?I? j}+ ? • ' 4. Exterior air film (still 0. . Vi?IT Total ?{o g0. q ?? 4 1 • . ? • ? ' • ? . ? V Ov2J . . ? ?? , ' ' • ' • ? , . ' ? .• , ' ? ' ' ? • . . ' . . . .. ? ' ? ? . • ' ' • ? ' Vented HeaC flow ' . ' ? , • ' ' • ?,? ? . . . . . . + up ? •? . '' , , , ? ? . ? ?? • . . ? • , , . ? , • ,? , ? i ? ? , . ? ?. • FTC. ?k5 ?' , . . .. . • ? ' ' .. `7????_ ' ?.. . i ' , . ' , . ' . . • _ _. ? • " , • 1. Interior, air fS.im 0.61 • 2. S,. C?YT? 13RD a5 S ' 3• DvE2 '77ZU5 5 ?°l L '. 4., Exterior aa.r Eilm sti • . , Total• 3 (o 1-7 ..? • • • ? , ? ' • ?. • ,' , ?_ . ., .? ' , ? . . • 1 Y.ear Flo"r up •venCed• ? :'• . . , . • ? ' , • , ,FTG. ?6.?..?... 'r? ?, ; ? . • ' ' • r . . . . . ? . , ' . . _ ' ' • -'-' - -?' . , ... . . . ' , _ , ' • ? ' ? • . _ . . . . 3 . ? ? .I ?" ? . • - ? v 1. Tnsi.de ai.r film 0. Gl. ? •.t . , <°*?. 2. '? ?Q? .ai. ;G'? ?s•°•.l:.- :.• • : • ? ?ti?, i : :,:'.:?••. . • 3. ' ' • • 4. . ? . . . . ,•?.??:•'?' ? ' 5. Outside air film ? 0. ].7 ?'i f • ' To tal ? .-? ? • ? < ? i ? , .. , •, • , •, , , . . ;.. , ' . • . , • ? HOiJ-?v"Tm? .' ' Notc: Use add3,ti.oilal sheets •if more ?paco is • ?• ? ? ' • ' ? • • needed for dci:ails and calculatians. .. ?, . ' . ? Heut ? ' . , _ ? ' • • , , • ?flow up ? .. • ' ' " , . ' ,. . , :.. , , • . . . --__ __ ? • .. . CITY OF EAGAf? ? ? ?? ?F? ?? ,°E' * APPRovar, oF pERMIT. ' APPLICATION FOR PERMIT * . * INSPDC.TION oF S5QEIt ANID/OR 4ATII2 ' jNSTMT.ATTONS WILL PXYP BE SC;HED_ ? SEWER AND/OR WATER CONNECTION ?ULED UMUL PERMIT HAS MN . . ' • * APPROVID. * * , .._. **************************+***?***** , Please Print) ? 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ••- Lot Block Subdivision or Tax Parcel ID ) IE' EXISTING SZRCCIL'RE, DATE OF ORIGINAL B[JILDING PERMIT ISSt'ANC.E: . ' PRESE6Tr ZONING/PROPOSID USE: (t"bn Year} q coi'111Exciai,/xErx1L/0r-Fice Q IPIDL'STRIAI, Q INSTIZL'TIONAL/GOVERNPENp 2) 9?? n R-1 SINGLE FAMILY ? R-2 DL'PLEX (Ztao T-inits) ? R-3 2UWNiOtTSE (Three + Units) ( Units) R-4 ApARTm1'p/CONIDOMIIVIOM ( Units ) N1aME: ADDRESS: 13 r-`1 CITY, STA3'E. ZIP: n 1 C,' S CJ ?3 PHONE: _' 3) u c?• -- NANE: ADDRESS:_ CITY. STATE. ZIP: PHONE: [] Active H fxpired Not recorded St Initial 4) •a• • lg%• NAME: ADoREss: p,_ ?-l?Q 3 sr ' CITY. STATE, ZIP: nC J1'1 h/ PHONE:_ r1 3'p , •5) ? v i a• • ?• : ? • y• - ?i ?(( CONNECTION TO CITY SEWFR r1--Y CONNECTION TO CITY WATER T 746) ? • i- ? PI,FII.SE HOLD APPROVID PEf2MIT FOR PICK-OP BY ONE OF ABpVE ----- -- PLFASE MAII, APPROVID PERMIT TO 1,C2 31 4, A&3VE : • (Circle one) " MASTER LICERVVSE# 7) 'r?.??? ?-- - ' '?' A0 ^- 3 O --- FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLL'DE SL'RCHARGE) .. $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEP05IT - WATER $ ? D [rZ7 $ WAC $ S7 S" 0-2 S sAc $ $ TRC'NK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'[VK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /,;L t/ ` S-6 $ TOTAL . /o 2,6 2-7-? RECEIPT 3 RECEI PT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SLBJECT TO THE FOLLOWING CbNDIT20NS: APPROVED BY• TITLE: DATE : ?-? ' s J HEAY LASS CAICUTATION? -2Q_° rEMP. DIFF. c„rom..n.m. Fa-ff-bhd TYOe f: : sluet,,tn?5?/'1 ? City Windowt Stwm Snh ? Gmw H.ntip. rME HEATING RAtR rn NrITw,ih iM. - Strwt = bfi4 MahricltsQl?n i?VR-Ne. Gilirq Itw. . cicv --- (?ider, v?i? h,?nnrseEs?w427 Faa _..• - . - - - -- .? FI.ILracilL Rr3TILenqM 34p Wi Windowf and Doort-Crsek? anvl erai. NO M?Mw + p?M n0.9n, a? n?n? MO M- l.? II. l, t? OI t??tr ArY 4 n I .COf1.? Btu imunaticn I G isa E xp. wsll r7,3 x y 1 192 NeI exp waU Z92 Int. wall c.,l;ng 36 x /'f Se F loor Tobl Btu. _ FI.ICrcjV I Roomllw+gM WiCth Windows and Duors-Gaekifiviii rrf Lrr on No w•n1w r??.?n? o? w.r ef voti Ms e? t 4ft" l???Yl N. e1 arM ?M a M. ? r.0o. efl/ InF?ltrafwn G4ia E¦n. wsn 2 (o yc ` /D Nrt eaP. wsll ? ? (o In1, wall ce1li^y I yh I Z 6 z 3 G f'°"' 6 ? Z 33 3"u IYV+c ? ?. ( F?.I urr ? rf Aoon,1 L8nqtn / Z. wi Windovn ane Omrs-Gaekam ard Arm ye. Irw?w or ? ..?yw? Na M' l??r? rl. a.w? ? n ?? v?c. ? ArY .?.ir . ? CAM. Btu Inf i1VNiOn ' G las Exp, wall $'.x $ ? (p `( Nw erp. wsl! s?e Int. wall c.irny I i n F? 9? z P loo. Z- 97._ Toal Btu. Q ) F?.IF?f?,< Ya? oomlln+qtn !2 widsn H.i¢+c R'- WiMowe mnd Doora-Gackaoit aM Arm Ne. MmN11 m psaue wMM? Mo OI ' 11Aw h. N..? W4101. t CWf. BtL ?InlHtratioel Gln E,o. wsll , SkBe Not eap. Nqll toO Int. wall Cadinq 12- X'5- (fl 0 I ZC7 Floa? ln J Z- J ZC? roul etu. I/0 g? Toui Btu. ?? it. R,+?,eFa?„?.Foo+*I?erqth .`? 4V itiidcn Heig+t? i 1:112r„"?,poomii.w¢it17- width ii Fhi9f+t8' wirxlnws and Ooars-Gaekas rd wrm ? Windows and Doon-Gadcaw wd Ary y W?n?w •?? ?•?M wryr.? nl P?w? NO aI l? q l??Mlh. d C??N ??r R N. -2 Y 3 3 ? 28 i ? Caf. Btu Inldtra??on ?o 410 lqy O Gli,s ? d O wa11 Nin eup. wall p v/ Int. wall cnlery .? i 32 1- 7 Flor. 3g6 2 i ouf utu. 1 (0171,00 . N?ft N 000 w0.0" ef N*. M l n Lo? h. N ewaft ?w N? ? Z0 I Cal. Btu Inflltfatwn v o O() G" te Sv ?'Oo Exp. wsll 3 ? r 8 Not ncP. wall ? Int. wdl air? I(xl? 13 Flow 3y Z TOt11 9tY. I G XDO ? ? ? HEAT LOSS C ALCUTATION TEMP DIFF. . , •: Custon+w Namm _ Ty?.? <:onwractiu? ?j nal Sf'O r1 ?-- Window? Storm Snll --.- .. D?Nr Nsm? . Walh Init. . -? Str;.:'. -- ---- Cwilin, lew. -- Citp - - ` Fbo? 2FI. Hirc`?i.? nRoom?lenqth t3 WidtA Meight f1.11 RaomlL A Cyl WiQM/ M!' Win0ows and Door%-Cracka" and Ary Windo arW Ooort-Gadcsp and Arm VO w'O?w +? o.n• r?r?n 01 n NO 01 li?Yl /\. l o? tr?e? •ir . 4 M J/.U I Me. Wy?U M M M?N/1? YO e, a? l b ' lM?l lt s? <??s? , A,Y 1?. 1? . ? ? ?? .116 Z 8 Z' 2a ; ? g h ? 18 Cwt. gtu Inf?hrahcn O d`t 00 Gisu ! U a O Exp. wall Jc? a Net eio wall r Int waU c.oiiny 13,k /Sa- 3 `/ fo Fiaw ? ? (o 2 y i L 8' I z. I!'-7 I! z I i I Coof. Btu inrilt-r,tbn 3 ? • y Po ct,u 3 (F?o Exa.wsll .?(p x Zt7, Not o:p. waU LrJ rJQ V_ Ut. wall I I 1 _ Giiirp / SF k / Z 1/ (o ? 1 3 c ioa? 11?cosr 1 i1 33 Co Total Btu. - I & 2f4?? I? Toul wi?8tu. F?i ;???? oom I L?gt?+ !O wwtn /y H.qnc Aooml L.r,ycn 1 3 ww»hI Z Z e,.,. .nd eee.._G.ek,n. ,f s... ? Windows a%d Duas-Gxk ag? snd A? r ? 1`a ajI ?r?r a1•i^?M LO t? et 1?M?~, ? h. C.wf. 8tu Inhltrstan 3 4,-0 Zd Gl» 30 45Z13 r S1?o Exp. wall Zo x2r ? O NCI e?0. will ( 0 Inl. wall cedong Doc / 3 ? O ? loo. .180 Mo. W'?M o? M ??'M? M Na a1 l w lf?rM M. ?1 t?w? ?ti . It. Z- z 1 2a Co0. Btu Inflltfafion Z'Z gC? , GIaM zc? Sb IOC7U e:o. well . t 3 8' i Not .xp. w,ll 3 Co Int. wall Cedinq x / Fww /S(o Z 3 z.? ?I era aw. p row etu. ? FI IL v;l? Rooml l "n widtf+ Htigm t? Fi. 33ZRoan1 lw+q[^ Width %.? }N?t Wu+An aM Ooora-Gacksqr snd Aret •? ?rr nl Mw? l A L"'MI f\. ?1 e??? LrY ?. M. ? I cn.?. etu tnfdtratwn 3 ?{v /47,120 G?a.s JU O E:p. wall /D Nw ..o. wsll 3--2 Int. wall ???ing) 3x/ 3 5q (cv F+«,. Windowa and Doors-Gsduaa md Arm . y N?rr e? w l w M ars? 4 n z a. ? zv Co0. Btu Infiltntwn z O B? Glar Za SU 00c; E.a. w.u 2 6 x Nof a:P. wall 7 S fnt. walt aiiing //x F lo« /? $ 3 30 Toal ew. I_3b !r 11 roal em. 1 3U 5'? HEAT LOSS CALCULA Cupomw fVarn? ti? _ r. OvNr Nan? . ? y?5s?rt --- -- _ Cit?r -- •': Win?fowf and Doon-Crstkag? snd Ar ? TiON rtEMP. DIFF. -? ?va• contnxsion X;?,?. 5 ?a., 1 _ Sto?tn Snh ? . wi Walh Inc. . CwUir+y IeM. F1oor NO w'OIw .?? 00Iw ?+??91?, el nur NO O? l??W? I\. 4 nM o? a?e? •?r ? h ? a ?- ? , C00C Btu inhltration ? 1410 D Gtan .Z ! OU Eaa- wall ?X g' ZZ tua e,o. wall ? y IM. wall ' Ceiling )( / Z Floor RR% Toul Stu. - I ?l.SR S? goomILtngth ?(o Width Nosght Wlndows ar+d Duors-Gxiup and Ium ? M• WMw T M?.?w? O? y?y OI ?A Ne 01 l A ?..I lt. 01 ioN\ r. ti. w1. 8\Y In1?ItraF?on 2 Yd Glaes ZL DD Eap. wali 8x ? Nri eno. wal1 3 Z Int. wall q Cedonq ?p ?c ?tw• ? -D- a5?0 Tetsl Stu. 1 '?(e $?tx_ fl.l fiootnI lenqth WidkA ?N111 WinMws uM Ooors-Gxks" snd Area tiM1 W«nw wqw? •?? ?rr nl n?M No M l? ti l•??M ?1. N v?M? ??Y R N. Cod. Btu InfJtrotron Gia.s Exp. w+ll Nw oxp. wall Int. wall Ceilonq ilax Toul Stu. I 37/Z 1501 1 1 1 FI.1 Room I L" h WidM ?Windorvs ane Ooors-Gadcap and ArN . ' Ms.. wN11? w.?? M? e? ' Uw1 q. ?rM . i Co?f. Btu 1 nf iltrat qn ? G Iaw Exp. wa11 Not ilrp. wall 1 nt. wall Cfilirq f loor Total Stu. I FI.I Rooml L h Wid1h H' t Windows end Ooort-Gaekaqe and Arr . e1 a ? L? a ?? ?rw? A. It. C*011. BtV G las E x p. wall Not tmp. vwll Int. wall Ceding Floor TotN Stu. . I F I.I iioan i LwVh widM ' t Winebwt and Ooors-Gaekap u+d Arr Mw. w?11 ? M? w..Mw W M? l w N s?? M. N• Inlinrstan • G lan E:p. wrelt Nat rmP. wall Int. wall Coilirg Fba Toul Btu. ?Oct COry/k°G fd S7v H??'S? Ai,? /n k??CF 'ro?f? ??ct?` ? 05S Use BLUE or BLACK Ink r-----------------+ For Office Use City of EaEdfl Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11 Site Address: Tenant: O-7, 0 Suite RESIDENT / OWNER Name: TV c'~L1 Phone 7 y I ;7' 1 r Address/ City /Zip: Applicant is' Owner Contractor TYPE OF WORK f'r' i ✓ r v G _ 'i,' t Description of work:'1 Construction Cost: Multi-Family Building: (Yes Nom CONTRACTOR Name: raz IZr r.~,e License 2e:? T G C~- L t" r Address: r tee.--. City: State: flf Zip: J/ Phone: WO ( Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora 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 the 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. Applicant's Printed Name Applicant's Signature; Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA080248 Eagan, MN 55122 . Date Issued: 10/04/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1041 Kettle Creek Rd Lot: 20 Block: 2 Addition: Lexington Square PID 10-45075-200-02 Use Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: 4130/08 Notification letter sent regarding expired permit pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Alexandr Vilgelm 21210 Eaton Ave 1041 Kettle Creek Rd Farmington MN 55024 Eagan MN 55123 (651) 460-6022 X253 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 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA081354 Eagan, MN 55122 . Date Issued: 12/06/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1041 Kettle Creek Rd Lot: 20 Block: 2 Addition: Lexington Square PID 10-45075-200-02 Use Description: Sub Type: e - Water Softener Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Jonathan Hoekenga 1041 Kettle Creek Rd Eagan, MN 55123 651-452-5130 Fee Summary: PL - Permit Fee (WS &/or WH) $15.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $15.50 Contractor: Owner: - Applicant - Alexandr Vilgelm 1041 Kettle Creek Rd Eagan MN 55123 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 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA087895 Eagan, MN 55122 . Date Issued: 01/02/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1041 Kettle Creek Rd Lot: 20 Block: 2 Addition: Lexington Square PID 10-45075-200-02 Use Description: Sub Type: e - Water Heater & Water Softener Work Type: New Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Permit expired without required inspections. 9/3/2009 CE Jonathan Hoekenga 1041 Kettle Creek Rd Eagan, MN 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: Owner: - Applicant - Janel Hoekenga 1041 Kettle Creek Rd Eagan MN 55122 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 - - ; ForOfflceUse--- - C--- - ~ Permit City of Eaed ; b Permit Fee: 3830 Pilot Knob Road 1 1 Eagan MN 55122 i Date Received: Z Phone: (651) 675-5675 i stair: Fax: (651) 6754694 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / //07 Site Address: /Q4l K- t f i-f- G Niue M Unit Name: To 4 P 1~p 6: K EEX 'a . „ Phone: 651-675_-6-5_e07 RESIDENT / OWNER Address/ City /Zip: Applicant is: .Owner L Contractor €P L~ ~S TYPE OF WORK Description of work: Construction Cost:~; 3[~~ Multi-Family B t• ilding: (Yes / No _kJ Company: -;it!/AJ Cl 7f K66"&E U2W Contact: tELJ~ ,9b<_-6 CONTRACTOR Address: k9o.`- AVe A4 City: 1\4I2IS State: ALL Zip: --_Vo?. Phone 9~- License ?L~ t>6A Lead Certificate /~~T -Za 37~ r> If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Le VL COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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. Perdons of the Information may be classified as non-public lfyou provide spt Jfic reasons that would permit the City to coh4ds hat-th are tradesecreft' CALL BEFORE YOU DIG. Call Gopher State One Call at (65.1) 454-M2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, aoohe teteonecall _oro 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, trait 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. 4-e-06 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA124059 Date Issued:06/19/2014 Permit Category:ePermit Site Address: 1041 Kettle Creek Rd Lot:20 Block: 2 Addition: Lexington Square PID:10-45075-02-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Brett Ehret 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 - Janel Hoekenga 1041 Kettle Creek Rd Eagan MN 55122 Mastercraft Exteriors Inc 330 E Main St Suite 600 Rockton IL 61072 (815) 624-6840 Applicant/Permitee: Signature Issued By: Signature �----------------- � For Office Use � „ I � � � ' "�� • j Permit#: ��' �IU� Ol ����� � Permit Fee: � ° �J 3830 Pilot Knob Road � �,,/ � � Eagan MN 55122 � j Date Received: ��� 1'�� j Phone:(651)675v675 � � Fax:(651)675-5694 I Staff: �'7 I � I a��__��___�������_J . 2075 RESIDENTIAL BUILDING PERMIT APPLICATION Date: " �� � Site Address: ���� ��� C�'�' � Unit#: Name: �NA��r/�AN r/OC-'hEit/<'yR Phone: �tiS��-�7�' - gJ'�C�a 7� Resident/ ,67 S' Owner Address i City i Zip: /o�/ ��� C�CC�1� 1e4 < Applicant is: �Owner Contractor �QR?H �I►�('�pSC-!i2.�Tf� .S%�kL�`R °. l�lrz�2-�I-�EiN d/r4Nr7'� , Type Of WOt'k Description ofwork: /»a�/Lz �t+ST c.�3�UC- $.s" �rv��o Lt�o �.'��� �lSrr�l,t., PoL�"T OQS'� Construction Cost: �Z���t� Multi-Family Building: (Yes /No� . Company: Contact: Contractor Address: City: State: Zip: Phone: EmaiL �, License#: Lead Certificate#: 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:P/ans 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 utilit+es. ;, , � ���; ��-� ���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 w+ithout 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 st be completed within 180 days of permit Issuance. x�ca�/A'Tl��N ��jk�7�(l� x Applicant's Printed Name A cant's Signature Page 1 of 3 � V�°Y,..,����-c.�.�� f��� SUB�TYPES �- Foundation _ Firepiace _ Porch(3-Season) _ Exterior Alteration(Singie Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Muiti) _ Muiti _ Deck _ Porch(ScreeMGazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool 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 Wail *Demolition of entire building-give PCA ha�dout to applicant DESCRIPTION � Valuation ` �(��1 . Occupancy �� MCES System Plan Review Code Edition '�l5 rh6t�� SAC Units (25%_100%�} Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Finai/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireptace:_Rough In _Air 7est _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Finaf Sheetrock Radon Control , Fire Walls Fire Suppression:_Rough In_Final � Braced Walts Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �,7 ,�- Base Fee �'�.k3 x � �b�7S =—' 3�< �3 � `Z� . � Z� Surcharge Plan Review � MCES SAC ����l� ����U� �����' City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � � .........�..� ... .....-........A �----------------- ,. � For Office Use � , � .a � � ' ��'� V�6 Ol �� �� j Permit#: � � � ' ��� � � Permit Fee: � '� 3830 Pilot Knob Road � ,-�,,/ � � Eagan MN 55122 � i Date Received: � �` 1'�� j Phone:(651)675-5675 � � � Fax:(651)675-5694 I Staff: '7 I I � a��__����__�____��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � �� � Site Address: ��7� /��� ��i� �-0 Unit#: Name: �Nl°}�7f�AN /-/OGh�Eiv'�'y�4 Phone: �i 1'�- �J��a � Resident/ ,��7 S' Owner address i c�ry i z�p: /o�/ ���tt�' �ct=�k 12r0 Applicant is: �Owner Contractor �QR?H Qcn7b0�->i2N 7'f�� .3I�u�`e ! �tct�2.�r/EW d/dliv�r� Type of Work �escription ofwork: lna+/�.� �AS� t,�q�,. 5,s" „+v��e Gtwb �.���: ,wfsT�l,t.. Por��r 0�'� Construction Cost: ����a�1 Multi-Family Building: (Yes /No� . Company: Contact: COnt1'1CtOC : Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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 ptan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you subrnit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons thaf would permit the City to conc/ude 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. - •� _ �.=, 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 st be completed within 180 days of permit lssuance. x�ca�/A�T1�A�y ��7'�l-� x � , ApplicanYs Printed Name A cant's Signature Page 1 of 3 . ��o y,,,����-�c,,e�,�,�, f��� , � SUB�TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Muiti) _ Muiti _ Deck _ Porch(ScreeMGazebo/Pergola) _ Misceilaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES ��,� ���. _ New _ Interior improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Repiace _ Repair _ Egress Window _ Water Damage Retaining Well *Demolition of entire building-give PCA handout to applicant DESCRIPTION � Valuation �(�(1 - Occupancy � MCES System Plan Review Code Edition �b5 r►�13� SAC Units (25%_100%�) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Finai � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control ' Other: Reviewed By: , Building Inspector RESIDENTIAL FEES � ,� Base Fee �'�.�3 x � �b�7 S a-- ��?< [3 � `Z� . �� Z. Surcharge Plan Review tp � MCES SAC ���L'� V'�%l,�.C�U✓� "V ' ������ City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 1111) City otEagau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: / , //& —7 Permit Fee: ( 2 L' - 0 l Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION 3�yj6 Tenant: Site Address: / 0 77 / [, J Suite It: Resident/Owner Name: '-:;t7;452771/9,,V 4 7V& Phone: a / C - ''2'6-` Address / City / Zip: /eW %'E'mm6 C-456/1— Contractor Name: License #: Address: City: State: Zip: Phone: Contact: Email: 44Nti X Rebuild )l Modif ace _ Work in R.O.W. T Of Work Type New X Replacement Repair — - ReP041:4= 64.64,4w- rtr,xr0te, 1,411. i m 6 1.4 ="17 SHAY - HE 6-1957" 4 Description of work: Carr»- (-4.1411.- 44Cif Permit Type RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ /_ PVB) Add Plumbing Fixtures ( Main / _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (includes $5.00 minimum State Surcharge) Fixtures, Septic System Abandonment, Water (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance 'th the a. ro -d plan in the case of work which requires a review and approval o lans. f rlo<li9-71F14 A icant's Signature icant's ted Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: •; 071Oh City of Ea$H 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: C>. RECEIVED FEB 252016 Use BLUE or BLACK Ink For Office Use —, Permit #: l 3c7,10 Permit Fee: I Y Date Received: I Lo Staff: 1-Yri 2016 RESIDENTIAL BUILDING PERMIT APPLICATION /4r Resident/. Owner Site Address: /0 Y/ Az: 17(A Name: rt -f4 U 1 k ,v ifs Address / City / Zip: /C1f /fz L Applicant is: Owner Contractor AD Unit #: Phone: 'S"! 7- t;LI i Construction Cost:'eC Company: Address: State: License #: Contact: City: Zip: Phone: Email: Lead Certificate #: If the project is exempt from Ieac! certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression 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 the are trade secrets. CALL BEFORE YOU DIG. Call Go her State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates f underground utilities. www.caopherstateonecall.orq 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 o1 Eagan; that I understand this is not a per it, 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 B days of permit issuance. Phone: Phone: Phone: x „lc f, �rtlRc. ,ciceiV641. Applicant's Printed Name x App cant's Signa ' re 'dingo a st be completed within 180 z SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition 4.Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code #of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE 0(-0 Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Siding Reroof Windows Egress Window Exterior Alteration 13Sa"-10 (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required 7' Final / No C.O. Required HVAC — Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector Page 2 of 3 City of Eapan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECE1D FEB 252016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: C)6: Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: GG Z`/ /.--;-1(,, Site Address: / Cj-(tZ AD Tenant: Contractor Type of Work Permit Type Suite #: / , -t-'X YC Wil '-E 7S -41 -,SZ Name: ���,���'� ; � � Phone: Address ( City / Zip: /l // /r 177E C l S7 Name: License #: Address: City: State: Zip: Phone: Contact:! Email: — Repair Modify Space _ Work in R.O.W. New Replacement Rebuild Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) t $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) I $115.00 Septic System New (indludes County fee and 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 dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this informat on is complete and accurate; that the work will be in conformance w the ordinances and codes of the City of Eagan; that I understand this is not a ermit, but only an application for a permit, and work ' no/ o t without a permit; that the work will be in accordance with the approved plan in th case of work which requires a review and approval CA% t111414; CA -64X -Yr Art Ap - Pl`nt's ! • nature Applicant's Printed Name FOR OFFICE USE Required Inspectio Meter Rela Under G ter' Ize' anomete , 4 7 For Office Use / 'STh310% % Permit#: -3 rc 0, ,, ... •• # G AUG 15 2018 1 Perrrrit Fee: ler .>0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 I Staff .K1,5. buildinainspections at">.cityofeaoan.corr' L ), 2018 RESIDENTIAL BUILDING PERMIT APPLICATION %, k, k7€ 1041 Kettle Creek RdJ Date: Site Address: Unit#: +l Name: Jonathan Hoekenga Phone_ 651-675-6567 sid> l �;, Address r City t Zip: 1041 Kettle Creek Rd Eagan, MN 55123 Applicant is: Owner Contractor �. .. g Basement Remodel (living & laundry room) Description of work: 'TypeoWorit Construction Cost: $4,500 Multi-Family Building:(Yes !No X ) Company: Contact: Address: City: 1 ( State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similw plan based on a master plan? IYes No If yes,date and address of master plan: I Licensed Plumber: Phone: ( i ( Mechanical Contractor: Phone: 5 Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Plans'udsOPPOIRng amen*tlt* r theonWay.b oratpr4Ited !-:, i si>' ;- `; ° , * ` tong ' :.....st; You may subscribe to receive an electrotdc notification from the City of proposed ordkiances by signhvg up for an email update on the Cit)/s website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Builthng Code must be completed within 180 days of permit issuance. CALL BEFORE YOU MG. Call Gopher State One Cali at( 51)454-0002 for prc4ection against underground amity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00rtherstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with , o •inances and codes of the City of Eagan; that I understand this is nota permit, but only an application fora permit, and work is not t, i •r< a permit;that the work will be in accordance with the approved plan in the case of work which regcues a review and approval of xJonathan Hoekenga - Applicant's Printed Name cant's gnature DO NOT WRITE BELOW THIS LINE (OL` \ t?id1L Cr V---. 0 Ni SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) — Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Pier _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior `e Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair — Egress Window ' Water Damage _ Retaining Wall niensokilon of entlm -give PCA handout to applicant DESCRIPTION / _ Valuation � `4 5z _ Occupancy ..-i-pe- 1 MCES System Plan Review _ Code Edition /7 2)i SAC Units (25%_100% i ' _ Zoning .11) City Water Census Code _ Stories Booster Puny #of Units — Square Feet PRY #of Buildings Length Fire Suppression Required Type of Construction +V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final IC.O.Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfin HVAC_Gas Service Test Gas Line Air Test Hood 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_Backf II_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan 1 Other: Reviewed By: / b )2/1 y,+ ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use w�< R � ;'a :::e: WAD000, E AG AN Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 l FAX: (651)675-5694 Staff: buildinainspections(acitvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: e (2j Site Address: I / Tenant: ;,:O1,LL ....,L�� - Suite#: Resident/Owner Name: r, . .. � Phone: Y Address/City/Zip: e l k •—11iik__i_ . ► __ Name: a2y�hw�-a �( ��( License#: 64. �C Address:- 51 Ss2. i-L�L�Q� /' ityj 2-. Contractor City: State: 1t'L _ Phone: ( ' 7e Contact: L Email• 4�,ut� Q�rws . ,eot.� Type of Work —New Replacement _Repair Rebuild Modify Space Work in Description of work: a�,ra�t tet_ ; oQtZ C.- • RESIDENTIAL Water Heater Water Softener ( Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures(_Main/ Lower Level) Septic System t _New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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 dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeadan.com/subscribe. 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. Applicant's Printed Name Applicant's 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 Manometer Staff: EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 build i ncinspectionsOcitvofeagan.com ECEJVE . JUL 272O20 BY:_ Permit #: /6 Permit Fee: /;c2' Date Received: 7 ? 7 - _>4 For Office Use Staff: L 2020 RESIDENTIAL BUILDING PERMIT PPLICATION Date: 7/25/2020 Site Address: 1041 Kettle Creek Rd Unit #: Resident/ Owner Name: Jonathan Hoekenga Phone: 651-675-6567 1041 Kettle Creek Road Address / City / Zip: Applicant is: ✓ Owner Contractor P� Le_xl\ oiti cr Ake- Type Of Work iiii Demo, frame and install new window in existingwall Description of work: Construction Cost: $800 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: Home built after 1978 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting classified as non-publlc documents that you submit are considered to be publlc information. Portions of the Information may be if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.clriofeaaan.com/subscribe. Exterior work authorized by a'bullding permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in con Z ance 'th the • dinances 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 t to -y rt with• a it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl x Jonathan Hoekenga Applicant's Printed Name Applicant'; Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code °' #of Units # of Buildings Type of Construction /©Lt1 Ke i-4Ic C E-)L /62gkke Interior Improvement Move Building _ Fire Repair _ Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Porch (3-Season) _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Foundation Before Backfill Roof: _Ice & Water _ Framing `y 30 Minutes Fireplace: ll_Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Final Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required ` HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector iiki(4k/ int (NOoW 2000 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178043 Date Issued:07/28/2022 Permit Category:ePermit Site Address: 1041 Kettle Creek Rd Lot:20 Block: 2 Addition: Lexington Square PID:10-45075-02-200 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Janel Hoekenga 1041 Kettle Creek Eagan MN 55123 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:EA178905 Date Issued:09/08/2022 Permit Category:ePermit Site Address: 1041 Kettle Creek Rd Lot:20 Block: 2 Addition: Lexington Square PID:10-45075-02-200 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Janel Hoekenga 1041 Kettle Creek Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature