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1045 Kettle Creek Rd Use BLUE or BLACK Ink r For Office Use Q- I ; Permit © j City of Eagan I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 M ; Date Rec ived: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Pe, / Unit M A? Z J 2 l~ Phone: Z - '1 / S Name: RESIDENT / OWNER Address / City / Zip: I D L4 S V-e eCpr cel_ (Z-` , Applicant is: K Owner Contractor TYPE OF WORK Description of work: v Construction Cost: zooo -Q Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: 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: 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.aoi)herstateonecall.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 casse,, of work which requires a review and approval of plans. x ~Vl S ~,eYV x Applicant's Print am Applicant's Signature Page 1 of 3 CITY OF EAGAN Remarks Addition LEXINGTON SQUARE Lot 19 eik 2 Parcel 10 45075 194 02 owner street 1045 Kettle Creek Road state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 254 53 C009728 10-12-84 EWERLATERAL ben trk 1986 173.65 11,58 15 173. 5 10072 -- WATERMAIN 1986 68.3 1 8 WATER LATERAL WATER AREA STORM SEW TRK 1986 501.2 33.42 15 501.29 C 2 1-28-8 STORMSEWLAT 1986 513.81 34.25 15 513.81 C010072 1-25-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK CITY OF EAGAN ; 6126 .? ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 551 21 . ? PHON E: 454•8100 BUI DING P ? L ERMIT Receipt# To 6e used for ?17='•' Est. Value Date •+, °• ,19 ?? i SiteAddress 1i74?= I'Lj- ??''`-E' rU OFFICE USE ONLY l" < i` r 1?.c: 3 C};. Lr ;CA?tI Lot Block Sec/Sub. -•? ? On Site Sewege _ OccuPancy MWCC System _ Zoning Parcel No. On Site Well _ (Actual) Const c Name A'." j.-'' T"` i' -T- A Ciry water _ (Alloweble) W ; r Address ilK+S TC.`t'TLi?: CI;F:El? t? PRV Required ik of Stories 0 City EAGA,! Phone bc;1-9336 5 1 6 BoosterPump Length Depth ? o . Name 5z-'"r S.F.Total ? Q Address Footprint S.F. c City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit ?_ g Address Planner Surcharge ? W ¢= City Phone Council Plan Review ` Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correcf and agree to comply with all applicable State ot Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment Pt on the express condition that all work shall be done in accordancewith all parks applicable State of Minnesota Statufes and City of Eagan Ordinances. ? . Building Official TOTAL "µ'` Parmit No. Parmit Holder Dato Tslephone ft Plumbing H.V.A.C. Electric Softener Inspectlon Date Insp. Comments Footings I Footings II Foundation Framing Rooffng Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ,w _.. _...__ . PERMIT # MECHANICAL PERMIT CITV OF EAGAN RECEIPT # ? .. 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE PRICE: PHONE: 454-8700 Site Address _ Lot ? Name '? ao Address E c City _ I r ? Name i 3 Address I o C4 - ! TYPE OF WORK Forced Air ? Boiler Unit Heater Air Cond. ? Vent Gas Piping Outlets # ?. Other M BTU M BTU M BTU ? ' M BTU CFM FEE: S/C: TOTAL: Sec/Sub +'f /!•'..r .i Phone L: • 'a` '" BLDG TYPE WOH D SC O . K E RIPTI A." N ? New Res. ? Mulc Add-on X A ,. Comm. Repair l .r,,... Other ? ` _ 4 FEES RES HVAC 0-100 M BTU .? -$24 00 . ADDITIONAL 50 M BTU . - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PEFiiYll 1 50 EA - ( n COMM/IND FEE - 14'a OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES - . . TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 =_. MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT (ADD $ 50 S/C IF PERMIT PRICE GOES - .50 . BEYOND $1,000) 7,7 FOR: CI OF EAGAN . .. ? . . r T..?.,_.? . CIf1lOFEAGAN p,?12617 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ``" BUILDINGtPERM1T PHONE: 454-8100 Receiptp , ? To beused ror SF DWG/vAi'1 Est value $67,000 Date SE:.a'PEINBER 15 t9 86 j I 1045 RETTLE C Site Address REEK RD Erect R3 ? Occupancy ? Lot 19 Block 2 Sec/Sub . .LEXINGTON S¢UAR?model ? Zoning pll Parcel No. Repair ? A di i ? Type ot Const. S7T3 N S i d t on o. tor es W Name COLLE(M CITY CONSTRU?ION Move ? Length 45 = BOX 309 HW]t 330UTH Demolisn ? Depth 47 , 3 Address v ° ' Int Impr. ? 7 69 -6 4 Sq. Ft OR PHFI&Q 50 c;ty i 6 ?nstall ? o Name S?'? Appror als Fees Z ?Q Address Assessment Permit $ 334.00 ? ciry Phone Water & Sew. Surcharge 33.50 Police Plan Review 167.00 ? W Name Fire SAC 575.00 Q= Address Eng. WaterConn. 500.d? W < City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg 9/ Off I56.t11i 15/d 6 Tr PI information is correct and agree t9 compi . . y with all applicable State of . . Minnesota Statutes and City of fi3gan Ordinances. APC Parks Signature of Permittee ? Var. Date Copies s2 ilq.J J ` To?l r A Building Permit is issued to: COLLr.G E CITY CONSTRIICPION an the express condition that all work shall be done in accordance with all applicable Sta t?qOf Minnesota Statutes and City of Eagan Ordinances. Buiiding OHicial y 1 • I P.rmit No. I PsrmH Moldsr I oau I TNaphone M I 780 Date Plbq. Ht9• q. FMaI 1. Oa. ;k Fty. :k Frmq II DNp. pJ , r •, : 3830 PILOT ? I Name co Addre c City y Name c Addre O City j 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 PERMIT# 4G PERMIT RECEIPT # , EAGAN, MN 55121 DATE: 4-8100 tLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other ? FIXTURES TOTAL =- Water Closet - $3.00 $ Bath Tubs - $3.00 ? J* Lavatory - $3.00 -S Shower - $3.00 -J--Kitchen Sink - $3.00 3 y Urinal/Bidet - $3:00 --7Laundry Tray- $3.00 ?Floor Drains - $1.50 Water Heater'- $1.50 ? Whiripool - $3.00 =Gas Piping Outlets - $1.50 ? _Sottener - $5.00 -Well - $10.00 Private Disp. - $10.00 ??- ZRough Openings - $1.50 FEE: STATE S/C: - S" , s- GRANO TOTAL: ? ? CITY OF 3830 PILOT KNOB RO/ .00 PHONE: e Site Address ?? Lot ' Block +- C x . - o, „- m Name m Address w t" c City sm" l,I - Phone Name c Addr p City? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM ? FEE: d S/C: TOTAL• ? PERMIT EAGAN, MN 55121 PERMIT # RECEIPT # DATE I _, j BLDG. TYPE WORK DESCRIPTION V X - 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. GOMM/IND FEE - 196 OF CONTRACT FEE Iv11NIMUM - 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 TY OF EAGAN SEWER SEIfVlCE PERMIT ?30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 pA7E: ^F^o: No. of Units: mer: Idrcss: ite Addrcrs: 1345 i.'nt 1 l°.rack Rna 1 B2 Lpxiuat6II Sa 'lumber. ' Sar r n? •.•?}• i n^ . . , f. r : a• M? N e. tlf wilU IM C11Y oF [ypn CorxreHon (horpe: MdiesAeM. AcaouM Depalt: Parrrdf Foe: Surciarpe: Y Mlac. Chorops: bte of Insp.: Totol: msR: Dote Vald: CITY OF EAGAN WATER SERVICE PQtMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: . No. of Units: ? Owoar , Addroa: Sita Addrcss: ??kl? ?;1-ec?-. '•? , _ B" 1-eY lAytt?n ScT: Plumber. ?urr Paam_e#riv _ Metar No.: Connection C]arye: Size: Accourd Depos(t: : ` • ?'?If? Reader No.: Portnit Fee: ? 0• ?oupd 1 pm le oosePip wMb IM Gty of E,MPw Surdwros: •5bg Ordlmaner. Mlsc. Charyes: '> . Qo'ad TP TMOI: %`' - `:iSnrl meY t++ By Dots Poid: Date of Irnp.: Insp.: CITY OF EAGAN WATER SERVICE PERMti 3830 Piiot Knob Road P. Q. Box 21199 PERMIT NO.: ? Eagen, MN 55121 DATE: Zoninp: - No. of Untts: ? Ownar: • - Addreas: $ILe ^fbR'!5: -?2 - 1 n.i-LIl^t.01i ?.; Plumber. ?t• ,i., AAstar No.: 3 ? rge: 500.00ra Size: 5/8 ^ RecFf ,.? 15. OOnc' Readsr No.: 07076 r°?m- ?a nn-,? o, ?Sero . 5n?:: i.sm h esso.y Wati e» eae,.,???phE •?+8?!' ? OrdIMnoM. REQUtit?: By DoM Poid: Dota of Insp.: Insp., ? CITY OF EAGAN N2 1 512 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# O'"s ?lJ To be used for DECK Est. Value $1, 000 Date JUNE 6 ,19 $$ Site Address 1045 KETTLE CREEK RD Lot 19 Block z Sec/Sub. LEXINGTON SQUARE Parcel No. ? Name ROBERT MILLA ; Address 1045 KETTLE CREEK RD 0 City EAGAN phone 681-9338 481-6196 ¢0 Name SAME V 4 Address P City Phone ww Name ?W _za Address Q W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances._„ Signature of Permittee /'rW°° ' A Building Permit is issued to: ROBERT MILLA on the express condition that all workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial Omil N,A j_X OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprini S.F. APPROVALS FEES Engr./ASSess. Permit 24.00 Planner Surcharge .50 Council Plan Review Bldg. Off. SAG City Variance SAC, MWCC Wafer Conn. Water Meter Road Unit Treatment P1 Parks 24 50 TOTAL . f CITY OF EAGAN t?, p .1 ?+ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v ? 1? v?? BUILDIN(a PERMIT '?G PHONE: 454-8100 Receipt q ?Ro ??? / Tobevaedtor SF DWG/GAR Est.value $67,000 Date SEPTEMBER 15 19 86 SiteAddress 1045 KETTLE CREEK RD Erect :n Occupancy R3 Lot 19 elock 2 Sec/Sub. LEXINGTON SQUAJWkmodel ? Zoning PD Parcel No Repair ? Type ot Const. {Jn . Addition ? No. Stories ¢ Name COLLEGE CITY CONSTRUCTION Move ? Length 45 Y Address BOX 309, HWY Demolish 3SOUTH ? ? Depth ¢7 o NORTHFIAIdU 5 Cit Int. Impr. 07/645-6648 I ll ? Sq. Ft y nsta o Name SAME Z 0 0 Q Address ~ City Phone ?¢ F W Name z ? y Address a W City Phone I hereby acknowledge that I have read th is application and state that the information is correct and agree tp comply,?prii all applicable State of Minnesota Statutes and City of-?aqan Ord{r/as. Signature of A Building Permit is issued to: %-vM5Lr.l all work shall be done in accordance with all Building OffiCial Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 9 /15/86 APC Var. Date Permit $ 334.00 Surcharge 33.50 Plan Review 167 . 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2.119.00 CITY CONSTRUCTION on the express condition that licablp-SZat Minnesota atu e _City of Eagan Ordinances. y This request void jC?/4?d 18 months irom V CJ O v E 2 7 5 38 z i? Po C" Request Date -}-'----? Fire No. ugh-in InsUer, ion ? ireA? (?ReadY Now ? Will NotifV. tnsPec- Yes ?Clo T? lor When qeady ?l?censed Electrical Contraclor I hereby reQUest inspaction of above Owner elec[rical work fnstalled at: Street Address, Box or Route No. Ciry tw5- Kerrt,e cRrzCic RoA-o E C, /+to ect.on o. I Township Name or No. I RanBe No. County?/? ,?? ?l?Tl`.? ? 1 T OccuUant IPRINT) B?DG MfLQA Phone No. 3`Y Power Supplier Address s? ?---- Electrical Contracmr ICompany Namel Contrar,tor's lir.r,nse No. 1LLiLcVjLc iiVC, it)???. Mailine A.dJress (Contractor or Ow er Making Instailation) Y lAf? ??kAio;M« Author'Ud Si natur (C ntra rI ner Making Installation) Phone Numher MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION pEQUEST WILI NO7 Griggs-Midway Bldg. - Noom N-191 BE ACCEPTED BY 7HE STATE BOARD 1827 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phonef6721642-OSOO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON es-oooot-os , See instNCtions iar comPleti? this form on back of vallow copy. ? r? E?L`7t 5.3 $• "X" Below Work Covered by This Request l+AA Rep. Type ot 6uflding Appliances Wired Equiument Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldy. Fumace Silo Unloader InduStrial 81dg. Air Conditioner Bulk Milk Tank Farm otnrr Specify O(ne, (spectiv) t er Succi y Other Othcr e lnspeciion Fee Below p Fee Service EMranceSize p Fee Faeders/Subteeders # Fr,e Circwts 0 to200Am s 0 to30Am s 0 to30Am s Above 200 qmp5 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_AmpS TransPormers Irrigation Booms Partial•Fee Signs Special Inspection $ jd SU T0 RertNrks . yA ED L' Rough•in Date 1, the eetrical Inspector, herehy certify ihat SNe ahove Final r Date . inspection has been cl. ? ?i) V mede. This request voiA 18 monlhs from This request void 18 months from . C 37917\_1g ReqdESt Qate- ' Fire No. . Rouph-in Inspection Required? eady Nuw Q Wi I I Nolify Inspec- Yes ?No [or When Ready (g Licensed Electrical Contractor I hereby raquest inspectionof a6ove ? Owner eleCtricat wark Pnsralled at: Sireet Address, Box or Rou[e No. / M S ? C? G o o[ City L? ecLOn o. ownship Name or No, Range No. Comrty ?O -9 Occupt(P IN;,l,-) Phone No. Powe uppl-er ////?'//? j'? f I V76 ,C... l?? Addreg . i d-?i`J Elec[rical Contracto/r ?(Compa/ny Name) ??l9AGl? CICt'?`" L n/ N Contrar,tor's License No. elY S' EJ Mailing AdJress ( ntractor or wner Making Instaila[ion) !'oi.i '!? f'`' Authorize i na[ure l ontra o?O r Making Installatioa) Phone Number MINNESOTq SfqTE BOARD OF ELECTHICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midway Bldg. - Naom N-191 BE ACCEPTED BY THE STATE BOARD 1621 University qva., St. Paul, MN 55104 UNLESS PNOPEfl INSPECTION-FEE IS pk-„e iR121 297_9111 - ENClOSED. rfc\ivC.?1 rva cL?l.I noa.e?i ..?.n ..v?.v?. ` ?-7g•?.? See instruetians lor completi?g this form on back of yellow coGV• r: C 3_7-917 "X" Be/ow Work Covered by This Request -1,. w?Aa° v 1 -vP --- 4 APVtin cea W' ed E4uiument Wired ? ? a, Temoorarv Servic,e DWater Heater 4 Lighting Fixtures Dryer Electric HeaLn e Silo Unloader Air Conditioner Bulk Milk Tank l.V/ k npulc //ia 4ee 1 ycouvn , cc uc.v.r Service EntrBnCeSize # Fee Feeders/Su6feeders # Fee Circuits 1 , U to 200 Am 5 0 to 30 Am s ?Lt?1 0 tn 30 Am s Above 200 Ampsi 31 to 100 Amps , ir,YJ 31 to 100 A s Swimming Pool Above 100-Amps Above 100-Amps ' nsiormers Tr Irrigation l3ooms Other Fee Partial• a / \ Remarks Signs apeciai inspecuu Sr? TOTAL Date Rough-in I, the'Electrical 17 f o -]? Inspector, here6y ? certify thet the nbove Final ? 1e inspection has been mede. . l? Thisrepuestvoidl8monthsfrom . ? ` ?_ 5A rI RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New ConstrucNon Reaulremanta • 3 registered sfte surveys showing sq. ft. ot bt, sq. tt. of house; arM pll roofed areas (20% maximum lot coverepe allowed) • 2 coples of plan showing heam & window sizes; poured found design, etc.) • lsetofEnergyCalculations • 3 copies of Tree Preseroation Plan if lot platted after 7H193 • Rim Joist DeTail Optbns selection sheet (61dps wNh 3 or less units) DATE J(?v? & ? SITE ADDRESS NPE OF APPLICANT STREET ADDRESS TELEPHONE # & /,a-7?;P- 1 2y CELL PHONE # FAX # PROPERTY OWNER /k?? TELEPHONE # --------------------------------------- -------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Coniractor _____ Plumbing system includes; Mechanical Contractor: Mechanical svstem includes: Sewer/Water Conhacior: # Phone # ------------------------- -------------------------°------------------------------ I hereby acknowledge that I have read ihis applicatlon, state t form with all applicable State of Minnesota Statutes and City of gan Oofiance Signature of OFFICE USE ONLY Phone ? _ Water Softener Lawn Sp 1??N Water Heater ' No. of R.I. Y No. of Baths j ????? 2 3?002 _ Air Conditioning Heat Recovery System HemodeURenair ReauiremeMs • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site suney for exterior additions & decks • Indicate 0 home served by septic system tor additions ??. VALUATIO liq67 MULTI-FAMILY BLDG _ Y _ FIREPLACE(SY-10 _ CITY / STATE /44IP ----°------°---------------°--- is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex 0 04 02-plex ? OS 03-plex ? 06 04plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex O 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4sea.) O 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - MuRi ? 33 Ext. Ak - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Sid(ng ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FoundaYron) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ ]nsulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Pfant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ? 1986 BIIILDIAG PER!!IT AI'PLICATION - CITY OF EAGAN DiOTE: ALL CONTRACTOaS MOST BE LICENSED iIITH THE CITY OF EAGAN SINGLE FA14ILY DiTELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DWBI.LINGS - RESIDBNTIAL RENTgI. UNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COIYAlERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND & STRUCTURAL PLANS, SET OF q5 < . ? To Be Used For: ?YV1 I?? Valuation: Date: Site Address jn?s LETTu-?, ci --c ? Lot 9 Block Pareel/Sub Owner Ca& t=_=-_--, C r y `ArvS-rQ.UC?'i n?J Address u 3031 .'3 ?a;S74 City/Zip Code ?p6?,??? f1???.? Phone 'S-z'7- Contractor _?JwiG ??s? 01„?1,C?? , Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Erect ? Oecupancy XL Remodel Zoning Repair _ Type of Const Addition # of Stories Move Length ? Demolish _ Depth ? Int.Impr. Sq Ft Install APPR09ALS FEES Assessments Permit :DJ Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit ? Bldg O£f q. !s ? Treatment Pl APC Parks Variance Copies YOTAI. 1 5-0 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGNATS WHICH ADDRESS IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. ?zOO ? ? .. . ' EXTER10a ENVELOPE AVERAGE "U" C014PUTATION ' . . ,. _ _ . . . , s7'AAM?MAI2D . OWNEIt ' StTE ADpRESS /o .y.S7. ;. ' CONTRACTOR C? E&? C'r-N ? NST QATE f._ . PHO . • , ... ., .. ..,. . ? .. Determine,working square footage of each. ' . `1. Total exposed wal l area '...... ? 74A-' ` sq, ft: x?;,?'[? :2. Total roof/ceiling area ...... j072 sq. ft. x• D 6• ! . ' .. ' Total exposed wall area above floor , ' a. Total watl`window area........................... OD b. Total door area'..............:.................. .,, 37• Z$, c. Total sllding glass door area ................... d.o d. Total fireplace wall area.........? ..............____?_?? ? e. Total wall framing area (averaga lOX)...:........ 17 ?-.•1-0.-:? " i. Total net wall area above floor ...............:. Ilq Q.3 z ' g. 7ato1 riro joist irea ..........? ................. 106.5 Q • Total-eicposed foundation area = -' . . • ?h. Tol foundation A.•Tb 1'?et foundat .. ? . .? ? ,Determine v(iod9w qe4-....? ......:...... .. ?, r? . lon arem a?bove grade .........? :?' 4 ' Value??f each wall segment: ''3? ' d . , . , ,? ?. 195?.0o X "U" .3,46 ' 67.4,7 , b. 7? X"U" ? I Z B ¦ A-. 83 . c: A•0 , o D 'X "U" . 3 46 ¦ 1? d. - . X "uN v • - 174 . 40 X "U" .092 lo, 008 , ? _. f. I?,QO•3Z x PuN .043 • s1,183 g. IOb.SO x "U" okl • .3b?v ' . h• r A MVN i. 9 4.7i d- z«uN .n _ ?. 3 ....................:....:...........Tota1 ° 'b . 6 It ltem 03 1s the same as, or less than item 11, you have met the intent of S8C 6006(c)2. . . . . • ' : . • , 1 ... ? . . . ?. . . , . . • , ¢ Tatal..exposed roof/ceiling area = . . ' A ' • . ' , . Tptal skylight area....... ...................... ?- k. Toi?al roof/ceiling framing area (a?rerage lOX)... I 07.zo 1. Total net insulated roof/ceiling area...•........ 164-,00 • Qetermine "U" value for each roof/ceiling segment. X uuu ' -. s . , k.O. ZO x'pull t 7 A- ? I S.tnsZ, .. . . 1: 964-. g O x {! b 11 U. . , 0 G. 7? s 2. 1-G G 5 . a........*..........................TotdI a ? . If total of 14 is the same as, or less than :2,, yau have met the intent of , SBC.6006(c)1. . ' Alternate Building Envelope Design To utilize the total envelope system method, the values established by the' sum of ltems 03 and #4 shal.l not be greater than the sum of i,tems, a . 1. ?? ? • ? + 2. Z 7,4667 3. + 4. 3% G Ari . . . , ,_ •-- . - _.__..-- ----- -- . . . . ? • r, . ., . _ ? .. _. _?__. _' : : . • ' . , ,. . . , . , . ?. . • . , . ,... : .,,, , , ?.. ,., ?. .. ? r', AZEIZ VA L uE A NA 1- Y 5 i5 OF p?? Q ??...--- A 1.f3 5, WI NDOW ARE.A : 7yPr; oF 1nl,NZ)Qiov : s/g'/ iNSar.. 6s-A55 TN! \N',vDOyt! UuJTS -404VC B&i'q TfiTSO FGg "l9'LVA4.v46,,o 'l"MlY Aiti. As 44990 A6oJc ?yo 144y 49 MssiyVip -,/) Otsl4N [sAOt) Vw&.64.4. oF "R`+ i INCLM,PtrJ{'j AJR I?l LM 5/.? t,Jqi :. I/?i? ooT s, q /- Foo rwa a FOLI NDA7 I WYY I NOo W ARZA : TyPg oF WiNDK71? : TNE. vviNOO W el.Iirs /a???L ocW YLSTCO FoR 'l1Z Ywrj,.Lc,, TNLY AR[ wi 161sat0 AOovJ6 AmD M41' 8r A5111yNL0 P D?sJ??JVwKQ VAwL OG •$Nr ?uGawDIN4 AI$ Rl1-M s . uyi' 1??? ?(? a?? foor,?ci4 t FOOTAC?L + SL I D 1 NSj (?L- AS 5/JVo RA1ZiLA % 'I YpL of DooR : S?g j,4s vL?G I-• 5L.i0i4Cj Q1.459 0COlxS NrVC i+LL?1 tt..s'* RG FoR"R= YA4•Kry TNLY AaL ft.1 4-+a*sa I,A04 Ae10 MHy QI? A3.?ICvNA.Q A WISI4Zjt4GS4P?) VA&-KC 04LWR."4& AtQ i1L/rls yrtl . J./'?ia = 1J = 4 DoORARE A: TYP e c F DbaR : THE?MA.?T-2V DQOP, UNl'1'S HAYG D'LfM TLOTCO ^N0 ProuVG To NAva A#l VAU?1i J Li CLA-LA-0 A.Nfj AIw F14.N1,i. ? • /Z8 ?!dt : ' ? Rr, = I / ?l_ ?'"'?"? FmTA4 L X" S PectA c.s ; . Typ, L • FaRM E-0 ,IbAz,i.% I'<-AND U VALUE. ANALYS IS OF WALL SECr IoNs SrL.L ra / FRAM ,Nq AkL m% : . , .. Fj.. ,,AL"r -??TNTEKIaR ?R Fi??t ??}'S 1 Z CY?v.Sf1M WAL?iCMRi? • Z.ob ,b? L-RP S?n?uc, z?? ` V A A2k dAQIKiLR. ?rrs,LIcr? ?ig. P,A.M 0. 83 o rA L k R.?, V.,L. u? c `? = IM? • 1 ? ?o.e3s .,? . To rAL rmrA4 c ' lN:5IL4.AT9-o AKgA BCTWteN 5tL10S . b1 YUTCQ?OQ NR PObM . 4 5 1411 4Y pswm y,iA"aoaeo N 19,0 (MStA Lw7 IqN [R?l'? ) •.?0? ? SNt& YM IN4 gutLTR.1-rS ? VA rar oM. rjw. N.a. 4<4L '1-7 -Fir&R.jQM A?A. 1"604. .?.._..? Z Z. p T A 1, ?'?1wi. Vll ?. u?t.. o6'&•??+? ToT A4 rnorA cA. M?1 #wwr.Rs DArc; %,quco_. ? \ • ?' ? ? ? _ • "' . . ' ' k .. R iM ?To#5 T Arz c. n: %%R - VA LU E --iNreRiort Aie- ft LM 90 ?95 uLAT10 4 CR•/9) 2.ob 2 3z SHtA l?N4 ur?-r=_ .io 7 LAP ?-4 4 _ lZd _ 1, g 8 ??h?soFrwoop • ?7??X7f.R IO R A !R. r-14-01 24.39 ToTA L'jq,.7?' ?,q1-LLf u., . i i% . I 24 . =?_? i? TOTA6 "TAti k FOUnJ O AT ION 11,IAl.t- AREh CAbQVL yR/?0S-3 „R,, vA L uE •?? ?11TERloR. A11Z hl..?1 • ? .$? doNCRI',?r X04.r4 Z t( 4 1 S p?21 ti?6 O C (R' ? f i ?r •?ExTLkiaR. A,ig riLrn 12.b3 Y-ornL )4,,4 V.,LMF? uvy? ,/`?, ' ? / t Z l03 ,a TpTAI FmtI44L Ib^wn c-i 104u*fb p,\tc : 914uILD ? . T1 H?a.r `''? • ^ ^ " '" _ , . _ ' . ' JGiST/ FRAMw4 A4E#? .. •R•• vA Lu. F .bl IN7ERioR AlR F11.M . 75 3L $ oRrwoav . ,S$ 5?$. GYPSN.M WALLaoA4D NTLeR 1OR. AIR Pl1.M .= = =-- 5. 135 ToTAl. "R;..t V4u-E u4,l : i / " s i?5.-735= ?4 TaTAL Faor.46 A - x?IS?.L1.4Tf?? AREA ?iLtW6CN tNE OR& w VA{.u.f. ,bl iiurEaIoR AlR FII.M A-d-, na,Ns u.l. A 7loN CK• ?- ? .Ss VW4YvsuM wALLaow"o V^FACR DA Ot a1«t. ,r IZ, iNrf_R?oR MR fiLM 45.3 ToTAL 'R•.t;' VA.u.ri. U"z ? livl,,z = = OZ-Z 'mT^L roOTAGo. ?AJM ? ti II/M7b l+i f7A1(l ?.?--314/JfO TRI-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 ,v8705027"E 82.19 i •-%-9- 1 . ,_ti I I ? w Moo bN N U) SITE PLAN ? -- ?Dr.??y? 4?a ud?lity ?asa?«a? 5I 19 ? I 3g - ? , l3 V61 COLLEGE )h?l 3 ? ow I 0O I NO N I; Z FOR,: CITY SCALE: I"= 30' ? I I Ee,se..:e..t? 6.50 ~ ?=2°59'33"q?,? L= 38.96 `' 4c KETTLE CREEK ROAD PROPERTY DESCRIPTION LOT ?9 , BLOCK?, LEXINGTON SQUARE accordin9 to the recorded plat thereoi DAKOTA CourMy, Minnesota LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby csrtify thatthis survey,plan or report was prepcred by me or under my direct supervision and that I om a duly ' Reqistered Land Surveror under ths Laws of the Stofe of Minnesota. ? ?? ? 2100, Date : Z. PROPOSED GARAGE FLOOR ELEVATION =95A 7 Bradley enson, Mn. Req. No. 15235 PROPOSED FiRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR = ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? ? ? ? ? ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF NOTE: ADDRESSES FOR CORNER LOTS - CON IS DESIRED. NO CHANGES WILL BE ALL , 1 SET OF ENERGY CALCULATIONS /HOMEOWNER MUST DESIGNATE WHICH ADDRESS CE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR S9LE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICA OF SURVEY - CHECK WITIi BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF A HITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFIC ONS AND 1 SET OF ENERGY CALCULATIONS ?F??? . To Be Used For: ?CK Valuation: ? Date: Site Address 10y5- 96r77,E CRE?K kr], Lot Iq Block a Pareel/Sub L6X/N6'roN 5-0 6(r4/.06.' Owner /QoKERT A/GZi! Address /0?3 Kt-t77-45' CPEEK Rp City/Zip Code 4?-A Gef N SS/a3 Phone ?`'r/6?l '433$ W/4l8'1 - 619 Contractor S'"E 4s, OWNr.L? Address City/Zip Code Phone Arch./Engr. 59ME '45 OwNcl? Address City/Zip Code Phone 4P OFFICE USE ONLY lv? On site sewage _ Oecupaney MWCC system _ Zoning On site well Actual Const City water _ Allowable PRV required _ dk of stories Hooster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit ay. 00 Planner Sureharge . SD Council ?. Plan Review Bldg. Off. "yiKt ?0/3 SAC, City Variance SAC, MFTCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL j { CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPG': PAYMFW OF FEE AT TIME OF ? APPLicATioN m? ? amsTimm ? APPROVAL OF PF.EtNffT. ? nvsPEMort oF sEWM Arro/rnx ViMM ° INSTAr.r.A'r30NS WII.i, NOT BE SCHED-- ? UIED UNPII. PIItNIIT HAS BEEN ? APPRaVID. > > _. _ . T*******?r+r*************,r************ P ease Print) ?1) PROPERTY ADDRESS: zz_(?_?? ?__<P ( LEGAL DESCRIPTION: I c f 10?4_/ _ kLOL/biocx/subaivision orG'rax Parcel ID ) IF EXISTING STf2CCZL'RE, DA2'E OF ORIGINAL BL'ILDING PE2MZT ISSL'ANCE: . . ?_ ? PRESENP ZONING/pROPOSED r-ISE: (P'bn Year) Q C0D1MEF2CIAL/REPAIL/0FFICE ? R-1 SINGLE FAMILY . INIDL'STF2IAL ? R-2 DL'PLEX (Ttap L'nits) n INSTI2i'TIONAL/G0VII2IZE= ? R-3 ROWNIIiOCTSE (Three + Units )( Units ) . [? R-4 APART!1,1ENT/CODID0MINIUM ( •Units) 2) ' ' ''r'? iVAME: ADDRESS: CITY. STATE. ZIP: PHONE: • 3) ?- NAME: . ADDRFSS: i CITY, STATE, ZIP: PHONE: MASTER I.ICENSE# 4) •?? • • i?+• IVAME: ADDRESS: CITY, STATE, ZIP:??or r? o 5-4 S 7 . PHOIVE: ?j F_ - ? Plumbers License: Active E7cpired Not recorded Staff Initial •5) ? v ? ? a• • ?• : a • y? - ?? . J9,CONNECTION 1b CITY SEMM IT7' CONNDC,`TION ZU CITY WATER ? OTFE2 6) ? • r q PLEABE HOLD APPROVID PERMIT F'UR PICK-IIP BY ONE OF ABOVE _.-- •---- PLEASE MAIL APPR PER?;T TO 1, 21 (3 4. ABpVE . (Circle one) . . 7) r. r U• - ?-- - ?? ? `7-?5=?? le't- FOR CITY USE ONLY PERMIT # ISSDED Pd w/Bldg. Permit s $ $ $ s s $ ? C? • G?,- r S 57 S?c? z? $ $ $ $ $ FEES: s /U 5 0 S / o - S ? c $ $ $ $ S $ c ., ? . SEWER PERMIT (INCLUDE SC?RCHARGE) WATER PERMIT (INCLUDE SURCHARGE) .. WATER METER/COPPERHORN/OCTSIDE READER WATFR TAP (INCLUDE CORPURATIOTJ STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRL'NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRCNK WATER S ?- . . $ y TCi1HL ?5- a-- RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--l YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q ROADWAY" MUST BE ISSC'ED BY THE ENGINEERING NO DIVISION. LIST AS A CO[VDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : ? WATER TREATMENT PLANT SLRCHARGE OTHER: ?5- 7ss-? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please cornplete for: Single Family Dwellings Townhomes and Condos when pernuts are required for each unit ? Is'.sD nate 3 0<3 - - Site Address HENG, SUZIE Unit # 1045 KETTLE CREEK ROAD EAGAN, MN 55123 Property Owner (651) 405-3953 Telephone # ( ) Contractor NORBLOM Pl4JMBINt3 CO. (672) 827-4033 Address City • ip 5tate MINNEAPOU% Telephone # ( ) The Applicant is _ Owner ? Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additlonal consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 00 50 _ Adding fixtures to lower levels or room additions, exclud ing water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other. _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener x Water heater 8 S? $ 15.00 replacemeM additional 1? I ' ,)rr By =iI $ .50 State Surcharge __ - --- ? Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemat; 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 Ap t's Signature 2004 RESIDENTIAL MECHANICAL PERIVIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwe]lings & townhomes/condos when permits are required for cach unit Date 4 / i(o_ / Q(, 3iteAddress tQU15 uQ`kkie C ir. ? 004 Unit# Property Owner _Sua:LQ G nQ Telephone # (? ) (p5j " 7p5 ' 34S3 Contractm- 1kQyis fflechQ ,n'l L+mi, InC• Street Address 12c) tp o,d AY lc[, V(xrd IRoQd C:ity s ?m e State M 1µ 7.ip %339Telephone# (%2 ) yy5'O6K Bond #: ORLT 5 Expires: IB' 14 1 6 The Applicant is Owner ) Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement - air exchanger airconditioner _New ?R eplacement other 5t:+te Surcharge $ .50 Total $ ? ,50 I hcreby apply for a Residential Mechanical Pernut and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but onty an application for a permit, and wark is not to start ivithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplan?s. ? I Ltndct ,?ernanjw Applicant's Printed Name Applicant's SignTnJUL 1 9 2004 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please completc for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # . . . Tenant Name (if applicable) . . Previous Tenant Name Property Owner Telephone # ( ) Contractor • • • ' Street Address City State • Zip Telephone # ( ) Bond#: . .' Expires: .• •. The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "`'"see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspecfor Permlt FeOS: $70.50 Underground [ank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee • If ermit fee is $1,000 or less, add $.50 => $ State Surcharge lf ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanicai Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 Approved By: , Inspector Date: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1045 Kettle Creek Rd Lot: 19 Block: 2 Addition: Lexington Square PID:10- 45075- 190 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203 -0149 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: 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. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Suzie S Heng 1045 Kettle Creek Rd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088129 02/05/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA123365 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 1045 Kettle Creek Rd Lot:19 Block: 2 Addition: Lexington Square PID:10-45075-02-190 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 - Suzie S Heng 1045 Kettle Creek Rd Eagan MN 55123 Mastercraft Exteriors Inc 330 E Main St Suite 600 Rockton IL 61072 (815) 624-6840 Applicant/Permitee: Signature Issued By: Signature For Office Use 47 , , :::::ee: / i lu I ra-mss. / -0 7._(-7er y Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ar '0-..- 'Fg.°. I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinclinspections(acityofeaoan.com & L L- : �. 201 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 ft57/416 Site Address: I O 15 1U.H le C P1 e eic- .-' rj c%n Unit#: _____ II Name: S uaC 1 (2 -Ci-,A K d V Al5d I i o Phone: 6/2 -'7/ 223 3 Resident/ 1 Owner Address/City/Zip: 10 etc ILeille. C i Q .ce : iJ 6a,..1, M 41 51-/z-I 1 Applicant is: V Owner Contractor, Dj � Description of work: M 4-:0*.� .41/54 JC r dola(,�Q. Type of Work p s i Construction Cost 10 v 0 000' Multi-Family Building: (Yes /No ) I Company:J4{S'<r( ` 3vi.;Ca'r-O- 4. �t. S`TAu✓t.r:contact: Q- Gt-, k'.aS.cd I/o 4 Contractor I Address: � t4 ilf ,A a J'Z City: I IState: Zip: Phone: Email: i ;; License#: 4 C wlc Lead Certificate#: If the project is exempt from lead certification, please explain why: I _....�. m_ � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes, date and address of master plan: i I Licensed Plumber: Phone: • Mechanical Contractor: Phone: • ISewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: I rNOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be t classified as non-.ublic i you a rovide s.ecncc reasons that would a ermit the Ci; to conclude that the 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.cityofeagan.com/subscribe. 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. 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with th inan s and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i tart ou a p mit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva,kif"plans. s" � x`7 tGi" µtf \ia.Sse lit, . x ,< Applicant's Printed Name Applicant's Signature Ibtfc 14,- 1-e_. C(Le 1. /r . 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 _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding _ i(Addition Demolish Building* 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 DESCRIPTIONt Valuation LIC fill 1 Occupancy CES System Plan ReviewCode Edition I/ i SAC Units (25%_100% y., Zoning 1 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction if Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 4 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final ., Framing 30 Minutes 1‹ 1 Hour Drain Tile " Fireplace: _Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation J( Windows } Sheathing Retaining Wall:_Footings_Backfill_Final ( Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower PanOther: Reviewed By: 1 , Building Inspector lid; RESIDENTIAL FEES64)14: /4" Base Fee �� Surcharge ill lit r Plan Review le-'" 1 )..A ' MCES SAC 1 City SAC en Utility Connection Charge S&W Permit& Surcharge 5 qç Lfkj . Treatment Plant Copies TOTAL Page 2 of 3 TRI --LAND CO. SITE PLAN FOR / 5c' SURVEYING SERVICES COLLEGE CITY 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 /0 1-(c Zulii-e_ tir-eyel-c-, ed N87°5027"E 0x� �/` 82.19 ' Drotkelt wni (1}ility Eo.Set«snf 5 5i 1_01" 18 1 ( \\ 19 'fly el n '"r\/ r N .if\i° } SCALE: I = 30 69 1 w , rin a o- ao►� 0)o 'l>" (7)N. / 13 N 0 f' N to s t!) r li Z 0 t. I 22 ,i ) ' , ) /0 5Y L.__4?\ J (D w nq'E a Vifflty.Ease r•+tw't' fO 6.50 Q=2°59'33"q� L=38.96 C- KETTLE CREEK ROAD • PROPERTY DESCRIPTION LOT 19 , BLOCK., LEXINGTON SQUARE according to the recorded plat thereof DAKOTA County,Minnesota LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 9547 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION E LE VAT I ON DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey,plan or ,,AJJ report was prepared by me or under my �i�-� direct supervision and that I am a duly Bradley en son, Mn. Reg. No. 15235 Registered Land Surveyor under the ii Laws of the State of Minnesota. Date: "i1 z-416 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153736 Date Issued:01/17/2019 Permit Category:ePermit Site Address: 1045 Kettle Creek Rd Lot:19 Block: 2 Addition: Lexington Square PID:10-45075-02-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner - Includes ductwork Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Suzie S Vassallo 1045 Kettle Creek Rd Eagan MN 55123 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature For Office Use p, :::: : & Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 R E(.v E l y (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspections(c�citvofeagan.com FEB 0 6 ZU19 L J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:2-3-2019site Address: 1045 Kettle Creek Road, Eagen MN 55123 Tenant: Rich Vassallo Suite#: Resident/Owner Name: Rich Vassallo Phone: 612-718-2233 Address/City/Zip: 1045 Kettle Creek Road, Eagen MN 55123 Name: Street Plumbing INC License#: ContractorAddress: 11804 River Hills Dr, Unit 5 City: State: MN Zip: 55337 Phone: 612-419-9926 Contact: 612-419-9926 Email: streetplumbinginc@yahoo.com Tye New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: QQCf 4 6Q1ro2M 6VCt )44e 9a(t)RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System 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$60 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.cityofeagan.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. xAustin Peterson x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Oats: Required inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related items: -Meter Size Radio Read;....... Manometer Staff: